Table of Contents
Ingxaki yemibutho yemfazwe enxulumene nokungalungelelani nokusebenza kakuhle kwe-Musculoskeletal imela olunye locelomngeni olubalulekileyo lwempilo olujongene namava emikhosi namhlanje. Ngonyaka wama-2024, amagqala angaphezu kwe-159 ezigidi ayefumana uncedo kwezi meko, ewenza abe yinkqubo yomzimba enxulumene neziphene ezininzi zenkonzo. Iimfuno zomzimba zenkonzo kunye nezokuphatha iigiyeri ezinzima kunye nemithambo eqhubekayo ukulwa nomonakalo ohlala uhleli kunye neziphumo ezihlala ixesha elide ezithi zihleli emva kokuba amalungu enkonzo eguqukele kubomi bobufolo. ISebe le Veterans Affans (VA) liye laphuhlisa iinkqubo zokuxhasa iimeko zokunceda oosoldinshorensities, ukukhusela intlawulo olufanelekileyo, ukukhubazeka nokugcina ubunjani babo bobomi.
Umlinganiselo Weengxaki Zemizimba Yesithombo Phakathi KweeVendans
Ukuqonda Iimeko Zemizila
Isifo semisipha yekhelepha esichaphazela izihlunu, amalungu, amathambo, okanye izihlunu ezidibanayo njengemisipha kunye nee-hemon. Ezi meko zingavela kwingozi engathi yiyo (njengengozi yokuqeqesha) okanye emva kweminyaka yokuguleka nokukrala emzimbeni wabo ngexesha lenkonzo yasemkhosini. Inkqubo ye-musculoskeletal yenza isiseko sokuhamba nokukwazi ukusebenza, kwaye xa ilalanisa, ezi meko zinokuchaphazela amandla omntu osebenza, athathe inxaxheba kwimisebenzi yemihla ngemihla, kwaye alondoloze ukuzimela.
Iimeko ze-musculoskeletal zingunobangela ophambili wokukhubazeka yaye esona sizathu siqhelekileyo samavava afuna unyango. Iimeko ze-Musculoskelet zinokunciphisa ukushukuma nokungakhuli, nto leyo enokuthintela abo basebenzayo ukuba bangabi nanxaxheba kwibutho labantu.
Ukhuthuzo noluvo
Izibalo zichaza indlela ebangela ukuxinezeleka kwengxaki yemikhwa enzima ebangelwa yimizimba yamagqala. Ugcino-lwazi lwakutshanje luye lwanikela ingxelo ephantse iphindwe kabini yeentlungu zomqolo nezentamo kunezo zingezo ezokuzalwa. Isifo sokuphazamiseka kwengqondo, iingozi zengqondo, kunye nesifo sokudinwa okungapheliyo sifunyaniswe ukuba siphakame ngokuphindwe kathathu ukuya kwisithandathu kunamarhente kunalawo angathanga.
Phakathi kwamagqala ahlukeneyo kwinkonzo nafuna inkathalo kumacandelo eVA, ama-51% ale nkampani ubuncinane ine-MSK SCDB enye (8% phakathi kolwahlulo lweziphene, 48% phakathi kwesiqhelo). Oku kubonisa ukuba iimeko ze-musculoskelet zichaphazela amava ahlukeneyo, nangona abo baneziphene zezamayeza befumana iqondo eliphezulu kakhulu.
Oonobangela Abaqhelekileyo Bokudityaniswa Kwamajoni
Ukusetyenziswa kakhulu kunye nolwandiso lwemicrotraumas ezisuka kuqeqesho lomkhosi zinxulunyaniswa nomonakalo wama-70 ekhulwini emikhosi ye-musculoskeletal. Ezi ziquka iingozi ezingezozikhewu ezifana ne-shin splint, i-sestinitititis, i-plantar f Ascistites, kunye neentlungu zomqolo. Ukuphindaphindwa koqeqesho lomkhosi, kudityaniswe neemfuno zomzimba zokuthwala izixhobo ezinzima, ukuhamba okuqhubekayo, kunye nokugula okugqithisileyo emzimbeni, kubangela uxinezeleko emzimbeni olubonakala njengemeko ezingapheliyo.
Amalungu enkonzo asetyenziswe kunye nangasetyenziswanga afumana iimeko ze-musculoskeletal ezibangelwa ziingxwelerha ezibuhlungu, ukusetyenziswa kakubi, i-sprains, kunye nobunzima. Kumalungu enkonzo ehlaziyiweyo, inkqubela kwezonyango zedabi iye yasindisa ubomi kodwa yashiya abaninzi beneengozi ezihlala zihleli ezibandakanya iinyawo, intloko, intamo, itharox, nesisu. Okwangoku, iingozi ezingezo ze-atlet musculerelet muscularene zenzaka ngaphantsi kwengxaki ebangela ukuba kubekho icandelo elikhulu lemibutho yonyango phakathi kwamajoni emkhosi.
Iintlobo zengxaki zeMusculoskeletal eziqwalaselwe yiVA
Kukho iimeko ze-musculoskeletal ezingaphezu kwe- 150 ezahlukeneyo kunye namaqondo ahlukeneyo eziphumo zempilo ezifutshane kunye neemeko zexesha elide. I VA idibanisa ezi meko phantsi kwesixokelelwano semizbhobhozo efunyaniswe kwi 38 CFR Inxenye ye-4, iSub part B, enika imilinganiselo yeqondo eliziinkcukacha zohlobo ngalunye lwemeko. Ukuqonda ububanzi beemeko ezigqunyiweyo kunceda amakroti aqonde ukuba kunokwenzeka ukukhubazeka okunxulumene nenkonzo anokukwazi ukukuchaza.
Iimeko zesifo sokuqaqamba kwamalungu kunye neemeko zamalungu
Isifo sokuqaqamba kwamathambo simela enye yezona meko ziqhelekileyo phakathi kwamava. IVA ibona iintlobo ezininzi zesifo sokuqaqamba kwamalungu, kuquka ukuwohloka kwamathambo (osteoarthritis), isifo sokuqaqamba kwamathambo, kunye nesifo samathambo sasemva kokuphathwa kwamathambo. Uhlobo ngalunye luneempawu nemilinganiselo ekhethekileyo yokubonisa. Isifo samathambo esibangelwa kukuxinana nokukrala kwamalungu, ngoxa ukugoba kwamathambo kwasemva konyango kubangelwa kukulimala okuthile okukhoyo ebudeni benkonzo.
Ireyithingi lesifo sokuqaqamba kwamalungu esisekelwe kwizinto eziliqela, kuquka uthotho lwentshukumo, iintlungu ezihambayo, kunye neengxaki zokusebenza. Iimeko zamalungu zingachaphazela naliphi na ilungu emzimbeni, ngamadolo, amagxa, amaqakala, amahlakani, izandla, neminwe exhaphakileyo phakathi kwamavavar.
Iimeko zespolye
Umonakalo ongasemva nowentamo uyinxalenye ebalulekileyo yeziphumo zokukhubazeka kweminqonqo. Iimeko eziqhelekileyo ziquka iidiski ezidityanisiweyo, isifo sediski ethobayo, isifo somqolo, i-stenosis, i-spondylolissis, kunye neendlela ezahlukeneyo zesifo sokuqaqamba kwamathambo omqolo. Ezi meko zidla ngokubangelwa kukunyanzelwa yinkonzo yasemkhosini, kuquka ukuthwala imithwalo enzima, ukuhla kwe-parachute, iingozi zenqwelo-mafutha, kunye noxinzelelo oluphindaphindiweyo.
Iimeko zomnqonqo zilinganiswa ngokusebenzisa iNkxaso yoMthamo jikelele womqolo, eqwalasela uludwe lwentshukumo eyenzekayo kwinqanaba kunye nesandiso, ukushwabana kweziganeko, kunye nokungasebenzi. IVA iqonda ukuba iimeko zomqolo zinokubangela iintlungu, ubundindisholo, nobuthathaka ezinyaweni, ezinokuthi zifune umlinganiselo owongezelelekileyo weradiculopathy okanye umonakalo wemithambo-luvo.
Ukulimala Kwezihlunu Neemeko
Iingozi zemisipha ziquka iimeko ezininzi ezichaphazela amaqela ezihlunu emzimbeni wonke. Ezi ziquka iintlungu zezihlunu, iinyembezi, i-astrophy, kunye ne-khompatmenti. I-VA yamanani eengxaki zezihlunu ezisekelwe kubunzulu bamandla, ukususela kubuthathaka obuncinane ukuya kubunzima obuqatha. Iingozi zemithambo-luvo zinokuchaphazela ngamandla amajoni omzimba yaye zinokuchaphazela amaqela amaninzi ezihlunu ngaxeshanye.
Isifo sokusebenza kwekhompathimenti, esibuhlungu kakhulu esibakho xa uxinzelelo lwezihlunu lukhula kumgangatho oyingozi, luqwalaselwa ngokwahlukeneyo kwimilinganiselo yeVA. Iqela ngalinye lezihlunu ezichaphazelekayo libalwa ngokobuqu, kwaye amagqala anokufumana ireyithi eyahlukeneyo yokwenzakala kwezihlunu ezininzi.
Izilonda Zamathambo Nobuhlungu
Amathambo aphukileyo agcinwe ebudeni benkonzo yasemkhosini anokukhokelela kwiengxaki ezinde, kuquka ukukhubazeka kwethambo (ukunyanga ngendlela efanelekileyo), ukungaphili (ukungaphumeleli ukuphilisa), iintlungu ezinganyangekiyo, nokuhamba okusikelwe umda. Iimeko zamathambo ezikwiqondo eliphantsi ezisekelwe kwizinto ezifana nendawo eyaphukayo, iqondo lokuphilisa, ubukho bokonakala, kunye nokungasebenzi okubangelwa kukwenzakala.
Iintsholongwane zisenokufumana izifo zamathambo (isifo sokukrala kwamathambo), esinokubangela iintlungu ezingapheliyo kwaye esifuna unyango oluqhubekayo. IVA iqonda ukuba iimeko zamathambo zidla ngokukhokelela kwiingxaki zesibini ezifana namathambo amalungu ameleneyo okanye iziphumo ezitshintshayo ezicinezela ezinye iinxalenye zenkqubo yemisipha ye-musculoskeleletal.
Isifo Esingapheliyo Seentlungu
Iintlungu ezinxulumene neemeko ze-musculoskeletal zichazwa njengezingapheliyo ukuba ziqhubeka iinyanga ezintathu. Iintlungu ezingapheliyo, kuquka ifibromyalgia kunye neentlungu ezintsonkothileyo zengingqi, zimela iimeko ezilucelomngeni ezinokuchaphazela kakhulu ubunjani bobomi. I-Fibromyalgia iphawulwa ziintlungu ezisasazekileyo ze-musculoskeletal ezihambisana nokudinwa, ukuphazanyiswa kokulala, iingxaki zobuthongo, kunye neengxaki zengqondo.
IVA retifibromyalgia esekelwe kumlinganiselo weentlungu ezisasazekileyo neempawu ezifana nokudinwa, ukungakwazi ukulala, iingxaki zobuchopho nezinye izinto ezibonakala ngazo. Iintsholongwane ezichanabeke kwiingozi zeNtlango-ntle yendalo zisenokuba nentlalo-ntle yesifo sefibromyalgia nezinye izifo ezingapheliyo ezibangelwa kukudinwa kwamathambo.
Umonakalo Obuhlungu Nobuhlungu Obubangelwa Kukudityaniswa Kwemizimba
IiTendon kunye nemisipha zinika inkxaso engundoqo nokuzinza kwamalungu emzimbeni wonke. Iintlungu kwezi zihluphayo, kuquka iinyembezi, ukukrala okungapheliyo (isifo sokukrala kwethambo lomqolo), zixhaphakile kumagqala. Iinyembezi ezithintelayo emagxalabeni, iingozi zeAchilles, kunye neanterior cruciate ligament (ACL) zimela ezinye zeemeko ezisoloko zichazwa.
Ezi ngxaki zidla ngokubangelwa kukuxinezeleka okungathi qatha okanye uxinezeleko oluphindaphindwayo kwaye zinokukhokelela ekungazinzi okungapheliyo, iintlungu, nomlinganiselo olinganiselweyo wentshukumo. Isantya se-VA serbon kunye nomonakalo owenziweyo osekelwe kwimpembelelo yamalungu, ukuzinza, kunye namandla elikhenkethi okusebenza imihla ngemihla.
Ukuqonda Izinto Ezingamkelekiyo Ezinokusetyenziswa Kwimeko Yemipu
Inkqubo yokulinganisa iVa iziva imisela umgangatho wabalindi bemali yembuyekezo abayifumanayo kwiimeko ezidibene nenkonzo. I-VA yexabiso li-musculoskeletal ukukhubazeka okusekelwe kubunzima, kuludwe lwentshukumo, kunye nesiphene semisebenzi, kunye nereyithiri eziqhele ukusukela ku 0% ukuya kwikhulu elinamakhulu amakhulu. Ukuqonda indlela umlinganiselo olwabelwayo onceda ngayo amava alungiselele intelekelelo eyomelele ngakumbi kwaye aqinisekise ukuba afumana imbuyekezo ezifanelekileyo kwiimeko zawo.
Ukuseka Unxulumano Lwenkonzo
Phambi kokuba iVA yahlule irejitha yexeshana lokukhubazeka kunye nembuyiselo yenyanga, ikhenketha kufuneka ingqine imeko yayo ye-musculoskeletal idityaniswe nenkonzo yabo yasemkhosini. Ii-Vteran kufuneka zibonise ukuxilongwa kwesifo, isiganeko sonyango okanye isiganeko sokukhutshwa kwethambo, kunye ne-nexus (link) phakathi kwezi zinto zimbini ukuze zifanelekele umlinganiselo we-VA kunye neengenelo.
Kukho iindlela ezininzi zokuseka udibaniso lwenkonzo lwemeko ze-musculoskeletal. Uqhagamshelwano oluthe ngqo luthetha imeko edityaniswe nento eyenzekayo ngexesha lenkonzo yasemkhosini ./kanjalo iqalile ukulungiselela, okanye inkonzo yenza imeko ekhoyo ibe mbi kakhulu. Ii-Vertans zingenza unxulumano lwesibini xa imeko ye-musculoskeletal ikhula ngenxa yenye ingxaki edibeneyo. Umzekelo, umonaka wedolo ungenza imilinganiselo yegati ekhokelela kwikhaphu okanye kwingxaki yangasemva.
Unxulumano lwenkonzo yokuveliswa kwenqanawa lusebenza kwiimeko ezithile zamaqela athile amagqala. Abasebenzi be-V50 abachanabeke kwiingozi zokusingqongileyo ngexesha lomsebenzi weNtlanganiso yeMfazwe yeNtlanga bangafanelekela ukunxibelelana nenkonzo yoncedo kwiimeko ezithile ze-musculoskelet. I-PTP Act ivule iimeko zokuveliswa kwetyhefu, ikwenza kube lula kumadoda akudala ukusungula unxibelelwano lwenkonzo kwiimeko ezinxulumene nokuchanaba kwebhotile nezinye iingozi zemeko-meko-bume.
Imida ethelekelelwayo kunye nendlela yolwazi
Imilinganiselo ye-Musculoskeletal iqhutywa nguMthendeleko weNkqutyana we-Foula yemeko yomqolo (DC 5235-5243) kunye netafile ye-ROM edityanisiweyo, kunye nemimiselo esebenzayo ye-"%los (88 4.40, 4.45, 4.59). I-VA isebenzisa ikhowudi yokuhlola ezifunyenwe kuma-38 CFR 76 4.71 ukubeka imilinganiselo ye-musculosceletaletal. Ikhowudi nganye yokuxilonga inika iindidi ezithile zokwabela iipesenti ezisekelwe kwiziphumo zempilo ezingundoqo kunye nezithintelo ezisebenzayo.
Uludwe lwemilinganiso yokuhamba ludlala indima ebalulekileyo kumlinganiselo wemilinganiso ye-musculoskeletal. Kwimeko zemilinganiso (njengemqolo, idolo, kunye ne-aklelm) i-VA isebenzisa isixhobo esibizwa ngokuba yi-gonometer ukuvavanya umgama wakho we-Motion (ROM). I-operator ilinganisela ukuba ilungu linokuhamba kangakanani kumacala ahlukeneyo kwaye lithelekise ezi milinganiselo kunye nemigangatho eqhelekileyo ye-atomicle. Okubalulekileyo kuxhomekeke kuludwe lwezixhobo zokuhamba okuqhelekileyo okuphumela kwireyilelo oluphezulu lwesiphene.
Intlungu yenye into ebalulekileyo kwi-VA difire. Umgaqo obuhlungu wokuhamba uthi ukuba ilungu okanye ilungu lomzimba libuhlungu xa lishukunyiswa, ikheswa kufuneka lifumane ubuncinane umlinganiselo olinganayo wemo yemeko, nokuba uludwe lwemilinganiselo yokuhamba lubonakala luqhelekile. Ityala lenkundla elibalulekileyo, Sharp v. Shulkin, litshintshe umdlalo kumavar. Lawisa umthetho wokuba iimvavanyo kufuneka ziphendule nge "flare-up" oku kuthetha ukuba umqolo wakho usoloko uhamba kakuhle, kodwa amaxesha amathathu enyangeni uyakwazi ukuphuma emandlalweni, umhloli makaqikelele ukulahlekelwa kwakho ngexesha leentsuku ezimbi.
Ipesenti eziqikelelwayo eziqhelekileyo
Iimeko ze-Musculoskeletal zezinye zezibhengezo ezicacileyo zokukhubazeka kwe-VA kwaye zisoloko zibekwe kwi-0%, 10%, okanye 20%. Kodwa, zingasuka kwi-0%-100%, kuxhomekeke kubukhulu nomgangatho wokukhubazeka. Umlinganiselo we-0% uthetha ukuba imeko idityaniswe ngenkonzo kodwa ayinzima ngokwaneleyo ukunikezela, nangona imisela imeko kwingxelo yekhesa kwaye isenokunyuswa ukuba iimpawu zithe zanda.
Uqikelelo lwe-10% lubonisa iimpawu ezithe ngxi kunye nezingasetyenziswanga kakuhle. Umlinganiselo wama-20% ucebisa iimpawu eziphakathi eziphazamisayo neminye imisebenzi kodwa zingathinteli imininzi yemisebenzi yemihla ngemihla. Umlinganiselo ophezulu wama-30%, ama-40%, ama-50%, okanye ama-60% abonisa imiqathango enzima ngokuqhubekayo. Umlinganiselo ophezulu, ofikelela kwi-100%, ugcinelwe iimeko ezibangela ukuphulukana ngokupheleleyo nomsebenzi, iintlungu ezimandundu, okanye ukukhubazeka ngokupheleleyo.
Kwimeko ezithile, imilinganiselo yokulinganisa yahluka. Umlinganiselo ophezulu weVA oweemeko zamadolo owenziwe ngama-60 ekhulwini wokugqibelela kwe-akylosis (ufakelo lwelungu). Kodwa ke, ungalufanelekela umlinganiselo ophezulu ukuba uneemeko ezininzi zamadolo okanye ukuba iingxaki zamadolo akho zikuthintela ekusebenzeni (TDIU ngesantya sekhulu).
Ucwangciso oluthe ngqo oluHlayishiweyo
Uhlaziyo, olusebenzayo uNovemba. 7, luqinisekisa ukuba eli candelo le VASRD lisebenzisa amagama asetyenziswayo ngokususa iimeko eziphelelwe lixesha, ukucacisa ii-ambigueties, nokunika iinkcukacha kunye nokuhlaziywa kwendlela yokuvavanya i-musculoskeleletal kunye nokukhubazeka kwezihlunu, kuquka nemeko ebezingenayo ikhowudi yokuxilonga ngaphambili. Olu hlaziyo lumela umgudu wendlela yokulinganisa imilinganiselo ye-VACII nokwenza ubuchule bangoku.
Iingxelo ze-musculoskeletal kunye/okanye iimeko zokwenzakala kwezihlunu ezithe zathi zaphela emva kwe-Fber. 7, kodwa zazijongeka kumhla osebenzayo, ziya kuqwalaselwa phantsi kwemilinganiselo emidala nentsha yokulinganisa, kwaye nayiphi na indlela elungileyo kakhulu kwiVerteran iza kusetyenziswa. Eli lungiselelo likhusela amarhente ngokuqinisekisa ukuba bafumana eyona milinganiselo iluncedo ngaphantsi kwemiqathango emidala okanye emitsha.
Iimeko kunye noLungelelo lweSibini
Iimeko zemiqhaphu zidla ngokukhokelela kwiimeko ezibangela ukuba umlinganiselo wesifo sokuqaqamba kwamathambo wongezelelwe. Umonakalo oyintloko kwilungu elinye (umz. idolo) ungatshintsha igait okanye ukuma kwakho, ukubeka uxinezeleko olungeyomfuneko kwamanye amalungu (ithambo, iqakala) okanye umqolo wakho, nto leyo ekhokelela kwingxaki yesibini yesifo sokuqaqamba kwamathambo okanye idiski.
Izifo eziqhelekileyo ziquka ukukhula kwamalungu anokukhutshwa kwesifo sokuqaqamba kwamalungu anceda ukungxwelerheka okungundoqo, ukusetyenziswa kweradiculopathy ngenxa yeemeko zomqolo, kunye neemeko zengqondo ezifana nodandatheko okanye ukuxhalaba ngenxa yeentlungu ezingapheliyo kunye neengxaki ezisebenzayo. Imeko yesibini nganye inokufumana irejista yayo yokukhubazeka, edityaniswe nereyithi yemeko yokuqala ukugqiba intlawulo yayo yonke.
IVA isebenzisa iitafile ezidityanisiweyo zereyithingi kunokuba yongeze ipesenti kunye. Le nkqubo iqaphela ukuba intlupheko yokukhubazeka okuninzi yenye. IVeteran eneemeko ezininzi ze-musculoskeletal ingafumana ireyithi ezidityanisiweyo ziphezulu kakhulu kunalo naluphi na umlinganiselo wemeko enye, ezinokuwafanelekela ukunyuswa ngokunzulu.
Iinzuzo Neenkqubo Zokuxhasa Iingxaki Zemizimba Yesithoba
IVA ixhasa ngokupheleleyo amagqala anezifo zemilwelwe zemizimba enzima, yandisa ngaphezu kwembuyiselo yenyanga. Ezi nkqubo zithetha ngonyango lwezamayeza, ukubuyiselwa konyango, izixhobo zokulungisa, nomgangatho wobomi. Ukuqonda uludwe olupheleleyo lweengenelo ezikhoyo kunceda amagqala afumane ubuncwane afuna ukuhlangabezana nemeko yawo ngokunempumelelo.
Unikezelo olungonakalisiyo
Imbuyiselo yenyanga yokukhubazeka imela inzuzo eyintloko yemali kumagqala anxibelelene neemeko zenkonzo. Imbuyiselo yenyanga ngepesenti eli-100 le-$3,938.58 kwi-2026) inika inkxaso yemali ebalulekileyo, ngemigangatho ephantsi efumana intlawulo encinane ngokulinganayo. Abameli abaxhomekeke kumava bafumana iimali ezongezelelekileyo ezisekelwe kwinani lerejiyoli kunye namanani abo baxhomekeke kwimali.
Uhlaziyo lwemali luhlengahlengiselwa ukutyala unyuko lwamaxabiso aphilayo, ukuqinisekisa ukuba amagqala ahlala ethenga amandla ngexesha. Amaqonga aqikelelwa kwi-30% okanye ngaphezulu ngabaxhomekeke kwi-astere afumana iimali zembuyekezo ezandisiweyo. Ikhampani yenyanga ekhethekileyo (SMC) inika iindleko ezongezelelekileyo kumagqala anengxaki engakumbi, njengokuphulukana nokusetyenziswa kwamalungu omzimba okanye ukuswela uncedo kunye nokuya khona.
Ukungafezeki ngokupheleleyo kokungasebenzi ngako ngamnye (TDIU)
Usenokufanelekela ukuphelelwa ngokupheleleyo okusekelwe kukungabikho kwemisebenzi okukwi-Andie (TDIU), okukuhlawula ngepesenti eliyi-100 nanokuba ireyithingi yakho ingaphantsi kwe-100%. ITDIU iyaqonda ukuba amanye amagqala akanako ukugcina umsebenzi onengeniso enkulu ngenxa yeemeko ezidityanisiweyo zenkonzo, kwanokuba ireyithingi yawo ithe yahla ngaphantsi kwekhulu elinamashumi alithoba alithoba.
Ukufanelekela iTDIU esetyenziswa ngamavavava afuna ukukhubazeka elinye elibalelwa kuma-60% okanye phezulu, okanye ukukhubazeka okuninzi okunomlinganiselo omnye okwi-40% okanye ophezulu kunye nomlinganiselo odityanisiweyo wama-70%. Okunye okuTDIU kufumaneka kumagqala angalufikeleliyo olu phawu lukhethekileyo kodwa anemeko eziwathintelayo ekusebenzeni. I-Musculoskeleneteateneeemeko ezibangela iintlungu ezingapheliyo, imiqathango enzima, okanye ukungakwazi ukwenza imisebenzi ephathekayo ngokufuthi ifanelekela amagqala e-TIU.
ISebe loKhuseleko lwezeNkcubeko
Ii-Vendans ezineemeko ezidityanisiweyo zenkonzo zifumana ukufikelela kokuqala kwiinkonzo zonyango lwe-VA. I-VA inika unyango olubanzi kuquka uvavanyo lokuxilonga, udliwano-ndlebe loogqirha, ungenelelo lotyando, kunye nolawulo oluqhubekayo lweemeko ezinganyangekiyo. I-Vendan iyakwazi ukufumana iingcali zamathambo, iingcali zokulawula iintlungu, kunye nezinye izibonelelo ezinamakhono kwizifo ze-musculoskelecalenal.
Iinkonzo zokuxilonga ziquka ii-X-reyi, ii-MRIscan, ii-CT scan, uvavanyo lobunzima bamathambo, kunye nezinye iizifundo ezifunekayo ukuvavanya iimeko ze-musculoskeletal. Uvavanyo lwelebhu lunceda ukuqwalasela iziphawuli ezikralayo, amayeza, kunye nemeko yempilo. I-VA igubungela ezi nkonzo ngaphandle kwexabiso leemeko zenkonzo, isusa imiqobo yemali kwinkathalo efanelekileyo.
Unyango Nokubuyiselwa Kwempilo
Unyango lomzimba lunendima ebalulekileyo ekulawuleni iimeko ze-musculoskeletal kunye nokuphucula amandla okusebenza. Iingcali zonyango lwemithambo-luvo ziphuhlisa iinjongo zonyango eziquka ukunyanga, unyango lwezandla, izinto ezifana nobushushu okanye ukushukumiswa kombane, kunye nemfundo kwiinkqubo zokwenza umzimba womatshini kunye nokuthintelwa kokwenzakala. Unyango lomzimba rhoqo lunganceda ekunciphiseni iintlungu, kuphucule ukushukuma, komelezeke izihlunu zomzimba, kuphucule ukusebenza kwazo, kuphucule nemisebenzi yazo yonke.
Unyango lonyango lweziko lunceda amagqala alungelelanisa imiqathango esebenzayo nokuzigcina ekhululekile kwimisebenzi yemihla ngemihla. Iingcali zonyango lwemibutho yonyango zihlola indlela iimeko zemeko ezichaphazela ngayo imisebenzi yokuphila yemihla ngemihla kwaye zincomela iindlela zokuziqhelanisa, utshintsho lwezixhobo, kunye nobuchule bokulungisa ikhompyutha. Oku kunokuquka uqeqesho ekulondolozweni kwamandla, ubuchule bokukhusela amalungu, nokusetyenziswa kwezixhobo ezilungelelaniswayo.
IVA inika iinkqubo ezikhethekileyo zokubuyisela umva kumagqala aneemeko ezintsonkothileyo ze-musculoskeletal. Ezi nkqubo ziphambili zisenokuquka ulawulo lweentlungu ezininzi, iinkqubo ezidambisa amandla okulungiselela ukubuyela emsebenzini, kunye nokubuyisela utshintsho oluphangaleleyo kumagqala anengozi ezininzi okanye anokungasebenzi okunzima.
Iinkonzo zolawulo lweziNtloko
Ukulawulwa kweentlungu ezingapheliyo kumela inxalenye ebalulekileyo yokunyanyekelwa kwamagqala aneengxaki zemizimba ephilileyo. IVA ivelise iinkqubo zokulawula iintlungu ezibanzi ezigxininisa iindlela zokuzilawula kwiintlungu ezininzi kunokuba zigxininise kuphela kumayeza. Ezi nkqubo zisebenzisa unyango lwezamayeza, iinkqubo zongenelelo, ukubuyiselwa komzimba, kunye neendlela zonyango ezisebenzisanayo kunye nezidityanisiweyo.
I-VA's Whole Health iyavuma ukuba ukulawulwa kweentlungu ngokunempumelelo kufuna ukuhlangabezana neemeko zomzimba, ezingokweemvakalelo, kunye nezobomi. Ii-Vertans ziyakwazi ukufumana i-acupuncture, unyango lokuphulula umzimba, unyango lwe-chiropractic, i-yoga, i-tai chi, kunye nezinye iindlela zonyango ezisebenzisanayo njengenxalenye yecebo lokulawula iintlungu. Ezi ndlela zidla ngokunceda ekunciphiseni iintlungu nokuphucula ukusebenza kwazo ngoxa zinciphisa ukuxhomekeka kumayeza e-opioid.
Iinkqubo zokulawula iintlungu ezikhoyo ngeVA ziquka izitofu ze-epidul steroid, izithintelo zemithambo-luvo, uphinda-phindo lovavanyo lukanomathotholo, kunye nezinye iindlela zonyango ezijoliswe kuzo. Ezi nkqubo zinokuzinika isiqabu esibalulekileyo sentlungu kwizigulana ezikhethiweyo, ziphucula umgangatho wobomi namandla okusebenza.
Amayeza Nenkxaso Yemichiza
IVA inika amayeza athengwa kakhulu kumagqala anxibelelana neemeko zenkonzo. Amayeza adla ngokusetyenziswa kwizifo ze-musculoskeletal aquka amayeza alwa nokukrala, izihlunu, izidambisi-zihlunu, amayeza alwa nezifo ezibangelwa kukukrala kwamathambo, kunye namayeza okuxhasa impilo yamathambo. Ama-Vendan afumana la mayeza ngaphandle kwexabiso lemeko ezinxulumene nenkonzo, kunye neemali ezincinane zokuhlawula iimeko ezingezo ze-atervice-atics ezinxulumeneyo.
Oosokhemisi be-VA basebenza ngokusondeleyo kunye nabaxhasi bokuphucula amayeza, ukuqwalasela iziphumo ezingalindelekanga kunye nokusebenzisana kweziyobisi, nokunika imfundo kumayeza afanelekileyo. Iinkonzo ze-imeyili yoomatshini bekhemisti zinika amayeza okuwagcina ngokufanelekileyo kumakhaya amagqala, ukuphucula ukusetyenziswa kwamayeza nokuncitshiswa komthwalo wokutyelela rhoqo ekhemisi.
Izixhobo zoNcedo kunye neziGcinisi zoNcedo
Inkonzo ye-VA's Prositics kunye nenkxaso-ncedo yoluvo inika uninzi oluninzi lwezixhobo zokunceda amagqala aneemeko ze-musculoreletal ezigcina ukuhamba nokuzimela. Izixhobo ezikhoyo ziquka izitulo ezinamavili ezinamavili, iintambo, iindonga, iintsika, iintsimbi, ii-oyile, kunye neenkqubo zokuhlalisa ezikhethekileyo. I-VA ikwanika ekhaya utshintsho olufana nee-ambpps, iibhanti, kunye neendlela zokuziqhela xa kuyimfuneko ukuya entlalweni.
Izixhobo eziqhelekileyo kunye nezigqubuthelo zentsika zinganika inkxaso ebalulekileyo kumalungu angaguquguqukiyo, ukulungisa iingxaki zebhayoloji, kunye nokuhlisa iintlungu kwimisebenzi. I-VAprosthetisters kunye ne-othisters zisebenza namagqala ukuyila kunye nezixhobo ezifanelekileyo ezilungiselelwe iimfuno zazo ezikhethekileyo kunye neenjongo ezisebenzayo. Izixhobo ezilandelwa rhoqo ziyaqhubeka zifaneleka kakuhle kwaye zisebenza ngokunempumelelo njengoko iimeko zitshintsha ngokuhamba kwexesha.
Kumava angakwaziyo ukuhamba, iVA isenokunika izixhobo ezilungelelanisayo ezifana neenqwelo-mafutha ezilungisiweyo, iinkqubo zokulawula indalo kunye nezixhobo ezikhethekileyo zokufikelela kwikhompyutha. Ezi zixhobo zobugcisa zinceda amagqala azimeleyo, abe nenxaxheba kumsebenzi okanye kwimfundo, kwaye abandakanyeke nabantu bawo nangona engakwazi ukwenza izinto ezithile emzimbeni.
Ukuhlaziywa koncedo kunye neeNkonzo zoMsebenzi
Abasebenzi abaneemeko ze-musculoskeletal ezichaphazela amandla abo okusebenza banokufanelekela iinkonzo zeVocational Rehabilitation kunye ne-Oficiom (VR&E), ekwasaziwa njengeengenelo zeSahluko 31. Le nkqubo inceda amavava aneziphene ezidibene nenkonzo ezilungiselelwe, ukufumana, nokugcina umsebenzi ofanelekileyo. Iinkonzo ziquka ukucebisa ngomsebenzi, imfundo noqeqesho, inkxaso yomsebenzi, kunye nendawo yokuhlala ukuze kusebenze umsebenzi.
Abacebisi beVR&E basebenza namagqala ukuphuhlisa izicwangciso zokubuyisela umva eziqwalasela ukulinganiselwa kwabo ngokwenkqubo yonyango, ubuchule bokudluliselwa kwenye indawo, izilangazelelo, kunye nosukelo lomsebenzi. Le nkqubo isenokuxhasa imfundo okanye uqeqesho lwemisebenzi emitsha evumela imiqathango yomzimba, ibonelele ngobugcisa obufunekayo ukuze kuqeshwe, kwaye inikele iinkonzo zokuxhasa ezifana nokubhalwa nokulungiselelwa kodliwano-ndlebe.
kumagqala angakwaziyo ukubuyela emsebenzini ngoko nangoko, i-VR&E inikela iinkonzo zokuzimela ukuze incede ekukhuliseni inkululeko nomgangatho wobomi. Ezi nkonzo zigxininisa ekuphuhliseni ubuchule bobomi bemihla ngemihla, ekufumaneni ubuncwane boluntu, nasekufikeleleni usukelo lobuqu nangona kukho imiqobo eninzi.
Inkxaso Engokwasengqondweni
IVA iyavuma ukuba iimeko zemizimba yengqondo zidla ngokuchaphazela impilo yengqondo, yaye iintlungu ezingapheliyo zisoloko zihambisana nodandatheko, ixhala, kunye nokuxinezeleka kwasemva koxinezeleko. Iinkonzo zempilo yengqondo ezithe gqolo zinceda amagqala ajongene neemeko zengqondo zokuphila neengxaki ezingapheliyo. Abanyathisi bengqondo banikela unyango ngalunye, amacebiso amaqela onyango, kunye nonyango olukhethekileyo lwezonyango lwengozi neentlungu ezingapheliyo.
Unyango lokulungisa iintlungu ezingapheliyo lunceda amava anokukwazi ukumelana neentlungu ezingapheliyo, aphucule indlela yokucinga engancediyo, aphucule nendlela asebenza ngayo nakuba eqhubeka ebuhlungu. Ukwamkela nokuzibophelela kufundisa ubuchule bokwazi ukucinga kwaye kunceda amagqala alungelelanise izenzo zawo namaxabiso awo kunokuba alawulelwe ziintlungu. Ezi ndlela zobungqina zisekelwe kwiintlungu zinokuphucula ngokuphawulekayo ubunjani bobomi kwaye zinciphise ukukhubazeka okunxulumene neemeko ezinganyangekiyo ze-musculosletrate.
Ukubhaqa Ingxelo Engahambiyo Ngeemeko Zemipu
Ukuqhuba inkqubo ye-VA-encodo yesiphene kufuneka uqonde amanyathelo aqukiweyo, uqokelelo lobungqina obufanelekileyo, kunye nokunika ingxelo enyanzelisayo yonxulumano lwenkonzo. Abathathi abafikelela kule nkqubo yenkqubela ngocwangco kwaye babhale ngokucokisekileyo iimeko zabo zifumana iziphumo ezingcono kunabo bafaka intelekelelo ezingaphelelanga okanye ezixhaswanga kakuhle.
Ukulungiselela Ingxelo Yakho
Phambi kokubhala ingxelo, amagqala kufuneka aqokelele uxwebhu olubanzi lwemeko yawo yemibutho yezamayeza kunye nokunxulumene kwayo nenkonzo yasemkhosini. Amaxwebhu abalulekileyo aquka iingxelo zonyango ezibonisa iingozi okanye iimpawu zonyango ngexesha lomsebenzi, iingxelo zonyango zasemva komsebenzi osebenzayo ezibonisa unyango oluqhubekayo kunye nokuxilongwa, kwakunye naziphi na iingxelo ezivela kubasebenzi bezonyango ezinxibelelanisa imeko nenkonzo yasemkhosini.
Iingxelo zonyango lwenkonzo zinika ubungqina obubalulekileyo beziganeko okanye ingozi. Abathathi-nxaxheba kufuneka bahlolisise ezi ngxelo ngobuchule ukuchonga nawaphi na amaxwebhu omonakalo we-musculoskelet, izikhalazo zeentlungu, okanye unyango olufunyenweyo ngexesha lomsebenzi. Kwaneempawu ezifutshane ezisezirekhodini zenkonzo zingaxhasa ukuzibambela unxulumano lwenkonzo.
Ubungqina bangoku bezonyango bubaluleke ngokufanayo. Abathathi-nxaxheba kufuneka bafumane iingxelo zakutshanje zezonyango kubo bonke abasebenzi abaye banyanga imeko yabo ye-musculoskeletal, kuquka oogqirha abaphambili, iingcali, iingcali zonyango lokolula umzimba, kunye nabalawuli beentlungu.
Iindlela Zokufinyela
Abasebenzi befayile yokukhubazeka bangathetha ngamacala amaninzi. I-VA's kwi-intanethi inika eyona ndlela elungeleyo yokubhala, ivumela amakhensa ukuba anikezele iintengiso ngombane, afake amaxwebhu axhasayo, kunye nemeko yendlela yogcino-lwazi ngexesha lokwenene. Inkqubo ye-intanethi inikeza inyathelo- ngenyathelo ngenkqubo yesicelo kwaye ivumela amavar agcine inkqubela aze abuye kamva.
Iifayile ze-Vendans zingaphinda zifumane izibhengezo ngeposi zisebenzisa Ifomu 21-526EZ, Isicelo sokuNcedanisa kunye nengcebiso edityanisiweyo. Le fomu yephepha ifuna ulwazi olufanayo njengomsebenzi we Internet kodwa ingathatha ixesha elide kwinkqubela. Amanye amavavava akhetha ukusebenza nabameli abanconyweyo abanokuthi banikezele iintengiso zabo ngenkqubo ezikhuselekileyo ze VAA.
Kuluhlu lweplanga olungaphakathi lukhona kwii-ofisi zengingqi ze-VA kunye neentlangano zenkonzo ze-Veterans. Olu khetho luvumela amagqala ukufumana uncedo olukhawulezileyo oluneefomu ezigqityiweyo kwaye luqinisekisa ukuba zonke iinkcukacha ezifunekayo ziqukiwe. Ngoko, kwiplagi ebhaliweyo ingafuna ulwabo kunye nokuhamba ukuya kwizakhiwo zeVA.
Uphando kunye nohlolo (C&P)
Xa ufakela enye yemilwelwe ye-VA exhaphakileyo ye-10 eqheleke kakhulu ngowama-2025, uza kuba nocwangciso lovavanyo lwe Compation kunye nePension (C&P). Le yindlela yeVA yokuqinisekisa ukuxilongwa kwakho nokuqinisekisa ubuqatha beempawu zakho. Uvavanyo lweC&P lubonisa inyathelo elibalulekileyo kwinkqubo yentelekelelo, njengoko uphando lomhloli luphembelela kakhulu isigqibo somlinganiselo we-VA.
Abahlohli kufuneka balungiselele ngokucokisekileyo iimviwo zeC&P ngokuqwalasela imbali yabo yezonyango, badwelise zonke iimpawu kunye nokungasebenzi kwazo, kunye nokuzisa imibhalo yeerekhodi zezamayeza ezifanelekileyo. Ngexesha lovavanyo, amavava afanele anyaniseke kwaye achaze ngokupheleleyo iimpawu zabo, kuquka indlela imeko echaphazela ngayo imisebenzi yemihla ngemihla, ubuchule bomsebenzi, nomgangatho wobomi. Kubalulekile ukuchaza iimpawu ngeentsuku ezimbi kunye neentsuku ezintle, njengoko abahloli kufuneka baqwalasele umlinganiselo opheleleyo wemiqathango yokusebenza.
Kwimeko ze-musculoskeletal, abahloli baza kulinganisa umgama wentshukumo besebenzisa i-goniometer, bavavanye amandla nozinzo, baqwalasele igait kunye nentshukumo esebenzayo, kwaye babhale amaqondo eentlungu kunye neendawo. Abahloli-majoni kufuneka bazise abavavanyi ukuba intshukumo zibangela iintlungu, nokuba bayakwazi ukugqiba ukushukuma, njengokuba iintlungu zingunobangela obalulekileyo kwireyithingi. Abahloli mabaxelelwe kwakhona nge-fring, amaxesha xa iimpawu zisiba mandundu, kwanazo naziphi na iziphene zokusetyenziswa kwamalungu okanye amalungu omzimba achaphazelekayo.
Ukuxhasa Ubungqina Noxwebhu
Iintlobo ezininzi zobungqina obuxhasayo obungaphaya kweengxelo zezamayeza. Ingxelo ezisuka kwilikhereji ezichaza indlela le meko eyavela ngayo nendlela ebuchaphazela ngayo ubomi bemihla ngemihla inika umxholo obalulekileyo. Iingxelo zobuHlobo ezivela kumalungu enkonzo angoobungqina bomonakalo okanye ukuphawula iimpawu zenkonzo zingangqinelana kwiziganeko zonyango xa iingxelo zonyango zingekaphelelanga.
Iingxelo ezivela kumalungu entsapho, abahlobo, okanye abaqeshi abachaza iintsilelo ezisebenzayo kunye notshintsho kubuchule beli gqina kufuneka zikholise. La magqabaza aqhelekileyo kufuneka angqale, anike imizekelo yemisebenzi ecacileyo angenakuphinda ayenze okanye amele ayenze ngokwahlukileyo ngenxa yeemeko ze-misculoskelelet.
Iimbono zonyango ezivela kubasebenzi bonyango lwabucala zingaqinisa iingxelo, ingakumbi xa bethetha ngokungqalileyo ngonxibelelwano oluphakathi kweemeko zangoku nenkonzo yasemkhosini. Iileta ze-Nexus ezichaza indlela imeko ye-musculoskeletary emalunga nezo zenkonzo zomkhosi "ekunokwenzeka ngayo ukuba imo ye-"enxulumene nenkonzo yasemkhosini inika ubungqina obubalulekileyo bokusungula unxulumano lwenkonzo.
Ukusebenza neMibutho yeeNkonzo
IiNtlanganiso zeNkonzo (VSO) zinikela uncedo olukhululekileyo kwiimfuno zokukhubazeka, zinika ubuchule bokuhamba ngendlela yeVA kunye neenzuzo ezizintlukwano. Abameli abanyuliweyo be-VSO baqonda imigaqo yeVA, iingqinelaniso, kunye nemiqobo eqhelekileyo ekhokelela ekukhanyeni. Banganceda amavarhwebi aqokelele ubungqina obufunekayo, iifomu ezipheleleyo, kwaye banikele iingxoxo ezinyanzelisayo zonxibelelwano lwenkonzo kunye nemigangatho efanelekileyo.
IMajor VSOs iquka iMelika, i-Vendans of Foreign Wars (VFW), i-Melika ekhubazekileyo (DAV), i-Vietnam Veterans of America, kunye nezinye ezininzi. Umbutho ngamnye unikela uncedo ngaphandle kwexabiso kumagqala. Abameli be-VSO bangamela amavardenter kuyo yonke inkqubo, kuquka ukubhena ukuba izicelo zokuqala ziyakhatywa okanye ziphantsi kunokuba kulindelekile.
Ukusebenza nge VSO kubaluleke kakhulu kwiimeko ezininzi ezintsonkothileyo ezibandakanya iimeko ezininzi, iimeko zesibini, okanye iimeko apho kusenokuba nzima ukusungula uqhagamshelwano lwenkonzo. Abameli be-VSO banamava afanayo kwaye bayabuqonda ubungqina obufunekayo kwiVA ukunikezela. Bangakwanceda amagqala aqonde amalungelo awo kunye nokhetho kwisigaba ngasinye senkqubo.
Ukuqonda Izigqibo
Emva kokuqwalasela bonke ubungqina, i VA inika isigqibo sereyithingi sokuchaza ukuba udibaniso lwenkonzo lwagunyaziswa kusini na, ukuba luluphi umlinganiselo wesiphene esabelwe, nomhla osebenzayo wokufumana iingenelo. Abasebenzi kufuneka bahlolisise ngenyameko iileta zesigqibo ukuze baqonde ingqiqo esemva kokuzimisela kwe VA. Iileta zesigqibo zichaza ukuba bubuphi ubungqina obaqwalaselwayo, ukuba ireyithisi yabelwa njani, kwaye zeziphi imilinganiselo ezisetyenzisiweyo.
Ukuba amagqala ayaphikisana nesigqibo, aneenketho ezininzi. UMthetho wesibheno weModernation wenza iindlela ezintathu zohlolo lwesigqibo: I-Antintial quemist of the Centre, kunye nesibheno sebhodi. Ukhetho ngalunye luneenkqubo ezahlukeneyo, iilayini zexesha, kunye namathuba okunikezela ubungqina obutsha. AmaVteran kufuneka aqhagamshelane nabameli be-VSO okanye amagqwetha anezibheno anezibheno ezingcono ukwenzela ukuba bafumane ubuchule bokubheno.
Ukuncitshiswa Komlinganiselo Wakho Wokwenzakalisa
Abasebenzi abanemeko ze-musculoskeletal kufuneka baqinisekise ukuba ireyithingi yabo yokukhubazeka ibonakalisa ngokuchanekileyo iziphumo ezipheleleyo zeemeko zabo. Amava amaninzi afumana isantya esiphantsi kunokuba siqinisekiswe kuba ahluleka ukwenziwa kwaso zonke iimpawu, ukungazihoyi iimeko zesibini, okanye akanxibelelani kakuhle nemilinganiselo esebenzayo ngexesha lovavanyo.
Upheliso lomsebenzi obhaliweyo
Uxwebhu olusebenzayo olunempumelelo lubalulekile ekufumaneni umlinganiselo ofanelekileyo wokukhubazeka. Abathathi-nxaxheba kufuneka bagcine iingxelo ezinenkcukacha zendlela i-musculoskeletary yemeko ezichaphazela ngayo imisebenzi yemihla ngemihla, kuquka ubunzima bokuhamba, ukuma, ukuphakamisa, ukufikelela, ukufikelela, ukuphatha nezinye iinkalo. Imizekelo ecacileyo ithwala ubunzima obungaphezulu kunobunzima obuqhelekileyo bokungathwali kwempahla, ukunyuka kwezinyuko, okanye ukufuna ukuphumla rhoqo ngexesha lemisebenzi inika ubungqina obucacileyo bokulinganiselwa.
Abahlohli kufuneka balandele isantya sokudumba, ukubhala ubuninzi, ubude, ubungxina, kunye nezizathu. Ukubhala indlela iimeko ezimandundu ngayo ukusa kwinqanaba lokuthintela imisebenzi eqhelekileyo kunceda abavavanyi baqonde umlinganiselo opheleleyo wokukhubazeka. Oolindixesha beentlungu abaphawula umlinganiselo weentlungu ngalo lonke usuku, imisebenzi enyusa iintlungu, kunye nokusebenza kweendlela zokulawula iintlungu banika uxwebhu oluxabisekileyo.
Izimo Zesibini
Amaqhawe kufuneka aqonde aze achaze zonke iingxaki ezinxulumene nokungasebenzi kakuhle kwemithambo-luvo. Iingxaki zesibini ziquka ukuqaqamba kwamalungu ancedisa kwingozi ephambili, iimeko zengqondo ezibangelwa ziintlungu ezingapheliyo, ukungonwabi kobuthongo obubangelwa ziintlungu nokungaphatheki kakuhle, nezinye iingxaki zemizimba ye-musculoskelet ezibangelwa kukushukuma.
Ubungqina bezonyango obunxulumanisa iimeko zesibini kwimiqobo ephambili enxulumene nokungasebenzi kakuhle kwenkonzo kubalulekile. Ababhexeshi kufuneka baxubushe unxulumano olunokwenzeka nabasebenzi bonyango baze bacele iimbono zezamayeza ezibhala ezi nkcukacha zolwalamano.
Ulwando oluqikelelwayo
Iimeko zeminqolo-phantsi zidla ngokuya ziba mandundu ngokuhamba kwexesha ngenxa yokuwohloka, ukwaluphala, okanye iziphumo ezinyukayo zeemeko ezinganyangekiyo. Iimeko zabo eziye zawohloka ukususela kwiqondo lokuqala kufuneka zifake iifayile zokuchaza ireyithingi ezongezelelekileyo. Ubungqina obuxhasayo kufuneka bubonise ngokucacileyo iimpawu eziya zisiba mandundu, ukwanda kwemiqathango esebenzayo, okanye ukuphuhliswa kweengxaki ezintsha.
Iingxelo zakutshanje zezamayeza ezibonisa ukuqhubekeka kwesifo, iimfuno zonyango ezandisiweyo, okanye ukuncitshiswa kwempumelelo yonyango lwangaphambili kukwanda kweziphumo zonyango. Uludwe oluhlaziyiweyo lwemilinganiselo yokuhamba lubonisa ukulinganiselwa okuthe kratya, uphando lokufota olubonisa umonakalo oya usiba mandundu wesakhiwo, kunye neengxelo ezivela kubanikezi bokwenza umlinganiselo ophezulu wemali efunekayo.
Ukuqonda Isiseko Sombutho
Xa iimeko ze-musculoskeletaletal zichaphazela amalungu omzimba adibeneyo (ngamacala omabini imilenze, zombini iinyawo, amavavalente angakufanelekela ukwenza into engundoqo. Eli lungiselelo liyaqonda ukuba ukuba ukukhubazeka kumacala omabini omzimba kwenza umonakalo omkhulu kunaleyo ichazwa yireyithingi nganye. IVA isebenzisa ingxaki ekhoyo ngokudibanisa ireyithingi ezikumacala omabini, ngoko yongeza i 10% eyongezelelekileyo kwixabiso lokugqibela.
I-Veterans eneemeko ze-by50ral musculoskeletal kufuneka iqinisekise ukuba iVA isebenzisa kakuhle ifekta yebhanile xa ibala idityanisiwe. Oku kungenza umahluko omkhulu kwipesenti yesiphene jikelele kunye nemali yembuyiselo ehambelana nayo.
Ukuhlala neengxaki ze-Musculooskeletal: IiMpawu zokuzilawula
Nangona iinzuzo zeVA kunye neenkonzo zonyango zinika inkxaso ebalulekileyo, amagqala anokuthatha amanyathelo asebenzayo okulawula iimeko ze-musculoskeletal kunye nokusebenza kakuhle. Iindlela zonyango lobuqu ezixhasa unyango lwezamayeza kwaye zinokuphucula umgangatho wobomi.
Ukwenza Umthambo Nokuzilolonga
Ukuzilolonga rhoqo kulolona nyango lusebenzayo lokulawula iimeko ze-musculoskelet. Ukuzilolonga kunceda ukugcina amalungu emilenze, ukomeleza izihlunu, ukunciphisa iintlungu, ukuphucula impilo yentliziyo kunye nokuphucula umsebenzi. Iingcali zokunyanga umzimba okanye abancedisi bezempilo kufuneka zisebenze kunye namayeza okuvelisa iinkqubo zokuzilolonga ezifanelekileyo ezinxulumene neemeko neemeko zazo ezithile.
Imisebenzi ephantsi enjengokudada, imithambo-luvo, ibhayisekile, nokuhamba inika uncedo ngeli xesha kuncitshiswa uxinezeleko lwamalungu. Uqeqesho lobuchule lunceda ukwakha inkxaso yezihlunu kumacala achaphazelekayo, kunciphisa iintlungu kunye nokuphucula ukuzinza. Imithambo ethambileyo kunye nololulwa komgama wokuhamba nokukhusela ukuqina. Uqeqesho olulungelelaniswayo lunciphisa ubungozi, ingakumbi kumadoda anamava aneemeko eziphantsi.
Abaguli kufuneka baqalise ngokuthe ngcembe kwaye bandise iqondo lomsebenzi ngokuthe ngcembe, banikele ingqalelo kwindlela imizimba yabo esabela ngayo. Okunye ukungaphatheki kakuhle xa besenza imithambo kuyinto eqhelekileyo, kodwa iintlungu ezibukhali okanye ukwanda okuphawulekayo kweempawu kucebisa ukuba isetyenziswe ngokutsha. Izinto eziguquguqukayo zinokutshintshwa ngaphezulu kobukhulu/ukuzilolonga ngokukuko zinika iingenelo ezingaphezulu kunezenzo ezinzima ezikhawulezileyo.
Ulawulo lobunzima
Ukugcina ubunzima bomzimba obusempilweni kunciphisa uxinezeleko lwamalungu athwala ubunzima, kusenokwenzeka ukuba iintlungu zincitshiswe kunye nokucotha kokuqhubekeka kweemeko ezinjenge-osteoarthritis. Kwanokunciphisa ubunzima bomzimba kunokuziphucula ngokuphawulekayo iimpawu zamagqala anedolo, inyonga, iqakala, okanye umqolo. I VA inikela iinkqubo zolawulo lobunzima bomzimba, ukucebisa ngesondlo, kunye namaqela axhasayo ukunceda amagqala aphumeze aze alondoloze ubunzima obusempilweni.
Isondlo sidlala indima ebalulekileyo kwimpilo ye-musculoskeletal. Ukutya okulwa nokukrala okuneziqhamo, imifuno, ukutya okupheleleyo, iiproteni ezingomelelanga, kunye nee-omega-3 ezinamafutha acid kusenokukunceda unciphise ukukrala kunye neentlungu. Icalcium nevitamin D zixhasa impilo yamathambo, ingakumbi kulawo asele esengozini yokuphelelwa yi-osteoporosie. Ukuhlala eqhotyoshelwe yi-hydrad kunceda ukugcina amalungu e-lubricricture kunye nempilo epheleleyo.
Umatshini Womzimba Weeeronomics
Ulungiso lomzimba olufanelekileyo kunye nolungiso lwe-ergonomic lunganciphisa uxinezeleko kwimizimba ye-musculoskeletal kunye nokuthintela ukukhutshwa kweempawu zophawu. Abakhweli kufuneka bafunde ubuchule bokuphakamisa ubuchule obufanelekileyo, baphephe ukugoba nokujijeka okucinezela umqolo. Ukusebenzisa imilenze kunokusebenzisa izihlunu ukuphakamisa, ukugcina imithwalo kufutshane nomzimba, kwaye baphephe ukufikelela kufutshane kunciphisa ingozi yokwenzakala.
I-ergonomics zasekhaya zifuna ingqalelo. Izihlalo ezihlengahlengisiweyo ezixhaswa kakuhle yilambha, ii-monitor zekhompyutha kumgangatho wamehlo, neebhodi zebhodi ezibekweyo ukuze zinciphise uxinzelelo lwezandla eziphindaphindiweyo zinciphisa uxinezeleko. Ukuthabatha ikhefu rhoqo ukutshintsha iindawo, ukulalisa, nokuhamba jikelele kuthintela ukuqina nokuthomalalisa iintlungu ukusuka kwindlela ezime ngayo ixesha elide.
Ulawulo loxinezeleko nokuphumla
Iintlungu ezibangelwa kuxinezeleko zibangela ukuba zikhule ngakumbi kwaye zinokwenza iimpawu ze-musculoskeletal zibe mbi. Iintsholongwane zifanele zivelise iindlela ezisebenzayo zokulawula uxinezeleko kuquka iindlela zokuphumla, ukucamngca, ukuphefumla ngokunzulu, kunye nokuphumla kwezihlunu. Ezi ndlela zinceda ukuhlisa ukuxinezeleka kwezihlunu, ukucutha kweehomoni zoxinzelelo lomoya, nokuphucula ukunyamezela kweentlungu.
IVA inika iiklasi kunye neenkqubo zokufundisa ubuchule bokulawula uxinezeleko, kuquka ukunciphisa uxinezeleko, ukucamngca, i-yoga ne-tai chi. Ezi zenzo zomzimba zinika iinzuzo zomzimba nezengqondo, ziphucula ukulungelelana, ulungelelwano namandla ngeli xesha zinciphisa uxinezeleko kunye nokuphucula imvakalelo.
Ukulala Ucocekile
Ukulala ngokwaneleyo kubalulekile ukuze kulawule iingxaki ezingapheliyo ze-musculoskeletal, njengoko ukulala kunceda umzimba ukuba ulungise izihlunu kunye nokulungisa iimpawu zeentlungu. Iivetera kufuneka zibeke iliso elifanelekileyo lokulala, kuquka ukugcina ixesha lokulala, ukwenza imeko yokulala kakuhle, kunye nezinto eziphazamisa ukulala ngokwaneleyo.
I-matilasi efanelekileyo kunye nokukhetha umqamelo kunokuchaphazela kakhulu iintlungu zemiqadi. Ii-matresses kufuneka zinikeze inkxaso eyaneleyo xa zihambelana neenkqubano zomzimba. I-pisloth kufuneka zigcine ulungelelwaniso lomqolo olungoondileleyo, ngentlobo ezahlukeneyo zomqamelo ofanele ukulala kwiindawo ezahlukeneyo. I-VA inganikezela ngobuchule beematilasi kunye nezixhobo zokubeka indawo xa kuyimfuneko ngokwamayeza.
Ulondolozo lwepayinti nolondolozo lwamandla
Abasebenzi abaneemeko ze-musculoskeletal kufuneka bafunde iindlela zokusebenzisa imithambo yokulungelelanisa umsebenzi nokuphumla, bathintele ukusetyenziswa kakhulu okubangela ukuqhuma kweempawu. Ukwaphulwa kwemisebenzi ibe zizinto ezincinane ezinamathuba okuphumla, ukutshintshisana phakathi kweendidi ezahlukeneyo zemisebenzi, nokuceba izinto ezifuna ixesha xa iimpawu zibhetele kunceda ekuqhubekeni nokusebenza ngoxa ulawula iimpawu.
Ubuchule bokulondoloza amandla bunceda amagqala asebenza ngemisebenzi eyimfuneko ngoxa enciphisa uxinezeleko lomzimba. Ukusebenzisa izixhobo zokuncedisa xa kufanelekile, ukulungiselela iindawo zokuhlala ukuze kuncitshiswe ukushukuma okungeyomfuneko, nokunika abanye imisebenzi efuna amandla xa kunokwenzeka nokunciphisa uphawu.
Ukuqwalaselwa Ngokukhethekileyo Kwabemi Abaneentsholongwane
Abemi abahlukeneyo abangamagqala bajamelana nocelomngeni olukhethekileyo olunxulumene neengxaki zemizimba yemizimba encinane, yaye iVA iye yavelisa iinkqubo ezikhethekileyo nokuqwalasela ukuhlangabezana nezi ntswelo zingafaniyo.
Amalungu enkonzo yoMkhosi kunye ne-Post-9/11
Amava emfazwe yeGulf-inkulu ngoku akha ama-61.4% abo bonke abamkeli abakhubazekileyo, kunye namarhe ePost-9/11 aqokelela uqhankqalazo oluntsonkothileyo ngeemeko ezininzi. La magqala asoloko ekho nomonakalo womzimba ochaphazela iinkqubo ezahlukeneyo zodubulo, iingozi zenqwelo-mafutha, nezinye iziganeko ezinxulumene nolophu. Inkqubo yeCandelo inika unyango olukhethekileyo, olulungelelanisiweyo kumagqala oonomonakalo oluchaphazela imithambo-mphu-mfono-mfono kunye nomonakalo owengozi emfiliba.
Amava okulwa angawafanelekela amathuba angakumbi okufumana ubuchule bokusebenza kwe-VAsculoskeleths kunye nokusetyenziswa kwemisinga. Abo basebenza kwiindawo zokulwa kwiminyaka emihlanu edluleyo bafumana indawo yokuqala yokufumana uqeqesho baze bafumane imvume engakumbi yokunyamekela impilo yama-VA, beqinisekisa ukuba banokufumana unyango kwiimeko ze-musculoskelelet ezingenakubonakala ngokukhawuleza emva kwenkonzo.
Amabhinqa
Amava amabhinqa amela icandelo elikhula ngokukhawuleza labemi abangamagqala kwaye ajongene neengxaki zempilo ezingaqhelekanga ze-musculoskeletal. Uphando lubonisa ukuba amabhinqa anamava eengxaki eziphezulu zemizimba ethile ye-musculoskeletal, kuquka iintlobo ezithile zesifo samathambo esichaphazela ithambo lomqolo ne-autoamine. I-VA ikhulise iinkonzo zempilo zamabhinqa, kuquka iinkqubo ezikhethekileyo ezinyanga iimeko ze-musculoskeletals kumabhinqa asemagunyeni.
Ukuqwalasela okucacileyo kuquka impembelelo yokukhulelwa nokuzala kwimpilo entle ye-musculoskeleta, iimpembelelo zeehomoni kwimpilo yamalungu namathambo, kunye nomahluko kwimichiza echaphazela iipatroli zokonzakalisa nonyango. Iinkqubo zempilo zamabhinqa eVA zinikela unyango olubanzi kwiimfuno ezikhethekileyo.
Iingxaki Zokwaluphala
Njengeminyaka yamava, iimeko zemicu ye-musculoskeletalet zidla ngokuba mandundu ngenxa yeenguqu eziya zisiba mandundu, iziphumo ezinyukayo zeemeko zokuma okude, kunye neziphumo ezinxulumene nobudala ezifana nokuncipha kobunzima bamathambo kunye nezihlunu. Iinkqubo zoluvo olululiweyo zinikela iinkonzo ezikhethekileyo kumagqala amadala, kuquka iingxelo zesifo somzimba, ukuwa kweenkqubo zokuthintela, kunye nolawulo lwemiqathango yemizimba enxulumene nezihlunu.
Amava amadala kufuneka ayilumkele ngokukhethekileyo impilo yamathambo, njengoko i-VA inika uvavanyo lobunzima bamathambo, icalcium nevitamin D ezongezelelelo, kunye namayeza okuthintela isifo sobuthathaka nokuba qoboqobo kwamathambo xa kubonisiwe. Iinkqubo zokuthintela ukuwa zinceda amava asele ekhulileyo aneengxaki ze-musculoskelet azinzisi ukushukuma ngoxa zinciphisa ingozi yokwenzakala.
Iindawo zasemaphandleni
Abahlali abahlala kwiindawo zasemaphandleni bajamelana neengxaki ezikhethekileyo zokufumana unyango lwe-VA kunye neenkonzo zempilo ezilungiselelwe ii-musculoskeletal. Umgama omde ukuya kwi-VA, iindlela zokunyamekela impilo ezisikelwe umda, kunye neengxaki zezithuthi zinokuthintela ukufikelela kwinkathalo efunekayo. I-VA ivelise iinkqubo eziliqela zokucombulula ezi ngxaki, kuquka iinkonzo ze-telehealth, unxulumano loluntu, kunye nekliniki-mfom.
ITelehealth ivumela amava asemaphandleni ukuba adibane nogqirha, afumane ukhokelo lonyango lokolula umzimba, kwaye alawule iimeko ezinganyanzelisiyo ngaphandle kokuhamba imigama emide. IVidiyo yeVa's Confining inceda abantu bakhuseleke kwividiyo evela kumakhaya amagqala. Iinkqubo zoluntu zivumela amagqala asemaphandleni ukuba afumane iinkonzo kumaziko asekuhlaleni xa amaziko eVA engenakufumaneka ngokufanelekileyo.
Abachazi Betyhefu
UMthetho we-PAC uye wandisa ukuqwalaselwa kweemeko ezinxulumene nokuchanabeka kwetyhefu ngexesha lenkonzo yasemkhosini, kuquka iimeko ezithile ze-musculoskeletal. Ii-Veretans zichanabeke kwimingxuma etshisayo, i-Orange, imitha, kunye nezinye iingozi zemekobume zingavela kwiimeko ze-musculoskeletal ezifanelekela unxibelelwano lwenkonzo yokufumana ityhefu. I-VA iseke iinkqubo ezikhethekileyo zokubonisa, ukuvavanya, kunye nokunyanga amagorhane aneemeko ezinxulumene netyhefu.
Abasebenzi be-Verans abasebenza kwiindawo ezithile okanye amaxesha exesha kufuneka babhalise ukuvavanywa kobungozi be-VA's be-tyhefu kwaye baxubushe uqhagamshelwano olunokwenzeka phakathi kweemeko zabo ze-musculoskelet kunye nokuchanabeka kwemekobume ngexesha lomsebenzi. Iimeko ezandisiweyo zokufakela phantsi koMthetho wePALT zenza kube lula kumagqala amaninzi ukuseka udibaniso lwenkonzo ngaphandle koxwebhu olubanzi lweziganeko zenkqubela phambili.
Inkxaso eHlakulelwayo
Iiveterans ezineengxaki zemipu zinokufumana ubuncwane obuninzi ngaphaya kweenkonzo ezithe ngqo zeVA ukuxhasa impilo yazo, impilo entle kunye nohambo ngenqanawa olunempumelelo kwinkqubo yenzuzo.
Izinto Zokufundisa Nenkcazelo
IVA inika amaziko athe kratya malunga neemeko zemiqathango yemizimba ye-musculoskeletal, iindlela zonyango, kunye namaqhinga okuzilawula. Abasebenzi base-Veretan bangafumana ezi zinto nge-VA.gov, iMy Healthevet onomguli, kunye nezibonelelo zempilo. Iinkqubo zokufundisa ziquka amaphepha enyaniso, iividiyo, izixhobo zokudlulisela iintetho, kunye nezikhokelo ezinabileyo ezigquma iimeko kunye nonyango.
IZiko leSizwe lezeMpilo nelokuthintela izifo linikela ubungqina obusekelwe kwimithambo, kwisondlo, ekulawuleni ubunzima bomzimba nezinye izinto ezichaphazela impilo entle. IiVeretan ziyakwazi ukufikelela kwimfundo yempilo yobuqu, iinkqubo ze-intanethi, kunye neenkqubo zeselula ezixhasa isimilo esiphilileyo kunye nokulawulwa kwemeko enganyangekiyo.
Inkxaso yoontanga kunye nenkxaso yoontanga
Ukudibana namanye amagqala ajongene nemingeni efanayo kunika inkxaso exabisekileyo yeemvakalelo, icebiso elisebenzisekayo, kunye namava ahlukeneyo. I VA inceda amaqela axhasa amagqala aneentlungu ezinganyangekiyo, iimeko ezithile ze-musculoskeletary, kunye nezifo ezingapheliyo jikelele. La maqela adibana ngokudibana ngokulinganayo kwizixhobo ze-VA kwi-intanethi, ewenza afikeleleke kumagqala kungakhathaliseki ukuba aphi na okanye imida yokuhamba.
Iingcali zenkxaso yoontanga ezinamava aphilayo eemeko ezinganyangekiyo ezifumana uqeqesho olukhethekileyo olukhethekileyo .
Izixhobo Zokusebenza Kunxibelelwano Neenkqubo Ezihambayo
IVA iye yavelisa izixhobo ezininzi zamanani zokunceda amagqala alawula iimeko ze-musculolelene kunye neenkonzo zokufikelela. Ii-apps zeselula ze-VA ziquka izixhobo zokulawula iintlungu, iinkqubo zokuzilolonga, abathumeli bamayeza, kunye nocwangciso lokumisa idinga. Unyango lwam lwempilo luvumela amagqala ukuba ajonge iirekhodi zezamayeza, anxibelelane namaqela anyamekela impilo, amayeza anikwa amayeza, kunye nee-millics zezempilo.
I-VA's inceda amava e-intanethi anceda amavarter ukuba akwazi ukufaka iifayile, ukukhangela imeko, ukujonga iileta zesigqibo kunye nokulawula iingenelo zazo ngombane. Ezi zixhobo zamanani zinika unikezelo olululungeleyo kwiinkonzo nakulwazi, ukunciphisa imiqobo kumagqala anemida yokuhamba okanye lawo ahlala kude kakhulu kwi-VA.
ISebe libonise ukuba
Imibutho emininzi yoluntu inikela inkxaso eyongezelelekileyo kumagqala aneemeko ezithe zaguquka. Iinkqubo zemidlalo ezigociweyo zinceda amagqala agcine umsebenzi womzimba nonxulumano lwentlalo nangona enesiphene. Imibutho enjengeSports USA ekhubazekileyo, iParalyzed Veterans of America, kunye neWholfed Girder Project inika amathuba okuzonwabisa, izixhobo zokuziqhelanisa kunye nenkxaso yoontanga.
Ii-ofisi zeenkonzo zikarhulumente nezeenkonzo zasekuhlaleni zinikela uncedo ngeengenelo, uncedo lwemali nonxulumano lwemali yongxamiseko. Amazwana amaninzi anika iingenelo ezongezelelekileyo kumagqala akhubazekileyo, kuquka ukukhulula irhafu yempahla, ukutshintshwa kwezithuthi, kunye nokukhutshwa kwenkcitho yempilo. Abathathi-nxaxheba kufuneka bahlole ubuncwane obukhoyo kumazwe abo akhethekileyo nakuluntu.
Uncedo Olusemthethweni Nenkxaso Yezibheno
Abathathi-nxaxheba abaphikisanayo nezindululo zabo ezinxulumene ne-VA ezinxulumene nengxaki ye-musculoskeletal banokufumana uncedo lwasemthethweni ngemijelo emininzi. Amagqwetha atyunjwe i-VA-acccrector anobuchule bomthetho onamavava okhubazekileyo kwaye banokumela amagqala ekubheneleni phambi kweBhunga lezibheno ze-Veterans kunye neNkundla yezibheno zeVeterans. Amagqwetha amaninzi asebenza ngokuvumelana, afumana intlawulo kuphela ukuba afumana iinzuzo ezinyuliweyo.
Iikliniki zesikolo somthetho kunye neenkqubo zomthetho ze-probono zinika amagqala umelo lwasimahla lwesisa olunezibheno. Ezi nkqubo zinika uncedo oluphezulu olusemthethweni lomgangatho ophezulu ngoxa ziqeqesha isizukulwana esilandelayo sabasebenzi bomthetho bamagqala. Abathathi-nxaxheba kufuneka bafune umelo olugunyazisiweyo xa befuna izibheno ezintsonkothileyo okanye amatyala abandakanya imicimbi engokwasemthethweni.
Iinkqubo zokuxhasa umguli
Abaguli abaneziphene ezimandundu ze-musculoskeletal bangafuna uncedo kumalungu entsapho. Inkqubo ye-VA's Program of Comprehensive Uncedo lwabaLamli Beentsapho inika iinkxalabo, inkcazo yempilo, iinkonzo zempilo yengqondo, kunye nokunyanyekelwa kwamalungu afanelekileyo. Olu cwangciso lubonisa indima ebalulekileyo amalungu entsapho ayenzayo ekuxhaseni amarhenkene aneengxaki ezinzulu.
Iinkonzo zokuxhasa eziquka ukuqeqesha ukubonelela ngenkathalo, ulawulo loxinezeleko, amaqela okuxhasa, kunye nonxulumano nobuncwane boluntu. Ezi nkonzo zinceda abakhathaleli bagcine impilo yabo nentlalo-ntle ngoxa benikela inkxaso efunekayo kumagqala akhubazekileyo.
Ukukhangela Phambili: Ukuhambela Phambili Empilweni Nasekuxhaseni
IVA iyaqhubeka iphucula indlela yayo yokunyanga nokuxhasa amagqala aneengxaki zemizimba encinane, ibandakanya izinto ezintsha ezifunyaniswe luphando, unyango olutsha nolunye unyango oluqhelekileyo nokutshintsha iindlela ezibhetele zokunyanga.
Unyango Oludibanisayo Nobugcisa
IVA ihlola ize isebenzise unyango oluvelayo kwiimeko ze-musculoskeletal, kuquka amayeza okubuyisela umhlaza asebenzisa izitofu zeplasma eninzi kunye nonyango lwe-steplet-rich sells. Ngoxa kusenziwa uhlolisiso olulolo nyango, olu lubonisa isithembiso kwiimeko ezithile ze-musculoskeletal. I-VA ikwaqhubeka nokuphucula ubugcisa botyando, ukuphuhlisa iprosustics kunye ne-othorictics, kunye nokusebenzisa izigula eziphuculiweyo.
Inkqubela yobugcisa iquka ukubuyiselwa konyango lwerobhothi, inyani ekhoyo ekulawuleni iintlungu kunye nonyango lokolulwa komzimba, kunye nezixhobo ezibolayo ezilawula amanqanaba ezinto ezisebenzayo nezinika ukufunxwa kwebhayibhiyo. Ezi zinto zinokuphucula iziphumo zonyango olusebenzayo kumava aneemeko ze-misculoskeleta.
Uphando Nezilingo Zomsebenzi
I-VA yenza uphando olunzulu ngeemeko ze-musculoskeletal, unyango olusebenzayo, kunye neemodeli zonyango ezifanelekileyo. Ii-Vteran zingathabatha inxaxheba kwiimvavanyo zonyango lwezamayeza amatsha, zithelekisa iindlela ezahlukeneyo zonyango, kwaye zivavanya iindlela ezintsha zokudlulisela inkathalo. Inxaxheba kuphando lunegalelo ekuhambiseleni phambili ulwazi ngoxa zinika unyango lokusika i-edge.
Abaphandi beva bafunda ngeziphumo zexesha elide zenkonzo yasemkhosini kwimpilo entle ye-musculoskeletal, bachaza izinto ezibangela amathuba okukhula kweemeko ezinganyangekiyo, kunye namaqhinga okukhusela okanye ukulibazisela ukuqhubekeka kweengxaki ze-musculoskeletal. Olu phando lwazisa imigaqo-nkqubo ye-VA, imithetho yonyango, kunye neenzamezo eziyingenelo.
Uphuhliso lweMigaqo-nkqubo kunye nokuKhuthazwa
Imibutho ekhuthaza ukukhutshwa kwemali iyaqhubeka isebenza ukwandisa nokuphucula iinzuzo zamava anezimo ze-musculoskeletal. Iimpumelelo zakutshanje zowiso-mthetho ziquka ukwanda kweemeko zePTP kunye nonyuselo lwemali ye-VA yezonyango neengenelo. Ngokuhambela phambili imigudu yobuchule yokunciphisa ixesha lokulungisa izinto, ukuphucula ungenelelo ekunyamekeleni, nokuqinisekisa ubuncwane obaneleyo kubemi abakhubazekileyo abakhulayo.
Abasebenzi banokuxhasa le migudu yokusebenza ngokubandakanyeka kwimibutho yamagqala enkonzo, ngokuqhagamshelana nabameli abanyuliweyo malunga nemibandela yamagqala, kunye nokwabelana ngamava abo ukuze bazise inkqubela-phambili yenkqubo. Ukuqokelela imali kuye kwayiphucula iingenelo neenkonzo zamagqala, kwaye ukubhalisa okuqhubekayo kusebalulekile ukukhusela nokunyusa inkxaso kumagqala aneengxaki ze-musculoskeleletal.
Isiphelo
Ingxaki yemipu yemfazwe imela ucelomngeni olubalulekileyo lwempilo kumagqala asemkhosini, oluchaphazela izigidi zabantu abakhonza ilizwe labo. Iimfuno zomzimba zenkonzo yezomkhosi zidala iziphumo ezihlala zihleli, ezichaphazela amandla abo okusebenza, ukwenza imisebenzi yemihla ngemihla, nokugcina umgangatho wobomi. Noko ke, iSebe leMicimbi yezeMicimbi yezeNtlalo-ntle elixhasa ngokuphandle iprojekthi yokunceda amagqala alawule ezi meko kwaye afumane imbuyekezo ezifanelekileyo zobunzima benkonzo.
Ukuqonda ubukhulu obupheleleyo beengenelo ezikhoyo − ukusuka kwimbuyiselo yesiphene kunye neenkonzo zonyango kwiinkqubo zokubuyisela umva kunye nezixhobo zokuncedisa amagqala ukufikelela inkxaso abayifumene ngenkonzo yabo. Ukuqhuba ngempumelelo inkqubo ye-VA kudinga ulwazi lwenkqubo yokuzifunela, uxwebhu olucokisekileyo lwemeko kunye nezithintelo, kwaye ngokufuthi uncedo lwamaqumrhu enkonzo okanye abanye abameli abagunyazisiweyo.
I-Veterans eneemeko ze-musculoskeletal kufuneka zithathe indima esebenzayo ekulawuleni impilo yabo, ukudibanisa iziva kunye neendlela zokuzilawula, utshintsho kwindlela yokuphila, kunye nobuncwane boluntu. Ngoxa kuphila neemeko ezingapheliyo ze-musculoskelet kubangela iingxaki eziqhubekayo, unyango olufanelekileyo, inkxaso, kunye nentlawulo ingenza ngcono ngokuphawulekayo iziphumo nomgangatho wobomi.
IVA iyaqhubeka iguqula indlela yayo yokusebenzisa amava axhasa amavar aneengxaki zemizimba ehambayo, ibandakanya izinto ezintsha ezifunyenweyo zophando, iimeko ezikhulayo zonyango olutsha kunye nobugcisa. IiVereterans kufuneka zihlale zisazi ngeenguqu kwiingenelo neenkonzo, zisoloko zinxibelelana rhoqo nabagcini-ziko lonyango lwe-VA, kwaye zixhasa iimfuno zazo kwinkqubo.
Kumagqala alwa neemeko ze-musculoskeletal, uncedo luyafumaneka. Enoba kufunwa irejista yokuqala, kufuna ireyithingi engakumbi yeemeko eziya zisiba mbi, okanye ukufikelela kwimpilo entle kunye neenkonzo zokubuyisela impilo, imibutho yenkonzo yamava kunye namagqala alungele ukunceda. AmaVeretera amele azibazise ukuzabalazela ukuxhasa, njengoko eye yafumana ezi nzuzo ngenkonzo nangomnikelo.
Ngolwazi oluninzi olumalunga neenzuzo ze-VA kunye neenkonzo ze-musculoskeletal yeemeko, amavavaval angatyelela .A.gov, yibiza iVA ku 1-800-807 000, okanye uqhagamshelwano lwemibutho yeenkonzo yasekuhlaleni. Ubuncwane obuninzi bufumaneka nge- SAUS, indlela yonyango [[[FLT:]] kunye nenzuzo ye-[FLT].