Ua hele mua ʻoe i loko o kahi haukapila? A i ʻole ua hele mua ʻoe e ʻike i kahi maʻi? Ke hoʻomanaʻo nei paha ʻoe i ka wā, ma mua o kahi hana nui a i ʻole kahi hoʻāʻo kūikawā, e lawe mai ke kauka a kahu maʻi paha i kahi faila a ʻōlelo, "E kau inoa i kēia." Aia kekahi mau manawa a mākou a pau e kau inoa me ka noʻonoʻo ʻole. Akā ua ʻike anei ʻoe ʻaʻole kēlā kau inoa he māka ma kahi ʻāpana pepa, ʻo ia ka hoʻoholo koʻikoʻi loa āu e hana ai e pili ana i kou olakino? ʻO ia ka mea a mākou e kapa nei ʻo "Informed Consent."
He aha ka 'ʻAe ʻIke ʻia'?
I ka ʻōlelo maʻalahi, ʻo ka ʻae ʻia me ka hoʻomaopopo ʻana, ʻo ia ke kaʻina hana o ka loaʻa ʻana o kāu ʻae ma ka hoʻomaopopo piha ʻana iā ʻoe e pili ana i ka lāʻau a i ʻole ka hoʻāʻo āu e hana ai. ʻAʻole ia he pūlima wale nō. He kamaʻilio koʻikoʻi loa ia ma waena ou a me ke kauka e mālama nei iā ʻoe.
Ma kēia kamaʻilio ʻana, aia kekahi mau mea e pono ai ke kauka e wehewehe iā ʻoe:
- He aha ka lāʻau lapaʻau/hoʻāʻo e hana ʻia: He aha ka mea e hana ʻia iā ʻoe? He aha kona inoa? Pehea e hana ʻia ai?
- Nā Pōmaikaʻi: He aha kāu e loaʻa ai mai kēia lāʻau lapaʻau? E hoʻomaikaʻi anei kou maʻi? E emi anei kou mau hōʻailona?
- Nā Pōʻino a me nā hopena ʻaoʻao: Loaʻa i nā kaʻina hana lapaʻau āpau kekahi mau pilikia. No ka laʻana, ka hiki ke loaʻa kahi ʻeha i ka maʻi ma hope o ke ʻoki ʻana, ka hiki ke loaʻa kahi hopena alerika i ka anesthesia, a i ʻole nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau. Pono e wehewehe pono ʻia kēia mau mea āpau iā ʻoe.
- Nā koho ʻē aʻe: Aia kekahi mau lāʻau lapaʻau ʻē aʻe āu e koho ai ma waho aʻe o kēia? He aha lākou? He aha ko lākou mau pono a me nā pōʻino?
- He aha ka mea e hiki mai ana inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau: He aha ka mea e hiki mai ana i kou olakino inā ʻoe e hōʻole i kēia lāʻau lapaʻau.
Ma hope o ka wehewehe ʻana i kēia mau mea a pau, pono ke kauka e hāʻawi iā ʻoe i ka manawa kūpono e nīnau i kāu mau nīnau. Inā maopopo iā ʻoe nā mea a pau a ʻōlelo, "ʻAe, ua hauʻoli wau i kēia," ʻo ia ka mea i kapa ʻia ʻo "Hāʻawi ʻana i ka ʻAe." He mea kēia i kauoha ʻia e ke kānāwai a me ke code of medical ethics.
No ke aha he mea nui kēia ʻae ʻia me ka hoʻomaopopo ʻia?
E noʻonoʻo ʻoe e hoʻolālā ana ʻoe i kahi huakaʻi me kahi hoaaloha. ʻAʻole haʻi aku kāu hoaaloha iā ʻoe i kahi e hele ai lākou, pehea ke kumukūʻai, a i ʻole kā lākou e hana ai. Inā ʻōlelo wale lākou, "E hele kāua," e hele anei ʻoe? ʻAʻole. Hele wale ʻoe ma hope o kou lohe ʻana i nā kikoʻī āpau a ʻoluʻolu me ia. Pēlā nō ia me kēia.
ʻO ke kaʻina hana o ka ʻae ʻia ʻana me ka hoʻomaopopo pono ʻana e mālama iā ʻoe a me kāu kauka.
- ʻO ka palekana āu e loaʻa ai:Ua ʻike pono ʻoe i ka mea e hiki mai ana iā ʻoe. No laila, ʻaʻole pono ʻoe e mihi ma hope, me ka ʻōlelo ʻana, "ʻAuē, ʻaʻole au i ʻike e hiki mai ana kēia." ʻO ʻoe ka ʻōlelo hope loa i kāu mea e hana ai me kou kino. Hāʻawi kēia iā ʻoe i ka hilinaʻi nui a me ka ikaika.
- Ka palekana no ke kauka: Ke wehewehe ʻia nā mea āpau a hana ʻia ka lāʻau lapaʻau me ka ʻae ʻana o ka mea maʻi, hiki ke pale nui ʻia nā pilikia kānāwai a me nā kuhi hewa e kū mai ana ma hope.
I ka ʻōlelo maʻalahi, ʻo kēia ka mea e lilo ai ʻoe i mea komo ikaika i kāu mālama ola ponoʻī. ʻAʻole ʻoe he mea loaʻa wale nō ka lāʻau lapaʻau, akā he ʻāpana o ke kaʻina hana hoʻoholo.
He aha nā ʻano mea e pono ai ka ʻae ʻia me ka hoʻomaopopo pono ʻia?
Ma keʻano laulā, pono kāu ʻae ʻia ma mua o kekahi hoʻāʻo a lāʻau lapaʻau paha e pili ana i kekahi pilikia. Hoʻokomo pū kēia i nā pilikia kino a me nā pilikia i kou pilikino. Hōʻike maopopo ka papa ma lalo nei i kekahi o kēia mau kūlana.
| Kaʻina hana lapaʻau/manawa kūpono | He wehewehe maʻalahi |
|---|---|
| ʻoki kino | ʻO kēlā me kēia ʻano hana , nui a liʻiliʻi paha. |
| ʻAnestesia | E hāʻawi iā ʻoe i ka anesthesia piha a hapa paha ma mua o ke ʻoki ʻana. |
| Nā Biopsies | Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ke kino a nānā iā ia. |
| Nā Hoʻoili Koko | Ke hāʻawi nei i ke koko i kou kino mai waho. |
| Ka lāʻau lapaʻau no ka maʻi kanesa | Nā lāʻau lapaʻau e like me ka radiation a me ka chemotherapy. |
| Nā Hoʻokolohua Lapaʻau | Inā ʻoe e komo ana i kahi noiʻi e pili ana i kahi lāʻau lapaʻau hou a i ʻole kahi lāʻau lapaʻau. |
| Nā hoʻokolohua i hana ʻia i loko o ke kino | Eia kekahi laʻana, nā hoʻokolohua e pili ana i ke komo ʻana i kahi kāmela i loko o ke kino, e like me ka endoscopy. |
| Nā lāʻau lapaʻau me ka hoʻonui ʻia o ka pilikia | Ma mua o ka hāʻawi ʻana i nā lāʻau lapaʻau kiʻekiʻe, e like me kekahi mau lāʻau ʻeha ikaika (e.g., opioids). |
Eia kekahi, inā hāʻawi ʻia ka ʻike pilikino, e like me kāu mau moʻolelo olakino, i kekahi kanaka a hui paha, pono nō hoʻi kāu ʻae.
He aha ka manaʻo maoli o ka ʻōlelo ʻana 'Ua ʻae au'?
Ma ke kau inoa ʻana a me ka ʻae ʻana, ke ʻōlelo nei ʻoe, "Ua wehewehe mai ke kauka iaʻu i nā mea āpau, ua maopopo iaʻu nā mea āpau, no laila makemake wau e loaʻa kēia lāʻau lapaʻau."
Akā ʻo ka mea nui loa ma ʻaneʻi.
ʻAʻole pono ʻoe e hana ia mea no ka mea ua kau inoa ʻoe. Hiki iā ʻoe ke hoʻihoʻi i kāu ʻae i kēlā me kēia manawa, ʻaʻole ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, akā ma hope o ka hoʻomaka ʻana inā manaʻo ʻoe he pono ʻoe e hoʻōki.
ʻO kēia kou kuleana kumu. Inā he kānalua kou a i ʻole ʻoluʻolu ʻole paha, loaʻa iā ʻoe ke kuleana piha e noi e hoʻōki i ka lāʻau lapaʻau i kēlā me kēia manawa.
Aia kekahi mau hihia kūikawā kahi i koi ʻole ʻia ai ka ʻae ʻia me ka hoʻomaopopo ʻia?
ʻAe, i kekahi mau pilikia a me nā hihia kūikawā, pono nā kauka e mālama me ka ʻole o kēia kaʻina hana holoʻokoʻa. Eia kekahi mau hihia:
- I ka wā e loaʻa ai kahi pilikia: E noʻonoʻo ua lawe ʻia mai kekahi kanaka i nalowale i ka ʻike ma hope o kahi ulia kaʻa nui i ka ETU (Emergency Treatment Unit). ʻAʻole hiki iā ia ke ʻōlelo, ʻaʻole ʻo ia i ʻike iā ia iho. Akā, pono kahi hana pilikia e hoʻopakele i kona ola. I loko o ia ʻano kūlana, hoʻomaka nā kauka i ka lāʻau lapaʻau me ka manaʻo e hoʻopakele i ke ola, me ke kali ʻole i ka ʻae ʻana o ka mea maʻi. Akā hoʻāʻo pū lākou e ʻimi a hoʻomaopopo i ka ʻohana i ka hikiwawe loa.
- Ke maʻi loa ka mea maʻi a hiki ʻole ke hoʻoholo: ʻAʻole hiki i ke kanaka i loko o ka coma a i ʻole ka noʻonoʻo hiki ʻole ke hoʻoholo i kahi mea, ʻaʻole hiki iā ia ke ʻae. I kēlā mau hihia, loaʻa ka ʻae mai ke kahu kū kānāwai a i ʻole ka ʻohana pili loa.
- Nā keiki ma lalo o 18: Ma ke ʻano laulā, ma lalo o ke kānāwai Sri Lanka, na nā mākua a i ʻole nā kahu kānāwai o ke keiki e hoʻoholo i nā hoʻoholo lapaʻau no kahi keiki ma lalo o 18 makahiki. No laila, inā hana ʻia kekahi keiki i kahi mea e like me ke ʻoki kino, ʻo lākou ka poʻe e pono e kau inoa a hāʻawi i ka ʻae.
Ke pono mākou i ka mālama ʻana i ke olakino, ʻoiai inā he pilikia ia, hiki iā mākou ke makaʻu iki a hopohopo. ʻAʻole paha mākou e maopopo i nā ʻōlelo a nā kauka e ʻōlelo nei, nā huaʻōlelo lapaʻau. I nā manawa e like me ia, manaʻo paha mākou, "ʻAuē, ʻaʻole hiki iaʻu ke hoʻoholo i kēia mau mea."
Akā, e hoʻomanaʻo, ʻaʻole ʻoe he mea kōkua ʻole. Ua hoʻolālā ʻia kēia kaʻina hana o ka ʻAe ʻIke ʻia e hoʻoikaika iā ʻoe. E nīnau a hiki i kou maopopo ʻana. ʻAʻole e nīnau hoʻokahi wale nō, akā he ʻumi manawa. Mai makaʻu e nīnau, "E ke kauka, ʻaʻole au i maopopo i kāu mea i ʻōlelo ai, hiki iā ʻoe ke wehewehe hou iā ia ma nā ʻōlelo maʻalahi?" ʻO kou kuleana ia. ʻO ka mea nui loa, ʻo ia ka hoʻoholo ʻana e pili ana i kou kino me ka maopopo piha.
Leka Lawe-Home
- ʻAʻole he pūlima wale nō ka ʻAe ʻIke ʻia . He kamaʻilio koʻikoʻi ia ma waena ou a me kāu kauka.
- Ma mua o kekahi lāʻau lapaʻau a hoʻāʻo paha, loaʻa iā ʻoe ke kuleana e ʻike e pili ana i kona mau pono, nā pilikia, a me nā koho ʻē aʻe .
- Inā ʻaʻole ʻoe maopopo i kekahi mea, mai makaʻu e nīnau a hiki i kou maopopo ʻana .
- ʻOiai inā ʻoe e kau inoa a hāʻawi i ka ʻae, loaʻa iā ʻoe ke kuleana piha e hoʻihoʻi i kēlā ʻae i kēlā me kēia manawa .
- I loko o kahi pilikia hoʻoweliweli i ke ola kahi hiki ʻole iā ʻoe ke ʻōlelo, hiki i nā kauka ke mālama iā ʻoe me ka makemake ʻole e hoʻopakele i kou ola.
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