Chisamaliro cha Odwala Odwala: Tiyeni Tikambirane za Ichi

Pali nthawi zina m'miyoyo yathu, sichoncho? Izi zikutanthauza kuti, matenda aakulu akayamba, ndipo madokotala amanena kuti sizingatheke kuwachiritsa kwathunthu. Ndi katundu wolemetsa kwambiri m'maganizo. Koma, panthawi yotereyi, kodi zingakhale zothandiza bwanji kukhala ndi thandizo kuti mugwiritse ntchito nthawi yotsalayo momasuka momwe mungathere, popanda ululu, monga momwe mukufunira, ndi okondedwa anu ? Lero, tikambirana za chithandizo chofunikira kwambiri chomwe chimathandiza nthawi zoterezi, ndipo anthu ambiri sadziwa. Izi zimatchedwa `(Hospice Care)` kapena "chisamaliro cha kumapeto kwa moyo".

Kodi Hospice Care ndi chiyani? Mwachidule...

Mwachidule, mukakhala ndi vuto linalake lachipatala ndipo nthawi yanu ya moyo imayesedwa m'miyezi osati zaka, ndipo cholinga chanu chachikulu ndikuchepetsa ululu ndikukhala omasuka , ichi ndi chomwe chimatchedwa "Hospice Care". Taganizirani izi, pali matenda ena, mwachitsanzo, pali mitundu ina ya khansa, kapena pali zinthu monga "matenda a mtima", omwe, akafika pamlingo winawake, amakhala ovuta kuwachiritsa kwathunthu ndi mankhwala ena. Pamenepo ndiye muyenera kuganizira za chisamaliro ichi.

Cholinga chachikulu cha izi ndikukuthandizani kuti muzitha kulamulira moyo wanu, kuti mukhale ndi moyo wabwino komanso wolemekezeka momwe mungathere, ndikukupatsani mphamvu ndi chithandizo chomwe mukufuna pamene mukukonzekera mapeto a moyo wanu mwanjira yanu. Anthu omwe amapereka chithandizochi ndi akatswiri pakuwongolera zizindikiro. Chifukwa chake mutha kukhala masiku omaliza a moyo wanu mwanjira yofunikira kwa inu, popanda ululu. Izi ndi mpumulo waukulu kwa inu ndi banja lanu. Gulu la anamwino osamalira odwala, ogwira ntchito zachitukuko, alangizi auzimu, ogwira ntchito zachipatala kunyumba, madokotala, odzipereka ndi alangizi a chisoni adzakuzungulirani ndikukupatsani chithandizo chonse chomwe mukufuna.

Kodi magawo anayi a chisamaliro cha odwala omwe ali ndi hospice ndi ati?

Inde, pali magawo anayi a chisamaliro chomwe chikupezeka kutengera zosowa zanu. Gulu lanu la chisamaliro cha odwala okalamba lidzasankha mlingo womwe uli woyenera kwa inu. Mlingo uwu ukhoza kusintha pamene vuto lanu likusintha.

• Chisamaliro chapakhomo: Apa ndi pamene banja lanu kapena okondedwa anu amakusamalirani kunyumba. Opereka chithandizo cha odwala okalamba amabwera kunyumba kwanu pa masiku okonzedweratu ndipo amakupatsirani chisamaliro ndi upangiri womwe mukufuna. Mu chikhalidwe chathu cha ku Sri Lanka, anthu ambiri amakonda kukhala panyumba, ndi okondedwa awo. Njira imeneyi ndi yamtengo wapatali kwambiri kwa iwo.
• Chisamaliro cha odwala onse m'chipinda chogona (GIP): Ngati muli ndi ululu kapena zizindikiro zina zomwe sizingathe kuchiritsidwa kunyumba, mudzaloledwa kuchipatala kapena malo osankhidwa kuti azisamalira odwala omwe ali ndi vuto la kuiwala.
• Kusamalira kunyumba kosalekeza:Izi zimagwiritsidwa ntchito ngati zizindikiro zanu zikuipiraipira mwadzidzidzi ndipo mukufuna chisamaliro chanthawi yochepa kunyumba. Izi nthawi zambiri zimaperekedwa kwa anthu omwe ali oyenerera mulingo wa `(GIP)` koma akufuna kukhalabe kunyumba.
• Chisamaliro cha nthawi yopuma: Ngati mukufuna kupatsa osamalira anu mpumulo, chisamaliro cha hospice chingaperekedwe kwa inu kwa kanthawi kochepa. Chifukwa amafunikanso nthawi yopuma ndi kupumula pamene akupitiriza kusamalira wina.

Ndani amapindula ndi Hospice Care?

Kawirikawiri, madokotala amagwiritsa ntchito zinthu monga malangizo a Medicare kuti adziwe ngati munthu ali woyenera kulandira chithandizo cha hospice. Izi zikutanthauza kuti ngati vuto lanu likukula mwachibadwa ndipo muli ndi miyezi isanu ndi umodzi kapena kuchepera, mutha kulandira chithandizo cha hospice. Chisamalirochi chimalimbikitsidwa pamene madokotala akukhulupirira kuti chithandizo chomwe chilipo pano sichikuthandizanso ndipo palibe chiyembekezo choti vuto lanu lidzachira. Chisamaliro cha hospice nthawi zambiri chimaphimbidwa ndi Medicare, Medicaid, ndi mapulani ambiri a inshuwaransi yachinsinsi.

Anthu ambiri omwe amalandira chithandizo cha hospice amakhala ndi matenda osatha omwe amachepa pang'onopang'ono ndipo pamapeto pake amakhala osachiritsika. Mwachitsanzo:

• ALS (matenda omwe amakhudza dongosolo la mitsempha)
• Matenda a Alzheimer
• Khansa
• Matenda amisala
• Matenda a mtima
• Matenda a impso
• Matenda a Parkinson
• Matenda a m'mapapo
• Ndi matenda ena.

Mamembala a gulu la Hospice ndi akatswiri omwe amadziwa bwino zosowa zapadera za anthu omwe amakhala miyezi, masabata, ndi masiku omaliza a moyo wawo.

Ndani amapereka chithandizo cha hospice ichi? Pali gulu lalikulu kwambiri...

Mu chisamaliro ichi, pali opereka chithandizo osiyanasiyana omwe amasamalira thanzi lanu lakuthupi, lamaganizo, lachikhalidwe, komanso lauzimu:

• Madokotala: Madokotala a Hospice amagwira ntchito ndi inu ndi okondedwa anu kuti apange dongosolo losamalira lomwe limayang'ana kwambiri chitonthozo chanu ndi ulemu wanu.
• Anamwino: Anamwino a hospice amabwera kudzakuonani kamodzi kapena kangapo pa sabata ndipo amakupatsani chisamaliro chomwe mukufuna. Amakuphunzitsani inu ndi osamalira anu momwe mungathanirane ndi zizindikiro zanu. Anamwino amagwirira ntchito limodzi ndi gulu lonse la hospice.
• Othandiza pa zaumoyo wapakhomo: Anthu awa amabwera kamodzi kapena kangapo pa sabata ndipo amathandiza pa ntchito za tsiku ndi tsiku monga kusamba ndi ukhondo. Amagwiranso ntchito zazing'ono zapakhomo. Monga anamwino, anthuwa amakuphunzitsani zambiri. Amakuphunzitsani inu ndi banja lanu momwe mungasamalireni pamene namwino kapena wogwira ntchito zachipatala palibe.
• Alangizi auzimu:Anthu awa amakuthandizani kuthana ndi kusintha komwe mumamva pamene mukuyandikira mapeto a moyo wanu, komanso kukuthandizani kusintha kupita ku magawo omaliza a moyo. Simuyenera kukhala wokhulupirira chipembedzo china chake. Uyu ndi munthu amene angakutonthozeni, kulankhula nanu m'njira yomwe mumakhulupirira, komanso kukuthandizani kusankha bwino.
• Ogwira ntchito zachitukuko: Anthu awa akhoza kukupatsani chithandizo chamaganizo ndi uphungu. Angakuthandizeninso kukonzekera zikalata monga zomwe mukufuna pomaliza (malangizo pasadakhale) ndikukambirana za nkhani zachuma. Angakulumikizaninso ndi zinthu zamtengo wapatali monga thandizo lazachuma, thandizo la chakudya, ndi mautumiki a uphungu.

Kutengera ndi zosowa zanu, chisamaliro cha odwala okalamba nthawi zina chingaphatikizepo zinthu monga kupukusa minofu, chithandizo cha zaluso, ndi chithandizo cha nyimbo.

Kodi mumapeza chiyani kwenikweni kuchokera ku Hospice Care?

Chisamaliro cha odwala omwe ali ndi matenda a hospice chimapereka zinthu zambiri komanso chithandizo kwa anthu omwe ali kumapeto kwa moyo wawo:

• Chisamaliro chathunthu cha kumapeto kwa moyo: Cholinga chachikulu cha hospice ndikukuthandizani monga munthu wathunthu ndikuthandiza banja lanu. Mudzagwira ntchito limodzi ndi madokotala ndi anamwino omwe amasamalira zosowa zanu zakuthupi, komanso ogwira ntchito zachitukuko ndi alangizi auzimu omwe amasamalira thanzi lanu la maganizo, lamalingaliro, la chikhalidwe, komanso lauzimu.
• Mankhwala otonthoza: Mudzalandira mankhwala ndi mankhwala ena kuti muchepetse ululu wanu ndikuchepetsa zizindikiro zina. Gulu la osamalira odwala lidzagwira nanu ntchito kuti apange dongosolo la mankhwala anu lomwe lili loyenera kwa inu. Zosowa zanu zidzawunikidwanso nthawi ndi nthawi pamene vuto lanu likusintha. Mudzapitiriza kulandira mankhwala omwe angakuthandizeni kukhala bwino komanso kukhala ndi moyo wabwino.
• Zipangizo ndi zinthu zina zachipatala: Mudzalandira zipangizo zokuthandizani kukhala pabedi ndi kuyenda - zinthu monga mabedi amagetsi a kuchipatala omwe angakwezedwe ndi kutsitsidwa, mipando ya olumala, ndi zoyendera. Mudzalandiranso zipangizo zokuthandizani kupuma, monga mpweya. Mudzalandiranso zinthu zofunika monga ma bedi, mabandeji, ndi ma syringe.
• Chisamaliro cha kanthawi kochepa pamalo othandizira: Ngati pakhala zosowa zomwe sizingakwaniritsidwe kunyumba, chisamaliro chanu chingasamutsidwire ku malo okhalamo kwa kanthawi kochepa.
• Chithandizo kwa osamalira:Chisamaliro cha odwala omwe ali ndi vuto la kuimfa chimafikiranso kwa osamalira anu ofunikira - achibale anu kapena abwenzi omwe amakhala nanu nthawi yambiri. Akatswiri a opaleshoni ya kuimfa amagwira ntchito limodzi ndi osamalira awa kuti awathandize kumvetsetsa momwe angakusamalireni. Amawalumikizanso ndi zinthu zothandizira kusamalira thanzi lawo pamene akukusamalirani. Mwachitsanzo, zingaphatikizepo chisamaliro chopuma, chomwe chimalola osamalira anu ofunikira kupuma pang'ono ndipo inu mukhale pamalo abwino kwa kanthawi kochepa. Chisamaliro cha opaleshoni ya kuimfa chimaphatikizaponso chithandizo cha okondedwa anu omwe ali ndi chisoni, chomwe chimathandiza okondedwa anu kuthana ndi chisoni chawo mukamwalira.

Kodi ndi chiyani chomwe sichikuperekedwa ndi Hospice Care?

Pokonzekera mapeto a moyo, poganizira ubwino wa chisamaliro cha odwala omwe ali ndi hospice, ndikofunikira kudziwa zinthu zomwe hospice sipereka:

• Chisamaliro Chochiritsa: Chisamaliro cha odwala omwe ali ndi matenda a hospice chimakhudza kukhala omasuka komanso kukupatsani moyo wabwino kwambiri pamene chithandizo chochiritsa sichikuthandizanso. Sichichiza matenda anu kuti chichiritsidwe. Ngati musintha maganizo anu ndi kusankha kuti mupitirize kulandira chithandizo cha matenda anu, mutha kusiya chisamaliro cha odwala omwe ali ndi matenda a hospice. Mwachitsanzo, anthu ena amayambanso kulandira chithandizo pamene mankhwala atsopano kapena chithandizo chapezeka kuti ayesere.
• Malo ndi chakudya: Chisamaliro cha odwala omwe ali ndi vuto la kuiwala odwala sichilowa m'malo mwa chisamaliro cha maola 24 chomwe mumalandira kuchipatala chogona anthu okalamba, monga kunyumba yosungira okalamba. Mutha kupeza chisamaliro cha odwala omwe ali ndi vuto la kuiwala odwala kulikonse komwe mungaganizire kukhala - kunyumba kwanu, kunyumba yosungira okalamba, malo osamalira odwala omwe ali ndi vuto la kuiwala odwala, kapena malo osamalira odwala omwe ali ndi vuto la kuiwala odwala. Komabe, ngati mutalandira chithandizo kuchipatala, mungafunike kulipira nokha. Ngati mukufuna kupita kuchipatala chotere koma simukudziwa mtengo wake, funsani inshuwalansi yanu.
• Chisamaliro cha nthawi yayitali, cha maola 24: Chisamaliro chomwe mumalandira chimadalira zinthu zosiyanasiyana, kuphatikizapo komwe mumakhala, vuto lanu, ndi inshuwaransi yanu. Kawirikawiri, ngakhale akatswiri a chisamaliro cha odwala okalamba amapezeka maola 24 pa sabata kuti ayankhe mafunso anu azachipatala, sakupatsani chithandizo chachindunji maola 24 patsiku kwa nthawi yayitali. M'malo mwake, amabwera kudzakuonani masiku omwe akonzedwa. Anthu ambiri omwe amalandira chithandizo cha chisamaliro cha odwala okalamba kunyumba ali ndi achibale kapena anzawo omwe amawasamalira nthawi zonse.

Kodi munthu angakhale nthawi yayitali bwanji mu chisamaliro cha odwala okalamba?

Anthu ena amaopa kuti, "Ngati tikhala ndi moyo wautali kuposa miyezi isanu ndi umodzi, kodi tidzataya hospice?" Koma sichoncho. Zoona zake n'zakuti, palibe amene akudziwa kuti munthu wina adzakhala ndi moyo wautali bwanji. Miyezi isanu ndi umodzi ndi nthawi yomwe Medicare imagwiritsa ntchito. Makampani ena a inshuwaransi amagwiritsanso ntchito nthawi ya Medicare ngati muyezo wawo. Anthu ambiri amalandira chisamaliro chabwino kwambiri ku hospice kotero kuti amakhala ndi moyo wautali kuposa momwe amaganizira.

Dokotala wanu wa hospice apitiliza kuwunika momwe mulili. Chisamaliro cha hospice chingapitirire kupitirira miyezi isanu ndi umodzi. Ngati vuto lanu likukula, dokotala wanu adzakutulutsani ku hospice. Mapindu omwe mudzalandire adzadalira zosowa zanu.

Kodi pali kusiyana kotani pakati pa Hospice Care ndi Palliative Care?

Anthu ambiri amasokonezeka ndi izi ziwiri. Tiyeni tiwone kusiyana kwake mosavuta.

Chisamaliro cha palliative ndi mtundu wa chisamaliro chomwe chimayang'ana kwambiri pakukweza moyo wa anthu omwe ali ndi matenda aakulu. Mutha kulandira chithandizo cha palliative pamlingo uliwonse wa matenda aakulu, pamodzi ndi chithandizo chochiritsa . Izi zikutanthauza kuti mutha kulandira chithandizochi kuti muchepetse ululu, kusapeza bwino, komanso thanzi labwino la maganizo pamene mukumwa mankhwala ochizira matendawa. Cholinga chake ndikuchepetsa mavuto akuthupi, amaganizo, achikhalidwe, komanso auzimu omwe angachitike ndi matenda aakulu.

Chisamaliro cha odwala omwe ali ndi vuto la kuimitsa mutu (hospice) ndi mtundu wa chisamaliro chomwe chimayang'ana kwambiri pakupereka chitonthozo ndi chithandizo chowonjezera pamene nthawi ya moyo imayesedwa m'miyezi, osati zaka . Chisamaliro cha odwala omwe ali ndi vuto la kuimitsa mutu (hospice) chimakhala chothandiza pamene chithandizo chochiritsira sichikuthandizanso, kapena pamene munthu wasankha kusiya kuchiza matenda ake. Mu hospice, cholinga chachikulu ndi chitonthozo .

Tangoganizirani, wina ali ndi khansa ndipo akulandira chithandizo. Pamene mukulandira chithandizo, mutha kupeza chithandizo chochepetsa ululu ndi nseru. Koma, ngati tsiku lina madokotala anganene kuti, "Khansa iyi sichithanso, ndipo ndibwino kukhala moyo wabwino kwa moyo wanu wonse," ndiye kuti mungaganizire za chisamaliro cha hospice.

Kodi kulandira chithandizo cha hospice kumatanthauza "kusiya"?

Ayi ndithu! Ichi ndi chinthu chofunikira kwambiri kumvetsetsa. Kulandira chithandizo cha hospice kumatanthauza kuti mukuyesetsa kukhala ndi moyo wabwino momwe mungathere komanso momasuka momwe mungathere, ngakhale kuti thanzi lanu likuipiraipira. Ngati dokotala wanu akulangiza chisamaliro cha hospice, zimasonyeza momwe akudzipereka ku thanzi lanu.

Komabe, kumbukirani kuti chisankho chomaliza cholowa mu chisamaliro cha odwala okalamba kapena kupitiriza chithandizo ndi chanu. Mutha kusintha maganizo anu nthawi iliyonse.

Imfa ndi gawo la moyo monga kubadwa. Imfa ndi chinthu chomwe tonse timakumana nacho nthawi ina. Ngati mudwala matenda aakulu, kulankhula ndi okondedwa anu za zomwe zili zofunika kwa inu komanso momwe (ndi komwe, ndi ndani) mungakonde kukhala miyezi ingapo yomaliza ya moyo wanu kungakuthandizeni inu ndi banja lanu kupanga zisankho zokhudzana ndi chisamaliro chanu. Kukhala ndi lingaliro lomveka bwino la zomwe mukufuna pa masiku anu omaliza kudzakupatsani ufulu wokhala ndi moyo tsiku lililonse la moyo wanu ndi mtendere wamumtima. Lankhulani ndi dokotala wanu za izi (kukonzekera chisamaliro pasadakhale).

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chisamaliro cha odwala omwe ali ndi matenda amisala ndi dalitso lalikulu nthawi zovuta kwambiri pa moyo. Chimapereka:

• Amachepetsa ululu ndi kusasangalala: Amakuthandizani kukhala omasuka momwe mungathere.
• Ulemu ndi Kulamulira: Kumakupatsani mwayi wokhala ndi moyo wodzilemekeza, malinga ndi zomwe mukufuna.
• Mpumulo kwa banja: Izi zimathandizanso kuti banja lomwe likusamalira wodwalayo lipeze mpumulo waukulu.
• Moyo wabwino wamaganizo ndi wauzimu: Sikuti umangothandiza thanzi la thupi lokha, komanso umathandiza mtendere wamaganizo.
• Si "kusiya": ndi sitepe yabwino yopezera zenizeni za moyo ndikugwiritsa ntchito bwino nthawi yotsalayo.

Ngati inu kapena munthu amene mumamudziwa ali mumkhalidwe umenewu, musazengereze kulankhula ndi dokotala wanu za chisamaliro cha odwala okalamba. Zingakupatseni chitonthozo chosayerekezeka.

` Hospice, chisamaliro cha kumapeto kwa moyo, chisamaliro chochepetsa ululu, kusamalira ululu, matenda osatha, chitonthozo, moyo wabwino