Ukwahlukana Phakathi kobuGcisa obuPhakathi kunye ne-Euthanasia
Ukuguqulwa kwamathambo, ngamanye amaxesha okubizwa ngokuba yi-sedation sedation, kukusetyenziswa okuqhubekayo kweempawu zokufumana induduzo kwizigulane ezigulayo ezinokubandezeleka okungapheliyo. Ukufa kudla ngokulandela emva nje kokuba isiguli sigxeka, okwenza abanye abantu bazibuze ukuba i-sedation ye-palliative ayikho enye indlela ye- euthanasia okanye ukuxhaswa ngonyango.
Ngoko, Ngaba i- Palliative Sedation ifom ye-Euthanasia?
Ukunyuselwa kwe-palliative akuyiyo i-euthanasia, kwaye akunjalo ukuzibulala ngonyango . Ulwahlulo olubalulekileyo kwizinto ezi zinto zibenza bahluke ngokucacileyo. Makhe sihlolisise ngamnye kwaye sihluke njani komnye nomnye.
Euthanasia
I-Euthanasia ichazwa njengesenzo somntu wesithathu, ngokuqhelekileyo ugqirha, ukuphelisa ubomi besigulane ekuphenduleni intlungu okanye intlungu. I-Ethanatya inokuzikhethela-oko kuthetha ukuba ugqirha ufumene imvume yesigulana-okanye ingabandakanyekanga, ngaphandle kolwazi okanye imvume yesigulane.
Ngokomzekelo, xa isilwanyana sihlanganiswa, senziwa ngokungahambisani nantoni kuba isilwanyana asikwazi ukunika imvume. Ngokwahlukileyo, xa uDkt Jack Kevorkian, owayengummeli onamandla kunye nxaxheba kwi-self-assisted suicide kudala ngaphambi kokuba nawuphi na umthetho osemthethweni, wenza isela elibulalayo likaTomas Youk emva kokuba u-Youk akakwazi ukulawula le nkunkuma kuye, yayisenzo sokuzimela ngokuzithandela kwaye safika uDkt Kevorkian entolongweni.
I-euthanasia yokuzithandela ayimthethweni kwiindawo ezininzi zehlabathi. Amazwe aseNetherlands naseBelgium ngamazwe aphela avumelekileyo. I-euthanasia engabonakaliyo ayimthethweni naphi na.
Ukuzibulala Ngonyango
Ukuzibulala ngogqirha (PAS) isenzo somgqirha esibhala isigqirha sezonyango ezibulalayo zonyango esithatha isigulane ukuze kubangele ukufa.
Ukwahlula okubalulekileyo apha kukuba isiguli kufuneka sithathe loo mayeza.
I-PAS njengamanje isemthethweni eUnited States kumazwe amaninzi, kuquka i-Oregon neWashington, kunye nakwamanye amazwe. Yenzelwa kuphela xa isigulane sinokuxilongwa kwesigulane, siyabuhlungu, kwaye ifuna ukulawula nini kwaye ifa njani. Icandelo elibalulekileyo le-PAS kukuba isiguli kufuneka sithathe loo mayeza. Asemthethweni kumgqirha, umhlobo, ilungu lentsapho, okanye nawuphi na umntu ukunika iyeza njengokuba kuya kuba, ngentetho, i-euthanasia.
Ulwahlulo lwePalliative
Ngokuchasene ne-euthanasia kunye nokuzibulala ngogqirha, injongo yokwazisa i-palation akuyi kubangela ukufa, kodwa ukuxhoma ukuhlupheka. Ukunyuselwa kwe-palliative unikezelwa kuphela ekunciphiseni uxinzelelo olunzulu, olungapheliyo kwaye lusetyenziswa kuphela xa isigulane sele siseduze nokufa.
Ukuguqulwa kwamagqabantshintshi kunokuzama ukufumana ixesha elifutshane kunye nenjongo yokuvumela ukuba i-sedation igqitywe ukuze kuhlolwe induduzo yesigulane, okanye ingasetyenziselwa ukugcina i-sedation yesigqibo kuze kube sekufeni. Ingaba isigulane okanye isigqibo sakhe sokhathalela impilo sinokwenza isigqibo malunga nendlela kwaye kufuneka ukuba isiguli sifanele sithathwe ixesha elingakanani.
Ukufa kungenzeka emva kwexesha emva kokunciphisa i-sedation, kodwa kudla ngokucacileyo ukuba isigulo sokuphela okanye imithi yokwehliswayo yenzelwe. Ngenxa yokubangela okanye ukukhawuleza ukufa akusiyo injongo yokunwabela i-palation, ayikwazi ukulingana ne-euthanasia okanye i-PAS.
Ukuguqulwa kwamagqabantshintshi kuhlale kufuna imvume yesigulane, okanye isigqibo sakhe sokhathalelo lwempilo ukuba isiguli asinakukwazi ukwenza izigqibo ngokwakhe. Amachiza avame ukunikezwa ngokunyusa okanye ukunyusa i-suppository kwaye kaninzi kubangelwa i-sedation esheshayo, okwenza kube nzima ukuba isigulane sinike iqondo elichanekileyo. Ngoko ke, iidalatives zinikezelwa ngugqirha, umongikazi, okanye umnakekeli oyintloko.
Imithombo:
Ixesha leenkcukacha zoBomi bukaDkt Jack Kevorkian kunye neNkcazo yokuzibulala. Ngaphambili. WGBH. http://www.pbs.org/wgbh/pages/frontline/kevorkian/chronology.html Ibuyiswe ngo-2009-06-22.
UBernard Lo, MD; UGordon Rubenfeld, MD, MSc. Ukutshatyalaliswa kwePalliative ekutyeni izigulane . JAMA . 2005; 294: 1810-1816.