Yeka ukuthi udokotela wezinsizwa ubizwa kanjani
Odokotela basemuva akuzona zonke ezidalwa ezilinganayo. Kunezici eziningi zokwelashwa ezikhona kumuntu onezinhlungu zomgogodla, futhi ngaphandle uma uqonda izinhlobo ezihlukahlukene, ukukhetha lowo (noma owodwa) ongakuphatha ngokuphumelelayo kungaba ngokushesha kakhulu. Ubheke bani, futhi nini?
Nasi uhlu olufushane:
Umndeni kanye nabaSebenzi abajwayelekile
Uma intamo yakho noma ubuhlungu bakho buqala kuqala, udokotela wakho womndeni noma i-GP cishe ukubheja kwakho okuhle kakhulu.
Angase anikeze abanye ababulali obuhlungu, bakunike okuzivocavoca ezimbalwa okufanele bakwenze futhi mhlawumbe bakuthumele kumthandi wezifo. Uma ebona inkinga yakho ingathà sina, kungenzeka ukuthi uhlele ukuhlolwa kocwaningo kanye / noma ukukudlulisela kuchwepheshe onjenge-rheumatologist noma i-neurologist.
Kodwa odokotela basekhaya banganciphisa ukufaka imishanguzo emisha lapho bephuma, ngokusho kocwaningo luka-2006 olwanyatheliswa ku- Spine Journal . Ngaphandle kokuthatha umlando wakho wezokwelapha nokunikeza ukuhlolwa ngokomzimba, okuyizinto ezimbili eziyinhloko zokuxilongwa komgogodla, isifundo sathola ukuthi ngisho nezincomo ezintsha zanyatheliswa yinhlangano ehamba phambili yezokwelapha, odokotela abazange bazitholele emisebenzini yabo.
Ngenxa yalokhu, ukuthatha indlela esebenzayo uma uthengisa ukunakekelwa komgogodla kungakusiza. Enye indlela yokwenza lokhu ukucwaninga okungenzeka ukhetho lokuxilonga nokwelashwa ngaphambi kokufuna udokotela. Ukubuza imibuzo eqondile ngenkathi usesikhathini sokuqokwa kwakho kungenye indlela.
Odokotela bezingane
Odokotela bezingane banikeza ukuxilongwa nokuphathwa kokwelashwa kwezinkinga zempilo ezincane ezihlanganisa ubuhlungu kanye nokulimala emuva. Udokotela wezingane ungumdokotela womndeni wengane kusukela ekuzalweni kuze kube yilapho esekhulile. Uma isimo somgogodla wengane yakho sidinga isazi, udokotela wakho wezingane cishe uzokukhomba.
Amagumbi Odokotela Eziphuthumayo
Ikamelo eliphuthumayo ngokuvamile liyindawo yokuya kuyo kubantu abanezintamo noma izinhlungu emuva abadinga ukwelashwa ngokushesha. Ukulimala okunjalo kungenxa yokulimala kusuka ezingozini zemoto, ukuwa noma ukudubula. Zibandakanya nezimpawu ze- cauda equina syndrome , isibonelo, ukulahlekelwa isilwane noma isisu, noma uma imilenze yakho ikhula kancane kancane.
Uma empeleni ungadingeki ukubona udokotela ngokushesha, noma kunjalo, kungcono ukuhlela i-aphoyintimenti nehhovisi lakho labahlinzeki.
I-Orthopedists
Udokotela wamazinyo ibhodi labahlinzeki abaqinisekisiwe ababhekene nezinkinga - kusukela ekhanda kuya kuzinyosi - ohlelweni lwe-musculoskeletal. Lokhu kuhlanganisa, Yebo, umgogodla. I-orthopedist ingase ikwazi ukubhekana nezimo ezinjengama-disc ruptured, i-scoliosis noma ezinye izinhlobo zentamo noma ubuhlungu obuphansi emuva. Ezinye zezinhlinzeko ezenziwa odokotela bamazinyo zingase zenziwe ngama-neurosurgeons (bheka ngezansi.) Izibonelo zalezo zinqubo zihlanganisa ukufiphaza komgogodla, ukungaboni kahle nokuningi.
Ama-Rheumatologists
I-rheumatologist ibhodini eliqinisekisiwe lebhodi eliphatha abantu abaningi (abangaphezu kuka-100 ngokwe-American College of Rheumatology) izinhlobo ze-arthritis.
Iphesenti elikhulu lama-rheumatologists ngokukhethekile ku-arthritis evuthayo; emgogodleni lolu hlobo lwesifo lubonisa ukuthi i-ankylosing spondylitis, nezimo ezihlobene.
Ukubona i-rheumatologist ye- spinal stenosis (okuyindlela ifomu eliqhubekayo le-osteoarthritis) alikho embuzweni. Kodwa ngokuvamile, i-rheumatologist ibona iziguli ezinezimpawu ze- sacroiliitis, i- axial spondylosis, i-ankylosing spondylitis, nezinkinga ezihlobene.
Ama-neurologists
I-neurologist ingumchwepheshe ohlola nokuphatha izinkinga ngesistimu yesifo sezinzwa. Isibonelo, isifo sikaParkinson, ezinye izinkinga zobuchopho, intambo yomgogodla kanye nezinzwa zomzimba.
I-neurologist ingase ibe udokotela ozikhethele uma ubuhlungu bakho emuva noma entanyeni buhlala buhlala njalo futhi buhlala isikhathi eside, njengoba yena noma inguchwepheshe ovela empilweni.
I-neurologist ayikwenzi ukuhlinzekwa kwezimpumputhe ; esikhundleni salokho, uzohlola ukuthi izinzwa zakho zisebenza kahle kangakanani, zinikeze imithi futhi ikudlulisele kwenye ingcweti, njengoba kufanelekile.
I-neurologist ingaba nguM.D noma omunye odokotela abanelayisensi.
Ama-Neurosurgeons
I-neurosurgeon igxile ezifweni nasezimweni zesimiso sezinzwa zomphakathi, kanye nezinzwa eziphuma emgodleni (okuthiwa isimiso sezinzwa zomzimba.) I-neurosurgeon ingase ihlinzekele ebuchosheni, intambo yomgogodla noma emgodleni uqobo. Nakuba ama-neurosurgeons anikeza ukuphathwa okungeyona okuhlinzekwa kobuhlungu emuva, ezimweni eziningi, uzothunyelwa kumuntu kuphela ngemuva kokukhathala zonke izinketho zokunakekelwa kokuzimela .
Izidakamizwa
I-Chiropractic iyindlela yokwelashwa ehlukile yokuvuselela imithi evuselela umzimba ukusebenza komzimba ngokuguqula umgogodla. Ukwenza lokhu, izidakamizwa ziphatha ukuhlukunyezwa (igama elisho okuthile okuhlukile kunokwelapha kunokwelashwa okwedlula okwenziwe kudokotela ojwayelekile).
Abacwaningi bezilwane bacabanga ukuthi umsebenzi wabo uyingxenye yobuciko nesayensi. Umgomo wokulungiswa (we-subluxation) ukuthuthukisa impilo yonke ngokususa ukuphazamiseka ukugeleza okujwayelekile kokudluliswa kwegazi.
Kubalulekile ukuqaphela ukuthi amasu amaningi okulungiswa kwe-chiropractic ukukhulula; ngamanye amazwi, ukwandisa ukuguquguquka kwemvelo. Ukwehla kanye nokuqinisa akusilo ngempela ukuthi isifo sakho se-chiropractor senzani uma sikulungisa. Uma uhlanganisiwe okuxekethile, une-tissue compromise noma unesifo se-osteoporosis, i-chiropractic ingase ibe nenhlekelele engaphezu kokuhle.
Ngemva kokufunda izindaba zezindaba zeziguli ze-chiropractic ezihlukunyezwa ngemva kokulungiswa kwentamo ngokuqondakalayo zikhathaza abantu abaningi. mayelana nokuphepha kwalokhu ukwelashwa.
Nakuba lezi zenzakalo zenzeka, azivamile. Kungumqondo omuhle ukwenza isinqumo sakho ngalokhu, okubandakanya ukulinganisa ukuthi kungenzeka yini ukuthi uhlangothi oluthile olwenziwe yi-chiropractic lwenzeke ngokumelene nezinzuzo ozilindele ukubhekana nokulungiswa.
Physicians Osteopathic
I-osteopath ibhodi eqinisekisiwe yebhodi, ngokufunga, kufanele isebenze ngendlela yokugulisa isiguli esiphezulu. Ngokufana nesifo se-chiropractor, i-osteopath isebenzisa izandla zayo ukuxilonga futhi ikakhulukazi ukwelapha. Kodwa ngokuvamile, i-osteopath inemfundo engaphezulu kune-chiropractor. . Lokhu kungenxa yokuthi ukuba yi-osteopath eqinisekisiwe ebhodi (okubizwa ngokuthi i-DO, noma uDokotela we-Osteopathy) idinga ukuphothula iziqu esikoleni sezokwelapha esivunyelwe. Imfundo yezikole zezokwelapha ivame ukuba yinkimbinkimbi kunemfundo yesikole ye-chiropractic. Abafundi abangaba ngu-20% bezokwelapha baqeqeshwa ukuba babe ama-osteopaths.
Nakuba ama-osteopaths anikezwe imvume yokubeka izidakamizwa futhi enze ukuhlinzwa okuncane, bavame ukubheka imvelo nendlela yokuphila, futhi benze izandla ngokuxhaphazwa lapho benakekela iziguli.
AmaPhysiatrists
Olunye uhlobo lomhlinzeki oqondwe ngokuphelele, umzimba womzimba ibhodi eqinisekisiwe yokusebenza ngokomzimba. Lokhu okukhethekile okukhulayo kuhlinzeka ukuvuselelwa kwazo zonke izinhlobo zezimo kanye nokulimala kusukela ekushayweni kuya ebuhlungu obuphansi emuva, ukulimala kwezemidlalo nokuningi. Ngokuvamile, i-physiatrist izoqondisa ithimba lesiguli lophiko, kuqinisekiswe uhlelo lwezokwelapha olubhekana kahle nezidingo zakho ezithile zezokwelapha.
Ungase uqonde umzimba we-physiatrist njengomuthi we-MD
> Umthombo:
> Bishop, PB, Wing, PC Ukudluliswa kolwazi kumalokomndeni omndeni ukuphatha iziguli ezinzima ubuhlungu emuva emuva: ukuhlolwa okuzokwenzeka randomised trial. I-Spine Journal. May-June 2006. https://www.ncbi.nlm.nih.gov/pubmed/16651222?dopt=AbstractPlus
> Breen, A., Austin, H., Campion-Smith, C., Carr, E., & Mann, E. "Nizizwa ningenathemba": Ucwaningo olulinganiselayo lweGP ukuphathwa kobuhlungu obuhlungu emuva. Eur J Pain . Jan 2007. https://www.ncbi.nlm.nih.gov/pubmed/16434220?dopt=AbstractPlus.
> Gould, HJ III, MD, Ph.D. (2007). Ukuqonda ubuhlungu: Okuyikho, Okwenza Kwenzeke nokuthi Kulawulwa kanjani. I-New York: Idemo.