Kupuma kwachisokonezo, chomwe chimadziwikanso kuti kugwedezeka kwa chimaliziro, ndi njira yovuta kwambiri ya delirium yomwe nthawi zina imapezeka odwala. Amadziwika ndi kupumula kwa uzimu, kukhumudwa, kapenanso thupi, komanso nkhawa , kusokonezeka, komanso kulephera kulingalira.
Munthu akamadwala, kusintha kwake kumakhala kofala. Kukhumudwa, kukhumudwa, kukhumudwa, ngakhalenso kukwiya kumabweretsa mitu yawo yoipa.
Pamene munthu ali ndi matenda othetsa matenda, kusintha kwa mitundu iyi kumakhala kovuta; pamene ayandikira mapeto a moyo wake, kusintha kumeneku kumawonjezeka pafupipafupi komanso phindu. Chodabwitsa ichi chingakhale chovuta kwambiri kwa osowa ndi okondedwa kuti azilimbana nawo.
Kusagwedezeka kwa pamapeto kumakhala kovuta kwambiri chifukwa kumakhala ndi zotsatira zowonongeka komanso zoipa pazochitika zakufa . Tonse timafuna kuti imfa ikhale yamtendere komanso yamtendere, koma ngati wodwala akufa ndi kupuma kwake, imfa yake ikuwoneka ngati ikuzunzidwa.
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 othandizira azaumoyo, kuti amvetsetse chodabwitsa cha kuyandikira chidziwitso cha imfa kotero kuti athe kukonzekera kuthandizira zosowa zapadera za wodwalayo.
Zifukwa za 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 zamagetsi ndizochepa chabe za mankhwala omwe angayambitse delirium. Kugwiritsira ntchito mankhwala mobwerezabwereza kumabweretsa poizoni ndi kusagwiritsidwa ntchito mopitirira muyeso kumapangitsa ululu ndi zovuta, zomwe zingapitirize kuwonjezereka kwambiri.
- Kusamva kupweteka thupi kapena kusokonezeka
- Kutaya madzi m'thupi
- Kuchepetsa mpweya m'magazi / ubongo
- Matenda a magazi (kuchepa kwa maselo ofiira ofiira)
- Matenda ndi malungo
- Matenda a ubongo kapena kutupa kwa ubongo
- Kusungidwa kwa m'mitsempha (kusakhoza kuthetsa mkodzo kungayambitsidwe ndi matenda, catheter yamakina ochotsera mchere, kapena mpweya wa chikhodzodzo)
- Kutsekedwa kapena kukhudzidwa kwa fecal
- Kuopa, nkhawa , kusokonezeka maganizo
- Kansa mankhwala
- Kusokonezeka kwamadzimadzi (kumagwirizana pamapeto a moyo ngati ziwalo zofunika zimatseka)
Kodi Ndiyenera Kuchitanji Ponena za Kusabisa Kwachisawawa?
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.
Kuzindikira bwino chifukwa cha delirium ndi kuchilera bwino kungatenge masiku angapo, koma mothandizidwa ndi timu ya chipatala , abwenzi apamtima, ndi achibale ena, mudzathetsa nthawiyi.
Delirium si ofanana kwa aliyense, ndipo ikhoza kutsanzira zina matenda ndi syndromes, kupanga kuzindikira ndi kuchiza izo zovuta. Ngati muwona kuti wokondedwa wanu akuchita zosiyana siyana, ali ndi chikumbukiro chatsopano, kapena akusintha kachitidwe kake kakugona, funsani wothandizira zaumoyo kuti muwone bwinobwino.
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.