Ulwaphulo lweMpilo kunye neMpilo yeepiyoid
Ngaba ngaba oogqirha bempilo kunye ne-PT basaba namandla okunceda ukucombulula umlingo wesizwe sethu sokuxilisa amayeza?
Sinenkinga enkulu kweli lizwe. Kubonakala ngathi kwiminyaka engama-20 edluleyo, sidale uluntu lwabantu abavakalelwa kukuba banelungelo lokungava nantlungu. Sethu isisombululo? Nika amayeza eentlungu ze-opioid njengokuba i-candy.
Enyanisweni, iUnited States idla i-99 ekhulwini ye-hydrocodone yehlabathi, inombolo yesifo se-opioid. Oogqirha banika i-opioids eyaneleyo ngamnye kunyaka ngamnye ukunika iipilisi ezintlanu kuwo wonke ummi. Ngoko sonke sifanele siziva sizilungile, akunjalo?
Ngalunganga. Nangona inani labantu abasebenzisa iicilisi zentlungu liye landa, intlungu ebiweyo ayizange ishintshwe. Ngaphezu koko, kukho ezinye iindawo eziphantsi zokusebenzisa imithi ye-opioid yokulawula ukungabikho komhlaza, ubuhlungu be-musculoskeletal, njengaxa unesimo esinjenge-strain, ukuphuka okanye emva kokuhlinzwa.
Iimpawu malunga nokusetyenziswa kweMpilo yeepioid
Xa i-OxyContin yafika, i-brand brand opioid imithi yeentlungu zaqala ukuphuhliswa yi-Purdue Pharma phakathi ne-1990, ibe yindlela ekhuselekileyo yokulawula intlungu. Oogqirha baxelelwa ukuba loo mayeza ayengumkhuba wokuziphatha kwaye ukuba nemiphumo emibi yokusebenzisa iyeza ayilungile. Kuvela, njengoko sibonile, ukuba la mayeza ayenzayo, kwaye anokukhokelela kwimiphumo enobungozi kunye neyingozi, ngokunyuka komngcipheko wokuxhomekeka kweziyobisi okanye ukugqithisa.
Amaziko okuLawula nokuLawula (i-CDC) adweliswe ezimbalwa iinkcukacha ezithile malunga nesifo se-opioid. Ukuqonda ukuba iimiphumo ezimbi zonyango lwe-opioid zinokukunceda ukuqonda iingenelo eziphathekayo eziphathekayo kwiingcali xa zilawula le ngqungquthela. Ezinye iinkcukacha malunga nokusetyenziswa kwe-opioid yaseMerika (kunye nokusetyenziswa kakubi) kuquka:
- Ukususela ngo-1999 ukuya ku-2013, inani lamachiza e-opioid anikezelwe ngokuphindaphindiweyo.
- Ukufa okuhlobene nokulutha kwe-opioid kuye kwaphindwe kane ukususela ngo-1999.
- Phantse izigidi ezimbini zaseMelika zazixhatshazwe kwiimvumba zentlungu ye-opioid ngo-2014.
- Umlutha we-opioid ungakhokelela ekusebenziseni kakubi ezinye iziyobisi ezingekho mthethweni.
- Phantse omnye wabasebenzisi abane be-opioid bajamelana nokulutha.
- Abantu abajamelana nokulutha kwe-opioid banamaxesha angama-40 okuba banomlutha kwi-heroin.
Ngoko kukho ingxaki enkulu ngamayeza e-opioid, kodwa akuyona indlela efanelekileyo kunye nefanelekileyo yokulawula intlungu?
Kungenjalo, kodwa kuphela phantsi kweliso lokunyamekela ngogqirha wakho. Intlungu engeyiyo-musculoskeletal, njengoluhlobo olunokuthi lwenzeke ngezinye izicubu zesifo somhlaza, lungasabela kakuhle kumachiza opioid, evumela isigulane ukuba isebenze ngokupheleleyo kwimpilo yabo yemihla ngemihla. Iziguli ezinentlungu engapheliyo zikwazi ukulawula kakuhle intlungu yazo ngeyeza opioid, kodwa oku kufuneka kuhlolwe ngugqirha wabo.
Kukho ezinye iindawo eziphantsi kokusebenzisa i-opioid enomdla kakhulu enokuthi idibene nayo.
Ukujongana neNgxaki ye-Opioid Usetyenziso
Ngo-Agasti 2016, iUnited States uGqirha Jikelele uVivek Murthy, MD wathumela ileta kubagqirha abajongene nengxaki yokulutha i-opioid kwaye bacela ukuba bonke abasebenzi bezempilo basebenzisane ukulwa nale ntshaba ye-opioid nokusetyenziswa komlutha.
Ileta inikeza isicwangciso esinyathelo esithathu sokulwa nesibhubhane:
- Imfundo malunga nokumiselwa okufanelekileyo kweepioid
- Ukuhlolwa kwezigulane ngenxa yeengxaki zokusebenzisa i-opioid kunye nokudibanisa abo bagulane unyango olungcono
- Ukuqala ukuphatha kakubi i-opioid njengesifo sengqondo kwaye "kungekhona" ukuhluleka kokuziphatha "
Udokotela Ogqirha Jikelele uye wenza iziphakamiso zokumisela amayeza opioid. Ezi ngcebiso, zichithwe kwiikhokelo ze-CDC, uluhlu lwentsebenzo kunye neyonyango njengemodeli yonyango kufuneka iqwalaselwe ngaphambi kokumisela imithi yokugaya imithi.
Uncedo Lwenyango Lunjani?
Iiphilisi zenyama zifumana ithuba elikhethekileyo lokusebenza ngokusondeleyo nezigulane ezilimazayo.
Uninzi lwabantu luboniswa kwiklinikhi yokwelapha ngokwenyama ngenxa yokuba bayintlungu kwaye abayihamba kakuhle. Injongo yalezo zi gulane kukuphucula ukuhamba ngenkqubela intlungu. Ingcali yakho yomzimba ingakuhlola imeko yakho kwaye ikunike izicwangciso zokunceda ukuphatha intlungu yakho nokuphucula ikhono lakho lokuhamba kwaye usebenze ngokufanelekileyo, ngaphandle kwemfuneko yokwenza imilenze yeentlungu.
Izifundo zibonisa ukuba ukubandakanya kwiprogram yokhathalela umzimba kunokunceda ukuphucula intlungu kunye nokuhamba kwakho. Umgulana wakho womzimba unokukubonisa izicwangciso zokunceda ugcine intlungu yakho. Ezinye iindlela ezahlukeneyo kunye neyeza unyango osebenzayo ziquka:
- Ukuzivocavoca: Ukuhamba kunye nokuzivocavoca kuye kwafakazelwa ukuba kusebenza kwiimeko ezininzi ze-musculoskeal, kwaye ugqirha wakho wenyama ngumqhubi wenkuthalo onokukubonisa ukuba wenzeni. Ukuzivocavoca makube sisixhobo sakho esiyinhloko ekunciphiseni intlungu kwaye uthathe indima echaphazelekayo kwiinkatho zakho zentlungu.
- Ukuvuselelwa kombane kunye ne-TENS: Ukuvuselela umbane, okanye u-E-stim, kunokutshintsha indlela ozivakalelwa ngayo ukunciphisa intlungu. Ukuvuselela kunemiphumo emibi, inokusetyenziswa kusekuphi na.
- Iontophoresis: Le ndlela yokuvuselela ugesi ingakwazi ukulawula imishanguzo echasayo ekhanda lakho ukulawula intlungu.
- Ukushisa okanye kubanda: Iipakethe ezishisayo kunye neepakethe ezibandayo zingasetyenziselwa ukunciphisa intlungu kunye nokuguqula ukujikeleza kwendawo ukulawula ukuvuvukala.
- Izicwangciso zokulungiswa kwe-postural: Ukuhlala kunye nokunyameka kokunyameka kunokubangela intlungu yakho, kwaye izicwangciso zokufunda ukutshintsha ukuhamba kwakho kungadinga.
- I-Kinesiology ichukumisa: Nangona uphando olunciphekileyo malunga nokusetyenziswa kwe-kinesiology tape, lunokusetyenziswa ukulawula intlungu. (Ngaphezulu, kukho imiphumo embalwa yecala ukusebenzisa i-K-tape.)
- Ukusilalisa: I -massage ye-tissue massage inokuphucula izihlunu kunye ne-muscular spasm kwaye inokunceda ukunciphisa intlungu ovakalelwa ngayo.
Ezinye zezinto ezifana ne-TENS, ukushisa, okanye ukusila-zinyango; akenzi nto ngoxa umphathiswa wakho wezonyango usebenza unyango kuwe. Ukunyanga okunyanzelekanga akufanele kube yinto yokuqala yokukhetha unyango lwezentlungu ngenxa yokuba kunokukwenza ukuba uxhomekeke kwi-PT yakho yokufaka unyango. Zizobhengezwa apha ngasentla kuba zonyango oza kutyhila xa uhamba unyango lwangokwenyama kwiimeko zakho ezibuhlungu.
Kunconywa ukuba uthathe inxaxheba kwiprogram ye-rehab yokwenza unyango olusisigxina ukuphatha imeko yakho ye-musculoskelet kunye nentlungu. Oku kubandakanya ukuzivocavoca, oku kunokukunceda ufumane amandla, uluhlu lwezithuthi kunye nokuhamba ngokusebenza. Ngaphezu koko, unokuthi ujabule xa usebenza ngexesha lakho kunye nomzimba wakho, kwaye unokufumana amanqanaba akho okukhuthaza amandla omhlaba ukwanda kunye nokuzivocavoca.
Uqikelele ntoni na? Kukho imiphumo embalwa yecala yexesha elide lokuthatha unyango. Imisipha yakho ingaba yinto encinci yexeshana, kodwa iingeniso zangexesha elide zifanelekile.
Yintoni Okufanele Uyenze?
Ukuba uhlakulela intlungu ye-musculoskelet, njengeentlungu zentamo okanye i-rotator cuff strain, khetha ukufumana umgulana wokuqala. Kwiimeko ezininzi, unokutyelela umgulana ongokwenyama ngokufikelela ngokuthe ngqo, kwaye unokuqalisa endleleni ukuze ufike ngokukhawuleza. I-PT yakho inokuphonononga imeko yakho kwaye ikudlulisele kwingcali xa kuyimfuneko, kodwa amaninzi amaxesha akho angaphathwa kwi-klinikhi yasePt.
Ukuba ugqirha wakho ubeka imithi yeentlungu ze-opioid kwisimo sakho se-musculoskeal, buza malunga nokuqala unyango lomzimba-unyango olongezelelweyo lwentlungu-kunokuba uthathe unyango. Buza malunga nemiphumo emibi yonyango ogqirha ugqirha wakho. Ngaba unokuba ngumlutha? Iyintoni isicwangciso sesikhathi eside sokulawula kakuhle intlungu? Ulawula ukukhathalela impilo yakho, kwaye ukuqonda ingozi yokusetyenziswa kweyeza opioid kunye nokuxhatshazwa kunokukunceda wenze izigqibo ezifanelekileyo kwiqhinga lakho lolawulo lweentlungu.
Ukuba usebenzisa kakubi imithi yeentlungu ze-opioid, khangela uncedo ngoku ngoku. Uqeqesho lwezempilo olufanelekileyo lunokukunceda ukhuseleko lwakho ngxaki kwaye unokukufumana endleleni yokubuyisela.
Iiliti zentlungu ye-opioid inendawo yayo kwiyeza. Inokusebenza ngokufanelekileyo ekulawuleni ubuhlungu obungapheliyo. Ngelishwa, ingozi yokusebenzisa-kunye neyonyango yokusebenzisa kakubi i-opioid iyinyani.
Unokhetho. Ukuba uhlakulela i-musculoskeletal, intlungu engahambelani nomhlaza, khetha ukutyelela umgulana wakho wokuqala . I-PT yakho inokusebenzisana nawe kunye nodokotela wakho ukuze uphathe kakuhle kwaye uphathe kakuhle intlungu yakho kwaye uphucule ukuhamba kwakho konke okusebenzayo, ngoko unokukhawuleza ubuyele kwindlela yakho yokuphila engenakho intlungu.