Amathrendi wamanje ku-Chronic Pain Management

Ukubuka kabanzi kwezindlela zakamuva ezitholakalayo zokwelapha ubuhlungu obungapheli

Ngokusho kwe-American Chronic Pain Association, incazelo elula yokuhlunguphazeka okungapheli "ubuhlungu obuqhubekayo uma kungadingeki." Ngaphandle kokwazi noma ukukwazi ukuphatha imbangela eyinhloko, ochwepheshe bezokwelapha kumele baphenduke kwezinye izindlela zokwelapha lobu buhlungu ukuze banikeze elinye izinga lokuphumula iziguli zabo.

Ngaphezu kwemithi eminingi eyaziwayo, eyakhiwe, njengezidakamizwa ezingekho-narcotic (i-acetaminophen, i- aspirin ne-ibuprofen , isibonelo) nemishanguzo yezinambuzane (njenge- morphine ne- methadone ), kunezindlela eziningana ezisanda kusetshenziselwa ukwelapha ubuhlungu obungapheli, amazinga ahlukene ephumelelayo.

Enye yokwelashwa okunjalo isebenzisa i- transcutaneous electrical nerve stimulation (TENS) idivaysi, ehambisa amancane kagesi esikhumbeni esizungezile indawo noma ubuhlungu . Nakuba kucatshangwa ukuthi kuphephile, ukuphumelela kwe-TENS ekwelapheni ubuhlungu obungapheli kusengaphansi kwengxabano, kodwa kuye kwasiza iziguli ezithile. Umkhiqizo obizwa ngokuthi i-Quell iyinqaba ye-electrode, efana neyunithi ye-TENS, ithumela amasignali kagesi "okuvuselela amaqoqo anamandla amancane adala izindlela zokuphumula ezibuhlungu emzimbeni."

Nakuba kungesona indlela entsha, ukusebenzisa inambuzane ngezinhloso zezokwelapha ezifana nokuhlushwa kobuhlungu kuhlale kubonakala njengamabhilidi ukugunyaza ukusetshenziswa kwayo ngaphambi kokuba izifundazwe ziqhubeke nokuqhubeka. Okwamanje, izifunda ezingu-16 zivumela ukusetshenziswa komshuwalense wezokwelapha, nakuba kuqhubeka kuvinjelwe ezingeni likahulumeni. Izinzuzo zesikhathi eside zezinambuzane ezibuhlungu obungapheli aziziwa ngenxa yokuntuleka kocwaningo lwesayensi.

Ukugqugquzela umgogodla we-spinal (SCS) kuhilela ukufakela idivayisi encane ngaphansi kwesikhumba okudala imishanguzo encane kagesi eduze nomgogodla . Ngezinye izikhathi kubizwe ngokuthi "ubuhlungu be-pacemaker," amadivayisi we-SCS manje angasebenza ngokulawula okukude, okuvumela isiguli ukuba silungise izinga lamasignali kagesi ngokuphendula ubuhlungu obandayo noma obunciphisa.

Njengomshini we-TENS okukhulunywe ngaye ekuqaleni, noma kunjalo, ukusebenza kwe-spinal cord stimulation kusengaphansi kokucwaninga nokufakwa kwala madivaysi abizayo kudinga ukuhlolwa okujulile kwabantu ngabanye ngezinhlobo ezithile zobuhlungu ekwandiseni amathuba okuphumelela.

Ngokungafani nedivayisi ye-SCS, "ipompo lobuhlungu" noma " ipompo yezidakamizwa " idivayisi efakwe ngaphansi kwesikhumba kodwa leyunithi ihlinzeka imithi ngokuqondile emthonjeni ozungeze intambo yomgogodla . Ukusetshenziswa kwepompo lobuhlungu akusiyo yonke indawo ngenxa yezindleko ezihilelekile, kodwa kwezinye iziguli, lezi zixhobo ziye zafakazela ukuthi ziphumelele ngoba inani lemithi edingekayo liphansi, elinganciphisa imiphumela emibi eyenziwa namanye amasu okuletha izidakamizwa.

Ukwelashwa okungahambisani nalokho okubuhlungu okungapheli kuye kwanda kakhulu eminyakeni engamashumi amabili edlule ngenxa yokwamukelwa okukhulayo kwezindlela zokwelapha ezingavamile, ezifana nezindleko ze-herbal, i-yoga, ukuzindla, njll. Lezi zinqubo ezihlukahlukene zibizwa ngokuthi yi-CAM, noma i- complementary and alternative imithi . Ngamafuphi, inqubo ehambisanayo izosetshenziswa kanye nezinye izinhlungu zokulawula ubuhlungu, kanti enye indlela isetshenziselwa indawo yenye uhlobo yokwelapha.

Uhlu lwezinhlobo zokwelapha lwe-CAM lude, kodwa luhlanganisa ukwelapha ukusikhipha, ukukhwabanisa, i-hypnosis, i-magnetic therapy, i-tai chi, nezithako ze-herbal noma zokudla , ukubiza amagama ambalwa. Nakuba ezinye zalezi zinqubo kanye nemikhiqizo zingase zingabi nokucwaninga okuphawulekayo kwesayensi ukufakazela ukusebenza kwazo, kubalulekile ukukhumbula izinto ezimbili. Okokuqala, ezinye zezokwelapha ezisetshenziselwa ukwelashwa okuvamile, njengokunakekelwa kwe-chiropractic kanye nezithako ze-herbal, zazikhona ngaphandle kwemithi ejwayelekile isikhathi eside. Okubaluleke nakakhulu, abantu abaningi ababhekene nobuhlungu obungapheli baye bathola ukukhululeka okuthile.

Imithombo:
"Ukwelashwa Okungapheli Kwamaphutha: Ukwelapha Okusha." www.webmd.com .

UJeanie Lerche Davis. Ibuyiselwe ngoJulayi 30, 2012. http://www.webmd.com/pain-management/features/chronic-pain-relief-new-treatments

"I-ACPA Isiqondiso Sokuthola Imithi Yokwelashwa Okungapheli Nezokwelapha, Edition ka-2012." www.theacpa.org . I-American Chronic Pain Association. Ibuyiswe ngomhla ka-Agasti 1, 2012. http://www.theacpa.org/uploads/ACPA_Resource_Guide_2012_Update%20031912.pdf