Pezani kuyabwa poyambiranso khungu lanu
Pa zizindikiro zonse zomwe anthu odwala kwambiri amadwala, kuyabwa, komwe kumatchedwanso pruritus, kungakhale chinthu chokhumudwitsa kwambiri komanso chokhumudwitsa. Kuyabwa kungayambitse:
- Kuvutika maganizo kwamtima
- Kuvutika kwa thupi kwakukulu
- Kusokonezeka
- Kuwonongeka kwa khungu ndi matenda
Zifukwa za kuyabwa
Kuyamwa si chizindikiro chimene muyenera kunyalanyaza kapena kuchiona ngati chosafunika kuposa zizindikiro zina. Kuchenjeza kwakukulu kumafuna kufufuza mwamsanga ndi chithandizo.
Ngakhale kuti n'zosavuta kupeza zifukwa zina zoyambitsa kuyabwa, zifukwa zina sizili zovuta kudziwa.
Mankhwala: Mankhwala opweteka a opioid amachititsa kuti ayambe kuyamwa, makamaka mukayamba kuwatenga kapena dokotala wanu akuwonjezera mlingo wanu. Kukhumudwa kapena kupweteka kwa mankhwala kungayambitsenso kwambiri. Mankhwala ambiri amadziwa ngati kuyabwa ndi zotsatira zoyipa.
Kulephera kwa Impso: Anthu omwe amayang'anira matenda opatsirana pogonana angapangitse uremia, matenda owopsa omwe amapezeka pamapeto otsiriza a matenda a impso. Ma pruritus okhudzana ndi uremia amakhudza 80 peresenti mpaka 90 peresenti ya odwala ESRD.
Dermatitis: Dermatitis ndi kupsa mtima kapena kutupa kwa khungu pazifukwa zilizonse kuphatikizapo zotsatira za khungu kwa sopo, creams, latex, ndi mankhwala ena. Kutembenukira ku zachilengedwe zonse, zonunkhira, zopangira thanzi labwino ndi zokongola zingathandize. Zovuta za matendawa zimaphatikizapo:
- Rash
- Kuwomba ndi kuyabwa kwa khungu louma
- Matenda a fungal (omwe amapezeka kwambiri mwa anthu ovuta kwambiri komanso omwe ali ndi ma chitetezo a mthupi )
Kuwomba: Kuwomba kungakhale vuto lenileni, makamaka kwa anthu ogona pabedi. Ikhoza kuchititsa:
- Khungu lakupweteka
- Kuyabwa
- Zilonda Zopweteka
Matenda Ena: Kuyabwa ndi chizindikiro chofala cha matenda ambiri, kuphatikizapo:
- Multiple sclerosis
- Matenda a ubongo
- Herpes zoster (shingles)
- Mitundu ina ya khansa
- Matenda amatsenga
Njira Zosavuta Zokuletsa Ichitsulo
Njira zina zosavuta komanso zosavuta zomwe mungatengere pofuna kupewa kapena kuchiza zikuphatikizapo:
- Kupewa kutentha kwakukulu
- Kutembenuzira munthu wopanga zamoto mkati mwa chipinda cha munthu
- Kugwiritsa ntchito zovuta zonse zachilengedwe mwachibadwa, makamaka mukatha kusamba kapena kusamba
- Kupewa khungu la khungu, monga ubweya wa nkhosa, ubweya wa pakhosi, sopo ambiri wamalonda, ndi zinthu zonunkhira
- Kugwiritsa ntchito compress ozizira kudera
- Kuvala zovala zoyera, zosalala, zoyenera, 100%
"Lolani Zisindikizo ndi Zisindikizo" Kuti Muthane Kutsekemera
Pezani khungu louma, lomwe limatchedwanso kuti xerosis, ndi kubwezeretsanso madzi. Njira yowonongeka kwa "soak ndi seal" imakhala yogwira mtima kwambiri pochotsa kuyabwa kokhudzana ndi kuuma.
- Lembani m'madzi osambira kwa mphindi 15 mpaka 20. Ngati munthu wodwalayo akugona, onetsetsani kutentha, kutsekemera kwa khungu m'malo mwake, kutsitsimula ndi kutenthetsa matayala ngati pakufunikira.
- Pezani khungu khungu khungu ndikugwiritsa ntchito zonona. Zitsanzo zabwino za zokhala ndi mafuta monga mafuta odzola, kusakaniza masamba (monga Crisco), ndi zowonjezera zowonjezera zomwe zimakhala mowa komanso zonunkhira, monga Eucerin, Aquaphor, ndi Cetaphil.
- Ikani zonona kangapo patsiku ndi kuvala munthuyo mu zovala zodayirira za thonje kuti mutenge thukuta lowonjezera.
Chofunika Kwambiri pa Kukhetsa
Musanyalanyaze kuyabwa. Zingakhale zomvetsa chisoni monga kupweteka kwa anthu ena ndipo zimafuna kuyesa mwamsanga ndikuchiritsidwa ndi gulu lanu losamalira bwino . Ngakhale mutha kuyesa mankhwala ochepa okha kuti mupewe kapena kuwonetsa kuchepetsa, muyenera nthawi zonse kufunsa uphungu wamalonda kuchokera kwa dokotala yemwe mumamukhulupirira.
Zotsatira:
Rhiner, M, ndi Slatkin, N. Pruritis. Buku la Palliative Nursing, Oxford University Press, 2006: 345-354.
Pittelkow MR, et al. Pruritis ndi thukuta. Oxford Textbook ya Palliative Medicine, 2 edition. Oxford University Press, 2004: 573-587.