Musa-ukuvuselela iodolo
Umyalelo wokungavuseleli, okanye i-DNR, ngumyalelo wonyango obhalwe ngugqirha. Iyalela ababoneleli ngezempilo ukuba bangenzi ukuvuselela i-cardiopulmonary (CPR) ukuba ukuphefumla kwesigulana kuyayeka okanye ukuba intliziyo yesigulana iyayeka ukubetha.
Ngokufanelekileyo, i-odolo ye-DNR yenziwe, okanye yamiselwa, ngaphambi kokuba kuvele imeko engxamisekileyo. Umyalelo we-DNR ukuvumela ukuba ukhethe ukuba ufuna i-CPR kwimeko engxamisekileyo okanye hayi. Icacile malunga neCPR. Ayinayo imiyalelo yolunye unyango, njengamayeza eentlungu, amanye amayeza, okanye isondlo.
Ugqirha ubhala iodolo kuphela emva kokuthetha ngayo nesigulana (ukuba kunokwenzeka), ummeli, okanye usapho lwesigulana.
I-CPR lunyango olufumanayo xa ukuphuma kwegazi okanye ukuphefumla kuyekile. Inokubandakanya:
- Imizamo elula njengokuphefumla ngomlomo emlonyeni nokucofa isifuba
- Ukutshitshiswa kombane ukuqala kwakhona intliziyo
- Imibhobho yokuphefumla ukuvula indlela yomoya
- Amayeza
Ukuba ukufuphi esiphelweni sobomi bakho okanye unesifo esingazukuphucuka, ungakhetha ukuba ufuna iCPR yenziwe.
- Ukuba uyafuna ukufumana i-CPR, akukho mfuneko yokuba wenze nantoni na.
- Ukuba awuyifuni i-CPR, thetha nogqirha wakho malunga nomyalelo we-DNR.
Oku kunokuba lukhetho olunzima kuwe nakwabo basondele kuwe. Akukho mthetho unzima kwaye ukhawulezayo malunga nento onokuyikhetha.
Cinga ngalo mbandela ngelixa usenakho ukuzenzela isigqibo.
- Funda ngakumbi malunga nemeko yakho yonyango kunye nento onokuyilindela kwikamva.
- Thetha nogqirha wakho malunga neenzuzo kunye neengxaki zeCPR.
Umyalelo we-DNR unokuba yinxalenye yesicwangciso sokunyamekela abaguli. Eyona nto kugxilwe kuyo yile nkathalo ayikokukhulisa ubomi, kodwa kukunyanga iimpawu zentlungu okanye zokuphefumla kancinci, kunye nokugcina intuthuzelo.
Ukuba une-oda ye-DNR, uhlala unelungelo lokutshintsha ingqondo yakho kwaye ucele i-CPR.
Ukuba uthatha isigqibo sokuba ufuna i-DNR oda, xelela ugqirha wakho kunye neqela lokhathalelo lwempilo into oyifunayo. Ugqirha wakho kufuneka alandele iminqweno yakho, okanye:
- Ugqirha wakho angadlulisela ukhathalelo lwakho kugqirha oya kuthi afezekise iminqweno yakho.
- Ukuba usisigulana esibhedlele okanye kwikhaya labalupheleyo, ugqirha wakho kufuneka avume ukusombulula naziphi na iingxabano ukuze kulandelwe iminqweno yakho.
Ugqirha unokugcwalisa le fomu yoku-odola i-DNR.
- Ugqirha ubhala i-oda ye-DNR kwirekhodi yakho yezonyango ukuba usesibhedlele.
- Ugqirha wakho angakuxelela ukuba ungalifumana njani ikhadi lesipaji, isongo, okanye amanye amaxwebhu e-DNR onokuthi ube nawo ekhaya okanye ngaphandle kwesibhedlele.
- Iifom eziqhelekileyo ziya kufumaneka kwiSebe lezeMpilo lakho.
Qiniseka ukuba:
- Faka iminqweno yakho kwisikhokelo sokhathalelo kwangaphambili (i-living will)
- Yazisa iarhente yokhathalelo lwempilo (ekwabizwa ngokuba ngummeli wokhathalelo lwempilo) kunye nosapho ngesigqibo sakho
Ukuba utshintsha ingqondo, thetha nogqirha wakho okanye iqela lezempilo kwangoko. Xelela usapho lwakho kunye nabakhathalelayo malunga nesigqibo sakho. Ukutshabalalisa nawaphi na amaxwebhu onayo kubandakanya i-DNR oda.
Ngenxa yokugula okanye yokwenzakala, usenokungakwazi ukuchaza iminqweno yakho malunga neCPR. Kule meko:
- Ukuba ugqirha wakho sele ebhale i-DNR odolo kwisicelo sakho, usapho lwakho alunakho ukuloba ngaphezulu.
- Usenokuba ubize umntu oza kukuthethela, njengearhente yokhathalelo lwempilo. Ukuba kunjalo, lo mntu okanye umgcini osemthethweni angavumelana nomyalelo we-DNR.
Ukuba awukhange ubize mntu oza kukuthethela, phantsi kweemeko ezithile, ilungu losapho linokuvuma kwi-odolo ye-DNR yakho, kodwa kuphela xa ungakwazi ukwenza izigqibo zakho zonyango.
Akukho khowudi; Ukuphela kobomi; Musa ukuvuselela; Sukuvuselela ucwangco; I-DNR; Umyalelo we-DNR; Isikhokelo sokhathalelo kwangaphambili-i-DNR; Igosa lezonyango - iDNR; Ummeli wokhathalelo lwempilo-DNR; Ukuphela kobomi-DNR; Intando ephilayo-DNR
UArnold RM. Unonophelo lonyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 3.
IBullard MK. Imigaqo yokuziphatha kwezonyango. Ku: Harken AH, Moore EE, ii-eds. Iimfihlo Zokuhlinzwa zika-Abernathy. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 106.
Ngakumbi i-JD, i-DeKosky ST. Ukuqwalaselwa kokuziphatha kunyango lwezigulana ezinesifo se-neurosurgical. Ku: UCottrell JE, uPatel P, ii-eds. Cottrell kunye neNeuroanesthesia kaPatel. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.
- Imiba yoBomi yokuphela