Iyo Aches uye Marwadzo Ekushanda Kubva Kumba Panguva yeCOVID-19

Mushumo wevaeni naDr.Evan Johnson naDr Nomita Sonty.

Kushanda kuchipatara chikuru muNYC panguva yekukwira kwedenda reCOVID-19, hazvina kushamisika kuti takasangana nevarwere vakati wandei vachitsvaga kuchengetwa kubva tese: chiremba wezvepfungwa anoona nezvekurwadziwa uye murapi wepanyama anorapa musana . Kusabatana munharaunda, kushushikana mupfungwa, kurasikirwa kusinganzwisisike, uye kutambura mumuviri izvo zvakakonzerwa nekushushikana kwechirwere chisingazivikanwe uye kukiyiwa kwakaratidza kudiwa kwekutarisirwa kwepfungwa uye kwemuviri.

Moretti uye vaaishanda navo vakaona kuti kushanda pamba panguva ye COVID-19 denda kwakakonzera njodzi yakawedzera yehutano hwepfungwa uye musculoskeletal matambudziko, kunyanya ayo anokanganisa musana (Moretti, Menna et al. 2020). Kuenderera mberi kwekushushikana, kukanganiswa kwekurara, kuneta, kurwadziwa musana, uye kutemwa nemusoro kwakakwidziridzwa mune vazhinji vevarwere vedu vakakonzerwa nekushandurwa kwebasa uye kuwedzera kusava nechokwadi kwakakonzerwa nedenda re COVID-19.

Sangano reCommonwealth Fund's Charity Versus Arthritis chirongwa chakaita ongororo yevashandi vanoshanda kubva kudzimba nekuda kwechirwere cheCOVID-19 (Webber 2020). Vanotsvagurudza pakutsvagurudza uku vakawana kuti 50% yevakabvunzwa vaive nemarwadzo ekudzokera kumashure uye 36% vaive nemarwadzo emutsipa, nepo 46% yevakabvunzwa vakataura kuti vanga vachinwa mapiritsi ekunyaradza marwadzo kakawanda kupfuura zvavaizoda (Webber 2020). Muongororo imwecheteyo, 89% yeavo vanotambura nemusana, bendekete, kana kurwadziwa kwemutsipa nekuda kwenzvimbo yavo nyowani yekushanda vanga vasina kuudza wavanoshandira nezvazvo. Isu takaona mhedzisiro yeiyi yekuwedzera kunetseka uye kutambura chinyararire kune vanhu vakapunzika panyama uye nemanzwiro.

Isu tinopa maviri akasanganiswa makesi pazasi ayo ane maficha eakajairika maratidziro evarwere kuitira kujekesa kudyidzana kwekushushikana kwepfungwa uye kwemuviri kunoonekwa nevarwere vedu panguva yeCOVID-19 kukiya. Mune chimwe chiitiko, takarapa murwere uyo aifanira kubata chaiwo kirasi uye zvimwe zvinodiwa zvezuva nezuva zvevana vake apo achitambura kuchengetedza hunhu hwehunyanzvi mune basa rinorema nemisangano yeZoom inoenderera. Akagovana kuti ainzwa kuti ari kukundikana semubereki uye mukuenderana nebasa rake rebasa. Kushushikana kwake kwepamberi kwakawedzera uye hutano hwake hwakatambura nekurema kwake kuwedzera. Akagara kwemaawa akareba akatsikitsira pamberi pezvakawanda zvidzitiro nemapendekete akakomberedzwa uye kumberi kwemusoro mamiriro.

Pane humbowo hwekuti vanhu vanowedzera nguva vachishanda pakombuta, kana kutarisa nhare mbozha, vanotambura nehurombo zvisarudzo zvehutano nemhedzisiro (Vizcaino, Buman et al. 2020). Kunyangwe iyo COVID-19 denda isati yakamanikidza vazhinji vedu kuwedzera nguva yedu yekuvhara, tsvagiridzo yakaratidza kuti vanhu vakuru vazhinji vanopedza yakawanda kana yakawanda nguva vachitarisa pachiratidziro sezvavanorara (Hammond 2013).

Mapfudzi akakomberedzwa ane kumberi kwekumisikidzwa kwemusoro inzvimbo yekudzivirira iyo inodzokera kumashure-pamberi pekuvandudza kana kudzivirira huro yako yaive mhinduro yakakodzera kune vanonetsa vanounzwa nezvikara. Kumisikidza kurwa kana kubhururuka kwechirwere kwakatungamira madzitateguru edu kuita shanduko-pfupi yemuviri muchimiro chekukurumidza kufema, kuwedzera kurova kwemoyo, uye mamiriro akagadzirira musculoskeletal system. Munharaunda dzakasimukira umo kushushikana uye kushushikana kunowanzo kuve mugumisiro wekusimudzira, kusingazivikanwe kutyisidzira, mhinduro dzedu dzinove maladaptive uye dzinogona kusimudzira maronda syndromes nekuchinja kwekufema maitiro uye kuwandisa kwemhasuru kusagadzikana mumashure, mutsipa, nemapendekete.

Panyaya yemunhu uyu, ake pre-denda zviratidzo zvekurwadziwa kwemutsipa, kutemwa nemusoro, uye kurwadziwa kwesaya zvese zvakanyanyisa kuwedzera uye kuwedzera kushushikana kwepfungwa, zvichimukurudzira kutsvaga rubatsiro. Takasangana nekumwe kupindirana kwemhinduro iyi pahupamhi hwevanhu pavakasangana neruzivo rwechirwere uye neshanduko dzakamanikidza pahupenyu hwavo.

Yakakonzerwa nekumwe kusanganiswa kwekuwedzera nguva yechiratidziro, kusatsanangurwa-kwemaawa ebasa, kusarudzika munharaunda, uye kumanikidzwa kwemhuri, varwere vakataura vachinzwa kuti hutano hwavo hwadzikira, apo hosha yavo yakaenderera kusvika kune imwe nyika iyo yaityisidzira hupenyu hwavo pamwe nehupenyu. Muenzaniso mumwe usinganyanye kutaurwa wekuchinja kwenzanga kusingatarisirwi nekumanikidza kwemhuri kwakaitika nekubatanidzwazve kwevabereki nevana vevakuru vakadzokera kukotsekano yemhuri yemhuri pakavharirwa kukiya.

Isu takagovana murwere wechidiki akasiya imba yake achienda kunogara nevabereki vake. Akakurumidza kutsvaga telehealth zvikamu panguva yedenda nekuda kweizvo zvaive zvichikurumidza kuve zvichikanganisa musana, mutsipa, uye kurwadziwa kwepafudzi izvo zvaisadzorwa nekuwedzera kurwadziwa uye mishonga inorwisa-kupisa yakatemwa nachiremba wake.

Simba remhuri rinopa mamiriro ake ezvinhu raigara richiratidzwa panguva dzezvekurapa, sezvo akasimbirira kuti amai vake vazadzise basa revhidhiyo (vazhinji varwere vanobudirira mukugadzirisa kamera vakazvimiririra panguva dzese yekurapa), ndokuzotsiura amai vake yekubata kwake zvisina kunaka nharembozha. Sezvo kusangana kwavo kwakawedzera, kukakavara kwakakwira mumhasuru yake yepamusoro trapezius, mapfudzi ake akakwira akananga munzeve dzake, uye musoro wake, musana uye kurwadziwa kwemutsipa kwakakwira. Kuti agone kunyatso bata zvichemo zvake zvekumusana, mutsipa, uye bhanhire rekurwadziwa bhanhire aifanira kugadzirisa ese ergonomic setup kumba kwemubereki wake uye nemanzwiro ake kutenderera ari pamba naamai vake nababa.

Isu takaraira kurovedza muviri kuti atambanudzire mhasuru dzepectoral pamberi pechipfuva, kudzosa chirebvu chake kuti chigadzirise musana, uye kuita kufema kwakapfava sezvaaiita kuongorora muviri uye kuburitsa kusagadzikana kwemhasuru kusingadiwe. Akavandudza zvine mutsindo pamwe nechengetedzo yaakagamuchira, asi zororo rake rakakura rakauya paakadzokera kuimba yake uye nemararamiro akazvimiririra. Sezvineiwo, amai vake vakatsvaga mukati-mevanhu kuchengetedza mamiriro akafanana kumwanakomana wavo nekukurumidza apo izvo zvidzitiro zvekuvhara zvakasunungurwa.

Kana isu tikabvuma kushushikana sekuchinja muhupenyu hwedu huripo hunotimanikidza kuchinjika, tinogona kuona nyore nyore kuti isu tese takatarisana neshungu huru muna 2020 uye ticharamba tichisangana nevanonetsa muna 2021. Kana tikapindura nekusimba kana takatarisana nematambudziko tinogona kurarama nekushushikana-kunokonzera kushungurudzika uye kurwadziwa kwemhasuru. Kutsungirira zvakanaka kunogona kuitwa mukurumwa kudiki. Heano mamwe matipi.

Dr. Nomita Sonty ane marezinesi emakiriniki ezvepfungwa ari kuita kweanopfuura makore makumi maviri nemashanu aine hunyanzvi muPain Management uye Behaeveal Medicine. Iye Mubatanidzwa Purofesa weMedical Psychology muMadhipatimendi eAnesthesiology & Psychiatry kuColumbia University. Iye inhengo yedare repamberi yeiyo Internship Chirongwa muHutano Services Psychology uye iyo Pain Medicine Fellowship muDhipatimendi reAnesthesiology. Iye ndiye Administrative Director weColumbiaDoctors Pain Medicine. Tsvagiridzo yake irimo mune inoenderana pakati pekusimba, kurwara, uye kupora.

Moretti, A., Menna, F., Aulicino, M., Paoletta, M., Liguori, S., & Iolascon, G. (2020). Hunhu hweKushanda Kwehuwandu hweVanhu panguva yeCOVID-19 Dambudziko. International Zvinyorwa Zvekutsvagisa Kwemamiriro Evanhu uye Huzhinji Hutano, 17 (17), 6284. https://doi.org/10.3390/ijerph17176284

Vizcaino, M., Buman, M., DesRoches, T., & Wharton, C. (2020). Kubva pamaTV kusvika kumahwendefa: Hukama huripo pakati pechigadzirwa-chakatarwa nguva yechiratidziro uye maitiro ane hukama nehutano uye hunhu. BMC Veruzhinji Hutano, makumi maviri. https://doi.org/10.1186/s12889-020-09410-0

Webber, A. (2020). Kushanda kubva kumba: zvina muzvishanu zvinokura musculoskeletal kurwadziwa. Hutano pabasa & hutano. https://www.personneltoday.com/hr/working-from-home-four-in-five-develop-musculoskeletal-pain/