Dotolo ya DNR ikhoza kukhala yothandiza monga mukuganizira
Pali njira yowonjezera ya zojambulajambula zomwe zimagwiritsidwa ntchito m'malo mwazodzikongoletsera zachipatala muzidzidzidzi. Zikhoza kukhala pa dzanja lanu, kunena kuti muli ndi zovuta kapena matenda. Zimakhalanso zachizoloŵezi kupeza "DNR" chithunzithunzi, kutanthauza kuti wina safuna kubwezeretsedwa. Izi zimakhala pachifuwa ndi cholinga chofuna kupeza mosavuta musanayambe kupereka CPR.
Musanapange chisankho chodzipereka ku zolemba zachipatala zadzidzidzi, dzifunseni kuti, "Kodi azachipatala kapena madokotala adzatsata zokhumba zanga kapena amazindikiranso zojambulazo?"
Ma Tattoo pafupi ndi Zodzikongoletsera
Ma Paramedics ndi EMTs amadziwika ndi zibangili zamankhwala . MedicAlert anachita upainiya mu 1953 ndipo makampani ena ambiri atsatira zomwezo. Siima ndi zibangili. Teknoloji yatsopano monga makina a USB ndi ma RFID adagulitsidwa pazinthu izi.
Zodzikongoletsera zachipatala ndizovomerezeka kwambiri komanso lingaliro labwino ngati muli ndi matenda enaake omwe ali ofunika kwambiri kwa ogwira ntchito mwamsanga kuti mudziwe. Komabe, zojambula ndizo zomwe antchito azachipatala sangazindikire, makamaka ngati muli ndi zojambulajambula zambiri.
Kupindulitsa kwa zojambula pazodzikongoletsera ndikuti sizingatheke. Ngati muli m'galimoto ya galimoto, chibangili kapena chovala cha mkhosi chikhoza kupatulidwa ndi thupi lanu. Ngati mulibe chidziwitso, simungathe kuwuza odwala matenda opatsirana pogonana kuti mulibe vuto la njuchi kapena mumatenga magazi.
Chizindikiro, pambali inayo, nthawi zonse chiripo, koma chiyenera kukhala chowoneka kwa odwala matenda opaleshoni kuti akhale ogwira mtima.
Kaya ndi zodzikongoletsera zachipatala kapena zolemba zizindikiro, odwala matenda opatsirana mankhwala sangathe kuzindikira ngakhale. Pazidzidzidzi, odwala opaleshoni amaphunzitsidwa kuti athe kuchiritsa wodwalayo pogwiritsa ntchito zizindikiro za matenda.
Iwo sangakhale ndi nthawi yoyang'ana kapena kufufuza zina zokhudza mbiri yanu yachipatala.
The Confusion of DNR Tattoos
Zithunzi zojambulidwa kuti "Musayimbenso" ndizofupikitsa DNR ndipo zili pamphindi. Izi ndi nkhani zosiyana ndi zojambula zothandizira zachipatala. Pachifukwa ichi, zizindikirozi zimakhala zoonekera kwa aliyense amene angakupatseni CPR, koma sikuti amamangiriza.
Vuto loyamba liri mu mfundo yakuti kusayambiranso (DNR) malamulo ali ndi malamulo ena omwe amawathandiza kukhala omveka. Zimasiyana ndi boma, koma kawirikawiri, DNR iyenera kulembedwa ndi dokotala. Kawirikawiri, izi zimaphatikizapo kukhala ndi chikalata chovomerezeka mwalamulo kapena pa fayilo zomwe akatswiri azachipatala angatchule. Dotolo ya DNR ilibe maonekedwe awa. Komanso, ngati mwasankha, dongosolo la DNR lingathe kubwezeretsedwa.
Chizindikiro, pambali inayo, ndi chosatha. Ngati mutasintha malingaliro anu potsitsimutsidwa, zidzakuchititsani zambiri kuposa chilembo kuti chichotsedwe. Anthu ambiri amasankha kusiya iwo m'malo molipira, ngakhale atasintha maganizo awo.
Nthaŵi zina, anthu adalandira ngongole ya DNR pazomwe akuyendetsa kapena panthawiyi. Ndi chisankho chomwe amadzadandaula nacho. Mwamuna wina payekha adanena kuti sanaganize kuti DNR yake idzatengedwa moyenera.
Pankhaniyi, adasintha malamulo ake pa fayilo kuti asonyeze kuti akufuna kulandira CPR, pokhapokha ngati padzakhala kuyesa kwa nthawi yaitali. Pamene adaloledwa kupita kuchipatala kukachita opaleshoni, adatha kufotokoza zomwe zinachitika.
Pachifukwa china, mwamuna wina wa zaka 70 yemwe anali ndi matenda ambiri anali ndi "Do No Resuscitate" komanso zomwe zimaoneka ngati chizindikiro chake cholembedwa pachifuwa. Pamene adaloledwa kulowa ku ICU, adalibe chidziwitso ndipo sadadziwike, kotero madokotala analibe wina woti alankhule naye za chisamaliro chake.
Izi zinayambitsa chisokonezo ndi mafunso abwino pakati pa azachipatala omwe sankalemekeza kulemba poyamba.
Alangizi a zamakhalidwe abwino a chipatala ankaganiza kuti ayenera kulemekezedwa chifukwa lamulo siliri lolunjika bwino pa nkhaniyo. Potsirizira pake, adatha kupeza lamulo la DNR la odwala. Pambuyo pake anafa popanda kuyesa CPR.
Palinso mwayi woti DNR tattoo sichiimira "Musayimbenso." Zingakhale ziyambi za dzina la munthu kapena mawu ena othandiza. Zojambulajambula nthawi zambiri zimakhala zaumwini komanso akatswiri azachipatala sangakhale otsimikiza za momwe angawatanthauzire.
Ngakhale kuti sali omangidwa movomerezeka kulemekeza Tattoo DNR, mukhoza kuona kuthekera kwa chisokonezo. Ichi ndichifukwa chake akatswiri azachipatala angayese kuchita CPR ngati mukumangidwa mumtima, ngakhale mutakhala ndi zizindikiro.
Mawu Ochokera
Ndikofunika nthawi zonse kuganiza mozama nthawi zonse musanayambe kujambula ndipo ena omwe ali ndi malangizo azachipatala amachitanso chimodzimodzi. Monga mukuonera, si njira yotsimikizirika yolankhulira odwala matenda opatsirana ndi madokotala za mbiri yanu ya zamankhwala kapena zofuna zanu.
Izi ndi zoona makamaka ndi zojambulajambula za DNR chifukwa pali malo amdima kwambiri. Mwadzidzidzi, ntchito yawo ndi yopulumutsa moyo wanu ndipo chizindikirochi chimasiya mafunso ambiri osayankhidwa. Ngati simukufuna kulandira CPR, perekani dongosolo la DNR yokhala ndi ulamuliro woyenera m'deralo.
> Chitsime:
> Cooper L, Aronowitz P. DNR Tattoos: Nkhani Yowonetsera. Journal of General Internal Medicine . 2012; 27 (10): 1383. lembani: 10.1007 / s11606-012-2059-8.
> Holt GE, Sarmento B, Kett D, Goodman KW. Woleza Mtima Wopanda Chidwi ndi DNR Tattoo. New Englan Journal of Medicine. 2017; 377: 2192-2193. lembani: 10.1056 / NEJMc1713344.
> Smith AK, Lo B. Vuto Ndikulondola Tattooing DNR Pachifuwa Chanu. Journal of General Internal Medicine . 2012; 27 (10): 1238-1239. lembani: 10.1007 / s11606-012-2134-1.