Owesithathu udokotela uthi esikhungweni: "Hamba ekhaya, futhi uthathe okugeza okushisayo. Bese uvula wonke amafasitela endlini futhi ume emqulwini. " "Kodwa, ngiyaxolisa," isiguli siyathinteka, "Mina, ngizothola i-pneumonia." Udokotela uthi, "Ngiyazi, kodwa ngingakwazi ukuphulukisa lokhu." Uma uhlushwa ubuhlungu emuva, uzozizwa kalula endaweni yeqhawe le-anecdote. Udokotela ukhethe umuthi owodwa wokuqala, omunye, owesibili ... Mhlawumbe, uzokweluleka ukuba afunde izifundo zokugaya, ukucindezela okunye okushisa nokubandayo ... Khona-ke uzobeka i-massage ne-physiotherapy. Ngakho izinyanga zidlula ngokuphumelela okuhlukile. Kodwa iphilisi noma ibhande lokufudumala "inja" elingasizayo yinto eyodwa. Futhi uma wenza umsebenzi, wachitha izinyanga ululame, futhi ubuhlungu buqhubeka? Ake sithole indlela yokuphatha ubuhlungu emhlane nasemisipha.
Isexwayiso: ukuxilongwa
Ukusebenza emgogodleni kungabi ngalutho ngenxa yesizathu esilula - kwakungadingeki, ngoba udokotela wayengazi kahle imbangela nomthombo wobuhlungu. Ngenxa yalokho, umuntu futhi ngemuva kokusebenza akuzizwa ekhululekile futhi uphoqeleka ngemva kwesikhashana ukwenza okwesibili. Abantu abangu-8% baphinda ukusebenza eminyakeni emibili emva kokuqala no-20% emva kweminyaka eyishumi. Ngakho-ke, kubaluleke kakhulu ukwenza ukuxilongwa okunembile. Futhi isiguli sidinga ukwazi lokhu okulandelayo: ngokushesha nje lapho ebuhlungu emhlane, kubalulekile ukuba avele kumtholampilo kanye / noma neurologist, futhi uma ubuhlungu bungadluli ezinyangeni ezimbili - yisikhathi esinjalo esibonisa ukusebenza kahle kokwelapha - ngisho nangaphezulu uma ubuhlungu kuqinisa, kufanele ngokushesha ushayele i-neurosurgeon. Kubalulekile futhi ukwenza i-MRI (imaging magnontic resonance). I-X-ray iphumelela ngaphansi kwezimo ezimbili: uma kudingekile ukuqinisekisa ukutholakala noma ukungabikho kwamaphutha noma ukuguqulwa kwamathambo, ukwephula ubuqotho babo. Futhi isimo sesibili esibalulekile i-radiologist eqeqeshiwe kakhulu nomshini we-X-ray. Iqiniso liwukuthi udokotela angenza ukuxilongwa okungalungile, futhi ngenxa yezinto ezimbi ze-X-ray, futhi lokho kungase kube ifilimu noma ama-reagents amabi kakhulu. Ngaphezu kwalokho, ukuhlola okubizayo njenge-computer tomography (CT) ne-MRI, ngenxa yalokho, kusiza ukusindisa isikhathi nesiguli. Ngaphezu kwalokho, i-MRI iyakhethwa - kungcono "ibona" izicubu ezithambile.
Ukusebenza: hhayi ngokushesha kakhulu
Ngokuvamile kubonakala ngathi ukuqhutshwa kwezikhali ezinamandla, lokho kuyingozi, kepha kuyindlela ephumelela kakhulu yokuqeda inkinga. Ngezinye izikhathi - ngesifiso esibucayi sokuqeda ubuhlungu - sisheshe sigijime esiteji sezinqubo ezinde futhi ngokushesha siqhubeke nezinyathelo ezinkulu. Ngezinye izikhathi, lokhu kuyadingeka, isibonelo, ngesisongo sokukhubazeka, kodwa lezo zimo eziphuthumayo azivamile. Isiphetho: uma udokotela encoma ukuthi usebenze, zama njalo ukuthola enye, noma imibono emibili. Khumbula ukuthi odokotela kudingeka bahlinzeke, ngesicelo sakho, yonke imiphumela yocwaningo kanye nerekhodi. Ukuze uthole isithombe esinenjongo nangokwethenjelwa futhi uthole ukuthi ngabe ukuhlinzwa kuzokusiza yini, thintana nesikhungo sezokwelapha esinezintatheli ezahlukene.
I-Algorithm yezenzo
• Qala kusuka ekuqaleni. Ungatshele udokotela wesibili mayelana nezincomo zokuqala. Ake akubheke wena nemiphumela yocwaningo ngamehlo amasha.
• Khuluma nodokotela wenye ikhethelo. Bheka ochwepheshe omuhle kanye nomtholampilo. Mhlawumbe awuzange usebenzise ngokugcwele ezinye izindlela zokwelapha.
• Ungathembi i-intanethi. Hlala kude nokubonisana nodokotela ku-intanethi. Ngaphandle kokuhlolwa komuntu kanye nokuhlolwa kwemiphumela yocwaningo, lokhu akusizi ngalutho.
• Thola umbono wesithathu. Uma udokotela wesibili enikeza into ehluke kakhulu kulokho okuphakanyisiwe okokuqala, udokotela wesithathu angakusiza ukuba uyithole.
Ngakho yini ewusizo?
Kwenzeka ukuthi ubuhlungu ngemuva buyaphuma ngesikhathi, kungakhathaliseki ukuthi senzani. Ngokuvamile sicabanga ukuthi ukwelashwa noma izinqubo ezikhethekile zasiza, nakuba empeleni kungenzeka ukuthi akunjalo. Kodwa-ke, kunezinhlobo eziningana zokufakazela ukuphumula kwesikhashana:
Amahora angu-48 okuqala
Wena wavula umhlane wakho futhi ... o, yeka ubuhlungu! Kungaba kubi, kodwa uma unenhlanhla, ngeke kuhlale isikhathi eside. Ngezansi uzothola izindlela eziningana "zekhaya" zokususa ukungakhululeki.
Sebenzisa ama-painkillers
Ngokuzimela "uzinikezele" ngokwakho ukucindezela - ukufudumala noma ukupholisa - akukhuthazwa, kungabangela ukuwohloka. Thatha noma yikuphi ukushisa - ukhilimu noma i-gel - futhi usakaze indawo enhle ngokunyakaza okukhanya.
Phuma, kodwa hhayi isikhathi eside
Kungcono ukulala phansi uma kunesidingo, kodwa kubalulekile ukuthi i-pose ilungile. Themba ngemuva kwakho, hamba kangcono ukuhlala emceleni omncane, bese uguqa ngamadolo ukuze ukhulule emuva. Noma ulale ngecala lakho ngomunye umcamelo ngemuva kwentamo yakho kanti enye phakathi kwamadolo akho. Ukuphumula kombhede kuyadingeka kuphela emahoreni angu-48 okuqala, ngemva kwalesi sikhathi (noma ngisho nangaphambili) ukunyakaza kuzodedula ukucindezeleka okubuhlungu emisipha.
I-anesthetics
Ukuqeda ubuhlungu okwesikhashana, ukuphulukisa ubuhlungu kwangaphandle kungasiza. Kukholelwa ukuthi baletha ukukhululeka "okulinganiselwe".
Ukuzivocavoca
Umgomo wakho ukukufundisa ukuthi ungasebenzisa kanjani imisipha yakho yangemuva. Lokhu kuzokwenza kube lula kakhulu impilo yakho, ngoba ukuzivocavoca okunjalo kukhulula ukuphazamiseka kwemisipha. Kodwa ungadluli futhi ungenzi lutho ngokusebenzisa ubuhlungu. Kungcono ukuxhumana nodokotela we-physiotherapy, uzokutshela ukuthi usebenza kahle futhi uphephile.
Ukwelashwa kwamandla
Ucwaningo luye lwabonisa ukuthi ukuphathwa kwemithi akuyona into ephumelelayo kune-physiotherapy, imithi yokwelashwa noma ukuvivinya umzimba, ngeziguli ezinezinhlungu ezingapheli noma ezinzima.
I-analgesia ye-Epidural
Abesifazane abaningi ababelethayo bayazazi umphumela we-epidural anesthesia. Izijovo, ezenzelwe ukunciphisa ubuhlungu ngemuva, ngokuvamile zihlanganisa ubuhlungu bokuzibulala kanye ne-steroids ukuze kukhululwe ukuvuvukala. Izijovo ze-epidural anesthetic aziphatha izinkinga ngomgogodla, kodwa zizokunika ukuphefumula okwesikhashana. Ukukhululeka kuvame ukulinganisa futhi kungapheli izinyanga ezintathu. Qaphela ngemithi! Ama-analgesics awakwazi ukuthathwa ngokungalawuleki, ngaphezu kwalokho, angaba umlutha.
Yehluleka ukulwa
Kubonakala ukuthi i-spleen ehlala isikhathi eside ingenza ngcono ubuhlungu ngemuva. Ngumuphi udokotela okufanele aphathwe kuqala ngenxa yobuhlungu bamuva? Kungcono ukuqala nge-neurologist. Nakuba othisha bethu bathi futhi ochwepheshe abanekhono kuncono kunoma yimuphi udokotela ohlinzayo. Uma udokotela efaneleka ngokwanele, uzokhetha indlela efanele yokwelashwa, ngisho noma ekhethekile kwenye indawo. Kungenzeka ukubhekana ne-neurosurgeon - uma kukhona umbuzo ngokudingekile kokusebenza. Futhi umuthi wezifo zokwelapha ongakwazi ukuhlukanisa uhlotshaniswa ne-pathology ne-apparatus noma i-neurologic inkinga. Into eyinhloko ukuthi umuntu uthola udokotela oqeqeshiwe, kungakhathaliseki ukuthi uchwepheshe. Ukufinyelela kuchwepheshe oqeqeshiwe kuyimpumelelo enkulu. Futhi uma isiguli singaqiniseki, angayibonisa kanjani udokotela ngendlela efanele? Kubalulekile ukusho ngokuqondile: "Ngifuna ukubonisana nodokotela wezinzwa." Ngizokutshela imfihlo, noma yimuphi udokotela ngesikhathi esithile kukhona "inkanyezi" nesifiso sokuxazulula le nkinga ngokwakho. Ngakho-ke kungcono uma lochwepheshe engakwazi ukubhekana nale nkinga, kodwa akabheki kwelinye isazi, mphendulele kuye yedwa. Kungaba i-neurologist, i-orthopedist, noma i-neurosurgeon, ukulondoloza abantu abagwinyayo ngumsebenzi wokuzigoqa ngokwabo ...
Kuziphi izimo ukuhlinzwa okudingekayo?
Kunezinkomba eziphelele futhi ezihambisanayo zokungenelela kokuhlinzwa. Izibonakaliso ezingenasiphelo yisifiso sesiguli: ufuna ukuqhutshwa, okusho ukuthi umuntu udinga ukuqhutshwa. Kodwa, uma ingqondo evamile iphika isidingo sokusebenza, yebo, ngeke kwenzeke. Lokhu kakade kuyindaba yokuthembela ubuhlobo phakathi kukadokotela nesiguli. Owesibili - uma kukhona izinkomba zomtholampilo. Lokhu kuyindlela yokwelapha ebuhlungu obude obude futhi engasebenzi, engabangeli umphumela, noma uma umphumela ubuncane. Kudingeka ukuhlinzekwa nge-disc, ukucindezela (ukucindezela) komgogodla, lapho imisebenzi ebucayi ilahlekile. Lokhu kubonakaliswa yizimbonakaliso ezinjalo ngemuva kwezinhlungu zasemuva: ukwephulwa kokuhamba emisipha, (futhi uma isifunda se-lumbar sithinteka) ngokuphulwa emilenzeni: ubuthakathaka buyavela, umlenze awulaleli, "uphazamisa", akukho ukuxhumana lapho uhamba. Futhi isibonakaliso esibucayi kakhulu ukwephula ukuchama nokuhlukunyezwa. Lezi yizinhlupho eziyingozi okufanele zicatshangelwe. Uma beqhubeka, udinga ukuxhumana ngokuphuthumayo neurosurgeon. I-neurosurgeon kuphela inganquma ukuthi ingayenza yini ukusebenza noma cha. Futhi akungcono yini ukubonana nodokotela lapho kuvele ubuhlungu bokuthola lesi sifo ekuqaleni kwesigaba? Lapho ngisebenza kakhulu neziguli, ngiyaqiniseka nakakhulu ukuthi akunakwenzeka ukucacisa kusengaphambili ukuthi kungcono yini nokuthi yini engekho. Ngaphezu kwalokho, udinga ukunikeza ithuba lokukhetha uhlobo lokwelapha isiguli ngokwakhe, futhi umsebenzi wesidakamizwa ukumtshela ngokugcwele: lesi yisifo onaso. Nazi izinketho ezintathu zokwelashwa: ezizimele, ezisebenzayo kanye nezokuvuselela. Ngaphezu kwalokho, konke kuxhomeke esimweni: uma kungabalulekile, khona-ke udinga ukusho ngokuqondile ukuthi ukusebenza akuboniswa lapha. Indlela yokuvikela umgogodla ungalimazi? Zikhona izindlela ezithembekile zokuvimbela? Ukuvimbela yizokuzivocavoca - okungenani kumodi we-3-7 (izinsuku ezintathu zokusebenza, ukuphumula okungu-7). Lena yindlela enhle kunazo zonke. Futhi kukhona imibono eminingana ngale ndaba. Okokuqala: imisipha yangemuva idinga ukuqiniswa. Okwesibili: imisipha yangemuva ayidingi ukuqiniswa, nje kudingeka ufundise ukuthi isebenza kahle kanjani. Ikhetho lokuqala lingalinganiswa neqiniso lokuthi uphinde uhlaziye umnikazi wesobunxele, uzama ukumnika ilungelo. Okukhethwa kwesibili: uthatha noma ubani - ngakwesobunxele noma onesandla sokunene, kungakhathaliseki ukuthi uthuthukile kangakanani, ukuthi umzimba wakhe uwuphi - futhi ufundisa imisipha yalowo muntu ukusebenza ngendlela efanele futhi njalo. Ukuze ufundise imisipha ukusebenza, kaningi ukunyakaza okuphindaphindiwe. Kungaba imfanelo noma ukubhukuda - kwimodi yokulayisha i-cardio. Ngenxa yalokho, lapho umuntu evame ukuqhuba ukunyakaza okufanayo, isitimela sesisipha futhi enze imisebenzi yakhe ngendlela efanele, ngaleyo ndlela evikela ikholomu yomgogodla. Kubalulekile ukuthi umuntu aphathwe (futhi aphathwe) njengamanye, njengendlela eyodwa. Isibonelo, umshuwalwazi wezinkomba ayithinti kuphela imisipha kanye nama-vertebrae, kodwa futhi nezitho zangaphakathi - hhayi ngokuqondile, kodwa ezigumbini zabo zomgudu. Ukucindezela ezandleni ezisekelweni zomzimba zezinhlaka kuholela ekutheni ukuhamba kwezitho kushintshe, futhi ushintsho lomsebenzi we-secretory, ubuhlungu buyanyamalala. Ngakho kukhona umphumela oyinkimbinkimbi.
Umbono ovamile mayelana nokwelapha okuyizinyathelo: lokhu kuyinkambinkimbi ebuhlungu futhi ebuhlungu, ehambisana nokucindezeleka lapho udokotela ephenduka entanyeni nasemaphethweni. Ingabe kunjalo? Lokhu kuyiqiniso ngokweqiniso. Kudingeka ukwahlukanisa ukwelashwa kwebhuku (MT) kumasu we-Classic kanye ne-MT. Odokotela abanezinqubo ezithambile, ngokombono wami, bayathanda. Kungenxa yokuthi ukwelashwa okuyingxenye yama-classic kuyingozi kakhulu ngisho noma kwenziwa ngendlela efanele. Odokotela ngokwabo banquma ukuthi yiluphi uhlobo lwezokwelapha ezifanelekile. Ungaba kanjani, uma ungafuni "ukuchofoza"? Ungabuza ngokuqondile: "Udokotela, akeke sikhule." Ngaphezu kwakho konke, noma ubani owesaba ukukhashelwa, ukukhohliswa. Ngakho-ke, ukwethenjwa kukadokotela kanye nesiguli kunikeza umphumela omkhulu emithini yokwelapha. Isiguli kufanele sitshele ngokuthembeka ngangokunokwenzeka ngalokho ozokwenza ngakho. Lokhu kuyadingeka ukuze umuntu angesabi, abuhlungu, angajabulisi. Khona-ke uyoba nesineke sangempela - igama elithi "isiguli" lihunyushwe njengesiguli ... Futhi lo muntu uzobekezelela - hhayi ubuhlungu, kodwa isikhathi - ekulindeni ukutakula.