Khawuthelekelele ukuba umntu omthandayo, mhlawumbi umama wakho, utata, okanye umakhulu wakho, ugulela ukufa. Ukuba intliziyo yabo iyeka ukubetha ngequbuliso okanye bayeka ukuphefumla, oogqirha baya kwenza konke okusemandleni abo ukubasindisa. Kodwa ezo ndlela zonyango zinokubangela iintlungu ezingaphezulu. Kulapho ke ingcamango ye-DNR iqala khona. Nangona le yingongoma ebucayi, kubalulekile ukuba sonke siyiqaphele.
Kalula nje, yintoni i-odolo ye-DNR?
I-DNR sisifinyezo samagama esiNgesi athi "Musa-Ungavuseleli Umphefumlo" . NgesiSinhala, ithetha ukuthi "ungavuseleli umzimba" . Lo ngumyalelo wezonyango. Ngokuchanekileyo, ngumyalelo onikwa abasebenzi bezonyango wokuba bangazami ukuvuselela umntu ukuba ukubetha kwentliziyo okanye ukuphefumla kwakhe kuyeka.
Kwiimeko eziqhelekileyo, ukuba intliziyo yomntu ayibethi, oogqirha baya kwenza konke okusemandleni abo ukusindisa ubomi bakhe. Oku kunokuquka:
- I-CPR (Ukuvuselelwa Kwentliziyo): Mhlawumbi ukubonile kwiimuvi apho banika ukuphefumla okwenziwayo ngokucinezela isifuba. Yiyo loo nto i-CPR.
- Ukufaka umoya kunye ne-ventilator: Xa ukuphefumla kunzima, kufakwa ityhubhu ngomlomo okanye empumlweni ize iqhagamshelwe kumatshini (i-mechanical ventilation) ukuze kufumaneke ukuphefumla.
- I-Defibrillator: Yinzame yokuqalisa kwakhona intliziyo emile ngokubangela ukubetha kombane entliziyweni.
Kodwa khawucinge ukuba umntu sele egula kakhulu, mhlawumbi ukwinqanaba lokugqibela lesifo esinganyangekiyo njengomhlaza. Kumntu onjalo, unyango olunjalo lunokwandisa ukubandezeleka kwakhe. Kulapho ke umyalelo we-DNR uluncedo khona. Unika isigulane ithuba lokwenza izigqibo malunga nokuphela kobomi baso.
Ukuba ubomi bungasindiswa, kutheni umntu ecela i-odolo ye-DNR?
Lo mbuzo usenokuba ufike nakuwe. Ukuba i-CPR inokusindisa ubomi, kutheni umntu angavumi? Kukho izizathu ezahlukeneyo zoku.
Umntu onesifo esinganyangekiyo unokufuna ukuphila imihla yokugqibela yobomi bakhe ngesidima kwaye engenantlungu. I-CPR ayilula njengoko ibonakala. Ingaphula iimbambo kwaye yonakalise imiphunga. Kumntu ogula kakhulu, nokuba uyakwazi ukuphila emva kwento efana nale, ubomi bakhe bunokuba bubi nangakumbi.
Okubaluleke kakhulu, umyalelo we-DNR lilungelo lokwenza izigqibo ngobomi bakho. Unika umntu ingqiqo yokulawula ukuphela kobomi bakhe.
Kwakhona, i-CPR ayisoloko iphumelela nge-100%. Amathuba okuphumelela aphantsi kakhulu, ingakumbi kubantu abadala okanye abo baneengxaki ezahlukeneyo zempilo. Kubalulekile ukuba ugqirha athethe ngokukhululekileyo ngale nto nomguli kunye nosapho.
Ngaba kukho iintlobo ezahlukeneyo zee-odolo ze-DNR?
Ewe, kukho umahluko omncinci kwezi ndlela. Ingahluka ngokuxhomekeke kwisibhedlele, ilizwe, kunye nezinto ezikhethwa sisigulana. Makhe sijonge ezinye zezona ntlobo ziphambili.
| Uhlobo lwe-odolo | Ingcaciso elula |
|---|---|
| I-DNR / i-DNAR (Musa ukuzama ukuvuselela umzimba) | Zombini ziyafana kakhulu. Isigidimi esisisiseko kukuba ukuba intliziyo okanye ukuphefumla kuyayeka, musa ukuzama ukuvuselela umzimba, njenge-CPR. |
| KWAYE (Vumela Ukufa Kwendalo) | Oku kuthetha "ukuvumela ukufa kwendalo." Isigulana sinikwa unyango oluthuthuzelayo ukuze sinciphise iintlungu size sihlale sikhululekile. Kodwa akukho mzamo wenziweyo wokwandisa ubomi ngokungekho mthethweni. |
| I-DNI (Musa Ukuzifaka Kwi-Intubate) | Oku kuthetha ukuba ukuba awukwazi ukuphefumla, musa ukufaka ityhubhu yokuphefumla ukuze uphefumle ngendlela yokwenziwa. Oko kuthetha ukuba ungaqhagamshelani nesixhobo somoya. |
| Ii-DNR ezichaziweyo | Ezinye izigulana zinokukhetha ukungenzi i-CPR, kodwa zikhethe i-defibrillator. Ezi miyalelo zinokwenziwa ukuze zibandakanye izicelo ezithile ezifana nezi. |
Ungayisombulula nayiphi na imibuzo onayo ngale nto ngokuthetha nogqirha wakho okanye nogqirha welungu losapho.
Ndingabonisa njani imvume yam?
Eli linyathelo elibaluleke kakhulu.
1. Thetha nogqirha wakho:Thetha ngokukhululekileyo ngale nto nogqirha wakho oyintloko okanye ugqirha wosapho lwakho. Uza kukuchazela iingenelo, iingxaki kunye neengozi ze-CPR.
2. Imvume Enolwazi: Le asiyondaba nje. Emva kokuba ugqirha ekuchazele yonke into, kufuneka wenze esi sigqibo ngokuqonda okupheleleyo. Oko kubizwa ngokuba yi-`(Imvume Enolwazi)`.
3. Zinike ixesha lokucinga: Esi asisosigqibo sokwenziwa ngokungxama. Ukuba ufuna ixesha lokucinga ngale nto nokuthetha nosapho lwakho, xelela ugqirha wakho.
4. Amaxwebhu: Wakuba wenze isigqibo, ugqirha uza kurekhoda umyalelo kwirekhodi yakho yezonyango. Ungafumana nekopi yawo. Amanye amazwe ade abe neebhrawuzisi ezikhethekileyo zale njongo.
Ngokwesiqhelo, xa ungeniswe esibhedlele, oogqirha babuza isigulana okanye usapho ngale nto.
Kuza kwenzeka ntoni xa ndikwimeko apho ndingakwaziyo ukuzenzela isigqibo?
Khawuthelekelele ukuba umntu ulahlekelwe ziingqondo emva kwengozi, okanye akakho kwimeko yokuba athathe isigqibo ngesizathu esithile.
- Ukuba sele unayo i-odolo ye-DNR: Ukuba sele uyenzile i-odolo ye-DNR kwaye ikwiirekhodi zakho zonyango, nosapho lwakho alunakukwazi ukuyitshintsha. Isebenza njengendlela yokuhlonipha iminqweno yakho.
- Ukuba akukho myalelo we-DNR: Ukuba uneGunya loMmeli, loo mntu angakwenzela izigqibo. ESri Lanka, ngokuqhelekileyo lilungu losapho elisondeleyo (umz. iqabane, abantwana) elenza izigqibo kwezi meko.
Kuthekani ukuba nditshintsha ingqondo emva kokuba i-odolo ye-DNR yenziwe?
Unelungelo lokutshintsha ingqondo yakho nangaliphi na ixesha. Ukuba utshintsha ingqondo yakho, yazisa ugqirha wakho ngoko nangoko ukuze akwazi ukurekhoda utshintsho kwingxelo yakho yezonyango.
Kwakhona, yazisa usapho lwakho kunye nabanakekeli ngale nto. Ukuba uneekopi ze-oda ye-DNR, zitshabalalise.
Kwenzeka ntoni kwi-oda ye-DNR xa kusenziwa utyando?
Le yinto ebuzwa ngabantu abaninzi. Ukuba une-oda ye-DNR kwaye uza kutyandwa, qiniseka ukuba uthetha nogqirha wakho kunye nogqirha we-anesthesiologist ngayo.
Ngamanye amaxesha, iinkqubo eziqhelekileyo ezenzeka ngexesha lotyando kunye ne-anesthesia (ezifana nokulawula ukuphefumla) zinokungqubana nomyalelo we-DNR. Ke ngoko, oogqirha banokukucela ukuba umise okwethutyana umyalelo we-DNR ngexesha lotyando. Babuze ngayo nayiphi na imibuzo onokuba nayo malunga noku.
Nokuba sele usondela esiphelweni sobomi bakho, unelungelo lokugqiba ukuba loluphi unyango olufumanayo. I-DNR order yinto eqinisekisa elo lungelo kwaye ikunika amandla okwenza njalo.
Kubalulekile ukuxoxa ngezi zinto nogqirha wakho kunye nabantu obathandayo ngaphambi kokuba zibe yimfuneko. Ngale ndlela, wonke umntu uyazi iminqweno yakho. Ngale ndlela, unokufumana unyango oluhlangabezana neemfuno zakho kunye nezinto eziza kuqala kuwe kude kube sekupheleni.
Umyalezo Wokuya Ekhaya
- I-DNR (Do-Not-Resuscitate) ngumyalelo wezonyango othintela ukusetyenziswa kwamanyathelo okuvuselela umzimba, njenge-CPR, ukuba intliziyo okanye ukuphefumla kuyeka.
- Oku kungabaluleka kwabo banesifo esinganyangekiyo nabafuna ukunciphisa iintlungu nokubandezeleka ekupheleni kobomi.
- Le yinto eqinisekisa ilungelo lokwenza izigqibo malunga nokuphela kobomi bomntu.
- Kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga nokufumana i-odolo ye-DNR.
- Ungasitshintsha isigqibo sakho se-DNR nangaliphi na ixesha. Yazisa ugqirha wakho kunye nosapho lwakho.
- Ngaphambi kotyando, qiniseka ukuba uxoxa nge-DNR order yakho nogqirha wakho kunye nogqirha we-anesthesiologist.
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