Zvinokuvadza Kufa here?
Rufu runorwadza here? Kana iwe uri kutarisana nechirwere chisingaperi kana uine munhu waunoda ari pedyo nekufa, zvichida iwe wakambofunga nezvekunetseka pamagumo ehupenyu. Iwe unogona kunge uine marwadzo here? Kutambura kunogadzirirwa sei? Chii chingaitwa kana marwadzo ako asingagoni kunyatsogadziriswa? Iyi mibvunzo inogona kukonzera kushungurudzika kukuru pane imwe nguva apo pane zvisarudzo zvokuita uye iwe unoda kupedza nguva yakawanda nemhuri uye neshamwari sezvazvinogona.
Kutya Nezvekufa Kunorwadza
Zvinosuruvarisa kuti kutya pakati pevanhu kwakawedzera mushure mokufa kwaElexander Taylor kufa kunorwadza airaves muna 2011. Ichokwadi kuti zvakaitika kare-uye kunyange ikozvino-kurwadziwa pamagumo ehupenyu hazvina kukodzera kubatwa. Asi hazvifaniri kunge zvakadaro. Nhamo pamagumo ehupenyu inogona kunge inogara ichidzorwa kusvika pamwero wekuti vanhu vanogona kufa mukunyaradza, pasinei nechipatara kana kumba.
Kakawanda Kurwadziwa Kune Vaya Vari Kufa
Rufu harusi nguva dzose rwunorwadza. Vamwe vanhu vanofa vasina marwadzo zvachose. Asi vamwe vane marwadzo mazhinji. Kusvikira 35 kubva muzana yevarwere vanotsanangura kurwadziwa kwavo muvhiki yekupedzisira yehupenyu seyakakomba kana kusingagumi. Zvakare, izvi hazvidi kuti zviitike, uye zvinoputsa mwoyo yedu kunyora mazwi aya. (Pasi apa tichagovera mazano pamusoro pekuita kuti marwadzo ako atarwe zvakakwana.)
Kuwanda kwemarwadzo aunoona kunogona kusiyana zvichienderana nekuongorora kwako. Nekenza, kusvika 90 kubva muzana yevanhu vanonzwa kurwadziwa pane imwe nguva parwendo rwavo, uye hafu yevanhu vanofa nekenza vane kurwadziwa kukuru.
Zvinosuruvarisa chete hafu yevanhu ava vanogadzirisa kutendeseka kunorwadza. Zvakare, hazvifaniri kunge zvakadaro. Kune zvikonzero zvakawanda zveizvi, izvo zvinosanganisira vose vanhu vasingatsvaki kana kukumbira mishonga inorwadza uye vanachiremba vasingakwanisi kupa mishonga yakakwana. Nenzira yakanaka, kukurukurirana kwakanaka uye kukurukurirana zvakanyatsonaka nezvekuguma kwehupenyu zvinorwadza zvinogona kubvisa matambudziko akawanda aya.
Kushungurudzwa kweMugumo-we-Muhu Hurwa
Chokutanga pane zvose, zvakakosha kutaura kakawanda kuti kurwadziwa kunogona uye kunofanirwa kurapwa zvakanaka pamagumo ehupenyu. Maererano neWorld Health Organization, varwere vane kodzero yekurwadziwa kwavo . Saka sei vamwe vanhu vachiri kufa mukurwadziwa? Zvimwe zvezvikonzero zvinosanganisira:
- Kutya kusagadzikana: Vanhu vari kufa, nhengo dzemhuri, uye vashandi vezvoutano vanowanzotanga kunetseka pamusoro pemishonga. Asi izvi hazvifaniri kuva nehanya pamagumo ehupenyu.
- Kusakwanisa kukurukurirana: Vanachiremba vanoda kuziva kuti uri kurwadziwa kuitira kuti utaure chirwere. Dzimwe nguva vanhu vanofunga kuti kana chirwere chinorwadza chaidiwa, vanachiremba vavo vanozvigadza uye saka havakumbi. Ramba uchifunga kuti vanachiremba havagoni kuverenga pfungwa, uye vanongowanzovapo nemunhu kwenguva pfupi-pasina nguva yakakwana yekunyatsonzwisisa dambudziko rehutano munhu ari kutarisana naro.
- Kutya kushivirira: Vamwe vanhu vanotya kuti kana vakashandisa mishonga iye zvino, mishonga inokundikana kushanda gare gare "kana ichivada chaizvo." Icho hachisi chokwadi uye kana kushivirira kwemishonga kuchikura, mushonga wakasimba kana mishonga yakasiyana inogona kushandiswa.
- Kushaikwa kwekudzidziswa: Vamwe vanachiremba havana kukwanisa kudzidziswa maitiro ekugadzirisa marwadzo pamagumo ehupenyu.
- Chido chokuva murwere "akanaka": Vamwe vanhu vanozeza kukumbira mishonga inorwadza nokuda kwekutya kuti vachave varwere "vakaipa" kana vanotya kunetsa chiremba wavo. Yeuka, vanachiremba vari kubhadharwa kuti vatakure kurwadziwa.
- Kutya kuti mishonga ichakurumidza kufa: Ongororo dzakawana kuti kubata kwekuguma kwehupenyu kurwadziwa nevanonyora uye kunyange kupera kwemafuro hakugadziri upenyu.
- Kurega: Vamwe vanhu vanotya kubvuma kuti marwadzo avo ari kukura nokuti inowanzoreva kuti mamiriro avo ari kuwedzera.
- Zvimwe zvinokonzerwa nemarwadzo ekurwadziwa: Mishonga yose ine migumisiro, uye zviratidzo zvakadai sekuvhara, kurara, uye kushungurudza kunogona kushandisa kushandisa mishonga inorwadza isingadi. Kumbohwa kunyanya kungaita kuti vanhu vasashandise mishonga yakakwana sezvo vachida kupedza nguva yakawanda sezvinobvira kuchenjerera nevanodiwa vavo.
- Mariro: Mishonga yemarwadzo inowedzerazve imwe mari iyo mari inowanzoomeswa nekuda kwekurwara.
- Chiremba anotya: Vanachiremba vanogona kunge vachizeza kupa varimi vane simba pavanotya kutukwa nemapurisa ezvehutano.
Migumisiro Yekutambudzika Pakuguma kweUpenyu
Mukuwedzera pakusanzwisisika, kurwadziwa kusingadzorwi kunogona kuva nezvimwe zvizhinji zvinokanganisa. Panyama, kurwadziwa kunogona kuwedzera mamwe zviratidzo zvakadai sokupererwa kwemhepo uye kufunganya. Emotionally inogona kukusiya iwe pfupi-pfupi uye usingakwanisi kufunga; izvo zvinoita kuti zvive zvakaoma kuva nehurukuro inobatsira nevanodiwa vako. Pakunamata zvinogona kukusiya iwe uchinzwa uri woga uye usina chinhu. Kunyanya kunetseka kunogona kupindira nekuita chokwadi chekuti nyaya dzako dzepamutemo dzakarongeka, nekugadzirisa, uye pakupedzisira, nokutaura zvakanaka.
Kune avo vari kufa, kurwadziwa kunogona kuvabvisa nguva yavo yekupedzisira pano panyika. Kune avo vakasara shure, kurangarirwa kwekufa kwacho kuchagara kwenguva refu kwemakore anotevera. Kana nguva iyoyo iine marwadzo, inogona kuguma nekuchema kwenguva refu .
Kutungamirirwa Kwekuguma Kwehupenyu kurwadziwa
IWorld Health Organization yakaisa pamwe chirwere chinorwadza chechipiri. Kutevedzera matanho matatu ari oga kunogona kudzora marwadzo munenge makumi mapfumbamwe nezana makumi mapfumbamwe kusvika kuzana muzana yevanhu. Kune avo vanoda rubatsiro rwezvekuwedzera, danho rechina rinogona kushandiswa rinosanganisira kurapwa kwakafanana nemigodhi, marapiritsi emishonga, nezvimwewo. Mukuwedzera, dzimwe nzira dzokurapa dzakadai sokugadziriswa uye kushambadza zvinogona kushandiswa pamwe chete nemishonga inowanikwa. Hazvifaniri kukanganwika ndezvido zvepfungwa, zvemagariro, uye zvemweya izvo, kana zvataurwa, zvinogona kuita chikamu chikuru mukubatsira kudzora marwadzo.
Iwe unogona kunge uchida kudzidza zvakawanda pamusoro pekusarudzwa kwehutano muhutano hwekurwadza pamwe chete nemishonga yakajairika uye nzira dzinoshandiswa kugadzirisa kurwadziwa kwekenza .
Kukurukura Nechiremba Pamusoro Pekutambudzika
Kuti ugone kurapa marwadzo ako, chiremba wako anofanirwa kuva nekunzwisisa pamusoro pemhando uye kusimba kwekutambudzika kwauri kuona. Mukuwedzera kukukumbira kuti utsanangure marwadzo ako, iyewo achada kuziva kuti chii chiri kukukanganisa iwe. Somuenzaniso, inopesana nekudya, nekurara, kana nekutaura neaunoda here?
Vanachiremba vanowanzoshandisa chimwe chinhu chinonzi chirwere chinorwadza , kuti vaite pfungwa dzechimiro zvishoma zvishoma, uyewo kuongorora zvibereko zvekurapa. Iwe unogona kubvunzwa kurondedzera marwadzo ako pamwero we1 kusvika ku10, uye 1 uchinenge usisina marwadzo, uye 10 uri kurwadziwa kwakaipisisa iwe unogona kufungidzira. Kana iwe usina chokwadi chekutsanangura marwadzo ako, kana kana iwe uchinzwa kuti chiremba wako haanyatsonzwisisi marwadzo auri kuita, unogona kunge uchida kutarisa ruzivo urwu nezvekutaurirana nachiremba wako pamusoro pemarwadzo .
Kutsungirira Nhamo PaMugumo Weupenyu
Chinhu chinonyanya kukosha chaunogona kuita kuti uone kuti kurwadziwa kwako kunodzorwa ndekutaura pachena uye nokutendeseka nachiremba wako pamusoro pezvauri kutambura. Vanachiremba havasi pfungwa dzevaverengi, uye kurwadziwa kunowanikwa zvakasiyana kune vose. Mumwe munhu ane chirwere chekenza 4 anogona kuva nekurwadziwa kukuru apo mumwe asingazovi nemarwadzo zvachose.
Kushandisa mishonga nguva dzose uye kwakapoteredza awa inokosha zvakare. Kurwa-gwapa kunonetsa zvakaoma kubata nayo kupfuura kurwadziwa kunochengetedzwa. Icho chinangwa chinofanira kunge chiri chokudzivirira kurwadziwa kwakanyanya, panzvimbo pokumira pamishonga kusvikira iwe usingakwanisi kumira. Kana ari mudiwa anofa, usakanganwa simba rekubata. Kutya kunogona kuwedzera zvakanyanya kuitika kwekutambudzika, uye kutya kukuru kweavo vari kufa vari kusiyiwa.
Shoko Rinobva
Hapana munhu anofanira kufa nekurwadziwa kusingadzorwi. Ndiyo kodzero yako yepamutemo uye yepamutemo yekugamuchira kurapwa kunokubvumira kunyatsoshandisa nguva yako yekupedzisira pasi pano nevanodiwa vako. Hapana mumwe wedu anoda kufa. Apo pachava nekusuruvara nekuchema. Asi mumwe nomumwe wedu anofanira kukwanisa kutaura, munzvimbo iyo inotevera: "Ndakanga ndafa zvakanaka."
> Sources:
> Jackson, V., naL. Navbati. Kufungisisa kwetsika muhutano hwakanaka hwekutambudzika pamagumo ehupenyu. Kusvika pari zvino. Kushandurwa 04/19/17. http://www.uptodate.com/contents/ethical-considerations-in-fective-pain-management-at-the-end-of-life
> Lim. R. End-of-Life Kuchengetedzwa nevarwere vane Advanced Lung Cancer. Kurapa Kwokurapa Muzvirwere Zvinoporesa . 2016. 10 (5): 455-67.
> World Health Organization. WHO inotora danho. http://www.who.int/cancer/palliative/painladder/en/