Ingabe unenkinga yokwenza imisebenzi yakho yansuku zonke? Udokotela Wezifo Zomzimba angakusiza kanjani? (Udokotela Wezifo Zomzimba / Imithi Yomzimba kanye Nokuvuselelwa)

Wake wezwa ngo-'Dokotela Wezifo Zasemzimbeni'? Mhlawumbe leli gama lisha kuwe. Kodwa, ngezinye izikhathi ezinzima empilweni yethu, lapho sigula noma sikhubazekile kangangokuthi asisakwazi ngisho nokwenza imisebenzi yethu yansuku zonke kahle, laba dokotela ababizwa ngokuthi 'Dokotela Wezifo Zasemzimbeni' bawusizo olukhulu kithi. Kalula nje, laba ochwepheshe bakhona ukukusiza ukuphatha izifo nokulimala okukuvimbela ukuthi usebenze, unakekele umndeni wakho, noma wenze izinto ozithandayo.

Ungubani lo dokotela wezifo zamathambo? Uyini lo mkhakha wezokwelapha obizwa ngokuthi i-Physiatry?

Kulungile, ake siqale sibone ukuthi ungubani lo 'Dokotela Wezokwelapha'. 'Dokotela Wezokwelapha' ungudokotela ogxile kwi -Physical Medicine and Rehabilitation (PM&R) . Yebo, lokhu kubizwa nangokuthi udokotela 'we-PM&R', noma 'uDokotela Wezokuvuselela'. Laba bantu bagxila kakhulu ekukusizeni unqobe ubunzima obhekene nabo ekuqhubeni impilo yakho yansuku zonke ngenxa yezifo nezinkinga ezithinta uhlelo lwakho lwamathambo noma uhlelo lwezinzwa.

Cabanga nje, kungenzeka ukuthi ubunobuhlungu emhlane noma edolweni iminyaka eminingi. Noma kungenzeka ukuthi ube sengozini yemoto, noma kungenzeka ukuthi ulimele ingalo noma umlenze ngenkathi udlala ezemidlalo, futhi usezinhlungwini ezinkulu kangangokuthi awukwazi ngisho nokuvuka embhedeni, ukukama izinwele zakho, noma ukuhlala unganyakazi. Yilapho-ke 'uDokotela Wezokwelapha' angakusiza khona.

Okubaluleke kakhulu, laba odokotela bazama ukuphatha izimpawu zakho ngezindlela ezingadingi ukuhlinzwa, ngaphandle kokusebenzisa ukuhlinzwa, futhi bakubuyisele esimweni lapho ungasebenza kahle futhi ngokuzimela ngangokunokwenzeka.

Insimu yezokwelapha ebizwa ngokuthi 'i-Physiatry' ibhekene nokuvimbela, ukuxilonga, kanye nokwelashwa kwezifo ezithinta ukusebenza kwakho kwansuku zonke futhi ngezinye izikhathi ezingaholela ekukhubazekeni.

Yini ngempela eyenziwa yi-physiotherapist?

Ake sibheke kabanzi ukuthi udokotela we-physiotherapy angabhekana kanjani nempilo yakho.

• Ukuxilongwa Nokwelashwa: Laba bantu baxilonga futhi belapha izimo eziphazamisa ikhono lakho lokunyakaza, ukwenza imisebenzi yansuku zonke, nokuxhumana nomphakathi. Isibonelo, lokhu kuhlanganisa nobunzima bokwenza "Imisebenzi Yokuphila Kwansuku Zonke (ADLs)" njengokuhamba, ukudla, ukukhuluma, ukugeza, nokugqoka.
• Ukusebenza njengeqembu: Udokotela womzimba akasebenzi yedwa. Basebenzisana nodokotela womndeni wakho (uMhlinzeki Wokunakekelwa Okuyinhloko) kanye nabanye ochwepheshe ukuze bahlele ukunakekelwa kwakho njengeqembu.
• Ukwelashwa kwabo bonke ubudala: Abantu babo bonke ubudala, kusukela ezinsaneni kuya kwasebekhulile, bangathola ukwelashwa kuDokotela Wezokwelapha.
• Ukunakekelwa kwesikhathi eside:Kungase kudingeke usebenze nodokotela womzimba isikhathi eside, ikakhulukazi uma wena noma othile emndenini wakho enesifo esingamahlalakhona. Bazokunikeza ukwesekwa okuqhubekayo.

Yiziphi izimo ezelashwa yi-physiotherapist?

`Udokotela wezifo zomzimba` welapha izifo ezahlukahlukene. Ake sibheke eziyinhloko.

Izimo ezithinta abantu abadala

Kubantu abadala, udokotela we-physiatrist angasiza ezimweni ezifana nalezi:

• Izinguquko ngokuguga (isib. ukwehla kobukhulu bamathambo)
• Umdlavuza nemiphumela emibi yokwelashwa
• Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD)
• Ubuhlungu obungapheli
• Izinkinga zenhliziyo ezidinga ukwelashwa kabusha
• Ukulimala Okuhlukahlukene
• Izifo zamalunga (isib., isifo samathambo, i-bursitis)
• Isifo sikaParkinson
• Izifo zesimiso sezinzwa (isib. i-Multiple Sclerosis (MS), i-Amyotrophic Lateral Sclerosis (ALS))
• Ukulimala Kwentambo Yomgogodla
• Isifo sohlangothi

Lezi yizibonelo ezimbalwa nje. Ngaphezu kwalokho, odokotela be-physiatrists belapha ezinye izifo eziningi zesikhathi eside.

Izimo ezithinta izingane

Ezinganeni, udokotela wezifo zomzimba uvame ukwelapha izifo ezifana nalezi:

• I-acute flaccid myelitis
• I-Amplified Musculoskeletal Pain Syndrome (AMPS)
• Ukulimala kwe-brachial plexus
• Ukukhubazeka Kwengqondo
• I-Complex Regional Pain Syndrome
• I-Ehlers-Danlos syndrome
• Ukungasebenzi Kwemisipha
• Isifo sohlangothi sabantwana
• Ukugoba komgogodla (i-scoliosis)
• I-Spine Bifida
• I-Torticollis (i-Torticollis)
• Ukulimala Kobuchopho Obubuhlungu (i-TBI)

Udokotela we-physiatrist uluthola kanjani ukuxilongwa?

Uma uya kudokotela wezifo zomzimba, uzolandela izinyathelo eziningana ukuze ahlole ngokunembile isimo sakho.

• Ukuhlolwa komzimba: Okokuqala, uzohlolwa umzimba ngokuphelele. Ungase futhi uhlolwe ubuchopho.
• Umlando wezokwelapha kanye nezimpawu: Uzobuzwa ngezifo zakho zangaphambilini kanye nezimpawu zamanje.
• Ukuhlolwa okukhethekile: Uma kudingeka, ukuhlolwa okufana nalokhu kungenziwa futhi:
• Ukuhlolwa kwegazi
• I-Electromyography (EMG) (bheka umsebenzi wemisipha)
• Iskeni se-MRI `(Isithombe Sokuzwakala Kwe-Magnetic - I-MRI)`
• Ucwaningo lokuqhuba imizwa (bheka umsebenzi wemizwa)
• Ama-X-ray

Udokotela uzokuchazela zonke lezi zivivinyo, futhi uzokhuluma nawe ngazo ngemva kokuba imiphumela isifikile.

Okubaluleke kakhulu, udokotela we-physiatrist ukubona njengomuntu ophelele. Lokho kusho ukuthi akabheki nje umzimba wakho kuphela, kodwa nokuthi lesi simo sithinta kanjani ingqondo nomoya wakho. Lapho ehlola isifo, ubheka nemibuzo efana nale:

• Lesi simo siyithinta kanjani impilo yakho?
• Yiluphi uhlobo lokunyakaza noma imisebenzi olunzima ngempela?
• Yini ongeke ukwazi ukuyenza ngenxa yalesi simo?
• Yini Ongathanda ukuyenza?
• Lesi simo siyithinta kanjani impilo yakho yengqondo?

Esebenzisa lonke lolu lwazi, udokotela we-physiatrist uzonquma uhlelo lokwelashwa olufanele wena.

Yiziphi izindlela zokwelapha ezinikezwa udokotela we-physiatrist?

Odokotela be-physiotherapist bayindlela yokwelapha engavamile ngaphandle kokuhlinzwa. Umgomo walezi zindlela zokwelapha ukulawula izimpawu nokusiza umzimba ukuthi uziphilise. Ngenxa yokuthi izimo eziningi azikwazi ukwelapheka ngokuphelele, udokotela we-physiotherapist usebenza ukukusiza ukuthi usebenze ngokuzimela ngangokunokwenzeka, unganciki kakhulu kwabanye. Lezi zindlela zokwelapha zibhekana kakhulu nezimpawu ezifana nobuhlungu, ubuthakathaka bemisipha, ukuqina kwemisipha (ukuqaqamba), kanye nemizwa engavamile (njengokungazweli - i-paresthesia).

Nazi ezinye izibonelo:

Izinhlobo zemijovo

• Imijovo ye-trigger point (yezinhlungu zemisipha)
• Imijovo yokunciphisa ubuhlungu bamalunga
• Imijovo ye-epidural steroid (ESIs) (yobuhlungu bomhlane)
• Imijovo ye-botulinum toxin (isb. yokucindezeleka kwemisipha)

Izindlela zokwelapha ezahlukahlukene

• Ukwelashwa ngokomzimba
• Ukwelashwa emsebenzini (kusiza ekwenzeni imisebenzi yansuku zonke kalula)
• Ukwelashwa ngenkulumo
• Ukwelashwa ngamanzi (ukuzivocavoca ngamanzi)
• Ukwelashwa Kokuxhashazwa Kwamathambo (i-OMT)

Izinqubo zezokwelapha ezikhethekile

• Ukuvuselelwa Kukagesi Okusebenzayo (i-FES)
• Ukukhuthazwa Kwemizwa Kagesi Esebenzisa Ugesi (i-TENS)
• I-vertebroplasty kanye ne-Kyphoplasty (yokuphuka komgogodla)
• Amasu okwelapha ahlanganisayo

Izinto ezisizayo empilweni yansuku zonke

• Ukufakelwa kanye nokufakelwa kwamathambo
• Amadivayisi okusiza (isib. izihlalo zabakhubazekile kanye nezihlalo zokuhamba)
• Izinguquko ekhaya lakho kanye nendawo yokusebenza `(Izinguquko endaweni yakho yokuhlala)`
• Imithi

Kufanele ubonane nini nodokotela wezifo zomzimba?

Ungadinga usizo lukaDokotela Wezokwelapha Ezimweni Ezilandelayo:

• Uma unezinhlungu ngenxa yokugula noma ukulimala kwesikhathi eside, noma uma unenkinga yokunyakaza umzimba wakho ngenkathi wenza imisebenzi yansuku zonke.
• Uma ululama ekushayweni yisifo sohlangothi.
• Uma ubuhlungu ngemva kokuhlinzwa, noma unenkinga yokunyakaza umzimba wakho.
• Uma ubhekene nokukhathala okukhulu, ubuhlungu, noma ukungakhululeki ngenxa yokwelashwa kwesinye isimo sezokwelapha.
• Uma nganoma yisiphi isizathu ungakwazi ukuhambisa umzimba wakho ngokunethezeka nangokulula njengakuqala.

Ngezikhathi ezinjengalezi, ungakhuluma nodokotela womndeni wakho bese uthunyelwa kudokotela we-physiatrist.

Uyini umehluko phakathi kukaDokotela Wezokwelapha kanye noDokotela Wezokwelapha Ezingokwenyama?

Lokhu kuyinto abantu abaningi abadideka ngayo. 'Udokotela we-physiatrist' kanye 'nochwepheshe we-physiotherapist' yizinto ezimbili ezihlukene. Kodwa zombili zinomgomo ofanayo: ukukusiza usebenze kahle futhi ukhululeke emisebenzini yakho yansuku zonke.

• Ukuqeqeshwa: Udokotela we-physiatrist udokotela ophothule iziqu zesikole sezokwelapha, othola i-MD (Doctor of Medicine) noma i-DO (Doctor of Osteopathy). Udokotela we-physiotherapist uqeda uhlelo lokwelapha ngokomzimba futhi athole iziqu ze-Doctor of Physical Therapy (DPT).
• Indima:
• `Udokotela wezifo zomzimba` angakwazi ukuxilonga izifo futhi anikeze imithi.
• Udokotela wezokwelapha ngokomzimba akakwazi ukuxilonga noma ukukunikeza imithi. Kodwa-ke, angenza ukuxilongwa kokwelashwa ngokomzimba (i-PTD) noma ukuxilongwa kokusebenza (i-FD). Lokhu kusho ukuthi angakutshela ukuthi yiziphi izinkinga zokunyakaza onazo, ukuthi zinzima kangakanani, ukuthi zithinta kanjani impilo yakho, nokuthi ukwelashwa kungasiza kanjani.

Kalula nje, udokotela wakho wezifo zomzimba uzohlonza isimo sakho kanye nembangela yaso. Ngemuva kwalokho, uchwepheshe wakho wezifo zomzimba uzohlonza ukuthi lesi simo sithinta kanjani ukuhamba kwakho kanye nokusebenza kwakho.

Isibonelo, udokotela we-physiatrist angase akuxilonge ukuthi unesifo sokuqaqamba kwamalunga edolweni. Udokotela we-physiotherapist (PT) angase akuhlole futhi athole ukuthi unebanga elilinganiselwe lokunyakaza edolweni lakho, okwenza kube nzima ngawe ukuhamba emsebenzini noma ngisho nasendlini.

Udokotela wezifo zomzimba kanye nodokotela wezifo zomzimba bavame ukusebenza ndawonye. Udokotela wezifo zomzimba uzohlonza isimo sakho, anqume ukuthi ungumuntu ofanele ukwelashwa ngokomzimba, bese ekudlulisela kudokotela wezifo zomzimba (PT). Kusukela lapho, i-PT izosebenza nawe ukuthuthukisa uhlelo lokwelashwa olufanele wena. Nobabili nizovame ukukhuluma ngempilo yakho.

Uyini umehluko phakathi kwesazi sokusebenza kwengqondo kanye nodokotela wezifo zengqondo?

Lena enye into engadida abantu abaningi. Isazi sokusebenza kwengqondo kanye nodokotela womzimba bangochwepheshe ababili abahlukene ngokuphelele.

• Isazi sokusebenza kwengqondo singuchwepheshe wezempilo yengqondo osebenzisa ukwelashwa kokukhuluma (psychotherapy) ukwelapha izifo ezahlukahlukene zempilo yengqondo. Ziphinde zisize abantu ukuthi babhekane nezinkinga zesikhashana nezesikhathi eside empilweni yabo. Isazi sokusebenza kwengqondo sivame ukuba neziqu ze-PhD.
• Udokotela womzimba udokotela owelapha izimo zakho zomzimba, ikakhulukazi lezo ezithinta imisipha yakho kanye nezinhlelo zakho zezinzwa. Lezi yizimo ezivame ukubangela ubuhlungu kanye nezinye izimpawu ezithinta impilo yakho yansuku zonke.

Isazi sokusebenza kwengqondo asikwazi ukuxilonga noma ukwelapha izimo zomzimba ezinjengalezi. Kodwa-ke, singakusiza ukuthi ukhulume naso ngokuthi lesi simo sithinta kanjani impilo yakho nokuthi ungabhekana kanjani naso ngokwengqondo. Abantu abaningi abahlushwa ubuhlungu obungapheli noma ezinye izifo zomzimba bakuthola kuwusizo ukubona isazi sokusebenza kwengqondo ukuze sibasize balondoloze impilo yabo yengqondo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Cabanga nje, ngisho nokuxilongwa okukodwa kungathinta impilo yakho yonke. Kufana nokuphonsa itshe emanzini bese kudala ama-ripples. Odokotela be-physiotherapy bayaqonda kahle lokhu. Bayaqonda ubunzima besimo sakho, ukuthi asithinti kanjani ingalo yakho, umlenze, nomgogodla kuphela, kodwa nobuntu bakho bonke, imicabango yakho, imizwa yakho, amathemba akho esikhathi esizayo.

Uma uzobona udokotela womzimba, lungela ukuvuleleka ngendlela ozizwa ngayo nokuthi yini oyilindele ekwelashweni. Udokotela uzokulalela ngokucophelela futhi ahlele uhlelo lokwelashwa olusekelwe emigomweni nasezidingweni zakho.

Ngakho-ke, uma wena noma umuntu omaziyo ezwa ubuhlungu, enenkinga yokunyakaza, noma enenkinga yokwenza imisebenzi yansuku zonke, cabanga ngokubona udokotela womzimba. Bangaba usizo olukhulu ekubuyiseleni impilo yakho endleleni efanele.

Udokotela Wezinzwa, Umuthi Wokuvuselela, Umuthi Wokuvuselela Nomzimba, i-PM&R, Ukwelashwa Komzimba, Ukuphathwa Kobuhlungu, Ukuvuselelwa Kohlangothi, Izifo Zesimiso Sezinzwa