Masiku ano, chinthu choyamba chimene madokotala ambiri amachita pamene wodwalayo amabwera ndi kuvulala kumbuyo ndi kupereka mankhwala opeputsa opioid. Chotsani pa bat. Kutchedwa mankhwala oyamba , kugwiritsa ntchito mankhwalawa kumatha kuyerekezedwa ndi "kutengapo mbali ziwiri ndikunditchula m'mawa."
Opioids ali mu nkhani nthawi zonse chifukwa cha zotsatira zoipa zimene zimachitika chifukwa chowatenga.
Malingana ndi kafukufuku wa 2017 umene unalembedwa mu Journal of the American Board of Family Medicine, pakati pa 1999 ndi 2010, malonda a opioid kasanu ndi kamodzi. Olemba ophunzirira amanenanso kuti pafupifupi maminiti 36, munthu amamwalira chifukwa cha kuwonjezera pa opioid.
Opioid amakhalanso ndi maulendo ambiri omwe amachititsa kuti azivutika kwambiri. Koma pali njira yowonjezera yothandiza kuthetsera ululu wanu, ngati mukufunitsitsa kuchita ntchito yaying'ono. Ndipo izi ndizochepa mankhwala opatsirana .
Tsopano musadandaule. Pali zovuta zingapo zomwe zingasinthe kuchotsa piritsi kuntchito yomwe muyenera kupita ku msonkhano, kuphunzira zinthu zatsopano, ndi kuchita masewera osachepera kamodzi patsiku. Kotero tiwathetsa iwo. Mwakonzeka?
Pangani Zanu Pamalo Anu Opangira Chithandizo Chamankhwala
Imodzi mwazitsitsimutso zazikulu zopezera chithandizo chonse chokwanira chomwe chiripo kwa inu chikukhudzana ndi kupanga njira yanu kupita ku malo oyambirira.
Mwachitsanzo, mavuto angayambe mukakhala kutali ndi malo a PT. Ngakhale mtunda wokha ukhoza kukhala wosokoneza-ndani akufuna kuyendetsa makilomita 20, 30, 50 kapena kuposa kukaonana ndi wotsogolera ntchito? Ngati simukuyendetsa galimoto kapena kupeza galimoto, ndizovuta kwambiri.
Mwanjira iliyonse, izo zingakhale zodula. Ngati mutayendetsa galimoto, mudzalipiritsa gasi, ndipo ngati simutero, ulendo wopita kuchipatala ukhoza kutenga madola 55 (chifukwa cha zinyumba zazing'ono mumzinda wawung'ono).
Anthu ena amatenga basi, koma nthawi imeneyi ikhoza kuwononga kapena kuika ngozi.
Mwina mungadabwe kwambiri ndi zomwe mumapeza ngati mukufufuza ndikufunsanso kuzungulira zamtunduwu. Mwachitsanzo, Blue Cross Blue Shield ku Michigan ili ndi ndondomeko imodzi yomwe imalipira ndalama zoyendetsa maulendo 36 pa chaka.
Malo ena omwe mungathe kutembenukira ndi a United Way wanu. Monga malo osungiramo zinthu zowonjezera, angathe kukusonyezani kuti mungasankhe zosakondera kapena zosakwanira. United Way mumudzi wanu ukhozanso kukhala ndi thumba lomwe mungalowemo.
Kukonzekera Mavuto Mukamapita Kunthaka Njira Yopangira Thupi
Chinthu china choletseratu chotsatira njira yolimbikitsira kupweteka kwa msana ndikutha kukonzekera masiku, ndipo pa nthawi, zomwe zimakukhudzani bwino. Inshuwalansi yanu ikhoza kulipiritsa magawo atatu pa masabata, kapena dokotala wanu angakulimbikitseni izi mobwerezabwereza, koma mukapita kukonzekera, mumapeza kuti, kwenikweni, n'kosatheka. Palibe malo okwanira pa ndondomeko ya wothandizira yomwe ikufanana ndi maofesi anu.
Kapena, mungathe kupeza malo omwe mukufuna, koma kutero kumatanthauza kuti muwone odwala omwe simukukondwera nawo kwambiri. Izi zingawoneke ngati zazing'ono, makamaka pamene mukuyesetsa kuti mudziwe nokha, komanso mukupita kuntchito, koma kugwira ntchito ndi wodwalayo amene mumamverera kuti wothandizana naye akhoza kupanga kusiyana kwakukulu.
Kukhala ndi mgwirizano wabwino ndi ogwira ntchito msana wanu kungakhudzire cholinga chanu chochita zozizwitsa zanu kunyumba, kusunga malo anu, ndi zina. Izi, zowonjezera, zikhoza kuonjezera madalitso omwe mumapeza podziwa nthawi yanu panthawi yanu ndikugwira ntchitoyo.
Nazi malingaliro ochepa pa zomwe mungachite pamene dongosolo la ndondomeko silikugwira ntchito:
- Pezani ngati malowa atseguka masiku ena a sabata. Kutenga nthawi pa nthawi yamalonda yamakhalidwe kuchokera kuntchito kuti mupite kukasankhidwa kungapangitse msanga bwino kwambiri, ndipo mungazindikire kuti ikukhudzanso ntchito yanu, komanso. Maofesi ena amapereka maola ambiri masiku awiri kapena atatu pa sabata; ena amapereka Loweruka maola. Izo sizingakhoze kupweteka kufunsa!
- Ngati izo sizikutuluka, funsani za malo ena kapena maofesi a satana omwe angapereke maola abwino.
- Ngati zina zonse zikulephera, mukhoza kuyang'ana ofesi yosiyana ndi yomwe mungachite bizinesi. The American Physical Therapy Association inanena kuti pofika chaka cha 2015, ntchito zothandizila ndizokhazikika (zomwe zimadziwika kuti " kulumikiza molunjika ") m'madera onse 50, District of Columbia ndi zilumba za US Virgin. Izi zinati, mitundu yamankhwala yomwe mungapeze kuchokera ku PT popanda chilolezo cha dokotala ikhoza kusiyana ndi momwe muliri (chifukwa chakuti malamulo a boma amasiyana), kotero dziwani izi. Kodi kudzipereka kwanu ndi chiyani? Kwenikweni zimatanthauza kuti simukuyenera kudikirira (kapena kumenyana) ndi dokotala kuti akulembereni mankhwala anu musanawoneke. Mukhoza kungoyitana ofesi yanu mwachindunji, ndikupangitsani zokambiranazo. Makampani ambiri a inshuwalansi adzapatsidwa mwayi wopeza chithandizo chamankhwala, koma ndibwino kuyang'ana poyamba kuti mukhale otsimikiza.
Kodi Mungagwiritse Ntchito Thandizo Labwino?
Pamodzi ndi mavuto omwe angakhale nawo ndi mankhwala omwe amabwera zakale zimabwera. Pokhapokha mutabisala mutu wanu mumchenga, mukudziwa kuti chithandizo chamankhwala sichitha kutsika mtengo. Ndipo msana wodwala mankhwalawo ndi chimodzimodzi.
Mwa njira, izi zikhoza kukhala zoona ngakhale mutakhala ndi inshuwaransi. Mutha kukhala ndi deductible yokwera kwambiri (kuti inu kapena abwana anu mukhoze kupereka msonkho wapamwamba), ndalama zoyendetsera (zomwe tatchula pamwambapa) zikhoza kuwonjezera mavuto anu a kubweza, ndipo mungafunikire kupeza zipangizo monga chipinda cha TENS kunyumba. Izi zingatheke kapena zisabwererenso, malinga ndi momwe mulili.
Njira imodzi yothetsera mavuto a PT ndiyo kulowetsa zina mwazoikidwa ndi wophunzitsa munthu yemwe ali ndi luso logwira ntchito ndi anthu omwe akuvutika. Wophunzitsa akhoza kukhala ndi luso lofanana ndi loperekedwa kwa wodwala wanu, koma adzakhalanso omasuka kugwira ntchito naye kapena iye. Inde, mungayambe ndi wodwalayo kuti apeze mayeso, pulogalamu yoyamba ya kunyumba ndi zofunikira . Koma mutatha kuchita chizoloŵezi, mphunzitsi woyenera angathe kutenga udindo wina pofufuza kuti mukuchita bwino, kuti akulimbikitseni komanso / kapena kusintha masewero olimbitsa thupi, ndi kuyankhulana ndi PT.
Ngati mukulipirira chilichonse chomwe chili kunja kwa ndalama, mtengo wa wophunzitsa osati wochiritsa angakhale wochepa pa gawo limodzi, ndipo kukonzekera chithandizo chanu mwanjira imeneyi kungakuthandizeni kuthetsa vuto lililonse lomwe likukukhudzani.
Mwa njira, makampani a inshuwalansi amalephera kuchepetsa chiwerengero cha maulendo omwe adzalipire zomwe zidzakuchititsani kuti mutulutse musanakonzekere. Anthu ambiri amafotokoza kuti patatha masabata asanu ndi limodzi (6) a PT (chiwerengero cha mankhwala opatsirana odwala omwe amapereka makampani a inshuwalansi) amachokera ku ngozi koma osati kunja kwa nkhuni. Mwa kuyankhula kwina, iwo sakali 100 peresenti ndipo / kapena akufuna kuti azigwira ntchito mwakhama, koma chifukwa zotsatira za vuto lawo zimakhala pang'ono, sangathe.
Ngati zili choncho ndi inu, kachiwiri, kugwira ntchito ndi wophunzitsi wodalirika kungakhale kopindulitsa kwambiri - kukuthandizani kumaliza mankhwala anu, ndikubwezeretsanso. Zomwe mungayang'ane zikuphatikizapo American Council on Exercise (ACE) ndi ma National Certification of Sports Medicine (NASM). Musanayambe kukwaniritsa chisankho chanu pa wophunzitsi amene mungapite naye, mungamufunse omwe angakumane nawo za ntchito yake ndi kuvulala ndi ululu.
Kodi Dotolo Wanu Ali Mumdima Wopanda Mankhwala Osokoneza Bongo?
Khulupirirani kapena ayi, anthu ambiri, madokotala akuphatikizidwa, sadziwa zambiri za mtundu wa mankhwala osagwiritsira ntchito mankhwala osokoneza bongo (komanso osagwiritsa ntchito) omwe ali kunja uko, komanso chifukwa chake awa ndi ofunika kwa odwala monga iwe mwini.
Mosiyana ndi mankhwala opweteka, mankhwala othandizira anthu ambiri samatchulidwa pa TV kapena radio. Phatikizani mfundo imeneyi ndi kusowa kumvetsetsa anthu ambiri (kachiwiri, madokotala kuphatikizapo nthawi zina) ali ndi mtundu wa ululu, ndipo muli ndi khoma pakati pa inu ndi njira zingapo zomwe zingakhale zophweka kwambiri pa inu nthawi yaitali.
Kuwona msana wamankhwala sikumangotanthauza kuchotsa ululu; muyenera kupeza ntchito yanu mmbuyo, kuphatikizapo kuphunzira njira zogwirira ntchito ndi zolemba zomwe zingakupangitseni bwino popanda kugwiritsa ntchito mapiritsi. Kuti mukwaniritse izi, mungaganize kuti dokotala wanu akumuvutitsani mwa kumufunsa kuti afotokoze momwe zingakhalire zoopsa zogwiritsira ntchito opioids poyerekeza ndi zoopsa zowona msana.
Ngati sangathe kukupatsani yankho lokwanira, njira yowonjezera yomwe mungathe kuitcha imatchedwa Physiopedia. Physiopedia ndi malo otetezedwa ndi othandizira aumidzi ochokera kumayiko onse. Amapereka umboni wokhudzana ndi zomwe zimachitika mitsempha komanso mmene amachitira, koma zinalembedwa kuti anthu omwe si achipatala amvetse.
Angadziwe ndani? Mwa kufufuza pang'ono, mungathe kuphunzitsa dokotala wanu za mtundu wa ululu, ndi momwe mungagwiritsire ntchito mankhwala osokoneza bongo kuti mumusunge ndi njira yogwira ntchito monga msana.
Opioids Sizochiritsa Mphamvu
Zingatheke kuti cholepheretsa chachikulu chanu kupumula kupweteka popanda mankhwala ndi maganizo anu enieni. Ndipo potsata malingaliro oipa, goggie apa ndi lingaliro lakuti opioids ndi "mapiritsi a magilisi" omwe amachititsa ululu kuchoka, ndipo ndizo zonse zomwe mukusowa.
Vuto ndiloti opioids imabwera ndi zovuta zawo zomwe, pamapeto pake, zingakhale zazikulu kuposa kupweteka kwa msana wanu, kuphatikizapo kuledzera.
Kusokoneza bongo (ngati kuti sikokwanira paokha) sikokha kokha kovuta kwa mankhwala osokoneza bongo. Anthu ambiri amamva kudzimbidwa kwakukulu. Zina zowononga zotsatira zimaphatikizapo chizungulire, kunyoza, kusanza, kudalira thupi, ndi kupuma kwapuma, malinga ndi kafukufuku wa 2008 wofalitsidwa mu magazini ya Pain Physician.
Mavuto ambiri a msana angathe kuthetsedwa kapena osamalidwa bwino popanda mavuto awa pamene mutenga nawo mbali mankhwala anu. Izi zimaphatikizapo kuchita masewera olimbitsa thupi tsiku ndi tsiku, kuphunzira za kukhazikika kwabwino ndi biomechanics , ndikusintha moyo wanu.
Ngati zonsezi zikuwoneka ngati ntchito yambiri, kumbukirani kuti chinthu chambiri chamankhwala ndizochita malonda pakati pa zoopsa ndi zopindulitsa. Njira yosagwiritsira ntchito mankhwala kuti mukhale bwino imatenga khama komanso nthawi, koma kupwetekako kumabwera chifukwa cha thanzi labwino komanso thanzi labwino, kuwonjezeka kwa ntchito, komanso zovuta zaumoyo pamsewu.
> Chitsime:
Becker, W., ndi. al. Zopinga ndi otsogolera kuti azigwiritsa ntchito mankhwala osagwiritsidwa ntchito ndi mankhwala mwachisoni chosatha. March 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359906/
> Benyamin R., et. al. Matenda a opioid ndi zotsatira zake. Pain Physician. March 2008. https://www.ncbi.nlm.nih.gov/pubmed/18443635
> Kupeza Mwapang'onopang'ono ku Mtsinje wa Boma. Webusaiti ya APTA. June 2016. http://www.apta.org/StateIssues/DirectAccess/
> Onishi, E. et. al. Kuyerekezera Zithunzi Zofotokozera Ophioid ku United States ndi Japan: Maganizo ndi Maganizo a Odwala Amsinkhu. Journal ya American Board of Family Medicine. May-June 2017. http://www.jabfm.org/content/30/2/248.full
> Medicare Home. Blue Cross Blue Shield Blue Care Network ya Michigan. http://www.bcbsm.com/medicare/help/faqs/getting-care/transportation-doctor-office.html