Ngaba ungalufumana unyango olufunayo ekupheleni kobomi bakho? Makhe sithethe nge-(DNR)!

Sonke siyabuthanda ubomi, akunjalo? Kodwa ngenye imini, mhlawumbi xa sigula kakhulu, sisondela esiphelweni sobomi bethu, kuya kufika ixesha apho kuya kufuneka sicinge ngohlobo lonyango esilufunayo kunye nento esingayifuniyo. Nangona le yingongoma ebuthathaka kwaye inzima ukuthetha ngayo, kubaluleke kakhulu ukuba siqaphele amalungelo ethu kunye neminqweno yethu. Yiloo nto siza kuthetha ngayo namhlanje, kwaye yiyo leyo `(DNR)`.

Ithetha ukuthini `(DNR)`? Masifumanise ngokulula?

Ngamafutshane, `(DNR)` sisifinyezo samagama esiNgesi athi "Do-Not-Resuscitate" . NgesiSinhala, oku kuthetha ukuba sikuxelele kwangaphambili ukuba "musa ukuvuselela umzimba." Olu luhlobo lomyalelo kwangaphambili . Ubeke umyalelo `(DNR)`, oko kuthetha ukuba ukuba intliziyo yakho iyeka ukubetha okanye ukuphefumla kwakho kuyeka, awufuni ukunyangwa nge `(CPR)` (ukuvuselelwa kwentliziyo).

Ngokwesiqhelo, oogqirha, abahlengikazi, kunye nabanye abasebenzi bezempilo benza konke okusemandleni abo ukusindisa ubomi bakho. Oku kuquka ukwenza "i-CPR", equka ukucinezela isifuba kunye nokuphefumla ngomlomo ukunceda intliziyo kunye nemiphunga yakho isebenze kwakhona. Kwaye:

• Ukuba ukuphefumla kunzima, kufakwa ityhubhu yokuphefumla (`Intubation`) ize iqhagamshelwe kumatshini wokuphefumla owenziweyo (`Ventilator` / `Mechanical Ventilation`).
• Ukuba ukusebenza kwentliziyo akuhambelani, kwenziwa umzamo wokubuyisela intliziyo kwimeko yesiqhelo ngokuyinika umatshini okhethekileyo (kusetyenziswa i-defibrillator).

Kodwa kuthekani ukuba sele ugula kakhulu, okanye unesifo esinganyangekiyo? Kulapho ke ii-odolo ze-`(DNR)` zingena khona. I-`(DNR)` inokuba luncedo ukuba ufuna izinto ezifana nezi:

• Nciphisa intlungu nokubandezeleka okuzivayo ekupheleni kobomi bakho.
• Gcina isidima sakho ngexesha lokufa kwakho.

Umyalelo othi "DNR" udla ngokubhalwa ngugqirha, emva kokuxoxa nawe ngononophelo kunye/okanye nabantu obenza izigqibo zomthetho, ukuba uyafuna, kunye nosapho lwakho. Ngokuxhomekeke kumthetho welizwe lakho, umyalelo othi "DNR" usebenza kuphela ukuba ubhalwe ngugqirha (MD okanye DO) okanye ingcali yezempilo ekhethiweyo.

Kungcono ukulungiselela i-odolo ethi "DNR" ngaphambi kokuba kwenzeke imeko engxamisekileyo. Le odolo ixelela abasebenzi bezempilo ukuba bangenzi "CPR" ukuba intliziyo yakho okanye ukuphefumla kwakho kuyeka. Ugqirha obhala le odolo uza kuyifaka kwirekhodi yakho yezonyango (''Itshathi Yezonyango'') ukuze abanye bayibone.

Ngaba kukho iintlobo ezahlukeneyo ze-`(DNR)`?

Amaxesha amaninzi, xa sisithi `(DNR)`, sithetha `(CPR)` kunye nonyango oluhambelanayo olufana nokusetyenziswa kwe `(Defibrillator)`. Nangona kunjalo, kukho ezinye iindlela ezifanayo ezithe ngqo ngakumbi. Ngamanye amaxesha, ezi ntlobo ze `(DNR)` zinokwahluka ngokuxhomekeke kumthetho kwilizwe/kwingingqi yakho. Makhe sijonge eminye imizekelo.

• Musa ukuzama ukuvuselela umntu onesifo sengqondo (i-DNR): Oku kuyafana ne-DNR. Kwezinye iindawo, ezinye iziko lezempilo zisebenzisa eli gama.
• Vumela Ukufa Kwendalo (AND): Oku kuthetha ukunika unyango olufunekayo kuphela ukuze uzive ukhululekile kangangoko kunokwenzeka. Injongo ephambili apha kukuthintela ekubandezelekeni xa usweleka.
• Musa ukufunxa ityhubhu (DNI): Oku kuxelela ugqirha ukuba awufuni ukufunxa ityhubhu okanye ukuqhagamshelwa kwi-ventilator ukuba awukwazi ukuphefumla wedwa.
• Iiodolo ze-DNR ezithile: Ezi ziiodolo ezinokwenziwa ngokweemfuno zomntu ngamnye. Umzekelo, unokuthi hayi kwi-CPR, kodwa usenokungafuni ukuba nezinye iindlela zonyango ezisindisa ubomi, ezifana ne-defibrillator.
• Iiodolo zokhathalelo lwentuthuzelo: Ezi zinokukuxelela ukuba loluphi uhlobo lokhathalelo onokulufumana ekupheleni kobomi bakho. Zinokuchaza neminqweno yakho ukukunceda uzive ukhululekile kangangoko ekupheleni kobomi bakho.

Kunokubakho iintlobo ezahlukeneyo ze-"DNR" kuxhomekeke kwindawo ohlala kuyo kunye nemeko yakho. Ugqirha wakho angakuxelela okungakumbi malunga neendlela onokukhetha kuzo.

Ukuba i-CPR isindisa ubomi, kutheni umntu engafaka i-odolo ye-DNR?

Lo ngumbuzo abantu abaninzi abajongene nawo. Abanye abantu abanezifo ezingapheliyo okanye iimeko zempilo ezinzulu abafuni ukufumana i-CPR, nokuba oko kunokubangela ukufa kwabo. Ukugqiba ukwenza i-oda ye-DNR kunokukunika ingqiqo yokulawula ubomi bakho kwaye kukunike amandla athile.

Nangona i-CPR inokusindisa ubomi, ayisebenzi ngokupheleleyo. Kwakhona, i-CPR isenokungasebenzi kakuhle kubantu abagula kakhulu okanye abaneengxaki ezithile zempilo. Kuqhelekile ukuba nemiphumo emibi efana nokuphuka kwembambo kunye nokuqhekeka kwe-sternum ngexesha le-CPR.

Khawucinge nje, umntu sele emdala kakhulu kwaye enesifo somhlaza esinganyangekiyo. Ukuba intliziyo yakhe ayisayi kubetha, nokuba i-CPR inikwe ukuze imvuselele okwethutyana, iya kumbangela iintlungu ezingaphezulu kwaye inganiki kuphumla, angakhetha ukwenza i-DNR. Eso sisigqibo sakhe.

Ndingazichaza njani iminqweno yam (i-DNR)?

Thetha nomboneleli wakho wezonyango okanye inkokeli yeqela elikunyangayo ngale nto. Ugqirha wakho uza kuxoxa nawe ngezinto ezilungileyo nezingalunganga ze-CPR kunye nonyango oluhambelanayo. Le yingxoxo enyanisekileyo nawe malunga nento oyifunayo ngokwenene. Kubaluleke kakhulu ukunika imvume enolwazi ngexesha lezi ngxoxo. Oku kuya kukunceda wazi yonke into onokuyenza kwaye wenze isigqibo ngokusekelwe kukhetho lwakho. Ukuba ufuna ukucinga ngakumbi ngayo okanye ukuthetha nosapho lwakho, kulungile ukuxelela ugqirha wakho . Kuqhelekile ukuva nge-oda ye-DNR xa undwendwela iofisi kagqirha okanye xa ungeniswe esibhedlele.

Emva kokuba ufumene i-`(DNR)`, ugqirha wakho angayirekhoda kwi-`Medical Record` yakho. Angakunika ikopi ukuze uhlale nayo. Ungafumana ne-`Medical ID Bracelets`` ozinxibayo ukuze abo basabelayo ngexesha likaxakeka bazi ukuba unayo i-`DNR``.

Kuza kwenzeka ntoni ukuba andikwazi ukwenza isigqibo malunga ne-`(DNR)` mna?

Ukuba awukho zingqondweni ngenxa yokugula okanye ingozi, okanye ukuba awukwazi ukwenza izigqibo ezinolwazi, usenokungakwazi ukuveza iminqweno yakho malunga ne-"DNR". Ukuba sele une-"DNR" order, ekwirekhodi yakho yezonyango, usapho lwakho alunakukwazi ukuyitshintsha.

Ukuba awunayo i-`(DNR)`, ungamtyumba umntu oza kukuthethela. Umzekelo, ummeli wakho wezomthetho (`Power of Attorney`) okanye umntu okunike igunya lokwenza ezinye izigqibo zonyango (`Healthcare Proxy`) . Ukuba awumtyumbi umntu, ngamanye amaxesha ilungu losapho linokukwenzela izigqibo zonyango ukuba awukwazi ukwenza izigqibo. Amalungu osapho anokukwenzela izigqibo anokwahluka ngokwamazwe ngamazwe nangokwemimandla.

Kuthekani ukuba nditshintsha ingqondo emva kokuba i-odolo ye-DNR ibhaliwe kwaye inikwe mna?

Usoloko unelungelo lokutshintsha ingqondo yakho malunga ne-"(DNR)` yakho. Ukuba utshintsha ingqondo yakho, xelela ugqirha wakho ngoko nangoko. Angabhala phantsi utshintsho kwirekhodi yakho yezonyango. Kufuneka uyeke ukusebenzisa izinto ezifana namakhadi ozazisa owanxiba esihlahleni sakho, kwaye utshabalalise naziphi na iikopi onazo.

Xelela usapho lwakho kunye nabanye abanakekeli ukuba utshintshe ingqondo yakho kwaye awusafuni `(DNR)` yakho.

Kwenzeka ntoni ukuba uvuselela umntu okwi-`(DNR)`?

Imiyalelo ethi ``(DNR)`` ichaphazela kuphela iingcali zonyango ezizaziyo (okanye ezifanele ukuba ziyazi). Ukuba ugqirha akazi nge ``(DNR)`` yakho, okanye ukuba kukho impazamo yokunxibelelana, abayi kungena engxakini.

Nangona kunjalo, ukuba ugqirha wakho uyazi nge-`(DNR)` yakho aze akuvuselele, unokujongana nemiphumo yezomthetho. Ukuba bebengenankathalo kwaye bengazi nge-`(DNR)` yakho, banokujongana nemiphumo yeso sizathu.

Iingcali ezingezizo ezonyango azinyanzelekanga ngokomthetho ukuba zenze i-CPR kumntu one-DNR. Ukuba uqeqeshwe ukwenza i-CPR kumntu onesifo sentliziyo, kufuneka uzame ukwenza njalo. Nangona kunjalo, ukuba uyazi ukuba umntu une-DNR, kufuneka uhloniphe iminqweno yakhe yokuba angamvuseli umoya.

Ukuba ndiyatyandwa, ngaba i-"DNR" iya kuyichaphazela indlela endinyamekelwa ngayo?

Ukuba une-`(DNR)` kwaye uza kwenziwa utyando, qiniseka ukuba uthetha nogqirha wakho kunye nengcali yokubulala iintlungu malunga ne-`(DNR)` yakho. Bangakuxelela okungakumbi malunga nendlela i-`(DNR)` yakho eya kuyichaphazela ngayo nayiphi na inxalenye yotyando lwakho.

Kwezinye iimeko, ingcali yakho yokubulala iintlungu, ugqirha otyandayo, okanye bobabini banokukucela ukuba umise "i-DNR" yakho okwethutyana ngexesha lotyando. Oku kungenxa yokuba ezinye zezinto eziqhelekileyo zotyando, ingakumbi i-anesthesia eqhelekileyo, zinokungqubana ne-"DNR" yakho. Ukuba unemibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho otyandayo okanye ingcali yokubulala iintlungu. Kubalulekile ukubachazela iingxaki zakho ukuqinisekisa ukuba ufumana unyango oluhlangabezana neemfuno zakho neminqweno yakho.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Nokuba sele usondela esiphelweni sobomi bakho, unelungelo lokwenza izigqibo malunga nokhathalelo lwakho. Umyalelo othi ``Musa ukuVuselela'' (DNR) uyakunika amandla kwaye ukunika ithuba lokukhetha iintlobo zonyango olufumanayo.

Kungcono ukuthetha nogqirha wakho malunga nonyango lwakho lokuphela kobomi kwangethuba ngaphambi kokuba ulufune. Ukucwangcisa kwangaphambili kunceda iqela lakho lezempilo kunye nabantu obathandayo bazi into oyifunayo. Ngale ndlela, ungafumana unyango oluhlangabezana neemfuno zakho kunye nezinto eziza kuqala kude kube sekupheleni kobomi bakho. Ungoyiki ukuthetha ngale nto, lilungelo lakho.

` DNR, musa ukuvuselela umzimba, imiyalelo kwangaphambili, i-CPR, unyango oluxhasa ubomi, intando yokugqibela, izigqibo zonyango, ukugula okungapheliyo, ukhathalelo lwentuthuzelo