Ukuchaza Ubunzima Bakho Othandekayo Nokugcina Ingosi Yobuhlungu
Ukunyamekela umntu onesifo esisongela ubomi kudinga ukuvavanya nangokucokisekileyo, okanye "ukuvavanya," kwintlungu kunye nezinye iimpawu. Wena ngamehlo kunye neendlebe ukuba ugqirha kunye nabongikazi banakekele umhlobo wakho. Uya kuthunyelwa ngolwazi olubalulekileyo malunga neentlungu zakho neempawu zakho kwiqela lezononophelo lwezempilo, ngoko unokwenza njani oku ngendlela engcono kakhulu?
Ukuvavanya intlungu kunye nokuyixela kwikomiti yezononophelo zezempilo kuya kuba yinto ebaluleke kakhulu ongayenza ngexesha lonyamekela umthandayo.
Ukuqonda Ubunzima
Kubalulekile xa uvavanya intlungu ukuze uqonde kakuhle intlungu. Kukho iintlobo ezahlukeneyo zentlungu . Ubunzima buba nzima, oko kukuqala kwangoko, okanye intlungu ingaba yinto engapheliyo . Inokuthi ibe yendawo, okanye iyakwazi ukusasazeka. Kukho iindlela ezahlukeneyo apho iintlungu zenziwa khona, kunye nale ndlela eyahlukileyo ekhokelela kumava ahlukeneyo entlungu. Into ebalulekileyo ukuba uyikhumbule kukuba intlungu ihlala ihlala yintoni umntu ejongene nayo, kubangelwa nini na apho bayichaza khona.
Ukuba umntu unokukwazi ukunxibelelana nentlungu, kuya kuba lula ukuyirekhoda kwaye uyibuyisele kugqirha. Ukuba abanakukwazi ukuthetha oko bavakalelwa kukuba, kunokuba nzima kunzima ukuvavanya intlungu yabo kodwa kusenokwenzeka. Ukuze wenze njalo, kufuneka uqaphele iimpawu neempawu ezibonakalayo ezibonisa ukuba zivakalelwa njani, esizixubusha ngeenkcukacha ezingezantsi.
Ukuvavanya intlungu yinto enononophelo lwenkonzo yakho yokunakekelwa kwezempilo uza kuyenza ngexesha lokutyelela okanye ukutyunjwa, kodwa kuya kuba kuwe ukuvavanya intlungu ebathandayo phakathi kokutyelela kobugcisa. Ulwazi olulandelayo luya kunceda kuwe njengoko uvavanya intlungu.
Ubunzima bobuhlungu
Isinyathelo sokuqala ekuhloliseni intlungu kukufumanisa ukuba kubi kangakanani kumzuzu wamanje.
Kukho izixhobo ezinokuncedisa umntu okwazi ukuthetha ngokucacisa ubunzima beentlungu zabo. Kubantu abadala, oku kufuthi kwenziwe ngezinga elingu-0-10. I-Zero yayiza kuchaza ukungabikho kweentlungu kunye neyeshumi ziza kubonakalisa intlungu ebuhlungu kakhulu. Ngokubanzi, inqanaba leentlungu:
- 1 ukuya ku-3 kubhekisela kubuhlungu obubuhlungu
- 4 ukuya ku-6 kubhekisela kwiintlungu ezilinganayo
- I-7 ukuya kwe-10 ibhekisela entlungu ebuhlungu
Buza umntu obathandayo ukuba alinganise intlungu yabo kwindawo ethile kuloo nqanaba.
Kukho inani leemilinganiselo ezahlukeneyo zentlungu ezingasetyenziselwa ukwenza le nkqubo ilula. Ngokomzekelo, isixa esisodwa esibhekiswe kuso njengeS FLACC isebenzisa inkcazo yempawu emininzi umntu anokubonakalisa, ukwenzela ukuba alinganise inombolo phakathi kweshumi. Oku kubandakanya ukubonakala kwamehlo, imilenze (enoba ikhululekile, idolo, okanye ukukhaba), umsebenzi (nokuba ulele ngokucebile, ukuxhamla, okanye ukugqabhuka kunye nokugubha), ukukhala, kunye nokuqiniswa.
Xa ucela abantwana abancinci okanye abantu abadala abangabinamazwi ukuba bachaze intlungu yabo, isixhobo esasetyenziswa rhoqo ngababoneleli ngezeMpilo nguWong-Baker FACES Pain Rating Scale . Kunconywa kubantu abaneminyaka engama-3 ubudala nangaphezulu. Ngeli nqanaba, unokwalukhomba ubuso obunye usebenzisa amagama ukuchaza ubunzima beentlungu. Buza umntwana ukuba akhethe ubuso obuchaze kakuhle intlungu, okanye ukhangela ubuso bomntu ongasemlomo ukuba anqume ukuba ubonakala buso bubuso etafileni buhambelana kakhulu nomntu obathandayo.
Inqanaba eliMkelekileyo loMvuzo
Wonke umntu uya kuba neyakhe inqanaba elivunyelweyo leentlungu. Kwabanye kungenakuba buhlungu kwaye abanye baya kunyamezela intlungu ye-3 kwisikali se-0-10. Kubalulekile ukufumanisa ukuba yintoni inqanaba elamkelekileyo lomntu onoxanduva. Ukuba umhlobo wakho ujabule ngentlungu ye-3, awuyi kufuna ukuwagulisa kwi-sedation ukuze uwafumane kwinqanaba leentlungu. Ngakolunye uhlangothi, abanye abantu bazama ukunyamezela amanqanaba entlungu ngaphezu kwe-4, nangona la manqanaba entlungu ahlala esinciphisa umgangatho wobomi.
Indawo yoBuhlungu
Indawo yentlungu inokuba yinto efanayo xa ucela.
Umntu onesifo sesibindi sokuphela kwesigxina unokuhlala enentlungwini kwicala elingasentla lesisu. Kubalulekile ukubuza, nangona kunjalo, kuba intlungu entsha ingahlakulela. Ukuba indawo iyahluka okanye intlungu entsha ivela, qiniseka ukurekhoda loo nkcukacha uze uyidlulisele kumncedisi wakho wezempilo.
Ukunyanyiswa nokunyanzelisa
Ukunyanyiswa kunye nokukhutshiswa kubalulekile ukuvavanya ukwenza xa uhlola intlungu. Okokuqala, unokubuza umhlobo wakho oko kwenza ukuba intlungu yabo ibe bhetele, okanye "i-palliates". Oku kunokuphela kweemithi zentlungu kuphela. Kungenzeka utshintshe izikhundla okanye ulale kuphela kwicala lasekhohlo. Ukufumanisa oko kukunciphisa intlungu ayikukunceda nje ukwenza izinto ezincedisayo kwintuthuzelo yakho kumntu onomthandayo kodwa kunokubonelela ngogqirha obalulekileyo kubangelwa yintlungu xa engaziwa.
Kwakhona, cela into eyenza intlungu ibe yimbi, okanye iyichukumise. Kwakhona, kunokuhamba okanye ukulala kwicala elithile. Kwakhona unokutya okanye uthinte. Oku kuya kukunceda ukuba ugweme izinto ezibangele ukuphazamiseka kwaye unikezele izibalulo ezibalulekileyo ugqirha.
Ukuvavanya iimpawu ezingezona izenzi
Njengoko kukhankanywe ngaphambili, kunokuba nzima ukuvavanya intlungu yomntu ukuba abakwazi ukuyivakalisa kwaye / okanye abakwazi ukukhomba kwisikali seFACES. Kukho impawu kunye neempawu ukuba umntu angabonisa ukuba zintlungu ezinokukunceda eku:
- Grimacing okanye ubuso
- Ukurhweba okanye ukuguquka rhoqo ebhedeni
- Ukugcoba, ukububula, okanye ukugubha
- Ukungabi nantlupheko nokukhathazeka
- Kubonakala kungenasiphelo kwaye kunzima, mhlawumbi ukudweba imilenze okanye ukukhaba
- Ukulinda indawo yentlungu okanye ukuhoxisa ekuthinteni kuloo ndawo
Iimpawu ezingaphezulu komntu, kunye nokugqithisa ngakumbi, ziza kubakho ukuqonda ubunzima beentlungu abazifumanayo. Ungakwazi ukurekhoda iintlungu zabo ngokuthi "zinyameko", "zilinganise", okanye "zinzima".
Gcina ingxelo
Enye yezona zinto zibaluleke kakhulu ongayenza kumntu onokunyamekela kukugcina irekhodi elichanekileyo yentlungu yabo kunye neentlungu zonyango. Emva kokuba uvavanya intlungu yabo, bhala ubunzima kunye nendawo nayiphi na imichiza okanye unyango owalunikayo. Thatha ukuba ingaba amayeza okanye unyango lwasebenza. Kwakhona, bhala phantsi nantoni na emitsha abaye bakuxelela ngayo oko kwenza ukuba uzive ungcono okanye zibi. Le yindlela enhle yokubambisana nabaqeqeshi bakho bezempilo ukuze banike uncedo oluhle kakhulu lokunyamekela.
Umzekelo weNgxowa yoBuhlu
Ingosi yakho yeentlungu ayifuni ukuba ichazwe ngokucacileyo, kodwa iincandelo ezimbalwa ngoncedo lwababoneleli bakho bezempilo baphonononga kakuhle indawo kunye nobukhulu beentlungu, kunye nezo kunyango ezingenakusebenza.
Itheyibhile engezantsi ngumzekelo wesigwebo sentlungu kumntu onesisu esiswini:
| Ingxowa ye Pain | |||
| Umhla / Ixesha | I nqanaba le Pain | Indawo yoBuhlungu | Amachiza / unyango owanikwa |
| 11/26 9: 00a | 5/10 | esiswini esiswini | Morphine 10mg |
| 11/26 1: 00p | 3/10 | esiswini esiswini | ukuchukumisa okufudumele kwisisu |
| 11/26 5: 00p | 4/10 | intloko kunye nesisu esiswini | Morphine 10mg |
Okukwintsusa
Xa uvavanya intlungu yakho, ungadlala indima ebalulekileyo ekuqinisekiseni ukuba umthandane wakho ufumana unyango olungcono xa unenkxwaleko encinane. Ukusebenzisa izikhamo zentlungu nokugcina iinjongo zentlungu ziindlela ezilungileyo zokumisela intlungu encinci ukuze udokotela wakho azi ukuba unyango olongezelelweyo luyadingeka. Ukugcina irekhodi kunokukwazisa ukuba utshintshe ukuze udibanise nabaqeqeshi bakho bezempilo ngokukhawuleza xa kunokwenzeka.
Njengengxelo yokugqibela, ukunyamekela umntu obathandayo ngesifo esisongela ubomi mhlawumbi into ebalulekileyo ongayenza omnye umntu, kodwa igalelo. Njengokuba unako, khumbula ukuba unakekele iimfuno zakho. Cela uncedo kwaye uzimisele ukuwufumana. Zizenzele, ukuba nje imizuzu embalwa apha naphandle. Unokuziva unetyala uzama ukuhlangabezana neemfuno zakho. Kodwa khumbula ukuba kufuneka uzinakekele ukuba unika umhlobo wakho uncedo olungcono kakhulu. Khumbula ukuba iingcebiso kubafundi abahamba ngeenqwelomoya zisinikela ngaphambi kokususa. Beka i-mask yakho ye-oxygen mask kuqala.
> Imithombo:
> Broglio, K., no R. Portenay. Uvavanyo lwePain noLawulo kwiiveki zokugqibela zoBomi. UpToDate . Ukuhlaziywa 09/12/17.
> McGuire, D., Kaiser, K., Haisfield-Wolfe, M., noF. Iyamu. Ukuhlolwa kobuhlungu kwiiNyanga eziManyanisiweyo zokuNakekelwa kweMpilo. Iiklinikhi zezobuhlengikazi zaseMntla Melika . 2016. 51 (3): 397-431.