Lezi zinsuku, into yokuqala odokotela abaningi abakwenzayo lapho isiguli singena ngokulimala emuva ukuhlinzeka ngemithi yokuphulukisa ubuhlungu be-opioid. Phuma ku-bat. Ebizwa ngokuthi ukwelashwa kwelayini lokuqala , ukusetshenziswa kwalesi sici sezinambuzane kungase kuqhathaniswe nenguqulo eqhubekile kakhulu "yokuthatha amabili bese ungibiza ekuseni."
Ama-opioids asezindaba njalo ezindabeni ezimbi ezivame ukubangelwa ukuthatha.
Ngokwesifundo se-2017 esasinyatheliswa kuyi- Journal of the American Board of Family Medicine, phakathi kuka-1999 no-2010, ukudayiswa kwama-opioid kane. Ababhali bokutadisha baphinde baphawule ukuthi cishe yonke imizuzu engu-36, omunye umuntu ufa ngokudlula ngokweqile kwama-opioid.
I-opioids nayo ijwayele ukujwayela ubuhlungu obungapheli. Kodwa kunenye indlela, evame kakhulu ukubhekana nobuhlungu bakho, uma uzimisele ukwenza umsebenzi omncane. Futhi lokho kuyindlela yokwelapha emzimbeni .
Manje ungabubula. Kunezithiyo eziningana zokushintsha kusukela ekududeni kwephilisi kuya esimweni lapho kufanele ufike khona aphoyintimenti, ufunde izinto ezintsha, futhi usebenzise umzimba okungenani kanye ngosuku. Ngakho sizozobhekana nabo. Usukulungele?
Yenza Yakho Isihluthulelo Sokwelashwa Kwemithi Yokwenyama
Enye yezithiyo ezinkulu zokuthola imali ephelele yokwelashwa okungase itholakale kuwe kuhlobene nokwenza indlela yakho yokuya aphoyintimenti endaweni yokuqala.
Isibonelo, izinkinga zingase ziphakame uma uhlala kude nendawo ye-PT. Ngenkathi ibanga ngokwalo lingase livimbe-ngubani ofuna ukushayela amamayela angu-20, 30, 50 noma ngaphezulu ukuze ahlangabezane nomsebenzi wokusebenza umsebenzi? Uma ungaqhubi noma ungena emotweni, kubi nakakhulu.
Noma yikuphi, kungabiza. Uma ushayela, uzokhokha igesi, futhi uma ungenjalo, ukuhamba ngezokwelapha okuhamba nxazonke kungadola u-$ 55 (ukuthutha kwendawo emadolobheni amancane) nokukhuphuka.
Abanye abantu bathatha ibhasi, kodwa lokho kungadla isikhathi noma kube nenhlekelele yokulimala.
Ungase umangale ngalokho okutholayo uma ucwaninga futhi ubuza nxazonke mayelana nokuthunyelwa kwezokuthutha, noma kunjalo. Isibonelo, i-Blue Cross Blue Shield eMichigan inecebo elilodwa elikhokhela izindleko zokuthutha izivakashi ezingama-36 ngonyaka.
Enye indawo engafanele yokuvula ingu-United Way yangakini. Njengezindlu zokuhlanza izinsiza, zingase zikwazi ukukukhomba ezansi noma ezingekho izinketho zokuthutha izindleko. I-United Way emphakathini wakho ingase ibe nesikhwama ongayifaka.
Ukuhlela Imibuzo Uma Uhamba Ngomzila Wokwelashwa Wezobuciko
Enye indlela evimbelayo ekuthatheni indlela esebenzayo yokuphulukisa ukuphulukiswa kobuhlungu ikwazi ukubeka ama-aphoyintimenti ezinsukwini, futhi ngezikhathi, ezikufanele kakhulu. Umshuwalense wakho ungakhokha imihlangano ye-3x ngesonto, noma udokotela wakho angase ancoma le mvamisa, kodwa uma uhlela, uthola lokho, empeleni, akunakwenzeka. Kukhona izindawo ezingenayo ngokwanele ohlelweni lochwepheshe olufanisa ukuvuleka okwenu.
Noma, ungase ukwazi ukuthola ama-aphoyintimenti uma ungathanda, kodwa ukwenza kanjalo kusho ukuthi uzodinga ukubona umuthi ongazijabuli kakhulu naye. Lokhu kungabonakala njengemininingwane encane, ikakhulukazi uma wenza konke okusemandleni akho ukuzithola uhleliwe, futhi endleleni yakho yosuku, kodwa ukusebenza nomuntu ozwa ukuthi uxhumene naye kungenza umehluko omkhulu.
Ubuhlobo obuhle bokusebenza nesiphakamisi somzimba wakho we-spine lungathinta kakhulu isisusa sakho sokwenza izivivinyo zakho ezinqunyelwe ekhaya, ngokugcina izikhundla zakho, nezinye izinto. Lokhu, futhi, kuyokwandisa izinzuzo ozithola ngokwenza isikhathi esimisweni sakho nokwenza umsebenzi.
Nazi amathiphu ambalwa okumele ukwenze uma isici sokuhlela singasebenzi nje:
- Thola ukuthi ngabe isakhiwo sivulekile yini ezinsukwini ezithile zesonto. Ukuthatha isikhathi ngesikhathi samahora ajwayelekile ebhizinisini emsebenzini ukuya ekuqokeni kungakuthola ngokudala okusheshayo, futhi ungase ubone ukuthi kuthinta nokuphepha komsebenzi wakho, futhi. Amanye amahhovisi anikezela amahora amaningi izinsuku ezimbili noma ezintathu ngesonto; abanye banikela ngoMgqibelo amahora. Akunakulimaza ukubuza!
- Uma lokho kungaphumi, buza mayelana nezinye izindawo noma amahhovisi e-satellite anganikeza amahora angcono.
- Uma konke okuhlulekayo, ungase ufune ihhovisi elihluke ngokuphelele ukuthi lenzani ibhizinisi. I-American Physical Therapy Association ibika ukuthi kusukela ngo-2015, izinsizakalo zokwelapha ngokomzimba ziyi-self-referral (eyaziwa nangokuthi " ukufinyelela okuqondile ") kuzo zonke izifunda ezingu-50, iSifunda saseColombia nase-US Virgin Islands. Lokho kusho ukuthi izinhlobo zokwelashwa ongazithola e-PT ngaphandle kokudokotela kadokotela zingashintsha ngokuya lapho ukhona khona (lokhu kungenxa yokuthi imithetho yezwe iyahluka), ngakho khumbula lokho. Kuyini ukuzithumela? Ngokuyinhloko kusho ukuthi akudingeki ulinde (noma ulwe) udokotela wakho ukukubhalela kadokotela ngaphambi kokuba ubonwe. Ungakwazi ukubiza nje ihhovisi elikhethile ngokuqondile, futhi wenze ukuqokwa. Izinkampani eziningi zomshuwalense zizokhokhela ukufinyeleleka okuqondile kwezikhungo zokwelapha ngokomzimba, kodwa kuwumqondo omuhle ukuhlola okokuqala ukuze uqiniseke.
Ungakwazi Yini Ukwelapha Isikhungo Sokwelashwa?
Ngokuhambisana nalezi zinkinga ezingase zibe khona ngokuthola ukwelashwa ngokomzimba kuyeza ukuthi le-bugaboo endala-izindleko. Ngaphandle kokuba ufihlile ikhanda lakho esihlabathini, uyazi ukuthi ukwelashwa akuvami ukufika. Futhi ukuhlinzeka ngemithi yokwelashwa akuyona into ehlukile.
Ngendlela, lokhu kungaba yiqiniso ngisho noma unomshuwalense. Ungase ube ne-deductible ephakeme kakhulu (ukuze wena noma umqashi wakho angakwazi ukukhokhela imali ekhokhelwayo), izindleko zokuhamba (okukhulunywe ngenhla) zinganezela ezinkambisweni zakho zokukhokha, futhi kungase kudingeke uthole imishini efana neyunithi ye-TENS ekhaya. Lezi zingase zibuyiswe noma zingabuyiselwa, ngokuya ngesimo sakho esiqondile.
Enye indlela yokunciphisa izindleko ze-PT ukufaka ezinye zokuqokwa nomqeqeshi womuntu siqu onomsebenzi osebenzayo nabantu ababuhlungu. Umqeqeshi angase abe nekhono elifanayo elibekwe kumhlengikazi wakho, kodwa kungenzeka futhi avulekele ukusebenza naye noma naye. Yiqiniso, uzoqala nomuthi ukuze uthole ukuhlolwa, uhlelo lokuqala lwasekhaya nezimiso . Kodwa emva kokuba isimiso sakho sisungulwe, umqeqeshi ofanele angakwazi ukuthatha umthwalo wemfanelo wokuhlola ukuthi wenza izivivinyo zakho ngendlela efanele, ukuqhubeka nawe kanye / noma ukuguqula izivivinyo, nokuxoxisana ne-PT yakho.
Uma ukhokha konke okuphuma ngaphandle kwe-pocket, izindleko zomqeqeshi kunokuba umelaphi angase abe ngaphansi kweseshini ngasinye, futhi ukuhlela ukwelashwa kwakho ngale ndlela kungasiza ukucima noma yikuphi ukuntuleka kokwaziswa okukuthinta wena.
Ngendlela, izinkampani zomshuwalense ngokuvamile zikhawulela inani lokuvakashelwa abazokhokha ngalo, futhi, kungakhona, kungaholela ekukhululweni kwakho ngaphambi kokuba ulungele. Abantu abaningi babika ukuthi emva kwamasonto angu-6 we-PT (inombolo evamile yeseshini yokuphulukisa iziguli lapho izinkampani zomshuwalense zinikela khona) zingekho engozini kodwa zingekho ngaphandle kwezinkuni. Ngamanye amazwi, asengamaphesenti angu-100 futhi / noma angathanda ukuba asebenze kakhudlwana, kodwa ngoba imiphumela yokulimala kwabo ihlala kancane, ayikwazi.
Uma ngabe kunjalo nawe, futhi, ukusebenza nomqeqeshi oqinisekisiwe kungase kuzuze kakhulu - ngokukusiza ukuba uqedele ukwelashwa kwakho, futhi uvuselele ngokugcwele. Izitifiketi okumelwe zibheke zifaka uMkhandlu waseMelika Wokuzivocavoca (ACE) kanye nezitifiketi zomqeqeshi womuntu siqu we-National Academy of Sports Medicine (NASM). Ngaphambi kokuqeda isinqumo sakho lapho umqeqeshi ozohamba khona, ungase ubuze abazokwazi ukubhekana nakho ngokusebenza kwabo ngokulimala nobuhlungu.
Ingabe Udokotela Wakho Ebumnyameni Mayelana Nokutheleleka Kwemithi Okungeyona Imithi Yezinhlungu?
Uma ukholelwa noma cha, abantu abaningi, odokotela bafaka phakathi, abanolwazi olunjani mayelana nezinhlobo zokungenwa kwezidakamizwa ezingezona izidakamizwa (futhi okungezona okuhlinzekwa) ezingaphandle, nokuthi kungani lezi ziyigugu ezigulini ezifana nawe.
Ngokungafani nemithi yezinhlungu, izinsizakalo zokwelapha ngokuvamile azikhangisi ku-TV kazwelonke noma kumsakazo. Hlanganisa lelo qiniso ngokuntula ukuqonda abantu abaningi (futhi, odokotela abafakwe kwezinye izimo) banomqondo wobuhlungu, futhi unalo udonga phakathi kwakho nezinamba eziningi ongakhetha kuzo okungenzeka kube lula kuwe isikhathi eside.
Ukubona umuthi we- spine ngokomzimba akugcini nje ngokuqeda ubuhlungu; kufanele uthole ukusebenza kwakho emuva, futhi ufunde indlela yokuphila yokuhamba kanye nama-hack posting angakugcina kahle ngaphandle kokusebenzisa iphilisi. Ukuze wenze kanjalo, ungase ubheke inselele udokotela wakho ngokumcela ukuthi achaze ukuthi izingozi zokuthatha i- opioid zifanani nezingozi zokubona umuthi we-spine ngokomzimba.
Uma engakwazi ukukunikeza impendulo eyanelisayo, imithombo ye-inthanethi ongayihlola ibizwa ngokuthi i-Physiopedia. I-Physiopedia yisayithi eliqhutshwa ngabahlengikazi bomzimba abavela emhlabeni wonke. Ihlinzeka ngolwazi olusekelwe ebujameni obuvamile bomuthi kanye nendlela abaphathwa ngayo, kodwa kubhaliwe ukuze abantu abangewona wezokwelapha bakwazi ukuqonda.
Kwazi bani? Ngokucwaninga okuncane, ungase ufundise nodokotela wakho ngesimo sobuhlungu, nokuthi ungayisebenzisa kanjani indlela yokusebenzisa izidakamizwa ukuyifihla ngendlela esebenzayo njengokwelashwa komzimba.
I-opioids Akuyona Imithi Yomlingo
Kungenzeka ukuthi isivinini sakho esikhulu kunazo zonke ekuphuculeni ubuhlungu ngaphandle kwezidakamizwa yisimo sakho sengqondo. Futhi ngokuqondene nezimo zengqondo ezingapheliyo, i-biggie lapha umqondo wokuthi i-opioids "iphilisi lemilingo" eyenza ubuhlungu buphele, nokuthi konke okudingayo.
Inkinga ukuthi i-opioids iza neqoqo layo lezinkinga zezinkinga lapho, ngokuhamba kwesikhathi, kungaba mkhulu kunezinhlungu zakho zangemva, kuhlanganise nokulutha.
Isiyaluyalu (njengokungathi akubi ngokwanele ngokwakho) akuyona kuphela ukucindezeleka okungenzeka ukuthi kukhona izidakamizwa zobuhlungu be-narcotic. Abantu abaningi babhekana nokuqashwa okukhulu. Eminye imithelela emibi ingase ihlanganise isizungu, isicanucanu, ukuhlanza, ukuxhomekeka ngokomzimba, nokucindezeleka kokuphefumula, ngokusho kocwaningo lwango-2008 olwanyatheliswa encwadini ye- Pain Physician.
Iningi lezinkinga zomgogodla lingaxazululwa noma okungenani lilawulwe kahle ngaphandle kwalezi zinkinga uma ubamba iqhaza empilweni yakho. Lokhu kuhilela ukuqhuba umzimba nsuku zonke, ukufunda ngokuhleleka kokuhle kanye ne-biomechanics , nokushintsha indlela yakho yokuphila.
Uma konke lokhu kuzwakalisa umsebenzi omningi kakhulu, khumbula ukuthi konke okwedlula konke okwelapha kuyinkampani yokuhweba phakathi kwezingozi nezinzuzo ezilindelekile. Indlela engeyona yezidakamizwa yokuzizwa ingcono izothatha umzamo nesikhathi esiningi, kepha ukuphumula ubuhlungu kungase kube nempilo enhle kanye nobungqabavu obuningi, ukusebenza okwenyukayo, nezinkinga ezimbalwa zempilo emgwaqweni.
> Umthombo:
U-Becker, W., et. al. Izithiyo kanye nabagqugquzeli ukusebenzisa izindlela zokwelashwa okungezona ezomuthi ekubuyeni okungapheli. NgoMashi 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359906/
> Benyamin R., et. al. Izinkinga ze-opioid nemiphumela emibi. Udokotela Wezinhlungu. Mashi 2008. https://www.ncbi.nlm.nih.gov/pubmed/18443635
> Ukufinyelela okuqondile kwiNqanaba likaMbuso. I-APTA iwebhusayithi. June 2016. http://www.apta.org/StateIssues/DirectAccess/
> Onishi, E. et. al. Ukuqhathaniswa kwamaphethini okuchaza ama-opioid e-United States naseJapane: Ukucabanga kwama-Primary Care Physicians kanye nemibono. I-Journal ye-American Board of Family Medicine. May-June 2017. http://www.jabfm.org/content/30/2/248.full
> Medicare Home. I-Blue Cross Blue Shield Blue Care Network yaseMichigan. http://www.bcbsm.com/medicare/help/faqs/getting-care/transportation-doctor-office.html