Iziphakamiso eziwusizo zokusiza ukuhlinzeka okuhlangenwe nakho okuphephile, okunethezekile
Ukunakekela othandekayo obhekene nesifo esingapheli noma sokuphila okukhawulelwe noma izifo kungabonisa ukucindezeleka nokukhathala, ikakhulukazi njengoba inqubo yokufa iqala, kodwa futhi isenzo sokugcina sothando. Uma uzibuza ukuthi wenza, ukukhuluma noma ukucabanga okuhle, ukusikisela okusebenzayo kwalesi sihloko kungakusiza ukunakekela kangcono umuntu othandekayo oshonile ekhaya.
Ukuphepha Patient kanye Nokunakekelwa Kwesikhumba
Njengoba isiguli siqala uhambo oluya ekufeni , yena uzoba buthakathaka futhi aqhubeke elele. Lokhu kubonakala ngokwengeziwe njengoba inqubo yokufa iqhubeka, futhi ukunakekelwa kungase kube nzima nakakhulu futhi umsebenzi ukhulu kakhulu. Njengomnakekeli, kufanele ugxile ezintweni ezimbili njengoba othandekayo wakho ekhula buthakathaka: ukunakekelwa nokuphepha kwesikhumba.
Ukuthuthukisa ukuphepha kwekhaya kuvame ukuqala ngokulungisa kabusha ifenisha yakho nezinye izinto ukuvumela othandekayo wakho ukuba athuthe kalula. Lesi yisikhathi lapho kufanele ucabangele ukuthola imishini yokwelashwa ehlala njalo , njengombhede wesibhedlele, uhambahamba, isitulo sabakhubazekile, noma ukuthengiswa kombhede uma ungakwenzi kanjalo kakade. Ukuba nemishini efanele yezokwelapha, futhi isikhala esanele sokuwasebenzisa kahle kungasiza ekuvimbeleni ukuwa kanye nezinye izingozi.
Ukunakekelwa kwesikhumba nakho kubaluleke kakhulu ngalesi sikhathi. Njengoba isiguli sakho sichitha isikhathi sokulala noma sihlezi esihlalweni, ubhekene nengozi enkulu yokudala izilonda ezingcindezi emzimbeni wakhe.
Eyaziwa nangokuthi i- decubitus ulcers noma i-bedsores, izilonda zomshoshaphansi ngenxa yokunciphisa ukugeleza kwegazi endaweni yomzimba ngenxa yokucindezela okuqhubekayo esikhumbeni. I-friction esikhumbeni kusukela ekuphindiseni kabusha isiguli, ukuwahambisa phansi embhedeni kanye / noma ukuntuleka kokudla okunempilo nakho kungabangela inkinga.
Ngakho-ke, kubalulekile ukushintsha isikhundla somuntu wakho othandekayo embhedeni njalo ngamahora amabili ngenkathi usuphapheme uma engakwazi ukwenza lokho yedwa (bheka ukuthi ungabeka kanjani isiguli embhede ). Okunye phakathi kokuwabeka ngemuva kwabo bese uwaphendulela ezinhlangothini zabo zangakwesokunxele nangakwesobunxele. Gcina imithwalo eningi ehamba kahle ngoba kufanele uyibeke ngaphansi komngane wakho othandekayo, enye emkhatsini wamadolo abo, mhlawumbe enye engaphansi kwengalo yabo lapho ihlezi eceleni kwabo.
Hlola isikhumba sabo njalo-ikakhulukazi ngaphansi komgogodla (i-tailbone), izithende, izigqoko, nezinkalo-futhi ubheke noma yiziphi izindawo zobunikazi noma ubomvu. Gcoba ngobumnene izindawo ezihlukanisiwe nge-lotion ukukhuthaza ukugeleza kwegazi. Ungakwazi futhi ukuphakamisa izithende zabo ngokufaka umcamelo ngaphansi kwamagxathu akhe ukuze izinyawo ziphephe emaphethelweni. Ungakwazi ukunciphisa ingcindezi ezinhlangothini ngendlela efanayo, okungukuthi, indawo yomnyango ngaphansi kwengalo engenhla noma ephansi. Qinisekisa ukuthi izilonda zesiguli azithinti imithwalo noma umbhede.
Uma othandekayo wakho esenenkinga yokucindezela noma ekhulisa enye ngenkathi ubakhathalela, ungazijezisi. Ngisho nokunakekelwa ngokucophelela, iziguli zingakwazi ukuzithuthukisa. Qiniseka ukuxwayisa umhlinzeki wakho wezempilo mayelana nesilonda ukuze bakwazi ukuthuthukisa uhlelo lokuzinakekela kahle.
Bangase futhi batuse umatizi womoya ukuhlinzeka ukukhishwa okunye futhi ukusiza ukukhulula ukucindezelwa.
Kumele futhi uqaphele ukugcina isikhumba sakho esimthandayo sihlanzekile futhi somile. Uma begqoke amashadi asebekhulile, hlola i-diaper okungenani njalo amahora amabili ngenkathi usuphapheme futhi uyishintsha uma ihlambulukile.
Ukunciphisa I-Appetite ne-Thirst
Isisulu somzimba sesiguli esingayeki singase sipheleke ngokuphelele njengoba esondela ekupheleni kokuphila. Ngenkathi othandekayo wakho engase akwazi ukubekezelela ukulunywa okuncane okunciphisa noma ukuphuza oketshezi, isikhathi singase sifike lapho enqaba ukudla noma ukuphuza nhlobo. Ngokuvamile kunzima kakhulu ukuthi abathandekayo bomuntu abafayo babone ngoba sivame ukulinganisa ukudla nokudla nokudla abantu njengesenzo sothando.
Ukubuka othandekayo wakho ukula ukudla nokuphuza uketshezi kungenza ukufa kwabo kusondele, futhi ukungakwazi ukukhombisa uthando lwakho ngokudla kungakusiza uzizwe ungenasici.
Qinisekisa ukuthi ukungabi nokudla nokuphuza kungabangela ukucindezeleka okudlula ukwedlula othandekayo wakho oshonile. Ukulamba nokuvama akuyona inkinga ekupheleni kokuphila, ngakho-ke kufanele uqhubeke nokuhlinzeka ngezidlo ezihlukahlukene ezithambile uma nje othandekayo wakho eqaphela (kodwa avumele ukuba abenqabe). Futhi, qhubekani unikela ngamasephu amanzi noma ezinye iziphuzo zokuzikhethela uma nje eyazi.
Ngenkathi iziguli zingavumi ukukhala ngokuphela kokuphila, umlomo owomile kungaba yinkinga. Lubise izindebe zomuntu omthandayo nge-petrol ye-petroleum jelly noma i-lip balm ukuvimbela ukuqhuma. Ungakwazi futhi ukugcoba umlomo wabo ngamaconsi ambalwa emanzini avela etsheni noma i-swab yamazinyo emanzi (i-sponge encane ekugcineni kwenduku) noma ngabe uphapheme noma ulahlekelwe yini.
Ukuphumula Kwangasese
Ukuphumula kokuphela kwegciwane kuyindlela yokudliwa ngokuphindaphindiwe kweziguli ezifa. Ucwaningo oluthile lubonisa ukuthi cishe amaphesenti angu-80 abantu abafayo bazobhekana nokukhathazeka noma ukungazitholi izindiza ezihlukahlukene. Izimpawu ukuthi othandekayo wakho aziphumule zingase zihlanganise ukungakwazi ukuphumula, ukukhetha ezembatho zabo noma amashidi ebhedi, ukudideka, nokukhathazeka, noma ukuzama ukukhuphuka embhedeni.
Ezinye izimbangela zokungabi nalutho okungapheli zibuyiselwa emuva, ezifana nobuhlungu , isilwane esigcwele, ukuqotshwa , noma imiphumela emibi ebangelwa imithi. Uma imbangela ingakwazi ukukhonjwa noma izimpawu ziqhubeka ngemva kokwelashwa, othandekayo wakho angase azuze ekuxhasweni kwe-anxiolytic, njenge-lorazepam.
Kubalulekile futhi ukwazisa umhlinzeki wakho wezempilo ngokushesha nje lapho izimpawu zokungabikho kokugcina ziqala. Ukubona imbangela yokungabi nalutho okungapheli nokuyiphatha ngokushesha kungafaka umthelela omkhulu ekugcineni kwesikhathi somthandi wakho, kanye nokuhlangenwe nakho kwakho ngenkathi unakekela.
Izinguquko zokushisa kwe-Bodily
Kungokwemvelo ukuthi othandekayo wakho abone izinguquko ezibalulekile zokushisa eduze nokuphela kokuphila njengoba umzimba wakhe ulahlekelwa amandla akhe okuzilawula. Uma uqaphela ukuthi othandekayo wakho unomkhuhlane futhi uyazikhukhumeza kakhulu, noma uzizwa epholile ekuthinteni nasekuthinteni kwakho, kunezinyathelo ezimbalwa ongazithatha izinkinga.
Uma othandekayo wakho enesifo kodwa engakwazi ukugwinya amaphilisi, ungamnika amaphilisi e- acetaminophen (iTylenol). Uma isiguli singenalutho, zama ukusebenzisa i-acetaminophen suppository. I-Acetaminophen iyi-antipyretic ephumelelayo (i-fever reducer), kanye nokuxoshwa kobuhlungu.
Uma othandekayo wakho enomkhuhlane futhi uhlinzeka ukunakekelwa ekhaya ngosizo lokunakekelwa / ukunakekelwa kwezingane zokubeletha , kungenzeka ukuthi usuxoxe ngecebo lokusebenza uma umkhuhlane uqala. Abanakekeli abaningi base-hospice basebenzisa i-kit esandulela imithi yokwelashwa ukuze baphathe izimpawu zokuphela kokuphila (ngezinye izikhathi kuthiwa i-kit esiphuthumayo noma i- kittery comfort kit ) futhi bafundise abahlinzeki ngendlela efanele. Iningi lalezi kits zifaka i-acetaminophen ngenye indlela.
Enye into ongayenza ukuze unciphise umkhuhlane ukusebenzisa i-compresses ngokusebenzisa i-clock yokuhlanza epholile, ebunzini nasemqaleni. Akufanele neze ufake i- ice noma iphakethe leqhwa ngqo esikhwameni esingenalutho, noma kunjalo, ukugoqa iqhwa noma i-ice packs kumathawula ngaphambi kokuwasebenzisa. Qinisekisa ukuthi uhlola indawo ngaphansi kwe-compress epholile njalo futhi uyisuse ngemva kwemizuzu engu-15.
Uma isiguli sinesifo somkhuhlane, ungagqoka futhi i-T-shirt noma i-nightgown, noma igqoke lesibhedlela uma umuntu ekhona kuwe. Uma uzizwa sengathi udinga ukumboza, sebenzisa ishidi kuphela. Ngaphezu kwalokho, uma othandekayo wakho evuma kakhulu, hlola imibhede njalo futhi uyishintshe uma kunesidingo.
Uma othandekayo wakho ephazamisa, enezela ingubo noma amabili kufanele akwanele ukuze athuthukise induduzo yakhe. Ungase futhi wengeze izinkinobho ezithambile, ezikhululekile.
Okokugcina, uma uqaphela ukuthi izinzwani zomuntu wakho othandekayo, iminwe, impumulo kanye / noma izindebe zibonakala zimpunga noma zihlaza okwesibhakabhaka, qonda ukuthi lokhu kuyinto evamile njengoba ukujikeleza kwegazi lomzimba kwehla. Izinguquko ekujikeleziseni zivame ukubonakala ezinyaweni futhi uma ziba zinyama futhi ziluhlaza okwesibhakabhaka noma olubomvu, isikhathi sokufa ngokuvamile sisondela.
Ubuhlungu Nokukhungatheka
Njengomnakekeli, ungase uthole kunzima ukutshela ukuthi othandekayo wakho ubuhlungu uma izinga lakhe lokuqonda linciphisa. Ukuqaphela nokuhlola ubuhlungu besiguli kubalulekile ekuqinisekiseni induduzo yabo, kodwa, nokubona kwakho ulimi lomzimba kanye nezinye izinkomba zomzimba kuzokhula ngokubaluleka njengoba othandekayo wakho engakwazi ukukutshela ukuthi azizwa ubuhlungu. Nazi ezinye zezibonakaliso zobuhlungu nobuhlungu okufanele ububheke:
- Ukudideka
- I-brow evuliwe
- I-Grimacing
- Ukuqapha indawo ebuhlungu
- Ukwandisa izinga lokuphefumula (ukuphefumula ngomzuzu)
- Ukwandiswa kwenhliziyo noma ukushayela
- Ukukhala
- Ukuphumula noma ukukhathazeka
Ungase uqaphele lezi zibonakaliso zenzeka ngokunyakaza okuthile noma imisebenzi lapho uhlinzeka ukunakekelwa, noma kungenzeka kwenzeke ngokuzenzekelayo. Uma othandekayo wakho esesimweni esivamile semithi yobuhlungu , kubalulekile ukulondoloza ngisho noma elahlekelwa yilazi zinto. Umhlinzeki wakho wezezempilo kumele abe nomsebenzi wezokwelapha uma umthandi wakho engaphenduli.
Uma othandekayo wakho engazange athathe imithi yokuhlunguphaza njalo, kusabalulekile ukumqapha ngezibonakaliso zokungahambi kahle futhi abe nemithi esandleni uma kwenzeka ubuhlungu buvele kungazelelwe. Ngokuvamile i- Morphine ifakwe ku-kliniki yokunethezeka ye-hospice, kanye ne-acetaminophen suppositories okukhulunywe ngenhla.
Izinguquko Ekuphefumuleni
I-Dyspnea , noma ukuphefumula, ngokuvamile kuyisimo esicindezelayo hhayi nje kuphela umuntu ofayo kodwa nabomndeni wakhe nabangane bakhe. Uma othandekayo wakho ephefumula ngokushesha (ngaphezulu kuka-24 umoya ngeminithi) futhi ebonakala engakhululekile, i-morphine ingase ibonise ukwelashwa okukhethile. I-Morphine ayinikezi kuphela izindawo eziphuthumayo zokukhulula ubuhlungu kodwa futhi yenza umsebenzi omuhle ekuphatheni i-dyspnea. Iphuza ukuphefumula phansi, okuvumela umzimba wesiguli ukuba uthathe ukuphefumula okungaphezulu kakhudlwana ngenkathi unciphisa ukuzwa ukuphefumula ebuchosheni. Uma othandekayo wakho engelahleki noma engacabangeli ku-morphine, amanye ama-opioid imithi angasiza ukuphatha i-dyspnea.
Ezinye zokwelashwa ezingasiza ekunciphiseni i-dyspnea zihlanganisa:
- Ukulawula oksijini
- Ukuqondisa fan ngejubane eliphansi ebusweni bomuntu obathandayo
- Ukuhlinzeka umoya omusha ngokuvula iwindi
Esinye isenzakalo esivamile futhi esingaxhaswa eduze nokuphela kokuphila sibhekwa ngokuthi " ukufa okuphazamisayo ." Lokhu kuyindlela yokuphefumula ephezulu, ezwakalayo emanzini eyenzekayo lapho kwenzeka amathe kanye nezinye izifihla emgodini wesiguli nasendatsheni yezindiza. Uma sinempilo, iningi lethu lingakwazi ukukhwehlela, ukucacisa umphimbo wethu, noma ukugwinya noma ukuphalaza lezi zimfihlo ezivamile, kodwa umuntu oshona ulahlekelwa ikhono lokuwacacisa ngokucacile. Ngenkathi umsindo ophumela ekugcineni uvame ukucindezela kakhulu abathandekayo kunomuntu ofayo, imishanguzo eyomisa izicathulo ezidlulele ngokuvamile isebenza ekwelapheni ukuphefumula okukhulu okuhlobene nokufa.
Okokugcina, njengoba ukuphela kokuphila kusondela, ungase ubone ukuthi othandekayo wakho uphefumula ngokungavamile, okubizwa ngokuthi ukuphefumula kwe-Cheyne-Stokes . Uma lokhu kwenzeka, othandekayo wakho angaphefumula kakhulu ngezikhathi ezithile, kancane kancane okulandelayo, noma aze ayeke okwesikhashana ukuphefumula (eyaziwa njenge-apnea). Ukuphefumula kwe-Cheyne-Stokes kungase kungadingeki ukwelashwa kodwa uma othandekayo wakho ebonakala engenakuphefumula, izindlela zokwelashwa ze-dyspnea (ngenhla) zingase zibe usizo.
Isikhathi Sokufa Nokungapheli
Lapho ukufa kwesiguli kuseduze, ukuphefumula kwakhe kuhamba kancane (noma kuqhubeka nokuphefumula kwe-Cheyne-Stokes) kuze kube yilapho ekugcineni sekuphela. Ukufa kwenzeka lapho ukuphefumula sekumile futhi inhliziyo yesiguli iyeka ukushaya.
Kuleli qophelo, umzimba womuntu uqala izinqubo eziningi zemvelo ngokushesha emva kokufa , kodwa nansi ezinye zezibonakaliso okufanele uzibheke:
- Abafundi bahlala behleliwe futhi bahlanjululwa (okukhulu)
- Isikhumba siphundukile noma sinobuhle
- Umzimba uba mpolile
- Amahlombe angase ahlale evulekile
- Umhlathi uyanqamuka futhi uhla uvula
Kukhona izinto eziningi okufanele uyenze ngokushesha ngemuva kokufa komuntu othandekayo , kubandakanya ukubiza 911 noma i-ejensi yakho yomthetho wendawo uma isiguli singabhaliswa esibhedlela. (Uma ethola ukunakekelwa esibhedlela, kufanele uxhumane nabasebenzi be- hospice noma umhlengikazi wokubeletha kuqala).
Ngaphandle kokuthi uhlele ngaphambili amasevisi wakho wokuphela kokuphila, kuzodingeka futhi uhlele izinsizakalo zomngcwabo, isikhumbuzo kanye / noma izinyembezi ezinsukwini ezizayo.
Okubaluleke kakhulu, udinga ukuzinakekela emahoreni, izinsuku nezinsuku ezizayo. Njengomnakekeli womthandi wakho, cishe uye wabhekana nokucindezeleka kokunakekelwa ngokwezinga elithile, okungahlanganisa insizi oyozizwa ngayo ngalesi sikhathi esinzima.