Kusiyanitsa Pakati pa Kukhalitsa Kwambiri ndi Euthanasia
Palliative sedation, yomwe nthawi zina imatchedwa sedation sedation, ndiyo njira yogwiritsira ntchito njira zopitilira zowonongeka pofuna kupeza chidziwitso chofunikira cha odwala odwala omwe akudwala matenda osagwirizana. Imfa imakhala ikutsatira kanthawi pang'ono wodwalayo atakhala pansi, kupanga anthu ena kudabwa ngati sedalative sedation si njira ina yokha ya euthanasia kapena wodwala wothandizira kudzipha.
Kotero, kodi Palliative Sedation ndi Fomu ya Euthanasia?
Palliative sedation si euthanasia, ngakhalenso kuchipatala chithandizo chodzipha . Kusiyana kwakukulu pa zinthu zonsezi kumawapangitsa kukhala osiyana mosiyana. Tiyeni tione mmene aliyense amasiyanirana.
Euthanasia
Euthanasia imatanthauzidwa ngati zochita za munthu wina, nthawi zambiri dokotala, kumaliza moyo wa wodwalayo chifukwa cha ululu kapena mavuto. Euthanasia ikhoza kukhala mwaufulu - kutanthauza kuti dokotala walandira chilolezo cha wodwalayo - kapena wosafuna, popanda kudziŵa kapena kuvomereza kwa wodwalayo.
Mwachitsanzo, ngati nyama ikuphatikizidwa, imachitidwa molakwika chifukwa chinyama sichilola. Mosiyana ndi zimenezi, pamene Dr. Jack Kevorkian, yemwe anali wothandizira kwambiri komanso wothandizilapo pa kudzipha kwadokotala kale kuti boma lisanaloledwe ntchito, adapereka mankhwala kwa Thomas Youk pambuyo poti Youk sanathe kupereka mankhwala kwa iye mwini, chinali chinthu chodzipha mwadzidzidzi ndipo anafika Dr. Kevorkian kundende.
Kufuna kudzipereka mwaufulu sikuli kovomerezeka m'madera ambiri padziko lapansi. Dziko la Netherlands ndi Belgium ndilo mayiko okha omwe amalola kuchita. Euthanasia yosavomerezeka silamulo paliponse.
Kudzipha Dokotala - Anathandizira Kudzipha
Kudzipha kwachipatala (PAS) ndichitidwe cha dokotala kulemba kalata ya mankhwala opatsirana omwe wodwala amadzipangira yekha kuti afe.
Kusiyana kwakukulu apa ndikuti wodwala ayenera kumwa mankhwalawo.
PAS panopa ndilamulo ku United States m'mayiko osiyanasiyana, kuphatikizapo Oregon ndi Washington, komanso m'mayiko ena ochepa. Zimatheka pokhapokha ngati wodwala ali ndi matenda odwala matendawa , akuvutika, ndipo amafuna kulamulira nthawi ndi momwe amamwalira. Chida chofunikira cha PAS ndi chakuti wodwala ayenera kumwa mankhwalawo. Sizomveka kwa dokotala, bwenzi, mamembala, kapena wina aliyense kuti apereke mankhwala monga momwe zingakhalire, mwakutanthauzira, euthanasia.
Kulimbana Kwambiri
Mosiyana ndi kudzipha kwa euthanasia komanso kuchipatala, cholinga chokhalitsa munthu sichimayambitsa imfa, koma kuti athetse mavuto. Palliative sedation imaperekedwa kuti athetse mavuto aakulu, osadandaula, ndipo amagwiritsidwa ntchito pokhapokha wodwalayo atatsala pang'ono kufa.
Palliative sedation ingayesedwe kwa kanthaŵi kochepa ndi cholinga chololera kuti sedation ikhale yolimba kuti azindikire chitonthozo cha wodwalayo, kapena chingagwiritsidwe ntchito kuti chikhalebe chokhazikika mpaka imfa. Mmodzi wodwala kapena wosankha zochita zaumoyo amapanga chisankho chokhudza momwe wodwalayo ayenera kukhalira nthawi yaitali bwanji.
Imfa ikhoza kuchitika patapita kanthawi chitapangitsa kuti dothi liwonongeke, koma nthawi zambiri silingadziwike ngati matenda othetsera matenda kapena mankhwala opatsirana amachititsa. Chifukwa chochititsa kapena kufulumira imfa si cholinga cha palliative sedation, sichikhoza kufanana ndi euthanasia kapena PAS.
Palliative sedation nthawi zonse amafuna mgwirizano wa wodwalayo, kapena wothandizira chisamaliro chake ngati wodwala sangathe kupanga zosankha yekha. Mankhwalawa amaperekedwa ndi kulowetsedwa kapena suppository ndipo nthawi zambiri zimayambitsa sedation mwamsanga, zomwe zimapangitsa kukhala kosatheka kuti wodwalayo apereke mlingo woyenera yekha. Choncho, zotsutsanazi zingaperekedwe ndi dokotala, namwino, kapena wothandizira wamkulu wodwalayo.
Zotsatira:
Zotsatira za chithandizo cha Dr. Jack Kevorkian cha Moyo ndi Thandizo lodzipha. Kutsogolo. WGBH. http://www.pbs.org/wgbh/pages/frontline/kevorkian/chronology.html Kuchotsedwa pa 2009-06-22.
Bernard Lo, MD; Gordon Rubenfeld, MD, MSc. Kusakanikirana Kwambiri M'madera Odwala . JAMA . 2005; 294: 1810-1816.