Ingabe Kulimaza Ukufa?
Ingabe ukufa kuyabuhlungu? Uma ubhekene nesifo esibulalayo noma unomuntu othandekayo osondela ekufeni, kungenzeka ukuthi wazibuza ubuhlungu ekupheleni kokuphila. Ingabe kungenzeka ube nobuhlungu? Ubuhlungu buphethwe kanjani? Yini engenziwa uma ubuhlungu bakho bungaphathwa kahle? Le mibuzo ingabangela ukukhathazeka okukhulu esikhathini lapho kukhona izinqumo okumelwe kwenziwe futhi ufisa ukuchitha isikhathi esiningi nomndeni nabangane ngangokunokwenzeka.
Ukwesaba Ngokufa Kubuhlungu
Ngokudabukisayo, ukwesaba emphakathini kwanda emva kokufa kuka-Elizabeth Taylor okubuhlungu ngo-2011. Kuyiqiniso ukuthi ngokomlando-futhi ngisho nobuhlungu obukhona manje ekupheleni kokuphila akuphathwa ngendlela efanele. Kodwa akudingeki ukuba ngaleyo ndlela. Ubuhlungu ekupheleni kokuphila bungaba njalo kulawulwa ngendlela yokuthi abantu bangafa ngenduduzo, kungaba esibhedlela noma ekhaya.
Ukuvama Kwezinhlungu Kulabo Abafa
Ukufa akusizi njalo ubuhlungu. Abanye abantu bafa bengenabuhlungu nhlobo. Kodwa abanye banezinhlungu eziningi. Kuze kube ngamaphesenti angama-35 weziguli zichaza ubuhlungu bazo ngesonto eledlule lokuphila njengezinzima noma ezingenakubekezelelwa. Nakulokhu, lokhu akudingeki kwenzeke, futhi kuphula izinhliziyo zethu ukubhala la mazwi. (Ngezansi sizokwabelana ngamathiphu ukuqinisekisa ukuthi ubuhlungu bakho buphathwa ngokufanele.)
Inani lobuhlungu obuzwayo lingahlukahluka kuye ngokuthi uhlolwe yini. Ngomdlavuza, amaphesenti angaba ngu-90 abantu abhekana nosizi ngesikhathi esithile ohambweni lwabo, futhi isigamu sabantu ababulawa umdlavuza sinokubuhlungu obukhulu.
Ngokudabukisayo ingxenye eyodwa kuphela yalaba bantu bathola ukulawulwa kwezinhlungu ezithembekile. Futhi, akudingeki kube ngale ndlela. Kunezizathu eziningana zalokhu, ezibandakanya bobabili abantu abangafuni noma abacela imithi yobuhlungu kanye nodokotela abangakwazi ukunikeza imithi eyanele. Ngenhlanhla, ukukhulumisana okuhle nokuxoxisana ngokucophelela ngobuhlungu bokuphela kokuphila kungasusa izinkinga eziningi.
Ukuhlukunyezwa kokuPhila kokuPhila kokuPhila
Okokuqala, kubalulekile ukusho ngokuphindaphindiwe ukuthi ubuhlungu bungakwazi futhi kufanele buphathwe kahle ekupheleni kokuphila. Ngokusho kwe-World Health Organization, iziguli zinelungelo lokuphathwa ubuhlungu . Pho kungani abanye abantu befa ngokuhlupheka? Ezinye zezizathu zihlanganisa:
- Ukwesaba ukulutha umlutha: Abantu abafa, amalungu omndeni kanye nabaqeqeshi bezempilo ngokufanayo bavame ukukhathazeka ngokulutha umlutha. Kodwa lokhu akufanele kube ukukhathazeka ekupheleni kokuphila.
- Ukuntuleka kokuxhumana: Odokotela kudingeka babone ukuthi unenkinga ukuze unconywe ukwelashwa. Ngezinye izikhathi abantu bacabanga ukuthi uma kudingwa imithi ebuhlungu, odokotela bazo bayayilawula ngakho-ke bangabuzi. Khumbula ukuthi odokotela abakwazi ukufunda izingqondo, futhi bavame ukuba khona nomuntu isikhathi esifushane-hhayi isikhathi eside ngokwanele ukuba baqonde ngempela ubukhulu bobuhlungu umuntu abuzwayo.
- Ukwesaba ukubekezelelana: Abanye abantu besaba ukuthi uma basebenzisa imithi manje, imithi izohluleka ukusebenza kamuva "uma imdinga ngempela." Lokhu akulona iqiniso futhi uma ukubekezelela imithi kuqhubeka, imithi enamandla noma imithi ehlukile ingasetshenziswa.
- Ukungabi nokuqeqeshwa: Abanye odokotela baye babe nokuqeqeshwa okunganele mayelana nendlela yokuphatha ubuhlungu ekupheleni kokuphila.
- Isifiso sokuba isiguli "esihle": Abanye abantu bayanqikaza ukucela imithi yobuhlungu ngenxa yokwesaba ukuthi bayoba isiguli "esibi" noma besaba ukumkhathaza udokotela wabo. Khumbula, odokotela bakhokhelwa ukuphatha ubuhlungu.
- Ukwesaba ukuthi imithi izosheshisa ukufa: Ucwaningo luye lwathola ukuthi ukuphatha ubuhlungu bokuphela kokuphila ngezidakamizwa ngisho nokudalwa kwezilwane okungenasici akufinyezi ukuphila.
- Ukwehliswa: Abanye abantu besaba ukuvuma ukuthi ubuhlungu babo buyanda ngoba kaningi kubonisa ukuthi isimo sabo siyanda.
- Imiphumela emibi yemithi yobuhlungu: Yonke imithi ibe nemiphumela emibi, futhi izimpawu ezifana nokuqothulwa, ukulala nokugaya isisu kungenza ukusebenzisa imithi yobuhlungu engathandeki. Ukubuthwa ikakhulukazi kungabangela abantu ukuba basebenzise imithi eyanele njengoba befisa ukuchitha isikhathi esiningi ngangokunokwenzeka ukuthi baqaphele nabathandekayo babo.
- Izindleko: Imithi yezinhlungu inikeza enye izindleko uma izimali zivame ukuqina ngenxa yokugula.
- Ukwesaba kwadokotela: Odokotela bangase banqabe ukubeka abaphuli abanamandla ngenxa yokwesaba ukusola ngamabhodi wezokwelapha.
Impact of Pain Ekupheleni Life
Ngaphezu kokungahambi kahle, ubuhlungu obungalawulwayo bungaba neminye eminye imiphumela emibi. Ngokomzimba, ubuhlungu bungabangela ezinye izimpawu ezifana nokuphefumula nokukhathazeka. Ngomzwelo kungakushiya ube mfushane futhi ungakwazi ukugxila; okwenze kube nzima ukuba nezingxoxo ezinenzuzo nabathandekayo bakho. Ngokomoya kungakushiya uzizwe uwedwa futhi ungenalutho. Ubuhlungu obukhulu bungaphazamisa ukuqinisekisa ukuthi izindaba zakho zomthetho zihlelekile, ngokulungiswa, futhi ekugcineni, ngokusho okuhle.
Kulabo abafa, ubuhlungu bungabaphanga izikhathi zabo zokugcina lapha emhlabeni. Kulabo abasele ngemuva, inkumbulo yenqubo yokufa izohlala isikhathi eside eminyakeni ezayo. Uma leso sikhathi sibhalwe ubuhlungu, singabangela ukulila isikhathi eside .
Ukuphathwa kokuPhila kokuPhila kokuPhila
I-World Health Organisation ihlanganise ndawonye isifo sezinyathelo zokwelapha ubuhlungu. Ukulandela lezi zinyathelo ezintathu kuphela kungalawula ubuhlungu cishe ngamaphesenti angu-80 kuya kubantu abangamaphesenti angu-90. Kulabo abadinga ukuphumula okuqhubekayo, isinyathelo sesine singasetshenziswa okubandakanya ukwelashwa okunjengezibilini zomuthi, ukwelashwa kwemisebe, nokuningi. Ngaphezu kwalokho, ukwelapha okunye okufana nokwenza umzimba nokusikhipha umzimba kungasetshenziswa kanye nokwelapha okuvamile. Okungafanele ukukhohliwe yizidingo ezingokomzwelo, ezenhlalakahle nezomphakathi ukuthi, uma zibhekiswe, zingadlala indima enkulu ekusizeni ukulawula ubuhlungu.
Ungase ufise ukufunda okwengeziwe mayelana nokukhetha kokuphathwa kobuhlungu ekunakekelweni kokunakekelwa kwemithi kanye nemithi ejwayelekile kanye nezinqubo ezisetshenziselwa ukuphatha ubuhlungu bomdlavuza .
Ukuxhumana Nodokotela Ngezinhlungu
Ukuze uphathe kahle ubuhlungu bakho, udokotela wakho kufanele abe nokuqonda okunye ngohlobo nokuqina kobunzima obhekene nakho. Ngaphezu kokukucela ukuba uchaze ubuhlungu bakho, uzophinde afune ukwazi ukuthi ikuthinta kanjani. Isibonelo, ingabe iphazamisa ukudla, ngokulala, noma ngokukhuluma nabathandekayo bakho?
Odokotela bavame ukusebenzisa into ebizwa ngokuthi isisindo sezinhlungu , ukwenza inzwa yokuziphendulela ibe nenhloso encane, kanye nokuqapha imiphumela yokwelapha. Ungacelwa ukuba uchaze ubuhlungu bakho ngesilinganiso se-1 kuya kwezingu-10, no-1 ungabi nobuhlungu, futhi u-10 ube ubuhlungu obukhulu kakhulu ongacabanga. Uma ungaqiniseki ukuthi ungayichaza kanjani ubuhlungu bakho, noma uma unomuzwa wokuthi udokotela wakho akaqondi ngempela ubuhlungu obunakho, ungase ufise ukuhlola lolu lwazi lokuthi ungakhuluma kanjani nodokotela wakho mayelana nobuhlungu .
Ukubhekana Nokuhlupheka Ekupheleni Kokuphila
Into ebaluleke kakhulu ongayenza ukuze uqiniseke ukuthi ubuhlungu bakho bulawulwa ukukhuluma nodokotela wakho ngokukhululekile nangokwethembeka ngalokho okuhlangenwe nakho. Odokotela ababona abafundi abacabanga, futhi ubuhlungu buhlangene ngokuhlukile kuwo wonke umuntu. Umuntu oyedwa onesigaba somdlavuza wesi-4 angaba nobuhlungu obunzima kanti omunye angeke abhekane nobunzima nhlobo.
Ukusebenzisa imithi njalo nangesikhathi esiseduze kubalulekile futhi. Ubuhlungu be-catch-up bunzima kakhulu ukubhekana nokubuhlungu obugcinwe isheke. Umgomo kufanele ube ukuvimbela ubuhlungu obunzima, kunokuba ugcine imishanguzo kuze kube yilapho ungakwazi ukuma. Uma ngabe othandekayo ofa, ungakhohlwa amandla okuthinta. Ukwesaba kungadambisa kakhulu ubuhlungu obubuhlungu, futhi ukwesaba okukhulu kwalabo abafa kuyashiywa.
Izwi elivela
Akekho okufanele afe ngebuhlungu obungalawuleki. Kuyilungelo lakho lomthetho nelenhlonipho lokuthola ukwelashwa okukuvumela ukuthi uchithe isikhathi esihle sokugcina isikhathi sakho emhlabeni kanye nabathandekayo bakho. Akekho kithi ofuna ukufa. Kuzohlale kukhona usizi nokusizi. Kodwa ngamunye wethu kufanele akwazi ukukusho, kule ndawo elandelayo: "Ngangikufa okuhle."
> Imithombo:
> Jackson, V., noL. Navbati. Ukucabangela ukuziphatha ngendlela efanele ekulawuleni ubuhlungu ekupheleni kokuphila. Kusesikhathini. Kubuyekezwe 04/19/17. http://www.uptodate.com/contents/ethical-considerations-in-fact-pain-management-at-the-end-of-life
> Lim. Ukunakekelwa kwe-R. End-of-Life Iziguli ezine-Advanced Lung Cancer. Ukuthuthukiswa Kwezokwelapha Emzimbeni Wokuphefumula . 2016. 10 (5): 455-67.
> I-World Health Organization. Isinyathelo sesinyathelo se-WHO. http://www.who.int/cancer/palliative/painladder/en/