Chilichonse Chimene Muyenera Kudziwa Zokhudza Mankhwala Ogwira Ntchito

Zamkati

• Kodi mankhwala othandiza ndi ati?
• Kodi mankhwala othandiza amachiza bwanji matenda?
• Kodi mankhwala othandiza ndi ndani?
• Kodi ndi cholowa m'malo mwamankhwala wamba?
• Onaninso za

Njira zachilengedwe ndi njira zina zochiritsira sizachilendo, koma zikuwonjezekanso. Zaka makumi angapo zapitazo, anthu mwina amaganiza kuti kutema mphini, kuphika, ndi aromatherapy kunali kooky pang'ono, koma mochulukira, anthu akuyesa-ndikuwona zotsatira. Tsopano, pali chidwi chowonjezeka pamankhwala othandiza, njira yolingalira zaumoyo yomwe ndiyosiyana kwambiri ndi zomwe dokotala wanu wapano angachite. (BTW, nawa mafuta asanu ndi awiri ofunikira omwe ali ndi thanzi labwino.)

Kodi mankhwala othandiza ndi ati?

Mankhwala ogwira ntchito ndi momwe amamvekera: Amayang'ana momwe thupi lanu likuyendera ntchito ndipo amachitidwa ndi mitundu yonse ya madokotala, kuyambira MDs ndi DOs kupita ku chiropractors ndi naturopaths. Polina Karmazin, MD, dotolo wophatikizira ku Vorhees, NJ, yemwe ndi katswiri wa acupuncture ndi kasamalidwe ka ululu, anati:

Palibe chithandizo chamtundu umodzi chamankhwala chogwira ntchito, kotero m'malo mopita kukalandira chithandizo chodziwika bwino cha zizindikiro zinazake, madokotala nthawi zonse amawunika mozama chithunzi chachikulu cha thanzi lanu asanakulimbikitseni. chithandizo. Dr. Karmazin anati: “Madokotala ogwira ntchito zachipatala amathera nthawi yocheza ndi odwala awo, kumvetsera mbiri yawo ndi kuona mmene zinthu zilili pakati pa majini, chilengedwe, ndi moyo wawo zomwe zingakhudze thanzi la nthaŵi yaitali ndi matenda ovuta, osatha,” anatero Dr. Karmazin.

Kodi mankhwala othandiza amachiza bwanji matenda?

Madokotala azachipatala amagwiritsa ntchito njira zosiyanasiyana zoyezetsa kuti adziwe mitundu yamankhwala yomwe angagwiritse ntchito, kuyambira magazi achikhalidwe, mkodzo, kuyezetsa chimbudzi mpaka kuyezetsa malovu a DNA. Mukapita kumodzi, amatenga nthawi nanu ndikusankha mayeso oyenera (ngati alipo), ndipo adzakufunsani mafunso ambiri okhudza thanzi lanu ndi mbiri yachipatala.

Dokotala wanu atasankha njira yothandizira, sizokayikitsa kuti zingaphatikizepo kudzaza mankhwala - ngakhale mutadzawona dokotala yemwe angakupatseni mankhwala, monga MD kapena DO amene amagwira ntchito zachipatala. "Thandizo lopatsa thanzi, kusintha kwa mahomoni, mavitamini a IV, ndi kusintha kwa moyo wamunthu payekha ndi mbali zomwe zingafunike kuwongolera zotsatira za odwala," akutero Taz Bhatia, M.D., kapena "Dr. Taz", wolemba bukuli. Super Woman Rx, dotolo wogwira ntchito ku Atlanta.

Ngakhale pali kufanana pakati pa mankhwala ochiritsira wamba ndi ogwira ntchito omwe madokotala amalangiza (kuchepetsa kupsinjika, kuchita masewera olimbitsa thupi, ndi kudya bwino), pali kusiyana kwakukulu. "Mankhwala ogwiritsira ntchito amagwiritsa ntchito mankhwala angapo omwe dokotala wanu wamba samalimbikitsa," akufotokoza Josh Ax, D.N.M., D.C., C.N.S., wolemba Idyani Dothi ndi woyambitsa wakale Nutrition. "Izi zikuphatikizapo zakudya zowonjezera zakudya (kuphatikizapo mafuta ofunikira), acupuncture, hyperbaric chamber, chelation therapy, kusintha kwa moyo, njira zochepetsera nkhawa monga yoga kapena chisamaliro cha chiropractic, masewera olimbitsa thupi, detox regimens, ndi zina zambiri."

Sikuti njira zonsezi zochiritsira zimathandizidwa ndi kafukufuku (ngakhale yoga, masewera olimbitsa thupi, ndi kudya bwino zili), koma pali zifukwa zomveka zoyesera njira zina. "Ngakhale kafukufuku amakhala ochepa pazithandizo zina zamankhwala, zosankhazi nthawi zambiri zimasankhidwa chifukwa cha umboni wambiri wambiri womwe umathandizira zomwe zingapindule," akutero Dr. Ax. "Onjezerani kuti chakuti ambiri aiwo amabwera atakhala pachiwopsezo chilichonse, ndipo sizovuta kudziwa chifukwa chomwe madotolo amayesetsa kuthana ndi mankhwala akuchipatala pomwe zosankha zochepa zowopsa zitha kupezeka." Ponseponse, mankhwala othandizira amayesetsa kuchepetsa kudalira wodwala pamankhwala. (Ngati palibe china, izi zotsutsana ndi Rx ndizotsutsana zothandizira kuthetsa mliri wa opioid ku America.)

Mukhozanso kuyembekezera kuyang'anitsitsa zakudya zanu. Doc yanu nthawi zambiri imalimbikitsa kusintha kwa zakudya pazinthu zonse zomwe muli nazo tsopano ndi kupewa mavuto ena azaumoyo. "Tikudziwa kuti chakudya ndi mankhwala," akutero Dr. Axe. "Palibe njira yabwino yodzitetezera kukulira matenda kuposa kudyetsa thupi lanu lopatsa moyo, kuchepetsa kutupa, komanso kupsinjika kwa oxidative-kuchotsa zakudya."

Ndizowona kuti zomwe mumadya zimakhudza m'matumbo anu, ndipo thanzi la microbiome yanu (tizilombo tomwe timakhala m'matumbo mwanu) lalumikizidwa ndi zinthu zingapo, kuyambira khansa ya m'mawere mpaka matenda amtima. Ichi ndi chimodzi mwazifukwa zazikulu zakuti maantibayotiki si njira yodziwika bwino yothandizirayi. Ngakhale nthawi zina zimakhala zofunikira, amadziwika kuti amasokoneza ma microbiome anu. (Mwachidule: Khungu lanu lilinso ndi microbiome. Nazi zonse zomwe muyenera kudziwa za izo.)

Kodi mankhwala othandiza ndi ndani?

Madokotala ogwira ntchito zachipatala amanena kuti aliyense akhoza kupindula ndi njira yawo, ndipo izi ndi zoona makamaka ngati mukufuna kupewa matenda kapena kuchiza matenda aakulu. "Gulu lathu likukumana ndi kuwonjezeka kwakukulu kwa anthu omwe akudwala matenda ovuta, monga matenda ashuga, matenda amtima, matenda amisala, komanso matenda amthupi monga nyamakazi," akutero Dr. Karmazin. "Njira yogwiritsira ntchito mankhwala ndi yothandiza kwambiri pofika pazomwe zimayambitsa izi kuposa mankhwala wamba."

Dr. Ax amavomereza, ponena kuti mankhwala ogwira ntchito angathandize makamaka matenda a autoimmune, komanso nkhani zokhudzana ndi mahomoni monga PCOS. “Matenda ambiri masiku ano amachokera ku zakudya ndi zakudya ndipo amayambira m’matumbo,” akutero. "Matenda ambiri omwe amadzichiritsira okha amayamba ndimatumbo otupa komanso kutupa kosatha."

Ngakhale pali umboni wambiri wosonyeza kuti izi ndi zoona, si madokotala onse wamba omwe amavomereza. M'malo mwake, madokotala ena wamba amatsimikiza ayi akukwera ndi filosofi yantchito kapena njira zomwe amagwiritsa ntchito. Monga sayansi ina iliyonse, mankhwala ochiritsira * ali ndi zoperewera, malinga ndi Stuart Spitalnic, MD, dokotala wazachipatala ku Newport, RI komanso pulofesa wothandizira wazachipatala ku Brown University. Vuto, akutero, ndikuti nthawi zina anthu amakhala ofunitsitsa kugwiritsa ntchito mwayi wa placebo poyesa kudzaza malo omwe atsalira ndi zofooka zamankhwala achikhalidwe. Ngakhale kuti si madokotala onse ochiritsira amamva choncho, si zachilendo pakati pa omwe adaphunzitsidwa ntchito zamankhwala.

Koma apa pali mfundo yaikulu monga madokotala ogwira ntchito amawona kuti: "Mankhwala osokoneza bongo sangathe kulenga thanzi popanda kusankha zakudya zabwino komanso moyo," akutero Dr. Karmazin.

Kodi ndi cholowa m'malo mwamankhwala wamba?

Mutha kukhala mukuganiza ngati muyenera kuwonana ndi dokotala wogwira ntchito ndipo dokotala wamba kuti maziko anu onse aphimbidwe. Yankho? Zimatengera. "Nthawi zambiri, mitundu iwiri ya mankhwala imasinthasintha mwachindunji," akutero Dr. Ax. "Mwina mugwiritsa ntchito mankhwala ochiritsira kapena mugwiritsa ntchito mankhwala othandizira." Iwo ndi zotheka kuti njira ziwirizi zigwirizane, komabe. "Pali madotolo ena omwe amagwiritsa ntchito njira zophatikizira ndipo amagwiritsa ntchito mankhwala achilengedwe mpaka atamva kuti mankhwala ena amafunikira kwakanthawi kochepa," akuwonjezera.

Srini Pillay, MD, katswiri wazamisala ku Harvard komanso wolemba wa Tinker Dabble Doodle Yesani: Tsegulani Mphamvu ya Maganizo Osakhazikika, ndi mmodzi mwa madokotala otere. "Malingaliro anga, mankhwala ochiritsira komanso mankhwala ochiritsira amapereka ubwino. Wodwala aliyense akaona dokotala wamtundu uliwonse ayenera kutumizidwa kwa dokotala wamtundu wina kuti amvetse momwe njira iliyonse ingakhudzire iwo," akutero.

Dr. Pillay anena kuti m'modzi mwa odwala ake posachedwa adayamba Parkinson, ndipo popeza iye kapena madokotala amitsempha (onse ochiritsira ochiritsira) sanali akatswiri pakusintha kwa zakudya pankhaniyi, adalangiza kuti akawonane ndi dokotala wazachipatala kuti adziwe zambiri mderali. Izi sizitanthauza, komabe, kuti adalimbikitsidwa wodwalayo kuti asiye kumwa mankhwalawa.

Dr. Pillay amalangizanso kufunsa mafunso okhudza mankhwala aliwonse omwe akulimbikitsidwa ndi dokotala wamtundu uliwonse, ngakhale kuti ambiri mwa mafunsowa ali okhudzana kwambiri ndi chithandizo chopanda kafukufuku. "Pazifukwa zosiyanasiyana, pali maumboni osiyanasiyana azamankhwala ochiritsira komanso othandiza. Funsani madotolo onsewa kuti, 'Pali umboni wanji wosonyeza kuti mankhwalawa akugwira ntchito?' Kungakhalenso kothandiza kufunsa kuti ndi odwala angati omwe adakuchitirani komanso kuti achita bwino bwanji ndi chithandizo chomwe akuwayamwitsa. china chake chofananira ngati kuwona chiropractor, mtundu wina wa kutikita minofu, kapena maantibayotiki (kuchokera kwa dokotala wamba, inde), kuti mutsimikizire kuti muli ndi chidziwitso chonse.

Komabe, akatswiri akunena kuti vuto lililonse lachipatala liyenera kuthandizidwa ndi mankhwala ochiritsira. "Ndikuganiza kuti opaleshoni iliyonse yovuta, zoopsa, kukulitsa matenda-zimafunikira njira yodziwika bwino, ngakhale mankhwala ophatikizika komanso othandiza amatha kuthandizira," akutero Dr. Bhatia. Mwanjira ina, mankhwala othandizira atha kukuthandizani kuthana ndi kupewa, matenda opitilira, komanso zotsatira zamankhwala oopsa kwambiri, koma ngati mukudwala matenda a mtima, chonde pitani kuchipatala.

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