Umlobi: Judy Howell
Usuku Lokudalwa: 5 Ujulayi 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
Residency | Methods | Approach to Abdominal Pain | @OnlineMedEd
Ividiyo: Residency | Methods | Approach to Abdominal Pain | @OnlineMedEd

-Delile

Ukubuka konke

Ubuhlungu bubhekisela ekuboneni kohlelo lomzimba lomzimba ukuthi kwenzeka ukulimala kwezicubu. Ubuhlungu buyinkimbinkimbi futhi buhluka kakhulu kumuntu nomuntu. Odokotela nabahlengikazi bavame ukuhlukanisa ubuhlungu ngezigaba ezahlukahlukene, kanti ezimbili ezivame kakhulu ukuba yi-somatic ne-visceral. Funda ezinye zezimpawu ezivamile, ukwelashwa, nezimbangela eziyisisekelo zohlobo ngalunye lobuhlungu.

Izimpawu nokuhlonza

Ubuhlungu beSomatic

Ubuhlungu be-Somatic buba khona lapho kutholwa izinhlungu ezitholakala ezicutshini (kufaka phakathi isikhumba, imisipha, amathambo, amalunga nezicubu ezixhumanayo). Imvamisa, izikhuthazi ezifana namandla, izinga lokushisa, ukudlidliza, noma ukuvuvukala kusebenze lawa ma-receptors. Lolu hlobo lobuhlungu luvame ukuchazwa ngokuthi:

  • ukunyanyiswa
  • ukuququda
  • ubuhlungu
  • kubukhali

Ubuhlungu beSomatic buvame ukuhanjiswa endaweni ethile. Ihlala njalo futhi ivuselelwa ukunyakaza. Ubuhlungu okhalweni, ikhanda, nokusikeka esikhunjeni konke kuwela ngaphansi kobuhlungu be-somatic.

Ubuhlungu beSomatic buvame ukuhlukaniswa ngamafomu amabili. Owokuqala, obizwa ngobuhlungu obungasho lutho, wenzeka lapho kwenziwa ukwamukela izinhlungu esikhunjeni, kumafinyila nakulwelwesi lwamafinyila. Okuvamile, ukulimala kwansuku zonke kuvame ukudala ubuhlungu obungabonakali bomzimba.


Uhlobo lwesibili lobuhlungu be-somatic lwaziwa njengobuhlungu obujulile be-somatic. Ubuhlungu obujulile be-somatic benzeka lapho i-stimuli isebenzisa ama-receptors wezinhlungu ajule emzimbeni kufaka phakathi imisipha, amalunga, amathambo nemisipha. Ubuhlungu obujulile be-somatic buvame ukuzwa sengathi "buhlungu" kunobuhlungu obungabonakali bomzimba.

Ngokwengeziwe, ubuhlungu be-somatic bungagcinwa endaweni noma busabalale ezindaweni ezinkulu zomzimba ngokuya ngobukhulu bokulimala.

Ubuhlungu be-visceral

Ubuhlungu be-visceral benzeka lapho kwenziwa izinhlungu ezithweni zesisu, esiswini, esifubeni noma emathunjini. Siba nakho lapho izitho zethu zangaphakathi nezicubu zilimala noma zilimala. Ubuhlungu be-visceral abucaci, abukho endaweni, futhi abuqondakali kahle noma buchazwe ngokucacile. Imvamisa izwa njengokukhama okujulile, ingcindezi, noma ukuqaqanjelwa.

Yiziphi ezinye zezimbangela zohlobo ngalunye lobuhlungu?

Ubuhlungu beSomatic

Ngoba ubuhlungu be-somatic buvela emithonjeni ehlukahlukene, bunezimbangela eziningi ezingaba khona. Lokhu kufaka phakathi:

  • ukulimala okuncane noma okukhulu emajoyintini noma emathanjeni
  • noma yikuphi ukuhlukumezeka noma ukusikwa esikhunjeni
  • ukuwa noma ukushayisana okulimaza izicubu ezixhuma
  • umsipha ocindezelekile ngenxa yokusebenzisa ngokweqile
  • ukuphuka kwethambo
  • izifo ezithinta izicubu ezixhuma njenge-osteoporosis
  • umdlavuza othinta amathambo noma isikhumba
  • isifo samathambo esiholela ekuvuvukeni kwamalunga

Ubuhlungu be-visceral

Ubuhlungu be-visceral benzeka lapho kukhona ukulimala noma ukuphazamiseka ezithweni zangaphakathi nezicubu. Izimbangela zifaka okulandelayo:


  • ukulimala ezithweni zangaphakathi, njenge-gallbladder, amathumbu, isinye, noma izinso
  • ukulimala emisipheni eyinhloko noma odongeni lwesisu
  • ama-spasms emisipheni esemqoka
  • ukugaya i-asidi
  • ezinye izinkinga zokugaya ukudla njengokuqunjelwa
  • izifo ezinhlelweni zokugaya ukudla nezinso
  • izinkinga ezithweni ezithile ezifana namanyikwe noma isibindi
  • umdlavuza othinta izitho zangaphakathi njengomdlavuza wesisu
  • i-endometriosis
  • ubuhlungu bokuya esikhathini
  • ukulimala kwendlala

Izici zobungozi

Ngokuvamile, abesifazane banamathuba amaningi okuzwa zombili izinhlobo zobuhlungu. Lokhu kungenxa yezizathu ezimbili eziyinhloko. Okokuqala, abesifazane ngokuvamile banokuzwela okuphezulu kobuhlungu kunabesilisa. Okwesibili, abesifazane banamathuba aphezulu okuthuthuka kwezimo ezinjengokwaphuka, i-osteoporosis, kanye nezinkinga ngezitho zokuzala ezibangela lezi zinhlobo zobuhlungu.

Izakhi zofuzo nazo zingadlala indima ekuboneni lezi zinhlobo zombili zobuhlungu. Imvamisa, uma unama-receptors amaningi obuhlungu, uzozwa ubuhlungu obuningi. Izimo zezempilo yengqondo ezinjengokudangala kanye nengcindezi zingaba nomthelela ekuboneni okuphezulu kobuhlungu.


Izici ezihambisana nezimo ezithile ezibuhlungu nazo ziyizinto ezinobungozi bezinhlungu. Izibonelo zifaka ukungena kwe-calcium ephansi yezinhlungu ze-somatic ezibangelwa i-osteoporosis nokwanda kokubhema kobuhlungu be-visceral obudalwa ngumdlavuza wesisu.

Kufanele ubone nini udokotela wezinhlungu?

Imvamisa, bobabili ubuhlungu be-somatic kanye ne-visceral buzokwehla ezinsukwini ezimbalwa. Kodwa-ke, uma uzwa ubuhlungu obukhulu noma ubuhlungu obuqhubekayo okungenani isonto, kufanele ubone udokotela wakho. Bazokubuza ngezimpawu zakho, ukuthi buphi ubuhlungu, bubi kangakanani, buvela kaningi kangakanani, nokuthi yini obuthintayo. Lapho ubona udokotela wakho, kubalulekile ukubanikeza imininingwane elandelayo:

  • unobuhlungu obungakanani
  • lapho uqala ukuzwa ubuhlungu
  • ukuqina kobuhlungu
  • lapho uzwa khona ubuhlungu
  • umlando wakho wezokwelapha

Bazobeka izimpawu zakho kumongo womlando wakho wezokwelapha nezinye izinkinga zempilo ongaba nazo. Imvamisa, udokotela uzophinda enze izivivinyo zemigomo njengokuhlaziywa kwebhu kanye nezivivinyo zomzimba.

Ngemuva kokubuyekeza izimpawu zakho nezinye izinto, udokotela uzokunikeza uhlelo lokwelashwa. Lokhu kungafaka ukubona uchwepheshe ozobhekana nomsuka oyimbangela, ofana nodokotela wamathambo wezinhlungu ezihlangene noma i-gastroenterologist yenkinga yesisu. Bangaphinde bancome ukuthi ubonane nodokotela wokulawulwa kobuhlungu.

Ukwelashwa

Ubuhlungu buyinkimbinkimbi futhi buzithoba kakhulu. Ngakho-ke, ukwelapha ubuhlungu kungaba yinto ekhohlisayo kancane. Odokotela baphatha bobabili ubuhlungu be-somatic kanye ne-visceral ngokubhekana nezimbangela eziyimbangela zobuhlungu. Isibonelo, uma umuntu enesifo samathambo, udokotela angahle anikeze omunye wemithi eminingi yokwehlisa izimpawu.

Ubuhlungu beSomatic

Odokotela bavame ukusebenzisa izidakamizwa ukwelapha ubuhlungu be-somatic. Imithi ongayithenga ongayithatha ifaka phakathi:

  • Ama-NSAID, afana ne-aspirin, naproxen (Aleve), ne-ibuprofen (Advil)
  • i-acetaminophen (iTylenol)

Izinhlobo ezinzima kakhulu zobuhlungu zingelashwa kusetshenziswa imishanguzo kadokotela. Udokotela wakho angakunikeza imithi efana nale:

  • baclofen
  • i-cyclobenzaprine (Flexeril)
  • metaxalone
  • ama-opioid, kufaka phakathi i-hydrocodone ne-oxycodone

Kubalulekile ukuthi uyiqaphele le mithi ngoba iyalutha. Odokotela, ikakhulukazi ama-orthopedists kanye nama-rheumatologists, bangasebenzisa imijovo ukuphatha izinhlungu emalungeni nasemathanjeni.

Ubuhlungu be-visceral

Odokotela kwesinye isikhathi basebenzisa imishanguzo ebuyisa izinhlungu ukwelapha nobuhlungu be-visceral. Kodwa-ke, ngoba ubuhlungu be-visceral abuchaziwe kangako futhi busakazeka kakhulu, kunzima ukukhomba umuthi ngqo ozosiza. Ngokwengeziwe, eminye imishanguzo efana nama-NSAID ingadala izingqinamba zesisu. Njengoba abacwaningi befunda kabanzi ngobuhlungu be-visceral, kuzokwakhiwa izindlela ezintsha zokubelapha.

Izinguquko zendlela yokuphila

Imithi nokwelapha umthombo oyisisekelo wezinhlungu akuyona ukuphela kwendlela yokuphatha izimpawu zobuhlungu. Imvamisa, ungabhangqa izindlela zokwelashwa zendabuko ngalezi zinguquko ezilandelayo zokuphila ukuphatha izinhlungu:

  • ukwenza imisebenzi yokuphumula
  • ukudla okunomsoco, ikakhulukazi ubuhlungu be-visceral
  • i-yoga
  • ukuzindla
  • tai chi
  • ukwelashwa ngokomzimba
  • ukugcina incwadi lapho ungaveza khona imicabango yakho
  • ukuvivinya umzimba okunomthelela ophansi, njengokubhukuda nokuhamba ngezinyawo
  • ukuvivinya umzimba ngamandla amakhulu (ngemikhawulo efanelekile)
  • ukwelashwa kokuziphatha
  • ukulala ngokwanele
  • ukunciphisa noma ukuyeka ukubhema nokuphuza
  • ukuthena (ngobufakazi obuhlanganisiwe)
  • Ukwelashwa kwe-osteopathic manipulation (OMT)

Khumbula: kubalulekile ukubuza nodokotela wakho ngaphambi kokuhlanganyela kweminye yale misebenzi. Isibonelo, uma unezinhlungu zamadolo ezibangelwa ukulimala, okunye ukuzivocavoca kungahle kungabi ukuhlakanipha.

Umbono

Ubuhlungu obuningi be-visceral ne-somatic abubi kakhulu futhi buzophela ezinsukwini ezimbalwa. Uma ubuhlungu bakho bukhulu futhi buqhubeka, kufanele ubone udokotela. Bazokwazi ukukunikeza uhlelo lokwelashwa olwehlisa ubuhlungu ngokubelapha bobabili imbangela kanye nokunciphisa ngqo ukuzwa kobuhlungu. Ngokwengeziwe, ungangezela ukwelashwa kukadokotela wakho ngezindlela ezahlukahlukene zasekhaya, ucabanga ukuthi ayinayo imiphumela emibi empilweni yakho.

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