Kumva ululu ndi kupweteka kwa pakhosi ndizofunikira - pali mayesero ochepa omwe angathe kulingalira molondola ndi kudziwa zomwe zakhalapo. Ndipo kupweteka kumakhala kusintha, panthawi yake, mwamphamvu ndi khalidwe, zomwe zimapangitsa kukhala kovuta kugwiritsa ntchito njira zoyesera monga MRI kapena CT scan kuti mupeze chithunzi chenicheni cha zomwe mumakumana nazo tsiku ndi tsiku.
Komabe udindo waukulu womwe muli nawo pakufuna kupeza matenda omwe angakuchititseni kuti mupeze chithandizo chabwino ndikufotokozera dokotala wanu momveka bwino ululu wanu wammbuyo . Nthawi zina izo zingakhale mawonekedwe a luso lokha.
Pokonzekera zokambirana zonse zofunika ndi dokotala wanu, mungaganizire kusunga magazini opweteka kwa sabata kapena masabata omwe amatsogolere ku msonkhano. Anthu ambiri omwe amakhala ndi kupweteka kosalekeza amakayikira magazini tsiku lililonse, ngakhale zaka zambiri. Zonsezi ndi mbali ya chidutswa.
Ndipo ngati muli mu luso la zojambulajambula, mungathe kuyesa zosangalatsa - kapena kukwaniritsa - mwa kuphatikizapo kugwiritsa ntchito maluso anu mukulengeza kwanu.
M'munsimu muli malangizo angapo, mwachitsanzo, zinthu zomwe mungathe kufotokozera mu magazini yanu pamene mukukonzekera kuti mutumikire.
Lembani Zowawa Zanu
Zimapweteka bwanji? Mphamvu ndiyeso ya momwe zizindikiro zowonongeka zimakhalira. Kwa inu, wodwala, izi mwina ndizofunikira kwambiri pazovutazo.
Kuti izi zitheke, akatswiri ambiri akukufunsani kuti mulembe chithunzi cha mtundu wina. Mungapemphedwe kuti muyese kukula kwa ululu wanu ndi nambala, kapena posankha "nkhope" yomwe ikuyimira momwe ululu umakupangitsani kumverera (Izi zimatchedwa "oucher" kapena "nkhope" chati). "Maonekedwe" mu Tchati chatsopano chimachokera ku chisangalalo ndi kumwetulira mpaka kulira.
Gwiritsani ntchito Mawu omwe Amalongosola Momwe Masautso Amamvera
Mtundu wa ululu wanu ukhoza kutanthawuza chinachake chomwe chikuchititsa. Mwachitsanzo, ngati mumayaka moto, kupweteka kapena magetsi pamunsi mwendo kapena mkono, zikhoza kusonyeza mizu ya msana. (chomwe chimatchedwa radiculopathy .)
Ngati mungathe kuwonjezera mawu omwe mumagwiritsa ntchito m'magazini yanu, mukhoza kupeza kuyankhulana ndi dokotala ndi kosavuta komanso kukuthandizani.
Funso la McGill Pain University kuchokera ku yunivesite ya McGill ku Canada limapereka mawu ofotokoza omwe madokotala ena angagwiritse ntchito kuyesa kumvetsetsa ululu wanu, kaya panthawi yoyamba yoyezetsa matenda kapena zochitika zowunika. Mawuwa akugawidwa malinga ndi mafunso atatu:
- Kodi Mavuto Anu Amamva Bwanji?
- Kodi Kupweteka Kwanu Kumasintha Bwanji Ndi Nthawi?
- Kodi Mimba Yanu Ndi Yolimba Motani?
Zitsanzo zochokera ku McGill Pain Questionairre zikuphatikizapo: Kuwombera, kudyetsa, kusinthasintha, kufinya, kuchititsa khungu, kupusa. Izi ndizochepa chabe, koma ndikuyembekeza kuti mutenga lingaliro - mukakhala ndi chilankhulo chochulukirapo mutakhala ndi chilankhulo chanu pamene mukuchigwiritsa ntchito molondola, ndibwino kuti muyankhule bwino ndi dokotala wanu.
Malo Ammimba
Malo omwe ululu wanu umakhalapo kapena sangakhale malo omwe ululu umayambira.
Ngati mitsempha imakhudzidwa, kupweteka kumapweteka pansi mkono kapena mwendo, monga momwe zilili mu sciatica. Ngati mwayambitsa zowawa kapena ululu wina wa myofascial, mukhoza kumva kupweteka kwapadera komwe kumakhala kosafanana ndi malo eni eni enieni. Komanso, ululu nthawi zambiri umapezeka m'malo oposa thupi limodzi.
Pazifukwazi ndi zifukwa zina, ochita kawirikawiri amagwiritsa ntchito chithunzi cha thupi kuti ayang'ane malo omwe amamva kupweteka pamene amasintha (kapena ayi) patapita nthawi. Ndipo muyeso yoyamba, chithunzi cha thupi chimathandizanso dokotala wanu kapena PT kuti apite ku bizinesi mwa kupereka mofulumira chithunzi cha cholinga chachikulu cha kudandaula kwanu.
Monga gawo la kuyankhulana kwachipatala, dokotala wanu angagwiritse ntchito chidziwitso chimene mumapereka muchithunzi cha thupi kuti mufufuze zambiri.
Zojambula Zowawa
"Nthawi" ya ululu wammbuyo - ngati ikubwera mwadzidzidzi kapena pang'onopang'ono, ngati ilipo nthawi zonse kapena nthawi zina, kapena ngati pali nthawi inayake ya tsiku pamene nthawi zonse ikuwonetsa - ndizofunika kwambiri kwa dokotala monga iye kapena iye amapyola mu njira yodziwira matenda. Madokotala amayesa kusintha kwa machitidwe opweteka kuti ayang'ane zomwe mukupita komanso kuti ayang'anire mavuto atsopano. Zitsanzo za ululu zimathandizanso madokotala kudziwa nthawi yabwino kuti mutenge mankhwala.
Makamaka, ululu ukhoza kubwera, umene umatchedwa kupweteka kwapakatikati, kapena ukhoza kukhalapo koma kupirira kungasinthe. Izi zimatchedwa ululu wosiyanasiyana.
Anthu omwe ali ndi ululu wowawa amatha kukumana ndi ululu komanso ululu. Kupweteka kwapwetekedwe ndikumangokhala kanthawi kochepa komwe kupweteka kumakhala koopsa kwambiri ndipo kungapindule ndi mankhwala kapena njira zina zothandizira kupweteka makamaka zomwe zimayambitsa ululu; ululu wam'mimba ndi wochepa koma wosasunthika.
Palinso ululu wathanzi, komwe mumamva ululu nthawi zonse, ndipo nthawi zonse mumakhala mofanana.
Izi ndizo mitundu ya nthawi ndi zovuta zomwe dokotala wanu angayang'ane kuti akudziwani bwino.
Kusokonezeka kwa Ntchito
Ululu ndi zambiri kuposa masewera osangalatsa. Lili ndi mphamvu zowononga ntchito za tsiku ndi tsiku ndi maloto a moyo wonse. Kupweteka kumbuyo kungakulepheretseni kukwanitsa kuchita ntchito ndi kusewera, komanso kuchita zinthu zofunika kwambiri monga kukhwima ndi kupopera.
Zoyembekeza zanu ndi malingaliro anu zimakhala ndi udindo wokhudzana ndi kuchuluka kwa zolema zomwe mumakumana nazo mukakhala ndi ululu wammbuyo. ICSI, gulu lomwe limapereka chitsogozo kwa madokotala omwe amachiza kupweteka kwakumbuyo, amanena kuti kusagwirizana kuchokera kuzinthu zoyendetsa bwino kungachititse kupweteka kosalekeza kupitilira.
ICSI ikufunanso madokotala kuti adziwe kuti chithandizo cha umoyo ndi chikhalidwe cha uzimu ndichofunika kuti mukhale ndi moyo mukakhala ndi ululu.
Ndipo, malingaliro anu enieni kapena kudziyesa nokha omwe amatha kuchita ntchito ndi ntchito zimakhudza kwambiri momwe mungathe kugwira ntchito. Izi zimatchedwa kudzikonda. Kafukufuku wofalitsidwa mu European Journal of Pain anapeza kuti anthu obwerera kumbuyo omwe anali odzidalira kwambiri anali ndi zofooka zochepa.
Pomwe mukuyezetsa, dokotala ayenera kufunsa mafunso za momwe mukugwirira ntchito komanso momwe zasinthira kuyambira pamene mwakhala mukuvutika. Ayeneranso kuyesa kudziwa momwe mukumvera kupweteka pamene mukupuma komanso panthawi yomwe mukuchita.
Nkhani Zokhudza Maganizo
Nthawi zambiri kupweteka kumabweretsa matenda opweteka kwambiri. Dokotala wanu ayenera kukufunsani ngati muli ndi vuto, nkhawa, kumwa mowa mwauchidakwa kapena mavuto ena pakalipano kapena m'mbuyomu; Mitu iyi ndi chakudya chochuluka pa nkhani yaumwini, komanso.
Thanzi labwino lachidziwitso ndi mankhwala achidule omwe akuyang'ana kuzindikira ndi kusintha malingaliro omwe amabweretsa zotsatira zosafunika m'miyoyo yathu. Kwenikweni, zokhudzana ndi kuzindikira ndi kusamalira zowawa zanu. CBT ili ndi mbiri yabwino yothandiza anthu omwe ali ndi ululu wopweteka kuti asateteze.
M'miyambo yawo ya 2017, American College of Physicians imalimbikitsa kwambiri njira zamaganizo zochiritsira monga mankhwala osamalidwa opweteketsa mankhwala opweteka kwambiri, opweteka kwambiri komanso opweteka kwambiri.
> Zotsatira:
> Woby, SR, Roach, NK, Urmston, M., Watson, PJ (2007). Chiyanjano pakati pa zidziwitso ndi mazunzo ndi kulemala m'zowawa zapweteka zomwe zimapweteka kwambiri. European Journal of Pain.
> Gould, HJ III, MD, Ph.D. (2007). Kumvetsa Chisoni. Paulo Woyera, MN: Demo.
> Melzack, R. (1987). Funso lachidule la McGill Pain. Ululu. August 30 (2).
> Qaseem A., et. al. Mankhwala Osagwirizana ndi Mavuto Ovuta, Subacute, ndi Mavuto Osautsa Kwambiri: Njira Yoyendetsera Bwino Kuchokera ku American College of Physicians. Ann Intern Med. April 2017. https://www.ncbi.nlm.nih.gov/pubmed/28192789
> Institute for Improved Systems Improvement (ICSI). Kufufuza ndi kusamalira ululu wosatha. Bloomington (MN): Institute for Improved Systems Improvement (ICSI); 2005 Nov.