Ukungazitholi kwamagciwane, okubizwa nangokuthi ukuguqulwa kokuphela, kuyindlela ecindezelayo ye-delirium eyenzeka ngeziguli ngeziguli. Kubonakala ukungabi nokuphumula ngokomoya, ngokomzwelo, noma ngokomzimba kanye nokukhathazeka , ukukhathazeka nokuhluleka kokuqonda.
Uma umuntu egula, ukushintsha kwemizwelo kuyashesha. Ukuthukuthela, ukukhathazeka, ukukhungatheka, ngisho nokufutheka kuvuselela izinhloko zabo ezimbi.
Uma umuntu ehlushwa isifo esibulalayo, lezi zindlela zokushintsha kwemizwelo zingaba nzima; lapho esondela ekupheleni kokuphila kwakhe, lezo zinguquko zingakhuphuka ngokuvama nokubaluleka. Lesi simo singaba nzima nakakhulu kulabo abanakekeli nabathandekayo ukubhekana nabo.
Ukuphumula kwegciwane kuyadabukisa kakhulu ngoba kunomthelela oqondile futhi omubi ohlelweni lokufa . Sonke sifuna ukufa kube yisipiliyoni esinobuhle futhi esinokuthula kodwa, uma isiguli sifelwa ukuphumula okungapheli, ukufa kwakhe kubonakala kuhlushwa kakhulu.
Ukwehluleka kokuphela kwegciwane kungakwazi ukudideka " ngokusondeza ukuqwashisa ukufa ," okuchazwa njengolwazi lomuntu oshonile lokufa ukuthi kuseduze. Kubalulekile kulabo abathandekayo beziguli ezifa, kanye nabaqeqeshi bezempilo, ukuze baqonde isimo sokusondela kokuqwashisa ukufa ukuze bakwazi ukuhlonywa ukusekela izidingo ezikhethekile zesiguli esifayo.
Izimbangela Zokungabi Nqamula Ekupheleni
Kunezimbangela eziningi ezihlukahlukene zokungabikho kokuphumula nokudiliza. Ezinye izimbangela zishintshwa kalula, kanti ezinye azikho.
Ezinye zezimbangela ezivame kakhulu ze-delirium zihlanganisa:
- Imithi: i- opioids , izidakamizwa zokulwa ne-anti-seizure, i-steroids, ne- anxiolytics imithi embalwa nje engayenza i-delirium. Ukusebenzisa ngokweqile imithi kuholela ekudleni nokusetshenziswa okungaphansi kwegazi kukhulisa ubuhlungu nokungahambi kahle, okungaqhubeka nokudambisa i-delirium.
- Ubuhlungu obungokomzimba obungenakwenzeka noma abuhlungu
- Ukwehla kwamanzi
- Ukwehlisa oksijeni egazini / ebuchosheni
- I-anemia (ukwehla amaseli wegazi obomvu)
- Izifo kanye namafiva
- Izicubu ze-Brain noma ukuvuvukala kobuchopho
- Ukugcinwa kwe-Urinary (ukungakwazi ukuyeka umchamo kungabangelwa izifo, i-catheter ye-urinary noma i-spasms)
- Ukuqokwa noma ukuthinteka kwamafecal
- Ukwesaba, ukukhathazeka , ukuphazamiseka ngokomzwelo
- Ukwelapha umdlavuza
- Ukuphazanyiswa kwamagciwane (okuvamile ekupheleni kokuphila njengezitho ezibalulekile ziqala ukuvala)
Yini Okufanele Ngiyenze Ngokungapheleli Kwemithi?
Uma imbangela ibonakala kalula, i-delirium ivame ukuphathwa kalula. Noma kunjalo, ekupheleni kokuphila , kungase kubonakale kunzima ukukhomba isizathu esisodwa, ngakho-ke ukwenza ukwelashwa kokuphumula okuyi-delirium nokugcina ukuphela kuyinselele.
Ukuhlonza kahle imbangela ye-delirium nokuyiphatha kahle kungathatha izinsuku eziningana, kepha ngokusekelwa kwethimba lokubeletha , abangane abaseduze, namanye amalungu omndeni, uzokwenza ngalesi sikhathi esinzima.
I-Delirium ayifani nayo yonke umuntu, futhi ingalingisa ezinye izifo kanye nezidakamizwa, okwenza ukuqaphela nokuphatha kunzima. Uma uqaphela ukuthi othandekayo wakho wenza izinto ezinhlobonhlobo, unenkumbulo entsha yokulahlekelwa, noma uthola izinguquko endleleni yakhe yokulala, thintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uhlole ngokuqhubekayo.
Imithombo
I-Kinzbrunner, i-BM; I-Weinreb, NJ; I-Policzer, i-JS; Izinkinga Ezivamile: Ukuphela Kokunakekelwa Kwezempilo, uMcGraw-Hill Publishing, 2002.
Ferrell, BR noCoyle, N; I-Bookbook ye-Nursing Palliative, i-Oxford University Press, ngo-2006.