Duk A Kanku?

Ciwo. Duk mun dandana shi. Ƙafar ƙafa. Mai baya baya. Wani guntun gwiwa. Zai iya zama raɗaɗi, tingle, harbi, ƙonawa, ko ciwon mara. Pain alama ce cewa wani abu ba daidai bane. Yana iya ƙarewa duka, ko kuma yana iya fitowa daga takamaiman ɓangaren jikin ku.

Pain kuma na iya zama mai tsanani ko na kullum. Ciwo mai zafi shine nau'in da ke gaya muku wani abu ya ji rauni ko akwai matsalar da kuke buƙatar kulawa, don rage zafin. Ciwon na kullum daban ne. Wataƙila an sami matsala mai ƙarfi a lokaci guda, wataƙila daga rauni ko kamuwa da cuta, duk da haka ciwo yana ci gaba duk da raunin ko kamuwa da cuta da aka warware. Irin wannan ciwo na iya ɗaukar makonni, watanni, ko shekaru. Kuma wani lokacin, babu wani dalili bayyananne na ciwon. Yana kawai.

An kiyasta cewa mutane da yawa suna fama da matsanancin ciwo fiye da waɗanda ke da cututtukan zuciya, ciwon sukari da ciwon daji a haɗe. Yana daya daga cikin dalilan da yasa mutane ke neman kulawar likita. Bugu da ƙari, yana ci gaba da rikicewa yayin neman amsoshi.

To ina zan je? Satumba shine Watan Fahimtar Ciwo. Makasudin shine tunatar da ƙungiyoyi suyi aiki tare don wayar da kan jama'a game da yadda ciwo ke shafar mutane, iyalai, al'ummomi, da ƙasa da tallafawa aikin ƙasa don magance ciwo.

 

Pain yana da tarihi

A bayyane yake, tsoffin Helenawa sun ɗauki zafi so. Sun yi imanin zafi ya zama mafi tausayawa maimakon abin jin daɗi. A lokacin Zamanin Zamani, ana kallon azaba azaba da za a sami sauƙi ta hanyar tuba.

Lokacin da nake aiki a cikin '90s, jin zafi a matsayin sabon abu na zahiri ya kai tsayinsa. A matsayin masu ba da kulawa an ƙarfafa mu mu ga ciwo a matsayin “muhimmin alama ta biyar,” tare da zafin jiki, numfashi, bugun jini, da hawan jini. Za mu sa marasa lafiya su kimanta zafin su. Manufar ita ce ta rushe shi.

"Duk a cikin kan ku" shine saƙo mara kyau don ba wa mutumin da ke fama da matsanancin ciwo. Ga ƙalubalen duk da haka, kwakwalwarmu tana taka rawa sosai a yadda muke fuskantar ciwo. Lokacin da siginar zafi ta bugi kwakwalwa, tana shan “maimaitawa” mai mahimmanci. Tsinkayar zafi koyaushe ƙwarewar mutum ce. Matakan damuwar mu, muhallin mu, kwayoyin halittar mu, da sauran abubuwa sun shafe shi.

Lokacin da kuke jin zafi daga takamaiman dalili (rauni ko takamaiman tsarin cuta kamar amosanin gabbai), magani yakamata a yi niyya a cikin dalilin cutar ko cuta. Abin da zai iya faruwa da wasu daga cikin mu, galibi bayan kusan watanni uku shine cewa zafin ya sake lalacewa kuma ta haka ya zama “na tsakiya” ko na kullum. Wannan yawanci yana faruwa bayan duk abin da ainihin matsalar ta wuce, ko aka warkar da ita, amma akwai tsinkayen jin zafi. Wannan shine inda ilimi ya zama mai mahimmanci ga mai haƙuri. Dole ne a mai da hankali kan rage fargaba kamar "wani abu ba daidai ba" ko "rauni yana nufin cutarwa." Rayuwa tare da ciwo na iya zama mai rauni kuma yana rage ingancin rayuwar ku. Lokacin da marasa lafiya za su iya fara fahimtar abin da ke gudana a jikinsu da tsinkayen su na jin zafi, sun fi samun nasarar samun lafiya.

 

Lokacin da kuka ga likitanku

Waɗannan tambayoyi ne don tambayar likitan ku:

• Menene mai yiwuwa sanadin ciwon nawa?
• Me yasa ba zai tafi ba?
• Mene ne mafi kyawun zaɓin magani a gare ni? Zan bukaci magani?
• Shin magani na zahiri, na sana'a ko na ɗabi'a zai taimaka ya rage zafin na?
• Me game da madadin hanyoyin warkarwa, kamar yoga, tausa ko acupuncture?
• Yana da lafiya a gare ni in motsa jiki? Wane irin motsa jiki ya kamata in yi?
• Shin ina buƙatar yin wasu canje -canje na salon rayuwa?

Yana iya zama dole a ɗauki masu rage zafi. Waɗannan magunguna ne don rage tsokar ciwon kai, ciwon kai, amosanin gabbai ko sauran ciwon kai. Akwai zaɓuɓɓuka da yawa, kuma kowannensu yana da ribobi da fursunoni. Mai ba da sabis ɗinku na iya ba da shawarar farko OTC (a kan kanti) magani kamar acetaminophen ko anti-inflammatories kamar ibuprofen ko naproxen. Mafi yawan masu rage zafi ana kiransu opioids. Suna da haɗarin haɗarin jaraba kuma ƙari, an nuna cewa suna ƙara tsananta zafi idan ka ɗauke su tsawon lokaci.

Shaidar ta ci gaba da hauhawa game da ingantattun hanyoyi don sarrafa ciwo fiye da magani. Dangane da yanayin, likitanku na iya ba da shawara:

• acupuncture
• Biofeedback
• Harkokin wutar lantarki
• Massage far
• Zuzzurfan tunani
• jiki far
• Psychotherapy
• Jin kwanciyar hankali
• Yin tiyata a lokuta da ba a saba gani ba

Bincike ya nuna cewa "maganganun magana," kamar CBT (ilimin halayyar halayyar hankali), na iya taimaka wa mutane da yawa da ke fama da matsanancin ciwo na tsakiya. Menene wannan yake yi? CBT yana taimaka muku canza yanayin tunani mara kyau da halaye. Wannan sau da yawa zai iya taimaka wa marasa lafiya da ciwo na kullum canza yadda suke ji game da yanayin su. Hakanan ilimin halayyar ɗabi'a na iya taimaka wa mutanen da ke fama da ciwo na yau da kullun don sarrafa matsalolin kiwon lafiya masu alaƙa, kamar matsalolin bacci, jin gajiya, ko matsala mai da hankali. Wannan na iya haɓaka ingancin rayuwa ga mutanen da ke fama da ciwo na kullum.

 

Akwai bege

Idan kun yi nisa a cikin karatun ku, ku san zaɓuɓɓukan don magance ciwon da aka yi nasara sun ƙaru sosai a cikin shekaru 20 da suka gabata. Abu na farko da kai ko ƙaunatattunka ke gwadawa bazai yi nasara ba. Kada ku daina. Yin aiki tare da likitan ku ko mai ilimin hanyoyin kwantar da hankali za ku iya ci gaba da bincika hanyoyi daban -daban waɗanda suka yi aiki ga mutane da yawa. Wannan shine game da rayuwa gaba ɗaya.

 

• familydoctor.org/condition/chronic-pain/
• medlineplus.gov/chronicpain.html
• nytimes.com/2019/03/16/opinion/Sunday/pain-opioids.html
• Sullivan M. Mai haƙuri a matsayin Wakilin Lafiya da Kula da Lafiya: 'Yancin kai a cikin Kulawa da Kula da Marasa lafiya don Yanayin Yanayi, Oxford University Press, New York City 2017.
• medlineplus.gov/nondrugpainmanagement.html
• newsinhealth.nih.gov/2018/10/managing-pain