Uma kuqala izimpawu zesifo samathambo noma ngesikhathi sokugqama okukhulu kwezimpawu, abantu bafuna ukukhahlela embhedeni futhi bahlale lapho. Lokho kokubili kuyaqondakala futhi kunengqondo. Yilokho esikwenzayo uma singazizwa kahle, akunjalo? Kodwa, isifo samathambo siyisifo esingapheli. Ayikho ikhambi . Lesi sifo kufanele siphathwe isikhathi. Ukuphumula kombhede kufanelana kanjani nepulani yesikhathi eside ukulawula isifo samathambo?
Uyini umphumela wokulala embhedeni emsebenzini wesifo?
Izincomo ezisuka ku-Long Ago
U-Hippocrates wathi, "Kuzo zonke izihamba zomzimba, noma nini lapho uqala ukukhuthazelela ubuhlungu, kuzokhululeka ngokuphumula." Yilokho okumelwe sihambe khona emuva ukuze sithole umsuka womcabango wokuthi ukuphumula kombhede kungcono ukubuyisela ubuhlungu obukhulu. Ngokuthakazelisayo, odokotela babambelele kulokho futhi baye batusa ukuphumula kombhede ngezimo ezihlukahlukene zezingonyama. Kodwa, njengoba abacwaningi bahlanganyela ngokwengeziwe ekuhloleni izifundo ezazibheke umphumela wokwelapha wokuphumula kombhede, imiphumela ephawulekayo yayinzima ukuza-futhi okubaluleke nakakhulu, okunye okutholakele kwaveza imiphumela embi kakhulu ngokuphumula kombhede.
Ngomnyaka we-1978, iMayo Clinic yathi ukuphumula kokuphumula kwesifo samathambo kwaba "impikiswano". Ubufakazi ngaleso sikhathi besikhombisa ukuthi ukuzivocavoca kwandisa ukuvuvukala okufanayo nokubhujiswa, kuyilapho ukuphumula kunciphisa ukuvuvukala. Iphakamisa ukuthi ukunakekelwa esibhedlela kungase kuthuthukise ukuvuvukala.
Kwaphakamisa nokuthi ukhathala kufanele kusetshenziswe njengesiqondiso ekunakekeleni isifo samathambo. I-Mayo Clinic yaphetha ngokuthi ukuphumula okwanele ukuvimbela ukukhathala ngokuhambisana nokuphathwa okwenyama okufanele kuyinkambo engcono yokwelashwa.
Imiphumela ye-Meta-Analysis
Ngo-1999, u-Allen C. et al. (I-Lancet ngo-Okthoba 8, 1999; 354: 1229-33) yenza ucwaningo lwe-meta ngokusesha i-MEDLINE ne-Cochrane Library ukuze kusetshenzwe umphumela wokwelapha kokuphumula kombhede.
Baqaphele izilingo ezingama-39 ezilawulwe ngokungahleliwe, ezibandakanya iziguli ezingu-5 700 eziphathwa ngezifo nezimo ezingu-15. Ezingu-15 zezilingo, ukuphumula kombhede kwafundwa njengendlela yokwelashwa okuyinhloko yezimo ezibandakanya ubuhlungu obubuhlungu bokubuya emuva, umsebenzi wokuzikhandla, ukuhlukunyezwa komzimba we-myocardial, i-hepatitis enesifo sofuba nesifo samathambo. Abalobi baphetha ngokuthi ubufakazi obuncane bungatholakala ukuze kusekelwe ukusetshenziswa kokuphumula kombhede. Kube nemiphumela eminingi yokuphumula kombhede-kusukela ekungabambiselani kokulimaza. Abalobi bacaphuna iseluleko ekuqaleni babenikeza amashumi eminyaka ngaphambili okushiwo ukuthi ukuphumula kombhede "kuyindlela yokwelashwa engabonakali kahle futhi eyingozi kakhulu, ukuba ilandelwe izinkomba ezithile futhi ivele ngokushesha ngangokunokwenzeka."
I-Short-Term Versus Rest-Term Bed Rest
Abacwaningi sebeqedile ukuthi ukuphumula kungasiza ezinhlangothini zendawo ezivuthayo nezibuhlungu esikhathini esifushane. Ukuphumula kunganciphisa ubuhlungu nokuvuvukala kumajoyini afintekile. Kodwa, esikhathini esizayo, kunemiphumela emibi engaba khona ngenxa yokungasebenzi, ngokusho kukaJohn Hopkins. Imiphumela emibi ihlanganisa uhla lwezinyathelo ezinciphile, amandla anciphisa, ukuphendula okushintshiwe ekulayisheni okuhlangene , nokunciphisa amandla we-aerobic. Ngokusekelwe emiphumeleni yokutadisha esuka ku-Mueller et al.
(Archives of Medicine Physical and Rehabilitation, 1970), iziguli eziphumule ukulala kahle zingalahlekelwa amaphesenti angu-1 kuya kwamaphesenti angu-1.5 ngosuku ngosuku lwamaviki amabili kuphela. Udokotela wenyama wangitshela ukuthi lokho kuthatha amasonto ambalwa ukulahlekelwa, ngokwemandla emisipha, kuthatha izinyanga eziningi ukuzuza kabusha.
Ngesikhathi ukuphumula komzuzwana wesikhashana noma wesikhashana kungasiza ukunciphisa ubuhlungu nokunciphisa inani lamathenda amathenda noma amalunga avuliwe, ukuphumula okulele isikhathi eside okuphathelene nokulala. Ukulala okulele isikhathi eside, kanye ne- muscle atrophy , kungabangela izilonda ze-decubitus, ukunciphisa i-tendon, nezivumelwano. Kungase futhi kuhlotshaniswe nesifo se-thromboembolic (ukwakheka kwezindwangu zegazi) kanye nokuphikiswa kwe-insulin.
Njengoba kunenkinga yokwenza umonakalo ongaphezu kokuhle nokuphumula okulele isikhathi eside, ezinye izindlela kufanele zicatshangelwe. Kwezingxenye ezithile zomuntu, ukuchithwa kwempahla kungase kwenzeke okwesikhashana ngokusebenzisa ubukhazikhazi noma ngokugqoka ukwesekwa ukunciphisa ukunyakaza kokuhlangene okuthintekile. Ngokufanele, kufanele kube nokulinganisela phakathi kokuphumula nokusebenza. Awukwazi ukuyeka ukuvivinya umzimba nokusebenza ngokomzimba ukuze uthole ukuphumula isikhathi eside. Ukuzivocavoca kuyadingeka ukuze ugweme ukuhlukunyezwa kwe-muscle, ubuthakathaka, nokungazinzi okuhlangene. Ukucabanga okwamanje kubonisa ukuthi ekusebenzeni isikhathi eside, ukuzivocavoca impela kunciphisa ubuhlungu nokukhathala kunokuba ukwandise. Uma ulala embhedeni ucabanga ukuthi awukwazi ukusebenzisa okwanele ngisho nokukhathazeka, cabanga futhi.
> Imithombo:
> Isiphequluli, Roy G. Imiphumela yePhephu Yokulala. University of Johns Hopkins. Ishicilelwe ku-Critical Care Medicine. Ukwengeza kwe-Vol.37 10. Okthoba 2009.
> Cush, Weinblatt, neKavanaugh. Ukuphumula nokuzivocavoca. Page 92. I-Arthritis Ye-Rheumatoid: Ukuxilongwa Kwangaphambili Nokunakekelwa. Professional Communications, Inc. Uhlelo lwesithathu.
> Krabak, Brian MD no Minkoff, Evan DO. Isikhungo se-Arthritis sikaJohn Hopkins. Ukuphathwa Kokuvuselela Iziguli Zama-Arthritis I-Rheumatoid. Ukuphumula Okuhlobene. Ibuyekezwe ngoJulayi 31, 2012.
> Smith RD kanye nePolley HF. I-Rest Therapy ye-Rheumatoid Arthritis. I-Mayo Clinic Proceedings. 1978 Mashi; 53 (3): 141-5.
> Walling, u-Anne D. MD. Qaphela Ukuncoma Ukuphumula Ukulala Kwezinkinga Eziningi Zokugula. I-American Family Physician. 2000 Feb 15; 61 (4): 1164.