Ukuthola Ukuthola Ngokufanele Izifo Zakho Ezivamile Kungakhathaza
Kungani kunzima ukuthola ukuxilongwa okulungile uma ubhekene nesifo esingavamile noma esingavamile?
Ukuthola Ukuhlola Okufanele Isifo Esivamile
Ukuthola ukuxilongwa kwesokudla ngokuvamile kuyisici esiyinhloko sokugxuma ukuze uthole ukwelashwa okufanele kokugula kwakho. Kuyinselele kakhulu kumuntu onesifo esingaziwa kangako noma esingavamile. Abantu abaningi abakwazi ukuthola ukuxilongwa , abangaqondakali kahle , noma abaningi, abaphikisana nezifo ezivela odokotela abahlukene.
Ukufuna izimpendulo ngokuthi kungani ubuzwa ugula kungaba yinto ede futhi ephazamisayo. Abantu abaningi bachaza okuhlangenwe nakho njengendlela yokuhamba ngesikebhe noma "uhambo" ngenxa yokuhlukumezeka kokuhlolwa kwezokwelapha kanye nokuhamba ngendlela engaziwa.
Kungani Ukuthola Ukuxilongwa Kunzima Kakhulu
Kunezizathu eziningi zokuthi kungani udokotela wakho enenkinga yokuhlolisisa isimo sakho. Nazi ezinye zezizathu eziphezulu ezingabangela ukubambezeleka ekuhloleni kwakho:
Ukuxilongwa Kunzima Uma Izifo Zakho Zisinda
Ungabona odokotela abaningi ngaphambi kokuthola umuntu owazi okuthile ngesimo sakho esithile. Ezinye izifo zivame kakhulu ukuthi ukuhlolwa kofuzo kuphela okwenziwe i-geneticist (i-genetics specialist) kungaveza imbangela eholela phambili.
Isifo esingavamile senziwa ngabantu abangaphansi kuka-200,000 e-United States noma abangaphansi kuka-5 ngabangu-10 000 abantu base-European Union. Ngaphandle uma kukhona amacala aqoshiwe walokho okuhlangenwe nakho, kungaba nzima kakhulu ukuqhathanisa izimpawu zakho kuzo zonke izifo ezikhona lapho.
Ukuxilongwa Kunzima Uma Izimpawu Zakho Zingenasisekelo
Ezinye izifo ezingavamile zinezimpawu, njengobuthakathaka , i- anemia , ubuhlungu, izinkinga zombono, isizungu , noma ukukhwehlela . Izifo eziningi ezihlukahlukene zingabangela lezi zimpawu, ngakho-ke kuthiwa "azikho emthethweni," okusho ukuthi azizona izibonakaliso zesifo esithile. Odokotela baqeqeshwe ukubheka izimbangela ezivame kakhulu zezimpawu kuqala, ngakho-ke bangase bangacabangi emigqeni yesifo esingavamile lapho beqala ukukuhlola.
Kukhona inkulumo emithi ukuthi emkhakheni wamahhashi ubheka ihhashi. Kuleyo nsimu, isifo esingavamile yi-zebra. Kungase kuthathe isikhathi eside ngaphambi kokuba odokotela babone ukuthi abahambisani nehhashi futhi bashintshe ingqondo yabo ukuze babheke i-zebra.
Ukuxilongwa Kunzima Uma Izimpawu Zakho Zingavamile
Kubonakala kunengqondo ukuthi ukuba nesibonakaliso esingavamile kungasiza ekuboniseni ukuxilongwa, kodwa lokhu kuyiqiniso uma udokotela ekuhlola ejwayele isifo esibangela uphawu olufanayo olufanayo. Uma udokotela wakho engazi ukuthi yisiphi isifo esibangela leso sibonakaliso, khona-ke mhlawumbe uzothunyelwa kuchwepheshe ongabazi okuthile ngesimo sakho.
Lokhu kungakhungathekisa ngokukhethekile uma unesifo esingavamile. Ungase ube nomuzwa wokuthi udokotela wakho akakwazi nje ukuthi ufuna kuphi incazelo yesibonakaliso sakho, kodwa ungase uzizwe engakholelwa ngempela uphawu lwakho. Manje, akushiywanga kuphela ukuthi ubhekene nesifo esingavamile, kodwa ubuza ukuthi ngabe udokotela wakho ukholelwa yini futhi uyakunethemba. Lesi yisikhathi lapho udinga ngempela ukuba ngummeli wakho ekunakekelweni kwezokwelapha, futhi khumbula ukuthi uma udokotela engakukholwanga lokho akuyona inkinga yakho.
Awudingi ukukhathazeka futhi uzama "ukufakazela" ukuthi unesifo. Uma uzizwa uxhaswe ekona ngale ndlela, kungase kube yisikhathi sombono wesibili nokungakhethi.
Ukuxilongwa Kunzima Uma Ungenawo "Umbhalo Wezincwadi" Izimpawu
Ungase ube nesifo esingavamile, kodwa izimpawu zakho zingase zingafani "neklasini" noma isithombe esivamile sesifo. Ungase ube nezimpawu ezingavamile ukuhambisana nalesi sifo, noma ungahle ube nazo zonke izimpawu ezilindelekile ngesifo. Odokotela bangase banqikaze ukukuxilonga ngesifo esingavamile ngenxa yalokhu.
Khumbula ukuthi ohlwini lwezimpawu zesimo, abantu abaningi banezimpawu ezimbalwa kuphela.
Ngaphezu kwalokho, abantu bangase babe nezimpawu eziningana ezingabhalisiwe.
Ukuxilongwa kunzima uma Ulwazi Lusha noma Lushintsha
Ngezinye izikhathi odokotela bangakwazi ukuthola ukutholakala kokuhlolwa, kodwa ngenxa yokungabi nolwazi olusesikhathini, hlala lokho okutholayo. Lokhu-ke, ngeshwa kungenziwa ngcono, uma udokotela edlula umbiko wakhe kwabanye odokotela ukuhlola izimpawu zakho.
Isibonelo ngabantu abane-Tarlov ama-cysts noma ama-cysts meningeal. Kunobufakazi bokuthi lezi zinhlayiya zingabangela ubuhlungu obukhulu kanye nokukhubazeka kwengqondo okuphazamisa ukuphila kwalabo abaphila nalezi zinhlayiya. Uma ngabe uhlolisisa izifundo zamuva, kucacile ukuthi la ma-cysts abangela ukuhlupheka nokukhubazeka okukhulu, kodwa leyo nqubo emisha yezobuchwepheshe neyokuhlinzeka ingabangela ukukhululeka kwabantu abaningi.
Nokho, kulezi zincwadi, lezi zinhlayiya zivame ukuxoshwa (okwamanje) njengokuthola okungaqondakali kokubaluleka okungabazeki. Ngamanye amazwi, ngisho noma une-diagnostic "ehambelana" nezimpawu zakho, izimpawu zakho zingase zixoshwe, futhi ngaleyo ndlela, ukuxilongwa akulahlekile. Futhi nge-diagnosis, ukulahlekelwa ukwelashwa okuphumelelayo kulandela.
Ube Ulindele Ukuze Kube Ochwepheshe
Kungaba nzima ukuthola i-aphoyintimenti nodokotela obhekene nezifo ezingavamile, ngezinye izikhathi ukuthatha noma yikuphi izinyanga ezintathu kuya kweziyisithupha noma mhlawumbe isikhathi eside ngaphambi kokuthi ubone umuntu. Kungadumaza futhi kuphazamise ukulinda isikhathi eside nje kuphela ukuthi utshele ukuthi abaqiniseki ukuthi unakho noma ukuthi bafuna ukuthi uhambe ubone omunye ochwepheshe.
Abantu abaningi abaye balinda lokhu bangakhululeka uma bezwa ukuthi bangabona umuntu ngaphandle kokulinda. Kodwa khumbula ukuthi isizathu sokuthi abanye odokotela bakuthole kunzima ukuthola i-aphoyintimenti ngokuvamile ngoba baya emagcekeni ayisishiyagalolunye ukuze bazame ukuthola impendulo. Ngokuqinisekile akunjalo ngaso sonke isikhathi, kodwa into okufanele ihlale ingqondweni yakho.
Ukutshela Indaba Yakho Kulula Kokuqala I-50 Times
Siyazi umama wengane enesifo esingavamile othayiphe amakhasi amane achaza ukuthi isifo sendodakazi yakhe siyini, umlando wakhe wezokwelapha kanye nokuhlinzwa, nemithi yakhe yamanje. Uhambisa amakhophi alawa makhasi kudokotela ngamunye omusha ohlola indodakazi yakhe ngakho ngeke kudingeke aphinde aphinde abuyele konke. Ungase uzizwe ukhungathekile njengoba akwenzayo, ukunikeza imininingwane efanayo izikhathi eziningi. Kungase kubonakale sengathi odokotela abafundi ishadi lakho noma babuke imiphumela yakho yokuhlolwa.
Kungani Kungakhokha Ukuphindaphinda Indaba Yakho Isikhathi 51
Kodwa iqiniso, ngezinye izikhathi awufuni omunye udokotela ukuba afunde amanothi neziphetho zenye udokotela. Akuvamile kumuthi ukuthola impendulo elula ukuthi inganakiwe ngoba odokotela abalandelanayo bancike emanothweni naseziphethweni zodokotela abakubonile ngaphambili. Isibonelo, isazi esisha singase sibheke ingxenye ebalulekile yokuhlolwa kwakho uma lokhu kuhlola kuboniswa njengokujwayelekile ngudokotela odlule. (Esikhathini sethu esingenhla, mhlawumbe udokotela owayengasesikhathini esenqatshelwe ukufundwa kwe-cylo Tarlov kwi-MRI ebheka ukuthi kuyinto engafanelekile. Kulesi simo, ukuxilongwa kungakhanjelwa ngisho nangaphambi kokuhlangana nodokotela.)
Inqubo ethile odokotela ngezinye izikhathi efundiswa esikoleni sezokwelapha noma ukuhlala ukubona isiguli njengokungathi leso siguli asizange sibe nokuvakashelwa noma ukuhlolwa ngaphambili. Umlayezo walesi sifundo wukuthi ukuxilongwa okulungile kungakhanjelwa ngoba odokotela bathembela ekuhlolweni nasekuhloleni kwabahlengikazi abaye babona isiguli ngaphambili. Uma iphutha lenziwe ekuqaleni, leli phutha ngezinye izikhathi liqhutshelwa phambili ngaphandle kokuba udokotela abuyele emuva futhi abuke inkinga njengobusha omusha futhi omusha. Kukhona amazwi athi "izingqondo ezimbili zingcono kunomunye," kodwa, uma udokotela esevele esefunde ngomsebenzi wakho kuze kube manje, umbono wakhe awunayo ingqondo entsha ngokuphelele. Sonke siphenduka futhi sithinteka ngolwazi esivele sesikuzwile.
Abanye odokotela abafundanga phambili (isizathu sokuthi babuze imibuzo efanayo futhi futhi) ngoba abafuni ukungaziboni izinkomba ezidingekayo ngezinye izikhathi okungadingeka uzinikele. Udokotela ocela ukuthi uqale ekuqaleni futhi ubuhlungu ngokudlula kuwo wonke umlando wakho futhi angase abe nguye ozoyithola impendulo elula engakhanjelwa njengoba sekucatshangwe kakade.
Uma kungekho ukutholakala okutholakala
Ngesinye isikhathi, naphezu kokubona ochwepheshe abakhulu, awukwazi ukuthola ukuxilongwa okulungile. Odokotela bangasebenzisa amagama anjengokuthi "i-etiology engaziwa" noma "idiopathic" (okusho ukuthi, "asazi ukuthi kubangelwa yini" noma, njengoba abafundi bezokwelapha bethi, "asinayo inkomba") noma "i-atypical" ( okusho "okungavamile").
Unganikwa ukuxilongwa okungcono okuhambisana nezibonakaliso zakho, noma unikezwe izifo ezimbili noma ngaphezulu ndawonye. Ukuqaphela ukuthi abantu abanezifo ezingavamile bangase babe nobunzima bokuthola ukuxilongwa, i-US National Institutes of Health (NIH) yaqala uhlelo lwe-Undiagnosed Diseases Programme ngo-Septhemba 2008.
Uhlelo lokucwaninga lwe-NIH luhlola amacala angaba ngu-50 kuya kwangu-100 wezifo ezingatholakali ukuzama ukunikeza izimpendulo kubantu abanezimo ezingaqondakali nokuthuthukisa ulwazi lwezokwelapha ngezifo. Uma unesifo sezokwelashwa kepha akukho ukuxilongwa, khuluma nodokotela wakho mayelana nokuhlanganyela kuloluhlelo.
Kubalulekile ukuqhubeka ubona udokotela wakho ukuvakashelwa okulandelwayo njalo uma ungenayo ukuxilongwa kwesimo sakho okwamanje. Udokotela wakho angakwazi ukugcina ithrekhi kwanoma yiziphi izinguquko zezempilo, ahlangabezane nolwazi olusha njengoba isikhathi sihamba futhi aqoqe izinkomba ezingase ziholele ekutholeni ukuxilongwa.
Uma ungakaze ube nethuba lokuba udokotela ahlole izimpawu zakho zihlanzekile futhi angenabulungiswa, noma kunjalo, lokhu kuyisinyathelo esibalulekile esilandelayo.
Ukubhekana Nezifo Ezinzima
Enye yezinkinga ezinzima ekubhekaneni nesifo esingavamile ukuthi ayikho amanethiwekhi okusekela njengoba kunakho, kusho, umdlavuza webele. Ngokujabulisayo, abantu abaningi abanezifo ezingavamile manje bathola ukwesekwa ngamaqembu ajwayelekile okusekela izifo kanye nemiphakathi engavamile yesifo senhlalo lapho abantu banesifo esingavamile, kodwa baqonde ukukhathazeka okuyingqayizivele nezinselele ezibhekene nalabo abanenkinga yokuzixilonga noma izimo ezingatholakali .
Uma usalinde ukuxilongwa, hlola le micabango ngemizwelo yokulinda ukuxilongwa okungavamile .
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Murphy, K., Oaklander, A., Elias, G., Kathuria, S., no D. Long. Ukwelashwa kweziguli ezingama-213 ezine-Symptomatic Tarlov Cysts nge-CT-Guided Injectection Percutaneous ye-Fibrin Sealant. I-AJNR American Journal of Neuroradiology . 2016. 37 (2): 373-9.
I-Weigel, R., Polemikos, M., Uksul, N., noJ. Krauss. I-Tarlov Cysts: Ukulandelwa Kwesikhathi Eside Ngemva Kokunciphisa Kwe-Microsurgical Inverted and Sacroplasty. I-European Spine Journal . 2016. 25 (11): 3403-3410.