Eminyakeni eyishumi edlule, inani leziguli elikhulisa ifomu le-pancreatitis elingamahlalakhona liye lakhuphuka amahlandla ambalwa. Isizathu esikhulu salo mkhuba ukusetshenziswa kabi kotshwala nokufuna usizo lodokotela ngokungazelele.
Noma iyiphi i-pathology, kufaka phakathi inqubo yokuvuvukala yamanyikwe, isivivinyo esinzima hhayi kuphela esigulini uqobo, kodwa nasezihlotsheni zayo. Lesi sifo singqongqoza umuntu siphume isikhathi eside, siguqula kakhulu impilo.
Ezinye iziguli kufanele zilulame isikhathi eside, ikakhulukazi ezimweni zokuma. Ngaleso sikhathi, isikhungo sezokwelapha siba ikhaya lesibili, futhi ochwepheshe bezokwelapha - "umndeni wesibili".
Emtholampilo, umsebenzi wenziwa ngokuya nge-protocol nemithetho ethile. Ukunakekela i-pancreatitis kuwumsebenzi wabo bonke abasebenzi bamazinga ahlukahlukene kanye nokuhlukaniswa. Cabanga ukuthi yini ubuhlengikazi, futhi yiziphi izinkinga ezingaba khona nge-pancreatitis ezingenzeka?
Izici zokunakekela ukuvuvukala kwamanyikwe
Isigaba sokuqala ukwenza ukuhlolwa kwenhloso kanye nokuzilandela ngokuya ngohlelo olujwayelekile, oluchazwa "Nursing Examination Technique". Kulesi sigaba, kuyadingeka ukubona izinguquko esigulini, ukuthola izidingo ezihlukumezekile ku-pancreatitis e-acute.
Ikakhulu, kuyadingeka ukubona izimo eziphuthumayo zesiguli (ngokwesibonelo, ukulahlekelwa ukwazi), futhi kwezinye izimo, funa usizo lwezihlobo zomuntu. Ngokuhambisana nendlela, esigabeni sokuqala, umhlengikazi uhlola isiguli futhi axoxe nabantu abasondelene naye.
Ngemuva kwalokho, kwenziwa imishini ethile yezokwelapha - ukukala izinga lokushisa lomzimba, izinkomba zokucindezela kwegazi, ishayela. Kudingeka ukuhlolwa okuqondile - ukuhlolwa komchamo kanye negazi. Yonke imininingwane ibhalwe emlandweni wabahlengikazi.
Esigabeni sesibili sokuxilongwa kwabahlengikazi, kuboniswa ukubonwa kwalesi sifo kule nkinga ethile:
- Ubuhlungu obukhulu esifundeni se-epigastric;
- Umkhuhlane;
- Isicanucanu;
- Izibonakaliso ze-dyspeptic;
- Ukwenyuka kokwenza igesi;
- Ukuphazamiseka kwendlela yokugaya ukudla;
- Ukuphazamiseka kokulala;
- Ukwanda kokukhathazeka, ukwesaba nokudideka kwesiguli, njll.
Ngokuya ngezinyathelo zokuxilonga ezithathiwe kanye nolwazi olutholakele, kwenziwa uhlelo lokunakekelwa kweziguli ngazinye. Lapho kuthuthukiswa lolu hlelo, kusetshenziswa izincwadi ezikhethekile. Isibonelo, izindinganiso zokwelashwa kokuhlaselwa okukhanyayo kwe-pancreatitis, izindinganiso zokwelapha uhlobo olungapheli lokuvuvukala, izindinganiso zokunakekelwa kweziguli, njll.
Uhlu lwemibhalo lususelwa eminyakeni yocwaningo nesipiliyoni ekwelashweni kwalesi sifo. Imibuthano echazwe ezincwadini ikukhombisile ukusebenza kahle nangokufanele.
Inemiyalo enemininingwane, izincazelo nezincomo, ezilungele udokotela nabahlengikazi abakhona.
Usizo lomhlengikazi ekuhlaselweni okukhulu
Noma yimuphi umuntu angagula, vele, kwezinye izithombe zomtholampilo ukuhlaselwa okuxakile kwe-pathology kuyamangaza isiguli ngokuphelele. Okokuqala, isimo senhliziyo sibalulekile - ukungabi bikho kovalo kusinyathelo esibhekisa ekululameni kabusha ngokushesha.
Ukwelashwa kwesigaba esibuhlungu kuqala ngezinqubo eziphuthumayo zokusindisa impilo yesiguli. Uphuthunyiswa esibhedlela sezokwelapha, lapho enikezwa khona ukuphumula okugcwele nokuphumula kombhede. Umuntu uzonakekelwa ngabasebenzi bezokwelashwa. Usizo lwezihlobo nalo alukhethiwe.
Uma ukuhlaselwa okukhulu kudinga ukuhlinzwa, khona-ke ezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa, ochwepheshe bezokwelapha kuphela abaxhumana nesiguli. Izihlobo azivunyelwe esigcemeni.
Ukunakekelwa kwabahlengikazi be-pancreatitis ebabazekayo kubandakanya imisebenzi elandelayo:
- Ukusetshenziswa kwephaza lokushisa lokubandayo kumcabango wamanyikwe.
- Songa isiguli ngengubo noma ngecala uma kubhekwa ukubanda.
- Ukwethulwa kwemithi yezinhlungu (ngobuhlungu obukhulu).
- Ukulawulwa kokusetshenziswa kwamanzi.
- Ukuqapha ukushoda kokudla okuningana ezinsukwini ezimbalwa zokuqala (isikhathi sokuzila sinqunywa ngasese).
Umhlengikazi kufanele akhulume nezihlobo ngokugcinwa kokudla kwezempilo ngokuzayo.
Kubalulekile ukusho ukuthi kungani kubalulekile ukuyeka imikhuba emibi - ukubhema, ukuphuza utshwala, njll.
Nakekela i-pancreatitis engapheli
Ukuba ngumhlengikazi ngemuva kwendlela engapheli yesifo se-pancreatitis kuqukethe izigaba ezifanayo, njengasesigabeni esibi sesifo. Ukuvuvukala okusobala kwenzeka isikhathi eside, kuvame ukuhambisana nokwanda. Ingozi ethile yilezi zinkinga. Isikimu sokunakekelwa sinokwehluka okuthile.
Nge-CP, i-pancreas ibhujiswa kancane kancane, ezinye izitho zesistimu yokugaya ukudla kanye ne-gastrointestinal system ziyahlupheka. Ngakho-ke, ukwelashwa nokunakekelwa kwenziwa esikhathini eside, faka uhlu olubanzi lwezinqubo ezidingekayo.
Umsebenzi oyinhloko wokunakekela ukubuyisela ngokushesha ukusebenza kwesitho sangaphakathi esonakele, kubalulekile futhi ukuqeda izimbangela nezinto ezicasulayo ezibangele izinqubo zokuvuvukala. Ukudla okwenziwe ngokudla kanye nokwelashwa kwe-concomitant pathologies kuyingxenye ebalulekile yendlela yesiguli yokululama.
Ukunakekelwa kwabahlengikazi kufaka phakathi:
- Ukulawulwa kokudla, ukudonsela amanzi emzimbeni;
- Ukulinganiselwa kokusebenza ngokomzimba;
- Dala imibandela yokuphumula kombhede nokuphumula;
- Ukusiza ngokunyakaza;
- Ukulawulwa kwesisindo somzimba nezinkomba ezibalulekile - ishayela, umfutho wegazi.
Abasebenzi abahlengikazi bangabasizi bakaDokotela abathembekile, bahlinzeka isiguli ngenduduzo nokusekelwa kwengqondo, okunomthelela ekubuyiselweni kwezempilo okusheshayo.
Izinkinga ezingaba khona ngokuvuvukala kwe-pancreatic
Umsebenzi wezisebenzi zezokwelapha uhlala njalo, futhi usizo oluyinhloko, nolungaqondakali esigulini. Futhi, isisebenzi esinekhono kakhulu kufanele silindele izinkinga ezingaba khona ku-pancreatitis eyingozi. Lokhu kubalulekile ngoba ubunzima obuhlukahlukene buvame ukukhonjwa.
Imvamisa, isiguli siyenqaba ukuthatha imishanguzo. Umsebenzi womhlengikazi kulokhu ukwazisa udokotela oholayo. Ngemuva kwalokho kuyadingeka ukuchaza isiguli ukuthi kungani lokhu noma lo muthi kudingeka.
Ngobuthakathaka, isicanucanu kanye nokufelwa, umsebenzi wasemtholampilo usiza isiguli ukuhamba, enze izinqubo zokuhlanzeka ezidingekayo.
Izinkinga zesiguli ku-pancreatitis esibuhlungu ukuthi umuntu akakwazi ukuzisiza. Ukuqunjelwa uphawu kuwuphawu olujwayelekile lwesifo olungaholela ekwelashweni uma ukuhlanza kungena endaweni yokuphefumula.
Umhlengikazi kufanele anikeze iziguli izitsha zokuzihlanza, zimnikeze ngamawashi, zisungule iziteshi zokuxhumana ngokushesha nezinye izisebenzi zezokwelapha. Njengoba kushiwo udokotela ohambela, izidakamizwa ze-antiemetic ziyabhalwa.
Ungayiphatha kanjani i-pancreatitis echazwe kuvidiyo kuleli vidiyo.
