Kusamalira odwala

Kusamalira odwala kumathandiza anthu omwe ali ndi matenda omwe sangachiritsidwe komanso omwe atsala pang'ono kufa. Cholinga ndikupereka chitonthozo ndi mtendere m'malo mochiritsa. Kusamalira odwala kumapereka:

• Chithandizo cha wodwalayo komanso banja
• Mpumulo kwa wodwalayo kuchokera ku zowawa ndi zizindikilo
• Thandizo kwa abale ndi okondedwa omwe akufuna kukhala pafupi ndi wodwalayo akumwalira

Odwala ambiri ali m'miyezi isanu ndi umodzi yomaliza.

Mukasankha chisamaliro cha hospice, mwasankha kuti simufunanso chisamaliro kuyesa kuchiritsa matenda anu osachiritsika. Izi zikutanthauza kuti simulandiranso chithandizo chomwe cholinga chake ndi kuchiza matenda anu aliwonse osachiritsika. Matenda omwe amachititsa kuti chisankhochi chikhalepo ndi khansa, mtima, mapapo, impso, chiwindi kapena matenda amitsempha. M'malo mwake, chithandizo chilichonse chomwe mungapatse cholinga chake ndikuti mukhale omasuka.

• Opereka chithandizo chamankhwala sangakupangire chisankho, koma akhoza kuyankha mafunso ndikukuthandiza kupanga chisankho.
• Ndi mwayi uti wochiza matenda anu?
• Ngati simungathe kuchira, chithandizo chanji chomwe chingakupatseni nthawi yayitali?
• Kodi moyo wanu ukadakhala wotani panthawiyi?
• Kodi mungasinthe malingaliro mukayamba hospice?
• Kodi kumwalira kudzakhala bwanji kwa inu? Kodi mungakhale omasuka?

Kuyambitsa chisamaliro cha hospice kumasintha momwe mudzalandire chisamaliro, ndipo kungasinthe omwe akupereka chisamalirocho.

Kusamalira odwala kumaperekedwa ndi gulu. Gululi lingaphatikizepo madotolo, anamwino, ogwira ntchito zachitukuko, alangizi, othandizira, atsogoleri achipembedzo, ndi othandizira. Gululi limagwira ntchito limodzi kupatsa wodwalayo komanso banja chitonthozo ndi chithandizo.

Wina wa gulu lanu losamalira odwala amapezeka maola 24 patsiku, masiku 7 pasabata kuti akuthandizireni kapena kuthandizira inu, wokondedwa wanu, kapena banja lanu.

Kusamalira odwala kumathandizira malingaliro, thupi, ndi mzimu. Ntchito zitha kuphatikiza:

• Kulamulira kwa zowawa.
• Kuchiza kwa zizindikilo (monga kupuma pang'ono, kudzimbidwa, kapena kuda nkhawa). Izi zimaphatikizapo mankhwala, oxygen, kapena zinthu zina zomwe zimakuthandizani kuthana ndi zizindikilo zanu.
• Chisamaliro chauzimu chomwe chimakwaniritsa zosowa zanu.
• Kupatsa banja nthawi yopuma (yotchedwa chisamaliro chopumira).
• Ntchito zamadokotala.
• Kusamalira unamwino.
• Othandizira azaumoyo kunyumba ndi othandizira kunyumba.
• Uphungu.
• Zida zamankhwala ndi zina.
• Thandizo lakuthupi, chithandizo chantchito kapena chithandizo chalankhulidwe, ngati kuli kofunikira.
• Uphungu wachisoni ndi kuthandizira banja.
• Kusamalira odwala matenda azachipatala, monga chibayo.

Gulu la a hospice laphunzitsidwa kuthandiza wodwalayo ndi banja lake ndi izi:

• Dziwani zomwe muyenera kuyembekezera
• Momwe mungathanirane ndi kusungulumwa komanso mantha
• Gawani malingaliro
• Momwe mungapiririre pambuyo paimfa (chisamaliro cha amasiye)

Kusamalira odwala nthawi zambiri kumachitika m'nyumba ya wodwalayo kapena m'nyumba ya wachibale kapena mnzake.

Itha kuperekedwanso m'malo ena, kuphatikiza:

• Nyumba yosungirako okalamba
• Chipatala
• Kuchipatala

Munthu amene amayang'anira chisamalirocho amatchedwa wopereka chisamaliro choyambirira. Amatha kukhala wokwatirana naye, wokhalira naye limodzi, wachibale, kapena bwenzi. M'malo ena gulu la odwala lidzaphunzitsa woperekera chisamaliro momwe angasamalirire wodwalayo. Kusamalira kungaphatikizepo kuyika wodwalayo pabedi, ndi kumudyetsa, kumusambitsa, komanso kumupatsa mankhwala. Wopereka chisamaliro choyambirira adzaphunzitsidwanso za zizindikilo zoti ayang'anire, kuti adziwe nthawi yoyimbira timu yothandizira odwala kuti awathandize kapena kuwalangiza.

Palliative chisamaliro - hospice; Kutha kwa moyo chisamaliro - hospice; Kumwalira - hospice; Khansa - hospice

Arnold RM. Kusamalira. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chaputala 3.

Tsamba la Medicare.gov. Phindu la kuchipatala kwa Medicare. www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Zopindulitsa.PDF. Idasinthidwa pa Marichi 2020. Idapezeka pa June 5, 2020.

Nabati L, Abrahm JL. Kusamalira Odwala Kumapeto Kwa Moyo. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 51.

Rakel RE, Trinh TH. Kusamalira wodwalayo akumwalira. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 5.

• Kusamalira odwala