Konzekerani Kusankha Zochita zachipatala
Anthu ambiri samafuna kuganizira za mapeto a moyo. Ndithudi, pali zinthu zowonjezereka kuziganizira. Odwala onse omwe ali ndi COPD ali pachiopsezo chachikulu chochita kusankha zovuta ngati pangakhale vuto lalikulu la COPD limene lingapangitse iwo kudalira makina opuma (otchedwanso mpweya wabwino) kwa nthawi yayitali kapena nthawi yayitali.
Kafukufuku wasonyeza kuti odwala omwe samakonzekera kupanga zosankha zowonjezera moyo wawo akhoza kupeza chisamaliro chokwiya komanso chosafunikira, monga kukhala ndi mpweya wabwino. Chowonjezeranso n'chakuti mabanja a odwala omwe sanena za zofuna zawo pasanapite nthawi amakumana ndi zolemetsa, nkhawa, ndi kupweteka kwambiri atapanga udindo wosankha wokondedwa wawo.
Kupanga chithandizo chamtsogolo ndi njira yokambirana za kutha kwa moyo, kufotokozera miyezo ya munthu, zikhulupiliro, ndi zokonda zake ndiyeno kulembera zokondazo m'malemba olembedwa monga zitsogozo zowonjezera (mwachitsanzo, moyo wamoyo kapena wothandizira zaumoyo). Phindu lokonzekera chisamaliro likuwonekera bwino kuti odwala omwe anachita ACP ndi mabanja awo sankakhala ndi nkhawa, nkhawa kapena kupanikizika, ndipo adanena zapamwamba zokhutira ndi chisamaliro chawo.
Kupanga chithandizo chamtsogolo kumapindulitsanso mamembala a banja, ndipo kafukufuku amasonyeza kuti mamembala a anthu omwe adakonzekera kukonzekera chisamaliro pamodzi ndi okondedwa awo adakumanapo ndi nkhawa komanso nkhawa zambiri atapanga chisankho chachipatala kwa mamembala awo.
Zambiri zimapezeka kuti zithandize odwala ndi mabanja awo kuti ayambe kukonzekera bwino.
Pansipa tilembera zinthu zitatu zomwe zakhala 'zathandizidwa' ndi kufufuza ndipo zingathandize kutsogolera zigawo zosiyanasiyana za dongosolo lokonza chisamaliro.
1) Zothandizira Zosankha pa Intaneti
Kupanga Nzeru Zanu Kumadziwika ndizowonjezera, zothandizira chisankho pa Intaneti zomwe zimathandizidwa ndi kufufuza kwakukulu, kuphatikizapo odwala omwe ali ndi COPD. Pulogalamuyo, yomwe imapezeka kwaulere, imatenga njira yophunzitsira, pogwiritsa ntchito yankho la mafunso ndi yankho lomwe limaphatikizapo mawu, malemba, zithunzi, vignettes, ndi mavidiyo a "akatswiri odziwa ntchito". iwo angafune kupanga zosankha zachipatala ngati sakanakhoza kuchita iwo okha, ndipo ndi zisankho ziti zomwe angafune kupanga. Kupanga Zizindikiro Zanu Zowonjezera kumaphatikizapo zifukwa zambiri zaumoyo ndi njira zothandizira zamankhwala (monga mawonekedwe a mpweya, dialysis ndi ma tubes odyetsa) ndipo amatenga ogwiritsa ntchito masewera osiyanasiyana omwe amawathandiza kufotokoza ndi kufotokoza zikhalidwe ndi zolinga zawo zokhudzana ndi chithandizo chamankhwala. Kumapeto kwa pulogalamuyi, ogwiritsa ntchito akhoza kusindikiza ndi kugawana lamulo lokhazikitsidwa payekha. Purogalamuyi ndi zosavuta kugwiritsa ntchito komanso kufufuza kafukufuku wasonyeza kuti pulogalamuyi si yokha yokhutiritsa ophunzira koma imapereka malangizo olondola.
Pulogalamuyi ikupezeka pa www.MakingYourWishesKnown.com.
2) Bukhu la ntchito
Moyo Wanu, Zosankha Zanu ndizolembedwa mwatsatanetsatane (zopezeka pa intaneti) zomwe odwala ndi mabanja awo angagwiritse ntchito podziwa za kukonzekera kusamalira, kusankha zochita, ndi mayiko wamba. Kuphatikiza apo, ili ndi machitidwe omwe amathandiza owerenga kupanga zikhulupiliro ndi zikhulupiliro zokhudzana ndi kutha kwa moyo komanso kusankha zochita. Bukhuli limapereka zikalata zolembera mapulani omwe angasamalire komanso kupereka malangizo othandizira kuti azilankhulana bwino ndi ena.
3) Masewera
Mphatso Yanga ya Chisomo , masewera omaliza a zokambirana za moyo, imapereka njira zowonetsera zovuta zowathandiza anthu kukakamizika kulankhula za kutha kwa moyo.
Polemba zokambirana monga masewera, Mphatso Yanga Yopatsa Chisomo imapereka malo otetezeka omwe osewera amasangalala, zokambirana zokhutiritsa ndi zenizeni za chisamaliro cha kutha kwa moyo. Masewerawa ali ndi makadi 47 omwe amachititsa osewera kuti aganizire ndi kukambirana nkhani zambiri zokhudzana ndi chisankho, imfa ndi kufa. Mafunsowa adakhazikitsidwa pambuyo pa kuyankhulana kwakukulu ndi madokotala oposa 100, odwala, oyang'anira maliro, okonza mapulani ndi ena. Kafukufuku wasonyeza kuti masewerawa angalimbikitse anthu omwe sanaganize kuti akukonzekera kukonzekera kusamalira, ndipo ndi malo oyambira kwa iwo omwe akufuna kuyamba kukambirana za nkhaniyi koma sangadziwe momwe angachitire. Ambiri amene amasewera Mphatso Yanga ya Chisomo ali ndi zochitika zabwino ndikupeza chida chokhala nawo, zosangalatsa komanso malo abwino oyamba kukambirana.
Mfundo Yofunika Kwambiri
Odwala onse omwe ali ndi COPD amayenera kukambirana ndi okondedwa awo za zikhulupiliro zawo, zikhumbo zawo ndi zikhulupiliro zokhudzana ndi chisamaliro chosamalidwa ngati matenda aakulu, kuphatikizapo kuchuluka kwa COPD. Kuchita zimenezi kungathandize kuti chisamaliro cholandiridwa kumapeto kwa moyo chikugwirizana ndi zofuna za munthu. Pali zambiri zomwe zilipo zomwe zingathandize odwala komanso mabanja kukhala odziwa zambiri komanso okonzekera kupanga chisankho.
Kuti mumve zambiri komanso zowonjezera za dongosolo lokonza chisamaliro, pitani ku webusaiti ya National Healthcare Decisions Day pa www.nhdd.org.
Zolemba
Silveira MJ, Kim SYH, Langa KM. Malamulo oyambirira ndi zotsatira za kupanga chisankho pamaso pa imfa. N Engl J Med 2010: 1211-8.
Kirchhoff KT, Hammes BJ, Kehl KA, Briggs LA, Brown RL. Zotsatira za chithandizo chokonzekera chisamaliro choyenera cha matenda pa chisamaliro cha kutha kwa moyo. J Am Geriatr Soc 2012; 60: 946-50.
MJ Green, Levi BH. Nthawi ya "E": Kugwiritsa ntchito matekinoloje atsopano pasadakhale kukonzekera kusamalira. Chikondi cha Outlook 2012; 60: 376-83 e2.
Kuzindikira KM, Hancock AD, Reade MC, Silvester W. Zotsatira za kukonzekera kusamalira chithandizo chakumapeto kwa odwala okalamba: kuyesedwa kosasinthika. BMJ 2010; 340: c1345.