Ngesinye isikhathi "ukufa kwemvelo" kuyindlela engcono kakhulu kubo bonke abantu.
Ingabe ufisa ukuvuselelwa uma inhliziyo yakho iyeka noma uyeka ukuphefumula? Lona ngumbuzo ojwayelekile wabantu abagulayo futhi abagulayo esimweni sokunakekelwa kwezempilo. Ngokuvamile kufakwe ngesikhathi sokungena esibhedlela, indawo yokuhlengikaza , uhlelo lwezempilo ekhaya noma esibhedlela . Uma ngivuma iziguli endaweni yohlelo lokubeletha engiyisebenzelayo, ngivame ukuqiniseka ukuthi isiguli kanye nabathandekayo babo banqume ngokumelene nalo futhi sebevele basayine ifomu le-Do Not Resuscitate (DNR).
Ngezinye izikhathi, noma kunjalo, ngiphendulwa ngokubukeka kokushaqeka futhi "ngokushesha"!
Ithelevishini yenza umsebenzi omuhle kakhulu wokudukisa imithi yangempela, kuhlanganise nokuvuselelwa kweziguli ezifa. Imikhombandlela yezokwelapha ingase ibonise indoda eboshiwe inhliziyo ekutholeni i-CPR futhi evuke phakathi kokucindezela kwesifuba . Iziguli eziningi eziboniswe ku-TV emnyangweni ophuthumayo zivuselelwe futhi zibuyele emuva ezindala zazo ngesikhathi esithile. Ingabe ngempela lokho kulula, noma kunjalo?
Kungani Ukungahle Uvuselele Umyalo Ungase Ukhethe Ngokufanelekile
Muva nje, ngangikhuluma nesiguli sami mayelana nokuthi angathanda yini ukusayina i-DNR. Impendulo yakhe yokuqala kwakuwukuthi angathanda ukusayina eyodwa. Wayengafuni ukuvuselelwa, ngoba akafuni ukuhlala nanoma yiluphi uhlobo lokulimala kwengqondo noma kwenhliziyo. Indodakazi yakhe yabe isingenelela futhi yamqinisekisa ukuthi abantu bahlaselwa yinhliziyo ngaso sonke isikhathi, futhi kuhle - akukho ukulimala kwengqondo noma kwenhliziyo.
Lokhu kwakwanele ukushintsha ingqondo yakhe.
Wayeseqedile iziqondiso ezithuthukile ngaphambilini ezazitshela isifiso sakhe sokuthi singagcinwa siphila ekusekeleni impilo. Ngamkhumbuza ngalokhu, futhi yena nendodakazi yakhe baphendula ngokuthi abasizo lwezempilo kufanele baphinde baphefumule futhi esibhedlela, bese odokotela banganquma ukuthi benzeni.
Lo wesilisa wayenomdlavuza wamaphaphu wokuphela owawusakaze ebuchosheni bakhe.
Ngangizonda ukuba ngithwele izindaba ezimbi, kodwa kwakudingeka ngimtshele ngalokho ayebhekene nakho. Ukuvuselelwa akuyona into ehlanzekile futhi elula njengoba ibonisa kuthelevishini. Isifuba kufanele senziwe sicindezeleke kanzima futhi sijule ngokwanele ukuze siphume igazi ngaphandle kwenhliziyo. Lokhu kungabangela izimbambo eziphukile , amaphaphu aphethwe futhi mhlawumbe nenhliziyo emele. Ama-paramedics ahamba ngaphesheya kokuphefumula komlomo ngomlomo futhi afaka ithini lokuphefumulela emqaleni wegulane. Ukwethuka kagesi kungadingeka kuhanjiswe ukuze kuzame ukushusisa inhliziyo emuva kwisigqi esivamile . Ulayini olunemigudu (IV) luzoqala, ngakho imishanguzo enamandla ingathunyelwa ngayo. Isiguli sithunyelwa esibhedlela, futhi uma singakabonakali siphelile, singase sikhoxiswe ngokushesha emishini yokusekela impilo, ngaphandle kokubonisana nomndeni.
Ziyini amathuba ukuthi konke lokhu kuzosebenza? Izibalo, ngenkathi zingenembile kakhulu ngenxa yokungafani kwezindlela zokubika, kubonisa ukuthi ukusinda emva kokuvuselela kungu-6 kuya kwezingu-15% ezigulini ezisesibhedlela kakade, 1 kuya kwezingu-2% ezigulini zasemakhaya asebekhulile futhi phakathi kuka-4 kuya ku-38% weziguli ivuselele kuzilungiselelo zokunakekelwa kwezempilo.
Izibalo zimbi kunazo zonke iziguli ezinezifo ezingenasifo, umdlavuza noma ukuwohloka komqondo. Njengoba abantu abaningi abasendlini yokunakekelwa ngokweqile noma ukunakekelwa kwezibhedlela kuneyodwa noma eminingi yalezi zimo, ukusinda kwabo kuzoba kufana kakhulu nabahlali basekhaya abahlengikazi - 1 kuya ku-2%. Kubalulekile ukuqaphela ukuthi iziguli ezingu-1 kuya ku-2% zivame ukulimala ebuchosheni noma enhliziyweni.
Umbuzo manje uba, "Ingabe kufanelekile ukubeka mina noma othandekayo wami ngenqubo yokuthukuthela yokuvuselela ithuba lokusinda 1 kuya ku-2%?" Kwezinye iziguli, impendulo inguyebo. Kodwa abanye bazobona ukuthi noma ukuvuselela kungaphumelela, babezobe benesifo esifanayo noma isimo esifanayo manje, njengesiguli engangihlangene naye esatshela indodakazi yakhe, "Ngisengumdlavuza.
Ngisho noma bengiphefumula, bekuzophinde kwenzeke nakancane. "
Ukufaka i-Do Not Resuscitate, Cha Code, noma INDLELA
Esibhedlela, umyalelo wokuvimbela ukuvuselelwa ubizwa ngokuthi "akukho ikhodi." Udokotela kuphela ongabhala umyalelo wesiguli ukuba "awekho ikhodi." Uma wena noma othandekayo wakho esesibhedlela futhi ungakaze ucele ukuthi ukhethe ukuvuselelwa, qiniseka ukuthi ukuletha lokhu nodokotela. Uma isifiso sakho singabuyiselwa kabusha, kwazisa udokotela nabahlengikazi ngalokhu. Umbuso ngamunye unenqubo yayo yokufaka ikhodi yekhodi engekho, futhi kungase kube namafomu okudingayo ukuze usayine.
Uma wena noma othandekayo wakho usekhaya lasebekhulile , kuzodingeka usayine ifomu le-DNR ukuze uvumele abasebenzi basekhaya labahlengikazi bazi ukuthi awufuni ukuvuselelwa. Abasebenzi basekhaya labahlengikazi bavunyelwe ngokusemthethweni ukuvuselela iziguli zabo ngaphandle kokuba babe ne-DNR esayinwe. Iningi lamakhaya asebahlengikazi linamafomu ngaphezu kwama-DNR, ngezinye izikhathi okubizwa ngokuthi "Ukuphakama Okuthandwayo Kwezokunakekela" (i-PIC). Lezi fomu zikuvumela ukuba wenze izinqumo mayelana nokuthi ungabe ungenwe esibhedlela noma ungayitholi yini imishanguzo ye-antibiotics, i-IV kanye nokudla okunomsoco .
Ngaphandle kwesikhungo sokunakekelwa kwezempilo, izimo eziphuthumayo, uma zibizelwa endaweni yesiguli esingaphenduli, zidingwa ngumthetho ukuzama ukuvuselela nokuthutha isiguli esibhedlela, ngaphandle uma kuboniswa ifomu elivumelekile le-DNR. Ama-ejensi ezempilo nasekhaya, kanye namahhovisi odokotela, lawa mafomu atholakale iziguli zabo.
Vumela imiyalo yokufa kwezemvelo (AND AND) ehlongozwayo njengokunye okunye okungahambisani nemithetho ye-Do Not Resuscitate (DNR). Ngesikhathi i-DNR imane nje ithi akukho mzamo okufanele kwenziwe ukuqala kabusha ukuphefumula noma ukuqala kabusha inhliziyo uma iyeka, i-Allow Allowance Death (AND AND) iyaqinisekisa ukuthi kuphela izinyathelo zokududuza ezithathwe. Lokhu kuzobandakanya ukugodla noma ukuyeka ukuvuselelwa, ukudla okufakelwayo, uketshezi, kanye nezinye izinyathelo ezizokwenza kube nokufa kwemvelo. Vumela ama-oda wokufa kwemvelo ahloselwe iziguli ezigulayo kuphela.
Uma isifiso sakho ngempela noma isifiso sothandekayo wakho singabuyiselwa, thatha izinyathelo ezidingekayo ukuqinisekisa ukuthi izifiso zakho ziyahlonishwa. Khuluma nodokotela wakho noma umhlinzeki wezempilo ngokuphathelene ne-"Do Not Resuscitate" namhlanje.
Imithombo:
UFiliphu J Podrid, MD; U-Morton F Arnsdorf, MD; I-MACC; noJie Cheng, MD, PhD, FACC. Umphumela wokuboshwa kwe- cardiac kungazelelwe ku-Uptodate.com.
I-Cantor, MD, et al. Ama-Do-Not-Resuscitate Orders kanye Nezincwadi Zezokwelapha Zezokwelapha Zengaphakathi Lomuthi 2003; 163: 2689-2694