Yintoni ukhathalelo lokuthambisa?

Ukhathalelo lokuthambisa linceda abantu abanezifo ezimandundu bazive bhetele ngokuthintela okanye ngokunyanga iimpawu kunye neziphumo ebezingalindelekanga zonyango kunye nonyango.

Injongo yokhathalelo oludlamkileyo kukunceda abantu abanezifo ezimandundu bazive bhetele. Ithintela okanye inyanga iimpawu kunye neziphumo ebezingalindelekanga kunyango. Ukhathalelo lokunyanga lunyanga iingxaki zeemvakalelo, zentlalontle, ezisebenzayo kunye nezokomoya ezinokubangelwa zizifo. Xa umntu eziva engcono kwezi ndawo, baphucule umgangatho wobomi.

Unonophelo lokunyanga lunokunikwa ngaxeshanye nonyango olunyanga ukunyanga okanye ukunyanga esi sifo. Unonophelo lonyameko lunokunikwa xa isifo sifunyaniswa, kunyango lonke, ngexesha lokulandela, nasekupheleni kobomi.

Unonophelo lonyango lunokunikezelwa kubantu abanezigulo, ezinje:

• Umhlaza
• Isifo sentliziyo
• Izifo zemiphunga
• Ukungaphumeleli kwezintso
• Isifo sengqondo esiyingozi
• Intsholongwane kaGawulayo / uGawulayo
• I-ALS (amyotrophic lateral sclerosis)

Ngelixa befumana ukhathalelo lokuthomalalisa, abantu banokuhlala phantsi kononophelo lwababonelela ngempilo rhoqo kwaye bafumana unyango kwizifo zabo.

Nawuphi na umboneleli wezempilo unokunika ukhathalelo lokuthomalalisa. Kodwa abanye ababoneleli bagxile kuyo. Unonophelo lonyango lunokunikwa ngu:

• Iqela loogqirha
• Abongikazi kunye nabongikazi
• Abancedisi bamagqirha
• Iingcali zokutya ezibhalisiweyo
• Oonontlalontle
• Iingcali zengqondo
• Ukunyanga umzimba
• Abafundisi

Unonophelo lokunyanga lunokunikezelwa zizibhedlele, iiarhente zononophelo lwasekhaya, amaziko omhlaza, kunye namaziko onyango lwexesha elide. Umboneleli wakho okanye isibhedlele unokukunika amagama eengcali zokhathalelo lokunyanga kufutshane nawe.

Zombini ukhathalelo lokuthomalalisa kunye nokunyamekela abaguli kunika intuthuzelo. Kodwa ukhathalelo lokuthomalalisa unokuqala kwisifo, kwaye kwangaxeshanye nonyango. Ukhathalelo lwe-Hospice luqala emveni kokuba unyango luyekile kwaye xa kucacile ukuba lo mntu akazukuphila.

Unonophelo lwabantu abagulela ukufa luhlala lunikezelwa kuphela xa kulindeleke ukuba umntu aphile iinyanga ezi-6 okanye ngaphantsi.

Isifo esibi asichaphazeli nje umzimba. Ichukumisa zonke iindawo zobomi bomntu, kunye nobomi bamalungu osapho alowo mntu. Unonophelo lokunyanga lunokujongana nezi ziphumo zokugula komntu.

Iingxaki zomzimba. Iimpawu okanye iziphumo ebezingalindelekanga zibandakanya:

• Intlungu
• Ingxaki yokulala
• Ukuqhawukelwa ngumphefumlo
• Ukuphelelwa ngumdla, kunye nokuziva ugula esiswini

Unyango lunokubandakanya:

• Iyeza
• Isikhokelo sezondlo
• Ulungiso lwenyama
• Unyango emsebenzini
• Unyango oludibeneyo

Iimvakalelo, ezentlalontle kunye neengxaki zokulwa. Izigulana kunye neentsapho zazo zijamelana noxinzelelo ngexesha lokugula ezinokubangela uloyiko, ixhala, ukungabi nathemba, okanye uxinzelelo. Amalungu osapho anokuthatha ukhathalelo, nokuba banemisebenzi kunye neminye imisebenzi.

Unyango lunokubandakanya:

• Iingcebiso
• Amaqela enkxaso
• Iintlanganiso zosapho
• Ukuhanjiswa kubaboneleli bezempilo yengqondo

Iingxaki ezibonakalayo. Ezinye zeengxaki eziziswa kukugula ziyasebenza, ezinje ngemali okanye iingxaki ezinxulumene nomsebenzi, imibuzo yeinshurensi kunye nemicimbi yezomthetho. Iqela lokhathalelo lokuthambisa linoku:

• Chaza iifom zezonyango ezinzima okanye uncede iintsapho ziqonde ukhetho lonyango
• Ukubonelela okanye ukuthumela iintsapho kwiingcebiso zemali
• Nceda unxibelelane nezixhobo zothutho okanye ezezindlu

Imiba yokomoya. Xa abantu bevavanywa kukugula, banokujonga intsingiselo okanye babuze ukholo lwabo. Iqela lokhathalelo oludlamkileyo lunokunceda abaguli kunye neentsapho ukuba ziphonononge iinkolelo zabo kunye neenqobo zabo zokuziphatha ukuze bakwazi ukwamkeleka noxolo.

Xelela umboneleli wakho ngezinto ezikukhathazayo nezikukhathaza kakhulu, kwaye yeyiphi imiba ebaluleke kakhulu kuwe. Nika umboneleli wakho ikopi yokuthanda kwakho okanye ummeli wokhathalelo lwempilo.

Buza umboneleli wakho ukuba zeziphi iinkonzo zokhathalelo oluthambileyo ezifumanekayo kuwe. Unonophelo lokunyamekela luhlala luhlanganiswe yinshurensi yezempilo, kubandakanya iMedicare okanye iMedicaid. Ukuba awunayo i-inshurensi yezempilo, thetha nonontlalontle okanye umcebisi ngezezimali esibhedlele.

Funda malunga nokhetho lwakho. Funda malunga nemiyalelo kwangaphambili, uthathe isigqibo malunga nonyango olwandisa ubomi, kunye nokukhetha ukungabinayo i-CPR (musa ukuvuselela iiodolo).

Ukunyamekela intuthuzelo; Ukuphela kobomi - ukhathalelo lokuthomalalisa; Ukhathalelo lokunyamekela abaguli

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.

I-Schaefer KG, i-Abrahm JL, i-Wolfe J.Ukhathalelo lwePalliative. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 92.

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