
terminal nirjjaleekaranam

marana ghattam vare nirjjaleekaranam aanu terminal nirjjaleekaranam. chila pandithanmaar "terminal nirjjaleekaranam", "nirjjaleekaranam vazhi avasaanippikkal" enniva thammil verthirikkunnu. american aikyanaadukalile kodathikal saadhaaranayaayi thadavukaare aathmahathyayayi kaanunnathinal swamedhayaa nirjjaleekaranam moolam marikkanulla avakaashamundenn amgeekarikkunnilla.
purogathi.
nirjjaleekaranam avasaanikkumbol, nirjjaleekaranathinte saadhaarana lakshanangalaya thalavedana, call vedana enniva sambhavikkam. mattu pala aathmahathyaa reethikalil ninnum vyathyasthamayi, ithu aavegathode cheyyaan kazhiyilla. ennirunnaalum, oru "pooyint oof noow ritten" oduvil athicheraanaakum, athil, terminal nirjjaleekaranam nirthalaakkaan aagrahikkunnuvenkil, lalithamaaya ooral rehydration theraappiyiloode rehydration nadatthaan kazhiyilla; pakaram, ithinu intravinus therapy polulla vaidyasahaayam aavasyamaanu. nirjjaleekaranam moolam marikkunnavar saadhaaranayaayi maranathinu munbu abodhaavasthayilekku veezhukayum, prakshubdhathayum seeram sodiyathil maattam varuthunnathum anubhavappedaam. jalamsham nirthunnathu yadhaartha daaham undaakkunnillengilum vaaya varandupokunnathu palappozhum "daaham" ennaanu report cheyyappedunnathu. yadhaartha daaham undakunnilla ennathinte thelivukal vipulamaanu, koodaathe draavakangal sirakaliloode nalkunnathiloodeyalla, marichu naavum chundum nanachu vaayayude sariyaaya paricharanathiloodeyaanu asukham shamikkunnath ennathinu thelivukal undu. edema ulla rogikal avarude shareerathile adhika draavakam kaaranam nirjjaleekaranam moolam marikkaan kooduthal samayamedukkunnu. nirjjaleekaranam "neriya ullaasathin" kaaranamaakumenn ariyappedunnu, intravinus upayogikkathirunnaal.
swamedhayaa.
nirjjaleekaranam, praveshanam, professional samagratha, saamoohika prathyaaghaathangal ennivayumaayi bandhappett doctorude sahaayathode aathmahathya cheiyunnathinekkaal ganyamaaya gunangal undennu terminal nirjjaleekaranam (nirjjaleekaranam allengil vii. dii. dii vazhi swamedhayaa maranam ennum ariyappedunnu) visheshippikkappettindu. prathyekichum, oru rogikk chikitsa nirasikkaan avakaashamund, oraal rogiyude mail vellam nirbandhikkunnathu vyakthiparamaaya akramanamaayirikkum, ennaal oru doctor marakamaaya marunnukal nalkaan visammathikkukayaanenkil anganeyalla. swamedhayaa maranathinulla maanushika margamenna nilayil ithinu savisheshamaaya poraaymakalundennu chila doctormar vishwasikkunnu. origonile hospice nazhsumaaril nadatthiya oru sarveyil (doctorude sahaayathode aathmahathya cheiyunnathu niyamaparamaan) doctorude sahaayathode aathmahathya cheytha rogikaleppole thanne maranathe vegathilaakkaan bhakshanavum draavakangalum swamedhayaa nirasicha rogikale eratti perr paricharichathaayi kandethi. upavaasavum nirjjaleekaranavum vedana vedana kuraykkunnuvennum doctorude sahaayathode aathmahathya cheiyunnathinekkaal samaadhaanaparamaanennum avar vilayiruthi. terminal nirjjaleekaranathinu vidheyaraaya rogikalkku palappozhum vedana anubhavappedilla, kaaranam avarkk palappozhum mayakka marunnukalum vaaya kazhukal allengil spray polulla paricharanavum nalkunnu, nirjjaleekaranavum dayaavadhavum moolam maranathinu kaaranamakunna terminal mayakkathinu idayil oru nerrekha undakam.
maranathilekku tiriyunna maaraka rogikalaaya rogikalkku, mathiyaya vedana marunnu nalkumbol, nirjjaleekaranam moolamulla maranangal pothuve samaadhaanaparamaanennum vedanayumaayi bandhappettathallennum padanangal theliyichittundu.
ellah praayakkaarkkum pettennulla thalavedana, thalakarakkam, vishapp nashtappedal ennivayum anubhavappedaam.
jappaanile budhamatha vibhagamaaya sokushinbutsu amgangal charitraparamaayi svayam-shavakudeeramaakkalinte oru roopam parisheelichirunnu, ithu maranam vare ellah bhakshanavum draavakavum upekshichathiloode bhaagikamaayi nedaanaakum.
swamedhayaa ullavar.
netherlandil "" ennu vilikkappedunna nirjjaleekaranam avasaanikkunnathinekkur charcha pottipurappettu. nazhsing homukalil swamedhayaa nirjjaleekaranam nadakkunnathaayi aaropanangalund. mattoru doctoral prabandham nazhsing homukalil nirbandhithamaayi "versterving" cheythathinu thelivukalonnum kandethiyilla. ennirunnaalum, bhakshanapaneeyangalil ninnu swamedhayaa vittunilkkunnavarkk sahayam nalkunnathu pariganichu sakthamaaya ethirppu uyarnnu.

