Mazuva ano, chinhu chekutanga chiremba vanachiremba vanoita apo murwere anouya nekukuvadzwa shure ndeyekupa marwadzo opioid kubvisa mishonga. Pasi payo bat. Anonzi mutsara wokutanga , kushandiswa kwezvinodhaka izvi zvinogona kuenzaniswa neshanduro yakanyatsopindira ye "kutora maviri uye kundishevedza mangwanani."
Opioids ari munhau nguva dzose pamigumisiro yakaipa iyo inowanzoitika kuburikidza nekuitora.
Maererano nesangano ra2017 rakabudiswa mu Journal of the American Board of Family Medicine, pakati pe1999 na2012, maopioid akatengesa kaviri. Vanyori vedzidzo vanotaura zvakare kuti pamusoro pemaminitsi makumi matatu nemasere, mumwe munhu anofa nekudarika kweapioid.
Opioids inowanzonyanya kurongerwa kunorwadza kusingaperi. Asi kune imwe nzira, inowanzobudirira nzira yekugadzirisa marwadzo ako, kana iwe uchida kuita basa shoma. Uye iyo ndiyo yakanyatsoshandiswa pakurapa kwepanyama .
Zvino musagomera. Kune zvipingamupinyi zvakawanda zvekutendeuka kubva kunyaradzo yemapiritsi kune mamiriro ezvinhu apo iwe unofanirwa kuenda kumusangano, dzidza zvinhu zvitsva, uye ita zvidzidzo kamwe chete pazuva. Saka tichaenda navo. Wagadzirira here?
Ita Izvo Zvaunofunga Nezvechirongwa Chepanyama Kugadzwa
Chimwe chezvipingamupinyi zvikurusa zvekuwana zvizere zvehutano zvinogona kuwanika kwauri zvine chokuita nekutora nzira yako kuenda kune imwe musangano pakutanga.
Somuenzaniso, zvinetso zvinogona kubuda kana iwe uchigara kure neP PT nzvimbo. Kunyange rutivi rwayo pachako runogona kuva chidziviriro-ndiani anoda kuendesa makiromita makumi maviri, makumi matatu, makumi matatu kana makumi mashanu kuti apinde musangano wekuita basa? Kana iwe usingafambisi kana kuti usvike pamotokari, zvakatoipisisa.
Chero nzira, inogona kudhura. Kana iwe uchityaira, iwe uchabhadhara gasi, uye kana iwe usingaiti, kufamba kwerwendo kunotenderera kunogona kutenga madhora 55 (nokuda kwekutakura kwekugara mumaguta maduku) uye kumusoro.
Vamwe vanhu vanotora bhazi, asi iyo inogona kuva nguva inopedza kana kuisa njodzi yekukuvadza.
Iwe unogona kunge uchifadzwa nezvose zvaunowana kana iwe uchitsvakurudza uye uchibvunza kumativi ose nezvekufambisa kwekutakura, kunyange zvakadaro. Semuenzaniso, Blue Cross Blue Shield muMichigan ine chirongwa chimwe chinopa mari yekufambisa kwekushanyira kurapwa kwegore makumi mana nemaviri.
Imwe nzvimbo yakakosha yekushandura inzvimbo yako yeUnited Way. Sekuchenesa nzvimbo yezvigadzirwa, vanogona kukwanisa kukutsanangurira pasi kana pasina mari yekusarudza nzira dzokutakura. IUnited Way munharaunda yako inogonawo kuva nechikwama chaunogona kupinda.
Kuronga Matambudziko Paunenge Uchienda Pachirwere Chirwere Chirwere Rwendo
Imwe nzira inodzivisa kubva pakutora nzira inoshandiswa kugadzirisa mupfungwa kumusununguko mupfungwa iri kukwanisa kugadza pamazuva, uye panguva, iyo inokutongesa zvakanyanya. Inishuwarenzi yako inogona kubhadhara 3x pamisangano yevhiki, kana chiremba wako anogona kukurudzira izvi nguva dzose, asi paunoenda kurongwa, unoona kuti, chokwadi, hazvigoni. Pano haisi nzvimbo yakakwana mumararamiro emapurisa anofanana nekuzarurirwa kwako.
Kana, iwe unogona kukwanisa kugadzwa paunenge uchida, asi kuita izvozvo zvinoreva iwe uchafanira kuona mushonga wausingafariri hukama hwakawanda. Izvi zvingaita semashoko mashomanana, kunyanya apo iwe uri kuedza nepaunogona napo kuti uzvigadzirire iwe pachako, uye munzira yako yezuva, asi kushanda nemushonga uyo waunonzwa wakashamwaridzana anogona kuita mutsauko mukuru.
Ukama hwakanaka hwekushandira pamwe nemukaka wako wepanyama unogona kukanganisa chikonzero chako chekuita maitiro ako akaiswa pamba, nekuchengetedza kusarudzwa kwako, nezvimwe zvinhu. Izvi, zvakare, zvingangowedzera zvikomborero zvaunowana kubva pakuita nguva muheteti yako nekuita basa.
Heano mazano mashomanana pamusoro pezvaunofanira kuita kana hurongwa hwekugadzirira huri kushanda:
- Tsvaga kana nzvimbo yacho yakasununguka pane mamwe mazuva evhiki. Kutora nguva panguva dzebhizimisi dzemazuva ose kubva kubasa kuenda kunzvimbo dzisarudzo dzinogona kukwegura zvakakurumidza kwazvo, uye iwe unogona kuona kuti zviri kukanganisa basa rako kuchengeteka, zvakare. Dzimwe mahofisi anopa maawa akawedzerwa mazuva maviri kana matatu pavhiki; vamwe vanopa Mugovera maawa. Haikwanise kukuvadza kubvunza!
- Kana izvozvo zvisingaitiki, bvunza nezveimwe nzvimbo kana mahofisi emahedheni anogona kupa maawa akanaka.
- Kana zvimwe zvose zvisingakwanisi, unogona kutsvaga hofisi yakasiyana-siyana ine chokuita nebhizimisi. IAmerican Physical Therapy Association inoshuma kuti kana gore ra2015, chirwere chepachiviri chekuzvipira chiri kuzvidzora (zvinowanziwo se " kutungamirirwa zvakananga ") mune dzose makumi mashanu, District of Columbia uye US Virgin Islands. Izvozvo zvakati, mhando dzemishonga yaunogona kuwana kubva kuPP pasina chirongwa chechiremba chinogona kusiyanisa maererano neunenge uri (izvi ndechokuti mitemo yehurumende inopesana), saka fungai izvozvo. Chii chinonzi kuzvidzora? Kunyanya zvinoreva kuti haufaniri kumirira (kana kurwisana) kuti chiremba akukunyorei mishonga musati maonekwa. Iwe unogona kungoshevedza hofisi yezvisarudzo zvako zvakananga, uye ita kugadzwa. Makambani akawanda einishuwarenzi achabhadhara kuti awane zvakananga zvirongwa zvekurapa, asi iyo pfungwa yakanaka kutarisa kutanga kuti uve nechokwadi.
Iwe Unogona Kuda Kubatsira Kupona Panyama Here?
Pamwe nezvinetso izvi zvingave zvakakonzerwa nekurapwa kwepanyama kunouya iyo yekare bugaboo-iyo inodhura. Kunze kwekuti wave uchivanza musoro wako mujecha, unoziva kuti kurapwa hakuwanzoitiki. Uye kufanana nemapiritsi ehutachiona hazvisi izvo.
Nenzira, izvi zvingava zvechokwadi kunyange iwe une inshuwarisi. Iwe unogona kuva nehurukuro yakakosha (kuitira kuti iwe kana wako waunoshandira awane mari yepamutengo), kufamba kwemari (yakataurwa pamusoro apa) kunogona kuwedzera kumatambudziko ako okubhadhara, uye iwe unogona kuwana michina yakafanana neimba TENS unit. Izvi zvingave kana zvisingabhadhari, zvichienderana nemamiriro ako chaiwo.
Imwe nzira yekudzikisa mari yePP ndeyekutsiva mamwe ekugadzwa nemudzidzisi wega wega ane unyanzvi hushanda nevanhu vane marwadzo. Mudzidzisi angave ane unyanzvi hwakafanana wakagadzirirwa kumurapi wako, asi pamwe unogona kunge wakagadzirira kushanda naye kana iye. Zvechokwadi, iwe unotanga nemuongorori kuti uwane kuongororwa, chirongwa chekutanga chekumba uye mararamiro . Asi mushure mokunge tsika yako yasimbiswa, mudzidzisi akakodzera anogona kukwanisa kutora rimwe basa rekutarisa kuti iwe uri kuita maitiro ako zvakanaka, kukufambisa iwe uye / kana kugadzirisa maitiro, nekutaurira kudzokera ku PT.
Kana iwe uri kubhadhara zvinhu zvose kunze kwehomwe, mari yeomudzidzisi panzvimbo yekurapa inogona kunge isingasviki pane imwe nguva, nekugadzirira kurapwa kwako nenzira iyi inogona kubatsira kubvisa chero kushaikwa kwekugoverwa kunokubata iwe.
Nenzira, makambani einishuwarenzi anowanzogadzirisa nhamba yekushanyira iyo ichabhadhara iyo, pamwe nayo, inogona kuita kuti iwe ubudiswe musati wagadzirira. Vanhu vazhinji vanotaura kuti mushure memavhiki matanhatu e PT (iyo inowanzo nhamba yepakati pekugadziriswa iyo makambani einishuwarenzi anopa) haasisina ngozi asi kwete kunze kwehuni, kutaura. Mune mamwe mazwi, havasati vava 100 muzana uye / kana kuti vanoda kuve vakashanda, asi nokuti migumisiro yekukuvara kwavo inogara kwenguva yakati, haigone.
Kana izvi zviri izvo newe, zvakare, kushanda nemudzidzisi akadzidziswa kunogona kubatsira zvikuru - nekukubatsira kupedzisa kurapa kwako, uye kugadzikana zvakare muchiito. Zvitenderwa zvinotarirwa zvinosanganisira American Council on Exercise (ACE) uye National Academy of Sports Medicine (NASM) zviyeuchidzo zvevadzidzisi vemunhu. Usati wapedzisa chisarudzo chako pamusoro pomudzidzisi waunofanira kuenda naye, unogona kubvunza avo vanogona kutsvaga nezvehupenyu hwavo hushanda nekukuvara nekurwadziwa.
Ndiko Chiremba Wako MuChiedza Pamusoro peMishonga Isingashandisi Mishonga yeApine Pain?
Kutenda kana kwete, vanhu vazhinji, vanachiremba vaisanganisira, havana ruzivo rwemhando yekusagadzirwa kwemishonga (uye isiri-chirurgical) iyo iri kunze uko, uye kuti nei izvi zvichikosha kune varwere vakaita sewe pachako.
Kusiyana nemishonga inorwadza, hutachiona hwehutano huzhinji hahuzi kuziviswa pahurumende yeTV kana redhiyo. Gadzirai icho icho nekushaiwa kwekunzwisisa vanhu vazhinji (zvakare, vanachiremba vaisanganisira mune dzimwe nguva) vane mararamiro ehupenyu, uye une rusvingo pakati pako nemhando dzakasarudzwa zvingave zviri nyore kwazvo kwauri kwenguva refu.
Kuona musana wechipfupa wepanyama hakusi kungoita kubvisa marwadzo; iwe unotofanira kuwana basa rako shure, pamwe chete kudzidza mararamiro ekufambisa uye kugadziriswa hucks zvinogona kukuchengetedza zvakanaka pasina kutora mapiritsi. Kuti uite izvozvo, unogona kufunga nezvekukuvadza chiremba wako nekumukumbira kuti atsanangure kuti njodzi dzekutora opioid dzinofananidzwa nezvipingamupinyi zvekuona musana wechipfupa.
Kana asingakwanisi kukupa mhinduro inogutsa, iyo inowanikwa muIndaneti unogona kutarisa inonzi Physiopedia. Physiopedia inzvimbo inoshandiswa nevadzidzi vechiremba venyama kubva kumativi ose enyika. Inopa ruzivo rwakavakirwa pamusoro pehutano hwemajoka ehurumende uye maitiro avanoita sei, asi zvakanyorwa kuitira kuti vasiri vashandi vanogona kunzwisisa.
Ndiani anoziva? Nekutsvakurudza zvishomanana, iwe ungatove wakadzidzisa chiremba wako pamusoro pemhando yekurwadziwa, uye kuti ungatsiva sei kushandiswa kwezvinodhaka kuti uzvipfeke nehutano hunoita zvakanyanya sekurapa kwepanyama.
Opioid Haisi Muchero Wemashiripiti
Zvinokwanisika kuti chinetso chako chakanyanya kukura mukutambudzika kusina zvinodhaka ndiyo mafungiro ako. Uye pane zvinopesana nemafungiro anoenda, biggie pano ndiyo pfungwa yokuti opioids "magic pill" inoita kuti marwadzo aende, uye kuti ndizvo zvaunoda.
Dambudziko nderekuti opioids inouya neyadzo yezvinyorwa zvinopedzisira, izvo, munguva refu, zvinogona kuva zvakakura kudarika marwadzo ako kumashure, kusanganisira kusvuta.
Dhiyabhorosi (sokuti yakanga isiri yakaipa pachayo pachayo) haisi iyo chete inogona kukanganisa zvinorwadza zvinodhaka zvinodhaka. Vanhu vazhinji vanonzwa kuvhiringidzwa kwakasimba. Mimwe migumisiro yemigumisiro inosanganisira kuora, kuora mwoyo, kurutsira, kuzvidzivirira mumuviri, uye kuporesa kupererwa, maererano nekuongorora kwakaitwa muna 2008 kwakabudiswa mupepanhau Pain Physician.
Mazhinji matambudziko emusana anogona kugadziriswa kana kunyatsotarisirwa zvakanaka kunze kwezvinetso izvi apo iwe unoshanda muchipatara chako. Izvi zvinosanganisira kuita zvidzidzo zvezuva nezuva, kudzidza nezvemaitiro akanaka uye biomechanics , nekuchinja mararamiro ako.
Kana izvo zvose izvi zvichiita semabasa akawandisa, yeuka kuti zvakanyanya zvinhu zvose mukurapa ndezvokutengeserana pakati pezviitiko zvinotarisirwa uye zvinobatsira. Izvo zvisina kushandisa zvinodhaka zvekunzwa zviri nani zvinotora nguva yakawanda uye nguva, asi kusunungurwa kunorwadza kunogona kuuya nehuwandu hwehutano hwakanaka uye hutano, huwandu hunoita basa, uye hutano hushoma hutano pasi pemugwagwa.
> Kwakabva:
Becker, W., uye. al. Zvipingamupinyi nevadzidzisi vashandise kushandiswa kwemishonga isiri yemasikirwo mukurwadziwa kusingaperi. March 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359906/
> Benyamin R., et. al. Matambudziko eOpioid nemigumisiro. Pain Physician. March 2008. https://www.ncbi.nlm.nih.gov/pubmed/18443635
> Kutarisana zvakananga kuNyika yeNyika. APTA website. June 2016. http://www.apta.org/StateIssues/DirectAccess/
> Onishi, E. et. al. Kuenzaniswa kweOpioid Kunyora Maitiro muUnited States neJapan: Mafungiro Evanhu Vanonyanya Kuchengetedza Maonero uye Maonero. Nyaya yeAmerican Board of Family Medicine. May-June 2017. http://www.jabfm.org/content/30/2/248.full
> Medicare Home. Blue Cross Blue Shield Blue Care Network yeMichigan. http://www.bcbsm.com/medicare/help/faqs/getting-care/transportation-doctor-office.html