Ukuthatha isigqibo malunga nonyango olwandisa ubomi

Ngamanye amaxesha emva kokonzakala okanye ukugula ixesha elide, amalungu aphambili omzimba awasasebenzi kakuhle ngaphandle kwenkxaso. Umboneleli wakho wezempilo angakuxelela ukuba la malungu akazukuzilungisa.

Unyango lokwandisa ubomi lungakugcina uphila xa la malungu eyeka ukusebenza kakuhle. Unyango lunokwandisa ubomi bakho, kodwa musa ukusinyanga isifo sakho. Ezi zibizwa ngokuba lunyango olusindisa ubomi.

Unyango lokwandisa ubomi lunokubandakanya ukusetyenziswa koomatshini. Esi sixhobo senza umsebenzi welungu lomzimba, njenge:

• Umatshini ukunceda ngokuphefumla (i-ventilator)
• Umatshini ukunceda izintso zakho (dialysis)
• Umbhobho kwisisu sakho ukubonelela ngokutya (nasogastric okanye gastrostomy tube)
• Ityhubhu emthanjeni wakho ukubonelela ngamanzi kunye namayeza (ngaphakathi, ngaphakathi IV IV ityhubhu)
• Umbhobho okanye imaski yokubonelela ngeoksijini

Ukuba ukufuphi esiphelweni sobomi bakho okanye unesigulo esingazukubangcono, unokukhetha uhlobo lonyango ofuna ukulufumana.

Kuya kufuneka uyazi ukuba ukugula okanye ukwenzakala sesona sizathu siphambili sokuphela kobomi, hayi ukususwa kwezixhobo zenkxaso yobomi.

Ukunceda kwisigqibo sakho:

• Thetha nababoneleli bakho ukuba ufunde ngenkxaso yenkxaso yobomi oyifumanayo okanye onokuyifuna kwixesha elizayo.
• Funda malunga nonyango kunye nokuba luya kukunceda njani.
• Funda malunga neziphumo ebezingalindelekanga okanye iingxaki ezinokubangelwa lunyango.
• Cinga ngomgangatho wobomi obuxabisileyo.
• Buza umboneleli wakho ukuba kwenzeka ntoni ukuba ukhathalelo lwenkxaso yobomi lumisiwe okanye ukhetha ukungaluqali unyango.
• Fumanisa ukuba uya kuba neentlungu okanye ungonwabi xa uyeka ukhathalelo lwenkxaso yobomi.

Oku kunokuba lukhetho olunzima kuwe nakwabo basondele kuwe. Akukho mthetho unzima kwaye ukhawulezayo malunga nokuba ukhethe ntoni. Izimvo zabantu kunye nokhetho zihlala zitshintsha ngokuhamba kwexesha.

Ukuqinisekisa ukuba iminqweno yakho iyalandelwa:

• Thetha nababoneleli bakho malunga nokhetho lwakho.
• Bhala izigqibo zakho kwisikhokelo sokhathalelo lwempilo kwangaphambili.
• Fumana malunga ne-do-not-resuscitate (DNR) yeodolo.
• Buza umntu ukuba abe ngummeli wakho wezonyango okanye ummeli. Qiniseka ukuba lo mntu uyayazi iminqweno yakho kwaye ukuba wenza naluphi na utshintsho kukhetho lwakho lokhathalelo lwempilo.

Njengobomi bakho okanye utshintsho kwimpilo yakho, unokutshintsha izigqibo zakho zokhathalelo lwempilo. Ungalutshintsha okanye urhoxise ulwalathiso lwenkathalelo oluphambili nangaliphi na ixesha.

Unokusebenza njengearhente yokhathalelo lwempilo okanye ummeli womnye umntu. Kule ndima kungafuneka wenze isigqibo sokuqala okanye ukususa oomatshini bokuxhasa ubomi. Isenokuba sisigqibo esinzima kakhulu ukusenza.

Ukuba ufuna ukwenza isigqibo malunga nokuyeka unyango lomntu omthandayo:

• Thetha nababoneleli bakho obathandayo.
• Ukuphonononga iinjongo zonyango lwakho omthandayo.
• Linganisa izibonelelo kunye nemithwalo yonyango kwimpilo yomntu omthandayo.
• Cinga ngeminqweno kunye nexabiso lomntu omthandayo.
• Funa iingcebiso kwabanye abaqeqeshi bezempilo, njengonontlalontle.
• Funa iingcebiso kwamanye amalungu osapho.

Unonophelo lonyango - unyango olwandisa ubomi; Unonophelo lonyango - inkxaso yobomi; Ukuphela-kobomi-unyango olwandisa ubomi; I-Ventilator - unyango olwandisa ubomi; Iphefumla - unyango olwandisa ubomi; Inkxaso yobomi-unyango olwandisa ubomi; Umhlaza - unyango olwandisa ubomi

UArnold RM. Unonophelo lonyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.

URakel RE, uTrinh TH. Ukhathalelo lomguli ofayo. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 5.

U-Shah AC, uDonovan AI, uGebauer S. Amayeza onyango. Ku: Gropper MA, ed. I-Anesthesia kaMiller. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 52.

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