Nzira Yokuita Nayo Kuguma-kwe--Upenyu
Iwe unonzwa nezvayo pamashoko, zvichida unoziva mumwe munhu aifanira kutarisana nacho, kana iwe ungave wakatarisana nazvo iwe pachako. Chisarudzo chekurasikirwa hupenyu hutsigiro kana kuti kutanga kune zvachose chinhu chinonyangadza, chakasvibiswa nemashoko anokanganisa uye ane simba. Nyaya inonyanya kuzivikanwa mune zvenhau yaiva yeTerry Schiavo muna 2005. Nyaya yake yakataura kana murume wake aigona kusarudza kurega kudya kwake kwekuita .
Izvo zvakaita kuti mhirizhonga yenyika isvike. Kunyange zvazvo nyaya yake yaiva yakakurumbira munhau, haisi yega nyaya yakadai muvanhu veUnited States inotarisana nesarudzo yekurega kana kubvisa kutsigirwa kwehupenyu zuva rega rega.
Kurapa kwehupenyu, inozivikanwawo sekutsigira hupenyu, pane chero kurapwa kunotarisirwa kuwedzera upenyu husina kuporesa kana kuchinja mamiriro ekurapa . Izvi zvinogona kusanganisira mechanical ventilation , chikafu chekuvaka muviri kana hydration, hosha dialysis , chemotherapy, uye antibiotics.
Unhu nehuwandu hweHupenyu
Kufambira mberi mune zvemishonga uye teknolojia inobatsira vanhu kurarama kwenguva yakareba.Ukufambira mberi kwehutano hwekodzero hakusi kungobatsira vanhu kurarama kwenguva yakareba, asi vanobatsira kupedzera upenyu hwevanhu vasingagoni kuchengetedza hupenyu pachavo. Izvi zvinomutsa nharo pamusoro pemhando nekuwanda kwehupenyu. Mibvunzo yemitemo inosanganisira:
- Tiri kubatsira vanhu kurarama kwenguva yakareba vachitsvaga kunyaradzwa kwavo nekuremekedzwa here?
- Kana tisingashandisi nzira dzekugadzira hupenyu huripo, tiri kuvaramba ivo mukana wokurarama kwenguva yakareba kana kudzoka zvizere here?
- Zvakadini kana chishamiso chikaitika pavari kurarama hupenyu uye ivo vanoporesa?
- Ko kana tikavabvisa kubva kurutsigiro rwehupenyu uye vanowana mushonga nguva pfupi mushure mekufa kwavo?
Ndiani Angaita Kuti Upenyu Hutsigire Zvisarudzo?
IAmerican Medical Association's Code of Medical Ethics inotaura kuti "munhu ane ruzivo, murwere mukuru, angangotanga kugadzira uye kupa mvumo yakakodzera kune yekudzivirira uye kubvisa zvirongwa zvekusimbisa hupenyu kana chiitiko kana kukuvara kana kurwara kuchiita kuti munhu haakwanisi kuita ita chisarudzo chakadaro. " Ichi chisarudzo chinowanzoitwa nenzira yeAn Advanced Healthcare Directive kana Living Will.
Mutsamba imwecheteyo, murwere angaronga munhu anozvipira kuti aite chisarudzo kwavari kana asingagoni. Kana hurumende yakasarudzwa isingagadziriswi uye munhu akazvimirira asina kusarudzwa, sarudzo yekuti kurega kana kubvisa kutsigirwa kwehupenyu kunowira kune hama yechipiri, maererano nemutemo wehurumende.
Nzira Yokuita Nayo Chisarudzo
Kana iwe ukazviwana iwe kana mumwe munhu waunoda akatarisana nechisarudzo ichi, chinhu chakakosha iwe unogona kuita ndechokuongorora zvinangwa zvako uye zvinoda kuzivikanwa, kana zviripo, zvemurwere. Unganidza mashoko ose aunogona pamusoro pemhando yehupenyu hunosimbisa hutano hunotarisirwa nemurwere, kusanganisira zvinobatsira uye njodzi dzeumwe neumwe. Ongorora murwere weAradic Healthcare Directive, Living Will, kana Kuda Kuwedzerwa kweFomu yekuchengetedza kana vari muimba yevanotarisira. Kana iwe uri wekusarudzwa kwehutano hwehutano hwakanaka, iwe unofunga kuti wakave nekukurukurirana pamusoro pezvaidiwa nevarwere.
Kana pasina mvumo yepamutemo kutaridzirwa uye iwe usati waita hurukuro pamusoro pemishonga inotsigira upenyu nemurwere, chisarudzo chinogona kuva chakaoma kuita. Ndinowanzokurudzira kuunganidza hama dzose dzepedyo uye zvichida shamwari dzepamwoyo kuti dzikurukurei izvo murwere angadai aida. Munhu mumwe nomumwe achava nezvakaitika zvake zvakasiyana-siyana nemurwere kuti awedzere.
Zvakanakisisa apo vese vanodikanwa nevarwere vanogona kubvumirana pamusoro pekuti havaregi kana kubvisa kutsigirwa kwehupenyu. Kana chisarudzo chisina kukwanisika chisingagoni kuitwa, zvingabatsira kuedza kupindirana. Mumwe mushandi wezvehupfumi kana mutungamiri wehurumende anogona kugara achibetsera mamiriro ezvinhu akaoma akadai. Icho chisarudzo chichapedzisira chichiwira kumusarudzo wakatarwa kana kusarudzo asi kana vose vanoda murwere vanogona kutora chikamu mukugadzirisa kusarudzo, kunogona kubatsira vanoita hukama hwepedyo uye kudzivirira kusuruvara (uye mhosva).
Mushure mekunge Chisarudzo Chikaitwa
Chisarudzo chaicho kana kusarega kana kubvisa kutsigirwa kwehupenyu chinhu chakaoma kuita.
Ndinokurudzira kuwana humwe hutsigiro rwepfungwa munguva uye kunyanya mushure mokuita chisarudzo. Kuita sarudzo yakagadziriswa, uchifunga nezvekubatsira, njodzi, uye zvaunonzwa kuti murwere angadai akazviitira iye pachake, zvinogona kukonzera manzwiro ekutadza uye kusava nechokwadi. Taura neanyanzvi mazano, nhengo yevafundisi, kana kunyange shamwari yakanaka kuti uwane manzwiro aya kunze uye utange kubata navo. Tarisa nesangano rako rekuchengeta hospice kuti uwane mapoka ekutsigira evanhu vakaenda kana vari kutarisana nechinhu chakafanana. Uye pakupedzisira, zvipe purogiramu. Unogona kungoita sarudzo yaunofunga kuti yakanakisisa panguva iyoyo.