Ulawulo lweentlungu liSebe leyeza elisebenzisa isayensi ekunciphiseni intlungu. Iquka uluhlu olubanzi lweemeko eziquka intlungu ye-neuropathic, i- sciatica , intlungu emva kokunye. Ulawulo lwezinhlungu lugqirha lonyango olukhula ngokukhawuleza lithatha indlela eyahlukeneyo yokuphatha zonke iintlungu. UGqirha uSameh Yonan, ojongene nolawulo lweentlungu kwiKliniki yaseCleveland, uthi "siyavavanya, sivuselele kwaye siphatha abantu ngentlungu." Ugqirha wakho unokukuthumela ekulawuleni iintlungu xa yena okanye uya kugqiba ukuba intlungu yakho iye yaphuma ekulawuleni.
Iingcali zoLawulo lwezobuhlungu
Oogqirha abanobuchule bokulawulwa kweentlungu bayazibona ubunzima obunzima, kwaye ugqirha weentlungu "uyayondela le ngxaki kuyo yonke indawo," kusho uYonan. Eyona ndlela, unyango kwiklinikhi yentlungu luyinkqubo yesigulane, kodwa ngokwenene, oku kuya kuxhomekeka kwizibonelelo ezifumanekayo zeziko. Okwangoku, akukho migaqo echanekileyo yeentlobo zezikhokelo ezifunekayo ukuba zifakiwe, kwaye esinye esinye isizathu sokuba kutheni unyango luyahlukahluka ukusuka kwikliniki ukuya kwiklinikhi.
Kodwa kuncinci, iingcali zithi isibonelelo kufuneka sinikele kwizigulane ezintathu zonyango: ugqirha odibeneyo, onika iingcebiso kwiingcali egameni lakho, ingcali yokuvuselela umzimba, kunye nesifo sengqondo, ukuncedisa ukujongana naluphi na uxinzelelo oluhamba okanye uxhalaba, ngakumbi xa unentlungu engapheliyo.
Ezinye izakhono zezokwelapha ezimelelekileyo ekulawuleni ubuhlungu zi-anesthesiology, i-neurosurgery kunye neyeza langaphakathi.
Ugqirha wakho wokudibanisa unokukuthumela iinkonzo ezivela kwiingcali zonyango zengqesho, abasebenzi bezentlalo kunye / okanye ezinye iindlela zonyango kunye neengcali zonyango.
Ukuze ufaneleke njengengcali yolawulo lweentlungu emehlweni e-American Board of Specialties, umboneleli wezempilo kufuneka abe yi-MD kunye nesatifikethi sebhodi ubuncinane kwizinto ezizodwa ezilandelayo:
- Anesthesiology
- Ukulungiswa komzimba
- Ingqondo kunye neuroloji.
UDkt. James Dillard, uphando onguchwepheshe weyeza e-Columbia University College of Physicians and Surgeons, uthi ulawulo lweentlungu kufuneka nokuba naloo mkhuba okanye umgangatho wakhe ulinganiselwe kuloo mbandela apho bafumana isatifikethi. Ungaqwalasela ukuba ngaba oogqirha ekliniki yokulawulwa kwentlungu oyiqwalaselayo ibhodi eqinisekisiwe ngokuya kwi-website ye-American Board yeZonyango.
Iinjongo zoLawulo lwezinhlungu
Nangona ezinye iintlobo zentlungu zivela kwimithombo ephambili njengentloko, kunye nabanye abavela kwimithombo yecala njengokwenziwa kwindlela yokuhlinzwa, intsimi yolawulo lwentlungu iphatha yonke into njengesifo. Oku kuvumela ukusetyenziswa kwesayensi, kunye nentuthuko yakutshanje kwiyeza ukuze ukhuphe intlungu yakho. Nangona izigulane ezininzi, ingakumbi ezo zibuhlungu obungapheliyo, zibona i-psychiatrist okanye ingcali njengengxenye yamava, ukufunda ukujamelana nentlungu kuncinci kugxininiso lwonyango.
UJonan uthi: "Ngoku sinamanyathelo amaninzi, kuquka amachiza, ubuchule bokulawulwa kwentlungu (ukungena kwintlungu, ukukhupha umthambo, kunye nokunyanga okufanayo), kunye neyeza elithile ukuze uncede ukunciphisa intlungu.
Injongo yolawulo lweentlungu kukunciphisa intlungu, kunokuba uyisuse. Oku kungenxa yokuba kaninzi akunakwenzeka ukuba ususe ngokupheleleyo. Ezinye iinjongo ezimbini kukuphucula umsebenzi kunye nokwandisa umgangatho wobomi. Ezi zintathu ziinjongo zihamba ngesandla.
Njengesigulana sokuqala kwikliniki yokulawulwa kwentlungu, unokufumana oku kulandelayo:
- Vavanyo.
- Iimvavanyo zokuxilonga, ukuba kuyimfuneko, njengoko kunqunywe kuvavanyo.
- Ukudluliselwa kwi-surgeon, ukuba kuboniswe iimvavanyo nokuvavanya.
- Unyango lwangaphakathi, olufana neenjini okanye ukunyuka komthambo .
- Ulwaphulo oluthile lokunyusa ukuhamba kunye nokuqina, kwaye ukulungiselela ukuba ubuyele emsebenzini.
- Ingqondo yokujongana nokuxinezeleka , uxhalaba kunye / okanye nezinye izinto ezinokuhamba kunye nentlungu yakho engapheliyo.
- Iyeza elincinci ukubonelela ngezinye iinkonzo.
I-back pain nentamo yesifo ababenokulungelelaniswa nenkqubo yolawulo lwentlungu, uthi uYonan, ngaba abo baye bahlinzwa ngokuphindaphindiweyo, kuquka ukuhlinzwa okwehlulekayo, kwaye basenabo buhlungu, abo bane-neuropathy, kunye nabo bazimisele ukuba ukuhlinzwa abayi kuzuza yabo imeko.
"Abantu abaye banomlwelwe kwiinkonzo zentlungu bafuna uncedo olungakumbi kunokuba yintoni inkqubo yolawulo lweentlungu ezingabanika yona.
Ngokwe- Pain Physician , iziphumo ezivela kwizifundo zophando malunga nolawulo lwentlungu azihlali zisebenza kwiingxaki kwizigulane ziza kunye neekliniki ngosuku. Ngelishwa, oku kunemiphumo emibi ekubuyiselweni kwe-inshorensi kunye namanye amalungiselelo okuhlawula, kunye nokumiselwa kweemfuno zonyango.
"Ukuqonda okungcono kwintlungu yesifo kunye noluntu kunye neenkampani zomshuwalense kunye nezifundo ezininzi kwiintlungu ziya kunceda ukwandisa i-inshorensi yokuphathwa kweentlungu zonyango. Kwixesha elizayo, ukusebenzisa i-teknoloji kuya kunceda ukuphucula iziphumo zolawulo lweentlungu zokungenelela," kusho uYonan.
Imithombo:
IManchikanti, uL. MD, uMark V. Boswell, M MD, PhD., UJames Giordano, J. PhD. Ugqirha wezinhlungu ngo-2007; 10: 329-356.
Ifowuni Ingxoxo. UDkt Sameh Yonan, MD, iNgcaciso yoLawulo lwePain e-Hillcrest, i-Willoughby kunye ne-South Pointe Pain Centers kwi-Health Clinic eCleveland.
UJames N. Dillard, MD., DC. CAc. Isisombululo esingapheliyo: Umendo wakho wobuhlungu kwi-Pain Relief Bantam Dell isahlulo seRandom House eNew York 2003.