He mea aloha anei kāu ma kou home e moe ana ma kahi moe a hoʻohana paha i ka noho huila ma muli o kahi maʻi? He kuleana nui ka mālama ʻana iā lākou. ʻO kahi mea a mākou e noʻonoʻo pinepine ʻole ai, akā he mea nui loa ia, ʻo ia ka mea i kapa ʻia ʻo "bed sores". Ua kapa ʻia kēia mau mea ʻo `(Bedsores)` a i ʻole `(Pressure Injuries)` ma ka ʻōlelo Pelekania. I ka ʻōlelo maʻalahi, he mau ʻeha ʻeha kēia e kū mai ana ma muli o ke kaomi lōʻihi ma kahi like o ka ʻili. ʻOiai ke ʻano mua lākou e like me ka ʻulaʻula liʻiliʻi, inā ʻaʻole mālama pono ʻia, hiki i kēia mau ʻeha ke ulu nui, lilo i maʻi, a lilo i mea weliweli. No laila, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
He aha maoli kēia mau ʻeha moe?
I ka ʻōlelo maʻalahi, ʻo nā ʻeha moe ka hōʻino ʻana i ko mākou ʻili a me nā ʻiʻo ma lalo. Hana ʻia kēia ke noho mākou ma ke kūlana like no ka manawa lōʻihi, a kau ke kaumaha o ko mākou kino i ke kaomi ma kahi ʻāpana o ka ʻili. Hoʻopilikia kēia kaomi i ke kahe koko i kēlā wahi. E noʻonoʻo e like me ke kanaka e hehi ana ma luna o kahi paipu wai a oki ke kahe ʻana o ka wai. Ma ke ʻano like, ke oki ke kahe koko, ʻaʻole loaʻa i nā ʻili ʻili ma ia wahi ka oxygen a me nā meaʻai e pono ai. Ma hope o kekahi manawa, hoʻomaka kēlā mau ʻili e make. ʻO ia ka manawa e ʻike ʻia ai lākou he ʻeha.
Ua kapa ʻia kēia mau ʻeha e kekahi mau inoa ʻē aʻe. Mai hopohopo inā kapa kāu kauka iā ʻoe i kekahi o kēia mau inoa.
- ʻO nā ʻeha kaomi
- ʻO nā ʻeha kaomi
- ʻO nā ʻeha Decubitus
Ua like kēia mau mea a pau ma ke kūlana like.
Ma hea kahi e loaʻa pinepine ai kēia mau ʻeha?
Hiki i kēia mau ʻeha ke loaʻa ma nā wahi āpau o ke kino. No ka laʻana, hiki ke ʻike ʻia ma ka ihu, nā pepeiao, a i ʻole ke kua o ke poʻo o kekahi e hoʻohana ana i ka oxygen. Eia naʻe, ʻike pinepine ʻia lākou ma nā wahi kokoke loa ko mākou mau iwi i ko mākou ʻili a ma kahi e nui ai ke kaomi.
E noʻonoʻo i kekahi e moe ana ma luna o kahi moe. Ma hea kahi e hoʻomaha nui ai ko lākou kaumaha?
- Nā ʻūhā
- Nā puʻupuʻu a me ka iwi huelo
- Nā kuʻekuʻe wāwae a me nā kuʻekuʻe wāwae
- Nā ʻūhā poʻohiwi a me ke kua
- Nā kuʻekuʻe lima
- Kua o ke poʻo
No kekahi ma ka noho huila, ʻo ke kaomi nui loa ma luna o nā puʻupuʻu, ke kua o nā wāwae, a me nā kuʻekuʻe wāwae. No laila, he mea nui loa e makaʻala mau i kēia mau wahi i ka mālama ʻana i ia ʻano maʻi.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia mau ʻeha?
ʻOiai hiki i kekahi ke loaʻa i nā ʻeha moe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. ʻO kēia kekahi me ka pilikia o ka neʻe ʻana a i ʻole ka hoʻololi ʻana i nā kūlana ma kā lākou iho.
| Māhele pilikia | Wehewehena |
|---|---|
| Nā kānaka ma ke kūlana like | Nā poʻe maʻi e moe ana ma kahi moe, nā mea hoʻohana noho huila, a me ka poʻe i loko o ka coma. |
| Nā kānaka me ke aloha haʻahaʻa | ʻO ka poʻe me nā ʻeha o ke kaula kuamoʻo a me nā maʻi neurological hiki paha ke noho ma ke kūlana hoʻokahi no ka manawa lōʻihi no ka mea ʻaʻole lākou e ʻeha a ʻoluʻolu ʻole paha. |
| Nā kānaka me nā hemahema meaʻai | Ke ʻole ka hānai maikaʻi ʻana o ka ʻili, lilo ia i mea nāwaliwali. Ke hōʻino ʻia ka ʻili, lōʻihi ka manawa e ho'ōla ai. ʻOi aku ka pilikia o ka nele i ka protein, ka wikamina C, a me ka zinc. |
| Nā kānaka me nā maʻi ʻē aʻe | ʻO nā kūlana e like me ka maʻi diabetes, ka maʻi puʻuwai, ka maʻi puʻupaʻa, a me ke kanesa hiki ke hoʻopilikia i ke kahe koko i ka ʻili. |
| Makū ʻili | ʻO ka hou, ka mimi, a i ʻole ka ʻōpala i waiho ʻia ma ka ʻili e hiki ai ke hoʻomaʻū, hoʻonāwaliwali, a ʻoi aku ka maʻalahi o ka ʻeha. |
ʻO ka mea nui loa, ʻo ia ke hana i nā hana e pale aku ai i nā ʻeha moe ma mua o ko lākou ulu ʻana inā loaʻa i kāu maʻi kekahi a ʻoi aku paha o kēia mau mea pilikia.
E ʻike kākou i nā pae o nā ʻeha moe
ʻAʻole e nui aʻe ka ʻeha moe i ka manawa hoʻokahi. Holomua ia ma o kekahi mau pae. He mea nui e ʻike i kēia mau pae a hoʻomaka i ka lāʻau i ka hikiwawe loa.
| Kahua | ʻAno a me nā ʻano |
|---|---|
| Pae 1 | ʻO kēia ke kahua mua. ʻAʻohe ʻeha o ka ʻili. Akā, ʻike ʻia ka ʻili he ʻulaʻula, he poni paha. ʻAʻole e nalowale ka ʻulaʻula ke kaomi ʻoe me kou manamana lima a laila e hoʻokuʻu. Ke hoʻopā ʻoe iā ia, e ʻike paha ka wahi i kahi mehana iki, a anuanu paha, a paʻakikī paha ma mua o nā wahi ʻē aʻe. ʻAʻole paha e ʻike ʻia kēia ʻulaʻula i kahi kanaka me ka ʻili ʻeleʻele. No laila e nānā pono i nā loli o ke kala o ka ʻili. |
| Pae 2 | I kēia manawa, ua hōʻino ʻia ka papa luna o ka ʻili. Hiki ke like me kahi ʻeha pāpaʻu, kahi pehu i piha i ka wai, a i ʻole kahi i ʻili ai ka ʻili. He poni a ʻulaʻula paha ka lalo o ka ʻeha. Hiki ke ʻeha loa kēia. |
| Pae 3 | Ua hohonu ka ʻeha i kēia manawa. Ua komo ia ma waena o nā papa ʻili a pau, a hiki i lalo i ka papa momona ma lalo. Me he lua liʻiliʻi lā. Akā, ʻaʻohe ʻiʻo, nā aʻalolo, a me nā iwi i ʻike ʻia. |
| Pae 4 | ʻO kēia ke kūlana ʻino loa. Hohonu loa ka ʻeha. ʻIke ʻia ka ʻiʻo ma lalo, nā aʻalolo, a i kekahi manawa nā iwi ma o ka ʻeha. He mea hiki loa i kēia ʻano ʻeha ke hoʻoulu i nā maʻi koʻikoʻi. |
Nā pilikia e hiki mai ana mai nā ʻeha moe
ʻAʻole wale ka ʻeha moe he ʻeha ʻili. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e hiki ke hoʻoweliweli i ke ola.
- ʻO ka maʻi ʻili (Cellulitis): Lilo ka ʻili a puni ka ʻeha i ʻulaʻula, pehu, mehana, a ʻeha. He maʻi bacteria kēia.
- Nā maʻi iwi a me nā hono: Inā hohonu ka ʻeha a hiki i nā germs i nā iwi a i ʻole nā hono, hiki ke loaʻa nā maʻi koʻikoʻi e like me "Osteomyelitis" a i ʻole "Septic Arthritis".
- Kanesa: ʻO nā ʻeha lōʻihi, ʻaʻole e ho'ōla ʻia hiki ke alakaʻi i kekahi ʻano maʻi ʻili.
- Sepsis:ʻO kēia ke kūlana weliweli loa. Komo nā huakino mai ka ʻeha i ke kahe koko, laha a puni ke kino, a hoʻomaka nā ʻōkana e hana hewa. He mea hoʻoweliweli kēia i ke ola.
Pehea ʻoe e ʻike ai inā ua loaʻa ka maʻi i kahi ʻeha?
E nānā i ka ʻeha o kāu mea maʻi no kēia mau hōʻailona. Inā loaʻa lākou, e ʻike koke i ke kauka.
- Inā pilau ka ʻeha
- Inā he ʻōpala melemele a ʻōmaʻomaʻo paha kou
- Inā e hoʻonui ana ka ʻulaʻula, ka pehu, a me ka mehana a puni ka ʻeha
- Inā piʻi ka ʻeha
- Inā loaʻa i ka mea maʻi ke kuni a manaʻo anu
Pehea e mālama ʻia ai?
Hoʻoholo ʻia ke ʻano o ka mālama ʻana e ke kahua o ka ʻeha a me ke olakino holoʻokoʻa o ka mea maʻi.
Lapaʻau ʻoki ʻole
1. E hoʻēmi i ke kaomi: ʻO ka mea mua a me ka mea nui loa, ʻo ia ke kāohi i ke kaomi hou mai ka hiki ʻana mai i ka ʻeha. Pono e hoʻololi pinepine ʻia ke kūlana o ka mea maʻi. Hiki ke hoʻohana ʻia nā moena a me nā uluna kūikawā.
2. Ka hoʻomaʻemaʻe ʻana i ka ʻeha: He mea nui e mālama i ka maʻemaʻe o ka ʻeha. Hiki iā ʻoe ke hoʻomaʻemaʻe i ka ʻeha me ka wai paʻakai a i ʻole ke kopa palupalu e like me ke kuhikuhi a kāu kauka.
3. Kāhiko ʻana: Aia nā ʻano kāhiko kūikawā e kōkua i ka ho'ōla ʻana o ka ʻeha, mālama i ka makū, a pale iā ia mai nā germs. Eia kekahi laʻana, nā mea e like me Hydrogel a me Hydrocolloid. Na kāu kauka e hoʻoholo i ke ʻano e hoʻohana ai.
4. Debridement: ʻO ka ʻiʻo make a ʻeleʻele i loko o ka ʻeha he mea keakea i ka ho'ōla ʻana. Hoʻopau ʻia kēia e ke kauka me ka hoʻohana ʻana i nā mea hana ʻoki, nā kirīmi kūikawā, a i ʻole nā ʻano hana ʻē aʻe.
Nā lāʻau lapaʻau
- Nā lāʻau lapaʻau: Inā he maʻi, hāʻawi ʻia lākou ma ke ʻano he lāʻau lapaʻau waha a i ʻole nā mea ʻaila.
- Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia ka lāʻau lapaʻau e kāohi i ka ʻeha o ka ʻeha.
ʻoki kino
ʻO nā ʻeha nui, ʻaʻole e ho'ōla ʻia i nā pae 3 a i ʻole 4 i kekahi manawa e pono ai ke ʻoki kino. Pili kēia i ka lawe ʻana i ka ʻili mai kahi ʻāpana ʻē aʻe o ke kino a me ka pani ʻana i ka ʻeha (kahi hoʻopili ʻili).
ʻO ka mea nui loa: e pale i nā ʻeha moe!
He mea maʻalahi ke pale ʻana i nā ʻeha moe ma mua o ka mālama ʻana iā lākou. Inā he maʻi moe kou ma kou home, e mālama pono i kēia mau mea.
- E hoʻololi pinepine i nā kūlana: Inā ʻoe e moe ana ma kahi moe, e hoʻololi i nā kūlana ma ka liʻiliʻi i kēlā me kēia ʻelua hola . Inā ʻoe ma ka noho huila, e paipai i kou kaumaha e hoʻololi ma ka liʻiliʻi i kēlā me kēia 15 mau minuke .
- E nānā i kou ʻili i kēlā me kēia lā: E nānā i kou ʻili ma ka liʻiliʻi hoʻokahi manawa i ka lā, ʻoiai ma nā wahi pilikia nui (nā pūhaka, nā kuʻekuʻe wāwae, nā puʻupuʻu). E nānā i nā kiko ʻulaʻula, nā pehu, a i ʻole nā loli ʻē aʻe.
- E mālama i ka ʻili maʻemaʻe a maloʻo hoʻi:E hoʻomaʻemaʻe i ka ʻili me ke kopa palupalu a me ka wai mehana. E hoʻomaʻū maikaʻi a mālama i ka maloʻo. Mai hoʻokuʻu i ka hou, ka mimi, a me nā mea ʻē aʻe e noho ma ka ʻili. E hoʻohana i nā `(moisture barrier creams)` inā pono.
- E hāʻawi i ka meaʻai maikaʻi: ʻO ka hāʻawi ʻana i kahi meaʻai kaulike i waiwai i ka protein, nā wikamina, a me nā minelala he mea nui ia no ka ho'ōla ʻana i nā ʻeha a me ka mālama ʻana i ke olakino o ka ʻili. He mea nui hoʻi e hōʻoia i ka inu ʻana o ka ʻīlio i nā wai he nui.
- E mālama i kou wahi moe: E mālama i kou wahi moe i laumania a ʻaʻohe ʻūlū. E hoʻololi koke i ka wā e pulu ai.
- E pale i ka puhipaka: Inā ʻoe e puhipaka, e kōkua iā ʻoe iho e haʻalele. Hoʻemi ka nikotine i ke kahe koko a hoʻolohi i ka ho'ōla ʻana o ka ʻeha.
- E hoʻohana i nā lako kūikawā: Hiki ke hoʻohana ʻia nā moena a me nā uluna hoʻēmi kaomi kūikawā (nā moena ea, nā uluna huʻa) ma ke ʻōlelo aʻo a kāu kauka.
Leka Lawe-Home
- He maʻi koʻikoʻi nā ʻeha moe i hoʻokumu ʻia e ke kaomi lōʻihi ma ka wahi hoʻokahi.
- ʻO ka pale ʻana ka lāʻau lapaʻau maikaʻi loa. He mea nui e hoʻololi pinepine i ke kūlana o ka mea maʻi a mālama i ka ʻili i maʻemaʻe a maloʻo.
- Inā ʻike ʻoe i ka ʻulaʻula, ka ʻeha, a i ʻole nā loli ʻē aʻe i kou ʻili, e makaʻala iā ia. Hiki ke lilo i ʻeha moe mua.
- Inā pilau ka ʻeha, e puka mai ana ka pehu, a i ʻole he kuni ka mea maʻi, he mau hōʻailona paha kēia o kahi maʻi. E ʻike koke i ke kauka.
- He mea nui loa ka meaʻai maikaʻi a me ka hydration kūpono no ke olakino o ka ʻili a me ka ho'ōla ʻana i nā ʻeha.
- Inā he mau nīnau a hopohopo paha kāu, e ʻimi mau i ka ʻōlelo aʻo a kāu kauka.
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