Kushanda Kwakabudirira Kwokurapwa
Chiremba akanaka anobata chirwere ichi; chiremba mukuru anobata murwere ane chirwere ~ William Osler (Canadian Physician, 1849-1919)
Wati wambozvibvunza here kuti varwere vanoda kuonana nachiremba? Mune pfungwa dzechiremba mumwe (Delbanco, 1992) :
- Varwere vanoda kuve vakakwanisa kuvimba kukwanisa uye kubudirira kwevanotarisira.
- Varwere vanoda kuve vakakwanisa kutaurirana nezvehutano hwehutano hwakanaka uye kubatwa nekuremekedzwa nekuremekedzwa.
- Varwere vanoda kunzwisisa kuti kurwara kwavo kana kurapwa kuchakanganisa hupenyu hwavo, uye vanowanzotya kuti vanachiremba vavo havasi kuvaudza zvose zvavanoda kuziva.
- Varwere vanoda kukurukura kuitika kwehutano hwavo huchava pamusoro pemhuri yavo, shamwari, uye mari.
- Varwere vanonetseka nezvenguva yemberi.
- Varwere vanonetseka nezvavo uye vanoda kudzidza kudzivirira ivo pachavo kubva kuchipatara.
- Varwere vanoda kuti vanachiremba varangarire kurwadziwa kwavo, kusagadzikana mumuviri, nekuremara kwebasa .
The Relationship
Ukama huri pakati pevarwere uye chiremba hwakaongororwa kubvira pakutanga kwema1900. Isati yasvika apo mishonga yakanga yakawanda mune sayenzi kupfuura unyanzvi, vanachiremba vakashanda kunatsiridza mararamiro avo pamubhedha, sezvo kurapa kwaiwanzogoneka uye kurapwa kwakanga kusingagumi.
Pakati pezana remakore apo sayenzi uye teknolojia yakabuda, maitiro ehutano hwakange akavharwa.
Ikozvino kune chido chitsva mune zvemishonga semagariro evanhu. Chiremba anogona kuita zvinokuvadza zvakanyanya kune murwere ane chidimbu chezwi sezvinoitwa kupera kwevha.
Instrumental uye Expressive Components
Chiredzi-chiremba-murwere anoyambuka zviyero zviviri:
- shingairira
- expressive
Chikamu che "chinotsigira" chinosanganisira kukwanisa kwechiremba mukuita zvinhu zvehutano zvekuchengetedza zvakadai sokuti:
Icho "chinotsanangurwa" chikamu chinoratidza unyanzvi hwemishonga, kusanganisira chikamu chinokonzera chekubatana kwakadai sekudziya uye tsitsi, uye kuti chiremba anoswedera sei kumurwere.
Chiremba Anowirirana-Chiremba Ukama Hwemodhoro
Chiitiko-Kutsigira Muenzaniso - Hakusi Muenzaniso Wakanakisisa WeArthritis Isingaperi
Iko mafungiro evamwe vanhu kuti kusiyana kwemasimba pakati pemurwere uye chiremba kunofanirwa kune nguva yakasimba yekurapa. Murwere anotsvaka ruzivo uye rubatsiro rwekambani, uye chiremba anogadzira zvisarudzo izvo murwere anofanirwa kugamuchira. Kunyange zvazvo izvi zvichiita zvakakodzera mukurapa kwekurapa, muenzaniso uyu, unozivikanwa semabasa-kutsika, muenzaniso wakakanganiswa mukurapa kwemamiriro ezvinhu asingagumi, akadai se rheumatoid arthritis uye lupus . Mumuenzaniso uyu, chiremba anobata murwere nemoyo wose, asi murwere haaiti uye haana simba.
Iyo Nhungamiro-Kushandira Muenzaniso - Muenzaniso Wakakurumbira Zvikuru
Nhungamiro-yekubatana nayo muenzaniso ndiyo yakanyanya kufanana mukurapa kwemazuva ano. Mumuenzaniso uyu, chiremba anokurudzira kurapwa uye murwere anobata pamwe. Izvi zvinowirirana ne "chiremba anoziva zvakanakisisa" nharo iyo chiremba ari kutsigira uye kwete-ane kodzero, asi ane kodzero yekusarudza kurapa kwakakodzera.
Murwere, ane simba shoma, anotarisirwa kutevera mazano achiremba.
Muenzaniso Wokubatana Kwekugadzirisa - Kupiwa Kwavanoita
Muchikamu chechitatu, kubatana pamwe chete muenzaniso , chiremba uye murwere vane chikamu chekuita zvisarudzo uye kuronga nzira yekurapa. Murwere uye chiremba vanoremekedza mumwe nomumwe zvinotarisirwa, maonero, nemaonero.
Vamwe vakataura kuti iyi ndiyo nzira yakakodzera kwazvo yezvirwere zvisingaperi, zvakadai se rheumatoid arthritis uye lupus, apo varwere vane basa rekushandisa kurapwa kwavo uye kugona kushanda kwayo.
Kuchinja kwemazuva emamiriro ezvinhu asingagumi kunoda chiremba uye murwere kuti ave nekutaurirana pachena.
Chii Chaicho Chaizvo Chimiro Chakanaka cheArthritis Isingaperi?
Dzimwe rheumatologists inogona kunzwa sokuti yakanakisisa chiremba-murwere wekuenzanisa muenzaniso pane imwe nzvimbo pakati pekutungamira-kubatana nekubatana pamwe. Muzvokwadi, chimiro cheukama hwechiremba-patent chinogona kunge chinoshandiswa kupfuura nguva. Pakutanga, panguva yekuongororwa, dzidzo uye kutungamirirwa kunobatsira mukudzidza kubata chirwere ichi. Kamwe kana zvirongwa zvekurapa zvakagadzirwa, murwere anotamira kune umwechete-kutora muenzaniso sezvavanocherechedza zviratidzo zvavo, vanorondedzera matambudziko, uye vanoshanda nachiremba kuti vagadzire hurongwa hwavo hwokurapa.
Kubudirira kweUrapa
Kubudirira kwemishonga kunonyanya kuvimba nemurwere anoita zvinotaurwa nachiremba (kureva, kutevera). Kurapa kweArthritis kunogona kusanganisira:
- kutora mitemo yemishonga
- mararamiro ekufamba uye kusimbisa maitiro
- joint protection techniques
- mishonga yemasikirwo
- marwadzo ekurwisana nenhamo
- anti-inflammatory diet
- kuyerwa kuyerwa
- physically therapy
Kwete-kunamatira purogiramu yekurapa inoratidzira mhedzisiro yakaipa, pamwe nekufunga kuti:
- kurapa kwakakodzera uye kazhinji kunoshanda
- kune sangano pakati pekuteerera uye hutano huri nani
- murwere anokwanisa kuita chirongwa chekurapa
Ndeipi Migumisiro yeMubati Anoshanda-Chiremba Ukama?
Apo hutano-chiremba-chirwere hunosanganisira kukwanisa nekukurukurirana, kazhinji pane kunyatsoteerera kumushonga. Kana kunyatsoteerera kurapwa kunosanganiswa nekugutsikana kwegwara nekutarisira, KUCHIKURWA UYE HWEMHURI uye ZVINHU ZVINHU ZVEMUPENYU ndezviitiko zvinotarisirwa. Pasi pepamusoro: Kubudirira kwemishonga kunogona kushandiswa zvikuru nehutano hwechiremba-murwere.
Kunobva:
Kunzwisisa Rheumatoid Arthritis naStanton Newman, Ray Fitzpatrick, Tracey A. Revenson, Suzanne Skevington, naGareth Williams. Yakabudiswa naRoutledge. 1996.