Ngaba Kubuhlungu Ukufa?
Ngaba ukufa kubuhlungu? Ukuba ujongene nesifo sokuphela okanye unomntu othandekayo osondela ekufeni, mhlawumbi uye wazibuza ngeentlungu ekupheleni kobomi. Ngaba unokuba nentlungu? Ubuhlungu bunjani? Yintoni enokuyenza xa intlungu yakho ilawulwa kakuhle? Le mibuzo iphakamisa uxhalaba olukhulu ngexesha apho kukho iinqununu zokwenza kwaye unqwenela ukuchitha ixesha elininzi kunye nosapho kunye nabahlobo ngokunokwenzeka.
Ukwesaba Ngokufa Kubuhlungu
Ngokudabukisayo, ukwesaba phakathi koluntu kwanda emva kokufa kabuhlungu kuka-Elizabeth Taylor ku-airwaves ngo-2011. Kuyinyani ukuba imbali-kwaye nangona intlungu ngoku ekupheleni kobomi ayiphathwe ngokungafanelekile. Kodwa akumele kube njalo. Ubuhlungu ekupheleni kobomi kunokusoloko kulawulwa ngendlela efanelekileyo ukuba abantu bafe ngokududuzeka, nokuba bayasibhedlele okanye ekhaya.
Ukuphindaphinda Kwentlungu Kulabo Abaya Kudla
Ukufa akusoloko kubuhlungu. Abanye abantu bayafa kungekho ntlungu. Kodwa abanye baneentlungu ezininzi. Ukufikelela kuma-35 eepesenti zezigulane zichaza intlungu yabo ngeveki yokugqibela yobomi njengobunzima okanye obungenakuxoxwa. Kwakhona, oku akufuneki ukuba kwenzeke, kwaye iphula iintliziyo zethu ukubhala la magama. (Ngezantsi siza kubelana ngeengcebiso ekuqinisekiseni ukuba intlungu yakho iphathwa ngokufanelekileyo.)
Ubunzima beentlungu ozifumanayo ziyahlukahluka ngokuxhomekeka kwi-diagnostic. Ngomdlavuza, abantu abangama-90 ekhulwini bafumana ubuhlungu ngandlela-thile eluhambeni lwabo, kunye nesiqingatha sabantu ababulawa ngumhlaza baneentlungu ezinzima.
Ngokudabukisayo nje isiqingatha sabantu abafumana ukulawulwa kwentlungu ethembekileyo. Kwakhona, akumele kube njalo. Kukho izizathu ezininzi zezi zinto, ezibandakanya bobabini abangafuni okanye bacela iilwimi zentlungu kunye namagqirha ahluleka ukulungiselela imithi efanelekileyo. Ngethamsanqa, ukunxibelelana kakuhle kunye nengxoxo ngokucophelela ngeentlungu zokuphela kokuphila kunokususa ezininzi zeengxaki.
Ukungaphathwa kakubi kwePil-Life-Pain Pain
Okokuqala, kubalulekile ukusho ngokuphindaphindiweyo ukuba intlungu ingakwazi kwaye kufuneka iphathwe kakuhle ekupheleni kobomi. Ngokwe-World Health Organisation, izigulane zinelungelo lokuba iintlungu ziphathwa . Ngoko kutheni abanye abantu befa ngokubuhlungu? Ezinye zezizathu zibandakanya:
- Ukwesaba umlutha: Abantu abafa, amalungu entsapho, kunye nabaqeqeshi bempilo ngokufanayo badla ngokuxhalabisa ngokuphathelele umlutha. Kodwa oku akufanele kube yinkxalabo ekupheleni kobomi.
- Ukungabikho konxibelelwano: Oogqirha kufuneka baqonde ukuba unentlungu ukuze ucebise unyango. Ngamanye amaxesha abantu bacinga ukuba xa kunyanzeliswa amayeza enhlungu, oogqirha babo baya kubeka umthetho kwaye ngoko awubuzi. Gcina ukhumbule ukuba oogqirha abanakukwazi ukufunda iingqondo, kwaye ngokuqhelekileyo zikhona nje ngomntu ngexesha elifutshane-kungekudala ukulinganisa ngokwenene intlungu ebuhlungu umntu ajongayo.
- Ukwesaba ukunyamezela: Abanye abantu bayesaba ukuba xa basebenzisa imichiza ngoku, amayeza ayahluleka ukusebenza kamva "xa efuna ngokwenene." Oku akunjalo kwaye ukuba ukunyamezela ngamachiza kukhula, amayeza anamandla okanye amayeza ahlukeneyo angasetyenziswa.
- Ukungabikho koqeqesho: Abanye oogqirha baye bafumana ukuqeqeshwa ngokwaneleyo malunga nendlela yokulawula intlungu ekupheleni kobomi.
- Umnqweno wokuba ngumonde "olungileyo": Abanye abantu bayanqikaza ukucela uncedo lweentlungu ngenxa yokwesaba ukuba baya kuba "isigidimi" esibi okanye besaba ukukhathaza ugqirha wabo. Khumbula, oogqirha bahlawulelwa ukulawula intlungu.
- Unkwantya ukuba unyango luza kukhawuleza ukufa: Izifundo ziye zafumanisa ukuba ukuphelisa intlungu yobomi kunye neengxabano kunye ne- sedation sedation ayifutshane nobomi.
- Ukulahla: Abanye abantu bayesaba ukuvuma ukuba intlungu yabo iyanda kakhulu kuba ibonisa ukuba imeko yabo iyanda.
- Imiphumo emibi yemilenze yeentlungu: Zonke iyeza zineempembelelo, kwaye iimpawu ezinjengokuzibamba, ukulala, kunye nesicathulo sinokusebenzisa imilenze engathandekiyo. Ukuxinwa ngokukhethekileyo kunokubangela ukuba abantu bangasebenzisi imithi eyaneleyo njengoko befuna ukuchitha ixesha elininzi njengoko kunokwenzeka ukuba baqaphele nabathandekayo babo.
- Iindleko: Iimvumi zezinhlungu zongeza enye indleko xa iimali zihlala ziqina ngenxa yokugula.
- Ukwesaba kwegqirha: Oogqirha banokungabaza ukunika i-painkillers ezinamandla ngenxa yokwesaba ukugxekwa ngamabhodi ezonyango.
Impembelelo yobuhlungu ekupheleni koBomi
Ukongeza kokungakhathazeki, intlungu engalawulekiyo inokuba neminye imiphumo emibi. Ngokwenyama, intlungu inokugxininisa ezinye iimpawu ezifana nokuphefumula nokukhathazeka. Emotionally inokukushiya ufutshane kwaye ungakwazi ukugxila; okwenza kube nzima ukuba neengxoxo ezinentsingiselo kunye nabathandekayo bakho. Ngokomoya kunokushiya uzive uwedwa kwaye ungenanto. Intlungu epheleleyo inokuphazamisa ukuqinisekisa ukuba imicimbi yakho yomthetho iyalungelelaniswa, ngokulungiswa, kwaye ekugqibeleni, ngokuzithiba.
Kulabo abafa, intlungu ingabaphanga amaxesha abo okugqibela apha emhlabeni. Kwalawo asele ngasemva, inkumbulo yenkqubo yokufa iya kuhlala ilinde iminyaka ezayo. Ukuba elo xesha laphawulwa ngentlungu, kunokubangela ukulila ixesha elide .
Ulawulo loPhelo loBomi
Umbutho wezeMpilo weSizwe uye wahlanganisa intlungu yonyango. Ukulandela ezi zintathu nyathelo kunokulawula intlungu malunga nama-80 ekhulwini ukuya kuma-90 ekhulwini. Kulabo bafuna ukuphucula intlungu, isinyathelo sesine singasetyenziselwa ukuquka unyango olunjengeemigodi, ukunyanga kwamayeza kunye nokunye. Ukongezelela, unyango oluthile olunjenge- acupuncture kunye ne- massage lungasetyenziselwa kunye nokunyanga okuqhelekileyo. Akunakulibala iimfuno zengqondo, ezentlalontle kunye nezokomoya, okokuba, xa zibhekiswe, zinokudlala indima enkulu ekuncedeni ukulawula intlungu.
Unokuba unqwenela ukufunda okungakumbi malunga neendlela zokulawula iintlungu kwiinkathalo zokunyamezela kunye neyeza eziqhelekileyo kunye neenkqubo ezisetyenziselwa ukulawula intlungu yomhlaza .
Ukuqhagamshelana noDokotela malunga nobuhlungu
Ukuze uphathe kakuhle intlungu yakho, ugqirha wakho kufuneka abe nolwazi malunga nohlobo kunye nobunzulu beentlungu ozifumanayo. Ukongeza kokucela ukuba uchaze intlungu yakho, uya kufuna ukwazi ukuba kukuchaphazela njani. Umzekelo, ngaba uphazamisa ukutya, ukulala, okanye ukuthetha nabathandekayo bakho?
Oogqirha bavame ukusebenzisa into ebizwa ngokuba ngumlinganiselo wesifo , ukwenza uvakalelo oluthile lube nenjongo encinane, kunye nokubeka esweni iziphumo zonyango. Unokucelwa ukuba uchaze intlungu yakho kwinqanaba le-1 ukuya ku-10, kunye ne-1 ingabi nantlungu, kwaye 10 ibe yintlungu engakumbi. Ukuba awuqinisekanga indlela yokuchaza intlungu yakho, okanye ukuba unomuvo wokuthi ugqirha wakho akayiqondi ngokwenene intlungu onayo, unokufisa ukukhangela le ngcaciso malunga nendlela yokuthetha nodokotela wakho malunga nentlungu .
Ukujamelana Neentlungu Ekupheleni koBomi
Into ebaluleke kakhulu ongayenza ukuze uqiniseke ukuba intlungu yakho ilawulwa kukuba uthethe ngokugqithisileyo kwaye uthembeke ngogqirha wakho malunga noko uhlangabezana nayo. Oogqirha abanengqondo kubafundi, kwaye intlungu ihlangene ngokwahlukileyo kumntu wonke. Umntu omnye onomdla wesigaba 4 unokuba nobuhlungu obukhulu kodwa omnye akayi kuba nantlungu.
Ukusetyenziswa kwamachiza rhoqo kunye neenxa yokubaluleka kubalulekile. Ukubandezeleka kunzima kakhulu ukujongana neentlungu ezigcinwe ukukhangela. Injongo mayibe kukuthintela intlungu ebuhlungu, kunokuba ugxile kumachiza ade ungakwazi ukuma. Ukuba ungumthandayo ofa, ungalibali amandla okuthintela. Uloyiko lunokubandezela ngakumbi intlungu, kwaye ukwesaba okukhulu kwabo bafa kushiywa.
ILizwi
Akukho mntu ufanele afe ngeentlungu ezingalawulekiyo. Yilungelo lakho lomthetho nelungileyo lokufumana unyango oluvumela ukuba uchithe ngokukhawuleza ixesha lakho lokugqibela emhlabeni kunye nabathandekayo bakho. Akukho namnye kuthi ufuna ukufa. Kuya kuba soloko kubakho usizi nosizi. Kodwa ngamnye wethu kufuneka akwazi ukuthetha, kuloo ndawo elandelayo: "Ndibe nokufa okulungileyo."
> Imithombo:
> Jackson, V., noL. Navbati. Ukuqwalaselwa ngokwemigaqo yolawulo lweentlungu ekupheleni kobomi. Isemgangathweno. Ukuhlaziywa 04/19/17. http://www.uptodate.com/contents/ethical-considerations-in-effective-pain-management-at-the-end-of-life
> Lim. R. Ukunyamekela koLondolozo lweMpilo kwizigulane ezine-Advanced Lung Cancer. Uphuhliso lwezeMpilo kwizifo eziphefumulayo . 2016. 10 (5): 455-67.
> Umbutho WezeMpilo Wehlabathi. Isinyathelo seNqanaba le-WHO. http://www.who.int/cancer/palliative/painladder/en/