Uri kurwara zvakanyanya here? Ngatikurukurei nezvePalliative Care!

Pane imwe nguva muhupenyu hwedu, tinofanira kurarama nezvirwere zvakaoma zvisingafungidzike, handiti? Panguva dzakadaro, kurwadziwa hakungonzwikwi mumuviri chete, asi pfungwa dzinonzwawo kumanikidzwa kukuru uye kusuruvara. Iri idambudziko guru kwete kwauri chete, asiwo kune avo vanokutarisira iwe, mhuri yako. Nhasi, tichataura nezvebasa rekuchengetedza rakasiyana rinogona kukupa simba, nyaradzo, uye zororo panguva dzakadaro.

Chii chinonzi 'Palliative Care'?

Muchidimbu, kutarisirwa kwevarwere vane chirwere chepfungwa (palliative care) inzira yekurapa yakasarudzika inopa zororo, nyaradzo, uye rutsigiro kuvanhu vanorarama nezvirwere zvakakomba kana zvisingaperi . Haitsigire iwe chete, asiwo avo vanokutarisira iwe nevese vanobatwa nechirwere chako. Chinangwa chikuru ndechekuvandudza hupenyu hwako.

Vanhu vazhinji vanofunga izvi serubatsiro rwekuchengetedza varwere vanorwara zvikuru, rwunopihwa pakupera kwehupenyu. Asi hazvisizvo. Rubatsiro rwekurapa vanorwara zvakanyanya irubatsiro rwaunowana pamusoro pekurapwa kwaunenge watowana. Runonyanya kutarisisa zvinangwa zvako zvekutarisira zvakasiyana, zvinoenderana nezvaunoda. Kusiyana nerubatsiro rwekuchengetedza varwere vanorwara zvikuru, rubatsiro rwekurapa vanorwara zvikuru runogona kubatsira munhu wezera ripi zvaro, chero padanho ripi zvaro rechirwere chakakomba.

Izwi rekuti 'palliative' rinobva pashoko rechiLatini rekuti 'palliare', rinoreva kuti "kufukidza nejasi." Funga nezvazvo sejasi rinokudzivirira kubva mukukuvadzwa kunokonzerwa nekurwara kwako, richikupa nyaradzo yakawedzerwa uye kuchengetedzeka. Ndiro rutsigiro rwaunowana kubva kuchipatara chekurapa.

Ndiani anoda rubatsiro urwu rwekurapa kunorwadza?

Izvi hazvinei nezera rako, fungidziro yechirwere chako, kana kuti uri kugamuchira mishonga inorapwa. Unogona kuwana rubatsiro urwu chero nguva.

Kurapa kwevarwere vane matambudziko akasiyana-siyana kunowanikwa kuvanhu vane zvirwere zvakasiyana-siyana. Zvimwe zvacho zvinosanganisira:

• Amyotrophic Lateral Sclerosis (ALS)
• Chirwere cheAlzheimer
• Kenza
• Migumisiro yakaipa yeCOVID-19
• Chirwere chemwoyo
• HIV neAIDS
• Chirwere cheitsvo
• Chirwere chechiropa
• Zvirwere zvemapapu zvakaita seCOPD (Chronic Obstructive Pulmonary Disease) uye Emphysema
• Multiple Sclerosis (MS)
• Chirwere cheParkinson
• Kurohwa

Ndedzipi nzira dzekuwana rubatsiro rwekurapa kunorwadza?

Zvichienderana nezviwanikwa zviripo munharaunda yako, unogona kuwana rubatsiro rwekurapa munzvimbo dzakasiyana-siyana:

• Kukiriniki: Unogona kuona chiremba wekurapa varwere vari pakiriniki, sezvawaizoita kuona chiremba wemhuri yako.
• Muchipatara:Kunyangwe kana uri muchipatara, vanachiremba vekurapa vanokubatsira kuderedza marwadzo ako kana zvimwe zviratidzo.
• Kumba: Une mukana wekuwana rubatsiro kubva kune mushandi wehutano, uri kumba kwako wega.
• Nzvimbo dzekugara dzinobatsira vakwegura: Nzvimbo zhinji dzekugara dzinobatsira vakwegura dzine vashandi vehutano vanogona kupa rubatsiro rwekurapa.

Ndiani anopa rubatsiro urwu rwekurapa kunoderedza marwadzo?

Mapoka ekuchengetedza varwere vane marwadzo anosanganisira vanachiremba nedzimwe nyanzvi dzinogona kukubatsira kugadzirisa zviratidzo zvako. Vanokubatsirawo kugadzirisa kushushikana kwakawedzerwa uye mabasa anouya nechirwere chakakomba.

Chikwata chenyu chekutarisira chinogona kusanganisira:

• Vanachiremba
• Vanamukoti
• Vanamukoti vane kudzidziswa kwakakosha
• Vabatsiri vechiremba
• Vashandi vezvemagariro evanhu
• Vapi vemazano/vafundisi vezvemweya vanopa rutsigiro rwezvemweya zvichienderana nezvitendero zvako

Rutsigiro rwunobva kuchipatara chevarwere vanorwara rwakaita sei?

Kutarisirwa kwevarwere vane marwadzo emusana kunobatsira nenzira dzakawanda, pamusoro pekurapwa kwako. Izvi zvinogona kusanganisira:

• Kuderedza zviratidzo
• Dzidzo nekutsigira
• Rutsigiro rwevanhu
• Rutsigiro rwemweya

Kuderedza zviratidzo

Kurapa kwevarwere vane marwadzo emusana kunogona kuvandudza zviratidzo zvinokanganisa hutano hwako hwemuviri, hwepfungwa, uye hwepfungwa. Chikwata chekurapa varwere vane marwadzo emusana chinogona kukupa rubatsiro rwakananga, kana kuti vanogona kukudzidzisa nzira dzaungashandisa zuva nezuva kuti ugare zvakanaka.

Kurapa kwepalliative kunogona kubatsira nezviratidzo zvakaita se:

• Kunetseka
• Kuzvimba
• Kuora mwoyo
• Kuneta
• Kurasikirwa nechido chekudya
• Kusvotwa
• Kurwadziwa kana kusagadzikana mumuviri
• Kushaya mweya
• Kushushikana
• Dambudziko rekurara

Chikwata chenyu chekurapa varwere vanogona kubatsira kuderedza zviratidzo zvechirwere nenzira dzakadai sedzinotevera:

• Kurovedza muviri kufema
• Kudzidzira kwepfungwa
• Kutungamira kwekurovedza muviri
• Kunyora mishonga
• Kurovedza muviri
• Mazano ekuvandudza kurara

Kana uchida rubatsiro rwakawedzerwa, vanopa rubatsiro rwekurapa vanokubatsira kuti unzwe zviri nani vanogonawo kukutumira kune nyanzvi.

Dzidzo neKutsigira

Chikwata chenyu chekuchengetedza varwere vadiki chinogona kuita zvinotevera:

• Ndapota tsanangurai mamiriro enyu ehutano.
• Kukubatsira kusarudza rudzi rwekurapwa kwaunoda.
• Kukuudza kuti chirwere chako chichakukanganisa sei mune ramangwana.

Kana uine ruzivo rwakawanda, unokwanisa kuita sarudzo dzehutano dzakakunakira. Chikwata ichi chinokubatsirawo kutaurirana tsika dzako, zvinangwa zvako, uye zvaunofarira kune vamwe vanachiremba vako. Zvadaro, unogona kuwana rubatsiro rwaunoda.

Rutsigiro rwevanhu

Nyanzvi dzekurapa vanhu vanorwara nepfungwa dzinoziva kuti chirwere chako chinogona kukanganisa vari pedyo newe, saka havangotsigire iwe chete, asiwo avo vakakupoteredza.

Chikwata chenyu chekuchengetedza varwere vadiki chinogona kuita zvinotevera:

• Batana nemapoka ekutsigirana nezvinhu zvemunharaunda.
• Batsira mhuri yako kutaurirana, kana kuti ivatumire mazano emhuri.
• Tsigira shamwari dzako nemhuri yako mukutarisana nekushushikana kwavari kuita nekuda kwehurwere hwako.

Fungidzira kuti muvakidzani wedu, Sekuru Nimal, ainetseka uye airwadziwa sei paakaziva kuti ane kenza. Mhuri yake yakasuruvarawo zvikuru. Vanachiremba pavakanga vachimurapa kenza, vakatanga rubatsiro rwekurapa Sekuru Nimal. Vakamubatsira kudzora marwadzo ake, vakamubatsira kurara zvakanaka husiku, uye vakamubatsira kudya. Kwete izvozvo chete, asi timu yekuchengeta yakamubatsira kuderedza kutya kwake nekuzvidya mwoyo, uye vakamubatsira kutaura nemhuri yake nezvemaitiro ekurarama nenguva yakaoma iyi. Mukati memazuva mashoma, kunyemwerera kwakaonekwa pachiso chaSekuru Nimal, uye zvaive zororo guru kumhuri yake kumuona achipora.

Rutsigiro rwemweya

Zvichienderana nezvaunotenda uye zvaunoda, rubatsiro rwekuderedza kushushikana runogonawo kusanganisira rubatsiro rwemweya. Misangano yenguva dzose nemufundisi, mutungamiriri wechitendero, kana mumwe mupi wezano rezvemweya inogona kukubatsira kunzwisisa kuti chirwere chako chiri kukanganisa sei hupenyu hwako.

Kutarisirwa kwevarwere kunofanira kutanga rini?

Hapana nguva yakatarwa yekuti munhu anofanira kuwana rubatsiro rwekurapa palliative riini. Vanhu vazhinji vanosarudza rubatsiro rwekurapa palliative pavanongowana chirwere chakakomba. Kuwana rubatsiro nekukurumidza kunogona kukubatsira kuronga remangwana.

Taura nachiremba wako kana uchikurudzirwa kuti utarisire varwere vekurwadziwa kwepfungwa.

Kutarisirwa kwevarwere vane marwadzo emudumbu kunogona kuitwa kwenguva yakareba sei?

Unogona kuona nyanzvi yekurapa varwere vanorwara kwenguva yakareba chero bedzi uchiona zvichibatsira. Hapana muganho wekuti ungaona kangani.

Ndezvipi zvakanakira kurapa varwere vanorwara nepfungwa?

Kutarisirwa kwevarwere vane palliative kunokupa simba rekuita sarudzo dzakanaka dzekutarisira varwere dzine chekuita nehupenyu hwako. Zvinogonawo kuvandudza mhedzisiro yehutano. Tsvagiridzo yakaratidza kuti kurapwa kwevarwere vane palliative kwakabatana ne:

• Kugutsikana kwemurwere nemutarisiri kwakavandudzwa
• Hunhu hwakanaka hwehupenyu
• Kusanyanya kuzvidya mwoyo uye kuora mwoyo
• Kurarama kwenguva refu - mune dzimwe nguva

Ndezvipi zvakaipa kana kuti mafungiro asina kunaka ekutarisira varwere vanorwara nepfungwa dzakadzikama?

Dambudziko guru rekurapa varwere vepamuviri nderekuti vanhu vazhinji havanyatsonzwisisi chinangwa charo. Vamwe vanhu vanozeza kutanga rudzi urwu rwekurapa nekuti vanofunga kuti nderweavo vava pedyo nekuguma kwehupenyu hwavo.

Asi kurapwa kwevarwere hakurevi kuti uchafa. Ndekwemunhu wese ane chirwere chisingaperi chinokanganisa hupenyu hwake.

Ndingawana sei rubatsiro rwekurapa kunorwadza?

Kuti uwane rubatsiro rwekurapa kunorwadza, unofanira kutumirwa kuna chiremba wako. Dzimwe nguva, chiremba wako anogona kukukurudzira. Kana zvisina kudaro, usatya kutaura nezvenyaya iyi. Taura kuti unoda kudzidza zvakawanda nezve rubatsiro rwekurapa kunorwadza, bvunza kana uchikwanisa, uye kuti ndezvipi zvinhu zviripo.

Kurarama nechirwere chakakomba kunogona kukanganisa pfungwa dzako, muviri, hukama - nezvimwe zvinhu zvakawanda muhupenyu hwako. Zvinodiwa izvi zvinogona kukuremera. Kutarisirwa kwevarwere vane chirwere chakakomba ndekwekuderedza mitoro yakawanda inouya nechirwere chakakomba. Kana uchida kudzidza zvakawanda nezvekuchengetedzwa kwevarwere vane chirwere chakakomba kuripo kwauri kana kune waunoda, taura nachiremba wako. Unogonawo kuwana zvinhu zvinogona kukupa nyaradzo nerutsigiro rwaunoda kuti urarame hupenyu hwako zvizere.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Tinoziva kuti kubata nechirwere chakakomba hakusi nyore. Asi hausi wega. Kutarisirwa kwevarwere vane marwadzo ekurwadziwa inzira yekuwedzera inogona kukubatsira iwe nemhuri yako munguva ino yakaoma. Inogona kukubatsira kuderedza marwadzo ako nekusagadzikana, kukupa rugare rwepfungwa, uye kukubatsira kurarama hupenyu hunofadza.

Yeuka kuti, ichi hachisi chinhu chinongowanikwa chete pakupera kwehupenyu. Unogona kuwana rubatsiro urwu kubva pakutanga kwechirwere chako. Saka, kana iwe kana mumwe munhu waunoziva achinzwa sekuti unoda rubatsiro rwakadai, usatya kutaura nachiremba wako. Izvi zvichabatsira zvikuru kuti hupenyu hwako huve hwakasununguka uye hune hutano!

Kutarisirwa Kwevanorwara Nekurwadziwa, Kutarisirwa Kwevanorwara Nekurwadziwa, Kurwara Kwakakomba, Kurwara Kusingaperi, Hupenyu Hwakanaka, Kurerutsira Zviratidzo, Kudzora Marwadzo