Kuchengetedza kwekuchengetedza - fluid, chikafu, uye kugaya

Vanhu vane chirwere chakakomba zvakanyanya kana vari kufa kazhinji havanzwe kuda kudya. Masystem emuviri anotarisira zvinwiwa uye chikafu zvinogona kuchinja panguva ino. Ivo vanogona kunonoka uye kukundikana. Zvakare, mushonga unorapa marwadzo unogona kukonzera yakaoma, zvituru zvakaoma zvakaoma kupfuudza.

Kuchengetedza kwePalliative inzira yakazara yekutarisira inotarisa pakurapa marwadzo uye zviratidzo uye nekuvandudza hupenyu hwevanhu vane zvirwere zvakakomba uye nehurefu hwehupenyu.

Munhu ari kurwara zvakanyanya kana kufa anogona kusangana:

• Kupererwa nechido
• Dambudziko rekutsenga, rinokonzerwa nemuromo kana kurwadziwa kwemeno, maronda emuromo, kana shaya yakaoma kana inorwadza
• Kuzvimbirwa, kunova kushoma ura kufamba kupfuura zvakajairwa kana zvakaoma zvituru
• Kusvotwa kana kurutsa

Aya matipi anogona kubatsira kudzikamisa kusagadzikana nekuda kwekurasikirwa kwechido kana matambudziko ekudya nekunwa.

Mvura:

• Sip mvura kanenge maawa maviri ese uchinge wamuka.
• Mvura inokwanisa kupihwa nemuromo, kuburikidza nechubhu yekudyisa, IV (chubhu inopinda mutsinga), kana kuburikidza netsono inopinda pasi peganda (subcutaneous).
• Chengetedza muromo unonyorova nechando machipisi, chipanji, kana muromo wemuromo wakagadzirirwa izvi chinangwa.
• Taura nemumwe munhu ari muboka rezvehutano nezve zvinoitika kana paine zvakawandisa kana zvishoma mvura mukati memuviri. Sarudzai pamwe chete kana munhu wacho achida zvinwiwa zvakawanda kupfuura zvaari kutora.

Chikafu:

• Cheka chikafu muzvidimbu zvidiki.
• Blend kana mash chikafu kuitira kuti zvisazoda kutsengwa zvakanyanya.
• Ipa chikafu chakapfava uye chakatsetseka, sobho, yogati, applesauce, kana pudding.
• Chipo chinodedera kana smoothies.
• Zvekusvota, edza yakaoma, zvine chikafu chikafu uye zvakajeka zvinwiwa.

Kugaya:

• Kana zvichidikanwa, nyora pasi iyo nguva iyo munhu ave nekufamba kwemukati.
• Sipa mvura kana muto kanenge maawa maviri ese uchinge wamuka.
• Idya michero, yakadai semichero.
• Kana zvichibvira, famba kupfuura.
• Taura nemumwe munhu weboka rezvehutano nezvevanyoro kana zvinyoro.

Fonera nhengo yeboka rezvehutano kana kusvotwa, kuvimbwa, kana kurwadziwa kusingakwanisike.

Kuzvimbirwa - palliative kuchengetedza; Kuguma kwehupenyu - kugaya; Hospice - kugaya

Amano K, Baracos VE, Hopkinson JB. Kubatanidzwa kweiyo palliative, inotsigira, uye yekuchengetedza hutano kudzikisira kushushikana kwakanangana nekudya pakati pevane chirwere chekenza vane cachexia nenhengo dzemhuri. Crit Rev Oncol Hematol. 2019; 143: 117-123. PMID: 31563078 pubmed.ncbi.nlm.nih.gov/31563078/.

Gebauer S. Kuchengetedza. Mune: Pardo MC, Miller RD, eds. Basics yeAnesthesia. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 49.

Rakel RE, Trinh TH. Kuchengeta kwemurwere ari kufa. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

• Kuchengetedza Kwekurapa