Ese ushobora kubona ubuvuzi wifuza mu mpera z'ubuzima bwawe? Reka tuganire kuri (DNR)!

Twese dukunda ubuzima, sibyo? Ariko umunsi umwe, wenda ubwo tuzaba turwaye cyane, twegereje iherezo ry'ubuzima bwacu, hazagera igihe tugomba gutekereza ku bwoko bw'ubuvuzi twifuza n'icyo tudashaka. Nubwo iyi ari ingingo ikomeye kandi igoye kuvugaho, ni ngombwa cyane kumenya uburenganzira bwacu n'ibyifuzo byacu. Ibyo nibyo tugiye kuvugaho uyu munsi, kandi ni `(DNR)`.

`(DNR)` bisobanura iki? Reka tubisobanukirwe mu buryo bworoshye?

Mu magambo make, `(DNR)` ni incamake y'amagambo y'Icyongereza "Do-Not-Resuscitate" . Mu rurimi rwa Sinhala, ibi bivuze ko twakumenyesheje mbere y'igihe ko "ntugasubize umwuka." Ubu ni ubwoko bw'amabwiriza mbere y'igihe . Watanze itegeko rya `(DNR)`, bivuze ko niba umutima wawe uhagaze gutera cyangwa guhumeka kwawe guhagarara, udashaka kuvurwa na `(CPR)` (gusubiza umutima mu maraso).

Ubusanzwe, abaganga, abaforomo, n'abandi bakozi bo mu rwego rw'ubuzima bakora ibishoboka byose kugira ngo barokore ubuzima bwawe. Ibi birimo gukora "CPR", ari byo gukanda igituza no guhumeka ukoresheje umunwa kugira ngo bifashe umutima n'ibihaha byawe kongera gukora. Kandi:

• Iyo guhumeka bigoye, umuyoboro wo guhumeka (`Intubation`) ushyirwamo ugahuzwa n'imashini ihumeka y'ubukorano (`Ventilator` / `Mechanical Ventilation`).
• Iyo imikorere y'umutima ihindagurika, hageragezwa kugarura umutima mu buryo busanzwe binyuze mu gutanga icyuma gikoresha amashanyarazi ('shock') giturutse ku mashini yihariye (hakoreshejwe `defibrillator`).

Ariko se byagenda bite niba usanzwe urwaye cyane, cyangwa ufite indwara idakira? Niho amabwiriza ya `(DNR)` aboneka. `(DNR)` ashobora kuba ingirakamaro niba ushaka ibintu nka:

• Gabanya ububabare n'imibabaro wumva mu mpera z'ubuzima bwawe.
• Zigama icyubahiro cyawe mu gihe cy'urupfu rwawe.

Itegeko rya "DNR" rikunze kwandikwa na muganga, nyuma yo kuganira nawe cyangwa abafata ibyemezo mu mategeko, niba ubyifuza, hamwe n'umuryango wawe. Bitewe n'amategeko ari muri leta yawe, itegeko rya "DNR" rigira agaciro gusa iyo ryanditswe na muganga (MD cyangwa DO) cyangwa umuganga wabigenewe.

Ni byiza gutegura itegeko rya "DNR" mbere yuko hagira ikibazo cyihutirwa. Iri tegeko ribwira abakozi b'ubuzima kudakora "CPR" niba umutima wawe cyangwa guhumeka kwawe bihagaze. Muganga wandika iri tegeko azarishyira mu nyandiko yawe y'ubuvuzi (``Imbonerahamwe y'Ubuvuzi'') kugira ngo abandi babibone.

Ese hari ubwoko butandukanye bwa `(DNR)`?

Akenshi, iyo tuvuze `(DNR)`, tuba dushaka kuvuga `(CPR)` n'uburyo bujyanye nabyo nko gukoresha `(Defibrillator)`. Ariko, hari andi mabwiriza asa nayo yihariye. Rimwe na rimwe, ubwo bwoko bwa `(DNR)` bushobora gutandukana bitewe n'amategeko yo mu gihugu/akarere kawe. Reka turebe ingero zimwe na zimwe.

• Ntugerageze kuvura indwara yo mu mutwe (DNAR): Iyi ni kimwe na DNR. Hari aho ibigo nderabuzima bimwe na bimwe bikoresha iri zina.
• Emera Urupfu Rusanzwe (AND): Ibi bivuze gutanga gusa ubuvuzi bukenewe kugira ngo ugire ubwisanzure bushoboka. Intego nyamukuru hano ni ukukurinda kubabara igihe uzaba wapfuye.
• Ntukinjize umwuka mu cyuma (DNI): Ibi bibwira muganga ko udashaka gushyirwamo umwuka mu cyuma cyangwa kuwushyira ku cyuma gihumeka niba udashobora guhumeka wenyine.
• Amabwiriza yihariye ya DNR: Aya ni amabwiriza ashobora gukurikizwa ku muntu ku giti cye. Urugero, ushobora kwanga CPR, ariko ushobora kudashaka ubundi buryo bwo kuvura burokora ubuzima, nka defibrillator.
• Amabwiriza yo kwita ku buzima busanzwe: Aya ashobora kukubwira ubwoko bw'ubuvuzi ushobora kubona mu mpera z'ubuzima bwawe. Ashobora kandi kugaragaza ibyifuzo byawe kugira ngo bigufashe kumva umerewe neza mu mpera z'ubuzima bwawe.

Hashobora kubaho ubwoko butandukanye bwa "DNR" bitewe n'aho utuye n'uko umerewe. Muganga wawe ashobora kukubwira byinshi ku bijyanye n'amahitamo yawe.

Niba CPR ikiza ubuzima bw'abantu, kuki umuntu yashyiraho itegeko rya DNR?

Iki ni ikibazo abantu benshi bahura nacyo. Hari abantu barwaye indwara zidakira cyangwa bafite ibibazo bikomeye by’ubuzima ntibashaka guhabwa CPR, kabone n’iyo byabaviramo urupfu. Gufata icyemezo cyo gutumiza DNR bishobora kuguha ubushobozi bwo kugenzura ubuzima bwawe no kuguha imbaraga.

Nubwo CPR ishobora kurokora ubuzima, ntabwo igira ingaruka 100%. Nanone, CPR ishobora kuba idakora neza ku bantu barwaye cyane cyangwa bafite indwara zimwe na zimwe. Ni ibisanzwe kandi gukomereka ku bubabare nko kuvunika imbavu no kuvunika amaguru mu gihe cyo gukora CPR.

Tekereza umuntu ashaje cyane kandi arwaye kanseri idakira. Iyo umutima we uhagaze gutera, ndetse n'iyo CPR itanzwe kugira ngo imufashe igihe gito, bizamutera ububabare bwinshi kandi nta buruhukiro, ashobora guhitamo kwipimisha DNR. Uwo ni wo mwanzuro we.

Ni gute navuga ibyo nifuza (DNR)?

Vugana n'umuganga wawe w'ibanze cyangwa umuyobozi w'itsinda uri kukuvura kuri ibi. Muganga wawe azaganira nawe ku byiza n'ibibi bya CPR n'ubuvuzi bujyanye nayo. Iki ni ikiganiro cy'ukuri nawe ku cyo wifuza by'ukuri. Ni ngombwa cyane gutanga uburenganzira ku byo utekereza muri ibi biganiro. Ibi bizagufasha kumenya byose ushoboye no gufata icyemezo ukurikije ibyo ukunda. Niba ushaka kubitekerezaho cyane cyangwa kuganira n'umuryango wawe, nta kibazo kubibwira muganga wawe . Ni ibisanzwe kumva ibyerekeye itegeko rya DNR iyo usuye ibiro bya muganga cyangwa iyo winjiye mu bitaro.

Nyuma yo kubona `(DNR)`, muganga wawe ashobora kubyandika mu ``Inyandiko yawe y'ubuvuzi``. Ashobora kuguha kopi yo kugumana nawe. Ushobora no kubona ``Imitako y'indangamuntu y'ubuvuzi`` wambara kugira ngo abitabaza mu gihe cy'ubutabazi bamenye ko ufite ``DNR```.

Bigenda bite niba ntashobora gufata icyemezo kuri `(DNR)` ubwanjye?

Niba utameze neza bitewe n'uburwayi cyangwa impanuka, cyangwa niba udashobora gufata ibyemezo ubizi neza, ushobora kudashobora kugaragaza ibyifuzo byawe kuri "DNR". Niba usanzwe ufite itegeko rya "DNR", riri mu nyandiko yawe y'ubuvuzi, umuryango wawe ntushobora kurihindura.

Niba udafite `(DNR)`, ushobora gutanga umuntu wo kukuvugira. Urugero, umuhagarariye mu by'amategeko (`Power of Attorney`) cyangwa umuntu waguhaye ububasha bwo gufata ibindi byemezo by'ubuvuzi (`Healthcare Proxy`) . Niba utaratanze izina ry'umuntu, rimwe na rimwe umuntu wo mu muryango ashobora kugufatira ibyemezo by'ubuvuzi niba udashobora gufata ibyemezo. Abagize umuryango bashobora kugufatira ibyemezo bashobora gutandukana bitewe n'igihugu n'akarere.

Bite ho ninhindura igitekerezo nyuma y'uko itegeko rya DNR ryanditswe kandi rigahabwa?

Ufite uburenganzira bwo guhindura igitekerezo cyawe ku bijyanye na ``(DNR)`` yawe. Nuhindura igitekerezo cyawe, bwira muganga wawe ako kanya. Ashobora kwandika impinduka mu nyandiko yawe y'ubuvuzi. Ugomba kandi kureka gukoresha ibintu nk'amakarita ndangamuntu wambara ku kuboko, no gusenya kopi zose ufite.

Bwira umuryango wawe n'abandi babitaho ko wahinduye igitekerezo kandi ko utagishaka `(DNR)` yawe.

Bigenda bite iyo uvukije umuntu uri kuri `(DNR)`?

Amabwiriza ya ``(DNR)`` agira ingaruka gusa ku baganga babizi (cyangwa bagomba kuba babizi neza). Niba umuganga atazi ibya ``(DNR)`` yawe, cyangwa niba hari ikosa mu itumanaho, ntabwo azahura n'ibibazo byanze bikunze.

Ariko, niba umuganga wawe azi ibya `(DNR)` yawe kandi akagusubiza ubuzima, ashobora guhura n'ingaruka z'amategeko. Niba baragize uburangare kandi batazi ibya `(DNR)` yawe, bashobora guhura n'ingaruka z'ibyo.

Abatari abavuzi ntibategetswe n'amategeko gukora CPR ku muntu ufite DNR. Niba warahuguwe gukora CPR ku muntu ufite indwara y'umutima, ugomba kugerageza kubikora. Ariko, niba uzi ko umuntu afite DNR, ugomba kubaha icyifuzo cye cyo kutamwongerera imbaraga.

Niba ndi kubagwa, ese "DNR" igira ingaruka ku buvuzi bwanjye?

Niba ufite `(DNR)` kandi ugiye kubagwa, menya neza ko uganira n'umuganga wawe w'inzobere mu kubaga ndetse n'umuganga w'inzobere mu gutera ikinya ku bijyanye na `(DNR)` yawe. Bashobora kukubwira byinshi ku buryo `(DNR)` yawe izagira ingaruka ku gice icyo ari cyo cyose cy'ukubaga kwawe.

Mu bihe bimwe na bimwe, umuganga wawe w’ikinya, umuganga ubaga, cyangwa bombi bashobora kugusaba guhagarika by’agateganyo "DNR" yawe mu gihe cyo kubagwa. Ibi biterwa nuko bimwe mu bintu bisanzwe byo kubaga, cyane cyane ikinya rusange, bishobora kugongana na "DNR" yawe. Niba ufite ikibazo kuri ibi, ntutindiganye kubaza umuganga wawe w’ikinya cyangwa umuganga w’ikinya. Ni ngombwa kubasobanurira impungenge zawe kugira ngo umenye neza ko ubona ubuvuzi buhuye n’ibyo ukeneye n’ibyo wifuza.

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo waba uri hafi kurangira, ufite uburenganzira bwo gufata ibyemezo ku bijyanye n'ubuvuzi bwawe. Itegeko rya ``Ntugasubize ubuzima bwawe'' (DNR) riguha imbaraga kandi riguha amahirwe yo guhitamo ubwoko bw'ubuvuzi uhabwa.

Ni byiza kuganira na muganga wawe ku bijyanye n'ubuvuzi bwawe mu mpera z'ubuzima bwawe mbere y'igihe ushobora kubukenera. Gutegura mbere y'igihe bifasha itsinda ryawe ry'ubuvuzi n'abakunzi bawe kumenya icyo wifuza. Muri ubwo buryo, ushobora kubona ubuvuzi bujyanye n'ibyo ukeneye n'ibyo wiyemeje kugeza ku iherezo ry'ubuzima bwawe. Ntutinye kuvuga kuri ibi, ni uburenganzira bwawe.

DNR , ntugasubize umwuka, amabwiriza y'ibanze, CPR, ubuvuzi bufasha ubuzima, ubushake bwa nyuma, ibyemezo by'ubuvuzi, indwara idakira, ubuvuzi buhumuriza