Ukwelashwa Ngemizimba Ekusingatheni Izinkinga Zesikhumba
Izinkinga zesikhumba zivame ukubonwa njengezinkinga zobuhle noma zisingathwa odokotela besikhumba kuphela. Kodwa-ke, isikhumba siyisitho esikhulu kunazo zonke emzimbeni, esixhunywe eduze nezinhlelo zezinzwa, zokujikeleza kwegazi, ze-lymphatic, kanye ne-musculoskeletal. Ngenxa yalokhu kuxhumana, izikhalazo eziningana zesikhumba—ikakhulukazi lezo ezihlobene nokujikeleza kwegazi, ukuphulukiswa kwamanxeba, izibazi, ukuvuvukala, kanye nobuhlungu—zingasizwa ngendlela ye-physiotherapy. I-physiotherapy ayithathi indawo yendima kadokotela wesikhumba, kodwa ingaba ukwelashwa okuhambisanayo okuphumelelayo ezimweni ezithile, ngenhloso yokusheshisa ukululama kokusebenza, ukunciphisa izimpawu, kanye nokuthuthukisa ikhwalithi yokuphila.
Indima ye-physiotherapy: kusukela ekusebenzeni kuya ekhwalithini yezicubu
Ukwelapha nge-physiotherapy kugxile ekubuyiseleni ukusebenza komzimba ngokungenelela ngokomzimba, imfundo, kanye nokuzivocavoca. Ngokwesimo sezimo zesikhumba, i-physiotherapy ngokuvamile inegalelo ezicini eziningana ezibalulekile: ukuthuthukisa ukugeleza kwegazi kanye nokufakwa komoya-mpilo kwezicubu, ukunciphisa ukuvuvukala (ukuvuvukala) ngokukhuthaza i-lymphatic, ukuthuthukisa ukunyakaza kwezicubu ukuvimbela ukunamathela, ukunciphisa ubuhlungu nokulunywa, kanye nokusiza ekwelapheni amanxeba kanye nokuphathwa kwezibazi. Isikhumba esinokuvuvukala noma ukulimala okungapheli sivame ukubhekana nezinguquko ekubunjweni, ukuzwela, kanye nokuqina. Ukungenelela kwe-physiotherapy kuhlose ukwenza lezi zimo zibe zijwayelekile ukuze iziguli zikwazi ukubuyela emisebenzini yazo yansuku zonke ngokunethezeka.
Izimo zesikhumba ezivame ukudinga ukwesekwa kwe-physiotherapy
Akuzona zonke izimo zesikhumba ezidinga ukwelashwa nge-physiotherapy. Kodwa-ke, kunezinye izimo ezivame ukuzuzisa kukho.
Okokuqala, amanxeba angapheli njengezilonda zesifo sikashukela, izilonda zemithambo yegazi, kanye nezilonda zokucindezeleka (izilonda ze-decubitus). Kulezi zimo, inkinga eyinhloko ngokuvamile akuyona nje inxeba elingaphandle, kodwa futhi nokuphazamiseka kokugeleza kwegazi, ukucindezeleka okukhulu ezindaweni ezithile, i-neuropathy, kanye nokuhamba okulinganiselwe. Odokotela be-physiotherapists bangasiza ngokuqeqeshwa kokujikeleza kwegazi, imfundo yokushintsha isikhundla, ukuzivocavoca okuqinisa imisipha, kanye nezindlela ezithile ezikhuthaza ukuphulukiswa kwezicubu.
Okwesibili, izibazi zangemva kokuhlinzwa, ukusha, noma ukulimala. Izibazi zingaba zinkulu (hypertrophic), zivuleke, zinamathele ezicutshini ezingaphansi (ukunamathela), noma zibangele ukudonsa ngesikhathi sokunyakaza. Lesi simo asigcini nje ngokuthinta ukubukeka kodwa futhi singanciphisa ukunyakaza kwamalunga futhi sibangele ubuhlungu. Ukwelashwa nge-physiotherapy kudlala indima ekugcineni ukuguquguquka kwezicubu zezibazi nokubuyisela ukusebenza kwazo.
Okwesithathu, i-lymphedema, noma ukuvuvukala okungapheli okubangelwa ukugeleza kwe-lymph okungasebenzi kahle, isibonelo ngemva kokuhlinzwa komdlavuza webele noma ukususwa kwe-lymph node. Isikhumba endaweni ye-lymphedema ngokuvamile sisengozini yokucasuka, silimala kalula, futhi singaba nezinguquko ekubunjweni. Ukwelashwa nge-physiotherapy kungasiza ekunciphiseni ukuvuvukala futhi kwehlise ingozi yokutheleleka kwesikhumba okuphindaphindiwe njenge-cellulitis.
Okwesine, ubuhlungu kanye nokuphazamiseka kwezinzwa esikhumbeni, njengokungezwani komzimba ngemva kokusha, ubuhlungu be-neuropathic ezindaweni ezithile, noma ukulunywa okuqhubekayo ngesikhathi sokuphulukiswa. Ngokusebenzisa ukungasebenzi kahle kwemizwa, ukuzivocavoca, kanye nemfundo, i-physiotherapy ingasiza ekuphatheni lezi zikhalazo, ezivame ukuphazamisa ukulala kanye nemisebenzi yansuku zonke.
Izindlela zokwelapha umzimba ezifanele zezinkinga zesikhumba
Indlela yokwelapha umzimba kufanele ihambisane nokuxilongwa kwezokwelapha, isimo sesikhumba, kanye nesigaba sokuphulukiswa. Ezinye izindlela zokungenelela ezivame ukusetshenziswa zifaka:
1) Ukwelashwa kokuzivocavoca kanye nokunyakaza
Ukuzivocavoca kudlala indima ebalulekile, ikakhulukazi emanxebeni angapheli nangemuva kokuhlinzwa. Ukufinyela kwemisipha yemilenze, isibonelo, kukhuthaza "iphampu yemisipha" ekhuthaza ukubuya kwemithambo yegazi kanye nokugeleza kwe-lymph. Ezigulini ezinezilonda zemithambo yegazi, ukuzivocavoca iqakala, ukuhamba okulinganiselwe, kanye nokuphakamisa ithole ngokuvamile kuyizinto ezibalulekile ukunciphisa ukuvuvukala nokukhuthaza ukuphulukiswa.
Ukuhlanganiswa kwezicubu ezithambile nakho kungenziwa ukuze kuvinjelwe ukuqina, ikakhulukazi uma isikhumba nezicubu ezingaphansi ziqala ukuqina ngenxa yenqubo yokuphulukiswa. Kodwa-ke, ukuhlanganiswa kufanele kwenziwe ngokucophelela, kugwenywe amanxeba avulekile, angazinzile, futhi kulandelwe iziqondiso zemitholampilo.
2) Ukuphathwa kwezicubu zezibazi
Kumanxeba avale futhi avuthiwe ngokwanele, odokotela be-physiotherapists bangasebenzisa amasu anjengokuhlikihla amanxeba, ukuhlanganisa ukunamathela, ukuvivinya umzimba, kanye nokusebenzisa itheyiphu ethile ukusiza ekunciphiseni ukucindezeleka kwezicubu. Umgomo ukwandisa ukuqina, ukunciphisa ukuqina, nokusiza iziguli ukuthi ziphinde zikwazi ukunyakaza. Kwezinye izimo, odokotela be-physiotherapists basebenza nodokotela ukufaka izingubo zokucindezela noma amashidi e-silicone, avame ukusetshenziswa ekuphatheni amanxeba okusha.
3) Ukugeleza kwamanzi kanye nokucindezelwa kwe-lymphatic
Ku-lymphedema, ukungenelela okuvamile ukudonsa amanzi ngesandla (i-MLD) okwenziwa ngumelaphi oqeqeshiwe, kuhlanganiswe nokucindezelwa (amabhandeji noma imikhono), ukuzivocavoca, kanye nokunakekelwa kwesikhumba. Le nhlanganisela yaziwa ngokuthi ukwelashwa okuyinkimbinkimbi kokukhulula ukuminyana. Ingxenye yokunakekelwa kwesikhumba ibalulekile ngoba isikhumba esivuvukele sithambekele kakhulu ekuqhekekeni futhi sibe yisango lamagciwane. Imfundo yokuhlanzeka, ama-moisturizer afanele, kanye nokuvimbela ukusikeka okuncane kubalulekile.
4) Ukwelashwa nge-Electrotherapy kanye nezindlela zomzimba
Eminye imitholampilo isebenzisa izindlela ezifana ne-ultrasound yokwelapha, i-TENS, noma ukwelashwa nge-laser kwezinga eliphansi ezimweni ezithile, njengokusiza ukulawula ubuhlungu, ukukhuthaza ukulungiswa kwezicubu, noma ukunciphisa ukuvuvukala kwendawo. Ukusetshenziswa kwalezi zindlela kufanele kusekelwe ekuhlolweni okufanele kanye nesibonakaliso, kucatshangelwa izithiyo ezifana nokutheleleka okusebenzayo, umdlavuza endaweni, noma isikhumba esibuthakathaka kakhulu.
5) Imfundo ye-Ergonomics kanye nokuvimbela ukucindezeleka
Ngezilonda zokucindezeleka kanye nengozi yezilonda zokucindezeleka, odokotela be-physiotherapists badlala indima ekufundiseni iziguli ngokushintsha kwesimo, ukuzivocavoca okumnene, ukusetshenziswa kwamadivayisi okusiza, kanye namasu okunciphisa ingcindezi ende ekubonakaleni kwamathambo. Ukunyakaza kwasekuqaleni kweziguli ezibhedlela nakho kubalulekile ekuvimbeleni ukulimala kwesikhumba ngenxa yokungasebenzi kahle.
Ukubambisana nabanye abasebenzi bezempilo
Ukuphathwa ngempumelelo kwezinkinga zesikhumba eziyinkimbinkimbi cishe njalo kudinga ithimba elihlanganisa imikhakha eminingi. Odokotela besikhumba, odokotela abahlinzayo, odokotela bokuvuselela, abahlengikazi abalimalayo, ochwepheshe bezokudla, kanye nodokotela be-physiotherapists bavame ukusebenza ndawonye. Isibonelo, ezilondeni zesifo sikashukela, ukulawulwa koshukela egazini, ukunakekelwa okufanele kwezilonda, ukukhethwa kwezicathulo, kanye nokuzivocavoca okuphephile kumele kuhlanganiswe. Ekushiseni, ukuphathwa kobuhlungu, ukunakekelwa kwezilonda, ukuvimbela ukugoba, kanye nokuvuselelwa kwengqondo nakho kuxhumene.
Odokotela be-physiotherapist kudingeka baqonde ukulinganiselwa kwayo: ayithathi indawo yama-antibiotics ezifweni, ayihlanzi amanxeba athile, futhi akuyona indlela eyinhloko yokwelapha izifo zesikhumba ezivuvukalayo kuphela. Kodwa-ke, ingasheshisa ukululama kokusebenza kahle futhi inciphise izinkinga, ikakhulukazi ezimweni ezihilela ukuvuvukala, ukuhamba okulinganiselwe, noma ukuphulukiswa kancane.
Kufanele kucatshangelwe nini ukwelashwa nge-physiotherapy?
Ukwelashwa nge-physiotherapy kufanele kucatshangelwe uma isiguli sithola: amanxeba aphola kancane ngenxa yokunyakaza okulinganiselwe, ukuvuvukala okuqhubekayo, izibazi eziphazamisa ukunyakaza noma ezibuhlungu, ukuqina kwamalunga ngenxa yokudonsa isikhumba, noma ukuphazamiseka kwemisebenzi yansuku zonke ngenxa yobuhlungu/ukuluma endaweni yokuphulukiswa. Ukubonisana kuvame ukuqala ngemva kokuhlolwa okuyisisekelo kwezokwelapha, okuvumela udokotela we-physiotherapist ukuthi athuthukise uhlelo oluphephile oluhambisana nesigaba sokuphulukiswa kwesiguli kanye nezinkinga ezihambisana naso.
Izimpawu eziyisixwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha zifaka phakathi ukubomvu okusabalala ngokushesha, umkhuhlane, ubuhlungu obukhulu nokwandayo, ukuphuma kobomvu, isilonda esiba sibi, noma ukushintsha kombala wesikhumba okubonisa ukukhubazeka okukhulu kokugeleza kwegazi. Kulezi zimo, ukuhlolwa kwezokwelapha kuyinto eza kuqala ngaphambi kokwelashwa okwengeziwe.
I-Penutup
Ukwelashwa nge-physiotherapy kudlala indima ebalulekile ekuphathweni kwezimo eziningana zesikhumba, ikakhulukazi lezo ezihlobene namanxeba angapheli, izibazi, i-lymphedema, kanye nobuhlungu kanye nokuhamba okulinganiselwe ngenxa yokushintsha kwezicubu. Ngokuzivivinya umzimba, amasu ezandla, ukucindezelwa, imfundo, kanye nezindlela ezithile zomzimba, i-physiotherapy isiza ukuthuthukisa ukusebenza, ukusheshisa ukululama, nokuvimbela izinkinga. Isihluthulelo sempumelelo sisekukhetheni izinkomba ezifanele, ukuqapha njalo izimo zesikhumba, kanye nokusebenzisana nabanye ochwepheshe bezempilo. Ngendlela ehlanganisiwe, ukwelashwa kwezinkinga zesikhumba akugxili nje ekubukekeni okungaphandle kodwa futhi nasempilweni yezicubu kanye nekhono lesiguli lokwenza imisebenzi yansuku zonke ngendlela efanele.
