Uri kunetseka here nekuita mabasa ako ezuva nezuva? Chiremba wemuviri angakubatsira sei? (Chiremba wemuviri / Mushonga wemuviri uye Kugadziriswa)

Wakambonzwa nezve 'Chiremba weChiremba' here? Pamwe zita iri nderechinyakare kwauri. Asi, panguva dzakaoma muhupenyu hwedu, patinenge tichirwara zvakanyanya kana kuremara zvekuti hatigone kuita mabasa edu ezuva nezuva nemazvo, vanachiremba ava vanonzi 'Chiremba weChiremba' vanotibatsira zvikuru. Zvichitaurwa zviri nyore, nyanzvi idzi dziripo kuti dzikubatsire kubata zvirwere nekukuvara zvinokutadzisa kushanda, kutarisira mhuri yako, kana kuita zvinhu zvaunoda.

Ndiani chiremba wepfungwa uyu? Chii chinonzi Physiatry?

Zvakanaka, ngatitangei taona kuti uyu 'Chiremba wePhysiatrist' ndiani. 'Chiremba wePhysiatrist' chiremba ane hunyanzvi muPhysical Medicine and Rehabilitation (PM&R) . Ehe, uyu anonziwo chiremba we'PM&R', kana kuti 'Chiremba weRehabilitation'. Vanhu ava vanonyanya kutarisa pakukubatsira kukunda matambudziko auinawo muhupenyu hwako hwezuva nezuva nekuda kwezvirwere nematambudziko anokanganisa mapfupa ako kana tsinga.

Fungidzira, ungave uine kurwadziwa kwemusana kana ibvi kwemakore. Kana kuti ungave wakaita tsaona yemotokari, kana kuti ungave wakakuvara ruoko kana gumbo uchitamba mitambo, uye uri kurwadziwa zvakanyanya zvekuti haugone kumuka pamubhedha, kukama bvudzi rako, kana kutogara wakadzikama. Ndipo panogona kukubatsira chiremba wepfungwa.

Chinonyanya kukosha, vanachiremba ava vanoedza kugadzirisa zviratidzo zvako nenzira dzisina kuvhiyiwa, vasingashandise kuvhiyiwa, uye kuti vakudzosere padanho raunogona kushanda zvakanaka uye wakazvimirira sezvinobvira.

Chikamu chekurapa chinonzi `Physiatry` chinobata nekudzivirira, kuongorora, uye kurapa zvirwere zvinokanganisa mashandiro emuviri wako wezuva nezuva uye dzimwe nguva zvinogona kukonzera kuremara.

Chii chaizvo chinoitwa nachiremba wepfungwa?

Ngatinyatsoongorora kuti chiremba wemuviri anogona sei kunzwisisa hupenyu hwako.

• Kuongorora uye kurapwa: Vanhu ava vanoongorora uye vanorapa zvirwere zvinokanganisa kugona kwako kufamba, kuita mabasa ezuva nezuva, uye kushamwaridzana nevanhu. Semuenzaniso, izvi zvinosanganisira kuoma kuita "Mabasa eZuva Nezuva (ADLs)" akadai sekufamba, kudya, kutaura, kugeza, uye kupfeka.
• Kushanda pamwe chete: Chiremba wemuviri haashande ega. Vanoshanda nachiremba wemhuri yenyu (Mupi weRubatsiro Rwekutanga) nevamwe nyanzvi kuti varonge kutarisirwa kwenyu pamwe chete.
• Kurapwa kwevanhu vemazera ese: Vanhu vemazera ese, kubva kuvacheche kusvika kune vakwegura, vanogona kurapwa nachiremba wezvepfungwa.
• Kutarisirwa kwenguva refu:Ungangoda kushanda nachiremba wemuviri kwenguva yakareba, kunyanya kana iwe kana mumwe munhu mumhuri mako aine chirwere chisingaperi. Vachakupa rutsigiro rusingaperi.

Matambudziko api anorapwa nachiremba wemuviri?

`Nyanzvi yemuviri` inorapa zvirwere zvakasiyana-siyana. Ngatitarisei zvikuru.

Mamiriro ezvinhu anokanganisa vakuru

Muvanhu vakuru, chiremba wemuviri anogona kubatsira nezvirwere zvakaita se:

• Kuchinja nekukura (semuenzaniso kudzikira kwehuwandu hwemapfupa)
• Kenza nemigumisiro yekurapwa
• Chirwere Chisingaperi Chekudzivirira Mapupa (COPD)
• Kurwadziwa kusingaperi
• Matambudziko emwoyo anoda kurapwa
• Kukuvara Kwakasiyana-siyana
• Zvirwere zvemajoini (semuenzaniso, arthritis, bursitis)
• Chirwere cheParkinson
• Zvirwere zvetsinga (semuenzaniso Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• Kukuvara Kwemusana
• Kurohwa

Iyi ingori mienzaniso mishoma. Pamusoro pezvo, vanachiremba vemuviri vanorapa mamwe matambudziko mazhinji anogara kwenguva refu.

Mamiriro ezvinhu anokanganisa vana

Muvana, chiremba wemuviri anowanzo rapa zvirwere zvakaita se:

• Chirwere che flaccid myelitis
• Amplified Musculoskeletal Pain Syndrome (AMPS)
• Kukuvara kwe brachial plexus
• Cerebral Palsy
• Dambudziko reMarwadzo Enharaunda Yakaoma
• Chirwere cheEhlers-Danlos
• Kusashanda kweMutsara
• Sitiroko yevana
• Kukombama kwemusana (scoliosis)
• Muzongoza Bifida
• Torticollis (Torticollis)
• Kukuvara Kwepfungwa Kunorwadza (TBI)

Chiremba wemuviri anoona sei chirwere ichi?

Paunoenda kunoona chiremba wemuviri, achatevera matanho akati wandei kuti aongorore chirwere chako nemazvo.

• Kuongororwa kwemuviri: Kutanga, uchaongororwa muviri wako zvakakwana. Unogonawo kuongororwa tsinga.
• Nhoroondo yezvekurapa nezviratidzo: Uchabvunzwa nezvezvirwere zvako zvekare nezviratidzo zvauri kusangana nazvo pari zvino.
• Miedzo yakasarudzika: Kana zvichidikanwa, bvunzo dzakadai dzinogona kuitwawo:
• Kuongororwa kweropa
• Electromyography (EMG) (ona mashandiro emhasuru)
• Kuskena kweMRI `(Kufungidzira Magadzirirwo Emagetsi - MRI)`
• Chidzidzo chekufambisa tsinga (ona basa retsinga)
• X-rays

Chiremba achakutsanangurira zvese izvi, uye achataura newe nezvazvo kana zvabuda.

Chinonyanya kukosha ndechekuti chiremba wemuviri anokuona semunhu akazara. Izvi zvinoreva kuti haangofungi nezvemuviri wako chete, asiwo kuti chirwere ichi chinokanganisa sei pfungwa dzako nemweya wako. Paanenge achiongorora chirwere, anofungawo nezvemibvunzo yakaita seyi:

• Mamiriro ezvinhu aya anokanganisa sei hupenyu hwako?
• Mhandoi dzemafambiro kana mabasa akaoma chaizvo?
• Chii chausingakwanise kuita nekuda kwemamiriro ezvinhu aya?
• Unoda kuitei?
• Mamiriro ezvinhu aya anokanganisa sei hutano hwepfungwa dzako?

Achishandisa ruzivo urwu rwese, chiremba wemuviri achasarudza hurongwa hwekurapa hwakakunakira.

Ndeapi marapirwo anoitwa nachiremba wemuviri?

Vanachiremba vemuviri ndivo nzira dzinonyanya kushandiswa pakurapa pasina kuvhiyiwa. Chinangwa chekurapa uku ndechekudzora zviratidzo uye kubatsira muviri kuti uzviporese. Nekuti zvirwere zvakawanda hazvigone kurapwa zvizere, chiremba wemuviri anoshanda kuti akubatsire kushanda wega sezvinobvira, asinganyanyi kuvimba nezvimwe. Kurapa uku kunonyanya kugadzirisa zviratidzo zvakaita sekurwadziwa, kushaya simba kwetsandanyama, kuomarara kwetsandanyama (spasticity), uye kunzwa kusina kujairika (senge kusanzwa - paresthesia).

Heano mimwe mienzaniso:

Mhando dzemajekiseni

• Majekiseni e trigger point (ekurwadziwa kwetsandanyama)
• Majekiseni ekuderedza marwadzo emajoini
• Majekiseni eEpidural steroid (ESIs) (ekurwadziwa kwemusana)
• Majekiseni emuchetura weBotulinum (semuenzaniso wekurwadziwa kwetsandanyama)

Kurapa kwakasiyana-siyana

• Kurapa muviri
• Kurapa kwemabasa (kubatsira kuita mabasa ezuva nezuva zviri nyore)
• Kurapa kwekutaura
• Kurapa nemvura (hydrotherapy)
• Kurapa Kwekushandisa Osteopathic Manipulation (OMT)

Maitiro ekurapa akasarudzika

• Kukurudzira Kwemagetsi Kunoshanda (FES)
• Kukurudzira Nerve yeMagetsi yeTranscutaneous (TENS)
• Vertebroplasty neKyphoplasty (yekutyoka kwemusana)
• Maitiro ekubatanidza mushonga

Zvinhu zvinobatsira muhupenyu hwezuva nezuva

• Magadzirirwo ekugadzira nhengo dzemuviri uye magadzirirwo enhengo dzemuviri
• Zvishandiso zvekubatsira (semuenzaniso mawiricheya nevanofambisa)
• Kuchinja kwemba yako nebasa `(Kuchinja kwenzvimbo yako yekugara)`
• Mishonga

Unofanira kuona chiremba wemuviri rini?

Ungangoda rubatsiro rwechiremba wemuviri mumamiriro ezvinhu akadai:

• Kana uchirwadziwa nekuda kwekurwara kwenguva refu kana kukuvara, kana kana uchinetseka nekufambisa muviri wako uchiita mabasa ezuva nezuva.
• Kana uri kupora kubva mustroke.
• Kana uri kurwadziwa mushure mekuvhiyiwa, kana kuti uchinetseka nekufambisa muviri wako.
• Kana uri kunzwa kuneta kwakanyanya, kurwadziwa, kana kusagadzikana nekuda kwekurapwa kwechimwe chirwere.
• Kana nekuda kwechikonzero chipi zvacho usingakwanise kufambisa muviri wako zvakanaka uye zviri nyore sepakutanga.

Panguva dzakadai, unogona kutaura nachiremba wemhuri yako wobva watumirwa kunoona chiremba wemuviri.

Ndeupi musiyano uripo pakati pePhysiatrist nePhysical Therapist?

Izvi zvinovhiringidza vanhu vazhinji. 'Nyanzvi yemuviri' ne 'nyanzvi yemuviri' zvinhu zviviri zvakasiyana. Asi zvese zvine chinangwa chimwe chete: kukubatsira kuti ushande zvakanaka uye wakasununguka mumabasa ako ezuva nezuva.

• Kudzidziswa: Nyanzvi yezvemuviri chiremba akapedza dhigirii rechikoro chekurapa, achiwana dhigirii reMD (Doctor of Medicine) kana kuti DO (Doctor of Osteopathy). Nyanzvi yezvemuviri inopedza chirongwa chekurapa muviri uye inowana dhigirii reDoctor of Physical Therapy (DPT).
• Basa:
• `Nyanzvi yemuviri` inogona kuongorora zvirwere uye kunyora mishonga.
• Nyanzvi yekurapa muviri haigoni kuongorora kana kunyora mishonga. Zvisinei, vanogona kuongorora physiotherapy diagnosis (PTD) kana functional diagnosis (FD). Izvi zvinoreva kuti vanogona kukuudza matambudziko ekufamba-famba aunawo, kuti akakomba sei, kuti anokanganisa sei hupenyu hwako, uye kuti kurapwa kungabatsira sei.

Zvichitaurwa zviri nyore, chiremba wako wemuviri achaongorora chirwere chako nechikonzero chacho. Zvadaro, chiremba wako wemuviri achaona kuti chirwere chacho chiri kukanganisa sei kufamba kwako uye mashandiro ako.

Semuenzaniso, chiremba wemuviri anogona kukuongorora kuti une osteoarthritis yebvi. Nyanzvi yemuviri (PT) inogona kukuongorora uye kuona kuti ibvi rako harina kufamba zvakanaka, zvichiita kuti zvikuomere kufamba kubasa kana kutofamba mumba.

Chiremba wemuviri nenyanzvi yekurapa muviri vanowanzo shanda pamwe chete. Chiremba wemuviri achaongorora chirwere chako, oona kana uri munhu akakodzera kurapwa kwemuviri, uye okutumira kuna chiremba wemuviri (PT). Kubva ipapo, chiremba wemuviri achashanda newe kugadzira hurongwa hwekurapa hwakakunakira. Muri vaviri muchagara muchitaura nezvehutano hwenyu.

Ndeupi musiyano uripo pakati pePsychologist nePhysiatrist?

Ichi chimwe chinhu chinogona kuvhiringa vanhu vazhinji. Nyanzvi yepfungwa nenyanzvi yemuviri inyanzvi mbiri dzakasiyana zvachose.

• Nyanzvi yepfungwa inyanzvi yehutano hwepfungwa inoshandisa kurapa kwepfungwa (psychotherapy) kurapa matambudziko akasiyana-siyana ehutano hwepfungwa. Inobatsirawo vanhu kurarama nematambudziko enguva pfupi uye enguva refu muhupenyu hwavo. Nyanzvi yepfungwa inowanzova nePhD.
• Chiremba wemuviri chiremba anorapa zvirwere zvemuviri wako, kunyanya izvo zvinokanganisa mapfupa netsinga. Izvi zvirwere zvinowanzo kukonzera marwadzo nezvimwe zviratidzo zvinokanganisa hupenyu hwako hwezuva nezuva.

Nyanzvi yepfungwa haigoni kuongorora kana kurapa zvirwere zvakaita seizvi. Zvisinei, vanogona kukubatsira kutaura navo nezvekuti chirwere ichi chiri kukanganisa sei hupenyu hwako uye kuti ungararama sei nacho mupfungwa. Vanhu vazhinji vanotambura nekurwadziwa kusingaperi kana zvimwe zvirwere zvemuviri vanoona zvichibatsira kuona nyanzvi yepfungwa kuti ivabatsire kuchengetedza hutano hwavo hwepfungwa.

Chekupedzisira, zvinhu zvekuyeuchidza (Mharidzo Yekuenda Kumba)

Chimbofunga, kunyangwe kuongororwa kamwe chete kunogona kukanganisa hupenyu hwako hwese. Zvakafanana nekukanda dombo mumvura wobva waita mafungu. Vanachiremba vefizikisi vanonzwisisa izvi zvakanaka. Vanonzwisisa kuoma kwechirwere chako, kuti chinokanganisa sei kwete ruoko rwako, gumbo, nemusana chete, asi muviri wako wese, pfungwa dzako, manzwiro ako, tariro yako yeramangwana.

Kana uchizoenda kunoona chiremba wemuviri, gadzirira kutaura pachena kuti uri kunzwa sei uye zvaunotarisira kubva mukurapwa. Chiremba achakuteerera nokungwarira uye achagadzira hurongwa hwekurapa zvichienderana nezvinangwa zvako nezvaunoda.

Saka, kana iwe kana mumwe munhu waunoziva ari kurwadziwa, ari kunetseka kufamba, kana kuti ari kunetseka kuita mabasa ezuva nezuva, funga nezvekuona chiremba wemuviri. Anogona kukubatsira zvikuru kuti hupenyu hwako hudzokere pagwara rakanaka.

Chiremba wePhysiatrist, Mushonga weKuvandudza, Mushonga wePhysical and Rehabilitation, PM&R, Kurapa Kwemuviri, Kudzora Marwadzo, Kugadziriswa kweSitiroko, Zvirwere zveSistimu Yetsinga