Imajin se pɔsin we yu lɛk, sɔntɛm yu mama, papa, ɔ grani, sik bad bad wan. If dɛn at stɔp fɔ bit wantɛm wantɛm ɔ dɛn stɔp fɔ blo, dɔktɔ dɛn go du ɔl wetin dɛn ebul fɔ sev dɛn. Bɔt dɛn tritmɛnt dɛn de kin jɔs mek pɔsin fil mɔ pen. Dis na di say we di kɔnsɛpt fɔ DNR de kam insay. Pan ɔl we dis na tɔpik we rili impɔtant, i impɔtant fɔ lɛ wi ɔl no bɔt am.
Fɔ tɔk am simpul wan, wetin na DNR ɔda?
DNR na abbrevieshɔn fɔ di Inglish wɔd dɛn "Do-Not-Resuscitate" . Insay Sinhala, i min "nɔ gi layf bak" . Dis na ɔda we fɔ mɛn pipul dɛn. Fɔ tɔk di kɔrɛkt tin, na ɔda lɔ we dɛn gi to di wan dɛn we de wok na di dɔktɔ dɛn se dɛn nɔ fɔ tray fɔ gi pɔsin layf bak if in at bit ɔ in briz stɔp.
Ɔnda nɔmal tin, if pɔsin in at stɔp fɔ bit, dɔktɔ dɛn go du ɔl wetin dɛn ebul fɔ sev in layf. Dis kin inklud:
- CPR (Cardiopulmonary Resuscitation): Yu go mɔs dɔn si am na fim dɛn usay dɛn kin gi pɔsin in chɛst kɔmpreshɔn ɛn atifishal briz. Na dat na CPR.
- Intubation and Ventilator: We i at fɔ blo, dɛn kin put tiub tru di mɔt ɔ nos ɛn kɔnɛkt am to mashin (mɛkanikal ventilashɔn) fɔ mek i ebul fɔ blo.
- Difibrilator: Na fɔ tray fɔ stat bak di at we dɔn stɔp bay we yu de gi ilɛktrik shɔk to di at.
Bɔt imajin se sɔmbɔdi dɔn ɔlrɛdi sik bad bad wan, sɔntɛm na di las stej fɔ wan sik we nɔ go mɛn lɛk kansa. Fɔ da kayn pɔsin de, dis kayn tritmɛnt kin jɔs mek i sɔfa mɔ ɛn mɔ. Na de DNR oda de kam in handy. I de gi di pɔsin we sik di chans fɔ disayd bɔt di ɛnd fɔ in layf.
If dɛn kin sev layf, wetin mek sɔmbɔdi go aks fɔ DNR ɔda?
Dis kwɛstyɔn go dɔn kam to yusɛf. If CPR kin sev pipul dɛn layf, wetin mek ɛnibɔdi go se nɔ to am? Bɔku rizin dɛn de fɔ dis.
Pɔsin we gɛt sik we nɔ go mɛn kin want fɔ liv di las dez na in layf wit rɛspɛkt ɛn nɔ go fil pen. CPR nɔ simpul lɛk aw i kin tan lɛk. I kin brok di rib dɛn ɛn pwɛl di lɔng dɛn. Fɔ pɔsin we sik bad bad wan, ilɛksɛf i ebul fɔ liv afta sɔntin lɛk dis, in layf kin rili bad.
Di tin we impɔtant pas ɔl na dat, DNR ɔda na rayt fɔ disayd bɔt in yon layf. I de mek pɔsin fil se i ebul fɔ kɔntrol di ɛnd pan in layf.
Dɔn bak, nɔto ɔltɛm CPR kin bi 100% sakrifays. Di prɔbabiliti fɔ gɛt sakrifays kin smɔl pasmak, mɔ pan di wan dɛn we dɔn ol ɔ di wan dɛn we gɛt bɔku bɔku mɛrɛsin. I impɔtant fɔ mek di dɔktɔ tɔk opin wan bɔt dis wit di pɔsin ɛn in famili.
Difrɛn kayn DNR ɔda dɛn de?
Yɛs, smɔl difrɛns dɛn de pan dɛn ɔda dɛn ya bak. I kin difrɛn difrɛn wan bay di ɔspitul, di kɔntri, ɛn wetin di pɔsin want. Lɛ wi luk sɔm pan di men kayn dɛn.
| Tayp fɔ ɔda tin dɛn | Simpul ɛksplen |
|---|---|
| DNR / DNAR (Nɔ Tray fɔ Risayz) . | Dɛn ɔl tu na di sem tin. Di men mɛsej na dat if di at ɔ di briz stɔp, nɔ tray fɔ gi yu layf bak, lɛk CPR. |
| ƐN (Alaw Natural Day) . | Dis min se "alaw fɔ day na di wɔl." Dɛn kin gi di sikman kɔmfɔt kia fɔ mek i nɔ fil pen ɛn fɔ mek i fil fayn. Bɔt dɛn nɔ de tray fɔ mek pɔsin in layf lɔng. |
| DNI (Nɔ Intubate) . | Dis min se if yu nɔ ebul fɔ blo, nɔ put insay tyub fɔ blo fɔ mek yu ebul fɔ blo. Dat min se nɔ kɔnɛkt to ventilatɔ. |
| DNR dɛn we dɛn dɔn spɛsifa | Sɔm pasɛnt dɛn kin lɛk fɔ nɔ gɛt CPR, bɔt fɔ gɛt difibrilator. Dɛn ɔda dɛn ya kin mek dɛn gɛt patikyula tin dɛn we dɛn aks fɔ lɛk dɛn wan ya. |
Yu kin sɔlv ɛni kwɛstyɔn we yu gɛt bɔt dɛn tin ya bay we yu tɔk to yu dɔktɔ ɔ yu fambul in dɔktɔ.
Aw a go sho se a gri?
Dis na tin we rili impɔtant.
1. Tɔk to yu dɔktɔ:Tɔk opin wan bɔt dis wit yu praymari dɔktɔ ɔ yu famili dɔktɔ. I go ɛksplen to yu di bɛnifit dɛn, di bad tin dɛn, ɛn di prɔblɛm dɛn we CPR gɛt.
2. Informed Consent: Dis nɔto jɔs stori. Afta di dɔktɔ dɔn ɛksplen ɔltin to yu, yu fɔ disayd fɔ du dis wit ɔl yu ɔndastandin. Dat na in dɛn kɔl `(Infɔm Kɔnsɛnt)`.
3. Tek tɛm tink bɔt dis: Dis nɔto tin we yu fɔ disayd fɔ du kwik kwik wan. If yu nid tɛm fɔ tink bɔt dis ɛn tɔk to yu famili, tɛl yu dɔktɔ.
4. Dokumɛnt: We yu dɔn disayd, di dɔktɔ go rayt di ɔda tin na yu mɛdikal rɛkɔd. Yu kin gɛt wan kɔpi fɔ am bak. Sɔm kɔntri dɛn kin ivin gɛt spɛshal ID breslɛt fɔ dis.
Bɔku tɛm, we dɛn admit am na ɔspitul, dɔktɔ dɛn kin aks di pɔsin ɔ in famili bɔt dis.
Wetin kin apin if a de na say we a nɔ ebul fɔ disayd fɔ misɛf?
Imajin se pɔsin dɔn lɔs in kɔnshɛns afta aksidɛnt, ɔ i nɔ de na stet fɔ disayd fɔ sɔm ɔda rizin.
- If yu dɔn gɛt DNR ɔda: If yu dɔn ɔlrɛdi mek DNR ɔda ɛn i de na yu mɛdikal rɛkɔd, ivin yu famili nɔ go ebul fɔ chenj am. I tan lɛk se na we fɔ rɛspɛkt wetin yu want.
- If DNR ɔda nɔ de: If yu gɛt Pawa fɔ Atɔ, da pɔsin de kin disayd fɔ yu. Insay Sri Lanka, na pɔsin we de nia yu fambul (e.g. man ɔ wɛf, pikin dɛn) kin disayd fɔ du dɛn tin ya.
Wetin a go du if a chenj mi maynd afta dɛn dɔn mek DNR ɔda?
Yu gɛt rayt fɔ chenj yu maynd ɛnitɛm. If yu chenj yu maynd, mek yu dɔktɔ no wantɛm wantɛm so dat i go rayt di chenj na yu mɛdikal rɛkɔd.
Dɔn bak, tɛl yu famili ɛn di wan dɛn we de kia fɔ yu. If yu gɛt kɔpi fɔ di DNR ɔda, pwɛl dɛn.
Wetin kin apin to DNR ɔda we dɛn de du ɔpreshɔn?
Dis na sɔntin we bɔku pipul dɛn kin aks. If yu gɛt DNR ɔda ɛn yu de kam fɔ gɛt ɔpreshɔn, mek shɔ se yu tɔk to yu dɔktɔ ɛn anesteziɔl bɔt am.
Sɔntɛnde, nɔmal tin dɛn we kin apin we dɛn de du ɔpreshɔn ɛn anestezi (lɛk fɔ kɔntrol aw pɔsin de blo) kin kɔnfyus wit wan DNR ɔda. So, dɔktɔ dɛn kin aks yu fɔ stɔp di DNR ɔda fɔ sɔm tɛm fɔ di tɛm we dɛn de du di ɔpreshɔn. Aks dɛn bɔt ɛni kwɛstyɔn we yu go gɛt bɔt dis.
Ivin we yu de nia fɔ dɔn yu layf, yu gɛt rayt fɔ disayd us tritmɛnt yu go gɛt. DNR ɔda na sɔntin we de afɛm da rayt de ɛn gi yu di pawa fɔ du dat.
I impɔtant fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ ɛn di wan dɛn we yu lɛk bifo dɛn nid fɔ du am. Da we de, ɔlman no wetin yu want. Da we de, yu kin gɛt kia we go mit yu nid ɛn di tin dɛn we yu fɔ put fɔs te to di ɛnd.
Mɛsej we dɛn kin kɛr go na os
- DNR (Do-Not-Resuscitate) na wan mɛdikal ɔda we de tɛl yu nɔ fɔ du tritmɛnt fɔ risuscitate, lɛk CPR, if di at ɔ di briz stɔp.
- Dis kin impɔtant fɔ di wan dɛn we de sɔfa wit wan sik we nɔ go mɛn ɛn we want fɔ ridyus di pen ɛn sɔfa we dɛn dɔn day.
- Dis na sɔntin we de sho se pɔsin gɛt rayt fɔ disayd bɔt di ɛnd fɔ in layf.
- I impɔtant fɔ tɔk opin wan wit yu dɔktɔ bɔt fɔ gɛt DNR ɔda.
- Yu kin chenj yu DNR disizhɔn ɛni tɛm. Mek yu dɔktɔ ɛn yu famili no.
- Bifo yu du di ɔpreshɔn, mek shɔ se yu tɔk bɔt yu DNR ɔda wit yu dɔktɔ we de du ɔpreshɔn ɛn di dɔktɔ we de anestez.
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