Ukunakekelwa okunciphisayo: ukuthi ziyini nokuthi zikhonjiswa nini

-Delile

• Ngubani odinga ukunakekelwa okunciphisayo
• Uyini umehluko phakathi kokunakekelwa kwe-palliative ne-euthanasia?
• Ungakuthola kanjani ukunakekelwa okunciphisayo

Ngokusho kwe-World Health Organisation (WHO), ukunakekelwa okunciphisayo kuyindlela yokunakekelwa, eyenzelwe umuntu ophethwe yisifo esibi noma esingelapheki, kanye nomndeni wakhe, ngenhloso yokunciphisa ukuhlupheka kwakhe, ukwenza ngcono inhlalakahle kanye izinga lempilo.

Izinhlobo zokunakekelwa ezingabandakanyeka yilezi:

• Izazi zemvelo: zisetshenziselwa ukwelapha izimpawu zomzimba ezingakhululeki, ezinjengobuhlungu, ukuphefumula, ukuhlanza, ubuthakathaka noma ukuqwasha, isibonelo;
• Ezengqondo: unakekele imizwa nezinye izimpawu ezingezinhle ezingokwengqondo, ezinjengobuhlungu noma ukudabuka;
• Komphakathi: unikeze ukwesekwa ekuphathweni kwezingxabano noma izithiyo zomphakathi, ezingaphazamisa ukunakekelwa, njengokuntuleka kothile onganakekela;
• Okomoya: qaphela futhi usekele izindaba ezinjengokunikeza usizo lwezenkolo noma ukuholwa maqondana nenjongo yokuphila nokufa.

Konke lokhu kunakekelwa akunikezwa udokotela kuphela, kuyadingeka ukuthi kuneqembu elenziwe odokotela, abahlengikazi, ososayensi bezengqondo, osonhlalakahle kanye nabanye ochwepheshe abanjengo-physiotherapists, Therapists Therapists, izazi zokudla kanye nomfundisi noma omunye omele ezomoya.

EBrazil, ukunakekelwa okunciphisayo sekuvele kunikezwa yizibhedlela eziningi, ikakhulukazi lezo ezinemisebenzi ye-oncology, noma kunjalo, lolu hlobo lokunakekelwa kufanele, ngokufanele, lutholakale ezibhedlela ezijwayelekile, ukubonisana nabagulayo ngisho nasekhaya.

Ngubani odinga ukunakekelwa okunciphisayo

Ukunakekelwa kwe-palliative kuboniswa kubo bonke abantu abahlushwa isifo esisongela impilo esiba sibi ngokuhamba kwesikhathi, futhi saziwa nangokuthi ukugula okungapheli.

Ngakho-ke, akulona iqiniso ukuthi lokhu kukhathalela kuyenziwa lapho kungasekho "okungenziwa", ngoba ukunakekelwa okubalulekile kusenganikezwa ngenhlalakahle nekhwalithi yempilo yomuntu, kungakhathalekile ukuthi isikhathi sakhe sempilo siyini.

Ezinye izibonelo zezimo lapho kusetshenziswa khona ukunakekelwa okunciphisayo, kungaba kwabantu abadala, asebekhulile noma izingane, kufaka:

• Umdlavuza;
• Izifo zemizwa eziwohlozayo ezifana ne-Alzheimer's, Parkinson's, multiple sclerosis noma i-amyotrophic lateral sclerosis;
• Ezinye izifo ezingamahlalakhona eziwohlozayo, ezifana nesifo samathambo esibi;
• Izifo eziholela ekuhlulekeni kwezitho zomzimba, njengesifo esingapheliyo sezinso, isifo senhliziyo esibulalayo, isifo samaphaphu, isifo sesibindi, phakathi kwezinye;
• Ingculaza Ethuthukile;
• Noma yiziphi ezinye izimo ezisongela impilo, njengokuhlukumezeka okukhulu ekhanda, ikhoma elingenakulungiseka, izifo zofuzo noma izifo ezingelapheki zokuzalwa.

Ukunakekelwa kwe-palliative futhi kunakekela futhi kusekele izihlobo zabantu abaphethwe yilezi zifo, ngokunikeza ukwesekwa maqondana nokuthi ukunakekelwa kufanele kuthathwe kanjani, ukuxazululwa kwezinkinga zomphakathi kanye nokwandiswa okungcono kokulila, njengezimo ezinjengokuzinikela ukunakekela othile noma ukubhekana nethuba lokulahlekelwa othandekayo kunzima futhi kungadala ukuhlupheka okuningi kumalungu omndeni.

Uyini umehluko phakathi kokunakekelwa kwe-palliative ne-euthanasia?

Ngenkathi ukubulawa kwesiguli kuhlongoza ukulindela ukufa, ukunakekelwa okunciphisayo akuwusekeli lo mkhuba, okungekho emthethweni eBrazil. Kodwa-ke, futhi abafisi ukuhlehlisa ukufa, kepha kunalokho, baphakamisa ukuvumela lesi sifo esingelapheki ukulandela indlela yaso yemvelo, futhi ngalokho, sinikeza konke ukusekelwa ukuze noma yikuphi ukuhlupheka kugwenywe futhi kwelashwe, okwenza ukuphela kwempilo ngesizotha. Qonda ukuthi yini umehluko phakathi kwe-euthanasia, orthothanasia ne-dysthanasia.

Ngakho-ke, yize kungavunyelwa ukubulawa kwesiguli, ukunakekelwa okunciphisayo nakho akusekeli umkhuba wezokwelapha obhekwa njengongelutho, okungukuthi, lawo ahlose ukwelula impilo yomuntu kuphela, kepha lokho ngeke kulaphe, kubangele ubuhlungu nokuhlasela.

Ungakuthola kanjani ukunakekelwa okunciphisayo

Ukunakekelwa kokuhlinzwa kukhonjiswa ngudokotela, kepha, ukuqinisekisa ukuthi kwenziwa lapho kufika isikhathi, kubalulekile ukukhuluma nethimba lezokwelapha elihamba nesiguli futhi likhombise intshisekelo yalo kulolu hlobo lokunakekelwa. Ngakho-ke, ukuxhumana okusobala nokucacile phakathi kwesiguli, umndeni nodokotela mayelana nezindlela zokuxilonga nokwelashwa kwanoma yisiphi isifo kubaluleke kakhulu ukuchaza lezi zinkinga.

Kunezindlela zokubhala lezi zifiso, ngemibhalo ebizwa ngokuthi "Advance will directives", evumela umuntu ukuthi azise odokotela bakhe ngokunakekelwa kwezempilo akufunayo, noma ukuthi akafuni ukukuthola, uma kwenzeka, nganoma yisiphi isizathu, ngokwabo abakwazi ukuveza izifiso maqondana nokwelashwa.

Ngakho-ke, i-Federal Council of Medicine yeluleka ukuthi ukubhaliswa komyalelo wentando kusengaphambili kungenziwa ngudokotela ohambisana nesiguli, kwirekhodi lakhe lezokwelapha noma kwirekhodi lezokwelapha, inqobo nje uma egunyazwe ngokucacile, ngaphandle kofakazi noma amasiginesha adingekayo, njengodokotela, ngomsebenzi wakhe, unokholo emphakathini futhi izenzo zakhe zinomthelela osemthethweni nomthetho.

Kungenzeka futhi ukuthi ubhale futhi ubhalise kummeli olungisa izivumelwano incwadi, ebizwa nge-Vital Testament, lapho umuntu engamemezela khona lezi zifiso, echaza, ngokwesibonelo, isifiso sokungafakwa ezinkambisweni ezinjengokusetshenziswa kwezinto zokuphefumula, ukondla kumashubhu noma ngokudlula ngenqubo yokuvuselela kabusha i-cardio-pulmonary, isibonelo. Kulo mbhalo kungenzeka futhi ukuthi ukhombise umuntu ozethembayo ukuthi enze izinqumo mayelana nendlela yokwelashwa lapho engasakwazi ukwenza izinqumo zakhe.