Tose tinoziva kuti kurapwa kenza yemazamu hakusi nyore. Kunogona kunetsa mumuviri nepfungwa. Dzimwe nguva, migumisiro yekurapwa inogona kuita kuti hupenyu hwezuva nezuva huome zvikuru. Nezvikonzero zvakaita seizvi, ungave uchifunga kaviri nezvekuramba uchirapwa. Kunyangwe kurega kurapwa kungave sarudzo yakakunakira, hazvisi nyore sezvaunofunga. Isarudzo yakaoma uye ine hungwaru.
Uku hakusi kurwa, hupenyu hwako.
Vanhu vazhinji vanofunga kuti kurega kurapwa zvinoreva kuti vakundikana kana kuti vakuvadza mumwe munhu. Manzwiro akadai sekuti, "Ndiri munhu akundikana," "Ndakagumbura munhu wese," nezvimwewo anogona kuuya. Asi chinhu chakakosha chaunofanira kunzwisisa ndechekuti unofanira kuita sarudzo zvichibva pane zvakakunakira .
Iyi haisi hondo. Iyi ndiyo hupenyu hwako. Hapana munhu pano akanyoresa kuti ave 'murwi'. Une kodzero yekuita sarudzo nezvehupenyu hwako, kunyaradzwa kwako.
Pane zvinhu zvakawanda zvekufunga nezvazvo kana ukasarudza kurega kurapwa kenza yemazamu. Asi zvisinei nezvaunosarudza, yeuka kuti timu yako yezvekurapa ichagara iinewe.
Iva nechokwadi chekutaura nachiremba wako.
Pakurapa kenza, vanachiremba vanosarudza nzira ye "kuita sarudzo pamwe chete". Izvi zvinoreva kuti chiremba achakutsanangurira zvese, asi iwe unoita sarudzo yekupedzisira. Chiremba achakutsanangurira zvakanakira nezvakaipira zvekumira kurapwa, pamwe nezvimwe zvaungasarudza.
"Harisi basa rangu kuudza munhu zvekuita," anodaro chiremba wekenza Andrea Silber. "Basa rangu nderekubatsira mumwe munhu kusarudza zvakamunakira."
Chiremba wako achafunga nezvezvinhu zvakadai paanenge achitaura newe.
| Zvinhu zvinofungwa nachiremba | Zvichitaurwa zviri nyore... |
|---|---|
| Ko gomarara rapararira here? (Kenza yakapararira) | Ko iyi igomarara rakapararira kune dzimwe nhengo dzemuviri here uye rakaoma kurapa? |
| Ko gomarara rinorapika here? (rinogona kurapika) | Ko iyi kenza inorapika zvachose here? |
| Zera rako uye rudzi rwegomarara | Uri mudiki here? Gomarara racho rine simba here? |
| Ndeapi marapirwo akamboitwa kare? | Rudzii rwekurapwa rwawatowana kare? |
| Uri kurega nekuda kwemigumisiro yakaipa here? | Chikonzero chikuru chekumira kurapwa ndicho here nekuti migumisiro yacho haigoneki? Kana zvakadaro, tinogona kuderedza migumisiro iyoyo here? |
| Pane zvimwe zvirwere here? | Une zvimwe zvirwere zvinoda kurapwa kunze kwekenza here? |
Chikonzero chauri kufunga nezvekurega kurapwa chakakoshawo . Dzimwe nguva vanhu vanoda kuedza dzimwe nzira dzekurapa dzisina kusimbiswa nesainzi panzvimbo pemishonga yechivanhu. "Harisi basa rangu kuvaudza kuti pfungwa dzavo hadzina kururama. Asi ibasa rangu kuvapa dzidzo neruzivo rwandinarwo rwesainzi uye rwakavakirwa pauchapupu," anodaro Dr. Silber.
Ngatidzidzei nezveKutarisirwa Kwevarwere Vasina Kurwara
Iri ibasa risingazivikanwe nevanhu vazhinji, asi rakakosha zvikuru. Kutarisirwa kwevarwere vane chirwere chepfungwa (palliative care) ibasa rinovavarira kuvandudza hupenyu hwako kwese kwese kana usingakwanise kurapwa zvachose. Rinogona kugamuchirwa kubva pazuva raunoonekwa kuti une chirwere.
Kana wasarudza kurega kurapwa, uchawana rumwe rubatsiro kubva kumabasa ekurapa varwere vanorwara . Basa iri rinogona kukubatsira kudzora zviratidzo zviri kukukonzera kurwadziwa nekusagadzikana, uye kukusimbisa mupfungwa.
Kune nyanzvi dzakasiyana-siyana dziri muchikwata chekurapa varwere vanorwara nepfungwa.
- Vanachiremba
- Vanamukoti
- Vashandi vezvemagariro evanhu
- Nyanzvi dzepfungwa
- Vafundisi
Vanhu ava havasi kungotarisa kenza yako chete, asi vari kutarisa iwe semunhu wese .
Rubatsiro rwaunowana kubva kubazi rekuchengetedza varwere vanorwara:
- Kuderedza marwadzo kana zvimwe zviratidzo (semuenzaniso kuda kurutsa, kunetseka kufema ).
- Kugadzirisa matambudziko ehutano hwepfungwa akadai sekuora mwoyo nekuzvidya mwoyo.
- Kutsvaga rubatsiro pamatambudziko emari kana emutemo.
- Kupa rutsigiro rwemweya.
- Mazano ekutaura nemhuri.
- Tsvaga mapoka ekutsigira ane vanhu vakambosanganawo nedambudziko rakafanana nerako.
- Kupa mazano pamusoro pekudya uye kurovedza muviri.
- Batsirai kuti musarudze munhu wehutano kuti akuitirei sarudzo dzehutano kana musingakwanise kuita sarudzo.
Vanogonawo kukubatsira ne "basa renhaka." Izvi zvinoreva kugadzira chimwe chinhu chakakosha chevadikanwi vako kuti vakurangarire nacho. Chinogona kuva chero chinhu. Chinogona kuva muunganidzwa wemaresipi aunofarira, dambarefu remifananidzo rekare, kuvanyorera tsamba, kana kutorekodha izwi rako.
Nzira yekuchengetedza hupenyu hwakanaka sei?
Shandisa masevhisi ehutano hwepaindaneti
Unofanira kugara uchitaurirana nachiremba wako. Asi izvi hazvirevi kuti unofanira kugara uchienda kuchipatara. Bvunza chiremba wako kana uchikwanisa kutaura naye pavhidhiyo uri kumba womuudza ruzivo rwako.
Uyai nemhuri yenyu parwendo urwu.
Sarudzo yako yekurega kurapwa inogona kuomera mhuri yako kugamuchira. Kana kuti vangasanzwisisa kuti vangakutsigira sei izvozvi. Bvunza chiremba wako kana timu yevanorapa varwere kuti vabatsire kutsanangura izvi. Tsananguro diki inogona kuita mutsauko mukuru.
Wana rutsigiro rwevanhu.
Taura neshamwari, hama, mapoka ekutsigirana. Taura nemunhu wese akakosha kwauri. Usatya kutaura, kunyangwe nevanhu vausina kutaura navo kwenguva yakareba. Kana zvichikuomera kutanga, unogona kukumbira timu yako yekurapa varwere vekurwadziwa kwepfungwa kuti ikubatsirewo nazvo.
Isa zvinhu zvakakosha kwauri pakutanga.
Haugone kudzora kenza, asi unogona kudzora mashandisiro aunoita nguva yawasara nayo . Dyara maruva mubindu, ronga zviitiko zvakakosha, ita zvinhu zvawagara uchida kuita. Kana zviratidzo zvako zviri kukukanganisa, udza chiremba wako.
Kana mamwe mapurogiramu achiita seari kure zvakanyanya kuti abudirire, timu yevanorapa varwere inogona kukubatsira kuti utaure navo nenzira ine hunyanzvi. Semuenzaniso, chiremba anotaura nezvenguva apo mumwe mukadzi akakwanisa kunzwa kurova kwemoyo kwemuzukuru wake asati aberekwa. "Kunyangwe aisakwanisa kusangana nemwana aizoberekwa mumwedzi mitanhatu, akakwanisa kubatana nemwana iyeye. Zvaive nesimba chaizvo."
Mharidzo Yekuenda Nayo Kumba
- Kufunga nezvekurega kurapwa kenza hakusi kukundikana kana kuti kukundwa. Isarudzo yako pachako uye ine musoro pamusoro pehupenyu hwako.
- Taura pachena nachiremba wako wekenza usati waita chero sarudzo. Izvi zvinonzi 'shared decision-making'.
- Kutarisirwa kwevarwere vane marwadzo emusana (palliative care) ibasa rinobatsira kuvandudza hupenyu hwako, kugadzirisa marwadzo nezvimwe zviratidzo, uye rinokupa rutsigiro rwepfungwa, magariro evanhu, uye rwemweya.
- Taura nemhuri yako neshamwari nezvenyaya iyi. Kana vachiomerwa nekunzwisisa sarudzo iyi, tsvaga rubatsiro kubva kuchikwata chako chekurapa.
- Shandisa nguva yawasara nayo kuita zvinhu zvaunoda uye zvinokufadza. Kunyangwe mufaro mudiki muhupenyu unokosha zvikuru.
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