ืžื” ืขื•ืฉื” ื”ื›ื™ืจื•ืคืจืงื˜?

ืžื” ืฉืขื•ืฉื” ื”ื›ื™ืจื•ืคืจืงื˜ ื ืงืจื ื›ื™ื•ื•ืŸ ื›ื™ืจื•ืคืจืงื˜ื™

ื‘ืžืจื›ื– ืฉื™ื“ืจื” ื›ื™ื•ื•ืŸ ืขืžื•ื“ ื”ืฉื“ืจื” ื”ื•ื ืžื“ื•ื™ืง ื•ืขื“ื™ืŸ. ื”ื ืขื” ืžื”ื™ืจื” ื•ืžื“ื•ื™ืงืช ืฉืœ ื”ื—ื•ืœื™ื” ื ืขืฉื™ืช ื‘ื™ื“ ืื• ืข"ื™ ืžื›ืฉื•ืจ ืžื™ื•ื—ื“ ื•ื™ื™ื—ื•ื“ื™ ืœื ื•. ืžื˜ืจืช ื”ื›ื™ื•ื•ืŸ ื”ื›ื™ืจื•ืคืจืงื˜ื™ ื”ื•ื ืชื™ืงื•ืŸ ื•ื”ืกืจืช ืชืช ื ืงื™ืขื” ืฉื“ืจืชื™ (ืกื‘ืœื•ืงืกืฆื™ื”) ื”ืžืคืจื™ืข ืœืชืคืงื•ื“ ื•ืชืงืฉื•ืจืช ืžืขืจื›ืช ื”ืขืฆื‘ื™ื ื‘ื’ื•ืฃ. 


ืคืขื•ืœื” ื–ื• ืฉืœ ื”ื ืขืช ื—ื•ืœื™ื” ืื• ื™ื—ื™ื“ื” ืžื•ื˜ื•ืจื™ืช (ืฉืชื™ ื—ื•ืœื™ื•ืช ืžื—ื•ื‘ืจื•ืช) ืžืฉืคืจืช ื•ืžืชืงื ืช ืžืกืคืจ ื“ื‘ืจื™ื ื™ื—ื“ื™ื•:

  • ืฉื™ื—ื–ื•ืจ ืชื ื•ืขื” ืœื—ื•ืœื™ื•ืช ื”ืžืงื•ื‘ืขื•ืช ืื• ื”ื ืขื•ืœื•ืช.
  • ืฉื™ืคื•ืจ ื•ื”ื’ื“ืœืช ื˜ื•ื•ื—ื™ ืชื ื•ืขื” ืฉืœ ืžืคืจืงื™ ืขืžื•ื“ ื”ืฉื“ืจื”
  • ื”ืกืจืช ืœื—ืฆื™ื ืžื”ืžืขืจื›ืช ื”ืขืฆื‘ื™ืช.
  • ืฉื™ืคื•ืจ ืชืฉื“ื•ืจืช ื—ื™ื™ืฉื ื™ ื”ืชื ื•ืขื” ื”ืงื™ื™ืžื™ื ื‘ืจืงืžื•ืช ืกื‘ื™ื‘ ื—ื•ืœื™ื•ืช ืขืžื•ื“ ื”ืฉื“ืจื”
  • ื”ื—ื–ืจืช ื’ืžื™ืฉื•ืช ืœืจืฆื•ืขื•ืช ื”ืžืงืฉืจื•ืช.
  • ืฉื™ืคื•ืจ ืชื ื•ืขืช ื•ื’ืžื™ืฉื•ืช ื”ืฉืจื™ืจื™ื.
  • ืื™ื–ื•ืŸ ื˜ื•ืŸ ื”ืฉืจื™ืจื™ื.
  • ื”ืกืจืช ื”ืœื—ืฅ ืžืืคืฉืจ ืชืงืฉื•ืจืช ืขืฆื‘ื™ืช ื ื•ืจืžืœื™ืช ื‘ื™ืŸ ื”ืžื•ื— ืœื›ืœ ื—ืœืงื™ ื”ื’ื•ืฃ.
  • ื”ื—ื–ืจืช ื”ื’ื•ืฃ ืœืื™ื–ื•ืŸ ื•ื‘ืจื™ืื•ืช ืื•ืคื˜ื™ืžืœื™ื™ื.

ืื ืœื™ื–ื” ื•ื ื™ืชื•ื— ื”ื ืชื•ื ื™ื ื‘ืžืจืคืืชื™ ื”ื ื™ื™ื—ื•ื“ื™ื™ื ืœื˜ื›ื ื™ืงื•ืช ื‘ื”ื ืื ื™ ืžืฉืชืžืฉ. ื˜ื™ืคื•ืœ ื‘ืขื–ืจืช ืžื›ืฉื•ืจ ื™ื™ื—ื•ื“ื™ ื–ื” ืžืฉืคืจ ืืช ื“ื™ื•ืง ื›ื™ื•ื•ืŸ ื”ื—ื•ืœื™ื•ืช. 

ืื•ืคืŸ ื˜ื™ืคื•ืœ ื–ื” ืขื•ืžื“ ื‘ืจืžื” ืื—ืจืช ืœื’ืžืจื™ ื‘ื”ืฉื•ื•ืื” ืœืฉื™ื˜ื•ืช ื˜ื™ืคื•ืœ ื”ื›ื•ืœืœื•ืช ืžื ื™ืคื•ืœืฆื™ื•ืช, ืœื—ื™ืฆื•ืช, ืžืชื™ื—ื•ืช ื•ืคืจื™ืงื•ืช ืฉืœ ืžืคืจืงื™ ืขืžื•ื“ ื”ืฉื“ืจื”. 

ืื™ื ื™ ืžื‘ืฆืข ืžื ื™ืคื•ืœืฆื™ื•ืช ืฉืœ ืขืžื•ื“ ืฉื“ืจื” ื‘ืžืจืคืืชื™!


ื”ืื ื”ื›ื™ื•ื•ืŸ ื”ื›ื™ืจื•ืคืจืงื˜ื™ ื›ื•ืื‘?

ืœื. ื”ื›ื™ื•ื•ืŸ ื”ื›ื™ืจื•ืคืจืงื˜ื™ ืžืจื’ื™ืฉ ื ืคืœื. ืขื ื—ืœื•ืฃ ื”ืฉื ื™ื ืžืฆื‘ ืคื™ื–ื™ื•ืœื•ื’ื™ ืžื™ื“ืจื“ืจ ืžืชื—ืช ืœืคื ื™ ื”ืฉื˜ื— ื•ื›ืื‘ ืขืœื•ืœ ืœื”ื•ืคื™ืข. ื›ืื‘ ื–ื” ื ื•ื‘ืข ืžืžืชื— ืคื ื™ืžื™ ื‘ืื–ื•ืจ ืžืกื•ื™ื, ื›ืžื• ืคืฆื™ืขื” ืคื ื™ืžื™ืช. ื”ื›ืื‘ ืื™ื ื• ื ื•ื‘ืข ืžื”ื˜ื™ืคื•ืœ ืขืฆืžื•. ืื ืฉื™ื ื”ื—ื•ื•ื™ื ื›ื™ื•ื•ืŸ ื›ื™ืจื•ืคืจืงื˜ื™ ืžื“ื•ื™ืง ืžืฆืคื™ื ื‘ื›ื™ืœื™ื•ืŸ ืขื™ื ื™ื™ื ืœืคื’ื™ืฉื” ื”ื‘ืื”. ืžื˜ื•ืคืœื™ื ืœืจื•ื‘ ืžื“ื•ื•ื—ื™ื ืขืœ ืชื—ื•ืฉืช ื”ืจื•ื’ืข ื•ื”ื”ืงืœื” ืœืื—ืจ ื”ื˜ื™ืคื•ืœื™ื. ื›ืืฉืจ ื—ื•ืœื™ื•ืช ืขืžื•ื“ ื”ืฉื“ืจื” ื—ื•ื–ืจื•ืช ืœืžืงื•ืžืŸ ื•ื ืขื•ืช ื‘ืžืกืœื•ืœ ื”ืขื‘ื•ื“ื” ื”ื ื›ื•ืŸ ื‘ื˜ื•ื•ื—ื™ ืชื ื•ืขื” ืชืงื™ื ื™ื, ืชื—ื•ืฉืช ื”ื›ืื‘ ื“ื•ืขื›ืช ื•ื ืขืœืžืช ืขื ื”ื–ืžืŸ. ื”ืžื˜ื•ืคืœ ืžื‘ื—ื™ืŸ ื‘ื”ืจื‘ื” ืคื—ื•ืช ืžืชื—.


ื”ืื ื˜ื™ืคื•ืœ ื›ื™ืจื•ืคืจืงื˜ื™ ื‘ื˜ื•ื—?

ื›ืŸ. ืกื˜ื˜ื™ืกื˜ื™ืงื•ืช ืžื•ื›ื™ื—ื•ืช ืฉื˜ื™ืคื•ืœื™ ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ื”ื ืžื”ื‘ื˜ื•ื—ื™ื ื‘ื™ื•ืชืจ ื‘ืžื™ื’ื•ื•ืŸ ืฉื™ืจื•ืชื™ ื”ื‘ืจื™ืื•ืช ื‘ืขื•ืœื. ื‘ื›ื“ื™ ืœื‘ื—ื•ืŸ ื‘ื˜ื™ื—ื•ืช ืžืกืคื™ืงื” ื”ืฉื•ื•ืืช ืขืœื•ื™ื•ืช ื”ืžืฉื•ืœืžื•ืช ืขื‘ื•ืจ ื‘ื™ื˜ื•ื— ืžืงืฆื•ืขื™ ื‘ืชื—ื•ืžื™ ื”ืจืคื•ืื” ืœืืœื• ื”ืžืฉื•ืœืžื•ืช ืขืœ ื™ื“ื™ ื›ื™ืจื•ืคืจืงื˜ื•ืจื™ื. ื”ื“ื•ืงื˜ื•ืจ ืœื›ื™ืจื•ืคืจืงื˜ื™ืงื” ืžืฉืœื ืจืง ืกื›ื•ื ื–ืขื™ืจ (ื‘ืขืจืš 1/20) ืžื”ืกื›ื•ื ื”ืžืฉื•ืœื ืข"ื™ ื”ืจื•ืคืื™ื ื”ืงื•ื ื‘ื ืฆื™ื•ื ืœื™ื ื‘ื‘ื™ื˜ื•ื—ื™ ืจืฉืœื ื•ืช ืจืคื•ืื™ืช. ื‘ืืจื”"ื‘ ื™ื•ืชืจ ืž- 250,000 ืื ืฉื™ื ื™ืžื•ืชื• ื”ืฉื ื” ื›ืชื•ืฆืื” ืžื˜ืขื•ื™ื•ืช ืจืคื•ืื™ื•ืช. ื–ื”ื• ื”ื’ื•ืจื ื”ืฉืœื™ืฉื™ ื”ืื—ืจืื™ ืœืžื•ื•ืช ื‘ืืจืฆื•ืช ื”ื‘ืจื™ืช ืฉืœ ืืžืจื™ืงื” ืื—ืจื™ ืžื—ืœื•ืช ืœื‘ ื•ืกืจื˜ืŸ. ( ื”ืžื’ื–ื™ืŸ ืฉืœ ื”ืื’ื•ื“ื” ื”ืจืคื•ืื™ืช ื”ืืžืจื™ืงืื™ืช, JAMA, VOL.284, ื™ื•ืœื™ ,26 2000 ) (ืžื—ืงืจ ืžื”ืžืจื›ื– ื”ืจืคื•ืื™ ืข"ืฉ ื’'ื•ืŸ ื”ื•ืคืงื™ื ืก, ืืจื”"ื‘. ื“"ืจ ืžืจื˜ื™ืŸ ืžืงืืจื™, ืžื ืชื—. ื“ื•ื•ื— ื‘ื ืฉื™ื•ื ืœ ืคื‘ืœื™ืง ืจื“ื™ื•, 3-5-2016). ืžืžื™ืœื™ื•ื ื™ ื”ืื ืฉื™ื ื”ืžืงื‘ืœื™ื ื˜ื™ืคื•ืœื™ ื›ื™ืจื•ืคืจืงื˜ื™ืงื”, ื›ืœ ืฉื ื”, ืจืง ืžืขื˜ื™ื ื™ื’ื™ืฉื• ืชืœื•ื ื” ื›ืœืฉื”ื™.


ื”ืื ืžื™ ืฉืžื˜ื•ืคืœ ื‘ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ื—ื™ื™ื‘ ืœืขืฉื•ืช ื–ืืช ื›ืœ ื—ื™ื™ื•?

ืœื.  ื›ืžื” ืชื•ืขืœืช ืืชื ืžืขื•ื ื™ื™ื ื™ื ืœื”ืคื™ืง ืžื˜ื™ืคื•ืœื™ ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ืชืœื•ื™ ืœื—ืœื•ื˜ื™ืŸ ื‘ื›ื. ื›ืœ ืื—ื“ ืžืื™ืชื ื• ืื—ืจืื™ ืœื‘ื“ื• ืœื‘ืจื™ืื•ืชื• ื•ืื™ื›ื•ืช ื—ื™ื™ื•. ื™ืฉ ืื ืฉื™ื ื”ืžืขื•ื ื™ื™ื ื™ื ืจืง ื‘ื”ืงืœื” ื‘ื›ืื‘. ื™ืฉ ื›ืืœื• ื”ืจื•ืฆื™ื ืœืฉื ื•ืช ืืช ื—ื™ื™ื”ื ืœืื•ืจื— ื—ื™ื™ื ื‘ืจื™ื, ื—ื™ื•ื ื™, ืคืจื•ื“ื•ืงื˜ื™ื‘ื™ ื•ืžืœื ืื ืจื’ื™ื”. ืื ื™ ืžืžืœื™ืฅ ื‘ื—ื•ื ืœื—ื‘ืจื™ื ื‘ืžืจืคืืชื ื• ืœืฉืงื•ืœ ื•ืœืฉืœื‘ ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ื›ื—ืœืง ื‘ืœืชื™ ื ืคืจื“ ืžืื•ืจื— ื—ื™ื™ื ื‘ืจื™ื! ืชื—ื–ื•ืงืช ื”ื’ื•ืฃ ื‘ืื•ืคืŸ ืฉื•ื˜ืฃ ื”ื™ื ืืžืฆืขื™ ื”ืžื ื™ืขื” ื”ื™ืขื™ืœ ื‘ื™ื•ืชืจ ื”ืžืงื ื” ืœื’ื•ืฃ ื—ื•ืกืŸ ื•ื‘ืจื™ืื•ืช ืื•ืคื˜ื™ืžืœื™ื™ื. ื–ื•ื”ื™ ืชื•ืขืœืช ืœื˜ื•ื•ื— ืืจื•ืš ืžืžื ื” ื ื”ื ื™ื ื”ืžื˜ื•ืคืœื™ื. ืคืขื™ืœื•ืช ื’ื•ืคื ื™ืช ื•ื”ืจื’ืœื™ ืชื–ื•ื ื” ื ื›ื•ื ื™ื ื”ื ื”ื—ืœื˜ื” ืฉืœ ืกื’ื ื•ืŸ ื—ื™ื™ื ื•ื›ืš ื’ื ื˜ื™ืคื•ืœื™ ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ืกื“ื™ืจื™ื ืœืฉืžื™ืจืช ื‘ืจื™ืื•ืช ื”ื’ื•ืฃ. ืื ื• ืฆืจื™ื›ื™ื ืœื”ืฉืืจ ื—ื•ืคืฉื™ื™ื ืžืชืช ื ืงื™ืขื” ืฉื™ื“ืจืชื™ ืœืื•ืจืš ื›ืœ ื—ื™ื™ื ื•.


ืžื“ื•ืข ืฆืจื™ืš ืœื”ืžืฉื™ืš ื‘ื˜ื™ืคื•ืœื™ ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ื’ื ื›ืฉืื™ืŸ ืœื™ ื›ืœ ืกื™ืžืคื˜ื•ืžื™ื ื•ืื ื™ ืžืจื’ื™ืฉ ื™ื•ืชืจ ื˜ื•ื‘?

ื›ืฉืกื™ืžืคื˜ื•ืžื™ื ื ืขืœืžื™ื, ื–ื” ืœื ืื•ืžืจ ืฉืกื‘ืœื•ืงืกืฆื™ื•ืช ืžืชื•ืงื ื•ืช ืœื’ืžืจื™. ืจื•ื‘ ื”ืžื˜ื•ืคืœื™ื ืžืขืœ ื’ื™ืœ 20 ืฉืจืื™ืชื™ ื‘ืจื‘ื•ืช ื”ืฉื ื™ื ื”ืฆื™ื’ื• ื‘ื”ื“ืžื™ื” (ืจื ื˜ื’ืŸ, ืกื™.ื˜ื™. ืื• MRI) ื ื™ื•ื•ืŸ ื•ืฉื—ื™ืงื” ืฉืœ ืขืžื•ื“ ื”ืฉื“ืจื” ืฉืœืงื— ืœื”ื ืฉื ื™ื ืœื”ืชืคืชื—. ื”ืœื™ืš ืœื™ื“ื” ืงืฉื”, ื”ื—ืœืงื•ืช, ื ืคื™ืœื•ืช, ืชืื•ื ื•ืช ื•ืœื—ืฆื™ื ืื—ืจื™ื ื‘ืžืฉืš ืžื”ืœืš ื”ื—ื™ื™ื ืžืคืขื™ืœื™ื ืขื•ืžืกื™ื ื•ืžืฉืคื™ืขื™ื ืœืจืขื” ืขืœ ื‘ืจื™ืื•ืช ืขืžื•ื“ ื”ืฉื“ืจื”. ื–ื” ื‘ื ืœื™ื“ื™ ื‘ื™ื˜ื•ื™ ื‘ืฉื™ื‘ื•ืฉ ืชืงืฉื•ืจืช ืขืฆื‘ื™ืช, ืฉื™ื ื•ื™ ื˜ื•ื ื•ืก ืฉืจื™ืจื™ื, ืฉื™ื ื•ื™ ืžื‘ื ื” ืขืžื•ื“ ื”ืฉื“ืจื”, ื™ืจื™ื“ื” ื‘ื˜ื•ื•ื—ื™ ืชื ื•ืขื”, ื—ื•ืกืจ ืื™ื–ื•ืŸ ื•ื—ืœื•ืงืช ืžืฉืงืœ ื‘ืœืชื™ ืฉื•ื•ื” ืขืœ ื”ืžื‘ื ื”. ื›ื›ืœ ืฉืื ื• ืžื—ื›ื™ื ื™ื•ืชืจ ื–ืžืŸ ืœื‘ื“ื•ืง ืืช ืขืžื•ื“ ื”ืฉื“ืจื” ืข"ื™ ื›ื™ืจื•ืคืจืงื˜, ืชื™ืงื•ืŸ ืกื‘ืœื•ืงืกืฆื™ื•ืช (ืชืช ื ืงื™ืขื” ืฉื“ืจืชื™) ืื•ืจืš ื™ื•ืชืจ ื–ืžืŸ. ืœืขื™ืชื™ื ืงืจื•ื‘ื•ืช ื™ืฉ ื”ืงืœื” ื‘ืกื™ืžืคื˜ื•ืžื™ื ื›ื‘ืจ ื‘ืชื—ื™ืœืช ืชื”ืœื™ืš ื”ืชื™ืงื•ืŸ. ืขื ื–ืืช ื‘ืจื•ืจ ืœื—ืœื•ื˜ื™ืŸ ืฉื‘ืขื™ื” ืฉื”ืชื”ื•ื•ืชื” ื‘ืžืฉืš ืฉื ื™ื ืจื‘ื•ืช ืื™ื ื” ื™ื›ื•ืœื” ืœื”ื™ืคืชืจ ื‘ื–ืžืŸ ืงืฆืจ. ื”ื—ืœืžื” ืืžืชื™ืช ื•ืฉื™ืงื•ื ืชืคืงื•ื“ ืื•ืคื˜ื™ืžืœื™ื™ื ืื•ืจื›ื™ื ื–ืžืŸ!!! ืงื™ื™ืžืช ื”ื‘ื ื” ืฉื™ืฉ ืฉื™ื ื•ื™ื™ื ืฉืœื ื ื™ืชืŸ ืœืชืงืŸ ืœื—ืœื•ื˜ื™ืŸ ื•ื’ื ืขื ื”ืจื’ืฉื” ื˜ื•ื‘ื” ืขืงื‘ ื”ืฉื™ืคื•ืจ ื”ื’ื•ืฃ ื–ืงื•ืง ืœืชื—ื–ื•ืงื” ืจืฆื™ืคื” ื›ืœ ื”ืฉื ื™ื ื›ื“ื™ ืœืชืคืงื“ ื‘ืื•ืคืŸ ืื•ืคื˜ื™ืžืœื™. ืื™ืš ืชื‘ื—ืจื• ืœื—ื•ื•ืช ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ืชืœื•ื™ ืจืง ื‘ื›ื . ืžื ื™ืกื™ื•ื ื™ ืœืžื“ืชื™ ืฉืžื˜ื•ืคืœื™ื ื”ืžืคืกื™ืงื™ื ื˜ื™ืคื•ืœ ืžื•ืงื“ื ืžื™ื“ื™ ื›ืฉื "ืžืจื’ื™ืฉื™ื ื˜ื•ื‘" ื—ื•ื–ืจื™ื ืขื ืื•ืชืŸ ื‘ืขื™ื•ืช ื‘ืจื™ืื•ืช ืžืืชื’ืจื•ืช ืฉื”ื‘ื™ืื• ืื•ืชื ืœืžืจืคืืชื™ ื‘ืจืืฉื•ื ื”, ืืœื ืฉื”ืคืขื ืžืฆื‘ื ื’ืจื•ืข ื™ื•ืชืจ. ืžืฆื“ ืฉื ื™, ืื ืฉื™ื ื”ืžื—ื•ื™ื™ื‘ื™ื ืœื“ืื•ื’ ืœื‘ืจื™ืื•ืชื ืœื˜ื•ื•ื— ืืจื•ืš ื‘ืขื–ืจืช ื›ื™ืจื•ืคืจืงื˜ื™ืงื”, ืžื•ืฆืื™ื ืฉื‘ืขื™ื•ืช ื‘ืจื™ืื•ืช ืžืฆื™ืงื•ืช ืจืง ืœืขื™ืชื™ื ืจื—ื•ืงื•ืช ื•ื”ื ื ื”ื ื™ื ืžืื™ื›ื•ืช ื—ื™ื™ื ื’ื‘ื•ื”ื” ื•ื‘ืจื™ืื•ืช ืื•ืคื˜ื™ืžืœื™ืช.


ื›ื™ืจื•ืคืจืงื˜ื™ืงื” ืžื™ืœื“ื•ืช ืœื‘ื’ืจื•ืช ื”ื™ื ื—ืœืง ื‘ืœืชื™ ื ืคืจื“ ืžืื•ืจื— ื—ื™ื™ื ื‘ืจื™ื ื•ืžืœื ื—ื™ื•ื ื™ื•ืช.