Ingabe othandekayo wakho, mhlawumbe umzali, ugogo nomkhulu, noma isihlobo, usezophela? Phakathi naleso sikhathi, uke waphawula ukuthi ngokuzumayo uyaphazamiseka futhi uyacasuka? Mhlawumbe bayazulazula embhedeni, bedonsa amashidi, noma bekhala ngendlela ongakaze uyibone ngaphambili. Kuvamile ukuzizwa udabuke kakhulu, wesaba, futhi ushaqekile uma ubona into efana nale. Kodwa khumbula, lokhu kuziphatha akuyona into abayenzayo ngenxa yokukuthukuthelela. Kumane kuwukubonakaliswa kwangaphandle kwezinguquko ezithile ezenzeka emzimbeni wabo.
Kalula nje, kuyini i-Terminal Agitation?
I-Terminal Agutation, ngezinye izikhathi ebizwa ngokuthi i-Terminal Restlessness noma i-Terminal Delirium, igama elisetshenziselwa ukuchaza indlela yokuziphatha okungaphumuli, okudidekile, nokucasuka okungenzeka ezinsukwini ezingaphambi kokuba umuntu afe. Lesi simo singase senzeke njengoba izitho zomzimba zivaleka kancane kancane, noma "zivaleka," futhi zingabangelwa yimiphumela ebuchosheni.
Ukubona lokhu kungakwenza uzizwe sengathi uphuthelwa ukuvalelisa ngokuthula kothandekayo wakho. Kuwumuzwa obuhlungu kakhulu. Kodwa into ebaluleke kakhulu ukuqonda ukuthi lesi yisimo sezokwelapha esingaphezu kwamandla esiguli. Udokotela wakho noma umhlengikazi wokunakekelwa kweziguli angasiza ekulawuleni lokhu kukhathazeka futhi enze othandekayo wakho akhululeke ngangokunokwenzeka.
Yiziphi izimpawu ezingabonakala kulesi simo?
Lezi zimpawu zingavela ngokuzumayo nangokubi kakhulu, futhi ngezinye izikhathi ziyafika zidlule. Lezi zindlela zokuziphatha zingafika zidlule ezinsukwini ezimbalwa zokugcina zokuphila. Ake sibheke ukuthi yiziphi izimpawu eziyinhloko.
| Izimpawu Zomzimba | Izimpawu Zokuziphatha |
|---|---|
| Ukujikijela nokuphenduka embhedeni, ukujikijela, nokuthuthumela. | Ukukhathazeka okukhulu nokucindezeleka. |
| Ukugqoka izingubo, izingubo zokulala, noma intambo ye-IV equkethe usawoti. | Ukuziphatha okunolaka noma okubangela ingxabano. |
| Ukuhlanza ubuso bakho, ukhala. | Ukudideka nokulahlekelwa yinkumbulo. |
| Inkulumo engacacile neyangingizayo. | Ukubona noma ukuzwa izinto ezingekho (Hallucinations). |
| Ukukhahlela ngemilenze. | Intukuthelo nokucasuka okungazelelwe. |
| Ukuziphatha okungajwayelekile nhlobo (isb., ukuthuka). |
Kuyohlala isikhathi esingakanani lokhu kuphazamiseka?
Lesi simo sivame ukuqala cishe amasonto amabili ngaphambi kokufa. Kodwa-ke, lokhu kuyahlukahluka kumuntu nomuntu. Lokhu kungaphumuli kungase kwenzeke kanye nezinye izimpawu zokuphela kokuphila, njengesikhumba esinamabala, ukuphelelwa yisifiso sokudla, kanye nomfutho wegazi ophansi. Njengoba ukufa kusondela, lezi zimpawu zokungaphumuli ziyancipha kancane kancane, futhi isiguli singase sithule futhi singasabeli ezinsukwini noma emahoreni okugcina. Udokotela wakho noma ithimba lokunakekela lingachaza kangcono lokhu kuwe.
Yini ebangela lokhu?
Isizathu esiyinhloko izinguquko zomzimba ezenzeka emzimbeni ngesikhathi sokufa. Cabanga nje, lapho ukusebenza kwezitho ezibalulekile njengezinso nesibindi kuyeka, imfucuza iyaqongelela emzimbeni futhi ibangele ukungalingani kwamakhemikhali. Lokhu kuthinta ngqo ukusebenza kobuchopho, okubangela ukudideka nokungaphumuli. Futhi, lapho inhliziyo namaphaphu kuba buthaka, amazinga omoya-mpilo emzimbeni ayancipha. Ukwehla komoya-mpilo ofinyelela ebuchosheni nakho kuyimbangela yalokhu kudideka, isimo sokukhuluma nabantu abangekho lapho.
Nakuba lokhu kunzima ukukubona, kubalulekile ukuqonda ukuthi konke lokhu kuyizingxenye zemvelo zenqubo yokufa.
Ngaphezu kwalesi sizathu esiyinhloko, ezinye izici zingandisa lokhu kukhathazeka.
- Izinkinga zamathumbu nomchamo: Isiguli singase singazizwa sinesidingo sokukhipha indle noma ukuchama. Lokhu kungaholela ekuqunjweni noma ekugcinweni komchamo. Lokhu kungakhululeki kwandisa ukukhathazeka.
- Izimila zobuchopho noma ukuvuvukala: Lokhu kungabangela nokudideka nokungahlaliseki.
- Ukwelashwa komdlavuza:Lesi simo singase senzeke njengomphumela ongemuhle wokwelashwa ngamakhemikhali okunikezwa iziguli ezinomdlavuza ekupheleni kokuphila kwazo.
- Ezinye izimo zezokwelapha: Izimo ezifana nokutheleleka, umkhuhlane, kanye nokuphelelwa amanzi emzimbeni kungathinta ubuchopho futhi kwenze lokhu kungaphumuli kube kubi kakhulu.
- Izinguquko ezingokomzwelo: Umuntu obhekene nokuphela kokuphila angase abe nemizwa eminingi, njengokwesaba, ukukhathazeka, kanye nomuzwa wecala. Lokhu kucindezeleka ngokomzwelo nakho kungabangela ukukhathazeka.
- Ama-Painkiller: Amanye ama-painkiller anamandla anikezwa ngesikhathi sokunakekelwa kokuphela kwempilo, isibonelo ama-opioid, ngezinye izikhathi angandisa ukudideka.
- Ubuhlungu obungalawuleki: Uma ubuhlungu bungalawulwa kahle, isiguli singase singakhululeki ngenxa yokungakhululeki. Uma unomuzwa wokuthi othandekayo wakho usezinhlungwini eziningi kakhulu, tshela udokotela wakho ngokushesha.
Ungasiphatha kanjani lesi simo?
Umgomo wethu lapha akukhona 'ukwelapha', kodwa 'ukuphatha' nokwenza isiguli sikhululeke ngangokunokwenzeka.
Ukuphathwa kwezokwelapha:
- Ukushintsha noma ukulungisa umthamo wemithi yamanje.
- Ukwelapha esinye isimo sezokwelapha esiyisisekelo (isib. ukutheleleka) esibangela ukungahlaliseki.
- Ukunikeza imithi yokudambisa ukucindezeleka noma imithi yokulwa nokuphazamiseka kwengqondo ukuze kuthulise isiguli.
Izinto ongazenza:
Ngezinye izikhathi, konke okudingayo isiguli kungaba uthando lwakho kanye nokuthinta okududuzayo.
- Bamba isandla sabo.
- Faka uwoyela noma iloshini emilenzeni nasezinyaweni zakho bese uzihlikihla njalo.
- Faka umculo ozolile nomnandi.
- Bafundele incwadi.
- Basize bashintshe ukuma kwabo.
- Khuluma ngezwi elizolile nelithambile.
Ongakwenza ukuze unakekele othandekayo wakho
Kunezindlela eziningana ongabasiza ngazo ngokomzimba nangokomzwelo phakathi nalesi sikhathi esinzima.
- Vuma ukungakhululeki kwabo: Yisho into efana nokuthi, "Ngiyaqonda ukuthi uzizwa ungakhululekile." Uma ungakhuluma nabo, babuze ukuthi bazizwa kanjani.
- Hlala nabo: Mhlawumbe bafuna ukuthula. Mhlawumbe banokuthile abangakuxoxa ngakho. Ukuba lapho nje kuyabakhuthaza kakhulu.
- Dala indawo ephephile nekhululekile: Beka izithombe zabo abazithandayo kanye nezikhumbuzo eduze kombhede. Dlala umculo oduduzayo. Uma zishisa kakhulu, zisule ngendwangu emanzi. Uma zibanda, zisonge ngokufudumele.
- Sebenzisa imicamelo eyengeziwe: Ukushintsha izikhundla njalo kungasiza ekuvimbeleni izilonda zokulala futhi kwandise induduzo.
- Nikeza induduzo engokomoya: Abantu abaningi bathola induduzo ezintweni zenkolo ekupheleni kokuphila kwabo. Faka iPirith, amaculo, njll. ngokwezinkolelo zabo. Buza ukuthi bangathanda yini ukuhlangana nomholi wenkolo.
- Qhubeka ukhuluma: Ngisho noma bengazi lutho noma bengasabeli, bangase bakwazi ukukuzwa. Qhubeka ukhuluma. Ukusho izinto ezinjengokuthi, "Silapha ngenxa yakho," noma "Kulungile uma usukulungele ukuhamba," kungabasiza bazizwe beqiniseka.
Uzinakekela kanjani?
Kunzima kakhulu ukubona othandekayo ehlupheka kanje, ekhala ngobuhlungu. Kuvamile ukuzizwa wesaba, udabukile, unecala futhi ukhungathekile. Kubalulekile ukuzinakekela phakathi nalesi sikhathi.
- Cabanga ngokwelulekwa: Funa usizo lomeluleki ochwepheshe ukuze akusize ubhekane nale mizwa eyinkimbinkimbi.
- Phumula: Phuma isikhashana ngaphandle. Hambahamba engadini. Yenza okuthile ukuze uphumule.
- Joyina amaqembu okusekela: Ukukhuluma nabantu abake baba nokuhlangenwe nakho okufanayo kungakusiza uzizwe sengathi awuwedwa.
- Cela usizo kubangani nomndeni: Cela omunye umuntu ukuthi ahlale nesiguli ngenkathi uthatha ikhefu.
- Akudingeki uthwale lo mthwalo wedwa. Cela usizo eqenjini lakho elisingatha izivakashi. Uma udinga ikhefu, batshele. Bazokwazisa nganoma yiziphi izinguquko ezidingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukushukuma kwesiguli kuyisimo sezokwelapha esibangelwa izinguquko emzimbeni ekupheleni kokuphila. Akuyona iphutha lesiguli noma elakho.
- Lezi zenzo zokungahlaliseki azibonisi imizwa yomuntu omthandayo ngawe.
- Umgomo oyinhloko lapha akukhona ukwelapha, kodwa ukulawula ubuhlungu nokungakhululeki nokunikeza induduzo ephezulu.
- Izinto ezilula ongazenza (ukubambana ngezandla, ukukhuluma ngokuthula) zingabanika induduzo enkulu.
- Njengoba nje unakekela othandekayo wakho, kubalulekile ukuthi unakekele nempilo yakho yomzimba neyengqondo. Ungahlupheki wedwa, cela usizo.
- Uma ubona noma yiziphi izinguquko esimweni sesiguli, yazisa udokotela wakho noma ithimba lokunakekela ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Luyini Ulimi Oluvuvukele/I-Macroglossia?
Kujwayelekile ukuthi ulimi lwakho luvuvuke kancane uma ululuma! Kodwa 'Ulimi Oluvuvukile' yisimo lapho ulimi lwakho luvuvukala/lukhulu ngendlela engavamile, luphuma emlonyeni, lwenze kube nzima ukukhuluma, lushintshe izwi lakho, futhi lwenze kube nzima ukukhuluma. Uma lokhu kuqhubeka ngokushesha okukhulu, ulimi lungabhajwa emphinjeni futhi isiguli singasakwazi ukuphefumula (ukuvinjelwa komoya) futhi singase sife!
💬 Yiziphi izizathu eziyinhloko ezenza ulimi lomuntu luphenduke lube bomvu ngokuzumayo noma lube lukhuni futhi luvuvuke (Ulimi Oluvuvukele)?
Imbangela eyinhloko nebulalayo kakhulu yalokhu 'ukungezwani komzimba okukhulu (i-Anaphylaxis)'! Okusho ukuthi, ngemva kokudla ukudla okubangela ukungezwani komzimba (ama-shrimp, amantongomane), ukuthatha umuthi (njenge-penicillin), noma ukulunywa yinyosi, ulimi lwakho luyavuvukala ngemizuzu embalwa! Ngaphezu kwalokho, 2) I-Vitamin B12 noma ukuntuleka kwensimbi (i-Glossitis - ulimi luba bomvu obumnyama futhi lube ndikindiki/lushiswe). 3) I-Hypothyroidism. 4) Umdlavuza Wolimi.
💬 Uma ulimi lwakho luvuvukala kancane kancane (Ulimi Oluvuvukile), kungani kufanele ugijimele esibhedlela/emnyango wezimo eziphuthumayo ngaphandle kokulibala ngisho nomzuzwana, esikhundleni sokuhlala ekhaya?
Ungadlali ngalokhu! Ingozi enkulu nenkulu kakhulu ukuthi, kanye nalokhu kuvuvukala kolimi, uma uzwa 1) iqhubu emphinjeni wakho/ungakwazi ukukhuluma (Ukuqina komphimbo/Ukuhosha), 2) ubunzima bokuphefumula noma umsindo 'wokushaya ikhwela' ovela esifubeni sakho (Ukuphefumula), 3) ukuvuvukala kobuso namehlo (i-Angioedema/Ukungezwani komzimba), kufanele ushayele ucingo ngokushesha ku-1990 bese uya emnyangweni wezimo eziphuthumayo! Ngemizuzu embalwa, umphimbo/umphimbo uzovala ngokuphelele futhi isiguli sizofa!
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