Konke Kusekhanda Lakho?

Ubuhlungu. Sonke sikubonile lokhu. Uzwane oluqinisiwe. Ukubuyela emuva okuqinile. Idolo elisikiwe. Kungaba ukubhoboza, ukuhayiza, ukuntinyela, ukushisa, noma ukuqaqamba okungatheni. Ubuhlungu buyisiginali yokuthi kukhona okungahambi kahle. Kungaphela konke, noma kungavela engxenyeni ethile yomzimba wakho.

Ubuhlungu bungaba buhlungu noma bungapheli. Ubuhlungu obunzima yilo hlobo olukutshela ukuthi kukhona okulimele noma kunenkinga okudingeka uyinakekele, ukudambisa izinhlungu. Ubuhlungu obungapheli buhlukile. Kungenzeka kube nenkinga ebucayi ngasikhathi sinye, mhlawumbe kusuka ekulimaleni noma ekuthelelekeni, kepha ubuhlungu buqhubeka yize ukulimala noma ukutheleleka sekuxazululiwe. Lolu hlobo lobuhlungu lungahlala amasonto, izinyanga, noma iminyaka. Futhi kwesinye isikhathi, asikho isizathu esicacile sobuhlungu. Kunjalo nje.

Kulinganiselwa ukuthi abantu abaningi bahlushwa ubuhlungu obungapheli kunalabo abanesifo senhliziyo, isifo sikashukela nomdlavuza kuhlangene. Kungenye yezizathu ezivame kakhulu ukuthi abantu bafune ukunakekelwa kwezokwelapha. Ngaphezu kwalokho, kuyaqhubeka ukudida lapho ufuna izimpendulo.

Manje ngiyaphi? USepthemba yinyanga Yokuqwashisa Ngezinhlungu. Inhloso ukukhumbuza izinhlangano ukuthi zisebenzisane ukuqwashisa ukuthi ubuhlungu buthinta kanjani abantu, imindeni, imiphakathi, kanye nesizwe nokuxhasa isenzo sikazwelonke sokubhekana nezinhlungu.

 

Ubuhlungu bunomlando

Ngokusobala, amaGreki asendulo ayebheka ubuhlungu njengenkanuko. Bakholelwa ukuthi ubuhlungu bungokomzwelo kakhulu kunokuba bube umuzwa. Phakathi neNkathi Yobumnyama, ubuhlungu babuthathwa njengesijeziso esasizothuliswa ngokuzisola.

Ngenkathi ngisebenza ngenkathi yama-90s, ubuhlungu njengesimo somzimba safinyelela ekuphakameni kwayo. Njengabahlinzeki bokunakekelwa sakhuthazwa ukuthi sibheke ubuhlungu "njengophawu lwesihlanu olubalulekile," kanye nokushisa, ukuphefumula, ukushaya kwenhliziyo, nomfutho wegazi. Sizoba neziguli ezilinganisela ubuhlungu bazo. Inhloso bekuwukuyiqeda.

“Konke kusekhanda lakho” umyalezo ongafanele wokunikeza umuntu ophethwe ubuhlungu obungapheli. Nansi inselelo nokho, ubuchopho bethu budlala indima enkulu ekutheni sibuzwa kanjani ubuhlungu. Lapho isignali yezinhlungu ishaya ebuchosheni, iba “nokwenza kabusha” okuphawulekayo. Umbono wobuhlungu ngaso sonke isikhathi ungokuhlangenwe nakho komuntu siqu. Ithintwa amazinga ethu okucindezeleka, imvelo yethu, ufuzo lwethu nezinye izinto.

Uma unezinhlungu ezibangelwa imbangela ethile (ukulimala noma inqubo ethile yesifo njenge-arthritis), ukwelashwa kufanele kubhekiswe kumbangela oyinhloko wobuhlungu noma isifo. Okungenzeka kwabanye bethu, imvamisa ngemuva kwezinyanga ezintathu ukuthi izinhlungu ziphinde zenziwe futhi ngaleyo ndlela zibe "maphakathi" noma ezingapheli. Lokhu kuvame ukwenzeka ngemuva kwanoma yini inkinga yasekuqaleni isidlulile, noma yelashwa, kepha kunemibono ebambezelayo yobuhlungu. Yilapho imfundo ibucayi khona esigulini. Kumele kube khona ukugxila ekwehliseni ukwesaba okufana nokuthi "kukhona okungahambi kahle" noma "ukulimala kusho ukulimala." Ukuphila nobuhlungu kungakunciphisa futhi kwehlise izinga lakho lempilo. Lapho iziguli zingaqala ukuqonda ukuthi kwenzekani ngemizimba yazo nemibono yazo yobuhlungu, ziyaphumelela kakhulu ekululameni.

 

Lapho ubona udokotela wakho

Le yimibuzo okufanele ubuze udokotela wakho:

• Yini engaba imbangela yobuhlungu bami?
• Kungani ingeke isuke?
• Yikuphi ukwelashwa okungcono kakhulu kimi? Ngabe ngizowudinga yini umuthi?
• Ngabe ukwelashwa ngokomzimba, kokusebenza noma kokuziphatha kungasiza ekudambiseni izinhlungu zami?
• Kuthiwani ngezinye izindlela zokwelapha, njenge-yoga, ukubhucungwa noma ukutshopa?
• Kuphephile yini kimi ukuzivocavoca umzimba? Hlobo luni lokuzivocavoca okufanele ngilwenze?
• Ngabe ngidinga ukwenza noma yiziphi izinguquko endleleni yokuphila?

Kungase kudingeke ukuthatha izidambisi zobuhlungu. Le yimithi yokudambisa imisipha ebuhlungu, ikhanda elibuhlungu, isifo samathambo noma ezinye izinhlungu nezinhlungu. Kunezinketho eziningi, futhi ngamunye unobuhle nobubi babo. Umhlinzeki wakho angahle aphakamise umuthi we-OTC (ngaphezulu kwekhawunta) njenge-acetaminophen noma ama-anti-inflammatories afana ne-ibuprofen noma i-naproxen. Izidambisi ezinamandla kakhulu ezibizwa ngama-opioid. Banobungozi obukhulu bokulutha futhi baqhubeke, baboniswe ukuthi buba buhlungu kakhulu uma ubathatha isikhathi eside kakhulu.

Ubufakazi buqhubeka nokukhuphuka ngezindlela ezisebenzayo zokuphatha izinhlungu ezingaphezu kwemithi. Ngokuya ngesimo, udokotela wakho angaphakamisa:

• I-acupuncture
• I-Biofeedback
• Ukuvuselela kagesi
• Ukwelashwa kwe-Massage
• Ukuzindla
• Ukwelapha ngokomzimba
• Ezengqondo
• Ukwelapha Ukuphumula
• Ukuhlinzwa ngezikhathi ezingavamile

Ucwaningo luye lwabonisa ukuthi "izindlela zokwelapha zokukhuluma," njenge-CBT (ukwelashwa kokuziphatha kwengqondo), zingasiza abantu abaningi abanezinhlungu ezingapheli ezingaphakathi. Kwenzani lokhu? I-CBT ikusiza ukuthi ushintshe izindlela zokuziphatha ezingezinhle nokuziphatha. Lokhu kuvame ukusiza iziguli ezinezinhlungu ezingapheli zishintshe indlela ezizizwa ngayo ngesimo sazo. Ukwelashwa kokuziphatha kwengqondo kungasiza futhi abantu abanezinhlungu ezingapheli ukuphatha izinkinga zezempilo ezihlobene, njengezinkinga zokulala, ukuzwa ukhathele, noma ukunaka ukugxila. Lokhu kungakhuphula ikhwalithi yempilo yabantu abanezinhlungu ezingapheli.

 

Likhona ithemba

Uma ukwenze wafika manje ekufundeni kwakho, yazi izinketho zokwelapha ubuhlungu ngempumelelo zikhuphuke kakhulu eminyakeni engama-20 edlule. Into yokuqala wena noma othandekayo wakho ongayizama ingahle ingaphumeleli. Ungapheli amandla. Ukusebenza nodokotela wakho noma umelaphi ungaqhubeka nokuhlola izindlela ezahlukahlukene ezisebenzele abantu abaningi. Lokhu kumayelana nokuphila impilo ngokugcwele.

 

• familydoctor.org/condition/chronic-pain/
• medlineplus.gov/chronicpain.html
• nytimes.com/2019/03/16/opinion/sunday/pain-opioids.html
• USullivan M. Isiguli njengoMenzeli Wezempilo kanye Nokunakekelwa Kwezempilo: Ukuzimela Ekunakekelweni Okugxilwe Iziguli Kwezimo Ezingamahlalakhona, i-Oxford University Press, eNew York City 2017.
• medlineplus.gov/nondrugpainmanagement.html
• newsinhealth.nih.gov/2018/10/managing-buhlungu