Maitiro Anowirirana
Delirium chiratidzo chakakurumbira kune vakawanda vanorwara, uye iwe unogona kuva wekutanga kuona kuti mudiwa wako ari kutarisana nemamwe emigumisiro yaro, kunyanya nyika inonzi kusagona kusagadzikana. Iwe ungazviziva sei?
Chii Chinonzi Deliriamu?
Delirium chirwere chakakomba chepfungwa, uye dzimwe nguva chinonzi "organic brain syndrome," "kuvhiringidzika," "kuora mwoyo" kana kuti "kusina kunaka mupfungwa." Iwe unogona kuzviziva nekucherechedza kuchinja kamwe-kamwe mumusikana wako wekuchenjerera uye mufambiro.
Kuchinja uku kunogona kuchinja dzimwe nguva kwemazuva, uye kazhinji kunowedzera kuwedzera usiku.
Zvimwe zviitiko zve delirium zvinosanganisira:
- kukanganiswa kwehutano hwekuziva nekunonoka kwekuziva kwezvakatipoteredza
- kukanganisika kwenguva pfupi kuyeuka uye kutarisa nguva
- kuvhiringidzika kwenguva uye nzvimbo
- kunyengedza uye / kana kukanganisa (kutenda uye / kana kuona zvinhu zvisingaitiki)
- mutauro uncharacteristic: inogona kunge yakanyanyisa kana yakanyorova, yakakurumidza kana inonoka
- kuchinja mafungiro ekuchinja
- kurara kuvhiringidzika: kusuruvara kana kuchinja kurara
- Basa risina basa: kufamba kwemuviri kunogona kuwedzera kana kuderera, uye kunogona kunge kwakakurumidza kana kunonoka
Kana kurapwa kunonoka kana kuratidzika zvakaoma zvikuru, chirrium inogona kufambira mberi kusvika pakuguma kusingagumi.
Chii Chinonzi Kurega Kusagadzikana?
Kushanda kusagadzikana inzira inonyanya kuodza mwoyo ye delirium iyo dzimwe nguva inowanikwa mukufa varwere. Iyo inoratidzirwa nekurwadziwa (mumweya, mupfungwa kana mumuviri), kusazvidzora, kuzvidya mwoyo , kushungurudzika, uye kukanganisa kusanzwisisika.
Kushanda kusina kugadzikana kunotambudza zvikuru nokuti kune zvakakanganisika zvakananga pakufa . Isu tose tinoda rufu kuti ruve nerunyararo uye runyararo, asi, kana murwere ari kufa nekusagadzikana kusingaperi, rufu rwake runogona kuva chinhu.
Kana munhu achirwara, mafungiro anochinja anowanzova chiratidzo chinojairika.
Kunyangadza, kuvhiringidzika, kuora mwoyo uye kunyange kutsamwa kune mafungiro anogona kuratidzwa. Kana munhu ane chirwere chisingaperi, izvi zvinoshandura mafungiro anogona kunge akaoma, uye apo kuswedera kwekupedzisira kugadzirisa mafungiro okuchinja kunogona kuitika. Izvi zvinogona kunyanya kuoma kune vanochengeta uye vanodiwa kuti vatarisane.
Kushanda kusina kugadzikana kunotambudza zvikuru nokuti kune zvakakanganisika zvakananga pakufa. Isu tose tinoda rufu kuti ruve nerunyararo uye runyararo, asi, kana murwere ari kufa nekusagadzikana kusingaperi, rufu rwake runogona kuva chinhu.
Kushanda kusagadzikana kunogona kukanganiswa ne "kuswedera pakuziva kufa," iyo inorondedzerwa sehupenyu hwemunhu huri kufa kuti rufu rwave pedyo. Zvakakosha kune vanodiwa nevarwere vanofa, pamwe chete nevadzidzisi vehutano, kuti vanzwisise chiitiko chekuswedera pedyo nekuziva rufu kuitira kuti vakwanise kuve vakagadzirira kutsigira zvinodiwa nemurwere anofa.
Zvinokonzera Deliriamu uye Kusagadzikana Kwemhedziso
Kune zvikonzero zvakawanda zvakasiyana zvekuregererwa kwekupedza uye kusingaperi. Zvimwe zvinokonzera zviri nyore kuchinja, asi dzimwe dzisiri.
Zvimwe zvezvikonzero zvinowanzodiwa zve delirium zvinosanganisira:
- mishonga: opioids , anti-seizure zvinodhaka, steroid, uye anxiolytics ndezvimwe chete zvemishonga inogona kukonzera delirium. Kunyanyisa kwemishonga kunogona kukonzera kuora uye kushandiswa kwepasi kunogona kukonzera marwadzo uye kusagadzikana, izvo zvinogona kuwedzera kukuvadza delirium.
- kushungurudzika mupfungwa kana kusagadzikana
- dehydration
- kuderedza okisijeni muropa / uropi
- anemia (yakaderera masero matsvuku eropa)
- zvirwere uye fever
- uropi hwepfungwa / uropi huputi
- kuchengetedza urinary (kusakwanisa kupedza urini kunogona kukonzerwa nehosha, kinked urinary catheter,
- kuvhiringidzika kana kufungidzira
- kutya, kuzvidya mwoyo , kushungurudzika mupfungwa
- kenza mishonga
- kushungurudzika kwemagetsi (zvakajairika pamagumo ehupenyu senhengo dzinokosha dzinotanga kuvhara)
Chii Chinofanira Kuitwa Nomumwe Munhu Nezvekodzero Yokusagadzikana?
Kana chikonzero icho chiri nyore kuziva, remrium inowanzobatwa nyore nyore. Zvisinei, pamagumo ehupenyu , zvingave zvakaoma kuziva chimwe chinokonzera, saka kuita kurapwa kwekuperesa uye kusagadzikana kusagadzirisa.
Zvakakosha kuchengeta mupfungwa kuti kunyatsoziva chikonzero chekurima uye kuchibata zvakanaka kunogona kutora mazuva mazhinji, asi nekutsigirwa kwechikwata chekuchengetedza , shamwari dzepedyo, uye dzimwe nhengo dzemhuri, iwe uchazviita munguva ino yakaoma.
Dhaririamu haisi yakafanana kune munhu wese, uye inogona kutevedzera dzimwe zvirwere uye syndromes, zvichiita kuti zvione uye kuzvibata zvakaoma. Kana ukacherechedza kuti mudiwa wako ari kuita zvisingaiti, ane chimiro chekuyeuka kana kuve kuchinjwa muhope yake yekurara, taura nemudzidzisi wako wehutano kuti uwedzere kuongororwa.
> Sources:
> Kinzbrunner, BM; Weinreb, NJ; Policzer, JS; 20 Matambudziko Anowanzo: End of Life Care, McGraw-Hill Publishing, 2002.
> Ferrell, BR naCoyle, N; Bhuku reWorld Palliative Nursing, Oxford University Press, 2006.