Iva Wakagadzirira Kurapa-Kuita
Vanhu vazhinji havadi kufunga nezvekuguma kwehupenyu hwehupenyu. Zvechokwadi, pane zvimwe zvinhu zvinofadza zvekufunga nezvazvo. Vose varwere vane COPD vari pangozi yakawanda yekuita sarudzo dzakaoma kana zviitiko zvakanyanya zveCOPD zvingaita kuti vatsigire nemhepo inopisa (inonziwo ventilator) kwekanguva kana nguva yakareba.
Ongororo dzekutsvakurudza dzakaratidza kuti varwere vasingagadziri kuguma-kwe-upenyu kugadzirisa maitiro vanowanzova nehanya nehasha uye zvingave zvisina kudiwa, sekunge pane vheti. Zvinotarisirwa ndezvokuti mhuri dzevarwere vasingatauri nezvezvavanoda zvisati zvaitika dzinotakura mitoro inokosha, kushungurudzika, uye kuora mwoyo mushure mokunge vatora basa rekuita zvisarudzo panzvimbo yemunhu waunoda.
Kupfuura chirongwa chekuchengetedza chirongwa chinosanganisira kukurukura nezvekuguma kwehupenyu, kujekesa maitiro ako, zvitendero, uye zvaunofarira uye zvino kunyora izvo zvaunofarira mumagwaro akanyorwa anonzi mazano anotevera (semuviri wehupenyu kana kuti proxy care proxy). Kubatsirwa kwekufambisa mberi chirongwa chekutarisira kunonyatsosimbiswa pakuti varwere vakaita ACP nemhuri dzavo vakanga vasingagoni kudzvinyirira, kushushikana kana kuora mwoyo, uye vakaratidza mazinga akakwirira ekugutsikana nekutarisira kwavo kuchipatara.
Kutarisana nekuronga kuchengetedza kunobatsira nhengo dzemhuri zvakare, uye kutsvakurudza kunoratidza kuti nhengo dzemhuri dzeavo vakazvipira kutanga kuronga kuchengetedza nevanodiwa vavo vakange vachinge vasangana nekushungurudzika uye kushungurudzika mushure mokuita zvisarudzo zvokurapa kune nhengo yemhuri yavo.
Zvinhu zvakawanda zvinowanikwa kubatsira varwere nemhuri dzavo kupinda muchirongwa chekugadzirira kushanda zvakanaka.
Pasi apa tinonyora zvinhu zvitatu zvakatsigirwa kuburikidza nekutsvakurudza uye zvinogona kubatsira kutungamira vanhu vakasiyana-siyana zvakasiyana-siyana zvekugadzirira kushandiswa kwekuronga kuchengetedza.
1) Shanduro yeAIDS Inobatsira
Kuita Kuti Uchenjeri Hwako Huzivikanwe ndeyekubatana, kubudiswa kwekutsvaga kuIndaneti kunotsigirwa nekutsvakurudza kwakawanda, kusanganisira varwere vane COPD. Purogiramu iyo inowanikwa pasina mvumo, inotora nzira yekudzidzisa, ichishandisa mibvunzo inopindirana yemhinduro-mhinduro iyo inosanganisira mazwi, mavara, mavara, vignettes vane chirwere, uye vhidhiyopu ye "vadzidzisi vezvenyanzvi." Uyezve, rubatsiro rwekuita rubatsiro runobatsira vanhu kuziva vangada kuita zvisarudzo zvezveutano kana vasingakwanisi kuzviita ivo pachavo, uye zvisarudzo zvipi zvavanoda kuita. Kuita Kuti Uchenjeri Hwako Huzivikanwe hunojekesa humwe hutano hwehutano uye kupindira kwezvokurapa (zvakadai semagetsi emhepo, dialysis uye kudya mabhesi) uye inotora vashandi kuburikidza nemashandiro akasiyana-siyana anovabatsira kurondedzera nekujekesa maitiro avo nezvinangwa zvine chokuita nekurapa. Pakaguma purogiramu, vashandi vanogona kudhinda uye kugovera mumwe munhu, mutemo wekuraira mberi. Purogiramu yacho iri nyore-kushandisa-uye zvidzidzo zvakaratidza kuti purogiramu haisi kungogutsikana chete kune vatori vechikamu asi inobudisa mazano akafanotaurwa mberi.
Purogiramu inowanika pa www.MakingYourWishesKnown.com.
2) Bhuku rebasa
Upenyu Hwenyu, Zvisarudzo Zvako ibhuku rinoshanda rakazara (rinowanika paIndaneti) kuti varwere nemhuri dzavo vashandise kudzidza pamusoro pekugadzirira kusarudzwa kwekutarisira, kugadzira chisarudzo, uye hutano hunoti huri. Mukuwedzera, ine maitiro anobatsira vaverengi kuti vaite tsika dzavo nekutenda pamusoro pekupedzisira kwehupenyu nekutora zvisarudzo. Bhuku rebhuku rinopa magwaro ekunyora pasi zvirongwa zvokutarisira mberi uyewo mazano pamusoro pekanakisisa ekukurukura zvaanoda kune vamwe.
3) Mitambo
Chipo Changu Chokunaka , kuguma-kwe-upenyu kukurukurirana mitambo, inopa nzira yekusika kune zvinetso zvekutora vanhu vachikurudzirwa kutaura nezvekuguma kwehupenyu huri kuita.
Nokugadzirisa hurukuro semutambo, Chipo Changu Chetsitsi chinopa nzvimbo yakachengeteka iyo vatambi vanofarira, kugutsikana uye kutaura kwechokwadi pamusoro pekuguma kwehupenyu. Mutambo wacho une makadhi 47 anokonzera vatambi kuti vaongorore uye vataurire nyaya dzakawanda dzine chokuita nekugadzirisa kusarudzo, kufa uye kufa. Mibvunzo iyi yakagadzirwa mushure mekubvunzurudzwa kwakanyanya nevarapiki vanopfuura 100, varwere, vafambisi vekuviga, vanogadzira uye nevamwe. Kutsvakurudza kwakaratidza kuti mutambo wacho unogona kukurudzira avo avo vasina kumbofunga kuti vanofanirwa kuita chirongwa chekutarisira mberi, uye nzvimbo yakanaka yekutanga kune avo vanoda kutanga kutaurirana nezvezvinhu izvi asi vangasaziva sei. Vakawanda vanotamba Chipo Changu cheNyasha vane zviitiko zvinofadza uye vanowana chimbo chekuita, kufara uye nhengo yakanaka yekuzarura hurukuro.
The Bottom Line
Vose varwere vane COPD vanofanira kutaura nevanoda maererano nehutsika hwavo, zvishuvo nekutenda pamusoro pekuchengetwa kwakasarudzwa kana pane chirwere chakakomba chechirwere, kusanganisira kuwedzera kweCOPD. Kuita izvi kunogona kubatsira kuti hutano hwakagamuchirwa pamagumo ehupenyu hunopindirana nezvido zvemunhu. Kune zvakawanda zvehupfumi zviripo zvinogona kubatsira varwere nemhuri kuti vazive zvakanaka uye vagadzirire zvakanakisisa kugadzira chisarudzo.
Kuti uwane mamwe ruzivo uye zvishandiso pamusoro pekuronga kwekugadzirira mberi, enda kushandisi yeZimbabwe Healthcare Decisions Day pawww.nhdd.org.
References
Silveira MJ, Kim SYH, Langa KM. Pamberi pemirairo nemigumisiro yekuita zvisarudzo pamusana pekufa. N Engl J Med 2010: 1211-8.
Kirchhoff KT, Hammes BJ, Kehl KA, Briggs LA, Brown RL. Migumisiro yechirwere-inotarisirwa kuronga kutarisira kupindira pakupedza-kwe-hupenyu hwekutarisira. J Am Geriatr Soc 2012; 60: 946-50.
Green MJ, Levi BH. Nguva ye "e": kushandiswa kwemishonga mutsva purogiramu isati yasvika. Nurs Outlook 2012; 60: 376-83 e2.
Kucherechedza KM, Hancock AD, Reade MC, Silvester W. Kupindira kwekugadzirira kuronga kuchengetedza pamagumo eupenyu kuchengetwa nevarwere vakwegura: chirongwa chinotungamirirwa ne randomized. BMJ 2010; 340: c1345.