Kufuridza zvipembenene zvinetso zvinowanzoitika muhutano hwevarwere. Kuderedza kusununguka, nguva yakawedzerwa yakashandiswa mubhedha, uye kuchinja kudya kunoita kuti varwere ava vave nezvinangwa zvekuparara kweganda.
Kufuridza zvipembenene zvinorwadza. Somutarisiri, chimwe chezvinhu zvinonyanya kukosha zvaunogona kuita kuti uchengetedze murwere wako zvakanaka kuti udzivise mumwe kubva pakukura.
Bvisa Pfungwa
Kutenderera murwere ari mubhedha wakabatanidzwa ndicho chinhu chakakosha zvikuru chaunogona kuita kuti urege kudzivirira zvironda zvekuita.
Kakawanda kutendeuka kune dzimwe nzvimbo dzekumanikidzwa kune nzvimbo dzebony, dzakadai sedzasi rezasi, mahudyu, makumbo, uye zvitsitsinho.
Iwe unofanirwa kuronga kuendesa wako waunoda maawa maviri oga oga, kushandura pakati pamakona akanaka uye kuruboshwe ndokumuisa pasi pameso ake. Maawa maviri ega akanaka asi hapana chikonzero chekuisa kadhi yeawashi kuti ikumise nguva dzose maawa maviri usiku. Kana iwe nevarwere vako muchirara zvakanaka, siyai zvakanaka zvakakwana. Kana akakumutsa iwe pakati peusiku, zvakadaro, tora mukana iwoyo kuti umutende.
Zviri nyore kurasikirwa nerutivi rupi rupi raanofanira kutendeukira kana akange ari mushure make kwenguva pfupi. Imwe mhuri yandakasangana nayo yakanga ine sarudzo yakajeka yeizvi. Vakashandisa bhino rekoton yekristband kuti varatidze chikamu icho mbuya vavo vanofanira kutendeukira kune chinotevera. Ambuya vaifarira pfungwa yacho zvakare nokuti bhandi raiva pink - raaifarira ruvara!
Paunenge uchimuisa pamubhedha, mapuritsi ndiye shamwari yako yakanakisisa.
Shandisa rimwe pasi pemusana kuti mumudungwe parutivi rwake; isa imwe pakati pemabvi kana ari kurutivi rwake; shandisa rimwe pasi pemakumbo kuti "futire" zvitsitsinho kubva pamubhedha. Mipiro inowedzera nyaradzo uye inogona kuderedza kushushikana panzvimbo dzebony.
Kana iwe waunoda ari kupedza nguva yakawanda yezuva muchechi yekare, kumuisa iye achiri kukosha.
Zvigadziriswe zviduku munzvimbo yekugara zvinowanzoshanda zvakakwana pakubvisa kukanganiswa. Kuchengeta peji rakapeteredzwa pasi pake paanenge agere kuchaita kuti basa iri rive nyore. Kana yava nguva yekudzorera zvakare, ingobata tsamba (zvichida nerubatsiro rweumwe munhu akagwinya) uye zvishoma nezvishoma kuchinja uremu hwake. Iwe unogona zvakare kuedza kuchinja chiyero chekunonoka kuti ugoverezve uremu hwemuviri.
Mazano Anokosha Anogona Kukubatsira
Mukuwedzera pane kutendeuka nekudzokorora nguva dzose, kushandisa nzvimbo yakakosha kuderedza kana kuderedza dambudziko kunogona kubatsira zvakawanda. Iyo yakajeka yeiyi ishi yekate mateti. Vakawanda vanochengetedza varwere uye mapoka ehutano emusha vanopa izvi pachena pasina zvavanoita asi izvo zvisingabatsiri padhipatimendi redu rekuda. Kana mudiwa wako ari kupedza nguva yakawanda achigara pachigaro, mazai eki kateti pads anowanikwawo. Iko kakoti yepasi inobatsira kuparadzira kudzvinyirira zvakanyanya, zvichibatsira kuderedza kuwanda kwemhepo pane imwe nzvimbo.
Nhanho kubva kumusoro kwekate makate mate inoputira mateti. Mhando iyi yepamusoro inowanikwa pamusoro pematirasi uye inowanzochinja kushandiswa kwemhepo mumakorani akasiyana-siyana. Paunenge uchishandisa girasi yekate makate kana kuti mateti emhepo akavhara, zvichiri kukosha kuchengetedza nguva yekuchinja.
Izvozvi zvishandiso hazvibatsiri kutorazve repositioning.
Iko huru yepfuti yekudzvinyirira mafungiro ndiyo mafiritsi emhepo anoputika. Aya mattresses anokosha ane sirasi-yakafukidzwa girasi mabhesi anoshanduka mvura apo mweya inoputirwa nawo. Aya mattresses anoita basa rakanakisisa rekudzivirira kukanganisa asi vane zvinotambudza. Chimiro chemastaiti chinoita kuti kutama uye kubva pamubhedha kuve kwakaoma. Uye kana munhu wacho achida kugara pamubhedha, chipfeko chinoputika chingada kushandiswa kubatsira kutsigira musana wavo. Iyi mateti inonyatsokodzera kurapa varwere vane hutano hwakakwana, vane zvirwere zvakanyanya zvekuonda , uye vari mumarwadzo mazhinji.
Kuderedza Fureti uye Shear
Tsvina ndeyekusvetwa kweganda kune imwe kunze, kazhinji mabheti emabhedha. Mufaro kune dzimwe nzvimbo inowanikwa zvakanyanya kunogona kuderedzwa nemichina yekudzivirira. Chitsitsinho uye zvigaro zvisikwa zvinowanzogadzirwa neaii-crate zvinhu uye Velcro. Ganda rinodzivirira kupfeka, zvakadai semafirimu (Tegaderm) uye mabhanhire mashoma anonzi hydrocolloid (Duoderm) anogona kuchengetedza ganda kuti rirege kupesana asi haringabatsiri kuderedza kushandiswa.
Chinhu chinonyanya kukosha chaunogona kuita kuti urege kukuvadzwa nekukakavadzana ndeyekuti urege kuzvisika iwe pachako paunenge uchidzokorora mudiwa wako. Shandisa jira rekubata kuti ikubatsire kusimudza mudiwa wako kubva pamubhedha paunosimudza nekudzorera.
Sheari inogadzirwa apo yakadzika mafuta mishonga uye midzi yeropa inokuvadzwa nekubatana kwekukanganiswa uye kukuvadza. Nzira yakanakisisa yekudzivisa rudzi urwu rwekukuvadza ndeyekudzivirira imwechete-Fowler uye nzvimbo yakarurama mubhedha. Semi-Fowler nzvimbo iyo iyo musoro inokurudzirwa pasi pe 30 degrees uye nzvimbo dzakarurama dzinopfuura 30 degrees. Iye zvino, iwe pachena haugoni kudzivisa nzvimbo idzi nguva yose. Varwere vakawanda vanoda kuva semiti-Fowler kuti vabatsire kuderedza kufema kwemhepo kana kuti kudzivirira gastric reflux uye varwere vose vanofanira kuva munzvimbo yakarurama yekudya zvakanaka.
Kuti uderedze njodzi yekucheka kwekubvisa mukati memiti yeFowler kana nzvimbo yakarurama, tora matanho ekudzivirira mudiwa wako kuti arege kurara pamubhedha. Iwe unogona kuita izvi nekusimudza rutsoka rwebhedha uye kupfugama namabvi nemapiro.
Soro rinokuvadza rinogona kuitika muzvigaro zvakare. Kuti uchengetedze murwere wako kuti asvike pachigaro chake, shandisa zvidzitiro kana maottoman kuti apike tsoka dzake uye mapiritsi kana zvigadzirwa zvakakosha kuti achengete mahudyu ake pamakona 90-degree.
Edza Kuchengeta Chikafu
Pane kuwirirana kwakasimba pakati pekudya kwekudya kunokonzera uye kunetseka kwehutachiona ngozi . Kana mudiwa wako ane chido, edza kuchengetedza kudya kwakakwana nezvokudya zvine utano (funga maonda maprotestine, mbeu yose, michero, nemiriwo). Kana chido chake chiri kupera, shandisa zvidimbu zvakadai seZvimbiso kana Kuwedzera kuti ubatsire kusimbisa chikafu.
Zvokudya zvinovaka muviri zvinowanzova dambudziko muvarwere vanochengeta kurapa uye zvakakosha kucherechedza pano kuti haufaniri kumboedza "kumanikidza" mudiwa wako kuti adye.
Shandisa Mutemo
Misi inobva mukutuka, murini, kana nyota zvinogona kukuvadza paganda. Zvakakosha kuchengetedza ganda rehutano kuburikidza nekutarisa unyoro. Kana murwere achiunganidza huwandu hwakawanda kubva mukukutuka, achada zvipfeko zvake uye zvichida mapepa ake akachinja kakawanda. Iwe unogona kuita izvi zvive nyore pane iwe pachako uchishandisa zvipfeko zvechipatara kana zvimwe zvipfeko zvinotsvedza uye zviri nyore nyore. Kushandisa zvidimbu zvakasiyana zvemashizha zvinogona kuita kuti basa iri rive nyore. Imwe mhuri yandinotarisira yakatanga zuva nokuisa mubhedha nematatu emakotoni uye yakangobvisa chete iyo yakava isina kunaya.
Kana iwe waunoda asingakwanisi kugadzira urinhi, achada kugara achichinja vashandi vake vakuru kana kuvhota. Kuchechechedza chidimbu chake kamwechete kwemaawa maviri uye kuchinja iyo pakarepo kana yakasvibiswa inokosha. Kushandisa chigadziko cheganda kunogona kubatsira kudzivirira kukanganisa kubva mumuti. Ndizvo zvakafanana nekudzivirira kubhururuka kwevana mucheche. Shandisa Desitin, A & D Mafuta, kana chimwe chigadzirwa chakafanana kuchengetedza ganda kubva mumunyoro uye asidi kubva mumugini.
Kana chirwere chakakosha chiriko kana kuti kune ngozi yakawanda yekukudziridza imwe, zvingave zvakakosha kuisa kugara kwecleyter catheter. Izvi zvinogona kuitwa chete nemureri ane chirongwa chechiremba. A cleyter ye foley ibhuku duku rinosungirwa mukati mekurera uye mucheka umo rinoramba richibatsirwa nebhaluni rinoputika. Kana kangoiswa, urini inodonha kubva muhubhu uye muhomwe yekutakura, ichichengetedza ganda risina mvura.
Kana akasava nechokuita chechigaro, ari pangozi yekuwedzera kweganda kubva kumaabhakitiriya uye enzymes inogadzika inowanikwa mumakumbo. Anofanira kucheneswa uye kuchinjwa nokukurumidza kana zvichibvira mushure mekufamba kwebonde. Izvi zvinogona kunge zvakaoma kana murwere wako ane chirwere chekurara kana kuti anogara achifamba. Asi zvinenge zvakakodzera kubasa zvakaoma kana zvinodzivisa kuputsika kweganda kuputsika.
Kushanda Kushanda Kuenda Kunoenda
Kudzivirira zvinokonzerwa nemakumbo zvinogona kuva basa rakaoma. Iko kunotyisa kukusimudzira, kutendeuka, nzvimbo, yakachena, uye kuchinja mumwe munhu nguva yese maawa maviri. Kufanana nezvinhu zvakawanda zvinoda kushanda zvakaoma, mubayiro mukuru. Kuchengeta mudiwa wako asingasuruki zvinorwadza zvinorwadza zvichaita kuti basa rose romuviri ritarisire zvakakosha. Kana iwe ukawana uchinetseka kuchengeta basa iwe pachako, unogona kudikanwa kutsvaga rubatsiro rwakawedzerwa.
> Sources:
> Ferrell BR, Coyle N. Bhuku reMurau wePalliative, 2nd Edition. Oxford Press, 2006.
> Kinzbrunner BM, Weinreb NJ, Policzer JS. 20 Matambudziko Anowanzo: Kuguma kweHupenyu Care. McGraw-Hill, 2002.
> Kayser-Jones J, et al. Kushushikana zvipembenene pakati pemusha unochengetedza varwere vanorwara. Kutsvakurudza muUchiremba hweGerontological 2008; 1 (1): 14-24.