Ngaba umntu omthandayo, mhlawumbi ngumzali, utatomkhulu okanye isalamane, sele esondela esiphelweni sobomi bakhe? Ngeli xesha, ngaba ukhe waphawula ukuba ngequbuliso uyaphazamiseka kwaye uyaphazamiseka? Mhlawumbi bayadlala ebhedini, betsala amashiti, okanye bekhala ngendlela ongazange uyibone ngaphambili. Kuqhelekile ukuba uzive ulusizi kakhulu, woyika, kwaye wothukile xa ubona into efana nale. Kodwa khumbula, le ndlela yokuziphatha ayisiyonto abayenzayo ngenxa yokukucaphukela. Yindlela nje yokubonakalisa utshintsho oluthile oluqhubekayo emzimbeni wabo.
Ngamafutshane, yintoni i-Terminal Agitation?
I-Terminal Agutation, ngamanye amaxesha ebizwa ngokuba yi-Terminal Restlessness okanye i-Terminal Delirium, ligama elisetyenziselwa ukuchaza indlela yokuziphatha okungaphumliyo, ukudideka, kunye nokucaphuka okunokwenzeka kwiintsuku ezingaphambi kokuba umntu afe. Le meko inokwenzeka njengoko amalungu omzimba evala kancinci kancinci, okanye "evala," kwaye inokubangelwa ziziphumo engqondweni.
Ukubona oku kunokukwenza uzive ngathi uphoswa kukuhamba ngoxolo nomntu omthandayo. Yimvakalelo ebuhlungu kakhulu. Kodwa eyona nto ibalulekileyo kukuqonda ukuba le yimeko yezonyango engaphaya kwamandla esigulana. Ugqirha wakho okanye umongikazi onceda abantu abanesifo sokudakumba angakunceda ukulawula olu xinzelelo aze enze umntu omthandayo akhululeke kangangoko.
Ziziphi iimpawu ezinokubonakala kule meko?
Ezi mpawu zinokuvela ngequbuliso nangokubi kakhulu, kwaye ngamanye amaxesha ziyafika zidlule. Ezi ndlela zokuziphatha zinokufika zidlule kwiintsuku ezimbalwa zokugqibela zobomi. Makhe sijonge ukuba zeziphi iimpawu eziphambili.
| Iimpawu Zomzimba | Iimpawu Zokuziphatha |
|---|---|
| Ukujikajika ebhedini, ukushukuma, nokungcangcazela. | Uxinzelelo olukhulu kunye nokudakumba. |
| Ukutsala impahla, izinto zokulala, okanye umgca we-IV oqulethe i-saline. | Ukuziphatha okunobundlobongela okanye okubangela ingxabano. |
| Uzikrwempa ubuso bakho, uncwina. | Ukudideka kunye nokulahlekelwa yinkumbulo. |
| Intetho engacacanga nethintithayo. | Ukubona okanye ukuva izinto ezingekhoyo (Hallucinations). |
| Ukukhaba ngemilenze. | Umsindo nokucaphuka ngequbuliso. |
| Ukuziphatha okungaqhelekanga kwaphela (umz., ukuthuka). |
Olu qhushululu luza kuhlala ixesha elingakanani?
Le meko idla ngokuqala malunga neeveki ezimbini ngaphambi kokufa. Nangona kunjalo, oku kuyahluka kumntu nomntu. Oku kungaphumli kusenokwenzeka kunye nezinye iimpawu zokuphela kobomi, ezifana nolusu olunamabala, ukuphelelwa ngumdla wokutya, kunye noxinzelelo lwegazi oluphantsi. Njengoko ukufa kusondela, ezi mpawu zokungaphumli ziyancipha kancinci kancinci, kwaye isigulana sinokuzola singasabeli kwiintsuku okanye iiyure zokugqibela. Ugqirha wakho okanye iqela lakho lokhathalelo linokukuchazela ngcono oku.
Yintoni ebangela oku?
Isizathu esiphambili lutshintsho olubonakalayo oluvela emzimbeni ngexesha lenkqubo yokufa. Khawuthelekelele, xa ukusebenza kwamalungu aphambili anje ngezintso nesibindi kuyeka, imveliso engcolileyo iqokelelana emzimbeni kwaye ibangele ukungalingani kwamakhemikhali. Oku kuchaphazela ngokuthe ngqo ukusebenza kwengqondo, okubangela ukudideka nokungaphumli. Kwakhona, xa intliziyo nemiphunga ibuthathaka, amanqanaba eoksijini yomzimba ayancipha. Ukwehla kweoksijini efikelela engqondweni nako kuyimbangela yokudideka, imeko yokuthetha nabantu abangekhoyo.
Nangona kunzima ukuzibona ezi zinto, kubalulekile ukuqonda ukuba zonke ezi ziyinxalenye yendalo yenkqubo yokufa.
Ukongeza kwesi sizathu siphambili, ezinye izinto zinokunyusa olu xhala.
- Iingxaki zamathumbu nomchamo: Isigulana sisenokungaziva sidingo sokukhupha indle okanye ukuchama. Oku kunokukhokelela ekuqhineni okanye ekugcinweni komchamo. Ezi ngxaki zonyusa ixhala.
- Iithumba zobuchopho okanye ukudumba: Ezi zinokubangela ukudideka nokungazoli.
- Unyango lomhlaza:Le meko inokubakho njengesiphumo esingesihle sonyango lwe-chemotherapy olunikwa izigulane ezinomhlaza ekupheleni kobomi bazo.
- Ezinye iimeko zonyango: Iimeko ezifana nosulelo, umkhuhlane, kunye nokuphelelwa ngamanzi emzimbeni zinokuchaphazela ingqondo kwaye zenze oku kungaphumli kube mandundu.
- Utshintsho lweemvakalelo: Umntu ojongene nokuphela kobomi unokuba neemvakalelo ezininzi, ezinje ngoloyiko, ixhala, kunye netyala. Ezi ngcinezelo zeemvakalelo zinokubangela ixhala.
- Iipilisi zokubulala iintlungu: Ezinye iipilisi zokubulala iintlungu ezinamandla ezinikwa ngexesha lonyango lokugqibela, umzekelo ii-opioid, ngamanye amaxesha zinokwandisa ukudideka.
- Intlungu engalawulekiyo: Ukuba intlungu ayilawuleki kakuhle, isigulana sinokungaphumli ngenxa yokungakhululeki. Ukuba uvakalelwa kukuba umntu omthandayo uneentlungu ezininzi, xelela ugqirha wakho ngoko nangoko.
Ungayilawula njani le meko?
Injongo yethu apha asikokunyanga, kodwa kukulawula nokwenza isigulana sikhululeke kangangoko sinako.
Ulawulo lwezonyango:
- Ukutshintsha okanye ukulungisa umthamo wamayeza asetyenziswayo ngoku.
- Ukunyanga enye imeko yezonyango engabonakaliyo (umz., usulelo) olubangela ukungazinzi.
- Ukunika izigulane amayeza okuthomalalisa okanye amayeza okulwa nesifo sengqondo ukuze ziphumle.
Izinto onokuzenza:
Ngamanye amaxesha, ekuphela kwento efunekayo kwisigulana luthando lwakho kunye nokuchukunyiswa yintuthuzelo.
- Babambe isandla sabo.
- Thambisa ioyile okanye iloshini emilenzeni nasezinyaweni zakho uze uzithambise rhoqo.
- Yiva umculo ozolileyo nomnandi.
- Bafundele incwadi.
- Bancede batshintshe indlela abama ngayo.
- Thetha ngelizwi elizolileyo nelithambileyo.
Oko unokukwenza ukuze unyamekele umntu omthandayo
Kukho iindlela ezahlukeneyo onokubanceda ngazo ngokwasemzimbeni nangokweemvakalelo ngeli xesha linzima.
- Vuma ukuba abaziva kakuhle: Yithi into efana nale, "Ndiyaqonda ukuba uzive ungakhululekanga." Ukuba ungathetha nabo, babuze ukuba baziva njani.
- Hlala nabo: Mhlawumbi bafuna ukuthula. Mhlawumbi banento abanokuyithetha. Ukuba lapho nje kuyabakhuthaza kakhulu.
- Yenza indawo ekhuselekileyo nekhululekileyo: Beka imifanekiso abayithandayo kunye nezinto abazikhumbulayo kufutshane nebhedi. Dlala umculo othomalalisayo. Ukuba zishushu kakhulu, zisule ngelaphu elimanzi. Ukuba zibanda, zisonge ngokufudumeleyo.
- Sebenzisa imiqamelo eyongezelelweyo: Ukutshintsha indawo rhoqo kunokunceda ukuthintela izilonda zokulala kwaye kwandise intuthuzelo.
- Nika intuthuzelo yokomoya: Abantu abaninzi bafumana intuthuzelo kwizinto zonqulo ekupheleni kobomi babo. Bandakanya iPirith, iingoma zonqulo, njl. ngokweenkolelo zabo. Babuze ukuba bangathanda na ukudibana nenkokeli yonqulo.
- Qhubeka uthetha: Nokuba abakho zingqondweni okanye abasabeli, basenokukwazi ukukuva. Qhubeka uthetha. Ukuthi izinto ezinje, "Silapha ngenxa yakho," okanye "Kulungile ukuba ukulungele ukuhamba," kunokubanceda bazive beqinisekile.
Uzinyamekela njani?
Kunzima kakhulu ukunyamezela ukubona umntu omthandayo ebandezeleka ngolu hlobo, ekhala ngenxa yentlungu. Kuqhelekile ukuziva usoyika, ulusizi, unetyala, kwaye uxinezelekile. Kubalulekile ukuzinyamekela ngeli xesha.
- Cinga ngengcebiso: Funa uncedo lomcebisi oqeqeshiweyo ukuze akuncede ujongane nezi mvakalelo zintsonkothileyo.
- Phumla: Phuma ngaphandle okwethutyana. Hambahamba egadini. Yenza into yokuzicoca ingqondo.
- Joyina amaqela enkxaso: Ukuthetha nabantu abaye baba namava afanayo kunokukunceda uzive ngathi awuwedwa.
- Cela uncedo kubahlobo nakusapho: Cela omnye umntu ukuba ahlale nesigulana ngelixa wena uphumla.
- Akunyanzelekanga ukuba uthwale lo mthwalo wedwa. Cela uncedo kwiqela lakho eliza kwamkela iindwendwe. Ukuba ufuna ikhefu, baxelele. Baza kukwazisa ngazo naziphi na iinguqu ezifunekayo.
Umyalezo Wokuya Ekhaya
- Ukushukuma komzimba yimeko yezonyango ebangelwa lutshintsho emzimbeni ngexesha lokuphela kobomi. Asikuko ukusilela kwesigulana okanye kwakho.
- Ezi ndlela zokuziphatha zingaphumliyo azibonisi iimvakalelo zomntu omthandayo ngawe.
- Injongo ephambili apha asikuko ukunyanga, kodwa kukulawula iintlungu nokungonwabi kunye nokubonelela ngentuthuzelo ephezulu.
- Izinto ezilula onokuzenza (ukubambana ngezandla, ukuthetha ngokuzolileyo) zinokubanika intuthuzelo enkulu.
- Njengokuba ukhathalela umntu omthandayo, kubalulekile ukuba ukhathalele nempilo yakho yomzimba neyengqondo. Musa ukubandezeleka wedwa, cela uncedo.
- Ukuba ubona naluphi na utshintsho kwimeko yesigulana, yazisa ugqirha wakho okanye iqela lakho lokhathalelo ngokukhawuleza.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni iSwollen Tongue / Macroglossia?
Kuqhelekile ukuba ulwimi lwakho ludumbe kancinci xa ululuma! Kodwa 'Ulwimi oludumbileyo' yimeko apho ulwimi lwakho ludumba/lukhulu ngendlela engaqhelekanga, luphuma emlonyeni, lukwenze kube nzima ukuthetha, lutshintshe ilizwi lakho, kwaye kube nzima ukuthetha. Ukuba oku kuqhubeka ngokukhawuleza, ulwimi lunokunamathela emqaleni kwaye isigulane asikwazi ukuphefumla (ukuthintelwa komoya) kwaye sinokufa!
💬 Zeziphi izizathu eziphambili zokuba ulwimi lomntu lujike lube bomvu ngequbuliso okanye lube lukhuni luze ludumbe (Ulwimi oludumbileyo)?
Eyona nto iphambili neyona ibulalayo kakhulu yile 'allergy enzima (i-Anaphylaxis)'! Oko kukuthi, emva kokutya ukutya okubangela ukuba ube ne-allergy (ii-shrimp, ii-peanuts), uthathe amayeza (afana ne-penicillin), okanye ulunywe yinyosi, ulwimi lwakho luyadumba kwimizuzu embalwa! Ukongeza, 2) iVithamin B12 okanye ukunqongophala kwesinyithi (i-Glossitis - ulwimi luba bomvu bumnyama kwaye lutshiswe). 3) i-Hypothyroidism. 4) Umhlaza wolwimi.
💬 Xa ulwimi lwakho luqala ukudumba kancinci kancinci (Ulwimi oludumbileyo), kutheni ufanele ubalekele esibhedlele/kwicandelo likaxakeka ngaphandle kokulibazisa nomzuzwana omnye, endaweni yokuhlala ekhaya?
Musa ukudlala ngale nto! Eyona ngozi inkulu neyona inzima kukuba, kunye nokudumba kolwimi, ukuba ufumana 1) iqhuma emqaleni/awukwazi ukuthetha (Ukuqina komphimbo/Ukubetha kwelizwi), 2) ubunzima bokuphefumla okanye isandi 'sokutshaya' esifubeni sakho (Ukukhala komoya), 3) ukudumba kobuso namehlo (i-Angioedema/i-Allergy), kufuneka utsalele umnxeba ngoko nangoko ku-1990 kwaye uye kwicandelo likaxakeka! Kwimizuzu embalwa, umphimbo/i-trachea iya kuvala ngokupheleleyo kwaye isigulana siya kufa!
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