Ukugcina Umsebenzi Wezinto Zomzimba Kubalulekile Njengenkululeko Yosizo
Nginomlando omude ene-arthritis, ikakhulukazi, isifo samathambo esifubeni . Noma kunjalo, nginolwazi olulinganiselwe ngelashwa langokwenyama. Njengoba ngibheka emuva eminyakeni edlule, kusukela ngathola ukuthi ngo-1974, ukwelashwa ngokomzimba akuzange kukhuthazwe odokotela bami, futhi ukubaluleka kwalo akugcizelele.
Ngathunyelwa ekwelapheni ngokomzimba emva kokuhlinzwa okubambisene okuhlanganyelwe ngamasonto angama-6-8 njalo, kepha ngokuyinhloko, injongo yayiwukuvuselelwa kwe-post-op.
Kwakungakaze kunconywe kimi njengengxenye yokunakekelwa kwe-arthritis okujwayelekile ukugcina noma ukuthuthukisa ukunyakaza , ukugcina noma ukuthuthukisa ukusebenza komzimba, noma ukugcina noma ukwakha amandla omzimba.
Eqinisweni, lapho ngithola ukuhlinzwa kwami kokuqala ngo-1980, udokotela ohlinzayo owayehambisana nesinye sezikhungo zezokwelapha ezihlonishwa kakhulu emhlabeni wangitshela ukuthi angizange ngidinge ukwelashwa ngoba ngisemncane (24 isikhathi) futhi ubuyothola emuva. Muva nje, ngo-2013, ngenkathi ngine-disc, ngatshelwa odokotela ababili ukuthi ukwelapha ngokomzimba ngeke kusebenze kuze kutholakale ubuhlungu. Nokho, udokotela wami oyinhloko wangibhekisela ekwelapheni ngokomzimba ngo-2013, kodwa umtholampilo wokwelashwa engangiya kuwo wawubonakala ulahlekile mayelana nokuthi ungenzani nami-isiguli esinesimiso eside nesifo samathambo kanye nesipiliyoni samuva esinezinkinga zangemuva .
Manje ngenxa yezindaba ezinhle. Nakuba kubonakala sengathi kukhona odokotela abaningi abangaqapheli izinzuzo zokwelashwa ngokomzimba njengengxenye yokunakekelwa kwe-arthritis njalo kanti kunemitholampilo yokwelashwa engokwenyama engafanele, akufanele ushiye.
Kufanele uzivikele. Yilokho engakwenza ngo-Agasti 2014. Ngangicabanga ukuthi, ngemva kweminyaka embalwa embi, ubuhlungu bami bubekwe kahle kahle. Ngangizizwa ukuthi sekuyisikhathi esifanele ukuphishekela ukwelashwa ngokomzimba noma ukuvuselelwa kwamathambo (kubize ngokuthi yini oyothandayo) ukuphinde uzuze ukunyakaza namandla engikulahlekile.
Angizange ngithole ukusekelwa okuningi kulo mqondo lapho ngimemeza ukucela ukuthunyelwa futhi ngikhulume nomsizi wami wodokotela wamazinyo. Kodwa, ngaqhubeka futhi ngithunyelwa ekudingisweni. Ngathola indawo emangalisayo emva kokufuna ukutholakala kwe-intanethi ezindaweni zokwelashwa. Ngathola ama-SPORTS (amasevisi we-Orthopedic Orthopedic Rehabilitation Therapy Services) eLas Vegas, eNevada. Ngokwe-website yabo, banikeze kahle lokho engikudingayo. Kodwa, kwakudingeka ngikhulume nabo futhi nginqume uma bezwa ukuthi lokho abakunikezayo kungangisiza kimi.
Ku-SPORTS, ngangihlolwa futhi ngixoxwa. Ngempela ngilalele futhi ngizwa. Ithimba lezokwelapha elaziwayo laqonda ukuthi, nakuba nginomlando omude futhi onzima kakhulu nge-arthritis, ngingathola inzuzo yokwelashwa / ukuvuselelwa kwamathambo. Umhlinzeki wami uhlanganisa isimiso sokuqeqesha esihlanganisa ama-Pilates, ama-exercises ahlukanisa nokuqinisa , i-elliptical engama-recumbent, ne-HyperVibe (esebenzisa isimo esishintshiwe). Ngemva kwamasonto amabili nje, ngangizizwa nginamandla. Inyanga eyodwa, enamandla okwamanje. Futhi, kube yinto enhle kangaka engizange ngizizwe sengathi ngifuna ukuyeka.
Ingabe Kwakungewona Ukuthi Ngiyakuthinta Ukwelashwa Kwemvelo?
Okukukhumbuza lo mbuzo: Ingabe nginguye kuphela umuntu onesifo samathambo esingaqondanga nhlobo eduze kwelashwa ngokomzimba njengoba bexhumana nodokotela futhi bazama ukuphatha lesi sifo eminyakeni eminingi?
Ngabuza iqembu labangani ngifo samathambo engaziwa iminyaka eminingi, kanye namanye amaqembu abasebenzisi bale webhusayithi. Ukuvumelana kwakuwukuthi abazange baceliwe ukuba babheke ukwelapha ngokomzimba njengengxenye yomuthi wabo wokwelashwa kwamathambo. Ngangincike esandleni esisodwa labo abaye banconywa ukuba babe nokubonisana kokwelapha ngokomzimba. Njengoba ngigubha ngokujulile, mayelana nokuthi kungani ukwelashwa okungokwenyama kungekho kwi-radar yeziguli eziningi noma odokotela, ngabona ukuthi lezo zinkinga zazibonakala ziphezulu.
- Umshuwalense unikeza ukuhlinzekwa okulinganiselwe kokwelashwa ngokomzimba. (isibonelo, i-Medicare ivumela i $ 1,920 ngonyaka ngonyaka wekhalenda). Abanye abantu babengazi ngokugcwele ukuthi yini yabo yokwelashwa kuyoba yindlela yokwelashwa ngokomzimba, uma ihlanganisiwe nhlobo, noma uma izindleko zabo ezingaphandle kwezezimali zikwazi ukuphathwa kahle futhi zikwazi ukuphathwa.
- Kukhona ukuqonda okungalungile kanye nokubona okungenakwenzeka ukuthi abantu abane-arthritis abakwazi ukwenza okwanele ukuthi babalulekile. Yebo, abanye abantu abane-arthritis bacabanga ukuthi ngokwabo.
- Ezinye iziguli ze-arthritis azi ukuthi zingacela ukuthunyelwa.
- Abanye abantu baye batshele noma bakholelwa ukuthi ukwelashwa ngokomzimba kungabe kubi kakhulu isimo sabo.
Abaningi Abazozuza Ngokwelashwa Kwemvelo Abaphelelwe Imisebenzi
Ngokusobala, ukwelashwa ngokomzimba akuwona wonke umuntu, kodwa ngokucacile, kubonakala sengathi abaningi abangakwazi ukuzuza abalahlekelwa isikebhe. Lena ingxoxo okufanele iyenze phakathi kwe-patient's arthritis kanye nodokotela wabo.
Kuphela nyanga (September 2014), i-American Physical Therapy Association ikhishwe Khetha ngokuhlakanipha - Izinto Ezinhlanu Eziphathelene Nezifo Zomzimba Neziguli Kufanele Zibuzwe. Inombolo ezimbili kwezingu-5 zinikeza lesi seluleko kubahlengikazi, "Ungalali izinhlelo zokuqeqeshwa kwamandla asezindaweni ezindala ezingekho ngaphansi kwamandla." Kunalokho, fanisa imvamisa, amandla kanye nobude bokuzivocavoca ngamakhono nemigomo yomuntu ngamunye. Amandla ethuthukisiwe kubantu abadala asekhulile ahlobene ngempilo ephakeme, ikhwalithi yokuphila kanye nomthamo wokusebenza, kanye nomngcipheko owehlayo wokuwa.Abantu abadala asebekhulile bavame ukushiwo umsebenzi wokuzivocavoca ophansi kanye nomsebenzi wokuzivocavoca owenziwe ngokomzimba ngokwanele ukwandisa ukuzuza kwamandla emisipha. ukulingana kwemithi yokuqeqeshwa kwamandla nokuthuthuka, futhi ngaleyo ndlela kubeka imikhawulo emihlomulweni yokuqeqeshwa. Uhlelo oluqeqeshwe ngokucophelela lokuqeqesha amandla lungaba nezinzuzo ezibalulekile zezempilo kubantu abadala. "
I-Cleveland Clinic ithi, "Ochwepheshe bezokwelapha bangakuhlinzeka ngezivivinyo ezenzelwe ukugcina ukuhamba, amandla, nokusetshenziswa kwamalungu akho. Uchwepheshe wakho wenyama uzolungisa uhlelo ngezidingo zakho ezithile, kungakhathaliseki ukuthi izinkinga zakho ze-arthritic zisakazeke noma zivalelwe ndawonye indawo yomzimba. " I-Cleveland Clinic nayo igcizelele ukuthi, "Ukwelapha kufanele kuqalwe ekuqaleni ukuze kunciphise izimpawu ezibuhlungu zokuvuvukala , ukuvimbela ukukhubazeka nokuqina okuqinile okuhlala njalo, nokugcina amandla emisipha ehambisanayo. Uma ubuhlungu nokuvuvukala kungcono ukulawulwa kangcono, izinhlelo zokwelashwa zingase zibandakanye ukuzivocavoca ukuze ukwandisa uhla lokuhamba, nokuthuthukisa amandla omzimba nokukhuthazela. "
Ngezansi: Khuluma nodokotela wakho. Akukaze kube sekwephuzile kakhulu ukwandisa ukunyakaza, umsebenzi nokuzivocavoca ezingeni elikufanelekile. Isinyathelo esibaluleke kunazo zonke esivela kulesi sihloko yilesi seluleko: "Qhathanisa imvamisa, amandla kanye nobude bokuzivocavoca ngamakhono nemigomo yomuntu."
Imithombo:
I-American Physical Therapy Association. Izinto Ezinhlanu Ezihlinzeka Ngokwemvelo Iziguli Neziguli Kufanele Umbuzo. Kukhishwe ngo-Septhemba 15, 2014.
http://www.choosingwisely.org/doctor-patient-lists/american-physical-therapy-association/
Umtholampilo waseCleveland: Izifo nemibandela. I-Occupational & Physical Therapy ye-Arthritis. Ngo-September 17, 2012.
http://my.clevelandclinic.org/health/diseases_conditions/hic_Arthritis/hic_Occupational_and_Physical_Therapy_for_Arthritis