Imvume eyazisiweyo-yabantu abadala

Unelungelo lokunceda uthathe isigqibo ngokona ufuna ukukhathalelwa ngonyango. Ngokomthetho, ababoneleli bakho bokhathalelo lwempilo kufuneka bakuchazele imeko yezempilo kunye nokhetho lonyango.

Imvume eyazisiweyo ithetha:

• Uyaziswa. Ufumene ulwazi malunga nemeko yempilo yakho kunye nokhetho lonyango.
• Uyayiqonda imeko yakho yempilo kunye nokhetho lonyango.
• Uyakwazi ukuthatha isigqibo sokuba loluphi unyango lonyango olufumanayo kwaye unike imvume yokulufumana.

Ukufumana imvume yakho enolwazi, umboneleli wakho angathetha nawe malunga nonyango. Emva koko uya kufunda inkcazo yayo kwaye usayine ifom. Le yimvume ebhaliweyo enolwazi.

Okanye, umboneleli wakho unokuchaza unyango kwaye akubuze ukuba uyavuma na ukufumana unyango. Ayizizo zonke iindlela zonyango ezifuna imvume ebhaliweyo enolwazi.

Iinkqubo zonyango ezinokufuna ukuba unike imvume ebhaliweyo enolwazi zibandakanya:

• Uninzi lotyando, nokuba alwenziwanga esibhedlele.
• Olunye uvavanyo lwezonyango oluphambili okanye oluntsonkothileyo kunye neenkqubo, ezinje nge-endoscopy (ukubeka ityhubhu ezantsi emqaleni ukujonga ngaphakathi esiswini sakho) okanye inaliti yesibindi.
• Imitha okanye ichemotherapy ukunyanga umhlaza.
• Unyango olunobungozi obuphezulu, njengonyango lwe-opioid.
• Uninzi lwezitofu zokugonya.
• Olunye uvavanyo lwegazi, njengokuvavanyelwa i-HIV. Uninzi lwamazwe lushenxisile le mfuno ukuze kuphuculwe amaxabiso ovavanyo lwe-HIV.

Xa ucela imvume yakho unolwazi, ugqirha wakho okanye omnye umboneleli kufuneka achaze:

• Ingxaki yakho yempilo kunye nesizathu sonyango
• Kwenzeka ntoni ngexesha lonyango
• Imingcipheko yonyango kunye nokuba kungenzeka kangakanani ukuba yenzeke
• Unyango lusebenza kangakanani
• Ukuba unyango luyimfuneko ngoku okanye lunokulinda
• Olunye ukhetho kunyango lwempilo yakho
• Umngcipheko okanye iziphumo ebezingalindelekanga ezinokwenzeka kamva

Kuya kufuneka unolwazi olwaneleyo lokwenza isigqibo ngonyango lwakho. Umboneleli wakho kufuneka aqinisekise ukuba uyaluqonda ulwazi. Enye indlela umboneleli anokukwenza ngayo oku kukukucela ukuba uphinde le ngcaciso ngamazwi akho.

Ukuba ungathanda iinkcukacha ezithe vetshe ngokhetho lwakho lonyango, buza umboneleli wakho ukuba ajonge phi. Zininzi iiwebhusayithi ezithembakeleyo kunye nezinye izixhobo angakunika zona, kubandakanya nezixhobo zokuqinisekisa eziqinisekisiweyo.

Ulilungu elibalulekileyo leqela lakho lokhathalelo lwempilo. Kuya kufuneka ubuze imibuzo ngayo nantoni na ongayiqondiyo. Ukuba ufuna umboneleli wakho ukuba achaze into ngendlela eyahlukileyo, bacele ukuba benze njalo. Sebenzisa uncedo lwesigqibo esiqinisekisiweyo kunokuba luncedo.

Unelungelo lokwala unyango ukuba uyakwazi ukuqonda imeko yakho yezempilo, unyango lwakho, kunye nemingcipheko kunye nezibonelelo zokhetho ngalunye. Ugqirha wakho okanye omnye umboneleli wezempilo unokukuxelela ukuba abacingi ukuba lolona khetho lulungileyo kuwe. Kodwa, ababoneleli bakho akufuneki bazame ukukunyanzela ukuba ufumane unyango ongafuniyo ukuba nalo.

Kubalulekile ukubandakanyeka kwinkqubo yemvume enolwazi. Emva kwakho konke, nguwe oya kufumana unyango ukuba unika imvume yakho.

Imvume enolwazi ayifuneki kwimeko engxamisekileyo xa unyango olulibazisekileyo lunokuba yingozi.

Abanye abantu abasakwazi ukwenza isigqibo esifanelekileyo, njengomntu onesifo se-Alzheimer okanye umntu okwi-coma. Kuzo zombini iimeko, umntu ngekhe abe nakho ukuqonda ulwazi lokuthatha isigqibo malunga nokuba ufuna unyango luni. Kwezi ntlobo zeemeko, umboneleli uya kuzama ukufumana imvume yolwazi kunyango kwisivumelwano, okanye ukuthatha isigqibo.

Nokuba umboneleli wakho akaceli mvume yakho ibhaliweyo, kuya kufuneka uxelelwe ukuba loluphi uvavanyo okanye unyango olwenzekayo kwaye ngoba. Umzekelo:

• Phambi kokuba bavavanywe, amadoda kufuneka azi izinto eziluncedo, ezingalunganga, kunye nezizathu zovavanyo lwegazi lwe-antigen (PSA) oluvavanya umhlaza wedlala lobudoda.
• Abasetyhini kufuneka bazi izinto eziluncedo, ezimbi, kunye nezizathu zovavanyo lwePap (ukuvavanywa komhlaza womlomo wesibeleko) okanye i-mammogram (ukuhlolwa komhlaza wamabele).
• Nabani na ovavanyelwa usulelo olwenzeka emva koqhakamshelwano ngokwesondo kufuneka axelelwe ngovavanyo kunye nokuba kutheni bevavanywa.

UEmanuel EJ. I-Bioethics kuqeqesho lwamayeza. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: Isahluko 2.

I-United States yeSebe lezeMpilo kunye neNkonzo yaBasebenzi. Imvume eyazisiweyo. www.hhs.gov/ohrp/regulations-and-policy/guidance/informed-consent/index.html. Kufunyenwe ngoDisemba 5, 2019.

• Amalungelo abaguli