Indlela ukwelashwa ngokomzimba okusiza ngayo iziguli ezinesifo seLyme
Isifo se-Lyme siwukutheleleka okubangelwa yibhaktheriya i-Borrelia burgdorferi (nezinhlobo eziningana ezihlobene) futhi ngokuvamile sidluliselwa ngokulunywa yizimpukane. Lesi sifo singathinta izinhlelo ezahlukene zomzimba—kusukela esikhumbeni nasemalungeni kuya emithanjeni ngisho nasenhliziyweni—ngakho-ke siveza izimpawu eziningi ezahlukene. Iziguli eziningi ziyathuthuka ngemva kokwelashwa ngama-antibiotic, kodwa ezinye zithola izimpawu eziqhubekayo noma ezixazululeka kancane, njengobuhlungu bamalunga, ukukhathala, ubuthakathaka, isiyezi, noma ukusebenza kwansuku zonke okungasebenzi kahle. Kukulesi simo lapho i-physiotherapy ingadlala indima ebalulekile: ukusiza ukubuyisela ukusebenza, ukunciphisa ubuhlungu, nokuthuthukisa ikhwalithi yokuphila kancane kancane nangokuphephile.
Ukuqonda izinselele zokululama esifweni saseLyme
Ezigabeni zaso zokuqala, isifo seLyme sivame ukubonakala ngokuqubuka okuphawulekayo (ngokuvamile ukuqubuka kwe-bull's-eye), umkhuhlane ophansi, izinhlungu zemisipha, kanye nokukhathala. Uma kungelashwa, ukutheleleka kungaholela ezinkingeni ezifana ne-Lyme arthritis, ukuphazamiseka kwemizwa (isb., ubuhlungu be-neuropathic, ukuqaqamba, ubuthakathaka), kanye nezimpawu zokuzimela njengokungabekezeleli ukuma isikhathi eside kanye nokushaya kwenhliziyo. Ngisho nangemva kokuba ukutheleleka sekuphelile, ezinye iziguli zibika izimpawu ezihlala isikhathi eside—ezivame ukubizwa ngokuthi i-post-treatment Lyme disease syndrome (PTLDS)—ezingafaka ukukhathala okukhulu, “inkungu yobuchopho,” ubuhlungu obujwayelekile, ukuphazamiseka kokulala, kanye nokuncipha kokubekezelela imisebenzi.
Lezi zimo zivame ukubangela iziguli ukuthi zinciphise ukunyakaza ngenxa yokwesaba ukwanda kobuhlungu noma ukuzizwa sengathi umzimba wazo "awukwazi ukubekezelela." Kodwa-ke, ukuntuleka kokunyakaza isikhathi eside kungaholela ekuqineni, ebuthakathakeni bemisipha, ekuncipheni kokuqina komzimba, kanye nomsebenzi oncishisiwe. I-Physiotherapy ihlose ukuphula lo mjikelezo ngendlela elinganisiwe, eyenzelwe wena, futhi esekelwe emigomweni.
Indima ye-physiotherapy: gxila ekusebenzeni, hhayi nje ezimpawini
Ngokungafani nezindlela ezigxila nje "ekuqedeni ubuhlungu," i-physiotherapy ibeka indawo ebalulekile. Lokhu kusho ukuthi izinhlelo zokwelapha zenzelwe izidingo zesiguli: kungakhathaliseki ukuthi sifuna ukuhamba amabanga amade ngaphandle kobuhlungu, sikwazi ukusebenza futhi, sikhuphuke izitebhisi ngaphandle kokukhathala ngokweqile, noma sibuyele kwezemidlalo ngokuphephile. Odokotela be-physiotherapists bahlola isimo sesiguli sonke—ukuma, amandla, ukuguquguquka, ukuhamba, ibhalansi, amandla okuphefumula, kanye nokusabela komzimba emsebenzini—bese bethuthukisa uhlelo oluqhubekayo.
Ngokuvamile, i-physiotherapy isiza iziguli zesifo seLyme ngezindlela eziningana eziyinhloko: ukuphathwa kobuhlungu, ukubuyiselwa kokuhamba kwamalunga, ukwandisa amandla nokukhuthazela, ukuqeqeshwa kokulinganisela nokuxhumana, imfundo yamandla (ijubane) lokukhathala, kanye nokuvuselelwa uma kukhona ukubandakanyeka kwesistimu yezinzwa.
1) Yehlisa ubuhlungu nokuqina kwamalunga
Ubuhlungu bamalunga, ikakhulukazi emadolweni, buyisikhalazo esivame kakhulu kwi-Lyme arthritis. Iziguli zingase zizwe nobuhlungu bemisipha obujwayelekile noma ukuqina kwentamo nomhlane. Odokotela be-physiotherapists bavame ukuqala ngamasu anciphisa ukucindezeleka ngokweqile emalungeni nasezicutshini ezivuvukele, njengalawa:
- Uhla oluthambile lokuzivocavoca ukuvimbela ukuqina.
– Ukwelula imisipha eqinile ngendlela eqondiwe, kanye nemithamo elungisiwe ukuze kugwenywe ukuqubuka.
– Ukwelashwa ngesandla (uma kufanele) ukusiza ngezicubu ezithambile kanye nokuhamba kwamalunga.
– Izindlela ezifana nokucindezela okufudumele/okubandayo noma i-TENS kwezinye iziguli ukusiza ngobuhlungu (kukhethwe ngokusekelwe empendulweni yomuntu ngamunye).
Umgomo awukona ukwenza iziguli “zimelane nobuhlungu,” kodwa kunalokho ukunciphisa izimpawu zobuhlungu, ukubuyisela ukunyakaza, nokwenza imisebenzi yansuku zonke ibe ntofontofo kakhudlwana.
2) Buyisela amandla emisipha kanye nokuqina kwayo
Uma umsebenzi uncipha ngenxa yobuhlungu nokukhathala, imisipha iba buthaka ngokushesha, ikakhulukazi lawo malungu asekelayo njengethanga, izinqe, kanye nomgogodla. Imisipha eqinile isiza ekuqiniseni amalunga futhi inciphise ukucindezeleka kwezicubu. Ukwelashwa nge-physiotherapy kuzoklama izivivinyo zokuqinisa kancane kancane, njenge:
– Ukuzivocavoca kwe-Isometric (ukufinyela ngaphandle kokunyakaza okukhulu) ngesikhathi sobuhlungu obukhulu.
– Ukuzivocavoca okuqinisayo njengokuzivocavoca umzimba, ukuzivocavoca umzimba, noma ukuzivocavoca ngesinqe.
- Ukuzivocavoca kokuqinisa umzimba ukuze kusekelwe umhlane kanye ne-pelvis.
Ukuqhubeka kokuzivocavoca kuvame ukuhamba kancane kodwa kuyahambisana, ngokuqapha izimpawu emahoreni angu-24-48 ngemva kokuzivocavoca ukuqinisekisa umthamo ofanele.
3) Khulisa ukukhuthazela nokuqina komzimba ngaphandle kokubangela ukukhathala ngokweqile.
Ukukhathala esifweni saseLyme kuvame "ukungalingani" namazinga omsebenzi. Ngakho-ke, abelaphi bomzimba basebenzisa isimiso somsebenzi olinganisiwe: ukwandisa kancane kancane umsebenzi ngokusekelwe ekubekezeleleni, hhayi ekufiseni okusheshayo. Uhlelo lungafaka:
– Ukuzivocavoca okulula njengokuhamba, ukugibela ibhayisikili okungashukumi, noma ukubhukuda.
– Ukuqeqeshwa okulula: imisebenzi emifushane ehlanganiswe nokuphumula ukuvimbela ukwehla kwamandla ngokuzumayo.
– Ukuqapha ukuqina komzimba usebenzisa isikali sokukhathala noma “isivivinyo sokukhuluma” (usekwazi ukukhuluma ngesikhathi sokuzivocavoca).
Le ndlela ibalulekile ukuvimbela iziguli ukuthi zingaweli emkhubeni “wokwenza ngokweqile bese ziyeka” (ziziphoqa kakhulu bese ziphindela emuva kakhulu).
4) Ibhalansi yesitimela, ukuxhumanisa kanye namaphethini okuhamba
Uma isifo se-Lyme sithinta uhlelo lwezinzwa (isib., i-neuropathy, ukungezwani komzimba, noma ubuthakathaka), iziguli zingase zizizwe zingazinzile, zikhubeke kalula, noma zishintshe indlela ezihamba ngayo. Ukwelashwa nge-physiotherapy kungasiza ngokuthi:
– Ukuzivocavoca kokuqonda (ukuqaphela indawo yamalunga), isibonelo, ukuma ngomlenze owodwa usebenzisa i-handrail.
– Ukuzivocavoca ngokulinganisela okunamandla: ukuhamba eceleni, ukuhamba kusukela esithendeni kuya ozwaneni, noma ukuzivocavoca ezindaweni ezahlukene.
– Ukuqeqeshwa kokuhamba: ukulungisa amaphethini okuhamba nokusebenzisa amadivayisi okusiza uma kudingeka (izinduku, izingodo zokuhamba).
- Ukuzivocavoca kokuhlanganisa ukuthuthukisa ukulawulwa kwemisipha.
Umgomo omkhulu ukuthuthukisa ukuphepha kokunyakaza, ukunciphisa ingozi yokuwa, nokubuyisela ukuzethemba.
5) Imfundo yokulawula ukuhamba kanye nokuphathwa kwamandla
Enye yeminikelo ebaluleke kakhulu ye-physiotherapy ezifweni ezingamahlalakhona yimfundo mayelana nokuhamba ngesivinini: indlela yokuhlukanisa imisebenzi yansuku zonke ukuze kulondolozwe amazinga amandla azinzile. Iziguli zifundiswa ukuqaphela izimpawu zokuqala zokukhathala, zibeke izinto eziza kuqala, futhi zifake izikhathi zokuphumula ezihleliwe. Amasu avame ukusetshenziswa afaka:
– Gcina uhlu lwemisebenzi nezimpawu ukuze uthole amaphethini abangela ukuqubuka kwesifo.
– Sebenzisa umthetho wokwandisa kancane kancane (isib. ukwandisa isikhathi sokuzivocavoca ngo-5–10% ngesonto uma kuvunyelwa).
- Phatha inhlanganisela yemisebenzi yomzimba neyengqondo (ngoba "inkungu yobuchopho" ingaba yimbi kakhulu ngemva kwemisebenzi ethile).
Ngokuhamba kwesikhathi, iziguli zihlala endleleni yokululama, kodwa “azikhokhi intengo” yokubuyela emuva isikhathi eside.
6) Ukuzivocavoca kokuphefumula nokuphumula kobuhlungu nokulala
Ezinye iziguli zibhekana nokuphazamiseka kokulala, ukukhathazeka ngenxa yezimpawu ezingalindelekile, noma ubuhlungu obubangela ukucindezeleka okuqhubekayo. Odokotela be-physiotherapists bangafundisa:
- Ukuzivocavoca kokuphefumula kwe-diaphragmatic kanye nokuphumula kwemisipha okuqhubekayo.
– Ukuzivocavoca okuthambile kokunyakaza ngaphambi kokulala ukuze kuncishiswe ukucindezeleka.
– Imikhuba yokulungisa isimo kanye nezindawo zokulala ezisekela amalunga.
Nakuba kungase kubonakale kulula, ukuthuthukisa ukulala kuvame ukusheshisa ukululama ngoba umzimba unethuba elingcono lobuhlungu nokulawula amandla.
Inqubo ye-physiotherapy ivame ukuqala kanjani?
Uhlelo oluhle luqala ngokuhlola okuphelele nokubeka imigomo enengqondo. Udokotela we-physiotherapist uzobuza ngomlando wakho wezokwelapha, imithi yamanje (kufaka phakathi ama-antibiotics kanye nemithi yobuhlungu), amaphethini okusebenza, kanye nezimbangela zezimpawu. Kuzobe sekwenziwa ukuhlolwa ngokomzimba, kufaka phakathi amandla, ububanzi bokunyakaza, ibhalansi, kanye nokuhlolwa kokusebenza (isb., ikhono lokukhuphuka izitebhisi, ukuma esihlalweni, noma ukuhamba imizuzu eminingana).
Kusukela lapha, kwakhiwa uhlelo oluhlanganisa uhlelo lwasekhaya kanye nezikhathi zomtholampilo, okuhlanganisa nendlela yokuqapha izimpawu zomzimba "zokusebenza ngokweqile" ukuze uhlelo lulungiswe ngaphambi kokuba kwenzeke ukuqhuma okukhulu.
Kunini lapho kufanele uqaphele futhi uthintane futhi?
Ukwelashwa nge-physiotherapy ngokuvamile kuphephile, kodwa iziguli zesifo se-Lyme zidinga ukunakekelwa okukhethekile. Xhumana nodokotela noma isazi se-physiotherapist ngokushesha uma uzwa ubuhlungu besifuba, ukuquleka, ukuphefumula kanzima, ubuhlungu obungavamile obukhipha imisebe, ubuthakathaka obuqhubekayo, noma ukuvuvukala kwamalunga okuya ngokuya kuba kubi. Ukwelashwa kufanele kulungiswe uma kukhona ukubandakanyeka kwenhliziyo, ukuphazamiseka okukhulu kwezinzwa, noma ezinye izimo ezithinta ukubekezelela ukuzivocavoca.
I-Penutup
Ukwelashwa nge-physiotherapy kungaba yingxenye ebalulekile ekululameni kweziguli zesifo se-Lyme, ikakhulukazi labo abasalwa nobuhlungu, ukuqina, ukukhathala, izinkinga zokulinganisela, kanye nokuncipha kokusebenza ngemva kwesigaba esibi sokutheleleka. Ngokuzivocavoca kancane kancane, ukuqinisa, ijubane, kanye nemfundo efanele, i-physiotherapy isiza iziguli ukuba zibuyele emisebenzini yansuku zonke ngokuphepha nangokuzethemba okukhulu. Isihluthulelo sempumelelo ukuzenzela umuntu ngamunye—uhlelo oluqondiswe ezimpawini, isigaba sokululama, kanye nokusabela komzimba ngokuhamba kwesikhathi—kanye nokubambisana nodokotela nabanye ochwepheshe bezempilo ukuqinisekisa ukululama okuhle.
