Ka taea e koe te whiwhi i te maimoatanga e hiahiatia ana e koe i te mutunga o tō oranga? Me kōrero tāua mō te (DNR)!

E aroha ana tātou katoa ki te ora, tika? Engari i tētahi rā, i a tātou e tino mate ana, e tata ana ki te mutunga o ō tātou oranga, ka tae mai te wā e whakaaro ai tātou ki te momo tiaki hauora e hiahiatia ana e tātou me ngā mea kāore e hiahiatia ana e tātou. Ahakoa he kaupapa tairongo, he uaua hoki tēnei ki te kōrero, he mea tino nui kia mōhio tātou ki ō tātou tika me ō tātou hiahia. Koinei te mea ka kōrerohia e tātou i tēnei rā, arā, ko te `(DNR)`.

He aha te tikanga o te kupu `(DNR)`? Kia mārama tātou?

Ki te kī māmā noa, ko te `(DNR)` he whakarāpopototanga mō ngā kupu Pākehā "Do-Not-Resuscitate" . I te reo Sinhala, ko te tikanga kua whakamōhio atu mātou ki a koe i mua i te wā "do not resuscitate." He momo tohutohu wawe tēnei. Kua whakaritea e koe he whakahau `(DNR)`, arā, ki te mutu te pao o tō ngākau, ki te mutu rānei tō manawa, kāore koe e hiahia kia rongoatia ki te `(CPR)` (cardiopulmonary resuscitation).

I te nuinga o te wā, ka mahi ngā tākuta, ngā nēhi, me ētahi atu kaimahi hauora i ngā mea katoa e taea ana e rātou hei whakaora i tō ora. Kei roto i tēnei ko te mahi "CPR", arā, ko te pēhi i te uma me te manawa mai i te waha ki te waha hei āwhina i tō ngākau me ō pukahukahu kia mahi anō. Ā:

• Mena he uaua te manawa, ka whakauruhia he ngongo manawa (`Intubation`) ka honoa ki tētahi mīhini manawa horihori (`Ventilator` / `Mechanical Ventilation`).
• Ki te kore e mahi tika te ngākau, ka ngana ki te whakahoki i te ngākau ki te āhua noa mā te tuku i te ru hiko (he 'ru') mai i tētahi mīhini motuhake (mā te whakamahi i tētahi 'defibrillator').

Engari, me pēhea mēnā kua tino pāngia koe e te mate, kua tata mate rānei koe? Koinei te wāhi e whai hua ai ngā whakahau `(DNR)`. Ka whai hua pea te `(DNR)` mēnā e hiahia ana koe ki ngā mea pēnei i:

• Whakaitihia te mamae me te mamae e pā ana ki a koe i te mutunga o tō oranga.
• Kia mau ki tō mana i te wā e mate ai koe.

Ko te tikanga, ka tuhia he ota "DNR" e te tākuta, whai muri i te kōrero āta ki a koe me/ranei ō kaiwhakatau ture, ki te hiahia koe, me tō whānau. I runga i te ture o tō kawanatanga, ka whai mana anake te ota "DNR" mēnā nā te tākuta (MD, DO rānei) i tuhi, nā te tohunga hauora kua tohua rānei.

He pai ake te whakarite i tētahi whakahau "DNR" i mua i te puta mai o tētahi āhuatanga ohorere. E kī ana tēnei whakahau ki ngā kaimahi hauora kia kaua e mahi i te "CPR" mēnā ka mutu tō ngākau, tō manawa rānei. Mā te tākuta e tuhi ana i tēnei whakahau ka tāpirihia ki tō pūkete hauora ("Tūtohi Hauora") kia kitea ai e ētahi atu.

He rerekē ngā momo `(DNR)`?

I te nuinga o te wā, ina kīia he `(DNR)`, ko te tikanga he `(CPR)` me ngā maimoatanga e pā ana ki a rātou pērā i te whakamahinga o te `(Defibrillator)`. Heoi anō, kei reira ētahi atu whakahau rite ake he tino motuhake ake. I ētahi wā, ka rerekē pea ēnei momo `(DNR)` i runga i te ture o tō whenua/rohe. Me titiro tātou ki ētahi tauira.

• Kaua e whakamātau i te whakaora manawa (DNAR): He rite tonu tēnei ki te DNR. I ētahi wāhi, ka whakamahia tēnei ingoa e ētahi whare hauora.
• Tukua te Matenga Taiao (ME): Ko te tikanga o tēnei ko te hoatu noa i te maimoatanga e tika ana kia pai ai tō whakamarie. Ko te whāinga matua i konei ko te ārai i a koe kei mamae ina mate koe.
• Kaua e whakatōkia he ngongo manawa (DNI): Mā tēnei ka mōhio te tākuta kāore koe e hiahia kia whakatōkia he ngongo manawa, kia honoa rānei ki tētahi mīhini manawa mēnā kāore e taea e koe te manawa ko koe anake.
• Ngā whakahau DNR motuhake: He whakahau ēnei ka taea te whakarite kia rite ki te tangata takitahi. Hei tauira, ka taea e koe te kī kāore ki te CPR, engari kāore pea koe e hiahia ki ētahi atu maimoatanga whakaora ora, pērā i te defibrillator.
• Ngā ota manaaki whakamarie: Ka taea e ēnei te kī atu ki a koe te momo manaaki ka taea e koe te whiwhi i te mutunga o tō oranga. Ka taea hoki e ēnei te whakapuaki i ō hiahia hei āwhina i a koe kia tino whakamarie i te mutunga o tō oranga.

Tērā pea he momo rerekē o te "DNR" i runga i te wāhi e noho ana koe me tō āhuatanga. Ka taea e tō tākuta te kōrero atu ki a koe mō ō kōwhiringa.

Mena ka whakaorangia ngā oranga e te CPR, he aha te take e whakatakoto ai te tangata i tētahi whakahau DNR?

He pātai tēnei e pā ana ki te tini o te tangata. Ko ētahi o te hunga e mate pōrearea ana, e raru ana rānei te hauora, kāore e hiahia ki te whiwhi CPR, ahakoa ka mate pea rātou. Mā te whakatau ki te mahi i tētahi whakahau DNR ka taea e koe te whai mana whakahaere i tō oranga, ā, ka whai kaha anō hoki koe.

Ahakoa ka taea e te CPR te whakaora i ngā oranga, kāore i te 100% te whai huatanga. Waihoki, tera pea ka iti ake te whai huatanga o te CPR i roto i te hunga e tino mate ana, e pāngia ana rānei e ētahi āhuatanga hauora. He mea noa hoki te pāngia e ngā whara mamae pērā i te whati o ngā rara me ngā whati o te hope i te wā o te CPR.

Whakaarohia, kua koroheke rawa tetahi, ā, e pāngia ana e te mate pukupuku kāore e taea te rongoā. Mēnā ka mutu te patu o tōna ngākau, ahakoa ka tukuna he CPR hei whakaora i a ia mō tētahi wā, ka nui ake te mamae, ā, kāore he whakaoranga, ka whiriwhiri pea ia kia whai DNR. Nā rātou tēnā whakatau.

Me pēhea taku whakapuaki i aku hiahia (DNR)?

Kōrero ki tō kaiwhakarato ratonga hauora tuatahi, ki te kaiārahi tīma rānei e rongoā ana i a koe mō tēnei. Ka matapakihia e tō tākuta ngā painga me ngā huakore o te CPR me ngā maimoatanga e pā ana ki a koe. He kōrero pono tēnei ki a koe mō ngā mea e tino hiahiatia ana e koe. He mea tino nui te tuku whakaaetanga whai whakaaro i roto i ēnei kōrero. Mā tēnei koe e āwhina ki te mōhio ki ngā mea katoa ka taea e koe, me te whakatau i runga i ō hiahia whaiaro. Ki te hiahia koe ki te whakaaroaro atu mō tēnei mea, ki te kōrero rānei ki tō whānau, he pai ki te kōrero ki tō tākuta . He mea noa te rongo mō te ota DNR ina toro atu koe ki te tari o te tākuta, ina whakaurua rānei koe ki te hōhipera.

Kia whiwhi koe i te `(DNR)`, ka taea e tō tākuta te tuhi i roto i tō ``Rekoata Hauora``. Ka taea e ia te hoatu he kape ki a koe hei pupuri māu. Ka kitea anō hoki e koe ngā ``Pēra Tautuhi Hauora`` e mau ana koe kia mōhio ai ngā kaiwhakautu ohorere kei a koe te ``DNR``.

Ka aha mēnā kāore e taea e au te whakatau mō te `(DNR)`?

Mena kei te ngaro tō mohio nā te mate, nā te aituā rānei, ki te kore rānei e taea e koe te whakatau whai whakaaro, kāore pea koe e kaha ki te whakapuaki i ō hiahia mō te "DNR". Mena kua whai "DNR" kē koe, kei roto i tō pūkete hauora, kāore e taea e tō whānau te whakarerekē.

Mena kāore anō kia whai `(DNR)` koe, ka taea e koe te whakaingoa i tētahi hei kōrero māu. Hei tauira, tō māngai ture (`Mana o te Roia`) tētahi rānei kua hoatu mana ki a koe ki te whakatau i ētahi atu whakatau hauora (`Healthcare Proxy`) . Ki te kore koe e whakaingoa i tētahi, i ētahi wā ka taea e tētahi mema o te whānau te whakatau hauora māu mena kāore e taea e koe te whakatau. Ka rerekē pea ngā mema o te whānau ka taea te whakatau māu i ia whenua, i ia rohe hoki.

A, mehemea ka huri taku whakaaro i muri i te tuhi me te tuku mai i tētahi whakahau DNR ki ahau?

Kei a koe tonu te tika ki te huri i tō whakaaro mō tō "(DNR)". Mēnā ka huri tō whakaaro, me kōrero tonu atu ki tō tākuta . Kātahi ka taea e ia te tuhi i te huringa ki roto i tō pūkete hauora. Me mutu hoki te whakamahi i ngā mea pēnei i ngā kāri tuakiri e mau ana koe i tō ringaringa, ā, me whakangaro hoki i ngā tārua kei a koe.

Kōrero atu ki tō whānau me ētahi atu kaitiaki kua huri tō whakaaro, ā, kāore koe e hiahia ana ki tō `(DNR)`.

Ka aha mēnā ka whakaorangia anō e koe tētahi kei runga i te `(DNR)`?

Ko ngā whakahau ``(DNR)`` ka pā noa ki ngā tohunga hauora e mōhio ana ki aua whakahau (e tika ana rānei kia mōhio ki aua whakahau). Mēnā kāore te tākuta e mōhio ki tō ``(DNR)``, mēnā rānei he hapa whakawhitiwhiti kōrero, kāore pea rātou e raru.

Heoi, ki te mōhio tō tākuta ki tō `(DNR)` ā, ka whakaora tonu i a koe, ka pā pea ki a ia ngā whiu ture. Mēnā i mangere rātou, ā, kāore i mōhio ki tō `(DNR)`, ka pā pea ki a rātou ngā whiu mō tēnā.

Kāore he herenga ture mō ngā tohunga hauora kore ki te mahi CPR ki tētahi tangata he DNR tōna. Mena kua whakangungua koe ki te mahi CPR ki tētahi e pāngia ana e te mate manawa, me ngana koe ki te mahi pēnā. Heoi, ki te mōhio koe he DNR tōna, me whakaute koe i ō rātou hiahia kia kaua e whakaorangia rātou.

Mena ka pokangahia ahau, ka pāngia taku tiaki e te "DNR"?

Mena he `(DNR)` tāu, ā, ka pokangahia koe, kia mōhio koe ki te kōrero ki tō taote pokanga me tō tohunga whakamoe mō tō `(DNR)`. Ka taea e rātou te kōrero atu ki a koe mō te pānga o tō `(DNR)` ki tētahi wāhanga o tō pokanga.

I ētahi wā, ka tono pea tō tākuta whakamoe, tō taote pokanga, tō rua rānei kia whakamutua tō "DNR" mō te wā poto i te wā e pokanga ana. Nā te mea ka taupatupatu pea ētahi o ngā āhuatanga noa o te pokanga, inā koa ko te whakamoe whānui, ki tō "DNR". Mena he pātai āu mō tēnei, kaua e mangere ki te pātai atu ki tō taote pokanga, ki tō tākuta whakamoe rānei. He mea nui kia whakamāramahia ō āwangawanga ki a rātou kia whiwhi ai koe i te tiaki e tutuki ai ō hiahia me ō wawata.

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

Ahakoa kua tata koe ki te mutunga o tō oranga, kei a koe tonu te mana ki te whakatau i ngā mea e pā ana ki tō tiaki. Mā te whakahau "Kaua e Whakaora" (DNR) koe e whakamana, ā, ka hoatu hoki ki a koe te whai wāhi ki te whiriwhiri i ngā momo maimoatanga ka whiwhi koe.

He pai ake te kōrero ki tō tākuta mō tō tiaki i te mutunga o te ora i mua noa atu i te wā e hiahiatia ana. Mā te whakamahere i mua ka āwhina i tō rōpū hauora me ō whanaunga kia mōhio ki tāu e hiahia ana. Pērā ai, ka taea e koe te whiwhi tiaki e tutuki ai ō hiahia me ō kaupapa matua tae noa ki te mutunga o tō ora. Kaua e wehi ki te kōrero mō tēnei, nōu te tika.

` DNR, kaua e whakaora, ngā tohutohu whakamua, CPR, maimoatanga oranga, te whakataunga whakamutunga, ngā whakataunga hauora, te mate whakamate, te manaaki whakamarie