Ndiroleni ndikuganiza. Ulendo wanu womaliza wa ma mano unali kanthawi kapitako. Ndipotu, kale kwambiri kuti simungakhoze kukumbukira pamene izo zinali. Mukudziwa kuti cheke lanu la mano ndi lofunika, ndipo ndinu otsimikiza kuti muli ndi mavuto, koma pali chinthu chimodzi chomwe chikukuletsani kuti muwone dokotala wa mano.
Kudera nkhaŵa kwa mano ndi chimodzi mwa zifukwa zomwe anthu amapewa kuti aziwongolera mano awo.
Vuto ndilo, pamene mukuchotsa dokotala wa mano, simukuwapewa onse. Kafukufuku wasonyeza kuti ngati mukudwala nkhaŵa ya mano, simungathe kupita kukaonana ndi dokotala nthaŵi zonse, zomwe zimakupangitsani kukhala ndi chiopsezo chachikulu cha matenda a mano. Mukapanda kuyendera kwa nthawi yayitali, matenda a mano monga kuwonongeka kwa dzino, matenda a chingamu, komanso mano opotoka ana angathe kupita patsogolo kuposa kukonzekera. Izi ndizakuti, phobia yanu ya mano imakhala ndi zotsatira zenizeni pa kumwetulira kwanu. Anthu omwe ali ndi nkhaŵa ya mano amatha kukamba ngati zinthu zatha, kapena atakhala ndi ululu waukulu.
Uthenga wabwino ndi wakuti madokotala a mano amachitira anthu omwe ali ndi nkhawa ya mano masiku onse m'makliniki awo. Ndipotu, mano opanga mavitamini asintha kuti anthu omwe ali ndi phobia a mano amve bwino m'ma opaleshoni awo a mano.
Kodi Muli ndi Phobia Wamanja?
Gawo loyambalo kuti muyambe kukhala ndi phobia kapena nkhawa iliyonse ndi kuvomereza kuti liripo poyamba.
Ngati mukupewa dokotala wamankhwala muli ndi mwayi wokhala ndi nkhawa yambiri ya mano.
Nazi zina mwa zifukwa zowonjezereka za phobias zamano:
- Zochitika zapakati pa ubongo: Zomwe zimakumbukira za mano kwambiri zimapangidwa ali mwana.
- Zowawa za mano: Pakamwa ndi m'modzi mwa malo amanjenje kwambiri m'thupi.
- Amuna okhudzana ndi mano amalephera kudzidalira: Anthu ena amaopa kupita kwa dokotala wa mano chifukwa amanyazi chifukwa cha pakamwa pawo. Izi zikhoza kukhala chifukwa cha mavuto a zokondweretsa komanso manyazi ndi mano, mpweya woipa, gag reflexes, kapena ululu wopweteka.
Zonsezi zikhoza kuchititsa mantha ambiri a anthu akuyang'ana kapena kukhala pafupi ndi pakamwa panu, zomwe ziridi, ndiye mtundu wa chithandizo cha mano okha.
Pano pali njira 4 zokuthandizani kuti muzimenya mano anu a mano.
Kuthani Kuopa Nkhumba Yamano
Gawo limodzi la nthenda ya mano yomwe imabweretsa phobia yamazinyo ndi mantha a singano la mano.
Poyamba, ndizofunikira kuzindikira kuti izi sizongokhala zozizira. Phobia yachitsulo ndi mbali ya gulu lopatsirana la jekeseni-kuvulala. Chochititsa chidwi ndi chakuti zimapezeka kuti zimayenda m'banja. Anthu omwe ali ndi singano phobia amatha kutaya magazi ndi kuyankhidwa kofooka.
Muyenera kufunsa za njirazi zomwe mungapangire jekeseni la mano:
Mankhwala otchedwa Topical anesthesia: Amatchedwanso kuti "gel numbing", ndi zonona kapena gelisi zomwe zimagwedeza nsanamira musanayambe jekeseni la mano kuti musamve kuti singano imatha.
Mawu akuti "topical anesthetic" amatanthauza wothandizira kugwiritsira ntchito mankhwala omwe amagwiritsidwa ntchito panja kunja (monga khungu ndi chingamu).
Ngati mukuwopa singano la mano, funsani dokotala wanu wa mano kuti achoke kumayambiriro kwa anesthetic. Kafukufuku amasonyeza kuti pamafunika maminiti awiri kapena atatu kuti alowe mkati.
Zilonda zopanda ululu: Pamene mukuwopa singano, nkofunika kukumbukira kuti singano la mano ndi laling'ono kwambiri.
Kuchita masewera atsopano mu opaleshoni yamazinyo ndi jekeseni zopanda kupweteka. Kawirikawiri, awa akutanthauza kugwiritsa ntchito chipangizo chogwiritsira ntchito chakumidzi chotchedwa wand.
Wogwiritsa manowa amagwiritsira ntchito chidutswa chaching'ono chomwe chikuwoneka ngati cholembera. Zapangidwa kuti ziperekedwe kwa mankhwala osokoneza bongo pang'onopang'ono, momasuka. Kupereka kumeneku kumagwira ntchito yochepa kwambiri komanso kuchepa kwafupipafupi komwe kumapangitsa kuti anesthesia ayambe bwino.
Kodi imagwira ntchito? Anthu ambiri amafotokoza kupweteka kochepa komwe kumayambitsidwa ndi jekeseni la mano pogwiritsa ntchito wand. Mukhoza kudzifunsa ngati dokotala amagwiritsa ntchito mawotchi musanayambe kusunga nthawi yanu.
Zowonjezera zowonjezereka: Pamene pafupifupi madokotala onse a mano amagwiritsa ntchito mankhwala am'deralo m'malo mwa mankhwala ambiri (ngakhale sikofunikira kwa onse) amagwiritsanso ntchito njira zina zamagetsi.
Mankhwala othandizira kugonana: Gasi yodala ndi mawu akuti nitrous oxide omwe amagwiritsidwa ntchito ngati gasi wothandizira. Komabe, pogwiritsa ntchito zing'onozing'ono zomwe amagwiritsa ntchito mpweya wokondwera wodwalayo sakudziwa koma amangokhala chete.
Nitrous oxide yothira mpweya wabwino ndi mpweya zimagwiritsidwa ntchito popanga chisangalalo komanso ngakhale kumverera kwa kuyandama kwa wodwalayo. Amagwiritsidwa ntchito pa opaleshoni ya mano pogwiritsa ntchito mphuno yamkati, yomwe imayikidwa pamphuno ya wodwala modekha.
Ndondomekoyi imakhala yabwino kwambiri ndipo ingasinthidwe ndi wodwalayo ngati akufuna. Dokotala amachititsa wodwala kupuma mpweya wa nitrous oxidiki kwa mphindi ziwiri kapena zitatu. Mukakhala ndi nthawi yodzidzimutsa, mankhwala amatha kuyamba.
Gasi yodala siyimaloza jekeseni wamagetsi am'deralo. Komabe, nthawi zambiri amawalola kuti agwiritsidwe ntchito pamodzi ndipo wodwalayo samamva bwino. Kamodzi kogwiritsidwa ntchito kamvekedwe kake kameneka, ntchito yonse ya mano imakhala yopweteka kwambiri.
IV sedation: IV Sedation (intravenous sedation) ndi pamene mankhwala, omwe nthawi zambiri amadana ndi nkhaŵa kapena zowonongeka, amaperekedwa m'magazi panthawi ya mankhwala opaleshoni.
IV sedation imapangitsa kuti pakhale chisangalalo chakuya komanso kumverera kosasokonezeka ndi zomwe zikuchitika. Mankhwala omwe amagwiritsidwa ntchito pa IV sedation amachititsa kuti azimayi azikhala osakondera kapena amatha kukumbukira nthawi yomwe mankhwalawa amayamba kukankhira mpaka atatha.
Zotsatira zake, nthawi idzawoneka mofulumira kwambiri ndipo simudzakumbukira zambiri zomwe zinachitika. Anthu ambiri sakumbukira kanthu nkomwe. Kotero, zikhoza kuoneka ngati "mudagona" panthawiyi.
Kawirikawiri, odwala amanena kuti sakudziwa kanthu za zomwe zinachitika. Ikhoza kutchulidwa kuti "Kugona tulo." Ubwino wa kusemphana kwa IV kwa mafupa a mano ndi odwala nthawi zambiri amamva bwino pakapita mankhwala.
Kwa IV sedation, mudzafuna wina kuti apite nawe ndikubweretseni kunyumba pambuyo pake.
Kuthana ndi mankhwala: General Anesthesia (GA) amatanthauza "kugona." Pa GA, simukudziwa . Amachitidwa kuchipatala ndi odwala amaliseche.
Kuwonjezera pa chiopsezo cha mavuto aakulu (omwe ali ochepa, koma apamwamba kwambiri kusiyana ndi kudziŵa IV sedation), ambiri anesthesia ali ndi mavuto pang'ono:
- Zikudziwika kuti GA imapweteka mtima ndi machitidwe a kupuma. Kwa magulu ena a odwala omwe amavutitsidwa ndi mankhwala, ndizosavomerezeka kuti azitsatira njira za mano.
- Mtengo wapamwamba kwambiri kuposa mankhwala onse a mano.
Sichikulimbikitsidwa pa ntchito yamkati ya mano monga kukhuta. Zowopsya zomwe zingakhalepo zimayesedwa kuti ndi zapamwamba kwambiri kuti zigwiritse ntchito GA. Pofuna chithandizo chamankhwala ambiri, tizilombo toyambitsa matenda tiyenera kuikapo, chifukwa mwina, tizilombo toyambitsa matenda, zowonongeka, kapena timataya tingalowe m'kati ndikupangitsa kuti tizilombo toyambitsa matenda kapena tizilombo toyambitsa matenda monga matenda a chibayo.
Mankhwala Opatsirana Mankhwala
Njira yeniyeni yomwe hypnosis ndi chinthu chimene akatswiri sangathe kuvomereza. Komabe, mungathe kulongosola ngati kulimbikitsa kapena 'kudodometsa' malingaliro ozindikira. Mu pobiya zamatenda, malingaliro a zovulaza ndi chinthu chovuta kwambiri chogonjetsa ndi kusungunulidwa kwawonetsedwa kuti ndi kotheka ngakhale pakukwaniritsa kugonjetsedwa kwa mano.
Azimayi amatha kukuthandizani kuti mukwaniritse chikhalidwe chanu. Kuchokera apa iwo amatha kupereka malingaliro kuti akuthandizeni kuona momwe mukufunira kukwaniritsa. Matenda a hypnosis angatanthauzidwe ngati dziko lachikondi.
Machitidwe ena a mano a hypnosis ndi amphamvu kwambiri a gag reflex, omwe amachititsa kupweteka kwa nkhope kumaso ndikukwaniritsa zizoloŵezi zosafunika monga mano akupera.
Kuchita zamatsenga sizowoneka ngati njira zina zoperekera zamatsenga mu opaleshoni zamano. Madokotala ena a mano akuphunzitsa mano opatsirana mano ngakhale kuti mungafunikire kupeza munthu wodzitetezera yemwe amadziwika kwambiri kuti athetse mantha a mano.
Laser Mankhwala Opaleshoni
Kuopa phokoso la kubowola mano kungakhale chinthu chofunika kwambiri ku menya ya mano. Kugwiritsa ntchito mano osakaniza akuwomba ngati mphepo, chabwino?
Laser lasers amagwira ntchito popereka mphamvu yowonjezera mphamvu. Posachedwapa, lasers yagwiritsidwa ntchito popanga opaleshoni ndi mano. Zimathandiza ngati chida chogwiritsira ntchito minofu yolimba kapena yofewa pakamwa.
Pali ntchito zingapo za lasers zamazinyo:
- Kuwongolera kubowola mano pakuthyola dzino. Laser ingagwiritsidwe ntchito kuchotsa kuwonongeka kwa dzino ndikukonzekera mazenera ozungulira kuti alandire kudzazidwa.
- Chithandizo cha periodontal ndicho chithandizo chapadera cha matenda a chingamu. Anthu ambiri amapewa kulumikiza matenda awo a chingamu chifukwa cha mavuto omwe amachititsa kuchotsa makina kapena chiwerengero cha pansi pa chingamu. Mavuto a periodontal amayamba chifukwa cha kutupa kwanthawi yaitali, motero amakhala ovuta kwambiri.
- Mankhwalawa amathandiza kwambiri. Kugwiritsira ntchito mafayili achitsulo kuyeretsa ngalande kungakhale chitsime cha phobia ya mano. Mankhwala a mano amatha kugwiritsidwa ntchito kubwezeretsanso nsabwe ndikuchotsa mabakiteriya panthawi ya mizu.
- Misozi imakhala yoyera. Laser imagwiritsidwa ntchito mofulumizitsa njira zowongoletsa njira. Njira yothetsera ubweya wa peroxide, yomwe imagwiritsidwa ntchito ku dzino, ili ndi '' yotsegulidwa 'ndi laser mphamvu, yomwe imawunikira njira yoyera.
Madokotala a mano
Kawirikawiri mano amtundu wa mano amakhala ndi vuto losautsa pakati pa zaka zaunyamata. Ana makamaka amatha kukhala ndi nkhaŵa yaikulu ya mano chifukwa cha malingaliro ndi kusadziwika kwa ofesi ya mano ndi vuto lopweteka lomwe limakhalapo pakamwa.
Nthawi zina, komanso kupewa kutengeka kwa mano kwa nthawi yaitali, ndi bwino kuti ana ena awoneke ndi katswiri wa mazinyo a ana.
Madokotala a madokotala amalembedwa ngati madokotala a mano ndipo ayenera kuti adatsiriza maphunziro ena pambuyo pa maphunziro awo opangira ma mano. Maphunziro owonjezerawa amaperekedwa motsogoleredwa ndi kutsogozedwa kwa adokotala a zachipatala m'mabungwe osiyanasiyana ndi zipatala zamakono. Amapereka madokotala a mano azinthu zosiyanasiyana kuti athe kusamalira zosowa zosiyanasiyana zaumoyo za ana.
Dokotala wa mano ayenera kulembetsa ziyeneretso zawo zamakono ndi Bungwe la Amazinyo mu ulamuliro wawo ndi kulepheretsa kuchita kafukufuku wamatenda.
Apa pali zambiri zomwe madokotala am'mazinesi amazipanga ndipo ndi chifukwa chani zothandiza pobias a mano.
- Dziwani zifukwa za matenda a mano ndi kuphunzitsa ana ndi mabanja awo ali ndi mano abwino ndi pakamwa.
- Gwiritsani ntchito malo ochezeka kwambiri ndi amodzi.
- Perekani njira zothandizira kuthana ndi nkhawa komanso / kapena ana ang'onoang'ono, kuphatikizapo kugwiritsa ntchito njira yapadera yoperekera m'mimba komanso mankhwala opatsirana mano komanso kupereka mankhwala opaleshoni pafupipafupi.
- Pitirizani ana omwe ali ndi zochitika zachipatala, zakuthupi , ndi zaumunthu kuphatikizapo omwe ali ndi mavuto monga khalidwe la autism ndi ADHD.
Madokotala a mano akuthandizira kuthandizira ana kuti asamakhale ndi mantha a mano, koma kugwiritsa ntchito mankhwala ofunikira omwe angakhudze kukula ndi chitukuko cha chitseko cha mwana.
Musalole phobia yanu ya mano kuwononge kumwetulira kwanu . Funsani ndi dokotala wanu wa mano za njira zomwe mungachite kuti musamaliritse thanzi lanu la mano nthawi yomweyo!