Utsogoleri wa ululu ndi ofesi ya mankhwala yomwe imagwiritsa ntchito sayansi kuchepetsa kuchepetsa ululu. Amaphatikizapo zochitika zambiri kuphatikizapo kupweteka kwa mtima, sciatica , kupweteka kwam'tsogolo pambuyo pake ndi zina zambiri. Utsogoleri wa ululu ndizopadera zochiritsira zomwe zikukula mofulumira zomwe zimatenga njira yochulukirapo yothetsera ululu uliwonse. Dr. Sameh Yonan, katswiri wothandizira ululu ku Cleveland Clinic, akuti "timayesa, kubwezeretsa ndi kuchitira anthu zopweteka." Dokotala wanu angakulozerereni ku ululu wakupweteka ngati iye atatsimikiza kuti ululu wanu wasokonekera.
Othandiza Otsogolera Mavuto
Madokotala omwe amadziwika bwino mu maulendo opweteka amadziwa kuti zimakhala zopweteka kwambiri, ndipo dokotala wowawa "amayandikira vutoli kuchokera kumbali yonse," adatero Yonan. Mwamtheradi, mankhwala kuchipatala chowawa ndi odwala-centric, koma kwenikweni, izi zimadalira zipangizo zomwe zilipo pa bungwe. Pakalipano, palibe miyezo yoyenerera ya mtundu wa zilango zomwe ziyenera kuphatikizidwa, ndipo ichi ndi chifukwa china chomwe kupereka mankhwala kumasiyana kuchokera kuchipatala kupita kuchipatala.
Koma osachepera, akatswiri amanena kuti malo ayenera kupereka kwa odwala madokotala atatu: wogwirizanitsa dokotala, yemwe amapereka chidziwitso kwa akatswiri anu, katswiri wamakono, ndi wodwala maganizo, kuti akuthandizeni kuthana ndi vuto lililonse kapena nkhawa, makamaka ngati muli ndi ululu wosatha.
Maphunziro ena azachipatala omwe amaimiridwa ndi ululu wa matendawa amachititsa munthu kugwidwa ndi matenda a mitsempha, ubongo, ndi mankhwala.
Dokotala wanu wogwirizanitsa angakuitanitseni ntchito za akatswiri azachipatala, ogwira nawo ntchito ndi / kapena othandizira ena othandizira.
Kuti akhale woyenera kukonza ululu pamaso pa American Board of Medical Specialties, wothandizira zaumoyo ayenera kukhala MD ndi bungwe lovomerezeka mwa chimodzi mwazidziwika izi:
- Anesthesiology
- Kukonzekera kwa thupi
- Psychiatry ndi neurology.
Dr. James Dillard, pulofesa wothandizira wa zachipatala ku Columbia University College of Physicians and Surgeons, akuti dokotala wodwala ululu ayenera kukhala ndi chizoloŵezi chake chokhazikika pampando umenewu. Mukhoza kufufuza kuti adziwe ngati madokotala akuchipatala choyendetsa ululu mukukambirana ndi adiresi ya ku America ya Medical Specialties webusaitiyi.
Zolinga za Ulonda Wopweteka
Ngakhale kuti mitundu ina ya ululu imachokera ku malo oyambira monga mutu, ndi zina kuchokera kuzipangizo zam'madzi monga kuchitidwa opaleshoni, munda wa ululu umapangitsa onsewo ngati matenda. Izi zimathandiza kugwiritsa ntchito sayansi, komanso zamakono zatsopano zamankhwala kuti athetse ululu wanu. Ndipo ngakhale odwala ambiri, makamaka omwe ali ndi ululu wopweteka, amawona wodwala maganizo kapena wodwala monga gawo la zochitika, kuphunzira kupirira kupweteka kumakhala kocheperapo.
Jonal anati: "Panopo tili ndi njira zambiri, kuphatikizapo mankhwala, njira zochepetsera ululu (matenda a mitsempha, opaleshoni ya msana, ndi mankhwala ofanana), komanso mankhwala opatsirana ndi mankhwala ena othandiza kuchepetsa ululu," anatero Yonan.
Cholinga cha kuyang'anira kupweteka ndiko kuchepetsa kupweteka, osati kuchepetsa. Izi ndichifukwa chakuti nthawi zambiri sikutheka kuthetsa kwathunthu. Zolinga zina ziwiri ndizokhazikitsa ntchito ndikuwonjezera umoyo. Zolinga zitatu izi zimaphatikizana.
Monga wodwala nthawi yoyamba mu chipatala choyang'anira kupweteka, mungakhale ndi zotsatirazi:
- Kufufuza.
- Kuyezetsa matenda, ngati kuli kotheka, monga momwe zatsimikiziridwa mu kufufuza.
- Kutumiza kwa dokotala wa opaleshoni, ngati zikuwonetsedwa ndi mayesero ndi kuyesa.
- Mankhwala opatsirana, monga jekeseni kapena kukakamizidwa kwa msana .
- Thandizo la thupi likulitsa kuyenda ndi mphamvu, ndikukonzekereni kuti mubwerere kuntchito.
- Psychiatry kuthana ndi kuvutika maganizo , nkhaŵa, ndi / kapena zina zomwe zingaperekane ndi ululu wanu.
- Mankhwala osakaniza kuti mupereke mankhwala othandizira ena.
Yonan, omwe ali ndi vuto loperekera ululu, amatha kuchita opaleshoni zambiri, kuphatikizapo opaleshoni yolephera, ndipo adakali ndi ululu, omwe ali ndi matenda a ubongo, ndi omwe akudziwika kuti opaleshoniyo sangapindule ndi chikhalidwe chawo.
"Anthu amene adayamba kumwa mankhwala opweteka amafunikira thandizo lopambana kuposa momwe pulogalamu ya maulendo angaperekere. Pulogalamu yachisoni ya rehab ndi yabwino kwa anthu awa," akutero.
Malinga ndi Dokotala Physician , zotsatira za kafukufuku wofufuza za ululu sizili nthawi zonse zokhudzana ndi mavuto omwe odwala amabwera nawo kuzipatala tsiku ndi tsiku. Mwamwayi, izi zili ndi zotsatira zoipa pa kubwezera inshuwalansi ndi zina zothandizira kulipira, komanso kukhazikitsidwa kwadongosolo lachipatala.
"Kumvetsetsa bwino za matenda opwetekedwa ndi anthu ndi makampani a inshuwalansi komanso maphunziro ambiri pa zowawa zidzakuthandizira kuonjezera inshuwalansi kuti athetse ululu. M'tsogolomu, kugwiritsa ntchito zipangizo zamakono kudzawongolera zotsatira za njira zowononga ululu," adatero Yonan.
Zotsatira:
Manchikanti, L. MD, Mark V. Boswell, M. MD, PhD., James Giordano, J. PhD. Zowawa Physician 2007; 10: 329-356.
Kuyankhulana kwa foni. Dr. Sameh Yonan, MD, Specialist Management Paulendo ku Hillcrest, Willoughby ndi South Pointe Pain Centers ku Cleveland Clinic Health System.
James N. Dillard, MD., DC. CAc. Njira Yopweteka Kwambiri: Njira Yanu Yomwe Mungapulumutsire Ululu Bantam Dell Gawo la Random House New York 2003.