Ungavuseleli i-oda

I-oda lokungavuseleli, noma i-DNR, i-oda lezokwelapha elibhalwe ngudokotela. Iyala abahlinzeki bezokunakekelwa kwempilo ukuthi bangenzi ukuvuselelwa kwe-cardiopulmonary (CPR) uma ukuphefumula kwesiguli kuyeka noma uma inhliziyo yesiguli iyeka ukushaya.

Ngokufanelekile, i-oda le-DNR lenziwa, noma lisethwe, ngaphambi kokuthi kuvele isimo esiphuthumayo. I-oda le-DNR likuvumela ukuthi ukhethe ukuthi ufuna i-CPR esimweni esiphuthumayo noma cha. Kucacisiwe nge-CPR. Ayinayo imiyalelo yezinye izindlela zokwelapha, njengemithi yezinhlungu, eminye imithi, noma umsoco.

Udokotela ubhala i-oda kuphela ngemuva kokukhuluma ngalo nesiguli (uma kungenzeka), ummeleli, noma umndeni wesiguli.

I-CPR yindlela yokwelashwa oyitholayo lapho ukuphuma kwegazi noma ukuphefumula kwakho kuyeka. Kungabandakanya:

• Imizamo elula njengokuphefumula umlomo nomlomo nokucindezela esifubeni
• Ukushaqeka kukagesi ukuqala kabusha inhliziyo
• Amashubhu okuphefumula ukuvula i-airway
• Imithi

Uma useduze nokuphela kwempilo yakho noma unesifo esingeke sithuthuke, ungakhetha ukuthi ufuna kwenziwe i-CPR.

• Uma ufuna ukuthola i-CPR, awudingi ukwenza lutho.
• Uma ungafuni i-CPR, khuluma nodokotela wakho nge-oda le-DNR.

Lokhu kungaba ukukhetha okunzima wena nalabo osondelene nabo. Awukho umthetho onzima futhi osheshayo mayelana nokuthi ungakhetha ini.

Cabanga ngodaba ngenkathi usakwazi ukuzinqumela.

• Funda kabanzi ngesimo sakho sezokwelapha nokuthi yini ongayilindela ngokuzayo.
• Khuluma nodokotela wakho mayelana nobuhle nobubi be-CPR.

I-oda le-DNR lingaba yingxenye yohlelo lokunakekelwa kwabagula kakhulu. Ukugxilwa kwalokhu kunakekelwa akukhona ukwelula impilo, kepha ukwelapha izimpawu zobuhlungu noma zokuphefumula okuncane, nokugcina ukunethezeka.

Uma une-oda le-DNR, uhlala unelungelo lokushintsha umqondo wakho futhi ucele i-CPR.

Uma uthatha isinqumo sokuthi ufuna i-oda le-DNR, tshela udokotela wakho nethimba lezokunakekelwa kwezempilo ukuthi ufunani. Udokotela wakho kufanele alandele izifiso zakho, noma:

• Udokotela wakho angadlulisela ukunakekela kwakho kudokotela ozofeza izifiso zakho.
• Uma uyisiguli esibhedlela noma ekhaya lasebekhulile, udokotela wakho kufanele avume ukuxazulula noma yiziphi izingxabano ukuze kulandelwe izifiso zakho.

Udokotela angagcwalisa ifomu le-oda le-DNR.

• Udokotela ubhala i-oda le-DNR kwirekhodi lakho lezokwelapha uma usesibhedlela.
• Udokotela wakho angakutshela ukuthi ungalithola kanjani ikhadi lesikhwama semali, isongo, noma amanye amadokhumenti e-DNR onawo ekhaya noma ezindaweni ezingezona ezesibhedlela.
• Amafomu ajwayelekile angatholakala kuMnyango Wezempilo wesifundazwe sakho.

Qiniseka ukuthi:

• Faka nezifiso zakho kusikhombisi-ndlela sokunakekelwa kusengaphambili (i-living will)
• Yazisa umenzeli wakho wezokunakekelwa kwempilo (obizwa nangokuthi ummeleli wokunakekelwa kwezempilo) nomndeni ngesinqumo sakho

Uma ushintsha umqondo wakho, khuluma nodokotela wakho noma neqembu lezokunakekelwa kwezempilo ngokushesha. Tshela nomndeni wakho nabanakekeli ngesinqumo sakho. Chitha noma yimaphi amadokhumenti onawo afaka i-oda le-DNR.

Ngenxa yokugula noma ukulimala, ungahle ungakwazi ukusho izifiso zakho nge-CPR. Esimweni esinjalo:

• Uma udokotela wakho esevele ebhale i-oda le-DNR ngesicelo sakho, umndeni wakho kungenzeka ungalikhiphi.
• Kungenzeka ukuthi uqoke umuntu ozokukhulumela, njengomenzeli wezempilo. Uma kunjalo, lo muntu noma umqaphi osemthethweni angavumelana ne-oda ye-DNR yakho.

Uma ungagagulanga igama lomuntu ozokukhulumela, ezimweni ezithile, ilunga lomndeni lingavuma uku-oda kwakho kwe-DNR, kodwa kuphela uma ungakwazi ukwenza izinqumo zakho zezokwelapha.

Ayikho ikhodi; Ukuphela-kwempilo; Ungavuseleli; Ungavuseleli ukuhleleka; I-DNR; I-oda le-DNR; Isiqondisi sokunakekelwa kwangaphambili - i-DNR; Umenzeli wezokunakekelwa kwempilo - i-DNR; Ummeleli wokunakekelwa kwezempilo - i-DNR; Ukuphela kokuphila - i-DNR; Intando ephilayo - DNR

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.

IBullard MK. Izimiso zokuziphatha zezokwelapha. Ku: Harken AH, Moore EE, ama-eds. Izimfihlo Zokuhlinzwa zika-Abernathy. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 106.

UMoreno JD, uDeKosky ST. Ukucatshangelwa kokuziphatha ekunakekelweni kweziguli ezinesifo se-neurosurgical. Ku: Cottrell JE, Patel P, eds. I-Neuroanesthesia kaCottrell noPatel. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2017: isahluko 26.

• Izinkinga Zokugcina Zempilo