Indlela yokunyanga iintlungu ezingapheliyo: amayeza, unyango kunye notyando

Umxholo

• Zithini iindlela zokhetho zonyango
• 1. Unyango lwentlungu
• 2. Olunye unyango
• 3. Utyando
• Yintoni ebangela iintlungu ezingapheliyo

Iintlungu ezingapheliyo, iintlungu ezihlala ngaphezulu kweenyanga ezintathu, zinokupheliswa ngamayeza abandakanya i-analgesics, anti-inflammatories, relaxants zemisipha okanye i-anti-depressants umzekelo, ekufuneka zikhokelwe ngugqirha. Ukongeza, ukuba yintlungu ekunzima ukuyiphucula, kunokuba yimfuneko ukwandisa idosi okanye ukusebenzisa iindlela ezinamandla ngakumbi, ezinjengeeopioid, uhlengahlengiso ngokweemfuno zomntu ngamnye.

Nangona kunjalo, eyona ndlela yokunyanga olu hlobo lwentlungu inezinye iindlela ezijolise kwisizathu, emva kokuba ugqirha egqibe ukuba yintoni ebangela iimpawu, nokuba ngumgogodla we-arthrosis, idiski ye-herniated, isifo samathambo, i-fibromyalgia, i-herpes zoster okanye uxinzelelo lwe-nerve ye-sciatic , umzekelo. Ke, ukongeza kunyango, unyango olufana ne-physiotherapy, i-acupuncture, i-radiofrequency, utyando okanye nokululekwa kwengqondo kusenokufuneka.

Iintlungu ezingapheliyo zinokubonakala nakweliphi na icandelo lomzimba, kwaye zibonisa ukuba kukho uhlobo lomonakalo okanye ukwenzakala kwizihlunu okanye imithambo-luvo yomzimba, kwaye zinokuchaphazeleka kwimicimbi yeemvakalelo, njengoko iimeko ezinje ngoxinzelelo kunye noxinzelelo zibalulekile ubunzima bexesha kunye nobude. Funda ngakumbi malunga nokuba zintoni iintlungu ezingapheliyo kunye neentlobo.

Zithini iindlela zokhetho zonyango

Unyango lweentlungu ezingapheliyo lubodwa, lukhokelwa ngokweemfuno zomntu ngamnye, kwaye lunokwenziwa ngugqirha oqhelekileyo okanye, kwiimeko ezinzima ngakumbi, ngoogqirha abaziingcali kwintlungu. Iindlela eziphambili zonyango zibandakanya:

1. Unyango lwentlungu

Ngokwe-World Health Organisation, ukunyanga iintlungu ezingapheliyo zalo naluphi na uhlobo, ugqirha kufuneka akhethe amayeza ngokwamanqanaba, oko kukuthi, ukuphuculwa kuzanywa ngamayeza abuthathaka, kwaye idosi okanye amandla amayeza anganyuswa ngokweemfuneko . Amanyathelo olawulo lweentlungu ngala:

Xa iintlungu zivela kwinkqubo yemithambo-luvo, ebizwa ngokuba yintlungu ye-neuropathic, unyango lusekwe ikakhulu kumachiza aphazamisa eli candelo, njenge-tricyclic antidepressants, ezinje nge-Amitriptyline okanye i-Nortriptyline, kunye ne-Antiepileptics, ezinje ngeCarbamazepine, iGabapentin kunye nePregabalin, ukusukela oko Iipilisi zeentlungu kunye neopioid azinampembelelo intle kwaye zigcinelwe xa iintlungu zingaphuculanga kukhetho lwangaphambili.

2. Olunye unyango

Olunye unyango luyindlela ezigqwesileyo zokuphucula ukuqonda komzimba, ukunciphisa uxinzelelo kunye ne-nervous stimuli, enefuthe elikhulu kwintlungu. Ezinye iindlela zezi:

• Unyango lokuziphatha, indlela yonyango lwengqondo, enokuba luncedo kakhulu ekunyangeni iintlungu ngokubanzi, ikakhulu ukunyanga imeko zoxinzelelo kunye noxinzelelo;
• Ukuphulula, uhlobo olugqwesileyo lonyango, ngakumbi iintlungu zemisipha ezinxulunyaniswa neekhontrakthi kunye noxinzelelo;
• Ukucoca kunye nokufunxa, yindlela elungileyo yokuthomalalisa iintlungu ze-myofascial, ezinxulunyaniswa neekhontrakthi, i-osteoarthritis kunye nezinye iintlungu ezingapheliyo;
• Imisebenzi yomzimba, ukuzilolonga rhoqo, ubuncinci amaxesha ama-3 ngeveki, kuluncedo kakhulu ekunciphiseni iintlobo ezininzi zeentlungu ezingapheliyo;
• Iindlela zokuphumla ukunciphisa ukucutha kunye nokuphucula ukuqonda komzimba;
• Umzimba wonyango, ngonyango lobushushu bengingqi okanye ukunyanzeliswa kwentshukumo, iluncedo ekuphuculeni zonke iintlobo zentlungu.

Njengokuba iintlungu ziphucuka, ugqirha angasusa ezinye iindlela zonyango, ukuze kusetyenziswe amayeza ambalwa. Nangona kunjalo, ezinye iindlela zonyango zinokugcinwa, kwaye zindlela ezilungileyo zokuthintela iintlungu ezintsha.

3. Utyando

Kukho iimeko zentlungu engapheliyo ekunzima ukuyinyanga, njengoko zingaphucuki ngolunye unyango okanye unyango. Ke, ezinye iinkqubo zotyando zinokwenziwa, ikakhulu zii-neurosurgeons, i-anesthetists okanye i-orthopedists, ezinokulungisa ukukhubazeka kwethambo okanye ukuvimba imithambo enoxanduva lwentlungu. Olunye ukhetho lubandakanya:

• Inaliti yendawoamayeza atofwayo asetyenziswa ngokuthe ngqo kwiziphelo zenzwa, njengokufakwa kwe-anesthetics kunye ne-corticosteroids okanye iibhloko ze-neuromuscular ezine-botox, umzekelo, zingenziwa ngoogqirha abafanelekayo ukunciphisa uvakalelo lwentlungu, ukudumba kunye nokudumba kwemisipha, kunye neziphumo ezihlala iiveki ukuya iinyanga;
• Ukuhamba rhoqo kwerediyo: yinkqubo encinci yotyando, apho kusetyenziswa isixhobo se-radiofrequency sanamhlanje, esikwaziyo ukubangela ukonzakala kwe-thermal okanye amandla ombane aphelisa ukuhanjiswa kwesifo esibuhlungu yimithambo-luvo, ebangela ukuphucula okanye ukusombulula iintlungu emqolo iinyanga ezininzi ;
• Ukufakwa kwe-electrode kwintambo yomqolo: ebizwa ngokuba yi-neurostimulator, le electrode encinci inokufakwa emva komqolo, okwaziyo ukwenza ukuvuselela okuthintela ukwamkelwa kwentlungu. Ukukhuthaza intambo yomqolo kuluncedo kunyango lwelungu elingapheliyo okanye iintlungu zomthi;
• Utyando: iinkqubo zotyando ukulungisa ulwakhiwo notshintsho olwenziwe kumqolo, njengokukhutshwa kweediski ze-herniated, ukulungiswa komjelo omxinwa apho kudlula imithambo-luvo, okanye ukulungiswa kotshintsho kwilungu lomqolo kunokunciphisa ukugcwala kwemithambo-luvo kunye nokuphelisa iintlungu.

Emva kokwenza ezi nkqubo, kubalulekile ukugcina unyango ngezinye iindlela zonyango, ngakumbi i-physiotherapy, ukuvumela iziphumo ukuba zibekho ixesha elide kangangoko kunokwenzeka.

Yintoni ebangela iintlungu ezingapheliyo

Ngaphandle kokungathandeki, iintlungu yinto ebalulekileyo yokuphila, kuba kuxa umzimba ulumkisa ingqondo ukuba kukho into engalunganga okanye ibangela ukwenzakala emzimbeni, kwaye kufuneka isonjululwe, njengokutsha okanye ukusikwa, umzekelo.

Nangona kunjalo, ingxaki kuxa iintlungu zihlala zinganyangeki, njengoko kubonisa ukuba ukwenzakala okanye ukudumba kuyaqhubeka, ngaphandle konyango olufanelekileyo, njengakwimeko yezifo ezinje nge-rheumatoid arthritis, i-osteoarthritis, i-fibromyalgia, izivumelwano zemisipha, ukungasebenzi kakuhle kwamalungu esiswini okanye umhlaza, umzekelo, okanye xa kukho utshintsho kwinkqubo yemithambo-luvo kunye neentsinga zemithambo-luvo.

Nokuba ithini imvelaphi yentlungu, imeko yengqondo yomntu yimpembelelo enamandla yokumenza azingise kwaye anganyangeki, kwaye oku kuyangqinwa ngenxa yokuba abantu abadandathekileyo nabanexhala bathanda ukuziva iintlungu ngakumbi kunabanye. Ngokuchasene noko, abantu abava iintlungu kwimeko yolwaneliseko, njengabantu bezemidlalo ngexesha lobuntshatsheli, umzekelo, bahlala bekhalaza kakhulu malunga nabo.

Ke, kubaluleke kakhulu ukuba unike ingqalelo kwaye uyikhathalele imeko yeemvakalelo, kuba inezinto ezininzi ezinempembelelo kwimisebenzi eyahlukeneyo yomzimba, kwaye inokude ibangele okanye ibe mandundu izifo, ezibizwa ngokuba zii-psychosomatics. Fumanisa ukuba zeziphi izifo ezinokubangela iimvakalelo.