Iimpawu eziqhelekileyo
I-Delirium impawu eziqhelekileyo kwizigulane ezininzi ezifa, kwaye unokuba ngowokuqala ukuphawula ukuba umhlobo wakho ufumana ezinye iziphumo, ingakumbi i-state ebizwa ngokuba yi-terminal. Ungayibona njani?
Yintoni iDelirium?
I-Delirium isifo esiyinkimbinkimbi yesifo sengqondo, ngamanye amaxesha kuthiwa "isifo sengqondo somzimba," "ukudideka," "ukuphazamiseka kwengqondo" okanye "ukukhubazeka kwengqondo." Unokuyibona ngokuqaphela utshintsho olukhawulezileyo ekuqaphelweni nasekuthandweni komthandayo.
Olu tshintsho lunokuthi ludlule kwixesha lemihla, kwaye ngokuqhelekileyo luba nzima kakhulu ebusuku.
Ezinye ezinye iimpawu ze-delirium ziquka:
- inqanaba lokungazi kakuhle kunye nolwazi oluncitshiswayo lwendalo
- imemori yexesha elifutshane kunye nokuqwalasela
- ukudideka ngexesha kunye nendawo
- ukukhohliswa kunye / okanye iholo (ukukholwa kunye / okanye ukubona izinto ezingekhoyo zangempela)
- Intetho engenakucatshulwayo: inokuba yinto ephakamileyo okanye ithambileyo, ngokukhawuleza okanye ngokukhawuleza
- ukuguquka kwemizwelo
- ukuphazamiseka kokulala: ukusilalisa okanye ukujikelezwa kokulala
- Umsebenzi ongaqhelekanga: ukunyakaza komzimba kunokwandisa okanye kunciphise, kwaye kusenokukhawuleza okanye kuphuze
Ukuba unyango lulibazisekile okanye lubonakala lunzima kakhulu, i-delirium ingaqhubela phambili ekuphumeni kokugcina.
Yintoni Inqaba Yokuhlala?
Ukungazinzi kwekota kuyindlela edibeneyo yokunciphisa i-delirium eyenziwa ngamanye amaxesha kwizigulane ezifa. Ubonakalisa ubunzima (ngokomoya, ngokomzwelo okanye emzimbeni), ukungazinzi, ukuxhalabisa , ukuphazamiseka, nokungaphumeleli kwengqondo.
Ukungazinzi kwekota kuxakeke gqitha kuba kunempembelelo engathanga ngqo kwinkqubo yokufa . Sonke sifuna ukufa kube ngamava ocolileyo kwaye onokuthula kodwa, ukuba isiguli sisweleka ukungazinzi, ukufa kwakhe akunakuphi na.
Xa umntu egule, utshintsho lweemeko luhlala luphawu oluqhelekileyo.
Ukutshatyalaliswa, ukukhathazeka, ukukhungatheka kunye nokuba nomsindo unemizwa engabonakaliswa. Xa umntu enesifo esibulalayo, ezi ntlobo zokutshintsha kwemizwelo zinokuba nzima, kwaye xa kusondela ukutshintsha kwemizwelo enzulu. Oku kunzima kakhulu kubaxhasi nabathandekayo ukujongana nabo.
Ukungazinzi kwekota kuxakeke gqitha kuba kunempembelelo engathanga ngqo kwinkqubo yokufa. Sonke sifuna ukufa kube ngamava ocolileyo kwaye onokuthula kodwa, ukuba isiguli sisweleka ukungazinzi, ukufa kwakhe akunakuphi na.
Ukungazinzi kwekota kukwazi ukudideka "ngokusondela kokuqwashisa ukufa," echazwa njengolwazi olusesikweni lokufa olusondeleyo. Kubalulekile kubathandekayo bezigulane ezifa, kwakunye nabaqeqeshi bempilo, ukuba baqonde into yokuba kufumaneka ukuqonda ngokufa ukuze bakwazi ukuxhotyiswa ukuxhasa izidingo ezikhethekileyo zesigulane esifayo.
Iingxaki zeLeliyam kunye noKhuseleko lokuphela
Kukho izizathu ezininzi ezahlukahlukeneyo zokungabikho kokuzithengisa. Ezinye izizathu ziguqulwa kalula, kanti ezinye azikho.
Ezinye zezona zizathu eziqhelekileyo ze-delirium ziquka:
- amayeza: i- opioids , izidakamizwa zokulwa noxinzelelo, i-steroids, kunye ne- anxiolytics zimbalwa nje zonyango ezingabangela i-delirium. Ukusetyenziswa ngokugqithisileyo kwemithi kunokubangela ukutywala kunye nokusetyenziswa kwangaphantsi kungabangela intlungu kunye nokungahambi kakuhle, oku kungenza kube nzima nakakhulu ukudlula.
- intlungu engaphelelwanga okanye ukungahambi kakuhle
- ukupheliswa kwamanzi
- ukuncipha i-oksijeni kwigazi / ingqondo
- i-anemia (ukuncipha kweeseli ezibomvu zegazi)
- izifo kunye nezifo
- izicubu zeengqondo / ukukhupha kwengqondo
- ukugcinwa kwamanzi (ukungakwazi ukuchitha umchamo kungabangelwa zizifo, i-cinkter ye-urinary okanye i-bladder spasms)
- ukutyunjwa okanye ukunyuka kwamafutha
- ukoyika, ukuxhalaba , ukuphazamiseka kwengqondo
- unyango lomhlaza
- ukuphazamiseka kwemizimba (eziqhelekileyo ekupheleni kokuphila njengoko izitho ezibalulekileyo ziqala ukuvala)
Yintoni Enokuthi Yenzeke Ngomsebenzi Wokungapheleli?
Ukuba isizathu sibonakala lula, i-delirium ivame ukuphathwa ngokulula. Nangona kunjalo, ekupheleni kobomi , kunokuba kunzima ukufumanisa isizathu esisodwa, ngoko ke ukwenza unyango lwe-delirium kunye nokungazinzi ukugcina ukungapheli.
Kubalulekile ukugcina engqondweni ukuba ukuchonga ngokufanelekileyo imbangela ye-delirium kwaye uyayiphatha kakuhle ingathatha iintsuku eziliqela, kodwa ngenkxaso yethimba lokubhedlele , abahlobo abasondeleyo kunye namanye amalungu omndeni, uya kuyenza ngeli xesha elinzima.
I-Delirium ayifanani nayo yonke into, kwaye iyakwazi ukulinganisa ezinye izifo kunye ne-syndromes, eyenza ukuyiqonda nokuyiphatha nzima. Ukuba uqaphela ukuba umthandayo usebenza ngaphandle kweentlobo, unokholo olutsha okanye ufumana utshintsho kwindlela yakhe yokulala, qha ga mshelana nomboneleli wakho wezempilo ukuze uphonononge uvavanyo.
> Imithombo:
> Kinzbrunner, BM; Weinreb, NJ; Ipolisi, iJS; 20 Iingxaki eziqhelekileyo: Ukuphela koKhathalelo loBomi, uMqulu we-McGraw-Hill, 2002.
> Ferrell, BR kunye noCoyle, N; Incwadi ye-Nursing Palliative, i-Oxford University Press, ngo-2006.