Kodi Dokotala Wamtendere Amatchedwa Bwanji?
Madokotala aamuna si onse omwe analengedwa ofanana. Pali zinthu zambiri zachipatala zomwe zimakhalapo kwa munthu yemwe ali ndi ululu wa msana, ndipo pokhapokha mutamvetsetsa mitundu yosiyanasiyana, kutenga wina (kapena wina) amene angakupatseni mwamsanga akhoza kuwonjezereka. Kodi mumatembenukira kwa ndani, ndipo liti?
Pano pali mndandanda wamfupi:
Banja ndi General General
Pamene khosi lanu kapena ululu wanu umayamba, dokotala wanu wa banja kapena GP mwina ndi yabwino kwambiri.
Angapereke odwala ena opweteka, kukupatsani zozizwitsa zochepa zomwe mungachite ndipo mwina angakutumizeni kwa wodwalayo. Ngati akuwona kuti vuto lanu ndi loopsa, mwina akhoza kuyesa mayesero komanso / kapena kukufikitsani kwa katswiri monga rheumatologist kapena neurologist.
Koma madokotala am'madera amatha kuchepetsa kulandira mankhwala atsopano pamene akubwera, malinga ndi kafukufuku wa 2006 wofalitsidwa mu Spine Journal . Zina kusiyana ndi kutenga mbiri yanu yachipatala ndi kukupatsani mayeso, zomwe ndizomwe zimayambitsa matenda a msana, maphunzirowa adapeza kuti ngakhale momwe ndondomeko zatsopano zinatulutsidwa ndi bungwe lotsogolera lachipatala, madokotala sanawagwiritse ntchito zawo.
Chifukwa cha ichi, kutenga njira yowonjezereka pamene kugula kwa msana kungakuthandizeni. Njira imodzi yochitira izi ndi kufufuza njira zomwe mungapeze ndikupeza chithandizo musanafike kwa dokotala. Kufunsa mafunso owongoka pamene inu muli pamsonkhano wanu ndi njira ina.
Madokotala a ana
Odwala amapereka chithandizo ndi chithandizo kwa matenda osiyanasiyana a ubwana kuphatikizapo ululu ndi kuvulala. Dokotala wa ana ndi dokotala wa banja kwa mwana wobadwira mpaka zaka zoyambirira. Ngati vuto la msana wanu likufuna katswiri, dokotala wanu wa ana angakulozerani inu.
Madokotala Achipinda Chodzidzimutsa
Chipinda chodzidzimutsa kawirikawiri chimapita kukafika kwa anthu omwe ali ndi ululu kapena kupweteka kwakumbuyo omwe amafunikira chithandizo chamankhwala mwamsanga. Kuvulala koteroko kungakhale chifukwa cha kuwonongeka kwa ngozi za galimoto, mabala kapena mfuti. Zimaphatikizanso zizindikiro za matenda a cauda equina syndrome , mwachitsanzo, kutaya thupi kapena chikhodzodzo, kapena miyendo yanu ikukula pang'onopang'ono.
Ngati simukufunikira kuti muwone dokotala mwamsanga, komabe ndi bwino kukonzekera msonkhano ndi ofesi yanu.
Orthopedists
Dokotala wa mafupa ndi madokotala ochipatala ovomerezeka omwe amadziwika bwino ndi mavuto - kuyambira mutu mpaka kuntchito - ya minofu ya minofu. Izi zikuphatikizapo, ndithudi, msana. Katswiri wa zamagulu amatha kuyambitsa zinthu monga kupweteka, scoliosis kapena mitundu ina ya ululu kapena kupweteka kwapweteka. Ena mwa opaleshoni opangidwa ndi opaleshoni ya mafupa amatha kupangidwanso ndi mapulogalamu a m'mitsempha (onani m'munsimu) Zitsanzo za njira zoterezi zimaphatikizapo kupweteka kwa msana, zosadziwika ndi zina zambiri.
Achiheberi
Katswiri wa rheumatologist ndi dokotala wotsimikiziridwa ndi bungwe lomwe limagwira ambiri (pafupifupi 100 malinga ndi American College of Rheumatology) mitundu ya nyamakazi.
Ambiri a anthu odwala matenda a rheumatologist amagwiritsa ntchito nyamakazi yotupa; mu msana mtundu uwu wa matenda umawoneka ngati ankylosing spondylitis, ndi zofanana zina.
Kuwona katswiri wa mafupa a mitsempha ya spinal stenosis (yomwe ili njira yowonjezera ya osteoarthritis) siyikupezeka pa funsolo. Koma kawirikawiri, katswiri wa rheumatologist amawona odwala omwe ali ndi zizindikiro za sacroiliitis, axial spondylosis, ankylosing spondylitis, ndi nkhani zina.
Akatswiri a zachipatala
Katswiri wa zamagulu ndi katswiri yemwe amadziŵa ndikusamalira mavuto ndi dongosolo la manjenje. Mwachitsanzo, matenda a Parkinson, matenda ena a ubongo, msana wam'mimba ndi mitsempha ya palimodzi.
Katswiri wa zamagulu akhoza kukhala dokotala wosankha ngati kupweteka kwa msana kapena kupweteka kwa mutu kumakhala kosatha komanso nthawi yaitali, monga iye kapena katswiri wodziwa ululu.
Katswiri wa zamagulu sachita opaleshoni ya msana ; M'malo mwake, awona momwe mitsempha yanu ikugwiritsire ntchito bwino, kupereka mankhwala ndi kukufikitsani kwa katswiri wina, ngati n'koyenera.
Katswiri wa zamagulu angakhale M M. D kapena dokotala wina wovomerezeka.
Matenda a m'midzi
Katswiri wamagetsi amadziwika kwambiri pa matenda ndi mikhalidwe ya pakatikati ya mitsempha, ndi mitsempha yomwe imatulutsa kuchokera kumsana (yomwe imatchedwa dongosolo la mitsempha ya m'magazi.) A neurosurgeon akhoza kuchita opaleshoni ubongo, msana wamtsempha kapena msana. Ngakhale kuti ma neurosurgeons amapereka chithandizo chopanda opaleshoni cha ululu wammbuyo, nthawi zambiri, mudzatumizidwira mmodzi pokhapokha mutatopa zonse zomwe mungasamalire .
Achiropale
Chiropractic ndi njira zothandizira mankhwala osokoneza bongo amachititsanso kuti thupi liziyenda bwino poyendetsa msana. Pochita izi, chiropractors amatha kugonjetsa (mawu omwe amatanthawuza chinachake chosiyana ndi chiropractor kuposa momwe akuchitira dokotala wamba.)
Akatswiri odwala tizilombo amaona kuti ntchito yawo ndi yogwirizana ndi luso komanso sayansi. Cholinga cha kusintha (kwa kugonjetsa) ndikokulitsa thanzi lathunthu mwa kuchotsa kusokonezeka kwa kayendedwe ka chitopa.
Ndikofunika kuzindikira kuti njira yambiri yokonzanso chiropractic ndi kumasula; mwa kuyankhula kwina, kuonjezera kusinthasintha. Kutseka ndi kumangiriza sizomwe katswiri wanu akupanga pamene akukonzani. Ngati muli womasuka, muli ndi ziwalo zomangirira kapena muli ndi matenda odwala matendawa, chiropractic ikhoza kuchita zoipa kuposa zabwino.
Pambuyo powerenga nkhani zokhudzana ndi chiropractic odwala omwe amatha kupwetekedwa mtima pakapita khungu, mwachidziwikire amakhumudwitsa anthu ambiri. za chitetezo cha mankhwalawa.
Ngakhale kuti zochitika izi zimachitika, ndizochepa. Ndibwino kuti mupange chisankho chanu pa izi, zomwe zimaphatikizapo kuyerekezera kuti mungathe kudwala matenda osokoneza bongo omwe amachititsa kuti mukupwetekedwa ndi zomwe mukuyembekezera kuti musasinthe.
Osteopathic Physicians
Osteopath ndi dokotala wovomerezeka ndi bolodi yemwe, mwa lumbiro, ayenera kuti azigwira ntchito yodalirika, yapakatikati. Mofanana ndi chiropractor, osteopath amagwiritsa ntchito manja ake kuti azindikire komanso makamaka kuchiza. Koma kawiri kawiri, osteopath ali ndi maphunziro ambiri kuposa chiropractor. . Izi zili choncho chifukwa kukhala osteopath (wotchedwa DO, kapena Doctor of Osteopathy) kumafuna maphunziro omaliza sukulu ya zachipatala yovomerezeka. Maphunziro a sukulu ya zamankhwala amakhala ovuta kwambiri kuposa maphunziro a sukulu ya kuchipatala. Pafupifupi 20 peresenti ya ophunzira azachipatala amaphunzitsidwa kukhala osteopaths.
Ngakhale osteopaths ali ndi chilolezo kupereka mankhwala ndi kuchita opaleshoni yaing'onoting'ono, nthawi zambiri amayang'ana ku malo ndi moyo, ndipo amachita manja poyang'anira odwala.
Azimayi
Mtundu wina wa opereka maganizo onse, physiatrist ndi dokotala wotsimikiziridwa ndi dokotala wodziwa bwino ntchito. Izi zimapangitsa kuti anthu azikhala ndi mavuto osiyanasiyana komanso akuvulala chifukwa cha kupweteka kwa msana, kupweteka kwa maseŵera ndi zina zambiri. Kawirikawiri, physiatrist idzagwirizanitsa gulu la akatswiri a odwala, kutsimikizira ndondomeko ya mankhwala yomwe ikugwirizana ndi zosowa zanu zachipatala.
Mutha kumvetsa physiatrist ngati wodwala MD
> Chitsime:
> Bishopu, PB, Mapiko, PC Kudziwa kutumiza kwa madokotala am'banja amayang'anira odwala okhala ndi ululu wopweteka kwambiri: kuyesedwa koyang'ana mwachisawawa. Magazini Wamphepete. May-June 2006. https://www.ncbi.nlm.nih.gov/pubmed/16651222?dopt=AbstractPlus
> Breen, A., Austin, H., Campion-Smith, C., Carr, E., & Mann, E. "Mukuona kuti mulibe chiyembekezo": Kuphunzira kwabwino kwa GP kasamaliro ka ululu wopweteka kwambiri. Eur J Pain . Jan 2007. https://www.ncbi.nlm.nih.gov/pubmed/16434220?dopt=AbstractPlus.
> Gould, HJ III, MD, Ph.D. (2007). Kumvetsetsa Ululu: Chimene Ndicho, Chifukwa Chake Chimachitika ndi Momwe Zimayendetsera. New York: Demos.