Mālama palliative - wai, ʻai, a me digestion
ʻO ka poʻe i loaʻa i kahi maʻi koʻikoʻi a make paha e makemake pinepine ʻole e ʻai. Hiki ke hoʻololi i nā ʻōnaehana o ke kino e mālama i nā wai a me nā meaʻai i kēia manawa. Hiki iā lākou ke hoʻolohi a holo ʻole. Eia kekahi, ʻo ka lāʻau lapaʻau e mālama ai i ka ʻeha hiki ke hana i nā noho maloʻo maloʻo, paʻakikī e paʻakikī e hele.
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.
ʻO ke kanaka maʻi a make paha e ʻike paha:
- Loaʻa ka ʻai ʻole
- ʻO ka nau ʻana i ka pilikia, ma muli o ka ʻeha o ka waha a me ka niho, nā ʻeha o ka waha, a me ka ʻāʻī ʻoʻoleʻa a ʻeha paha
- Constipation, ʻoi aku ka liʻiliʻi o ka neʻe ʻana o ka ʻōpū ma mua o ka noho maʻamau a paʻakikī paha
- Nausea a i ʻole ka luaʻi
Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua i ka hōʻoluʻolu ma muli o ka nalo ʻana o ka makemake a i ʻole nā pilikia e ʻai ana a inu hoʻi.
Nā Loli:
- Sip wai ma ka liʻiliʻi i kēlā me kēia 2 mau hola ke ala aʻe.
- Hiki ke hāʻawi ʻia nā wai i ka waha, ma o kahi pahu hānai, kahi IV (kahi paipu e hele i loko o kahi aa), a i ʻole ma kahi kui e hele ana ma lalo o ka ʻili (subcutaneous).
- Mālama i ka waha me nā ʻāpana hau, kahi ʻenepe, a i ʻole nā holoi waha i hana ʻia no kēia kumu.
- E kamaʻilio me kekahi o ka hui mālama ola e pili ana i ka mea e hana inā nui a liʻiliʻi paha ka wai i loko o ke kino. Hoʻoholo pū inā paha he nui nā wai o ke kanaka ma mua o ka lawe ʻana i loko.
Meaʻai:
- E ʻokiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi.
- Hoʻohui a mash paha i nā meaʻai no laila ʻaʻole pono lākou e nau nui ʻia.
- Hāʻawi i ka meaʻai palupalu a ʻoluʻolu hoʻi, e like me ka sup, yogurt, applesauce, a pudding paha.
- Lulu lulu a ʻoluʻolu paha.
- No ka nausea, e hoʻāʻo i nā meaʻai maloʻo, paʻakai a me nā wai holoi.
Digest:
- Inā pono, e kākau i nā manawa i hele ai ka ʻōpū o ke kanaka.
- Sip wai a wai paha ma ka liʻiliʻi i kēlā me kēia 2 mau hola ke ala aʻe.
- ʻAi i nā huaʻai, e like me nā prun.
- Inā hiki, hele wāwae hou.
- E kamaʻilio me kekahi o ka pūʻulu mālama olakino e pili ana i nā pahee softer a i ʻole nā laxatives.
Kāhea i kahi lālā o ke kime mālama ola inā ʻaʻole hiki ke hoʻokele i ka nausea, ka paʻa paʻa, a i ʻole ka ʻeha.
Constipation - mālama palliative; Ka hopena o ke ola - digestion; Hale Hōʻikeʻike - digestion
ʻO Amano K, Baracos VE, Hopkinson JB. Hoʻohui o ka palliative, kākoʻo, a me ka mālama pono hānai e hōʻemi ai i ka pilikia e pili ana i ka ʻai ma waena o nā mea maʻi maʻi ʻaʻai me cachexia a me nā lālā o ko lākou ʻohana. ʻO Crit Rev Oncol Hematol. 2019; 143: 117-123. PMID: 31563078 pubmed.ncbi.nlm.nih.gov/31563078/.
Gebauer S. Mālama Palliative. I: Pardo MC, Miller RD, eds. Nā kumu o Anesthesia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 49.
ʻO Rakel RE, ʻo Trinh TH. Mālama i ka mea hoʻomanawanui e make ana. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 5.
- Mālama Palliative