Umehluko Phakathi Kokubekwa Kwama-Palliative Ne-Euthanasia
Ukuhlelwa kwe-palliative, ngezinye izikhathi okubizwa ngokuthi ukuguqulwa kwesiguli, ukusetshenziswa okuqhubekayo kwezidakamizwa ukuze kutholakale izinga elidinga induduzo ezigulini ezigulayo ezinokuhlupheka okungenakuphulukiswa. Ukufa kuvame ukulandela ngemuva nje kokuba isiguli siguqulwe, okwenza abanye abantu bazibuze ukuthi ukuguqulwa kwe-palliative akuyona nje enye indlela ye- euthanasia noma ukuzibulala odokotela.
Ngakho-ke, Ingabe i- Palliative Sedation ifomu le-Euthanasia?
Ukusekelwa kwe-palliative akuyona i-euthanasia, futhi akuyona ukuzibulala odokotela . Umehluko omkhulu kulowo nalowo walezi zinto ubahlukanisa ngokucacile. Ake sibukeze ngamunye ngamunye nokuthi uhluke kanjani komunye nomunye.
Euthanasia
I-Euthanasia ichazwa njengesenzo somuntu wesithathu, ngokuvamile udokotela, ukuphelisa impilo yesiguli ngokuphendula ubuhlungu obukhulu noma ukuhlupheka. I-Euthanasia ingaba yinto yokuzithandela - okusho ukuthi udokotela uthole imvume yelulwazi - noma engazibandakanyi, ngaphandle kolwazi noma imvume yesiguli.
Isibonelo, lapho isilwane sithinteka, senziwa ngokungahileleki ngoba isilwane asikwazi ukunikeza imvume. Ngokuphambene nalokho, lapho uDkt. Jack Kevorkian, owayengumsekeli oqinile nomhlanganyeli ekuzibulaleni okwenziwe odokotela isikhathi eside ngaphambi kokuba noma yisiphi isimiso sezomthetho lesi senzo, sanikeza umuthi wemithi obulalayo kuThomas Youk ngemuva kokuthi u-Youk akakwazi ukuhambisa lesi sidakamizwa kuye, kwaba yisenzo sokuzibulala ngokuzithandela futhi kwafika uDkt. Kevorkian etilongweni.
Ukubulawa kwe-voluntary euthanasia akuvumelekile ezingxenyeni eziningi zomhlaba. I-Netherlands neBelgium njengamanje amazwe kuphela avumela lo mkhuba. I-euthanasia engavumelekile ayikho emthethweni noma yikuphi.
Ukuzibulala Ngokwelashwa
Ukuzibulala odokotela (i-PAS) yisenzo somdokotela ebhala umshini wezokwelashwa obulala umuthi obulala umuthi isiguli esithatha ukuze afeze.
Umehluko oyinhloko lapha ukuthi isiguli kumele sithathe imithi ngokwayo.
I-PAS njengamanje isemthethweni e-United States emazweni amaningana, kuhlanganise ne-Oregon naseWashington, nasezindaweni ezimbalwa kwamanye amazwe. Kuyenziwa kuphela uma isiguli sinesifo sokuxilonga , sihlupheka, futhi sifuna ukulawula ukuthi zifa nini nokuthi zifa kanjani. Isici esibalulekile se-PAS ukuthi isiguli kumele sithathe imithi yona. Akukona ngokomthetho kudokotela, umngane, ilungu lomndeni, noma omunye umuntu ukunikeza imithi njengoba lokho kungaba, ngencazelo, i-euthanasia.
Ukulinganisa kwe-Palliative
Ngokungafani nokubulawa kwe-euthanasia kanye nokuzibulala odokotela, inhloso yokwehlisa izidakamizwa akuyona imbangela yokufa, kodwa ukuxazulula ukuhlupheka. Ukudalwa kwe-palliative kunikezwa kuphela ekunciphiseni ukuhlupheka okukhululekile, okungenasiphelo, futhi kusetshenziselwa kuphela lapho isiguli sesiseduze nokufa.
Ukusekelwa kwe-palliative kungase kuvivinywe isikhathi esifushane ngenhloso yokuvumela ukuguqulwa kwe-sedation kuguqulwe ukuze kuhlolwe induduzo yesiguli, noma kungasetshenziswa ukuze kulondolozwe izinga lokudinga kuze kube sekufeni. Kungakhathaliseki ukuthi isiguli noma isinqumo sakhe somnakekeli wezezempilo senza isinqumo sendlela okufanele isiguli siguquke ngayo isikhathi eside kangakanani.
Ukufa kungase kwenzeke ngemva kokunciphisa ukudlwengulwa, kepha ngokuvamile kuvame ukuthi ukugula okuphelayo noma imithi yokwelapha empeleni kubangele. Ngoba ukudala noma ukuphuthuma ukufa akuyona inhloso ye-sedation palliative, ayikwazi ukulingana ne-euthanasia noma i-PAS.
Ukusekelwa kwe-palliative njalo kudinga imvume yesiguli, noma isinqumo sakhe sezempilo uma isiguli singasakwazi ukwenza izinqumo ngokwazo. Imithi ivame ukunikezwa nge-infusion noma i-suppository futhi ngokuvamile ibangela ukuguquka okusheshayo, okwenza kube nzima ukuthi isiguli sikwazi ukunikeza isilinganiso esifanele. Ngakho-ke, lezi zingxabano zinganikezwa udokotela, umhlengikazi, noma umnakekeli oyinhloko wesiguli.
Imithombo:
Ukulandelana kwezinhlelo zokuphila komkhankaso wokuphila kaDkt. Jack Kevorkian kanye noMkhankaso Wokuzibulala. Ngaphambili. I-WGBH. http://www.pbs.org/wgbh/pages/frontline/kevorkian/chronology.html Kubuyiselwe ngo-2009-06-22.
UBernard Lo, MD; UGordon Rubenfeld, MD, MSc. Ukwehla kwe-Palliative ekudleni iziguli . I-JAMA . 2005; 294: 1810-1816.