Ukuphathwa kobuhlungu kuyigatsha lemithi esetshenziswa isayensi ekunciphiseni ubuhlungu. Ihlanganisa izimo eziningi ezihlanganisa ubuhlungu be-neuropathic, i- sciatica , ubuhlungu be-postoperative nokuningi. Ukuphathwa kobuhlungu kuyisipesheli sezokwelapha esheshayo esithatha izindlela eziningi zokwelapha ukuphatha zonke izinhlobo zobuhlungu. UDkt. Sameh Yonan, onguchwepheshe wezobuhlungu eCleveland Clinic, uthi "sihlola, sivuselela futhi siphatha abantu ebuhlungu." Udokotela wakho angase akubhekise ekulawuleni ubuhlungu uma yena noma enquma ukuthi ubuhlungu bakho buphelile.
Abachwepheshe Bokuphatha Izinhlungu
Odokotela abasebenza ngokukhethekile ekulawuleni ubuhlungu babona ubunzima obunzima obubuhlungu, kanti udokotela ozwa ubuhlungu "usondela kule nkinga kuzo zonke izinkomba," kusho uJonan. Okungcono, ukwelashwa emtholampilo wezinhlungu kuyisifo esineziguli, kodwa empeleni, lokhu kungase kuxhomeke ezintweni ezikhona zesikhungo. Njengamanje, azikho izindinganiso ezisungulwe zezinhlobo zokuqeqesha okumelwe zifakwe, futhi lokhu kungenye isizathu sokuthi iminikelo yokwelapha izohluka kusuka emtholampilo kuya emtholampilo.
Kodwa okungenani, ochwepheshe bathi isikhungo kufanele sinikeze iziguli ezintathu izinhlobo zodokotela: udokotela ohlelayo, ohlinzeka ngokubonisana nongcweti egameni lakho, isazi sokuvuselela umzimba, kanye nesifo sengqondo, ukukusiza ukuba ubhekane nanoma yikuphi ukucindezeleka okuhambisanayo noma ukukhathazeka, ikakhulukazi uma unesihlungu esingapheliyo.
Ezinye izici zokwelashwa ezimelelwe ukuphathwa ubuhlungu ziyi-anesthesiology, i-neurosurgery, kanye nemithi yangaphakathi.
Udokotela wakho wokuxhumanisa angase akubheke ngezinsizakalo ezivela ochwepheshe bezokwelapha emsebenzini, abasebenzi bezenhlalakahle kanye / noma abahlinzeki bezokwelapha abasebenzayo kanye nabanye.
Ukuze afaneleke njengomchwepheshe wezobuhlungu emehlweni eBhodi laseMelika yezokwelapha, umhlinzeki wezempilo kufanele abe uMnyango wezeMpilo nge-board certification okungenani okunye okukhethekile okulandelayo:
- Anesthesiology
- Ukuvuselelwa ngokomzimba
- Psychiatry kanye neurology.
UDkt. James Dillard, uprofesa wezokwelapha e-Columbia University College of Physicians and Surgeons, uthi udokotela ophethe ubuhlungu kufanele futhi abe nomkhuba wakhe noma umkhuba wakhe okulinganiselwe kulowo okhethekile lapho abamba khona isitifikedi. Ungahlola ukuthi ngabe odokotela emtholampilo wokuphatha ubuhlungu ocabangela yini ibhodi eliqinisekisiwe ngokuya kwi-website ye-American Board of Medical Specialties.
Imigomo Yokuphathwa Kwezinhlungu
Ngenkathi ezinye izinhlobo zobuhlungu zivela emithonjeni eyisisekelo njengamakhanda, kanti ezinye ezivela emithonjeni yamanzi ezifana nokuhlinzwa, insimu yokuphathwa kobuhlungu yenza konke njengesifo. Lokhu kuvumela ukusetshenziswa kwesayensi, kanye nentuthuko yakamuva emithi yokwelapha ukukhulula ubuhlungu bakho. Futhi nakuba iziguli eziningi, ikakhulukazi lezo ezibuhlungu obungapheli, zibona umqondo wezifo zengqondo noma uchwepheshe njengengxenye yalokho okuhlangenwe nakho, ukufunda ukubhekana nobuhlungu kungaphansi kokugxila kokwelashwa.
"Manje sinezinqubo eziningi, kuhlanganise nemithi, amasu okulawulwa kwezinhlungu zokungenelela (izinambuzane zesisindo, izigulisi zomgogodla, nezindlela zokwelapha ezifanayo), kanye nokwelapha ngokomzimba kanye nemithi ehlukile ukusiza ukunciphisa ubuhlungu," kusho uJonan.
Umgomo wokuphathwa ubuhlungu ukunciphisa ubuhlungu, kunokuba usiqede. Lokhu kungenxa yokuthi kaningi akunakwenzeka ukuba ususe ngokuphelele. Ezinye izinhloso ezimbili ukuthuthukisa umsebenzi nokukhulisa izinga lokuphila. Lezi zinhloso ezintathu zihamba ngesandla.
Njengesiguli sesikhathi sokuqala emtholampilo wokuphatha ubuhlungu, ungase uzwe okulandelayo:
- Ukuhlola.
- Ukuhlolwa kokuhlola, uma kunesidingo, njengoba kunqunywe ekuhlolweni.
- Ukudluliselwa ku-surgeon, uma kuboniswa ukuhlolwa nokuhlolwa.
- Ukwelapha okungahambi, okufana namagciwane noma ukugqugquzelwa komgogodla .
- Ukwelapha ngokomzimba ukwandisa ukuhamba okuhamba phambili namandla, futhi ukukulungiselela ukubuyela emsebenzini.
- I-Psychiatry yokubhekana nokucindezeleka , ukukhathazeka, kanye / noma ezinye izindaba ezingase zihambisane nobuhlungu bakho obungapheliyo.
- Imithi ehlukile yokuhlinzekela ukuhambisana nezinye izifo zakho.
Abahlukumezi be-back and neck abenza kahle ngohlelo lokuphathwa kobuhlungu, kusho uJonan, yibo abaye bahlinzwa ngokuphindaphindiwe, kuhlanganise nokuhlinzwa okuhlulekile, futhi basalokhu bebuhlungu, labo abane-neuropathy, nalabo okuye kwaqunywa ukuthi ukuhlinzwa ngeke bazuze isimo sabo.
"Abantu abaye baba umlutha wemithi yobuhlungu empeleni badinga usizo oluyinkimbinkimbi kunalokho uhlelo lokuphatha ubuhlungu olungabanika lona. Uhlelo olubuhlungu lokuvuselelwa ubuhlungu lungcono kakhulu kulaba bantu," usho kanje.
Ngokusho kwe- Pain Physician , imiphumela yocwaningo lokucwaninga ngokuphathwa kobuhlungu ayisebenzisi ngaso sonke isikhathi ezinkingeni iziguli eziza nazo emitholampilo ngosuku nosuku. Ngeshwa, lokhu kunomthelela omubi ekubuyiselweni komshuwalense kanye namanye amalungiselelo okukhokha, kanye nokulinganisa kwalokhu okukhethekile kwezokwelapha.
"Ukuqonda kangcono ubuhlungu obubangelwa yimiphakathi kanye nezinkampani zomshuwalense kanye nezifundo eziningi ezibuhlungu kuzosiza ukwandisa umshwalense wokuphathwa kwezihlungu. Ngokuzayo, ukusetshenziswa kobuchwepheshe kuzosiza ekuthuthukiseni imiphumela yamasu okuphatha ubuhlungu bokungenelela," kusho uJonan.
Imithombo:
Manchikanti, L. MD, uMark V. Boswell, M. MD, PhD., James Giordano, J. PhD. Udokotela wezinhlungu 2007; 10: 329-356.
Ifoni Ingxoxo. UDkt. Sameh Yonan, MD, Ochwepheshe bezokuPhathwa kweziPhuzo e-Hillcrest, eWilloughby naseNingizimu South Pointe Centres e-Cleveland Clinic Health System.
UJames N. Dillard, MD., DC. I-CAc. Isixazululo Sokuphulukisa Okungapheliyo: Indlela Yakho Yomuntu Ekuhluphekeni Kwezinhlungu Bantam Dell ukuhlukaniswa kweRandom House New York 2003.