Zilonda zolimbitsa thupi ndizovuta kwa odwala palliative . Kuchepetsa kuchepa, nthawi yowonjezera yogona pabedi, ndi kusintha zakudya zimapangitsa odwalawa kukhala ndi zifukwa zabwino zowonongeka khungu.
Zilonda zolimbana ndi zopweteka. Monga wosamalira, chimodzi mwa zinthu zofunika kwambiri zomwe mungachite kuti mukhale wodekha ndikuteteza munthu kuti asapange.
Sungani Mavuto
Kutembenuza wodwala amene wagona ndi chinthu chofunikira kwambiri chomwe mungachite kuti mutha kupweteka kwa zilonda.
Kusintha mobwerezabwereza kumalo amatsutso pamadera ozungulira, monga m'munsi kumbuyo, m'chiuno, pakhosi, ndi zidendene.
Muyenera kukonzekera kutembenuzira wokondedwa wanu maola awiri alionse, kusinthana pakati pambali kumanja ndi kumanzere ndikumuika pamtunda kumbuyo kwake. Maola awiri aliwonse ndi abwino koma palibe chifukwa choyika nthawi yowonjezera maola awiri usiku. Ngati inu ndi odwala mukugona mokwanira, chokani mokwanira. Ngati iye akudzutsa iwe pakati pa usiku, komabe tengani mwayi umenewo kuti mumupatse.
Ndi zophweka kuti azindikire mbali yomwe amayenera kutembenuzidwa ngati atakhala kumbuyo kwake kwa kanthawi. Banja lina limene ndinakumana nalo linali ndi njira yothetsera vutoli. Ankagwiritsa ntchito nsalu yofewa ya cotton kuti ayime mbali yomwe agogo awo ayenera kutembenuzidwira. Agogo aakazi adakondanso lingalirolo chifukwa chakuti nsalu ya pinki inali ya pinki - mtundu wake wokonda!
Pamene mukumuika pabedi, mtolo ndi bwenzi lanu lapamtima.
Gwiritsani ntchito pansi pa nsana kuti mumupatse mbali yake; ikani imodzi pakati pa mawondo pamene iye ali kumbali yake; Gwiritsani ntchito pansi pa mavoti kuti "muyende" zidendene pa bedi. Mapilo amawonjezera chitonthozo ndipo amachepetsa kupanikizika pa malo osungirako zinthu.
Ngati wokondedwa wanu amathera nthawi yochuluka pa mpando wachikumbutso, kumusankhira kumakhalabe kofunikira.
Kusintha pang'ono pa malo okhala nthawi zambiri kumakhala kokwanira pochotsa vuto. Kuyika pepala lojambula pansi pake pamene akukhala lidzawathandiza mosavuta. Nthawi ikamuthandizira, ingogwiritsani ntchito pepala lojambula (makamaka pogwiritsa ntchito munthu wina wamphamvu) ndi kusintha pang'ono kulemera kwake. Mukhozanso kuyesa kusintha mlingo wokhala pansi kuti mugawirenso kulemera kwa thupi.
Zipangizo Zapadera Zingakuthandizeni
Kuwonjezera pa kutembenuza ndi kubwezeretsa nthawi zambiri, kugwiritsa ntchito malo apadera kuti achepetse kapena kuchepetsa mavuto kungathandize kwambiri. Chosavuta kwambiri ndizizigawo za dzira. Ambiri ogwira ntchito ku chipatala ndi mabungwe a zaumoyo apanyumba amapereka izi kwaulere koma zimakhala zotsika mtengo ku sitolo ya dera lanu. Ngati wokondedwa wanu amathera nthawi yochuluka pampando, mazira a dzira lachikopa amapezeka. Dzira lopangira dzira limawathandiza kugawira mavuto mofanana, kuthandiza kuchepetsa kuchuluka kwa mavuto m'deralo.
Kutsika kuchokera ku tizilombo toyambitsa mazira ndikutsegula mateti. Malo oterewa amaikidwa pamwamba pa mateti ndipo amatha kusinthana ndi kupanikizika kwa mpweya muzitsulo zosiyanasiyana. Mukamagwiritsa ntchito tizilombo ta tizilombo kapena tizilombo ta tizilombo tating'onoting'ono, tifunikabe kusunga nthawi.
Zida zimenezi sizilowetsa m'malo mobwerezabwereza.
Mfuti zazikulu zowonongeka ndi zipangizo zam'madzi zamadzimadzi. Ma mateti apaderawa ali ndi miyendo yamagalasi yophimba silicone yomwe imakhala yamadzimadzi ngati mpweya ukuponyedwa mwa iwo. Mankhwalawa amapanga ntchito yabwino yothetsera mavuto koma amakhala ndi mavuto. Chovala cha mateti chimapangitsa kuti pakhale zovuta kupita ku bedi. Ndipo ngati munthuyo akufuna kukakhala pamgedi, khola lamphuno liyenera kukhala likugwiritsidwa ntchito kuthandiza kuthandizira kumbuyo kwawo. Mankhwalawa amathandiza kwambiri anthu odwala matenda opatsirana omwe amatha kukhala ogona, amakhala ndi zilonda zoopsa , ndipo ali ndi ululu waukulu.
Kuchepetsa Kutentha ndi Msuzi
Kutsekemera ndiko kupukuta kwa khungu kumtunda wakunja, kawirikawiri mapepala ogona. Kutentha kwa malo omwe amapezeka kwambiri akhoza kuchepetsedwa ndi zipangizo zoteteza. Zitsulo ndi zikopa zimakhala zopangidwa ndi mazira ndi ma Velcro. Khungu kuteteza kuvala, monga mafilimu (Tegaderm) ndi mabanki ochepa a hydrocolloid (Duoderm) amatha kuteteza khungu kuti lisagwedezeke mobwerezabwereza koma sizithandiza kuchepetsa kupanikizika.
Chinthu chofunika kwambiri chomwe mungachite kuti mutha kuvulazidwa ndi mkangano ndikutsimikiza kuti simungadzipange nokha pamene mukubwezeretsa wokondedwa wanu. Gwiritsani ntchito pepala lojambula kuti likuthandizeni kukweza wokondedwa wanu pa kama pamene mukukweza ndi kubwezeretsa.
Mtsuko umapangidwa pamene matenda ozama kwambiri ndi mitsempha ya magazi amaonongeka ndi kusakanikirana ndi mphamvu yokoka. Njira yabwino yopewera kuvulaza koterezi ndi kupeĊµa a Fowler ndi owerama pabedi. Malo amodzi othamanga mbalame ndi kumene mutu ukuleredwa osachepera madigiri 30 ndi malo owongoka oposa madigiri 30. Tsopano, mwachiwonekere simungapewe malo awa nthawi zonse. Odwala ambiri amafunika kukhala a Fowler kuti athetse mpweya wochepa kapena kupewa kutsekemera kwa khungu komanso odwala onse ayenera kukhala pamalo abwino kuti adye bwinobwino.
Pochepetsa kuchepa kwa ubweya wa shear mu Femiler kapena malo owongoka, samalani kuteteza wokondedwa wanu kuti asapite pabedi. Mungathe kuchita izi mwa kukweza phazi la bedi ndikuweramitsa mawondo.
Kuvulala kwa khungu kumatha kukhala pamipando. Pofuna kuti wodwalayo asayambe kukhala pampando wake, agwiritseni ntchito masitepe kapena ottomani kuti apange mapazi ake ndi mapiritsi kapena zipangizo zapadera kuti azisunga m'chiuno mwake.
Yesetsani Kukhalabe ndi Chakudya Chopatsa Thanzi
Pali mgwirizano wamphamvu pakati pa zakudya zoperewera zakudya komanso vuto la ulcer . Ngati wokondedwa wanu ali ndi chilakolako, yesetsani kukhala ndi zakudya zokwanira ndi zakudya zopatsa thanzi (ganizirani mapuloteni, mbewu zonse, zipatso, ndi masamba). Ngati chilakolako chake chikuchepa, perekani zowonjezerapo monga Kuonetsetsa kapena Kulimbikitsira kuthandiza kulimbikitsa zakudya.
Zakudya zowonjezera nthawi zambiri zimakhala zovuta pa odwala palliative ndipo ndizofunikira kuzindikira apa kuti musayese "kukakamiza" wokondedwa wanu kuti adye.
Sungani Mthunzi
Mthunzi wa thukuta, mkodzo, kapena ndowe zowononga zingawononge khungu. Ndikofunika kusunga umphumphu wa khungu poyendetsa chinyezi. Ngati wodwalayo amapeza chinyezi chochuluka kuchokera ku thukuta, amafunika zovala zake ndipo mwinamwake mapepala ake amasintha nthawi zambiri. Mungathe kudzipangitsa nokha mosavuta pogwiritsa ntchito mikanjo yachipatala kapena zovala zina zomwe zimangoyenda mosavuta. Kugwiritsa ntchito mapepala angapo kungathandizenso ntchitoyi. Banja lina lomwe ndinkasamalira linayambitsa tsikulo ndikuyika bedi ndi mapepala atatu a thonje ndipo ndinangotulutsa kamodzi kokha pamene kunayamba kukhala yonyowa.
Ngati wokondedwa wanu sakhala ndi vuto la mkodzo, amafunika kusintha masewera ake akuluakulu. Kuyang'ana maola ake osachepera maola awiri aliwonse ndikusintha nthawi yowonongeka ndikofunikira. Kugwiritsira ntchito zowononga khungu kungathandize kupewa kuwononga mkodzo. Ndicholinga chofanana ndi kuteteza kuthamanga kwa ana m'mimba. Gwiritsani ntchito Mafuta, A & D, kapena chinthu china chofanana kuteteza khungu ku chinyezi ndi acidity ku mkodzo.
Ngati matenda a zilonda amakhalapo kapena ngati ali ndi chiopsezo chachikulu chokhala ndi vutoli, zingakhale zopindulitsa kuika catheter yakukhalamo. Izi zikhoza kuchitidwa ndi namwino wokhala ndi dokotala. Catheter ya foley ndi chubu kakang'ono kamene kamalowetsedwa mu urethra ndi chikhodzodzo komwe chimakhala ndi chithandizo cha buluni. Mukamayikidwa, mkodzo umatulutsa mkati mwa chubu ndikukhala mu thumba la chikwama, kusunga khungu ku mkodzo.
Ngati sakhalanso ndi chithunzithunzi, amakhala pangozi yowonongeka khungu kuchokera ku mabakiteriya ndi mavitamini a m'mimba omwe amapezeka m'matumbo. Ayenera kuyeretsedwa ndi kusinthidwa mwamsanga mutatha kuyenda. Izi zingakhale zovuta kwambiri ngati wodwala akudwala kutsegula m'mimba kapena amakhala ndi matumbo ambiri. Koma ziyenera kukhala zogwira ntchito mwakhama ngati zimachepetsa kupweteka kwa khungu.
Zovuta Zigwira Ntchito
Kuteteza zilonda zam'mimba kungakhale ntchito yovuta. Zimakhala zonyansa kukweza, kutembenuka, malo, kuyeretsa, ndikusintha munthu wina maola angapo. Monga zinthu zambiri zomwe zimafuna kugwira ntchito mwakhama, phindu ndi lalikulu. Kusunga wokondedwa wanu wopanda zilonda zowawa kumapangitsa kuti thupi lonse likhale lopindulitsa. Ngati mukupeza kuti mukuvutika kuti mupitirize ntchitoyi, mungafunefune thandizo lina.
> Zotsatira:
> Ferrell BR, Coyle N. Buku la Nursing Palliative, Edition 2. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, Policzer JS. Mavuto Odziwika: Mapeto a Moyo Wosamalira. McGraw-Hill, 2002.
> Kayser-Jones J, et al. Zilonda zopweteka pakati pa anthu osamalidwa odwala omwe akudwala. Kafukufuku mu Nursing Gerontological Nursing 2008; 1 (1): 14-24.