Tose tinoda vana vedu zvikuru. Tinotya sei kunyange dzihwa diki kubva kwavari? Fungidzirai kudai chiremba akatiudza kuti mwana wenyu ane chirwere chakaita sekenza chinonetsa kurapa... hapana mumwe wedu anoda kunzwa izvozvo. Asi dzimwe nguva muhupenyu tinofanira kutarisana nechokwadi chakaoma kudaro. Nhasi tiri kutaura nezvenyaya yakaoma kusarudza, asi tinofanira kutaura nezvayo. Kureva kuti, tingaita sei kuti hupenyu hwemwana ari kutambura nechirwere chisingarapiki huve husina kurwadziwa uye hune rugare sezvinobvira.
Nyaya iyi inotaura nezvemukomana mudiki anonzi Gabriel. Akapedza zhizha rapfuura rehupenyu hwake sevamwe vese mukomana mudiki. Aifamba neshamwari dzake, akaenda kukamba, uye aityisa vabereki vake nekuita zvinhu zvakaita sekusvetuka mudenga. Zvadaro, gare gare gore iroro, akazviuraya.
Rufu rwaGabriel haruna kushamisa. Akanga achirwadziwa nerufu zhizha rese. Mushure mekuonekwa kuti ane chirwere che acute lymphocytic leukemia pazera remakore manomwe, Gabriel akanga apihwa chemotherapy neradiation therapy kaviri paakanga ava nemakore gumi nemashanu. Asi hapana chimwe cheizvozvo chakakwana kudzora kenza. Mwedzi mishoma gare gare, kenza yakadzoka.
Kuisirwa mapfupa emudumbu kwakaitwa senzira yekupedzisira. Asi izvozvo pazvakakundikana uye kenza ikadzoka, tariro yese yekuporeswa kwakakwana yakarasika. Munguva yesainzi yepamusoro yezvekurapa apo vana vatatu pavana vana vane kenza vanogona kurapwa, vanachiremba nevabereki vaGabriel vaive nechinangwa chimwe chete chinorwadza asi chakazvininipisa.
"Vakanga vasiri kuedza kurapa chirwere ichi. Vaiedza kuchidzora uye kumubatsira kurarama hupenyu hwakanaka kwazvo." - Baba vaGabriel.
Asi Gabriel akararama kwenguva yakareba uye achifara kupfuura zvaitarisirwa nemunhu wese. Kwemwedzi mishanu, akaskiya jet, akasvetuka kubva mudenga, uye akatamba nembwa yake. Pakupedzisira, simba rake rekudzivirira muviri rakakundikana kurwisa hutachiona hwakaipisisa hwefungus.
Chii chinonzi Palliative Care?
Zviitiko zvakaita saGabriel zvakaita kuti pasi rose rione kukosha kwekuchengeta vana vasina kurwara zvakanyanya . Muchidimbu, kuchengetedza vana vasina kurwara zvakanyanya kurapwa nerubatsiro rwekudzikisa kutambura nekurwadziwa kwemunhu ane chirwere chisingarapiki uye kuvandudza hupenyu hwavo .
Izvi hazvisi zvekuyedza kurapa chirwere ichi. Asi, ndezvekudzora zviratidzo zvinokonzerwa nechirwere ichi (zvakaita sekurwadziwa, kufema zvakaoma, kuda kurutsa), kupa mwana nyaradzo yemanzwiro, uye kumubatsira kupedza nguva yasara zvakanaka uye achifara sezvinobvira.
Chinhu chinonyanya kukosha: Kutarisirwa kwevana vadiki hakusi kwekurasikirwa netariro. Asi ndekwekuwedzera kukosha uye nyaradzo kumazuva asara ehupenyu hwemwana.
Sei izvi zvakaoma kutaura nezvazvo?
Kazhinji, zvinoomera vanachiremba nevabereki kufunga nezvekuchengetedzwa kwevarwere vane matambudziko epfungwa . Chikonzero chikuru cheizvi maonero asina kunaka ekuti "kuenda kukuchengetedzwa kwevarwere kunoreva kuti tarega kurwisa."
Ongororo yakawana kuti vanachiremba vanoziva chokwadi chekuti "mwana uyu haagone kurapwa" mwedzi mitatu vabereki vasati vasvika. Asi zvakaoma kuudza vabereki izvozvo, kuti vagadzirire izvozvo. Nekuti munhu wese ane tariro yekurapwa mumoyo make.
Nhasi uno, 75% yevana vane kenza vanogona kurapwa. Izvi zvinabudirira zvikuru. Nekuda kweizvi, vanachiremba vanonyanya kutarisa pakurapa . Nokudaro, hapana kutarisirwa kwakawanda kunoitwa kana mushonga usingagoneke.
Asi chokwadi ndechekuti, vana vanofa negomarara vanotambura zvikuru mumwedzi yekupedzisira yehupenyu hwavo nekuda kwezviratidzo zvakakomba zvakaita sekurwadziwa kwakanyanya, kushaya mweya , kuneta kwakanyanya, uye kuda kurutsa . Izvi zvinogona kudzorwa zvakanyanya nekurapwa kwekurwadziwa.
Chii chinoitwa chaizvo mukurapa varwere vanorwara nepfungwa dzakadzikama?
Kutarisirwa kwevana vane marwadzo emusana hakusi chinhu chimwe chete. Inzira yakakura inosanganisa zvinhu zvakasiyana-siyana. Zviri kuitika pano kupa nyaradzo kumwana, mumuviri nemupfungwa.
| Rudzi rwekutarisira | Mienzaniso netsananguro |
|---|---|
| Kudzora marwadzo | Kupa mishonga ine simba yekurwadziwa kwemusoro senge morphine kana fentanyl. Kupa mishonga ine simba shoma yekuderedza kurwadziwa kwetsandanyama nemapfundo. |
| Kudzora zvimwe zviratidzo | Kupa mweya wekufema wakachena, mishonga yekubatsira kurutsa nekurutsa, uye mazano ezvekudya kuneta kwakanyanya uye kushaya ropa. |
| Kurapwa kumba | Dzimwe nguva, panzvimbo pekupa mishonga yekurapa netsinga, mapiritsi anogona kutorwa kumba anopiwa. Aya anogona kubatsira kudzora kenza ukuwo achideredza migumisiro yakaipa. Kune mamwe mabasa anouya kumba kwako (hospice care) anogona kubatsira nezvinhu zvakaita sekupa ropa. |
| Rutsigiro rwepfungwa | Kupa mazano kumwana nevabereki. Kushandisa nzira dzakadai sekuverenga bhuku, kushandisa hypnosis, kana kushandisa mifananidzo kuti mwana avhiringidzwe panguva yekuedzwa kunorwadza. |
Rutsigiro rwevabereki
Ino inguva yakaoma zvikuru kumwana nevabereki. Hazvisi nyore kugamuchira kuti "mwana wako haagone kurapwa." Vashandi vezvepfungwa vanogona kubatsira vabereki kugamuchira chokwadi ichi chinorwadza. Tsvagiridzo yakatoratidza kuti vabereki vanowanzonzwisisa chokwadi kana vachitaura nevapi vemazano vakadaro pane kana vachitaura navanachiremba vega.
Munyaya yaGabriel, mumavhiki ake maviri ekupedzisira, aive nemukoti wekuchengetedza varwere aiuya kumba kwake. Akapihwa mudziyo mudiki waaigona kushandisa kuzvibaya nemishonga inoderedza marwadzo (Fentanyl) chero nguva yaaida. Akatopa ropa kumba. Zvese izvi zvakaita kuti Gabriel apedze mazuva ake ekupedzisira ari mumba make, asina kurwadziwa, nemhuri yake.
Pakupedzisira, Gabriel akapera simba zvishoma nezvishoma, akarega kudya, uye akadzoka mupfungwa. Kunyangwe yaive nguva inoshungurudza, baba vake vanotsanangura rufu se "rwakareruka, rune rugare." Rimwe zuva masikati, akagara pasofa, Gabriel akabata ruoko rwababa vake ndokuvhara maziso ake zvachose.
Husiku ihwohwo, hanzvadzi yaGabriel yakarota nezvemukoma wayo.
"Zviri nyore here kufa?" akabvunza.
"Hongu, zviri nyore sekufema," akapindura. "Zvinofadza kwazvo kukwanisa kufamba zvakare."
Mharidzo Yekuenda Nayo Kumba
- Kutarisirwa kwevarwere vane marwadzo emusana hazvirevi kuti munhu haadi tariro.Ndezvekuvandudza hupenyu hwemwana ari kurwara nechirwere chisingarapiki.
- Kutarisirwa uku hakungoderedzi chete marwadzo emuviri akadai sekurwadziwa, kunetseka kufema, uye kuda kurutsa , asiwo kunopa zororo repfungwa kumwana nemhuri.
- Kurapa kwevarwere kunogona kuitwa pamwe chete nekurapa kwekurapa. Kunogona kubatsira chero chirwere chipi zvacho.
- Kana mwana wako achirwara nechirwere chakakomba, taura pachena nachiremba wako nezvazvo. Usatya, bvunza nezvekurapa kwevarwere. Izvi zvichava simba guru kumwana wako uye kwauri.
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