Zolemba za Maonekedwe a Mtundu wa Alzheimer ndi Mapeto a Moyo

by Esther Heerema, MSW; Yofotokozedwa ndi Claudia Chaves, MD

Kwa anthu ambiri, kulingalira za kutha kwa moyo kuli kovuta. Ena amakumana ndi kuthetsa nkhanizo ndikukonzekera zonse. Ngati inu kapena wokondedwa wanu muli ndi matenda a Alzheimers kapena mtundu wina wa matenda a maganizo, mapeto a moyo angamveke ovuta kwambiri.

Kodi Zosankha Zanga Zokhudzana ndi Chikhalidwe Chachikhalidwe Ndi Ziti?

Ngati wokondedwa wanu akuloledwa kuchipatala kapena kunyumba yosungirako anthu okalamba, mwinamwake muyenera kulemba mapepala pa chithandizo chamankhwala chomwe mukufuna kuti adzalandire.

Pakati pa mafunso ena, mungafunsidwe za "chikhalidwe chake": Ngati akufuna kulandira Cardiopulmonary Resuscitation (CPR) ngati akukumana ndi mtima wamtima kapena amasiya kupuma, kapena ngati akufuna kuti asakhale ndi moyo (DNR) dongosolo .

Kudzitsika kwa Cardiopulmonary (CPR)

Mwachidule, CPR ndi njira yomwe imaphatikizapo kupanga zifuwa ndi kupuma kupuma munthu atasiya kugunda, kapena kupuma kwaleka. (Njira zina za CPR zimathetsa kupuma kupuma.)

Musasinthe (DNR) Order

Lamulo la DNR ndilo lamulo lolembedwa ndi dokotala chifukwa cha zofuna za wodwala kapena mphamvu ya dokotala yosankhidwa ya woweruza milandu, kuwauza antchito azachipatala KUSANKHA CPR pa munthuyo.

Kuchita CPR

Izi zimadalira pa thanzi ndi msinkhu wa munthu amene akulandira, komanso matenda omwe amachititsa kuti afune CPR. Ochepera asanu pa asanu aliwonse okalamba kapena odwala amatha kukhala ndi moyo atalandira CPR, ndipo pa asanu pa zana alionse, ambiri samabwerera kuntchito yawo yoyamba.

Ndipotu, malinga ndi kafukufuku wolembedwa ndi Dr. Ladislav Volice ndipo adalemba nawo webusaiti ya Alzheimer's Association, "Kudzala Mtengo wa Cardiopulmonary (CPR) ndi katatu mochepa kuti ukhale wopambana mwa munthu yemwe ali ndi chifuwa chachikulu chaumtima kuposa munthu amene ali ndi vuto la maganizo. amene amayamba kupulumuka amatengedwa kupita ku chipatala chachikulu, kumene ambiri amafa maola 24. "

N'chifukwa Chiyani Amuna Abanja Angasankhe CPR kwa Munthu Wokondedwa Amene Ali ndi Alzheimer's?

Anthu ena amasankha CPR chifukwa amakhulupirira kuti zikanakhala zosangalatsa za wodwalayo ngati atatha kufotokoza zomwe akufuna. Malinga ndi kafukufuku, ena akhoza kukopeka ndi kuyang'ana CPR ndi zomwe zimatchulidwa kuti ndizochitika pa televizioni, ndikuganiza kuti zomwezo ndi zoona m'moyo weniweni. Komabe, ena amadzimva kuti ali ndi mlandu kapena chisoni, ndipo sali okonzeka kuthana ndi kuthekera kuti ataya wokondedwa wawo.

Ziribe chifukwa chake, cholinga cha madokotala ambiri ndizochita zonse zomwe zingatheke pofuna kulemekeza ndi kulemekeza zofuna za wodwalayo zokhudza chisamaliro chake.

Chifukwa Chake Anthu Angasankhe DNR Order

Anthu ena amasankha kukhala ndi dongosolo la DNR chifukwa safuna kuti wokondedwa wawo athe kugwirizana ndi makina kwa nthawi yaitali ngati alibe mwayi wowonzanso kapena kuti athane ndi vuto la CPR popanda mwayi kapena mwayi uliwonse za kupulumuka. Kulephera kwa ogwira ntchito zachipatala ndikochitira aliyense chikhomo, kutanthauza kuti adzalandira chithandizo chamankhwala choopsa, kuphatikizapo njira zopulumutsa moyo ndi kupititsa patsogolo moyo, pokhapokha ngati ali ndi dongosolo la DNR.

Ngati mwasankha kukhala ndi dongosolo la DNR nokha, kumbukirani kuti, ngakhale kupanga chisankho ndi ndondomeko yaumwini, sikuyenera kukhala chisankho chachinsinsi.

Muyenera kukambirana izi ndi banja lanu ndi dokotala wanu kuti awone bwino pa chisankho chanu. Muyeneranso kusunga ma CD a DNR ngati muli ndi vuto lachipatala.

Kodi DNR Order Equate ku Euthanasia?

Ndikofunika kumvetsetsa kuti kusankha kukhala ndi dongosolo la DNR silofanana ndi kufuna kufa. M'malo mwake, zimathandiza kuti chilengedwe chichitike ngati munthu apita. Malingana ndi American Medical Association, "Pali chigwirizano cholimba chakuti kuvomereza kapena kuletsa chithandizo ndilo lingaliro lomwe limalola kuti matendawa apite patsogolo pa chilengedwe chake-si chisankho chofuna imfa ndi kutha kwa moyo.

Euthanasia amayesetsa kuthetsa moyo wa wodwalayo. "

Udindo Wa Alzheimer's ndi Dementia Umasankha mu Zosankha izi

Anthu ena omwe ali ndi matenda ovutika maganizo a m'mabwinja amatha kufotokoza momveka bwino zofuna zawo pokhudzana ndi kubwezeretsedwa kwawo. Izi ndi zabwino chifukwa am'banja sagwiritsidwa ntchito zovuta poyesera kuzindikira zomwe wodwala angafune; M'malo mwake, wodwalayo akhoza kupanga chisankho ndikulemba mapepala kuti zikhumbo zake zichitike.

Ngati wachibale wanu ali ndi matenda a maganizo omwe apita patsogolo kapena pakati pake, sangathe kulankhulana mokwanira kapena kumvetsetsa mtundu uwu wa chisankho tsopano. Ngati adawonetsa kale zosankha zake pa moyo kapena mapepala ena azachipatala, izo zingakhale zothandiza kwambiri panthawi ino.

Ngati palibe chidziwitso chomwe adayankhula kale, abambo ake akutsalira.

Ndani Akupanga Zosankha Ngati Wachibale Sagwirizana?

Izi zimadalira pa ndondomeko zomwe zili m'dera lanu komanso kuchipatala kapena malo omwe mumalandira. Choyenera, achibale amatha kusiyanitsa kusamvana ndikufika pa mgwirizano pa zomwe wokondedwa wawo akanafuna kuti athandizidwe. Ngati izi sizingatheke, mabungwe ambiri othandizira zaumoyo amapereka ndondomeko ya opanga chisankho, monga oyamba mwamuna, mwana wamkulu, kholo, mbale, ndi ena. Ena angagwiritse ntchito bungwe lothandizira kuti azikambirana za chisamaliro ngati pali palibe womveka bwino wosankha.

_Zotsatira:

_{Alzheimer's Association.} _{Mapeto a Moyo Kusamalira Anthu Omwe Amakhala ndi Dementia mu Makonzedwe Osamalira Okhala.} _{Ladislav Volicer, MD, Ph.D.} _{Sukulu ya Maphunziro Okalamba, University of South Florida, Tampa, FL.}

_{Alzheimer's Association.} _{Zosankha Zomaliza;} _{Kulemekeza Zizindikiro za Munthu Amene Ali ndi Matenda a Alzheimer.}

_{Alzheimer Society Saskatchewan.} _{Kupanga zisankho zokhudzana ndi kutha kwa moyo.} _{http://www.alzheimer.ca/en/sk/About-dementia/Alzheimer-s-disease/Stages-of-Alzheimer-s-disease/End-of-Life/Making-decisions-about-end-of- chisamaliro cha moyo}

_{Journal of Association of American Osteopathy Association.} _{July 1, 2006, vol.} _{106 ayi.} _740-404. _{Mmene Maganizo Amodzi Okalamba Okalamba Amakhudzira Zokhudza Kupulumuka kwa Odwala Matenda a Kachilombo Amakono Amakhudza Malamulo Omwe Sali Otsitsimula.} _{http://www.jaoa.org/content/106/7/402.full}

_{Kalasi ya Zamankhwala ya Wisconsin.} _{Kukambirana Malamulo a DNR-Gawo 2, 2nd ed.}

_{National Institutes of Health.} _{National Institute on Aging.} _{Mapulogalamu omaliza a moyo.} _{http://www.nia.nih.gov/alzheimers/features/end-life-legal-instruments}