Table of Contents
Izifo ze-Musculoskeletal zimelela enye yezinselele zempilo ezibaluleke kakhulu ezibhekene namasosha angomakad ’ empi namuhla. Kusukela ngo-2024, omakad ’ ebona abangaphezu kwezigidi ezingu-15, babethola izinzuzo zalezi zimo, bezenza isimiso somzimba esinezinkinga eziningi ezihambisana nenkonzo. Ukudinga okungokomzimba kwenkonzo yezempi (ukuthwala izinsimbi ezisindayo kanye nokuqeqeshwa okuqhubekayo kokulwa nokulimala kanye nokukhubazeka iminyaka eminingi) okuvame ukuqhubekela emuva kobukhomba ukushintshela ekuphileni kwabantu abangabukhonzi. Umnyango weVeterans Affaiaiars (VA) uye wasungula izimiso ezanelisayo zokusekela ukuphatha lezimo, ukukhubazeka okufanelekile, nokulondoloza izinga lokuphila kwabo.
Ubungako Bokuphazamiseka Kwemizwa Ye - musculoskelenal Phakathi Kwama - Veteran
Ukuqonda Izimo Zamathumbu
Isifo semisipha yomuntu ongomakadebona, amalunga, amathambo, noma izicubu ezixhumanisayo njengemisipha ne-seron. Lezi zimo zingavela ekulimaleni okukhulu (njengengozi yokuqeqeshwa) noma eminyakeni eminingi yokuguleka nokuchitheka komzimba phakathi nenkonzo yezempi. Isimiso se-musculoskeletal sakha isisekelo sokuhamba nokuqina komzimba, futhi lapho siyekethisa, lezi zimo zingalithinta kakhulu ikhono lomuntu osemnkantwini lokusebenza, ahlanganyele emisebenzini yansuku zonke, futhi alondoloze ukuzimela.
Izimo ze - musculoskelet ziyimbangela eyinhloko yokukhubazeka futhi isizathu esivame kakhulu sokufuna ukwelashwa e - VA. I - Musculoskelet inganciphisa izifo zokuhamba nokungasheshi, okungase kuvimbele abaphethwe yizo ukuba basebenze futhi bahlanganyele emphakathini.
Ukuchuma Nomphumela
Izibalo zinikeza umbono osangulukisayo wezifo zomthwalo ezibangelwa i - musculoskelenal emphakathini ongomakad ’ ebona. Ukwaziswa kwamuva nje okubonisa omakad’ebona kuye kwabika ubuhlungu beqolo nobuphindwe kabili kunezomuntu ongewona ama - parate, ukuphazamiseka kwengqondo okubuhlungu, ukulimala okubuhlungu, kanye nesifo sokukhathala esingamahlalakhona kutholakala futhi ukuthi kuphakeme ngokuphindwe kathathu kuya kwesithupha kunama - spordersan.
Phakathi komakad ’ ebona abahlukana nenkonzo futhi bafuna ukunakekelwa ezikhungweni zeVA, amaphesenti angu - 51 alenhlangano okungenani ayene - MSK SCDB eyodwa (8% phakathi kokuhlukana kokukhubazeka, 48% phakathi kwemizwa evamile). Lokhu kubonisa ukuthi izifo zemiculo zithinta omakadlelwano kuzo zonke izigaba ezihlukene, nakuba labo abahlukene nezokwelapha bebhekana nezinga eliphakeme kakhulu.
Izimbangela Ezivamile Zokuvalwa Kwemizimba Ebuhlungu Ebangelwa I - Musculoskelenal
Ukusetshenziswa ngokweqile kanye nokwehla kwemicrotraumas esukela ekuqeqeshelweni kwezempi kuhlotshaniswa nokulimala kwamasosha angamaphesenti angu-70. Lokhu kuhlanganisa ukulimala okungekho kwe-atlet enjengeshin splint, i-sestinititititis, i-plantar fscistis, kanye nobuhlungu beqolo. Isimo esiphindaphindwayo sokuqeqeshwa kwempi, sihlangene nezidingo ezingokomzimba zokuthwala imishini enzima, ukuhamba isikhathi eside, nokugula okukhulu emzimbeni, kubangela ukucindezeleka emzimbeni okubonakala njengezimo zesikhashana.
Kokubili amalungu enkonzo akhiwe futhi angafakwanga futhi angalinyazwanga, abhekana nezimo ze-musculoskeletal ezibangelwa ukulimala okubuhlungu, ukuthuthwa, i-sprains, nezinhlobo zezifo. Kumalungu enkonzo ehleliwe, intuthuko kwezokwelapha empini iye yasindisa ukuphila kodwa yashiya abaningi benezibazi ezihlala njalo ezihilela amasondo, ikhanda, intamo, i-horax, nesisu. Okwamanje, ukulimala okungekona okungaqinile kuseyinkinga engaphansi kwemininingwane yezokwelapha ebangela ukuhlangana kwezisebenzi zezempi.
Izinhlobo Zokuphazamiseka Kwezifo Ze - Musculoskeletal Eziphawulwe Yi - VA
Kunezimo ze-musculoskeletal ezingaphezu kuka- 150 ezihlukene kanye namazinga ahlukahlukene empilo amafushane nangamade. I-VA ihlukanisa lezizimo ngaphansi kwesimiso se-musculoskeletal esitholakala ku- 38 CFR Part 4, Subpart B, enikeza izimpawu eziningi zesimo ngasinye. Ukuqonda ubukhulu bezimo ezimbozweyo kusiza omakadebona ukukhubazeka okungase kusebenzelwane nenkonzo abangase bakwazi ukusho.
Izimo Zamathambo Nezimo Zamalungu
Isifo samathambo singesinye sezimo ezivame kakhulu ze-musculoskeletal phakathi komakad ’ ebona. I-VA iqaphela izinhlobo eziningi zesifo samathambo, kuhlanganise nesifo sokuqaqamba kwamathambo esiwohlokayo (osteoarthritis), isifo samathambo, kanye nesifo samathambo sangemva kwe-traumatic. Uhlobo ngalunye lunezimpawu ezihlukile nezindinganiso zokulinganisela. Isifo samathambo siqala ukuvela ekuguleni nasekudakeni kwamalunga ngokuhamba kwesikhathi, kuyilapho isifo samathambo sangemva kokusebenzisa imithambo sibangelwa ukulimala okuthile okubangelwa yinxeba.
Isifo samathambo esisekelwe ezicini eziningana, kuhlanganise nokunyakaza okuhlukahlukene, ubuhlungu obuhambisana nokunyakaza nokukhubazeka. Izimo zamalungu zingathinta noma yiliphi ilungu emzimbeni, ngamadolo, amahlombe, amaqakala, izihlakala, neminwe okuvame kakhulu phakathi kwamalunga amakhulu (angaphakathi, indololwane, inyonga, idolo, idolo) namalunga amancane (iminwe, izinzwane) lapho enikeza izilinganiso zokukhubazeka.
Izimo Zokuhlinza
Izingozi zeqolo nezentamo ziyingxenye enkulu yokukhubazeka kwemizimba. Izimo ezivamile zihlanganisa ama - synite disc acrapy, isifo sescript, istenosis, i-spondylolissis, nezinhlobo ezihlukahlukene zesifo samathambo omgogodla. Lezi zimo zivame ukubangelwa ukufunwa kwenkonzo yezempi, kuhlanganise nokuthwala imithwalo enzima, izingozi zemoto, kanye nokucindezeleka okuphindaphindiwe.
Izimo zokuhlinza zilinganiselwa ngokusebenzisa iGeneral IndividualForula egudla umgogodla, ecabangela uchungechunge lokuhamba nokunwetshwa, ukukhubazeka kwezenzakalo, nokulinganiselwa ukusebenza. I VA iqaphela ukuthi izimo zomgogodla zingabangela ubuhlungu, ukuba lukhuni, nobuthakathaka emikhawulweni, okungase kubangele ukulinganiselwa okwengeziwe kwe-radiculopathy noma ukulimala kwemithambo yenzwa.
Ukulimala Kwemisipha Nezimo
Amanxeba emisipha ahlanganisa izimo eziningi ezithinta imisipha ehlukahlukene emzimbeni wonke. Lezi zihlanganisa imisipha, izinyembezi, i-astrophy, ne-protem syndrome. I-VA ratis syndrome esekelwe ekulahlekelweni amandla, kusukela ekukhubazekeni okuncane kuya ekugogekeni okukhulu. Ukulimala kwemisipha kungalithinta kakhulu ikhono lomuntu ongomakadebona lokusebenza imisebenzi yomzimba futhi kungathinta amaqembu amaningi emisipha ngesikhathi esisodwa.
I - compatement syndrome, isimo esibuhlungu kakhulu esenzeka lapho ukucindezela kwemisipha kwakheka emazingeni ayingozi, icatshangelwa ngokuhlukile ngesilinganiso se - VA. Iqembu ngalinye lemisipha elithintekile lilinganiselwa ngokwezinga ngalinye, futhi abangomakad ’ ebona bangase bathole izilinganiso ezihlukene zokulimala kwezicubu eziningi.
Izilonda Zamathambo Nokulimala
Ukuphuka kwamathambo okungaqhubeka phakathi nenkonzo yezempi kungaholela ezinkingeni ezinde, kuhlanganise nokukhubazeka (ukuphola ngokwanele), ukungapholi (ukuphola), ubuhlungu obungapheli, nokuhamba okulinganiselwe. Izimo zamathambo ezibangelwa yizici ezinjengokuphuka kwamathambo, izinga lokuphola, ukuba khona kokuwohloka, nokungasebenzi okubangelwa ukulimala.
Ama - vateran angase futhi abe nezifo zamathambo (i - osteomyletis), ezingabangela ubuhlungu obungapheli futhi zidinge ukwelashwa okuqhubekayo.
Izifo Ezingalapheki Zobuhlungu
Ubuhlungu obuhlobene nezifo ze - musculoskeletal buchazwa njengebungelapheki uma buqhubeka izinyanga ezingaphezu kwezithathu.
I - VA retional fibromyalgia esekelwe ezingeni lobuhlungu obusakazeke kabanzi nezimpawu ezihlobene nazo ezinjengokukhathala, ukuphazamiseka kobuthongo, izinkinga zobuchopho, kanye nezinye izici.
Ukulimala Okubangelwa Ukulimala Kwemizimba
Ama-tendon ne-miss kunikeza ukusekela nokuqina okubalulekile emalungwini omzimba wonke. Amanxeba kula mathambo ahlanganisa izinyembezi, izinyembezi, ukuqhuma, nokuvuvukala okungapheli (isifo sokuqaqamba kwenhliziyo), kuvamile phakathi kwamadoda angomakad ’ ebona. Izinyembezi ze-cotator cuff emahlombe, i-Achilles i - terseron stetium ligament (ACL) zimelela ezinye zezimo ezivame ukutholakala.
Lokhu kulimala kuvame ukubangelwa ukushaqeka okukhulu noma ukucindezeleka okuphindaphindwayo futhi kungaholela ekuntengantengisweni okungapheli, ubuhlungu, nokunganyakazisi kahle. Amazinga e-VA anezilonda ezibangelwa ukuqina kwemisipha ehlangeneyo, ukuqina, nekhono lomuntu oyisivakashini lokusebenza nsuku zonke.
Ukuqonda Izinga Elingaqondakaliyo Le - VA Ezimweni Ze - musculoskelelenal
Isimiso sokulinganisela ukukhubazeka kwe VA sinquma izinga labasekeli bemali bembuyiselo abatholayo ngenxa yezimo ezixhunyiwe. I-VA reties musculoskeletal esekelwe ekuqineni, ekunyakazeni, nasekungasebenzini, kanye nezilinganiso ezivame ukusuka ku 0% kuya ku 100%. Ukuqonda indlela izilinganiso ze VAwawawa yabela izakhiwo ezisiza ngayo omakadebona ukuba balungiselele izikhala eziqinile futhi baqinisekise ukuthi bathola imbuyiselo efanele ngezimo zabo.
Ukumisa Ukuxhumana Kwenkonzo
Ngaphambi kokuba i-VA inikeze isilinganiso sokukhubazeka esingumakad ’ ebona nenkokhelo nyanga zonke, iso ngqa limele lifakazele ukuthi i-musculoskeletal ihlangene nenkonzo yalo yezempi. Ama-Veteran kumelwe abonise ukuxilonga kwezokwelapha, isenzakalo esithathekayo noma ukukhubazeka, kanye ne-nexus (link) phakathi kwalaba ababili ukuze bafanelekele isilinganiso nenzuzo ye-V.
Kukhona izindlela eziningana zokumisa ukuxhumeka kwenkonzo ye-musculoskeletal. Ukuxhumeka okuqondile kuhlanganisa isimo nokwenzeka kokuthile okwenzeka phakathi nenkonzo yezempi .Kukhona ukuthi kwaqala ukusebenza, noma inkonzo yenza isimo esikhona sibe sibi kakhulu. Ama-Vertans angamisa ukuxhumeka kwenkonzo yesibili futhi uma isimo somculoskeletal siqala ngenxa yokukhubazeka okuxhunyiwe. Ngokwesibonelo, ukulimala kwedolo kungabangela ukushintsha kwemiklasi eholweni noma ezinkingeni zemuva.
Ukuhlobana kwenkonzo yokuzingela kusebenza kwezinye izimo zamaqembu athile ochwepheshe. Abaholi bezindawo ezizungezile ezichayeke ezingozini phakathi nenkonzo ye-Gulf War bangase bafanelekele ukuhlobana kwenkonzo ehlobene nezimo ezithile ze-musculoskeletal. I-PACT Act iye yandisa izimo zokuchayeka kobuthisi, yenza kube lula ngomakade ukusungula ukuhlobana komsebenzi ngenxa yezimo ezihlobene nokushiswa kwemigodi nezinye izingozi zendawo ezungezile.
Izilinganiso Nezindlela Zokwelapha Ezilinganiselwe
Izibalo ze-Musculoskeletal ziqhutshwa yi-General Individual Formula ye-morla (DCs 5235-5243) kanye namatafula e-ROM ahlangeneyo, kanye nezimiso ezisebenzayo ze-ñlolos (88 4.40, 4.45, 4.59). I-VA isebenzisa izikhombo zokuhlola ezitholakala ku-38 CFR 76 4.71 ukuze ilinganise izimpawu ze-musculosceletary. Ikhodi ngayinye yokuhlola inikeza izimpawu ezithile ezisekelwe ekutholeni okunengqondo kwezelaphayo kanye nezilinganiselwa ezisebenzayo.
Uhide lwezilinganiso zokuhamba lufeza indima ebalulekile ekulinganiseni kwe-musculoskelenal. Kunezimo ze-musculoskeletal (njengeqolo, idolo, ne-aklelm) i-VA isebenzisa ithuluzi elibizwa ngokuthi i-gonometer ukuze ilinganise i-Range yakho ye-Motion (ROM). Imishini ilinganisa ukuthi i-athon ingahamba kangakanani ezindaweni ezihlukahlukene futhi iqhathanise lezilinganiso ezivamile ze-atomicle. Imingcele ephawulekayo yokuhamba ibangela ukukhubazeka okukhulu.
Ubuhlungu bungesinye isici esibalulekile ekulinganiseni kwe-VA. Isimiso esibuhlungu sokuhamba sithi uma ingxenye yelungu noma yomzimba ilimala lapho isuswa, umakad’ebona kumelwe athole okungenani isilinganiso esincane kakhulu salesosimo, ngisho noma uchungechunge lwezilinganiso zokuhamba lubonakala luyinto elungile. Icala eliyingqophamlando, Sharp v. Shulkin, lishintshe umdlalo walabo abangomakadeli. Lanquma ukuthi abahlolayo kumelwe balandise ukuthi "u-flare-up"" lokhu kusho ukuthi uma iqolo lakho lihamba kahle, kodwa kathathu inyanga ungakwazi ukuphuma embhedeni, umhloli kumelwe alinganisele ukulahlekelwa kwakho phakathi nalezozinsuku ezimbi.
Amaphesenti Avamile
Izimo ze-Musculoskeletal zingezinye zezinkulumo eziqonde kakhulu zokukhubazeka kwe-VA futhi zivame ukubekwa ku-0%, 10%, noma ku-20%. Nokho, zingahluka ku-0%-100%, kuye ngobukhulu nobukhulu bokukhubazeka. Ukulinganisa okungu-0% kusho ukuthi isimo senkonzo sixhunyaniswe kodwa asisona esinzima ngokwanele ukuba siqinise imbuyiselo, nakuba siveza isimo embhalweni womakadlwana futhi singakhuphuka uma izimpawu ziqhubeka.
Izilinganiso ezilinganiselwa ku-10% zivame ukubonisa izimpawu eziphansi ezinokulinganiselwa okuncane. Isilinganiso samashumi amabili% sisikisela izimpawu ezilinganiselayo eziphazamisa imisebenzi ethile kodwa ezingavimbeli imisebenzi eminingi yansuku zonke. Izilinganiso eziphakeme ze-30%, 40%, 50%, noma 60% zibonisa ukulinganiselwa okuqhubekayo. Isilinganiso esiphakeme kakhulu, ukufinyelela kumakhulu, sigcinelwe izimo ezibangela ukulahlekelwa ngokuphelele umsebenzi, ubuhlungu obukhulu, noma ukukhubazeka okuphelele.
Izibalo zihlukene. Isilinganiso esiphakeme kakhulu sokukhubazeka kwamadolo yisilinganiso samaphesenti angu-60 sokuqeda i-ankylosis (ufakelo). Nokho, ungafanelekela isilinganiso esiphakeme uma unezinkinga zamadolo eziningi noma uma izinkinga zamadolo zikuvimbela ukuba usebenze (i-TDIU ngesilinganiso esingamaphesenti ayi-100).
Isilinganiselwa Esibuyiselwe
I-sculoskeleletal ne-miscrometics ezisebenzayo ze-Fber 7, ziqinisekisa ukuthi lengxenye ye-VASRD isebenzisa amagama akhona manje ezokwelapha ngokususa izimo eziphelelwe yisikhathi, ukucacisa i-actritutis, nokunikeza izimiso eziningiliziwe nezithuthukisiwe zokuhlola ukukhubazeka kwe-musculoskeleletal ne-misipha, kuhlanganise nezimo ezazingatholakali ngaphambili. Le nqubo imelela umzamo we-VA's wokulinganisa izinga lolwazi lwamanje lezokwelapha nokwenza.
Izinkulumo ze-musculoskeletal kanye/noma izimo zokulimala kwemisipha ezibekwe ngemva kwe-Fber. 7, kodwa zikhona zibheke phambili onyakeni ophumelelayo, ziyocatshangelwa ngaphansi kwakho kokubili isilinganiso sakudala nesokuqala, futhi noma ikuphi uhlelo olungcono kakhulu ku-Veteran. Lelilungiselelo livikela omakadebona ngokuqinisekisa ukuthi bathola isilinganiso esingcono kakhulu ngaphansi kwezindinganiso ezindala noma ezintsha.
Izimo zomzuzwana kanye nezilinganiso ezihlanganisiwe
Izimo ze-musculoskelet zivame ukuholela ezimweni ezilandelayo ezidinga ukukhubazeka okwengeziwe. Ukulimala okukhulu ejoini elilodwa (isizzz. idolo) kungaguqula igayithi noma ukuma kwakho, kucindezele amanye amalunga (ithambo, iqakala) noma umgogodla, okuholela ezifweni zesifo sesifo sesifo samathambo semuva noma sediski. Ama-ratean kufanele aqaphele izimo eziseceleni kanye namafayela alokho okukhubazeka okuhlobene nalokhu kukhubazeka.
Izimo ezivamile zihlanganisa ukukhula kwamalunga okuhlanganisa ukulimala okukhulu, ukukhubazeka kwemisipha okubangelwa izimo zomgogodla, nezimo zempilo engokwengqondo ezinjengokucindezeleka noma ukukhathazeka ngenxa yobuhlungu obungapheli nokulinganiselwa ukusebenza. Isifo ngasinye samuva singathola isilinganiso saso siqu sokukhubazeka, esihambisana nesilinganiso esiyinhloko sesifo ukuze kutholakale imbuyiselo iyonke.
I VA isebenzisa itebula elihlangene kunanezenezelo ezihlangene. Lesi simiso siqaphela ukuthi ukukhubazeka okuningi kwandisa imiphumela yomunye nomunye. Ama-Vertan anezimo eziningi ze-musculoskeletal angathola isilinganiso sawo siphakeme kakhulu kunanoma isiphi isilinganiso sesimo esisodwa, okungawasiza ukuba athole imbuyiselo ekhuphukayo.
Izinzuzo Nezinhlelo Ezisekela Ukuphazamiseka Kwemizwa YaseMusculoskelenal
I VA inikeza ukusekela okubanzi konokuhlangenwe nakho abanezifo zemizimba ekhubazekayo, idlulela ngalé kwembuyiselo yokukhubazeka yanyanga zonke. Lezi zinhlelo zikhuluma ngokwelashwa, ukuvuselelwa, imishini elungisayo, kanye nezinga lokuphila. Ukuqonda zonke izinzuzo ezikhona kusiza omakad ’ ebona ukuba bathole imithombo abayidingayo ukuze bakwazi ukulawula izimo zabo ngokuphumelelayo.
Ukuncishiswa Kwemali
Inkokhelo yanyanga zonke imelela inzuzo eyinhloko ngokwezimali komakadebona abanezimo zenkonzo ezixhunyiwe. Inkokhelo yanyanga zonke ngesilinganiso esiyikhulu (R3,938,58 kuya ku-2026) inikeza ukusekela okukhulu okungokwezimali, kanye nezilinganiso eziphansi zithola imbuyiselo elinganiselwe. Abancintiswano abancikene nabo bathola imbuyiselo eyengeziwe esekelwe emananini abo amanani kanye namanani abantu abancikene nayo.
Izinga lokuqoqa izindleko lilungiswa ngonyaka ukuze kuchazwe ukwanda kwezindleko zokuphila, kuqinisekiswe ukuba omakad’ebona balondoloze amandla okuthenga ngesikhathi. Ababoshelwe ekuthengeni abalinganiselwa ku-30% noma ngaphezulu kwabancike kulezo zinkonzo bathola intengo ekhushuliwe. Inkampani ye-Olyngoly Compisetion (SMC) ekhethekile ikhokhela asebekhulile abakhubazekile kakhulu, njengokulahlekelwa yizitho zomzimba noma ukuswela usizo kanye nokuya emihlanganweni.
Ukukhubazeka Okuphelele Umuntu Ngamunye Ongasebenzi (TDIU)
Ungafanelekela ukulahlekelwa okuphelele okusekelwe ekungabini nemisebenzi (TDIU), okukukhokhela ngesilinganiso esingamaphesenti ayikhulu ngisho noma isilinganiso sakho singaphansi kwamaphesenti ayikhulu. ITDIU iqaphela ukuthi amanye amadolokazi angomakad ’ ebona angeke alondoloze umsebenzi ozuzisa kakhulu ngenxa yezimo zawo ezihlangene nenkonzo, ngisho noma isilinganiso sawo siphansi ngamaphesenti angu - 100.
Ukuze bafanelekele i-TDIU ewugqinsi, omakad ’ ebona badinga ukukhubazeka okukodwa okulinganiselwa ku-60% noma ngaphezulu, noma ukukhubazeka okuningi okulinganiselwa ku-40% noma ngaphezulu futhi kuhlangene nobukhulu obungu-70%. I-TDIU ehlangeneyo ikhona kochwepheshe abangahlangani nalezi zimfuneko eziqondile kodwa okunezimo ezibavimbela ukuba basebenze. I-Musculoskeletlet ezibangela ubuhlungu obungapheli, ukulinganiselwa okunzima, noma ukungakwazi ukwenza imisebenzi engokomzimba ngokuvamile kufanelekile kumakad ’ ebona bempilweni ye-TIU.
Izinkonzo Zokunakekela Impilo Ze - VA
Ama-Vendan anezimo zenkonzo ezixhunyaniswa ne-musculoskelenal athola ukungenela kobudokotela obuphambili ezinhlanganweni ze-VA. I-VA inikeza ukwelashwa okubanzi okuhlanganisa ukuhlola ukuxilonga, ukuhlola kochwepheshe, ukuhlinza, nokulawula okuqhubekayo kwezimo ezingamahlala-khona. Ama-Vereteran angathola ochwepheshe bamathambo, izazi zokulawula izinhlungu, nezinye izikhungo ezinolwazi lwezifo zemizwa.
Izinkonzo zokuxilonga zihlanganisa ama-X-rey, ama-MRI scan, ama-CT scan, ukuhlola ubunzima bamathambo, nezinye ukuhlola okudingeka ukuze kuhlolwe izimo ze-musculoskeletal. Ukuhlolwa kwelaboratory kusiza ekuhloleni iziphawuli ezivuvukalayo, amazinga emithi, kanye nesimo sempilo. I-VA ihlanganisa lezi zinkonzo ngaphandle kwezindleko zezimo ezihlangene nenkonzo, isusa izithiyo zezimali ukuze inakekeleke.
Ukwelashwa Nokulungisa Impilo
Ukwelashwa ngokomzimba kunendima ebalulekile ekulawuleni izimo ze-musculoskeletal nokuthuthukisa ikhono lokusebenza. Izazi zezifo zemithambo ze-VA zithuthukisa izinqubo zokwelapha ezihlanganisa ukuvivinya umzimba, ukwelapha ngezandla, izindlela ezinjengokushisa noma ukushukumisa ugesi, nemfundo ekwakheni umzimba nokuvimbela ukulimala. Ukwelapha umzimba njalo kungasiza ekunciphiseni ubuhlungu, kuthuthukise ukunyakaza, kuqinise imisipha esekelayo, futhi kuthuthukise ukusebenza kwayo.
Ukwelashwa ngemishini kusiza omakadebona ukuba bazivumelanise nokulinganiselwa okusebenzayo futhi balondoloze ukuzimela emisebenzini yansuku zonke. Odokotela abasebenza ngemishini bahlola indlela i-musculoskelet ethinta ngayo imisebenzi yokuphila kwansuku zonke futhi batusa izindlela zokulungisa, imishini yokulungisa imishini, kanye nezindlela zokulungisa imishini. Lokhu kungahlanganisa ukuqeqeshwa ekulondolozweni kwamandla, amasu okuvikela ahlangene, nokusebenzisa imishini ekwaziyo ukuwasebenzisa.
I VA inikeza nezinhlelo ezikhethekile zokuqondisa izigwegwe ezingomakad ’ ebona ezinezimo eziyinkimbinkimbi ze-musculoskeletal. Lezi zinhlelo eziphuthumayo zingahlanganisa ukulawulwa kobuhlungu obuhlukahlukene, izinhlelo eziqinisayo zilungiselele ukubuyela emsebenzini, nokuvuselelwa okubanzi kwalabo abangomakad’ebona abalimala kaningi noma abangakwazi ukusebenza kakhulu.
Izinkonzo Zokuqondisa Ubuhlungu
Ukulawula ubuhlungu obungapheli kuyisici esibalulekile sokunakekelwa konomakadebona abanezifo zemihelo. I-VA iye yasungula izinhlelo ezibanzi zokulawula izinhlungu ezigcizelela izindlela eziningi zokubhekana nezinhlungu kunokuthembela kuphela emithini. Lezinhlelo zihlanganisa ukwelapha ngemithi, ukungenela, ukuvuselela umzimba, kanye nokusebenzisana kwezindlela zezempilo.
I-VA's Whole Health iqaphela ukuthi ukulawula ubuhlungu ngempumelelo kudinga ukubhekana nezici ezingokomzimba, ezingokomzwelo, neziphila ngendlela. Ama-Vertan angathola ukutshopa, ukwelapha ngokuhlikihla umzimba, ukuhlikihla umzimba, i-chiropractic ja, i-tai chi, kanye neminye imithi ephelelisanayo njengengxenye yecebo lawo lokulawula ubuhlungu. Lezi zinqubo ezisebenzisa izinhlungu zisiza ekunciphiseni ubuhlungu futhi zithuthukise umsebenzi kuyilapho zinciphisa ukuthembela emithini ye-opioid.
Izinqubo zokulawula izinhlungu ezikhona nge-VA zihlanganisa imijovo ye-epidul steroid, izinzwa, ukuphindeka komsakazo, kanye nezinye izindlela zokwelapha ezihlohlwayo. Lezi zinqubo zinganikeza izinhlungu eziphawulekayo ezigulini ezikhethiwe, zithuthukise izinga lokuphila namandla okusebenza.
Imithi Nokusekelwa Kwemithi
I-VA inikeza omakadebona imithi ebanzi ekhokhela abantu abanesifo sokuqaqamba kwamathambo abaxhunyiwe. Imithi evame ukunikezwa i-musculoskeletal disorder ihlanganisa imithi elwa nokubulala izinhlungu, izidambisa-zinhlungu, imisipha edambisa izinhlupheko, imithi ebulala izifo zezifo zesifo (DMARD) yesifo sokuqaqamba kwamathambo, kanye nemithi esekela impilo yamathambo. Ama-Vterian athola le mithi ngaphandle kwezindleko zemisebenzi, kanye nemali encane yokukhokha yezinga elihlobanayo elisekelwe eqenjini eliyinhloko.
Osokhemisi be-VA basebenza eduze nabaxhasi bemithi yokulungisa imithi, ukubheka imiphumela eyingozi nokusebenzelana kwezidakamizwa, futhi banikeze imfundo ekusetshenzisweni kahle kwemithi. Imisebenzi ye-posi yohlelo lwemithi inikeza ukuthunyelwa okungcono kwemithi yokunakekela emizini yochwepheshe, ukuthuthukisa ukufakwa kwemithi kanye nokunciphisa umthwalo wokuhambela ikhemisi njalo.
Izisetshenziswa Ezisizayo Namaprotheni
I-VA’s Prostics and Sonsory Aids Service inikeza imishini eminingi ewusizo nemishini yokusiza omakad ’ ebona ukuba basize abanezimo ezisekela ukuhamba nokuzimela. Imishini ekhona ihlanganisa izihlalo zabakhubazekile, izihamba-ndlela, izindophi, izindondolo, izinsimbi zokuqinisa imithambo, izitho zokuzivikela, kanye nezimiso zokuhlalisa ezikhethekile. I-VA futhi yenza ukulungiswa kwasekhaya kufane nama-ampps, izitini zokubamba, nezitobhi, kanye nezinqubo zokugeza lapho kudingeka kwezokwelapha.
Imishini eyisiko nensimbi yokulungisa inganikeza ukusekela okubalulekile kwamalunga aguquguqukayo, ilungise ukungahleleki kwe-biomechanic, futhi inciphise ubuhlungu phakathi nemisebenzi. I-VAprosthetists ne-othisters zisebenza nonomakadlwana ekuklameni nakusetshenziswa okufanelekile okuvumelana nezidingo zabo eziqondile nemigomo esebenzayo. Imishini elandelwa njalo iqinisekisa ukuba iqhubeke ifaneleka kahle futhi isebenza ngokunempumelelo njengoba izimo zishintsha ngokuhamba kwesikhathi.
Kubantu abangomakadebona abangakwazi ukuhamba kahle, i - VA ingase inikeze izinto ezishintshashintshayo ezinjengezimoto ezilungisiwe, izimiso zokulawula indawo ezungezile nemishini ekhethekile yokuxhumana ngama - computer.
Ukulungisa Izinkinga Zemali Nezinkonzo Zomsebenzi
Abasebenzi abanezimo ze-musculoskeletal ezithinta ikhono labo lokusebenza bangase bafanelekele izinkonzo ze Vocational Rehabilitation ne-Orlough (VR&E), ezibizwa futhi ngokuthi izinzuzo ezingu-31. Loluhlelo lusiza omakadlelwano abakhubazekile abaxhunyiwe ukuba balungiselele, bathole, futhi balondoloze umsebenzi ofanelekile. Izinkonzo zihlanganisa ukululeka emsebenzini, imfundo nosizo lokuqeqesha, ukusekela umsebenzi, kanye nendawo yokuhlala ukuze basebenze.
Abeluleki beVR&E basebenza nabangomakad ’ ebona ukuze bathuthukise amasu okulungisa isimo acabangela ukulinganiselwa kwabo komuntu ngamunye, amakhono adluliselwa kwenye indawo, izithakazelo, nemigomo yokuthola umsebenzi. Loluhlelo lungase lusekele imfundo noma ukuqeqeshelwa imisebenzi emisha evumela imingcele engokomzimba, inikeze ubuchwepheshe obudingekayo ukuze kuqashwe, futhi lunikeze izinkonzo zokusekela njengokubhala nokulungiselela ukuxoxa.
Kulabo abangomakad ’ ebona abangakwazi ukubuyela emsebenzini ngokushesha, iVR&E inikeza izinkonzo zokuzimela ukuze isize ekukhuliseni ukuzimela nezinga lokuphila.
Ukusekela Impilo Yengqondo
I VA iqaphela ukuthi izimo zezifo zengqondo ngokuvamile zithinta impilo yengqondo, futhi ubuhlungu obungapheli buvame ukuhambisana nokucindezeleka, ukukhathazeka, nokuphazamiseka kwengqondo kwangemva kokucindezela. Izinkonzo zempilo zengqondo eziphazamisekile zisiza omakadlelwano ukuba babhekane nezici ezingokwengqondo zokuphila nezifo ezingapheli. Abameli bezifo zengqondo banikeza ukwelashwa komuntu ngamunye, ukululeka ngamaqembu, ukumela imithi, kanye nokwelapha okukhethekile kokukhubazeka nobuhlungu obungapheli.
Ukwelashwa kokuzizwela kobuhlungu obungapheli kusiza omakadebona ukuba bathuthukise izindlela zokubhekana nobuhlungu, bavimbele izindlela zokucabanga ezingasizi, futhi bathuthukise ukusebenza naphezu kobuhlungu obuqhubekayo. Ukwamukela nokwelapha ngokubopheka kufundisa amakhono okucabanga futhi kusiza omakadlelwano ukuba bavumelane nezenzo zabo nezindinganiso zabo siqu kunokuba balawulwe ubuhlungu. Lezizindlela ezisekelwe ebufakazini zingathuthukisa kakhulu izinga lokuphila futhi zinciphise ukukhubazeka okuhlobene nezimo ezingapheli zomkhuhlane.
Ukusho Ukuthi I - VA KUYISICI SOKUNGAHAMBA KWEZIMO ZAMA - MUSCLOoskelenal
Ukuhamba ngempumelelo enqubweni yokukhubazeka yeVA kudinga ukuqonda izinyathelo ezihilelekile, ukuqoqa ubufakazi obufanele, nokunikeza isici esishukumisayo sokuxhumana nenkonzo. Ababeza ngenqubo ehlelekile futhi babhale ngokucophelela izimo zabo ngokuvamile bafinyelela imiphumela engcono kunalabo abakhipha izikhangiso ezingaphelele noma ezingasekelwanga kahle.
Ukulungiselela Lokho Okushoyo
Ngaphambi kokubhala imvume, omakadebona kufanele baqoqe isiqinisekiso esibanzi sesimo sabo sobudoda kanye nokuhlobana kwabo nenkonzo yezempi. Izincwadi ezibalulekile zihlanganisa amarekhodi enkonzo abonisa ukulimala noma izimpawu phakathi nomsebenzi osebenzayo, amarekhodi ezokwelapha angemva komsebenzi abhala ukwelashwa okuqhubekayo nokuxilongwa, nanoma yiziphi izinkulumo ezivela kubaphathi bempilo ezixhumanisa lesi simo nenkonzo yezempi.
Amarekhodi enkonzo anikeza ubufakazi obubalulekile bezenzakalo noma ukulimala. Abase-Vetera kufanele bawabukeze ngokucophelela la marekhodi ukuze baphawule noma yimuphi umbhalo wezingozi ze-musculoskeletal, ukukhononda ngobuhlungu, noma indlela yokwelapha etholakalayo phakathi nenkonzo. Ngisho nokukhuluma kafushane ngezimpawu ezisemarekhodini enkonzo kungasekela ukuzisholo kokuxhumana nenkonzo.
Ubufakazi bempilo bamanje bubaluleke ngokufanayo. Abahlaziyi kufanele bathole amarekhodi amuva ezokwelapha kubo bonke abanakekelayo abaye belapha isifo sabo sokwelapha esibangelwa ukuthatheka kwemisebe, kuhlanganise nodokotela abayinhloko, odokotela, abelaphi abangokomzimba, kanye nabaqondisi bezinhlu zezinhluno.
Izindlela Zokufiphaza
Ama-VA's asebenza ngezindlela eziningi zokukhubazeka. I-PA''s isethi ye-panet e-VA.gov inikeza indlela engcono kakhulu yokuhlela, ivumela omakadlele ukuba bathumele izikhalo zocingo, bafake amabhukwana asekelayo, futhi bafake isimo sokuzifaka umkhondo ngesikhathi sangempela. Isimiso solwembu lwe-inthanethi sinikeza isiqondiso ngenqubo yokusebenza futhi ivumela onokuhlangenwe nakho ukuba balondoloze intuthuko futhi babuye kamuva.
Abakhi bamafayela bangasebenzisa i-VAForm 21-526EZ, i-Sound for Disability Compensation and Compansiation Manuted Infections. Le phephandaba lidinga ukwaziswa okufanayo nesicelo se-inthanethi kodwa lingase lithathe isikhathi eside ukuba liqhubeke. Abanye omakadlele bangakhetha ukusebenza nabameleli abakhokhelweyo abakwazi ukuhambisa izicelo zabo ngezimiso ze-VA ezilondekile.
Kukhona ukuhlelwa kwe-paperson emahhovisi esifunda ase-VA naku-Veterans Service Organizations. Lokhu kukhetha kuvumela omakadebona ukuba bathole usizo olusheshayo ngezindlela zokuqeda futhi kuqinisekise ukuthi konke ukwaziswa okudingekayo kuyafakwa. Nokho, uma kubhaliwe, kungase kudinge ukumiswa nokuya ezindaweni ze-VA.
Ukuhlola Nokuvuna (C&P)
Uma ufaka ifayela lesifo esivamile se-VA ngo-2025, cishe uzohlelwa ukuba uhlolwe i- Compisetion kanye ne-Pension (C&P). Lena indlela ye-VA yokuqinisekisa ukuxilonga kwakho nokuthola ubungako bezimpawu zakho. I-C&P ukuhlolwa kumelela isinyathelo esibucayi enqubweni yokuzisholo, njengoba ukuhlola komhloli kuthonya kakhulu isinqumo sesilinganiso se-VA's.
Abahloli kufanele balungiselele kahle ukuhlolwa kweC&P ngokuhlola umlando wabo wezokwelapha, ukudweba zonke izimpawu nokulinganiselwa, nokuletha amakhophi amarekhodi abalulekile ezokwelapha. Phakathi nokuhlola, omakadebona kufanele bathembeke futhi bachaze izimpawu zabo, kuhlanganise nendlela isimo esithinta ngayo imisebenzi yansuku zonke, amandla omsebenzi, kanye nezinga lokuphila. Kubalulekile ukuchaza izimpawu ezibuhlungu ngezinsuku ezingezinhle kanye nangezinsuku ezinhle, njengoba abahloli kufanele bacabangele umehluko ogcwele wezinga lokulinganiselwa kwabo.
Kunezimo ze-musculoskeletal, abahloli bahlolwa bahlolwa isilinganiso sokuhamba ngokusebenzisa i-goniometer, bahlole amandla nokuzinza, baqaphele ukunyakaza nokusebenza, futhi babhale amazinga obuhlungu nezindawo. Abahloli kufanele bazise abahloli uma imithambo ibangela ubuhlungu, ngisho noma ingakwazi ukuqeda ukunyakaza, njengoba ubuhlungu buyisici esibucayi ekulinganiseni. Abahloli futhi kufanele batshelwe ngezimpawu ezibonisa ukuthi isivinini semoto siyanda, izikhathi lapho izimpawu ziba zimbi kakhulu, nanoma ikuphi ukulinganiselwa kokusetshenziswa kwamalungu noma izitho zomzimba ezithintekile.
Ukusekela Ubufakazi Nombhalo
Imali eqinisekisiwe ihlanganisa izinhlobo eziningi zobufakazi obusekelayo obungadluli amarekhodi ezokwelapha. Kufakwa izitatimende ezivela kumuntu ongomakad ’ ebona ezichaza indlela lesi sifo esaqala ngayo nendlela esithinta ngayo ukuphila kwansuku zonke kunikeza inzuzo. Izinkulumo zobungane ezivela kumalungu enkonzo akanye nawo ayebona ukulimala noma ukuphawula izimpawu phakathi nenkonzo zingafakazela izenzakalo lapho amarekhodi enkonzo engaphelele.
Amazwi avela kumalungu omkhaya, abangane, noma abaqashi abachaza ukusebenza nokushintsha kwamakhono omakad ’ ebona anezela ukuthembeka kwekhono lakhe. Lamazwi avamile kufanele abe acacile, anikeze izibonelo eziqinile zemisebenzi omakad’ebona angeke ayenze noma ayenze ngokwehlukile ngenxa yezimo ze-musculoskeletal.
Imibono yezokwelapha evela kubaphathi bezempilo ingaqinisa izimpawu, ikakhulukazi uma bekhuluma ngokuqondile ngokuhlobana kwezimo zamanje nenkonzo yezempi. Izincwadi ze-Nexus ezichaza indlela isifo se-musculoskeletary esiyiyo "cishe esihlobene" nenkonzo yezempi zinikeza ubufakazi obubalulekile bokwakha ukuhlobana kwenkonzo.
Ukusebenza Nezinhlangano Zenkonzo Zama - Veterans
Izinhlangano zenkonzo zeVeterans (VSO) zinikeza usizo mahhala ngezicelo zokukhubazeka, zinikeza ubuchwepheshe bokuhamba ngesimiso se VAA nezinzuzo ezizinzile. Abameleli abahleliwe be-VSO baqonda iziqondiso ze VA, izimpawu, nezihibe ezivamile eziholela ekuphikiseni ukuphika. Zingasiza omakad’ebona ukuba baqoqe ubufakazi obudingekile, izinhlelo eziphelele, futhi zinikeze izimpikiswano ezishukumisayo zokuxhumana kwenkonzo nezibalo ezifanele.
I-Major VSOs ihlanganisa i-American Legion, Veterans of Foreign Wars (VFW), i-American Veterans (DAV), i-Vietnam Veterans of America, kanye nezinye eziningi. Inhlangano ngayinye inikeza usizo ngaphandle kwezindleko komakad ’ ebona. Abameleli be-VSO bangamelela omakadebona kuyo yonke le nqubo, kuhlanganise nokunxusa uma izicelo zokuqala ziphiwa noma zingaphansi kunalokho okulindelekile.
Ukusebenza ne - VSO kubaluleke kakhulu ekutheni izimo eziningi ziyinkimbinkimbi, izimo zesikhashana, noma izimo lapho kungase kube nzima khona ukusungula i - VSO abameleli benkonzo ababhekene nezenzakalo ezifanayo futhi baqonde ukuthi buyini ubufakazi obudinga i-VA ukuze inikeze izicelo. Bangasiza futhi omakad’ebona ukuba baqonde amalungelo abo kanye nezinqumo zabo ezisezingeni ngalinye lenqubo.
Ukuqonda Izinqumo Zokusho
Ngemva kokuhlola bonke ubufakazi, i VA inikeza isinqumo sesilinganiso sokuchaza ukuthi ukuhlangana kwenkonzo kwagunyazwa yini, ukuthi yiluphi ububanzi bokukhubazeka obabelwe, nosuku oluphumelelayo lokuthola izinzuzo. Abase-Vetean kufanele bahlole ngokucophelela izincwadi zesinqumo ukuze baqonde imfihlo engemva kokuzimisela kwe-VA. Izincwadi zesinqumo zichaza ukuthi yibuphi ubufakazi obacatshangelwayo, ukuthi isilinganiso sabalwa kanjani, nokuthi iziphi izimpawu ezasetshenziswa.
Uma omakadebona bengavumelani nesinqumo, banezindlela eziningi zokudlulisa. Umthetho we-Applers Modernization Act wadala izindlela ezintathu zokuhlola izinqumo: I-Apentium yoMkhulu we-Chester, ne-Board Explorence. Ukhetho ngalunye lunezindlela ezihlukene, izimpawu zesikhathi, namathuba okunikeza ubufakazi obusha. Ama-Vteran kufanele athintane nabameleli bama-VSO noma abameli abanezimo ze-VA-Accracreast ukuze anqume indlela engcono kakhulu yokunxusa isimo sabo.
Ukunciphisa Ukulinganiselwa Kwakho
Abadansi abanezimo ze-musculoskeletal kufanele baqinisekise ukuthi isilinganiso sokukhubazeka kwabo siveza ngokunembile ithonya eligcwele lezimo zabo. Omakad’ubomvu abaningi bathola isilinganiso esiphansi kunokuba kuqinisekiswe ngoba behluleka ukubhala zonke izimpawu, ukungazinaki izimo zamuva, noma abakwazi ukuxhumana ngokwanele nokulinganiselwa phakathi nokuhlolwa.
Ukulinganiselwa Kwemisebenzi
Izincwadi ezisebenzayo ezigciniwe ezisebenzayo zibalulekile ekutholeni izilinganiso ezifanele zokukhubazeka. Ama-Veteran kufanele agcine imibhalo enemininingwane yemiphumela yezinkinga zemizwa yansuku zonke, kuhlanganise nobunzima bokuhamba, ukuma, ukuhlala, ukuphakamisa, ukufinyelela, ukuthatha, nokunye ukunyakazisa. Izibonelo ezicacile zinesisindo esikhulu kunenkulumo ezivamile zokwenza ukungakwazi ukuphatha izinto, ukukhuphuka kwezitebhisi, noma ukudinga ukuphumula njalo phakathi nemisebenzi zinikeza ubufakazi obuqinile bokulinganiselwa.
Ama-etertans kufanele alandelele ukuqhuma kwe-full, abhale izikhathi ezithathayo, isikhathi, ubuqatha, nezimbangela. Ukubhala ukuthi izimo ziba zimbi kangakanani kuze kuvimbele imisebenzi evamile kusiza abahloli ukuba baqonde ngokugcwele ukukhubazeka. Omagazini bezinhlungu abaphawula amazinga obuhlungu phakathi nosuku, imisebenzi ekhulisa ubuhlungu, nokuphumelela kwezindlela zokulawula ubuhlungu kunikeza ubufakazi obubalulekile.
Ukuzisholo Izimo Zesikhathi Esiphakathi
Izimo ezivamile zihlanganisa ukuqaqamba kwamalunga lapho elimala kakhulu, izimo zengqondo ezibangelwa ubuhlungu obungapheli, ukuphazamiseka kobuthongo okubangelwa ubuhlungu nokungaphatheki kahle, nezinkinga ezengeziwe zemizimba ebangelwa ukunyakaza.
Ubufakazi bezokwelapha obuhlanganisa izimo zesibini nokukhubazeka okuyinhloko okuxhunyiwe kubalulekile. Ababheteri kufanele baxoxe ngokuhlobana okungase kwenzeke nabanakekela impilo futhi bacele imibono yezokwelapha efakazela lobu buhlobo. Isimo ngasinye samuva sithola isilinganiso saso siqu sokukhubazeka, esingandisa kakhulu imbuyiselo uma ihlangene nesilinganiso esiyinhloko sezimo.
Ukwanda Okulinganiselwayo
Izimo ze-musculoskelet ngokuvamile ziba zimbi kakhulu ngokuhamba kwesikhathi ngenxa yokuwohloka okuqhubekayo, ukuguga, noma imiphumela enqwabelanayo yezimo ezingamahlalakhona. Abahlali abamo baye bawohloka kusukela ekuhlolweni kwabo kokuqala bafaka amafayela okuchaza izimpawu ezikhulisiwe. Ubufakazi obusekelayo kufanele bubonise ngokucacile izimpawu ezikhulayo, ukulinganiselwa okwandayo, noma ukukhula kwezinkinga ezintsha.
Amarekhodi amuva ezokwelapha abonisa ukuqhubekeka kwezifo, izimfuneko zokwelapha ezandisiwe, noma ukuncipha kokuphumelela kosizo lwangaphambili ayanda. Izinhlu ezivuselelwe zezilinganiso zokuhamba zibonisa ukulinganiselwa okukhulu, ukuhlola kokuthwebula izithombe okuveza ukulimala kwezakhiwo okuya kuba kubi, kanye nezinkulumo ezivela kubagcini bemithi ezibonisa ukuncipha kwazo zonke izicelo zokulinganisela okuphakeme.
Ukuqonda Isici Esiyinhloko
Uma izimo ze-musculoskeletal zithinta amalungu omzimba ahlotshanisiwe (imilenze, zombili imilenze, zombili izinyawo), omakad’ebona bangafanelekela isici esinemifantu ebizwa ngokuthi i-biladateal feature. Le nqubo iyaqaphela ukuthi ukukhubazeka nhlangothi zombili kudala ukukhubazeka okukhulu kakhulu kunenani lezibalo ezisikisela. I-VA isebenzisa isici se-biversethi ngokuhlanganisa izilinganiso zombili, bese inezela i-10% yalelonani elihlangeneyo kuleyo elilinganayo.
Ama-Veteran anezimo ze-biteral musculoskelenal kufanele aqinisekise ukuthi i-VA isebenzisa isici esinemifantu lapho ibalwa isilinganiso esihlangene. Lokhu kungenza umehluko omkhulu engxenyeni yenani elikhubazekile iyonke kanye nezilinganiso zenkokhelo ezihambisana nayo.
Ukuhlala Nezinkinga Zesifo SaseMusculoskeletal: Ukuphazamiseka Kwekhono Lokwehluleka
Nakuba izinzuzo ze VA nezinkonzo zokunakekela impilo zinikeza ukusekela okubalulekile, omakadebona bangathatha izinyathelo ezisebenzayo zokulawula izimo ze-musculoskeletary nokusebenza kahle. Amasu okuzilawula wona ahambisana nokwelashwa futhi angathuthukisa izinga lokuphila.
Ukuvivinya Umzimba Nokuzivivinya
Ukuvivinya umzimba njalo kungenye yezinqubo eziphumelela kakhulu zokulawula izifo ze - musculoskeleta. Ukuvivinya umzimba kusiza ekulondolozeni ukunyakaza kwamalungu, kuqinise imisipha esekelayo, kunciphise ubuhlungu, kuthuthukise impilo yenhliziyo, futhi kuthuthukise ukusebenza kwawo. Ama - Veteran kufanele asebenze nabelaphi abangokomzimba noma abanakekela impilo ukuze athuthukise izinhlelo zokuvivinya umzimba ezivumelana nezimo nokulinganiselwa kwawo.
Imisebenzi ephansi enjengokubhukuda, ukuhlinza amanzi, ukuhamba ngebhayisekili, kunikeza izinzuzo kuyilapho kunciphisa ukucindezeleka kwamalunga. Ukuqeqesha ngamandla kusiza ekusekeleni imisipha emalungwini athintekile, kunganciphisa ubuhlungu futhi kuthuthukise ukuzinza. Ukuzivivinya kokunyakaza nokuqinisa ijubane. Ukulinganisela kunciphisa ingozi, ikakhulukazi kubaluleke kakhulu kumakadlwangudlwangu abanemikhawulo ephansi.
Ama - veterani kufanele aqale kancane futhi andise izinga lokusebenza, aqaphele indlela imizimba yawo esabela ngayo. Okunye ukungaphatheki kahle lapho uvivinya umzimba kuvamile, kodwa ubuhlungu obucijile noma ukwenyuka okukhulu kwezimpawu okusikisela ukuthi kufanele kulungiswe. Izinto ezingaguquguquki zingaba nezinzuzo ezinkulu kakhulu kunokuzivivinya kakhulu.
Ukuphathwa Kwesisindo
Ukulondoloza isisindo somzimba esinempilo kunciphisa ukucindezeleka kwamalunga athwala isisindo, ubuhlungu obunganciphisa nokuncipha kwezifo ezinjenge-osteoarthritis. Ngisho nokwehla kwesisindo okulinganiselwe kungathuthukisa izimpawu eziphawulekayo kubantu abangomakadebona abanedolo, inyonga, amaqakala, noma iqolo. I-VA inikeza izinhlelo zokulawula isisindo, ukunikeza amaqembu adinga ukunakekelwa kokudla, kanye nokusekela ukuze asize omakadlelwano afinyelele futhi alondoloze izisindo ezinempilo.
Ukudla okunomsoco kunendima ebalulekile empilweni ye-musculoskeletal. Ukudla okulwa nezifo ezibangela ukukhubazeka kwesikhumba kugcwele izithelo, imifino, ukudla okuphelele, amaprotheni angenamafutha, kanye nama-omega-3 acid angasiza ekunciphiseni ukuvuvukala nobuhlungu. Ukudla okune-calcium novithamini D kusekela impilo yamathambo, ikakhulukazi okubalulekile konolwazi olusemngciphekweni wokuphelelwa yindlala. Ukuhlala uxubene ne-hydradradio kulondoloza ukuqina kwamalungu kanye nempilo.
I - Ergonomics Nemishini Yomzimba
Amakhenika omzimba afanele noshintsho lwe-ergonomic lunganciphisa ukucindezeleka ezimileni ze-musculoskeletal futhi luvimbele ukukhubazeka kophawu. Abathungi kufanele bafunde izindlela ezifanele zokuphakamisa, bagweme ukugoba nokujikijela okucindezela umgogodla. Ukusebenzisa imilenze kunokusebenzisa imisipha enqamukile ukuze baphakamise, ukugcina imithwalo eduze komzimba, futhi bagweme ukufinyelela phezulu kunciphisa ingozi yokulimala.
Kudingeka uqaphe emsebenzini nasekhaya. Izihlalo ezivunyelaneyo ezisekela i - lumbar, ama - computer asemasweni, nama - keyboard abekwe ukuze kuncishiswe ukucindezeleka kwesihlakala okuphindaphindwayo. Ukuthatha ikhefu njalo ukuze ushintshe indawo, unwebe, futhi uhambe uvimbele ukuqina futhi unciphise ubuhlungu ngenxa yokuma isikhathi eside.
Ukulawula Ukucindezeleka Nokudamba
Ama - veteran kufanele abe namasu aphumelelayo okulawula ukucindezeleka ahlanganisa izindlela zokuphumula, ukuzindla, ukuphefumula okujulile, nokuphumula kwemisipha.
I-VA inikeza amakilasi nezinhlelo ezifundisa ukuphatha ukucindezeleka, kuhlanganise nokunciphisa ukucindezeleka okubangelwa ingqondo, ukuzindla, i-yoga ne-tai chi. Le misebenzi yomzimba inikeza kokubili izinzuzo ezingokomzimba nezingokwengqondo, ithuthukisa ukuvumelana nezimo, ukulinganisela, namandla lapho inciphisa ukucindezeleka futhi ithuthukisa inhlalakahle engokomzwelo.
Ukuhlanzeka Kobuthongo
Ukulala ngokwanele kubalulekile ekulawuleni izimo ezingapheli ze - musculoskeleletal, njengoba ukulala kwenza umzimba ulungise izicubu futhi kusebenzise izimpawu zobuhlungu. Ama - Vetera kufanele abeke isilinganiso esiphambili sokulala kahle, kuhlanganise nokugcina isimiso sokulala esingaguquki, ukwenza izindawo zokulala ezithokomele, nokusingatha izinto eziphazamisa izinga lokulala.
Umatilasi ofanele nokukhetha umcamelo ofanele kungabuthinta kakhulu ubuhlungu bemicu. Ama-mattrelene kufanele asekele ngokwanele lapho ehambisana nohambo lomzimba. Amapislor kufanele agcine umgogodla ungangeni hlangothi, nezinhlobo ezihlukahlukene zomcamelo ofanele ukulala okuhlukile. I-VA inganikeza omatilasi abakhethekile kanye nemishini yokubeka lapho kudingeka kwezokwelapha.
Ukulondolozwa Kwemisebe Nokulondolozwa Kwamandla
Abahlali abanezimo ze - musculoskeletal kufanele bafunde izindlela zokulinganisela umsebenzi nokuphumula, bavimbele ukuzikhandla ngokweqile okubangela ukuqhuma kophawu. Ukuphula imisebenzi ibe yizingxenye ezincane ezinezinkathi zokuphumula, ukushintshana phakathi kwezinhlobo ezihlukahlukene zemisebenzi, nokuhlela imisebenzi edinga isikhathi lapho izimpawu zingcono kakhulu kusiza ekulondolozeni ukusebenza lapho kuphathwa izimpawu.
Izindlela zokulondoloza amakhemikhali zisiza labo abangomakad ’ ebona ukuba bafeze imisebenzi edingekayo kuyilapho benciphisa ukucindezeleka okungokomzimba.
Ukucatshangelwa Okukhethekile Kwenani Labantu Abayimisebe Ekhethekile
Abantu abahlukene abangomakad ’ ebona babhekana nezinselele ezingavamile ezihlobene nokuphazamiseka kwemisipha, futhi i - VA iye yasungula izinhlelo ezikhethekile nokucabangela ukuze ixazulule lezi zidingo ezihlukahlukene.
Ukulwa Kwamalungu Enkonzo Nesiqalo-9/11
Omakad ’ ebona base-Gulf War manje bakha i-61.4% yabo bonke abakhubazekile, kanye nePost-9/11 abangomakad ’ ebona bahlela ukusho okuyinkimbinkimbi ngezimo eziningi. Lezi zisebenzi zolwazi ngokuvamile zikhona ngepolytrauma(mulplele) ezilimaza umzimba owehlukene othinta imishini eqhumayo eklatshiwe, izingozi zezimoto, nezinye izenzakalo ezihlobene nokulwa. I-VA’S Plochtrauma System of Care inikeza ukwelashwa okukhethekile, okuhlangene nochwepheshe bezingozi zemizimba eyinkimbinkimbi kanye nokulimala kobuchopho okubuhlungu nezinye izimo.
Omakad ’ ebona abalwayo bangase bafanelekele futhi izikhathi ezingcono zokuthola inzuzo ekunakekeleni impilo ne-VA - erlined. Labo abakhonza ezindaweni zempi phakathi neminyaka emihlanu edlule bathola ukubhalisa okuza kuqala futhi bayakwazi ukunikezwa ithuba lokunakekela impilo yamahhala e-VA, beqinisekisa ukuthi bangathola ukwelashwa ngezikhathi ezingezinye izimo ezingase zivele ngokushesha ngemva kwenkonzo.
Abesifazane Abahlala Ezindaweni Ezithile
Abesifazane abangomakadebona bamelela ingxenye ekhula ngokushesha yenani labantu abangomakad ’ ebona futhi babhekene nezinselele zempilo eziyingqayizivele. Ukucwaninga kubonisa ukuthi abesifazane abangomakad’ebona babhekana namazinga aphakeme ezifo ezithile ze-musculoskeletal, kuhlanganise nezinhlobo zesifo samathambo esithinta i-opissal kanye ne-autoimmune. I-VA ikhuliswe izinkonzo zezempilo zabesifazane, kuhlanganise nezinhlelo ezikhethekile ezikhuluma ngemizimba yabesifazane eqolo.
Ukucabangela okuqondile kuhlanganisa ithonya lokukhulelwa nokubeletha empilweni eqinile, amahormone empilweni yamalungu namathambo, nokungafani kwe-biomechanics okungathinta izindlela zokulimala nokwelapha ezisendleleni. Izinhlelo zezempilo zabesifazane ze-VA zinikeza ukunakekela okubanzi kulezi zidingo eziyingqayizivele.
Izilwane Ezigugile
Njengoba sekukhulile, izimo ze-musculoskeleta zivame ukuba zimbi kakhulu ngenxa yezinguquko eziwohlokayo, imiphumela enqwabelanayo yezimo ezithatha isikhathi eside, kanye nezici ezihlobene nokwehla kwamathambo nobunzima bemisipha. Izinhlelo ze-VA's Geriatrics kanye ne-Alaudie Care zinikeza izinkonzo ezikhethekile kusebekhulile abadala, kuhlanganise nokuhlolwa okubanzi kwesifo somzimba, ukuwa kwezinhlelo zokuvimbela, kanye nokulawula ukwakheka kwemisipha ehlobene nokwehla.
Omakad ’ ebona abadala kufanele baqaphele ngokukhethekile ngempilo yamathambo, njengoba i - VA inikeza i-calcium D operation eqinile yamathambo, i-calcium nevithamini D, nemithi ukuze kuvinjelwe futhi kunyangwe isifo sokusha kwethambo lomzimba uma kuboniswa. Izinhlelo zokuvimbela ukuwa zisiza abantu abadala abanezifo ze-musculoskelelet ukuba baqhubeke behamba kahle lapho benciphisa ingozi yokulimala.
Ama - veteran Asemaphandleni
Abahlali abahlala emaphandleni babhekene nezinselele eziyingqayizivele zokuthola izinselele zokunakekelwa kwempilo nezokunakekelwa kwe-VA ezisemzimbeni. Amabanga amade ukuya e-VA, izindlela zokunakekela impilo ezilinganiselwe, kanye nemingcele yezokuhamba kungaphazamisa ukutholakala kokunakekelwa okudingekile. I-VA iye yasungula izinhlelo eziningana zokuxazulula le zinselele, kuhlanganise nezinkonzo ze-teleheath, izinkonzo zokunakekela umphakathi, kanye nemithola-mtholampilo ehambayo.
ITelehealth ivumela omakadebona basemaphandleni ukuba bathintane nochwepheshe, bathole isiqondiso sokwelapha, futhi balawule izimo ezingamahlalakhona ngaphandle kokuhamba amabanga amade. I Video Confinet yenza ukuba amavidiyo alondekile athathwe emizini yochwepheshe. Izinhlelo zokunakekela umphakathi zivumela omakadlelwano basemaphandleni ukuba bamukele izinkonzo kubaphathi bendawo uma izakhiwo zeVA zingafinyeleli kahle.
Abahlaseli Abanobuthi
I-PACT Act iye yandisa ukuqashelwa kwezimo ezihlobene nokuchayeka kobuthi phakathi nenkonzo yezempi, kuhlanganise nezinye izimo ze-musculoskeletal. Ama-Veretan achayeke emigodini eshisiwe, i-Orange, imisebe, nezinye izingozi zendawo ezungezile zingavela izimo ezifanelekela ukuhlobana kwenkonzo yokucwenga. I-VA iye yasungula izinhlelo ezikhethekile zokuhlola, ukuhlola, nokulapha omakadlelwano-mevaleveva ngezi ezihlobene nokuchachacha.
Abasebenzi abasebenza ezindaweni ezithile noma ezinkathini zesikhathi kufanele baqinisekise ukuhlolwa kwe-VA's ukudambisa ubuthi futhi baxoxe ngokuhlobana okungase kube phakathi kwezimo zabo ze-musculoskelet kanye nokuchayeka kwendawo ezungezile phakathi nenkonzo. Izimo ezikhuliswe kakhulu zokuhloba ngaphansi kwe-PALT Act zenza kube lula kakhulu kumakadebona ukuhlanganisa inkonzo ngaphandle kokubhala kabanzi izenzakalo zezehlakalo.
Imithombo Yengcebo Eyengeziwe Nokusekelwa
Ama - veteran anezifo ze - musculoskeletal angathola imithombo eminingi ngaphezu kwezinkonzo eziqondile ze - VA ukuze asekele impilo yawo, impilo enhle, nokuphumelela kokuhamba ngemikhumbi ezinzuzo.
Izincwadi Nemininingwane Efundisayo
I-VA inikeza izinto ezifundisa kakhulu mayelana nezifo ze-musculoskeletal, izindlela zokwelapha, kanye namasu okuzilawula. Abavubukuli bangathola le mithombo nge-VA.gov, i-My HealtheVet ephethe i-portal, nezindawo zokwelapha. Imfundo zihlanganisa amaphepha ayiqiniso, amavidiyo, amathuluzi okuxoxa, kanye neziqondiso ezibanzi ezihlanganisa izimo nokwelashwa.
I-VA's National Center for Health Promotion and Disease Prevention inikeza imithombo yobufakazi esekelwe ekuzilolongeni, ekudleni, ekulawuleni isisindo nezinye izici zokuphila ezithinta impilo eqinile. Ama-Venda angathola iziqondiso zempilo ezingokomuntu siqu, izinhlelo ze-intanethi, kanye ne-apply esekela ukuziphatha okunempilo kanye nokulawulwa kwezifo ezingapheli.
Amaqembu Okusekela Nokusekela Kontanga
Ukuhlangana nabanye abangomakad ’ ebona ababhekene nezinselele ezifanayo kunikeza ukusekela okuwusizo ngokomzwelo, iseluleko esiwusizo, futhi kuhlanganyela okuhlangenwe nakho. I-VA isiza amaqembu asekela omakad ’ ebona anenkinga yamahlalakhona, izimo ezithile ze-musculoskelenate, kanye nokugula okungapheli. Lamaqembu ahlangana ngokulinganayo ezindaweni ze-VA nase-intanethi, okwenza ukuba atholakale kunoma yikuphi lapho omakadebona bekhona noma bangakwazi ukunyakaza khona.
Ochwepheshe bokusekela ontanga abanolwazi olungapheli lwezimo ezingamahlalakhona abathola ukuqeqeshwa okukhethekile − ukunikeza ukusekela okukodwa, umeluleki, nesiqondiso. Laba ochwepheshe baqonda izinselele eziyingqayizivele ababhekene nazo futhi banganikeza amasu asebenzayo okulawula izimo, ukuqondisa i-VA system, nokulondoloza izinga lokuphila.
Ukushaya kohlelo
I-VA iye yasungula amathuluzi amaningi emishini okusiza omakad ’ ebona ukuba balawule izimo ze-musculolelenal kanye nezinkonzo zokungena. Ama-apply e-VA's ahlanganisa amathuluzi okulawula ubuhlungu, izinhlelo zokuzivivinya, abathumeli bemithi, kanye nohlelo lokuhlela ukuhlelwa kwezinto. I-HealmeVet yami ivumela onokuhlangenwe nakho ukuba babuke amarekhodi ezokwelapha, baxhumane namaqembu asebenza ngempilo, bagcwalise iziqondiso zemithi, kanye nama-milling transmeter.
I-PA's isiza i-panel expand omakadhti ivumela omakadlele ukuba babhale amafayili, bahlole isimo, babheke izincwadi zesinqumo futhi balawule izinzuzo zabo nge-electal. La mathuluzi obuchwepheshe anikeza izinkonzo nokwaziswa okulula, anciphise imingcele kulabo abangomakadebona abangakwazi ukuhamba kahle noma abahlala kude ne-VA.
Imithombo Yamagugu Yasemphakathini Nemikhumbi Enobungane
Izinhlangano eziningi zomphakathi zinikeza ukusekela okwengeziwe komakad ’ ebona abanezimo zobudlelwano. Izinhlelo zezemidlalo eziguquguqukayo zisiza omakad ’ ebona ukuba balondoloze imisebenzi engokomzimba nokuxhumana nabanye naphezu kokukhubazeka. Izinhlangano ezinjengeSport USA ekhubazekile, iParalyzed Veterans of America, neWounded Girder Project zinikeza amathuba okuzijabulisa, izinto zokuzivumelanisa, kanye nokusekela kontanga.
Amahhovisi ezisebenzi zikahulumeni nawamadolobheni anikeza usizo ngenzuzo, usizo oluphuthumayo, kanye nokuxhumana nemithombo yomphakathi. Izifunda eziningi zinikeza izinzuzo ezengeziwe konomakad ’ ebona abakhubazekile, kuhlanganise nokungakhokhi intela yempahla, ukulungisa izimoto, nokuhlola ukunakekelwa kwempilo. Ababheteri kufanele bahlole imithombo yezezimali ekhona emazweni abo athile nasemiphakathini yabo.
Usizo Olungokomthetho Nokunxusa Kusekela
Abameli abaphikisana nezinqumo zabo eziphathelene nokukhubazeka kwe-VA bangazithola izinkonzo ezingokomthetho ngezindlela eziningi. Abameli abanezigwegwe abaklanywe abanolwazi oluqinile futhi bangamelela abangomakad ’ ebona ekudluliseleni izikhalo phambi kwe-Board of Veterans Applers neNkantolo yeNkantolo Yezingcingo Zokudlulisa Iziphakamiso. Abameli abaningi basebenza ngokuvumelana, bathola inkokhelo kuphela uma bethola izinzuzo ezikhushuliwe zezazi.
Imitholampilo yezomthetho nezinhlelo zezomthetho ze-probono zinikeza omakadebona izimpawu zesihle ezifaka izikhalo. Lezinhlelo zinikeza usizo oluphezulu olungokomthetho kuyilapho ziqeqesha isizukulwane esilandelayo sabasebenzi bomthetho abangomakad ’ ebona. Ababhejane kufanele bafune izimpawu ezigunyaziwe lapho bephishekela izikhalo eziyinkimbinkimbi noma amacala ahilela izindaba ezingokomthetho.
Izinhlelo Zabanakekeli Zisekela
Abakhubazekile kakhulu bangadinga usizo lwabanakekeli bomkhaya. I-RA's Program of Comprehensive Uncedo lwabanakekeli bomkhaya inikeza izindleko, ukukhokhelwa kwempilo, izinkonzo zempilo, nokunakekelwa kwethuba lokunakekela abagugile abafanelekayo. Lolu hlelo luqaphela indima ebalulekile amalungu omkhaya ayenzayo ekusekeleni ontanga abakhubazekile kakhulu.
Izinkonzo zokusekela ezinakekela abagugile zihlanganisa ukuqeqesha ukunakekelwa, ukunakekelwa kwezindlela zokulawula ukucindezeleka, amaqembu okusekela, kanye nokuxhumana nemithombo yomphakathi.
Ukubheka Phambili: Intuthuko Ekwelapheni Nokusekela
IVA iyaqhubeka ithuthukisa indlela yayo yokwelapha nokusekela omakad’ebona abanezifo ze - musculoskelenal, ihlanganisa izinto ezintsha ezitholakele zokucwaninga, izindlela zokwelapha ezintsha, nokushintsha imikhuba engcono kakhulu.
Ukwelapha Nokusebenzisa Ubuchwepheshe Okuxubile
I-VA ihlola futhi isebenzisa izindlela zokwelapha ezivelayo zezimo ze-musculoskeletal, kuhlanganise nemijovo ye-progenta ephambili yeplasma ne-stem cell. Lapho ihlola, lendlela yokwelapha ibonisa isithembiso sezimo ezithile ze-musculoskeletal. I-VA iyaqhubeka futhi icwengisisa izindlela zokuhlinza, ithuthukisa i-prothetics neothomicrotic, futhi isebenzise inqubo ephambili yokulawula izinhlungu.
Intuthuko yezobuchwepheshe ihlanganisa ukuvuselelwa kwemisebe yemoto esetshenziswayo, cishe okungokoqobo ekulawuleni ubuhlungu kanye nasekwelapheni umzimba, kanye nemishini ebolayo elawula izinga lokusebenza nokudla okusemzimbeni. Le misebenzi ingase ithuthukise imiphumela futhi yandise amathuba okuthola ukwelashwa okuphumelelayo komuntu osenesikhathi eside onezimo ze-musculoskeletary.
Ukucwaninga Nokulingwa Kwasezimini Zokuqala
I - VA icwaninga kabanzi ngezifo ze-musculoskeletal, ukuphumelela kokwelapha, kanye nezindlela zokunakekela ezingcono kakhulu. Ama-Vetera angahlanganyela ekuhlolweni kokwelashwa okusha, ukuqhathanisa izindlela zokwelapha ezihlukene, nokuhlola izindlela ezintsha zokunikeza ukunakekela. Ukuhlanganyela ekucwaningeni kunezela ekuthuthukiseni ulwazi kuyilapho kunikeza amathuba okuthola ukwelashwa okuhlinza.
Abacwaningi be-VA bahlola imiphumela emide yenkonzo yezempi empini ye-musculoskeletal, bathola izici eziyingozi ezibangela izifo ezingamahlalakhona, kanye namasu okwakha ukuvimbela noma ukubambezela kwesifo se-musculoskeletal. Lokhu kucwaninga kwazisa izinqubo ze-VA, imithetho yokwelapha, nezinqumo ezizuzisayo.
Intuthuko Yezomthetho Nokufundiswa Kwawo
Izinhlangano zokuphanga ziyaqhubeka zisebenza ukuze zithuthukise futhi zithuthukise izinzuzo kumakad ’ ebona abanezinkinga ze-musculoskeletal. Ukufezwa kwamuva kwemithetho kuhlanganisa ukwanda kwezimo ze-PACT nokwanda kwezimali ze-VA yezokunakekela impilo nezinzuzo. Ukuqhubeka kwemizamo yokuzazisa kugxile ekunciphiseni izikhathi zokulungisa izinto, ukuthuthukisa ukufinyelela ukunakekelwa, nokuqinisekisa imithombo eyanele kubantu abakhubazekile abakhulayo.
Abaqoqi bangasekela lemizamo yokuzisebenzela ngokuhlanganyela nezinhlangano zenkonzo zomakad ’ ebona, ngokuthintana nabameleli abakhethiwe ngezindaba zomuntu onokuhlangenwe nakho, nangokuhlanganyela okuhlangenwe nakho kwabo ukuze bazise ukuthuthuka kwesimiso. Ukuqoqa imali kuye kwathuthukisa kakhulu izinzuzo nezinkonzo zomakadlwangudlwangu, futhi ukuthembisana okuqhubekayo kusebalulekile ekuvikeleni nasekusekeleni omakadebona abanezinkinga ze - musculoskeleletal.
Isiphetho
Izifo ze-Musculoskeletal zimelela inselele enkulu yempilo kumasosha angomakad ’ ebona, ethinta izigidi zabantu abakhonza izwe lakubo. Ukufunwa kwemisebenzi yezempi kudala ithonya elihlala njalo elikhona ngokuvamile phakathi nokuphila konomakad ’ ebona, elithinta ikhono labo lokusebenza, ukusebenza nsuku zonke, nokugcina izinga lokuphila. Nokho, uMnyango Wezindaba ze-Veterans unikeza izimiso eziklanyelwe ukusiza omakad’injini ukuba balawule lezizimo futhi bathole imbuyiselo efanele yokukhubazeka kwenkonzo.
Ukuqonda ubukhulu bezinzuzo ezikhona — ukusukela ekukhokhelweni kwezinxephezelo zezempilo ezisiza ekulungiseni izinhlelo kanye nemishini esizayo — abangomakadebona ukuze bathole ukusekela abakuthole ngenkonzo yabo. Ukuhamba ngempumelelo kwe-VA kudinga ulwazi lwenqubo yokuzisholo, ukubhalwa kwemiyalo yezimo nokulinganiselwa okuphelele, futhi ngokuvamile usizo lwezinhlangano zenkonzo ezingomakade bekhona noma abanye abameleli abagunyaziwe.
Abahlali abanezifo ze-musculoskeletal kufanele bathathe indima ephambili ekulawuleni impilo yabo, ukuhlanganisa ukunakekelwa kwe-VA nokuzilawula, ushintsho lwendlela yokuphila, nemithombo yomphakathi. Nakuba ukuphila nezifo ezingapheli kuletha izinselele eziqhubekayo, ukwelashwa okufanelekile, ukusekela, nokukhokhwa kungathuthukisa kakhulu imiphumela nezinga lokuphila.
IVA iyaqhubeka iguqula indlela yayo yokusebenzisa izisulu ezisekelayo ezinesifo sokuphazamiseka kwemizwa yegazi, ihlanganisa okusha kokucwaninga, izimo ezikhuphukayo, nokusebenzisa izindlela ezintsha zokwelapha nobuchwepheshe. AmaVertan kufanele ahlale aziwa ngoshintsho ezinzuzo nasezinkonzweni, ahlale exhumana njalo nabanakekela impilo yase-VA, futhi asekele izidingo zawo phakathi nesimiso.
Kubantu abangomakad ’ ebona abalwa nezimo ze-musculoskeletal, usizo luyatholakala. Noma befuna isilinganiso esikhudlwana sezimo eziya ziba zimbi, noma befuna ukunakekelwa kwempilo nezinkonzo zokulungisa isimo, izinhlangano zenkonzo ze-VA nonokuhlangenwe nakho bakulungele ukusiza. AbaseVereta akumelwe banqikaze ukuzama ukufinyelela ukusekelwa, njengoba beye bazuza lezinzuzo ngenkonzo nangokuzidela.
Ukuze uthole ukwaziswa okwengeziwe ngezinzuzo ze-VA kanye nezinkonzo ze-musculoskelelal , omakadebona bangavakashela .A.gov, babiza i-VA ku-1-800-807 000, noma izinhlangano zenkonzo zomatata. Imithombo eyengeziwe itholakala nge- A Healthcarety [ system system system system profect [[FLD:]]] Inzuzo ye-injini yosizo. I-VEffetans enkingeni ebucayi ingathola ukusekela okusheshayo nge-19988, bese kunyatheliswa ngo-1, kodwa ngo-8555.