Konke Okufanele Ukwazi Ngomuthi Osebenzayo

-Delile

• Uyini umuthi osebenzayo?
• Umuthi osebenzayo usiphatha kanjani isifo?
• Ubani umuthi osebenzayo ofanele?
• Ingabe indawo yomuthi ojwayelekile?
• Buyekeza kwe-

Amakhambi emvelo neminye imithi akuyona into entsha, kodwa aya ngokuya eduma. Emashumini ambalwa edlule, abantu kungenzeka ukuthi babecabanga ukuthi ukutshopa, ukupheka, kanye ne-aromatherapy kwakuyi-kooky encane, kepha ngokuya ngokuya, abantu bayazama-futhi babona imiphumela. Manje, kukhona ukwanda kwentshisekelo emithini esebenzayo, indlela yokucabanga ngempilo ehluke kakhulu kulokho udokotela wakho wamanje angase akwenze. (BTW, nanka amafutha ayisikhombisa abalulekile anezinzuzo ezinkulu zezempilo.)

Uyini umuthi osebenzayo?

Umuthi osebenzayo ufana ncamashi nokuthi uzwakala kanjani: Ugxile ekutheni umzimba wakho unjani imisebenzi futhi kwenziwa yizo zonke izinhlobo zodokotela, kusukela ku-M.D.s kanye ne-D.O.s kuya kuma-chiropractors kanye ne-naturopaths. "Kusibheka sonke njengabahlukile; ngokwezakhi nangokwemvelo kwamakhemikhali ahlukile," kusho uPolina Karmazin, M.D., ongudokotela odidiyelwe eVorhees, NJ, ogxile ekuhlinzekeni i-acupuncture nokulawula izinhlungu ngokuphelele.

Akukho ukwelashwa okulingana nosayizi owodwa emithini esebenzayo, ngakho-ke esikhundleni sokuya ngokushesha ekwelashweni okuvame kakhulu ukuthola izimpawu ezithile, odokotela bazohlala bebheka ngokujulile isithombe esikhulu sempilo yakho ngaphambi kokuncoma ukwelashwa. "Ochwepheshe abasebenza ngemithi bachitha isikhathi neziguli zabo, belalela umlando wabo futhi babheka ukuxhumana phakathi kwezakhi zofuzo, ezemvelo, nezindlela zokuphila ezingathonya impilo yesikhathi eside kanye nezifo eziyinkimbinkimbi, ezingamahlalakhona," kusho uDkt Karmazin.

Umuthi osebenzayo usiphatha kanjani isifo?

Odokotela bemithi abasebenzayo basebenzisa izinhlobo ezahlukahlukene zokuhlola ukunquma ukuthi iziphi izinhlobo zokwelashwa abangazisebenzisa, kusuka egazini lendabuko, umchamo, nokuhlolwa kwendle kuya ekuhlolweni kwamathe kwe-DNA. Uma uvakashela eyodwa, bazochitha isikhathi nawe benquma ukuthi iziphi izivivinyo ezifanele (uma zikhona), futhi bazokubuza imibuzo eminingi enemininingwane ngomlando wakho wezempilo nowezokwelapha.

Lapho nje udokotela wakho ethathe isinqumo ngenqubo yokwelashwa, akunakwenzeka ukuthi kuzobandakanya ukugcwalisa incwadi kadokotela - noma ngabe ubona udokotela ongakunika umuthi, njenge-MD noma i-DO. ogxile kwezokwelapha okusebenzayo. "Ukwelashwa kokudla okunomsoco, ukushintshwa kwamahomoni, amavithamini e-IV, nokuguqulwa kwendlela yokuphila komuntu siqu yizindawo ezingase ziqondiswe ukuze kuthuthukiswe imiphumela yesiguli," kuphawula u-Taz Bhatia, M.D., noma "Dr. Taz", umbhali wezincwadi ISuper Woman Rx, udokotela osebenzayo osebenza e-Atlanta.

Ngenkathi kunokufana okuthile phakathi kwezindlela zokwelashwa ezivamile nezisebenzayo odokotela abancomayo (ukunciphisa ukucindezeleka, ukuzivocavoca umzimba ngokwengeziwe, nokudla okunempilo), kunomehluko obalulekile. "Umuthi osebenzayo usebenzisa izindlela zokwelapha eziningana ezingavamisile ukunconywa udokotela wakho ojwayelekile," kuchaza uJosh Ax, D.N.M., D.C., C.N.S., umbhali Idla Ukungcola kanye nomsunguli we-Ancient Nutrition. "Lokhu kufaka phakathi izithako zokudla (kufaka phakathi owoyela ababalulekile), i-acupuncture, i-hyperbaric chamber, ukwelashwa kwe-chelation, izinguquko endleleni yokuphila, imikhuba ekhulula izingcindezi efana ne-yoga noma ukunakekelwa kwe-chiropractic, ukuzivocavoca umzimba, izindlela zokukhipha ubuthi emzimbeni, nokuningi."

Akuzona zonke lezi zindlela zokwelashwa ezisekelwa ngokuphelele ngocwaningo (yize i-yoga, ukuzivocavoca umzimba, nokudla okunempilo ngokuqinisekile kunjalo), kepha kunengqondo eqondakalayo yokuzama ezinye izindlela. “Nakuba ucwaningo lulinganiselwe kwezinye izindlela zokwelapha, lezi zindlela zokwelashwa zivame ukukhethwa ngenxa yengcebo enkulu yobufakazi obungajwayelekile obusekela izinzuzo ezingaba khona,” kusho uDkt. Axe. "Ukwengeza kulokho iqiniso lokuthi abaningi babo bafika bengenazo ingozi encane yemiphumela emibi, futhi akunzima ukubona ukuthi kungani labo dokotela behlose ukuqhela emithini kadokotela lapho izinketho ezingenabungozi zingatholakala." Sekukonke, umuthi osebenzayo uhlose ukunciphisa ukuthembela kwesiguli emithini. (Uma kungekho okunye, lesi simo sokulwa ne-Rx siyimpikiswano yokusiza ukuqeda ubhadane lwe-opioid eMelika.)

Ungalindela nokuthi ubhekisise indlela odla ngayo. Idokodo lakho lizovame ukuncoma izinguquko zokudla kuzo zombili izingqinamba zokuphatha onazo manje kanye nokuvimbela ezinye izinkinga zezempilo ezansi nomgwaqo. “Siyazi ukuthi ukudla kungumuthi,” kusho uDkt Ax. "Akukho ukuzivikela okungcono ekuthuthukiseni izifo kunokondla umzimba wakho okunikeza ukuphila, ukunciphisa ukuvuvukala, nokucindezeleka okwenziwe nge-oxidative-ukuqeda ukudla."

Kuyiqiniso ukuthi okudlayo kuthinta amathumbu akho, futhi impilo ye-microbiome yakho (ama-microorganisms ahlala emathunjini akho) iye yaxhunyaniswa nezimo eziningana, kusukela kumdlavuza webele kuya nesifo senhliziyo. Lesi futhi ngesinye sezizathu ezinkulu zokuthi ama-antibiotic akuyona indlela ethandwayo yokwelashwa emithini esebenzayo. Noma kwesinye isikhathi kudingekile, baziwa ngokuxubana ne-microbiome yakho. (Qaphela: Isikhumba sakho sine-microbiome. Nakhu konke odinga ukukwazi ngakho.)

Ubani umuthi osebenzayo ofanele?

Odokotela abasebenza ngemithi bathi wonke umuntu angazuza endleleni asebenza ngayo, futhi lokhu kuyiqiniso ikakhulukazi uma unentshisekelo ekuvikeleni izifo noma ekwelapheni okuthile okungalapheki. “Umphakathi wethu ubhekene nokwanda okukhulu kwenani labantu abahlushwa izifo eziyinkimbinkimbi, ezingalapheki, njengesifo sikashukela, isifo senhliziyo, ukugula ngengqondo, nokuphazamiseka kokuzivikela komzimba njenge-rheumatoid arthritis,” kusho uDkt. Karmazin. "Indlela yokwelapha esebenzayo iphumelela kakhulu ekutholeni imbangela yalezi zimo kunemithi evamile."

UDkt Ax uyavuma, ethi umuthi osebenzayo ungasiza ikakhulukazi ezifweni ezizimele, kanye nezinkinga ezihlobene ne-hormone njenge-PCOS. “Izifo eziningi zanamuhla zigxile ekudleni nasekondleni futhi ziqala emathunjini,” usho kanje. "Izifo eziningi zomzimba ziqala ngamathumbu avuzayo nokuvuvukala okungapheli."

Nakuba kunobufakazi obuncane bokuthi lokhu kuyiqiniso, akubona bonke odokotela bemithi evamile abavumayo. Eqinisweni, abanye odokotela abavamile banquma hhayi ebhodini nefilosofi yezokwelapha esebenzayo noma izindlela ezizisebenzisayo. Njenganoma iyiphi enye isayensi, umuthi ojwayelekile unamaphutha, ngokusho kukaStuart Spitalnic, MD, udokotela wezokwelapha eziphuthumayo eNewport, RI kanye nomsizi kaprofesa wezokwelapha wezokwelapha eziphuthumayo eBrown University. Inkinga, uthi, ukuthi ngezinye izikhathi abantu bazimisele kancane ukusebenzisa umphumela we-placebo lapho bezama ukuvala isikhala esishiywe ukushiyeka kwemithi yendabuko. Nakuba kungebona bonke odokotela bemithi evamile abazizwa ngale ndlela, akuwona umbono ongajwayelekile phakathi kwalabo abaye baqeqeshelwa ukwelapha ngokwesiko.

Kodwa nansi iphuzu eliyinhloko njengoba odokotela abasebenza ngemithi bekubona: "Izidakamizwa azikwazi ukudala impilo uma kungekho ukukhetha okunempilo kokudla nezindlela zokuphila," kusho uDkt. Karmazin.

Ingabe indawo yomuthi ojwayelekile?

Ungahle uzibuze ukuthi ngabe udinga ukubona bobabili yini udokotela osebenzayo futhi udokotela ojwayelekile ukuthi zonke izisekelo zakho zimbozwe. Impendulo? Kuya ngesimo. "Ezimweni eziningi, lezi zinhlobo ezimbili zemithi ziyazisondeza ngqo," kusho uDkt Ax. "Kuphakathi kokuthi uzosebenzisa umuthi ojwayelekile noma uzosebenzisa umuthi osebenzayo." It kuyinto kungenzeka ukuthi lezi zindlela ezimbili zihlangane, noma kunjalo. "Kunabanye odokotela abathatha indlela yokuhlanganisa futhi bazosebenzisa amakhambi emvelo amaningi kuze kube yilapho bezwa ukuthi imithi ethile iyadingeka isikhathi esifushane," uyanezela.

Srini Pillay, MD, udokotela wezifo zengqondo waseHarvard nombhali we I-Tinker Dabble Doodle Zama: Vula Amandla Omqondo Ongagxilile, ungomunye wodokotela abanjalo. "Ngombono wami, kokubili imithi ejwayelekile kanye nemithi esebenzayo inikeza izinzuzo. Noma yisiphi isiguli esibona noma yiluphi uhlobo lodokotela kufanele sifune ukuthunyelwa kolunye uhlobo lodokotela ukuze siqonde ukuthi indlela ngayinye ingabathinta kanjani," uphakamisa.

UDkt Pillay uphawula ukuthi esinye seziguli sakhe sisanda kuba neParkinson's, futhi njengoba yena noma udokotela wezinzwa (bobabili odokotela abavamile) bengabachwepheshe ekuguqulweni kokudla kwalesi simo, bancoma ukuthi abone udokotela osebenzayo ukuze athole eminye imininingwane kule ndawo. Lokho akusho ukuthi, nokho, ukuthi kunconyiwe ukuthi lesi siguli siyeke ukuthatha umuthi ngesimo saso.

UDkt Pillay uphinde eluleke ukubuza imibuzo nganoma yikuphi ukwelashwa okunconywe noma yiluphi uhlobo lodokotela, yize eminingi yale mibuzo ibaluleke kakhulu kwezokwelapha ezingaxhasi ocwaningweni. "Ezimweni ezahlukahlukene, kukhona amazinga ahlukene obufakazi kuzo zombili izindlela zokwelapha ezivamile nezisebenzayo. Buza zombili lezi zinhlobo zodokotela, 'Libuphi ubufakazi obukhona bokuthi lolu hlobo lwezokwelapha lusebenza?' Uyaphakamisa. Kungasiza futhi ukubuza ukuthi zingaki iziguli ezifana nawe abazelaphile nokuthi hlobo luni lwempumelelo abaye baba nalo ngokwelashwa abakukhuthazayo. Okokugcina, buza njalo ngemiphumela engemihle, noma ngabe bancomile into esezingeni elifanele njengokubona udokotela we-chiropractor, uhlobo oluthile lokubhucunga, noma ngisho nemithi elwa namagciwane (okuvela kudokotela ovamile, kunjalo), ukuze uqiniseke ukuthi unalo lonke ulwazi.

Noma kunjalo, ochwepheshe bathi noma iyiphi inkinga yezokwelapha ephuthumayo kufanele yelashwe ngemithi ejwayelekile. "Ngicabanga ukuthi noma yikuphi ukuhlinzwa okunamandla-ukuhlinzwa, ukuhlukumezeka, ukutheleleka okwandayo-kudinga indlela evamile, nakuba imithi ehlanganisayo nesebenzayo ingasekela," kusho uDkt. Bhatia. Ngamanye amagama, umuthi osebenzayo ungakusiza ukubhekana nokuvinjelwa, izifo eziqhubekayo, kanye nemiphumela yezenzakalo ezibucayi kakhulu zezokwelapha, kepha uma uhlaselwa yisifo senhliziyo, sicela uye esibhedlela.

Buyekeza kwe-