Chilolezo chodziwitsidwa - akulu

Muli ndi ufulu wothandizira kusankha chithandizo chomwe mukufuna kulandira. Mwalamulo, omwe amakupatsani zaumoyo ayenera kukufotokozerani zaumoyo wanu komanso zomwe mungasankhe.

Kuvomereza kovomerezeka kumatanthauza:

• Mukudziwa. Mwalandira zambiri zaumoyo wanu komanso chithandizo chomwe mungalandire.
• Mumamvetsetsa zaumoyo wanu komanso njira zamankhwala.
• Mutha kusankha mankhwala omwe mukufuna kulandira ndikupatsani chilolezo kuti mulandire.

Kuti mupeze chilolezo chodziwitsidwa, omwe akukuthandizani atha kuyankhula nanu zamankhwalawa. Kenako muwerenga mafotokozedwe ake ndikulemba fomu. Izi ndi chilolezo cholemba.

Kapenanso, wothandizira wanu akhoza kukufotokozerani zamankhwala ndikufunsani ngati mukuvomera kulandira mankhwalawo. Sizithandizo zonse zamankhwala zomwe zimafunikira chilolezo cholemba.

Njira zamankhwala zomwe zingafune kuti mupereke chilolezo cholemba ndizo:

• Maopaleshoni ambiri, ngakhale sanachitike kuchipatala.
• Mayesero ena apamwamba kapena ovuta azamankhwala, monga endoscopy (kuyika chubu pakhosi panu kuti muyang'ane mkatikati mwa mimba yanu) kapena singano yachitsulo ya chiwindi.
• Poizoniyu kapena chemotherapy yochizira khansa.
• Mankhwala oopsa kwambiri, monga mankhwala opioid.
• Katemera ambiri.
• Kuyezetsa magazi kwina, monga kuyezetsa HIV. Mayiko ambiri achotsa izi kuti apititse patsogolo kuyezetsa magazi.

Mukapempha chilolezo chodziwitsidwa, dokotala wanu kapena wothandizirayo ayenera kufotokoza:

• Vuto lanu lathanzi komanso chifukwa cha chithandizo
• Zomwe zimachitika panthawi yachipatala
• Kuopsa kwa chithandizo ndi momwe zingachitikire
• Momwe chithandizo chithandizire kugwira ntchito
• Ngati chithandizo chofunikira pakadali pano kapena chitha kudikirira
• Njira zina zochizira matenda anu
• Zowopsa kapena zovuta zomwe zingachitike pambuyo pake

Muyenera kukhala ndi chidziwitso chokwanira kuti mupange chisankho chamankhwala anu. Wopezayo akuyeneranso kuwonetsetsa kuti mukumvetsetsa zomwe zalembedwazi. Njira imodzi yomwe woperekayo angachitire izi ndikukufunsani kuti mubwereze zomwezo m'mawu anuanu.

Ngati mungafune zambiri zamankhwala omwe mungasankhe, funsani omwe akukuthandizani komwe angawone. Pali mawebusayiti ambiri odalirika omwe angakupatseni, kuphatikizapo zothandizira kutsimikizira.

Ndinu membala wofunikira m'gulu lanu lazachipatala. Muyenera kufunsa mafunso pazonse zomwe simukuzimvetsa. Ngati mukufuna kuti omwe akukuthandizani afotokoze zina mwanjira ina, afunseni kuti atero. Kugwiritsa ntchito chithandizo chotsimikizika chingakhale chothandiza.

Muli ndi ufulu wokana chithandizo ngati mungathe kumvetsetsa zaumoyo wanu, chithandizo chomwe mungalandire, kuwopsa kwake ndi phindu lililonse. Dokotala wanu kapena wothandizira zaumoyo atha kukuwuzani kuti saganiza kuti iyi ndiye njira yabwino kwambiri kwa inu. Koma, omwe akukuthandizani sayenera kukukakamizani kuti mukhale ndi chithandizo chomwe simukufuna kukhala nacho.

Ndikofunikira kutenga nawo mbali pazovomerezeka. Kupatula apo, ndi inu omwe mudzalandire chithandizo mukaperekanso chilolezo.

Kuvomereza kovomerezeka sikofunikira pakagwa mwadzidzidzi pomwe chithandizo chochedwa chingakhale chowopsa.

Anthu ena sangathenso kusankha zochita, monga munthu amene ali ndi matenda a Alzheimer kapena wina amene ali chikomokere. Pazochitika zonsezi, munthuyo samatha kumvetsetsa zambiri kuti athe kusankha chithandizo chomwe akufuna. M'mikhalidwe yamtunduwu, woperekayo amayesa kupeza chilolezo chodziwitsidwa kuchokera kwa woberekera, kapena wopanga zisankho m'malo.

Ngakhale omwe akukupatsani sakufunsani chilolezo cholemba, muyenera kuuzidwa mayesero kapena chithandizo chomwe chikuchitika komanso chifukwa chake. Mwachitsanzo:

• Asanayezedwe, amuna ayenera kudziwa zabwino zake, zoyipa zake, komanso zifukwa zoyeserera magazi a prostate enieni a antigen (PSA) omwe amayang'ana khansa ya prostate.
• Amayi ayenera kudziwa zabwino zake, zoyipa zake, komanso zifukwa zoyeserera Pap (kuwunika khansa ya pachibelekero) kapena mammogram (kuwunika khansa ya m'mawere).
• Aliyense amene akuyesedwa ngati ali ndi matenda omwe amapezeka atagonana ayenera kuuzidwa za kuyezetsa komanso chifukwa chake akuyesedwa.

Emanuel EJ. Bioethics pochita zamankhwala. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 2.

United States Dipatimenti ya Health and Human Services webusaitiyi. Chilolezo chodziwitsidwa. www.hhs.gov/ohrp/regulations-and-policy/guidance/informed-consent/index.html. Idapezeka pa Disembala 5, 2019.

• Ufulu Wodwala