Ubuhlungu obubuyela emuva kanye nobuhlungu bentamo buyingqayizivele - kunezivivinyo ezicacile ezikhona ezingakwazi ukulinganisa ngokunembile nokuhlola lokho okuhlangenwe nakho. Futhi amazinga obuhlungu aguquguquka, ngokuhambisana nesikhathi, amandla kanye nekhwalithi, okwenza kube nzima ukusebenzisa izindlela zokuhlola ezihloswe njenge-MRI noma i-CT scan ukuze uthole isithombe sangempela salokho okuhlangenwe nakho ngosuku nosuku.
Kodwa umthwalo omkhulu onakho ekufuneni ukuxilongwa okungaholela ekunakekeleni okufanele ukuchaza ubuhlungu bakho emuva emuva kudokotela wakho ngokucacile. Ngezinye izikhathi lokho kungaba yindlela yobuciko ngokwayo.
Ukuze uzilungiselele zonke izingxoxo ezibalulekile nodokotela wakho, ungase ucabange ukugcina umagazini wezinhlungu zesonto noma amasonto okuholela ekuqokweni. Abantu abaningi abaphila nobuhlungu obuqhubekayo bagcina iphepha lezinkinga zansuku zonke iminyaka, noma ngisho namashumi eminyaka. Yonke ingxenye yengxenye yokuphatha.
Futhi uma usubuciko noma ukubhala, ungafaka injabulo ethile - noma okungenani ukugcwaliseka okuthile - ngokufaka ukusebenzisa amakhono akho ku-journaling yakho.
Ngezansi kuneziqondiso ezimbalwa, okungukuthi, izinto ongabonisa ngazo emaphepheni wakho njengoba ulungiselela ukuqokwa kwakho.
Ukurekhoda Ubunzima Bakho Ubuningi
Kubuhlungu kangakanani? Isisindo sinesilinganiso sokuthi izimbonakaliso zobuhlungu obuzwayo ziqinile kangakanani. Kuwe, isiguli, lokhu cishe yingxenye ebaluleke kakhulu yenkinga.
Ukuze kufezeke lokho, odokotela abaningi bakubuza ukuthi ugcwalise ishadi elibukwayo lenye uhlobo. Ungacelwa ukuba ulinganise ubukhulu bobuhlungu bakho ngenombolo, noma ngokukhetha "ubuso" obonisa ukuthi ubuhlungu bukwenza kanjani uzizwe (Lokhu kubizwa ngokuthi "i-oucher" noma "ebusweni" ishadi.) "Ubuso" Ishadi elidlulayo liphuma ekuthokozeleni nasekwenzeni ukukhala.
Sebenzisa Amagama achaza indlela Ezwayo Ubuhlungu
Ikhwalithi yobuhlungu bakho ingase isho okuthile ngalokho okubangela. Isibonelo, uma uzwa ukushisa, ukugwaza noma ukuzwa kwamandla kagesi phansi komlenze owodwa noma ingalo, kungase kubonise izimpande zomgogodla ezicindezelwe noma ezicasuliwe. (okuthiwa i- radiculopathy .)
Uma ungakwazi ukwandisa isilulumagama esibuhlungu oyisebenzisayo emaphepheni wakho, ungathola ukuthola ukuxhumana nodokotela wakho kulula futhi kunenzuzo kuwe.
Umbuzo We-McGill Pain waseYunivesithi yaseMcGill eCanada uhlinzeka uchungechunge lwamagama achazayo odokotela abathile abazowasebenzisa ukuzama ukuqonda ubuhlungu bakho, kungakhathaliseki ukuthi kuqale inqubo yokuxilonga noma ukulandelela nokulandelela okuhlangenwe nakho. La magama ahlukaniswe ngokwemibuzo emithathu:
- Uzizwa Njani Ubuhlungu Bakho?
- Ubuhlungu Bakho Bushintsha Kanjani Nesikhathi?
- Yeka ukuthi ubuhlungu bakho bunamandla kangakanani?
Isibonelo samazwi avela kuMbuzo we-McGill Pain Questionairre uhlanganisa: Ukufucuza, ukucwenga, ukulinganisa, ukucindezela, ukuphazamisa, ukuphazamisa. Lezi zimbalwa nje, kodwa ngethemba lokuthi uzothola umbono - ngokungazeleleki ungaba ngolulwimi lwakho ngenkathi uligcina ulungile, kungcono ukuthi ukuxhumana kwakho nodokotela wakho kube ngcono.
Indawo Yezinhlungu
Indawo yobuhlungu bakho kungenzeka noma ingabi indawo lapho ubuhlungu buvela khona.
Uma i-nerve ishintshiwe, ubuhlungu bungadlulisa phansi ingalo noma umlenze, njengoba kunjalo ku-sciatica. Uma udale amaphuzu noma olunye ubuhlungu be-myofascial, ungase ubhekane nobuhlungu obukhulunywe ngakho-ubuhlungu obukhona endaweni engabonakali ehlobene nendawo yangempela yenkinga. Ngaphezu kwalokho, ubuhlungu buvame ukutholakala endaweni engaphezu kweyodwa yomzimba.
Ngenxa yalesi sizathu nezinye, abadobi ngokuvamile basebenzisa umdwebo womzimba ukulandelela indawo yobuhlungu njengoba iguqula (noma ingabe) ngokuhamba kwesikhathi. Futhi ekuhlolweni kokuqala, umdwebo womzimba usiza nodokotela wakho noma i-PT ukuba afike ngqo ebhizinisini ngokunikeza isifinyezo esisheshayo somgomo oyinhloko wesikhalazo sakho.
Njengengxenye ye-interview yakho yezokwelapha, udokotela wakho angasebenzisa ulwazi olunikezayo emdwebeni womzimba ukuhlola ukuze uthole imininingwane eyengeziwe.
Amathrekhi wezinhlungu
I-"nini" yezinhlungu zangemuva - uma ifika ngokuzumayo noma kancane kancane, uma ikhona njalo noma ngezinye izikhathi, noma uma kukhona isikhathi esithile sosuku lapho ibonisa ngaso sonke isikhathi - ulwazi olubaluleke kakhulu kudokotela wakho njengoba yena noma uhamba ngenqubo yokuthola ukuxilongwa. Odokotela bahlola izinguquko emaphethini obuhlungu ukuze baqaphe intuthuko yakho futhi bahlale bebheke izinkinga ezintsha. Amaphethini obuhlungu abuza odokotela ukuba banqume isikhathi esihle sokuthatha imithi.
Ngokuqondile, ubuhlungu bungase buhambe, obubizwa ngokuthi ubuhlungu obuphakathi, noma buhlale bukhona kepha ubukhulu bungaba khona. Lokhu kubizwa ubuhlungu obuhlukahlukene.
Abantu abanezinhlungu ezihlukahlukene bangase babhekane nobuhlungu nobuhlungu basemuva. Ubuhlungu bokuhlukumeza yisimo esincane okwesikhashana lapho ubuhlungu bukhulu kakhulu futhi bungase buzuze emithini yemithi noma elinye isu lokuphatha ubuhlungu elibhekiswe ekuhluphekeni okubuhlungu; ubuhlungu basemuva bubucayi obuphansi kepha buhlala njalo.
Kukhona nobuhlungu obuqinile, lapho uhlale ubuhlungu khona, futhi ukuqina kuhlale kufinyelele ezingeni elifanayo.
Lezi yizinhlobo zesikhathi nezinto ezihlobene nokuqina okuzobe zifuna udokotela wakho ukuze akuthole kahle.
Ukuphazamiseka komsebenzi
Ubuhlungu bungaphezu kweqoqo lezinzwa ezingathandeki. Unamandla okuphazamisa imisebenzi yansuku zonke namaphupho okuphila konke. Ubuhlungu besikhathi esidlule bungalimaza ikhono lakho lokwenza umsebenzi nokudlala ukudla, ngisho nokwenza izinto eziyisisekelo ezifana nokukhwehlela nokukhipha.
Izindinganiso zakho nezimo zengqondo zithatha indima ekunqumeni ukuthi ukukhubazeka okuhlangenwe nakho kwakho uma unenkinga yangemva. I-ICSI, iqembu elihlinzeka oqondiswa odokotela ukuphatha ubuhlungu emuva, lifakazela ukuthi ukukhipha amandla emisebenzini yokuzilawula kungabangela ubuhlungu obungapheli ukuqhubeka.
I-ICSI iphinde ifune ukwelapha odokotela ukwazi ukuthi ukuxhaswa kwezenhlalakahle kanye nesimo sezomnotho lapho kufanele ulungise ukuhlala nobuhlungu.
Futhi, ukucabanga kwakho noma ukuzihlola kwakho ngokwazi ukwenza izenzo nemisebenzi kuhlobene kakhulu nokukwazi kwakho ukusebenza. Lokhu kubizwa ngokuthi yi-self-efficacy. Ucwaningo olwanyatheliswa kuyi- European Journal of Pain lwathola ukuthi ama-backitient emuva kokuzikhandla okukhulu ayenokukhubazeka okuncane.
Phakathi nokuhlolwa kwakho, udokotela kufanele abuze imibuzo mayelana nokusebenza kwakho nokuthi ushintshile kanjani kusukela ubuhlungu. Kumele futhi azame ukunquma izinga lobuhlungu obuzwayo ngenkathi ephumula futhi phakathi nemisebenzi.
Izinkinga Zengqondo
Izikhathi eziningi ukucindezeleka kuhambisana nosizi olungapheli. Udokotela wakho kufanele akubuze ukuthi unesifo sokucindezeleka, ukukhathazeka, ukusebenzisa kabi izidakamizwa noma ezinye izinhlobo zezinkinga okwamanje noma esikhathini esidlule; lezi zihloko ziyi-fodder enkulu yokuloba komuntu siqu, futhi.
Ukwelashwa kokuziphatha okunengqondo kuyindlela yokwelashwa yesikhashana esibheke ekuboneni nasekushintsheni amaphethini okucabanga okuletha imiphumela engadingeki empilweni yethu. Ngokuyinhloko, kuwukuthi ukuhlonza nokuphatha izimbangela zakho zobuhlungu. I-CBT ine idumela elihle lokusiza abantu abanezinhlungu ezingemuva emuva ukuze bagweme ukukhubazeka.
Emibhalweni yabo yokuthola imitholampilo ka-2017, i-American College of Physicians batusa kakhulu ukwelashwa kokuziphatha okungaqondakali njengokwelashwa kokuphathwa kwezinhlungu okungezona okwelapha ubuhlungu obuhlungu obukhulu, obuncane futhi obunzima bokubuya emuva.
> Imithombo:
> Woby, SR, Roach, NK, Urmston, M., & Watson, PJ (2007). Ukuhlobana phakathi kwezici zokucabangela kanye namazinga obuhlungu nokukhubazeka ezigulini ezingapheli ezibuhlungu ezibuya emuva ezihlinzeka nge-physiotherapy. I-European Journal of Pain.
> Gould, HJ III, MD, Ph.D. (2007). Ukuqonda ubuhlungu. Saint Paul, MN: Izibalo.
> Melzack, R. (1987). Umbuzo Wezincwadi Ze-McGill Pain esifushane. Ubuhlungu. Agasti 30 (2).
> Qaseem A., et. al. Ukwelapha Okungahambi kahle Kwe-Acute, Subacute, ne-Chronic Low Pain Pain: Umhlahlandlela Wokuzikhandla Emtholampilo Kusuka e-American College of Physicians. U-Ann Intern Med. Ngo-Ephreli 2017. https://www.ncbi.nlm.nih.gov/pubmed/28192789
> I-Institute for Clinical Systems Improvement (ICSI). Ukuhlola nokuphathwa kokubuhlungu okungapheli. Bloomington (MN): Isikhungo se-Clinical Systems Improvement (ICSI); 2005 Nov.