Ungabelapha kanjani ubuhlungu obungapheli: imithi, izindlela zokwelashwa nokuhlinzwa

-Delile

• Yiziphi izinketho zokwelashwa
• 1. Amakhambi ezinhlungu
• 2. Ezinye izindlela zokwelapha
• 3. Ukuhlinzwa
• Yini ebangela ubuhlungu obungapheli

Ubuhlungu obungapheli, okubuhlungu obudlula izinyanga ezingaphezu kwezintathu, bungaqedwa ngemithi efaka ama-analgesics, ama-anti-inflammatories, ama-relaxant emisipha noma ama-anti-depressants ngokwesibonelo, okumele aqondiswe ngudokotela. Ngaphezu kwalokho, uma kungubuhlungu okunzima ukubuthuthukisa, kungadingeka ukwengeza amanani noma ukusebenzisa amakhambi anamandla kakhulu, njenge-opioid, ukulungisa ngokwezidingo zomuntu ngamunye.

Kodwa-ke, indlela engcono kakhulu yokwelapha lolu hlobo lobuhlungu inezinye izindlela eziqondiswe embangela, ngemuva kokuthi udokotela enqume ukuthi yini ebangela izimpawu, kungaba i-arthrosis yomgogodla, i-disc ye-herniated, i-arthritis, i-fibromyalgia, i-herpes zoster noma i-compression ye-sciatic nerve , Ngokwesibonelo. Ngakho-ke, ngaphezu kwemithi, ukwelashwa okufana ne-physiotherapy, i-acupuncture, i-radiofrequency, ukuhlinzwa noma ukwelulekwa ngokwengqondo kungadingeka.

Ubuhlungu obungapheli bungavela kunoma iyiphi ingxenye yomzimba, futhi bukhombisa ukuthi kukhona uhlobo oluthile lokulimala noma ukulimala kwezicubu noma izinzwa zomzimba, futhi kungathonywa nezinkinga zemizwa, njengoba izimo ezinjengokukhathazeka nokudangala zibalulekile ukuqina kobuhlungu nobude besikhathi. Funda kabanzi mayelana nokuthi buyini ubuhlungu obungapheli nezinhlobo.

Yiziphi izinketho zokwelashwa

Ukwelashwa kobuhlungu obungamahlalakhona kukodwa, kuqondiswa ngokuya ngezidingo zomuntu ngamunye, futhi kungenziwa ngudokotela ojwayelekile noma, ezimweni eziyinkimbinkimbi ngokwengeziwe, ngodokotela abangochwepheshe abasezinhlungwini. Izinhlobo eziyinhloko zokwelashwa zifaka:

1. Amakhambi ezinhlungu

Ngokwe-World Health Organisation, ukwelapha izinhlungu ezingapheli zanoma yiluphi uhlobo, udokotela kufanele akhethe imithi ngezinyathelo, okungukuthi, ukuthuthuka kuzanywa ngemithi ebuthakathaka, futhi umthamo noma amandla omuthi angakhuphuka ngokuya ngesidingo . Izinyathelo zokuphathwa kobuhlungu yilezi:

Lapho ubuhlungu buqala ohlelweni lwezinzwa, obizwa ngokuthi yi-neuropathic pain, ukwelashwa kusekelwe ikakhulu emithini ephazamisa lo mkhakha, njenge-tricyclic antidepressants, efana ne-Amitriptyline noma i-Nortriptyline, ne-Antiepileptics, efana neCarbamazepine, iGabapentin nePregabalin, kusukela amaphilisi ezinhlungu nama-opioid awanamphumela omuhle kakhulu futhi abekelwe lapho ubuhlungu bungathuthuki ngezinketho zangaphambilini.

2. Ezinye izindlela zokwelapha

Ezinye izindlela zokwelashwa ziyizindlela ezinhle kakhulu zokwenza ngcono ukubona komzimba, ukuqeda ukungezwani kanye nokugqugquzela ukwesaba, okunethonya elikhulu ebuhlungwini. Ezinye izinketho yilezi:

• Ukwelashwa kokuziphatha kwengqondo, indlela yokwelashwa kwengqondo, engasiza kakhulu ekwelapheni izinhlungu ngokujwayelekile, ikakhulukazi ekwelapheni izimo zokudangala nokukhathazeka;
• Ukubhucungwa, uhlobo oluhle kakhulu lokwelashwa, ikakhulukazi izinhlungu zemisipha ezihambisana nezinkontileka nokungezwani;
• Ukuthonga nokufaka isithungo, iyindlela enhle yokuqeda ubuhlungu be-myofascial, obuhambisana nezinkontileka, i-osteoarthritis nezinye izinhlungu zemisipha engapheli
• Imisebenzi yomzimba, okwenziwa njalo, okungenani kathathu ngesonto, kuyasiza kakhulu ukudambisa izinhlobo eziningana zobuhlungu obungapheli;
• Amasu okuphumula ukunciphisa ukuncipha kanye nokwenza ngcono ukuzibona komzimba;
• I-Physiotherapy, ngosizo lokushisa lwasendaweni noma ukuvuselela ukunyakaza, okuwusizo ekuthuthukiseni zonke izinhlobo zobuhlungu.

Njengoba ubuhlungu buthuthuka, udokotela angasusa ezinye izindlela zokwelashwa, ukuze kusetshenziswe imishanguzo embalwa futhi embalwa. Kodwa-ke, ezinye izindlela zokwelashwa zingagcinwa, futhi ziyizindlela ezinhle zokuvimbela ubuhlungu obusha.

3. Ukuhlinzwa

Kunezimo zezinhlungu ezingapheli okunzima ukuzelapha, njengoba zingathuthuki ngamakhambi noma ezinye izindlela zokwelapha. Ngakho-ke, ezinye izinqubo zokuhlinza zingenziwa, ikakhulukazi odokotela bezinzwa, ababulala izinzwa noma odokotela bamathambo, abangalungisa ukukhubazeka kwamathambo noma bavimbe izinzwa ezibangela ubuhlungu. Ezinye izinketho zifaka:

• Imijovo yasendaweni: imishanguzo ejojwayo isetshenziswa ngqo ekuphelelweni kwemizwa, njengokungena kwe-anesthetics kanye ne-corticosteroids noma amabhlogo we-neuromuscular ane-botox, ngokwesibonelo, kungenziwa ngodokotela abafanelekile ukunciphisa ukuzwa kobuhlungu, ukuvuvukala nokuqaqamba kwemisipha, nemiphumela ehlala amasonto kuya izinyanga;
• Imvamisa yomsakazo: kuyindlela yokuhlinza engenasidingo, lapho kusetshenziswa khona into ekhiqiza imisebe ye-radiofrequency yesimanje, ekwaziyo ukudala ukulimala okushisayo noma ukusabela kukagesi okuqeda ukudluliswa kwesisusa esibuhlungu yizinzwa, kubangele ukuthuthuka noma ukuxazululwa kobuhlungu emgogodleni izinyanga ezimbalwa ;
• Ukufakwa kwe-electrode entanjeni yomgogodla: ebizwa nge-neurostimulator, le electrode encane ingafakwa ngemuva komgogodla, ekwazi ukwenza izinto ezikhuthazayo ezivimbela ukwamukelwa kwesikhuthazi sobuhlungu. Ukugqugquzela intambo yomgogodla kuyasiza ekwelapheni izinhlungu ezingapheli zomzimba noma isiqu;
• Ukuhlinzwa: izinqubo zokuhlinzwa ukulungisa izinguquko zokwakheka nokwakheka komgogodla, njengokukhishwa kwama-discs e-herniated, ukulungiswa komsele omncane lapho kudlula khona izinzwa, noma ukulungiswa kwezinguquko emgogodleni kunganciphisa ukulayisha ngokweqile emithanjeni kuqede nobuhlungu.

Ngemuva kokwenza lezi zinqubo, kubalulekile futhi ukugcina ukwelashwa ngezinye izindlela zokwelapha, ikakhulukazi i-physiotherapy, ukuvumela imiphumela ukuthi ibe yinde ngangokunokwenzeka.

Yini ebangela ubuhlungu obungapheli

Naphezu kokungathandeki, ubuhlungu buyisimo esibalulekile sokusinda, ngoba kulapho umzimba uxwayisa ubuchopho ukuthi kukhona okungahambi kahle noma okulimaza umzimba, futhi odinga ukuxazululwa, njengokushiswa noma ukusikwa, ngokwesibonelo.

Kodwa-ke, inkinga iba lapho ubuhlungu buba bungapheli, njengoba kukhombisa ukuthi ukulimala noma ukuvuvukala kuyaqhubeka, ngaphandle kokwelapha okufanele, njengasezigulini ezinjenge-rheumatoid arthritis, i-osteoarthritis, i-fibromyalgia, izinkontileka zemisipha, ukungasebenzi kahle komzimba noma umdlavuza, isibonelo, noma lapho kuba nezinguquko ohlelweni lwezinzwa nemicu yezinzwa.

Noma ngabe ubangelwa yini ubuhlungu, isimo sengqondo somuntu sinethonya elinamandla lokumenza aphikelele futhi angapheli, futhi lokhu kufakazelwa ngoba abantu abacindezelekile nabakhathazekile bavame ukuzwa ubuhlungu obukhulu kunabanye. Ngokuphambene nalokho, abantu abahlupheka ngokomongo wokwaneliseka, njengabantu bezemidlalo ngesikhathi somqhudelwano, ngokwesibonelo, bavame ukukhononda kakhulu ngabo.

Ngakho-ke, kubaluleke kakhulu ukunaka nokunakekela kahle isimo somzwelo, ngoba sinamathonya amaningi emisebenzini ehlukahlukene yomzimba, futhi singadala noma sibe sibi kakhulu izifo, ezibizwa nge-psychosomatics. Thola ukuthi yiziphi izifo ezingaba nezimbangela ezingokomzwelo.