Table of Contents

Musculoskeletalal imaimira chimodzi cha mavuto aakulu kwambiri a thanzi amene asilikali ankhondo akuyang'anizana nawo lerolino. Pa 2024, odziŵa ntchito zanthaŵi yaitali oposa 15.9 miliyoni anali kulandira mapindu a mikhalidwe imeneyi, kuwapangitsa kukhala ndi thupi lokhala ndi zopinga zambiri za ntchito. Kufunikira kwa ntchito zankhondo kwamphamvu . Kuchotsapo kunyamula njinga zolemera ndi maphunziro obwerezabwerezabwereza kuti athetse kuvulala ndi kugwedezeka kwa zaka zambiri zimene kaŵirikaŵiri zikupitiriza pambuyo pa utumiki wawo kusinthira ku moyo waufolo. Dipatimenti ya Veterans Affairs (VA) yapanga madongosolo owonjezereka othandiza akatswiri ankhondo kuyang'anira mikhalidwe imeneyi, kupunduka koyenera, ndi kusungabe mkhalidwe wawo wa moyo.

Kukula kwa Matenda a Musculoskeletal Pakati pa Anthu Odwala Matenda a M’magazi

Kumvetsa Matenda a M’mimba

Matenda a musculoskeletal amayambukira minofu ya munthu wanthaŵi yaitali, mfundo, mafupa, kapena minofu yolumikizana monga mitsempha ndi maseyila. Matenda ameneŵa angabuke ndi kuvulala kwambiri (monga ngozi yophunzitsa) kapena zaka zambiri za kuwonongeka kwa thupi lawo pa ntchito yankhondo. Dongosolo la musculoskeletal limapanga maziko a kuyenda ndi kulimba kwa thupi, ndipo pamene lilolera kugonja, mikhalidwe imeneyi ikhoza kuyambukira kwambiri mphamvu ya wogwira ntchitoyo, kutengamo mbali m’ntchito za tsiku ndi tsiku ndi tsiku ndi tsiku, ndi kudzisunga.

Matenda a m’mimba ndiwo amene amayambitsa matenda opunduka ndipo amene amachititsa kuti anthu ambiri a m’nthaŵiyo apeze chithandizo cha mankhwala ku VA. Matenda a ku Moscow angachepetse kuyendayenda ndi kusoŵa mphamvu kwa thupi, zimene zingaletse odwala kugwira ntchito ndi kukhala ndi phande m’chitaganya.

Kutchuka ndi Chiyambukiro

Ziŵerengero zaposachedwapa zosonyeza anthu amene anazoloŵerapo zasonyeza kupweteka kwa msana ndi khosi kuŵirikiza kaŵiri kuposa anthu osadwala. Musculoskeletal, kuvulala kwa ubongo, ndi matenda ofooketsa thupi anthaŵi zonse zinapezedwanso kukhala zazikulu kuŵirikiza katatu kapena kasanu ndi kamodzi kuposa odwala osamva.

Pakati pa ozoloŵera amene analekanitsa ndi ntchito ndi kufunafuna chisamaliro ku malo a VA, 51 peresenti ya gulu limeneli anali ndi pafupifupi mmodzi wa odwala nthenda za MSK SCDB (8% pakati pa kulekana kwa ulema, 48% pakati pa). Zimenezi zikusonyeza kuti matenda a msososkeletala amakhudza anthu ozoloŵera kulekana kulikonse, ngakhale kuti amene ali ndi matenda olekanitsidwa ndi madokotala amakhala ndi ziŵerengero zazikulu kwambiri.

Zochititsa Zofala za Kuvulala kwa Mausilikali

Kugwiritsa ntchito kwambiri ndi kuwonjezera ma microtrauma a m'masewera ankhondo ndi kuphatikizapo 70 peresenti ya kuvulala kwa asilikali ankhondo. Zimenezi zimaphatikizapo kuvulala kosakhudza akhate monga shin splint, steinititis, ma plantar fscistites, ndi kupweteka kwa kumbuyo. Kubwerezabwereza kwa maphunziro ankhondo, kuphatikizapo kufunidwa kwa thupi kwa kunyamula zida zolemera, kuyenda kwanthaŵi yaitali, ndi kudwala kwambiri, kumayambitsa kupsinjika maganizo pa thupi kumene kumaonekera kukhala mikhalidwe yosatha.

Mamembala onse aŵiri a ntchito yoikidwa ndi yosagwiritsidwa ntchito amakumana ndi mikhalidwe ya msculoskeletal yochititsidwa ndi kuvulala kowopsa, kugwiritsa ntchito moŵa, sprains, ndi mitundu ya matenda. Kwa ziŵalo zautumiki woikidwa, kuwongoleredwa kwa mankhwala ankhondo kwapulumutsa miyoyo koma kwasiya ambiri ndi zilonda za mafupa zokhalitsa zokhudza mikono, mutu, khosi, thorax, ndi mimba. Panthaŵiyi, kuvulala kosakhala kwa batt musculereletal kumakhala vuto lapadera la kukumana ndi asilikali ankhondo.

Mitundu ya Matenda a Musculoskeletal Yodziŵika ndi Va

Pali mikhalidwe ya msculoskeletal yosiyana 150 yosiyana ndi madigiri osiyanasiyana a thanzi ndi madeti aafupi. Va imafotokoza mikhalidwe imeneyi pansi pa dongosolo la musculoskeleletal lopezedwa mu 38 CFR Part 4, Sub part B, imene imapereka ziŵerengero zatsatanetsatane za mtundu uliwonse wa matenda. Kumvetsa kuchuluka kwa mikhalidwe yokwiriridwa kumathandiza akatswiri kuzindikira kulephera kothekera kwa utumiki kogwirizana ndi kumene anganene.

Matenda a Nyamakazi ndi Mano

Nyamakazi ndi imodzi mwa matenda ofala kwambiri pakati pa anthu amene anadwalapo. AVA amazindikira mitundu yambiri ya nyamakazi, kuphatikizapo nyamakazi yofooketsa (osteoarthritis), nyamakazi, ndi nyamakazi yapambuyo pa mazira. Mtundu uliwonse uli ndi zizindikiro zosiyanasiyana ndi miyezo yoyezera. Matenda a nyamakazi a pathupi amayamba kuchepa ndi kusweka kwa mafupa, pamene kuwonongeka kwa mafupa kumachitika chifukwa cha kuvulala kwapadera kwa ntchito.

Matenda a nyamakazi ozikidwa pa zinthu zingapo, kuphatikizapo kulephera kuyenda, kupweteka kwa kayendedwe, ndi kulephera kugwira ntchito. Mano angayambukire mfundo iliyonse m’thupi, ndi maondo, mapewa, makhwala, mikono, ndi zala zimene zimafala kwambiri kwa anthu amene anazimenya.

Mikhalidwe Yamsana

Kuvulala kwa msana ndi kwa m’khosi ndi mbali yaikulu ya kupunduka kwa msana. Matenda ofala a msana amaphatikizapo ma disc odetsedwa, matenda ofooketsa disc, msana, spondylolisthesis, ndi mitundu yosiyanasiyana ya nyamakazi ya msana. Nthaŵi zambiri zimenezi zimachitika chifukwa cha ntchito yausilikali, kuphatikizapo kunyamula katundu wolemera, kukwera galimoto, ndi kupsinjika maganizo.

Mitsempha imaikidwa m’kagulu kotchedwa General Indial Formula pogwiritsira ntchito msana, umene umalingalira za kuyendayenda ndi kufutukuka kwa zinthu, kupereŵera kwa zochitika, ndi kulephera kugwira ntchito. Va imadziŵa kuti mikhalidwe ya msana ingachititse kupweteka, kufooka, ndi kufooka kwa mapazi, zimene zingapereke kupima kowonjezereka kwa radiculopathy kapena kuwonongeka kwa minyewa.

Kuvulala kwa Minofu ndi Mikhalidwe

Kuvulala kwa minofu kumaphatikizapo mikhalidwe yosiyanasiyana yokhudza minofu yonse m’thupi. Izi zimaphatikizapo mitundu ya minofu, misozi, kulira, ndi chipinda chogwirira ntchito. Matenda a Va syndrome (kuthamanga kwa mphamvu) a kutha kwa mphamvu, kuyambira pa kuchepa kwa pang'ono mpaka kulumala kwakukulu. Kuvulala kwa minofu kungakhudze kwambiri munthu amene wagwira ntchito zathupi ndipo kungayambukire minyewa yambiri panthaŵi imodzi.

Matenda opha maselo, amene makamaka amapweteka kwambiri pamene kupanikizika kwa minofu kumakula kufika pamlingo wangozi, amalingaliridwa mosiyanasiyana m’mavitamini a VA. Gulu lililonse la minofu yoyambukiridwa limaŵerengeredwa pa limodzi, ndipo odziŵa bwino ntchitoyo angalandire ziŵerengero zosiyana za kuvulala kwa minofu yambiri.

Mafupa Olumikizidwa ndi Kuvulala

Kuthyoka mafupa pa ntchito yausilikali kungayambitse mavuto aakulu, kuphatikizapo kudwala kwambiri, kusamva kupweteka kwanthaŵi yaitali, ndi kuchepa kwa kuyenda.

Mafupa angadwalenso matenda a m’matumbo, amene angayambitse ululu wosalekeza ndi kupitirizabe kuchiritsa.

Matenda Opweteka Osatha

Kupweteka kochititsidwa ndi matenda a musculoskeletal kwafotokozedwa kukhala kokhalitsa ngati kupitirizabe kwa miyezi itatu.

Mavarence fibromyalgia ozikidwa pa ukulu wa kupweteka kofala ndi zizindikiro zogwirizana zonga ngati kutopa, kulephera kugona, kulephera kulingalira bwino, ndi zinanso.

Kuvulala kwa Mtengo ndi Kuvulazidwa

Mitsempha imathandiza kwambiri kuti malungo alumikizidwe m’thupi lonse. Kutupa kwa minofu imeneyi, kuphatikizapo misozi, kuphulika, ndi kutupa kwanthaŵi yaitali (tendinitis), n’kofala pakati pa anthu amene anakagwira ntchito. Kulira kwa chithokomiro kumakhala kutuluka misozi m’pheŵa, kuvulala kwa Achilles, ndi kulira kwa chibale (ACL) kumasonyeza zinthu zimene zimadziŵika kaŵirikaŵiri.

Kuvulala kumeneku kaŵirikaŵiri kumachititsidwa ndi kusokonezeka maganizo kowopsa kapena kupsinjika maganizo kobwerezabwereza ndipo kungatsogolere ku kusakhazikika kosalekeza, kupweteka, ndi kuchepa kwa kayendetsedwe. Mavageti a vano ndi kuvulala kwa malungo kozikidwa pa chiyambukiro chawo pa kugwira ntchito kwa m’mano, kukhazikika, ndi kukhoza kwa womenyayo kuchita ntchito za tsiku ndi tsiku.

Kumvetsa Zinthu Zimene Zingasokoneze Zinthu

Komiti ya Va imasankha mlingo wa oyembekezera kupunduka anthaŵi yaitali omwe amalandira kaamba ka mikhalidwe yolumikizidwa ndi utumiki. Chiŵerengero cha vasculoskeletal chozikidwa pa kulemera, kuchuluka kwa kayendedwe, ndi kulephera kugwira ntchito, ndi ziŵerengero zoyambira pa 0% mpaka 100%. Kumvetsetsa mmene ziŵerengero za Va ndandandazo zimathandizira akatswiriwo kukonzekera zonena zolimba ndi kutsimikizira kuti alandire malipiro oyenera kaamba ka mikhalidwe yawo.

Kukhazikitsa Chigwirizano cha Utumiki

Va isanapereke kwa munthu wodwalayo mlingo wa kupunduka ndi malipiro a mwezi ndi mwezi, wodziŵayo ayenera kutsimikizira mkhalidwe wawo wa musculoskeletalet ku ntchito yawo ya usilikali. A Veteran ayenera kusonyeza kupima kwa zamankhwala, m'chochitika cha arvice kapena kugwedeza, ndi nexus (link) pakati pa aŵiriwo kuti ayenerere kupima ndi mapindu a musculoskeleletal Va.

Pali njira zingapo zokhazikitsa kugwirizana kwa utumiki wa musculoskeletal . Kugwirizanitsa mwachindunji kumatanthauza mkhalidwe wogwirizana bwino ndi chinachake chimene chinachitika mkati mwa utumiki wankhondo . Mwina unayamba kutumikira, kapena utumiki unachititsa mkhalidwe womwe ulipowo kuipiraipira. Ma Veteran angayambitsenso ugwirizanitso wachiŵiri pamene vuto la musculoslekeletal liyamba chifukwa cha kupunduka kwina kwa utumiki. Mwachitsanzo, kuvulala kwa bondo kungasinthe njira zimene zimatsogolera ku mavuto a m’chuuno kapena kumbuyo.

Kugwirizanitsa ntchito zapasadakhale kumagwira ntchito pa mikhalidwe ina ya magulu ena a anthu odziŵapo za nkhondo. Ofufuza angaone malo okhala oopsa pa ntchito ya nkhondo ya ku Gulf angayenerere kugwirizanitsa ntchito zina za msculoskeleta. Pangano la PALT lakulitsa mikhalidwe yakupha kuti anthu ayambe kugwiritsa ntchito bwino ntchito malo otentha owonongeka ndi ngozi zina za malo.

Kutsatira Njira Yomwe Tikuyendera

Musculoskeletala imagwiritsidwa ntchito ndi General Immonila kaamba ka msana (DC 5235-5243) ndi magome a ROM , kuphatikizapo malamulo ogwiritsidwa ntchito (6, 4,45, 4.59). Va imagwiritsira ntchito malembo ofufuza opezeka mu 38 CFR 76 4.71 kupima matenda a m'matumbula. Malembo alionse oyeza a impso amapereka njira zoperekera kupunduka malinga ndi zimene apeza ndi zimene apeza kuti zikhale zolondola.

Kuchuluka kwa miyeso ya kayendedwe kumathandiza kwambiri pa miyeso ya musculoskeletal. Kuyerekezera miyeso imeneyi ndi kuchuluka kwa maselo a thupi (ngati kumbuyo, kuondoka, ndi kuthamanga kwa magondo), Va imagwiritsira ntchito chipangizo chotchedwa goniometer kupima Range yanu ya Motion (ROM). Ofufuza amayeza kuti chiwalo chingayende bwanji m’njira zosiyanasiyana ndi kuyerekezera mizera imeneyi ndi kuchuluka kwa maatomu achibadwa.

Kupweteka ndi chinthu china chofunika kwambiri m'mavisions . Mfundo yopweteka ya mayendedwe imanena kuti ngati mfundo ya m’chiŵalo kapena mbali ya thupi ipweteka pamene isamutsidwa, munthuyo ayenera kulandira kuchepa kwa kupima kwa mkhalidwewo, ngakhale ngati kuchuluka kwa kuyendayenda kumaoneka kukhala kwabwino. Khoti, Sharp v. Shulkin, linasintha masewerawo kwa anthu amene anadwala. Inalamula kuti ofufuzawo ayenera kuŵerengera "flare - up". Zimenezi zikutanthauza kuti ngati kumbuyo kwanu kumangoyenda bwino, koma katatu mwezi umodzi sungathe kutuluka pabedi, wofufuzayo ayenera kuyerekezera kuwonongeka kwanu mkati mwa masiku amenewo.

Maperesenti Ofala

Mikhalidwe ya kupunduka kwa musculoskeleta ndi imodzi ya mawu omveka bwino kwambiri onena za kupunduka kwa VA ndipo amaikidwa kaŵirikaŵiri pa 0%, 10%, kapena 20%. Komabe, zingasiyane kuchokera pa 0%-100%, kudalira pa ukulu ndi kuchepa kwa kuwonongeka kwa. Kupima 0% kumatanthauza kuti mkhalidwewo ndiwo wolumikizidwa koma osati wowopsa kwambiri kuti apereke malipo, ngakhale kuti umachititsa mkhalidwewo m'zolemba za wogwira ntchitoyo ndipo ungawonjezeredwe ngati zizindikiro ziipiraipirapo.

Kuyeza 10% kumasonyeza zizindikiro zochepa kwambiri zokhala ndi malire ochepa chabe. Kupima 20% kumasonyeza zizindikiro zoyenerera zimene zimasokoneza ntchito zina koma sizimaletsa ntchito zambiri za tsiku ndi tsiku. Ziŵerengero zapamwamba za 30%, 40%, 50%, kapena 60% zimasonyeza kupereŵera kowonjezereka. Ziŵerengero zapamwamba kwambiri, kufika pa 100%, zimasungidwa kaamba ka mikhalidwe imene imawononga kotheratu ntchito, ululu waukulu, kapena kupunduka kotheratu.

Ngati mukuona kuti muli ndi vuto linalake, mungathe kuchepetsa kwambiri vuto la kupunduka kwa maondo.

Ndandanda Yokonzedwanso

Kukonzanso, kothandiza Feb 7. Kutsimikizira kuti mbali imeneyi ya VASRD imagwiritsira ntchito mawu amakono a zamankhwala mwa kuchotsa mikhalidwe yachikale, kumasulira zinthu zokhala ndi pulogalamu, ndi kupereka njira zatsatanetsatane ndi zosinthira zoonera kuwonongeka kwa m'thupi ndi mnofu, kuphatikizapo kuwonjezera mikhalidwe imene kale inali yopanda malamulo ofufuzira. Kukonzanso kumeneku kumasonyeza kuyesayesa kwa VaA kulinganiza miyezo ya kuŵerengera ndi chidziŵitso ndi njira zamakono zamankhwala.

Zonena za musculoskeletal ndi / kapena mikhalidwe ya kuvulala kwa minofu yoikidwa pambuyo pa Feb 7. 7, koma zinali kuyembekezera pa deti logwira mtima, zidzalingaliridwa ponse paŵiri pa miyezo yakale ndi yatsopano, ndipo kuti ndi kusankha kulikonse kumene kuli koyenera kwa Veteran. Makonzedwe ameneŵa amatetezera anthu a m'nthaŵi zakale mwakutsimikizira kuti alandira mlingo wopindulitsa kwambiri pansi pa miyezo yakale kapena yatsopano.

Kusintha kwa Zinthu kwa Kachigawo Kachiŵiri ndi Kuphatikiza Miyezo

Matenda a m’mimba nthawi zambiri amachititsa kuti munthu adwale matenda ena owonjezera. Kuvulala kwakukulu m’chiuno chimodzi kungasinthe kagayi kapena kaimidwe kanu, kuchititsa kuti mfundo zina (chiuno, kangondo) kapena msana wanu zizikhala zopweteka kwambiri, zomwe zingachititse kuti munthu akhale ndi matenda a nyamakazi kapena disc.

Matenda ena amene amabwera chifukwa cha matendawa ndi monga kudwala nyamakazi m’majomba amene amabwezeretsa matenda aakulu, matenda a msana, ndiponso matenda a m’mimba monga kupsinjika maganizo kapena nkhawa chifukwa cha kupweteka kwa nthaŵi yaitali ndiponso chifukwa cha ntchito. Matenda achiŵiri alionse angapitirire ndi kulumala, kumene kumaphatikizana ndi kuchuluka kwa matendawo kuti atsimikizire kuti alipire.

Va imagwiritsa ntchito tebulo loimira anthu onse m’malo mowonjezera maperesenti pamodzi. Dongosololi limazindikira kuti anthu opunduka osiyanasiyana amawonjezera ziyambukiro za wina ndi mnzake. Mavitarian amene ali ndi matenda ambiri a musculoskeletalet angaone kuti kuchuluka kwa zizindikiro za matendawo n’koposa kuchuluka kwa matenda onse, ndipo zimenezi zingachititse kuti apeze ndalama zambiri zolipirira.

Mapindu a Va ndi Programu Zochirikiza Matenda a Musculoskelenal

A VA amathandiza kwambiri anthu amene anadwala matenda a musculoskelenal, ndipo amawonjezera kuwonjezera pa malipiro a mwezi ndi mwezi a kupunduka.

Kulephera

Malipiro a mwezi ndi mwezi amaimira phindu lalikulu la ndalama kwa anthu amene anazoloŵera amene ali ndi mikhalidwe yautumiki yolumikizidwa. Malipiro a mwezi ndi mwezi pa 100 peresenti ya $3,938.58 pa 2026) amapereka chichirikizo cha ndalama, ndi ziŵerengero zotsika zolandira malipiro ochepa. Odalira pa odalira amalandira ndalama zowonjezereka zochokera pa mlingo wawo ndi chiŵerengero cha odalira pawo.

Malipiro a ndalama amasinthidwa chaka chilichonse kuŵerengera kukwera kwa mtengo wa moyo, kutsimikizira kuti odziŵa kale kusungitsa mphamvu yogula zinthu pa nthaŵi. Ogula a pa 30% kapena kuposapo kwa odalira amalandira ndalama zowonjezereka. Special Monthly Compenition (SMC) imapatsa ndalama zowonjezereka kwa akale opunduka kwambiri, monga ngati kutaya ziŵalo kapena kusoŵa chithandizo ndi kupezekapo.

Kulephera Kugwira Ntchito Konse Konse (TDIU)

Mukhoza kuyenerera pa Kulephera Kotheratu kozikidwa pa Kulephera kwa Ntchito (TDIU), kumene kumakulipirani pa 100 peresenti ngakhale ngati mlingo wanu wophatikizidwawo uli wochepera pa 100 peresenti. TDIU imazindikira kuti akatswiri ena anthaŵi yaitali sangasunge ntchito yopindulitsa kwambiri chifukwa cha mikhalidwe yawo ya utumiki, ngakhale ngati mlingo wawo wophatikizidwawo ukutsika ndi kutsika pa 100%.

Kuti ayenerere TDIU, ozoloŵera afunikira kupunduka mmodzi woyerekezeredwa pa 60% kapena kuposapo, kapena kulumala kwambiri ndi mmodzi woikidwa pa 40% kapena kukwera ndi kuchuluka kwa 70%. TDIU yapadera ya ozoloŵera amene sakwaniritsa ziyeneretso zapadera zimenezi koma amene mikhalidwe yawo ikuwaletsa kugwira ntchito. Musculoskelets yomwe imayambitsa mavuto osatha, kulephera kwamphamvu, kapena kulephera kuchita ntchito yakuthupi kaŵirikaŵiri imakhala yoyenerera kwa akatswiri a zaka za nyengo za TDIU.

Mautumiki Osamalira Zaumoyo

Majeterani okhala ndi mikhalidwe ya utumiki yolumikizidwa ndi musculoskeletal amalandira njira zodziŵira zachipatala za Va. Va imapereka chithandizo chamankhwala chochuluka kuphatikizapo kupima matenda, kufunsira kwa akatswiri, kuchiritsa kwa opaleshoni, ndi kuyang'anira kopitirizabe kwa matenda osatha. Ma Veteran angapeze akatswiri a mafupa, akatswiri a matenda a mafupa, ndi opereka chithandizo ena okhala ndi ukatswiri wa matenda a musculoskeleletal.

Makompyuta a kachipangizo ka X-rey, ma CD, ma CT scan, mayeso a mafupa, ndi kufufuza kwina kofunikira kupima matenda a musculoskeletal. Kupima kwa laboratory kumathandiza kuyang'anira zizindikiro zotupa, milingo ya mankhwala, ndi thanzi lonse. Mavawa amachotsa mautumikiwo popanda mtengo wothandizira kuyendetsa ntchito, kuchotsa zopinga za ndalama kuti apeze chisamaliro chofunika.

Kuchiritsa ndi Kuchiritsa

Madokotala ochiritsa thupi amagwira ntchito yofunika kwambiri poyang’anira matenda a musculoskeletal ndi kuwongolera luso la kugwira ntchito. Asayansi a zathupi ayamba kupanga njira zothandizira munthu payekha zimene zingaphatikizepo kuchiritsa, kugwiritsa ntchito manja, zinthu monga kutentha kapena kukonza magetsi, ndi kuphunzitsa thupi mmene lingathere kukonza thupi ndi kuteteza ku ngozi. Kuchiritsa thupi nthaŵi zonse kungathandize kuchepetsa ululu, kuwongolera kuyenda, kulimbitsa minofu, ndi kuwonjezera ntchito.

Kuthandiza anthu amene anazoloŵera kale kuti azitha kuchita zinthu zina komanso kuti azitha kudziimira paokha pa zinthu zina.

Maprogramu olimbikitsa ameneŵa angaphatikizepo kuchepetsa kupweteka kosiyanasiyana, kugwira ntchito zolimba kuti akonzeke kubwerera kuntchito, ndi kukonzanso bwino anthu amene anakagwira ntchitoyo omwe anavulala kwambiri kapena amene analephera kugwira ntchito mosiyanasiyana.

Mautumiki Osamalira Kupweteka

Kusamalira kupweteka kosatha kuli mbali yofunika kwambiri ya chisamaliro cha anthu akale okhala ndi matenda a musculoskeletal . Va yapanga maprogramu osamalira kupweteka amene amagogomezera njira zambiri mmalo mwa kudalira pa mankhwala okha. Maprogramu ameneŵa amaphatikizapo mankhwala a mankhwala, njira zothandizira, kuchiritsa thupi, ndi njira zaumoyo ndi zogwirizanitsa thanzi.

Bungwe la Va's Whole Health limazindikira kuti kuletsa kupweteka kumafuna kuchepetsa kupweteka kwa thupi, maganizo, ndi moyo. Akatswiri angapeze njira zothandizira thupi, kusisita, kusamala wodwazika, yoga, tai chi, ndi njira zina zothandizira kuchepetsa ululu. Njira zimenezi zimathandiza kuchepetsa ululu ndi kuwongolera ntchito pamene akuchepetsa kudalira mankhwala a opioid.

Njira zothandizira kuchepetsa ululu zimene zilipo kudzera m’chiberekerochi ndi monga majekeseni a epidul steroid, mitsempha ya mitsempha, kuchuluka kwa wailesi, ndi njira zina zochiritsira. Njira zimenezi zingathandize kwambiri odwala osankhidwa kukhala ndi ululu wokwanira, kuwongolera moyo ndi mphamvu ya kugwira ntchito.

Mankhwala ndi Chichirikizo cha Mankhwala

Va imapereka mankhwala ambiri kwa akatswiri omwe ali ndi matenda olumikizana ndi ntchito. Mankhwala operekedwa kwa odwala matenda a musculoskeletal amaphatikizapo mankhwala oletsa kutentha thupi, zoziziritsa ululu, mankhwala ochepetsa matenda, mankhwala opha tizilombo (DMARD) a matenda a kutupa, ndi mankhwala ochirikiza thanzi la mafupa. Anthu a m'magazi amalandira mankhwala ameneŵa popanda mtengo wothandizira, ndi kuchepetsako ndalama zimene amapatsa anthu osakhala a pa pulojekiti yoyenderana ndi matenda.

Ogulitsa mankhwala a VA amagwira ntchito pamodzi ndi operekera mankhwala oyenera, kuyang'anira ziyambukiro za mankhwala ndi kugwirizana kwa mankhwala, ndi kupereka maphunziro a kugwiritsira ntchito bwino mankhwala. Makampani a meyile ogulitsa mankhwala amapatsa mankhwala oyenera osamalira nyumba za anthu akale, kuwongolera kugwiritsa ntchito mankhwala ndi kuchepetsa mtolo wa kuyendera mankhwala nthaŵi zambiri.

Zida Zothandiza ndi Zodzikongoletsa

Komiti ya Aids ya Vastic ndi Appels imapereka zipangizo zosiyanasiyana zothandiza ndi zipangizo zothandiza anthu anthaŵi yaitali okhala ndi mavuto a kutha kwa magalimoto omwe amathandiza kuti ayende bwino komanso adzipatule. Zida zimene zilipo zimaphatikizapo njinga za olumala, zoyendera, ndodo, ndodo, zitsulo, ndi zipangizo zoyamwitsira, ndi malo ogona apadera. Va imaperekanso mapulogalamu a panyumba monga ma bumpps, mabolo, ndi zitsulo za kugona pamene kuli kofunika kwa zamankhwala.

Malo ndi mabuleki ndi mabuleki angapereke chichirikizo chofunika kwambiri ku mfundo zosakhazikika, kuwongolera matenda a biomechanic, ndi kuchepetsa ululu pa zochita. Akatswiri a Vaprosthetist ndi ortholots amagwira ntchito ndi akatswiri kulinganiza ndi zipangizo zogwirizana ndi zofunikira zawo zenizeni ndi zogwirira ntchito. Ziwiya zotsatira nthaŵi zonse zimatsimikizira kuti zinzake bwino ndi kugwira ntchito bwino pamene mikhalidwe ikusintha m'kupita kwa nthaŵi.

Anthu amene achitapo kale zinthu zina zimene sizingatheke kuyenda bwino, a m’gulu la mavailasiwa angapeze zipangizo zowathandiza kusintha zinthu monga galimoto zongosinthasinthasintha, njira zoyendetsera chilengedwe, ndiponso zipangizo zamakono zogwiritsa ntchito kompyuta.

Kuthandiza Anthu Ovutika Kusintha Ntchito

Apolisi amene ali ndi mikhalidwe ya msculoskeletala yomwe imayambukira kukhoza kwawo kwa ntchito angayenerere kaamba ka mautumiki a Vocational Rehabilitation ndi Olovation (VR&E) (Mbali 31). Programu imeneyi imathandiza ozoloŵera ndi kulumala kogwirizana ndi utumiki kukonzekera, kupeza, ndi kusungitsa ntchito. Mautumiki amaphatikizapo uphungu wa ntchito, maphunziro ndi chithandizo cha maphunziro, kuchirikiza ntchito, ndi malo ogona kuti adzipezere ntchito.

Aphungu a VR&E amagwira ntchito ndi anthu odziŵa kale kukonza njira zothandizira munthu payekha zimene zimalingalira kupereŵera kwawo kwa maluso awo osinthasintha, zikondwerero, ndi zonulirapo za ntchito. Programuyo ingapereke ndalama za maphunziro kapena maphunziro atsopano amene amasamalira zofooka zathupi, kupereka njira zothandizira zopezera ntchito, ndi kupereka mautumiki othandizira monga ngati kulembedwa ndi kukonzekeranso kufunsa mafunso.

Kwa anthu amene anazoloŵera ntchito nthaŵi yomweyo, VR&E imapereka mautumiki a kudziimira paokha kuti athandize kukulitsa ufulu wawo ndi moyo wawo.

Chichirikizo cha Thanzi la Maganizo

Va ikuvomereza kuti matenda a musculoskelet kaŵirikaŵiri amayambukira thanzi la maganizo, ndipo kupweteka kosatha kaŵirikaŵiri kumakhala ndi kupsinjika maganizo, nkhaŵa, ndi kupsinjika maganizo kwapambuyo pake. Mautumiki a zamaganizo osokonezeka amathandiza anthu akale kulongosola mbali za maganizo a kukhala ndi moyo ndi matenda osatha. Othandiza odwala matenda a maganizo amapereka chithandizo cha munthu payekha, malangizo a kagulu, mankhwala, ndi chithandizo chapadera cha kupsinjika maganizo ndi kupweteka kwanthaŵi yaitali.

Kuchiritsa kwa kupweteka kwa mtima kokhalitsa kumathandiza anthu akalewo kukulitsa njira zopilira, kuyesa njira zosathandiza, ndi kuwongolera zochita zawo mosasamala kanthu za kupweteka kosalekeza. Kuvomereza ndi kudzipereka kumaphunzitsa maluso a maganizo ndi kuthandiza anthu akale kugwirizanitsa zochita zawo ndi makhalidwe awoawo mmalo molamulidwa ndi kupweteka. Maumboni ameneŵa angawongolere kwambiri moyo ndi kuchepetsa kupunduka kogwirizana ndi mikhalidwe ya moyo wosatha.

Kudzinenera Kuti Zinthu Zikusintha pa Matenda a Musculoskelenal

Kuyenda bwino m’chipatala cha Vava kumafunikira kumvetsetsa njira zoloŵetsedwamo, kupeza umboni woyenerera, ndi kupereka chikalata chokakamiza kaamba ka kugwirizanitsidwa kwa utumiki. Ofufuza amene amapenda dongosololo mwadongosolo ndi kulongosola mosamalitsa mikhalidwe yawo kwenikweni amapeza zotulukapo zabwinopo kuposa awo amene amapanga zikalata zosakwanira kapena zosakwanira zochilikizidwa bwino.

Kukonzekera Zonena Zanu

Asanalembe chikalata, akatswiri ayenera kusonkhanitsa zolembedwa zambiri za matenda awo a m'matumbo ndi kugwirizana kwake ndi ntchito yausilikali. Makalata aakulu autumiki amaphatikizapo zolembedwa zosonyeza kuvulala kapena zizindikiro za ntchito, zolembedwa za mankhwala zapambuyo pa ntchito yolembedwa yolembedwa yosonyeza kuchiritsa ndi kupima, ndi ndemanga zilizonse zochokera kwa osamalira zaumoyo zogwirizanitsa mkhalidwewo ndi utumiki wankhondo.

Zolemba za ntchito za chithandizo zimapereka umboni wofunikira kwambiri wa zochitika kapena kuvulala. Ofufuza ayenera kupenda mosamalitsa zolembedwa zimenezi kuti aone ngati pali zowonongeka za musculoskeleleta, kudandaula za kupweteka, kapena chithandizo chimene chaperekedwa. Ngakhale kutchula kwachidule zizindikiro m'makalata autumiki kungachirikize kupempha kuti mugwiritsidwe ntchito.

Umboni wamakono wa zamankhwala ndi wofunikanso. Ofufuza ayenera kupeza zolembedwa zaposachedwapa za mankhwala kwa osamalira onse amene achiritsa matenda awo a m’mimba, kuphatikizapo madokotala, akatswiri, ochiritsa, ndi osamalira kupweteka.

Njira Zopeputsira

Olephera kujambula makompyuta angatenge makampani ambiri. Olemba pa Intaneti akupereka njira yabwino kwambiri yosungira zinthu pa Intaneti ku VA.gov, kulola anthu a m'nthawi yakale kutumiza zinthu zofunikira pakompyuta, kutumiza mapepala ochirikiza, ndi kutumiza malo a malo a pa Intaneti oyendera. Makompyutawa amapereka malangizo oyendera pa njira yofunsira io ndi kulola kuti anthu amene atumikira pa nthawiyo asapite patsogolo komanso abwererenso.

Anthu odziwa kugwiritsa ntchito mafaelo pogwiritsa ntchito VaForma 21-526EZ , Appal for Disability Compensation and Compansiation Manusetive Mapindu. Pepali limafuna chidziŵitso chofanana ndi pulogalamu ya pa Intaneti koma limatenga nthawi yaitali kuti ligwire ntchito. Anthu ena amene anaikonda kwambiri ntchito ndi oimira olembedwa omwe angapereke zofuna zawo kudzera m'makompyuta otetezeka a VA.

Kujambula maofesi a chigawo cha Va ndi ku Mabungwe a Utumiki a Veterans. Kusankha kumeneku kumathandiza anthu amene anakatumikirapo kale kulandira thandizo la mwamsanga ndi mafomu omaliza ndipo kumatsimikizira kuti zonse zofunika zaphatikizidwa. Komabe, polemba zinthu, angafune kukumana ndi kupita ku maofesi a Va.

Kufufuza ndi Kuunika (C&P)

Pamene mulemba mu C&P imaimira chimodzi cha 10 cha kupunduka kwa Va mu 2025, inu mothekera mudzalinganizidwira mayeso a Compisensition ndi Pension (C&P). Imeneyi ndi njira ya VA yotsimikizira kupima ndi kutsimikizira ukulu wa zizindikiro zanu. Kupima kwa C&P kumasonyeza sitepe lovuta kwambiri m'zonena, monga momwe zopezedwa ndi wopimayo zimayambukirira kwambiri chigamulo cha VA.

Ofufuza ayenera kukonzekera bwino kwambiri kaamba ka mayeso C&P mwa kupenda mbiri yawo ya zamankhwala, kundandalika zizindikiro zonse ndi kulephera kwa ntchito, ndi kubweretsa makope a zolembedwa zamankhwala zoyenerera. Pa kupimako, akatswiri ayenera kukhala owona mtima ndi olongosolera bwino lomwe zizindikiro zawo, kuphatikizapo mmene mkhalidwewo umayambukirira ntchito za tsiku ndi tsiku, mphamvu ya ntchito, ndi mkhalidwe wa moyo. Nkofunika kulongosola zizindikiro za masiku oipa ndi masiku abwino, monga momwe openda afunikira kupenda kupenda kuchuluka kwa zolephera za ntchito.

Kwa mikhalidwe ya musculoskeletal, opima amapima kuyendayenda kwa mitundu yambiri kwa kugwiritsira ntchito mlingo wa goniometer, kupenda mphamvu ndi kukhazikika, kuwona kuyendayenda ndi kugwira ntchito, ndi kulemba milingo ya kupweteka ndi malo. Ofufuza ayenera kudziŵitsa ofufuza ngati kayendedwewo amachititsa kupweteka, ngakhale ngati kupweteka kuli chinthu chofunika kwambiri popima. Ofufuza ayeneranso kuuzidwa za kutentha kwa thupi, nyengo pamene zizindikiro zikuipiraipira, ndi kulephera kulikonse kwa kugwiritsira ntchito ziŵalo kapena ziŵalo za thupi zoyambukiridwa.

Umboni ndi Mabuku Ochirikiza

Malo ovomerezeka amaphatikizapo mitundu yambiri ya umboni wochirikiza kupyola pa zolembedwa za mankhwala. Kuika mawu a msilikali wolongosola mmene matendawo anayambira ndi mmene amakhudzira moyo wa tsiku ndi tsiku kumathandiza. Mawu a Drug ochokera kwa ziŵalo zautumiki zinzake zimene zinaona kuvulala kapena kuwona zizindikiro za utumiki angavomereze zinthu zina pamene mapepala a chithandizo satha.

Ndemanga zochokera kwa ziŵalo za banja, mabwenzi, kapena mabwana olongosola ntchito ndi masinthidwe a wogwira ntchitoyo zimawonjezera kudalirika kwa zonena. Mawu achidulewa ayenera kukhala omveka, kupereka zitsanzo zenizeni za ntchito zimene womenya ntchitoyo sangachite kapena kuchita mosiyana chifukwa cha mikhalidwe ya m'maseŵero.

Malingaliro a zachipatala ochokera kwa osamalira zaumoyo angalimbitse zonena, makamaka pamene afotokoza mwachindunji kugwirizana kwa mikhalidwe yamakono ndi utumiki wankhondo. Makalata a Nexus ofotokoza mmene matenda a musculoskeletary aliri "mwachidziŵikire kuti saali" ogwirizana ndi utumiki wankhondo amapereka umboni wofunika kwambiri wokhazikitsa kugwirizana kwa utumiki.

Kugwira Ntchito ndi Mabungwe a Utumiki a ku Veterans

Magulu a Service (VSO) amathandiza kwaulere pa zonena za kupunduka, kupereka ukatswiri m'njira ya VaA ndi mapindu ambiri. Oimira a VSO okonzedwa amvetsa malamulo a VA, kuŵerengera, ndi mbuna zimene zimatsogolera ku kukana. Angathandize anthu a m'nthaŵi zakale kusonkhanitsa umboni wofunika, mafomu athunthu, ndi kufalitsa mfundo zolimbikitsa za kugwirizana ndi ntchito ndi kuŵerengera koyenera.

Major VSOs amaphatikizapo American Legion, Veterans of Foreign Wars (VFW), Wolemala wa American Veterans (DAV), Vietnam Veterans of America, ndi ena ambiri. Gulu lililonse limapereka chithandizo popanda mtengo kwa odziŵa ntchito. Oimira VSO angaimire odziŵa ntchitoyo, kuphatikizapo kuchonderera ngati zonena zoyambirirazo zikanadwa kapena kutsika kuposa mmene zinayembekezeredwa.

Kugwira ntchito ndi VSO n’kofunika kwambiri makamaka pa nkhani zosiyanasiyana zokhudza zinthu monga mikhalidwe yachiŵiri, kapena zochitika zina zimene zingakhale zovuta kukhazikitsa nkhani zofanana ndi zimenezi.

Kumvetsa Zosankha Zonena

Pambuyo pa kupenda umboni wonse, VA ikupereka chigamulo cha kuŵerengera ngati kugwirizanitsa utumiki kunaloledwa, kupima kumene kunagaŵiridwa, ndi deti logwira mtima kaamba ka mapindu. Oyang'anira ayenera kupenda mosamalitsa makalata ogamula kuti amvetsetse kutsimikiza kwa chosankha cha Va. Makalata ogamulapo amafotokoza umboni umene unalingaliridwa, mmene kuŵerengerako kunaŵerengera, ndi kuti ndizo zotsatiridwa zotani zimene zinagwiritsiridwa ntchito.

Ngati anthu a m'mbuyo sakugwirizana ndi chosankhacho, ali ndi njira zambiri zopimira. Appeals Modernation Act inachita njira zitatu zopimira: Kunena kwapamwamba, Kufufuza kwapamwamba, ndi Chipilo cha Board. Njira iliyonse ili ndi njira zosiyanasiyana, ma aldernes, ndi mipata yoperekera umboni watsopano. Oyang’anira VSO ayenera kufunsa oimira VSO kapena maloya olemba mlandu a Vacracd kuti aone njira yabwino yochitira apindulira zinthu zawo.

Kuchepetsa Kulephera Kwanu

Odwala matenda a m'matumbo a kupunduka ayenera kutsimikizira kuti ziŵerengero zawo za kupunduka zimasonyeza bwino lomwe chiyambukiro cha mikhalidwe yawo. Anthu ambiri ozoloŵera amalandira ziŵerengero zotsika kuposa chifukwa chakuti amalephera kulemba zizindikiro zonse, kunyalanyaza mikhalidwe yachiŵiri, kapena kusalankhulana mokwanira pofufuza.

Kulephera Kulemba Ntchito

Mabuku othandiza kwambiri a kulephera kugwira ntchito n’ngofunika kwambiri kuti munthu apeze zizindikiro zoyenerera za kulumala. Akatswiri a ku Vetera ayenera kusunga zolembedwa zatsatanetsatane zosonyeza mmene matenda a musculoskelet amakhudzira ntchito za tsiku ndi tsiku, kuphatikizapo mavuto a kuyenda, kuima, kunyamula, kufikira, kumvetsetsa, ndi kuyendetsa zinthu zina. Zitsanzo zapadera zimapereka kulemera kwambiri kuposa mawu ofala osonyeza kuti munthu satha kunyamula zinthu zogula, kukwera masitepeti, kapena kupuma nthaŵi zambiri pa ntchito zake.

Magazine aululu amene amalemba kuchuluka kwa kutentha kwa ululu, utali wake, kupsa mtima, ndi zifukwa. Kulemba mmene mikhalidwe imaipitsira kufikira kuletsa ntchito zachibadwa kumathandizira ofufuza kuzindikira ukulu wonse wa kulumala. Magazine aululu amene amalemba kuchuluka kwa kupweteka kwa tsiku lonse, ntchito zimene zimawonjezera ululu, ndi kukhutiritsa kwa njira zosamalira kupweteka kumapereka mapepala ofunika.

Kudzinenera Kukhala ndi Mikhalidwe Yachiŵiri

Matenda ena amene amabwera chifukwa cha matenda a m’mimba ndi monga a nyamakazi m’mfundo zimene zimayambitsa matenda aakulu, matenda a maganizo amene amabwera chifukwa cha kupweteka kosatha, kulephera kugona mokwanira chifukwa cha kupweteka ndi kuvutika maganizo, ndiponso mavuto ena amene amabwera chifukwa cha kusintha kwa njira zoyendera.

Umboni wa zamankhwala wogwirizanitsa mikhalidwe yachiŵiri ndi kulumala koyambirira kwa utumiki nkofunika. Oyang'anira ayenera kukambirana ndi osamalira zaumoyo ndi kupempha malingaliro a zamankhwala osonyeza maunansi ameneŵa. Matenda achiŵiri alionse amapatsidwa kupunduka kwake, kumene kungawonjezere kwambiri malipiro ngati aphatikizapo kupima kwa matenda oyambirira.

Kupempha Owonjezereka Oyenera

Mikhalidwe ya m'magazi kaŵirikaŵiri imaipiraipira m’kupita kwa nthaŵi chifukwa cha kuwonongeka kwa zinthu, ukalamba, kapena zotsatirapo zowonjezereka za matenda osatha. Anthu amene awonongeka kuyambira pamene anaŵerengedwa ayenera kutchula zizindikiro zowonjezereka. Umboni wochirikiza uyenera kusonyeza bwino zizindikiro zomawonjezereka, kuchepa kwa mphamvu, kapena kuwonjezeka kwa mavuto atsopano.

Zolembedwa zaposachedwapa za zamankhwala zosonyeza kupitiriza kwa matenda, kuwonjezereka kwa zifuno za mankhwala, kapena kuchepa kwa mphamvu ya chithandizo chamankhwala chapapitapo zikuwonjezeka ndi zimene zikunenedwa.

Kuzindikira Chochititsa

Pamene mikhalidwe ya m’matupi iyambukira ziŵalo za thupi zogaŵikana (mikono yonse iŵiri, miyendo yonse iŵiri, mapazi onse aŵiri), akatswiri angayenere kulinganiza chinthu cha bilateal . Malamulo ameneŵa amazindikira kuti kukhala ndi chilema kumbali zonse ziŵiri kumapanga kuwonongeka kwakukulu kuposa kuchuluka kwa ziŵerengero za munthu payekha. Va imagwira ntchito chinthu cha m’mabaibo mwa kuphatikiza zizindikiro za mbali zonse ziŵiri, ndiyeno kuwonjezerapo 10% ya mtengo wophatikizidwa kumlingo womalizira.

Mavitani okhala ndi mikhalidwe ya biteral musculoskeletal ayenera kutsimikizira Va kugwiritsira ntchito bwino nsonga yachikazi pamene akuŵerengera madeti osanganizidwa. Zimenezi zingathandize kwambiri pa mlingo wonse wa kupunduka ndi unyinji wolingana ndi kubwezera.

Kukhala ndi Matenda a Musculoskeletal: Kudzilamulira Wekha

Ngakhale kuti mankhwala a Va ndi othandiza kwambiri, anthu amene agwira ntchitoyi kwa nthawi yaitali angatsatire njira zothandiza kuti azitha kusamala matenda a m’mimba ndiponso kuti agwire bwino ntchito.

Kuchita Masewera Olimbitsa Thupi

Kuchita masewera olimbitsa thupi nthawi zonse ndi njira imodzi yothandiza kwambiri posamalira matenda a m’matupi.

Zochita zotsika monga kusambira, maseŵera a madzi, kukwera njinga, ndi kuyenda zimapereka mapindu pamene kuchepetsa kupsinjika maganizo pa mfundo. Kuphunzitsa bwino kumathandizira kuchirikiza minofu yowonongeka, kungachepetse kupweteka ndi kuwongolera. Kusinthasintha kwa thupi ndi kulimba kwa kayendedwe. Kuphunzira kumathandiza kwambiri kuchepetsa ngozi, makamaka kwa akaidi okhala ndi mavuto otsika.

Anthu otere ayenera kuyamba pang’onopang’ono ndi kuwonjezera kachitidwe ka zinthu, kusamala mmene matupi awo amachitira. Kupweteka kwina pochita maseŵera olimbitsa thupi n’kwachibadwa, koma kupweteka kwamphamvu kapena kuwonjezeka kwa zizindikiro kumasonyeza kuti ayenera kusintha. Zinthu zosasintha ziyenera kuchitika mopitirira pamlingo woposa kulimbitsa thupi kwapatalipatali, ndipo kuchita zimenezi kumapindulitsa kwambiri kuposa kuchita zinthu zina mwa apa ndi apo.

Kuchepetsa Kulemera

Kusunga thupi lolimba kumachepetsa kupsinjika maganizo pa mfundo zonyamula thupi, kupweteka ndi kuchedwa kwa matenda monga asteoarthritis. Ngakhale kuchepa thupi kungawonjeze kwambiri zizindikiro za anthu amene anadwalapo kale ndi bondo, chiuno, kakala, kapena msana. Va imapereka maprogramu osamalira kunenepa, malangizo opatsa thanzi, ndi magulu ochirikiza kuthandiza anthu amene anazoloŵera kukwaniritsa ndi kusunga zolemera zathanzi.

Zakudya zopatsa thanzi zimathandiza kwambiri kuti munthu akhale ndi thanzi labwino. Mankhwala ochepetsa ubongo azikhala ndi zipatso, ndiwo zamasamba, zakudya zonse, mapuloteni opereŵera, ndi mafuta owonjezera mafuta othandizira kuchepetsa kutupa ndi kupweteka. Kachisi ndi vitamini D imathandiza kwambiri kuti mafupa a munthu amene wadwala matenda ofooketsa mafupa. Kukhala ndi mafuta abwino kumathandiza kuti maselo a m’thupi azikhala olumikizana ndi a thanzi lonse.

Makina Opangidwa ndi Maselo a M’thupi

Makina oyenera ndi kusintha thupi angachepetse kupsinjika maganizo pa zinthu za musculoskeleta ndi kuletsa zizindikiro za kukwera. Odwala ayenera kuphunzira njira zonyamula zoyenerera, kupeŵa kugwedeza ndi kupotoka zimene zimatsendereza msana. Kugwiritsira ntchito miyendo mmalo mwa kunyamula minofu, kusunga katundu pafupi ndi thupi, ndi kupeŵa kufika patali kumachepetsa ngozi.

Kuntchito ndi kunyumba kumakhala mipando yabwino yokhala ndi zipangizo zothandizira kuti munthu azikhala ndi maso otha kupuma, makompyuta oyenera, ndiponso mapulogalamu oika m’manja kuti achepetse kupanikizika kwa m’manja.

Kusamalira Kupsinjika Maganizo ndi Kupumula

Anthu amene amavutika maganizo ayenera kugwiritsa ntchito njira zothetsera kupanikizika, monga kusinkhasinkha, kupuma mozama, ndiponso kupuma mokhazikika.

Makalasi a Va ndi mapulogalamu ophunzitsa kuchepetsa kupanikizika maganizo, kuphatikizapo kuchepetsa kupanikizika maganizo, kusinkhasinkha, yoga, ndi tai. Masewera amenewa amathandiza thupi ndi maganizo, amathandiza kuti munthu azitha kusintha, azitha kusamala, ndiponso kuti azikhala ndi mphamvu pamene akuchepetsa kupanikizika maganizo ndiponso amathandiza kuti azikhala ndi maganizo abwino.

Ukhondo wa Kugona

Kugona mokwanira n’kofunika kwambiri kuti munthu azitha kugona mokwanira, chifukwa kugona kumathandiza kuti thupi lizikonzanso minofu ndi kukonza zizindikiro zopweteka.

Matiresi ndi mtsamiro wabwino zikhoza kukhudza kwambiri ululu wa m’matumbo. Matrelees ayenera kuwathandiza kwambiri potsatira njira za thupi. Mapilo ayenera kuyang'ana msana mozungulira, ndi mitundu yosiyanasiyana ya mtsamiro woyenerera malo osiyanasiyana ogona. Va ikhoza kuwapatsa matiresi apadera ndi zipangizo zothandizira popanga mankhwala.

Kusamalira Magetsi Otulutsa Magetsi

Odwala matenda a m’matumbo a m’matupi ayenera kuphunzira njira zolimbikitsira ntchito ndi kupuma, kuletsa kugwira ntchito mopambanitsa kumene kumayambitsa zizindikiro. Kuswa ntchito kukhala mbali zazing’ono zokhala ndi nyengo zopuma, kugaŵana pakati pa mitundu yosiyanasiyana ya zochita, ndi kulinganiza zochita zofuna nthaŵi pamene zizindikirozo ziri zabwinopo kumathandiza kupitiriza kugwira ntchito pamene mukuyang’anira zizindikiro.

Kugwiritsa ntchito zipangizo zothandizira kuti munthu achepetse nkhawa, kukonza malo ochezera a galimoto kuti achepetse kuyendayenda, ndiponso kupatsa ena ntchito zina zolemetsa ngati n’kotheka, kumathandiza kuti mphamvu zisamachuluke kwambiri.

Kusamalira Mwapadera Anthu Odwala Matenda a M’mimba

Anthu osiyanasiyana amene anazoloŵera kale kudzakhala ndi matenda a musculoskelenal, ndipo bungwe la VA lapanga maprogramu apadera ndi njira zothetsera mavuto osiyanasiyana ameneŵa.

Nkhondo ndi Ziŵalo za Utumiki za Pambuyo pa 9 / 11

Anthu amene anapezekapo pa nkhondo ya ku Gulf ya kutha kwa nkhondo tsopano amapanga 61.4% ya olandira onse opunduka, ndi Post-9/11 a msilikali akufufuza mowonjezereka mawu ovuta ndi mikhalidwe yambiri. Anthu ameneŵa kaŵirikaŵiri amakhala ndi polytrauma .mulples zovulala za thupi zimene zimakhudza madongosolo osiyanasiyana a zinthu zophulitsa, ngozi za galimoto, ndi zochitika zina zokhudzana ndi nkhondo. Chhersiteuma cha Care chimapereka chithandizo chapadera, chogwirizana ndi kuvulaza kwa akatswiri ndi kuopsa kwa ubongo ndi mikhalidwe ina.

Omenya nkhondowo angayenererenso nyengo zowonjezereka za kukonzedwa kwa Vasculos ndi kuperekedwa kwa mankhwala odzifunira. Amene anatumikira m'madera ankhondo mkati mwa zaka zisanu zapitazo amalandira kulembetsa koyambirira ndi kuwonjezera kuyenerera kwa kusamala kwaulere wa Va, kutsimikizira kuti angapeze chithandizo cha matenda amene sangaonekere mwamsanga pambuyo pa utumiki.

Akazi Oledzera

Akazi amene anazoloŵera kale amaimira mbali ya anthu ofala mofulumira kwambiri ndipo amayang'anizana ndi mavuto apadera a thanzi. Kufufuza kumasonyeza kuti akazi amene akhalapo kale ali ndi matenda ena a musculoskeleta, kuphatikizapo mitundu ya nyamakazi ya pathupi la munthu ndi autoimmune. Va yawonjezera mautumiki a zaumoyo a akazi, kuphatikizapo maprogramu apadera olankhula za matenda a musculoskeleta a akazi.

Kulingalira kwachindunji kumaphatikizapo chiyambukiro cha mimba ndi kubala pa thanzi la musculoskeleta, ziyambukiro za mahomoni pa thanzi la mafupa ndi majoini, ndi kusiyana kwa biomechanics zimene zingayambukire njira zovulala ndi njira zochiritsira. Maprogramu a zaumoyo a akazi a Va's amapereka chisamaliro chokwanira chosamalira zosoŵa zapadera zimenezi.

Ukalamba

Pamene akalamba, mikhalidwe ya m'magazi kaŵirikaŵiri imaipiraipira chifukwa cha kusintha kwa zinthu, zotsatirapo zowonjezereka za mikhalidwe yoima kwa nthaŵi yaitali, ndi zinthu zina zokhudza ukalamba zonga kutsika kwa mafupa ndi kuchuluka kwa minofu. Maprogramu a Va's Geriatrics ndi Alaudia Care amapereka mautumiki apadera kwa okalamba, kuphatikizapo kufufuza kochuluka kwa odwala, kulephera kwa maprogramu oletsa, ndi kusintha kwa zaka zogwirizana ndi misculoskeletal.

Anthu okalamba ayenera kukhala osamala kwambiri za thanzi la mafupa, chifukwa chakuti kusweka kwa mafupa kumawonjezera kusweka kwa mafupa.

Malo a Kumidzi

Anthu okhala kumidzi amakumana ndi mavuto apadera osamalira odwala a Va, amene amathandizidwa ndi matenda a m’matupi.

Telehealth imalola anthu a kumidzi ozoloŵera kukumana ndi akatswiri, kulandira malangizo a kuthupi, ndi kusamalira matenda osatha popanda kuyenda mtunda wautali. Vidiyo ya VA's Confine imathandiza kutumiza mavidiyo otetezeka kuchokera kwa anthu akale. Maprogramu a anthu a m'madera akumidzi amalola anthu amene anakatumikirapo kumidzi kuti azilandira chithandizo kwa osamalira akwawo pamene malo a V si opezeka bwino.

Anthu Okhala ndi Ululu

POLT Act yafutukula kuzindikira mikhalidwe yogwirizana ndi kuvumbulutsidwa kwa poizoni mkati mwa ntchito yankhondo, kuphatikizapo mikhalidwe ina ya msculoskeletal . A Veteran ovutitsidwa ku maenje otentha, Orange Orange, radiation, ndi ngozi zina za malo okhala zingayambitse mikhalidwe ya msculoskelet yomwe imapangitsa kuti ntchito yokhudza kujambula ikhale yoyenerera. Va yakhazikitsa maprogramu apadera a kujambula, kupenda, ndi kuchiritsa odwala ndi mikhalidwe yapoizoni yokhudzana ndi kuwonongeka.

Ofufuza amene anatumikira m'malo ena kapena nyengo za nthaŵi ayenera kutsimikizira kuti kuvumbula kwa Va'kuwononga kukhoza kukhudzana pakati pa mikhalidwe yawo ya m'matumbo ndi malo okhala mkati mwa utumiki. Kufalikira kwa malo pansi pa PALT Act kumapeputsa kwambiri akatswiri ambiri kuti akhazikitse kugwirizana kwa utumiki popanda zolemba zambiri za zochitika za m'zochitika.

Ndalama Zowonjezereka ndi Chichirikizo

Majeretani amene ali ndi matenda a m’mimba atha kupeza zinthu zambiri kuposa njira zothandizira thanzi lawo, thanzi lawo, ndiponso njira zoyendetsera zinthu zothandizira.

Ziŵiya za Maphunziro ndi Chidziŵitso

Va imapereka zothandizira kwambiri za matenda a musculoskeletal, njira zothandizira, ndi njira za kudzisamalira. Ofufuza angapeze zinthu zimenezi kudzera ku VA.gov, My Healthevet wodwala, ndi zipatala za zaumoyo. Ziwiya za maphunziro zimaphatikizapo mapepala, mavidiyo, zipangizo zoperekera, ndi malangizo ofotokoza bwino zinthu ndi mankhwala.

Bungwe la Va's National Center for Health Promotion and Disease Prevention limapereka umboni wotsimikizira pa maseŵera olimbitsa thupi, chakudya, kuchepetsa thupi, ndi zinthu zina zokhudza moyo zimene zimakhudza thanzi la munthu. Ma Veteran angapeze malangizo a thanzi la munthuwe, mapulogalamu a pa Intaneti, ndi ma aplogalamu a m'mafoni ochirikiza makhalidwe abwino ndi kuchiritsa matenda osatha.

Magulu Othandiza ndi Chichirikizo cha Ausinkhu Wawo

Kugwirizana ndi anthu ena amene anavutika ndi mavuto ofanana ndi ameneŵa kumathandiza kwambiri kuti munthu azikhala ndi maganizo abwino, apeze malangizo othandiza komanso kuti azikhala ndi zokumana nazo.

Akatswiri ochirikiza ausinkhu wawo .A. Okhala ndi moyo wopirira mavuto amene amaphunzitsidwa mwapadera . Amathandizira munthu mmodzi, kulangiza, ndi kutsogolera. Akatswiri ameneŵa amamvetsa mavuto apadera amene anthu amene anazoloŵerana nawo ndipo angapereke njira zothandiza zoyendetsera zinthu, kuyendetsa makompyuta a VA, ndi kuteteza moyo wabwino.

Zipangizo za pa Intaneti ndi Zomwe Zikuchitika pa Kaseŵero Kapamanja

Va yapanga zipangizo zambiri za magetsi kuti zithandize anthu akalewo kuyang'anira mikhalidwe ya m’matumbo ndi ma pulogalamu a kuchipatala. Ma apulogalamu a m'manja amaphatikizapo zipangizo zothandizira kupweteka, mapulogalamu olimbitsa thupi, olemba mankhwala, ndi ndandanda ya nthawi yokonzekera. HealtheVet imalola anthu amene atha ntchito zachipatala kuyang'ana mabuku, kulankhula ndi timagulu ta anthu osamalira zaumoyo, kuwonjezera malangizo opereka malangizo, ndi kutumiza mauthenga a zaumoyo.

Makinawa amathandiza anthu amene akhalapo pa Intaneti kuti azitha kujambula zinthu pa Intaneti, kuona ngati zinthu zili bwino, kuona ngati alemba makalata, ndiponso kugwiritsa ntchito bwino zipangizo zamakono.

Zinthu Zam’mudzi ndi Maulendo Othandizana

Mabungwe ambiri a m’deralo amapereka chichirikizo chowonjezereka kwa ozoloŵerana ndi mikhalidwe ya m'maseŵero osinthasintha amathandiza anthu anthaŵi yaitali kukhala ndi zochita zathupi ndi kugwirizana ndi anthu ngakhale ali ndi mavuto. Mabungwe onga ngati wolemala Sports USA, Paralyzed Veterans of America, ndi Wolfed Girder Project akupereka mwaŵi wa zosangulutsa, zipangizo zothandizira, ndi chichirikizo cha mabwenzi.

Maofesi a boma ndi antchito a m'dziko amathandiza pa zinthu zimene zaperekedwa, chithandizo cha ndalama, ndi kugwirizana ndi anthu a m'deralo. Maboma ambiri amapereka mapindu ena kwa anthu opunduka, kuphatikizapo kuchotsa msonkho wa katundu, kusintha galimoto, ndi kupititsa patsogolo ntchito zaumoyo. Ofufuza achipatala ayenera kufufuza zinthu zimene zilipo m’mayiko awo ndi m’madera ena.

Thandizo la Malamulo ndi Zifunsiro Zichirikiza

Asilikali amene amatsutsa Vatan ndi zigamulo zawo zokhudza kupunduka kwa Va, amapempha thandizo lalamulo kudzera m’njira zambiri. Maloya okonzedwa bwino a mapologalamu a anthu opunduka ndipo angaimire anthu akale ochonderera Board of Veterans Appeals ndi khoti la Appeals for Veterans. Olemba malamulo ambiri amagwira ntchito yolimbana ndi boma, kulandira malipiro okha ngati apeza mapindu owonjezereka kwa akatswiri.

Zipatala za malamulo ndi maprogramu alamulo akupereka chizindikiro chaulere kwa oimbapo milandu ofunsira. Maprogramu ameneŵa amapereka chithandizo chalamulo chapamwamba pamene akuphunzitsa mbadwo wotsatira wa akatswiri odziŵa malamulo. Ofufuza ayenera kufunsira chizindikiro chovomerezedwa pamene akufunafuna zifunsiro zovuta kapena milandu yokhudza nkhani za lamulo.

Programu Zochirikiza Osamala

Odwala matenda opunduka kwambiri a m’matumbo angafunikire chithandizo cha osamalira banja. programu ya bungwe la VA's of Comprehensive helper for Family Service imapereka ndalama zothandizira, kukhudza thanzi, mautumiki a zamaganizo, ndi chisamaliro chakupuma kwa osamalira odziŵa ntchito zausilikali oyenerera. Programu imeneyi imasonyeza ntchito yofunika kwambiri imene ziŵalo za banja zimachita pothandiza anthu odziŵa bwino amene ali ndi vuto lalikulu.

Mautumiki othandizira odwala amaphatikizapo kuphunzitsa anthu mmene angathandizire anthu ovutika maganizo, kuthandiza anthu ovutika maganizo, ndiponso kuthandiza anthu amene akuwasamalira.

Kuyang’ana Kutsogolo: Kupita Patsogolo m’Kuchiritsa ndi Chichirikizo

Va ikupitiriza kupititsa patsogolo njira yake yochiritsira ndi kuchirikiza anthu amene anadwala matenda a musculoskeletal, kuphatikizapo zofufuza zatsopano, njira zatsopano zochiritsira, ndi njira zochiritsira bwino koposa.

Kuchiritsa ndi Maluso Osiyanasiyana

Va ikufufuza ndi kugwiritsa ntchito njira zoyambira za matenda a musculoskeletal, kuphatikizapo mankhwala obwezeretsa mphamvu ya thupi a njira zogwiritsira ntchito njira zonga majekeseni a plasma ndi mankhwala a m'maselo a m'magazi. Pamene akupendedwabe, njira zimenezi zimasonyeza kuti pali chiyembekezo cha matenda ena a musculoskeleta. Va ikupitirizanso kukonza njira zopangira opaleshoni, ikupanga njira zothandizira kukonza maselo ndi mankhwala owonjezera mphamvu ya kupweteka, ndi kugwiritsa ntchito njira zothandizira kuchepetsa ululu.

Kupita patsogolo kwa tekinoloji kumaphatikizapo kukonza maloboti, kuchiritsa kupweteka ndi mankhwala olimbitsa thupi, ndiponso zipangizo zotha kuwonongeka zimene zimayang’anira ntchito ndi kuchepetsa mphamvu ya zinthu zachilengedwe. Zinthu zimenezi zingathandize kuti anthu amene anadwala matendawa azikhala ndi moyo wabwino.

Kufufuza ndi Mayeso a Kuchipatala

Asayansi atha kuchita nawo kafukufuku wokhudza matenda a musculoskeleta, kugwiritsa ntchito bwino njira zothandizira anthu ovutika, ndiponso njira zothandizira anthu odwala. Akhozanso kuyesa njira zatsopano zothandizira anthu odwala, kuyerekezera njira zatsopano zothandizira anthu odwala komanso kukambirana njira zatsopano zothandizira anthu ovutika.

Ofufuza a Va akufufuza mmene ntchito yausilikali imakhudzira moyo wa munthu, kudziwa zinthu zimene zimachititsa kuti matenda osatha ayambe, ndiponso njira zopewera matenda a musculoskeletal. Ofufuzawa akudziŵitsa malamulo a VA, malamulo a chithandizo, ndiponso kupindula.

Kupita Patsogolo kwa Mfundo za M’mabungwe ndi Uphunzitsi

Mabungwe ogulitsa ndalama za anthu akupitirizabe kuwonjezera ndi kuwongolera mapindu kwa akatswiri okhala ndi mikhalidwe ya m'magazi. Zochitika zaposachedwapa za boma zimaphatikizapo kuwonjezereka kwa PAC Act ndi kuwonjezereka kwa ndalama za Va kusamala za umoyo ndi mapindu. Kuyesayesa kwa umbava kumaika patsogolo kuchepetsa nthaŵi zoyendera, kukulitsa njira zopezera chisamaliro, ndi kupezera chuma chokwanira kwa anthu ovutika.

Osunga chuma angachirikize zoyesayesa zaukapolo zimenezi mwa kuphatikizidwa ndi mabungwe autumiki anthaŵi yaitali, kukumana ndi oimira osankhidwa ponena za nkhani za odziŵa ntchito, ndi kugawana zokumana nazo zawo kuti adziŵitse kutukuka kwa lamulo. Kusonkhanitsa kwapanga kuwongolera kwakukulu m’zopindulitsa ndi mautumiki a odziŵa ntchitozo, ndipo pangano lopitirizabe limakhala lofunika kutetezera ndi kuwonjezera chichirikizo kwa akatswiri okhala ndi matenda a musculoskeleletal.

Kumaliza

Matenda a musculoskeletala ndi vuto lalikulu la thanzi kwa anthu amene anamenya nawo nkhondo, amene akukhudza anthu mamiliyoni ambiri amene anatumikira m’dziko lawo. Kupanikizika kwa ntchito yausilikali kumayambitsa ziyambukiro zokhalitsa zimene kaŵirikaŵiri zimapitirizabe m’moyo wa anthu a m’nthaŵi zakale, zikumakhudza mphamvu zawo za kugwira ntchito, kuchita ntchito za tsiku ndi tsiku, ndi kusungitsa moyo. Komabe, Dipatimenti ya za Veterans Affairs imapereka zichilikizo zokwanira zolinganizidwa kuthandiza akatswiriwo kuyang’anira mikhalidwe imeneyi ndi kulandira malipiro oyenera kaamba ka kupunduka kwa utumiki.

Kuzindikira phindu lonse lomwe lilipo ndi kulipira ndi mautumiki a zaumoyo pothandiza kukonza maprogramu ndi zipangizo zothandizira anthu anthaŵi yanga kuti apeze chithandizo chimene apeza kudzera mwa ntchito yawo. Kuyendetsa bwino njira ya VA kumafuna kudziŵa njira zonenera, kulemba bwinobwino za mikhalidwe ndi zopimira, ndipo kaŵirikaŵiri chithandizo cha mabungwe autumiki a m’nthaŵi zakale kapena nthumwi zina zovomerezedwa.

Madokotala amene ali ndi matenda a musculoskeletal ayenera kukhala ndi ntchito yaikulu posamalira thanzi lawo, kuphatikiza njira zachithandizo za Va ndi njira zodzithandizira, kusintha njira za moyo, ndi njira zothandizira anthu. Pamene kuli kwakuti kukhala ndi matenda osatha kumakhala ndi mavuto, chithandizo choyenera, kuchirikiza, ndi kubwezera kungathandize kwambiri kuti moyo ukhale wabwino.

Vara ikupitiriza kusintha njira yake ya kuchirikiza anthu ovutika ndi matenda a musculoskeletal, kuphatikiza zopezedwa zatsopano zofufuza, kufutukuka kwa mikhalidwe ya kutengera, ndi kugwiritsa ntchito njira zatsopano zochiritsira ndi zamakono. A Veteran ayenera kukhala odziŵitsidwa za kusintha kwa mapindu ndi mautumiki, kupitirizabe kuyanjana ndi osamalira zaumoyo a VA, ndi kuchirikiza zosoŵa zawo m’dongosolo.

Kwa anthu amene anavutika ndi matenda a m'matumbo, thandizo lilipo. Kaya anene kuti ndi opunduka poyamba, kufuna kuchuluka kwa mayeso a mikhalidwe yomawonjezereka, kapena kulowa m'mautumiki aumoyo ndi okonzanso, mabungwe autumiki a VaA ndi ozoloŵera ayenera kukhala okonzeka kuthandiza. Oyang’anira sayenera kuzengereza kukalimira kaamba ka chichirikizo, popeza apeza mapindu ameneŵa mwa utumiki wawo ndi kudzipereka.

Kaamba ka chidziŵitso chowonjezereka chonena za mapindu ndi mautumiki a musculoskelelenal, ozoloŵera angachezere VA.gov, wizirani VA pa 1-800-807000, kapena kukumana ndi mabungwe autumiki akwanu. Chuma chowonjezereka chimapezeka kudzera pa Healthharety [ system ndi Mapindulo a pa port. . Vetans m'matenda angapeze chichirikizo mwamsanga kuchokera ku Krusseaunti ya pa 988, kenaka 1, posindikiza ndi kulemba 8255.