Ukunciphisa ukuhlupheka lapho konke okunye kuhluleka
Naphezu kokunakekelwa okungcono kakhulu, abanye abantu abakwazi ukuthola ukukhululeka okwanele ekuhluphekeni kwabo futhi bangadinga ukuthi yini eyaziwa ngokuthi i- sedation sedalative ukuze ugweme usizi nokucindezeleka.
Ngaphambi kokubhekwa njenge-sedation, iqembu labantu abakunakekelayo noma othandekayo wakho-ovame ukubizwa ngokuthi iqembu lokunakekelwa kwe - palliative -lizobheka izinketho eziningi ezizosiza ekunciphiseni ukuhlupheka, njengokuphathwa kwezidakamizwa (usebenzisa noma yimiphi imithi nemithi kungasiza) nokusekelwa kwengqondo ukusiza ngokukhathazeka ngokomzwelo.
Umgomo ukwenza umuntu ohluphekayo abe mnandi ngangokunokwenzeka. Uma lo mzamo akwanele, ukuhlelwa kwe-palliative kungaba yindlela yokukhetha.
Ukuphathwa kobuhlungu
Ngezinye izikhathi izimpawu kunzima ukuphatha futhi kubonakala sengathi aziphenduli noma yikuphi ukwelashwa. Lo mphumela ngezinye izikhathi ubonakala kubantu abanomdlavuza futhi bezwa ubuhlungu obukhulu. Naphezu kwemithi ephakeme yemithi yobuhlungu , ubuhlungu obukhulu abukwazi ukukhululeka. Ezinye izimpawu zingabangela ukucindezeleka okukhulu njengenhlanhla kanye nokuhlanza okukhulu, ukuthuthumela okungaqondakali noma ukugwinya, nokuphefumula okukhulu yizibonelo ezimbalwa zezimo ezicindezelayo. Kulezi zimo, ukuguqulwa kungase kube yindlela kuphela yokuthola usizo olufanele.
Uma isinqumo senziwe udokotela ngokubambisana nesiguli noma isinqumo sakhe sokusebenzisa i-palliative sedation, kunikezwa imithi yokwehlisa umzimba futhi yanda kuze kube yilapho izinga elidinga induduzo lifezwa. Ngokuvamile, abantu abahlala endaweni yokulondeka bahlale benolwazi ngenkathi behlelwe ezingeni elikhululekile.
Kodwa uma wena noma othandekayo wakho esabhekana nezimpawu ezingenakubekezelelwa, ukuvimbela ukungazi kahle kungaba yisenzo sokugcina esamukelekayo.
Imithi yokwelapha
Imithi ejwayele ukudubula umuntu ingase ihlanganise izidakamizwa zokulwa nokukhathazeka ezifana neValium (diazepam) ne-phenobarbital, noma imithi yokuhlunguphazwa. Umzwelo we-sedation ungase uvele kusukela ekuzweleni okuzolile ukuze uqede ukungazi.
Ngokujwayelekile, imithi ephansi kunazo zonke yokudambisa imithi enomphumela oyifunayo wokuqeda ukuhlupheka isetshenziselwa ukuqinisekisa ukuthi umuntu ophathwayo uhlala ekwazi isikhathi eside ngangokunokwenzeka.
Uma kunciphisa isimo esingazi lutho kuyindlela ewukuphela kokunciphisa ukuhlupheka, kungase kuvivinywe njengesisombululo sesikhashana nabasebenzi bezokwelapha abavumela ukuthi izidakamizwa ziguqulwe ukuze zihlaziye izinga lokududuza kwesiguli. Kungase kunqunywe ukuthi indlela yodwa yokuqinisekisa induduzo ukugcina isilwane esiphelele kuze kube sekufeni . Uma lokhu kulandelwa, ukufa kuzovame ukwenzeka ngesonto elilodwa. Ucwaningo olulodwa lubonisa ukuthi isilinganiso sesilinganiso cishe amahora angu-27.
Imigomo yemitholampilo
Kukhona izinto ezintathu ezidingekayo ukuthi isiguli kumele sihlangane ngaphambi kokususwa kwezintambo kubhekwe:
- Ezinye izindlela zokunciphisa ukuhlupheka ziye zazingasebenzi noma zenze imiphumela emibi engenakubekezelelwa
- Umgomo we-sedation kumele ube ukunciphisa ukuhlupheka, hhayi ukuqeda impilo yesiguli noma ukusheshisa ukufa
- Isiguli kumele sibe sesiseduze nokufa, ngakho-ke ukuguqulwa kungasinciphisi kakhulu ukusinda
Ukuhlelwa kwe-palliative akukaze kwenziwe ngaphandle kwemvume yesiguli noma isinqumo sakhe somenzi wesinqumo. Lesi sidingo yilokho okubhekwa njengesinqumo esizimele- esenziwe ngumuntu othintekile, noma isithandwa sakhe, esekelwe ezimisweni zakhe, izinkolelo zakhe kanye nemigomo yakhe.
Isidingo sabanikezeli bezempilo ukuze bavikele le mvume siqinisekisa ukuthi isinqumo, uma sikhethiwe, senziwe ngokuvumelana nezifiso zomuntu siqu futhi ngaphandle kwethonya lokuziphatha komuntu odokotela mayelana nalolu daba.
Imithombo:
UBernard Lo, MD; UGordon Rubenfeld, MD, MSc. "Ukwehla kwe-Palliative ekufeni kwamaGciwane". I-JAMA. 2005; 294: 1810-1816.