Ukunakekelwa kwe-Palliative - ukulawula ubuhlungu

Lapho unesifo esibi, ungahle ube nezinhlungu. Akekho ongakubheka futhi azi ukuthi unobuhlungu obungakanani. Nguwe kuphela ongabuzwa futhi uchaze ubuhlungu bakho. Kunezindlela eziningi zokwelapha izinhlungu. Tshela abahlinzeki bakho bezempilo ngobuhlungu bakho ukuze bakwazi ukusebenzisa ukwelashwa okufanelekile kuwe.

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

Ubuhlungu obuhlala bukhona noma obucishe buhlale bukhona kungaholela ekushodeni kokulala, ukucindezeleka noma ukukhathazeka. Lokhu kungenza kube nzima ukwenza izinto noma ukuya ezindaweni, futhi kube nzima ukujabulela impilo. Ubuhlungu bungaba nengcindezi kuwe nasemndenini wakho. Kepha ngokwelashwa, izinhlungu zingaphathwa.

Okokuqala, umhlinzeki wakho uzothola:

• Yini ebangela ubuhlungu
• Ubuhlungu obungakanani onabo
• Ubuhlungu bakho buzwa kanjani
• Yini eyenza ubuhlungu bakho bube nzima kakhulu
• Yini eyenza ubuhlungu bakho bube ngcono
• Lapho unezinhlungu

Ungatshela umhlinzeki wakho ukuthi unobuhlungu obungakanani ngokubulinganisa esikalini kusuka ku-0 (abukho ubuhlungu) kuye ku-10 (ubuhlungu obubi kakhulu) Ukhetha inombolo echaza ukuthi unobuhlungu obungakanani manje. Ungakwenza lokhu ngaphambi nangemva kokwelashwa, ukuze wena nethimba lakho lokunakekelwa kwezempilo nikwazi ukutshela ukuthi ukwelashwa kwakho kusebenza kahle kangakanani.

Kunezindlela eziningi zokwelapha izinhlungu. Yikuphi ukwelashwa okungcono kakhulu kuwe kuya ngesizathu nenani lobuhlungu bakho. Izindlela zokwelapha eziningana zingasetshenziswa ngasikhathi sinye ukukhululeka kobuhlungu okungcono kakhulu. Lokhu kufaka phakathi:

• Ukucabanga ngokunye futhi ungacabangi ngobuhlungu, njengokudlala umdlalo noma ukubukela i-TV
• Izindlela zokwelapha zomzimba ezinjengokuphefumula okujulile, ukuphumula, noma ukuzindla
• Amaphakethe e-Ice, amaphakethe wokushisa, i-biofeedback, i-acupuncture, noma i-massage

Ungathatha futhi imithi, efana nale:

• I-Acetaminophen (iTylenol)
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-aspirin, naproxen (Aleve), ibuprofen (Advil, Motrin), ne-diclofenac
• Ama-narcotic (ama-opioid), njenge-codeine, i-morphine, i-oxycodone, noma i-fentanyl
• Imithi esebenza ezinzwa, njenge-gabapentin noma i-pregabalin

Qonda imishanguzo yakho, ukuthi uzothatha malini nokuthi uzowaphuza nini.

• Ungathathi umuthi omncane noma ngaphezulu kunalokho obekiwe.
• Ungayiphuzi imithi yakho kaningi.
• Uma ucabanga ngokungawuthathi umuthi, khuluma nomhlinzeki wakho kuqala. Ungadinga ukuthatha umthamo ophansi ngokuhamba kwesikhathi ngaphambi kokuthi ume ngokuphepha.

Uma unokukhathazeka ngomuthi wakho wezinhlungu, khuluma nomhlinzeki wakho.

• Uma umuthi owuthathayo ungabudambisi ubuhlungu bakho, omunye ungasiza.
• Imiphumela emibi, njengokulala, ingaba ngcono ngokuhamba kwesikhathi.
• Eminye imiphumela emibi, njengezitokisi ezomile ezinzima, ingelashwa.

Abanye abantu abathatha ama-narcotic ngenxa yobuhlungu bathembela kubo. Uma ukhathazekile ngalokhu, khuluma nomhlinzeki wakho.

Shayela umhlinzeki wakho uma ubuhlungu bakho bungalawulwa kahle noma uma unemiphumela engemihle ekwelashweni kobuhlungu bakho.

Ukuphela kokuphila - ukuphathwa kobuhlungu; Hospice - ukuphathwa kobuhlungu

UColvin LA, u-Fallon M. Pain nokunakekelwa kwe-palliative. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, eds. Izimiso zikaDavidson kanye Nokuzijwayeza Kwezokwelapha. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2018: isahluko 34.

Indlu SA. Ukunakekelwa okuphefumulayo nokuphela kokuphila. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier 2020: 43-49.

U-Lookabaugh BL, uVon Gunten CF. Indlela yokuphathwa kobuhlungu bomdlavuza. Ku: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, ama-eds. Okubalulekile Kwemithi Yezinhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 34.

URakel RE, uTrinh TH. Ukunakekelwa kwesiguli esifa. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 5.

• Ubuhlungu
• Ukunakekelwa kwe-Palliative