Fungidzira kuti wave uchitambura nekurwadziwa kwemusana kwenguva yakareba, kana kuti wakakuvara uchitamba cricket uye ikozvino hauchakwanisi kumhanya kana kusvetuka sezvawaiita kare. Pamwe munhu mukuru mumhuri yako akambobatwa nestroke uye ari kunetseka kufamba kana kutaura. Panguva yakaita seiyi, vanhu vazhinji vanofunga kuti vanoda kuvhiyiwa kana kuti vachazofanira kutambura seizvi kweupenyu hwavo hwese. Asi, wakambonzwa here nezvenyanzvi inogona kukubatsira kudzokera kune zvakajairika uye kuita mabasa ako ezuva nezuva pasina kuvhiyiwa? Ndizvo zvatinodaidza kuti 'Physiatrist'.
Zvichitaurwa zviri nyore, ndiani uyu chiremba wepfungwa?
Chiremba wemuviri chiremba ane hunyanzvi mukurapa zvirwere nekukuvara zvinokanganisa kugona kwemuviri wako kufamba uye kuita mabasa ezuva nezuva. Zvichitaurwa zviri nyore, vanachiremba ava vanogona kurapa chero kusagadzikana kwemuviri kunokutadzisa kuita basa rako, kutarisira mhuri yako, kana kuita zvinhu zvaunofarira (semuenzaniso, kutamba mitambo kana kurima bindu).
Vanachiremba ava vanonyanya kutarisa zvirwere zvine chekuita nemapfupa ako uye tsinga . Zvisinei, vane ruzivo rwakakura nezvemuviri wese wemunhu. Nekuda kweizvi, vanogona kuona mufananidzo mukuru wekuti chirwere chinogona kukanganisa sei mashandiro emuviri wako uye hupenyu hwako.
Kune mamwe mazita anozivikanwa nesainzi iyi yezvekurapa. Ndiwo:
- Mishonga yeMuviri uye Kugadziriswa (PM&R)
- Kurapa muviri
Saka chiremba wemuviri anonziwo `PM&R doctor` uye `Rehabilitation doctor`. Aya mazita ese enyanzvi imwe chete.
Chinonyanya kukosha ndechekuti chinangwa chikuru chevanachiremba ava ndechekudzora zviratidzo zvako uye kuita kuti hupenyu hwako huve nyore nekushandisa mishonga isingavhiyiwi.
Ndeapi marudzi ezvirwere anobatsira chiremba wemuviri?
Vanachiremba ava vanorapa vanhu vemazera ese, kubva kuvana vadiki kusvika kune vakwegura. Kune zvirwere zvakawanda zvavanobata nazvo. Ngatitarisei zvikuru.
| Chikamu chevarwere | Matambudziko akarapwa (mienzaniso) |
|---|---|
| Kune vakuru |
|
| Kune vana |
|
Iyi ingori mienzaniso mishoma. Zvichitaurwa zviri nyore, vanachiremba ava vanogona kubatsira nechirwere chipi zvacho chisingaperi chinokanganisa kufamba kwako uye hupenyu hwako hwezuva nezuva.
Kuongororwa kwechirwere kunoitwa sei?
Paunoenda kunoona chiremba wemuviri, chinhu chekutanga chavanoita kuteerera zvauri kuda kutaura. Vachakubvunza mibvunzo yakawanda nezvenhoroondo yako yezvekurapa, kusagadzikana kwauri kuita, kurwadziwa kwacho kwakaita sei, uye kana kuchinyanya kuipa. Zvadaro vachakunyatsoongorora.
Uye zvakare, bvunzo dzinotevera dzinogona kuitwa kuti dzisimbise chirwere ichi:
- Kuongororwa kweropa
- X-rays
- Kuongororwa kweMRI (Magnetic Resonance Imaging)
- Chidzidzo chekufambisa tsinga
- Kuongororwa kweEMG (Electromyography) - Kuongororwa kwekushanda kwemhasuru.
Chinoita kuti vanachiremba ava vave vakakosha ndechekuti vane hanya zvikuru kwete nechirwere chako chete, asiwo nemhedzisiro yacho pahupenyu hwako nepfungwa dzako. Pakuongorora chirwere, vanofungawo nezvemibvunzo yakaita seyi:
* "Kurwara uku kunokanganisa sei hupenyu hwako?"
* "Ndezvipi zvinhu zvakakuomera kuita?"
* "Ndezvipi zvinhu zvausina kukwanisa kuita nekuda kwechirwere ichi?"
* "Ndezvipi zvinhu zvaungade kuita zvakare?"
* "Mamiriro ezvinhu aya akakanganisa sei hutano hwepfungwa dzako?"
Nekuunganidza ruzivo urwu rwese, vanogadzira hurongwa hwekurapa hwakanakisa hunokukodzera.
Ndeipi mishonga iripo? Mushonga usina kuvhiyiwa!
Sezvambotaurwa, chinangwa chikuru chevanachiremba ava kurapwa pasina kuvhiyiwa. Vanopa mishonga inodzora zviratidzo zvako (sekurwadziwa, kuomarara kwetsandanyama, kusanzwa) uye kubatsira muviri wako kuzvirapa wega. Zvirwere zvakawanda zvisingaperi hazvigone kurapwa zvizere. Zvisinei, chinangwa chavo ndechekukubatsira kuti urarame wakasununguka uye uchifara sezvinobvira nezvirwere izvozvo.
Heano mamwe emishonga yavanoshandisa:
| Nzira yekurapa | Mienzaniso |
|---|---|
| Majekiseni | Majekiseni akakosha, akadai semasteroid, anopiwa kunzvimbo dzinorwadza, majoini, nemusana. |
| Kurapa | Kutumirwa kuzvipatara kunorapwa zvakaita sekurapa muviri, kurapwa nebasa, uye kurapwa nekutaura. |
| Maitiro Akakosha | Nzira dzekuderedza marwadzo dzakadai se transcutaneous electrical nerve stimulation (TENS). |
| Zvishandiso zvekubatsira nemishonga | Zvishandiso zvakaita semaprosthetics, mawiricheya, madondoro, nezvimwewo. Pamwe chete nekunyora mishonga yekurwadziwa nezvimwe zviratidzo. |
Chiremba weFiziki, Murapi weMiviri, uye Nyanzvi yePfungwa - Musiyano uripo pakati peizvi zvitatu ndeupi?
Vanhu vazhinji vanovhiringidzika pavanonzwa mazita matatu aya. Kunyange zvazvo vanhu ava vatatu vachikubatsira, mabasa avo akasiyana. Ngatinzwisisei musiyano uyu zvakajeka.
Musiyano uripo pakati pePhysiatrist nePhysical Therapist
Zvese izvi zvinoshanda pamwe chete kuti zvivandudze kufamba kwako uye mashandiro emuviri, asi kudzidziswa kwavo nezvavanoita zvakasiyana.
| Chikamu | Chiremba wemuviri (chiremba) | Chiremba weMiviri |
|---|---|---|
| Dzidzo | Chiremba ane hunyanzvi akawana dhigirii rezvekurapa (MD) kubva kuchikoro chezvekurapa. | Nyanzvi yehutano yakawana dhigirii mukurapa muviri (DPT). |
| Kuongorora chirwere | Inokwanisa kuongorora zvirwere. Semuenzaniso, kuona kana paine osteoarthritis mumabvi. | Hapana kuongororwa kwechiremba. Asi dambudziko rekufamba rinokonzerwa nechirwere rinozivikanwa. Semuenzaniso, kuona kuoma kwekukotama kwebvi. |
| Kunyora mishonga | Kukwanisa kunyora mishonga nemajekiseni. | Havakwanise kunyora mishonga. Vanoshandisa maekisesaizi nedzimwe nzira dzekurapa nadzo muviri. |
| Mashandiro azvinoita | Mamiriro emurwere anoongororwa, chirwere chake chinoonekwa, uye kana zvichidikanwa, anotumirwa kuchipatara kuti aendeswe kuchipatara. | Zvichibva pane zvinokurudzirwa nachiremba, chirongwa chekurovedza muviri uye kurapwa kwakakodzera murwere chinogadzirwa uye chinoitwa. |
Musiyano uripo pakati pePhysiatrist nePsychologist
Ava vaviri inyanzvi muzvikamu zviviri zvakasiyana zvachose.
- Chiremba wemuviri anorapa zvirwere zvinokanganisa muviri wako, kunyanya zvine chekuita nemapfupa netsinga.
- Nyanzvi yepfungwa inorapa zvinhu zvinokanganisa pfungwa dzako. Izvi zvinoreva matambudziko ehutano hwepfungwa akadai sekushushikana uye kuora mwoyo.
Zvisinei, kana uchirarama nekurwadziwa kusingaperi, zvinogonawo kukanganisa hutano hwepfungwa dzako. Muzviitiko zvakadaro, chiremba wemuviri anogona kukutumira kuna chiremba wepfungwa kuti akubatsire nekushushikana kwepfungwa kunokonzerwa nako, uku achirapa kurwadziwa kwako kwemuviri.
Unofanira kuona chiremba wemuviri rini?
Kana chimwe chezvinotevera chichishanda kwauri, zvingava zvakanaka kutaura nachiremba wako nezvekuona chiremba wemuviri:
- Kana uchiomerwa nekuita mabasa ako ezuva nezuva nekuda kwekurwadziwa kusingaperi kana kukuvara.
- Kana uri kupora kubva mustroke .
- Kana uchirwadziwa kana kuti uchiomerwa nekufamba mushure mekuvhiyiwa .
- Kana uri kunzwa kuneta kwakanyanya kana kurwadziwa nekuda kwekurapwa kwechimwe chirwere (semuenzaniso kenza).
- Kana, pasina chikonzero chakajeka, uchinzwa sekuti haugone kufamba kana kufamba zviri nyore sezvawaiita kare.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wemuviri (physiatrist) chiremba ane hunyanzvi mukurapa matambudziko ane chekuita nekufamba kwemuviri uye mashandiro awo pasina kuvhiyiwa.
- Chinangwa chavo chikuru ndechekuderedza marwadzo ako uye kukubatsira kuita mabasa ako ezuva nezuva uri wega uye zviri nyore sezvinobvira .
- Havangorapi zviratidzo chete, asi vanofungawo nezvemhedzisiro yechirwere ichi pahupenyu hwako hwese uye hutano hwepfungwa.
- Chiremba wemuviri haasi chiremba wemuviri. Vanogona kuongorora chirwere uye kunyora mishonga.
- Kana uine kurwadziwa kwenguva refu, uchinetseka kufamba, kana kuti uri kunetseka kupora mushure metsaona, bvunza chiremba wako nezvenyanzvi yakaita seiyi.
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