Ukunciphisa ukubandezeleka xa zonke izinto zingaphumeleli
Nangona kukho ukunyamekela okunyamekayo , abanye abantu abanakufumana ukukhulula okwaneleyo ekubandezelekeni kwabo kwaye banokufuna into eyaziwa ngokuba yi- sedation sedation ukuze kuphephe ukukhathazeka nokuxinzezeleka.
Ngaphambi kokuba i-sedation ithathelwe ingqalelo, iqela labantu abaninakekelayo okanye owamthandayo-ngokuqhelekileyo eyaziwa njengeqela elijongene nokunyamekela -liya kubheka ezininzi iindlela zokuncedisa ukuxhatshazwa, ezifana nokulawulwa kwamagqabhagqabha (usebenzisa nayiphi na imithi kunye neyeza unokunceda) kunye nenkxaso yengqondo ukunceda ngeengxakini zengqondo.
Injongo kukukwenza umntu ohluphekileyo anqabise kangangoko kunokwenzeka. Xa lo mzamo ungonelanelekanga, i-sedation sedation ingakhetha.
Ulawulo lwezinhlungu
Ngamanye amaxesha kunzima ukunyanga iimpawu kwaye akunakwenzeka ukuba uphendule naluphina unyango. Esi siphumo maxa wambi sibonakala kubantu abanomhlaza kunye neentlungu ezinzima. Nangona kukho ukunyuka kwamayeza eentlungu , ezinye iintlungu azikwazi ukukhululeka. Ezinye iimpawu zingabangela uxinzelelo olunzima njengento eninzi kunye neentlungu ezinkulu kunye nokuhlanza, ukugubungela okungalawulwayo okanye ukuthinteka, kunye nokuphefumula okukhulu ziyimimiselo embalwa yeemeko ezinzima. Kule meko, i-sedation ingaba yindlela kuphela yokufumana uncedo olufanelekileyo.
Emva kokuba isigqibo senziwe ngugqirha ngokubambisana nesigulane okanye isigqibo sakhe sokwenza i-sedation sedation, kunikwa unyango okhulayo kwaye unyuke kuze kube yinqanaba elidinga ukuthuthuzelwa. Ngokuqhelekileyo, abantu abajongene nentsholongwane yokulondeka bagcina ingqalelo xa bekhutshwe kwiqondo elincinci.
Kodwa ukuba wena okanye wakho othandekayo usenokuba nezibonakaliso ezingenakunxulunyaniswa, ukunciphisa ukungazi kakuhle kunokusesikweni sokugqibela.
Unyango lwezonyango
Imithi esetyenziselwa ukukholisa umntu ingabandakanya izidakamizwa ezichasayo ezinjengeValium (diazepam) kunye ne-phenobarbital, okanye imithi yeentlungu. Uvakalelo lwe-sedation lunokuthi luhluke kwi-sensation epholileyo ukugqiba ukungazi.
Ngokuqhelekileyo, inani eliphantsi kakhulu leyeza lokudambisa elinomphumo onqwenelekayo wokunciphisa uxinzelelo lisetyenziselwa ukuqinisekisa ukuba umntu ophathwayo uhlala eyazi kakuhle ixesha elide.
Ukuba ukunciphisa i-state engaziwayo yindlela eyokuphela yokunciphisa uxinzelelo, inokuthi ifakwe njengesisombululo sethutyana kunye nabasebenzi bezonyango abavumela ukuba izidalwa zigule ukuba ziphinde zihlaziye umgangatho wenduduzo yesigulane. Kungathathwa isigqibo sokuba indlela yodwa yokuqinisekisa induduzo kukuba kugcinwe ukuhlaliswa okupheleleyo kude kube sekufeni . Ukuba le ndlela ilandelwa, ukufa kuya kubakho kwiveki enye. Olunye uphando lubonisa ixesha eliqhelekileyo malunga neeyure ezingama-27.
Iimpawu zonyango
Kukho iziganeko ezintathu ezifunekayo ukuba isiganeko sesiguli sifanele sidibane phambi kokuba kusetyenziswe iilation sedation.
- Indlela enye yokunciphisa ukubandezeleka ayizange iphumelele okanye ivelise iziphumo ezingenakuze zibekezeleke
- Injongo yokuguqulwa kufuneka ibe kukunciphisa uxinzelelo, ungagqibi ubomi bomguli okanye ukukhawuleza ukufa
- Isigulane simele sisondele ekufeni, ngoko ukuguqulwa kwakungeke kube mfutshane
Ukusetyenzwa kwezinto ezinqabileyo akuzange kwenziwe ngaphandle kwesigulane okanye imvume yakhe yomenzi wesigqibo. Le mfuneko yinto ekubhekiswa ngayo njengesigqibo sokuzimela- umntu owenziwe ngumntu ochaphazelekayo, okanye inkululeko, ngokusekelwe kwiimpawu zakhe, iinkolelo zakhe kunye neenjongo zakhe.
Imfuno yabanikezeli benkonzo yezempilo ukukhusela le mvume iqinisekisa ukuba isigqibo, ukuba sikhethwe, senziwe ngokuhambelana neminqweno yomuntu siqu kwaye ngaphandle kwefuthe lobungcali bodokotela malunga nomcimbi.
Imithombo:
UBernard Lo, MD; UGordon Rubenfeld, MD, MSc. "Ukutshatyalaliswa kwePalliative ekutyeni izigulane". JAMA. 2005; 294: 1810-1816.