Ukukhathazeka yisifo esivamile ezigulini eziseduze nokufa. Ezinye iziguli zingase zibhekane nokukhathazeka okuncane, kodwa kwabanye, ukuhlaselwa okwesaba okukhulu kungenzeka. Kungakhathaliseki imbangela, ukukhathazeka kudinga ukuphathwa ngokushesha.
Izimpawu Zokukhathazeka Ekupheleni Kokuphila
Ukusabela kokukhathazeka kungahluka. Abanye bangase bakwazi ukuveza ukuthi bazizwa kanjani futhi abanye bangase bangabi. Kubalulekile ukwazi ukuthi iziphi izinkathazo ezibukekayo ukuze uzibone kalula uma kwenzeka.
Ukukhathazeka kuqhutshwa i-adrenaline, futhi izimpawu zayo zibonisa ukuthi "ukushayela noma ukulwa" komzimba sekuqalisiwe.
Ukukhathazeka kunomqondo ozwakalayo, ongokomzwelo, wokuziphatha, kanye nokubonakala komzimba kusuka kusuka kumnene kuze kube nzima.
Izimpawu ezicatshangelwayo
- Ukukhathazeka okujulile: Isiguli singase siqaphele futhi sigxile kakhulu.
- Ukukhathazeka okulinganiselwe: Kungase kube nobunzima ukugxila futhi kuphazamiseke kalula.
- Ukukhathazeka okukhulu / ukwesaba: Isiguli singase singakwazi ukugxila, ngisho noma iziqondiso ezicacile zinikezwa. Ukukhathazeka okukhulu kungabangela isimo esinganqamuki.
Izimpawu Zemizwelo Nezimo Zokuziphatha
- Ukukhathazeka okuncane: Isiguli singase sithukuthele noma sithukuthele. Angase abe nomfishane noma acasulwe kalula.
- Ukukhathazeka okulinganiselwe: Isiguli singase sibe nesibindi, sibonakale sithukuthele, futhi sithukuthele. Angase abe nezinyembezi futhi aveze imizwa yokukhathazeka noma ukukhathazeka.
- Ukukhathazeka okukhulu: Isiguli singase sikhale ngokungalawuleki, sibonakale sithukuthele kakhulu, futhi sishaye futhi sikhala. Angase abonise imizwa yokubhujiswa, ukwesaba, noma ukwesaba, noma abonise ukuziphatha okungaqondakali noma okuphindaphindiwe ukuziphathisa.
Izimpawu zomzimba
Ukubonakala okuningi kokukhathazeka okubalulwe ngezansi kufana nalabo abangelwa yizifo ezithinta izifo nokwelapha.
- Ukukhathazeka okuncane: Isiguli singase sibe nokulala nokuhlupheka ukuphumula.
- Ukukhathazeka okulinganiselwe: Angase abe nokwenyuka kwentando yenhliziyo noma izilonda. Ukuphefumula kwakhe kungase kusheshe, futhi angase akhononde ngokuthi unesihlungu noma unesifo sohudo.
- Ukukhathazeka okukhulu: Isiguli singase sibe nazo zonke izimpawu ezingenhla, kodwa zibe nzima kakhulu. Angase ahlanza noma inhlabathi ngokwayo. Angase ahlakulele noma athole izinhlungu zesifuba. Abafundi bayo bayothuthukisa futhi angathuthumela kakhulu.
- Ezinye izimpawu zomzimba zokukhathazeka zihlanganisa umlomo owomile, ubuhlungu besisu noma ukuthuthumela, nobuhlungu besisu.
Ukuphathwa
Uma othandekayo wakho eqala ukukhombisa izimpawu zokukhathazeka, into yokuqala okufanele uyenze uzame ukumnciphisa phansi. Ngezinye izikhathi ukuphazamiseka okulula kungakwanela ukunciphisa izinga lokukhathazeka futhi ligcine lizolile. Zama ukuxoxa ngezinto ngaphandle kokugula noma izimpawu zabo - mhlawumbe umdlalo webhola wakamuva noma ukuhleka kwenhle.
Kungakhathaliseki ukuthi ukukhathazeka kudlulayo noma kuyaqhubeka nokwandisa, kubalulekile ukubiza udokotela ophulukisayo ukuze abike uphawu bese uthole iseluleko sezokwelapha. Uma othandekayo wakho esesitokisini sokunakekelwa esibhedlela , xhumana ne-ejensi yokugula bese ubika kumhlengikazi ukuthi ubonisa izimpawu zokukhathazeka. Umhlengikazi we-hospice uzokunikeza imiyalelo ethile futhi angathumela umhlengikazi ukuze ahlole isimo.
Ama- ejenti amaningi ase- hospice anikezela iziguli zabo zasekhaya ezinekithi elikhethekile lemithi okufanele lisetshenziswe uma kwenzeka eziphuthumayo. Lezi kits, ngezinye izikhathi ezibizwa ngokuthi ama-kits okududuza noma ama-kits eziphuthumayo, ngokuvamile ziqukethe okungenani imithi eyodwa ukuphatha ukukhathazeka.
Umhlengikazi we-hospice angakunika imiyalelo ukuqala enye yemithi bese uyiqopha emgodini wemithi.
Uma othandekayo wakho engekho ekunakekelweni kwe-hospice, kuzodingeka uthole imiyalelo evela kudokotela olapha noma udokotela ocingweni. Angase abize emshini kadokotela ekhemisi noma acele ukubona isiguli ehhovisi.
Imithi
Le mithi ivame ukushiwo ukuphatha ukukhathazeka:
- I-Ativan (Lorazepam)
- I-Serax (i-Oxazepam)
- I-Klonopin (i-Clonazepam)
- I-Xanax (i-Alprazolam)
- I-Valium (i-Diazepam)
Ukwelapha Izimbangela Eziyisisekelo
Izimbangela ezimbili ezivame kakhulu zokukhathazeka ubuhlungu nokuphefumula ( dyspnea ). Uma othandekayo wakho ehlangabezana nalezi zimpawu, kubalulekile ukuthi uphathwe kanye nokukhathazeka.
Imithombo
Ferrell, BR kanye noCoyle, N. Incwadi Yombhalo we-Nursing Palliative , i-Oxford University Press, ngo-2006.
I-Kinzbrunner, i-BM; I-Weinreb, NJ; I-Policzer, JS. Izinkinga Ezivamile: Ukuphela Kokunakekelwa Kwezempilo , uMcGraw-Hill Publishing, 2002.