Ingabe nawe unalobu buhlungu besikhathi eside? Ake sixoxe ngobuhlungu obungapheli!

Kuvamile ukuzwa ubuhlungu lapho silimele noma sigula. Kufana ne-alamu emzimbeni wethu esitshela ukuthi, "Kukhona okungahambi kahle lapha, lalela!" Kodwa ngezinye izikhathi lobu buhlungu bungahlala isikhathi esingaphezu kwezinyanga ezintathu, noma ngisho neminyaka. Yilokho esikubiza ngokuthi ubuhlungu obungapheli . Lesi yisimo esicasulayo ngempela, ngoba singasusa injabulo enkulu empilweni.

Ucwaningo olwenziwe e-United States lubonisa ukuthi abantu abadala abangaphezu kuka-20%, noma abantu abangaphezu kwezigidi ezingu-50, bahlushwa yilolu buhlungu obungapheli. Ngakho-ke ungacabanga ukuthi luvame kangakanani lolu hlobo lobuhlungu. Lobuhlungu bungaba nomthelela omkhulu hhayi empilweni yakho yomzimba kuphela, kodwa nasempilweni yakho yengqondo. Yingakho kubaluleke kakhulu ukuqaphela lokhu nokuthola usizo uma kudingeka. Ake sixoxe kabanzi ngalobu buhlungu obungapheli namuhla, akunjalo?

Yiziphi lezi zinhlobo ezivamile zobuhlungu obungapheli?

Ubuhlungu obungapheli abuyona into efanela wonke umuntu. Bungafika ngezindlela eziningi futhi buvele ezingxenyeni eziningi ezahlukene zomzimba. Ubuhlungu obungapheli buwuphawu oluvamile lokulimala okuthile, ukutheleleka, kanye nezifo. Ake sibheke ezinye zezinhlobo ezivame kakhulu:

• Ubuhlungu bamalunga noma ubuhlungu be-arthritis: Isibonelo esihle salokhu ubuhlungu bamadolo, abantu abaningi ababhekana nabo.
• Ubuhlungu emhlane: Ubuhlungu, ikakhulukazi emhlane ongezansi, buvame kakhulu kubantu abahlala endaweni eyodwa isikhathi eside.
• Ubuhlungu bomdlavuza: Ubuhlungu obukhulu obuhambisana nomdlavuza.
• I-Fibromyalgia: Lokhu kubonakala ngobuhlungu, ukuqina, kanye nokukhathala okukhulu emzimbeni wonke.
• Ubuhlungu bekhanda: Ubuhlungu bekhanda obukhulu, obuqhubekayo, njenge-migraines.
• Ubuhlungu bentamo.
• Ubuhlungu be-neuropathic: Ubuhlungu obubangelwa ukulimala noma ukungasebenzi kahle kwemizwa.

Kuzwakala kanjani ubuhlungu obungapheli?

Lokhu kuyinto yomuntu siqu kakhulu. Indlela umuntu ngamunye abhekana ngayo nobuhlungu ihlukile kakhulu. Kodwa into eyinhloko ukuthi lobu buhlungu buhlala isikhathi esingaphezu kwezinyanga ezintathu . Ungabuchaza lobu buhlungu ngamazwi anjengalawa:

• Kufana nobuhlungu obuvela ngaphakathi emzimbeni.
• Njengokushisa.
• Njengokudubula.
• Njengokucindezela.
• Umzimba uzizwa uqinile, kunzima ukuwugoba (Ukuqina).
• Ukuhlaba.
• Njengokushaya ngamandla, njengokuhlupheka (Ukushaya ngamandla).

Ubuhlungu obungapheli bungahambisana nezinye izimpawu nezimo. Empeleni, ubuhlungu buyisibonakaliso esisodwa nje. Bungahambisana nalokhu:

• Isifo sokukhathazeka esijwayelekile: Imizwa yokwesaba nokungahlaliseki.
• Isifo sokucindezeleka okukhulu: Ukuzizwa udabukile futhi ucindezelekile ngaso sonke isikhathi.
• Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi, uzizwa ungakwazi ukwenza lutho.
• Ukungalali: Ukungakwazi ukulala ebusuku, noma ukungakwazi ukulala kahle ngisho nangemva kokulala.
• Ukucasuka noma ukushintshashintsha kwemizwelo.

Khumbula, uma lobu buhlungu buphazamisa imisebenzi yakho yansuku zonke, kungcono ukufuna iseluleko sezokwelapha.

Kungani lokhu kubuhlungu okungapheli kwenzeka?

Ubuhlungu obungapheli buyinto eyinkimbinkimbi kakhulu. Ngezinye izikhathi kunembangela ecacile yalokhu. Isibonelo, uma unesifo sesikhathi eside njengomdlavuza noma isifo samathambo, lokho kungabangela ubuhlungu. Kodwa ngezinye izikhathi kunzima kakhulu ukuthola imbangela. Ngezinye izikhathi kungenzeka ukuthi izici eziningana zihlangane ukuze zidale lobu buhlungu.

Ake sibone ukuthi yiziphi izimbangela eziyinhloko zobuhlungu:

• Ubuhlungu be-neuropathic: Lokhu kwenzeka uma kukhona okungahambi kahle noma okonakele ohlelweni lwakho lwezinzwa. Izibonelo zifaka phakathi i-peripheral neuropathy, imizwa ecindezelwe, kanye ne-trigeminal neuralgia. Kufana nentambo ephukile ethumela isignali engalungile.
• Ubuhlungu bemisipha: Lobu ubuhlungu obuthinta amathambo akho, amalunga, imisipha, imisipha, kanye nemisipha. Lobu buhlungu bungabangelwa ukulimala (isb., ukuklwebheka kwelunga) noma "ukuguga" ngokuhamba kwesikhathi (isb., i-tendonitis).
• Ubuhlungu besisu: Lobuhlungu buvela ezithweni zakho zangaphakathi, njengenhliziyo yakho, amaphaphu, esinyeni, izitho zokuzala, kanye nezitho zokugaya ukudla. Abanye abantu banesifo sokuzwela kwesisu, okwenza kube lula ukuthi babhekane nalolu hlobo lobuhlungu njalo.
• Ubuhlungu bokuvuvukala: Lobuhlungu buvela lapho izicubu zonakele futhi zivuvukele. Bungabangelwa izifo ezingamahlalakhona noma zesikhashana. Isibonelo, uma unesifo sokuzivikela komzimba njenge-rheumatoid arthritis noma i-lupus, kungabangela ukuvuvukala okuqhubekayo nobuhlungu. Futhi, uma unesifo esifana ne-shingles, kungaholela ebuhlungwini bemizwa besikhathi eside obubizwa ngokuthi i-postherpetic neuralgia.
• Ukuzwela okuphakathi:Lokhu kuyinkimbinkimbi kancane. Kalula nje, izinguquko zenzeka ohlelweni lwethu lwezinzwa oluphakathi (okungukuthi, ubuchopho kanye nomgogodla), futhi ngokuhamba kwesikhathi, siba nomuzwa omkhulu ebuhlungwini nakwezinye imizwa. Ngisho nezinto ezincane ziqala ukuzizwa zinkulu. Lokhu kungenzeka nganoma yiluphi uhlobo lobuhlungu. Kungaba nomuzwa futhi ekukhanyeni, emsindweni, ngisho nasemizweni.
• Ubuhlungu obubangelwa ingqondo: Abanye abantu banobuhlungu obungapheli, kodwa akukho mbangela ecacile yomzimba engatholakala. Lokhu akusho ukuthi ubuhlungu bakho abunamanga. Ngokuvamile, lolu hlobo lobuhlungu luhlobene nezinguquko ohlelweni lwethu lwezinzwa, kanye nezici zengqondo nezemizwa.

Ngezinye izikhathi, izimbangela eziningana zobuhlungu zingaba khona kanye kanye. Isibonelo, umuntu angase abe nobuhlungu emhlane ngenxa yesifo sediski esiwohlokayo ngaphezu kwe-fibromyalgia.

Yiziphi izici eziyingozi zobuhlungu obungapheli?

Ngenxa yokuthi ubuhlungu obungapheli bungabangelwa izifo eziningi kanye nokulimala, kunezici eziningi eziyingozi. Ngokuvamile, lezi yizici eziyinhloko eziyingozi:

• Izakhi zofuzo: Izimbangela zobuhlungu obungapheli, isibonelo i-migraines kanye ne-rheumatoid arthritis, zingaba yifa.
• Ukuguga: Njengoba ukhula, cishe uzoba nobuhlungu obungapheli, ikakhulukazi ubuhlungu obubangelwa "ukuguguleka" kwesistimu yemisipha.
• Ukulimala kwangaphambilini: Uma uke walimala kakhulu, kungenzeka kakhulu ukuthi ube nobuhlungu obungapheli kamuva.
• Ukuba nomsebenzi wezandla: Uma usebenza umsebenzi onzima ngokomzimba , usengozini enkulu yokuthola ubuhlungu obungapheli.
• Ukucindezeleka okuvamile noma okukhulu: Izifundo zibonise ukuxhumana phakathi kobuhlungu obungapheli, ukucindezeleka okuvamile, kanye nesifo sokucindezeleka ngemva kwenhlekelele (PTSD).
• Ukubhema: Abantu ababhemayo banamathuba aphindwe kathathu okuthola ubuhlungu emhlane ongezansi. Ukubhema kungandisa nokuzwela ubuhlungu ngokuvamile.
• Ukukhuluphala ngokweqile: Njengoba ukhuluphala, ezinye izimo zempilo ezibangela ubuhlungu, njenge-arthritis, zingaba zimbi kakhulu ngoba amalunga azizwa enesisindo esikhulu.

Ungabubona kanjani ubuhlungu obungapheli?

Odokotela babheka ubuhlungu njengobungapheli uma buhlala isikhathi esingaphezu kwezinyanga ezintathu, noma uma bufika buphinde buphele. Ngenxa yokuthi ubuhlungu buvame ukuba uphawu, udokotela wakho uzozama ukuthola imbangela yobuhlungu uma kungenzeka. Kodwa ubuhlungu buyinto ethinta ingqondo kuphela. Lokho kusho ukuthi umuntu obhekene nabo kuphela ongabubona futhi abuchaze. Ngakho-ke kungaba nzima ngezinye izikhathi ngodokotela ukuthola imbangela.

Uma unezinhlungu zesikhathi eside, qiniseka ukuthi ubona udokotela.Uzobe esekubuza izinto ezinjengalezi:

• Buphi ubuhlungu?
• Kubi kangakanani? (Esikalini esisuka ku-0 kuya ku-10).
• Ubuhlungu buvela kangaki?
• Kuthinta kangakanani impilo yakho nomsebenzi wakho?
• Yini eyenza ubuhlungu bukhule noma bunciphe?
• Ingabe unengcindezi noma ukukhathazeka okukhulu empilweni yakho?
• Uke waba nanoma yiziphi izifo, ukuhlinzwa, noma izimo ezingamahlalakhona ngaphambilini?

Udokotela wakho uzokwenza ukuhlolwa ngokomzimba futhi angase futhi ahlele ukuhlolwa okufana nalokhu ukusiza ekutholeni imbangela yobuhlungu bakho:

• Ukuhlolwa kwegazi nomchamo.
• Hlola ukusebenza kwemisipha (i-EMG - ukuhlolwa kwe-electromyography).
• Ukuhlolwa kwezithombe, njenge-X-ray kanye ne-MRIs.
• Bheka ukuthi imizwa isabela kahle yini (izifundo zokuqhuba imizwa).
• Ukuhlola ukusabela kanye nokulinganisela.
• Ukuhlolwa koketshezi lomgogodla.

Yiziphi izindlela zokwelapha ubuhlungu obungapheli?

Udokotela wakho angase ancome ukwelashwa okukodwa noma inhlanganisela yokwelashwa. Lokhu kungase kuhilele ukwelapha imbangela eyinhloko yobuhlungu bakho obungapheli noma ukuphatha ubuhlungu njengesibonakaliso. Ucwaningo luye lwabonisa ukuthi ukusebenzisa inhlanganisela yokwelashwa kunganciphisa kakhulu ubuhlungu, kunokuba uzikhawulele ekwelashweni okukodwa.

Indlela ukwelashwa okusebenza kahle ngayo iyahlukahluka kuye ngomuntu nomuntu. Ubuhlungu obungapheli bungahluka noma ngabe imbangela ifana. Odokotela bavame ukuqala ngezindlela zokuphatha ubuhlungu ezingangenisi kakhulu noma zendabuko. Kulapho-ke kuphela lapho beqhubekela khona ekwelashweni okuyingozi kakhulu. Kodwa ayikho indlela "efanele" esebenza kuwo wonke umuntu.

Ukuphathwa kobuhlungu obungapheli kungafaka izinto ezifana nalezi:

• Izinguquko zendlela yokuphila: ukulawula isisindo, ukulawula ukucindezeleka, kanye nomsebenzi womzimba.
• Ukwelashwa ngokomzimba kanye nokwelashwa ngokomsebenzi.
• Ukwelashwa kwengqondo kobuhlungu: Lokhu kungafaka phakathi ukwelashwa kokuziphatha kwengqondo (CBT), ukwelashwa kweqembu, ukwelashwa kokwamukela nokuzibophezela (ACT), kanye nokwelashwa kokuzikhandla.
• Ukwelashwa kwemithi okuhambisanayo: Izinto ezifana nokwelashwa ngokubhucungwa, i-biofeedback, kanye nokuzindla.
• Izinqubo namadivayisi ezokwelapha: Izinto ezifana nokuhlinzwa, i-TENS (Transcutaneous Electrical Nerve Stimulation), imijovo ye-steroid, kanye nemijovo ye-Botulinum toxin (Botox®).
• Imithi:`(Ama-NSAID - Imithi elwa nokuvuvukala engeyona eye-steroidal)` (imithi elwa nokuvuvukala engeyona eye-steroidal), `(Ama-Muscle relaxers)`, kanye `(Ama-opioid)` (ama-painkiller eqembu lama-opioid).
• Izivivinyo zemitholampilo.

Kuye ngembangela yobuhlungu bakho kanye nezimo zakho ezihlukile, kungathatha isikhathi ukuthola ukwelashwa okukusebenzela kahle. Kungase kudingeke uzame izindlela zokwelapha eziningana ezahlukene. Lapho usebenza eduze nodokotela wakho noma ithimba lezokwelapha, kulapho kungenzeka khona ukuthi uhlelo lwakho lokulawula ubuhlungu luphumelele, njengoba izidingo zakho zizoshintsha. Kubalulekile futhi ukukhuluma ngezinzuzo, izingozi, kanye nemiphumela emibi yokwelashwa ngakunye.

Ingabe ubuhlungu obungapheli buyoke buphele ngokuphelele?

Eqinisweni, okwamanje akukho "ikhambi" lobuhlungu obungapheli. Into engcono kakhulu ongayenza ukuthola imbangela eqondile yobuhlungu bese uyelapha. Isibonelo, ukwelapha isifo samathambo ngezinye izikhathi kungasiza ekunciphiseni ubuhlungu bamalunga.

Kodwa abantu abaningi abanobuhlungu obungapheli abazi imbangela yobuhlungu babo, ngakho abakwazi ukuthola ikhambi. Baphila nobuhlungu nje, besebenzisa inhlanganisela yemithi, izindlela zokwelapha kanye nokushintsha indlela yokuphila.

Iyini iphrojekthi kubantu abanobuhlungu obungapheli?

Ubuhlungu obungapheli ngokuvamile abupheli ngokuphelele. Kodwa ungabuphatha usebenzisa inhlanganisela yezindlela ezikusebenzelayo. Ukwelashwa kobuhlungu obungapheli kwamanje kuthiwa kunciphisa izinga lobuhlungu bomuntu cishe ngo-30%. Ngaphezu kwalokho, lokhu kwelashwa kunomthelela omkhulu ezingeni lempilo yakho, kusiza ekunciphiseni ukucindezeleka okuza nokuphila nobuhlungu obungapheli.

Abacwaningi bayaqhubeka nokufunda ngezinkinga zobuhlungu kanye nokwelashwa, futhi ngentuthuko kwezengqondo kanye nokuqonda okwengeziwe ngomzimba womuntu, singalindela ukuthi kuvele ukwelashwa okuphumelelayo kakhulu esikhathini esizayo.

Yiziphi izinkinga zalesi simo?

Ubuhlungu obungapheli obungalawulwa noma obungalawulwa kahle bungaba nomthelela omkhulu ezingeni lakho lempilo kanye nekhono lakho lokwenza imisebenzi yansuku zonke. Kungenza kube nzima ngawe ukuzinakekela, ukusebenza, nokugcina ubudlelwano nabanye. Kungenza futhi izimo ezingapheli zibe zimbi kakhulu.

Ukuphila nobuhlungu obungapheli kwandisa nengozi yakho yokuthi:

• Ukucindezeleka kanye/noma isifo sokukhathazeka okujwayelekile: Ucwaningo olulodwa luthole ukuthi cishe abantu abangu-67% abanobuhlungu obungapheli nabo banenkinga yempilo yengqondo.
• Ukuzibulala: Izifundo zikhombisile ukuthi ingozi yokuzibulala empilweni yonke phakathi kwabantu abanobuhlungu obungapheli iphakathi kuka-5% no-14%. Ngaphezu kwalokho, cishe abantu abangu-20% bahlangabezana nemicabango yokuzibulala.Uma wena noma othile omaziyo enale micabango, sicela ushayele i-Suicide and Crisis Lifeline ku-988. Kukhona umuntu otholakalayo ukukusiza amahora angama-24 ngosuku.
• Ukusetshenziswa kwezidakamizwa kanye nokuphazamiseka kokusetshenziswa kwezidakamizwa.
• Isifo se-Alzheimer kanye nezimo ze-dementia ezihlobene naso.

Uma unezinhlungu ezingapheli noma ezinye zezinkinga ezibalwe ngenhla, kubalulekile ukufuna iseluleko sezokwelapha. Ngisho noma kuthatha isikhathi ukuthola inhlanganisela efanele yokwelashwa, ungapheli amandla.

Kufanele ngimbone nini udokotela wami?

Bona udokotela wakho kulezi zimo:

• Kulungile uma ubuhlungu bukhula ngemva kokwelashwa, noma uma bubuya.
• Uma ukwelashwa kokulawula ubuhlungu kubangela imiphumela emibi engathandeki.
• Uma uzizwa ukhathazekile noma ucindezelekile.
• Uma unenkinga yokulala ebusuku ngenxa yobuhlungu.
• Uma ungakwazi ukwenza izinto ovame ukuzijabulela ngenxa yobuhlungu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma unezinhlungu ezingapheli, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Iyini imbangela yobuhlungu bami?
• Ingabe lokhu kuzophela? Noma, kungani kungenjalo?
• Yimiphi imithi engingayithatha? Iyini imiphumela yayo emibi?
• Ingabe kufanele ngizame ukwelashwa ngokomzimba noma ukwelashwa kwengqondo?
• Ingabe kuphephile ukuzivocavoca?
• Yini enye engingayenza ukuze nginciphise ubuhlungu bami obungapheli?
• Ingabe kufanele ngikushayele ucingo uma ubuhlungu buba bubi kakhulu?

Okokugcina, khumbula... (Umyalezo Wokuya Ekhaya)

Ukuphila nobuhlungu obungapheli kungaba yinselele enkulu. Kungathinta zonke izici zokuphila kwakho - kusukela emsebenzini wakho kuya empilweni yakho yokuxhumana nabantu, kusukela ekuzinakekeleni kuya ekunakekeleni abanye. Ngezinye izikhathi kungazwakala sengathi "ukuphila nobuhlungu" kunokuthi "ukuphila."

Ayikho indlela "efanayo neyodwa" yokulawula ubuhlungu obungapheli. Kungathatha isikhathi ukuthola uhlelo lokulawula ubuhlungu olukusebenzelayo. Kodwa kuyafaneleka ngempela ukuthola ukunakekelwa okudingayo nokukufanele. Khuluma nodokotela wakho noma uchwepheshe wokulawula ubuhlungu ukuze nixoxe ngezinketho zokwelapha ezingakusiza uphile impilo oyifunayo. Awuwedwa, futhi ungesabi ukucela usizo.

Ubuhlungu obungapheli, ubuhlungu besikhathi eside, ukuphathwa kobuhlungu, ubuhlungu bamalunga, ubuhlungu bomhlane, ubuhlungu bemizwa, izimbangela zobuhlungu, ukwelashwa kobuhlungu