Le mihla, into yokuqala oogqirha abaninzi abayenzayo xa isigulane siza kunye nokulimala kwangemva kukuba kuvezwe ubuhlungu be-opioid ukuxilisa amayeza. Phuma kwi-bat. Ebizwa ngokuba yonyango lokuqala , ukusetyenziswa kwesi simboli se-narcotic kunokuthelekiswa nenguqu ephakanyisiwe "yokuthabatha ezimbini uze undibize ekuseni."
I-opioids zihlala ziindaba kwiimeko ezibi zidla ngokubamba.
Ngokwe-2017 isifundo esashicilelwe kwiNcwadi ye-American Board ye-Medicine Family, phakathi kuka-1999 no-2010, i-opioid yokuthengisa iphindwe kabini. Ababhali beengxelo baphinda bathi ingxelo malunga nemizuzu engama-36, umntu ufa ngenxa yokudlula i-opioids.
I-opioids nazo zidlalwa ngokuphindaphindiweyo ngenxa yobuhlungu obungapheliyo. Kodwa kukho enye indlela, esoloko isebenza kakuhle ukulungisa intlungu yakho, ukuba uzimisele ukwenza umsebenzi omncinci. Yaye loo nto iyonyango .
Ngoku musa ukububula. Kukho imithintelo ekutshintsheni kwintuthuzelo yepilisi kwiimeko apho kufuneka ufike kwixesha lokuqeshana, ufunde izinto ezintsha, kwaye wenze okungenani kanye kanye ngosuku. Ngoko siza kubabamba. Sele ulungele?
Yenza Kukho Ukholo Lwenyango Utyunjwa
Enye yemingcipheko enkulu yokufikelela kwisixa esipheleleyo sonyango enokufumaneka kuwe inokukwenza ngokuthatha indlela yakho yokuya kuqeshwa kwindawo yokuqala.
Umzekelo, iingxaki zivela xa uhlala kude ne-PT. Nangona umgama ngokwawo unokuba ngumqobo-ngubani ofuna ukuqhuba i-20, 30, 50 okanye ngaphezulu kweekhilomitha ukuza kudibana nomphathi wezemisebenzi? Ukuba awuyikuqhuba okanye ufikelele kwimoto, yimbi ngakumbi.
Ngandlela-thile, inokubiza. Ukuba uqhuba, uya kuhlawula igesi, kwaye ukuba awuhambanga, uhambo olujikelezayo lwezokwelapha lungadola i-$ 55 (ukuthuthwa kwendawo kwimizi encinci) kwaye phezulu.
Abanye abantu bathatha ibhasi, kodwa loo nto ingadla ixesha okanye ibeka ingozi yengozi.
Unokumangalisa into oyifumanayo xa uphanda kwaye ubuze malunga neendlela zokuhamba, nangona kunjalo. Ngokomzekelo, i-Blue Cross Blue Shield eMichigan inecebo elilodwa elihlawula iindleko zokuthutha ezingama-36 zonyango ngonyaka.
Enye indawo enokuyibuyisela kuyo i-United Way Way. Njengezindlu zokucima izibonelelo, zinokukwazi ukukukhomba kwi-low or no-cost cost options. I-United Way endaweni yakho inokuba nayo ingxowa ongayifumana.
Imiba yokuHlola xa Uya kwi-Spine Treatment Physical Road
Enye into ekhuselayo yokuthatha inxaxheba ekusebenziseni ukuxhamla ubuhlungu beentlungu iyakwazi ukunyulwa kwimihla, kwaye ngamaxesha, efanelekileyo kukufanelana nawe. I-inshurensi yakho inokuhlawula i-3x ngeeseshoni zeveki, okanye ugqirha wakho unokuphakamisa eli thuba, kodwa xa uhamba kwishedyuli, ufumanisa ukuba, ngokwenene, akunakwenzeka. Kukho nje amabala okwaneleyo kwishedyuli yecandelo leengcali ezifanisa ukuvuleka kwakho.
Okanye, unako ukufumana utyunjwa xa ungathanda, kodwa ukwenza oko kuthetha ukuba uya kufuneka ubone umgqirha ongeyithandi kakhulu. Oku kungabonakala ngathi inkcazelo encinci, ngakumbi xa wenza okusemandleni akho ukuba ufumane ukucwangciswa kwakho, kwaye kwindlela yakho yosuku, kodwa usebenza nomgulana onokuzixhamla naye unokukwenza umehluko omkhulu.
Ubuhlobo obulungileyo bokusebenza kunye nomgulana wakho wecala lomzimba lungasichaphazela uncedo lwakho lokwenza imisebenzi yakho emiselweyo ekhaya, ngokugcina ukuqeshwa kwakho kunye nezinye izinto. Oku, ngokubhekiselele, kuya kukwandisa inzuzo oyifumanayo ekwenzeni ixesha kwishedyuli yakho nokwenza umsebenzi.
Nazi izicwangciso ezimbalwa malunga nento oyenzayo xa umgangatho wokuhlela ungasebenzi;
- Fumana ukuba isibonelelo sivulekile kwiintsuku ezithile zeveki. Ukuthatha ixesha ngexesha lexesha eliqhelekileyo loshishino ukusuka emsebenzini ukuya ekutyunjweni kunokudala ixesha elidala ngokukhawuleza, kwaye unokuqonda ukuba kuchaphazela ukhuseleko lomsebenzi, ngokunjalo. Ezinye iiofisi zinika iiyure ezongezelelweyo ezimbini okanye iintsuku ezintathu ngeveki; abanye banikela ngeeyure zomgqibelo. Akunakulimaza ukubuza!
- Ukuba loo nto ayifuni, buza malunga nezinye iindawo okanye ii-ofisi ze-satellite ezingabonisa iiyure ezingcono.
- Ukuba zonke ezinye izinto zihluleka, unokujonga iofisi ehlukileyo ngokupheleleyo ukuba wenze ishishini. Umbutho we-American Physical Therapy ubika ukuba ngo-2015, iinkonzo zonyango ngokwasemzimbeni zizithumela ngokwazo (eyaziwa nangokuthi " ukufikelela ngokuthe ngqo ") kuzo zonke iindawo ezingama-50, iSithili saseColumbia kunye neZiqithi zase-Virgin zase-US. Okokuthi, iintlobo zonyango onokuzifumana kwi-PT ngaphandle kokuba umyalelo wesigqirha ungadlulela ngokubhekiselele apho ukhona (ngenxa yokuba imithetho yelizwe iyahluka), ngoko khumbula oko. Yintoni ukuzithumela? Eyona nto ithetha ukuba akudingeki ulinde (okanye ulwe) ugqirha wakho ukukubhalela umyalelo ngaphambi kokuba ubonwe. Ungakwazi ukubiza nje iofisi ozikhethile ngokuchanekileyo, uze wenze ukuqeshwa. Iinkampani ezininzi ze-inshorensi ziya kuhlawula ukufikelela ngokuthe ngqo kwiiseshoni zonyango, kodwa yinto efanelekileyo ukujonga kuqala ukuba uqiniseke.
Ngaba Unako Ukuphazamisa Ulwaphulo Lwezonyango?
Ngokumalunga nalezi ngxaki ezinokuthi zonyango zonyango ziza ziza kuthi i-old bugaboo-iindleko. Ngaphandle kokuba uye wafihla ikhanda lakho entlabathi, uyazi ukuba unyango olusoloko lungahlambulukanga. Kwaye akukho nonyango ngaphandle kweyonyango.
Ngendlela, oku kunokuba kuyinyaniso nokuba unomshuwalense. Unokuba ne-deductible ephakamileyo kakhulu (ukwenzela ukuba wena okanye umqeshi wakho unako ukufumana i-premium), iindleko zokuhamba (ezikhankanywe ngasentla) zingongeza kwiintlungu zakho zokuhlawulwa, kwaye unokufuna ukufumana izixhobo ezifana neyunithi ye-TENS yasekhaya. Ezi zinto zinakho okanye zingabuyiselwa, ngokuxhomekeka kwimeko yakho.
Enye indlela yokunciphisa iindleko ze-PT kukufaka endaweni ethile yokumisela nomqeqeshi womntu onomsebenzi osebenzayo kunye nabantu abaneentlungu. Umqeqeshi angaba nekhono elifanayo elibekwe kumgqirha wakho, kodwa uya kuvuleka ukuba asebenze naye okanye naye. Ngokuqinisekileyo, uya kuqala kunye neengcali ukufumana uvavanyo, inkqubo yokuqala yekhaya kunye neendlela . Kodwa emva kokuba inkqubo yakho isetyenziswe, umqeqeshi ofanelekileyo unokukwazi ukuthatha uxanduva oluthile lokujonga ukuba wenza ukuqhuba kwakho ngokufanelekileyo, ukuqhubela phambili kunye / okanye ukuguqula ukuzivocavoca, nokuxoxisana nawe kwi-PT.
Ukuba uhlawula yonke into ephuma ngaphandle kweendleko, iindleko zomqeqeshi kunokuba ugqirha ungabi ngaphantsi kwiseshoni nganye, kwaye ukulungiswa unyango lwakho ngale ndlela kunokunceda ukucima naluphi na ukungabikho kwenkcazo echaphazelayo.
Ngendlela, iinkampani zomshuwalense zikhawuleza inani lokutyelela abaya kulihlawulela zona, ekunokubangela ukuba ukhululwe ngaphambi kokuba ulungele. Abantu abaninzi babika ukuba emva kweeveki ezingama-6 ze-PT (inani eliqhelekileyo leseshoni yokuphulukana nesifo sengqesho apho iinkampani zomshuwalense zinikezela) ziphuma ngaphandle kwengozi kodwa zingekho ngaphandle kweemithi. Ngamanye amazwi, awanamaphesenti angama-100 kunye / okanye afuna ukusebenza ngokuthe xaxa, kodwa ngenxa yokuba imiphumo yokulimala kwabo ihlala ingapheliyo, ayikwazi.
Ukuba ngaba kunjalo nawe, kwakhona, ukusebenza nomqeqeshi oqinisekisiweyo unokufumana inzuzo enkulu-ngokukunceda ukuba ugqibezele unyango lwakho, kwaye ufumane ngokugcwele kwisenzo. Iziqinisekiso zokubheka ziquka i-American Council kwi-Exercise (ACE) kunye ne-National Academy yeMidlalo yeMicrosoft (NASM). Ngaphambi kokugqiba isigqibo sakho apho umqeqeshi angaya khona, unokubuza abaviwa abanakho ngamava abasebenza ngokulimala nentlungu.
Ingaba Ugqirha Wakho Ngumnyama Ngonyango Ongenazo Iidakamizwa Ngeentlungu Zengqumbo?
Bakholelwa okanye cha, abantu abaninzi, oogqirha babandakanyeka, abanolwazi olululo malunga naluphi uhlobo lwezinyango zokuncedisa izilwanyana ezingekho phantsi kweziyobisi (ngaphandle kocwangco), ngaphandle kwezinto ezixabisekileyo kwizigulane ezifana nawe.
Ngokungafani namachiza entlungu, iinkonzo zonyango ngokuqhelekileyo azipapashwa kwiTV okanye kwi-radiyo kazwelonke. Hlanganisa le nyaniso kunye nokungabikho kokuqonda abantu abaninzi (kwakhona, oogqirha babandakanyeke kwezinye iimeko) banalo uhlobo lwentlungu, kwaye unalo udonga phakathi kwakho kunye nenani lezinketho ezinokuba lula kakhulu kuwe ixesha elide.
Ukubona umgulana womzimba ongekho nje ukuphelisa intlungu; kufuneka ufumane ukusebenza kwakho emva, kunye nokufunda indlela yokuphila kunye neendlela zokuhamba ngokuzenzekelayo ezingakugcina kakuhle ngaphandle kokuba usebenzise iipilisi. Ngaloo nto, unokubheka umngeni ugqirha wakho ngokumcela ukuba achaze indlela izingozi zokuthatha i- opioids zixhathisa ngayo ingozi yokubona umgulana womzimba.
Ukuba akakwazi ukukunika impendulo eyanelisayo, umthombo we-Intanethi ungayihlola ubizwa ngokuba yiPhysiopedia. I-Physiopedia yindawo eqhutyelwa ngabafundi bezonyango zomzimba ezivela kuwo wonke umhlaba. Inika ulwazi olusekelwe kwimiba yesifo somzimba kunye nendlela abaphathwa ngayo, kodwa kubhaliwe ukuze abantu abangaboni unyango baqonde.
Ngubani owaziyo? Ngophando olutshanje, unokufunda noogqirha malunga nendawo yentlungu, nendlela yokubuyisela ukusetyenziswa kwezidakamizwa ukuwugubungela ngendlela esebenzayo njengokwelapha emzimbeni.
I-Opioids Ayiyindlela yokuLawula
Kusemandleni akho ukuba umqobo wakho omkhulu kwiintlungu zentlungu ngaphandle kweziyobisi ngumntu wakho. Kwaye ngokubhekiselele kwimpembelelo engathandekiyo, i-biggie apha yinto yokuba i-opioids "yipilisi yemilingo" eyenza intlungu ihambe, kwaye konke okufunekayo.
Ingxaki kukuba i-opioids iza kunye neentlobo zazo zexesha elide apho, ekuhambeni kwexesha, lunokuba lukhulu kunokuba ubuhlungu bakho bubuyele, kubandakanya umlutha.
Umlutha (njengokungathi akubi ngokwaneleyo ngokwabo) akusona kuphela ukuxhamla kwezidakamizwa zentlungu. Abantu abaninzi banamava kakhulu. Ezinye iziphumo ezichaphazelekayo ziquka ukungcola, isicathulo, ukuhlanza, ukuxhomekeke emzimbeni, nokuxinezeleka kokuphefumula, ngokutsho kwiphando olwenziwe ngo-2008 elipapashwe kwiphepha le- Pain Physician.
Uninzi lweengxaki zentlambo zingasombululwa okanye ubuncinane zilawulwe kakuhle ngaphandle kwezi ngxaki xa uthabatha inxaxheba kwonyango lwakho. Oku kuquka ukuqhuba imihla ngemihla, ukufunda ngeendlela ezifanelekileyo zokuhlala kunye ne-biomechanics , nokutshintsha indlela ophila ngayo.
Ukuba konke oku kufana nomsebenzi omningi kakhulu, khumbula ukuba into eninzi kakhulu kwimithi yintengiso phakathi kweengozi kunye neenzuzo ezikulindelekileyo. Indlela engeyiyo yonyango yokuziva ungcono iya kuthatha inzame kunye nexesha, kodwa ukukhululeka kwentlungu kuya kuvela ngokubhetele kwimpilo kunye nobunzima, ukunyusa ukusebenza, kunye neengxaki zempilo ezantsi kwindlela.
> Umthombo:
Becker, W., kunye. al. Imiqobo kunye nabaququzeleli ukusebenzisa izibonelelo ezingekho kwi-pharmacological kwiintlungu ezingapheliyo. Matshi 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359906/
> Benyamin R., kunye. al. Iingxaki ze-opioid kunye nemiphumo emibi. Ugqirha wezinhlungu. Matshi 2008. https://www.ncbi.nlm.nih.gov/pubmed/18443635
> Ukufikelela ngokuthe ngqo kwiNqanaba likaRhulumente. APTA iwebhusayithi. Juni 2016. http://www.apta.org/StateIssues/DirectAccess/
> Onishi, E. et. al. Uthelekiso lwee-Opioid Ukuchaza iipatheni e-United States naseJapan: Iinjongo zeMpilo zoLondolozo lwePrayimari kunye neMibono. Umbhalo we-American Board of Medicine Family. NgoMeyi-Juni 2017. http://www.jabfm.org/content/30/2/248.yonke
> Yonyango kwikhaya. I-Blue Cross Blue Shield Network Care yaseMichigan. http://www.bcbsm.com/medicare/help/faqs/getting-care/transportation-doctor-office.html