ʻO kēlā me kēia mea i hele i ka lāʻau lapaʻau maʻi kanesa, ʻoiai ka chemotherapy, ʻike maopopo i ka ʻeha a me ka hoʻonāukiuki o ka hoʻokomo ʻia ʻana o kahi cannula i loko o ka lima a me ka hou ʻia ʻana o kahi aʻa i kēlā me kēia manawa. He mea kaumaha nui ia ma ka noʻonoʻo ke hou ʻana iā ʻoe iho penei ma mua o kēlā me kēia lāʻau lapaʻau. Akā e kahaha ʻoe i ka ʻike ʻana he hopena maikaʻi loa a palekana hoʻi no kēia pilikia. ʻO kēlā hopena ka 'Port' a mākou e kamaʻilio nei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ke awa?
E noʻonoʻo i kēia, he mea liʻiliʻi a poepoe kēia e like me ka nui o ke kālā ʻelima rupee. Hoʻokomo ʻia ia ma lalo o kou ʻili ma ke ʻoki ʻana, ma ka umauma o luna, kokoke i ka iwi ʻāʻī. A laila mai kēia puka mai, ua hoʻopili ʻia kahi ʻōmole lahilahi a palupalu, kahi i kapa ʻia ma ka lāʻau lapaʻau he 'catheter', i kahi kīʻaha koko nui kokoke i kou puʻuwai.
I kēia manawa, ua maopopo iā ʻoe pehea e hana ai? Ke pono ʻoe e hāʻawi iā ʻoe iho i ka lāʻau lapaʻau, hoʻohana ke kahu maʻi i kahi nila kūikawā e hoʻokomo i ka lāʻau lapaʻau ma o kou ʻili i loko o kēia puka. A laila hele ka lāʻau lapaʻau i lalo o ke catheter a pololei i loko o kou kīʻaha koko nui, kahi e hele ai ma kou kino holoʻokoʻa. He maʻalahi loa ia, ʻeā?
No laila, he aha nā pōmaikaʻi o ka loaʻa ʻana o kahi awa?
Nui nā pono o ka hoʻohana ʻana i kahi awa. He mea maʻalahi loa kēia no ka mea maʻi.
- ʻAʻohe pono no ke kuʻi pinepine ʻana i ka nila: ʻO ka pōmaikaʻi nui loa, ʻaʻole pono ʻoe e ʻimi i kahi aa koko ma kou lima a hoʻokomo i kahi cannula no kēlā me kēia lāʻau lapaʻau chemotherapy. E hoʻokomo wale i ka nila i loko o ke awa i hoʻokahi manawa a ua pau ʻoe.
- He mea maʻalahi hoʻi ke kiʻi ʻana i ke koko: Inā pono ʻoe e kiʻi i kahi hāpana koko, hiki ke hana pinepine ʻia ma o kēia awa, no laila ʻaʻole pono ʻoe e kiʻi i kahi nila ʻokoʻa no kēlā.
- ʻEha iki: Manaʻo paha kekahi poʻe e ʻeha ka hou ʻana i ka ʻili a me ke komo ʻana i ka nila i loko o ka puka. Aia kekahi hopena no kēlā. Ma mua o ke komo ʻana o ke kahu maʻi i ka nila, hiki iā lākou ke hoʻopili i kahi kirīmi hoʻomāʻū, e like me ka kirīmi lidocaine, i ka ʻili kahi e waiho ai ka puka. A laila, ʻaʻole ʻoe e ʻike i ka nila i ka wā e hoʻokomo ʻia ai.
- ʻAʻohe kahe ʻana o ka lāʻau lapaʻau: I kekahi manawa, hiki i kahi liʻiliʻi o ka lāʻau lapaʻau ke kahe mai loko mai o kahi cannula IV maʻamau, e hōʻino ana i ka ʻili a me nā ʻiʻo a puni. ʻOi aku ka haʻahaʻa o kēia pilikia me kahi awa.
- Hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau mai ka home: Pono e lawelawe ʻia kekahi mau lāʻau lapaʻau chemotherapy i kekahi mau lā. Hiki ke pilikia ke noho ma ka home me kahi IV ma kou lima. Hiki ke hemo i ka wā hiamoe. Akā palekana loa ke awa. No laila hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau mai ka home me ka ʻole o ka noho ʻana i ka haukapila.
He mea paʻakikī anei ke ola maʻamau me kahi awa?
ʻAʻole loa. ʻO kaʻoiaʻiʻo, no ka hapa nui o nā kānaka, he mea maʻalahi loa ka noho ʻana me kahi awa. Ke ola ka ʻeha liʻiliʻi kahi i hoʻokomo ʻia ai ke awa, hiki iā ʻoe ke ʻauʻau, ʻauʻau, a hana i nā mea āu e makemake ai e hana me ka makaʻu ʻole.
ʻO ka mea nui loa, ʻoiai ʻaʻole ʻoe e hoʻohana ana i ke awa, ʻaʻole pono ʻoe e kau i kahi kāʻei ma luna a mālama pono paha.
ʻAʻole pono ʻoe e hoʻololi i ke ʻano o kāu ʻai ʻana, inu ʻana, hiamoe ʻana, a i ʻole ke kalaiwa ʻana. Akā, hoʻokahi mea. Manaʻo paha kekahi poʻe i kahi ʻoluʻolu ʻole no ka mea e hele ana ke kāʻei noho ma luna o ke awa i ka wā e kalaiwa ana. Aia nā hopena maʻalahi loa no kēlā. E kau wale i kahi uhi ma ke kāʻei noho, kahi uluna palupalu liʻiliʻi, a i ʻole kahi kāwele palupalu ma ia wahi, a e nalowale kēlā ʻoluʻolu ʻole.
Ke hoʻopā ʻoe i ke awa, e like ia me kahi puʻupuʻu liʻiliʻi ma lalo o ka ʻili, a malia paha e like me ia. Akā i kou ʻaʻahu ʻana i nā lole, ʻaʻole ia e ʻike ʻia e kekahi ma waho.
Nā pilikia e makaʻala ai
ʻOiai ke ʻano maʻalahi o kahi awa, e like me nā mea lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi e pono ai mākou e makaʻala. He mea nui e makaʻala i kēia mau mea.
| Pōpilikia | Nā mea e pono ai ʻoe e ʻike a hana |
|---|---|
| Nā ʻūpā koko | ʻO ka loaʻa ʻana o ka maʻi ʻaʻai he mea kiʻekiʻe iki aʻe ia o ka paʻa ʻana o ke koko. ʻO ka loaʻa ʻana o kahi mea ʻē e like me ka puka i loko o ke kīʻaha koko hiki ke hoʻonui hou aku i kēlā pilikia. Kāohi: Ke hoʻohana ʻole ʻia ka puka, pono e holoi ʻia i ka wai ma kahi papa hana maʻamau. ʻO ia hoʻi ka holoi ʻana i ka puka a me ka ʻōmole me ka wai saline a i ʻole heparin, kahi mea hoʻokahe koko, a i ʻole nā mea ʻelua. Hana ʻia kēia e kahi kahu maʻi ma ka haukapila. ʻO ka maʻamau, pono ʻoe e holoi i kēlā me kēia 4-6 pule, a i ʻole kēlā me kēia 3 mahina no kekahi mau ʻano puka. E aʻo aku kāu hui mālama ola iā ʻoe ma kēia. Nā hōʻailona e makaʻala ai: Inā loaʻa iā ʻoe ka pehu ma kou lima, poʻohiwi, ʻāʻī, a i ʻole ke poʻo , he hōʻailona paha ia o kahi ʻūpā koko. E kāhea koke i kāu kauka. |
| Nā maʻi | Hiki ke loaʻa nā maʻi i loko o ka ʻili a i ʻole ke kahe koko ma kahi o ke awa. He kūlana koʻikoʻi loa kēia, a he mea hoʻoweliweli hoʻi i ke ola. Kāohi ʻana:Pono ʻoe a me kekahi mea e pā ana i kou awa (me nā kahu maʻi) e holoi pono i ko lākou mau lima. ʻO ka maʻemaʻe ka mea nui loa. Nā hōʻailona e makaʻala ai: ʻulaʻula, pehu, ʻeha, a i ʻole ka hoʻokahe ʻana e like me ka pus a puni ka puka. Eia kekahi, inā loaʻa iā ʻoe ke kuni, nāwaliwali, poniuniu, a ʻeha paha ka umauma , e hoʻomaopopo koke i kāu hui lapaʻau. |
ʻŌlelo aʻo e pili ana i ka hopena psychological
No kekahi poʻe, ʻo ka loaʻa ʻana o kahi awa i loko o ko lākou kino he mea hoʻomanaʻo mau ia he maʻi kanesa ko lākou. Hiki ke paʻakikī iki kēia no ka noʻonoʻo. Manaʻo paha lākou he ʻokoʻa ko lākou e pili ana i ko lākou kino, e pili ana iā lākou iho.
He mea nui e kamaʻilio e pili ana i kēia. ʻO ʻoe wale nō ka mea e pili ana inā makemake ʻoe e hoʻokomo i kahi puka. Hiki iā ʻoe ke kūkākūkā me kāu kauka inā makemake ʻoe e wehe iā ia ma hope o ka mālama ʻana a waiho paha iā ia no kekahi manawa. Makemake kekahi poʻe e wehe iā ia i ka wā e pau ai ka mālama ʻana. Makemake kekahi e mālama iā ia no kekahi manawa e ʻike ai pehea e hele ai nā mea. ʻO kekahi poʻe, luhi i ka hoʻokomo ʻia ʻana o ka nila, hoʻoholo lākou e mālama iā ia no ka wā pau ʻole.
ʻO kāu ka hoʻoholo hope loa. No laila, e wehe e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia me kāu kauka a me kou ʻohana.
Leka Lawe-Home
- ʻO kahi puka lapaʻau he mea liʻiliʻi i waiho ʻia ma lalo o ka ʻili e maʻalahi ai ke komo ʻana i nā lāʻau lapaʻau maʻi kanesa, ʻoi aku hoʻi ka chemotherapy.
- Hōʻalo kēia i ka pilikia a me ka ʻeha o ka cannulation pinepine a me ka latching e loaʻa ai ke koko.
- ʻO nā pilikia nui ʻelua e pili ana me kahi awa, ʻo ia ka paʻa ʻana o ke koko a me ka maʻi. E haʻi koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu ʻana ma kou lima, ʻāʻī, a i ʻole ke alo, ka ʻulaʻula a puni ka awa, ka ʻeha, a inā he kuni kou.
- Ke ho'ōla ʻia ka ʻeha i kau ʻia ai ke awa, hiki iā ʻoe ke hoʻi hou i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau.
- ʻO kāu koho ponoʻī wale nō inā ʻoe e kau i kahi awa a i ʻole e wehe ʻia ma hope o ka mālama ʻana. Mai kānalua e kūkākūkā i kekahi hopohopo āu e loaʻa ai me kāu hui lapaʻau.
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