Kodi zotsatira zake zimakhala zotani?

Maphunziro a Zaumoyo

Zikumveka kuti sizingachitike, koma ndizowona. Zomwe mukuganiza za mankhwala zimakhudza momwe zingakuthandizireni. Mwanjira ina, ngati mukukhulupirira kuti mankhwala akuchotsa zizindikiro zanu zidzakuthandizani - komanso mosiyana. Mukakhala ndi nkhawa kuti njira yamankhwala izikhala ndi zotsatirapo zoyipa, kapena osachita chilichonse kuti muchepetse ululu wanu, itha kukhala ulosi wokwaniritsa nokha. Icho chimatchedwa zotsatira zopanda nzeru.

Kodi zotsatira zake zimakhala zotani?

Mayankho a Nocebo amapezeka ngati chiyembekezo chanu chamankhwala chimakupangitsani kukhala ndi zizindikilo zoyipa zakumwa mankhwala. Mwachitsanzo, ngati wothandizira zaumoyo wanu akunena kuti kupweteka kwakumbuyo ndi chinthu choopsa, mutha kumva kupweteka kwakumbuyo-ngakhale mutamwa mapiritsi a shuga. Kapenanso, ngati muwerenga nkhani yokhudza momwe mankhwalawo angayambitsire migraine, mutha kumva kupweteka mutamwa. Izi zimadziwika kuti mphamvu.

Mphamvu ya placebo vs. zotsatira zopanda nzeru

Anthu ambiri amadziwa zotsatira za placebo. Zimachitika mukalandira zabwino za mankhwala chifukwa mumakhulupirira kuti zitha kukhala zothandiza ngakhale mutakhala kuti mulibe mankhwala. Zotsatira zanzeru ndizosiyana. Malingaliro olakwika amabweretsa chithandizo chosagwira ntchito, ngakhale mankhwala amphamvu.

Placebo amatanthauza, chonde, mu Latin. Nocebo amatanthauza, Ndikuvulaza. Maganizo onse awiriwa atha kukhudza thanzi lanu.

Momwe zotsatira zopanda nzeru zimagwirira ntchito

Monga tikudziwira kuchokera ku mayankho a placebo omwe aphunziridwa bwino kwambiri, mphamvu yakupangira mawu pakokha imatha kupangitsa malingaliro kukhulupirira kuti thupi limakhala ndi zotsatira zoyipa za mankhwala (kapena pakadali pano, zoyipa). Izi zikutanthauza kuti kungotchula zovuta zoyipa kungakupangitseni kukhulupirira kuti mukukumana ndi mavutowa, kutengera Erin Nance, MD , dokotala wochita mafupa ku New York City. Komabe, madokotala ali ndi chilolezo chamankhwala kuti akambirane zoopsa zonse zomwe zingachitike chifukwa chamankhwala, kutanthauza kuti nthawi zina odwala adzauzidwa china chake cholakwika chomwe chimawapangitsa kumva kuwawa kwambiri komanso kulephera - ndikupangitsa kuti pakhale zovuta zina.

Izi zimachitika ndi chithandizo chamankhwala chifukwa zomwe munthu akuyembekeza komanso zomwe zimachitika pachipatala, kapena 'mwambowu' wa chithandizo, zitha kukhala ndi zotsatirapo zazikulu muubongo wathu, ndipo ubongo wathu umakhudza kwambiri matupi athu, akufotokoza Harrison Weed, MD, dokotala wazamankhwala ku The Ohio State University Wexner Medical Center.

Kuphatikiza apo, odwala omwe amawerenga zovuta zonse zomwe zalembedwa pamankhwala amatha kunena kuti ali ndi vuto limodzi kapena angapo, monganso odwala omwe ali ndi nkhawa, kapena amawopa zovuta zina. Ngakhale odwala omwe akuwona kuti omwe amawapatsa sasamala za iwo, alibe nkhawa, kapena amakhala otanganidwa kwambiri kuti angawadziwe, amatha kunena zoyipa zamankhwala.

Kuchokera pamaganizidwe amitsempha, zomwe zimachitika mkati mwa ubongo ndizofanana ndi zomwe zimachitika mukaganiza zooneka kapena kuchita masewera olimbitsa thupi. Mbali zija za ubongo wanu zimawala. Mwachidule, kulingalira kuti china chake chikuchitika ndikwanira kuyambitsa magawo aubongo okhudzana ndi lingalirolo, kapena kuda nkhawa, kapena kupweteka, komwe kumabweretsa zotsatira zoyipa kukhala zenizeni, atero a Giuseppe Aragona, MD.

Zitsanzo za zotsatira zopanda nzeru

Mayankho a Nocebo amatha kupezeka m'mayesero azachipatala, zochitika zatsiku ndi tsiku zamankhwala, komanso nthawi zina ngati palibe mankhwala omwe adalangizidwa kapena kumwa. Kumvetsetsa njira zosiyanasiyana zomwe zotsatira zaukadaulo zimathandizira kungathandize odwala kukhala okonzeka-komanso kupangitsa kuti zisachitike.

Mwina malo owonekera bwino omwe anthu amayembekeza kuti zomwe zingachitike ndi mayesero azachipatala kapena mankhwala. Anthu omwe ali m'mayesero azachipatala omwe amalandila chithandizo chamankhwala nthawi zambiri amalemba zisonyezo zambiri, monga kupweteka mutu, kupweteka m'mimba, chizungulire, kutopa, kapena kufooka kwakukulu kuposa momwe anthu omwe sali m'mayesero azachipatala, atero Dr. Weed. Mwachitsanzo, wodwala poyeserera kafukufuku amalandira malowa kwa mankhwala atsopano omwe amathandiza kuchiza ma fracture a distal mofulumira, ndipo amauzidwa chimodzi mwazovuta zake ndikutopa. Ngati wodwalayo ayamba kumva kutopa ndizotheka chifukwa chazomwe amachita, akuwonjezera Dr. Nance.

Anthu kutenga zikondwerero nthawi zambiri amakumana ndi zovuta. Mwinanso mwina chifukwa zoyipa zamankhwala amtunduwu zimafotokozedwa kwambiri munkhani, anthu atha kukhala ndi ziyembekezo zoipa. Kuopsa kwakumva kupweteka kwam'matumbo mukatenga ma statins ndikosakwana 5%. Komabe, kafukufuku waposachedwa akuwonetsa kuti pafupifupi 30% ya odwala adasiya kulandira chithandizo chifukwa cha kupweteka kwa minofu-ngakhale atakhala kuti ali m'gulu lolamulira ndipo chithandizo chawo chinali kwenikweni placebo.

Alex Tauberg, MD, akuwonanso mphamvu muzochita zake za chiropractic: Pa X-ray, umboni woti kusintha kwawonongeka kumakhalapo mwa aliyense wazaka zopitilira 30. Popeza nyamakazi ndi yofala kwambiri, sitinganene kuti Matenda a osteoarthritis omwe amawoneka pa X-ray ndi omwe amayambitsa kupweteka kwakumbuyo. M'malo mwake, osteoarthritis imafala mwa anthu omwe samva kupweteka kapena kukanika monga momwe amachitiranso anthu omwe akumva kuwawa. Komabe, tikawonetsa zotsatira za X-ray kwa odwala, zimawonjezera kupweteka kwawo ndi kuchuluka kwa olumala chifukwa amakhulupirira kuti pali china chake cholakwika ndi thupi lawo, a Dr. Tauberg akufotokoza.

Njira zisanu zothetsera zovuta

Simuyenera kukhala wovutitsidwa ndi ziyembekezo zanu zoipa. Gwiritsani ntchito njirazi kuti muchepetse kuyankha kwanzeru.

1. Kambiranani zabwino. Kudziwitsidwa kwinaku mukukhulupirira kuti mudzapeza zabwino ndiyo njira yabwino yopezera phindu pazotsatira zanu, atero a Dr. Nance. Ngati wodwala akudziwa kuti kulumikizidwa pambuyo pochita opaleshoni ndikochepera 1%, ndiye kuti kukonzanso zotsatira zake ngati 99% ya odwala ali ndi malingaliro abwino kumathandizira kukulitsa chiyembekezo. Ngakhale omwe akukupatsani sakupereka uthengawu motere, ndizotheka kuti mutha kusinthanso uthengawo malinga ndi ziyembekezo zabwino.
2. Ganizirani za maubwino. Fotokozerani zabwino zanu zaubwino wa mankhwala kapena chithandizo m'malo motengera zomwe zingachitike. Kugwiritsa ntchito mphamvu zanu kulingalira za zabwino za mankhwala kumachepetsa chiopsezo chakuyankhidwa mwanzeru, akutero Dr. Aragona.
3. Pangani pulani. Othandizira amatha kuphunzitsa odwala za zovuta zomwe zingachitike ndikupatsa mphamvu odwala njira yothetsera zovuta zoyipa ndikudziwitsa omwe akupereka chithandizo, akufotokoza Dr. Weed. Kudziwa kuti muli ndi pulani yoti muthe kuthana ndi zovuta zomwe zingachitike komanso njira yolumikizirana ndi omwe akukuthandizani zitha kuchepetsa nkhawa zomwe zimayambitsa zochitika za nocebo.
4. Onetsani chisamaliro. Othandizira atha kupanga njira ndi maluso owonetsera chisamaliro chawo kwa odwala awo, kuphatikiza kucheza nawo nthawi yokwanira. Ngati zingatheke, sankhani dokotala yemwe mukumva kuti amakukondani komanso thanzi lanu komanso amene angamvere nkhawa zanu.
5. Khalani owona mtima. Ogwira ntchito ayenera kuchita masewera olimbitsa thupi chilolezo chodziwitsidwa , zomwe zimaganizira zoyipa zomwe zingachitike, wodwalayo akuchiritsidwa, komanso matenda omwe akupezeka, malinga ndi a Ted J. Kaptchuk, BA, pulofesa wa zamankhwala ku Harvard Sukulu ya Zamankhwala.

Ngati muli ndi nkhawa kapena mantha pazomwe zingachitike, khalani owona mtima ndi omwe amakuthandizani azaumoyo kapena wamankhwala. Ogwira ntchito zachipatala amatha kufotokoza momwe izi zingachitikire . Kudziwa chiopsezo chanu ndikuchepa, ndipo zomwe mungachite ngati mukukumana nazo, zitha kuthandizira kuthana ndi zovuta. Zonse zikalephera, ganizirani zabwino.