Mutevedzeri wemubatsiri anotora mwedzi yakareba kana kunyange makore achitarisira chirongwa chekugadzirwa kwechimiro , kumirira uye kutarisira zuva richapa mukana wechipiri muupenyu hutano.
Kunze kwekuda kwekuti varwere vanofanira kuisa pfungwa pakubata nehutano hwavo hunotyisa uye vachitarisira kuvhidzirwa pane kudzidzira unyanzvi kuvabatsira kuti vatsungirire kuwedzerwa kunogona kusingaitiki.
Nekusimbiswa kwekuchengetedza heath uye netariro mberi, varwere vazhinji havana kugadzirira kuchinja muupenyu hwavo uye hutano pashure pekuvhiyiwa kwekuwedzera.
Kurarama nekushandurwa uku kunoda kutsigirwa, kushingaira uye chido chekuisa mararamiro anopa utano hwakanaka uye kuchengetedza nhengo ine utano.
Matambudziko Emotional
Pane nyaya dzakasiyana nedzimwe nhengo dzekugadzirwa kwechirwere izvo chirwere chepachiremba chirwere chisingawaniki. Muzhinji mamiriro ezvinhu, murwere anenge akamirira nhengo anoziva kuti nhengo inogona kuwanika mupi akakodzera anofanira kufa.
Kune hondo yakaoma pakati pekuchengetedza tariro yekutora uye kutya, kuziva kuti mutorwa achafa zvisati zvaitika. Vanogashira vanochera kazhinji vanobvuma kuti vanonzwa vakasara mhosva, vachibatsirwa nerufu rweumwe.
Zvakakosha kuti vagashiri varangarire kuti nhengo dzemhuri dzevanopa mari dzinoshuma kunzwa kuti kukwanisa kugovera nhengo ndiyo chete chinhu chakanaka chingaitika munguva inorwadza.
Tsamba iyo inogamuchira kubva kune avo vanogamuchira nhengo inogona kubatsira manzwiro ekurasikirwa zvachose mushure mekufa wadikanwa.
Kukwanisa kugadzirisa ukama nemhuri yevanopa, kunyange kana nekutumira chete, kunogona kuunza pfungwa yorugare. Kune mhuri yavanopa, chikamu chemudiwa wavo anorarama. Mamwe mhuri nevagamuchiri vanosarudza kusangana mushure mekuenzanirana, kuumba chisungo pamusoro pehupenyu hwavo hwakagovana.
Kuwedzeredza uye Kuora mwoyo
Mavhiki nemwedzi mushure mekuvhiyiwa zvinogona kunyanya kunetseka kune mupiki wemugove, zvichiita kuti zvive nguva yakanyanya kuoma yekuchengetedza hukama kune avo vari kurwisana nemishonga.
Doro, fodya, uye zvinodhaka zvinowanzoongororwa apo varwere vari kumirira kuwedzerwa, sezvo kuzvisarura kuri mamiriro ekugara pakurindira pavanenge vachifambisa nzvimbo, asi kana kuvhiyiwa kunoita kuti muedzo wekudzokera kumitambo yekare inogona kukurira.
Izvi zvinokosha kuti vagashire kuchengetedza tsika dzavo dzakanaka, sezvo mishonga iyi inogona kuva inotyisa kune nhengo itsva. Iko kune mapurogiramu gumi nematanho anowanika kuvarwere vanorwisana nemishonga pamwe nemhuri dzavo, zvirwere zvekurapa uye zvirwere zvekurapa uye mapoka ekutsigira.
Vakasvuta vanogona kukurukura zvirevo zvinopesana nekusvuta nekuvhiya kwavo uye nemamwe marudzi akawanda emishonga yekurega kusvuta inowanika pane iyo.
Kushungurudzika mushure mekuvhiyiwa hakusi kune vanhu vane zvisingatarisirwi, zvinowanzoonekwa nezvirwere zvisingaperi uye kuvhiyiwa kukuru. Nepo vazhinji vane tsika yekuramba kune dambudziko, kusangana nekuora mwoyo uye kutsvaka kurapwa kunokosha kuti urambe uine hutano hwakanaka.
Varwere vane mwoyo yakaora mwoyo vanowanzodzokera kumashure ekunyadzisa uye zvisingaiti kuti vatore basa rinoita mukurarama kwavo uye kwehutano kwenguva refu.
Yakabatana neDonor Organ Transplant Issues
Nhengo shomanana dzegashiri yegunhi dzine chikamu chechiropa kana zvinetso zvinopiwa nemuviri wemhuri kana shamwari, iyo inopa nyaya dzakasiyana zvakasiyana nedzimwe munhu asingazivikanwi mupi. Mupi wehupenyu anogona kunge ane nguva inokosha yekudzikinura mushure mekuvhiyiwa, pamwe nekuwedzerwa nguva yakashandiswa kuwedzerazve kumba.
Nepo kuvhiyiwa mabhiriro kuri kubhadharwa neinishuwarensi yemubatsiri, kurashikirwa nemari uye kurwadziwa uye kutambura hazvisi, uye zvinogona kukonzera manzwiro akaoma pakati pemhuri. Inishuwarenzi yekuremara inogona kupa rubatsiro rwemari, asi pane zvingava nemibvunzo mushure mekupa mupi wehupi pamusoro pekushandiswa kweinishuwarenzi yemishonga ine chikamu chekuchengeta.
Manzwiro ekuti "chikwereti" shamwari kana hama iyo ari mupiro haisi isiri. Iko kunewo vanopa ivo vane matambudziko pashure pokuvhiyiwa. Kune mamiriro ehutano "anorwara" wemhuri ane kuiswa uye kusunungurwa kubva kuchipatara pamberi pe "mupi" akanaka.
Vamwe vanhu vanoonawo kuora mwoyo mushure mokupa chipo, zvakaderera zvakaderera shure kwekufara kwekuita basa mukuponesa hupenyu. Zvinetso zvekuvhiya kana nyaya dzepfungwa mushure mokupa mvumo kunogona kuita kuti mupiro azvinzwe aine mhosva nokuti "akaita kuti" matambudziko aya.
Zvakanaka, kukurukurirana pamusoro pezvinhu zvose zvezvipo kunofanira kuitika mushure mekuvhiyiwa uye kunofanira kusanganisira mari uye mafungiro ekupa zvipo, kunze kwezvinhu zvepanyama. Kukurukurirana kunofanirawo kusanganisira zvinotarisirwa zvevose vanobatanidzwa, uye kana zvisizvo izvi zvinotarisirwa.
Apo hurukuro iyi iri kuitika mushure mekuvhiyiwa, kukurukurirana kwakananga kungave kwakakosha kuti uone kuti chii chaicho chiri kutarisira uye zvisingaiti. Nhengo yemugove inogona kunge iine tarisiro yemupi wezvakange asingakwanisi kuwana mari asi yakakosha zvakaenzana, maererano nehutano hwemupi uye hupenyu.
Munhu anopa chikamu chechiropa chavo kune hama yaaida iyo mushure mekushandisa doro zvisina kufanira angave akanetseka kuona munhu uyo anonwa eggnog paKrisimasi kana kusati yambova nharo kare.
Mupiro ane ruzivo rwekunetseka mune hutano hweakagamuchira iyo yakashandurwa, uye kushandisa zvisina kunaka chirongwa kunogona kunzwa sechikafu muchiso. Nyaya idzi dzinofanira kukurukurwa nenzira yakatendeseka uye yakasununguka, pasina kutonga, kuva nehukama hwakanaka hukama.
Kunetseka Nezvirwere Kudzoka
Kunetseka pamusoro pekuregererwa kwechirongwa kana chidikanwi chekugadziriswa kweimwezve kunowanzoonekwa kune avo vakamboita kuvhiyiwa. Mushure mokumirira kwekureba kwekuvhiyiwa, kutya kwekudzoka kune urongwa hwekumirira uye hutano husina hanya ndechekuda kwepanyama.
Kushanda nesimba mukuchengetedza hutano hwakanaka, kutevera mirayiridzo yechiremba nekuita zvekuita nezvekurovedza muviri uye kudya, kunobatsira vagamuchiri kunzwa kuti vari kutungamira hutano hwavo panzvimbo yekuve netsitsi yemitumbi yavo.
Kudzokera Kubasa
Kune nyaya dzisingasviki pakuisa vanhu vanogamuchira asi zvichiri kufanirwa kugadziriswa mushure mekuvhiyiwa. Inishuwarenzi yehutano uye kukwanisa kubhadhara mishonga inorambidza kurambwa ndiyo nyaya, kunyanya apo murwere airwara zvikuru kushanda asati avhiyiwa. Dambudziko rezvemari rinowanzoonekwa kune vanhu vane zvirwere zvisingaperi, uye kugovera vanogamuchira hakusi.
Kana kudzokera kubasa kunokwanisika, zvingave zvakakosha pakupona kwemari kwemhuri yose, kunyanya kana murwere ari iye mukuru wekuwana mari. Kuwana, kana kuchengetedza, inshuwarhu yehutano inonyanya kukosha nemari yakakura yekurapa mishonga uye kushanya kwachiremba.
Kune varwere vasina kukwana zvakakwana kudzokera kubasa, zvakakosha kuti zviwanikwa zviwanikwe kubatsira pamari yekutarisira. Iko inotora nzvimbo inofanira kuve yakakwanisa kutaridzira chero murwere anoshayiwa kune zvitubu zvebatsiro, zvisinei kubva kumasangano ehurumende, mapurogiramu asina kudhura emishonga kana kushandiswa kwemari.
Kuberekwa
Varwere vechidiki vaduku vanogona kudzokera kuupenyu hwakakwana uye hune hutano vangave vane hanya pamusoro pekuzvitakura, kukwanisa kwavo kutora pamuviri uye kukanganisa kurambwa kunogona kunge kune mwana asati aberekwa.
Mune zvimwe zviitiko, chiremba anovhiya angakurudzira kuti arege kubata pamuviri sezvo muviri usingagoni kubvumira kushungurudzika kwakanyanya kunokonzerwa nekuzvitakura uye kubereka. Mune zviitiko izvi, varwere vanogona kubatsirwa neboka rinotsigira rakatsaurirwa kuberekwa kana kubatanidzwa kweboka rekutsigira.
Kune vakadzi vane chiremba chiremba kuti vawane pamuviri, kukurukurirana nemumwe mushandi wechiremba wechiremba uye chiremba anogona kugadzirisa mibvunzo uye kuderedza zvinetso zvose.
Kuvhima kwechiremba inonyanya kukosha yekuendesa kune chiremba wezvakaitika uye ane ruzivo rwekutarisira vanogamuchira nhengo dzepamuviri.
Chirwere Chechirwere Chekugadzira Zvokudya
Vanachiremba vanotakura vana, kana varwere vari pasi pezera remakore gumi nemana, vanowanzotaura zvinetso zvakasiyana-siyana zvinogamuchirwa nevanhu vakuru. Vabereki vanoratidza kuti mushure mekuswedera pedyo nekurasikirwa nevana kurwara, zvakaoma kugadzirisa miganhu nekuisa miganhu nemafambiro avo.
Vana vomunin'ina vanogona kunzwa varegererwa uye vanotanga kuita chimwe chinhu apo mwana anorwara anoda nguva yakawanda uye ane hanya, achida kutarisira vabereki vavo.
Mushure mokubudirira kunobudirira, mwana anogona kutora mirefu yakawanda kupfuura yekare uye ave yakaoma kugadzirisa kana vasinganzwisisi mitemo iyi mitsva. Shamwari uye hama dzisinganzwisisi mitemo hazvizovamanikidzira pavanenge vachiita vana, zvichikonzera matambudziko nekukakavadzana pakati pevakuru.
Kugadzira chiitiro uye mitemo inotevedzwa pasinei nokuti muchengeti anogona kuderedza kukakavadzana pakati pevakuru uye kubatsira kubvisa muenzaniso wakafanana wemwana.
Kune mabhuku uye mapoka ekutsigira anowanikwa kuvabereki vevanorwara, kana kuti avo vaimbova varwere vanorwara, kuti vabatsirwe nedambudziko rinouya nekuberekirira mwana anorwara kana anorwara. Vazhinji vanosimbisa kuti vabereki vanoda kutumira mharidzo imwechete kuburikidza nekuita sechikwata nekusimbisa mitemo yakaenzana. Vabereki havagoni kuderedza simba reumwe neumwe kuburikidza nekukundikana kuranga maitiro akaipa kana kusawirirana pamusoro pekurangwa nekukundikana kuita.
Kudzokororazve hukama
Ukama hunogona kukanganiswa nekurwara kwenguva refu, asi nekufamba kwenguva mhuri dzinodzidza kurarama nemunhu waunoda anorwara zvikuru. Nhengo dzemhuri neshamwari dzinodzidzira kupinda nekupa nekutarisira uye kuritsigira murwere, asi zvinowanzotambudza kana mamiriro acho akachinja zvakare.
Mudzimai uyo ave akajaira kubatsira murume wake kushambidza uye kupa zvokudya anogona kunzwa akanakidzwa kwazvo, asi asingabatsiri, kana mudzimai wake achangoerekana achiita basa rejare.
Murwere anogona kunetseka pavanonzwa sevanhu vavo vekare asi mhuri yavo inoramba ichiedza kuita zvose kwavari. Vana vanogara vachienda kuna baba vavo kuti vabatsirwe nebasa rekuchikoro kana mvumo inogona kuregerera kusingatauri kupa amai kukudzwa kwakadaro kana iye akagadzirira kutora basa rakawanda mukurera vana.
Kuwanda kwebatsiro inodiwa kunofanira kutsanangurwa nenzira iyo munhu anogamuchirwa ari kunzwa, kwete pamagadziriro akaitwa kubva mberi kwekuvhiyiwa kwekuwedzera. Kukurukurumidza zvakanyanya hachisi chinhu chakanaka uye chinogona kureresa kupora, asi kuzvipira kunofanira kukurudzirwa chero nguva zvichibvira.
Mamiriro acho haasi kufanana nevechiri kuyaruka anoda hurumende uye mubereki anoda kuti mwana wavo ave wakachengeteka, achitambudzika kuti awane svikiro rinofadza zvokuti vose vanogona kurarama.
Zvatinotarisira
Kunyange hutano hwakanaka hungaita sechishamiso mushure memakore ekurwara, kurapwa kwekuchera haisi mushonga wezvose. Matambudziko ezvemari haazoperi mushure mekuvhiyiwa, kana kuita zvinodhaka kana matambudziko emhuri.
Kuvhiyiwa kwekuchera kune mushonga kune vamwe varwere, asi zvinotarisirwa zvisingatarisirwi zvinogona kusiya muchengeti kunzwa achiora mwoyo uye akaora mwoyo. Nhengo ine utano haina kukonzera kusagadzikana kwezvinetso zvinowanzoitika vanhu zuva rimwe nerimwe; inopa mukana wekutarisana nematambudziko ehupenyu semunhu ane utano.
Kuchinja Kwemuviri
Pane kuchinja kwemuviri kunokonzera varwere vanotarisana mushure mekuvhiyiwa kunopfuurira mberi kwekurumidza kupora nguva. Varwere vakawanda vanozviwana ivo vachibata nekurema kwekuwedzera uye kuchengetedza kwemvura, zvinoita zvakasvibiswa kumishonga anoramba-kurasikirwa zvakakodzera mushure mekutengesa.
Izvo pamwe nehupamhi hwemaziso, izvi zvinogona kukonzera kufunganya kwemafungiro uye kuchinja kwemazwi izvo zvakaoma kufanotaura uye zvakaoma kubata nadzo. Zviratidzo zvinowanzopera kana chirongwa chakanaka chichigadziriswa, asi kuziva kuti ichi chikamu chechirwere chechirwere chinobatsira varwere kubvumira zvinogumira munguva pfupi.
Sotsigira Ma Groups & Volunteerism
Nemhaka yekusiyana kwakasiyana kwekugadziriswa, varwere vazhinji vanotorwa kune vamwe mumamiriro ezvinhu akafanana. Masangano ekutsigira ndiyo nzira yakanakisisa yekuwana vamwe vakave nezviitiko zvakafanana nematambudziko akasiyana kune avo vanogamuchira nhengo. Mapoka anowanikwa munyika yose, nemisangano yepaIndaneti uye mapoka emunharaunda kunzvimbo yekufambisa nzvimbo dzevanhu vakuru uye vacheche varwere.
Kunewo mawebsite akazvipira kumunharaunda wekushandura, achibvumira varwere nemhuri kuti vataure nezvezvinhu zvose zvekupa nekugadziriswa.
Mhuri dzakawanda dzevakagamuchiri nevanozvipa vanowana kuzvipira kune masangano ekutsvaga zvikwata uye kushandiswa kwemitambo kuti zvive nemigumisiro uye nzira yakanakisisa yekugara yakabatanidzwa munharaunda yekufambisa.
Iyo yakawedzerwa rubatsiro rwekuzvipira ndeyokuti vazhinji vanozvipira vane hukama hwekuita kune kuiswa uye vanofara kugoverana zvakaitika kwavari. Kune zvikwata zvezvipiri kune vanaamai vanozvipa, kune mhuri dzevakagamuchirwa uye nevamwe vanhu vakasiyana-siyana vanobatwa nemipiro.
> Sources:
> Green A, McSweeney J, Ainley K, Bryant J. MuZvangu Zvangu: Vana Vehupenyu HweMweya Mushure memwoyo wekutengesa. Progressive Transplantation 2007 Sep; 17 (3): 199-207
> Kubatsira Mwana Wako Kugadzirisa Post-Kubika. The United Network For Organ Sharing. 2008.