Tangoganizirani ngati mwadzidzidzi mwadwala kwambiri, kapena mwachita ngozi ndipo mwataya chikumbumtima... Mulungu asalole zimenezo kuchitika kwa aliyense! Koma, bwanji ngati simungathe kuuza madokotala ndi banja lanu mankhwala omwe mukufuna komanso omwe simukufuna? Ndani akudziwa zomwe mukufuna panthawi ngati iyi? Iyi ndi nkhani yomwe palibe aliyense wa ife amene amakonda kuganizira. Koma, kodi mtendere wamumtima ungabweretse kwa inu ndi okondedwa anu ngati mutaganizira izi ndikukonzekera pasadakhale pamene zonse zili bwino? Ndicho chimene tikukamba lero, 'Advance Directive'.
Kodi malangizo a advance awa ndi otani kwenikweni?
Mwachidule, Advance Directive ndi chikalata chovomerezeka ndi boma chomwe chimauza madokotala ndi abale anu pasadakhale chithandizo chamankhwala chomwe mukufuna komanso chomwe simukufuna ngati mutalephera kuchita bwino. Chili ngati 'mawu a dokotala' wanu wamtsogolo.
Chikalatachi chimakupatsani mwayi wonena pasadakhale chithandizo chomwe mumakonda ndi chomwe simukonda. Chimakupatsaninso mwayi wotchula munthu amene angakhale ndi udindo woonetsetsa kuti zofuna zanu zakwaniritsidwa.
Izi sizinthu za okalamba okha kapena omwe ali ndi matenda aakulu. Munthu wamkulu aliyense wathanzi akhoza kukonza chikalata chonga ichi. Chifukwa zinthu monga matenda ndi ngozi sizibwera ndi ukalamba.
Choncho, ndi bwino kumaliza chinthu chonga ichi muli ndi thanzi labwino komanso maganizo abwino. Zili ngati ndalama zogulira thanzi lanu lamtsogolo.
Kodi mitundu ikuluikulu ya Malangizo Oyambirira ndi iti?
Pali mitundu ikuluikulu ingapo ya Malangizo Oyambirira. Tiyeni timvetse chilichonse.
| Mtundu wa Malangizo | Kufotokozera kosavuta |
|---|---|
| Chifuniro Chamoyo | Izi zikutanthauza kuti ngati muli ndi matenda osachiritsika kapena ngati simunazindikire chilichonse, ndi chithandizo chiti chomwe muyenera kulandira ndi chomwe simuyenera kulandira. Mwachitsanzo, izi zitha kuphatikizapo ngati muyenera kulumikizidwa ndi makina othandizira moyo kapena ngati muyenera kudyetsedwa mochita kupanga. |
| Mphamvu Yokhazikika ya Loya wa Zaumoyo | Izi zikuphatikizapo kutchula mwalamulo munthu amene mumamudalira kuti akupangireni zisankho zachipatala ngati simungathe kuzipanga nokha. Munthuyu amatchedwa 'Woyimira Zaumoyo' . Ndikofunikira kwambiri kuti munthuyu akhale munthu wodziwa bwino zomwe mukufuna komanso zomwe mumatsatira. |
| Maoda a Dokotala a Chithandizo Chosunga Moyo (POLST) | Fomu iyi nthawi zambiri imadzazidwa ndi munthu amene ali ndi vuto lalikulu la matenda, pamodzi ndi dokotala wake. Ili ndi malangizo omveka bwino a momwe ogwira ntchito zachipatala ayenera kuchitapo kanthu mwamsanga pakagwa ngozi. Siyolowa m'malo mwa zikalata zina, koma ndi lamulo lomveka bwino lachipatala kuwonjezera pa iwo. |
| Dongosolo Losayambitsanso Umoyo (DNR) | Izi zikutanthauza kuti ngati mtima wanu kapena kupuma kwanu kwasiya, musayese kuchita CPR (cardiopulmonary resuscitation) . Chisankhochi nthawi zambiri chimapangidwa ndi anthu omwe ali kumapeto kwa matenda osachiritsika. Dokotala adzakambirana zabwino ndi zoyipa za kuchita CPR ndi wodwalayo komanso banja lake. |
Kodi ndikufunikanso malangizo apatsogolo?
Inde ndithu! Monga tanenera kale, izi sizinthu zomwe zimakhudza okalamba okha. Aliyense akhoza kukhala ndi ngozi kapena matenda pa msinkhu uliwonse. Nanga bwanji ngati simungathe kulankhula, bwanji ngati simungathe kufotokoza zomwe mukufuna?
Kukhala ndi chikalata chonga ichi pamene muli ndi thanzi labwino kudzaonetsetsa kuti mukulandira chithandizo chamankhwala chomwe mukufuna nthawi iliyonse mukachifuna. Sikuti kungotchula munthu amene mumamudalira kuti akupangireni zisankho (Healthcare Proxy) kudzapatsanso banja lanu chitonthozo chachikulu panthawi zovuta. Chifukwa sadzadandaula kuti "akanapanga zisankho zotani akanakhala kuti ali pano?" Akhoza kuchita zomwe mukufuna chifukwa ali ndi zomwe mukufuna zomwe zalembedwa bwino m'chikalatacho.
Kodi chimachitika ndi chiyani ngati malangizo a Advance ataya?
Tangoganizani kuti mulibe chikalata chotere, ndipo simungathenso kupanga zisankho. Ngati ndi choncho, ndani angakupangireni zisankho? Malinga ndi lamulo ndi machitidwe wamba m'dziko lathu, udindo wopanga zisankho zimenezo nthawi zambiri umakhala pa mwamuna kapena mkazi wanu (mwamuna kapena mkazi wanu), makolo, kapena ana akuluakulu.
Koma bwanji ngati banja lanu silikugwirizana ndi chithandizo chomwe muyenera kulandira? Munthu wina akuti akufuna thandizo la moyo, pomwe winayo akuti sakufuna kuvutika chonchi. Izi zitha kukhala vuto lalikulu. Ndipo zisankho zomwe amapanga panthawiyo sizingakhale zomwe mukufunadi. Malangizo Oyambirira ndi ofunikira kuti mupewe zinthu zosokoneza zotere.
Kodi ndingapange bwanji malangizo apatsogolo?
Izi sizovuta monga momwe mungaganizire.
1. Ganizirani zomwe mumakonda: Choyamba, muyenera kuganizira mosamala zomwe mumakonda komanso zomwe simukonda pa matenda osiyanasiyana. Ndikofunikira kwambiri kukambirana izi momasuka ndi banja lanu komanso dokotala wanu.
2. Konzani chikalatacho: Lembani zomwe mukufuna momveka bwino. Mafomu okhazikika a izi angapezeke pa intaneti. Komabe, ndikofunikira kukonzekera izi mogwirizana ndi malamulo a dziko lathu. Chifukwa chake, ndi bwino kufunsa upangiri kwa loya.
3. Saina ndi mboni: Mukamaliza kukonza chikalatacho, chiyenera kusainidwa ndi mboni motsatira njira zoyenera zalamulo.
4. Perekani makope: Perekani makope a chikalatachi kwa banja lanu, Woyimira Thandizo la Zaumoyo wanu, ndi dokotala wa banja lanu. Sungani mapepala oyambirirawo motetezeka ndi inu.
Chofunika kwambiri n’chakuti banja lanu lidziwe za chikalatachi. Ngati sakudziwa kuti chikalata chotere chilipo, sichingathandize pakagwa ngozi.
Kodi chikalatachi chikuyamba kugwira ntchito liti?
Funso limeneli ndi limene anthu ambiri amafunsa. Malangizo Oyambirira amangofunika pokhapokha ngati simungathe kufotokoza zomwe mukufuna kuchipatala. Ngati muli ndi maganizo abwino komanso okhoza kulankhula, mumadzisankhira nokha zochita.
Palinso chinthu china chofunikira. Pakagwa ngozi, akatswiri azachipatala odziwa zachipatala (EMTs) sangachitepo kanthu pa zikalatazi. Udindo wawo woyamba ndikukukhazikitsani ndikukulowetsani ku Chipatala cha Emergency Treatment Unit (ETU). Mukalowa m'chipatala, dokotala adzayesa momwe mulili ndikutsimikizira kuti simungathe kupanga zisankho. Malangizo Oyambirira adzagwiritsidwa ntchito.
Kodi ndingasinthe malangizo anga a Advance Directive?
Inde mungathe! Mutha kuletsa kapena kusintha chikalatachi nthawi iliyonse, bola ngati muli ndi maganizo abwino ndipo mutha kufotokoza bwino zomwe mukufuna.
Ndipotu, ndi bwino kuwunikanso malangizo anu a Advance Directive nthawi ndi nthawi, mwina zaka zingapo zilizonse, kuti muwone ngati zomwe akunenazo zikugwirizana ndi zomwe mukufuna panopa. Ngati pali kusintha kwakukulu m'moyo wanu (monga ukwati, chisudzulo, kukhala ndi mwana), ndikofunikiranso kuwayang'ananso panthawiyo.
Ngati mupanga chikalata chatsopano, chidzathetsa chokha chikalata chakale. Musaiwale kupereka makope a chikalata chatsopano kwa aliyense amene akukhudzidwa.
Kuganizira za Malangizo Oyambirira kungakhale kovuta, koma ndi chisankho chamtengo wapatali komanso chanzeru chomwe mungapange kuti mukhale ndi tsogolo labwino komanso kuti okondedwa anu akhale ndi mtendere wamumtima.
Uthenga Wopita Nawo Kunyumba
- Chitsogozo Chapatsogolo ndi chikalata chovomerezeka ndi malamulo chomwe chimakuuzani pasadakhale chithandizo chamankhwala chomwe mukufuna ngati simungathe kupanga zisankho.
- Izi ndizofunikira kwambiri kuti munthu wamkulu aliyense wathanzi azitha kusintha, mosasamala kanthu za msinkhu wake.
- Chifuniro Chamoyo ndi Mphamvu Yokhalitsa ya Woyimira Milandu wa Zaumoyo (kutchula Woyimira Milandu wa Zaumoyo) ndi mitundu iwiri ikuluikulu.
- Mukakonza chikalata chotere, funsani banja lanu, dokotala wanu, komanso, ngati pakufunika, loya.
- Chikalatacho chikakonzedwa, perekani makope kwa banja lanu, dokotala, ndi munthu amene mwamusankha, ndipo muwadziwitse za icho.
- Mukhoza kusintha kapena kuchotsa chikalatachi nthawi iliyonse, bola ngati muli ndi thanzi labwino.
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