Kuchengetedza kwepamoyo - kupfupika kwekufema

Mumwe munhu anorwara zvakanyanya anogona kunetseka kufema kana kunzwa sekunge asiri kuwana mweya wakakwana. Mamiriro aya anonzi kufema kufema. Izwi rekurapa reiyi dyspnea.

Kuchengetedza kwePalliative inzira yakazara yekutarisira inotarisa pakurapa marwadzo uye zviratidzo uye nekuvandudza hupenyu hwevanhu vane zvirwere zvakakomba uye nehurefu hwehupenyu.

Kufema kwekufema kunogona kungova dambudziko kana uchifamba kukwira masitepisi. Kana, inogona kuve yakanyanya zvekuti munhu anotambudzika kutaura kana kudya.

Kufema kwekufema kune zvakawanda zvinogona kukonzeresa, zvinosanganisira:

• Kufunganya uye kutya
• Kutya kwekutya
• Zvirwere zvemapapu, sepneumonia kana bronchitis
• Kurwara kwemapapu, senge chisingaperi obstructive pulmonary chirwere (COPD)
• Zvinetso nemoyo, itsvo, kana chiropa
• Anemia
• Kuzvimbirwa

Nezvirwere zvakakomba kana kumagumo ehupenyu, zvakajairika kunzwa kushaya mweya wekufema. Unogona kana kusasangana nazvo. Taura nechikwata chako chekuchengetedza hutano kuti iwe uzive zvaunotarisira.

Nekufema kwekufema iwe unganzwa:

• Kusagadzikana
• Kunge usiri kuwana mweya wakakwana
• Kunetseka kufema
• Kuneta
• Kuda urikufema nekukurumidza
• Kutya, kushushikana, kutsamwa, kusuruvara, kusabatsira

Unogona kucherechedza ganda rako rine bhuruu tinge paminwe yako, zvigunwe, mhuno, nzeve, kana kumeso.

Kana iwe uchinzwa kufema kwekufema, kunyangwe kana iri yakapfava, udza mumwe munhu pane yako timu yekutarisira. Kutsvaga chikonzero kunobatsira timu kusarudza kurapwa. Mukoti anogona kutarisa kuti yakawanda sei oxygen iri muropa rako nekubatanidza chigunwe chako kumushini unonzi pulse oximeter. Chifuva x-ray kana ECG (electrocardiogram) inogona kubatsira timu yako yekutarisira kuti iwane chinetso chemwoyo kana chemapapu.

Kubatsira nekufema kwekufema, edza:

• Kugara
• Kugara kana kurara pachigaro chakatsenhama
• Kusimudza musoro wemubhedha kana kushandisa mapiro kugara
• Kutsamira mberi

Tsvaga nzira dzekuzorora.

• Teerera kumumhanzi unodzikamisa.
• Tora massage.
• Isa jira rinotonhorera pamutsipa wako kana mumusoro.
• Tora mweya unononoka mukati memhino dzako uye kunze nemumuromo mako. Zvinogona kubatsira kubvarura miromo yako senge uchange uchiridza muridzo. Izvi zvinonzi kuteedzerwa miromo kufema.
• Wana kusimbiswa kubva kune shamwari yakadzikama, nhengo yemhuri, kana nhengo yechikwata chekuchengetedza varwere.
• Tora mhepo kubva pahwindo rakavhurika kana fan.

Kufema zviri nyore, nzwisisa mashandisiro aungaita:

• Okisijeni
• Mishonga inobatsira nekufema

Chero nguva iwe yausingakwanise kudzora kupfupika kwemweya wekufema:

• Fonera chiremba wako, mukoti, kana imwe nhengo yeboka rako rezvehutano kuti ubatsirwe.
• Fonera 911 kana iyo yemuno emergency emergency kuti ubatsirwe.

Kurukura nemupi wako wezvehutano kana iwe uchida kuenda kuchipatara kana kufema kwekufema kukanyanya.

Dzidza zvakawanda nezve:

• Kufambira mberi kwekuchengetedza mirayiridzo
• Vashandi vehutano

Dyspnea - kuguma-kwe-hupenyu; Kuchengeta varwere - kufema kwekufema

Braithwaite SA, Perina D. Dyspnea. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Johnson MJ, Eva GE, Booth S.Palliative mushonga uye chiratidzo chechiratidzo. Mune: Kumar P, Clark M, eds. Kumar uye Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: chits. 3.

Kviatkovsky MJ, Ketterer BN, Goodlin SJ. Kuchengetedza kwakapora mune yemoyo yekuchengetedza yakasimba unit. Mune: Brown DL, ed. Kuchengetedza Kwemwoyo. 3rd ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 52.

• Matambudziko Ekufema
• Kuchengetedza Kwekurapa