Malingaliro othandiza kuti akuthandizeni kupereka chitsimikizo chokhazikika, chophweka
Kupereka chisamaliro kwa wokondedwa amene akudwala matenda aakulu kapena moyo kapena matenda akhoza kuwonetsa nkhawa ndi kulemetsa, makamaka pamene imfa ikuyamba, komanso chikondi chachikulu. Ngati mukudzifunsa ngati mukuchita, kunena kapena kuganiza bwino, nkhaniyi ikuthandizani kuti muzisamalira wokondedwa wanu wakufa kunyumba.
Kutetezeka kwa Odwala ndi Kusamalira Khungu
Pamene wodwalayo ayamba ulendo wopita ku imfa , iye adzafooka ndikuyamba kugona. Izi zimakhala zowonjezereka pamene imfa ikupitirira, ndipo kusamalidwa kawirikawiri kumakhala kovuta kwambiri ndipo ntchito yowonjezereka. Monga wosamalira, muyenera kuganizira zinthu ziwiri pamene wokondedwa wanu akufooka: chitetezo ndi khungu.
Kupititsa patsogolo chitetezo cha panyumba nthawi zambiri kumayambanso kukonzanso mipando yanu ndi zinthu zina kuti mulole wokondedwa wanu akusunthire mosavuta. Iyi ndi nthawi yomwe muyenera kuganizira kupeza zipangizo zamankhwala zolimba , monga bedi lachipatala, walker, wheelchair, kapena bedi labwino ngati simunachite kale. Kukhala ndi zipangizo zoyenera zachipatala, ndi malo okwanira kuti muziwagwiritsa ntchito bwino zingathandize kuchepetsa kugwa ndi ngozi zina.
Kusamalira khungu ndikofunika kwambiri panthawiyi. Pamene wodwalayo akukhala nthawi yayitali pabedi kapena atakhala pampando, iye amakhala ndi chiopsezo chachikulu chokhala ndi zilonda za thupi.
Zomwe zimatchedwa zilonda za decubitus kapena bedsores, zilonda zoponderezedwa zimachokera ku kuchepa kwa magazi kupita kumalo a thupi chifukwa chopanikizika khungu. Kutentha kwa khungu pa khungu kuchoka pa wodwalayo, kuwaponya pansi pabedi ndi / kapena kusowa chakudya chokwanira kungapangitsenso vutoli.
Choncho, ndizofunika kusintha udindo wa wokondedwa wanu pabedi maola awiri alionse mukadzuka ngati sangathe kuchita yekha (onani momwe mungapangire munthu wodwala ali pabedi ). Njira ina pakati pa kuika pamsana pawo ndi kuwasandutsa kumanja ndi kumanzere mbali. Sungani miyendo yambiri yowathandiza chifukwa mumayenera kuika pansi pamsana pa wokondedwa wanu, wina pakati pa mawondo awo, ndipo mwinamwake mmodzi pansi pa mkono wawo atagona pambali pawo.
Onetsetsani khungu lawo kawirikawiri pamunsi pa msana (tailbone), zidendene, zidutswa, ndi m'chiuno-ndipo muyang'ane mbali iliyonse ya pinki kapena yofiira. Sungunulani pang'onopang'ono malo otukuka ndi malingaliro kuti azitulutsa magazi. Mukhozanso kukweza zidendene zawo poika pilo pansi pa zikopa zake kuti mapazi apachike pamphepete. Mungathe kupanikizika ku zitsulo zambiri mofanana, mwachitsanzo, ikani mapiritsi pansi pa chapamwamba kapena pansi. Onetsetsani kuti zitsulo za wodwala sizikhudza mtolo kapena bedi.
Ngati wokondedwa wanu ali kale ndi vuto lalikulu kapena akukulitsa pamene mukuwasamalira, musadzipweteke. Ngakhale mosamala kwambiri, odwala angathe kukulitsa. Onetsetsani kuti muzindikire wothandizira zaumoyo wanu za chilonda kuti athe kupanga ndondomeko yosamalira bwino.
Angalimbikitsenso mateti apansi kuti apereke zina zothandizira ndikuthandizira kuthetsa mavuto.
Muyeneranso kuyang'anira kusunga khungu la wokondedwa wanu kukhala loyera komanso louma. Ngati akuvala achikulire akuluakulu, onetsetsani kanyumba kosachepera maola awiri alionse mukadzuka ndikusintha ngati atayika.
Kuchepetsa Chakudya ndi Chakudya
Chilakolako chochepa cha wodwalayo chikhoza kutha nthawi zonse pamene akuyandikira mapeto a moyo. Pamene wokondedwa wanu amalekerera zakudya zofewa kapena zakumwa zochepa, nthawi ikhoza kufika pamene iye sakana kudya kapena kumwa. Izi kawirikawiri zimakhala zovuta kwambiri kwa okondedwa a munthu wakufa kuti awone chifukwa nthawi zambiri timayesa chakudya ndi thanzi komanso kudyetsa anthu ngati chikondi.
Kuwonera wokondedwa wanu amakana chakudya ndi madzi amadzimadzi akhoza kuchititsa kuti imfa yawo ikhale yeniyeni, ndipo kusakhoza kusonyeza chikondi chanu kudzera mu chakudya kungakuchititseni kumva kuti simungathe kuthandizidwa.
Dziwani kuti kusowa chakudya ndi kumwa kumapangitsa kuti mukhale ndi nkhawa zambiri kuposa momwe mumakonda wokondedwa wanu wakufa. Njala ndi ludzu sizingakhale zovuta kumapeto kwa moyo, kotero muyenera kupitiriza kupereka zakudya zofewa zosiyanasiyana malinga ngati wokondedwa wanu akudziŵa (koma aloleni kuti akane). Komanso, pitirizani kupatsa sips ya madzi kapena zakumwa zina zosankha malinga ngati akudziŵa.
Pamene odwala sakadandaula ndi ludzu kumapeto kwa moyo, pakamwa pouma kungakhale kovuta. Lembani milomo ya wokondedwa wanu ndi mafuta ochepa odzola mafuta kapena lipiritsi kuti mupewe kusokoneza. Mukhozanso kuthira pakamwa pawo ndi madontho angapo a madzi kuchokera ku udzu kapena sopo losungunuka (mankhwala osungunula pang'ono pamapeto pa ndodo) kaya ali maso kapena ataya chidziwitso.
Kupuma kwa Chitetezo
Kupuma kwachinsinsi ndi mawonekedwe a delirium kawirikawiri amapezeka odwala akufa. Kafukufuku wina akusonyeza kuti pafupifupi 80 peresenti ya anthu akufa adzadandaula kapena kusasamala ku mitundu yosiyanasiyana. Zizindikiro zomwe wokondedwa wanu ali nazo zopanda phokoso zingaphatikizepo kusakhoza kupumula, kunyamula pa zovala zawo kapena pamabedi a pamabedi, kusokonezeka, ndi kusokonezeka, kapena kuyesa kukwera pa bedi.
Zina mwa zifukwa zotsalira zopanda malire zimasinthidwa, monga ululu , chikhodzodzo chonse, kudzimbidwa , kapena zotsatira za mankhwala. Ngati vutoli silikudziwikiratu kapena zizindikiro zikupitirira pakapita chithandizo, wokondedwa wanu akhoza kupindula ndi nkhawa, monga lorazepam.
N'kofunikanso kudziwitsa wothandizira zaumoyo wanu pokhapokha ngati zizindikiro za kusagwedezeka kwatha kumayambira. Kudziwa chomwe chimayambitsa kusalabadira kwachilendo ndi kuchilandira mofulumira kungapangitse chidwi pa nthawi yomaliza ya wokondedwa wanu, komanso zomwe mumakumana nazo pamene mukuzisamalira.
Kusintha Kwambiri Kwambiri
Ndi zachilendo kuti wokondedwa wanu akhudzidwe kwambiri kutentha pafupi ndi mapeto a moyo pamene thupi lake limataya kuthekera kwake kudzilamulira. Mukaona kuti wokondedwa wanu ali ndi malungo komanso akuwotcha kwambiri, kapena amamva kuti ndi ozizira komanso mumasinthasintha, pali njira zosavuta zomwe mungatengere vuto lililonse.
Ngati wokondedwa wanu ali ndi malungo koma angathe kumamwa mapiritsi, mukhoza kumupatsa mapiritsi a acetaminophen (Tylenol). Ngati wodwalayo sakudziwa, yesani kugwiritsa ntchito acetaminophen suppository. Acetaminophen ndi yothandiza antipyretic (kutentha thupi), komanso kupweteka kwapweteka.
Ngati wokondedwa wanu ali ndi malungo ndipo mukusamalirako kunyumba ndi thandizo la chisamaliro / chithandizo cha odwala , mwinamwake mwakambirana kale za ndondomeko ngati malungo akuyamba. Anthu ambiri ogwira ntchito kuchipatala amagwiritsa ntchito kachipangizo kakang'ono ka mankhwala kuti athetse zizindikiro za kutha kwa moyo (nthawi zina amatchedwa kachipangizo kachangu kapena chipatala chotonthoza chipatala ) ndipo amaphunzitsa osowa ntchito kuti azigwiritsa ntchito bwino. Ambiri mwa kitsulowa ndi acetaminophen mwa mawonekedwe ena.
Chinthu china chimene mungachite kuti achepetse kutentha ndi kugwiritsira ntchito compresses pogwiritsa ntchito nsalu yopanda madzi, pamphumi, pamutu ndi / kapena pamphuno. Musayambe kuika chipale chofewa kapena ayezi pamatumba opanda kanthu, komatu, pezani madzi kapena ayezi piringu musanawagwiritse ntchito. Onetsetsani kuti muyang'ane malo omwe pansi pa compress ozizira nthawi zonse ndi kuchotsa pambuyo 15 minutes.
Ngati wodwala ali ndi malungo, mukhoza kuvala ndi T-shirt kapena chovala cha usiku, kapena mwinjiro wa chipatala ngati wina akupezeka. Ngati mumamva ngati mukufuna kuwaphimba, gwiritsani ntchito pepala. Kuphatikiza apo, ngati wokondedwa wanu akuwombera kwambiri, yang'anani zobvala nthawi zambiri ndikusintha ngati kuli kofunikira.
Ngati wokondedwa wanu akung'ung'uza, kuwonjezera bulangeti kapena awiri ayenera kukhala okwanira kuti atonthoze. Mukhozanso kuwonjezera awiri a masokosi ofewa, omasuka.
Pomaliza, ngati muwona kuti zala za wokondedwa wanu, zala, mphuno ndi / kapena milomo ikuwoneka imvi kapena buluu, kumvetsetsa kuti izi ndi zachilendo pamene magazi akuyenda mthupi. Kusintha komwe kumafala nthawi zambiri kumakhala koonekera pamapazi ndipo kamodzi kamakhala kofiira ndi buluu kapena phokoso, nthawi ya imfa imayandikira pafupi.
Ululu ndi Chisokonezo
Monga wosamalira, zingakuvuteni kunena ngati wachibale wanu akumva ululu pamene chidziwitso chake chikuchepa. Kuzindikira ndi kuyesa ululu wa wodwalayo ndikofunikira kuti atonthozedwe, komabe, ndikuwona thupi lanu ndi zizindikiro zina zakuthupi zidzakula kwambiri pamene wokondedwa wanu sangathe kukuuzani ngati akumva ululu. Nazi zina mwa zizindikiro za ululu ndi zovuta muyenera kuziyang'ana:
- Kusokonezeka
- Tsitsi lakuthwa
- Kusokoneza
- Kusunga malo owawa
- Zowonjezera muyezo wopuma (kupuma mphindi)
- Kuwonjezeka kwa mtima kapena kutentha
- Kudandaula
- Kupuma kapena kusokonezeka
Mutha kuona zizindikiro izi zikuchitika ndi kayendedwe kapena ntchito zina pamene mukusamalira, kapena zingachitike mwadzidzidzi. Ngati wokondedwa wanu wakhala akuyambitsa ndondomeko ya mankhwala opweteka , ndibwino kuti muzisunga ngakhale atayika. Wothandizira zaumoyo wanu ayenera kukhala ndi pulani ya mankhwala opweteka kwa inu ngati wokondedwa wanu samvera.
Ngati wokondedwa wanu samakhala akumwa mankhwala opweteka nthawi zonse, ndi kofunikirabe kumuyang'ana pa zizindikiro zosokoneza komanso kukhala ndi mankhwala pokhapokha ngati ululu umayamba. Kawirikawiri Morphine amaphatikizidwa mu kitsulo zotonthoza zachipatala, pamodzi ndi acetaminophen suppositories omwe tatchulidwa pamwambapa.
Kusintha kwa Kuphulika
Dyspnea , kapena mpweya wochepa, nthawi zambiri ndi chizindikiro chosautsa osati kwa munthu wakufa komanso kwa achibale ake ndi abwenzi ake. Ngati wokondedwa wanu akupuma mofulumira (kupitirira 24 mpweya pamphindi) ndipo zikuwoneka zosasangalatsa, morphine angasonyeze chithandizo cha kusankha. Morphine amangopatsa ululu wothandizira kupweteka komanso amachitanso ntchito yabwino pochiza dyspnea. Zimachedwetsa kupuma, zomwe zimalola thupi la wodwala kuti likhale ndi mpweya wabwino kwambiri komanso kuchepetsa kupuma kwa ubongo. Ngati wokondedwa wanu ali ndi vuto losavomerezeka kwa morphine, mankhwala ena opioid angathandize kuchepetsa dyspnea.
Mankhwala ena omwe angathandizenso kuchepetsa dyspnea ndi awa:
- Kusamalira mpweya
- Kutsogolera fanasi pamunsi wothamanga ku nkhope ya wokondedwa wanu
- Kupereka mpweya watsopano potsegula zenera
Zina zomwe zimachitika komanso zosokoneza pafupi ndi mapeto a moyo zimadziwika kuti " imfa yakupha ." Izi ndizo kupuma mokweza, komwe kumapuma pamene saliva ndi zina zotsekedwa zimamangiriza pamtima wa wodwala komanso pamsewu. Pamene tili ndi thanzi labwino, ambirife tikhoza kutsokomola, kutseketsa mmero mwathu, kapena kumeza kapena kulavulira izi zobisika, koma munthu wakufa amalephera kuthetsa. Ngakhale kuti phokosoli limakhala lovuta kwambiri kwa okondedwa kusiyana ndi munthu wakufayo, mankhwala omwe amauma zowonjezera zowonjezera nthawi zambiri amagwira ntchito pochizira kupfuula kofanana ndi imfa.
Potsirizira pake, pamene mapeto a moyo ayandikira, mungaone kuti wokondedwa wanu amapuma mosalekeza, omwe amatchedwa kupuma kwa Cheyne-Stokes . Ngati izi zikuchitika, wokondedwa wanu akhoza kupuma mofulumira nthawi zina, pang'onopang'ono chotsatira, kapena ngakhale kusiya mpweya (wotchedwa apnea). Kutentha kwa Cheyne-Stokes sikungasowe chithandizo china koma ngati wokondedwa wanu akuwoneka ngati akuchepa, njira zothandizira dyspnea (pamwamba) zingakhale zothandiza.
Imfa Yakufa Ndi Pambuyo
Pamene wodwala afa, ayamba kupuma (kapena akupitirizabe ndi kupuma kwa Cheyne-Stokes) mpaka atatha. Imfa imachitika pamene kupuma kwaima ndipo mtima wa wodwala umasiya kugunda.
Pa nthawiyi, thupi la munthu limayambitsa njira zambiri zachilengedwe mwamsanga pambuyo pa imfa , koma apa pali zizindikiro zina zomwe muyenera kuziyang'ana:
- Ophunzira amakhala osasunthika ndi osakanikirana (aakulu)
- Khungu ndi lotumbululuka kapena labluu
- Thupi limakhala lozizira
- Mafupa angakhale otseguka
- Udzu umataya ndipo umatsika
Pali zinthu zambiri zimene muyenera kuchita mwamsanga munthu amene mumamukonda akamwalira , kuphatikizapo kuitanitsa 911 kapena bungwe lanu lokhazikitsa malamulo ngati wodwalayo sanalembedwe kuchipatala. (Ngati akulandira chithandizo cha chipatala, muyenera kuonana ndi ogwira ntchito ku chipatala kapena namwino woyang'anira odwala .)
Pokhapokha ngati mutakonzeratu mapeto a moyo wa wokondedwa wanu, ndiye kuti mufunikanso kukonzekera maliro, chikumbutso ndi / kapena kupembedzera m'masiku omwe akubwera.
Chofunika koposa, muyenera kusamalira nokha maola, masiku ndi masabata kutsogolo. Pokhala wosamalira wokondedwa wanu, mwinamwake mwakhala mukukumana ndi chisamaliro chosamalitsa pamlingo winawake, zomwe zingapangitse chisoni chomwe mumakhala nacho panthawi yovutayi.