Palliative care - muaj kua, zaub mov, thiab plab zom mov

Cov neeg uas muaj mob hnyav lossis tus neeg tuag feem ntau tsis xav noj dab tsi. Lub cev nruab nrog kev tswj hwm dej thiab khoom noj yuav hloov pauv lub sijhawm no. Lawv tuaj yeem ua kom qeeb thiab poob. Tsis tas li, cov tshuaj kho mob tuaj yeem ua rau mob qhuav, quav tawv uas nyuaj rau kis.

Palliative care yog ib txoj hauv kev los saib xyuas uas tsom mus rau kev kho mob thiab cov tsos mob thiab txhim kho lub neej zoo rau cov neeg muaj mob hnyav thiab lub neej tsis ntev.

Ib tug neeg uas mob hnyav lossis tau tuag yuav muaj:

• Tsis qab los noj mov
• Teeb meem zom zom, tshwm sim los ntawm qhov ncauj lossis mob hniav, qhov ncauj tawm, lossis txhav lossis mob lub puab tsaig
• Cem quav, uas yog tso quav tsawg dua li niaj zaus los yog cov quav tawv
• Xeev siab los ntuav

Cov lus qhia no tuaj yeem pab txo kev ntxhov siab vim tsis qab los yog muaj teeb meem noj mov thiab haus.

Cov kua dej:

• Quav dej tsawg kawg yog nyob rau txhua txhua 2 teev thaum tsaug zog.
• Cov kua dej tuaj yeem muab los ntawm qhov ncauj, los ntawm txoj raj pub mis, IV (lub raj uas nkag mus rau hauv cov leeg ntshav), lossis los ntawm rab koob uas nkag hauv qab ntawm daim tawv nqaij (subcutaneous).
• Ua kom lub qhov ncauj ntub nrog dej khov thooj, daim txhuam cev, lossis lub qhov ncauj ua kom zoo rau lub hom phiaj no.
• Tham nrog ib tug neeg hauv pab neeg saib xyuas kev noj qab haus huv seb yuav muaj dab tsi tshwm sim yog tias muaj dej haus ntau dhau lossis tsis muaj dej txaus hauv lub cev. Txiav txim siab ua ke seb tus neeg xav tau dej ntau dua li lawv noj hauv.

Khoom Noj:

• Txiav cov zaub mov ua tej daim me me.
• Muab cov zaubmov ci lossis cov mash kom lawv tsis txhob zom ntau.
• Muab cov khoom noj uas yog muag muag thiab yooj yim, xws li kua zaub, kua mis nyeem yogurt, txiv tsawb, lossis paj npleg.
• Muab cov shakes lossis smoothies.
• Rau qhov xeev siab, sim qhuav, qab ntsev cov zaub mov thiab dej ntshiab.

Kev zom:

• Yog tias xav tau, sau cia cov sijhawm uas tus neeg muaj quav.
• Muab dej los yog kua txiv rau tsawg kawg yog txhua 2 teev twg thaum tsaug zog.
• Noj cov txiv hmab txiv ntoo, xws li prunes.
• Yog tias ua tau, taug kev ntau dua.
• Tham nrog ib tug neeg hauv pab neeg saib kev noj qab haus huv txog cov quav muag quav muag lossis quav tshuaj.

Hu rau cov tswvcuab ntawm pawg saib xyuas kev noj qab haus huv yog tias xeev siab, cem quav, lossis mob mob tsis tau.

Cem quav - palliative zov; Thaum xaus ntawm lub neej - kev zom; Hospice - kev zom

Amano K, Baracos VE, Hopkinson JB. Kev sib xyaw ntawm palliative, kev txhawb nqa, thiab kev saib xyuas kev noj zaub mov kom txo tau kev noj zaub mov muaj kev ntxhov siab ntawm cov neeg mob qog nqaij hlav siab nrog cachexia thiab lawv tsev neeg. Txoj Kev Rev Rev Oncol HematolCov. 2019; 143: 117-123. PMID: 31563078 pubmed.ncbi.nlm.nih.gov/31563078/.

Gebauer S. Palliative care. Hauv: Pardo MC, Miller RD, eds. Tsim ntawm Tshuaj loogCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 49.

Rakel RE, Trinh TH. Saib xyuas ntawm tus neeg mob tuag. Hauv: Rakel RE, Rakel DP, eds. Phau Ntawv Qhia Txog Tshuaj Tsev NeegCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 5.

• Palliative Care