Ukuthatha isinqumo ngemithi yokwelula impilo

Kwesinye isikhathi ngemuva kokulimala noma ukugula isikhathi eside, izitho eziyinhloko zomzimba azisasebenzi kahle ngaphandle kokuxhaswa. Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi lezi zitho ngeke zizilungise.

Ukunakekelwa ngokwelashwa ukwelula impilo kungakugcina uphila lapho lezi zitho ziyeka ukusebenza kahle. Izindlela zokwelapha zingandisa impilo yakho, kepha ungakwelaphi ukugula kwakho. Lokhu kubizwa ngokuthi yimithi yokwelapha esekela impilo.

Imithi yokwelula impilo ingafaka ukusetshenziswa kwemishini. Le mishini yenza umsebenzi wesitho somzimba, njenge:

• Umshini wokusiza ngokuphefumula (umshini wokuphefumula)
• Umshini wokusiza izinso zakho (i-dialysis)
• Ishubhu esiswini sakho ukuhlinzeka ngokudla (i-nasogastric noma i-gastrostomy tube)
• Ishubhu emthanjeni wakho ukunikeza uketshezi nemithi (ngemithambo, IV tube)
• Ishubhu noma imaski yokunikeza umoya-mpilo

Uma ususondele ekupheleni kwempilo yakho noma unesifo esingeke sithuthuke, ungakhetha ukuthi hlobo luni lokwelashwa ofuna ukuluthola.

Kufanele wazi ukuthi ukugula noma ukulimala kuyimbangela enkulu yokuphela kwempilo, hhayi ukususwa kwemishini yokusekela impilo.

Ukusiza ngesinqumo sakho:

• Khuluma nabahlinzeki bakho ukuze ufunde ngokunakekelwa kokusekelwa kwempilo okutholayo noma ongakudinga ngokuzayo.
• Funda ngezindlela zokwelashwa nokuthi zingakuzuzisa kanjani.
• Funda ngemiphumela emibi noma izinkinga zokwelashwa ezingase zibange.
• Cabanga ngekhwalithi yempilo oyithandayo.
• Buza umhlinzeki wakho ukuthi kwenzekani uma ukunakekelwa kokusekelwa kwempilo kumiswa noma ukhetha ukungakuqali ukwelashwa.
• Thola ukuthi uzoba yini nobuhlungu obuningi noma ukungaphatheki kahle uma uyeka ukunakekelwa kokusekelwa kwempilo.

Lokhu kungaba ukukhetha okunzima wena nalabo osondelene nabo. Awukho umthetho onzima futhi osheshayo wokuthi kufanele ukhethe ini. Imibono nokukhetha kwabantu kuvame ukushintsha ngokuhamba kwesikhathi.

Ukuqinisekisa ukuthi izifiso zakho ziyalandelwa:

• Khuluma nabahlinzeki bakho mayelana nezinketho zakho.
• Bhala izinqumo zakho kumyalelo wokunakekelwa kwezempilo kusengaphambili.
• Thola nge-oda le-do-not-resuscitate (DNR).
• Cela othile ukuthi abe ngummeli wakho wokunakekelwa kwezempilo. Qiniseka ukuthi lo muntu uyazi izifiso zakho nokuthi uma wenza izinguquko ekukhetheni kwakho ukunakekelwa kwezempilo.

Njengoba impilo yakho noma impilo yakho iguquka, ungashintsha nezinqumo zakho zokunakekelwa kwezempilo. Ungashintsha noma ukhansele inkomba yokunakekelwa okuthuthukile nganoma yisiphi isikhathi.

Ungasebenza njenge-ejenti yokunakekelwa kwezempilo noma ummeleli womunye umuntu. Kule ndima kungadingeka ukuthi uthathe isinqumo sokuqala noma ukususa imishini yokusekela impilo. Kungaba yisinqumo esinzima kakhulu ukusithatha.

Uma udinga ukwenza isinqumo ngokumisa ukwelashwa kothandekayo:

• Khuluma nabahlinzeki bothandekayo wakho.
• Buyekeza izinhloso zokunakekelwa kwezempilo kothandekayo wakho.
• Linganisa izinzuzo nemithwalo yokwelashwa empilweni kothandekayo wakho.
• Cabanga ngezifiso nezindinganiso zothandekayo wakho.
• Funa izeluleko kwabanye ochwepheshe bezempilo, njengosonhlalonhle.
• Funa izeluleko kwamanye amalungu omndeni.

Ukunakekelwa kwe-palliative - ukwelashwa okwandisa impilo; Ukunakekelwa kwe-Palliative - ukwesekwa kwempilo; Ukwelashwa kokuphela kwempilo okwelula impilo; I-Ventilator - izindlela zokwelapha ezandisa impilo; Ukuphefumula - ukwelashwa okwelula impilo; Ukusekelwa kwempilo - ukwelashwa okwelula impilo; Umdlavuza - ukwelashwa okwelula impilo

U-Arnold RM. Ukunakekelwa kwe-Palliative. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.

URakel RE, uTrinh TH. Ukunakekelwa kwesiguli esifa. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 5.

Shah AC, Donovan AI, Gebauer S. Imithi yokwelapha. Ku: Gropper MA, ed. I-Anesthesia kaMiller. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.

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• Izinkinga Zokugcina Zempilo