Ukuba wena okanye umntu owaziyo uye waba nesifo, ungazi kakuhle ukuba indlela yokubuyiswa emva kokuba unyango lunokude kwaye luvame ukuphazamisa. Ukubuyiselwa kobuqili kuqala ngokukhawuleza, ngokuqhelekileyo ngexesha lokuhlala esibhedlele, kwaye kunokubandakanya uongikazi wokuvuselela, unyango lomzimba kunye nokusebenza, unyango lwentetho kunye nomsebenzi wentlalo.
Ukongeza kwindlela yokuvuselela ngokuqhelekileyo, abanye abantu baphendukela kwi-acupuncture, uhlobo oluthile lwonyango olusekelwe kwintsalane olusetyenziswe kwiiyeza zendabuko zaseTshayina .
Ngokweenkcukacha ezivela kwi-National Survey Survey ka-2002, i-46 ekhulwini yabasindileyo be-stroke e-United States basebenzisa iyeza ezincedisayo kunye neyezinye iindlela, kunye nokwenziwa kwe-acupuncture kuphela yonyango esetyenziswe rhoqo kwiindawo ezisinde.
Ngethuba lokunyangwa kwamathambo , ugqirha unika inaliti emihle kumaphuzu athile emzimbeni. Kuthethwa unyango ukunciphisa ubuhlungu , ukuphucula umgangatho wobomi kunye nenhlalakahle yempilo, kwaye mhlawumbi unokunceda ngemisebenzi yokuphila kwansuku zonke njengokuhamba okanye ukuzinakekela.
Ukubuyiswa kwe-Acupuncture kunye neStroke Recovery
Nangona uphando oluthile lubonisa ukuba ukunyuka kwamanzi kungabancedisa abantu ababenokubethelwa kwesifo, abazange bafumane ngokwaneleyo iimvavanyo zecliniki ukuze bakwazi ukufikelela kwisigqibo.
Uphononongo oluphando olupapashwe kwiDatabase yeCchrane yeeNkqubo eziPhononongo ngo-2016 uphando olungama-31 (kunye nabathathi-nxaxheba abangu-2257) ekusebenziseni ukulungiswa kwesithintelo.
Ngokutsho kwababhali beengxelo, ukukhwa kwamanzi kungabangela impembelelo ekuphuculeni ukuxhomekeka, ukungafumaneki kweengxaki ze-neurological, kunye nokukhubazeka okwenziwe ngegazi ngenxa yabantu abane-stroke. Kodwa-ke, ababhali baqaphele ukuba uninzi lwezifundo ekuhlalutyweni kwabo alunalo uphawu okanye ubungakanani obufanelekileyo, okwenze kube nzima ukwenza izigqibo.
Kuphando lokuphanda olupapashwe kwi- Acupuncture Medicine ngo-2015, izazinzulu ziye zahlola iimvavanyo zeklinikhi ezipapashwe ngaphambili, ziqhathaniswa nokuphulukiswa kwe-acupuncture kunye nokuvuselelwa kwedwa kuphela kubantu abangeenyanga ezintathu okanye ngaphantsi kwe-stroke. Ekupheliseni kwabo, abalobi bathi ukukhwabanisa kunye nokuvuselelwa kunokufumana inzuzo ngaphezu kokulungiswa kwedwa.
Iziphumo ezivela kwizifundo ezimbalwa zibonisa ukuba ukukhwa kwamanzi kungabincedo ezithile ngexesha lokulungiswa kwesilathiso:
Ukujongana nobunzima emva kwesisu
Emva kokuphazamiseka, abanye abantu banzima ukugwinya (imeko eyaziwa ngokuthi i- dysphagia ) eyenza ukutya kunye nokusela uphicelele kwaye kunokubangela ukukhahlela nokuthanda. Ingxelo epapashwe kwiDatabase yaseCchrane yeSigqibo seSikweni ngo-2012, abaphandi baphakamisa uphando olu-33 oluye lwapapashwa ngaphambili (kunye nabathathi-nxaxheba abangama-6779) ngokuthelekisa unyango olwahlukileyo kwi-dysphagia kubantu abanobudlova phakathi kweenyanga ezintandathu zokubhalisa kwisifundo. Ekuhlaziyweni kwabo, ababhali beengxelo babone ubungqina bokuthi i-acupuncture iyanciphisa i-dysphagia.
Ukunyaniseka
Emva kokuphazamiseka, abanye abantu banezintlu zokuqina kunye nokuqhaqhazela ngokungazibandakanyi (okubizwa ngokuba yi-spasticity), enokukwenza nzima ukwenza imisebenzi yemihla ngemihla nzima.
Ingxelo epapashwe kwi- Archives of Medicine Physical and Rehabilitation ngo-2017 yahlaziywa iimizila ezingama-22 ezishicilelwe ngaphambili kwi-electroacupuncture usetyenziso lwe-sprotic-stroke. Ababhali beengxelo bafumene ukuba i-electroacupuncture kwisithuba seenyanga ezintandathu emva kokuphazamiseka kunye kunye nokunyamekela okuqhelekileyo kunokunceda ukunciphisa ukunyanzeliswa kwamagceke angaphezulu nangaphantsi.
Ingxelo yangaphambili (eyapapashwa kwiNcwadana yeNgcaciso kunye noTywala oluPheleleyo ), nangona kunjalo, iqukumbele ukuba ukusebenza kwe-acupuncture kwi-spasticity emva kokuphazamiseka kukungaqiniseki ngenxa yobungakanani bemfundo yophando. Ababhali batusa iingcebiso ezinkulu, ezenziwe kakuhle.
Iimpembelelo eziPhakathi kunye nezimpembelelo ezimbi
Xa usebenzisa i-acupuncture yokulungiswa kwesifo, kubalulekile ukusebenza kunye ne-acupuncturist ye-medical qualifier enamava okufumana unyango lokulungisa. Inyumba, inaliti yokusebenzisa i-single-use acupuncture needles usetyenziswe kuphela.
Nangona iingozi zivame ukuba ziphantsi xa i-acupuncture yenziwa ngumntu onamandla, okhutshelwe ilayisenisi, iimpembelelo ezinokuthi zibandakanya intlungu, ukukhathazeka, ukuvuvukala, ukunyunyuza, okanye ukuphaphaza kwindawo yentsaliti, ukuphazamiseka, ukulimala kwelungu, i- hematoma , i-hemiplegia, kunye nezifo.
I-Acupuncture yayicatshulwa "ngokukhuselekileyo" ngokubhekiselele ekuhlaziyweni kwendlela yokugubha umzimba, nangona kunjalo, uphononongo lophando kwiziganeko ezimbi emva kokukhwabanisa kwakubandakanya i-pneumothorax, ukuphazamiseka, ukulimala kwintliziyo kunye nokubola.
Ukuba unentsholongwane yokuphuma kwegazi, uthatha igazi elincinci njenge-warfarin, ube ne-pacemaker, ukhulelwe, okanye unesistim sokuzivikela kwisistim somzimba, unokuthi ungabi ngumviwa ofanelekileyo wokutyunjwa.
I-Takeaway
Ukulungiswa kwesithwathwa yinkqubo ende kwaye ihlala yinkimbinkimbi, enokukwenza uzive unelisekile ngokuzifumana kwakho kwaye ufuna ezinye iindlela zokwenza uncedo. Nangona kungabikho ubungqina obaneleyo ukusuka kwizilingo ezinkulu zeekliniki ukwenza isiphetho ngokusebenza kakuhle kwamanye amazwe, kwabanye abantu, kunokunceda ukuphucula umgangatho wobomi kwaye ube nemiphumo emihle kwiinkxalabo ezifana nokugwinya okanye ukuxhamla.
Ukuba ucinga ukuzama ukukhwabanisa, kubalulekile ukuba udibane nodokotela wakho kuqala. Unokukunceda uqonde ukuba ingaba uyingxenye yonyango lwakho lokuvuselela inokuthi luncedo kwaye lukhuselekile.
> Imithombo:
> Cai Y, Zhang CS, Liu S, et al. I-Electroacupuncture ye-Poststroke Spasticity: Uhlolo lokuHlola kunye no-Meta-Analysis. IArch Phys Med Rehabil. Ngo-2017 Dec; 98 (12): 2578-2589.e4.
> Geeganage C, Beavan J, Ellender S, Bath PM. Amanyathelo okulungiselela i-dysphagia kunye nenkxaso yondlo kwi-stroke enzima. I-Cochrane Database Syst Rev. 2012 Okthoba 17; 10: CD000323.
> Vados L, Ferreira A, Zhao S, iVercelino R, Wang S. Ukuphumelela kwe-acupuncture kunye kunye nokuvuselela unyango lwe-stroke enzima okanye ngokungahambisani nayo: ukuhlaziywa okucwangcisiweyo. Acupunct Med. 2015 Juni; 33 (3): 180-7.
> Yang A, Wu HM, Tang JL, Xu L, Yang M, Liu GJ. Ukuqulunqwa kwe-stroke ukuvuselelwa. I-Cochrane Database Syst Rev. 2016 Aug 26; (8): CD004131.
> Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onikwe ilayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.