Ukufana Okuvamile
I-Delirium iyisimpawu esivamile kakhulu ezigulini eziningi ezifa, futhi ungase ube ngowokuqala ukuqaphela ukuthi othandekayo wakho ubhekene neminye yemiphumela yayo, ikakhulukazi umbuso obizwa ngokuthi ukungahlali kokugcina. Ungayibona kanjani?
Kuyini i-Delirium?
I-Delirium iyinkimbinkimbi ye-psychiatric syndrome, futhi ngezinye izikhathi ibizwa ngokuthi "i-brain disorders syndrome," "ukudideka," "ukucindezeleka" noma "isimo sengqondo sokukhubazeka." Ungase uqaphele ngokuqaphela ushintsho ngokungazelelwe kokuqapha nokuziphatha komthandi wakho.
Lokhu kuguquka kwesinye isikhathi kungashintsha ngokuhamba kwesikhathi, futhi kuvame ukuqhuma kakhulu ebusuku.
Ezinye izici ze-delirium zihlanganisa:
- izinga lokungazi kahle ngokuqwashisa kwemvelo ezungezile
- inkumbulo yesikhashana esifushane nokukhumbula isikhathi
- ukudideka kwesikhathi nendawo
- ukukhohliswa kanye / noma ukucabanga (ukukholwa / noma ukubona izinto ezingezona zangempela)
- Inkulumo engaqondakaliyo: ingase ibe mkhulu kakhulu noma ilula, ngokushesha noma ihambe kancane
- ukushintshashintsha kwemizwelo
- ukuphazamiseka kokulala: ukulala nokulala noma ukuguqulwa kokulala
- Umsebenzi ongavamile: ukunyakaza komzimba kunganda noma kwehle, futhi kungase kube ngokushesha noma kuphuze kakhulu
Uma ukwelashwa kubambezeleka noma kubonakala kunzima kakhulu, i-delirium ingathuthuka ekungeneni kokugcina.
Kuyini Ukuphumula Komzimba?
Ukuphumula kwegciwane kuyindlela ecindezelayo ye-delirium eyenzeka ngeziguli ngeziguli. Kubhekene nosizi (ngokomoya, ngokomzwelo noma ngokomzimba), ukungazitholi, ukukhathazeka , ukukhathazeka nokuhluleka kwengqondo.
Ukuphumula kwegciwane kuyadabukisa kakhulu ngoba kunomthelela omubi ngokuqondile ohlelweni lokufa . Sonke sifuna ukufa kube yisipiliyoni esinobuhle futhi esinokuthula kodwa, uma isiguli sifelwa ukuphumula okungapheli, ukufa kwakhe kungaba nje kuphela.
Lapho umuntu egula, isimo sengqondo sishintsha ngokuvamile siyisifo esivamile.
Ukuthukuthela, ukukhathazeka, ukukhungatheka kanye nokuthukuthela kukhona imizwa engase iboniswe. Uma umuntu ehlushwa isifo esibulalayo, lezi zindlela zokushintsha kwemizwelo zingaba namandla, futhi lapho kusondela ukushintsha kwemizwelo ejulile ingashintsha. Lokhu kungaba nzima nakakhulu kulabo abanakekeli nabathandekayo ukubhekana nabo.
Ukuphumula kwegciwane kuyadabukisa kakhulu ngoba kunomthelela omubi ngokuqondile ohlelweni lokufa. Sonke sifuna ukufa kube yisipiliyoni esinobuhle futhi esinokuthula kodwa, uma isiguli sifelwa ukuphumula okungapheli, ukufa kwakhe kungaba nje kuphela.
Ukungabi nokuthula 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 eziyingqayizivele zesiguli esifalayo.
Izimbangela ze-Delirium ne-Restlessness Terminal
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 nje imithi embalwa engayenza i-delirium. Ukusebenzisa ngokweqile imishanguzo kungabangela ubuthi nokusetshenziswa kwangaphansi kungabangela ubuhlungu nokungahambi kahle, okungaqhubeka nokudambisa kakhulu.
- ubuhlungu obungokomzimba obungaphathwa noma buhlungu
- ukuphelelwa amandla kwamanzi
- kwehla oksijeni egazini / ebuchosheni
- i-anemia (yehla amaseli egazi obomvu)
- ukutheleleka namafiva
- izicubu zobuchopho / ukuvuvukala kobuchopho
- ukugcinwa kwe-urinary (ukungakwazi ukuyeka umchamo kungahle kubangelwe izifo, i-catheter ye-urinary noma i-spasms yesikhumba)
- ukuqotshwa noma ukuthinteka ngokweqile
- ukwesaba, ukukhathazeka , ukuphazamiseka ngokomzwelo
- ukwelapha umdlavuza
- ukuphazanyiswa komzimba (okuvamile ekupheleni kokuphila njengezitho ezibalulekile ziqala ukuvala)
Yini Okufanele Umuntu Ayenze Ngokuphathelene Nokungapheleli 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.
Kubalulekile ukukhumbula ukuthi ukuhlonza kahle imbangela ye-delirium nokuyiphatha kahle kungathatha izinsuku ezimbalwa, kodwa ngokusekelwa kwethimba lokubeletha , abangane abaseduze, namanye amalungu omndeni, uzokwenza ngalesi sikhathi esinzima.
I-Delirium ayifani kulowo wonke umuntu, futhi ingalingisa ezinye izifo kanye nezifo, ukukwenza ukuqaphela nokwenza kube nzima. Uma uqaphela ukuthi othandekayo wakho usebenza ngezinhlobo, unememori entsha yokulahlekelwa noma uthola izinguquko endleleni yakhe yokulala, xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uhlole kabanzi.
> Imithombo:
> Kinzbrunner, 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.