Kuchengeta varwere

Kuchengeta varwere kunobatsira vanhu vane zvirwere zvisingarapike uye vava pedyo nekufa. Chinangwa ndechekupa nyaradzo nerunyararo panzvimbo pemushonga. Kuchengeta varwere kunopa:

• Tsigiro yemurwere uye yemhuri
• Kununurwa kumurwere kubva pakurwadziwa uye zviratidzo
• Rubatsiro kunhengo dzemhuri uye vadikanwa vanoda kugara padyo nemurwere ari kufa

Vazhinji varwere vekuchengetedza varwere vari mumwedzi yavo mitanhatu yekupedzisira yehupenyu.

Paunosarudza kuchengetwa kwehospital, wafunga kuti hauchadi kurapwa kuti uedze kuporesa chirwere chako chisingaperi. Izvi zvinoreva kuti hausisiri kugamuchira kurapwa kunoitirwa kurapa chero ehutano hwako husingaperi. Zvirwere zvakajairika zvinoitirwa sarudzo iyi zvinosanganisira cancer, uye zvakakomba moyo, mapapu, itsvo, chiropa kana neurologic zvirwere. Panzvimbo iyoyo, chero kurapwa kunopihwa kunoitirwa kuti ugare wakasununguka.

• Vanokupa hutano havagone kukuitira sarudzo, asi vanogona kupindura mibvunzo uye nekukubatsira kuita sarudzo yako.
• Ndeupi mukana wekuporesa chirwere chako?
• Kana iwe usingakwanise kurapwa, inguva yakadii chero kurapwa kunoshanda kuchakupa iwe?
• Hupenyu hwako hwaizovei panguva iyi?
• Iwe unogona here kuchinja pfungwa dzako mushure mekunge watanga hospice?
• Nzira yekufa ichave yakaita sei kwauri? Unogona kuchengetwa wakasununguka here?

Kutanga kuchengetwa kwehospital kunoshandura nzira yaunenge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinyanya kuita.

Kuchengetwa kwevagari vekuchipatara kunopihwa nechikwata. Chikwata ichi chinogona kusanganisira vanachiremba, manesi, vashandi vezvemagariro, vanachipangamazano, vabatsiri, vafundisi uye varapi. Chikwata chinoshanda pamwechete kupa murwere uye mhuri nyaradzo nerutsigiro.

Mumwe munhu weboka rako rekuchengetedza varwere anowanikwa maawa makumi maviri nemana pazuva, mazuva manomwe pasvondo kuti ape chero rutsigiro kana kukubatsira iwe, mudiwa wako, kana mhuri yako inoda.

Kuchengetwa kwevagari vemo vanobata pfungwa, muviri, uye mweya. Services inogona kusanganisira:

• Kudzora kwekutambudzika.
• Kurapa kwezviratidzo (sekufema kufema, kuzvimbirwa, kana kushushikana). Izvi zvinosanganisira mishonga, oxygen, kana zvimwe zvinhu zvinobatsira iwe kubata zviratidzo zvako.
• Kuchengetwa pamweya kunosangana nezvido zvako.
• Kupa mhuri zororo (inonzi repare care).
• Chiremba masevhisi.
• Kuchengeta.
• Hutano hwepamba mubatsiri uye vanoita zvemba mabasa.
• Kurairana.
• Mishonga yekurapa uye zvekushandisa.
• Kurapa kwepanyama, kurapa kwekuita basa kana kurapwa kwekutaura, kana zvichidikanwa.
• Kushungurudzika kuraira uye kutsigira mhuri.
• Kuchengeterwa kwekurapa kune matambudziko ekurapa, senge pneumonia.

Chikwata chekuchengetedza varwere chakadzidziswa kubatsira murwere uye nemhuri neinotevera:

• Ziva zvaunotarisira
• Maitiro ekuita nekusurukirwa uye kutya
• Goverana manzwiro
• Maitiro ekurarama mushure mekufa (kufirwa kutarisirwa)

Kuchengetwa kwevagamuchiri kazhinji kunoitika mumusha wemurwere kana mumba memunhu wemhuri kana shamwari.

Iyo zvakare inogona kupihwa mune dzimwe nzvimbo, kusanganisira:

• Imba inochengeterwa vakwegura
• Chipatara
• Munzvimbo inochengeterwa varwere

Munhu anotarisira kuchengetwa anonzi mupi wekutanga wekuchengeta. Uyu anogona kunge ari mukwanyina, wehupenyu shamwari, wemhuri, kana shamwari. Mune mamwe marongero timu yehospice inodzidzisa anotarisira mupi wekutanga kuchengetedza murwere. Kuchengeta kunogona kusanganisira kucheresa murwere pamubhedha, nekumupa chikafu, kumushambidza, nekumupa murwere mushonga. Anopa rubatsiro rwekutanga anozodzidziswawo nezviratidzo zvekutsvaga, saka vanoziva nguva yekufonera timu yehospital kuti vabatsirwe kana zano.

Kuchengetedza kwekuchengetedza - hospice; End-ye-yehupenyu kuchengetedza - hospice; Kufa - hospice; Gomarara - hospice

Arnold RM. Kuchengetedza. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 3.

Medicare.gov webhusaiti. Medicare hospice inobatsira. www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF. Yakagadziridzwa Kurume 2020. Yakasvika June 5, 2020.

Nabati L, Abrahm JL. Kuchengeta Varwere Pakupera kweHupenyu. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 51.

Rakel RE, Trinh TH. Kuchengeta kwemurwere ari kufa. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

• Kuchengetwa Kwevakarwara