Cabanga ukuthi ubulokhu uhlushwa ubuhlungu emhlane isikhathi eside, noma ulimele ngenkathi udlala ikhilikithi futhi manje awukwazi ukugijima noma ukugxuma njengoba ubukwenza. Mhlawumbe umuntu osekhulile emndenini wakho uke waba nesifo sohlangothi futhi unenkinga yokuhamba noma ukukhuluma. Esikhathini esinjengalesi, abantu abaningi bacabanga ukuthi badinga ukuhlinzwa noma kuzodingeka bahlupheke kanje impilo yabo yonke. Kodwa, uke wezwa ngochwepheshe ongakusiza ukuthi ubuyele esimweni esijwayelekile futhi wenze imisebenzi yakho yansuku zonke ngaphandle kokuhlinzwa? Yilokho esikubiza ngokuthi 'uDokotela Wezokwelapha'.
Kalula nje, ngubani lo dokotela wezifo zamathambo?
Udokotela we-physiatrist udokotela ogxile ekuphatheni izifo nokulimala okuphazamisa ikhono lomzimba wakho lokunyakaza nokwenza imisebenzi yansuku zonke. Kalula nje, laba odokotela bangelapha noma yikuphi ukungakhululeki ngokomzimba okukuvimbela ekwenzeni umsebenzi wakho, ukunakekela umndeni wakho, noma ukwenza izinto ozijabulelayo (isibonelo, ukudlala imidlalo noma ukulima ingadi).
Laba odokotela bagxila kakhulu ezimweni ezihlobene nezinhlelo zakho zamathambo nezezinzwa . Kodwa-ke, banolwazi oluningi ngomzimba wonke womuntu. Ngenxa yalokhu, bangabona isithombe esikhulu sendlela isimo esingathinta ngayo ukusebenza komzimba wakho kanye nekhwalithi yokuphila.
Kunezinye amagama eyaziwa ngawo le sayensi yezokwelapha. Lawa:
- Ukwelapha Umzimba Nokuvuselelwa (PM&R)
- Ukuhlolwa Kwemizimba
Ngakho-ke uDokotela we-Physiatrist ubizwa nangokuthi 'udokotela we-PM&R' kanye 'nodokotela wokuvuselela'. Lawa wonke amagama ochwepheshe abafanayo.
Okubaluleke kakhulu, umgomo oyinhloko walaba odokotela ukulawula izimpawu zakho nokwenza impilo yakho ibe lula ngokusebenzisa ukwelashwa okungekona ukuhlinzwa.
Yiziphi izinhlobo zezimo udokotela we-physiatrist asiza kuzo?
Laba odokotela belapha abantu babo bonke ubudala, kusukela ezinganeni ezincane kuya kwasebekhulile. Kunezimo eziningi abaziphathayo. Ake sibheke eziyinhloko.
| Isigaba sesiguli | Izimo eziphathwe (izibonelo) |
|---|---|
| Kwabantu abadala |
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| Kwabantwana |
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Lezi yizibonelo ezimbalwa nje. Kalula nje, laba odokotela bangasiza nganoma yisiphi isimo esingamahlalakhona esiphazamisa ukuhamba kwakho kanye nokuphila kwakho kwansuku zonke.
Kwenziwa kanjani ukuxilongwa?
Uma uya kudokotela we-physiatrist, into yokuqala abayenzayo ukulalela ngokucophelela lokho okushoyo. Bazokubuza imibuzo eminingi mayelana nomlando wakho wezokwelapha, ukungakhululeki okuzwayo, ukuthi ubuhlungu bunjani, nokuthi buqala nini ukuba bubi kakhulu. Ngemuva kwalokho bazokuhlola ngokucophelela.
Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa ukuxilongwa:
- Ukuhlolwa kwegazi
- Ama-X-ray
- Ama-MRI Scan (Ukufanekisa Ukuzwakala Kwamagnetic)
- Ucwaningo lokuqhutshwa kwemizwa
- Ukuhlolwa kwe-EMG (i-Electromyography) - Ukuhlolwa kokuhlola ukusebenza kwemisipha.
Okwenza laba odokotela babe ngabakhethekile ukuthi abakhathaleli kakhulu ukugula kwakho kuphela, kodwa futhi nomthelela okube nawo empilweni yakho nasengqondweni yakho. Lapho bethola isifo, bacabangela nemibuzo efana nale:
* "Lokhu kugula kuyithinta kanjani impilo yakho?"
* "Yiziphi izinto ezinzima kakhulu kuwe?"
* "Yiziphi izinto ongazange ukwazi ukuzenza ngenxa yalesi sifo?"
* "Yiziphi izinto ofisa sengathi ungazenza futhi?"
* "Lesi simo siyithinte kanjani impilo yakho yengqondo?"
Ngokuqoqa lonke lolu lwazi, bakha uhlelo lokwelashwa olungcono kakhulu olukufanele.
Yiziphi izindlela zokwelapha ezitholakalayo? Ukwelapha ngaphandle kokuhlinzwa!
Njengoba kushiwo ngaphambili, umgomo oyinhloko walaba odokotela ukwelashwa okungadingi ukuhlinzwa. Banikeza ukwelashwa okulawula izimpawu zakho (njengobuhlungu, ukuqina kwemisipha, ukuba ndikindiki) futhi kusize umzimba wakho ukuthi ululame. Izifo eziningi ezingamahlalakhona azikwazi ukwelashwa ngokuphelele. Kodwa-ke, umgomo wabo ukukusiza ukuthi uphile ngokuzimela nangenjabulo ngangokunokwenzeka nalezo zifo.
Nazi ezinye zezindlela zokwelapha abazisebenzisayo:
| Indlela yokwelapha | Izibonelo |
|---|---|
| Imijovo | Imijovo ekhethekile, njenge-steroids, inikezwa ezindaweni ezibuhlungu, amalunga, kanye nomgogodla. |
| Ukwelashwa | Ukudluliselwa kokwelashwa okufana nokwelashwa ngokomzimba, ukwelashwa ngokomsebenzi, kanye nokwelashwa ngokukhuluma. |
| Izinqubo Ezikhethekile | Izindlela zokwelapha ubuhlungu ezifana ne-transcutaneous electrical nerve stimulation (TENS). |
| Amadivayisi okusiza kanye nemithi | Amadivayisi anjengezitho zokufakelwa, izihlalo zabakhubazekile, izinduku zokusibekela, njll. Kanye nokunikeza imithi yobuhlungu nezinye izimpawu. |
Udokotela Wezifo Zomzimba, Udokotela Wezifo Zomzimba, kanye Nososayensi Wezengqondo - Uyini umehluko phakathi kwalaba abathathu?
Abantu abaningi bayadideka uma bezwa la magama amathathu. Nakuba bonke laba bantu abathathu bekusiza, imisebenzi yabo ihlukile. Masiwuqonde kahle lo mehluko.
Umehluko phakathi koDokotela we-Physiatrist noDokotela we-Physical Therapist
Zombili lezi zisebenza ndawonye ukuthuthukisa ukunyakaza kwakho kanye nokusebenza komzimba, kodwa ukuqeqeshwa kwazo kanye nalokho ezikwenzayo kuhlukile.
| Ingxenye | Udokotela wezifo zamathambo (udokotela) | Udokotela Wezokwelapha Umzimba |
|---|---|---|
| Imfundo | Udokotela ochwepheshe othole iziqu zobudokotela (MD) esikoleni sezokwelapha. | Uchwepheshe wezempilo othole iziqu kwezokwelapha ngokomzimba (i-DPT). |
| Ukuxilongwa | Iyakwazi ukuxilonga izifo. Isibonelo, ukunquma ukuthi ikhona yini i-osteoarthritis edolweni. | Akutholakali ukuxilongwa kwezokwelapha. Kodwa inkinga yokunyakaza ebangelwa yilesi sifo iyatholakala. Isibonelo, ukuhlonza ubunzima bokugoba idolo. |
| Ukunikeza imithi | Uyakwazi ukukunikeza imithi kanye nemijovo. | Abakwazi ukunikeza imithi. Basebenzisa izivivinyo kanye nezinye izindlela zokwelapha ngokomzimba. |
| Indlela esebenza ngayo | Isimo sesiguli siyahlolwa, kutholakale ukuthi sinesifo esingakanani, bese kudluliselwa ukwelashwa ngokomzimba uma kudingeka. | Ngokusekelwe esincomweni sikadokotela, kwakhiwa futhi kusetshenziswe uhlelo lokuzivocavoca nokwelashwa olufanele isiguli. |
Umehluko phakathi kwePhysiatrist kanye nePsychologist
Laba ababili bangochwepheshe emikhakheni emibili ehlukene ngokuphelele.
- Udokotela we-physiatrist welapha izimo ezithinta umzimba wakho, ikakhulukazi lezo ezihlobene nezinhlelo zamathambo nezinzwa.
- Udokotela wengqondo welapha izinto ezithinta ingqondo yakho. Lokho kusho izinkinga zempilo yengqondo njengokucindezeleka nokucindezeleka.
Kodwa-ke, uma uphila nobuhlungu obungapheli, kungathinta nempilo yakho yengqondo. Ezimweni ezinjalo, udokotela wezifo zomzimba angakudlulisela kudokotela wengqondo ukuze akusize ngokucindezeleka kwengqondo okubangelwa yibo, ngenkathi elapha ubuhlungu bakho obungokomzimba.
Kufanele ubonane nini nodokotela wezifo zomzimba?
Uma kukhona okulandelayo okukusebenzelayo, kungaba ngumqondo omuhle ukukhuluma nodokotela wakho mayelana nokubona udokotela we-physiatrist:
- Uma unenkinga yokwenza imisebenzi yakho yansuku zonke ngenxa yobuhlungu obungapheli noma ukulimala.
- Uma ululama ekushayweni yisifo sohlangothi .
- Uma uzwa ubuhlungu noma ubunzima bokunyakaza ngemva kokuhlinzwa .
- Uma ubhekene nokukhathala okukhulu noma ubuhlungu ngenxa yokwelashwa kwesinye isifo (isib. umdlavuza).
- Uma, ngaphandle kwesizathu esicacile, uzizwa sengathi awukwazi ukuhamba noma ukunyakaza kalula njengoba wawuvame ukwenza.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela we-physiatrist udokotela ogxile ekwelapheni izinkinga ezihlobene nokunyakaza komzimba kanye nokusebenza kwawo ngaphandle kokuhlinzwa.
- Umgomo wabo oyinhloko ukunciphisa ubuhlungu bakho nokukusiza ukuthi wenze imisebenzi yakho yansuku zonke ngokuzimela nangokulula ngangokunokwenzeka .
- Abagcini nje ngokwelapha izimpawu, kodwa futhi bacabangela umthelela wesifo empilweni yakho yonke kanye nempilo yengqondo.
- Udokotela wezifo zomzimba akayena umelaphi wezifo zomzimba. Angakwazi ukuxilonga nokunikeza imithi.
- Uma unezinhlungu zesikhathi eside, ubunzima bokuhamba, noma unenkinga yokululama engozini, buza udokotela wakho ngochwepheshe onjengalona.
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