Zonse Mutu Wanu?

Ululu. Tonse takumanapo nazo. Chala chala. Kubwerera kumbuyo. Bondo lowonongeka. Kungakhale koboola, kuluma, kuluma, kuwotcha, kapena kupweteka pang'ono. Ululu ndi chizindikiro chakuti china chake sichili bwino. Zitha kutha, kapena zimatha kuchokera ku gawo linalake la thupi lanu.

Ululu ukhozanso kukhala pachimake kapena aakulu. Kupweteka kwambiri ndi mtundu womwe umakuwuzani kuti china chake chavulala kapena pali vuto lomwe muyenera kusamalira, kuti muchepetse ululu. Kupweteka kosatha kumasiyana. Pakhoza kukhala vuto lalikulu nthawi imodzi, mwina chifukwa chovulala kapena matenda, komabe ululu umapitilirabe ngakhale kuvulala kapena matenda atatha. Kupweteka kwamtunduwu kumatha milungu, miyezi, kapena zaka. Ndipo nthawi zina, palibe chifukwa chomveka chowawa. Ndi basi.

Akuti anthu ambiri amadwala matenda opweteka kuposa omwe ali ndi matenda amtima, matenda ashuga komanso khansa. Ndi chimodzi mwazifukwa zomwe anthu amafunira chithandizo chamankhwala. Kupitilira apo, zikupitilizabe kukhala zovuta kufunafuna mayankho.

Ndiye ndikupita kuti? Seputembala ndi Mwezi Wodziwitsa Zowawa. Cholinga chake ndikukumbutsa mabungwe kuti agwire ntchito limodzi kuti adziwitse anthu za m'mene ululu umakhudzira anthu, mabanja, madera, komanso dziko komanso kuthandizira zomwe mayiko akuchita kuti athane ndi ululu.

 

Ululu uli ndi mbiriyakale

Mwachiwonekere, Agiriki akale ankawona kupweteka ngati chilakolako. Amakhulupirira kuti kupweteka kumakhala kutengeka osati kutengeka. Mkati mwa Mibadwo Yamdima, kupweteka kunkawonedwa ngati chilango chomwe chingachepetsedwe mwa kulapa.

Pomwe ndimakhala ndikugwira ntchito mzaka za m'ma 90, ululu monga chongopeka chakuthupi udafika pachimake. Monga osamalira timalimbikitsidwa kuwona kupweteka ngati "chizindikiro chachisanu chofunikira," kuphatikiza kutentha, kupuma, kugunda, komanso kuthamanga kwa magazi. Tikadakhala ndi odwala kuti amve ululu wawo. Cholinga chake chinali kuti asiye.

"Zonse mumutu mwanu" ndi uthenga wolakwika wopatsa munthu amene akumva kupweteka kosalekeza. Pano pali zovuta komabe, ubongo wathu umagwira gawo lalikulu momwe timamvera kuwawa. Chizindikiro chakumva chifika muubongo, chimakhala "chosinthika" kwambiri. Lingaliro la zowawa nthawi zonse limakhala chokumana nacho chaumwini. Zimakhudzidwa ndimavuto athu, chilengedwe chathu, chibadwa chathu, ndi zina.

Mukakhala ndi ululu pazifukwa zina (zovulala kapena matenda ena monga nyamakazi), chithandizo chikuyenera kuloledwa kuzomwe zimayambitsa zowawa kapena matenda. Chomwe chingachitike kwa ena a ife, nthawi zambiri pakatha miyezi itatu ndikuti ululu umabwereranso ndipo umakhala "wokhazikika" kapena wosachiritsika. Izi zimachitika pambuyo poti vuto loyambalo lidutsa, kapena kuchiritsidwa, koma pali malingaliro ochepa a ululu. Apa ndipomwe maphunziro amakhala ovuta kwa wodwala. Payenera kukhala cholinga chochepetsa mantha ngati "china chake chalakwika" kapena "kupweteka kumatanthauza kuvulaza." Kukhala ndi zowawa kumatha kufooketsa ndikuchepetsa moyo wanu. Odwala akamayamba kumvetsetsa zomwe zikuchitika ndi thupi lawo komanso malingaliro awo akumva kuwawa, amakhala bwino.

 

Mukawona dokotala wanu

Awa ndi mafunso omwe mungafunse dokotala wanu:

• Kodi chomwe chimayambitsa kupweteka kwanga ndi chiyani?
• Chifukwa chiyani sichichoka?
• Kodi njira yabwino kwambiri yothandizira ine ndi iti? Kodi ndidzafunika mankhwala?
• Kodi chithandizo chakuthupi, chantchito kapena yamakhalidwe chingandithandize kuchepetsa ululu wanga?
• Nanga bwanji njira zina zochiritsira zosagwiritsidwa ntchito masiku onse, monga yoga, kutikita minofu kapena kutema mphini?
• Kodi ndizotetezeka kuti ndizichita masewera olimbitsa thupi? Kodi ndiyenera kuchita masewera olimbitsa thupi otani?
• Kodi ndiyenera kusintha njira iliyonse yamoyo?

Zitha kukhala zofunikira kuti muchepetse ululu. Awa ndi mankhwala ochepetsa zilonda, kupweteka mutu, nyamakazi kapena zowawa zina. Pali zosankha zambiri, ndipo aliyense ali ndi zabwino zake komanso zoyipa zake. Wothandizira anu mwina atha kupereka mankhwala a OTC (pamsika) monga acetaminophen kapena anti-inflammatories monga ibuprofen kapena naproxen. Mankhwala opweteka kwambiri amatchedwa opioids. Ali ndi chiopsezo chachikulu chomwa mowa mwauchidakwa komanso kupitilira apo, awonetsedwa kuti azipweteka kwambiri mukawatenga nthawi yayitali.

Umboni ukupitilira kuchuluka kwa njira zothandiza kuthana ndi ululu kuposa mankhwala. Kutengera ndi momwe zinthu zilili, dokotala wanu atha kunena kuti:

• kutema mphini
• Biofeedback
• Kulimbikitsa magetsi
• Kuchiza mankhwala
• kusinkhasinkha
• Kuchiza thupi
• Psychotherapy
• Kupumula mankhwala
• Opaleshoni nthawi zambiri

Kafukufuku wasonyeza kuti "njira zochotsera zolankhulirana," monga CBT (chidziwitso chamakhalidwe othandizira), zitha kuthandiza anthu ambiri omwe ali ndi zowawa zapakati. Kodi izi zikuchita chiyani? CBT imakuthandizani kusintha malingaliro ndi machitidwe olakwika. Izi nthawi zambiri zimatha kuthandiza odwala omwe ali ndi ululu wopweteka kusintha momwe akumvera ndi momwe alili. Chidziwitso chamakhalidwe abwino chingathandizenso anthu omwe ali ndi ululu wosatha kusamalira zovuta zokhudzana ndi thanzi, monga mavuto ogona, otopa, kapena osakhazikika. Izi zitha kukulitsa moyo wa anthu omwe ali ndi zowawa zosatha.

 

Pali chiyembekezo

Ngati mwafika pano powerenga, dziwani zosankha zothana ndi ululu zakula kwambiri pazaka 20 zapitazi. Chinthu choyamba chomwe inu kapena wokondedwa wanu angayese sichingakhale chopambana. Osataya mtima. Kugwira ntchito ndi dokotala kapena wothandizira mutha kupitiliza kufufuza njira zosiyanasiyana zomwe zagwirira ntchito anthu ambiri. Izi ndizokhudza kukhala moyo wathunthu.

 

• familydoctor.org/condition/chronic-pain/
• medlineplus.gov/chronicpain.html
• nytimes.com/2019/03/16/opinion/sunday/pain-opioids.html
• Sullivan M. Wodwala monga Wothandizira Zaumoyo ndi Thandizo Laumoyo: Kudziyimira pawokha Pazisamaliro Zodwala Zaumoyo, Oxford University Press, New York City 2017.
• medlineplus.gov/nondrugpainmanagement.html
• newsinhealth.nih.gov/2018/10/managing-pain