Ukuphathwa kobuhlungu kuyisihloko esibaluleke kakhulu ezigulini zokuhlinzwa. Ngaphambi kokuhlinzwa, iziguli zivame ukukhathazeka ngokuthi izidingo zabo ezibuhlungu ngeke zifinyelelwe futhi zizohlupheka ngokungadingekile ngemuva kwenqubo yabo. Ukuphathwa kobuhlungu beposi ngemuva kokuhlinzwa kumele bathole indawo ephakathi kokuphepha kwesiguli nokunciphisa ubuhlungu ezingeni elifanele futhi elibekezelelekayo ngesikhathi sokuphumula .
Le nqubo ngokuvamile iwumthwalo wesigqila sokuhlinza. Ubuchwepheshe babo kanye nokuhlangenwe nakho kwabo ekwenzeni izinqubo ezithile zibaqondisa ngokuhlinzeka ngokufanele imithi yokwelapha eyanele isiguli esivamile. Ezinye izindawo ezikhethekile, njengezokwelapha esibhedlela kanye ne-anesthhesiology, ngokuvamile zidlala indima ekuphatheni okufanele ubuhlungu kanye. Ukuze isiguli esinenkinga enzima ukuyilawula, ingcweti endaweni yokuphathwa kobuhlungu ingabandakanyeka futhi.
Ukuqonda Ithemu "Ukuphathwa Kwezinhlungu"
Ukuphathwa kwesikhathi sobuhlungu kungasetshenziswa ngezindlela eziningi. Ungase uzwe othile ethi, "sizokwenza ukuphathwa kobuhlungu kuqala lapho uhlala esibhedlela," kusho ukuthi bahlela ukulalelisisa izidingo zakho zobuhlungu. Ungase futhi uzwe, "sizobonisana nokuphathwa kobuhlungu ukusiza ukuphatha ubuhlungu bakho," okusho ukuthi ochwepheshe bezobuhlungu uzocelwa ukuba abambe iqhaza ekunakekeleni kwakho.
Ezinye iziguli zingatshelwa ukuthi zizodinga ukudluliselwa ekulawulweni kobuhlungu, okusho ukuthi bafundiswa ukuba babone ochwepheshe bezinhlungu njengesipiliyoni.
Ubuhlungu obukhulu obuhambisana nokubuhlungu okungapheliyo
Ubuhlungu buhlukaniswa ubuhlungu obukhulu noma ubuhlungu obungapheli . Ubuhlungu obukhulu buchazwe ngezindlela eziningi kodwa ubuhlungu obuvamile obungalindelekile ukuba buhlale ezinyangeni ezingaphezu kwezinyanga eziyisithupha.
Ubuhlungu obukhulu ngokuvamile bufushane futhi lapho ukulimala okuphulukisa ubuhlungu sekuphelile. Umlenze ophukile uyisibonelo esihle kakhulu sobuhlungu obukhulu. Ubuhlungu bukhulu ngesikhathi sokulimala futhi kungase kube nzima ngenkathi ithambo lisetjenziswa, kodwa lenze ngcono uma nje kukhishwe. Ubuhlungu bungase bukhona ngenkathi ithambo liphulukisa, kodwa emva kokukhishwa kuphelile ubuhlungu buphelile noma buphele ngokuphelele.
Ubuhlungu obukhulu bungase kube nobuhlungu bekhanda, amazinyo, noma ubuhlungu umuntu azizwa emasontweni alandela inqubo yokuhlinzwa. Ubuhlungu obukhulu kulindeleke ukuba buhambe, futhi buhambe ngokusheshisa.
Ubuhlungu obungapheliyo ubuhlungu besikhathi eside. Kuyinto ebuhlungu ukuthi kulindeleke ukuthi kube khona izinyanga eziyisithupha noma ngaphezulu, futhi angeke ihambe ngokuphelele. Lokhu kubuhlungu okuzoba yinkinga eqhubekayo futhi kungadinga ukwelashwa kabuhlungu ngumchwepheshe. Kwezinye izimo, ubuhlungu buphela, kungakhathaliseki ukuthi ukwelashwa ngokomzimba, ukuhlinzwa noma ukuthuthukiswa kwesifo esibangela inkinga. Kwabanye, njengeziguli ezihlolwe ngezinhlobo ezithile zobuhlungu , noma ngomdlavuza, kungenzeka kube nokulindela ukuthi ubuhlungu buyobe bubi kakhulu ngokuhamba kwesikhathi.
Yeka ukuthi ubuhlungu obukhulu nobuhlungu obungapheli buphathwa kanjani ngokuhlukile
Ukuphathwa kobuhlungu kushintshile kakhulu eminyakeni embalwa edlule, ikakhulukazi ngenxa yokwanda okukhulu kwesilinganiso sokushona kengozi ngenxa yokudlula izidakamizwa ezidakamizwa kanye namazinga angakaze abe khona okudakwa kwezidakamizwa.
Kwamanye amazwe athi, imiyalelo yemithi yobuhlungu inomkhawulo wezinsuku ezintathu zokuthola imithi uma umuthi ohlinzekwa ngukuhlinzeka ngamagumbi okuphuthumayo. Okulindelekile ukuthi igumbi lokuphuthumayo lizokunikeza imithi eyanele ukuze ikuvumele ukuba wenze i-aphoyintimenti nomhlinzeki wakho oyinhloko wokunakekela noma ochwepheshe.
Isibonelo, asho ukuthi othile uphula umlenze wabo. Umlenze usethe futhi ulayishwe ku-ER. Isiguli sinikezwa umuthi wemithi yemilenze yezinhlungu izinsuku ezintathu, futhi kunikezwe ukuqashwa okumele kulandelelwe nodokotela ohlinzayo wamazinyo ngezinsuku ezintathu. Okulindelekile ukuthi uzogcina ukuqokwa kwakho, futhi udokotela ohlinzayo wamazinyo uzophatha ubuhlungu bakho ngemva kwalokho.
Ubuhlungu obungapheliyo, noma ubuhlungu obude, kufanele bukwekweshwa ngesifo sengqondo. Lokho kusho umhlinzeki wakho oyinhloko wokunakekelwa, isazi sakho sezokwelapha noma isazi sokuphatha ubuhlungu inikeza imithi yakho yobuhlungu. Ngaphandle kokuba ubuhlungu bakho obungapheli bukhuphuke kakhulu futhi udinga ukusizwa ukulawula ukuthi ubuhlungu obusha nokukhuphuka-futhi kungenzeka ukuthi uthola ukuxilongwa okusha noma incazelo yokuthi kungani ubuhlungu bukhula kakhulu-ikamelo eliphuthumayo ngeke lisazimisele ukuhlinzeka ngamasonto noma izinyanga ezidinga ubuhlungu imithi ezikhathini eziningi.
Ukuqonda Isikali Sokubuhlungu
Uma unesihlungu, lindele ukuthi ubuzwe ukuthi ubuhlungu bakho bunjani esikalini sika-0 kuya ku-10. Kwabantwana, isikali esisebenzisa ubuso obudabukisayo nobuso obujabulisayo sisetshenziswa, ikakhulukazi ezinganeni ezingaphansi kweminyaka engu-5.
Ukulinganisa ukulinganisa ubuhlungu be-0 kusho ukuthi awunaso ubuhlungu. Ukulinganisa okulinganiselwe kwesilinganiso se-10 kusho ukuthi unesihlungu esinjalo esingenakuqhathaniswa nokuthi awukwazi ukucabanga ukuthi kungase kube kubi nakakhulu okwamanje. Yiba nempumelelo lapho usebenzisa lesi silinganiso sobuhlungu. Ukusho ukuthi unamahloni ayishumi kwabayishumi uma u-5 ngempela uzwakala njengomqondo omuhle noma indlela yokuthola imithi eminingi yobuhlungu, kodwa abahlengikazi nodokotela bahle kakhulu ekuboneni izimpawu zobuhlungu. Linganisa ubuhlungu bakho 10 kuya kweyishumi ngenkathi uhlezi egumbini eliphuthumayo ekhuluma efonini yakho noma odla isiphuzo kuyindlela enhle kakhulu yokufakazela ukuthi akumelwe uthembeke lapho ubika izinga lakho lobuhlungu. Abantu abanobuhlungu obuyishumi kwengu-10 empeleni bayabuhlungu. Lolu hlobo lobuhlungu ngokuvamile lusho uhambo olusheshayo oluya ekuhlinzekeni noma ku-MRI noma ku-CT scan, ngoba kukhona okungahambi kahle, ngokuvamile kusongela ukuphila.
Uma sicela iziguli ukuba zilinganise ubuhlungu bazo futhi zingitshele ukuthi zinezinhlungu eziyishumi noma eziyishumi, sisho nje ukuthi, "ubuhlungu obuyishumi phakathi kokuyishumi kusho ukuthi buhlungu kakhulu kangangokuthi ubuhlungu bakho abukwenziwe kabi, ukuze Kungcono ukuthi nginqume ____ yakho kunokuqhubeka nokuzwa ubuhlungu lapho. " Ngezinye izikhathi ubuhlungu buyinto engalungile, kodwa iningi lesikhathi isiguli sibonisa ukuthi sisondelene no-5 noma 7. Ukubuhlungu okungama-10 kokungu-10 akuvamile, futhi ngeshwa ngokuvamile kuvame ukuthi isiguli siyagula kakhulu noma silimale futhi kudinga ukuhlinzwa okuphuthumayo njengokuthi "isisu esiswini."
Ubuhlungu Yilokho Okushiwo Isiguli
Ngawo-1990, ifilosofi entsha yokuphathwa kobuhlungu yamukelwa. Abahlengikazi nodokotela bafundiswa ukuthi ubuhlungu buyisibonakaliso sesihlanu esibalulekile nokuthi ubuhlungu yilokho isiguli sithi. Umqondo wukuthi uma isiguli sisho ukuthi ubuhlungu babo babengu-10 kwabayishumi, sizobe sesibaphatha ubuhlungu obuyishumi kwabayishumi. Lolu hlobo lokuphathwa kobuhlungu lwaholela ekunyuseni okuphawulekayo emithini yemithi ebuhlungu eyayimiswe futhi inikezwa iziguli.
Umqondo wanamuhla wokulawulwa ubuhlungu wukuthi ngokuvamile akunakwenzeka noma kungenangqondo iziguli ezithile ukuba zingabi nobuhlungu. Njengamanje, umgomo wokuphatha ubuhlungu obunzima akukona ukususa ubuhlungu kodwa ukuphatha ubuhlungu kuze kube yizinga elibekezelelekayo. Lokhu kusho ukuthi umlenze wakho ophukile uzothatha amasonto emva kokulimala, kodwa ngeke uhlupheke kakhulu. Iningi labantu lithola u-2 kuya ku-3 esikalini sobuhlungu i-acceptable acceptable level of control pain that allows them to go through day, sleep, ukukhwehlela kahle ngokwanele ukugwema i-pneumonia nokusebenza kahle ukuze banakekele izidingo zabo eziyisisekelo.
Ubuhlungu obungapheliyo, lapho kulawulwa kahle, kuvame ukwenza ngenhloso yokuhleleka komsebenzi omuhle kakhulu engqondweni. Isibonelo, ubuhlungu obungapheli obuyisifo sangemuva bungavimbela abantu ukuba basebenze futhi banakekele izidingo zabo zansuku zonke. Umgomo wokuphathwa kwabo ubuhlungu kungase kube ukulawula kahle ubuhlungu ukuze bavumele ukuba babuyele emsebenzini, badle futhi banakekele imisebenzi emakhaya elula njengokugeza izitsha noma ukwenza izingubo zokugeza. Umgomo awukwenzelanga ubuhlungu besiguli, kodwa ukuwavumela ukuba enze imisebenzi ebalulekile yansuku zonke.
Izinjongo Eziyinhloko Ekuphatheni Okufanele Kwezinhlungu Ezibuhlungu Ngemva Kokuhlinzwa
Ukuphathwa kobuhlungu kunemiqondo eminingana eyinhloko esiza isiguli ukuzwa ukulawulwa okuhle kobuhlungu ngengozi ephansi yezinkinga kanye nekhwalithi engcono yokuphila.
- Ungathathi okungaphezu kwalokho okudingayo. Uma ubuhlungu bakho bulawulwa kahle ngemithi yokwelapha, ungathathi imishanguzo enamandla kakhulu. Uma ubuhlungu bakho buphuthumayo, umthamo wakho kufanele wehle noma ungabi njalo.
- Lawula ubuhlungu bakho kahle ukuze usebenze. Ukukwazi ukusebenza ngokuvamile kusho ukukwazi ukuhamba, ukukhwehlela ngokuphumelelayo , nokuqedela imisebenzi elula efana nokudonsa.
- Hlela ubuhlungu obubekezelelekayo, hhayi ubuhlungu be-zero . Akukho ubuhlungu obungenangqondo futhi kungaholela emithini eminingi kakhulu yokwelashwa, okwandisa ingozi yezinkinga ezinzima njengokunciphisa ukuphefumula nokudlula ngokweqile.
- Musa ukwandisa umthamo wakho ngaphandle kwesibusiso sodokotela wakho. Kungase kubonakale njengomqondo omuhle ukuthatha imithi eminingi uma ulimaza okuningi, kodwa izingozi ngokuvamile zidlula imivuzo. Uma imithi yakho yobuhlungu ingayilawuli kahle, buya nodokotela wakho ohlinzayo noma udokotela oyinhloko. Ukuthatha imithi yakho yobuhlungu ngendlela engakaqashiwe kungaholela ezinkingeni ezinkulu ngokuphefumula, ukulutha umlutha nokukhishwa ekunakekeleni udokotela wakho ngokuhluleka ukulandela imithetho.
- Zama ukuthola ukulawula okubuhlungu okuqhubekayo. Isiguli esilinda kuze kube yilapho ubuhlungu babo bungu-8 ukuthatha imithi, bunamazinga obuhlungu obuyi-3 amahora ambalwa, bese uvumela ubuhlungu bubuye bubuyele ku-8 ngaphambi kokuthatha imithi eminingi kuyoba nesikhathi esinzima nakakhulu ngokuphathwa kobuhlungu kunomuntu osebenzela ukugcina ubuhlungu bakhe ngo-4-5 ngezikhathi zonke.
- Vimbela noma ulindele imiphumela emibi . Ukuqokwa kuyimpembelelo eyaziwa kakhulu yamayeza e-opioid futhi kungabangela ukungahambi kahle noma ubuhlungu obuqotho futhi kungavinjelwa nezithambile zesitembu kanye nokutholakala kwamanzi amaningi. Imithi yokwelapha ingabangela ukulala, ngakho-ke ungalindeli ukushayela ngemuva kokuphuza imithi. Ukulungiselela lezi zinhlobo zezinkinga kungathuthukisa ikhwalithi yakho yokuphila futhi kuvimbele izinkinga ezengeziwe.
Uma isimiso sakho sokumiswa esinqunyiwe sinezinsuku eziyisi-3 ukuya ku-5 kuya kwezingu-8 kuya ku-3 ngosuku, kungase kudingeke ukhulume nodokotela wakho ngokuphathelene nokuphindwa kaningi. Ungase ungadingi i-dose ephakeme, kodwa udoti oluthe xaxa.
Ezinye izindlela zokwelashwa kwemithi yokwelashwa
Lapho abantu bacabanga ngokuphathwa kobuhlungu, bavame ukucabanga ngemithi yokwelapha imithi. Imithi ye-prescription ingenye yezindlela eziningi ubuhlungu obungaphathwa nsuku zonke, kungakhathaliseki ukuthi ubuhlungu buyinto enzima noma engavamile.
Ngenkathi imithi yokuphuza imithi iyingxenye ebalulekile yokuphathwa kobuhlungu, abahlinzeki abaningi abahlinzeka ubuhlungu bezobuchwepheshe basebenzisa izinhlobo eziningi zokuphumula ubuhlungu ukuze basize iziguli zabo zisebenze.
Kunezinqubo eziningi ezihloswe ukusiza ukunciphisa ubuhlungu, futhi ngokuvamile izinguquko ezilula ekudleni, ekuzivocavoca umzimba, ekwelapheni ngokomzimba, phezu kwemithi yokusetshenziswa kwemithi kanye nokunye ukungenelela kunganikeza ukuphumula okuphumelelayo kobuhlungu.
Amazwi ambalwa mayelana nokulutha kwemithi yokwelashwa
Uma imithi ebuhlungu isetshenziswa kahle, izingozi zokulutha umlutha ziphansi. Kunezinhlobo ezimbili zokulutha: ngokomzimba nangokomzwelo. Ukulutha komzimba kwenzeka uma umzimba wakho ujwayele imithi ngemva kokuthatha isikhathi eside. Lokhu kuvame ukuyiqiniso ngeziguli ezinokuhlupheka okungapheli futhi zithatha imishanguzo yazo njengoba kunqunywe futhi kuvamile uma uthatha imithi yobuhlungu izinyanga noma ngisho neminyaka. Kulaba bantu, nini futhi uma bekwazi ukuyeka ukuphuza imithi yabo, kuvame ukwehla izinsuku ezingaphezulu noma amasonto ukuvimbela ukuhoxiswa.
Ukulutha komzwelo kwenzeka uma umuntu ehlukumeza imithi yobuhlungu futhi ethatha imithi yobuhlungu abayidingi. Laba bantu bazothatha imithi ebuhlungu engesiyo yabo, bathathe imithi eminingi kunokuba imisiwe, vakashela odokotela abaningi noma amakamelo okuphuthumayo ukuze uthole imithi eminingi futhi bathenge imithi emakethe emnyama. Laba bantu bavame ukuphathwa ngokuvuselelwa ukusiza ukuyeka ukusebenzisa kabi imithi yobuhlungu.
Eqinisweni, abantu abaningi abayisidakwa semithi yobuhlungu banomthelela wokulutha ngokomzwelo nangokomzimba. Banesidingo esingokomzwelo sokuthatha imithi yokuhlunguphazwa, ngisho nalapho ubuhlungu bengekho noma bumnene kangangokuthi izidakamizwa zedokotela akudingekile. Futhi banomlutha nokuzibonela ngokomzimba izimpawu zokukhishwa lapho imithi ingatholakali. Ukubuyisela ngokuvamile kudinga usizo lochwepheshe, ngokululekwa kanye nokungenelela kwezokwelapha.
Ubani Ongadinga Ukuphathwa Kwezinhlungu Eziqhubekayo?
Ngemva kokuhlinzwa, iningi labantu lithola ubuhlungu obukhulu obulawulwa kalula ngemithi ejwayelekile yobuhlungu. Bayakwazi ukuphola kusuka enkambisweni yabo babuyele emiphakathini yabo evamile kanye nezinga elijwayelekile lomsebenzi, futhi ngokuhamba kwesikhathi asisadinga imithi yobuhlungu. Le nqubo ingenzeka phakathi nezinsuku, amasonto noma izinyanga.
Ukuphathwa kobuhlungu kufanelekile kubantu abalindeleke ukuba babe nobunzima obunzima ukulawula, bangasizwa yinkambiso yokugula njengokwelashwa kwesibindi, noma badinga ukwelashwa okungaphezu kwesiguli esiphezulu emva kokuhlinzwa. Kulaba bantu, umhlinzeki owaziyo ekwelapheni ubuhlungu kungenzeka abe u-godsend futhi uzosiza ukunciphisa ubuhlungu ezingeni eliphathekayo. Abantu abane-diagnosis ye-condition eyaziwa ukuthi iyabuhlungu kakhulu, njengethambo emathambo e-arthritis engakwazi ukuphathwa ngokuhlinzwa, umdlavuza, noma ubuhlungu bomhlane obungaphenduli kahle ekuhlinzekeni nabo bayabakhokhelwa okuhle.
Uma ucabanga ukuthi ungadinga ukuphathwa ubuhlungu ngemuva kokuhlinzwa, kuwumqondo omuhle ukucela ukudluliselwa kusuka ohlinzayo wakho kumhlinzeki wezinhlungu abayincomayo.
Ukukhomba abaSebenzi AbaPhezulu Bokuphatha Ubuhlungu
Umhlinzeki omuhle wokuphatha ubuhlungu uyinto enhle kakhulu. Banekhono ekusizeni ukunciphisa ubuhlungu, futhi kuhle kakhulu ekunciphiseni ubungozi obuhlobene nokuthatha imithi yokuhlunguphazwa ngezidakamizwa nsuku zonke. Abahlinzeki abaningi bokuphatha ubuhlungu ekuqaleni baqeqeshwe njengabahlinzeki be-anesthesia, kanti abanye bhodi baqinisekisiwe ekusebenzeni kokuphathwa kobuhlungu noma sebeqedile ukuhlanganyela ukuze baqeqeshe okwengeziwe.
Uma ufuna umhlinzeki wokuphatha ubuhlungu, ufuna umuntu oqeqeshwe ngokufanele ukunikeza ukuphathwa kahle kobuhlungu. Umhlinzeki wokuphatha ubuhlungu oqeqeshwe njengomhlinza ohlinzayo ophuthumayo kodwa osebenza ekulawuleni ubuhlungu ngeke kube yinto engavamile futhi kufanele aphenywe, njengoba kungavamile ukuba udokotela wenhliziyo asebenze ekulawuleni ubuhlungu.
Ngokuvamile, ukugwema imitholampilo yokuphatha ubuhlungu engahlonishwayo, gwema izinto ezilandelayo:
- Abahlinzeki bezokuphathwa kobuhlungu kuphela. Imitholampilo esemthethweni yamukela umshuwalense futhi kaningi izinhlobo eziningi zomshuwalense kuhlanganise ne-Medicare.
- Gwema imitholampilo yokuphatha ubuhlungu egxila kuphela emithini yemilenze. Kumelwe kube nendlela ehambelana kahle nokuphathwa kobuhlungu, okumele kufake phakathi ukwelashwa ngaphandle kwemigomo.
- Gwema imitholampilo evame ukushintsha izindawo, noma ibe nendawo engabonakali njengehhovisi likadokotela. Kufanele kube nemishini yezokwelapha ehhovisi.
- Gwema imitholampilo ekhangisa ezindaweni ezingavamile, njengezimpawu zomgwaqo emiphakathini.
- Gwema imitholampilo engahlanganisi ukuhlolwa ngokomzimba futhi mhlawumbe ukubuyekezwa kwerekhodi yezokwelapha ukuqala ukwelashwa kwakho.
- Gwema imitholampilo ebonakala ingenalo isithakazelo esincane ngaphandle kokubona iziguli ngokushesha futhi unikezela imithi.
Imitholampilo eminingi efanelekile idinga ukuhlolwa kwezidakamizwa kuzo zonke izihambeli, idinga isivumelwano sokuphatha ubuhlungu esibonisa ukuthi awukwazi ukuthatha imithi yobuhlungu ngaphandle kwalokho okushiwo esikhungweni sokuphatha ubuhlungu, futhi kungadinga ukuthi ubambe iqhaza ekubalweni okunamandla kwamaphilisi lapho kufanele unikeze ibhodlela lakho lokugoma kungakapheli amahora angu-24 ukwaziswa ukuthi amaphilisi akho abalwa. Lezi zinqubomgomo nezinqubo zonke zijwayelekile futhi zamukelekile uma ziphathwa emtholampilo wezinhlungu, futhi zikhona ukusiza ukuvimbela ukuhlukunyezwa kwemithi yokwelapha.
> Umthombo:
> I-Specialty of Management Chronic Pain Management. https://www.asra.com/page/44/the-specialty-of-chronic-pain-management