Mālama palliative - ka liʻiliʻi o ka hanu

Hiki paha i kekahi mea maʻi ke loaʻa ka pilikia i ka hanu ʻana a i ʻole manaʻo paha me he mea lā ʻaʻole lawa ka ea iā lākou. Kāhea ʻia kēia ʻano pōkole o ka hanu. ʻO ka manawa olakino no kēia ʻo dyspnea.

ʻO ka mālama Palliative kahi ala holoʻokoʻa i ka mālama e nānā ana i ka mālama ʻana i ka ʻeha a me nā hōʻailona a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola i ka poʻe me nā maʻi koʻikoʻi a me ka lōʻihi o ke ola.

Pilikia paha ka hanu ʻana i ka hele wāwae ʻana i nā ʻanuʻu. A i ʻole, paʻakikī paha ia e pilikia ai ke kanaka e kamaʻilio a ʻai paha.

Loaʻa i ka hanu ka nui o nā kumu kūpono, e like me:

• Ka pīhoihoi a me ka makaʻu
• Hoʻoweliweli weliweli
• Nā maʻi lepa, e like me ka niumonia a me ka bronchitis
• ʻO ka maʻi lepa, e like me ka maʻi pulmonary obstructive maʻi (COPD)
• Nā pilikia me ka puʻuwai, nā puʻupaʻa, a me ke ake
• Anemia
• Konipōpō

Me nā maʻi koʻikoʻi a i ka hopena o ke ola, he mea maʻamau ka manaʻo ʻole o ka hanu. Hiki paha iā ʻoe ke ʻike. E kamaʻilio me kāu hui mālama ola i ʻike ʻoe i ka mea e kali ai.

Me ka pōkole o ka hanu āu e manaʻo ai:

• ʻOluʻolu ʻole
• E like me ʻoe ʻaʻole lawa i ka ea
• Hī pilikia
• Luhi
• E like me ʻoe e hanu wikiwiki nei
• Ka makaʻu, ka hopohopo, ka huhū, ke kaumaha, ke kōkua ʻole

ʻIke paha ʻoe i kou ʻili i kahi kani bluish ma kou mau manamana lima, manamana wāwae, ihu, pepeiao, a me ke alo.

Inā ʻeha ʻoe i ka hanu, ʻoiai inā akahai ia, e haʻi i kekahi o kāu hui mālama. E kōkua ana ka loaʻa ʻana o ke kumu i ka hui e hoʻoholo i ka lāʻau. E nānā paha ke kahu i ka nui o ka oxygen i loko o kou koko ma ka hoʻopili ʻana i kou manamana lima i kahi mīkini i kapa ʻia he pulse oximeter. Hiki i kahi x-ray umauma a i ʻole ECG (electrocardiogram) ke kōkua i kāu hui mālama e ʻike i kahi pilikia puʻuwai a puʻuwai paha.

I mea e kōkua ai i ka hanu ʻana, e hoʻāʻo:

• Noho ana
• Noho a hiamoe paha ma ka noho noho
• Ke hāpai nei i ke poʻo o kahi moe a hoʻohana paha i nā uluna e noho i luna
• Ke hele nei i mua

E ʻimi i nā ala e hoʻomaha ai.

• Hoʻolohe i nā mele hoʻoluʻolu.
• E kiʻi i kahi lomilomi.
• E kau i kahi lole anuanu ma kou ʻāʻī a poʻo poʻo.
• E lawe i nā hanu lohi i loko o kou ihu a puka i waho o kou waha. Hiki ke kōkua i ka pucker i kou mau lehelehe e like me ʻoe e ʻāwīwī ai. Kāhea ʻia kēia i ka hanu lehelehe.
• E kiʻi i ka hōʻoia mai kahi hoa aloha, lālā o ka ʻohana, a i ʻole lālā o ka hui hoʻokipa.
• E kiʻi i ka makani mai kahi puka hāmama a i ʻole pā.

E maʻalahi ka hanu, maopopo pehea e hoʻohana ai:

• Oxygen
• ʻO nā lāʻau e kōkua i ka hanu ʻana

I kēlā me kēia manawa ʻaʻole hiki iā ʻoe ke kaohi i ka hanu.

• Kāhea i kāu kauka, kahu hānai, a i ʻole kekahi lālā o kāu kime mālama olakino no ka ʻōlelo aʻoaʻo.
• Kāhea iā 911 a i ʻole ka helu kūloko kūloko e loaʻa ai ke kōkua.

Kūkākūkā me kāu mea mālama ola inā pono ʻoe e hele i ka haukapila ke lilo ka hanu nui i koʻikoʻi.

E aʻo hou aʻe e pili ana i:

• Nā kauoha mālama mua
• Nā luna mālama ola

Dyspnea - hopena-o-ke ola; Mālama i ka haukapila - ka pōkole o ka hanu

Braithwaite SA, Perina D. Dyspnea. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 22.

Johnson MJ, Eva GE, Booth S. Palliative lāʻau a me ka hōʻailona hōʻailona. I: Kumar P, Clark M, eds. ʻO Kauka Lapaʻau ʻo Kumar lāua ʻo Clarke. 9th ed. Piladelapia, PA: Elsevier; 2017: chap 3.

Kviatkovsky MJ, Ketterer BN, Goodlin SJ. Mālama palliative i ka maʻi mālama nui o ka naʻau. I: Brown DL, hoʻoponopono. Mālama Nui Cardiac. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 52.

• Nā pilikia hanu
• Mālama Palliative