Ukunakekelwa kwe-palliative - ukuphefumula okuncane

Umuntu ogula kakhulu angaba nenkinga yokuphefumula noma ezwe sengathi akatholi umoya owanele. Lesi simo sibizwa ngokuthi ukuphelelwa umoya. Igama lezokwelapha lalokhu yi-dyspnea.

Ukunakekelwa kwe-palliative kuyindlela ephelele yokunakekelwa egxile ekwelapheni izinhlungu nezimpawu nasekuthuthukiseni izinga lempilo kubantu abanezifo ezinzima kanye nesikhathi esilinganiselwe sempilo.

Ukuphefumula kungaba yinkinga nje lapho uhamba ngezitebhisi. Noma, kungaba nzima kakhulu ukuthi umuntu abe nenkinga yokukhuluma noma yokudla.

Ukuphefumula kunezimbangela eziningi, kufaka phakathi:

• Ukukhathazeka nokwesaba
• Ukuhlaselwa ukwethuka
• Ukutheleleka kwamaphaphu, njenge-pneumonia noma i-bronchitis
• Ukugula kwamaphaphu, njengesifo esingapheliyo sokuphazamiseka kwamaphaphu (COPD)
• Izinkinga ngenhliziyo, izinso, noma isibindi
• Ukushoda kwegazi
• Ukuqunjelwa

Ngokugula okungathi sína noma ekugcineni kwempilo, kujwayelekile ukuzwa uphefumula kanzima. Ungakuthola noma ungakutholi. Khuluma nethimba lakho lokunakekelwa kwezempilo ukuze wazi ukuthi yini ongayilindela.

Ngokuphefumula okuncane ungazizwa:

• Ukungakhululeki
• Njengokuthi awutholi umoya owanele
• Ukuphefumula kanzima
• Ukhathele
• Sengathi uphefumula ngokushesha
• Ukwesaba, ukukhathazeka, intukuthelo, ukudabuka, ukungabi namandla

Ungaqaphela ukuthi isikhumba sakho sinezinto eziluhlaza okwesibhakabhaka eminweni yakho, ezinzwaneni, ekhaleni, ezindlebeni, noma ebusweni.

Uma uzizwa uphefumula kanzima, noma ngabe kumnene, tshela othile eqenjini lakho lokunakekela. Ukuthola imbangela kuzosiza iqembu ukunquma ukwelashwa. Umhlengikazi angahlola ukuthi ingakanani i-oksijini esegazini lakho ngokuxhuma umunwe wakho emshinini obizwa ngokuthi i-pulse oximeter. I-x-ray yesifuba noma i-ECG (i-electrocardiogram) ingasiza iqembu lakho lokunakekela ukuthi lithole inkinga engaba khona yenhliziyo noma yamaphaphu.

Ukusiza ngokuphefumula okuncane, zama:

• Ehlala phansi
• Ukuhlala noma ukulala esihlalweni esihleli
• Ukuphakamisa ikhanda lombhede noma ukusebenzisa imicamelo ukuhlala phansi
• Uncike phambili

Thola izindlela zokuphumula.

• Lalela umculo opholile.
• Thola ukubhucungwa.
• Beka indwangu epholile entanyeni noma ekhanda.
• Thatha ukuphefumula okuhamba kancane ngamakhala akho bese uphuma ngomlomo wakho. Kungasiza ukubamba izindebe zakho sengathi uzoshaya ikhwela. Lokhu kubizwa ngokuthi ukuphefumula komlomo okulandelwe.
• Thola ukuqinisekiswa okuvela kumngane ozolile, ilunga lomndeni, noma ilungu leqembu le-hospice.
• Thola umoya ovela efasiteleni elivulekile noma kufeni.

Ukuze uphefumule kalula, qonda ukuthi ungayisebenzisa kanjani:

• Oxygen
• Imithi yokusiza ngokuphefumula

Noma nini lapho ungakwazi ukulawula ukuphefumula okuncane:

• Shayela udokotela wakho, umhlengikazi, noma elinye ilungu lethimba lakho lokunakekelwa kwezempilo ukuthola izeluleko.
• Shayela ku-911 noma inombolo ephuthumayo yendawo ukuze uthole usizo.

Xoxa nomhlinzeki wakho wezempilo ukuthi ngabe udinga ukuya esibhedlela lapho ukuphefumula kunzima kakhulu.

Funda kabanzi mayelana:

• Imiyalo yokunakekelwa kwangaphambili
• Abasebenzi bezempilo

IDyspnea - ukuphela kwempilo; Ukunakekelwa kwe-Hospice - ukuphefumula okuncane

IBraithwaite SA, uPerina D.Dyspnea. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 22.

UJohnson MJ, u-Eva GE, uBooth S. Imithi yokwelapha kanye nokulawulwa kwezimpawu. Ku: Kumar P, Clark M, ama-eds. Imitholampilo kaKumar noClarke. Umhlaka 9. IPhiladelphia, PA: Elsevier; I-2017: isahluko 3.

UKviatkovsky MJ, uKetterer BN, uGoodlin SJ. Ukunakekelwa kwe-palliative egumbini lokunakekelwa kwabagula kakhulu. Ku: Brown DL, ed. Ukunakekelwa Okujulile Kwenhliziyo. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 52.

• Izinkinga Zokuphefumula
• Ukunakekelwa kwe-Palliative