Ita-kwete-kumutsidzira odha

Iyo do-kwete-kumutsidzira odha, kana DNR odha, ndeyekurapa yakanyorwa nachiremba. Inoraira vatapi vehutano kuti vasaite cardiopulmonary rumus (CPR) kana kufema kwemurwere kukamira kana kana moyo wemurwere ukamira kurova.

Nenzira, rairo yeDNR inogadzirwa, kana kumisikidzwa, emergency isati yaitika. Iyo DNR yekuraira inokutendera iwe kuti usarudze kana kwete kana iwe uchida CPR mune emergency. Izvo chaizvo nezve CPR. Iyo haina mirairo yehumwe kurapwa, senge mushonga wekurwadziwa, mimwe mishonga, kana chikafu.

Chiremba anonyora odha chete mushure mekutaura nezvazvo nemurwere (kana zvichibvira), proxy, kana mhuri yemurwere.

CPR ndiyo kurapwa kwaunogashira kana ropa rako richiyerera kana kufema kwamira. Inogona kusanganisira:

• Zvakareruka kuedza senge muromo-kune-muromo kufema uye kumanikidza pachipfuva
• Kuvhunduka kwemagetsi kutanga moyo
• Kufema machubhu ekuvhura iyo yemhepo
• Mishonga

Kana iwe wave pedyo nekuguma kwehupenyu hwako kana uine chirwere chisingazogadzikane, unogona kusarudza kana iwe uchida kuti CPR iitwe.

• Kana iwe uchida kugamuchira CPR, haufanire kuita chero chinhu.
• Kana iwe usiri kuda CPR, taura nachiremba wako nezve chirongwa cheDNR.

Izvi zvinogona kuve sarudzo dzakaomarara kwauri nevaya vari padhuze newe. Iko hakuna kwakaomarara uye nekukurumidza mutemo nezve izvo iwe zvaunogona kusarudza.

Funga nezvenyaya iyi iwe uchiri kugona kuzvisarudzira wega.

• Dzidza zvakawanda nezvehutano hwako uye zvaunotarisira mune ramangwana.
• Taura nachiremba wako nezvezvakanaka nezvayakaipira zveCPR.

Mutemo weDNR unogona kunge uri chikamu cheurongwa hwekuchengetedza varwere. Chinangwa chekuchengetwa uku hakusi kuwedzera hupenyu, asi kurapa zviratidzo zvekurwadziwa kana kufema kwekufema, uye kuchengetedza kugadzikana.

Kana iwe uine DNR odha, iwe unogara uine kodzero yekuchinja pfungwa dzako uye kukumbira CPR.

Kana iwe ukafunga kuti iwe unoda iyo DNR kuraira, udza chiremba wako uye timu yekutarisira zvehutano izvo zvaunoda. Chiremba wako anofanira kuteedzera zvaunoda, kana:

• Chiremba wako anogona kuendesa hanya yako kuna chiremba anozoita zvaunoda.
• Kana iwe uri murwere muchipatara kana imba inochengeterwa vakwegura, chiremba wako anofanira kubvuma kugadzirisa chero kukakavara kuitira kuti zvaunoda zviteedzerwe.

Chiremba anogona kuzadza fomu reiyo DNR odha.

• Chiremba anonyora iyo DNR odha mune yako rekodhi yezvokurapa kana iwe uri muchipatara.
• Chiremba wako anogona kukuudza nzira yekuwana kadhi rechikwama, bracelet, kana mamwe magwaro eDNR kuti uve nawo pamba kana munzvimbo dzisiri dzechipatara.
• Mafomu akajairwa anogona kuwanikwa kubva kuDhipatimendi reHutano renyika yako.

Ita shuwa ku:

• Sanganisira zvido zvako mune yekumberi yekuchengeta gwaro (kurarama kuda)
• Zivisa mumiriri wako wehutano (anonziwo mutariri wehutano) uye mhuri yesarudzo yako

Kana iwe ukachinja pfungwa dzako, taura nachiremba wako kana timu yekutarisira hutano ipapo ipapo. Udzawo mhuri yako nevanokuchengeta nezvechisarudzo chako. Paradza chero magwaro aunazvo anosanganisira iyo DNR odha.

Nekuda kwekurwara kana kukuvara, unogona kusakwanisa kutaura zvaunoda pamusoro peCPR. Mune ino kesi:

• Kana chiremba wako atotonyora iyo DNR odha pane zvaunenge wakumbira, mhuri yako inogona kusapfuura.
• Iwe unogona kunge wakatumidza mumwe munhu kuti ataure panzvimbo yako, senge mumiriri wehutano. Kana zvirizvo, munhu uyu kana muchengeti zviri pamutemo anogona kubvumirana neodha yeDNR yako.

Kana usati wadoma mumwe munhu kuti ataure pachinzvimbo chako, pasi pemamwe mamiriro ezvinhu, nhengo yemhuri inogona kubvumirana nehurongwa hweDNR kwauri, asi chete kana iwe usingakwanise kuzviitira sarudzo dzekurapa.

Hapana kodhi Kupera-kwe-hupenyu; Usamutsa; Usamutsidzira kurongeka; DNR; DNR kuraira; Advance care rairo - DNR; Mutano wezvehutano - DNR; Wehutano wehutano - DNR; Kuguma-kwe-hupenyu - DNR; Kurarama kuda - DNR

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

Bullard MK. Maitiro ekurapa. Mune: Harken AH, Moore EE, eds. Zvakavanzika zvekuvhiya zvaAbernathy. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 106.

Moreno JD, DeKosky ST. Kufunga kwetsika mukutarisirwa kwevarwere vane chirwere chetsinga. Mune: Cottrell JE, Patel P, eds. Cottrell naPatel's Neuroanesthesia. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 26.

• Kupera Kwehupenyu Nyaya