Ga mutane da yawa, magani na yau da kullum ba zai iya ba da baƙin ciki ba. Wannan yana iya zama dalili daya da ya sa yin amfani da maganin rigakafi da cikakkiyar warkarwa na ci gaba da tashi a Amurka.
Ƙasar Amirkawa na da ƙananan ciwo. A gaskiya ma, yana daya daga cikin manyan dalilai na ziyara a asibitin likita kuma sun rasa kwanakin aiki, da kuma mafi yawan abin da ya shafi aikin rashin lafiyar aikin, a cewar Cibiyar Nazarin Tsaro ta Duniya da Tashin Buka.
Bugu da ƙari, Cibiyar Kula da Lafiya ta Duniya da Haɗin Gwiwar, wata hukumar a cikin Cibiyoyin Kiwon Lafiyar Jama'a, wadda ke cikin ɓangare na Gwamnatin Tarayya, ta bayyana ƙwayoyin cuta da kuma ciwo kamar yadda mafi mahimmancin direbobi na amfani da magani.
Medicine Spine a Amurka
Ga mafi yawan bangare, duk da haka, an kafa cibiyar kiwon lafiya a cikin wasu maganin maganin allopathic-type kamar magunguna.
Jerin maganin gargajiya da aka ba da likitoci ga likitocin marasa lafiya sun hada da wasu kwayoyin narcotic. In ba haka ba da aka sani da opioids, waɗannan magunguna na iya haifar da hanyar yin jaraba idan kai, likitan ka da likitan ka ba su kula ba.
Shahararren labari shine mafi yawan ciwon da ke fama da shi ya tafi kan kansa ko kuma ta hanyar bin gaskiya ta hanyar yin amfani da kyakkyawan shiri. Labarin mummunan (yiwuwar) ita ce abu na farko da likitan likitanka zai iya yi shine ya ba ka wani samfurin maganinka-ko da idan ƙarfin yana da sauki kawai ko matsakaici.
Amma CDC ya ce likitoci suyi la'akari da amfani da duk wani magani dangane da matsalolin lafiya wanda zai iya haifar da su. Idan akwai maganin narkewa, idan likitanku yana fatan abin da likitan zai yi muku-dangane da saurin ciwo da aikin yau da kullum - zai kasance mafi girma daga hadarin, tsinkaya, da sauran abubuwan da ke hade da su , to, opioids zai iya zama darajar la'akari.
Ka tuna, duk da haka, cewa opioids sun tabbatar da kansu kawai don gajeren lokaci, zafi mai tsanani. Don dogon lokaci ko m zuwa matsananciyar ciwo, akwai wasu zaɓuɓɓuka waɗanda zasu iya samar da kyakkyawan sakamako.
Idan kana shan tumoids don jin zafi, ya kamata ka sani cewa likitanka ya kamata ya lura da ci gabanka a ko'ina cikin magani. Ƙarfinku da damar ku na aiki na jiki a cikin rayuwar yau da kullum ya kamata inganta, kuma matakan da zafinku ya kamata ya ragu. In ba haka ba, yana iya zama mafi kyau don dakatar da farfadowa na opioid, in ji CDC.
Kuma a ƙarshe, CDC ya ba da shawara ga likitoci cewa kafin da kuma yayin da ake kula da su, suna magana da kai game da hadari da kuma amfanin da za su yi amfani da su.
Sauran cututtukan allopathic da aka ba da shawarar ga marasa lafiya da ke gunaguni game da ciwon baya sun hada da tiyata, kayan aikin jinƙai, da kuma karamin magani.
Don yin adalci, ƙaddamar da ƙwararren ƙwararren ƙwararrun ƙwararrun masu tasowa suna samun kyakkyawan nazari daga marasa lafiya da ciwo mai tsanani wanda ba su da wata wahala mai tsanani. ne.
Shin likitan ku san abin da za ku shawarta a hanyar Wayar Jiyya?
Kullum magana, masu samar da kiwon lafiya suna ba da kuɗi mai yawa a kan irin waɗannan jiyya, duk da haka lissafin nuna cewa marasa lafiya marasa ciwon baya ba kullum sukan sami mafi alhẽri ba.
Hanyoyin kudi na iya zama abin da ke bayan kullun da aka yi a yayin da magungunan kiwon lafiyar da ke kula da lafiyar jama'a ke ci gaba a cikin tseren zuwa ga lafiyar lafiya, tasiri, da marasa lafiya wanda ya dace da masu fama da ciwo a kan kansu.
To, ta yaya likitoci zasu yanke shawara ko wane magani ya shawarce ku? Ɗaya daga cikin ƙayyadaddun iya zama ƙwarewar mai bada. Idan ka je zuwa neurosurgeon don tuntube, alal misali, za ka iya samun sashin neurosurgery da aka ba ka shawara a matsayin abin da zai kawar da bayyanar cututtuka. Amma wasu zaɓuɓɓuka na iya zama daga abin da za ka iya zaɓar.
Bugu da ƙari, wannan shine shekarun niche.
Kwararrenka na iya samun kwarewa mai ban mamaki a cikin wani nau'i na hanyar layi, amma kawai ƙananan ko dan kadan fiye da kwarewa a cikin wasu da suke da alaƙa. (Wannan yana iya yiwuwa ne domin likitan likita yana yin wannan hanya sau da yawa.) Wannan ya ce, fasaha na musamman (ko falsafa na tiyata) wanda likita ya fi kyau bazai kasance mafi kyau ba a gare ka ba shekarunka, yanayin, abubuwan da ka ke so. , da kuma irin matsalar da take da baya.
Bari mu dauki tiyata a matsayin misali. Wasu likitoci sun yi amfani da kudaden kudi don suyi koyi yadda za su yi maye gurbin , wanda shine sabon tsari. Sauran, watakila wadanda suka kasance a cikin masana'antu sun fi tsayi, suna tsayawa tare da fuska da gaskiya. Babu fushin murji ko kuma maye gurbin su cikakke ne dangane da aminci da tasiri, don haka maimakon karɓar ra'ayi guda ɗaya game da abin da magani ya kamata, yana iya zama mafi kyawunka don bincika zaɓinka a hankali kafin aikatawa.
Kuma a ƙarshe, manyan cibiyoyin kiwon lafiya suna cikin al'ada na samar da jagororin ga likitoci (idan ba su bi) ba. Kai, a matsayin mai haƙuri, zai iya (ko mai yiwuwa ba) amfani da waɗannan shawarwari a cikin wani nau'i na yaudara ba. Jagoran bayan kungiyoyi da kungiyoyi suna wallafawa irin su Ƙungiyar Harkokin Kasuwancin Amirka, {ungiyar {ananan Ciwon Harkokin Cutar Cutar Rigaka ta {asar Amirka, Kwalejin {asashen Wajen Amirka da sauransu. Dangane da ainihin matsalar spine, kuma wanda ya wallafa, sharuɗɗa mafi yawa suna bayar da shawarar ƙwayoyi, tiyata, maganin injection, da / ko aikin jiki kamar yadda magani. A al'ada, sun ba da tabbaci ga cikakkun hanyoyin wariyar launin fata.
Kyakkyawar Kyau da Zama Zama Zama Zama Zama Zai Zama A Hanya
Tun farkon farkon shekarar 2017, canji zai iya zuwa.
Yawancin shafukan yanar gizo da kuma shirye-shiryen talabijin a cikin watan Fabrairu da Maris na shekara ta 2017 lokacin da Cibiyar Kwalejin Kasuwancin Amirka ta wallafa wata mahimmanci cewa, tare da sauran abubuwa, sun bada shawara ga dukan maganin wariyar launin fata a matsayin marasa lafiya. Wadannan sun hada da tausa, acupuncture, magudi na launi, tai chi, yoga, da zafi. Jagoran shine tushen shaida, ma'anar cewa an haɗa shawarwarin daga nazari na yau da kullum na sakamakon sakamako mai zurfi (binciken bazuwar, mai sarrafawa) wanda ya gwada jiyya. Masu bincike sun so su san ko wane magani ya samar da mafi kyawun sakamako ga abubuwa kamar kawar da ciwo na ciwon baya, da yin aiki na jiki, inganta rayuwa mai kyau, rage rashin lafiya da dawowa aiki, da sauransu.
Masu binciken sun kuma neman bayanai game da tasirin da ke tattare da halayen da aka yi, da kuma yadda masu lafiya suke tare da kowace magani.
Wadannan sharuɗɗa sun shafi dukkanin jiyya-ba kawai hanyoyin maganin wariyar launin fata ba-don ƙananan, musa da ciwo mai tsanani. Dukkanin shawarwarin da aka yi na musamman na wariyar launin fata sun bambanta bisa ga irin ciwo. Mawallafin jagoran sun ce basu da cikakkun shaida don yin magana a kan hanya a kan ciwo da ake kira daga kashin baya, wanda ake kira zafi da kuma ciwon jini ta hanyar saurin haɗi.
Yanzu, kafin ka yi gaisuwa (idan, hakika kai ne mutumin da zai fi dacewa da kulawa da cikakkiyar tsarin kulawa da allopathic), tuna cewa wannan ita ce shawarar daya daga cikin likita. A wasu kalmomi, cikakkiyar farfadowa a matsayin likitaccen magani na likitanci wanda likitanku zai ba ku ba shi da wani aiki.
Samunci ga Jagoran Gizon da Ya Haɗa Ƙarfin lafiya
Sauran kungiyoyi, irin su Ƙungiyar Ƙwararrun Amurka da Hukumar Haɗin gwiwa (wata hukuma mai ƙwarewa wadda ta tsara ka'idodin magani ga asibitoci) sun riga sun bayar da bayanan.
Magungunan maganin gargajiya a cikin waɗannan da rahotanni irin wannan zai iya zama maras tabbas. Wasu lokuta, hanyoyin da za ku iya saba ( maganin chiropractic , massage, acupuncture, tunani, yoga, alal misali) suna da suna musamman, amma rahoton ya dakatar da buƙata ko karfi da bada shawarar waɗannan a matsayin magunguna na farko . Sauran lokuta, jerin nau'ukan kula da cikakke cikakke sune ƙarami, amma amfani da su yafi ƙarfafawa.
"Harshen ya sauya sauyawa kamar yadda waɗannan takardun shawarwarin suka samar, kuma inda jerin hanyoyin wariyar launin fata suka wadata da zaɓin, lokacin da aka fara bayyana karshe," in ji John Weeks, mai buga na Binciken Intanet na BBC .
Alal misali, a cikin watan Nuwambar 2014, Kamfanin Dillancin Labarai ya bayar da "Bayyana Ma'anar Bincike na Bincike" wanda, a cikin makonni, "ya kara da muhimmancin hanyoyin da ba a magance ba. Masana binciken Acupuncture, maganin massage, maganin chiropractic, maganin halayyar halayyar kwakwalwa, da kuma maganin ƙwayar cuta a cikin hanyoyin da aka kira a bayyane, "in ji shi.
Bayan haka, a shekara ta 2017, Kamfanin Dillancin Labaran ya samar da sashi na gaba na Pain Standard. Kuna iya tsammanin zai kasance ci gaba da takardar Bayyanaccen bayani daga shekaru uku da suka wuce, wanda ya hada, har ma ya karfafa jerin jerin tsararru na 2014. Maimakon haka, ko da yake an samu karin damar yin amfani da irin waɗannan jiyya, yawancin hanyoyin da aka tsara a cikin su na ainihi ƙananan.
Saboda wannan dalili, Ma'aikata ya ce, sabon salo na nuna damuwa. "Babu acupuncture ko massage, alal misali, an kira su musamman," in ji shi. Wakilan ya kara da cewa idan ba'a ambaci wani farfadowa ba, ƙwararrun likitoci za su yi ƙoƙari su riƙe shi a cikin aikin su ko kuma ba da shawara ga marasa lafiya.
Wani misali na wannan sabon fasalin harshe, bisa ga makonni, shine CDC ta 2016 daftarin jagorancin maganin maganin cutar shan magani. (An sake saki karshe). Ya ce, "Jagoran ya hada da wannan fassarar fasalin: 'Harkokin maganin maganin ba da magani da kuma marasa magani na likitanci sun fi son ciwo mai tsanani.'"
Amma, kamar yadda makonni suka ambata a cikin wannan takarda, anyi amfani da maganin kwantar da hankali da kuma hanyoyin maganin cututtuka (misali magunguna, gyare-gyare, da acupuncture) a matsayin likitattun cututtuka marasa magani wanda za a iya gwada su da zafi a maimakon magungunan narcotic. "Yin amfani da kalmar 'zaɓi' yana nuna fifiko," in ji shi, "Wannan shi kadai yana nuna wani canji mai saurin aiki a yanzu."
Amma a lokacin da CDC ta buga sakon karshe daga 'yan watanni, wasu maganganun da suka dace da kuma hanyoyin magance hanyoyin da aka ambata sun ɓace. Jerin yanzu ya karanta: "Ayyukan motsa jiki, na cikin ruwa, da magungunan halayen kwayoyi, da tausayi, da halayyar halayyar halayyar kwaskwarima, da kuma abubuwan da suka shafi zamantakewar al'umma da zamantakewa."
Tare da yawancin jama'ar Amirka da ke fama da ciwo fiye da ciwon sukari, cututtukan zuciya, da kuma ciwon daji (hada da Cibiyar Nazarin Ciwon Wutar Kasuwancin Amirka), kulawa da ciwo a cikin farashi mai sauƙi, hanya mai amfani yana da mahimmanci. Kuma wannan ya zama mafi dacewa da gaskiyar cewa mutane da yawa ba sa samun taimakon da suke neman daga likitoci na allopathic.
> Sources:
> ACP. Cibiyar Kwalejin Kwararrun Amirka ta ba da mahimmanci don magance matsalolin da ba a rage ba. Kwalejin Amirka na likitoci. Feb 2017. https://www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-treating-nonradicular-low-back-pain.
> Cibiyoyin Kula da Cututtuka da Cututtuka. Rashin ƙuntatawa da Mutuwa a Kullum. CDC Sharuɗɗa don Bayyana Opioids na Balance mai tsanani - > Amurka >, 2016 > Shawarwari > da Rahotanni. Maris 2016. https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm.
> Quseem > A., MD, > PhD >, MHA, Wilt T., MD, MPH, McLean, R, MD, Forciea, M, MD Magunguna marasa magani don ƙananan, Sakamakon, da kuma Saurin Ƙarƙashin Ƙari: Dokar Taimakon Gudanarwa Daga Kwalejin Amirka na Kwararru. Annals na Internal Medicine. Feb 2017. http://annals.org/aim/article/2603228/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice