I hmangaih tak chuan nun hnuhnung berah hian thihna thlen thei khawpa buaina a tawk em? (Terminal Agitation) - Hei hi i hrechiang ang u

I hmangaih tak, nu leh pa emaw, pi leh pu emaw, a nih loh leh i chhûngkhat emaw pawh ni se, an nun tâwp hnai tawh em? Chutih lai chuan, rang takin an rilru a buai hle a, an buai hle tih i hmu em? Khumah an inhnek kual vel emaw, puan an hrual emaw, i hmuh ngai loh angin an au chhuak emaw pawh a ni thei. Hetiang thil i hmuh hian lungngai, hlauthawng leh mangang lutuk hi thil pangngai tak a ni. Mahse, he thiltih hi i chunga thinrimna avanga an tih a ni lo tih hre reng ang che. An taksa chhunga inthlak danglamna thenkhat awmte pawn lam atanga lantir mai a ni.

A awlsam zawngin Terminal Agitation chu eng nge ni?

Terminal Agitation, a then chuan Terminal Restlessness emaw Terminal Delirium emaw tia sawi a ni a, mi thih hma ni engemaw zat chhunga awm thei, rilru hahdam lo, buai leh buaithlak tak takte sawina atana hman thin a ni. Hetiang dinhmun hi taksa peng hrang hrangte chu zawi zawiin a khar a, a nih loh leh "a khar" a, thluaka nghawng a neih vang a ni thei bawk.

Hei hi i hmuh chuan i hmangaih tak chu thlamuang taka thlah hun i hloh ang maiin i inhria thei a ni. A hrehawm hle mai. Mahse a pawimawh ber chu hei hi damlo thunun theih loh damdawi lam dinhmun a ni tih hriatthiam hi a ni. I doctor emaw palliative care nurse emaw hian he lungkhamna hi a enkawl thei a, i hmangaih tak chu a theih ang anga a hlim theih nan a pui thei bawk.

Hetiang dinhmunah hian eng symptoms nge hmuh theih?

Heng symptoms te hi rang tak leh na takin a lo lang thei a, a chang chuan a lo kal leh chhuak thei bawk. Heng nungchangte hi dam chhung ni hnuhnung berah hian a lo thleng thei a, a kal zel thei bawk. A lan chhuah dan ber chu eng nge ni tih i lo en ang u.

He buaina hi eng chen nge a awm ang?

Hetiang dinhmun hi thih hma kar hnih vel atanga tan a ni tlangpui. Mahse, hei hi mi hrang hrangah a inang lo. He rilru hahdam lohna hi nun tawp lama chhinchhiahna dang, vun hring, ei duh lohna, leh thisen sang tlahniam te nen a awm thei bawk. Thihna a hnaih deuh deuh chuan heng rilru hahdam lohna chhinchhiahnate hi a tlahniam zauh zauh a, damlo chu ni hnuhnung ber emaw, darkar hnuhnung berah emaw a ngawi reng thei a, a chhang thei lo bawk. I doctor emaw, care team emaw chuan hei hi a hrilhfiah thei ber che a ni.

Eng thilin nge hei hi a thlen?

A chhan ber chu thih hunlaia taksa lama inthlak danglamna thleng thin hi a ni. Ngaihtuah teh, taksa peng lian tak tak, kal leh thin te hnathawh a tawp chuan bawlhhlawh taksaah a pungkhawm a, chemical inthlauhna a thlen thin. Hei hian thluak hnathawh dan a nghawng nghal a, buaina leh rilru hahdam lohna a siam a ni. Tin, thinlung leh lung a chak loh chuan taksaa oxygen level a tlahniam bawk. Thluak thlenga oxygen a tlakhniam vang pawh hi he buaina awm chhan a ni a, mi awm lote nena inbiakna dinhmun a ni.

Hemi chhan ber bakah hian thil dang pawhin he lungkhamna hi a tipung thei bawk.

• Bowel leh urinary problems: Damlo chuan ek leh zun a ngai lo mai thei. Hei hian constipation emaw urinary retention emaw a thlen thei. Heng harsatnate hian lungkhamna a tipung a ni.
• Brain tumor emaw swelling emaw: Hengte hian buaina leh rilru hahdamna a thlen thei bawk.
• Cancer enkawl dan: 1.1.Hetiang dinhmun hi cancer vei te dam chhung tawp lama chemotherapy hmanga enkawlna pek avanga side effect angin a awm thei bawk.
• Damdawi lam thil dang: Infection, khawsik, leh tui tlakchhamna ang chi hian thluak a nghawng thei a, he rilru hahdam lohna hi a tizual thei a ni.
• Rilru lama inthlâk danglamna: Nun tâwpna hmachhawntu mi chuan hlauhna te, lungkhamna te, leh sualna te ang chi rilru natna tam tak a nei thei a. Heng rilru lama nawrnate hian lungkhamna a thlen thei bawk.
• Painkillers: Kum tawp lama enkawlna hun chhunga painkiller chak tak tak thenkhat, entirnan opioids te hian a chang chuan buaina a tipung thei a ni.
• Natna thunun loh: Natna hi a thunun tha lo a nih chuan damlo chu a lungawi lohna avang hian a rilru a hahdam lo thei a ni. I hmangaih tak chu a na lutuk nia i hriat chuan i doctor hnenah hrilh nghal rawh.

He dinhmun hi engtin nge kan enkawl ang?

Hetah hian kan tum ber chu ‘dam’ hi a ni lo va, ‘enkawl’ leh damlo chu a nuam thei ang bera siam hi a ni.

Damdawi lam enkawlna: 1.1.

• Tuna damdawi hman mek zat thlak emaw, siamrem emaw.
• Damdawi lam thil dang (e.g., infection) awm, chu chu a rilru hahna thlentu enkawl.
• Damlo rilru tih hahdam nan sedative emaw anti-psychotic damdawi emaw pek.

I tih theih thilte chu:

A châng chuan, damlo mamawh zawng zawng chu i hmangaihna leh thlamuanna khawih a ni thei.

• An kut chu vuan rawh.
• I ke leh keah oil emaw lotion emaw hnawih la, massage fo bawk ang che.
• Music muang tak, thlum tak tak dah la.
• Lehkhabu chhiarsak rawh.
• An dinhmun thlak danglam turin pui rawh.
• Aw muang tak leh nem takin thu sawi rawh.

I hmangaih tak enkawl nâna i tih theihte

He hun harsa tak karah hian taksa leh rilru lamah i tanpui theih dan kawng hrang hrang a awm a.

• An lungawi lohna chu pawm rawh: "I hrethiam lo hle tih ka hrethiam," tih ang chi hi sawi rawh. I biak theih chuan an rilru put hmang zawt rawh.
• An bulah awm rawh: An ngawih duh mai thei. Sawi tur an nei maithei. Chuta awm mai mai chu an tan chuan boost lian tak a ni.
• Hmun him leh nuam tak siam rawh: An duh ber thlalak leh hriatrengna chu khum bulah dah rawh. Music thlamuanthlak tak play rawh. An lum lutuk chuan puan hnim hmangin phihfai thin ang che. An vawt chuan lum takin khuh rawh.
• Pillow dang hmang rawh: Position thlak fo hian khum natna a veng thei a, hahdamna a tipung thei bawk.
• Thlarau lama thlamuanna pe rawh: Mi tam tak chuan an dam chhûng tâwp lamah sakhaw thilah thlamuanna an hmu a. An rin dan ang zelin Pirith, hlate, etc. te pawh telh bawk ang che. Sakhaw hruaitu nen inhmuh an duh em tih zawt rawh.
• Thusawi chhunzawm rawh: Hriat loh emaw, chhân lêt loh emaw pawh ni se, an la hre thei tho mai thei. Thusawi chhunzawm zel rawh. "I tan kan awm e," emaw, "I kal peih chuan a pawi lo" tih ang chi thu sawi hian an rilru a thlamuang thei a ni.

Engtin nge i in enkawl ang?

Hmangaih tak chu hetianga hrehawm tuar, hrehawm taka tap hmuh hi chu tuar harsa tak a ni. Hlauhna, lungngaihna, sualna leh rilru hah lutuk hi thil pangngai tak a ni. Hemi hun chhung hian mahni in enkawl a pawimawh.

• Counselling ngaihtuah rawh: Hêng rilru natna khirh tak takte hmachhawn tûra ṭanpui tûrin professional counselor ṭanpuina zawng rawh.
• Chawlh la: Pawnah rei vak lo chhuak rawh. Huan chhungah chuan kal kual rawh. I rilru tifai turin thil engemaw ti rawh.
• Support group-ah tel ve rawh: Chutiang thil tawn tawhte nena inbiakna chuan nangmah chauh ni lo ang maiin a pui thei che a ni.
• Ṭhiante leh chhûngte ṭanpuina dîl rawh: I chawlh laiin damlo bula awm tûrin mi dang hrilh rawh.
• He phurrit hi nangmah chauhin i phur a ngai lo. I hosting team hnenah tanpuina dil rawh. Chawlh hahdam i mamawh chuan hrilh rawh. A tul anga tihdanglam a nih chuan an hriattir ang che.