Hlalani Nilungiselele Ukwenza Izigqibo Zonyango
Uninzi lwabantu alufuni ukucinga ngemicimbi yokuphela kwempilo. Ngokuqinisekileyo, kukho izinto ezintle zokucinga ngazo. Zonke izigulane ezineCOPD zisengozini enkulu yokuba zenze ukhetho olunzima xa kunokwenzeka ukuba ukukhushulwa kwe-COPD enokubangela ukuba baxhomekeke kumshini wokuphefumula (obizwa ngokuba yi-ventilator) nokuba lifutshane okanye ixesha elide.
Ucwaningo luye lwabonisa ukuba izigulane ezingazilungiseleli izigqibo zokwenza isigqibo siphelile ziyakwazi ukufumana unyango olungenakufunwa, olunjengokufakwa kwintambo. Yintoni enye into yokuba iintsapho zezigulane ezingathethiyo ngeemfuno zabo ngaphambili kwexesha zifumana imithwalo enzima, uxinzelelo kunye nokudandatheka emva kokuthatha indima yokwenza izigqibo egameni lomthandayo.
Ngaphambi kokucwangciswa kwenkathalo yinkqubo equkethe ukuxoxa ngemiba yokuphela kwempilo, ukucacisa ixabiso, iinkolelo kunye nezinto ezithandayo kwaye zirekhode ezo zikhethiweyo kwiimibhalo ezibhaliweyo ezibizwa ngokuba yimphambili kwimiyalelo (umz. Izibonelelo zokubandakanya kwangaphambili ukucwangciswa kwenkathalo kusekwa ngokucacileyo ukuba izigulane ezenza ii-ACP kunye neentsapho zazo zazingenako ukuxinezeleka, ukuxhalaba okanye ukuxinezeleka, kwaye zichazwe ngamanqanaba aphezulu okwaneliseka ngonyango lwabo.
Ngaphandle kweenkonzo zokucwangcisa ukunakekelwa kwamalungu entsapho, kwaye uphando lubonisa ukuba amalungu entsapho alabo abenza kwangaphambili ukucwangciswa kwabantwana babo abathandekayo baye babhekana noxinzelelo kunye nokuxhalaba emva kokuthatha izigqibo zonyango kwilungu labo losapho.
Zininzi izibonelelo ezinokufumaneka ekuncedeni izigulane kunye neentsapho zabo zibandakanya ukucwangciswa kwangaphambili kwenkathalo.
Ngezantsi sihlomela izixhobo ezintathu eziye zaxhaswa ngophando kwaye zinokukunceda ukukhokela abantu abahlukahlukeneyo kwinkqubo yokucwangcisa kwangaphambili.
1) I-Aids Decision Decision
Ukwenza Ukuqonda Kwakho Kuqhagamshelwano , incediso yesigqibo se-intanethi esekelwe luphando olunzulu, kuquka izigulane ezineCOPD. Inkqubo, efumaneka ngokungahlawulwayo, ithatha indlela yokufundisa, isebenzisa ifomathi yempendulo yombuzo ephendulayo equka i-audio, umbhalo, imifanekiso, izigulane zegulane kunye neevidiyo zevidiyo. bafuna ukwenza izigqibo zonyango ukuba abanako ukwenza oko ngokwabo, kwaye zeziphi izigqibo abangathanda ukuzenza. Ukwenza Ukuqonda Kwakho Kuyaziwayo kuchaza iinkalo ezininzi zezempilo kunye nokungenelela kwezonyango (ezifana nokupakishwa kwemishini, i-dialysis kunye nezigulisa zokutya) kwaye kuthatha abasebenzisi ngokusebenzisa iminyango emininzi ebancedisa ukucacisa nokucacisa ixabiso kunye neenjongo eziphathelele unyango lwezempilo. Ekupheleni kwenkqubo, abasebenzisi bangashicilela baze babelane ngesondlo somthetho, ngokusemthethweni. Inkqubo kulula ukuyisebenzisa kunye nophando luye lwabonisa ukuba le nkqubo ayinelisekanga kuphela kubathathi-nxaxheba kodwa ivelisa umyalelo ochanekileyo wangaphambili.
Inkqubo ifumaneka kwi-www.MakingYourWishesKnown.com.
2) Incwadi yokusebenzela
Ubomi Bakho, iinqununu zakho zincwadi enzulu eneenkcukacha (ezifumaneka kwi-intanethi) ukuba izigulane kunye neentsapho zabo zingasebenzisa ukufunda malunga nokucwangciswa kokunyamekela, ukwenziwa kwezigqibo, kunye namazwe aqhelekileyo kwimpilo. Ukongezelela, uye wenza umsebenzi owanceda abafundi ukuba baxhomekeke kwiimpawu zabo kunye neenkolelo malunga nemiba yokuphela kwempilo kunye nokwenza izigqibo. Incwadi yomsebenzi inikezela ngamaphepha okubhala izicwangciso zokunyamekela kwangaphambili kunye neengcebiso malunga nendlela engcono yokuthetha ngayo izinto ezikhethwa ngabanye.
3) Imidlalo
Isipho sam sobabalo , umdlalo wencoko yomxholo wokuphela kwengxoxo, unikeza indlela yokudala kwimingeni yokufumana abantu abakhuthazayo ukuba bathethe malunga nokugqiba kwezenzo zokuthatha izigqibo.
Ngokuqulunqa ingxoxo njengomdlalo, Isipho sam soBawo sinikeza indawo ekhuselekileyo abadlali abanandiphayo, abanelisayo kunye nabaqinileyo nengxoxo malunga nokunyamekela kwexesha lokuphila. Umdlalo unamakhadi angama-47 anceda abadlali ukuba baqwalasele baze baxoxe ngeengxaki ezinxulumene nokwenza izigqibo zonyango, ukufa nokufa. Imibuzo yaphuhliswa emva kokubonisana ngokubanzi kunye noogqirha abangaphezu kwe-100, izigulane, abalawuli bamngcwabo, abayili kunye nabanye. Uphando luye lwabonisa ukuba umdlalo ungabakhuthaza abo abaye bangacingi ukuba benze isicwangciso sokukhathalela kwangaphambili ukwenzela ukuba benze njalo, kwaye yindawo enokuqala yokuqala kwabo bafuna ukuqala iingxoxo malunga nale micimbi kodwa bangakwazi ukuba njani. Abaninzi abadlala isipho sam sobubele banamava amahle kwaye bafumana isixhobo sokubambisana, ukuzonwabisa kunye neforam efanelekileyo yokuvula ingxoxo.
Ngaphantsi
Zonke izigulane ezineCOPD kufuneka zixoxe nabathandekayo babo malunga neempawu zabo, iiminqweno kunye neenkolelo malunga nokunyamekelwa ngononophelo xa kunesifo esibalulekileyo sonyango, kubandakanywa nokukhushulwa kwe-COPD. Ukwenza oko kunokunceda ukuqinisekisa ukuba unonophelo olufunyenweyo ekupheleni kobomi luhambelana neemfuno zomntu. Kukho ubuninzi bezinto ezikhoyo ezinokunceda izigulane kunye neentsapho zikwaziswa kakuhle kwaye zilungele ukulungiselela izigqibo zonyango.
Ukufumana ulwazi olongezelelweyo kunye nezibonelelo malunga nokucwangciswa kokunyamekela kwangaphambili, tyelela kwiWebhsayithi yeSizwe yeNgcaciso yeMpilo kwiSunday kwi-www.nhdd.org.
Iingxelo
USilveira MJ, uKim SYH, uLanga KM. Ngaphambili izikhokelo kunye neziphumo zesigqibo sokwenza isigqibo ngaphambi kokufa. N Engl J Med 2010: 1211-8.
Kirchhoff KT, uHammes BJ, uKehl KA, uBriggs LA, uBrown RL. Impembelelo yongenelelo olwenziwe ngophuhliso lokunyamekela ngolwaphulo lokunyamekela ekupheleni kwentsapho. J Am Geriatr Soc 2012; 60: 946-50.
MJ Green, uLevi BH. Ixesha elithi "e": ukusetyenziswa kobuchwepheshe obutsha kwangaphambi kokucwangcisa ukunakekelwa. Nurs Outlook 2012; 60: 376-83 e2.
Ukuqwalasela i-KM, i-Hancock AD, i-Reade MC, i-Silvester W. Umphumo wokuphambi kokucwangciswa kokunyamekela ekupheleni kokukhathalela ubomi kwizigulane ezisebekhulile: ilingo elilawulwa ngononophelo. BMJ 2010; 340: c1345.