Izilonda zomshoshaphansi yinkinga evamile kwiziguli zokunakekelwa nge-palliative . Ukunciphisa ukuhamba, isikhathi esengeziwe esichithwa embhedeni, nokuguqula umsoco kwenza lezi ziguli zibeke phambili ekuhlosweni kwekhanda.
Izilonda zomshoshaphansi zibuhlungu. Njengomnakekeli, enye yezinto ezibaluleke kakhulu ongayenza ukugcina isiguli sakho sikhululekile ukuvimbela umuntu ukuba athuthukise.
Nciphisa ukucindezela
Ukuguqula isiguli esibhekene nombhede kuyinto ebaluleke kakhulu ongayenza ukuze uvimbele izilonda zomshoshaphansi ukuthi zenzeke.
Ukushintsha ngokuphindaphindiwe izindawo zokucindezela ezindaweni ezinobunxele, njengezinsipho ezingezansi, izintambo, ama-elbow, nezithende.
Kumele uhlele ukuguqula othandekayo wakho njalo emahoreni amabili, uhamba phakathi kwezinhlangothi ezingakwesokudla nangakwesobunxele bese umbeka phansi emhlane. Njalo amahora amabili alungile kodwa asikho isidingo sokusetha iwashi le-alamu ukuvusa njalo amahora ambalwa ebusuku. Uma wena nesiguli sakho belele kahle, shiya kahle ngokwanele. Uma ephakamisa phakathi nobusuku, nokho, thatha lelo thuba ukumphendukela.
Kulula ukulahlekelwa ithrekhi yocala luni okufanele aphenduke ngalo uma ngabe usele ngemuva kwakhe okwesikhashana. Omunye umndeni engangihlangana nawo wawunesixazululo esilula kulokhu. Basebenzisa i-crystal wristband elithambile ukukhomba uhlangothi ukuthi ugogo kumele aphendukele ekulandelayo. Unogogo wayethanda lo mbono ngoba i-wristband yayinobumba - umbala wakhe owuthandayo!
Uma umbeka embhedeni, imithwalo ingumngani wakho omkhulu.
Sebenzisa enye ngaphansi ukuze umphambanise ohlangothini lwakhe; faka eyodwa phakathi kwamadolo lapho esehlangothini lwakhe; sebenzisa elinye ngaphansi kwamagxathu ukuze "uhambise" izithende zakhe embhede. Amapulangwe ayengeza induduzo futhi anganciphisa ukucindezela ezindaweni ezibhebhethekile.
Uma othandekayo wakho esebenzisa iningi lusuku esikhwameni sokuqoqa, ukumisa kabusha kusabalulekile.
Ukulungiswa okuncane endaweni yokuhlala kuhlale kusebenza ngokwanele ekunciphiseni ukucindezelwa. Ukugcina ishidi elidwetshiwe ngaphansi kwakhe ngenkathi ehlezi kuzokwenza kube lula lokhu msebenzi. Uma sekuyisikhathi sokumbeka kabusha, mane ubambe iphepha lokudweba (mhlawumbe ngosizo lomunye umuntu onomzimba) bese ushintsha kancane isisindo sakhe. Ungase futhi uzame ukushintsha izinga lokuhlala njalo ukuze usakaze isisindo somzimba.
Amadivaysi akhethekile angakusiza
Ngaphezu kokuphenduka nokuphindaphinda njalo, ukusebenzisa indawo ekhethekile yokwehlisa noma ukunciphisa ingcindezi kungasiza kakhulu. I-elula kunazo yi-mateti ekrebate yamaqanda. Ama-ejensi amaningi ezempilo ase- hospice nasekhaya ahlinzeka lokhu mahhala kodwa angabizi kakhulu esitolo sakho somnyango wendawo. Uma othandekayo wakho echitha isikhathi esiningi esihlalweni, ama-egg crate chair pads ayatholakala. I-crate surface yeqanda isisiza ukusabalalisa ingcindezi ngokulinganayo, kusiza ukunciphisa inani lokucindezela endaweni eyodwa.
Isinyathelo esivela emgodini we-crate ama-egg is a mattress air overlay. Lolu hlobo lwendawo lubekwa phezulu kwe-mattress futhi ngokujwayelekile lushintsha ukucindezela komoya emakholomu ahlukahlukene. Uma usebenzisa umshini wama-crate amaqanda noma i-mattress emoyeni, kubalulekile ukugcina isimiso sokushintsha.
Lawa madivayisi awafaki esikhundleni sokuphindaphinda njalo.
Izibhamu ezinkulu zokucindezela amadivaysi yiziphephelo zomoya eziphefumulayo. La mattilasi akhethekile aqukethe ingilazi engilahleki engilahlekile engenawo amanzi lapho umoya uphonswa kuwo. Lezi zimvini zenza umsebenzi omuhle wokunciphisa ingcindezi kodwa zithinteka. Uhlaka lwama-mattress lwenza ukudluliselwa kokuya kumbhedeni kunzima. Futhi uma lowo muntu efuna ukuhlala embhedeni, mhlawumbe umdaka wodaka uzodinga ukusetshenziselwa ukusekela umhlane wabo. Leli matethi lilungele kakhulu iziguli zokunakekelwa kwezinhliziyo ezinokulala, ziba nezilonda ezinzima kakhulu , futhi zibuhlungu obukhulu.
Ncishisa iFriction neShear
I-friction yukuxubha kwesikhumba endaweni yangaphandle, ngokuvamile kuvame amashidi. I-friction ezindaweni ezithintekile kakhulu zingancishiswa ngamadivayisi wokuvikela. Izindwangu zesibindi nezendwangu zivame ukwenziwa ngama-egg-crate material naseVelcro. Isikhumba sokuvikela ukugqoka, njengamafilimu (i-Tegaderm) nama-bandage amancane ase-hydrocolloid (i-Duoderm) ingavikela isikhumba ekuqhumeni okuphindaphindiwe kodwa ngeke kusize ukunciphisa ukucindezelwa.
Into ebaluleke kunazo zonke ongayenza ukuze uvimbele ukulimala ekugqibeleni ukuqiniseka ukuthi awuzidali ngokwakho uma uphinde ubeke othandweni wakho esikhundleni sakho. Sebenzisa ishidi lokudweba ukukusiza ukuthi uphakamise othandekayo wakho embhedeni uma uphakamisa uphinde ubeke phansi.
I-shear idalwe lapho ama-tissue ejulile nemithambo yegazi ewonakele ngokuhlanganiswa kwezingxabano kanye nodlame. Indlela engcono kakhulu yokugwema lolu hlobo lokulimala ukugwema i-semi-Fowler nesimo esiqondile embhedeni. Isikhundla se-Semi-Fowler yilapho ikhanda liphakanyiswa khona ngaphansi kwama-degrees angu-30 kanye nezikhundla eziqondile ezingaphezu kuka-30 degrees. Manje, kusobala ukuthi awukwazi ukugwema lezi zikhundla sonke isikhathi. Iziguli eziningi zidinga ukuba yi-Fowler encane ukuze kusize ukunciphisa ukuphefumula noma ukuvimbela i-reflux yesisu kanye nazo zonke iziguli zidinga ukuma endaweni efanele ukudla ngokuphepha.
Ukuze unciphise ingozi yokulimala kwekhanda ku-Fowler encane noma isikhundla esiqondile, thatha izinyathelo zokuvimbela othandekayo wakho ukuba angene embhedeni. Ungakwenza lokhu ngokuphakamisa unyawo lombhede bese uguqa ngamadolo ngezinyawo.
Ukulimala kwekhanda kungenzeka nasezihlalo. Ukugcina isiguli sakho singene esikhweni sakhe, sebenzisa izihlalo zezinyawo noma ama-ottomane ukuze uhambise izinyawo nezinyawo zakhe noma amadivaysi akhethekile ukuze ugcine izinyathelo zakhe ngezinga elingama-90 degree.
Zama Ukulondoloza Ukudla
Kukhona ukulungiswa okuqinile phakathi kokunciphisa kokudla nokucindezelwa kwesilonda . Uma othandekayo wakho enesifiso sokudla, zama ukulondoloza ukudla okwanele nokudla okunomsoco (cabanga ngamaprotheni amaningi, okusanhlamvu okugcwele, izithelo, nemifino). Uma isifiso sakhe sishaya, nikeza izithako ezinjengokuqinisekisa noma ukuqinisa ukusiza ukudla okunomsoco.
Ukudla okunomsoco ngokuvamile kuyinkinga ekuguleni iziguli futhi kubalulekile ukuqaphela lapha ukuthi akufanele uzame "ukuphoqa" othandekayo wakho ukuba adle.
Phatha ukuthutha
Umswakama wokuthuthumela, umchamo, noma udoti kungaphazamisa isikhumba. Kubalulekile ukulondoloza ubuqotho besikhumba ngokulawula umswakama. Uma isiguli siqoqa umswakama omkhulu ngokuthuthumela, uzodinga izingubo zakhe futhi mhlawumbe amashidi akhe ashintsha njalo. Ungenza lokhu kube lula ngokwakho ngokusebenzisa izingubo zesibhedlela noma ezinye izingubo ezithinta futhi zivele kalula. Ukusebenzisa izingqimba eziningana zamashidi nakho kungenza lo msebenzi ube lula. Omunye umndeni engangiwukhathalela waqala usuku ngokubeka umbhede ngamashidi amathathu okotini futhi umane usususe lapho kumile.
Uma othandekayo wakho engavumelani nomchamo, uzodinga ukuguqulwa kaningi kwabadwebi bakhe abadala noma amadonsa. Ukuhlola i-diaper yakhe okungenani njalo amahora amabili futhi ukuguqula ngokushesha uma kucolile kubalulekile. Ukusebenzisa izikhumba zesikhumba kungasiza ekuvimbeleni umonakalo emcimbini. Kungumgomo ofanayo wokuvimbela ukukhwabanisa kwezinsana ezinganeni. Sebenzisa i-Desitin, i-A & D Ointment, noma omunye umkhiqizo ofanayo ukuvikela isikhumba emswakeni nase-acidity emcini.
Uma isilonda sesicindezelekile sesivele sikhona noma uma kukhona ingozi enkulu yokuthuthukisa eyodwa, kungase kuzuze ukubeka i-foley catheter ehlala ngaphakathi. Lokhu kungenziwa kuphela ngumhlengikazi odokotela. I-catheter ye-foley iyishubhu encane efakwe ku-urethra futhi ingene esikhwameni lapho ihlala khona ngosizo lwe-balloon ehlongoziwe. Uma sekubekiwe, umchamo uphuma ngaphandle kwebhulethi bese ungena esikhwameni seqoqo, ugcine isikhumba sikhululekile kumchamo.
Uma engeke abuyele esitokisini, usengozini yokwanda kwekhanda kuma-bacterium kanye ne- enzyme yokugaya etholakalayo ekuhambeni kwesisu. Kuzodingeka ahlanzwe futhi ashintshwe ngokushesha ngangokunokwenzeka ngemva kokunyakaza kokuhamba kwamathumba. Lokhu kungaba inselelo enkulu uma isiguli sakho sibhekene nesifo sohudo noma sinezinyanga eziningi ezihambayo. Kodwa kuyoba kuhle kakhulu ukusebenza kanzima uma kuvimbela ukuhlukumeza isikhumba esibuhlungu.
Ukusebenza Kanzima Kuphela
Ukuvimbela izilonda ezingcindezi kungaba umsebenzi onzima. Kuyamathisa ngokomzimba ukuphakamisa, ukujika, ukubeka isikhundla, ukuhlanza, nokushintsha omunye umuntu njalo amahora ambalwa. Njengezinto eziningi ezidinga ukusebenza kanzima, inzuzo enkulu. Ukugcina umthandi wakho engenazo izilonda ezicindezelayo kuzomenza wonke umsebenzi obonakale ufanelwe. Uma uthola kunzima ukugcina umsebenzi ngokwakho, kungase kudingeke ufune ukwesekwa okwengeziwe.
> Imithombo:
> Ferrell BR, Coyle N. Umbhalo Wezincwadi Zokuhlengikazi Nge-Palliative, Edition 2. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, i-Policzer JS. Izinkinga ezivamile: Ukuphela kokuKhathalela impilo. McGraw-Hill, 2002.
> Kayser-Jones J, et al. Izilonda ezicindezelayo phakathi kwabakhileyo ekhaya labahlengikazi abagulayo. Ucwaningo ngo-Nursing Gerontological Nursing 2008; 1 (1): 14-24.