Khawuthelekelele ukuba ubusoloko uneentlungu zomqolo ixesha elide, okanye wonzakele ngelixa udlala ikhilikithi kwaye ngoku awukwazi ukubaleka okanye ukutsiba njengoko ubusenza ngaphambili. Mhlawumbi umntu omdala kusapho lwakho unesifo sohlangothi kwaye unengxaki yokuhamba okanye ukuthetha. Ngexesha elinje, abantu abaninzi bacinga ukuba kufuneka batyandwe okanye kuya kufuneka babandezeleke ngolu hlobo ubomi babo bonke. Kodwa, ngaba ukhe weva ngengcali enokukunceda ubuyele esiqhelweni kwaye wenze imisebenzi yakho yemihla ngemihla ngaphandle kotyando? Yiloo nto siyibiza ngokuba yi-'Physiatrist'.
Kalula nje, ngubani lo gqirha wezifo zengqondo?
Ingcali ye-physiatrist ngugqirha ogxile ekulawuleni izifo kunye nokwenzakala okuphazamisana nokukwazi komzimba wakho ukuhamba nokwenza imisebenzi yemihla ngemihla. Ngamafutshane, aba gqirha banokunyanga naluphi na usizi lomzimba olukuthintela ekwenzeni umsebenzi wakho, ukunyamekela usapho lwakho, okanye ukwenza izinto ozithandayo (umzekelo, ukudlala imidlalo okanye ukulima igadi).
Aba gqirha bagxila kakhulu kwiimeko ezinxulumene neenkqubo zakho zamathambo nezemithambo-luvo. Nangona kunjalo, banolwazi olubanzi ngomzimba womntu wonke. Ngenxa yoku, banokubona umfanekiso opheleleyo wendlela imeko enokuyichaphazela ngayo ukusebenza komzimba wakho kunye nomgangatho wobomi.
Kukho amanye amagama aziwa ngawo le sayensi yezonyango. Lawa:
- Unyango Lomzimba kunye Nokuvuselelwa (PM&R)
- Unyango lwemizimba
Ngoko ke ingcali yezifo zengqondo ikwabizwa ngokuba yi-'PM&R doctor' kunye ne-'Rehabilitation doctor'. La magama onke engcali enye.
Eyona nto ibalulekileyo kukuba, injongo ephambili yaba gqirha kukulawula iimpawu zakho nokwenza ubomi bakho bube lula ngokusebenzisa unyango olungelulo utyando.
Ziziphi iintlobo zeemeko ezinceda ugqirha wezifo zomzimba?
Aba gqirha banyanga abantu bayo yonke iminyaka, ukususela kubantwana abancinci ukuya kubantu abadala. Zininzi iimeko abaziphathayo. Makhe sijonge ezona ziphambili.
| Udidi lwesigulane | Iimeko ezinyangiweyo (imizekelo) |
|---|---|
| Kwabantu abadala |
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| Yabantwana |
|
Le yimizekelo embalwa nje. Ngamafutshane, aba gqirha banokukunceda nakweyiphi na imeko engapheliyo ephazamisa ukuhamba kwakho kunye nobomi bakho bemihla ngemihla.
Yenziwa njani le nto yokuxilonga?
Xa usiya kugqirha we-physiatrist, into yokuqala abayenzayo kukumamela ngononophelo into oyithethayo. Baza kukubuza imibuzo emininzi malunga nembali yakho yezonyango, ukungonwabi okuvayo, ukuba intlungu injani, nokuba iba mandundu nini. Emva koko baza kukuxilonga ngononophelo.
Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa ukuxilongwa:
- Uvavanyo lwegazi
- Ii-X-reyi
- Iiskeni zeMRI (Umfanekiso weMagnetic Resonance)
- Uphononongo lokuqhuba imithambo-luvo
- Uvavanyo lwe-EMG (i-Electromyography) - Uvavanyo lokujonga ukusebenza kwezihlunu.
Okwenza aba gqirha babe ngabakhethekileyo kukuba abakhathaleli kakhulu ngesigulo sakho kuphela, kodwa nempembelelo esibe nayo ebomini bakho nasengqondweni yakho. Xa besenza uxilongo, bacinga nangemibuzo efana nale:
* "Le sifo siyichaphazela njani ubomi bakho?"
* "Zeziphi izinto ezinzima kakhulu kuwe?"
* "Ziziphi izinto ongakhange ukwazi ukuzenza ngenxa yesi sifo?"
* "Zeziphi izinto onqwenela ukuba ungazenza kwakhona?"
* "Le meko iyichaphazele njani impilo yakho yengqondo?"
Ngokuqokelela lonke olu lwazi, bakha isicwangciso sonyango esifanelekileyo kuwe.
Ziziphi iindlela zonyango ezikhoyo? Unyango olungenatyando!
Njengoko bekutshiwo ngaphambili, injongo ephambili yaba gqirha kunyango olungenalo utyando. Babonelela ngonyango olulawula iimpawu zakho (ezifana neentlungu, ukuqina kwemisipha, ukuba ndindisholo) kwaye bancede umzimba wakho uziphilise. Izifo ezininzi ezingapheliyo azinakuphiliswa ngokupheleleyo. Nangona kunjalo, injongo yabo kukukunceda uphile ngokuzimela nangolonwabo kangangoko unako nezo zifo.
Nazi ezinye zeendlela zonyango abazisebenzisayo:
| Indlela yonyango | Imizekelo |
|---|---|
| Iinaliti | Iinaliti ezikhethekileyo, ezifana neesteroids, zinikwa kwiindawo ezibuhlungu, amalungu kunye nomqolo. |
| Iindlela zonyango | Ukuthunyelwa kunyango olufana nonyango lomzimba, unyango lomsebenzi, kunye nonyango lokuthetha. |
| Iinkqubo ezikhethekileyo | Iindlela zokuphelisa iintlungu ezifana ne-transcutaneous electrical nerve stimulation (TENS). |
| Izixhobo zokuncedisa kunye namayeza | Izixhobo ezifana neeprosthetics, izitulo ezinamavili, iintonga, njl. Kunye nokunika amayeza eentlungu nezinye iimpawu. |
Ingcali yeFiziki, Ingcali yePhysical Therapist, kunye neNgcali yezeNgqondo - Yintoni umahluko phakathi kwezi zintathu?
Abantu abaninzi bayadideka xa besiva la magama mathathu. Nangona bonke aba bantu bathathu bekunceda, imisebenzi yabo yahlukile. Masiwuqonde kakuhle lo mahluko.
Umahluko phakathi kwePhysiatrist kunye nePhysical Therapist
Zombini ezi zinto zisebenza kunye ukuphucula intshukumo yakho kunye nokusebenza komzimba, kodwa uqeqesho lwazo kunye noko zikwenzayo zahlukile.
| Icandelo | Ingcali yefiziksi (ugqirha) | Ingcali yoNyango lomzimba |
|---|---|---|
| Imfundo | Ugqirha okhethekileyo ofumene isidanga sezonyango (MD) kwisikolo sezonyango. | Ingcali yezempilo efumene isidanga kwi-physical therapy (DPT). |
| Uxilongo | Iyakwazi ukuxilonga izifo. Umzekelo, ukufumanisa ukuba ingaba ikhona na i-osteoarthritis edolweni. | Uxilongo lwezonyango alwenziwa. Kodwa ingxaki yokunyakaza ebangelwa sisifo iyachongwa. Umzekelo, ukuchonga ubunzima bokugoba idolo. |
| Ukunika amayeza | Uyakwazi ukukunika amayeza kunye neenaliti. | Abakwazi ukunika amayeza. Basebenzisa imithambo kunye nezinye iindlela zonyango lomzimba. |
| Ingaba isebenza kanjani | Imeko yesigulana iyahlolwa, kufunyanwe isifo, kwaye unyango lomzimba luyathunyelwa ukuba kuyimfuneko. | Ngokusekelwe kwingcebiso kagqirha, kwenziwa kwaye kusetyenziswe isicwangciso somthambo kunye nonyango olufanelekileyo kwisigulana. |
Umahluko phakathi kwePhysiatrist kunye nePsychologist
Aba babini ziingcali kwiinkalo ezimbini ezahlukeneyo ngokupheleleyo.
- Ingcali ye-physiatrist inyanga iimeko ezichaphazela umzimba wakho, ingakumbi ezo zinxulumene neenkqubo zamathambo nezemithambo-luvo.
- Ingcali yezengqondo iphatha izinto ezichaphazela ingqondo yakho. Oko kuthetha iingxaki zempilo yengqondo ezifana noxinzelelo kunye nokudakumba.
Nangona kunjalo, xa uphila nentlungu engapheliyo, inokuchaphazela nempilo yakho yengqondo. Kwiimeko ezinjalo, ingcali yomzimba ingakuthumela kwingcali yengqondo ukuze ikuncede ngoxinzelelo lwengqondo olubangelwa yiyo, ngelixa inyanga intlungu yakho yomzimba.
Ufanele uye nini kwi-physiatrist?
Ukuba kukho nayiphi na kwezi zilandelayo ezikukhathazayo, kungaba ngumbono olungileyo ukuthetha nogqirha wakho malunga nokubona i-physiatrist:
- Ukuba unengxaki yokwenza imisebenzi yakho yemihla ngemihla ngenxa yentlungu engapheliyo okanye ukwenzakala.
- Ukuba uyaphola emva kwestroke .
- Ukuba unentlungu okanye ubunzima bokuhamba emva kotyando .
- Ukuba ufumana ukudinwa okukhulu okanye iintlungu ngenxa yonyango lwesinye isifo (umz. umhlaza).
- Ukuba, ngaphandle kwesizathu esicacileyo, uziva ngathi awukwazi ukuhamba okanye ukuhamba ngokulula njengoko ubuqhele ukwenza.
Umyalezo Wokuya Ekhaya
- Ingcali ye-physiatrist ngugqirha ogxile ekunyangeni iingxaki ezinxulumene nokuhamba komzimba kunye nokusebenza kwawo ngaphandle kotyando.
- Injongo yabo ephambili kukunciphisa iintlungu zakho nokukunceda wenze imisebenzi yakho yemihla ngemihla ngokuzimela nangokulula kangangoko kunokwenzeka .
- Abanyangi nje kuphela iimpawu, kodwa baqwalasela nempembelelo esi sifo esinayo kubomi bakho bonke nakwimpilo yengqondo.
- Ingcali ye-physiatrist ayingogqirha we-physiotherapy. Banokuyixilonga baze bayinike amayeza.
- Ukuba unentlungu ende, ubunzima bokuhamba, okanye unengxaki yokuphola emva kwengozi, buza ugqirha wakho ngengcali efana nale.
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