Iziguli Ezihlakaniphile Ziqonde Ukuphikisana Ngaphambi Kokukhetha Ukwelashwa
Zimbalwa izingxabano ezikhona kwezokwelapha zanamuhla njengalezo ezivuselelwe imithi ehambisanayo kanye neyehlukile (CAM). Ngenkathi abanye odokotela neziguli bezamukela futhi basebenzise i-CAM, baze bahlanganise nabo ngemithi yokwelapha ejwayelekile, abanye ochwepheshe, neziguli baphikisana nokuphumelela kwabo, bakholelwa ukuthi kungaba yingozi, baze bacabange ukuthi bangamahlaya noma izenzo zobugebengu.
Empeleni, iqiniso lixhomeke kuloluphi uhlobo lwe-CAM oluxoxwa ngalo.
I-CAM ne-Evidence Based Based Medicine
Omunye umehluko omkhulu phakathi kwe-CAM kanye nemithi ejwayelekile futhi isisekelo sokuphikisana okuningi kungubufakazi, noma ukungabi khona kwayo, ukuthi i-CAM isebenza ngempela ekuthuthukiseni inhlalakahle yesiguli.
Imithi eminingi evamile ihlose ukwenza izincomo ezigulini ezisekelwe ebufakazini obunqwabelene nokuhlolwa kwemitholampilo kanye nokunye ukucwaninga. Iningi lale cwaningo lenziwe ezinyangeni ezivamile, njengezidakamizwa zokwelapha.
Ubufakazi obuncane bufakazela ukuthi ezinye izindlela zokwelashwa zisebenza. Kodwa akukhona ukuthi lezi zindlela zokwelapha azisebenzi. Yilokho kuphela okungazange kwenziwe ucwaningo.
Kungani ukungafani kokucwaninga phakathi kwalezi zindlela ezimbili? Inzuzo.
Iningi ucwaningo lusekelwa izinhlangano ezenzelwe inzuzo njengabakhiqizi bezokwelapha nezidakamizwa ukufakazela ukuthi izidakamizwa noma idivayisi yabo isebenza.
Ngebufakazi, bangathola i-FDA imvume yokuthengisa izidakamizwa noma idivayisi yabo. Ngisho nokucwaninga okwenziwe ezinhlanganweni ezingenzi inzuzo njengamanyuvesi kanye nezikhungo zokwelapha ezifundiswayo kuqhutshwa ikakhulu ngokusebenzisa izibonelelo kanye nezisekelo ezakhiwe izinkampani zenzelwe inzuzo.
Ayikho imali eningi engayenza uma ubufakazi bokuthi imithi ye-CAM iboniswa ukuthi ikhona.
Ngaphezu kwalokho, akukho cwaningo oludingekayo ukufezekisa ukugunyazwa kwe-FDA (bheka ngezansi.) Ngakho-ke, ngaphandle kwemisebenzi yocwaningo lukahulumeni ngokusebenzisa iNational Center for Complementary and Alternative Therapy (ingxenye yamaNational Institutes of Health), ucwaningo alukho nje.
Uma ucwaningo lungekho, khona-ke ukusebenza kahle kwezamakhemikhali ze-CAM akukwazi ukubonakaliswa ngenye indlela noma enye. Mhlawumbe kusebenza. Mhlawumbe akusho. Asikwazi nje. Lokho kusho ukuthi ikakhulukazi sincike ebufakazini bokuthi u-anecdotal.
Kuthiwani Ngobufakazi Be-Anecdotal?
Kwabanye abachwepheshe bezokwelapha abahlanganisayo, neziguli, ubufakazi bokuthi u-anecdot konke okudingekayo ukunquma ukwelashwa kwe-CAM kuyasiza. Azikho izifundo zokufakazela ukuthi isitshalo se-aloe vera isitshalo singanikeza ukuphumula kokushisa, kodwa iningi lethu likhula izitshalo ze-aloe ngenhloso nje. Izithako zemvelo yibhizinisi lezinkulungwane ezigidigidi zama dollar e-United States, kodwa iningi lalawo ma-supplements alikho ubufakazi bokubonisa ukuthi basebenza. Abanye baze babe nobufakazi bokuthi abakwenzi. Kodwa abantu basabathenga.
Abanamahloni bayokutshela ukuthi ukuchitha imali kwi-CAM izithako kanye nemithi yokwelapha kuyinkunkuma yemali. Kungase kube yingozi.
Ukukhetha ukwelashwa kwe-CAM kungabangela ukungqubuzana nemithi yamanje, yokwelapha engabangela izinkinga zokwelashwa ezengeziwe uma zisetshenziselwa ndawonye.
Ukusebenzisa ukwelashwa kwe-CAM endaweni yokwelashwa okuvamile kungasho ukuthuthukiswa empilweni, noma kungase kusho ukufa.
Noma kunjalo, ngisho nale mibiko i-anecdotal. Ubufakazi bokungqubuzana nokufa akusekelwe kwizifundo noma ukuhlolwa kwemitholampilo noma.
Esinye isixwayiso mayelana nobufakazi be-anecdotal. Yisisekelo sokwehluleka kwemithi - isimiso esingekho emthethweni futhi esiyingozi sokuthengisa imithi kubagula abagulayo, abakhubazekile nabafayo abachitha imali yabo emikhiqizweni nasezinkambweni ezingasebenzi, ngoba bafuna ukuphulukiswa kakhulu, futhi banethemba lokuthi noma yini nhlobo kuzobasiza. Ikakhulukazi, i-intanethi igcwele izikhukhula ezizama ukuthengisa imikhiqizo yabo engenamsebenzi, ebiza futhi ngezinye izikhathi eyingozi kanye nokwelapha kulaba bantu.
I-CAM ingadala izinkinga zokuxhumana
Ubufakazi be-anecdot alwanele odokotela abaningi odokotela abavamile. Futhi lokho kuphakamisa enye inkinga, nokuphikisana - ukwethembeka.
Ngezinye izikhathi isiguli senza ukukhetha ngenkolelo elula, esekelwe okungaphezu kwalokho okushiwo omunye umuntu, noma ilebuli abaye bayifunda ebhodleleni lama-supplements, noma ukufunda i-website okungenzeka, noma engenakuyithemba.
Bese-ke, banquma ukuthi udokotela wabo angathukuthela noma azinikeze isinqumo phezu kwabo ngokuthatha leso sengezo noma ukhethe leyo yokwelapha. Ngakho abatshele udokotela. Ukuvimba imininingwane enjalo kungaba yingozi.
Isibonelo, isiguli singase sikholelwe ukuthi ukuthatha isithako esithile kuzokwenza ukuba ubuhlungu bakhe bukhululeke, noma kukhulise umkhuhlane wakhe. Eqinisweni, kungase kungqubuzana nodokotela wakhe udokotela oshiwo, noma kungase kube yinto enqabe ukuzuza kwezidakamizwa (noma ngokuphambene nalokho.) Isibonelo salokhu ukusetshenziswa kwezidakamizwa zesifo se-gastro-reflux (GERD) , okuthiwa i-proton pump i-inhibitors (njenge-Prilosec, Nexium, i-Prevacid, i-Aciphex nabanye), ihlangene namanye ama-supplements we-calcium ethathwe ukuqinisa amathambo namazinyo. Isidakamizwa sikhiphe izinzuzo ze-calcium.
Isiguli esihlakaniphile sinokwethembeka nodokotela wakhe.
I-CAM, Ucwaningo, ne-FDA Izimvume
Enye inkinga enkulu yeziguli nodokotela abafuna ukukhetha ukwelashwa kwe-CAM yilabo abaningi abazange bahambisane nanoma yiluphi uhlobo lwenqubo yokugunyazwa ne-FDA. Izindlela zokwelapha ezijwayelekile zivivinywa ngokuqinile futhi kumele zifake isicelo ku-FDA ukuze zikhishwe futhi zithengiswe emphakathini. Imithi ye-CAM ayidingi imvume ye-FDA.
Njengoba izindlela ze-CAM zingenayo imfuneko efanayo, kunzima ukwahlulela ukuthi ziphephile noma cha.
Kukhona futhi umbuzo mayelana nokusebenzisa igama elithi "yemvelo." Izithako eziningi ze-herbal, ngokwesibonelo, zithi ziyimvelo. Kodwa imvelo futhi ephephile akuyona into efanayo. I-Arsenic iyimvelo futhi iyingozi. Kanjalo i-hemlock, phakathi kwezinye izitshalo eziningi ezinobuthi.
Isiguli esihlakaniphile sizofunda kabanzi mayelana nokuthi lezi zifundo zisebenza kanjani nezimpikiswano ngemuva kokuqoqa ubufakazi.
AbaSebenzi, Imfundo, kanye nelayisense
Esinye sezici ezibalulekile zokukhetha udokotela ofanele ukuhlola iziqu zakhe. Imfundo yezokwelapha, ilayisense yombuso, kanye nesitifiketi sebhodi - lezi ziqinisekiso ezibalulekile ezithuthukisa amathuba ukuthi uzothola iseluleko futhi ulandele ngokudingayo.
Kukhona amathuba okufundisa asemthethweni, kufaka phakathi amadigri nezitifiketi, ezinye (kodwa hhayi zonke) i-CAM iyasondela. Kukhona ukuqeqesha okusemthethweni kwe-chiropractic, ukwelapha ukubhucisa, kanye nodokotela be-naturopathy, isibonelo. Sicela uqaphele, i-naturopath nodokotela we-naturopathy akufani .
Abantu abenza umuthi we-CAM bangase bangadingeki ukuthi bafundiswe noma balayisenswe. Ezinye zikhona. Ezinye azikho. Ngaphandle kokuhlukile (futhi lokho okungafaniyo kuyahluka kusuka esimweni kuya esifundeni) noma ubani angafunda incwadi, athathe inkambo, noma amane nje aphonse isithwathwa ethi kukhona ngudokotela kunoma yiluphi ukwelashwa abakushoyo.
Ukuze uthole ukuthi ngabe ukhetho lwakho oluthile lwe-therapy ludinga ilayisense kumbuso wakho, ungenza usesho lwegama lokwelapha, isimo sakho nelayisense. Isibonelo: "ukukhwabanisa, iTexas, ilayisense." Uma ufunda ukwelashwa kudinga ilayisense, ke qiniseka ukuthi udokotela owukhethayo ulayisensi.
Ngaphambi kokwenza okunye noma ukhetho lwemithi ehambisanayo, qiniseka ukuthi uyaqonda okulandelayo: