Physical Therapy vs. Opioid Pain Mishonga
Zvinogona here kuti vanachiremba venyama uye basa reP PT vave simba rakanaka kubatsira kubvisa kusagadzikana kwenyika yedu kune opiate mishonga?
Tine dambudziko guru munyika ino. Zvinoratidzika kuti mumakore makumi maviri adarika, takaita sangano revanhu vanofunga kuti iro ndiro kodzero yavo yekusava nemarwadzo. Sangano redu? Shandisa mishonga yemarwadzo opioid sezvinonzi candy.
Kutaura zvazviri, United States inodya 99 muzana yehydrocodone yenyika, nhamba imwe yemarwadzo opioid marwadzo. Vanachiremba vanopa maopioid akakwana gore roga roga kuti vape mapiritsi mashanu kune vagari vose. Saka isu tose tinofanira kunge tiri kunzwa zvakanaka, zvakarurama?
Zvakaipa. Kunyange zvazvo nhamba yevanhu vanopedza mishonga inorwadza yakawedzerwa, kurwadziwa kwakataurwa hakuchina kuchinja. Kunyanya, pane zvimwe zvishoma zvekushandisa maopioid mishonga yekudzora kusina kenza, marwadzo emusuloskeletal, akadai apo iwe une mamiriro akadai sechisimba, kuputsika, kana mushure mekuvhiyiwa.
Chokwadi Pamusoro peOpioid Mishonga Shandisa
Apo OxyContin yakauya, mazita ekuratidza marwadzo opioid marwadzo akatanga kubudiswa nePurdue Pharma pakati pemakore ekuma1990, yakaitwa nenzira yakachengeteka yekugadzirisa marwadzo. Vanachiremba vakaudzwa kuti mishonga yakanga isiri tsika-kuumba uye kuti migumisiro yekushandisa mishonga yakanga isingakoshi. Icho chinopera, sezvatakaona, kuti mishonga iyi inogadzirisa-tsika, uye inogona kutungamirira kumigumisiro yakakomba uye ine ngozi, nehuwandu huwandu hwekushandisa zvinodhaka kana kudarika.
ICentral for Disease Control and Prevention (CDC) yakanyora zvishoma nezvechokwadi pamusoro pehosha yeopioid. Kunzwisisa kuti zvakaipa zvinokonzerwa nemishonga yeopioid zvinogona kubatsira kuona zvikwereti izvo vanachiremba vanogona kuunza patafura pavanotarisira chirwere ichi. Dzimwe huwandu nezveAmerican opioid kushandiswa (uye kushungurudza) dzinosanganisira:
- Kubva muna 1999 kusvika muna 2013, nhamba yemishonga ye opioid yakaparidzirwa yakapetwa kaviri.
- Rufu rwakabatana neopioid zvinodhaka zvakapetwa kubva muna 1999.
- Vanenge mamiriyoni maviri eMamerica vakanga vakadhakwa nemishonga inorwadza opioid muna 2014.
- Opioid zvinodhaka zvinogona kutungamirira kushandiswa kwezvimwe zvinodhaka zvisina kukodzera.
- Inenge imwechete muvashandi vana veipioid vanotambura nekudhakwa.
- Vanhu vanorwisana neopioid zvinodhaka makumi mana zvinowanzoita kuti vashandise heroin.
Saka pane dambudziko guru nemishonga yeopioid, asi haisi iyo inobatsira uye inoshanda here yekugadzirisa marwadzo?
Inogona kuva, asi iri pasi pekutariswa kwakanyatsoonekwa kwechiremba wako. Izvo zvisingaiti-musculoskeletal marwadzo, semhando iyo inogona kuitika kune mamwe maronda anouraya, inogona kupindura zvakanaka kumishonga yeopioid, ichibvumira murwere kuti aite zvakakwana muupenyu hwavo hwezuva nezuva. Varwere vane marwadzo asingagumi vanokwanisa kubata zvakanaka marwadzo avo nemishonga yeopioid, asi izvi zvinoda kunyatsoongororwa nachiremba wavo.
Pane dzimwe nguva dzisingashandisi kushandisa mushonga wemakumbo opioid zvakanyanya.
Kutaura Nezvinetso zveOpioid Use
MunaAugust 2016, United States Nyanzvi yezveUvhiya General Vivek Murthy, MD yakanyorera vanachiremba kunyora dambudziko rekutsamwa kweopioid nekukumbira kuti vese vehutano vashandire pamwe chete kurwisana nehutachiona hwekutsvaira maopioid nekudhakwa.
Tsamba yacho inopa chirongwa chemadanho matatu ekurwisana nechirwere ichi:
- Dzidzo pamusoro pekutsanangurira zvakakodzera maopioid
- Kuongorora kwevarwere nokuda kwekugona kushandiswa kwekushandisa maopioid nekubatanidza nevarwere vane utano hwakanakisisa
- Kutanga kubata kurapwa kweapioid sehosha yepfungwa uye kwete "kushaya tsika"
Chiremba Mukuru Mukuruwo akaitawo mazano ekuronga mishonga yeopioid. Izvi zvinokurudzirwa, zvakashandurwa kubva kuCDC mirayiridzo, urongwa hwekunyora maitiro uye chirwere chepanyama seyo nzira yekurapa inofanira kufungwa mberi kusarudza tsika yekuumba mishonga yemishonga.
Kurapa Kwepanyama Kunobatsira sei?
Nyanzvi dzepanyama dzine mukana wakasiyana wekushanda pamwe nevarwere vari kukuvadza.
Vanhu vazhinji vanozviratidza kuchipatara chemapirini nokuti vane marwadzo uye havafambi zvakanaka. Chinangwa chevarwere ivavo ndechekuvandudza kufamba nekuderedza marwadzo. Muongorori wako wepanyama anogona kuongorora mamiriro ako ezvinhu uye kukupa mazano ekubatsira kutarisa marwadzo ako nekuvandudza mano ako ekufamba uye kushanda zvakanaka, pasina chido chekuita maitiro ekurwadza mishonga.
Zvidzidzo zvinoratidza kuti kupinda muchirongwa chekurapa muviri kunogona kubatsira kubatsira marwadzo ako nekufamba. Mushonga wako wepanyama anogona kukuratidzawo mazano ekubatsira kuchengetedza marwadzo ako kure. Zvimwe nzira dzakasiyana uye mishonga iyo mushonga wako wepanyama angashandisa inosanganisira:
- Kudzidzira muviri: Kufambisa uye kurovedza muviri zvakaratidzwa kuti zvinobudirira pamamiriro ezvinhu akawanda emasukloskeletal, uye mupfungwa wako wepanyama ndiye nyanzvi yekufamba uye anogona kukuratidza chaunofanira kuita. Kudzidzira muviri kunofanira kuva chinhu chako chikuru mukuderedza marwadzo uye kutora chikamu chinoshanda mukurwadziwa kwako.
- Kukurisa magetsi uye TENS: Kukurudzira magetsi, kana E-stim, kunogona kuchinja manzwiro aunonzwa kuti kuderedza marwadzo ako. Kukurudzirwa kune madhara maduku, iyo inogona kushandiswa chero chero kupi zvako.
- Iontophoresis: Ichi chimiro chekusimudzira magetsi chinogona kutungamirira mishonga inopesana nekuputira kuburikidza neganda rako kuti urarame marwadzo ako.
- Kuchena kana kutonhora: Moto mapepa uye mahwendefa anotonhora anogona kushandiswa kuderedza marwadzo uye kuchinja kushandiswa kwemunharaunda kugadzirisa kuputika.
- Nzira dzekugadziriswa kwemashure: Kugara nehurombo husina kunaka kunogona kukonzera marwadzo ako, uye nzira dzokudzidza kuti uchinje maitiro ako angave akadikanwa.
- Kinesiology taping: Kunyange zvazvo pane zvishoma zvitsvakurudzo maererano nekushandiswa kwe kinesiology tape, inogona kushandiswa kugadzirisa marwadzo ako. (Uyezve, pane zvishoma zvingava nemigumisiro yekushandisa K-tape.)
- Kuchengetedza: Mucherechedzo wemaviri inogona kuvhara misumbu uye kusuruvara kwemasisita uye inogona kubatsira kuderedza marwadzo aunonzwa.
Zvimwe zvezvinhu izvi-zvakadai seTENS, kupisa, kana kuunganidza-zvinorapa zvisingaiti; hausi kuita chinhu apo nyanzvi yako yepanyama inoshandisa kurapwa kwauri. Mishonga isingakoshi haisi yekuita sarudzo yako yekutanga yekurapa kunorapwa kwepfungwa nokuti inogona kuita kuti iwe uzviise pasi pa PT yako kushandisa mushonga. Izvo zvakanyorwa pamusoro apa sezvo zvirapa zvaunogona kuratidzirwa paunenge uchienda kuchipatara kwehutano hwako.
Zvinokurudzirwa kuti iwe uite chirongwa chinoshanda chinodhaka rehabha rehab kuti utarise mamiriro ako emushuloskeletal uye marwadzo. Izvi zvinosanganisira kurovedza muviri, izvo zvinogona kukubatsira kuwana simba, kufamba kwemafambiro, uye kushandiswa kwekushanda. Kunyanya, iwe unogona kunge uchingofara paunenge uchishanda pamwe nemushandi wako wepanyama, uye iwe unogona kuwana simba rako nyika inokurudzirwa maitiro anokura nekurovedza muviri.
Uye fungidzira chii? Iko kune vashomanana kwenguva yakareba kusingabatsiri nemigumisiro yekuita muchipatara. Mishonga yako ingangodaro inorwadza kwechinguva, asi nguva refu inobatsira inogona kukosha.
Chii Unofanira Kuita?
Kana iwe uchisimudza kurwadziwa kwemusculoskeletal, sekurwadziwa kwemutsipa kana kuti mutambo we rotator, kusarudza kuona chiremba wepanyama kutanga. Mune zviitiko zvakawanda, unogona kushanyira mushonga wepanyama kuburikidza nekuwana zvakananga, uye iwe unogona kutanga pamugwagwa wokutora pakarepo. Vako PT vanogona kuongorora mamiriro ako uye kukutumira kune unyanzvi kana zvichidiwa, asi kazhinji mamiriro ako anokwanisa kutarisirwa muT clinic.
Kana chiremba wako anorayira mishonga yemarwadzo opioid mushuloskeletal yako mamiriro ezvinhu, bvunzisisa nezvekutanga kurapwa kwepanyama-kumwe kurapwa kwepanyama kune marwadzo-pane kutora mushonga. Bvunza nezvemigumisiro yemishonga iyo chiremba wako anorayira. Iwe unogona kuva mishonga here? Ndeipi chirongwa chenguva refu yekugadzirisa zvakanaka marwadzo ako? Iwe uri mukutonga kwehutano hwako, uye kunzwisisa njodzi yekushandisa mishonga yeopioid uye kushungurudzwa kunogona kukubatsira kuti uite zvisarudzo zvakanakisisa zvehutano hwako hwekutambudzika.
Kana uri kushandisa zvisina kunaka marwadzo opioid, tsvaka rubatsiro ikozvino. Nyanzvi yezvehutano yakanaka inogona kukubatsira kuti uchengetedze dambudziko rako nekuchengetedza uye iwe unogona kukuendesa mumugwagwa kuti uwanezve.
Opioid kurwadziwa mishonga ine nzvimbo yayo mukurapa. Inogona kubudirira pakugadzirisa kurwadziwa kusingaperi. Zvinosuruvarisa, njodzi dzekushandisa-uye dzinogona kushandisa zvisina kunaka-mishonga yeopioid ndeyechokwadi.
Iwe une sarudzo. Kana iwe ukakurira musculoskeletal, urombo husina kenza hunoenderana, sarudza kushanyira murwere wako wepanyama kutanga . Iko PT inokwanisa kushanda newe iwe nachiremba wako nekuchengetedza nekugadzirisa zvakanaka marwadzo ako nekuvandudza mararamiro ako ose ekufambisa, kuitira kuti iwe unogona kukurumidza kudzokera kumararamiro ako akaenzana, asina marwadzo.