Pamene Wodwala kapena Wodwala Amakhudza Mwachisawawa
Chigawo chofunikira cha kafukufuku wamankhwala kapena kuchipatala ndikokhudza. Odwala opaleshoni nthawi zambiri amagwiritsa ntchito manja awo kuti afufuze, kusonkhanitsa, mwinanso kusuntha thupi lanu. Kukhudza kungagwiritsidwe ntchito kukuthandizani kumvetsetsa momwe mungasunthire bwino, ndipo kungakhale chithandizo chothandizira kuti minofu yanu ikugwirizane ndi momwe PT yanu imafunira kuti iwonjezere kuyenda kwanu.
Koma kukhudzidwa kotani ndikovomerezeka mu mankhwala, ndipo bwanji ngati PT ikukukhudzani ndipo imakhala yoipa kapena ikuphwanya chitonthozo chanu kapena malo anu? Bwanji ngati muli PT ndipo wodwalayo akupanga zopanda pake kapena zosayenera kapena zopanda pake kwa inu?
Kukhudzana ndi Thandizo lachilengedwe
Kulumikizana ndi ntchito yogwiritsira ntchito manja kuti ayese gawo la thupi. Akatswiri opanga mankhwala angagwiritse ntchito njira zamagetsi pofufuza kuti athe kudziwa vuto lanu ndi kupeza chithandizo chabwino cha matenda anu. Kukhudza nthawi zambiri kumafuna kugwirizana kwa khungu ndi khungu; Manja anu opaleshoni amagwiritsidwa ntchito kuti alowetse pakhungu lanu kuti aone ngati mukudwala.
Anu PT angagwiritse ntchito palpation m'njira zosiyanasiyana, kuphatikizapo:
- Kufufuza chifukwa cha kutupa
- Kuti muzimverera ngati minofu ikugwira ntchito
- Kuti musasunthike thupi lanu panthawi yochita masewera olimbitsa thupi (ROM)
- Kutsogolera thupi lanu pamene mukuyenda m'njira zosiyanasiyana
- Kuwathandiza kupewa kukugwa kapena kukuthandizani pamene mukuyenda kapena mukukwera kuchokera pabedi kapena mpando
- Kukuthandizani kuti muziyendayenda pabedi panthawi yophunzira
Nthawi zina, kuvulaza kwanu kungafunike kuti wodwalayo azisanthula kapena kukhudza malo a thupi lanu omwe ali payekha kapena osasamala. Izi zingafunike kuti mutsegule ziwalo zanu zapadera, monga chiuno kapena matako anu , ndipo kuwonetsetsa kwanu kungakuchititseni kuti musamve bwino.
Onjezerani palpation ndikukhudzidwa ndi kusakaniza, ndipo kusokonezeka kwanu ndi vutoli kungawonjezere, ndipo izi zingakhale ndi zotsatira zolakwika pamaganizo anu ndi zotsatira zanu zonse.
Chimodzi mwa maphunziro kuti akhale wodwala thupi kumaphatikizapo kuika bwino kwa odwala ndi kukhetsa. Izi zikutanthawuza kuti kudzichepetsa kumasungidwa panthawi yomwe mukuyezetsa pulogalamu ya P PT ndikuchiza chithandizo. Kujambula kungaphatikizepo kugwiritsa ntchito pepala kapena thaulo kuti muteteze thupi lanu lomwe simukulifuna lomwe lingakuchititseni kuti muzimva bwino.
Mankhwala oyenera komanso kupaka minofu amaphunzitsidwa monga gawo la maphunziro othandizira. Izi zikuphatikizapo kuonetsetsa kuti kugwira kuli koyenerera, ndipo kumangoyang'aniridwa ndi kuyesa ndi kuchiza mavuto omwe mungakhale nawo. Kusunga chilimbikitso, kukhulupilila, ndi chitetezo chofunikira kwambiri pakugwiritsa ntchito njira zamalimba.
Pamene kulumpha kumachitika mwa akatswiri ndi ochizira komanso kumakhala ndi chitetezo cha mliri komanso chitonthozo, amaonedwa kuti ndi koyenera.
Bwanji Ngati Kukhudza Kwako Kwanu Kumakhala Kolakwika?
Ngati mukuwona wodwalayo wodwala mankhwala ndipo mumamva ngati mwakumana ndi zolakwika kapena zolakwika, muyenera kuchita mwamsanga. Zinthu zina zomwe mungachite zingaphatikizepo:
- Kuyankhula ndi wodwala wanu ndi kufotokoza momwe kugwira kukupangitsani kumverera
- Kulankhulana ndi woyang'anira dokotala wanu kapena woyang'anira
- Kupeza wodwala wodwala wodwalayo pa rehab yako
- Kulankhula ndi woimira chipatala (ngati mumalandira chipatala chanu kuchipatala)
- Kambiranani ndi bungwe lanu la boma la mankhwala kuti mutsimikize zomwe zikuchitika
Kawirikawiri, kulankhula ndi PT ndi njira yabwino, nthawi zambiri PT yanu sichizindikira mmene malingaliro ake akukukhudzani. Poyankhula za zomwe zikuchitika ndi maganizo anu pokhudzana ndi kugwira, PT yanu ikhoza kupanga kusintha kwa njira yake ku chisamaliro chanu ndi kuchepetsa kapena kuchotsapo chilichonse chokhudzidwa ndi cholingana.
Ngati mukuganiza kuti wodwala wanu wakukhudzani mwakuyenera ndipo izi zakuphwanya iwe, muyenera kuyankhulana ndi akuluakulu a malamulo. Sikovomerezeka kwa PT, kapena wogwira ntchito wina aliyense wathanzi kapena munthu, kuti akukhudze iwe pazamasewera kapena mwa njira yomwe imaphwanya thupi lanu mu chiwerewere. Ngati mukumva kuti izi zakhala zikuchitika, muyenera kudziletsa nokha ndikukambirana ndi malamulo.
Bwanji Ngati Mukuyamba Kukhudzidwa Kwa Anu PT Chifukwa Chokhudza?
Bwanji ngati mupita ku PT, ndipo mumakonda palpation ndikukhudza? Bwanji ngati izi zikupangitsa kuti mukhale ndi maganizo abwino, ndipo mumakopeka ndi wodwalayo? Kuchita zimenezi ndizosamveka. Wodwala wanu wathanzi angakhale munthu wabwino, koma ubale wa wodwalayo ayenera kukhala wachibwenzi ndi wosagonana. Ngakhale kuti mungakhale ndi ubale weniweni ndi PT, ubalewu uyenera kukhala wokondana komanso osakondana kapena kugonana.
Ngati muli ndi maganizo anu pa PT ndipo izi zikukulepheretsani kuganizira mozama pa rehab wanu, muyenera kufunsa kuti mugwire ntchito ndi wosiyana ndi odwala. Mapulogalamu anu opatsirana ayenera kukhala odziwa ntchito, ndipo muyenera kuyang'ana kuti musamapangitse kuyenda kwanu kopanda ululu.
Zizindikiro Zosafunika za Odwala Odwala
Thandizo la thupi ndi njira ziwiri. Onse awiriwa ndi othandizira anu ayenera kugwira ntchito pamodzi ngati chithandizo chochizira kuti muthe kuyenda bwino. Izi zikutanthauza kuti PT yanu iyenera kukuchitirani ulemu ndi ulemu, ndipo muyenera kuchitira PT njira yomweyo.
Ambiri opatsirana opatsirana amapereka machitidwe ozunza kapena olakwika kuchokera kwa odwala awo. Izi zingaphatikizepo kunena zinthu zosayenera kapena kukhudzidwa kosayenera kapena kosayenera. Mchitidwe wosagonana wosavomerezeka wokhudzana ndi kugonana umatanthauzidwa ngati chinthu chilichonse chowonekera kapena chokhudza thupi, chodziwika bwino, chogonana, chomwe sichiri chovomerezeka pakati pa chikhalidwe chomwe chikuchitika. Ndipo opereka chithandizo chamankhwala-monga opaleshoni zakuthupi-amatha kukhala ndi mazunzo amtundu uwu pamene akugwira ntchito.
Kafukufuku waposachedwapa wofalitsidwa mu Physical Therapy Journal anafufuza vuto la makhalidwe osayenera okhudza odwala. Ofufuzawa anafufuza akatswiri odziwa zachipatala okwana 892 ndi ophunzira a PT ndipo anapeza kuti 84 peresenti ya iwo anadziwana ndi khalidwe loyenera kapena khalidwe loyenera kwa odwala panthawi ya ntchito yawo. Kukula kwa miyezi 12 ya makhalidwe osayenera kunali 47 peresenti.
Phunziroli linapeza kuti mumakhala ndi makhalidwe osayenera ogonana ngati:
- Ndiwe PT
- Muli ndi zaka zowerengeka za chisamaliro chapadera
- Wodwala ndi wamwamuna
- Ndiwe PT amene amagwira ntchito ndi odwala omwe ali ndi vuto lozindikira
Olemba apeza kuti pali kuwonjezeka kwakukulu kwa khalidwe losayenera la kugonana kwa odwala opita kuchipatala. Kuwonjezera maphunziro kwa ophunzira ndi akatswiri, komanso ndondomeko ya malo ogwirira ntchito ndi thandizo, zingakhale zofunikira kuthandizira kuthetsa vutoli.
Monga wodwala thupi, muyenera kuyesetsa nthawi zonse kuti mukhale ndi ntchito yapamwamba komanso malo ochizira matenda. Izi zingakhale zovuta ngati wodwalayo akuchita zosayenera. Kulankhula ndi makhalidwewa mwachindunji ndi wodwalayo kungathandize kuthetsa. Ngati wodwala akupitirizabe kukupangitsani kuti musamveke ndi mawu osayenera kapena kupita patsogolo, muyenera kudzipempha kuti musamapitirize kusamalira wodwalayo. Kuyankhula ndi woyang'anira kapena wothandizana naye kungakhale kothandiza, ndipo kutulutsa wodwalayo kuchokera ku chisamaliro chanu kungakhale kofunikira. Bungwe la American Physical Therapy Association (APTA) lakhala likulimbana kwambiri ndi kuzunzidwa, ndipo chuma chikupezeka kudzera mu bungwe kuti liwathandize PTs kuyenda ndikukumvetsa nkhani yovutayi.
Ngati muli wodwala kulandira chithandizo, onetsetsani kusunga ndemanga zanu ndi zochita zanu. Mungaphunzire zinthu zambiri za thupi lanu pa PT pamene mukugwira naye ntchito, ndipo wodwala wanu angakukhudzeni pamene mukuyesa kapena mankhwala. Koma muyenera nthawi zonse kusunga ubale wanu ndi PT yanu yoyenera ndi yodziwika bwino.
Kupanga Mwanzeru Njira Zogwiritsa Ntchito
Ngati ndinu wodwalayo, mungathe kuchita zinthu zina kuti mugwiritse ntchito njira zamakono, ndipo mukhoza kuthandiza maganizo a wodwala kukhala omasuka pamene akuchita zofuna zanu kapena mankhwala omwe amafunika kulumikiza. Izi ziphatikizapo:
- Nthawi zonse muziyika bwino ndikukoka wodwala wanu kuti mukhale odzichepetsa
- Nthawi zonse pemphani chilolezo kuti mugwire kapena mutenge wodwala wanu. (Ndilo thupi la wodwala wanu pambuyo pa zonse) Musaganize kuti ndizovomerezeka kungogwira, kugwira, kapena kusuntha wodwalayo popanda chilolezo.)
- Fotokozani bwino nthawi, kuti, ndi chifukwa chiyani mukukhudza wodwala wanu
- Pemphani wodwala wanu ngati akufuna katswiri wina wathandi kapena wogwira ntchito zachipatala omwe alipo pa nthawi ya mankhwala kapena mankhwala
- Funsani ngati wodwalayo angakonde kukhala ndi katswiri wina wamwamuna kapena mkazi wina yemwe amachititsa njira zina zogonana kapena kukhalapo panthawi yopenda kapena kuchipatala
Nthaŵi zonse, maganizo a wodwalayo ayenera kuganiziridwa, ndipo malo omwe wodwalayo amatetezedwa ayenera kulengedwa. Izi zikutanthawuza kupewa kulemba kapena kupeza njira zowonjezereka ndikupeza njira zina zothandizila ngati wodwala akuvomereza kuti simukugwirizana ndi njira zanu ndi mankhwala.
Mawu Ochokera
Chimodzi mwa mapindu a chithandizo chamankhwala ndi mgwirizano wapamtima womwe ungapangidwe pakati pa wodwalayo ndi wodwalayo. Mgwirizano umenewu ukhoza kukuthandizani , ndipo zingakuthandizeni kukhala ndi chithandizo chamankhwala abwino. Nthawi zina, kukhudzidwa kosamalidwa kwa wodwalayo ndiko zonse zomwe zikufunika kuti akulimbikitseni ndikuthandizani kuti muzitha kupambana mu PT.
Nthawi zina mu mankhwala, palpation ndi kukhudza ndizofunikira kuti muyese ndikuyesa matenda anu. Ndipo nthawi zina, chikhalidwe chanu chimafuna kuti PT yanu ikugwireni m'madera anu apadera kapena apakati paokha. Kukhudza kotereku kuyenera kukhala katswiri-osati zopatula. Makhalidwe pakati pa PT ndi wodwalayo ayenera kukhala ochezeka komanso osamalitsa, komanso osagonana kwambiri kapena ogonana. Kumvetsetsa zoyenera ndi zosayenera zoyenera ndi zochitika mu chipatala cha PT kungakuthandizeni kuti mukhale otetezeka ndikuonetsetsa kuti muli ndi chithandizo chokonzekera bwino ndi wodwalayo.
> Zotsatira:
> Boissonnault, JS, et al. Kukula ndi chiopsezo cha > khalidwe losayenera la kugonana > kwa odwala opita kuchipatala ndi ophunzira ku United States. PT Journal. 2017; 97 (11): 1084-93.
> Rousch, SE, ndi al. Malingaliro a opangira matupi a zigawo za kugonana muzochitika zamakono ku United States. Physiotherapy Theory ndi Practice; 2015. 31 (5): 327-336. https://doi.org/10.3109/09593985.2014.1003420