Kowace rana, kimanin mutane miliyan takwas a Amurka (yawancin yara da yara) suna da ciwo a karo na farko a rayuwarsu.
Idan ko kuma lokacin da wannan ya faru da ku ko wani da kuke damu, me ya kamata ku yi game da shi? Kuna buƙatar ganin likita? Mene ne ya kamata ya zama hanyarka don taimako mai zafi? Kuma a yaushe za ku buƙaci hasken rana ko MRI?
Bari mu dubi mahimman bayanai game da abin da za ku iya sa ran daga magani don karo na farko da ba a rage ba. Amma kafin mu sami wannan, bari in bayar da wani labari mai kyau. Kamfanin dillancin labarai na AHRQ, wata hukumar kiwon lafiya ta gwamnati ta yi kira ga "ci gaba da ingantaccen kiwon lafiyar," kamar yadda aka fada akan shafin yanar gizon su, ya ruwaito cewa mummunan ciwo (wanda aka bayyana a matsayin wani labarin da yake da ƙasa da wata daya) a lokuta da dama ya warware kansa. AHRQ ya ce cikakken ƙuduri na ciwo, rashin lafiya, ko iyakance iyaka da aikin da aka rasa shi ne ba a yanke shawara ba, kuma mafi yawan mutane suna cigaba da sauri bayan wannan lamarin na farko.
Ya kamata ku ma ziyarci likita?
Sanin abin da AHRQ ya ce, ya kamata ka ziyarci likita idan ka fuskanci ciwo? Kullum magana, bala'in ciwo ba mai tsanani ba ne, kuma yana da barazanar rayuwa mai barazana. Wannan ya ce, yana iya kuma sau da yawa yakan rushe halin rayuwa.
Domin kwarewa ta farko da ciwo na baya, dubawa tare da likitanka mai yiwuwa kyakkyawan ra'ayin ne.
Nuna wanene wanda likita mafi kyau ya tafi shi ne. Shi ko ita za ta tambayeka wasu tambayoyi masu mahimmanci a matsayin hanyar rage matakan bayyanarka zuwa ga ganewar asali.
Wadannan tambayoyi zasu iya haɗawa: Me kuke yi lokacin da baƙin ciki ya fara? Shin zafi ya zo a hankali ko ba zato ba tsammani? Ina kake jin zafi kuma yana haskakawa?
Mene ne yake so? Yawan kalmomi don kwatanta alamun alamarku akwai, don haka kuna da shi. Kuna iya jin bayyanar wutar lantarki irin su fils da buƙata, ƙona, girgiza da sauransu, ko kuma kuna da ciwo mai ruɗi. Da zarar za ku iya cikakken bayani kuma ku kwatanta ciwofinku, mafi kyau. Bayaninku ya ba likita wani abu da zai ci gaba a yayin da yake yin ganewar asali da shawarwarin kulawa na gaba.
Wasu abubuwa da likitanku zai so su san su ne lokutan zafi. A wasu kalmomi, a yaushe ne ya zo kuma lokacin da aka sauƙaƙe, abin da kuke yi a aiki, da kuma ƙari.
Gwaje-gwaje-gwaje-gwaje-Shin Kana Bukatan Su?
Yawancin likitocin sun saba da yin aiki da cikakke aikin binciken marasa lafiya ga marasa lafiya tare da wuyansa ko jinƙai. Wadannan zasu iya haɗawa da hasken rana, MRI, da yiwuwar gwajin jini .
Wadannan gwaje-gwajen ba sabaushe ba. Cibiyar Harkokin Labaran {asar Amirka ta ce rashin jin da] in ciwo mai tsanani da ko kuma ba tare da radiculopathy ba ne, kuma ba a tabbatar da gwaji ba.
Alal misali, idan kuna da "launi ja" irin su ciwo marar zafi a daren, zafi wanda ya fi muni da safe amma ya fi kyau a matsayin ci gaba na rana, ko ciwo da ya dade har tsawon mako guda, likitanku na iya tsammanin cewa ciwonku shine da cutar ta haifar.
Hakazalika, idan kuna da osteoporosis, kun kasance da wata damuwa, ko kun yi amfani da steroid din na dogon lokaci, fina-finai na iya zama da amfani a cikin tsarin bincike.
Wani binciken Jamus a shekarar 2016 da aka buga a mujallar Deutsche medizinische Wochenschrift ya gano cewa yayin da kashi 10 cikin dari na marasa lafiya masu fama da cutar suka sami finafinan bincike, har zuwa kashi ɗaya cikin uku na waɗannan ayyukan na iya zama ba dole ba.
Shin likitan na ya bayyana maganin shan magani?
Da dama likitocin sun rubuta maganin ciwo don magance marasa lafiya. Duk wani nau'i na shan magani ya zo tare da tasiri mai tasiri, amma kwanan nan FDA ta canza bayanan haɗarin Advil (ibuprofen).
Binciken da suka binciki ya nuna cewa ko da wasu makonni na yin amfani da su zai iya haifar da haɗari ga yanayin lafiya kamar yanayin zuciya.
Abin baqin ciki, likitoci da dama suna ba da magungunan narkewa da dama don wanke batirin, har ma ga marasa lafiya da rashin tausananciyar kai. Ra'ayin ni shine irin wadannan masu aikatawa suna yin mummunar damuwa ga wadannan mutane saboda karuwar haɗari ga farfadowa da ake danganta da shan jigilar kwayoyi.
Binciken da aka tsara a watan Mayu na 2016 na Journal of the American Medical Association ya gano cewa yayin da ake iya samun maganin analysics don taimakawa wajen ciwo mai tsanani ba a sani ba, babu wata shaida mai tasiri a kan rashin ciwo mai tsanani . Ɗaya daga cikin manyan dalilai na wannan shi ne cewa opioids na iya samar da wani ɗan gajeren lokaci, amma wannan shi ne game da shi.
Yaya zaku iya samo binciken da JAMA ya yi a kan kayan aiki don ciwo mai tsanani ga muni (idan kana da daya) halin da ake ciki? Kuna iya la'akari da wannan daga hadari don amfani da kusurwa. Samun maganin narkewa don jin zafi mai tsanani na iya nufin cewa za ku yi haɗarin zama kamu don kawai karamin adadin taimakon gaggawa.
Da farko, yana iya zama kamar kana bukatar duk abin da zaka iya samu don magance abin da kake ciki, amma kana da wasu zaɓuɓɓuka. Kamar yadda aka ambata a sama, akwai nau'o'i daban-daban na masu ciwo mai zafi irin su anti-inflammatories masu steroidal (wanda ibuprofen daya ne) da Tylenol (acetaminophen). A wasu kalmomi, ba dukkanin ciwo mai haɗari ba ne a cikin yanayi. Kuma magungunan miyagun ƙwayoyi na taimako mai zafi irin su acupuncture, motsa jiki mai kyau , ko tunanin tunani zai iya tasiri sosai.
Ba wai kawai ba, akwai yiwuwar cewa opioids suna kashewa, suna samar da wutar lantarki da yawa fiye da yadda ake bukata don ci gaba da ciwo a lokacin wannan lokacin warkarwa na farko.
Bugu da ƙari, babu wani ziyartar komawa baya da zai zama duka, ƙarshen bayani. Maimakon haka, AHRQ ya gaya mana cewa kowane mutum yana yin maganin maganin ƙwallon ƙwayar cuta yana nuna yawan ƙwayar ƙwayar ko kaɗan. Kyakkyawan tsari, da kuma wanda mai amfani da yawa yayi amfani da shi, shine hada haɗin ƙwayar mahimmanci da tsakaita don samun sakamako mai tasowa.
AHRQ ya kara da cewa mafi yawan lokuta, sakamako mai kyau daga jiyya na ciwon baya zai iya zama a cikin gajeren lokaci kawai. Har ila yau, sun ce wadannan jiyya suna aiki mafi kyau ga jin zafi fiye da sake dawo da aikinka na jiki. Saboda haka dalili na yin aiki mai kyau-ba tare da yin hakan ba-yana iya zama hanya mafi mahimmanci don ci gaba da ciwo yayin da kake ci gaba a rayuwa.
Sources :
AHRQ. Maganin marasa lafiya don rashin jinƙan baya. Aikace-aikace don Nazarin Lafiya da Kyautattun Bayanan Yanar Gizo. Fabrairu 2016. Samun shiga: Yuni 2016. http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=2192
Linder R, Horenkamp-Sonntag D., Engel S., Schneider U., Verheyen F. Tabbatar da Gaskiya ta yin amfani da bayanai na yau da kullum: Binciken da ake amfani da shi ta hanyar rediyo don ciwon baya. Dtsch Med Wochenschr. Mayu 2016. Samun shiga: Yuni 2016. http://www.ncbi.nlm.nih.gov/pubmed/27176071
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