Ngaba nawe unayo le ntlungu ithatha ixesha elide? Masithethe ngentlungu engapheliyo!

Kuqhelekile ukuva iintlungu xa senzakele okanye sigula. Kufana nesilumkiso emzimbeni wethu esixelela ukuba, "Kukho into engalunganga apha, nika ingqalelo!" Kodwa ngamanye amaxesha le ntlungu inokuhlala ixesha elingaphezu kweenyanga ezintathu, okanye iminyaka. Yiloo nto siyibiza ngokuba yintlungu engapheliyo . Le yimeko ecaphukisayo kakhulu, kuba inokusisusa uvuyo olukhulu ebomini.

Uphando olwenziwe eMelika lubonisa ukuba abantu abadala abangaphezu kwama-20%, okanye abantu abangaphezu kwezigidi ezingama-50, bahlushwa yile ntlungu ingapheliyo. Ngoko ke ungacinga ukuba le meko ixhaphake kangakanani. Le ntlungu inokuba nefuthe elikhulu kungekuphela nje kwimpilo yakho yomzimba, kodwa nakwimpilo yakho yengqondo. Yiyo loo nto kubaluleke kangaka ukuba uyiqaphele kwaye ufumane uncedo ukuba luyimfuneko. Makhe sithethe kancinci ngale ntlungu ingapheliyo namhlanje, akunjalo?

Ziziphi ezi ntlobo ziqhelekileyo zeentlungu ezingapheliyo?

Iintlungu ezingapheliyo aziyonto ifanayo kuzo zonke. Zinokuvela ngeendlela ezahlukeneyo kwaye zenzeke kwiindawo ezahlukeneyo zomzimba. Iintlungu ezingapheliyo luphawu oluqhelekileyo lokwenzakala okuthile, usulelo kunye nezifo. Makhe sijonge ezinye zezona ntlobo zixhaphakileyo:

• Intlungu yamalungu okanye intlungu yamathambo: Umzekelo omhle woku yintlungu yamadolo, abantu abaninzi abayifumanayo.
• Intlungu yomqolo: Intlungu, ingakumbi emqolo ongezantsi, ixhaphakile kubantu abahlala kwindawo enye ixesha elide.
• Intlungu yomhlaza: Intlungu ebuhlungu ehambisana nomhlaza.
• I-Fibromyalgia: Oku kubonakala ngeentlungu, ukuqina, kunye nokudinwa kakhulu emzimbeni wonke.
• Iintloko ezibuhlungu: Iintloko ezibuhlungu ezingapheliyo, ezifana ne-migraines.
• Intlungu yentamo.
• Intlungu ye-Neuropathic: Intlungu ebangelwa kukonakala okanye ukungasebenzi kakuhle kwemithambo-luvo.

Injani intlungu engapheliyo?

Eli liva lomntu ngamnye. Indlela umntu ngamnye aziva ngayo iintlungu yahlukile kakhulu. Kodwa eyona nto iphambili kukuba le ntlungu ihlala ixesha elingaphezu kweenyanga ezintathu . Ungayichaza le ntlungu ngamazwi anje:

• Kuvakala ngathi kubuhlungu ngaphakathi.
• Njengokutshisa.
• Njengokudubula.
• Njengokucudisa.
• Umzimba uziva uqinile, kunzima ukuwugoba (Ukuqina).
• Ukuhlaba.
• Njengokubetha ngamandla, njengokubandezeleka (Ukubetha ngamandla).

Intlungu engapheliyo inokuhamba nezinye iimpawu kunye neemeko. Ingongoma inye, intlungu luphawu olunye. Ingahamba nala:

• Ingxaki yokuxhalaba ngokubanzi: Iimvakalelo zoloyiko nokungazoli.
• Ingxaki enkulu yokudakumba: Ukuziva ulusizi kwaye udandathekile ngalo lonke ixesha.
• Ukudinwa: Ukudinwa ngalo lonke ixesha, ukuziva ungakwazi ukwenza nantoni na.
• Ukungalali: Ukungakwazi ukulala ebusuku, okanye ukungakwazi ukulala kakuhle nasemva kokuba ulele.
• Ukucaphuka okanye ukutshintsha kweemvakalelo.

Khumbula, ukuba le ntlungu iphazamisana nemisebenzi yakho yemihla ngemihla, kungcono ukufuna ingcebiso kagqirha.

Kutheni le nto le ntlungu ingapheliyo isenzeka?

Iintlungu ezingapheliyo ziyinto enzima kakhulu. Ngamanye amaxesha kukho unobangela ocacileyo wazo. Umzekelo, ukuba unesifo esihlala ixesha elide njengomhlaza okanye isifo samathambo, oko kunokubangela iintlungu. Kodwa ngamanye amaxesha kunzima kakhulu ukufumana unobangela. Ngamanye amaxesha kunokwenzeka ukuba izinto ezininzi zidibene ukuze zibangele le ntlungu.

Makhe sibone ukuba zeziphi izizathu eziphambili zentlungu:

• Intlungu ye-Neuropathic: Oku kwenzeka xa kukho into engalunganga okanye eyonakeleyo kwinkqubo yakho yemithambo-luvo. Imizekelo ibandakanya i-peripheral neuropathy, i-pinched nerves, kunye ne-trigeminal neuralgia. Kufana nentambo ephukileyo ethumela isignali engalunganga.
• Intlungu yemisipha: Le yintlungu echaphazela amathambo akho, amalungu, imisipha, izihlunu kunye nemisipha. Le ntlungu inokubangelwa kukwenzakala (umz., ukukruneka kwelungu) okanye "ukudinwa" ngokuhamba kwexesha (umz., i-tendonitis).
• Intlungu yesisu: Le ntlungu ivela kwizitho zakho zangaphakathi, njengentliziyo yakho, imiphunga, isinyi, izitho zokuzala, kunye nezitho zokugaya ukutya. Abanye abantu bane-visceral hypersensitivity, nto leyo ebenza babe namathuba amaninzi okufumana olu hlobo lwentlungu rhoqo.
• Intlungu yokudumba: Le ntlungu yenzeka xa izicubu zonakele kwaye zivuvukile. Ingabangelwa zizifo ezingapheliyo okanye zexesha elifutshane. Umzekelo, ukuba unesifo sokuzikhusela komzimba esifana ne-rheumatoid arthritis okanye i-lupus, inokubangela ukudumba okuqhubekayo kunye nentlungu. Kwakhona, ukuba unosulelo olufana ne-shingles, lunokubangela intlungu yemithambo-luvo yexesha elide ebizwa ngokuba yi-postherpetic neuralgia.
• Ukwazisa okuphakathi:Oku kunzima kancinci. Kalula nje, utshintsho luyenzeka kwinkqubo yethu yemithambo-luvo (oko kukuthi, ingqondo kunye nomqolo), kwaye ngokuhamba kwexesha, siba novelwano kakhulu kwiintlungu kunye nezinye iimvakalelo. Nezinto ezincinci ziqala ukuziva zikhulu. Oku kunokwenzeka nangaluphi na uhlobo lwentlungu. Kunokuba novelwano ekukhanyeni, kwisandi, nakwiimvakalelo.
• Intlungu yengqondo: Abanye abantu banentlungu engapheliyo, kodwa akukho sizathu sicacileyo somzimba esinokufunyanwa. Oku akuthethi ukuba intlungu yakho ayiyonyani. Rhoqo, olu hlobo lwentlungu lunxulumene notshintsho kwinkqubo yethu yemithambo-luvo, kunye nezinto zengqondo nezeemvakalelo.

Ngamanye amaxesha, zininzi izizathu zentlungu ezinokubakho. Umzekelo, umntu unokuba neentlungu emqolo ngenxa yesifo sediski esiwohlokayo ukongeza kwi-fibromyalgia.

Ziziphi izinto ezibangela iintlungu ezingapheliyo?

Ngenxa yokuba iintlungu ezingapheliyo zinokubangelwa zizifo ezininzi kunye nokwenzakala, zininzi izinto ezibangela loo nto. Ngokubanzi, ezi zezona zinto ziphambili ezibangela umngcipheko:

• I-genetics: Izizathu zentlungu engapheliyo, umzekelo i-migraines kunye ne-rheumatoid arthritis, zinokufunyanwa njengelifa.
• Ukwaluphala: Iintlungu ezingapheliyo, ingakumbi iintlungu ezibangelwa "kukuguguleka" kwenkqubo yemisipha, zinokwenzeka ngakumbi njengoko sikhula.
• Ukwenzakala kwangaphambili: Ukuba ukhe wenzakala kakhulu, kusenokwenzeka ukuba uzive ubuhlungu obungapheliyo kamva.
• Ukuba nomsebenzi wezandla: Ukuba usebenza umsebenzi onzima ngokomzimba , usengozini enkulu yokuba neentlungu ezingapheliyo.
• Uxinzelelo oluqhubekayo okanye olunzima: Izifundo zibonise unxibelelwano phakathi kwentlungu engapheliyo, uxinzelelo oluqhubekayo, kunye nesifo soxinzelelo olusemva kwesiganeko esibuhlungu (PTSD).
• Ukutshaya: Abantu abatshayayo banamathuba aphindwe kathathu okuba neentlungu ezisezantsi komqolo. Ukutshaya kunokunyusa ukuvakalelwa ziintlungu ngokubanzi.
• Ukutyeba kakhulu: Njengoko usiya utyeba, ezinye iimeko zempilo ezibangela iintlungu, njenge-arthritis, zinokuba mandundu kuba amalungu aziva enobunzima obungakumbi.

Ungaziqonda njani iintlungu ezingapheliyo?

Oogqirha bacinga ukuba intlungu ayipheli ukuba ihlala ixesha elingaphezu kweenyanga ezintathu, okanye ukuba iyafika ize iphele. Ngenxa yokuba intlungu idla ngokuba luphawu, ugqirha wakho uya kuzama ukufumana unobangela wentlungu ukuba kunokwenzeka. Kodwa intlungu yinto exhomekeke kakhulu kwingqondo yakhe. Oko kuthetha ukuba ngumntu ohlangabezana nayo kuphela onokuyibona aze ayichaze. Ngoko ke ngamanye amaxesha kunokuba nzima koogqirha ukufumana unobangela.

Ukuba unentlungu ehlala ixesha elide, qiniseka ukuba ubonana nogqirha.Emva koko uza kukubuza izinto ezinje:

• Iphi intlungu?
• Imbi kangakanani? (Kwisikali ukusuka ku-0 ukuya kwi-10).
• Intlungu ivela kangaphi?
• Ichaphazela kangakanani ubomi bakho nomsebenzi wakho?
• Yintoni eyenza intlungu inyuke okanye inciphe?
• Ngaba uxinezelekile okanye uxhalabile kakhulu ebomini bakho?
• Ngaba wakha wagula ngaphambili, watyandwa, okanye wagula ixesha elide?

Ugqirha wakho uza kwenza uvavanyo lomzimba kwaye angayalela iimvavanyo ezifana nezi ukunceda ekufumaneni unobangela wentlungu yakho:

• Uvavanyo lwegazi nomchamo.
• Jonga umsebenzi wezihlunu (EMG - electromyography).
• Uvavanyo lwemifanekiso, olufana nee-X-ray kunye nee-MRI.
• Jonga ukuba imithambo-luvo isabela kakuhle na (Izifundo zokuqhuba imithambo-luvo).
• Ukuvavanya i-reflexes kunye ne-balance.
• Uvavanyo lolwelo lomqolo.

Ziziphi iindlela zonyango lweentlungu ezingapheliyo?

Ugqirha wakho unokucebisa unyango olunye okanye indibaniselwano yonyango. Oku kunokubandakanya ukunyanga unobangela oyintloko wentlungu yakho engapheliyo okanye ukulawula intlungu njengophawu. Uphando lubonise ukuba ukusebenzisa indibaniselwano yonyango kunokunciphisa kakhulu intlungu, endaweni yokuzikhawulela kunyango olunye.

Indlela unyango olusebenza kakuhle ngayo iyahluka kumntu nomntu. Iintlungu ezingapheliyo zinokwahluka nokuba unobangela uyafana. Oogqirha badla ngokuqala ngeendlela zokulawula iintlungu ezingangenisi kakhulu okanye zemveli. Kulapho ke baqhubekela khona kunyango olunobungozi ngakumbi. Kodwa akukho ndlela "ichanekileyo" esebenza kuwo wonke umntu.

Ulawulo lweentlungu ezingapheliyo lungabandakanya izinto ezifana nezi:

• Utshintsho kwindlela yokuphila: ukulawula ubunzima, ukulawula uxinzelelo, kunye nomsebenzi womzimba.
• Unyango lomzimba kunye nonyango lomsebenzi.
• Unyango lwengqondo lwentlungu: Olu nyango lunokubandakanya unyango lokuziphatha kwengqondo (CBT), unyango lwamaqela, unyango lokwamkela nokuzibophelela (ACT), kunye nonyango lokuzikisa ingqondo.
• Unyango oluncedisayo lwamayeza: Izinto ezifana nonyango lokumasaja, i-biofeedback, kunye nokucamngca.
• Iinkqubo kunye nezixhobo zonyango: Izinto ezifana notyando, i-TENS (Transcutaneous Electrical Nerve Stimulation), ii-steroid injections, kunye nee-Botulinum toxin (Botox®).
• Amayeza:`(Ii-NSAID - Amayeza okulwa nokuvuvukala angengawo awe-steroidal)` (amayeza okulwa nokuvuvukala angengawo awe-steroidal), `(Iziphumzi zemisipha)`, kunye `(Ii-opioid)` (izibulali-ntlungu zeqela le-opioid).
• Uvavanyo lwezonyango.

Ngokuxhomekeke kwisizathu sentlungu yakho kunye neemeko zakho ezizodwa, kungathatha ixesha ukufumana unyango olukulungeleyo. Kusenokufuneka uzame unyango olwahlukeneyo. Okukhona usebenza ngokusondeleyo nogqirha wakho okanye iqela lezonyango, kokukhona kunokwenzeka ukuba isicwangciso sakho sokulawula iintlungu siphumelele, njengoko iimfuno zakho ziya kutshintsha. Kubalulekile ukuthetha ngeenzuzo, iingozi, kunye nemiphumo emibi yonyango ngalunye.

Ngaba iintlungu ezingapheliyo ziya kuze ziphele ngokupheleleyo?

Enyanisweni, okwangoku akukho "nyango" lweentlungu ezingapheliyo. Eyona nto ingcono onokuyenza kukufumana unobangela ochanekileyo wentlungu uze uyinyange. Umzekelo, ukunyanga isifo samathambo ngamanye amaxesha kunokunceda ukunciphisa iintlungu zamalungu.

Kodwa abantu abaninzi abaneentlungu ezingapheliyo abazi unobangela weentlungu zabo, ngoko ke abanakufumana unyango. Baphila nje neentlungu, besebenzisa indibaniselwano yamayeza, unyango, kunye notshintsho kwindlela yokuphila.

Ithini ingqikelelo yabantu abaneentlungu ezingapheliyo?

Iintlungu ezingapheliyo azipheli ngokupheleleyo. Kodwa ungayilawula usebenzisa iindlela ezahlukeneyo ezikusebenzelayo. Unyango lwangoku lweentlungu ezingapheliyo kuthiwa lunciphisa amanqanaba entlungu yomntu malunga ne-30%. Ukongeza, olu nyango lunempembelelo enkulu kumgangatho wobomi bakho, lunceda ekunciphiseni uxinzelelo oluza nokuphila neentlungu ezingapheliyo.

Abaphandi bayaqhubeka nokufunda ngeengxaki zentlungu kunye nonyango, kwaye ngokuqhubela phambili kwi-neuroscience kunye nokuqonda okwandisiweyo ngomzimba womntu, sinokulindela ukuba kuvele unyango olunempumelelo ngakumbi kwixesha elizayo.

Zithini iingxaki zale meko?

Iintlungu ezingapheliyo ezingalawulwayo okanye ezingalawulwa kakuhle zinokuba nefuthe elikhulu kumgangatho wobomi bakho kunye nokukwazi kwakho ukwenza imisebenzi yemihla ngemihla. Zingenza kube nzima kuwe ukuzinyamekela, ukusebenza, kunye nokugcina ubudlelwane nabanye. Zingenza nezigulo ezingapheliyo zibe mandundu.

Ukuphila neentlungu ezingapheliyo kwandisa umngcipheko wakho wokuba:

• Uxinzelelo kunye/okanye isifo sokuxhalaba ngokubanzi: Olunye uphando lufumanise ukuba malunga ne-67% yabantu abaneentlungu ezingapheliyo banengxaki yempilo yengqondo.
• Ukuzibulala: Izifundo zibonise ukuba umngcipheko wokuzibulala ebomini babantu abaneentlungu ezingapheliyo uphakathi kwe-5% ne-14%. Ukongeza, malunga nama-20% abantu banamava okuzibulala.Ukuba wena okanye umntu omaziyo unale ngcinga, nceda utsalele umnxeba kwi-Suicide and Crisis Lifeline ku-988. Kukho umntu okhoyo ukukunceda iiyure ezingama-24 ngosuku.
• Ukusetyenziswa kweziyobisi kunye nokuphazamiseka kokusetyenziswa kweziyobisi.
• Isifo sika-Alzheimer kunye neemeko ezinxulumene ne-dementia.

Ukuba unentlungu engapheliyo okanye naziphi na iingxaki ezichazwe apha ngasentla, kubalulekile ukufuna ingcebiso kagqirha. Nokuba kuthatha ixesha ukufumana indibaniselwano efanelekileyo yonyango, ungayeki.

Ndifanele ndimbone nini ugqirha wam?

Bona ugqirha wakho kwezi meko zilandelayo:

• Kulungile ukuba intlungu iyanda emva konyango, okanye ukuba ibuya.
• Ukuba unyango lokulawula iintlungu lubangela iziphumo ebezingalindelekanga ezingathandekiyo.
• Ukuba uziva uxhalabile okanye udandathekile.
• Ukuba unengxaki yokulala ebusuku ngenxa yentlungu.
• Ukuba awukwazi ukwenza izinto oqhele ukuzenza ngenxa yentlungu.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba unentlungu engapheliyo, kunokuba luncedo ukubuza ugqirha wakho le mibuzo:

• Yintoni imbangela yentlungu yam?
• Ngaba oku kuya kuphela? Okanye, kutheni kungenjalo?
• Ngawaphi amayeza endingawasebenzisayo? Zithini iziphumo zawo?
• Ngaba kufuneka ndizame unyango lomzimba okanye unyango lwengqondo?
• Ingaba kukhuselekile ukuzilolonga?
• Yintoni enye endinokuyenza ukunciphisa iintlungu zam ezingapheliyo?
• Ndingakufowunela xa iintlungu zisiba mandundu?

Okokugqibela, khumbula... (Umyalezo oya nawo ekhaya)

Ukuphila nentlungu engapheliyo kunokuba nzima kakhulu. Kunokuchaphazela yonke into ebomini bakho - ukusuka emsebenzini wakho ukuya kubomi bakho bentlalo, ukusuka ekuzinyamekeleni ukuya ekukhathaleleni abanye. Ngamanye amaxesha kunokuvakala ngathi "ukuphila nentlungu" kunokuba "ukuphila."

Akukho ndlela "efanayo neyomntu wonke" yokulawula iintlungu ezingapheliyo. Kungathatha ixesha ukufumana isicwangciso sokulawula iintlungu esikusebenzelayo. Kodwa ngokuqinisekileyo kufanelekile ukufumana unyango olufunayo nolufaneleyo. Thetha nogqirha wakho okanye ingcali yokulawula iintlungu ukuze nixoxe ngeendlela zonyango ezinokukunceda uphile ubomi obufunayo. Awuwedwa, kwaye ungoyiki ukucela uncedo.

Intlungu engapheliyo, intlungu yexesha elide, ulawulo lweentlungu, iintlungu zamalungu, iintlungu zomqolo, iintlungu zemithambo-luvo, izizathu zentlungu, unyango lweentlungu