Urombo hwehupfumi ibazi rezvemishonga inoshandisa shanduro kuderedza kuderedza marwadzo. Inobatanidza huwandu hwemamiriro ezvinhu anosanganisira marwadzo europathic, sciatica , kurwadziwa kwepasoperative nezvimwe. Utano hwemapurisa ndeyekuwedzera kwekurapa kwekurapa kunotora nzira dzakasiyana-siyana dzekurapa marudzi ose ekurwadziwa. Dr. Sameh Yonan, nyanzvi yekurapa muchechi kuCleveland Clinic, inoti "tinoongorora, kudzorera nekubata vanhu mukutambudzika." Chiremba wako angakutaurira kurwadziwa kwekutambudzika kana iye kana iye aona kuti kurwadziwa kwako kwave kusiri kwekutonga.
Pain Management Specialists
Vanachiremba vanonyanya kugadzirisa kurapwa kwemarwadzo vanoziva hutano hwakaoma hwekutambudzika, uye chirwere chinorwadza "chinosvika dambudziko kubva kumativi ose," akadaro Yonan. Zvakanaka, kurapwa pamakiriniki ekurwadziwa ndevane murwere-centric, asi chaizvoizvo, izvi zvinogona kuvimba nezvinhu zviripo zvechirongwa. Parizvino, hapana hutsika hwakasimbiswa dzemhando dzekuraira dzinofanirwa kuiswa, uye ichi ndicho chimwe chikonzero nei zvipiro zvekurapa zvichasiyana kubva kuchipatara kusvika kuchipatara.
Asi pane zvishoma, nyanzvi dzinoti nzvimbo inofanira kugovera kuvarwere zvitatu zvechiremba: chiremba anobatanidza, anopa mazano kune vadzidzisi panzvimbo yako, nyanzvi yekugadzirisa muviri, uye mupfungwa, kuti akubatsire kutarisana nechinetso chipi nechipi chinopesana kana kufunganya, kunyanya kana uine kurwadziwa kusingaperi.
Zvimwe zvezvipatara zvekurapa zvinomiririrwa mukutambudzika kunorwa ne anesthesiology, neurosurgery, uye mukati moutano.
Chiremba wako wekugadzirira anogona kukutaurirei nezvebasa rinobva kune vashandi vezvemishandiro emabasa, vashandi vezvemagariro evanhu uye / kana vamwe vakasiyana uye vanowedzera mushonga vezvemishonga.
Kuti ave akakodzera sehutano hwehutano hwehutano mumaziso eAmerican Board of Medical Specialties, mutarisiri wehutano anofanira kunge ari MD uye bhodhi chiyeuchidzo mune chimwe chezvinhu zvinotevera zvinotevera:
- Anesthesiology
- Kuvandudza muviri
- Psychiatry uye neurology.
Dhiyabhorosi James Dillard, mubatsiri wepurofesa wezvokurapa paColumbia University College ye Physicians and Surgeons, anoti dambudziko rekurapa chiremba rinofanirawo kuva naro kana chiito chake chinongopedzisira kune humwe hutano hwavanoshandisa. Iwe unogona kutarisa kuti uone kana vanachiremba mukliniki yekutambudzika inenge uchiri kufunga ndeyebhodhi inopupurirwa nekuenda kuAmerican Board of Medical Specialties website.
Zvinangwa zvePauin Management
Kunyange zvazvo mamwe marwadzo anobva kunzvimbo dzepamusoro dzakadai semusoro, uye vamwe kubva kune zvinyorwa zvakadai sekuvhiyiwa, munda wekutambudzika unobata zvose sechirwere. Izvi zvinobvumira kushandiswa kwesayenzi, nekufambira mberi kwezvino mukurapa kubvisa marwadzo ako. Uye kunyange varwere vazhinji, kunyanya avo vane marwadzo asingagumi, vanoona chiremba wepfungwa kana kuti chiremba sechikamu chezvakaitika, kudzidza kudzivirira kurwadziwa kunopfuuridza zvakanyanya kurapwa kwekurapa.
"Isu iye zvino tine mikana yakawanda, kusanganisira mishonga, maitiro ekugadzirisa marwadzo ekupindira (mishonga inokonzera mitsipa, maginha emutsipa, uye marapirwo akafanana), pamwe chete nechirwere chemuviri uye kumwe kurapa kunobatsira kuderedza marwadzo," anodaro Yonan.
Chinangwa chekutambudzika kunotapudza ndechokudzikisa marwadzo, panzvimbo pokudzivisa. Izvi ndezvokuti kazhinji hazvibviri kukanganisa zvachose. Zvimwe zvinangwa zviviri ndezvekuvandudza basa uye kuwedzera hupenyu hwehupenyu. Idzi zvinangwa zvitatu zvinopinda-mu-ruoko.
Sezvo murwere wekutanga wekutanga mune kliniki yekutambudzika, unogona kuona zvinotevera:
- Kuongorora.
- Kuongororwa mutsva, kana zvichidiwa, sekusarudzwa mukati mekuongorora.
- Kuendeswa kune chiremba wechiremba, kana zvichiratidzwa neongororo uye kuongororwa.
- Kupindira kwakapindira, zvakadai sejisi kana muspinha tsvimbo yekusimudzira .
- Kurapa kwepanyama kunowedzera mararamiro-e-kufamba uye simba, uye kukugadzirira kudzokera kubasa.
- Psychiatry yekugadzirisa kuora mwoyo , kuzvidya mwoyo, uye / kana zvimwe zvinhu zvinogona kuenderana nekurwadziwa kwako kusingaperi.
- Mishonga inoshandiswa pakushandura kupa mamwe maitiro ekurapa.
Vanodzoka shure uye vane mutsipa varwere vanoita zvakanakisisa nepurogiramu yekurwadziwa, anodaro Yonan, ndivo avo vakave nekuvhiyiwa kwekare kare, kusanganisira kuvhiyiwa kusakundikana, uye vachiri kurwadziwa, avo vane chirwere chekushaya ropa, uye avo avo vakagadzirirwa kuti kuvhiyiwa havangabatsiri mamiriro avo ezvinhu.
"Vanhu avo vakave vakapindwa muropa nemishonga inorwadza chaizvoizvo vanoda rubatsiro rwakakosha kupfuura humwe chirongwa chekutambudzika chinogona kuvapa. Purogiramu isingaperi inorwadza rehab isarudzo yakanaka kune vanhu ava," anodaro.
Maererano nePain Physician , zvakaguma kubva kuongororo dzekutsvaga pamusoro pekutambudzika kwemarwadzo hazvisi nguva dzose dzinoshanda kumatambudziko varwere vanouya nemakiriniki pane zuva nezuva. Zvinosuruvarisa, izvi zvinokanganisa kushandiswa kwemishuwarenzi uye mamwe mararamiro okubhadhara, pamwe nekugadzirisa kwehutano hwehutano.
"Kuziva zviri nani nezvehutano syndromes nemasangano nemakambani ehushurenzi uye zvimwe zvidzidzo pamarwadzo zvichabatsira kuwedzera inishuwarenzi yekuchengetedza marwadzo ekurapa. Mune ramangwana, kushandiswa kwekombiyuta kuchabatsira kuvandudza migumisiro yehutachiona hwehutachiona huripo," anodaro Yonan.
Sources:
Manchikanti, L. MD, Mark V. Boswell, M MD, PhD., James Giordano, J. PhD. Pain Physician 2007; 10: 329-356.
Telefonhare Hurukuro. Dr. Sameh Yonan, MD, Pain Management Management muCharccrest, Willoughby uye South Pointe Pain Centers kuCleveland Clinic Health System.
James N. Dillard, MD., DC. CAc. Ihwo Hupenyu Husingaperi Mugadziro: Nzira Yako Yega Yega Kumarwadzo Okurwadza Bantam Dell chikamu cheRandom House New York 2003.