Uma wena noma othile owaziyo uye waba nesifo sohlangothi, kungenzeka wazi kahle ukuthi indlela yokuphulukisa ngemva kokwelashwa ingaba yinde futhi ivame ukuphazamisa. Ukuvuselelwa kabusha kuqala ngokushesha ngangokunokwenzeka, kaningi ngesikhathi sokuhlala esibhedlela, futhi kungabandakanya ukunakekelwa kokuhlengikaza, ukwelashwa ngokomzimba kanye nokusebenza, ukwelashwa kwenkulumo, nomsebenzi womphakathi.
Ngaphandle kokuvuselelwa okujwayelekile, abanye abantu baphenduka ekuguleni, uhlobo oluthile lwezokwelapha olusekelwe esinaleni elisetshenziswa kakhulu emithi yokwelapha yaseShayina .
Ngokusho kwedatha evela ku-2002 ye-National Health Interview Survey, amaphesenti angu-46 abantu abasinda e-United States basebenzisa imithi ehambisanayo futhi ehlukile, kanti ukukhishwa kwesikhumba kuba yilapho kuphela ukwelashwa okusetshenziselwa kakhulu abasindile besifo.
Ngesikhathi ukwelashwa kwe-acupuncture , udokotela ufaka izinaliti ezinhle ngamaphuzu athile emzimbeni. Ukwelashwa kuthiwa kunciphisa ubuhlungu , kuthuthukiswe izinga lokuphila kanye nenhlalakahle ngokomzwelo, futhi kungenzeka ukusiza ngemisebenzi yokuphila kwansuku zonke njengokuhamba noma ukuzinakekela.
Ukubuyiswa kwe-Acupuncture nokuvuselelwa kwesisu
Ngenkathi ezinye izifundo zibonisa ukuthi ukukhishwa kwesikhumba kungabasiza abantu abaye bahlaselwa isifo, akuzange kube nokwanele okwenziwe kahle, ukuhlolwa okukhulu kwemitholampilo ukuze kufinyelele isiphetho.
Ukubuyekezwa kocwaningo okushicilelwe ku- Database Cochrane Yokuhlola Okuhlelekile ngo-2016 ukuphakama kwezifundo ezingu-31 (kanye nabangu-2257 ababambiqhaza) ekusebenziseni ukulungiswa kwesifo sohlangothi.
Ngokusho kwabalobi bezocwaningo, ukukhishwa kwesikhumba kungase kube nemiphumela ekuthuthukiseni ukuxhomekeka, ukuntuleka kwegazi kwezwe, kanye nokukhubazeka okuthile okwenziwe ngegazi kubantu abane-stroke. Kodwa abalobi baxwayisa ukuthi iningi lezifundo ekuhlaziyweni kwazo azizange zibe nekhwalithi elifanele noma usayizi, okwenze kube nzima ukudweba iziphetho.
Ekubukezeni kocwaningo olwanyatheliswa ku- Acupuncture Medicine ngo-2015, ososayensi bahlola ukuhlolwa kwemitholampilo eshicilelwe ngaphambilini ngaphambili kokuqhathanisa ukwelashwa kwe-acupuncture kanye nokuvuselela yedwa kubantu abangezinyanga ezintathu noma ngaphansi kokushaya kwesifo. Ekuphetheni kwabo, abalobi bathi ukukhwabanisa nokuvuselelwa kungase kube nezinzuzo ngaphezu kokuvuselelwa yedwa.
Ukuthola okuvela ezicwaningweni ezimbalwa kusikisela ukuthi ukukhishwa kwesikhumba kungase kube nezinzuzo ezithile ngesikhathi sokuvuselelwa kwesisindo:
Ukuqeda Izinkinga Ngemva Kokushaya
Ngemuva kwesifo, abanye abantu banzima ukugwinya (isimo esaziwa ngokuthi i- dysphagia ) esenza ukudla nokuphuza kunzima futhi kungabangela ukungena nokufisa. Ngombiko oshicilelwe kwi- Database Cochrane Yokuhlola Okuhlelekile ngo-2012, abacwaningi basungula izifundo ezingu-33 ezishicilelwe ngaphambilini (nabangu-6779 ababambiqhaza) uma kuqhathaniswa nokwelashwa okuhlukile kwe-dysphagia kubantu ababenesifo ezinyangeni eziyisithupha zokubhalisa esifundweni. Ekubuyekezeni kwabo, abalobi bezindaba babuthola ubufakazi bokuthi ukukhwabanisa kwanciphisa i-dysphagia.
Spasticity
Ngemuva kokushaywa yisifo, abanye abantu banesisindo somzimba kanye nokuvinjelwa okungazibandakanyi (okubizwa ngokuthi i-spasticity), okungenza kube nzima ukwenza imisebenzi yansuku zonke.
Umbiko oshicilelwe ku- Archives of Physical Medicine nokuvuselelwa ngo-2017 uhlaziye izindlela ezingu-22 ezishicilelwe ngaphambilini ekusetshenzisweni kwe-electroacupuncture kwi-spasticity ehlobene nesifo sohlangothi. Abalobi bombiko bathole ukuthi ukufakwa kwamandla ngaphakathi kwezinyanga eziyisithupha ngemuva kokushaya isifo kuhlanganise nokunakekelwa okuvamile kungasiza ukunciphisa ukugxila emlenzeni ophezulu nangaphansi.
Umbiko wangaphambilini (oshicilelwe ku- Journal of Alternative and Complementary Medicine ), Nokho, waphetha ngokuthi ukusebenza kahle kwe-acupuncture ngokuphazamiseka ngemuva kokushaywa yisifo kwakungenakuqinisekiswa ngenxa yezinga elibi lokucwaninga olutholakalayo. Abalobi batusa izifundo ezinkulu, ezenziwe kahle.
Imiphumela emibi nokuphendula okubi
Uma usebenzisa i-acupuncture yokuvuselelwa kwesifo, kubalulekile ukusebenza nomuntu oqeqeshiwe we-medical acupuncturist onokuhlangenwe nakho kokuthola ukwelashwa kokuthola isifo. Eyinyumba, izinaliti zokukhishwa okusetshenziselwa ukukodwa kufanele zisetshenziswe kuphela.
Ngenkathi izingozi zivame ukubhekwa njengezinga eliphansi uma ukukhishwa kwesikhumba kwenziwa ngumuntu osebenza kahle, onomthetho we-acupuncturist, imiphumela emibi ingase ibandakanye ubuhlungu, ukukhathazeka, ukuvuvukala, ukulimaza, noma ukuphaphaza endaweni yelinaliti, ukuphazamiseka, ukulimala komzimba, i- hematoma , i-hemiplegia, kanye nezifo.
Ukukhishwa kwe-acupuncture kubhekwa "okuphephile kakhulu" ngokusho kokubuyekezwa kokukhishwa kwesisu ngenxa yesifo, kodwa ukubuyekezwa kocwaningo ezenzakalweni ezimbi emva kokukhishwa kwesikhumba kuhlanganisa ne-pneumothorax, ukuphazamiseka, ukulimala kwenhliziyo, nokulimala.
Uma unesifo sokuphuma kwegazi, uthatha igazi elincane elifana ne-warfarin, une-pacemaker, ukhulelwe, noma une-immune system, ungase ungabi ngumuntu omele ukwelashwa.
I-Takeaway
Ukuvuselelwa kwesisu kuyinkqubo ende futhi eyinkimbinkimbi, okungenza uzizwe unganelisekile ngokuthola futhi ufune usizo olwengeziwe lwezosizo. Nakuba kungekho ubufakazi obanele obuvela ezivivinyweni ezinkulu zokwelashwa ukwenza isiphetho ngokusebenza kahle kwe-acupuncture, kwabanye abantu, kungasiza ukuthuthukisa izinga lokuphila futhi kube nemiphumela emihle ekukhathazeni njengokugwinya noma ukuphazamiseka.
Uma ucabanga ngokuzama ukuhlinzwa, kubalulekile ukuthi uthintane nodokotela wakho kuqala. Angakusiza ukunquma ukuthi ukufaka phakathi kwakho njengengxenye yokwelapha kwakho ukuvuselela ingase ibe nenzuzo futhi iphephile.
> Imithombo:
> Cai Y, Zhang CS, Liu S, et al. Ukwenziwa kwe-Electroacupuncture for Poststroke Spasticity: Ukubuyekezwa Okuhlelekile kanye ne-Meta-Analysis. I-Arch Phys Med Rehabil. I-2017 Dec; 98 (12): 2578-2589.e4.
> Geeganage C, Beavan J, Ellender S, Bath PM. Ukungenelela kwe-dysphagia nokusekela okunomsoco ku-stroke enzima nokuziphendulela. Cochrane Database Syst Rev. 2012 Okthoba 17; 10: CD000323.
> Vados L, Ferreira A, Zhao S, Vercelino R, Wang S. Ukuphumelela kokukhishwa kwamakhemikhali kuhlangene nokuvuselelwa kokwelashwa kwesifo esibucayi noma sokuhlukunyezwa: ukubuyekezwa okuhlelekile. I-Acupunct Med. 2015 Jun; 33 (3): 180-7.
> Yang A, Wu HM, Tang JL, Xu L, Yang M, Liu GJ. Ukwenza isipele sokuvuselelwa kwesisu. I-Cochrane Database Syst Rev. 2016 Aug 26; (8): CD004131.
> Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela ovunyelwe. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.