Zochitika Zowoneka
Delirium ndi chizindikiro chofala pakati pa odwala ambiri, ndipo ukhoza kukhala woyamba kuona kuti wokondedwa wanu akukumana ndi zotsatira zake, makamaka dziko lomwe limatchedwa kupuma kosatha. Kodi mungazindikire bwanji?
Kodi Deliriamu Ndi Chiyani?
Delirium ndi matenda opatsirana a maganizo, omwe nthawi zina amawatcha "ubongo wa ubongo," "kusokonezeka," "kuvutika maganizo" kapena "kufooketsa maganizo." Mutha kuzindikira kuti mwasintha kusintha mwadzidzidzi kumayang'anitsitsa ndi wokondedwa wanu.
Kusintha kumeneku nthawi zina kumasinthasintha patsiku, ndipo nthawi zambiri kumakhala kovuta usiku.
Zina mwa makhalidwe a Delirium ndi awa:
- Kusokonezeka kwa chidziwitso ndi kuzindikira kochepa kwa chilengedwe
- zovuta kukumbukira nthawi yayitali ndi nthawi yowerengera
- kusokonezeka nthawi ndi malo
- kusokoneza ndi / kapena kulingalira (kukhulupirira ndi / kapena kuona zinthu zomwe siziri zenizeni)
- Kulankhula kosagwirizana: kungakhale kokweza kapena kofewa, mofulumira kapena pang'onopang'ono
- kusinthasintha kwamasinthasintha
- kusokonezeka kugona: kusowa tulo kapena kusinthanso kugona
- Ntchito yachilendo: Kusuntha kwa thupi kungawonjezere kapena kuchepa, ndipo kungakhale kofulumira kapena kochedwa
Ngati chithandizo chachedwa kapena chimakhala chovuta kwambiri, chimapangitsa kuti munthu asapume mosavuta.
Kodi Kupuma Kwambiri Kwambiri N'kutani?
Kupuma kwapathengo ndi njira yovuta kwambiri ya delirium yomwe nthawi zina imapezeka odwala akufa. Zimadziwika ndi zowawa (zauzimu, zamaganizo kapena zakuthupi), kupuma, nkhawa , kusokonezeka, ndi kulephera kulingalira.
Kukhazikika kwapathengo kumakhala kovuta kwambiri chifukwa kumakhudza kwambiri imfa . Tonse timafuna kuti imfa ikhale yamtendere komanso yamtendere koma ngati wodwala akufa ndi kupuma kwake, imfa yake ikhoza kukhala kanthu kokha.
Munthu akadwala, maganizo amatha nthawi zambiri amakhala chizindikiro chofala.
Kukhumudwa, kukhumudwa, kukhumudwa komanso ngakhale mkwiyo ndizokhazikika zomwe zingasonyezedwe. Munthu akakhala ndi matenda othetsera matenda, kusintha kwa mitunduyi kumakhala kovuta, ndipo pamene kuyandikira kwakumapeto kwa mtima kumatha kusintha. Izi zingakhale zovuta makamaka kwa osamalira odwala komanso okondedwa awo.
Kukhazikika kwapathengo kumakhala kovuta kwambiri chifukwa kumakhudza kwambiri imfa. Tonse timafuna kuti imfa ikhale yamtendere komanso yamtendere koma ngati wodwala akufa ndi kupuma kwake, imfa yake ikhoza kukhala kanthu kokha.
Kukhalitsa kwapathengo kumatha kusokonezeka ndi "kuyandikira chidziwitso cha imfa," zomwe zimafotokozedwa ngati chidziwitso cha umunthu wakufa kuti imfa yayandikira. Ndikofunika kwa okondedwa a odwala akufa, komanso ogwira ntchito zaumoyo, kuti amvetse zovuta za kuyandikira kufa kwa chidziwitso cha imfa kuti athe kukonzekera kuthandizira zosowa zapadera za mthupi.
Zifukwa za Deliriamu ndi Kukhazikika Kwambiri
Pali zifukwa zambiri zosiyana za kupumula kwa delirium ndi kutha. Zina zimayambitsa mosavuta, pamene ena sali.
Zina mwa zomwe zimayambitsa kwambiri delirium zikuphatikizapo:
- Mankhwala: opioids , anti-seizure mankhwala, steroids, ndi nkhawa zamaganizo ndizochepa mwa mankhwala omwe angapangitse delirium. Kugwiritsira ntchito mankhwala molakwika kungayambitse poizoni ndi kusagwiritsidwa ntchito molakwika kungayambitse kupweteka komanso kukhumudwa, zomwe zingapitirize kuwononga kwambiri delirium.
- kupweteka kwa thupi kapena kusautsidwa
- kutaya madzi
- kuchepa mpweya m'magazi / ubongo
- magazi a magazi (kuchepa kwa maselo ofiira ofiira)
- matenda ndi malungo
- ziphuphu za ubongo / kutupa kwa ubongo
- Kusungidwa kwa mkodzo (kusatheka kuthetsa mkodzo kungayambitsidwe ndi matenda, catheter yamakono oyamwa, kapena mpweya wa chikhodzodzo)
- kudzimbidwa kapena kutengeka
- mantha, nkhaŵa , kusokonezeka maganizo
- khansa
- kusokonezeka kwamagetsi (wamba pamapeto a moyo ngati ziwalo zofunika zimatseka)
Kodi Munthu Ayenera Kuchita Chiyani Ponena za Kusagonjetsa Kwambiri?
Ngati vutoli likudziwika mosavuta, delirium nthawi zambiri amachiritsidwa mosavuta. Komabe, kumapeto kwa moyo , zingakhale zovuta kudziwa chifukwa chimodzi, choncho kupanga chithandizo cha kupumula ndi kupuma kumakhala kovuta.
Ndikofunika kukumbukira kuti kuzindikira bwino lomwe chifukwa cha delirium ndi kuchilera bwino kungatenge masiku angapo, koma mothandizidwa ndi timu ya odwala , abwenzi apamtima, ndi achibale ena, mutha kulimbana ndi nthawi yovutayi.
Delirium si ofanana ndi aliyense, ndipo ikhoza kutsanzira matenda ena ndi syndromes, kupanga kuzindikira ndi kuchiza izo zovuta. Mukawona kuti wokondedwa wanu akuchita zosiyana siyana, ali ndi chikumbukiro chatsopano kapena akusintha kachitidwe kake kakugona, funsani wothandizira zaumoyo kuti mupitirize kufufuza.
> Zotsatira:
> Kinzbrunner, BM; Weinreb, NJ; Policzer, JS; Mavuto Odziwika: Kutha kwa Moyo Care, McGraw-Hill Publishing, 2002.
> Ferrell, BR ndi Coyle, N; Buku la Palliative Nursing, Oxford University Press, 2006.