Kodi mungapeze chithandizo chomwe mukufuna kumapeto kwa moyo wanu? Tiyeni tikambirane za (DNR)!

Tonsefe timakonda moyo, eti? Koma tsiku lina, mwina tikadwala kwambiri, tikuyandikira mapeto a moyo wathu, nthawi idzafika pamene tidzayenera kuganizira za mtundu wa chithandizo chamankhwala chomwe tikufuna komanso chomwe sitikufuna. Ngakhale kuti iyi ndi nkhani yovuta komanso yovuta kukambirana, ndikofunikira kwambiri kudziwa ufulu ndi zofuna zathu. Ndicho chimene tikambirana lero, ndipo ndicho `(DNR)`.

Kodi `(DNR)` imatanthauza chiyani? Tiyeni tipeze yankho mosavuta?

Mwachidule, `(DNR)` ndi chidule cha mawu achingerezi akuti "Do-Not-Resuscitate" . Mu Chisinhala, izi zikutanthauza kuti takuuzani pasadakhale kuti "musatsitsimutse thupi." Ili ndi mtundu wa malangizo pasadakhale . Mwapanga lamulo la `(DNR)`, zomwe zikutanthauza kuti ngati mtima wanu wasiya kugunda kapena kupuma kwanu kwasiya, simukufuna kuthandizidwa ndi `(CPR)` (cardiopulmonary resuscitation).

Kawirikawiri, madokotala, anamwino, ndi ogwira ntchito zina zachipatala amachita zonse zomwe angathe kuti apulumutse moyo wanu. Izi zikuphatikizapo kuchita ``CPR'', yomwe ndi kukanikiza pachifuwa ndi kupuma pakamwa kuti mtima ndi mapapo anu agwirenso ntchito. Ndipo:

• Ngati kupuma kuli kovuta, chubu chopumira (`Intubation`) chimayikidwa ndikulumikizidwa ku makina opumira opangira (`Ventilator` / `Mechanical Ventilation`).
• Ngati ntchito ya mtima yasintha, amayesa kubwezeretsa mtima kukhala wabwinobwino mwa kuugwiritsa ntchito ndi magetsi ('shock') kuchokera ku makina apadera (pogwiritsa ntchito `defibrillator`).

Koma bwanji ngati mwadwala kale kwambiri, kapena muli ndi matenda osachiritsika? Apa ndi pomwe maoda a `(DNR)` amalowa. `(DNR)` angakhale othandiza ngati mukufuna zinthu monga:

• Chepetsani ululu ndi kuvutika komwe mumamva kumapeto kwa moyo wanu.
• Sungani ulemu wanu nthawi ya imfa yanu.

Lamulo la "DNR" nthawi zambiri limalembedwa ndi dokotala, atatha kukambirana bwino nanu ndi/kapena opanga zisankho zanu zamalamulo, ngati mukufuna, ndi banja lanu. Kutengera ndi lamulo la boma lanu, lamulo la "DNR" limagwira ntchito pokhapokha ngati lalembedwa ndi dokotala (MD kapena DO) kapena katswiri wazachipatala wosankhidwa.

Ndi bwino kukonzekera oda ya "DNR" musanayambe ngozi. Oda iyi imauza ogwira ntchito zachipatala kuti asachite "CPR" ngati mtima wanu kapena kupuma kwanu kwasiya. Dokotala amene amalemba oda iyi adzaiwonjezera pa mbiri yanu ya zachipatala ('Tchati cha Zachipatala') kuti ena athe kuiwona.

Kodi pali mitundu yosiyanasiyana ya `(DNR)`?

Nthawi zambiri, tikamanena kuti `(DNR)`, timatanthauza `(CPR)` ndi njira zina zochiritsira monga kugwiritsa ntchito `(Defibrillator)`. Komabe, palinso ma order ena ofanana omwe ndi omveka bwino. Nthawi zina, mitundu iyi ya `(DNR)` imathanso kusiyana malinga ndi lamulo la dziko/dera lanu. Tiyeni tiwone zitsanzo zina.

• Musayesere kubwezeretsa moyo (DNAR): Izi ndi zofanana ndi DNR. M'malo ena, zipatala zina zimagwiritsa ntchito dzinali.
• Lolani Imfa Yachilengedwe (NDI): Izi zikutanthauza kupereka chithandizo chofunikira chokha kuti mukhale omasuka momwe mungathere. Cholinga chachikulu apa ndikutetezani kuti musavutike mukamwalira.
• Musalowetse mpweya m'thupi (DNI): Izi zimauza dokotala kuti simukufuna kulowetsedwera mpweya m'thupi kapena kulumikizidwa ndi makina opumira mpweya ngati simungathe kupuma nokha.
• Maoda enieni a DNR: Awa ndi maoda omwe angakonzedwe malinga ndi munthuyo. Mwachitsanzo, mungakane CPR, koma simungafune kukhala ndi njira zina zopulumutsira moyo, monga defibrillator.
• Malamulo osamalira odwala momasuka: Izi zingakuuzeni mtundu wa chisamaliro chomwe mungalandire kumapeto kwa moyo wanu. Zingakuuzeninso zomwe mukufuna kuti mukhale omasuka momwe mungathere kumapeto kwa moyo wanu.

Pakhoza kukhala mitundu yosiyanasiyana ya "DNR" kutengera komwe mukukhala komanso momwe zinthu zilili. Dokotala wanu angakuuzeni zambiri za zomwe mungasankhe.

Ngati CPR imapulumutsa miyoyo, n’chifukwa chiyani munthu angaike oda ya DNR?

Funso limeneli ndi limene anthu ambiri amakumana nalo. Anthu ena omwe ali ndi matenda osachiritsika kapena matenda aakulu safuna kulandira CPR, ngakhale zitakhala kuti zingawaphe. Kusankha kupanga oda ya DNR kungakupatseni mphamvu pa moyo wanu ndikukupatsani mphamvu.

Ngakhale kuti CPR ingapulumutse miyoyo, si yogwira ntchito 100%. Komanso, CPR ingakhale yosagwira ntchito bwino kwa anthu odwala kwambiri kapena omwe ali ndi matenda enaake. Nthawi zambiri anthu amavulala kwambiri monga kusweka kwa nthiti ndi kusweka kwa sternum panthawi ya CPR.

Tangoganizani, munthu wakalamba kwambiri ndipo akudwala khansa yosachiritsika. Ngati mtima wake wasiya kugunda, ndipo ngakhale CPR itaperekedwa kuti imutsitsimutse kwa kanthawi, idzangomupangitsa kupweteka kwambiri komanso osapeza mpumulo, angasankhe kuchitidwa DNR. Ndicho chisankho chake.

Kodi ndingathe bwanji kufotokoza zomwe ndikufuna (DNR)?

Lankhulani ndi dokotala wanu wamkulu kapena mtsogoleri wa gulu lomwe likukuthandizani pankhaniyi. Dokotala wanu adzakambirana nanu za ubwino ndi kuipa kwa CPR ndi mankhwala okhudzana nayo. Uku ndi kukambirana moona mtima nanu za zomwe mukufunadi. Ndikofunikira kwambiri kupereka chilolezo chodziwitsidwa panthawi ya zokambiranazi. Izi zidzakuthandizani kudziwa zonse zomwe mungathe ndikupanga chisankho kutengera zomwe mumakonda. Ngati mukufuna kuganizira zambiri kapena kulankhula ndi banja lanu, ndibwino kuuza dokotala wanu . N'zachilendo kumva za oda ya DNR mukapita ku ofesi ya dokotala kapena mukalowa kuchipatala.

Mukalandira `(DNR)`, dokotala wanu akhoza kuilemba mu `Chikalata Chanu Cha Zachipatala`. Iye angakupatseni kopi yoti musunge. Mutha kupezanso `Mabangili a Chidziwitso Chachipatala` omwe mumavala kuti opereka chithandizo chadzidzidzi adziwe kuti muli ndi `DNR``.

Nanga chimachitika ndi chiyani ngati sindingathe kupanga chisankho chokhudza `(DNR)` ndekha?

Ngati mwakomoka chifukwa cha matenda kapena ngozi, kapena ngati simungathe kupanga zisankho mwanzeru, simungathe kufotokoza zomwe mukufuna zokhudza "DNR". Ngati muli kale ndi lamulo la "DNR", lomwe lili m'kaundula wanu wa zachipatala, banja lanu silingathe kulisintha.

Ngati mulibe kale `(DNR)`, mutha kutchula munthu woti akulankhulireni. Mwachitsanzo, woimira wanu walamulo (`Power of Attorney`) kapena munthu amene wakupatsani mphamvu zopangira zisankho zina zachipatala (`Healthcare Proxy`) . Ngati simutchula dzina la munthu wina, nthawi zina wachibale wanu angakupangireni zisankho zachipatala ngati simungathe kupanga zisankho. Achibale omwe angakupangireni zisankho amatha kusiyana malinga ndi dziko ndi dera komanso dera ndi dera.

Nanga bwanji ngati nditasintha maganizo anga nditalemba ndikundipatsa oda ya DNR?

Nthawi zonse muli ndi ufulu wosintha maganizo anu pa ``(DNR)`` yanu. Ngati mwasintha maganizo anu, uzani dokotala wanu nthawi yomweyo. Kenako akhoza kulemba kusintha kwa mbiri yanu ya zachipatala. Muyeneranso kusiya kugwiritsa ntchito zinthu monga makadi ozindikiritsa omwe mumavala padzanja lanu, ndikuwononga makope aliwonse omwe muli nawo.

Uzani banja lanu ndi osamalira ena kuti mwasintha maganizo anu ndipo simukufunanso '(DNR)' yanu.

Kodi chimachitika ndi chiyani ngati muukitsa munthu amene ali pa `(DNR)`?

Malamulo a ``(DNR)`` amakhudza akatswiri azachipatala okha omwe amawadziwa (kapena ayenera kuwadziwa bwino). Ngati dokotala sakudziwa za ``(DNR)`` yanu, kapena ngati pali cholakwika cholumikizirana, sadzakumana ndi mavuto.

Komabe, ngati dokotala wanu akudziwa za `(DNR)` yanu ndipo akukutsitsimutsanibe, angakumane ndi zotsatira za milandu. Ngati anali osasamala ndipo sanadziwe za `(DNR)` yanu, nawonso angakumane ndi zotsatira za zimenezo.

Akatswiri omwe si azachipatala sakakamizidwa mwalamulo kuchita CPR kwa munthu amene ali ndi DNR. Ngati mwaphunzitsidwa kuchita CPR kwa munthu amene ali ndi vuto la mtima, muyenera kuyesetsa kutero. Komabe, ngati mukudziwa kuti wina ali ndi DNR, muyenera kulemekeza zomwe akufuna kuti asamupatse mphamvu.

Ngati ndikuchitidwa opaleshoni, kodi "DNR" idzakhudza chisamaliro changa?

Ngati muli ndi `(DNR)` ndipo mukufuna kuchitidwa opaleshoni, onetsetsani kuti mwalankhula ndi dokotala wanu wa opaleshoni komanso dokotala wa opaleshoni za `(DNR)` yanu. Angakuuzeni zambiri za momwe `(DNR)` yanu ingakhudzire gawo lililonse la opaleshoni yanu.

Nthawi zina, dokotala wanu wogonetsa anthu ogonetsa, dokotala wa opaleshoni, kapena onse awiri angakupempheni kuti muyimitse kaye "DNR" yanu panthawi ya opaleshoni. Izi zili choncho chifukwa zina mwa zinthu zomwe zimachitika pa opaleshoni, makamaka opaleshoni yogonetsa anthu ogonetsa, zimatha kutsutsana ndi "DNR" yanu. Ngati muli ndi mafunso okhudza izi, musazengereze kufunsa dokotala wanu kapena dokotala wogonetsa anthu ogonetsa. Ndikofunikira kuwafotokozera nkhawa zanu kuti muwonetsetse kuti mukulandira chithandizo chomwe chikugwirizana ndi zosowa zanu.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Ngakhale mutakhala pafupi kutha kwa moyo wanu, muli ndi ufulu wosankha zochita zokhudza chisamaliro chanu. Lamulo la ``Musatsitsimutse'' (DNR) limakupatsirani mphamvu ndikukupatsani mwayi wosankha mitundu ya chithandizo chomwe mumalandira.

Ndi bwino kulankhula ndi dokotala wanu za chisamaliro chanu cha kumapeto kwa moyo wanu nthawi isanakwane. Kukonzekera pasadakhale kumathandiza gulu lanu lachipatala ndi okondedwa anu kudziwa zomwe mukufuna. Mwanjira imeneyi, mutha kupeza chithandizo chomwe chimakwaniritsa zosowa zanu ndi zofunika kwambiri mpaka kumapeto kwa moyo wanu. Musaope kulankhula za izi, ndi ufulu wanu.

DNR , musatsitsimutse thupi, malangizo apatsogolo, CPR, chithandizo chothandizira moyo, chifuniro chomaliza, zisankho zachipatala, matenda osatha, chisamaliro chotonthoza