Yikuphi okungcono?
Kucatshangwa ukuthi "ukushisa okushisa," i-ice ivame ukunconywa ukulimala okunzima , kuyilapho ukushisa kuvama ukusiza okwengeziwe ngezinkinga ezingapheli ezihilela ukuxubha kwemisipha. Kodwa ingabe iqhwa lingcono kakhulu ekulimazeni okubuhlungu emuva, futhi nje lenza kanjani umsebenzi walo?
Indlela Iqhwa Isebenza Ngayo Ukukhulula Ubuhlungu Nokunciphisa Ukuvuvukala
I-Ice isebenza ngokunciphisa isikhala ngaphakathi kwemithambo yegazi, okuvimbela ukugeleza kwegazi nokunciphisa izidingo zomzimba zamathambo akho athambile .
Ukugeleza kwegazi okunomkhawulo kunciphisa inani lamakhemikhali acasulayo anikezwa endaweni yokulimala. Nakuba lezi zimakhemikhali zisebenza ngendlela engokwemvelo futhi ewusizo ekuvuvukeni, kufanele zigcinwe isheke ukuze zigweme ukuvuvukala, nokubunjwa ngokweqile kwezicubu ezibomvu endaweni yokulimala kwakho emuva noma kwentamo. I-Ice iphinde ibe yinkinga yokunciphisa ukunciphisa ubuhlungu bokulimala.
Ngakho Wenzani Ngemuva Kokulimala Kamuva?
Ngemuva kwe-strain , ukulawula kwesithupha kuyi-ice (ne- aspirin ) yamahora okuqala angu-48 kuya kwangu-72. Ukushisa kwandisa ukuvuvukala, futhi kungase kungabi umqondo omuhle ekuqaleni (ngesikhathi sesibindi sokulimala.) Ngemva kwalezo zinsuku ezimbalwa zokuqala, ochwepheshe abaningi batusa ukusetshenziswa kweqhwa noma ukushisa, ngokusho okuthandayo. Ngesikhathi abacwaningi beqhubeka bebheka izindlela ezingcono zokuphatha ukulimala okukhulu , odokotela abaningi basasikhuthaza i-ice njengendlela yokuqala yokuvikela iziguli zabo ezilimale emuva.
Ukubuyekezwa kwezifundo zango-2011 ezishicilelwe eBritish Medical Journal Clinical Evidence kwahlola izigaba ezingu-20 zokungenelela (okungukuthi, ukwelashwa nokunakekelwa) ukuze ufunde ngokuphepha nokusebenza kwazo.
Ukwelashwa kwakungaphezu kwemithi yokuhlunguphazwa kwamanxeba njengama-NSAID, ukugcoba, ukuqeqeshwa kwe-McKenzie (kanye nezinye izinhlobo zokuzivocavoca emuva) futhi-ke, ukushisa okushisa.
Abacwaningi babefuna izimpendulo zemibuzo elandelayo:
- Yimiphi imiphumela yezokwelapha zomlomo ngomlomo ngenxa yobuhlungu obunzima bokubuya emuva?
- Yimiphi imiphumela yomjovo wendawo wabuhlungu obuhlungu obuhlungu emuva?
- Iyini imiphumela yezokwelapha okungezona izidakamizwa zobuhlungu obunzima bokubuya emuva?
Ngokuqondene nokuhlola kwezinga lokushisa, ukubuyekezwa kutholakale ubufakazi obuningi bokuthi usebenzise ukushisa ukushisa izinsuku ezingu-5 ngemuva kokulimala kunganciphisa ubuhlungu. Ngokufanayo, abalobi bathi bakonke abazange bathole ubufakazi obanele bokugweba ukusebenza kwanoma yiluphi uhlobo lokuphathwa kwezinga lokushisa.
Ukwengeza Umsebenzi Kungaba I-Bet yakho Engcono kakhulu
Mhlawumbe okuthakazelisayo nakakhulu ukuthi ukubuyekezwa kutholakala "iseluleko sokuhlala sikhuthele" ngemuva kokulimala kubonakala kunika imiphumela emihle ngokusebenza nokuhlushwa kobuhlungu. Isibonelo, abalobi baphetha ngokuthi ukuhlala ngokusebenza ngokujulile kwehlisa ikhefu lokugula kanye nokukhubazeka okungapheli kuze kube unyaka owodwa uma kuqhathaniswa nokwelashwa kwendabuko
Futhi, ukubuyekezwa kuka-Cochrane ka-2006 okushiwo, "Ukubukezwa kukaCochrane kokushisa okukhulu noma ukubandayo ngenxa yobuhlungu obunzima," wathola ubufakazi obuningi emfundweni embalwa yokushisa ukushisa njengendlela yokunciphisa ubuhlungu nokukhubazeka esikhathini esifushane. Lokhu kwakuyiqiniso kubantu ababesezigaba zombili eziyinkimbinkimbi futhi ezincane zokulimala.
Abacwaningi baphinde bathola ukuthi ukwengeza ukuzivocavoca okunye okunciphisa ubuhlungu nokusebenza okuthuthukisiwe kwabahlanganyeli bezocwaningo.
Ngokufanayo nokubuyekezwa kwe- BMJ okukhulunywe ngaye ngenhla, abalobi beCochrane bathi akukho bufakazi obanele bokuhlola imiphumela yokubanda ngenxa yobuhlungu obuphansi emuva nobufakazi obuphikisanayo bokuthi kukhona ukungafani phakathi kokushisa nokubandayo ngenxa yobuhlungu obuphansi.
Ngakho-ke manje, nangesikhathi esizayo esizayo, lesi sinqumo kungenzeka senziwe ngcono kuwe, umuntu onenkinga yangemuva. Yini eyenza umhlane wakho uzizwe kangcono - ukushisa noma iqhwa?
Imithombo:
I-French SD1, i-Cameron M, i-Walker BF, i-Reggars JW, i-Esterman AJ. Ukubuyekezwa kukaCochrane kokushisa okungenasisekelo noma kubanda ngenxa yobuhlungu obuphansi. Isiphambano (Phila Pa 1976). 2006 Apr 20; 31 (9): 998-1006.
McIntosh, G., Hall, H. Ubuhlungu obuphansi emuva (acute). I-BMJ Clin Evid. 2011.