Zuva roga roga, vanhu vanosvika mamiriyoni masere muUnited States (vazhinji vari vana nevechiri kuyaruka) vane kurwadziwa kwepakutanga muupenyu hwavo.
Kana kana izvi zvikaitika kwamuri kana mumwe munhu waunofarira, chii chaunofanira kuita nezvazvo? Unonyatsoda kuona chiremba here? Ndeipi inofanirwa kuva nzira yako yekuzorora kunorwadza? Uye iwe unoda rini ray-ray kana MRIs?
Ngatitarisei zvakakosha pane zvaunogona kutarisira kubva kuchirapa kwenguva yako yokutanga isingatambudziki kurwadziwa shure. Asi tisati tasvika pane izvozvi, regai ndipe mamwe mashoko akanaka. IAHRQ, hurumende yehutano yehurumende inotarisirwa ne "kufambira mberi kwakanakisisa muhutano hwehutano," sezvakataurwa pamusoro pewebsite yavo, inoshuma kuti kurwadziwa kwakanyanya kunorwadza (iyo inotsanangurwa sechiitiko chinopera pasi pemwedzi) muzviitiko zvakawanda zvinogadzirisa pacharo. AHRQ inotaura kuti kugadzirisa kwakakwana kwekutambudzika, kuremara, kana kurongeka zvishoma uye basa rakakanganwa hakusi kunze kwebvunzo, uye kuti vanhu vazhinji vanovandudza nokukurumidza mushure mokunge chiitiko ichocho chokutanga.
Unofanirwa Here Kushanyira Chiremba?
Kuziva zvinotaurwa neAHRQ, iwe unofanira kuenda kunechiremba wako kana uchinzwa kurwadziwa kwezvekare here? Kazhinji kutaura, kurwadziwa kumashure hakusi kwakakomba, uye hazvisi zvishoma chete kutyisa upenyu. Izvozvo zvakati, zvinogona uye zvinowanzovhiringidza hupenyu hwehupenyu.
Nokuda kwekutanga kwako kwekutanga kuburikidza nemarwadzo ekudzokera shure, kutarisa nachiremba wako ingangove pfungwa yakanaka.
Ratidza kuti ndiani anonyanya kukosha chiremba kuenda kune. Iye achakubvunza mamwe mibvunzo inokosha senzira yekuderedza zviratidzo zvako kusvika pakuongororwa.
Iyi mibvunzo inogona kusanganisira: Waiitei kana kurwadziwa kwakatanga? Ko kurwadziwa kwacho kuchiuya zvishoma nezvishoma kana kamwe kamwe here? Unonzwa kupi marwadzo uye unoitisa kunze?
Zvinonzwa sei? Mamwe mazita ekutsanangura zviratidzo zvako zviripo, saka itai nazvo. Unogona kunzwa zviratidzo zvemagetsi zvakadai sepini uye masero, kutsva, kushamiswa uye zvakadaro, kana iwe unogona kunge wakanyarara. Kunyanya iwe unogona kunyatsotsanangura uye kunyatsotsanangura zviratidzo zvako zvinorwadza, zviri nani. Tsanangudzo yako inopa chiremba chimwe chinhu chingaenderera mberi paanoita kuongororwa uye mazano ekurapa anotevera.
Zvimwe zvinhu chiremba wako angangodaro achida kuziva kuti ndiyo nguva yekurwadziwa. Mune mamwe mazwi, rinosvika rini uye rinosunungurwa rini, izvo iwe wenyama unoita kubasa, nezvimwe.
Miedzo Yokuona-Unovada Here?
Vanachiremba vazhinji vane tsika yekuraira zvakakwana kufungidzirwa kunetseka kwevarwere vavo vane mutsipa kana kurwadziwa shure. Izvi zvinogona kusanganisira x-rays, MRI, uye zvichida kuongororwa ropa .
Iyi miedzo haisi nguva dzose inodiwa. IAmerican College of Radiology inotaura kuti kusagadzikana kunorwadza kunorwadza kwepfungwa uye kana pasina radiculopathy kune hutano (uye kuzvidzora) mamiriro ezvinhu uye saizvozvo haibvumirisi kuongorora kuongororwa.
Somuenzaniso, kana iwe uine "mapuranga matsvuku" akadai sokurwadziwa kusingagumi usiku, kurwadziwa kunowedzera mangwanani asi kunowedzera zvakanaka kana zuva richifambira mberi, kana kurwadziwa kunotora kwenguva yakareba kupfuura vhiki, chiremba wako angafungira kuti kurwadziwa kwako inokonzerwa nechirwere chemuitiro.
Saizvozvowo, kana uine osteoporosis, wakamboshungurudzika, kana wakashandisa steroid kwenguva yakareba, mafirimu angangodaro anobatsira pakuongorora chirongwa.
Chidzidzo che2016 chiGerman chakabudiswa mumagazini Deutsche medizinische Wochenschrift chakawana kuti kunyange 10 muzana yevarwere vanorwadza shure vanoona mafirimu ekuongorora, kusvika kune chetatu chezvikukutu izvi zvinenge zvisingadi zvachose.
Chiremba Wangu Acharondedzera Mishonga Yezvipembenene Here?
Vanachiremba vazhinji vanorayira mishonga inorwadza kwenguva yekutanga varwere. Mhando ipi zvayo yemishonga inorwadza inouya nemigumisiro yechirwere, asi munguva pfupi yapfuura FDA yakashandura huwandu hwehutambudzi hwe Advil (ibuprofen).
Tsvakurudzo dzavakaongorora dzakaratidza kuti kunyange masvondo mashomanana ekushandisa angakonzera kuwedzera mungozi yehutano hwakanyanya sehutano hwemwoyo.
Zvinosuruvarisa kuti vanachiremba vazhinji vanopa marwadzo anonyadzisa vanoderedza zvakanakira bhot, kunyange kune varwere vane unyoro, kuzvidzora kunorwadza. Pfungwa dzangu ndeyekuti vashandi vakadaro vari kuita zvakanyanya kuvhiringidza vanhu ava nekuda kwehuwandu hwehutano hwekudhakwa hunobatanidza nokutora narcotics.
Kuongorora kwakarongeka kwakabudiswa mumagazini yaMay 2016 ye Journal of the American Medical Association yakaona kuti kunyange kukwanisa kweanpioid analgesics kugadzirisa kurwadziwa kwakanyanya kwepashure hakuzivikanwi, hapana humwe uchapupu hwehupenyu hunogadzirisa pane zvisingaperi zvisingaiti zvakaperera kurwadziwa shure . Chimwe chezvikonzero zvavo zvikuru zveizvi ndechokuti opioid inogona kupa zvishoma zvekuzorodzwa kwenguva pfupi, asi izvi ndizvo zvayo.
Iwe unogona sei kuwedzera zvitsva zveJAMA pane maopioid yehutambudzo husingaperi mushure mako (kana iwe une imwe) mamiriro ezvinhu? Iwe unogona kufunga izvi kubva pangozi kuti ubatsire angle. Kutora zvinodhaka kunorwadza kwakanyanya kunogona kureva kuti iwe unenge uchinetseka kuva muropa nekuda kwechidiki chekuregererwa kwekunetseka kwakanyanya.
Pakutanga, zvingaita seunoda zvinhu zvose zvaunogona kuwana kuti ugadzirise zvauri kutarisana nazvo, asi une zvimwe zvingasarudzwa. Sezvambotaurwa pamusoro apa, pane makirasi akasiyana-siyana ekurwadziwa kunorwadza seasina-steroidal anti-inflammatories (ayo ibuprofen imwe) uye Tylenol (acetaminophen). Mune mamwe mazwi, haasi marwadzo ose ekurwadziwa anonyangadza mune zvakasikwa. Uye mafungiro asingaiti-madhiragi ekurudzirwa marwadzo akadai sokugadziriswa, kugadzirisa zvinyoro , kana kufungisisa kunogona kubudirira zvikuru.
Kwete izvozvo chete, zvinokwanisika kuti opioid inopfuura-kuuraya, ichipa simba rakawanda kudarika rinodikanwa kuti uchengetedze marwadzo akachengetwa panguva iyoyo yekurapa nguva.
Muzhinji, hapana kuswedera kumarwadzo kumashure ndeye-zvose, kuguma-zvose zvinogadziriswa. Pane kudaro, AHRQ inotitaurira kuti munhu mumwe nomumwe mushonga wechipfuva unowedzera kupa zvishoma kana zvakanakisisa zvinogadzirisa. Nzira yakanaka, uye imwe inoshandiswa nevashandi vakawanda, ndeyekubatanidza zvishoma uye zvine mwero maitiro ekurapa pamwe chete kuti vawedzere kugadzirisa.
IAHRQ inowedzera kuti nguva yakawanda yenguva, zvinobudirira zvinobva kumarwadzo ekurwadziwa shure zvinogona kunge zviripo munguva pfupi chete. Vanotaurawo kuti kurapwa uku kunoshanda zvakanaka kune marwadzo pane kudzorera kushanda kwako mumuviri. Nokuda kwechikonzero ichi kutora kushanda-kusina-kuzviita-inogona kuva nzira yakanakisisa yekuchengetedza marwadzo shure apo iwe unofambira mberi muupenyu.
Sources :
AHRQ. Noninvasive Treatments for Low Back Pain. Sangano reEalthcare Research uye Quality website. Feb. 2016. Kuwana: June 2016. http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=2192
Linder R, Horenkamp-Sonntag D., Engel S., Schneider U., Verheyen F. Unyanzvi hweKutendesa uchishandisa dhiyabhorosi yedhesi: Kuongorora kwepamusoro nekufungidzirwa kwemashoko emagetsi ekurwadziwa kweperi. Dtsch Med Wochenschr. May 2016. Kuwana: June 2016. http://www.ncbi.nlm.nih.gov/pubmed/27176071
Patel ND, Broderick DF, Burns J, Deshmukh TK, Fries IB, Harvey HB, Holly L, Hunt CH, Jagadeesan BD, Kennedy TA, O'Toole JE, Perlmutter JS, Policeni B, Rosenow JM, Koneriyasi RS, Corey AS, Gweta reZvivheji pamusoro peEurologic Imaging. ACR Kugadziriswa Criteria® kuchema kunorwadza. Reston (VA): American College of Radiology (ACR); 2015. 12 p. [30 references]
Shaheed C, Maher C, Williams K, et al. Kubudirira, Kushushikana, uye Dose-Migumisiro Yakazvimirira yeOpioid Analgesics for Low Back Pain. JAMA Internal Medicine . May 2016. Kuwana: June 2016. http://archinte.jamanetwork.com/article.aspx?articleid=2522397
Volkow N, McLellan T. Opioid Abuse mu Chronic Pain - Mafungiro uye Maitiro ekuderedza. N Engl J Med. 2016. http://www.nejm.org/doi/full/10.1056/NEJMra1507771#t=article