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Mamiriro Ekutongwa

Back Clinic Conditions Yakarapwa. Chronic Pain, Auto Accident Care, Back Pain, Low Back Pain, Back Injuries, Sciatica, Neck Pain, Kukuvara Kwebasa, Kukuvara Kwemunhu, Kukuvara Kwemitambo, Migraine Headaches, Scoliosis, Complex Herniated Discs, Fibromyalgia, Wellness & Nutrition, Stress Management, uye Kukuvara Kwakaoma.

PaEl Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, isu tinonyanya kufunga nezvekurapa varwere mushure mekukuvadzwa kwakashata uye zvirwere zvisingaperi zvinorwadza. Isu tinotarisisa kuvandudza kugona kwako kuburikidza nekushanduka, kufamba, uye agility zvirongwa zvakagadzirirwa mazera ese uye hurema.

Kana Dr. Alex Jimenez achinzwa kuti unoda kumwe kurapwa, ipapo iwe uchatumirwa kukiriniki kana Chiremba anonyatso kufanirwa iwe. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye premiere rehabilitation providers kuti vaunze El Paso mishonga yepamusoro yekiriniki munharaunda yedu. Kupa iyo yepamusoro isingapindike maprotocol ndiyo yedu yekutanga. Kunzwisisa kwekiriniki ndizvo zvinodiwa nevarwere vedu kuitira kuti tivape kutarisirwa kwakakodzera kunodiwa. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900


A Clinical Approach: Basa reMukoti muKuchengeta Murwere

A Clinical Approach: Basa reMukoti muKuchengeta Murwere

Vashandi vehutano vanopa sei nzira yekiriniki mubasa rehukoti kuderedza marwadzo muvanhu?

ziviso

Tsika yeVanamukoti Vakanyoreswa (RN), Advanced Practice Registered Nurses (APRN), uye Licensed Practical Nurses (LPN) inotongwa neNurse Practice Act. Vanamukoti vanoshanda muhunyanzvi hwepamusoro vanofanirwa kuchengetedza hunyanzvi hwavo hwekudzidzira uye ruzivo, izvo zvinosanganisira kujairana nemitemo nemirau ine chekuita nebasa ravo. Kudzidzira hukoti hunoshanda kunotenderwa kune Vane Marezenisi Anoshanda Vanamukoti (LPNs). Chinyorwa chanhasi chinotarisa basa rehukoti. Isu tinokurukurirana nevazivisi vane hukama nevanorapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore chero kurwadziwa kana kusagadzikana kwavari kuita. Isu tinozivisawo uye kutungamira varwere pavanenge vachibvunza avo vanobatana navo vekurapa mibvunzo yakaoma kuti ibatanidze muhurongwa hwavo hwekurapa hwemunhu kugadzirisa marwadzo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Mabasa Muukoti

The Nurse Practice Act inotsanangura hukoti hunoshanda se "kuita kwezviito zvakasarudzwa zvakasiyana-siyana, kusanganisira kutonga kwekurapa kwakawanda nemishonga, mukuchengeta vanorwara, vakakuvara, nekupa kusimudzira kwehutano, kuchengetedza hutano nekudzivirira zvirwere panguva yekutevera pasi. kutungamirirwa nana mukoti akanyoreswa, chiremba ane rezinesi, chiremba wemapfupa, chiremba wemazino, kana chiremba wemazino ane rezinesi.” Yakagadziridzwa muna 2014 uye ikozvino inodzidzisa hutano hwakakura uye hutano pfungwa kune vasiri vana mukoti uye neruzhinji. Chinangwa chikuru cheRN ndechekutsigira kuwanikwa kwehutano kune vanhu vari kurwadziwa kana vari kubata nenyaya dzisingaperi. (Cassiani & Silva, 2019)

 

Vanhu vazhinji vari pasi pekutariswa namukoti akanyoreswa, chiremba, kana chiremba wemazino, vanhu vakapedza prelicensure inoshanda chirongwa chedzidzo yehukoti chakabvumwa neBhodi, chirongwa chedzidzo yeukoti chehunyanzvi, uye vakapedza kudzidza vanoita zvehukoti vanokodzera sevadzidzi vehunyanzvi hwehukoti; zvisinei, vanamukoti vane rezinesi vane marezinesi vasati vapedza kosi yakataurwa pasi peRule 64 B9-12.005, FAC, vanogona kuita diki diki yekurapa kwetsinga. Rudzi urwu runosanganisira:

Intravenous Therapy Mukati meChikamu cheMukoti Anoshanda:

  • Verenga uye gadzirisa kuyerera kweiyo IV kurapwa.
  • Tarisa uye taura zvese zviri pasi uye zvine chinangwa zviratidzo zveakasiyana maitiro kune IV kutonga kumurwere.
  • Inofanirwa kuongorora nzvimbo yekuisirwa, kushandura kupfeka, uye kubvisa tsono inopinza kana catheter kubva mutsinga dzeperipheral.
  • Mabhegi ekurembera kana mabhodhoro emvura inoyerera.

Intravenous Therapy Kunze kweChikamu cheMukoti Anoshanda:

  • Kutanga kweropa uye zvigadzirwa zveropa
  • Kutanga kana kutungamirirwa kwekenza chemotherapy
  • Kutanga kwekuwedzera kweplasma
  • Kutanga kwekutonga kwemishonga yekuongorora
  • Kuita IV mhinduro
  • IV kusunda, kunze kweheparin flushes uye saline flushes

Zvakakodzera kuti vanamukoti vane marezenisi vapihwe varwere vanenge vachirapirwa zvakadaro, kunyangwe mutemo uyu uchirambidza kuitwa kwevanamukoti vane marezenisi. 64B-12.005 Zvinodiwa Pakugona uye Ruzivo runodiwa kuti LPN ive yakakodzera kupa IV kurapwa. Kana iyo IV Therapy Course Guidelines yakaburitswa neNational Federation of Licensed Practical Nurses Education Department ikapera, LPN inogona kupihwa certification yekupa IV therapy. Iyo LPN inogona kutora chikamu mukuwedzera kudzidziswa kupa IV kurapwa kuburikidza nepakati mitsetse ichitariswa neRN. "Iyo Central Lines. Bhodhi rinobvuma kuti Mukoti Anoshanda Ane Marezenisi, sekutsanangurwa kwazvinoitwa muchikamu 64B9-12.002, FAC, anogona kupa mushonga wekupinda mutsinga kuburikidza nemitsetse yepakati pasi pekutariswa nana mukoti akanyoreswa nedzidzo nekudzidziswa. Maawa mana emurairo ndiwo mashoma anodiwa padzidzo yakakodzera uye kudzidziswa. Maawa makumi matatu edzidzo yekurapa mutsinga inodiwa pachikamu chemutemo uyu anogona kusanganisira maawa mana ekudzidziswa. Zvirinani, didactic uye kiriniki yekudzidzira kuraira munzvimbo dzinotevera dzinofanirwa kuverengerwa mudzidzo uye kudzidziswa kunopihwa nechikamu ichi:

  • Pakati venous anatomy uye physiology
  • CVL saiti kuongororwa
  • CVL kupfeka uye cap kuchinja
  • CVL kupisa
  • CVL mishonga uye kutungamirirwa kwemvura
  • CVL kudhirowa ropa
  • CVL matambudziko uye matanho ekugadzirisa

Iye Mukoti Anoshanda Ane Rezinesi anozoongororwa pakiriniki yekudzidzira, kugona, uye ruzivo rwedzidziso uye kudzidzira mushure mekupedza kosi yekurapa intravenous kuburikidza nemitsetse yepakati. Mukoti Akanyoreswa anofanira kupupurira kuongororwa kwekiriniki uye kuisa chirevo chehunyanzvi paMukoti Anoshanda Ane Rezinesi. Mukoti Anoshanda Ane Rezinesi anozoongororwa pakuita zvekiriniki, kugona, uye ruzivo rwe theoretical uye maitiro. Mukoti Akanyoreswa anoona nezvekuongorora mashandiro ekiriniki anofanirwa kusaina chirevo chehunyanzvi chinopupurira kugona kwaMukoti Anoshanda ane Rezenisi mukuraira kurapwa kwetsinga kuburikidza nemitsetse yepakati. Faili revashandi remunyoreri rine rezenisi rinoshanda rinofanira kunge riine chirevo chehunyanzvi. 64B9-12.005 code.

 

Hukoti hwehunyanzvi hunoitwa nevakoti vakanyoreswa (RNs). Mutemo weNurse Practice unotsanangura izvi se "kuita kwezviitwa zvakawanda zvinoda ruzivo rwakanyanya, kutonga, uye hunyanzvi hwehukoti hwakavakirwa pamisimboti inoshandiswa yesainzi yepfungwa, yebhayoroji, yemuviri, uye yemagariro." Hukoti hwehunyanzvi hunodarika maoko-pakutarisira kusanganisira kuongororwa kwehukoti, kuronga, kutarisa, uye kudzidzisa vamwe vashandi mudzidziso uye kuita chero basa rataurwa pamusoro. Pamusoro pezvo, vanamukoti vanofanirwa kushandisa zviitiko zvakawanda kubatsira varwere nekunzwisisa kunzwira tsitsi kuti vanzwe vakasununguka uye vakachengeteka. (Torres-Vigil et al., 2021)

 

Nhumwa & Zvitupa Zvehukoti

Kuendesa mabasa kune mumwe mupi wehutano kana munhu ane hunyanzvi asina rezenisi kunobvumidzwa neFlorida Nurse Practice Act. Paunenge uchipa basa kana chiitiko, mukoti akanyoreswa (RN) kana mukoti ane rezinesi anoshanda (LPN) anofanira kufunga zvakakodzera. Vaifanira kufunga nezve mukana wekukuvara kwemurwere, kuoma kwebasa, mhedzisiro yemhedzisiro kana kusatarisika, uye zviwanikwa-kusanganisira vashandi nemidziyo-inowanikwa munharaunda yemurwere. Iyo RN neLPN inogona kupa mabasa ari kunze kwekutarisira kana kupa basa rekuita kwemukoti. Aya mabasa anosanganisira kuona kuongororwa kwevanamukoti kana kududzira kuongororwa kwevanamukoti, kugadzira hurongwa hwekutarisira, kumisa zvinangwa zveukoti, uye kuongorora kufambira mberi kwechirongwa chekuchengeta. Basa rehukoti nderekusimudzira kurudziro uye kugadzira hukama hwakananga nevarwere. (Ventura et al., 2020)

464.0205 Retired Mukoti Anozvipira Mukoti Chitupa

Mukoti akasiya basa kana akanyoreswa anogona kunyorera gwaro rekuzvipira kubva kuBoard of Nursing kuti ashande nevarombo, varombo, kana vanorwara zvakanyanya. Ivo vanotariswa zvakananga nachiremba, mukoti wepamusoro akanyoreswa mukoti, mukoti akanyoreswa, director wedhipatimendi rehutano mudunhu, uye:

  • Inopa masevhisi pasi pechitupa chete muzvirongwa zvakatsigirwa zvakabvumidzwa neBhodi
  • Chiyero chekudzidzira kune anozvipira anovimbiswa inogumira kune yekutanga uye yekudzivirira hutano hwehutano neBhodi.

Mukoti akazvipira pamudyandigere haafaniri:

  • Ronga zvinhu zvinodzorwa
  • Tarisa mamwe manesi
  • Gamuchira muripo wemari

464.012 Advanced Practice Registered Nurse (APRN)

"Mutemo weBarbara Lumpkin Prescribing Act" wakarongwa kusvika kumagumo e2018. Mutemo uyu unobatsira vashandi vakawanda kushandura chitupa kuva rezinesi, uye unotanga kushanda musi wa1 Gumiguru 2018. vakanyoreswa mukoti varapi kana nyanzvi dzekiriniki mukoti kubva munaGunyana 30, 2018, kudzidzira se advanced practice registered nurses (APRNs). Kusvikira dhipatimendi neBhodi vapedza shanduko kubva kuchitupa kuenda kurezenisi, yakagadzwa pasi peMutemo uyu, mukoti akanyoreswa akanyoreswa akabata chitupa chekudzidzira musi wa30 Gunyana 2018, anogona kuenderera mberi nekudzidzira nekodzero dzese, mvumo, uye mabasa ari pasi chikamu ichi cherezenisi semukoti wepamusoro akanyoreswa. Vanogonawo kushandisa zita rinoshandiswa pasi pes.464.015 mushure mezuva rekushanda kweMutemo uyu.

Bhodhi reNursing rinoda zvinotevera kumisa rezinesi reAPRN:

  • Mukoti anoda kuve mukoti wepamusoro akanyoreswa mukoti anofanirwa kunyorera kudhipatimendi reAPRN, ape magwaro ekuti anozadzisa zvinodiwa neBoard, uye ave nerezinesi rinoshanda rekudzidzira ukoti hwehunyanzvi kana rezenisi rinoshanda renyika dzakawanda kudzidzira hukoti nehunyanzvi. s. 464.0095.
  • Kubvumidzwa neakakodzera specialty board. Kuti uve mukoti ane chitupa mune chero dhipatimendi rehukoti uye kuti uvandudze rezinesi rako razvino renyika, unofanira kutanga wawana chitupa ichi. Kwenguva inofungidzirwa kuti yakakodzera kugadzirira nekupasa bvunzo dzetifiketi yenyika, Bhodhi rinogona, nemutemo, kupa mukoti akanyoreswa anesthetist, nyanzvi mukoti wekiriniki, vanamukoti vane ziviso, vanamukoti vepfungwa, uye vakanyoreswa mukoti nyamukuta rezenisi renyika.
  • Kuzadza chirongwa che master mune yekiriniki yeukoti specialty ndima uye kudzidziswa kunyanya hunyanzvi hwevarapi. Kune vachazopedza kudzidza musi wa1 Gumiguru 1998 kana kuti mushure, ndima (4)(a) inoda kupedzwa kwechirongwa chedhigirii re masters kuti vakwanise kupihwa chitupa chekutanga semukoti ane hunyanzvi.

Dare reNursing rinotsanangura basa/mabasa eAPRN:

  • Nyora, govera, shandisa, kana kuodha chero mushonga; zvisinei, mukoti wepamusoro akanyoreswa anotenderwa chete kuraira kana kugovera zvinhu zvinodzorwa sekutsanangurwa kwazvinoitwa mus.893.03 kana vakapedza masters kana chirongwa chechiremba chinopa dzidziso yehunyanzvi hwehunyanzvi uye zvinotungamira kune masters kana dhigirii rechiremba muhukoti hwekiriniki. .
  • Tanga kurapa kwakakodzera kune mamwe mamiriro.
  • Vakaita mamwe mabasa sezvingatarwa nemutemo pasi pes.464.003.
  • Raira bvunzo dzekuongororwa uye kurapwa kwemuviri uye nebasa.
  • Raira chero mushonga kuti ushandiswe kune murwere munzvimbo.

Kupfuura mabasa akajairwa ataurwa muchikamu (3), APRN inokwanisa kuita mabasa anotevera mukati menzvimbo yavo yehunyanzvi:

  • Mukati mezvivharo zveprotocol yakasimbiswa, mukoti akanyoreswa anogona kuita chero kana ese anotevera zviito:
  • Ronga matambudziko ekurapa akasarudzwa.
  • Raira kurapwa kwemuviri uye kwebasa.
  • Tanga, tarisa, kana shandura marapirwo ezvimwe zvirwere zvakanyanya.
  • Kuongorora nekugadzirisa varwere vane zvirwere zvisingaperi.
  • Yakagadzirisa matambudziko ekuzvibata uye kuongororwa uye kuita kurudziro yekurapa.

Iyo Stature inoenderera mberi nekutsanangura mabasa eanesthetist uye vanamukoti vananyamukuta. Tarisa kune Statue kune rumwe ruzivo.

 

Kuwana & Kuchengeta Rezinesi reNursing

Rezinesi rinogona kuwanikwa kuburikidza nekuyedzwa, kutsigirwa, kana Mukoti Kugadziriswa kweLicensure Compact. Paunenge uchinyorera uye nemari isingadzoserwe yekubhadhara yakatemwa neBhodi, dhipatimendi rinopa rezinesi rinodiwa nerutsigiro rwekuita mukoti wehunyanzvi kana anoshanda kune anenge achinyorera anogona kupa humbowo kuBhodi kuti ivo:

  • Ane rezinesi rinoshanda rekudzidzira mukoti kana hunyanzvi mune imwe nyika kana dunhu muUnited States, chero izvo zvinodiwa zvekupihwa rezenisi mudunhu iri zvingave zvakaomarara kana kuti zvakaenzana neavo vari kuFlorida apo munyoreri akawana rezinesi ravo rekutanga.
  • Anozadzisa zvinodiwa zvakataurwa mus.464.008 zvekupa rezenisi uye akapasa bvunzo dzedunhu, dzedunhu, kana dzenyika dzinenge dzakaoma sedziya dzinoitwa nebazi.
  • Akapedza makore maviri pamakore matatu apfuura achidzidzira mukoti mune imwe nyika, dunhu, kana masimba mukati meUnited States asina kana danho ratorwa achipokana nerezinesi ravo neboka ripi zvaro rinopa marezenisi. Pasi peiyi ndima, vanonyorera vanowana mvumo vanofanirwa kupedzisa bhodhi-yakatenderwa Florida mitemo uye mitemo kosi mukati memwedzi mitanhatu yekugamuchira rezinesi ravo. Mushure mekuongorora zvakawanikwa mucheki yenyika, munyoreri anopihwa rezenisi rakakodzera nerutsigiro nekukurumidza kana bazi raona kuti munyoreri haana nhoroondo yekupara mhosva.

Zvinozofungidzirwa kuti chero bvunzo uye zvinodiwa kubva kune dzimwe nyika dzeUS uye matunhu zvakada kufanana kana zvakanyanya kudiwa kupfuura izvo zvinobva mudunhu rino. Kufungidzira uku kuchaitika musi waNdira 1, 1980. Bhodhi rinogona, zvisinei, kugadza mitemo inotsanangura dzimwe nyika nenharaunda, zvikwaniriso uye bvunzo dzayo dzisingazonzi dzakanyanya kufanana neidzo dzenyika ino.

 

Kana munhu achinge aendesa chikumbiro chakakodzera uye mubhadharo, pamwe nekubudirira kupedzisa kwecheki yekupara mhosva inodikanwa pasi pechikamu (4), munyoreri wekupihwa rezenisi nemvumo ari kutamira kune ino nyika nekuda kwemirairo yemauto mukwanyina wavo ane mubatanidzwa wemauto uye ari nhengo yeChibvumirano cheRezinesi chaNurse mune imwe nyika achave nezvinodiwa zvese zvinogutsa.

 

Munyoreri anofanira kuendesa seti yezvigunwe kudhipatimendi pafomu uye nemitemo yedhipatimendi. Munyoreri anofanirawo kubhadhara dhipatimendi mari yakaenzana nemari yakabhadharwa neDhipatimendi reHutano pacheki yemhosva yemumhan'ari. Kuongororwa kwenhoroondo yenyika yese, Dhipatimendi rehutano rinotumira zvigunwe zvemunyoreri kuFlorida Dhipatimendi reMutemo Enforcement, uye Florida Dhipatimendi reMutemo Enforcement rinotumira zvigunwe kuFBI kuti iongorore nhoroondo yenyika yese. Kana munhu anenge anyorera achinge azadzisa zvimwe zvese zvinodiwa kuti apihwe rezenisi uye asina rekodhi remhosva, Dhipatimendi rehutano rinoongorora zvakabuda pacheki yenhoroondo yehutsotsi, roburitsa rezinesi, uye roendesa vamwe vese vanyoreri vane nhoroondo yekupara mhosva kudzokera kuBhodi kuti riite sarudzo. pamusoro pekupa kana kusapa mvumo uye mumamiriro ezvinhu api.

 

Kusvikira kuferefeta kwapera, panguva iyo zvinodiwa zve s.464.018 zvichatanga kushanda, bazi harizope rezinesi retsigiro kune chero munhu anenge akumbira ari kuferefetwa kune imwe nyika, masimba, kana dunhu reUnited States pachiitiko icho. inotyora chikamu ichi kana chitsauko 456. Mushure mekupedza zvese zvinodikanwa kuunganidza uye kusimbiswa kwedata, bazi rinozoburitsa rezinesi mukati memazuva makumi matatu. Iyo zvakare ichagadzira yemagetsi munyoreri yekuzivisa maitiro uye inopa zviziviso zvemagetsi pakugamuchira chikumbiro uye nekupedzwa kwekumashure cheki. Ngatitii munyoreri anofanirwa kumira pamberi peBhodi nekuda kweruzivo rwechikumbiro chavo kana nekuda kwekuongorora, kuunganidza data, uye maitiro ekuona. Kana zvakadaro, mazuva makumi matatu ekupihwa rezinesi nguva ichawedzerwa. Izvo zvinodiwa zvekupihwa rezenisi nekusimbisa muchikamu chino hazvishande kune munhu ane inoshanda multistate rezinesi mune imwe nyika pasi pes. 30.

 

Licensure By Examination

Chero ani zvake anoda kunyora bvunzo dzekupihwa rezenisi kuti ave mukoti akanyoreswa anofanira kunyorera kubazi. Dhipatimendi richaongorora mumwe nemumwe anenge asarudzwa:

  • Munyoreri azadzisa zvinodiwa nekuzadza fomu rekunyorera uye kubhadhara iyo $150 muripo wakatarwa neBhodi. Pamusoro pezvo, vakabhadhara mari yebvunzo dzemadhora makumi manomwe neshanu dzakatarwa neBhodi uye mutengo chaiwo pamunhu anenge anyorera kubazi rekutenga bvunzo kubva kuNCSBN (National Council of State Boards of Nursing) kana sangano renyika rakafanana.
  • Ane ruzivo rwakakwana kubva munaGumiguru 1, 1989, kana kuti gare gare, iyo iyo dhipatimendi inoda kupa kuti iite cheki yetsamba yekunyora matsotsi neDhipatimendi Rezvemitemo.
  • Ane diploma rechikoro chepamusoro kana chakaenzana naro, ane hutano hwakanaka hwepfungwa nemuviri, uye akazadzisa zvinotarisirwa kuti:
  • Kupedza kudzidza kubva purogiramu yakabvumirwa
  • Kupedza kudzidza kubva ku pre-rezenisi chirongwa chedzidzo yehukoti chakaenzana nechirongwa chakatenderwa chakatemwa neBhodi.
  • Akapedza kudzidza musi waChikunguru 1, 2009 kana kuti mushure, kubva kuchirongwa chakabvumidzwa
  • Kupedza kudzidza musi waChikunguru 1, 2009, kubva kuchirongwa chedzidzo yehukoti chisati chapihwa rezinesi avo vakapedza kudzidza vanokodzera bvunzo.

Kupedza makosi muchirongwa chedzidzo yehukoti kunogona kugutsa maitiro edzidzo ekupihwa rezenisi semukoti ane rezinesi anoshanda. Ane kugona kutaura muChirungu, sekuongororwa nedhipatimendi bvunzo. Kunze kwekunge yarambwa ne s.464.018, chero munyoreri akapasa bvunzo uye apedza zvinodiwa padzidzo zvakanyorwa muchikamu (1) anokodzera kuve mukoti ane rezinesi kana mukoti akanyoreswa, sezvingave zvakadaro.

 

Zvisinei nekutonga kunoitiswa bvunzo, chero munyoreri akatadza bvunzo katatu akatevedzana anozoda kupedzisa kosi yekugadziridza yakatenderwa neBhodi kuti akodzere kuongororwazve. Mumiriri anogona kubvumidzwa kuyedza bvunzo kusvika katatu mushure mekupedza kosi yekugadzirisa asati amanikidzwa kugadzirisa. Mushure mekugadzirisa, munyoreri ane mwedzi mitanhatu yekukumbira kuti aongororwezve. Nemutemo, Bhodhi ichaisa zvinodiwa padzidzo yekugadziridza.

 

Munyoreri anopedza chirongwa chakatenderwa anofanira kunyoreswa uye kupedzisa bhodhi-yakatenderwa rezenisi bvunzo yekugadzirira kosi kana vakasarudza kusatora rezinesi bvunzo mukati memwedzi mitanhatu yekupedza kudzidza. Munyoreri haakwanise kushandisa federal kana nyika rubatsiro rwemari kuvhara chero mari ine chekuita nekosi; ivo vane basa rokuafukidza. Dare richaisa mitemo yekugadzirira makosi ebvunzo dzekupihwa rezenisi. Chikamu 464.0095 chinobvisa munhu kubva kune zvinodiwa rezinesi kana parizvino vaine rezinesi rinoshanda renyika dzakawanda mune imwe nyika (2).

 

Rezinesi Pakuitwa kweMukoti Rezenisi Compact

Florida yakapasisa Nurse Licensure Compact kuita mutemo. Izvi zvinobvumira vanamukoti kuti vatore chikamu mumakumi maviri nenhanhatu ekupa marezenisi makompakiti. Kudanwa kwekubvisa zvinoremedza uye zvisina basa rezenisi rezenisi uye kufambisira mberi kuchengetedzwa kweveruzhinji uye hutano hwakanaka hwakakonzera kudzikwa kwemutemo uyu. Chirevo chepamutemo ndeichi:

  • "Chibvumirano ichi chinotanga kushanda uye chinosunga zviri pamutemo musi waZvita 31, 2018, chero chinouya nekukurumidza, kana pazuva rachichaiswa mutemo nedzinosvika makumi maviri nematanhatu. Mukati memwedzi mitanhatu zvichitevera kuitwa kwekondirakiti iyi, chero nyika dzenhengo dzaivewo mapato kune yapfuura Nurse Licensure Compact ("pre compact") iyo kombuta iyi yakatsiviwa inoonekwa seyakabuda mukombuta yapfuura."

Kusvikira nyika yebato yabviswa pachibvumirano chekare, bato rega rega kune rino richaremekedza kodzero yemukoti yerezenisi yenyika dzakawanda yekudzidzira mubato iri rakapihwa pasi pekondirakiti yapfuura. Chero nyika yebato inogona kubuda muchibvumirano ichi nekudzika mutemo wekudzima. Kusimuka kwebato kunotanga mwedzi mitanhatu mushure mekunge mutemo wekubvisa wapasiswa. Chero hurongwa hwekushandira pamwe, kusanganisira zvibvumirano zverezinesi remukoti, pakati penyika yebato uye isiri bato inotevedzera mamwe mamiriro ekompakiti iyi inoramba ichishanda uye isingakanganisike nekombuta iyi. Nyika dzebato dzinogona kuchinja kondirakiti iyi. Chete kana ichinge yaiswa mumitemo yebato rega rega, taura kuti gadziriso yekombuta iyi inosungirira pamatunhu ebato uye inoshanda. Nyika dzese dzemapato dzisati dzatambira chibvumirano ichi, vamiriri vedzimwe nyika dzisiri mapato muchibvumirano vachakokwa kuita mabasa ekomisheni vasingakwanise kuvhota.

 


Kuzarura Hutano: Chiropractic Uchenjeri & Sayenzi yeKushanda Kuporesa-Vhidhiyo


Kuenderera mberi Nedzidzo Yehukoti

Marezenisi anofanirwa kuvandudzwa ega ega biennium kana makore maviri ega ega. Awa imwe yekuonana inofanirwa kupedzwa pamwedzi wega wega wekarenda werezinesi kutenderera mugore rakapihwa. Maawa anotaurwa muchikamu (1) panguva dzakatarwa anofanira kusanganisira anotevera anoenderera mberi makosi edzidzo sechinhu chinodiwa:

  • Kosi yemaawa maviri mukudzivirira zvikanganiso zvekurapa inofanirwa kupedzwa yega yega biennium.
  • Kosi yeawa imwe chete muHIV/AIDS mukutanga biennium chete
  • Kosi yemaawa maviri muFlorida mitemo nemitemo mune yega yega biennium
  • Kushanda Nyamavhuvhu 1, 2017, kosi yeawa-2 mukuziva kukanganisa mumakiriniki maitiro uye mamwe ese biennium mushure meizvozvo.
  • Musi waNdira 1, 2019 kana kuti mushure, kosi yemaawa maviri pamusoro pekubiwa kwevanhu uye biennium yega yega mushure meizvozvo.
  • Kosi yemaawa maviri mumhirizhonga yemudzimba inodikanwa yega yega yechitatu biennium.

Mukuwedzera, the Florida Board of Nursing zvinoda maawa akajairwa ekuenderera mberi nedzidzo kuzadzisa chinodiwa cheawa imwe yekuonana pamwedzi wega wega wekarenda yerezinesi kutenderera. Izvi zvinodikanwa zveawa zvinogadziridzwa pawebhusaiti yavo. Pamusoro pemakosi ataurwa pamusoro, parizvino vari kuda maawa gumi nematanhatu ekuenderera mberi nedzidzo muhukoti.

 

Mukoti Rezinesi Ane Marezenisi maviri & CE Zvinodiwa

Munhu ane rezinesi ane RN uye rezinesi reLPN anogona kuzadzisa zvinodiwa neEC nekupedza inodiwa RN-chaiyo inoenderera mberi dzidzo. Shanyira Bhodhi reNursing webhusaiti kuti uwane rumwe ruzivo nezve mitemo, sezvambotaurwa, uye zvinosiya.

 

Mitemo Yekuenderera Nedzidzo

Zvinangwa zvemudzidzi: Zvinangwa zvinofanirwa kudonongodza zvinotarisirwa maitiro evadzidzi uye zvigone kuyerwa, zvinogoneka, uye zvinoenderana nemamiriro ekudzidzira ukoti nhasi. Zvinangwa zvinozoraira kosi, modhi yekuraira, uye nzira yekuongorora.

 

Nyaya Yenyaya: Zvirimo zvinofanirwa kugadzirwa zvakanangana nekugutsa zvinodiwa nevatori vechikamu pakudzidza, nhanho, uye zvinangwa. Ruzivo rwunozorongwa zvine mutsindo uye rwuchibatanidza zano kubva kunyanzvi dzezvidzidzo. Chidzidzo chakakodzera chekuenderera mberi nekupa dzidzo chinofanira kusanganisira ruzivo kubva kune imwe kana kupfuura yeinotevera. Inofanirwa kumiririra zvinodiwa nemudzidzi padzidzo yehunyanzvi kugadzirisa zvinodiwa zvehutano hwemutengi:

  • Nzvimbo dzevakoti uye matambudziko akakosha ehutano.
  • Biological, physical, behaviour, uye social sciences.
  • Zviri pamutemo zvehutano
  • Kutungamira / kutonga kwevashandi vehutano uye kutarisirwa kwevarwere
  • Kudzidzisa / kudzidza maitiro evashandi vehutano uye varwere

Kuongorora: Zvinofanira kuratidzwa nenzira inogutsa Bhodhi kuti vatori vechikamu vanopihwa mukana wekuongorora mikana yedzidzo, nzira dzekuendesa, zvivakwa, uye zviwanikwa zvinoshandiswa mukupa. Pakupera kwechidzidzo chekudzidza, zviitwa zvekuzvitungamira-zvakadai sezvirongwa zvekombuta, makosi ewebhu, tsvakiridzo yeinternet, uye kudzidza kumba-zvinofanira kushandiswa kuongorora ruzivo rwemudzidzi. Panofanirwa kuve nemibvunzo gumi kana kupfuura muongororo. Kuti mudzidzi ave akakodzera kumaawa ekusangana, anofanira kuwana chibodzwa chekuongorora che70%. Mupi anodiwa kuti anyore chiyero chekuongorora.

 


References

Cassiani, SHB, & Silva, F. (2019). Kuwedzera basa revanamukoti mukutarisira hutano hwekutanga: nyaya yeBrazil. Rev Lat Am Enfermagem, 27, e3245. doi.org/10.1590/1518-8345.0000.3245

Rezinesi / Chitupa - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/page/Licensure

Zviwanikwa - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/resources/documents/HistoryofFloridaNursesAssociation.doc

Kusarudza Chirongwa Chevakoti - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/page/SelectingaNursingProgram

Torres-Vigil, I., Cohen, MZ, Mamirioni, RM, & Bruera, E. (2021). Basa reEmpathic Nursing kupindira kwefoni nevarwere vekenza yepamusoro: Chidzidzo chehunhu. Eur J Oncol Nurs, 50, 101863. doi.org/10.1016/j.ejon.2020.101863

Ventura, CAA, Fumincelli, L., Miwa, MJ, Souza, MC, Wright, M., & Mendes, IAC (2020). Kukurudzira hutano uye hutano hwekutanga hutano: humbowo hwehukoti. Rev Bras Enferm, 73(3), e20180987. doi.org/10.1590/0034-7167-2018-0987

 

Disclaimer

Kunzwisisa Iyo Clinical Nzira yeKuziva Kutengesa: Chikamu 2

Kunzwisisa Iyo Clinical Nzira yeKuziva Kutengesa: Chikamu 2

Vashandi vehutano vanogona sei kuziva uye kumisa mapuroteni kune vanhu vari kutengeswa uye nekupa nzvimbo yakachengeteka?

ziviso

Nhasi, tichatarisa chikamu chechipiri cheiyi nhevedzano, iri yekuziva kutengeswa munzvimbo yekiriniki. Chinyorwa chanhasi mune ino-zvikamu zviviri zvakatevedzana zvekucherechedzwa kwekutengesa zvinobatsira kuzivisa vazhinji vashandi vehutano kuti vanzwisise mabasa uye maprotocol ekuona kutengesa kuri kukanganisa varwere vavo uye kubatsira kuvapa nzvimbo yakachengeteka, yakanaka kwavari. Isu tinokurukurirana nevamiriri vekurapa vane hukama vanobatanidza ruzivo rwevarwere vedu kuti vaongorore uye vaone kutengeswa mukiriniki vachitora mapuroteni akakodzera kuti vave nechokwadi chekuchengetedzwa kwevarwere. Isu tinozivisawo uye kutungamira varwere tichibvunza avo vanobatana navo vekurapa mibvunzo yakaoma kuti ibatanidze uye nekuvapa nzvimbo yakachengeteka uye yakanaka. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Basa reHealth Care Professional pakuona Kutengeswa

Kunyangwe vangasangana nevakabatwa nekubiwa kwevanhu uye vaine mukana wekupindamo, vazhinji vezvehutano vanotenda kuti havana ruzivo uye kuzvisimbisa kunodiwa kuti vazive vakabatwa ava nekuvapa rudzi rwerubatsiro rwavanoda. Semuenzaniso:

  • Ingori 37% yevashandi vezvemagariro nevashandi vezvokurapa vakaongororwa zvakare vaive nekudzidziswa mukuziva nekutsigira vakabatwa nekutengesa kwevanhu. (Beck et al., 2015).
  • Zvakanyanya kuomera ma processor kuona uye kubatsira vakabatwa nekuti vatengesi vanofambisa avo vakabatwa zvakanyanya uye vanoshandisa nzira dzakasiyana dzekunzvenga kuwanikwa. Kazhinji, inogona kunge iri kudyidzana kwako kwekupedzisira nemunhu akabatwa (Macy naGraham, 2012).
  • Panogona kuva nemufambidzani anoonekwa seane masimba masimba, asingatenderi murwere kupedza nguva ari ega newe, kana anoomerera pakuzadza mapepa kana kutaura akamiririra murwere.
  • Zvinogoneka kuti munhu akabatwa kana shamwari yake haazove nechitupa kana mapepa einishuwarenzi uye achangobhadhara nemari.
  • Munhu wacho kana shamwari yake angaramba kupindura mibvunzo.
  • Akabatwa anogona kuramba kumwe kuongororwa uye kutarisirwa kwekutevera.
  • Munhu wacho angave akakuvara mumuviri, ane hosha dzepabonde, uye zviratidzo zvokunetseka mupfungwa.
  • Munhu wacho angasaziva guta uye anotaura kuti varimo.
  • Munhu wacho angaratidza kutya paanobvunzwa mibvunzo kana kuti pane mumwe wake.
  • Munhu akabatwa angaratidza kunzwa kunyara, kuzvipa mhosva, kusava nesimba, kana kunyadziswa.
  • Iwe unogona kuona kusawirirana muruzivo rwekutanga, sezera, zita, kero, nhoroondo yebasa, kana ruzivo zvine chekuita nekugara uye zviitiko zvezuva nezuva.
  • Kana murwere asingatauri Chirungu, anobva kupi, uye akasvika sei?
  • Kana murwere ari mudiki, muchengeti ndiani uye kupi?
  • Munhu anenge abatwa angave ane ma tatoo asina kujairika kuratidza kuti ndiye “pfuma” yemutengesi wavo.

 

Kuziva Zviratidzo Zvekutengesa

Iwe unogona kuona zviri nyore vanogona kuve vakabatwa uye nekupa rubatsiro rwakafanira kana iwe uchiziva nezve yakajairika zviratidzo zvekubiwa kwevanhu. Izvi zvinotevera zviratidzo zvinowanzoitika kuti munhu ari kutengeswa. Nomuzvarirwo, havasi vese vakabatwa kana mafomu ekutengesa acharatidza zvese zviratidzo. Basa uye Mamiriro Ekugara (National Human Trafficking Hotline, nd):

  • Munhu anenge abatwa chibharo anogona kusakwanisa kuuya oenda zvake ega kana kusiya musha wavo kana mamiriro ebasa.
  • Vanhu vanobatwa nekutengesa vanhu vanowanzova vadiki vanomanikidzwa kuita zvepabonde zvekutengesa.
  • Iye munhu anogona kushanda mubhizimusi rekutengesa zvepabonde uye ave pasi pehutongi hwepimp kana maneja.
  • Munhu wacho anganzi ashande maawa asina kujairika kana kuti akareba zvakanyanyisa.
  • Munhu anenge abatwa chibharo anogona kuwana mari shoma, kana iripo, abhadhare kana kungowana mazano.
  • Munhu anenge abatwa chibharo anogona kupihwa zvirambidzo zvisina kujairika kana zvakanyanyisa pabasa kana kuti angasabvumidzwa kutora zororo.
  • Munhu anenge abirwa angava nechikwereti chakakura ku“mushandi” wake.
  • Munhu akabatwa angave akakweverwa kubasa rake razvino kana mamiriro ekurarama kuburikidza nevimbiso dzenhema nezverudzi rwebasa ravo kana nharaunda yekugara.
  • Imba yemunhu anenge abirwa kana kuti kubasa kwake ingava ine kuchengeteka kwakakwirira zvikuru, zvakadai semahwindo akajeka kana kuti akavharirwa, mbariro dziri pamahwindo, fenzi dzakakwirira, uye makamera anodzivirira.
  • Munhu anenge akuvadzwa anganzi agare kubasa kwavo.
  • Munhu wacho angaona zviratidzo zvakasiyana-siyana zvokushungurudzwa newaanoshandira.
  • Akabatwa anogona kusabhadharwa zvakananga. Pane kudaro, mari yacho inonangidzirwa kumutariri kana maneja, uyo anobvisa chikamu chikuru chemari yekurarama nezvimwe zvikwereti.
  • Munhu anenge abatwa nemhosva anogona kumanikidzirwa kuita zvisingaite mazuva ese.
  • Munhu anenge abatwa chibharo anogona kumanikidzwa kushanda munzvimbo dzebasa dzisina kuchengetedzeka pasina midziyo yekudzivirira yakakodzera.

 


Chiropractic Kuchengeta Kuporeswa Mushure mekukuvadzwa-Vhidhiyo


Mazano Akanakisisa Ekuita Kubvunzurudza Vanhu Vanotengeswa

Semupi wehutano, unofanirwa kuramba uchiyera makosi akasiyana echiito pane yega yega yekubvunzurudza nhanho. Kumisikidza kuvimba uye kuve nechokwadi chekuchengetedzwa, varapi vanofanirwa, pamusoro pezvose, kuisa parutivi pfungwa dzakafanotemerwa uye fungidziro pamusoro pevakabatwa uye maitiro avo (Hodge, 2014; DeBoise, 2014; Hemmings, Jakobowitz, & Abas, 2016) Zimmerman uye Watts (2003) inokurudzira kuti World Health Organisation yakagadzira mitemo yechikamu chega chega chebvunzurudzo, iyo inosanganisira zvinotevera kurudziro:

  • Zvakakosha kuyeuka kuti mamiriro ese ekutengesa uye anopona akasiyana, zvichiita kuti zvive zvakakosha kuterera uye kugamuchira account yemunhu wega.
  • Zvinogona kutora nguva kuti vakakuvadzwa vavhure uye vave nechido chekutaura nezvezviitiko zvavo nekuti zvinogona kuvaomera kuvaka hukama nekuvimba.
  • Iwe unofanirwa kutora matanho ekudzivirira iwe pamwe neakabatwa nekuti unofanirwa kufungidzira kuti munhu akabatwa ari panjodzi yekukuvadzwa mupfungwa, mumuviri, munharaunda, uye nemutemo.
  • Kuti udzivise kuwedzera kugumbura munhu akabatwa, unofanirwa kufunga nezve njodzi uye zvakanakira usati watanga chirongwa chekubvunzurudza, sezvo chinogona kuve chiitiko chinoshungurudza pachako.
  • Kunyange zvazvo uchifanira kunangidzira vanyajambwa kuzvishandiso zviripo kana zvichidikanwa, unofanira kudzivisa kuita zvipikirwa kana zvitsidzo zvisina kuzadzikiswa.
  • Nguva inotora kuti vakabatwa nekubiwa kwevanhu vagadzirire kugamuchira shanduko inogona kusiyana zvikuru. Vamwe vanyajambwa vanogona kuva nechido chokutsvaka mitsva mitsva uye kuvandudza mamiriro avo ezvinhu. Vamwe vanhu vanogona kushomeka kubvuma rubatsiro nekuti havasati vagadzira nyaya dzekuvimba zvakakwana kana kuti vanotya kudzoserwa kubva kumutengesi wavo.
  • Zvichienderana nemamiriro ezvinhu, vazhinji vanopa mabasa kana vaturikiri vanofanira kunge varipo panguva yebvunzurudzo. Wese munhu ari kutora chikamu muchirongwa chekubvunzurudza anofanirwa kunge aine ruzivo rwakakwana nezvekutengesa kwevanhu, kusanganisira mashandisiro anoita vatengesi vavanenge vabatwa uye kuti vangadyidzana sei navo nenzira inoremekedza kusiyana kwetsika dzavo. Kuti uchengetedze kusazivikanwa uye kuona kuti munhu anenge abatwa chibharo anogona kutaura akasununguka uye nekuvimbika, unofanirwa kurega kushandisa vaturikiri vanozivana neakakuvadzwa kana kuti vanogara munharaunda imwe chete.
  • Kuve nehurongwa hwekuchengetedza njodzi munzvimbo kwakakosha kudzivirira munhu anenge abatwa kubva mukukuvadzwa-kubva kune vamwe nekuzvikuvadza.
  • Mvumo inofanira kugara ichiwanikwa nekuzvidira kune zvese zvinopindira, kusanganisira kubvunzurudza. Kune vazhinji vakabatwa vasina kumboziva kuzvitonga kana kuzvisarudzira, iyi inogona kunge iri pfungwa yekune dzimwe nyika.
  • Dzivisa kushandisa mutauro wepamutemo kana wehunyanzvi.

Uyezve, zvakakosha kuyeuka kuti vanopona mukushungurudzika vanogona kutambura mushure mekurapwa vanogona kuve nemhedzisiro inogara pamativi ese ehupenyu hwavo, zvichiita kuti pfungwa, manzwiro, uye kuchengetedzwa kwemuviri kuve chinhu chekutanga. Zvinonzwisisika kufungidzira kuti munhu wacho anopa nhoroondo yakarurama kwazvo yezvakaitika kwavari panguva iyoyo. Kuchengetedzwa kwemunhu, kudzivirira, uye hunhu hwemhirizhonga hunogona kungove nzira yavo yekutarisana nekushungurudzika kwavo. (V. Greenbaum, 2017)

 

Nzira Yokutaurira Kuzivikanwa kana Kufungidzirwa Kutengeswa

Nzira yakanakisa yekumhan'ara kunofungidzirwa kuti ari kutengesa ndeyekufonera National Human Trafficking Hotline kana kutumira mameseji nhamba 711 kana murwere akapindura mibvunzo yekuongorora kana zvawawana zvichireva kuti vanogona kunge vari mbavha. Pamusoro pazvo, unogona kutumira mameseji ku233733. Zvekutanga nezvenyaya yacho zvichakumbirwa kubva kwauri, senge (National Human Trafficking Hotline, nd):

  • nzvimbo yeanofungidzirwa kuti ari kutengesa
  • zita remunhu anofungidzirwa kuti ndiye mutengesi, kana zvichibvira
  • guta rako nenyika
  • makadzidza sei nezve hotline

Vatariri vehutano vanoziva kana kutenda kuti wechidiki ari kushungurudzwa, kuregeredzwa, kana kuti kusiiwa vanofanira kuzivisa nhuna dzavo kune vemutemo kana kuti vesangano rinoona nezvekuchengetedzwa kwevana vakakodzera pakarepo, sezvo vari kudiwa vatori venhau pasi pemitemo yekushungurudzwa kwevana uye kuregeredza. Unogona kuzivisa kushungurudzwa pamhepo kana kufonera Dhipatimendi reVana neMhuri Dzekushungurudza Hotline mudunhu rauri kugara.

 

Kunyora Zvawanikwa Munyama

Zviwanikwa zvemuviri zvinofanirwa kunyorwa zvine hungwaru uye nemazvo pachishandiswa tsananguro yakanyorwa, mifananidzo yemahara iyo yakaonekwa uye yakatsanangurwa, uye mifananidzo yedhijitari kana yemufirimu nemvumo yemurwere. Panyaya yekutora mifananidzo, mufananidzo unofanirwa kuratidza chiso chemurwere uye ronda kana kukuvara kuyerwa pachishandiswa mari, rura, kana chimwe chinhu chinozivikanwa. Mufananidzo wacho unofanirwa kusanganisira bepa rine zuva rakatorwa mufananidzo. Mamwe mafoto anogona kutora mapfuti epedyo ega ega ronda kana kukuvara. Seri yekutevera mapikicha kwemazuva manomwe kusvika gumi anogona kushandiswa kurekodha kuporeswa kana kufambira mberi kwe ecchymoses nezvimwe zviratidzo zvine chekuita nekukuvara. Chirevo chinozivisa mutori wemifananidzo uye chinopupurira chokwadi nekuvimbika kwemifananidzo chinofanira kuiswa muchati. Pamberi pepi mafoto atorwa, mvumo yezvinyorwa zvemifananidzo inofanira kutsvagwa uye kurekodhwa. Varwere vanofanirwa kuziva nezvekodzero dzavo, dzinosanganisira kugona kuramba zvese zvinyorwa zvemifananidzo kana kuzviganhurira kune nhamba shoma yenzvimbo dzakatarwa.

 

Pamusoro pekupa rubatsiro rwekurapa rwakakosha, nyanzvi yezvehutano inofanirwa kushanda kumisa nharaunda umo murwere wega wega anonzwa achiremekedzwa, akasununguka, anotarisirwa, akasimbiswa, uye achipihwa simba rekuburitsa kana vakasarudza. Kana murwere asinganzwi "akagadzirira" kuratidza munharaunda yekiriniki, kuburitsa kunogona kuitika gare gare. Nekuda kweizvozvo, kune varwere vari panjodzi, yega yega kupindirana kwekiriniki kunofanirwa kutariswa senhanho inoenda kune yavo yekupedzisira kuchengetedzwa.

 

Mitemo neMatanho eKutengeswa kwevanhu

United States yakadzika mitemo yakasiyana-siyana nemitemo yakagadzirirwa kudzivirira kutengeswa kwevanhu, kuranga vapari vemhosva, uye kuchengetedza vanopona. Imwe yemitemo iyi nemitemo ndeye mutemo weTrafficking Victims Protection Act kana kuti TVPA (US Congress).

 

Ichi ndicho chikamu chepakati chemutemo wemubatanidzwa wekutengesa kwevanhu. Chiitiko chinotarisa pazvikamu zvitatu zvakakosha:

  • Iyo TVPA inotsvaga kudzivirira kutengeswa kwevanhu kuburikidza nekuwedzera kudzidziswa uye kuziva.
  • Chiitiko ichi chinoda kuchengetedza vanobatwa nekutengesa nekuvapa mukana wekuwana masevhisi vachishandisa mari yemubatanidzwa yakafanana nevamwe vapoteri.
  • Chiitiko chinomisikidza kutengesa uye mhosva dzine hukama semhosva dzemubatanidzwa dziri pasi pezvirango zvakaomarara.

Imwe nzira iyo mutemo unochengetedza vanobatwa nekutengesa kwevanhu ndeyekuti unovabvisa pamibairo yekupara mhosva dzinobva muruzivo rwavo rwekutengesa, sekupinda munyika vachishandisa magwaro echitsotsi kana kushanda vasina mvumo yakakodzera. Pamusoro pezvo, mhuri dzevanobatwa nekutengesa vanokodzera kuwana mavisa eT, izvo zvinoita kuti vagare munyika kuti vatsigire mutemo wemubatanidzwa mukutsvaga kwavo vapari vemhosva. Pashure pemakore matatu, vanenge vawirwa nenjodzi vanogona kuzonyorera kuti vave vagari vemo zvachose. Zvichienderana nemamiriro ezvinhu chaiwo, vanhu vakawanda vangava nekodzero yokubatsira uye kubatsirwa, zvakadai sokuwana Purogiramu Yezvokuchengetedza Chapupu uye kubhadharwa. Pamusoro pezvo, vanhu vari pakati pegumi nematanhatu nemakumi maviri nemana vanogona kukodzera chirongwa cheJob Corp uye mvumo yekushanda.

 

Vamwe vanoshora TVPA. Kazhinji, mutoro uri pamunhu akabatwa kuratidza kusava nemhosva kwavo kana kumanikidzwa kutanga. Chechipiri, chiitiko ichi chinosimbisa kutengeswa kwevanhu pabonde kupfuura mamwe marudzi ekutengesa kwevanhu, izvo zvisingatarisi kuti kutengeswa kwevanhu kwakaoma sei. Chete vanobatwa nevanopona vemhando "dzakaoma" dzekutengesa vakagadzirira kushandira pamwe nekuferefetwa uye kupomerwa kwevapari vemhosva ndivo vanokodzera masevhisi anopihwa pasi pechiito. Izvi zvinofuratira kuomarara kwekushungurudzwa kwakatsungirirwa nevanyajambwa uye mwero wokusavimba uye kutya kwavangave vachiitira vose vari vaviri mubhinya nevamwe vane zvinzvimbo.

 

Kudzivirira Kutengeswa Kuburikidza Nekuziva, Kupindira, & Zviwanikwa

Mumimvuri, kutengeswa kwevanhu kuri kuwedzera. Isu tinobvisa mimvuri iyo vatengesi vevanhu vanovanda nekuwedzera ruzivo rweveruzhinji nezvehutano nezvedambudziko (Hodge, 2008; Gozdziak naMacDonnell, 2007) Semuyenzaniso, kuisa zvikwangwani nemabhuku pamusoro pekubiwa kwevanhu hakungobatsiri chete kusimudzira ruzivo rweveruzhinji asiwo kuwedzera mukana wekuti vakabatwa vauye vega. Mabhurocha nemaposter hazvibhadharwe kubva muMushandirapamwe weKununura neKudzoreredza Vakanga vabatwa neKutengeswa.

 

Kana vachibatsira vakabatwa nekutengesa kwevanhu, varapi nevanopa masevhisi vanofanirwa kuve nekuita nemasangano akasiyana siyana ehurumende, emutemo, ezvekurapa, uye ezvemagariro. Kazhinji kutaura, kune zvikamu zvitatu zvikuru umo kutarisirwa uye masevhisi anowira (Dell et al., 2019; Johnson, 2012; Oram & Domoney, 2018):

  • Immediate Services
  • Masevhisi Anechekuita neKudzoreredza
  • Services About Reintegration

 

Zvishandiso kune Vanopa

Dhatabhesi reNational Human Trafficking Resource Center rinogona kubvunzurudzwa nevanopa rubatsiro vari kutsvaga kubatana nezvirongwa zvemuno zvinobatsira vakabatwa nekubiwa kwevanhu kana vanoda rubatsiro kune akabatwa kana kuti akapona. Vazhinji vatapi vehutano vanogona kutarisa webhusaiti kuti vape zviwanikwa zvinobatsira munharaunda yavo.

 

mhedziso

Chero kutengeswa kwevanhu kunotyora kodzero dzakakosha. Sezvo kutengeswa kwevanhu kuine midzi yakawanda, kubvisa nyaya iyi kunoda nzira dzakasiyana-siyana. Kana zvasvika pakugadzirisa rusaruraganda, urombo, hudzvanyiriri, rusaruro, uye zvimwe zvinhu zvinotungamira mukutengeswa kwevanhu, vashandi vehutano vanofanirwa kuzvipira kutarisana nenyaya iyi mukati mehuwandu hwevarwere uye nekubatana nevamwe vanobva kumapoka akasiyana. Vanachiremba, vashandi vezvemagariro evanhu, vanachipangamazano, uye vamwe vashandi vehutano vanodiwa nekodhi yavo yehutsika kuti vatungamire mukugadzirisa kushandiswa kwemasimba uye kusimudzira kururamisira kwevanhu. Varapi vanogona kuita izvi, pakati pezvimwe zvinhu, nekudzidzisa vamwe uye ivo pachavo pamusoro pesimba rakaomarara uye huwandu hwepasi rose hwekubiwa kwevanhu.

 


References

Beck, ME, Lineer, MM, Melzer-Lange, M., Simpson, P., Nugent, M., & Rabbitt, A. (2015). Kunzwisisa kwevanopa zvekurapa nezvekutengesa pabonde uye ruzivo rwavo nevarwere vari panjodzi. Pediatrics, 135(4), e895-902. doi.org/10.1542/peds.2014-2814

DeBoise, C. (2014). Kutengeswa kwevanhu uye Basa reBonde: Nheyo dzeSocial-Work Principles. Meridians: Feminism, Race, Transnationalism, 12(1), 227-233. muse.jhu.edu/article/541879/pdf

Dell, NA, Maynard, BR, Akazvarwa, KR, Wagner, E., Atkins, B., & House, W. (2019). Kubatsira Vapukunyuki veKutengeswa kwevanhu: Ongororo Yakarongeka yeKubuda uye Kupindira kwePostexit. Kushungurudzwa Kwevadzidzi, 20(2), 183-196. doi.org/10.1177/1524838017692553

Gozdziak, E., & MacDonnell, M. (2013, Kurume 4). Kuvhara Magetsi: Kudiwa Kwekuvandudza Kuzivikanwa uye Masevhisi kune Vana Vanenge Vabatwa Nekutengesa neChikoro cheKune dzimwe nyika - Georgetown University - Issuu. Issuu.com. issuu.com/georgetownsfs/docs/gozdziak-closing-the-gaps

Greenbaum, VJ (2017). Kutengeswa pabonde kwevana muUnited States: Zvinetso kune mupi wehutano. PLoS Med, 14(11), e1002439. doi.org/10.1371/journal.pmed.1002439

Hemmings, S., Jakobowitz, S., Abas, M., Bick, D., Howard, LM, Stanley, N., Zimmerman, C., & Oram, S. (2016). Kupindura kune zvidikanwi zvehutano zvevanopona kutengeswa kwevanhu: ongororo yakarongeka. BMC Health Serv Res, 16, 320. doi.org/10.1186/s12913-016-1538-8

Hodge, DR (2008). Kuita zvepabonde muUnited States: dambudziko repamba rine mativi epasi rose. Soc Work, 53(2), 143-152. doi.org/10.1093/sw/53.2.143

HR3244 - 106th Congress (1999-2000): Vakabatwa neTrafficking uye Violence Protection Act ye2000. (2019). Congress.gov. www.congress.gov/bill/106th-congress/house-bill/3244

Johnson, B. (2016). Aftercare kune Vakapona Kutengeswa Kwevanhu. Scribd. www.scribd.com/document/324584925/Aftercare-for-Survivors-of-Human-Trafficking

Macy, RJ, & Graham, LM (2012). Kuzivisa vanhu vari kubatwa chibharo mudzimba nepasirese panguva yekupihwa basa revanhu. Kushungurudzwa Kwevadzidzi, 13(2), 59-76. doi.org/10.1177/1524838012440340

National Human Trafficking Hotline. (2023). National Statistics. Humantraffickinghotline.org. humantraffickinghotline.org/en/statistics

Oram, S. (2021). Kupindura kune zvinodiwa zvehutano hwepfungwa zvevakadzi vanotengeswa. European Psychiatry, 64(S1), S12-S12. doi.org/10.1192/j.eurpsy.2021.55

Zimmerman, C., & Watts, C. (2003). Kurudziro yehutsika nekuchengetedzwa kwetsvakiridzo yekupindira pamusoro pemhirizhonga kuvanhukadzi. Www.who.int. www.who.int/publications/i/item/9789241510189

Disclaimer

Clinical Approach yekuziva HIV: A Comprehensive Guide

Clinical Approach yekuziva HIV: A Comprehensive Guide

Vanamazvikokota vezvehutano vanopa sei nzira yekiriniki yekuziva HIV kune vanhu vari kurwadziwa nekupa zororo?

ziviso

Muviri wemunhu wakatarisana neakasiyana ezvakatipoteredza zvinhu, kukuvara, uye hutachiona hunogona kukonzera nyaya kuhurongwa hwemuviri. Sezvo vanhu vazhinji vanogara vachifamba kubva kune imwe nzvimbo kuenda kune imwe, kuve neutano kwakakosha zvakanyanya. Kuwana nguva yekuita nguva yehutano hwemunhu uye kugara zvakanaka kwakakosha zvakanyanya, sezvo vanhu vazhinji vakawana comorbidities uye anopindirana enjodzi profiles izvo zviri kuvakonzera kurwadziwa. Kana vanhu vachinge vasangana nenyaya dzekuneta, tsandanyama uye kurwadziwa kwemajoini, kana kusagadzikana kwekudzivirira muviri, vazhinji vezvehutano vanofanirwa kuongorora mamiriro ezvinhu uye kubvunza vanhu ivo pavakasangana neaya maprofile enjodzi uye kuti anokanganisa sei mabasa avo ezuva nezuva. Imwe yemhando dzenjodzi dzinoita sedzinokanganisa muviri ihutachiona hwehutachiona hunozivikanwa seHuman Immunodeficiency Virus kana HIV. Izvi zvinogona kuita kuti vazhinji vezvehutano vauye nehurongwa hwekurapa hwemunhu kuti vaderedze mafambiro enjodzi aya uye kudzidzisa munhu wacho zvekuita kugadzirisa zviratidzo zveHIV. Chinyorwa chanhasi chinotarisa mabatiro anoita HIV kumunhu, zviratidzo zvake, pamwe nemishonga isiri yekuvhiya yekudzora HIV. Isu tinokurukura nevarapi vane hunyanzvi vanobatana navo vanobatanidza ruzivo rwevarwere vedu kuti vaone mhedzisiro yeHIV nezviratidzo zvayo. Isu tinozivisawo uye tinotungamira varwere kuti vangaziva sei kukanganisa kweHIV uye kubvunza vavanosanganisirwa navo vezvokurapa mibvunzo yakaoma kuti vabatanidze chirongwa chekurapa chakasarudzika kubatanidza marapirwo mazhinji asiri ekuvhiya kugadzirisa zviratidzo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Chii Chinonzi HIV?

 

Unogara uchinzwa wakaneta kunyange pashure pokunge wazorora zvakanaka usiku here? Unonzwa huro yako ichirwadza pasina zviratidzo zvefuruu? Kana kuti urikunzwa kurwadziwa kwemhasuru uye majoini munzvimbo dzakasiyana dzemuviri wako? Pasi rose, vanhu vazhinji vanowanzosangana nezviratidzo izvi kubva kuhutachiona hwehutachiona hunozivikanwa seHuman Immunodeficiency Virus kana HIV. HIV ndeyemhuri yeretroviridae, iyo yakanangana nemasoja emuviri, zvikuru maCD4+ T cells. MaCD4+T cell anoita basa rakakosha mukupindura kwedziviriro yemuviri, asi kana HIV yatanga kupedza mareceptor uye kumisa maseru anenge auya. (Masenga et al., 2023) Izvi zvinokonzeresa kuti vanhu vange vaine hutachiwana hweHIV uye, kana vakasarapwa nekukasika, zvinogona kutungamira mukufambira mberi kwematanho akaomarara. Zvisinei, vanhu vanobata sei HIV? Zvakanaka, iyo yakajairika mode ndeye nokusangana pabonde kusina kudzivirirwa, kugoverana tsono, kana kuburikidza nekuratidzwa kwaamai-mucheche, izvo zvinoderedza huwandu hweT-helper cell uye, nekufamba kwenguva, zvinogona kuwedzera simba rekudzivirira muviri. (van Heuvel et al., 2022) Izvi zvinoita kuti vanhu vakawanda vave nezviratidzo zvakasiyana-siyana zvemukondombera izvo zvinogona kusiyana, zvichienderana nekuoma uye mafambiro eutachiona. 

 

Zviratidzo

Ikozvino, kuti kufambira mberi kweHIV kutapure immune system yemuviri uye kukonzeresa kuti zviratidzo zvakasiyana siyana zvibate munhu, nyanzvi dzezvehutano dzakawanda dzinofanirwa kutarisa maitiro eiyo exosomes yemuiti uye basa ravo rekubatana neHIV. Iyo generational process ye exosomes inokonzeresa kupindirana kwengozi profiles pamwe nehutachiona hweHIV sezvo exosomes inogona kutakura hutachiona kubva kumaseru ane hutachiona kuenda kumaseru asina hutachiona emuviri nekuibatsira kudzora kurwisa kwemuenzi kuhutachiona hwehutachiona. (Chen et al., 2021) Kusvika ipapo, zvinogona kutungamirira kukufambira mberi kwematanho akati wandei eHIV uye zviratidzo zvayo. Kana munhu achinge achibata neutachiwana hweHIV mumatanho akanyanya, zviratidzo zvacho zvinogona kupfava uye zvikanganiswe zviri nyore sehutachiona hwehutachiona. Zvimwe zvezviratidzo zvinogona kusanganisira:

  • Muscle aches
  • kurwadza kwemajoini
  • Kuoma kurara
  • Kuneta 
  • Neuropathy
  • Kupfupika kwemhepo
  • Dzorera glands

Izvi zvinodaro nekuti ma cytokines ekuzvimba kubva ku immune system anokwidziridzwa uye kukanganiswa neHIV. Apo cytokines inoputika inobatanidzwa neHIV, zviratidzo zvine simba guru pahupenyu hwemunhu, zvichikonzera kuti ave neshungu. (Schnall et al., 2020) Uyezve, kana HIV yasvika pakunonoka kunonoka, utachiona uhwu hunenge husina kushanda asi hunogona kuramba huchingowedzera pasina zviratidzo mumuviri. Zvisinei, apo HIV inosvika padanho rayo rakaoma, inogona kutungamirira kukukura kweAIDS. Sezvineiwo, kufambira mberi kwekurapa kurapa HIV kubva pamatanho ayo akaomarara kunogona kubatsira kugadzirisa zviratidzo zvine chekuita nazvo. 

 


Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo


Kurapa Kusina Kuvhiya KweHIV

 

Kana zvasvika pakurapa HIV, kurapa kusiri kwekuvhiya kunogona kubatsira kubata zviratidzo zvayakabatana nazvo uku ichivandudza zvakanyanya tarisiro yehupenyu uye hupenyu hwemunhu anenge abatwa nehutachiona. Pamishonga isiri yekuvhiya, chinangwa chikuru ndechekuongorora HIV nekukasika uye kuongorora mamiriro ezvinhu kuburikidza nekuuya nezvitsva uye zvitsva zvekuongororwa kweHIV kuwedzera kuwanda nekudzivirira kweHIV mumakiriniki uye asiri ekiriniki. (Delaney & DiNenno, 2021) Pazasi pane mamwe marapirwo asiri ekuvhiya ekudzora HIV.

 

Mishonga yemaAntiretroviral

Ikozvino, mamwe emamwe marapirwo asiri ekuvhiya ekudzora HIV nekutora mishonga yemaAntiretroviral. Izvi zvinobvumira munhu ane HIV kuti ave nehanya nekutora mishonga yemaAntiretroviral zuva nezuva, izvo zvinobva zvabatsira kuvandudza kudzvanywa kweutachiona hweHIV uye zvinopa nzira dzinoshanda dzenzira dzekurapa dzekusimudzira mabasa emaARV. (Huerta, 2020) Uyezve, chinangwa chikuru chemishonga yemaAntiretroviral therapy ndiko kuderedza hutachiwana hweHIV kusvika mwero usingaonekwe, chengetedza immune system kushanda, uye kudzivirira kufambira mberi kweAIDS.

 

Mararamiro Ekugadzirisa

Kunyange zvazvo kurarama neHIV nhasi kwakasiyana zvikuru nemakumi emakore apfuura, nekuda kwekufambira mberi kukuru mune zvekurapa. Vanhu vazhinji vanogona kuenda kuvarapi vavo vehutano kuti vavhenekwe nekukurumidza uye kurapwa kunoshanda kuti vararame hupenyu hurefu uye hune hutano. Kuziva, dzidzo, uye kuramba uchishanda nekuongorora hutano zvinoramba zvakakosha mukurwisa HIV nekufambira mberi kwayo. Pamusoro pezvo, kudya kwakaringana, kurovedza muviri nguva dzose, uye tsigiro yehutano hwepfungwa kwakakoshawo kune vanhu vanorarama neHIV, zvichibatsira kusimbisa immune system uye kugadzirisa zviratidzo. Panguva imwecheteyo, kugara uchishanyira mupi wehutano kuitira kuongororwa ropa kwakakosha kutarisa kushanda kweART uye kugadzirisa chirongwa chekurapa sezvinodiwa kuti urarame hupenyu hune hutano.

 


References

Chen, J., Li, C., Li, R., Chen, H., Chen, D., & Li, W. (2021). Exosomes muutachiona hweHIV. Curr Opin HIV AIDS, 16(5), 262-270. doi.org/10.1097/COH.0000000000000694

Delaney, KP, & DiNenno, EA (2021). Matanho ekuongorora hutachiwana hwemadhipatimendi ehutano kuti apedze Denda muUS Ndiri J Prev Med, 61(5 Suppl 1), S6-S15. doi.org/10.1016/j.amepre.2021.06.002

Huerta, L. (2020). Mupepeti: Anti-infective 2020: HIV-Kubva pathogenesis kusvika kurapwa. Curr Opin Pharmacol, 54, x-xii. doi.org/10.1016/j.coph.2020.12.001

Masenga, SK, Mweene, BC, Luwaya, E., Muchaili, L., Chona, M., & Kirabo, A. (2023). HIV-Host Cell Kudyidzana. Masero, 12(10). doi.org/10.3390/cells12101351

Schnall, R., Jia, H., & Reame, N. (2020). Kushamwaridzana Pakati peHIV Symptom Burden uye Inflammatory Cytokines: Ongororo neBonde uye Menopause Stage. J Womens Health (Larchmt), 29(1), 119-127. doi.org/10.1089/jwh.2019.7749

van Heuvel, Y., Schatz, S., Rosengarten, JF, & Stitz, J. (2022). Infectious RNA: Human Immunodeficiency Virus (HIV) Biology, Therapeutic Intervention, uye Kutsvaka Mushonga. Chepfu (Basel), 14(2). doi.org/10.3390/toxins14020138

 

Disclaimer

Kudzivirira uye Kurapa Peripheral Neuropathy: A Holistic Nzira

Kudzivirira uye Kurapa Peripheral Neuropathy: A Holistic Nzira

Zvimwe zvirwere zvetsinga zvinogona kukonzera acute episodes of peripheral neuropathy, uye kune vanhu vanoonekwa kuti vane chirwere chisingaperi cheuropathy, chirwere chemuviri chinogona kubatsira kuvandudza kukwanisa kufamba zvakachengeteka pamwe chete nemishonga, maitiro, uye mararamiro ekugadzirisa kuti abatsire kudzora nekugadzirisa zviratidzo?

Kudzivirira uye Kurapa Peripheral Neuropathy: A Holistic Nzira

Peripheral Neuropathy Kurapa

Peripheral neuropathy kurapwa kunosanganisira zviratidzo zvekurapa uye manejimendi ekurapa kubatsira kudzivirira kuwedzera kukuvara kwetsinga.

  • Kune acute mhando dzeperipheral neuropathy, kupindira kwekurapa uye marapirwo anogona kurapa ari pasi pemaitiro, kugadzirisa mamiriro.
  • Kune zvisingaperi marudzi eperipheral neuropathy, kupindira kwekurapa uye mararamiro ehupenyu zvinogona kubatsira kudzivirira kufambira mberi kwemamiriro.
  • Chronic peripheral neuropathy kurapwa inotarisa pakudzora zviratidzo zvekurwadziwa uye kudzivirira nzvimbo dzekunzwa kuderera kubva mukukuvadzwa kana kutapukirwa.

Kuzvitarisira uye Kugadzirisa Mararamiro

Kune vanhu vakaonekwa kuti vane peripheral neuropathy kana kuti vari panjodzi yekuvandudza mamiriro acho, mararamiro anoita basa rakakosha mukugadzirisa zviratidzo uye kudzivirira kukuvara kwetsinga kubva pakuipa uye zvinogona kutodzivirira mamiriro acho kukura. (Jonathan Enders et al., 2023)

Pain Management

Vanhu vanokwanisa kuedza marapirwo ekuzvitarisira aya voona kuti uye ndeapi anobatsira kuderedza kusagadzikana kwavo vobva vagadzira muitiro wavanogona kushanda nawo. Kuzvitarisira kwezviratidzo zvekurwadziwa kunosanganisira:

  • Kuisa pedhi yekudziya inodziya panzvimbo dzinorwadza.
  • Kuisa pedhi yekutonhora (kwete ice) panzvimbo dzinorwadza.
  • Kuvhara nzvimbo kana kuisiya isina kufukidzwa, zvichienderana nekunyaradza mazinga.
  • Pfeka mbatya dzisina kusimba, masokisi, shangu, uye/kana magirovhosi asina kugadzirwa nezvinhu zvinogona kukonzera kushatirwa.
  • Rega kushandisa mafuta ekuzora kana sipo zvinogona kukonzera kusvotwa.
  • Shandisa mafuta anozorodza kana lotions.
  • Kuchengeta nzvimbo dzinorwadza dzakachena.

Kudzivirira Kukuvara

Kunzwa kuderera ndeimwe yeanowanzo mhedzisiro inogona kutungamirira kumatambudziko akaita sekugumburwa, kunetseka kutenderera, uye kukuvara. Kudzivirira uye kugara uchitarisa kukuvara kunogona kubatsira kudzivirira matambudziko senge maronda ane hutachiona. (Nadja Klafke et al., 2023) Kugadziriswa kwehupenyu hwekugadzirisa nekudzivirira kukuvara kunosanganisira:

  • Pfeka bhutsu dzakakwenenzverwa uye masokisi.
  • Ongorora tsoka, zvigunwe, zvigunwe, uye maoko nguva nenguva kuti utarise mavanga kana mavanga asina kumbonzwa.
  • Kuchenesa uye kuvhara macheka kudzivirira zvirwere.
  • Chenjerera zvakanyanya nemidziyo inopinza senge yekubikira nebasa kana maturusi ekurima.

Kutarisira Zvirwere

Mararamiro ehupenyu anogona kubatsira kudzivirira kufambira mberi kwechirwere uye anonyatso kuenderana nenjodzi uye zvinokonzeresa. Kubatsira kudzivirira peripheral neuropathy kana kufambira mberi kwayo kunogona kuitwa ne: (Jonathan Enders et al., 2023)

  • Chengetedza hutano hwakanaka hweglucose kana uine chirwere cheshuga.
  • Dzivisa doro kune chero peripheral neuropathy.
  • Chengetedza kudya kwakakwana, izvo zvinogona kusanganisira mavitamini ekuwedzera, kunyanya kune vanodya miriwo kana vegans.

Over-the-Counter Therapies

Mishonga shomanana yemishonga inogona kubatsira nezviratidzo zvinorwadza uye inogona kutorwa sezvinodiwa. Over-the-counter pain therapies inosanganisira: (Michael Überall et al., 2022)

  • Topical lidocaine spray, chigamba, kana makirimu.
  • Capsaicin creams kana zvigamba.
  • Topical Icy Hot
  • Non-steroidal anti-inflammatory medication - Advil/ibuprofen kana Aleve/naproxen
  • Tylenol/acetaminophen

Mishonga iyi inogona kubatsira kubvisa zviratidzo zvinorwadza zveperipheral neuropathy, asi hazvibatsire kuvandudza kuderera kwekunzwa, kushaya simba, kana kurongeka kwematambudziko. (Jonathan Enders et al., 2023)

Prescription Therapies

Mishonga yekurapa yekurapa peripheral neuropathy inosanganisira mishonga yemarwadzo uye anti-inflammatories. Mhando dzisingaperi dzeperipheral neuropathy dzinosanganisira:

  • Doro neuropathy
  • Diabetes neuropathy
  • Chemotherapy-induced neuropathy

Mishonga yemishonga yemhando dzisingaperi inosiyana nekurapa kweacute mhando dzeperipheral neuropathy.

Pain Management

Mishonga yemishonga inogona kubatsira kugadzirisa marwadzo uye kusagadzikana. Mishonga inosanganisira (Michael Überall et al., 2022)

  • Lyrica - pregabalin
  • Neurontin - gabapentin
  • Elavil - amitriptyline
  • Effexor - venlafaxine
  • Cymbalta - duloxetine
  • Muzviitiko zvakakomba, intravenous/IV lidocaine inogona kudikanwa. (Sanja Horvat et al., 2022)

Dzimwe nguva, mushonga wekuwedzera simba kana vhitamini B12 inopiwa kuburikidza nejekiseni inogona kubatsira kudzivirira kufambira mberi apo peripheral neuropathy inobatanidzwa nekushayikwa kwakanyanya kwevhitamini. Mishonga yekurapa inogona kubatsira kubata maitiro ari pasi pemamwe marudzi eacute peripheral neuropathy. Kurapa kweacute peripheral neuropathy, senge Miller-Fisher syndrome kana Guillain-Barré syndrome, inogona kusanganisira:

  • Corticosteroids
  • Immunoglobulins - immune system mapuroteni
  • Plasmapheresis inzira inobvisa chikamu chemvura yeropa, ichidzosa masero eropa, ayo anogadzirisa kuwanda kwesimba remuviri. (Sanja Horvat et al., 2022)
  • Vatsvagiri vanotenda kuti pane hukama pakati pemamiriro aya uye kuzvimba nerve kukuvara, uye kushandura immune system kunobatsira pakurapa zviratidzo uye chirwere chiripo.

Surgery

Mune zvimwe zviitiko, maitiro ekuvhiya anogona kubatsira vanhu vane mamwe marudzi eperipheral neuropathy. Kana imwe mamiriro ari kuwedzera zviratidzo kana nzira yeperipheral neuropathy, kuvhiyiwa kunogona kubatsira kubvisa zviratidzo uye kudzivirira kufambira mberi kwechirwere. Izvi zvakaratidza kushanda kana tsinga dzakasungwa kana vascular insufficiency zviri zvinhu. (Wenqiang Yang et al., 2016)

Anowirirana uye Anotsiva Mushonga

Dzimwe nzira dzinopindirana uye dzimwe nzira dzinogona kubatsira vanhu kurarama nemarwadzo uye kusagadzikana. Mishonga iyi inogona kushanda senzira inoenderera kune avo vane chronic peripheral neuropathy. Sarudzo dzinogona kusanganisira: (Nadja Klafke et al., 2023)

  • Acupuncture inosanganisira kuiswa kwetsono munzvimbo dzakananga dzemuviri kubatsira kuderedza zviratidzo zvemarwadzo.
  • Acupressure inosanganisira kushandisa kumanikidza kune dzimwe nzvimbo dzemuviri kubatsira kuderedza zviratidzo zvinorwadza.
  • Massage therapy inogona kubatsira kuzorodza tsandanyama.
  • Kufungisisa uye kurapwa kwekuzorora kunogona kubatsira kubata zviratidzo.
  • Kurapa kwepanyama kunogonawo kushanda sechikamu chakakosha chekurarama nekusingaperi peripheral neuropathy uye kupora kubva kune acute peripheral neuropathy.
  • Kurapa kwepanyama kunogona kubatsira kusimbisa mhasuru dzisina kusimba, kuvandudza kurongeka, uye kudzidza maitiro ekuchinja kune kunzwa uye mota shanduko kuti ufambe zvakachengeteka.

Vanhu vari kufunga nezvekuwedzera kana kumwe kurapwa vanokurudzirwa kuti vataure nevanovapa vekutanga vehutano kuti vaone kana kwakachengeteka kumamiriro avo. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemupi wehutano hwemunhu uye / kana nyanzvi kugadzira hutano hwakakwana uye hutano hwekugadzirisa mhinduro yekupa marwadzo nekuvandudza hupenyu.


Peripheral Neuropathy: Yakabudirira Kudzoreredza Nyaya


References

Enders, J., Elliott, D., & Wright, DE (2023). Emerging Nonpharmacologic Interventions Kurapa Diabetic Peripheral Neuropathy. Antioxidants & redox kusaina, 38 (13-15), 989-1000. doi.org/10.1089/ars.2022.0158

Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). Kudzivirira uye Kurapa kweChemotherapy-Induced Peripheral Neuropathy (CIPN) neNon-Pharmacological Interventions: Clinical Recommendations kubva kuSystematic Scoping Review uye Nyanzvi Yekubvumirana. Sainzi dzekurapa (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Inorwadza chirwere cheshuga peripheral neuropathy: chaiyo-nyika kuenzanisa pakati pekurapwa kwepamusoro ne lidocaine 700 mg medicated plaster uye nemuromo kurapwa. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine Yekurapa Kwekurwara Kusingaperi: A Retrospective Cohort Study. Nyaya yekutsvakurudza kurwadziwa, 15, 3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kunyaradza Kurwadziwa uye Utano Hunoenderana Nehutano-hwe-Hupenyu Kuvandudza Mushure meMicrosurgical Decompression yeEntrapped Peripheral Nerves muVarwere Vane Painful Diabetic Peripheral Neuropathy. Iyo Journal yekuvhiya tsoka uye ankle: kuburitswa kwepamutemo kweAmerican College of Foot uye Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004

Acupuncture yeKuneta Kusingaperi: Tsvagiridzo uye Zvakawanikwa

Acupuncture yeKuneta Kusingaperi: Tsvagiridzo uye Zvakawanikwa

Kune vanhu vari kubata nechirwere chisingaperi chekuneta, kubatanidza acupuncture nemamwe maprotocol ekurapa kubatsira kudzorera kushanda uye kuvandudza hupenyu?

Acupuncture yeKuneta Kusingaperi: Tsvagiridzo uye Zvakawanikwa

Acupuncture For Chronic Fatigue Syndrome

Tsvagiridzo iri kutarisa kuti acupuncture inogona kubatsira sei kubata zviratidzo zvekuneta kusingaperi. Zvidzidzo izvi zvakatarisa pane chaiwo acupoints uye matekiniki uye nemabatiro avakaita zvimwe zviratidzo kana kusakwana kwakabatana nemamiriro acho. Vatsvakurudzi vakawana kuti acupuncture inogona kubatsira kubata uye kuderedza zvimwe zviratidzo (Qing Zhang et al., 2019) Nekudaro, ivo vaive vachiri kutadza kuona kuti acupuncture inoshanda sei chaizvo.

Kununura Zviratidzo

Zvidzidzo zvakasiyana-siyana zvakaratidza kuti acupuncture inogona kuvandudza kuneta kwemuviri nepfungwa, kusanganisira:

Kwaivewo Nekunatsiridza Mukati

Zvimwe zvidzidzo Zvakawana Kuti Acupuncture Yakabatsira Sei Mu

Kurapa Kunosiyana Nekudzidza

  • Imwe nyaya yekuongorora yakaratidza kuvandudzwa mumapoka evatambi vakaiswa kuburikidza nemhando yezviitwa zvinopedza muviri uye kuzorora kwenguva pfupi. Rimwe boka revatambi rakarapwa neacupuncture pane acupoints akasarudzwa apo vamwe vakapiwa zororo rakawedzerwa. Ongororo yakashandiswa kune metabolic profiles yeweti samples dzakaunganidzwa kubva kuvamhanyi pamapoinzi matatu: pamberi pemaekisesaizi, pamberi uye mushure mekurapa acupuncture, kana kutora kuzorora kwenguva refu. Mhedzisiro yacho yakaratidza kuti kudzoreredzwa kwematabolites akakanganisika muvatambi vaibatwa neacupuncture kwakakurumidza zvakanyanya kupfuura kune avo vakangotora kuzorora kwenguva refu. (Haifeng Ma et al., 2015)
  • Vatsvagiri vakati zvidzidzo zvinosanganisira acupuncture chete kana musanganiswa nekumwe marapiro zvinoita kunge zvinoratidza kuti inoshanda mukuderedza kuneta. (Yu-Yi Wang et al., 2014) Zvisinei, zvimwe zvidzidzo zvinodikanwa kusimbisa mabhenefiti. Uku ndiko kuchinja kukuru kubva pakuongorora kwakawana humbowo hushoma hwekushanda kwemamwe marapirwo ekubvisa zviratidzo zvekuneta zvisingaperi. (Terje Alraek et al., 2011)
  • Imwe wongororo yedzimwe nzira dzekurapa dzakawana acupuncture uye dzimwe nzira dzekufungisisa dzakaratidza vimbiso yakanyanya yekuferefeta ramangwana. (Nicole S. Porter et al., 2010)
  • Imwe ongororo yakaenzanisa prednisone, steroid, ine acupuncture nzira inonzi coiling dragon uye kumwe kurapa kunonzi cupping. Yakataura kuti kurapwa kwe acupuncture uye cupping kwakapfuura steroid maererano nekuneta. (Wei Xu et al., 2012)
  • Imwe ongororo yakawana kuti kudiwa nekupisa kana moxibustion kwakaburitsa zvirinani pane yakajairwa acupuncture maererano nekuneta kwemuviri nepfungwa. (Chen Lu, Xiu-Juan Yang, Jie Hu 2014)

Kubva Kukurukurirana Kuchinja: Kuongorora Varwere MuChiropractic Setting


References

Zhang, Q., Gong, J., Dong, H., Xu, S., Wang, W., & Huang, G. (2019). Acupuncture ye chronic fatigue syndrome: kuongorora kwakarongeka uye meta-analysis. Acupuncture mumishonga: bhuku reBritish Medical Acupuncture Society, 37 (4), 211-222. doi.org/10.1136/acupmed-2017-011582

Frisk, J., Källström, AC, Wall, N., Fredrikson, M., & Hammar, M. (2012). Acupuncture inovandudza hutano-hwehupenyu-hwehupenyu (HRQoL) uye kurara muvakadzi vane kenza yemazamu uye inopisa. Tsigiro yekuchengetedza mugomarara: gwaro repamutemo reMultinational Association of Supportive Care muCancer, 20 (4), 715-724. doi.org/10.1007/s00520-011-1134-8

Gao, DX, & Bai, XH (2019). Zhen ci yan jiu = Tsvakurudzo yeAcupuncture, 44(2), 140–143. doi.org/10.13702/j.1000-0607.170761

Mandıroğlu, S., & Ozdilekcan, C. (2017). Mhedzisiro yeAcupuncture pane Chronic Insomnia: Chirevo cheMakesi maviri ane Polysomnographic Evaluation. Nyaya ye acupuncture uye meridian zvidzidzo, 10 (2), 135-138. doi.org/10.1016/j.jams.2016.09.018

Zhu, L., Ma, Y., Ye, S., & Shu, Z. (2018). Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: Network Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2018, 2890465. doi.org/10.1155/2018/2890465

Ma, H., Liu, X., Wu, Y., & Zhang, N. (2015). Iko Kupindira Migumisiro yeAcupuncture paKuneta Kunokonzerwa neExhaustive Physical Exercises: A Metabolomics Investigation. Evidence-based complementary and alternative medicine: eCAM, 2015, 508302. doi.org/10.1155/2015/508302

Wang, YY, Li, XX, Liu, JP, Luo, H., Ma, LX, & Alraek, T. (2014). Traditional Chinese mushonga we chronic fatigue syndrome: kurongeka kwekuongorora kwe randomized kliniki miedzo. Kuwedzera kurapwa mukurapa, 22 (4), 826-833. doi.org/10.1016/j.ctim.2014.06.004

Alraek, T., Lee, MS, Choi, TY, Cao, H., & Liu, J. (2011). Mushonga unopindirana uye wakasiyana kune varwere vane chirwere chisingaperi chekuneta: kuongororwa kwakarongeka. BMC inopindirana uye imwe mushonga, 11, 87. doi.org/10.1186/1472-6882-11-87

Porter, NS, Jason, LA, Boulton, A., Bothne, N., & Coleman, B. (2010). Mamwe maitiro ekurapa anoshandiswa mukurapa uye manejimendi ye myalgic encephalomyelitis / chronic fatigue syndrome uye fibromyalgia. Chinyorwa cheimwe nzira uye yekuwedzera mushonga (New York, NY), 16 (3), 235-249. doi.org/10.1089/acm.2008.0376

Lu, C., Yang, XJ, & Hu, J. (2014). Zhen ci yan jiu = Tsvakurudzo yeAcupuncture, 39(4), 313–317.

Kuongorora Mabhenefiti eAcupuncture yeHutano hweZiso

Kuongorora Mabhenefiti eAcupuncture yeHutano hweZiso

Kune vanhu vari kusangana nematambudziko emaziso, kurapwa kwe acupuncture kunogona kubatsira uye kubatsira hutano hweziso hwese?

Kuongorora Mabhenefiti eAcupuncture yeHutano hweZiso

Acupuncture Yehutano Weziso

Acupuncture imwe nzira yekurapa inosanganisira kuisa tsono dzakatetepa panzvimbo dzakati dzemuviri. Chinangwa ndechekudzoreredza hutano uye hutano nekudzoreredza uye kuenzanisa kutenderera kwesimba kuburikidza nenzira dzemuviri wese. Idzi nzira, dzinozivikanwa semeridians, dzakaparadzana netsinga uye nzira dzeropa.

  • Zvidzidzo zvakaratidza kuti kuiswa kwetsono kunokanganisa kuunganidzwa kwemamwe ma neurotransmitters netsinga dziri pedyo uye zvinogona kunge zviri izvo zvinokonzeresa hutano hunobatsira. (Heming Zhu 2014)
  • Masayendisiti haana chokwadi chekuti acupuncture inoshanda sei, asi zvakaratidzwa kuti zvinopa zororo rekurwadziwa uye kuderedza kenza kurapwa kusvotwa. (Weidong Lu, David S. Rosenthal 2013)
  • Zvidzidzo zvakaratidza kuti acupuncture inogona kubatsira kurapa mamiriro emeso senge yakaoma eye syndrome. (Tae-Hun Kim et al., 2012)

Matambudziko Emaziso

Kune vamwe vanhu, kusaenzana kwemuviri kunogona kukonzerwa nedambudziko remaziso kana chirwere. Neacupuncture, kusaenzana-kukonzera zviratidzo zvinogadziriswa. Acupuncture inokurudzira kutenderera kwesimba neropa kumativi emeso.

  • Acupuncture yakashandiswa seimwe nzira yekurapa ye chronic dry eye syndrome. (Tae-Hun Kim et al., 2012)
  • Zvidzidzo zvakaratidza kuti acupuncture inobatsira kudzikisa tembiricha yemeso kudzikisa kubuda kwemisodzi.
  • Iyo nzira zvakare dzimwe nguva inoshandiswa kurapa glaucoma.
  • Glaucoma chirwere cheoptic nerve chinowanzo kukonzerwa nepamusoro-yakajairika mazinga ekumanikidza kwemaziso.
  • Imwe ongororo yakawana kudzvanywa kwemaziso kwakadzikira zvakanyanya mushure mekuita acupuncture. (Simon K. Law, Tianjing Li 2013)
  • Chimwe chidzidzo chakaratidza kubudirira kuderedzwa kweallergiki uye kuzvimba zviratidzo zvechirwere chemaziso. (Justine R. Smith nevamwe vake, 2004)

Eye Acupoints

Izvi zvinotevera acupoints ndezvehutano hwemaziso.

Jingming

  • Jingming – UB-1 iri mukona yemukati meziso.
  • Pfungwa iyi inofungidzirwa kuti inowedzera simba neropa uye kubatsira nezvinetso zvakaita sekusaona zvakanaka, katarakiti, glaucoma, upofu hweusiku, uye conjunctivitis. (Tilo Blechschmidt et al., 2017)

Zanzhu

  • Nzvimbo yeZanzhu – UB-2 iri paburi pamucheto wemukati wetsiye.
  • Iyi acupoint inoshandiswa kana vanhu vachinyunyuta pamusoro pemusoro, kusaona zvakanaka, kurwadziwa, kubvarura, kutsvuka, kuzununguka, uye glaucoma. (Gerhard Litscher 2012)

Yuyao

  • Yuyao iri pakati petsiye, pamusoro pemwana.
  • Iyi poindi inoshandiswa kurapa kushushikana kwemaziso, kukwenya kwemaziso, ptosis, kana kuti kana ziso repamusoro ranyura, kusviba kwecornea, kutsvuka, uye kuzvimba. (Xiao-yan Tao et al., 2008)

Sizhukong

  • The Sizhukog - SJ 23 nzvimbo iri munzvimbo ine mhango kunze kwetsiye.
  • Inofungidzirwa kuti inzvimbo apo kugadzirwa kwe<em>acupuncture kunogona kubatsira nekurwadziwa kweziso nechiso, kubatanidza kutemwa nemusoro, kutsvuka, kurwadziwa, kusaona zvakanaka, kurwadza kwezino, uye kuremara kwechiso. (Hongjie Ma et al., 2018)

Tongzilia

  • Iyo Tongzilia - GB 1 iri kunze kwekona yeziso.
  • Pfungwa inobatsira kupenya maziso.
  • Acupuncture inobatsirawo kurapa kutemwa nemusoro, kutsvuka, kurwadziwa kwemaziso, kunzwisiswa kwakareruka, kuoma kwemaziso, katarakiti, uye conjunctivitis. (GladGirl 2013)

Zvidzidzo zvepakutanga neacupuncture zvakaratidza vimbiso yekuvandudza hutano hwemaziso. Vanhu vari kufunga acupuncture vanokurudzirwa kubvunza mutarisiri wavo wekutanga wehutano kuti vaone kana ingave sarudzo kune avo vasina kuwana sarudzo nenzira dzechivanhu.


Neck Injuries


References

Zhu H. (2014). Acupoints Inotanga Maitiro Ekuporesa. Medical acupuncture, 26(5), 264–270. doi.org/10.1089/acu.2014.1057

Lu, W., & Rosenthal, DS (2013). Acupuncture yekurwadziwa kwegomarara uye zviratidzo zvinoenderana. Ikozvino kurwadziwa uye misoro mishumo, 17(3), 321. doi.org/10.1007/s11916-013-0321-3

Kim, TH, Kang, JW, Kim, KH, Kang, KW, Shin, MS, Jung, SY, Kim, AR, Jung, HJ, Choi, JB, Hong, KE, Lee, SD, & Choi, SM (2012 ) Acupuncture yekurapa ziso rakaoma: muyedzo wakawanda wakasarudzika unodzorwa neanoshingaira kuenzanisa kupindira (teardrops). PloS imwe, 7(5), e36638. doi.org/10.1371/journal.pone.0036638

Mutemo, SK, & Li, T. (2013). Acupuncture ye glaucoma. Iyo Cochrane dhatabhesi yeakarongeka wongororo, 5(5), CD006030. doi.org/10.1002/14651858.CD006030.pub3

Smith, JR, Spurrier, NJ, Martin, JT, & Rosenbaum, JT (2004). Kunyanya kushandiswa kwemishonga yekuwedzera uye imwe nzira nevarwere vane chirwere chemaziso chinoputika. Ocular immunology uye kuzvimba, 12 (3), 203-214. doi.org/10.1080/092739490500200

Blechschmidt, T., Krumsiek, M., & Todorova, MG (2017). Mhedzisiro yeAcupuncture paKuona Basa muVarwere vane Congenital uye Yakawanikwa Nystagmus. Mishonga (Basel, Switzerland), 4(2), 33. doi.org/10.3390/medicines4020033

Litscher G. (2012). Yakabatanidzwa laser mushonga uye yakakwirira-tech acupuncture kuyunivhesiti yezvokurapa yeGraz, austria, Europe. Evidence-based complementary and alternative medicine: eCAM, 2012, 103109. doi.org/10.1155/2012/103109

Tao, XY, Sun, CX, Yang, JL, Mao, M., Liao, CC, Meng, JG, Fan, WB, Zhang, YF, Ren, XR, & Yu, HF (2008). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 28(3), 191–193.

Ma, H., Feng, L., Wang, J., & Yang, Z. (2018). Zhongguo zhen jiu = Chinese acupuncture & moxibustion, 38(3), 273–276. doi.org/10.13703/j.0255-2930.2018.03.011

GladGirl Iyo Lash & Brow Nyanzvi Blog. Acupuncture yeHutano hweZiso. (2013). www.gladgirl.com/blogs/lash-brow-expert/acupuncture-for-eye-health

Kurapa Jaw Pain neAcupuncture: A Guide

Kurapa Jaw Pain neAcupuncture: A Guide

Vanhu vane kurwadziwa kweshaya vanogona here kuwana zororo mukurapa acupuncture kuderedza marwadzo nekuvandudza kufamba kweshaya munzvimbo dzepamusoro dzemuviri?

ziviso

Musoro chikamu chepamusoro musculoskeletal body quadrant inotsigirwa nenharaunda yemutsipa, iyo inosanganisira dehenya, mhasuru dzakasiyana-siyana, uye nhengo dzinokosha dzinopa kugadzikana, kufamba, uye kushanda. Kutenderedza musoro, zviso zvakasiyana-siyana zvinosanganisira muromo, mhino, maziso, uye shaya kubvumira muenzi kudya, kutaura, kunhuwidza, uye kuona. Kunyange zvazvo musoro uchipa manzwiro uye motokari basa, mutsipa unosanganisira kugadzikana kwemotokari kuti uone kuti hapana kukuvara kana kushungurudzika kunobata musoro. Inowanikwa pazasi pemaziso ishaya, iyo inobvumira kushanda kwemotokari nemhasuru dzakasiyana-siyana uye majoini kune hyperextend pasina kurwadziwa kana kusagadzikana. Nekudaro, zvinhu zvakawanda zvinogona kukanganisa tsandanyama dzeshaya uye majoini kuti akumbire marwadzo uye kusagadzikana, izvo zvinogona kukonzera kupenya kunorwadza marwadzo kusvika kumitsipa yemutsipa. Chinyorwa chanhasi chinotarisa kuti kurwadziwa kweshaya kunogona kukanganisa sei muviri wepamusoro, kuti kurapwa kusiri kwekuvhiya kunogona kubatsira sei nekurwadziwa kweshaya, uye kuti marapirwo akaita seacupuncture anogona kubatsira kudzoreredza kufamba kweshaya. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vape kurapwa kuderedza marwadzo eshaya anokanganisa nzvimbo yavo yeshaya nemutsipa. Isu tinozivisawo nekutungamira varwere kuti kurapwa kweacupuncture uye kusiri-kuvhiya kunogona kubatsira sei vanhu vazhinji vane marwadzo anoenderana neshaya. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekuti kurwadziwa kwavo kunokanganisa sei hupenyu hwavo uye kunoderedza kurwadziwa kweshaya. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Marwadzo Eshaya Anobata The Upper Body

Iwe unonzwa kurwadza kwetsandanyama mushaya dzako nemutsipa tsandanyama zuva rose? Wagara uchikwesha kana kukwiza tsandanyama dzeshaya kuti uderedze kushushikana here? Kana kuti wanga uchibata nemusoro kana kurwadziwa kwemutsipa nguva dzose zvinokanganisa maitiro ako ezuva nezuva? Vanhu vazhinji vane zviratidzo izvi zvinorwadza-senge vari kubata nekurwadziwa kweshaya kana TMJ (temporomandibular joint syndrome). Shaya ine mastication tsandanyama kudivi rega rega rinobatsira kupa mabasa akasiyana senge kutsenga, kumedza kana kutaura. Kana zvinhu zvakawanda zvinoshungurudza kana zvakajairika zvinotanga kukanganisa shaya, zvinogona kukanganisa sensory-motor basa remuviri wepamusoro. Kune vanhu, kurwadziwa kweshaya kwakajairika pasi rese, uye neTMJ, inogona kuve nyaya sezvo kurwadziwa kuchiita kunge kunokanganisa kudzora mota yeshaya uku uchiperekedzwa nekuvhurika muromo kusingabvumirwe uye kutadza kurumwa nesimba. (Al Sayegh et al., 2019) Uyezve, TMJ inokanganisa kwete chete mastication muscles asiwo temporomandibular joint, iyo inobatanidza shaya nedehenya, iyo inoputika uye inokonzera nyaya dzakawanda.

 

 

Saka, TMJ yaizokanganisa sei muviri wepamusoro? Zvakanaka, apo TMJ inokanganisa mastication tsandanyama uye temporomandibular joint, vanhu vazhinji vanozoona zviratidzo zvakasiyana-siyana se:

  • Kutadza kufamba mukanwa pakutsenga
  • Kubuda/kuparuka kunzwa pakuvhura kana kuvhara shaya
  • Musoro / Migraines
  • Nzeve kurwadziwa
  • Zino kurwadziwa
  • Kurwadza kwemutsipa nemafudzi

Izvi zvinokonzera myofascial uye intraarticular disorders inobata mhasuru uye majoini eshaya, ayo akabatanidzwa nedehenya. (Maini & Dua, 2024) Kusvika panguva iyoyo, vanhu vakawanda vachange vachinzwa marwadzo anotaurwa, vachifunga kuti vari kubatwa nezino rinorwadza kana richikonzerwa nokukonzera mapoinzi mumhasuru dzemastication. Apa ndipo apo TMJ inoperekedzwa nekurwadziwa kwemhasuru-majoini mumutsipa kana kumusoro kumashure kana kana mazino achiperekedza TMJ, asi zvinoenderana nemunhu uye mamiriro avari pasi. Zvisinei, mishonga yakawanda inogona kuderedza marwadzo eshaya uye zviratidzo zvayo zvinosanganiswa zvinokanganisa shaya nemutsipa.

 


Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo


Kurapa Kusina Kuvhiya Kwekurwadza kweJaw

Pakudzikisa kurwadziwa kweshaya, vanhu vazhinji vanotsvaga kurapwa kuti vaderedze marwadzo-semhedzisiro uye vadzoke kufamba vachidzokera kushaya dzavo. Zvinogona kuva zvakaoma uye zvakaoma kana vanhu vachibata nemarwadzo eshaya. Iyo inyaya yakawanda inogona kukanganisa mitsipa uye kumashure nzvimbo. Saka, kana vanhu vachitaura nevarapi vavo vekutanga nezvekurwadziwa kweshaya, vanozowana kuongororwa kuti marwadzo avo aripi uye kana vaine zvichemo zvine chekuita nekurwadziwa kweshaya. Mushure mezvo, vanachiremba vazhinji vanozotaura kune nyanzvi dzemusculoskeletal kuti vabvise marwadzo eshaya. Kurapa uye matekiniki anoshandiswa nechiropractors, masaja therapists, uye physiotherapists anogona kubatsira kudzoreredza yakazvimba uye yakaoma mastication tsandanyama. Matekinoroji akaita seakapfava matishu ekuunganidza anogona kubatsira kuzorodza masticatory tsandanyama nekuarebesa kusvika padanho rekuburitsa mapoinzi ekutanga mumamhasuru. (Kuc et al., 2020) Panguva imwecheteyo, physiotherapy inogona kubatsira musungo weshaya kuburikidza nemaitiro akasiyana-siyana ekuzorodza kuti uwedzere mararamiro ekufambisa paunenge uchisimbisa shaya kuderedza marwadzo uye kushungurudzika. (Byra et al., 2020) Mishonga mizhinji iyi haivhiyiwe, zvinoreva kuti haipindike uye inoshanda pakurwadziwa kwemunhu asi ichikwanisika. 

 

Acupuncture Kudzorera Jaw Mobility

 

Kana zvasvika kune zvisiri zvekuvhiya kurapwa, imwe yemhando dzekare ndeye acupuncture, iyo inogona kubatsira kuderedza marwadzo-semhedzisiro yemarwadzo eshaya uye kudzorera kufamba. Acupuncture yakatanga kubva kuChina, uye nyanzvi dzekurapa dzakadzidziswa zvakanyanya dzinoshandisa tsono dzakatetepa, dzakasimba kuti dziiswe mumaacupoints pamuviri kuvhiringidza chiratidzo chemarwadzo uye kupa zororo. Nekuda kwemarwadzo eshaya, acupuncturists achaisa tsono paacupoints yeshaya kana mitsipa yakapoteredza kuderedza mechanical hypersensitivity yemasero etsinga ari kukonzera marwadzo panguva yekuvandudza sensory-motor basa nemhinduro yakanaka. (Teja & Nareswari, 2021) Uyezve, paunenge uchitarisana nemarwadzo enzeve akabatanidzwa ne TMJ inobata mitsipa yemutsipa, acupuncture inogona kubatsira kuwedzera mararamiro emutsipa wekufamba nekuisa tsono pamitsipa yemutsipa wekervical. (Sajadi et al., 2019) Apo kurapwa kweacupuncture kunobatsira vanhu vakawanda vane kurwadziwa kweshaya kunobata mitsipa yavo nemisoro, vanogona kupa zvinobatsira, migumisiro yakanaka kuburikidza nekurapa kwakatevedzana uye kuvandudza kushanda kweshaya. 

 


References

Al Sayegh, S., Borgwardt, A., Svensson, KG, Kumar, A., Grigoriadis, A., & Christidis, N. (2019). Mhedzisiro yeChisingaperi uye Yekuedza Acute Masseter Pain pane Precision Biting Behaviour muVanhu. Mberi Physiol, 10, 1369. doi.org/10.3389/fphys.2019.01369

Byra, J., Kulesa-Mrowiecka, M., & Pihut, M. (2020). Physiotherapy mu hypomobility ye temporomandibular joints. Folia Med Cracov, 60(2), 123-134. www.ncbi.nlm.nih.gov/pubmed/33252600

Kuc, J., Szarejko, KD, & Golebiewska, M. (2020). Kuongororwa kweSoft Tissue Mobilization muVarwere vane Temporomandibular Disorder-Myofascial Pain with Referral. Int J Maererano neHurumende yeHurumende, 17(24). doi.org/10.3390/ijerph17249576

Maini, K., & Dua, A. (2024). Temporomandibular Syndrome. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/31869076

Sajadi, S., Forogh, B., & ZoghAli, M. (2019). Cervical Trigger Point Acupuncture yekurapwa kweSomatic Tinnitus. Vadivelu Comedy Dailymotion vi Stud, 12(6), 197-200. doi.org/10.1016/j.jams.2019.07.004

Teja, Y., & Nareswari, I. (2021). Acupuncture Therapies yeAddressing Post Odontectomy Neuropathy. Med Acupunct, 33(5), 358-363. doi.org/10.1089/acu.2020.1472

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