Nsuku zonke, abantu abayizigidi ezilisibhozo e-United States (abaninzi abantombazana nabantwana abaselula) banentlungu yokubuyisela ngokokuqala ngqa ebomini babo.
Ukuba okanye kwenzeka ntoni na kuwe okanye umntu okhathalelayo, kufuneka uyenze ntoni na? Ngaba ufuna ngokwenene ukubona ugqirha? Yintoni okufanele ibe yindlela yakho yokunceda intlungu? Yaye uya kufuneka nini i -ray-ray okanye i-MRIs?
Makhe sijonge kwizinto ezisisiseko kwizinto onokuzilindela kunyango lwezonyango zakho zokuqala ezingenabuhlungu. Kodwa ngaphambi kokuba sifinyelele kuloo nto, makhe ndibone iindaba ezilungileyo. I-AHRQ, i-arhente yezempilo karhulumente ejongene "nokuqhubela phambili kwiinkonzo zempilo," njengoko kuchaziwe kwiwebhusayithi yabo, ibika ukuba ubuhlungu obukhulu buhlungu (obuchazwe njengeqendu elihlala ngaphantsi kweenyanga) kwiimeko ezininzi zizinzileyo. I-AHRQ ithi isisombululo esipheleleyo seentlungu, ukukhubazeka, okanye ukunyanzeliswa okufutshane kunye nomsebenzi olahlekileyo, ngokuqinisekileyo awuyikuphuma kumbuzo, kwaye ukuba abaninzi abantu baphuthuma ngokukhawuleza emva kwesi siganeko sokuqala.
Ngaba Ngaba Unokundwendwela Udokotela?
Ukwazi oko kuthethwa yi-AHRQ, ukuba uvakatye ugqirha wakho xa ufumana intlungu? Ngokuqhelekileyo, intlungu ebuyayo ayiyinto engathí sina, kwaye ayisoloko isongela ubomi. Oko kwathethileyo, inokuthi iphinde iphazamise umgangatho wobomi.
Xa unamava okuqala enentlungu emva, ukujonga ngogqirha wakho mhlawumbi yinto efanelekileyo.
Mbonise ukuba ngubani ogqirha ophezulu obuyela emuva. Uya kukubuza imibuzo ethile eyisiseko njengendlela yokunciphisa iimpawu zakho ukuya kwi-diagnostic.
Le mibuzo ingaquka: Wenzani xa ubuhlungu buqala? Ingaba intlungu yafika ngokukhawuleza okanye ngokukhawuleza? Uziva phi intlungu kwaye uyayiphuma?
Uvakalelwa njani? Imigaqo emininzi yokuchaza iimpawu zakho , ngoko unako. Unokuva iimpawu zombane ezifana nezikhonkwane kunye neenaliti, ukutshisa, ukutshatyalaliswa kunye nokunye okunjalo, okanye unokuba noxakekile. Ngakumbi unako ukuchaza ngokucacileyo nangokuchanekileyo iimpawu zakho zeentlungu, ngcono. Inkcazo yakho inikela ugqirha into ekufuneka iqhube ngayo xa wenza ukuxilongwa kunye neengcebiso zonyango ezilandelayo.
Ezinye izinto ugqirha wakho uya kufuna ukwazi ukuba lixesha leentlungu. Ngamanye amagama, lifika nini kwaye likhululekile nini, yintoni oyenzayo emsebenzini, nangaphezulu.
Iimvavanyo zokuxilonga-Ngaba uyazifuna?
Oogqirha abaninzi banomkhuba wokulawula ukuxilonga okupheleleyo kwezigulane zabo ezineentamo okanye intlungu. Ezi ziquka i-x-ray, i-MRI, kunye nokuhlolwa kwegazi .
Ezi mvavanyo akusoloko ziyimfuneko. I-American College of Radiology ithi ukungaxakeki kakuhle kweentlungu zentlungu kunye okanye ngaphandle kwe- radiculopathy kuyingozi (kunye nokuzikhawulela) kunye kwaye akunjalo ukuba awuvumeli uvavanyo lokuhlola.
Umzekelo, ukuba unayo "iiflegi ezibomvu" ezinjengentlungu engapheliyo ebusuku, intlungu eyingozi ngakumbi kusasa kodwa ihamba ngcono njengoko intshukumo yentsuku, okanye intlungu ehlala ixesha elide kuneveki, ugqirha wakho unokusolisa ukuba intlungu yakho kubangelwa isifo sesistim.
Ngokufanayo, ukuba unayo i-osteoporosis, unesixinzelelo, okanye usebenzise i-steroids ixesha elide, iifrimpyutheni zinokuba luncedo kwinkqubo yokuxilonga.
Ucwaningo lwe-2016 lwesiJamani olupapashwe kwiphephancwadi iDeutsche medizinische Wochenschrift lubone ukuba ngelixa iipesenti ezili-10 zezigulane zentlungu zifumana iifilimu zokuxilonga, ukuya kwintathu yezinto ezi zigugu zingasadingeki ngokupheleleyo.
Ingaba Ugqirha Wakho Uya Kubeka Imithi Yengqondo?
Oogqirha abaninzi banikezela unyango lwamayeza okokuqala izigulana. Naluphina uhlobo lwamayeza obuhlungu luza nefuthe elichaphazelekayo, kodwa kungekudala i-FDA yatshintshile iphrofayili yengozi ye-Advil (ibuprofen).
Uphando abahlolisisile lubonise ukuba neeyure ezimbalwa zokusetyenziswa zingabangela ingozi enkulu kwiimeko zempilo ezinzulu ezifana nokuhlasela kwentliziyo.
Ngokudabukisayo, oogqirha abaninzi banikezela ubuhlungu be-narcotic bukhulula kwi-bat, kwanezigulane zabo ezinobumnene, obuzinzileyo. Iingcamango zam kukuba oogqirha abenza umsebenzi okhuselekileyo kuba bantu ngenxa yengozi yokwandisa umlutha ehambelana nokuthatha i-narcotics.
Ukuhlaziywa okucwangcisiweyo kwiphepha le-Meyi 2016 leNcwadana ye-American Medical Association yabona ukuba ngelixa ubuchule be-opioid analgesics ekunciphiseni ubuhlungu obukhulu bentlungu engaziwayo, abukho ubungqina befuthe elinentsingiselo kwiintlungu ezingapheliyo ezingaphantsi kweentlungu . Esinye sezizathu zabo ezinkulu kukuba i-opioids inokuvelisa inkululeko encinci yexesha elifutshane, kodwa yile nto.
Ungazifumana njani iziphumo zeJAMA kwiiyopioids zentlungu engapheliyo emva kwakho (xa unayo) imeko? Unokuqwalasela oku ngengozi ukuze uzuze i-angle. Ukuthabatha ama-narcotics ngenxa yeentlungu ezibuhlungu kusenokuba kuthetha ukuba uza kuba ngumlwelwe ngenxa yemali encinci yokukhulula intlungu.
Ekuqaleni, kunokubonakala ngathi ufuna yonke into ongayifumana ukuze ukwazi ukujongana noko uhlangabezana nayo, kodwa unayo enye indlela. Njengoko kukhankanywe ngasentla, kukho iindidi ezahlukeneyo zokunciphisa iintlungu ezifana ne-non-steroidal anti-inflammories (ye-ibuprofen enye) kunye neTylenol (acetaminophen). Ngamanye amazwi, akuzona zonke iigulane zentlungu ezithwaxwa ngamanzi. Iintlobo ezingezizo iziyobisi zentlungu efana ne-acupuncture, ukuzivocavoca ngobumnene , okanye ukucamngca kungasebenza kakhulu.
Akunjalo kuphela, kunokwenzeka ukuba i-opioids iyaphinda ibulale, inika amandla amaninzi kunokuba iyadingeka ukugcina intlungu elawulwa ngethuba lokuphilisa lokuqala.
Ngokuqhelekileyo, akukho ndlela yokwenza intlungu emva kwayo yonke, isisombululo sonke. Endaweni yoko, i-AHRQ isitshela ukuba ngamnye umntu unyango lwezandla ulwela ukuvelisa ezincinci okanye ezifanelekileyo ezifanelekileyo. Isicwangciso esilungileyo, kunye nesinye esisetyenziswe ngabaphandi abaninzi, ukudibanisa unyango oluncinci kunye noluthatyathweyo ukuze lufumane impembelelo yabo.
I-AHRQ idibanisa ukuba ininzi yexesha, iziphumo ezintle ezivela kwizonyango zentlungu zenziwa emva kwexesha elifutshane kuphela. Kwakhona bathi ezi zonyango zisebenza ngcono kwiintlungu kunokubuyiselwa ukusebenza kwakho ngokomzimba. Ngenxa yalesi sizathu ukuthatha indlela esebenzayo-ngaphandle kokuyenza ngaphezu kwayo-inokuba yindlela efanelekileyo kakhulu yokugcina ubuhlungu xa uhamba phambili ebomini.
Imithombo :
AHRQ. Izonyango ezingabonakaliyo zoBula obuPhindayo. I-Arhente yoPhando lwezeMpilo kunye ne-Quality website. NgoFebruwari 2016. Kufumaneka: Juni 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. Ukuqinisekiswa koQinisekiso usebenzisa i-routine data: Ukugqithisa ngokugqithiseleyo nge-radiological imaging ngenxa yentlungu. Dtsch Med Wochenschr. NgoMeyi 2016. Kufumaneka: NgoJuni 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, Shroeder JW, Whitehead MT, UCornelius RS, uCorey AS, iPhaneli yoLwazi kwi-Neurologic Imaging. I-ACR Ukulungelelanisa I-Criteria® ephantsi intlungu. Reston (VA): Ikholeji yaseMerika yaseRadioology (ACR); 2015. 12 iphe. [30 iinkcukacha]
Shaheed C, Maher C, Williams K, et al. Ukusebenza, ukunyanzeliswa, kunye ne-Dose-Impembelelo ezixhomekeke kwii-opioid Analgesics ze-Down Back Pain. JAMA lwangaphakathi lweMithi . NgoMeyi 2016. Kufumaneka: NgoJuni 2016. http://archinte.jamanetwork.com/article.aspx?articleid=2522397
I-Volkow N, McLellan T. I-Opioid Abuse kwi-Pain Pain - Iingcamango kunye namacebo okunciphisa. N Engl J Med. 2016. http://www.nejm.org/doi/full/10.1056/NEJMra1507771#t=article