Eta kutema nekudzorerazve ganda rako
Pamusoro pezviratidzo izvo vanhu vanorwara zvakanyanya vanotsungirira, kubvambura, zvakare kunziwo pruritus, kunogona kuva chimwe chezvinhu zvinokanganisa uye zvinogumbura. Itching inogona kukonzera:
- Kusuruvara kunorwadza mupfungwa
- Kuora muviri kwakanyanya
- Kusagadzikana
- Kuora kweganda uye zvirwere
Zvinokonzera Itching
Itching haisi chiratidzo chaunofanira kufuratira kana kuona sechisingakoshi pane zvimwe zviratidzo. Kurwisa kwakanyanya kunoda kuongorora nokukurumidza uye kurapwa.
Nepo zviri nyore kuongorora zvimwe zvikonzero zvinotyisa, zvimwe zvinokonzera hazvisi nyore kuona.
Mishonga: Mishonga yemarwadzo eOpioid inowanzokonzera kutema, kunyanya kana iwe watanga kutanga kuitora kana chiremba wako anowedzera dose yako. Kushushikana kana kurwara kwemishonga kunogona kukonzera kupisa kwakanyanya. Mishonga yakawanda inotarisa kana kuve kuve kwechikamu chinowanzo.
Ipi Isingakwanisi: Vanhu vanotarisira chirwere chekupedzisira-renal chirwere chinogona kukura uremia, mamiriro ezvinhu ane ngozi anowanikwa muchikamu chekupedzisira chezvirwere zvepfungwa dzisingaperi. Izvo zvinokonzerwa neUremia zvinokanganisa makumi mapfumbamwe kubva kune makumi mapfumbamwe kusvika kuzana 90 kubva kuvarwere ve ESRD.
Dermatitis: Dermatitis inotsamwisa kana kuputika kweganda pane chero chikonzero chinosanganisira kugadziriswa kweguru kune sese, creams, latex, nemamwe makemikari. Kuchinja kune zvose zvakasikwa, kunhuhwirira-kusina, utano hwehupenyu uye hutengo huripo hunogona kubatsira. Matambudziko eDermatitis anosanganisira:
- Mapundu
- Flaking uye kuchenesa kweganda rakaoma
- Zvirwere zvefungal (zvinowanzozivikanwa muvanhu vakanyanya kupfurikidza uye avo vane maitiro ezvirwere zvekuzvidzivirira )
Kupikisa: Kupika kunogona kuva dambudziko rechokwadi, kunyanya kune vanhu vakaiswa pamubhedha wavo. Inogona kukonzera:
- Kushatirwa kweganda
- Itching
- Pressure Sores
Zvimwe Zvirwere: Kubvisa chiratidzo chinowanzoonekwa chehutano hwakawanda, kusanganisira:
- Multiple sclerosis
- Uturu hwebongo
- Herpes zoster (shingles)
- Dzimwe mhando dzekenza
- Zvirwere zvemetabolic
Nhanho Dzakananga Kurega Itch
Mamwe matanho akajeka uye akakurumidza aunogona kutora kuti udzivirire kana kurapa kubata kunosanganisira:
- Kudzivisa kupisa zvakanyanya
- Kutendeukira kune humidifier muimba yomunhu
- Kushandisa zvose-zvinyoro zvinyoro zvinyoro zvinyararire, kunyanya mushure mekugeza kana kushambidza
- Kudzivisa kugunzva ganda, zvakadai semvere dzemakwai, mvere dzembudzi, masero akawanda ekutengeserana, uye zvinonhuwira
- Kushandisa compress yakanyanyisa kunzvimbo dzakashata
- Kupfeka zvakachena, zvakasununguka-zvakakodzera, zana rezana yepotton zvokupfeka
"Sora uye Chisimbiso" Kudzivirira Itching
Batai ganda rakaoma, iro rinozivikanwawo se xerosis, nekudzikinurazve. Nzira ye "re-soak and seal" yekugadzirisa mvura inobatsira zvikuru pakuderedza kunatswa kunoenderana nekuoma.
- Itai mukati mekushambidza kushambidzika kwemaminitsi gumi nemashanu. Kana munhu anorwara ari pamubhedha, shandisa moto, shingairira zvipembenene kune ganda panzvimbo, zvichizorodza nekudziya zvakare tirasi sezvaunoda.
- Gonyisa paganda ganda rakaoma uye shandisa chikafu chinowanikwa. Mienzaniso yakanaka yezvigadzirwa zvepachikafu zvinosanganisira petroleum jelly, kupfupisa kwemiriwo (kufanana neCrisco), uye miviri yakaoma inonzi doro uye zvinonhuwira zvisina kufanira, saEucerin, Aquaphor, uye Cetaphil.
- Shandisa kamu kakawanda pazuva uye ugadzire munhu wacho asina kupfeka zvipfeko zvekotoni kuti arege kutapira kudarika.
Icho Chinokosha paItching
Usambofa wakanganwa kutengesa. Zvinogona kunge zvakashungurudza sezvinorwadza kune vamwe vanhu uye zvinoda kukurumidza kuongororwa uye kurapwa neboka rako rekuchengetedza . Kunyangwe iwe unogona kuedza mishonga shomanana yakajeka iwe pachako kuti udzivirire kana kuti uite unyoro hwakanaka, iwe unofanira kugara uchikumbira mazano anyanzvi kubva kunechiremba waunovimba naye.
Sources:
Rhiner, M, uye Slatkin, N. Pruritis. Bhuku reWorld Palliative Nursing, Oxford University Press, 2006: 345-354.
Pittelkow MR, et al. Pruritis uye kutuka. Oxford Textbook of Palliative Medicine, 2nd edition. Oxford University Press, 2004: 573-587.