Ukunakekelwa kwe-Palliative kuthatha izimpawu zokuhlukumezeka kwekhanda lokuthuthukisa ikhwalithi yokuphila
Ukunakekelwa kwe-palliative kuyinto ekhethekile yokwelashwa egxile ekunciphiseni izimpawu zokugula noma ukulimala, ukucacisa izifiso zezokwelapha, nokuthuthukisa ikhwalithi yokuphila. Abaqeqeshi bokunakekelwa kwe-palliative basebenza nabantu ngabanye babo bonke ubudala ababhekene nezinkinga eziyinkimbinkimbi zezokwelapha. Ngokuvamile kunikezwa iziguli ezigulayo ngokwanele zokubanjwa esibhedlela, nakuba kunezihlinzeki zokunakekelwa kweziguli ezingaphili kahle.
Abanye bakholelwa ukuthi ukunakekelwa okulinganayo kufana nokunakekelwa kokuphela kokuphila, noma ukubeletha, kodwa lokhu akulungile. Abahlinzeki bokunakekelwa kwe-palliative bavame ukusebenza nabantu ngabanye abalindele ukuqedela ukuphila okugcwele naphezu kokugula noma ukulimala kwabo. Laba bantu bavele badinga ukulawulwa kwesinye isibonakaliso ukuze basebenze kangcono futhi bazizwe bejabule. Eqinisweni, ucwaningo lubonisa ukuthi abantu baphila isikhathi eside uma izimpawu ezifana nesicashu, ubuhlungu nokucindezeleka kukhululeka.
Abahlinzeki bokunakekelwa nge-palliative nabo baqeqeshwe ngokukhethekile ukusiza iziguli nabathandekayo babo ukuba balungiselele futhi babhekane nezimo zokugcina.
Iziguli ezihlukumezekile zihlushwa izimpawu ezihlukahlukene zesikhathi eside nezesikhathi eside ezithinta izinga lokuphila. Ukuhlangana nokunakekelwa okunomsoco kusiza ukuhlehlisa ukutakula ngendlela eningi yokusebenza komuntu wonke okubandakanya uhlelo lokusekela lomuntu siqu.
Izimpawu Zezinhlungu Zezinhloko
Ukunakekelwa kwe-palliative kunganciphisa ukuhlupheka okuhlotshaniswa nokulimala ngokomzimba, ngokomzwelo nangokwengqondo kokulimala kwekhanda nokulimala kwengqondo ebuhlungu.
Lapho ukunakekelwa kwe-palliative kungena ebhodini, abahlinzeki abagcini nje ukuhlaziya izimpawu ozizwayo ngesikhathi sokubonisana kokuqala; bazama ukunquma ingozi yakho yokuthuthukisa izimpawu ezihlobene nokuhlukunyezwa kwekhanda amasonto, izinyanga noma iminyaka kamuva.
Ukuxoxa ngengozi yokucindezeleka, ukulala , ukuhlukumezeka, kanye ne-PTSD ekuqaleni, ukuhlela uhlelo lokuphatha izimpawu ezikhona, nokufunda indlela yokukhomba izimpawu ezintsha uma zivela, kwenza kube lula ukunciphisa ngisho nokuvimbela ezinye zezinkinga ngale minyaka .
Ochwepheshe
Ukunakekelwa kwe-palliative kusebenza eduze nochwepheshe abahlukahlukene. Umuntu wokuqala ohlangana naye ngumchwepheshe wokunakekelwa nge-palliative. Uzokuvuma enkonzweni futhi athathe umlando wokuqala. Ngokusekelwe ezidingo ozibonayo, umsebenzi womphakathi, imithi yokwelapha, nomthombo wokusekelwa okungokomoya, njengomfundisi wezemfundo, angase akubone ekulandelayo. Ukunakekelwa kwe-palliative kusebenza eduze kakhulu nezinsimu ezihlobene ne-anesthesia ne-psychotherapy.
Ezinye izinhlelo zokunakekelwa okuhambisana nokuhlinzeka zinikeza ukwelapha okuhambisanayo njengokuphulukisa ukuthinta, izithombe eziqondisiwe, ukuqeqeshwa kwengqondo, kanye nemithi yokwelapha efanelekayo kulabo abanesithakazelo. Ucwaningo lubonisa ukuthi lezi zindlela zandisa ukwethemba, ukukhulula ukukhathazeka nokunciphisa ubuhlungu.
Ukubonisana
Umsindisi ngamunye oyisisindo esibuhlungu unesihluku esiyingqayizivele sokulimala, isizinda esihlukile sezenhlalakahle kanye nezempilo kanye nezici ezihlukahlukene zokubeka ingozi. Ithimba lokunakekelwa kwe-palliative likukhuthaza ukuba uhlanganyele ngangokunokwenzeka ekuthuthukiseni uhlelo lwakho lwezokwelapha.
Ukubonisana kokuqala kokunakekelwa kwenhliziyo kuhloswe ukushintshanisa ulwazi nokwakha ukwethenjwa. Abahlinzeki bokunakekelwa kwe-palliative bafuna ukuqonda ukuthi ungubani, okunikeza ukuphila kwakho okushiwo, okukujabulisa, nokuthi ukuhlukunyezwa kwekhanda kuthinte kanjani izinga lakho lokuphila.
Uma uhlangabezana nezimpawu ezithile bazobuza imibuzo enemininingwane efana nokuthi yini eyenza izimpawu zakho zibe zibi kakhulu noma ezingcono, nokuthi izimpawu zakho zithinta kanjani ikhono lakho lokubamba iqhaza kuzo zombili imisebenzi ebalulekile futhi ejabulisayo.
Isibonelo, uma uthanda ukudlala ezemidlalo futhi ungaphuthelwa ukugqugquzela ngokomzimba nangokwenhlalo, ukunakekelwa kwe-palliative kungabambisana nemithi yokwelapha kanye neurolology ngakho-ke ukuqeqeshwa okuhlobene nemidlalo kunikezwa. Lokhu kuzofeza izinto ezimbili ngesikhathi esisodwa. Okokuqala, uzothola ukwelashwa okubalulekile okuvuselela ubuchopho nomzimba wakho ukuba uphinde uthole amakhono alahlekile ngenxa yokulimala komqondo.
Okwesibili, uzozijabulisa, futhi lokhu kubangelwa izinga eliphezulu lokuphila.
Uma izindlela zokwelashwa ziqondiswa ezithakazelweni zomuntu kungenzeka ukuthi umuntu uzoba yingxenye yazo njalo futhi abe ngcono.
Enye imibuzo ongase uyizwe kusuka kumalungu weqembu lokunakekelwa okubandakanya ihlanganisa:
- yini ekukhathazayo kakhulu okwamanje?
- chaza izimpawu zakho zomzimba nezengqondo ngokuningiliziwe
- yini oyikhathazayo ngenxa yalesi sifo / ingozi?
- Iyini izinga elihle lokuphila elisho kuwe?
- yiziphi izindlela zokwelapha ongafuni?
Uma umhlinzeki enomuzwa omuhle wendlela ozizwa ngayo, okukhathazayo wena, okukujabulisa ukuthi uzobona yini izinyathelo ezingcono kakhulu zokwelashwa kwakho.
Ukwelapha
Umhlinzeki wokunakekelwa nge-palliative uzokwenza umyalelo wemithi, ubhekane nabahlinzeki, baphakamise ezinye izindlela zokwelashwa, futhi unikeze izinsiza ezizuzisa wena nomndeni wakho. Nazi ezinye izindlela zokwelashwa ezihlinzekwa ukunakekelwa kokunakekelwa kwezinkinga ezithile:
Ubuhlungu - Ubuhlungu bungabhekwa njengesikhathi esifushane nesikhathi eside. Ubuhlungu besikhathi esifushane buvame ukuhlobene nokulimala emzimbeni noma amanxeba okuhlinzeka eqhubekayo ngesikhathi sengozi yekhanda; lokhu kubuhlungu kulindeleke ukuthi kuhambe isikhathi.
Ubuhlungu besikhathi eside angeke buyeke ngokuphelele, futhi kungabangela ukulimala kwamantongomane, izitho ezingenayo isivumelwano, noma ukulimala kwezicubu ezingamelana nokulungisa.
Kunezindlela eziningi zokwelapha ubuhlungu bomzimba ngemva kokuhlukunyezwa kwekhanda. Imithi yokwelapha i-narcotic ingadlala indima ebalulekile, kodwa abahlinzeki kufanele baqaphele ukuthi kuthinta kanjani izinto ezifana nokukwazi kwakho ukucabanga, kanye nomzila wakho wokugaya.
Ukunciphisa ubuhlungu kuhlanganisa ukwehlisa ukuvuvukala, ukwesaba nokukhathazeka, nokuqinisekisa ukuthi kukhona ukuphumula okwanele. Imithi efana ne-anti-depressants, imilenze yezinhlungu ezingenayo i-narcotic, ukuzindla kwengqondo, ukuthinta ukuphulukiswa, nokulula okufana ne-tai chi kuboniswa ukukhulula ubuhlungu nezinye izimpawu ezingenakukhathazeka ngemva kokuhlukunyezwa.
Ukucindezeleka- Kuyinto evamile ukuzizwa ecindezelekile ngemva kokuhlukunyezwa kwekhanda. Kukhona izinguquko zamakhemikhali ezaziwayo emasethini ebuchosheni obangela ukuxhumana nokuthinta isimo sengqondo. Uzizwa udabukile ngokulahlekelwa ngamakhono angokwenyama noma engqondo, ukukhathazeka ngokulahlekelwa umsebenzi nokuzizwa ungenele ngenxa yokungakwazi ukunakekela amalungu omndeni kungumthelela obalulekile ekucindezelekeni ngemuva kokuhlukunyezwa kwekhanda.
Amanye ama-anti-depressants asebenza ngezindlela ezingagcini nje ukukhulula imizwa yokucindezeleka kodwa futhi zishintshe umbono womuntu wobuhlungu, ukudla, nokukwazi ukulala. I-right anti-depressant igcwalisa ezinye izindlela zokwelapha ukuze kube nomphumela omuhle kakhulu. Ukusebenza ngokuthukuthela, ukukhungatheka, nokudabuka ngelashwa oqeqeshiwe kuyasiza, futhi kungabandakanya othandekayo.
Ukukhubazeka ngokomzimba - Ukuvuselelwa ngokomzimba kuhloswe ekutheni uphumule ikhanda. Ukufudumala kuyaziwa ukuze kunciphise ukucindezeleka kwemisipha, kushise amandla engeziwe, futhi kushukumise ingqondo ukudala izindlela ezintsha zokuxhumana. Ukusebenza eduze neqembu le-rehab, ukunakekelwa kwe-palliative kungahlela imithi efanele ukuze ukwelashwa kukhululeke futhi kunikeza inzuzo enkulu ngokomzimba.
Ukubhekana nokusekela
Ukugula okukhulu akuthinti kuphela osindile kokulimala. Kuhlanganisa nomlingani, izingane, abazali, nabangane. Ukunakekelwa kwe-palliative ngokuvamile kubeka umhlangano nawe, umndeni wakho nanoma ubani omunye ongathanda ukuba naye. Lo mhlangano ufaka ochwepheshe abathintekayo ekunakekeleni kwakho, njengodokotela oyinhloko wokunakekela, udokotela wezinzwa, udokotela ohlinzayo, abahlinzeki , kanye nomphathi wamacala. Ithimba lichaza izinselele zezokwelapha okumelwe zinqobe, nezinzuzo nezingozi zezokwelapha ezitholakalayo.
Lapho abantu abalulekile empilweni yakho behlanganiswa, banikeze ulwazi olufanayo futhi bakhuthazwa ukubuza imibuzo kulungisa ukudideka futhi kuvumela ukukhathazeka ukuthi kuqondiswe ngokukhululekile. Futhi kusiza ithimba lakho lezokwelapha kangcono ukuhlangabezana nezidingo zakho. Lo mhlangano uyithuba lokuba utshele wonke umuntu ukuthi yiziphi izinhlobo zokwelashwa ozifunayo, nokuthi yini ongayifuni.
Uma isiguli sigula kakhulu ukuba singabamba iqhaza, abahlinzeki bokunakekelwa nge-palliative basiza imindeni ukuhumusha iziqondiso ezithuthukile, noma ukunquma ukuthi yiziphi izidakamizwa isiguli esingazifuna ngokusekelwe kwizinga eliziwayo lezintandokazi zokuphila.
Izincomo zokwenza izinqumo
Kwezinye izimo, ukunakekelwa kokunakekelwa komzimba kungabizwa uma isisulu somuntu ohlukumezekile sigula kakhulu, futhi singabi ngcono. Izisulu zokuhlukunyezwa kwezinhloko zingase zenze izinkinga ezintsha ezifana nokutheleleka, ukuvuvukala emzimbeni wabo, kanye nobunzima bokuphefumula obudinga ukwesekwa kwempilo enonya.
Ukulimala ngokomzimba ebuchosheni nakho kungathinta ikhono lomzimba lokulawula ukucindezeleka kwegazi, ukushisa nokuphefumula. Lezi zinkinga zivimbela ithimba lezokwelapha ukuba lisilule isiguli ukuba sinikeze izinyathelo zokusekela isikhathi esifushane sokuphila, njengamakhemikhali ukugcina umfutho wegazi noma imishini elawula ukuphefumula.
Kulezi zimo ukunakekelwa okuhambisanayo kuhlangana nomndeni noma omele ukwelashwa oqokiwe ukuchaza ukulimala kokulimala, nokuthi ukuphila bekuyoba njani uma isiguli singasinda kulokhu kulimala. Abahlinzeki bangabuza imibuzo efana nalokhu:
- Ingabe kukhona i-directive ehamba phambili efayeleni echaza lokho isiguli esingayifuna uma kwenzeka ukulimala ngokomzimba noma ukugula?
- Ingabe lo muntu ufuna ukuhlala esikhungweni sokunakekelwa isikhathi eside emshinini ophefumulayo (i-ventilator) kuzo zonke izimpilo zabo?
- Ingabe lo muntu wayefuna ukondliwa ngendlela efanele ngokusebenzisa ithubhu ekhishwa ngaphakathi esiswini?
- Uma umonakalo wengqondo ubuhlungu kangangokuthi isiguli akulindelekile ukuba sikhulume / siqaphele umndeni futhi sibe nokulawula umzimba, ingabe bafuna ithimba lezokwelapha lisebenzise imishini noma amakhemikhali ukugcina imizimba yabo iphila?
Kunezici eziningi ezithatha isinqumo sokuthi noma ukukhipha ukusekelwa kokuphila okufakelwa isiguli ngemuva kokuhlukunyezwa okukhulu kwekhanda.
Lokhu kungafaka:
- ubudala kanye nekhono lokuthola ngempumelelo
- ezinye izindaba zezempilo ezifana nomdlavuza ongaphansi, isifo se-lung, noma isifo senhliziyo esibi
- isiqondiso esithuthukisiwe sesiguli
- ulwazi lomndeni ngesifiso sesiguli sokwelashwa
Uma kunqunywa ukuthi isiguli ngeke sifune ukugcinwa siphila ekusekelweni kokuphila okufakelwayo, ukunakekelwa ngokucophelela kusiza umndeni ngenqubo yokuhoxisa ukwesekwa futhi kuvumela isiguli ukuba sife ngokwemvelo.
Ukugxila kugcina kuqinisekisa ukuthi isiguli sinethezekile futhi sinikwe ukufa okunokuthula nokuhloniphekile.
Kubalulekile ukukhuluma ngesifiso sakho sezokwelapha, uma kwenzeka ulimazekile engozini enkulu. Ukubhala nokuqondisa phambili kungasiza abathandekayo bakho benze isinqumo esifanele uma ungakwazi ukukhuluma wena.
> Imithombo:
> Ekolishi yaseMelika yamazinyo; iziguli eziningi ezigugile zizozuza ngokunakekelwa kwe-palliative. (2014). I-NewsRx Health ,, 46. Ibuyiswe kusuka ku- http://search.proquest.com/docview/1620620199?accountid=14872
> Airosa, F., Falkenberg, T., Öhlén, G., & Arman, M. (2013). Isihloko sokuqala: Ukusila okucucuzayo noma ukuphulukiswa kokuthinta: Ukuthinta ukunakekelwa kweziguli ekunakekelweni okuphuthumayo - Ucwaningo olufanele. Journal European Of Medicative Integrative , 5 374-381. doi: 10.1016 / j.eujim.2013.03.003
> Jahner, J., & Wolff, B. (2015). Ukunakekelwa kwe-Palliative: Ukuhlola okuKhelelwe ukubekezela nokuxhumana ukuze kuthuthukiswe izinga lokuphila. Umhlengikazi omusha waseMexico , 60 (4), 4-6 3p.