Momwe Mungadziwire Pamene Wokondedwa Wanu Akufa
Njira yakufa kawirikawiri imayambira bwino imfa isanachitike , ndipo kumvetsetsa izi nthawi zina kungakuthandizeni kuzindikira pamene wokondedwa wanu afa. Pali kusintha kumene kumachitika mwakuthupi, khalidwe, ndi maganizo paulendo wopita ku imfa, zomwe zimasonyeza kuti mapeto a moyo ayandikira.
Imfa ndi ulendo waumwini womwe aliyense amayandikira mwawokha.
Palibe konkrete, ndipo palibe chinaikidwa mu miyala. Pali njira zambiri zomwe mungatenge paulendo umenewu koma zonse zimapita kumalo omwewo. Nchiyani chikuchitika mu ulendo wa kufa, kuyambira miyezi itatu mpaka isanafike, mu masabata awiri apitawo asanafe, komanso m'masiku angapo apitawo? Mukupitiriza izi, mungadziwe bwanji kuti wokondedwa wanu afa?
Kuphedwa
Monga munthu amabwera pafupi kufa, njira yakufa imayamba; ulendo wochokera ku moyo wodziwika wa dziko lino kupita ku zosadziwika za zomwe ziri patsogolo. Pamene ndondomekoyi ikuyamba, munthu amayamba njira yowongoka pozindikira, kumvetsa kuti imfa idzachitika ndikukhulupirira mwao omwe amwalira. Ulendowu umapangitsa kuti thupi lichoke.
Pali zochitika zazikulu potsatira ulendo uno. Chifukwa aliyense amamva imfa mwa njira yake yapadera, sikuti aliyense adzaima pachithunzi chilichonse. Ena akhoza kugunda kokha pamene wina angayime payekha, kutenga nthawi yawo panjira.
Ena angatenge miyezi kuti afikire komwe akupita, ena amatenga masiku okha. Tidzakambilana zomwe zapezeka kupyolera mu kafukufuku kuti zikhale ulendo wopitiliza, ndikumbukira nthawi zonse kuti ulendowu umaperekedwa kwa munthu aliyense.
Ulendo Uyamba: Mwezi umodzi kapena atatu Asanamwalire
Njira yakufa imayamba kuonekera kwa anthu ambiri pakati pa mwezi ndi miyezi itatu isanakwane.
Pamene tikukambirana kusintha kumeneku, tingagwiritse ntchito mawu akuti "iye" kapena "iye," koma ndondomekoyi imakhala yofananamo mosasamala kanthu za kusiyana kwa amuna kapena akazi. Pali kusiyana kwina. Azimayi akhoza kukhala ochulukanso kubwereranso miyoyo yawo ndikuganiza za kukhumudwa kwawo. mwina akhoza kuchoka, osati kufuna kuti awone ngati wopanda thandizo kapena wosowa.
Kusintha Khalidwe ndi Maganizo: Pamene munthu ayamba kuvomereza imfa yawo ndikuzindikira kuti imfa ikuyandikira , angayambe kuchoka pamalo awo. Iwo ayamba njira yolekanitsa ndi dziko ndi iwo omwe ali mmenemo. Wokondedwa wanu akhoza kuchepetsa kuyendera kwa abwenzi, oyandikana nawo, ngakhale achibale. Pamene amavomereza alendo, angakhale ovuta kuyanjana ndikusamalira . Ino ndi nthawi yomwe munthu ayamba kuganizira za moyo wawo ndikukonzanso zochitika zakale. Pofufuza moyo wake, amatha kusankha njira iliyonse yodandaula. Akhoza kuchita ntchito zisanu za kufa .
Kusintha kwa thupi: Munthu wakufa angakumane ndi kuchepa kwa njala ndi kutaya thupi pamene thupi liyamba kuchepa. Thupi silikusowa mphamvu kuchokera ku chakudya chomwe ilo linachitapo. Munthu wakufayo angakhale akugona tsopano ndipo sakuchita nawo ntchito zomwe anali nazo kale. Iwo sakusowa chakudya chambiri.
Thupi limapanga chinthu chodabwitsa panthawiyi ngati makina osintha thupi amachititsa kuti anthu azikhala osangalala. Iwo alibe njala kapena ludzu ndipo sakuvutika mwanjira iliyonse mwa kusadya. Ndi gawo loyembekezeka la ulendo omwe ayamba.
Sabata limodzi mpaka awiri Asanamwalire
Ndondomeko yakufa imathamanga kwambiri mpaka kumapeto kwa milungu iwiri ya moyo, ndipo ikhoza kuopseza mabanja. Kusintha kwa maganizo, makamaka, kungasokoneze banja. Panthawiyi paulendo, sizingakhale bwino kuti "mukonze" wokondedwa wanu ngati akukuuzani chinthu chomwe sichimveka bwino. Mvetserani mwachikondi, ndipo mumuthandize maganizo ake.
Ngati akunena kuti amawona wokondedwa amene anamwalira, ingomulola kuti akuuzeni. Ife tiribe njira yodziwira ngati izi ndi zokopa, kapena ngati okondedwa athu awona chinachake chomwe sitingachiwone. Muzimukonda mwachidule.
Kusintha kwa Maganizo: Ino ndiyo nthawi yomwe amayamba kugona nthawi zambiri. Kusokonezeka maganizo kumakhala kofala ndipo kusintha kwa maganizo kumatha kuyembekezera. Munthu angakumane ndi zinyengo, monga kuopa adani obisika kapena kudzimva kuti sangatheke.
Munthu wakufayo angakumanepo ndi maulendo, nthawi zina amawona kapena kulankhula ndi anthu omwe salipo. Nthaŵi zambiri anthu awa amwalira kale. Ena angawone ichi ngati chophimba chikukwezedwa pakati pa moyo uno ndi wotsatira. Munthuyo angasankhe pamapepala awo ndi zovala mkati mwachisokonezo. Kusunthika ndi zochita zingamawoneke ngati zopanda pake ndipo sizikumveka kwa ena. Iwo akusuntha kutali ndi moyo pa dziko lino lapansi.
Kusintha kwa thupi: Thupi likukhala ndi nthawi yovuta kwambiri kudzipangira yokha, ndipo wokondedwa wanu angafunike chithandizo ponena za mtundu uliwonse wa ntchito. Angakhale ndi vuto lomeza mankhwala kapena kukana kutenga mankhwala omwe wapatsidwa. Ngati wakhala akugwiritsa ntchito mapiritsi kuti amve kupweteka, amatha kumwa morphine yamadzi panthawiyi. Pali zizindikiro kuti thupi lingasonyeze panthawiyi:
- Kutentha kwa thupi kumachepa ndi digiri kapena zambiri.
- Kuthamanga kwa magazi kumachepa.
- Kutentha kumakhala kosawerengeka ndipo kungachedwetse kapena kuthamanga.
- Pali thukuta lowonjezeka.
- Mtundu wa khungu umasintha ngati kuyendayenda kwachepa. Izi zimakhala zooneka bwino pamilomo ndi pamabedi osungira misomali pamene zimakhala zotumbululuka komanso zonyezimira.
- Kusintha kwapuma kumachitika, nthawi zambiri kumakhala mofulumira kwambiri ndipo amagwira ntchito. Kusakanikirana kungayambitsenso kuyambitsa kuyimba ndi kupopera.
- Kulankhula kumachepetsanso ndipo pamapeto pake kumaima palimodzi.
- Nthawi zamtendere zingasokonezedwe ndi kusuntha kwadzidzidzi kwa manja kapena miyendo ya munthu.
Mapeto a Ulendo: Masiku Ambiri kwa Maola Asanamwalire
Masiku angapo omaliza asanafe nthawi zina amatha kudabwa am'banja. Wokondedwa wanu akhoza kukhala ndi mphamvu zambiri pamene akuyandikira imfa. Akhoza kuchoka pabedi, kulankhula ndi okondedwa ake, kapena kupempha chakudya pambuyo pa masiku opanda njala. Okondedwa ena amalandira kuwonjezeka kwa mphamvu kuti akhale chizindikiro kuti munthu akukula bwino, ndipo zimakhala zopweteka kwambiri pamene mphamvu ikuchoka. Dziwani kuti izi ndizofala, ndipo kawirikawiri ndi chizindikiro chakuti munthu akusunthira ku imfa, osati kutali. Kuwonjezeka kwamagetsi kungakhale kosazindikirika koma kawirikawiri kumagwiritsidwa ntchito ngati munthu womwalirayo asanawonongeke.
Kukula kwa mphamvu kumakhala kochepa, ndipo zizindikiro zapitazo zimakhala zowonjezereka pamene imfa ikuyandikira. Kupuma kumakhala kosawerengeka ndipo nthawi zambiri kumakhala pang'onopang'ono. "Cheyne-Stokes" kupuma, kupuma mofulumira komanso nthawi yopuma yopanda phindu, kungakhalepo. Kusonkhanitsa mumsewu kungawonjezere kupangitsa kupuma, kupuma. Kachilinso, kusintha kwakupuma sikungakhale kovuta kwa okondedwa koma sikuwoneka kosasangalatsa kwa munthu amene akufa.
Manja ndi mapazi angakhale osokoneza komanso osakaniza (mottled). Izi zimatha kuyenda pang'onopang'ono mikono ndi miyendo. Miyendo ndi mabedi a misomali ndi bluu kapena wofiirira ndipo milomo imatha kugwedezeka. Munthuyo amakhala wosamvera ndipo amatha kutseguka kapena kutseguka koma osawona malo awo. Ambiri amakhulupirira kuti kumva ndi njira yomaliza yopitako kotero ndibwino kuti okondedwa azikhala ndikulankhula ndi wokondedwayo amene akufera panthawiyi.
Potsirizira pake, kupuma kumatha kwathunthu ndipo mtima uleka. Imfa yachitika.
Mawu Ochokera Podziwa Pamene Wokondedwa Wanu Akufa
Anthu ambiri amadzifunsa ngati angadziwe ngati wokondedwa wawo wamwalira, ndipo nthawi zambiri pali zizindikiro zomwe zimayambira mwezi miyezi itatu isanamwalire. Kumvetsa zizindikiro izi sikungakuthandizeni kukonzekera imfa ya wokondedwa wanu koma kungakupangitseni chitonthozo pamene mukukumana ndi kusintha kwa thupi ndi maganizo. Ngati wokondedwa wanu ali pa chipatala, namwino wanu wothandizira odwala, wogwira nawo ntchito, kapena abusa angakuthandizeni kuzindikira ndi kumvetsa zina mwa kusintha, ndikuthandizani kudziwa zomwe zingakuthandizeni kuthandizira wokondedwa wanu wakufa momwe mungathere.
> Zosowa
- > Taylor, P., Dowding, D., ndi M. Johnson. Kusankha Kwachipatala Kupanga Kuzindikiridwa Kwa Kufa: Kuyankhulana Kwabwino Kwambiri. Bungwe la BMC Losamalira . 2017. 16:11.
- > Hospice Foundation ya America: Kupha: Njira Yoperekera Osowa. https://hospicefoundation.org/hfa/media/Files/Hospice_TheDyingProcess_Docutech-READERSPREADS.pdf.