Chisamaliro chothandizira - kusamalira ululu

Mukadwala kwambiri, mungakhale ndi ululu. Palibe amene angayang'ane pa inu ndikudziwa kupweteka komwe muli nako. Ndi inu nokha amene mungamve ndikufotokozera zowawa zanu. Pali mankhwala ambiri opweteka. Uzani omwe amakuthandizani azaumoyo za zowawa zanu kuti athe kukugwiritsirani ntchito mankhwala oyenera.

Kusamalira odwala ndi njira yokhayo yosamalirira yomwe imayang'ana kuthana ndi zowawa ndi kusintha komanso kukhala ndi moyo wabwino kwa anthu omwe ali ndi matenda akulu komanso amakhala ndi moyo ochepa.

Ululu womwe umakhalapo nthawi zonse kapena nthawi zonse umatha kubweretsa kusowa tulo, kukhumudwa, kapena kuda nkhawa. Izi zitha kupangitsa kuti zikhale zovuta kuchita zinthu kapena kupita kumalo, komanso zovuta kusangalala ndi moyo. Ululu ukhoza kukhala wovuta kwa inu ndi banja lanu. Koma ndi chithandizo, kupweteka kumatha kuyendetsedwa.

Choyamba, omwe amakupatsani adzadziwa:

• Kodi chikuchititsa ululu
• Zowawa zambiri zomwe muli nazo
• Momwe ululu wanu umamvera
• Zomwe zimapangitsa kuti kupweteka kwanu kukhale koipa
• Zomwe zimapangitsa kuti ululu wanu ukhale bwinoko
• Mukakhala ndi ululu

Mutha kuwuza omwe amakupatsirani zowawa zambiri poziyeza pamiyeso kuchokera pa 0 (palibe ululu) mpaka 10 (zopweteka kwambiri zotheka). Mumasankha nambala yomwe ikufotokoza zowawa zomwe muli nazo tsopano. Mutha kuchita izi musanalandire chithandizo komanso mutalandira chithandizo, kuti inu ndi gulu lanu muzitha kudziwa momwe mankhwala anu amagwirira ntchito.

Pali mankhwala ambiri opweteka. Ndi chithandizo chiti chomwe chili chabwino kwa inu chimadalira chifukwa komanso kupweteka kwanu. Mankhwala angapo atha kugwiritsidwa ntchito nthawi imodzi kuti athetse ululu. Izi zikuphatikiza:

• Kuganizira za chinthu china kuti musaganizire zowawa, monga kusewera masewera kapena kuwonera TV
• Mankhwala othandizira thupi monga kupuma kwambiri, kupumula, kapena kusinkhasinkha
• Mapaketi a ayezi, mapiritsi otenthetsera, biofeedback, kutema mphini, kapena kutikita minofu

Muthanso kumwa mankhwala, monga:

• Acetaminophen (Tylenol)
• Mankhwala osagwiritsa ntchito zotupa (NSAIDs) monga aspirin, naproxen (Aleve), ibuprofen (Advil, Motrin), ndi diclofenac
• Mankhwala osokoneza bongo (opioids), monga codeine, morphine, oxycodone, kapena fentanyl
• Mankhwala omwe amagwira ntchito pamitsempha, monga gabapentin kapena pregabalin

Mvetsetsani mankhwala anu, kuchuluka kwake, ndi nthawi yomwe muyenera kumwa.

• Osamamwa mankhwala ochepera kapena ochepa kuposa momwe adakulamulirani.
• Musamamwe mankhwala anu pafupipafupi.
• Ngati mukuganiza zosatenga mankhwala, kambiranani ndi omwe akukuthandizani kaye. Mungafunike kumwa mankhwala ochepa pakapita nthawi musanayime bwinobwino.

Ngati muli ndi nkhawa ndi mankhwala anu opweteka, lankhulani ndi omwe amakupatsani.

• Ngati mankhwala omwe mumamwa sathetsa ululu wanu, ena akhoza kukuthandizani.
• Zotsatira zoyipa, monga kuwodzera, zimatha kukhala bwino pakapita nthawi.
• Zotsatira zina zoyipa, monga ndowe zolimba zowuma, zitha kuchiritsidwa.

Anthu ena omwe amamwa mankhwala osokoneza bongo chifukwa cha ululu amadalira iwo. Ngati mukuda nkhawa ndi izi, lankhulani ndi omwe amakuthandizani.

Itanani omwe akukuthandizani ngati kupweteka kwanu sikukuyendetsedwa bwino kapena ngati mukukumana ndi zovuta zina.

Kutha kwa moyo - kusamalira ululu; Hospice - kusamalira ululu

Colvin LA, Fallon M. Pain ndi chisamaliro chothandizira. Mu: Ralston SH, ID ya Penman, Strachan MWJ, Hobson RP, olemba. Mfundo ndi Zochita za Mankhwala a Davidson. Wachitatu. Philadelphia, PA: Elsevier; 2018: mutu 34.

Nyumba SA. Kusamalira komanso kutha kwa moyo. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier 2020: 43-49.

Kuyang'ana BL, Von Gunten CF. Njira zothandizira kasamalidwe ka khansa. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 34.

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.

• Ululu
• Kusamalira