Nsuku zonke, abantu abayizigidi eziyisishiyagalombili e-United States (abaningi abangabantwana nabasha) banenkinga yokubuyela emuva empilweni yabo.
Uma kwenzeka lokhu noma uma kwenzeka wena noma umuntu omkhathalelayo, yini okufanele uyenze ngakho? Ingabe udinga ngempela ukubona udokotela? Kufanele ube kanjani indlela yakho yokukhulula ubuhlungu? Futhi uzodinga nini i- x-ray noma i-MRIs?
Ake sihlole izinto eziyisisekelo kulokho ongayilindela ekwelapheni kobuhlungu bokubuyiselwa kwakho emuva kokuqala obuhlungu. Kodwa ngaphambi kokuba sifinyelele kulokho, ake nginikeze izindaba ezinhle. I-AHRQ, i-ejensi yezempilo kahulumeni ehlinzekwa "ngokuthuthukisa ubuhle ekunakekelweni kwezempilo," njengoba kuboniswe kwiwebhusayithi yabo, kubika ukuthi ubuhlungu obukhulu be-back emuva (okuchazwa ngokuthi isiqephu esingaphansi kwenyanga) ezimweni eziningi zizixazulula ngokwayo. I-AHRQ ithi ukuxazululwa okuphelele kobuhlungu, ukukhubazeka, noma ukunyakaza okulinganiselwe nomsebenzi ongaphuthelwa kunqunywa ukuthi awukho embuzweni, nokuthi abantu abaningi baphuthuma ngokushesha ngemva kwalesi sigameko sokuqala.
Ingabe Kufanele Ubuye Uvakashele Udokotela?
Ukwazi ukuthi i-AHRQ ithi, uma uvakashela udokotela wakho lapho uzwa ubuhlungu emuva? Ngokuvamile, ubuhlungu bokubuyela emuva abuyinto engathí sina, futhi akuvamile neze ukusongela ukuphila. Lokho kusho, kungakwazi futhi kuvame ukuphazamisa izinga lokuphila.
Ukuze uthole okuhlangenwe nakho kwakho kokuqala ubuhlungu be-back, ukuhlola nodokotela wakho cishe umqondo omuhle.
Bonisa ukuthi ngubani odokotela ababuya emuva kakhulu abaya kuwo. Uzokubuza imibuzo eyisisekelo njengendlela yokunciphisa izimpawu zakho kuze kutholakale ukuxilongwa.
Le mibuzo ingabandakanya: Wenzani uma ubuhlungu buqala? Ingabe ubuhlungu bufika kancane kancane noma ngokuzumayo? Uzizwaphi ubuhlungu futhi uzikhandla?
Uzizwa kanjani? Imigomo eminingi yokuchaza izimpawu zakho zikhona, ngakho-ke ube khona. Ungase uzizwe izimpawu zikagesi ezifana nezikhonkwane nezinaliti, ukuvutha, ukushaqeka nokunye okunjalo, noma ungase ube nephunga elincane. Uma ukwazi ukuchaza ngokunembile futhi ngokunembile izimpawu zakho zobuhlungu, kungcono. Incazelo yakho inikeza udokotela okuthile okuzoqhubeka lapho enza ukuxilongwa kanye nezincomo zokwelapha ezalandelayo.
Ezinye izinto udokotela wakho angase azifune ukuthi ziyizikhathi zobuhlungu. Ngamanye amazwi, lifika nini futhi likhululeka nini, lokho okwenza ngokomzimba emsebenzini, nokuningi.
Izivivinyo Zokuxilonga-Ingabe Uyazidinga?
Odokotela abaningi banomkhuba wokuhlela ukuphefumula okuphelele kweziguli zabo ezinezintamo noma ubuhlungu emuva. Lezi zingabandakanya i-x-ray, i-MRI, kanye nokuhlolwa kwegazi okungenzeka.
Lezi zivivinyo azidingeki ngaso sonke isikhathi. I-American College of Radiology ithi ubuhlungu obukhulu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubuhlungu obubhebhetheka emuva.
Isibonelo, uma une "amafulege abomvu" njengamahlandla angapheli ebusuku, ubuhlungu obubi kakhulu ekuseni kodwa buya ngcono njengoba usuku luqhubeka, noma ubuhlungu obuhlala isikhathi eside ngaphezu kwesonto, udokotela wakho angase asole ukuthi ubuhlungu bakho obangelwa isifo sesistimu.
Ngokufanayo, uma une-osteoporosis, uke wabhekana nokuhlukunyezwa, noma ususebenzise i-steroids isikhathi eside, amafilimu angase abe usizo kakhulu kwinqubo yokuxilonga.
Ucwaningo lwesi-2016 lwesiJalimane olwakhicilelwe encwadini ethi Deutsche medizinische Wochenschrift lithole ukuthi nakuba amaphesenti angu-10 eziguli ezibuhlungu emuva athola amafilimu okuxilonga, kuze kube yingxenye yesithathu yalezi zikhukhula zingase zingadingekile ngokuphelele.
Ingabe Udokotela Wami Uyobeka Imithi Yokuhlunguphazwa?
Odokotela abaningi banikeza imithi yokwelapha iziguli zokuqala emuva. Noma yiluphi uhlobo lwemithi yobuhlungu luba nomthelela ohlangothini olungenzeka, kodwa maduze i-FDA ishintshe iphrofayli engozini ye-Advil (ibuprofen).
Ucwaningo olubukeziwe lubonise ukuthi ngisho namaviki ambalwa okusetshenziswa angakhuphula kakhulu ingozi yezimpilo ezinzima ezifana nokuhlasela kwenhliziyo.
Ngokudabukisayo, odokotela abaningi banikeza ubuhlungu be-narcotic bukhulule kakhulu ku-bat, ngisho neziguli zabo ezinobumnene obukhulu, obuzimele. Umbono wami wukuthi abasebenza ngaleyo ndlela bahlukumezeka kakhulu kulaba bantu ngenxa yengozi yokwehla komlutha okuhlobene nokuthatha izidakamizwa.
Ukubuyekezwa okuhlelekile okushicilelwe encwadini ka-May 2016 ye- Journal of the American Medical Association ithole ukuthi nakuba amandla e-analgesics e-opioid ekunciphiseni ubuhlungu obunzima bomhlane abuyaziwa, abukho ubufakazi bokuthi kunomthelela omuhle ekubuyeni okungezansi okungezona okubuhlungu emuva . Esinye sezizathu zabo ezinkulu ukuthi lokhu kwakuyi-opioids ingase inikeze usizo oluthile lwesikhashana, kodwa lokho kuyinto.
Ungayifaka kanjani imiphumela ye- JAMA kwi-opioids yokuhlunguphazeka okubuyiselwayo emuva kwesimo sakho (uma unesimo)? Ungase ucabange lokhu kusuka engozini ukuze uzuze i-angle. Ukuthatha ama-narcotics ngenxa yobuhlungu obukhulu be-back back kungase kusho ukuthi uzobe usengozini yokuba umlutha ngenxa yemali encane yokukhululeka kobuhlungu jikelele.
Ekuqaleni, kungase kubonakale sengathi udinga konke ongayithola ukuze ukwazi ukubhekana nalokho okubhekana nakho, kodwa unezinye izinketho. Njengoba kukhonjisiwe ngenhla, kunezigaba ezihlukahlukene zokuhlukunyezwa kobuhlungu ezifana ne-non-steroidal anti-inflammatories (ye-ibuprofen eyodwa) no-Tylenol (i-acetaminophen). Ngamanye amazwi, akuzona zonke izidakamizwa zobuhlungu eziyinkinga yemvelo. Futhi izinhlobo ezingezona izidakamizwa zokuphumula ubuhlungu ezifana nokukhwabanisa, ukuzivocavoca ngobumnene , noma ukuzindla kungasebenza kakhulu.
Akukhona lokho kuphela, kungenzeka ukuthi ama-opioid abulala, ahlinzeka amandla amaningi kunalokho okudingekayo ngempela ukugcina ubuhlungu obuphethwe ngesikhathi sokuphulukiswa kokuqala.
Ngokuvamile, ayikho indlela yokubuhlungu emuva emuva yonke isisombululo. Esikhundleni salokho, i-AHRQ isitshela ukuthi ukwelashwa komuthi ngamunye kunika imiphumela emincane noma emihle kakhulu. Isu elihle, nelinye elisetshenziswa abahlengikazi abaningi, ukuhlanganisa imithi encane futhi elinganiselayo yokwelashwa ndawonye ukuze uthole umphumela wabo wokuqongelela.
I-AHRQ yanezela ukuthi isikhathi esiningi, imiphumela emihle evela emithanjeni yezinhlungu emuva ingenziwa esikhathini esifushane kuphela. Bathi futhi lezi zindlela zokwelapha zisebenza kangcono ubuhlungu kunokubuyisela ukusebenza kwakho ngokomzimba. Ngenxa yalesi sizathu ukuthatha indlela esebenzayo-ngaphandle kokwenza okuningi-kungaba indlela ephumelela kakhulu yokugcina ubuhlungu emuva njengoba uqhubeka phambili ekuphileni.
Imithombo :
AHRQ. Ukwelapha Okungavumelani Kwezinhlungu Ezibuhlungu Eziphansi. I-Agency for Research and Health Quality website. Feb. 2016. Kufinyelelwe: June 2016. http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=2192
Linder R, Horenkamp-Sonntag D., Engel S., Schneider U., Verheyen F. Ukuqinisekiswa Kwekhwalithi esebenzisa idatha yenkambiso: Ukuqapha ngokweqile ngokucabanga nge-radiological for ubuhlungu emuva. Dtsch Med Wochenschr. May 2016. Kufinyelelwe: June 2016. http://www.ncbi.nlm.nih.gov/pubmed/27176071
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Volkow N, McLellan T. Opioid Abuse in Pain Chronic - Izinkolelo ezingalungile kanye namasu okunciphisa. N Engl J Med. 2016. http://www.nejm.org/doi/full/10.1056/NEJMra1507771#t=article