Khawuthelekelele ukuba ngequbuliso ugula kakhulu, okanye ube nengozi waza walahlekelwa zingqondo... UThixo makangayivumeli loo nto ukuba yenzeke nakubani na! Kodwa, kuthekani ukuba ubungenakukwazi ukuxelela oogqirha kunye nosapho lwakho ukuba loluphi unyango olufunayo nolungalufuniyo? Ngubani owaziyo ukuba iminqweno yakho ibiya kuba yintoni ngexesha elinje? Le yingongoma ekungekho namnye kuthi othanda ukuyicinga. Kodwa, ingaba ingakanani uxolo lwengqondo oluya kukuzisela wena kunye nabantu obathandayo ukuba ubucinga ngale nto kwaye uyicwangcisile kwangaphambili xa yonke into ilungile? Yiloo nto sithetha ngayo namhlanje, 'i-Advance Directive'.
Yintoni kanye kanye le Advance Directive?
Ngamafutshane, i-Advance Directive luxwebhu olusemthethweni oluxelela oogqirha bakho kunye nosapho lwakho kwangaphambili ukuba loluphi unyango olufunayo nolungalufuniyo ukuba uphelelwa ngamandla. Lufana 'nelizwi likagqirha' wakho wexesha elizayo.
Olu xwebhu lukuvumela ukuba uchaze kwangaphambili ukuba loluphi unyango oluthandayo nolungathandiyo. Lukwakunika ithuba lokubiza umntu onokuba noxanduva lokuqinisekisa ukuba iminqweno yakho iyafezekiswa.
Oku akuyonto eyenzelwe abantu abadala okanye abo banezifo ezinzulu kuphela. Nabani na ophilileyo angalungiselela uxwebhu olufana nolu. Kuba izinto ezifana nokugula nengozi azihambi ngokwaluphala.
Kungoko ke, kungcono ukugqiba into efana nale ngelixa usempilweni kwaye uphilile engqondweni. Kufana notyalo-mali kwimpilo yakho yexesha elizayo.
Ziziphi iintlobo eziphambili ze-Advance Directives?
Kukho iintlobo ezininzi eziphambili ze-Advance Directives. Masiqonde nje nganye nganye.
| Uhlobo lweSikhokelo | Ingcaciso elula |
|---|---|
| Intando Ephilayo | Oku kuthetha ukuba ukuba unesifo esinganyangekiyo okanye ukuba uphelelwa zingqondo ngokusisigxina, loluphi unyango ekufuneka ulufumane nolungafanele ulufumane. Umzekelo, oku kungabandakanya ukuba kufuneka uqhagamshelwe kwiimashini zokuxhasa ubomi okanye ukuba kufuneka utyiswe ngendlela yokwenziwa. |
| Igunya Elihlala Lihleli Lommeli Wezempilo | Oku kuquka ukubiza ngokusemthethweni umntu omthembileyo ukuba akwenzele izigqibo zonyango ukuba awukwazi ukuzenzela wena. Lo mntu ubizwa ngokuba yi -'Healthcare Proxy' . Kubaluleke kakhulu ukuba lo mntu abe ngumntu oqhelene kakhulu neminqweno yakho kunye nemilinganiselo yakho. |
| Ii-oda zooGqirha zoNyango oluSimamisayo (i-POLST) | Le yifomu edla ngokuzaliswa ngumntu onesifo esibi kakhulu, kunye nogqirha wakhe. Iqulethe imiyalelo ecacileyo yendlela abasebenzi bezonyango abafanele benze ngayo ngokukhawuleza xa kukho imeko engxamisekileyo. Ayilonto ithatha indawo yamanye amaxwebhu, kodwa yiodolo yezonyango ecacileyo eyongeziweyo kuwo. |
| Umyalelo we-Do-Not-Resuscitate (DNR) | Oku kuthetha ukuba ukuba intliziyo yakho okanye ukuphefumla kwakho kuyeka, ungazami ukwenza i-cardiopulmonary resuscitation (CPR) . Esi sigqibo sidla ngokwenziwa ngabantu abakwinqanaba lokugqibela lesifo esibulalayo. Ugqirha uza kuxoxa ngezinto ezilungileyo nezingalunganga zokwenza i-CPR nesigulana kunye nosapho. |
Ngaba nam ndiyayidinga i-Advance Directive?
Ewe ngenene! Njengoko besitshilo ngaphambili, oku akuyonto nje echaphazela abantu abadala. Nabani na unokufumana ingozi okanye ukugula nangaliphi na ixesha. Kuthekani ukuba awukwazi ukuthetha, kuthekani ukuba awukwazi ukuveza iminqweno yakho?
Ukuba noxwebhu olufana nolu xa usempilweni kuya kuqinisekisa ukuba ufumana unyango olufunayo xa ulufuna. Akupheleli apho, kodwa ukubiza umntu omthembileyo ukuba akwenzele izigqibo (i-Healthcare Proxy) kuya kunika usapho lwakho intuthuzelo enkulu ngamaxesha anzima. Kuba abayi kukhathazeka malunga nokuba "luhlobo luni lwezigqibo abeya kuzenza ukuba ebelapha?" Banokwenza ngokweminqweno yakho kuba baneminqweno yakho ebhalwe ngokucacileyo kuxwebhu.
Kwenzeka ntoni xa i-Advance Directive ilahlekile?
Khawucinge ukuba awunalo uxwebhu olunjalo, kwaye awukwazi nokwenza izigqibo. Ukuba kunjalo, ngubani oza kukwenzela izigqibo? Ngokomthetho kunye nezenzo eziqhelekileyo kwilizwe lethu, uxanduva lokwenza ezo zigqibo luhlala luxhomekeke kwiqabane lakho (umyeni okanye umfazi), abazali, okanye abantwana abadala.
Kodwa kuthekani ukuba usapho lwakho aluvumelani ngonyango omele ulufumane? Omnye umntu uthi ufuna inkxaso yobomi, ngelixa omnye esithi akafuni ukubandezeleka ngolo hlobo. Oku kunokuba yingxaki enkulu. Kwaye izigqibo abazenzayo ngelo xesha zisenokungabi yile nto uyifunayo ngokwenene. I-Advance Directive ibalulekile ukuze kuthintelwe iimeko ezididayo.
Ndingenza njani i-Advance Directive?
Oku akuyonto inzima njengoko unokucinga.
1. Cinga ngezinto ozithandayo: Okokuqala, kufuneka ucinge ngononophelo ngezinto ozithandayo nongazithandiyo phantsi kweemeko ezahlukeneyo zonyango. Kubaluleke kakhulu ukuthetha ngale nto ngokukhululekileyo nosapho lwakho kunye nogqirha wakho.
2. Lungisa uxwebhu: Bhala ngokucacileyo iminqweno yakho. Iifomu eziqhelekileyo zoku zinokufumaneka kwi-intanethi. Nangona kunjalo, kubalulekile ukulungiselela oku ngokwemigaqo yomthetho yelizwe lethu. Ke ngoko, bubulumko ukufuna ingcebiso yegqwetha.
3. Sayina kwaye ungqine: Emva kokulungiselela uxwebhu, kufuneka lusayinwe kwaye lungqinelwe ngokweenkqubo zomthetho ezifanelekileyo.
4. Nika iikopi: Nika usapho lwakho, uMmeli wakho wezeMpilo otyunjiweyo, kunye nogqirha wakho wosapho iikopi zale xwebhu. Gcina ezo kopi zikhuselekile kuwe.
Eyona nto ibalulekileyo kukuba usapho lwakho luyazi le ncwadana. Ukuba abazi ukuba kukho loo xwebhu, ayizukuba luncedo xa kukho imeko engxamisekileyo.
Olu xwebhu luqala nini ukusebenza?
Lo ngumbuzo obuzwa ngabantu abaninzi. I-Advance Directive isebenza kuphela xa ungakwazi ukuchaza iminqweno yakho yezonyango. Ukuba unengqondo ephilileyo kwaye uyakwazi ukuthetha, uzenzela zonke izigqibo.
Kukho enye into ebalulekileyo. Kwimeko yongxamiseko, iingcali zonyango ezingxamisekileyo (ii-EMT) azinakuthatha amanyathelo ngala maxwebhu. Uxanduva lwabo lokuqala kukuzinzisa nokukwamkela kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele. Emva kokuba ungeniswe esibhedlele, ugqirha uza kuvavanya imeko yakho aze aqinisekise ukuba awukwazi ukwenza izigqibo. Umyalelo oPhambili uza kuphunyezwa.
Ndingayitshintsha na i-Advance Directive yam?
Kakade unako! Ungalirhoxisa okanye ulitshintshe eli xwebhu nangaliphi na ixesha, ukuba nje unengqondo ephilileyo kwaye unokuchaza ngokucacileyo iminqweno yakho.
Enyanisweni, licebo elihle ukuphonononga i-Advance Directive yakho rhoqo, mhlawumbi rhoqo emva kweminyaka embalwa, ukuze ubone ukuba oko ikuthethayo kusahambelana neminqweno yakho yangoku. Ukuba kukho utshintsho olukhulu ebomini bakho (umz., umtshato, uqhawulo-mtshato, ukuba nomntwana), kufanelekile ukuyiphonononga ngelo xesha.
Ukuba udala uxwebhu olutsha, luya kuyirhoxisa ngokuzenzekelayo endala. Ungalibali ukunika bonke ababandakanyekayo iikopi zoxwebhu olutsha.
Ukucinga nge-Advance Directive kunokuba nzima, kodwa sisigqibo esixabisekileyo nesinobulumko onokusenza kwikamva lakho kunye noxolo lwengqondo lwabantu obathandayo.
Umyalezo Wokuya Ekhaya
- I-Advance Directive luxwebhu olusemthethweni olukuxelela kwangaphambili ukuba loluphi unyango olufunayo xa ungakwazi ukwenza izigqibo.
- Oku kubaluleke kakhulu ukuba kuhlengahlengiswe kuye nawuphi na umntu omdala osempilweni, nokuba ungakanani na ubudala.
- Intando Ephilayo kunye neGunya Elihlala Lihleli leGqwetha lezeMpilo (ukubiza iProxy yezeMpilo) zezona ntlobo zimbini ziphambili.
- Xa ulungiselela uxwebhu olunjalo, thetha nosapho lwakho, ugqirha wakho, kwaye, ukuba kuyimfuneko, negqwetha.
- Nje ukuba uxwebhu lulungisiwe, nika iikopi kusapho lwakho, ugqirha, kunye nomntu omtyumbileyo, kwaye ubagcine benolwazi ngalo.
- Ungalutshintsha okanye ulurhoxise olu xwebhu nangaliphi na ixesha, ukuba nje unengqondo ephilileyo.
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