Ungakuthola ukwelashwa okufunayo ekupheleni kwempilo yakho? Ake sixoxe nge-(DNR)!

Sonke siyayithanda impilo, akunjalo? Kodwa ngolunye usuku, mhlawumbe lapho sigula kakhulu, sisondela ekupheleni kwempilo yethu, kuzofika isikhathi lapho kufanele sicabange ngohlobo lokunakekelwa kwezokwelapha esikufunayo nalokho esingakufuni. Nakuba lesi kuyisihloko esibucayi nesinzima ukukhuluma ngaso, kubaluleke kakhulu ukuqaphela amalungelo nezifiso zethu. Yilokho esizokhuluma ngakho namuhla, futhi yilokho `(DNR)`.

Kusho ukuthini ukuthi `(DNR)`? Ake sithole kalula?

Kalula nje, i-`(DNR)` iyisifinyezo samagama esiNgisi athi "Do-Not-Resuscitate" . NgesiSinhala, lokhu kusho ukuthi sikutshele kusengaphambili ukuthi "ungavuseleli." Lolu uhlobo lwesiqondiso kusengaphambili . Usuvele wenze i-`(DNR)`, okusho ukuthi uma inhliziyo yakho iyeka ukushaya noma ukuphefumula kwakho kuyeka, awufuni ukwelashwa nge-`(CPR)` (ukuvuselelwa kwenhliziyo nokuphefumula).

Ngokuvamile, odokotela, abahlengikazi, kanye nabanye abasebenzi bezempilo benza konke okusemandleni abo ukusindisa impilo yakho. Lokhu kuhlanganisa ukwenza i-"CPR", okuwukucindezela isifuba kanye nokuphefumula ngomlomo ukuze kusize inhliziyo namaphaphu akho asebenze futhi. Futhi:

• Uma ukuphefumula kunzima, kufakwa ipayipi lokuphefumula (`Intubation`) bese lixhunywa emshinini wokuphefumula wokwenziwa (`Ventilator` / `Mechanical Ventilation`).
• Uma ukusebenza kwenhliziyo kungasebenzi kahle, kwenziwa umzamo wokubuyisela inhliziyo esimweni sayo esijwayelekile ngokuyinika ugesi ('umshini') ovela emshinini okhethekile (kusetshenziswa i-'defibrillator').

Kodwa kuthiwani uma usuvele ugula kakhulu, noma unesifo esibulalayo? Yilapho-ke ama-oda e-`(DNR)` angena khona. I-`(DNR)` ingaba usizo uma ufuna izinto ezifana nalezi:

• Nciphisa ubuhlungu nokuhlupheka ozizwayo ekupheleni kwempilo yakho.
• Londoloza isithunzi sakho ngesikhathi sokufa kwakho.

I-oda elithi "DNR" livame ukubhalwa udokotela, ngemva kokuxoxisana nawe ngokucophelela kanye/noma abenzi bakho bezinqumo zomthetho, uma uthanda, nomndeni wakho. Kuye ngomthetho esifundazweni sakho, i-oda elithi "DNR" lisebenza kuphela uma libhalwe udokotela (MD noma DO) noma uchwepheshe wezempilo oqokiwe.

Kungcono ukulungiselela i-oda elithi "DNR" ngaphambi kokuba kube nesimo esiphuthumayo. Lo myalo utshela abasebenzi bezempilo ukuthi bangenzi i-"CPR" uma inhliziyo noma ukuphefumula kwakho kuyeka. Udokotela obhala lo myalo uzowufaka kurekhodi lakho lezokwelapha (''Ishadi Lezokwelapha'') ukuze abanye bawubone.

Ingabe kunezinhlobo ezahlukene ze-`(DNR)`?

Esikhathini esiningi, uma sithi `(DNR)`, sisho `(CPR)` kanye nokwelashwa okuhlobene nokusetshenziswa kwe-`(Defibrillator)`. Kodwa-ke, kunezinye izindlela ezifanayo eziqondile kakhulu. Ngezinye izikhathi, lezi zinhlobo ze-`(DNR)` zingahluka kuye ngomthetho ezweni/esifundeni sakho. Ake sibheke ezinye izibonelo.

• Ungazami ukuvuselela (i-DNR): Lokhu kufana ne-DNR. Kwezinye izindawo, ezinye izikhungo zezempilo zisebenzisa leli gama.
• Vumela Ukufa Kwemvelo (FUTHI): Lokhu kusho ukunikeza ukwelashwa okudingekayo kuphela ukuze uzizwe ukhululekile ngangokunokwenzeka. Umgomo oyinhloko lapha ukuvimbela ukuthi ungahlupheki lapho ufa.
• Ungafaki i-intubate (DNI): Lokhu kutshela udokotela ukuthi awufuni ukufakwa i-intubate noma uxhunywe kumshini wokuphefumula uma ungakwazi ukuphefumula wedwa.
• Ama-oda e-DNR athile: Lawa ama-oda angalungiselelwa umuntu ngamunye. Isibonelo, ungase uthi cha ku-CPR, kodwa ungase ungafuni ukuba nezinye izindlela zokwelapha ezisindisa impilo, njenge-defibrillator.
• Ama-oda okunakekelwa kwenduduzo: Lawa angakutshela ukuthi hlobo luni lokunakekelwa ongaluthola ekupheleni kwempilo yakho. Angaveza nezifiso zakho zokukusiza ukhululeke ngangokunokwenzeka ekupheleni kwempilo yakho.

Kungase kube nezinhlobo ezahlukene ze-"DNR" kuye ngokuthi uhlalaphi kanye nesimo sakho. Udokotela wakho angakutshela okwengeziwe ngezinketho zakho.

Uma i-CPR isindisa izimpilo, kungani umuntu angabeka i-oda le-DNR?

Lona umbuzo abantu abaningi ababhekene nawo. Abanye abantu abanezifo ezingelapheki noma izimo zempilo ezimbi abafuni ukuthola i-CPR, noma ngabe lokho kungaholela ekufeni kwabo. Ukunquma ukwenza i-oda le-DNR kungakunikeza umuzwa wokulawula impilo yakho futhi kukunike amandla athile.

Nakuba i-CPR ingasindisa izimpilo, ayisebenzi kahle ngokuphelele. Futhi, i-CPR ingase ingasebenzi kahle kubantu abagula kakhulu noma abanezinkinga ezithile zezokwelapha. Kuvamile futhi ukuthola ukulimala okubuhlungu njengokuphuka kwezimbambo kanye nokuphuka kwe-sternum ngesikhathi se-CPR.

Cabanga nje, umuntu usemdala kakhulu futhi uphethwe umdlavuza ongalapheki. Uma inhliziyo yakhe ingasashayi, futhi noma ngabe i-CPR inikezwa ukuze imvuselele isikhashana, izombangela ubuhlungu obukhulu futhi ingamniki impumuzo, angakhetha ukwenza i-DNR. Leso yisinqumo sakhe.

Ngingaziveza kanjani izifiso zami (i-DNR)?

Khuluma nomhlinzeki wakho wokunakekelwa okuyinhloko noma umholi weqembu okwelaphayo ngalokhu. Udokotela wakho uzoxoxa nawe ngezinzuzo nezinkinga ze-CPR kanye nokwelashwa okuhlobene. Lena ingxoxo eqotho nawe ngalokho okufunayo ngempela. Kubaluleke kakhulu ukunikeza imvume enolwazi phakathi nalezi zingxoxo. Lokhu kuzokusiza wazi konke ongakwenza futhi wenze isinqumo ngokusekelwe kulokho okuthandwa nguwe. Uma ufuna ukucabanga ngakho kabanzi noma ukukhuluma nomndeni wakho, kulungile ukutshela udokotela wakho . Kuvamile ukuzwa nge-oda le-DNR lapho uvakashela ihhovisi likadokotela noma lapho ungeniswa esibhedlela.

Ngemva kokuthola i-`(DNR)`, udokotela wakho angayiqopha ku-`Medical Record` yakho. Angakunika ikhophi ozoyigcina nawe. Ungathola ngisho nama-`Medical ID Bracelets` owagqoka ukuze abaphenduli bezimo eziphuthumayo bazi ukuthi une-`DNR``.

Kwenzekani uma ngingakwazi ukwenza isinqumo mayelana `(DNR)` mina ngokwami?

Uma ungazi lutho ngenxa yokugula noma ingozi, noma uma ungakwazi ukwenza izinqumo ezinolwazi, ungase ungakwazi ukuveza izifiso zakho mayelana ne-"DNR". Uma usuvele une-oda le-"DNR", eliserekhodini lakho lezokwelapha, umndeni wakho awukwazi ukulishintsha.

Uma ungenayo kakade i-`(DNR)`, ungakhetha umuntu ozokhulumela wena. Isibonelo, ummeleli wakho wezomthetho (`Amandla Ommeli`) noma umuntu okunike igunya lokwenza ezinye izinqumo zezokwelapha (`I-Healthcare Proxy`) . Uma ungaqambi muntu igama, ngezinye izikhathi ilungu lomndeni lingakwenzela izinqumo zezokwelapha uma ungakwazi ukwenza izinqumo. Amalungu omndeni angakwenzela izinqumo angahluka kuye ngamazwe kanye nesifunda.

Kuthiwani uma ngishintsha umqondo wami ngemva kokubhalwa kwe-oda le-DNR futhi ngalinikwa?

Unelungelo lokushintsha umqondo wakho ngaso sonke isikhathi mayelana ne-"(DNR)" yakho. Uma ushintsha umqondo wakho, tshela udokotela wakho ngokushesha. Angabhala phansi ushintsho kurekhodi lakho lezokwelapha. Kufanele futhi uyeke ukusebenzisa izinto ezifana namakhadi okuzazisa owagqoka esihlakaleni sakho, futhi ubhubhise noma yimaphi amakhophi onawo.

Tshela umndeni wakho nabanye abanakekeli ukuthi usushintshe umqondo wakho nokuthi awusafuni i-`(DNR)` yakho.

Kwenzekani uma uvuselela umuntu osebenzisa i-`(DNR)`?

Imiyalo ethi ``(DNR)`` ithinta kuphela ochwepheshe bezokwelapha abaziyo ngayo (noma okufanele bazi ngayo ngokufanele). Uma udokotela engazi nge ``(DNR)`` yakho, noma uma kukhona iphutha lokuxhumana, ngeke angene enkingeni.

Kodwa-ke, uma udokotela wakho azi nge-`(DNR)` yakho futhi esakuvuselela, angase abhekane nemiphumela yezomthetho. Uma ebenganaki futhi engazi nge-`(DNR)` yakho, angase abhekane nemiphumela yalokho.

Ochwepheshe abangebona abezokwelapha ababophekile ngokomthetho ukwenza i-CPR kumuntu one-DNR. Uma uqeqeshwe ukwenza i-CPR kumuntu onesifo senhliziyo, kufanele uzame ukwenza kanjalo. Kodwa-ke, uma wazi ukuthi othile une-DNR, kufanele uhloniphe izifiso zakhe zokungamvuseli umoya.

Uma ngihlinzwa, ingabe i-"DNR" izothinta ukunakekelwa kwami?

Uma une-`(DNR)` futhi uzohlinzwa, qiniseka ukuthi ukhuluma nodokotela wakho ohlinzayo kanye nodokotela obulala izinzwa mayelana ne-`(DNR)` yakho. Bangakutshela okwengeziwe ngokuthi i-`(DNR)` yakho izothinta kanjani noma iyiphi ingxenye yokuhlinzwa kwakho.

Kwezinye izimo, udokotela wakho wezinzwa, udokotela ohlinzayo, noma bobabili bangase bakucele ukuthi umise okwesikhashana "i-DNR" yakho ngesikhathi sokuhlinzwa. Lokhu kungenxa yokuthi ezinye zezici ezivamile zokuhlinzwa, ikakhulukazi i-anesthesia ejwayelekile, zingangqubuzana ne-"DNR" yakho. Uma unemibuzo ngalokhu, ungangabazi ukubuza udokotela wakho wezinzwa noma udokotela wezinzwa. Kubalulekile ukubachazela ukukhathazeka kwakho ukuqinisekisa ukuthi uthola ukunakekelwa okuhlangabezana nezidingo nezifiso zakho.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngisho noma ususondela ekupheleni kwempilo yakho, unelungelo lokwenza izinqumo mayelana nokunakekelwa kwakho. I-oda elithi "Ungavuseleli" (DNR) likunika amandla futhi likunike ithuba lokukhetha izinhlobo zokwelashwa ozitholayo.

Kungcono ukukhuluma nodokotela wakho ngokunakekelwa kwakho kokuphela kokuphila kusenesikhathi ngaphambi kwesikhathi ongase ukudinge ngaso. Ukuhlela kusengaphambili kusiza ithimba lakho lezokunakekelwa kwempilo kanye nabathandekayo bakho bazi ukuthi ufunani. Ngaleyo ndlela, ungathola ukunakekelwa okuhlangabezana nezidingo zakho nezinto eziza kuqala kuze kube sekupheleni kokuphila kwakho. Ungesabi ukukhuluma ngalokhu, kuyilungelo lakho.

` I-DNR, ungavuseleli, iziqondiso kusengaphambili, i-CPR, ukwelashwa okusekela impilo, intando yokugcina, izinqumo zezokwelapha, ukugula okungapheli, ukunakekelwa kwenduduzo