Kodi mukuvutika kuchita ntchito zanu za tsiku ndi tsiku? Kodi dokotala wa mano angakuthandizeni bwanji? (Dokotala wa mano / Mankhwala ndi Kukonzanso Thupi)

Kodi mudamvapo za 'Dokotala wa Zinyama'? Mwina dzinali ndi latsopano kwa inu. Koma, nthawi zina zovuta m'miyoyo yathu, pamene tikudwala kwambiri kapena tili olumala moti sitingathe kuchita ntchito zathu za tsiku ndi tsiku moyenera, madokotala awa otchedwa 'Dokotala wa Zinyama' ndi othandiza kwambiri kwa ife. Mwachidule, akatswiriwa alipo kuti akuthandizeni kuthana ndi matenda ndi kuvulala komwe kumakulepheretsani kugwira ntchito, kusamalira banja lanu, kapena kuchita zinthu zomwe mumakonda.

Kodi Dokotala wa Fiziki uyu ndi ndani? Kodi gawo lachipatalali lotchedwa Fiziki ndi chiyani?

Chabwino, tiyeni tione kaye kuti 'Dokotala wa Zinyama' uyu ndi ndani. 'Dokotala wa Zinyama' ndi dokotala yemwe ndi katswiri wa Physical Medicine and Rehabilitation (PM&R) . Inde, uyu amatchedwanso dokotala wa 'PM&R', kapena 'Dokotala wa Rehabilitation'. Anthu awa amayang'ana kwambiri kukuthandizani kuthana ndi mavuto omwe mumakhala nawo pakuchita moyo wanu watsiku ndi tsiku chifukwa cha matenda ndi zovuta zomwe zimakhudza dongosolo lanu la mafupa kapena dongosolo la mitsempha.

Tangoganizirani, mwina mwakhala mukupweteka msana kapena bondo kwa zaka zambiri. Kapena mwina mwakhala mukuchita ngozi ya galimoto, kapena mwavulala mkono kapena mwendo mukuchita masewera, ndipo mukuvutika kwambiri moti simungathe kudzuka pabedi, kupesa tsitsi lanu, kapena kukhala chete. Pamenepo ndi pamene 'Dokotala wa Madokotala' angakuthandizeni.

Chofunika kwambiri, madokotala awa amayesa kuthana ndi zizindikiro zanu popanda opaleshoni, popanda kugwiritsa ntchito opaleshoni, ndikukubwezeretsani ku mkhalidwe womwe mungathe kugwira ntchito bwino komanso mwaufulu momwe mungathere.

Gawo la zamankhwala lotchedwa `Physiatry` limakhudza kupewa, kuzindikira, ndi kuchiza matenda omwe amakhudza magwiridwe antchito anu a tsiku ndi tsiku ndipo nthawi zina angayambitse kulumala.

Kodi kwenikweni dokotala wa zamaganizo amachita chiyani?

Tiyeni tiwone bwino momwe dokotala wa thupi angagwirizanire ndi moyo wanu.

• Kuzindikira ndi kuchiza: Anthuwa amazindikira ndi kuchiza matenda omwe amakulepheretsani kuyenda, kuchita ntchito za tsiku ndi tsiku, komanso kuyanjana ndi anthu. Mwachitsanzo, izi zikuphatikizapo kuvutika kuchita "Zochita za Moyo wa Tsiku ndi Tsiku (ADLs)" monga kuyenda, kudya, kulankhula, kusamba, ndi kuvala.
• Kugwira ntchito limodzi: Dokotala wothandiza anthu odwala matenda amisala sagwira ntchito yekha. Amagwira ntchito ndi dokotala wa banja lanu (Wopereka Chithandizo Chachikulu) ndi akatswiri ena kuti agwirizane ndi chisamaliro chanu monga gulu.
• Chithandizo cha mibadwo yonse: Anthu a misinkhu yonse, kuyambira makanda mpaka okalamba, akhoza kulandira chithandizo kuchokera kwa dokotala wa mafupa.
• Chisamaliro cha nthawi yayitali:Mungafunike kugwira ntchito ndi dokotala wa thupi kwa nthawi yayitali, makamaka ngati inu kapena munthu wina m'banja mwanu ali ndi vuto lalikulu. Adzakupatsani chithandizo chokhazikika.

Kodi ndi matenda ati omwe dokotala wa physiatrist amachiza?

Dokotala wa `physiatrist` amachiritsa matenda osiyanasiyana. Tiyeni tiwone akuluakulu.

Matenda omwe amakhudza akuluakulu

Kwa akuluakulu, dokotala wa mano angathandize ndi matenda monga:

• Kusintha kwa thupi ndi ukalamba (monga kuchepa kwa mafupa)
• Khansa ndi zotsatirapo zake pa chithandizo
• Matenda Osatha a M'mapapo Oletsa Kutsekeka (COPD)
• Ululu wosatha
• Matenda a mtima omwe amafunika kuchiritsidwa
• Kuvulala Kosiyanasiyana
• Matenda a mafupa (monga nyamakazi, bursitis)
• Matenda a Parkinson
• Matenda a mitsempha (monga Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• Kuvulala kwa Msana
• Stroke

Izi ndi zitsanzo zochepa chabe. Kuphatikiza apo, madokotala a physiatrists amachiritsa matenda ena ambiri a nthawi yayitali.

Mikhalidwe yomwe imakhudza ana

Kwa ana, dokotala nthawi zambiri amachiritsa matenda monga:

• Myelitis yoopsa kwambiri
• Matenda a Ululu wa Minofu ndi Chigoba (AMPS)
• Kuvulala kwa plexus ya brachial
• Matenda a Cerebral Palsy
• Matenda Ovuta a Chigawo Chopweteka
• Matenda a Ehlers-Danlos
• Kusokonezeka kwa Minofu
• Stroke ya ana
• Kupindika kwa msana (scoliosis)
• Msana wa Bifida
• Torticollis (Torticollis)
• Kuvulala kwa Ubongo (TBI)

Kodi dokotala wa physiatrist amazindikira bwanji matendawa?

Mukapita kukaonana ndi dokotala wa matenda a thupi, iye adzatsatira njira zingapo kuti adziwe bwino vuto lanu.

• Kuyezetsa thupi: Choyamba, mudzayesedwa thupi lonse. Mungayesedwenso ndi ubongo.
• Mbiri ya matenda ndi zizindikiro: Mudzafunsidwa za matenda anu akale ndi zizindikiro zomwe muli nazo panopa.
• Mayeso apadera: Ngati kuli kofunikira, mayeso ngati awa angachitenso:
• Kuyezetsa magazi
• Electromyography (EMG) (onani ntchito ya minofu)
• Kujambula kwa MRI `(Kujambula kwa Magnetic Resonance - MRI)`
• Kuphunzira za kayendedwe ka mitsempha (onani ntchito ya mitsempha)
• X-ray

Dokotala adzakufotokozerani mayeso onsewa, ndipo adzakambirana nanu za mayesowo zotsatira zake zikadzapezeka.

Chofunika kwambiri, dokotala wa thupi amakuonani ngati munthu wathunthu. Izi zikutanthauza kuti saganizira thupi lanu lokha, komanso momwe vutoli limakhudzira maganizo ndi mzimu wanu. Akamafufuza matenda, amaganiziranso mafunso monga:

• Kodi vutoli likukhudza bwanji moyo wanu?
• Ndi mayendedwe kapena ntchito zamtundu wanji zomwe ndi zovuta kwenikweni?
• Kodi simungachite chiyani chifukwa cha vutoli?
• Mukufuna kutani?
• Kodi vutoli limakhudza bwanji thanzi lanu la maganizo?

Pogwiritsa ntchito zonsezi, dokotala wa physiatrist adzasankha njira yochiritsira yomwe ili yoyenera kwa inu.

Ndi mankhwala otani omwe dokotala wa physiatrist amapereka?

Madokotala a zamaganizo ndi njira zodziwika bwino zochizira popanda opaleshoni. Cholinga cha chithandizochi ndikuwongolera zizindikiro ndikuthandiza thupi kudzichiritsa lokha. Popeza matenda ambiri sangachiritsidwe kwathunthu, dokotala wa zamaganizo amagwira ntchito kuti akuthandizeni kugwira ntchito payekha momwe mungathere, osadalira kwambiri ena. Mankhwalawa makamaka amakhudza zizindikiro monga kupweteka, kufooka kwa minofu, kuuma kwa minofu (spasticity), ndi kumva kosazolowereka (monga dzanzi - paresthesia).

Nazi zitsanzo zina:

Mitundu ya jakisoni

• Jakisoni wa trigger point (pa kupweteka kwa minofu)
• Jakisoni wochepetsa ululu wa mafupa
• Jakisoni wa Epidural steroid (ESIs) (wothandiza kupweteka kwa msana)
• Jakisoni wa poizoni wa botulinum (monga kupweteka kwa minofu)

Mankhwala osiyanasiyana

• Kuchiza thupi
• Chithandizo cha ntchito (chithandizo chogwira ntchito za tsiku ndi tsiku mosavuta)
• Chithandizo cha kulankhula
• Kuchiza ndi madzi (hydrotherapy)
• Chithandizo cha Kusokoneza Mafupa (OMT)

Njira zapadera zachipatala

• Kulimbikitsa Magetsi Ogwira Ntchito (FES)
• Kulimbikitsa Mitsempha Yamagetsi Yodutsa Pakhungu (TENS)
• Vertebroplasty ndi Kyphoplasty (ya kusweka kwa msana)
• Njira zophatikizira zamankhwala

Zinthu zothandiza pa moyo watsiku ndi tsiku

• Zopangira ziwalo ndi zomangira mafupa
• Zipangizo zothandizira (monga mipando ya olumala ndi zoyendera)
• Kusintha kwa nyumba yanu ndi malo ogwirira ntchito `(Kusintha kwa malo anu okhala)`
• Mankhwala

Kodi muyenera kupita liti kwa dokotala wa thupi?

Mungafunike thandizo la dokotala wa mano pazochitika izi:

• Ngati muli ndi ululu chifukwa cha matenda kapena kuvulala kwa nthawi yayitali, kapena ngati mukuvutika kusuntha thupi lanu pamene mukugwira ntchito za tsiku ndi tsiku.
• Ngati mukuchira ku matenda a sitiroko.
• Ngati mukumva ululu mutachita opaleshoni, kapena mukuvutika kusuntha thupi lanu.
• Ngati mukutopa kwambiri, kupweteka, kapena kusasangalala chifukwa cha chithandizo cha matenda ena.
• Ngati pazifukwa zilizonse simungathe kusuntha thupi lanu momasuka komanso mosavuta monga kale.

Nthawi ngati izi, mutha kulankhula ndi dokotala wa banja lanu ndikutumizidwa kukawonana ndi dokotala wa thupi.

Kodi pali kusiyana kotani pakati pa Physiatrist ndi Physiotherapist?

Ichi ndi chinthu chomwe anthu ambiri amasokonezeka nacho. 'Dokotala wa thupi' ndi 'dokotala wa thupi' ndi zinthu ziwiri zosiyana. Koma zonse ziwiri zili ndi cholinga chimodzi: kukuthandizani kuti muzigwira ntchito bwino komanso momasuka pa zochita zanu za tsiku ndi tsiku.

• Maphunziro: Dokotala wa physiatrist ndi dokotala amene wamaliza digiri ya zachipatala, ndipo wapeza digiri ya MD (Doctor of Medicine) kapena DO (Doctor of Osteopathy). Dokotala wa physiotherapy amamaliza pulogalamu ya physiotherapy ndipo amalandira digiri ya Doctor of Physical Therapy (DPT).
• Udindo:
• Dokotala wa `physiatrist` amatha kuzindikira matenda ndikupereka mankhwala.
• Katswiri wa zamaganizo sangathe kuzindikira kapena kupereka mankhwala. Komabe, akhoza kupanga matenda a physiotherapy diagnosis (PTD) kapena functional diagnosis (FD). Izi zikutanthauza kuti angakuuzeni mavuto omwe muli nawo okhudza kuyenda, momwe alili ovuta, momwe amakhudzira moyo wanu, komanso momwe chithandizo chingathandizire.

Mwachidule, dokotala wanu wa thupi adzazindikira vuto lanu ndi chomwe chimayambitsa. Kenako, katswiri wanu wa thupi adzazindikira momwe vutoli likukhudzira kuyenda kwanu ndi ntchito yanu.

Mwachitsanzo, dokotala wa mafupa angakuzindikireni kuti muli ndi matenda a osteoarthritis a bondo. Dokotala wa mafupa angakufufuzeni ndikupeza kuti bondo lanu silikuyenda bwino, zomwe zingakulepheretseni kuyenda kuntchito kapena m'nyumba.

Dokotala wa physiatrist ndi katswiri wa physiatrist nthawi zambiri amagwira ntchito limodzi. Dokotala wa physiatrist adzazindikira vuto lanu, kudziwa ngati ndinu woyenera kulandira chithandizo cha physiotherapy, ndikukutumizani kwa katswiri wa physiotherapy (PT). Kuchokera pamenepo, dokotala wa PT adzagwira nanu ntchito kuti apange dongosolo la chithandizo lomwe lili loyenera kwa inu. Nonse awiri nthawi zambiri mudzakambirana za thanzi lanu.

Kodi pali kusiyana kotani pakati pa katswiri wa zamaganizo ndi katswiri wa zamaganizo?

Ichi ndi chinthu china chomwe chingasokoneze anthu ambiri. Katswiri wa zamaganizo ndi katswiri wa physiatrist ndi akatswiri awiri osiyana kwambiri.

• Katswiri wa zamaganizo ndi katswiri wa zamaganizo amene amagwiritsa ntchito njira yolankhulirana (psychotherapy) pochiza matenda osiyanasiyana amisala. Amathandizanso anthu kuthana ndi mavuto akanthawi komanso a nthawi yayitali m'miyoyo yawo. Katswiri wa zamaganizo nthawi zambiri amakhala ndi digiri ya PhD.
• Dokotala wodziwa bwino za thupi ndi dokotala amene amachiritsa matenda anu, makamaka omwe amakhudza minofu ndi mitsempha yanu. Izi ndi matenda omwe nthawi zambiri amayambitsa ululu ndi zizindikiro zina zomwe zimakhudza moyo wanu watsiku ndi tsiku.

Katswiri wa zamaganizo sangathe kuzindikira kapena kuchiza matenda ngati amenewa. Komabe, angakuthandizeni kukambirana nawo za momwe vutoli likukhudzira moyo wanu komanso momwe mungathanirane nalo m'maganizo. Anthu ambiri omwe akuvutika ndi ululu wosatha kapena matenda ena amthupi amaona kuti n'kothandiza kuonana ndi katswiri wa zamaganizo kuti awathandize kukhala ndi thanzi labwino la maganizo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Tangoganizani, ngakhale matenda amodzi okha angakhudze moyo wanu wonse. Zili ngati kuponya mwala m'madzi ndikupanga mafunde. Madokotala a zamaganizo amamvetsetsa bwino izi. Amamvetsetsa zovuta za matenda anu, momwe zimakhudzira osati mkono wanu, mwendo, ndi msana wanu wokha, komanso umunthu wanu wonse, malingaliro anu, malingaliro anu, ziyembekezo zanu zamtsogolo.

Ngati mukufuna kupita kwa dokotala wa matenda amisala, khalani okonzeka kufotokoza momveka bwino momwe mukumvera komanso zomwe mukuyembekezera kuchokera ku chithandizochi. Dokotalayo adzakumvetserani mosamala ndikupanga dongosolo la chithandizo kutengera zolinga zanu ndi zosowa zanu.

Choncho, ngati inu kapena munthu amene mumamudziwa akumva kupweteka, kuvutika kuyenda, kapena kuvutika kuchita ntchito za tsiku ndi tsiku, ganizirani kuonana ndi dokotala wa thupi. Angakuthandizeni kwambiri kuti moyo wanu ukhalenso bwino.

Dokotala wa zamaganizo , Mankhwala Obwezeretsa, Mankhwala Olimbitsa Thupi ndi Kubwezeretsa, PM&R, Mankhwala Olimbitsa Thupi, Kusamalira Ululu, Kubwezeretsa Stroke, Matenda a Mitsempha