Le kurapa kubata inzira inorangarira tsika yekare yekuturika maoko, zvisinei nechitendero. Zvichida iyi ndeimwe yeiyisimba rinosvika yakanyanya kudzidzwa nesainzi uye yakanyorwa. Zvidzidzo zvakasiyana-siyana zvinowanzoratidza kushanda kwayo mukuderedza kushushikana, kurwadziwa, uye postoperative side effects uye chemotherapy, somuenzaniso.

Iyo nzira inobvumidzwawo nemasangano mazhinji evanesi kusanganisira Order of Nurses of Quebec (OIIQ), Vanamukoti veOrder of Victoria (VON Canada) uye American Nurses Association. Inoshandiswa mune zvakawanda zvipatara uye akadzidziswa mumayunivhesiti uye makoreji anopfuura zana, munyika makumi manomwe neshanu pasirese¹.

Pasinei nezita rayo, the kurapa kubata haiwanzobatanidzi kubata kwakananga. Murapi anowanzochengeta maoko ake anenge masendimita gumi kubva pamuviri wemurwere anoramba akapfeka. Chirongwa chekubata chekurapa chinotora maminetsi gumi kusvika makumi matatu uye chinowanzoitika mumatanho mashanu:

• Murapi anozviisa mukati.
• Achishandisa maoko ake, anoongorora mamiriro enzvimbo yesimba remugamuchiri.
• Inotsvaira nekufamba kukuru kwemaoko kubvisa kuzara kwesimba.
• Inowiriranisa zvakare simba remunda nekuburitsa pfungwa, manzwi kana mavara mairi.
• Pakupedzisira, inoongorora zvakare kunaka kwenzvimbo yesimba.

Varapi vekurapa kubata vanotsanangura kuti muviri, pfungwa uye manzwiro chikamu che simba munda yakaoma uye ine simba, yakananga kumunhu wega wega, izvo zvingave quantum muzvisikwa. Kana munda uyu urimo harmonyhutano; kukanganiswa chirwere.

Kubata kwekurapa kwaizobvumira, nekuda kwea kutamisa simba, rebalance munda wesimba uye kusimudzira hutano. Maererano ne vatsoropodzi yenzira, kuvapo chaiko kwe "simba remunda" hakuna kumbobvira kwave kuratidzwa nesainzi uye mabhenefiti ekubata kwekurapa anofanirwa kuverengerwa kune mhinduro. mupfungwa zvakanaka kana mugumisiro Kurapa kunonyaradza pfungwa².

Kuwedzera kune gakava, maererano neve theorists of therapeutic touch, chimwe chezvinhu zvakakosha zvekurapa kubata kurapwa kungave kunaka kwe. centration, ofchinangwa uye tsitsi wemukurukuri; izvo, zvinofanirwa kubvumwa, hazvisi nyore kuongorora kiriniki ...

Le kurapa kubata yakagadzirwa mukutanga kwema1970 ne“n’anga,” Dora Kunz, naDolores Krieger, Ph.D., mukoti uye purofesa paYunivhesiti yeNew York. Vakashanda pamwe nevarapi vane hunyanzvi hweallergy uye immunology, neuropsychiatry pamwe nevaongorori, kusanganisira Montreal biochemist Bernard Grad weAllen Memorial Institute paMcGill University. Iyi yakaita zvidzidzo zvakawanda pamusoro pekugadzirisa kwaigona kubudiswa nevarapi, kunyanya pabhakitiriya, mbiriso, mbeva nemakonzo emurabhoritari.^3,4.

Payakatanga kusikwa, kubata kwekurapa kwakakurumidza kuve kwakakurumbira nemanesi nekuda kwavo udza mashoko vane ropafadzo nevanhu vanotambura, ruzivo rwavo rwe miviri vanhu nezvavo tsitsi natural. Kubva ipapo, pamwe nekuda kwekureruka kwayo kukuru (unogona kudzidza hunyanzvi hwekuita mumazuva matatu), kubata kwekurapa kwakapararira muhuwandu hwevanhu. Muna 3, Dolores Krieger akatanga Nurse Healers - Professional Associates International (NH-PAI)⁵ izvo zvichiri kutonga kuita nhasi.

Miedzo yakawanda yemakiriniki yakaongororwa yakaongorora migumisiro ye kurapa kubata panyaya dzakasiyana. Meta-analyzes maviri, yakabudiswa muna 1999^6,7, uye akati wandei akarongeka wongororo^8-12 , yakabudiswa kusvika 2009, yapera kugona kuita. Zvisinei, vanyori vezvizhinji zvekutsvakurudza vanosimbisa zvakasiyana-siyana anomalies methodological, zvidzidzo zvishomanana zvakanyatsodzorwa zvakadhindwa uye kuoma mukutsanangura kushanda kwekubata kwekurapa. Vanogumisa kuti hazvigoneke panguva ino yetsvakurudzo kusimbisa nechokwadi chipi nechipi kushanda kwekurapa kwekubata uye kuti mimwe miedzo inonyatsodzorwa ingadiwa.

 Deredza kunetseka. Nekudzoreredza minda yesimba uye nekukurudzira mamiriro ekuzorora, kubata kwekurapa kunogona kubatsira kupa kunzwa kwekugara zvakanaka nekuderedza kufunganya.^13,14. Mhedzisiro yezviyero zvekiriniki zvakaverengeka zvakaratidza kuti, zvichienzaniswa neboka rinodzora kana boka re placebo, kurapa kwekubata misangano kwakabudirira mukuderedza kusagadzikana muvakadzi vane pamuviri. addicts¹⁵, vakwegura vane zvikoro¹⁶, varwere psychiatrized¹⁷, hombe akapiswa¹⁸, kubva kuvarwere kusvika kutarisira zvakanyanya¹⁹ nevana vane HIV²⁰.

Kune rumwe rutivi, hapana chinobatsira chakaonekwa mune imwe randomized kliniki yekuongorora kuongorora kushanda kwekurapa kubata mukuderedza marwadzo nekuzvidya mwoyo muvakadzi vanofanira kuitika. biopsy iwe zamu²¹.

Miedzo miviri isina kurongeka yakaongororawo mhedzisiro ye kurapa kubata muzvidzidzo zvine hutano. Maedzo aya anoratidza zvabuda inopesana. Migumisiro yekutanga²² inoratidza kuti kurapa kubata-bata ne40 nyanzvi dzehutano uye vadzidzi hazvina kuita zvakanaka panekufunganya mukupindura panguva inoshungurudza (bvunzo, mharidzo yemuromo, nezvimwewo) zvichienzaniswa neboka rinodzora. Nekudaro, saizi diki yemuyedzo iyi inogona kunge yakadzikisa mukana wekuona yakakosha mhedzisiro yekurapa kubata. Sezvineiwo, mhedzisiro yebvunzo yechipiri²³ (41 vakadzi vane hutano vane makore 30 kusvika ku64) vanoratidza maitiro akanaka. Kuenzaniswa neboka rekutonga, vakadzi vari muboka rekuedza vaive nekuderera kwekufunganya uye kukakavara.

 Kuvandudza kugara zvakanaka kwevanhu vane gomarara. Muna 2008, varwere makumi mapfumbamwe vakaiswa muchipatara kuti varapwe chemotherapy yakagamuchirwa, kwemazuva mashanu, kurapwa kwemazuva ese kwekurapa kubata²⁴. Vakadzi vakapatsanurwa zvisina tsarukano mumapoka matatu: kubata kwekurapa, placebo (kutevedzera kubata) uye boka rekutonga (kupindira kwakajairika). Zvigumisiro zvakaratidza kuti kubata kwekurapa kwakashandiswa muboka rekuedza kwakanyatsoshanda mukuderedza marwadzo uye kuneta zvichienzaniswa nemamwe mapoka maviri.

Chiyedzo cheboka rekutonga chakabudiswa muna 1998 chakaongorora mhedzisiro ye kurapa kubata muzvidzidzo zve20 vane makore 38 kusvika 68 vane chirwere chegomarara²⁵. Mhedzisiro yacho inoratidza kuti kurapa kunobata kupindira kunogara 15 kusvika 20 maminetsi anopihwa kwemazuva mana akateedzana akakonzera kuvandudzwa kwekunzwa kwe hupenyu hwakanaka. Munguva iyi, varwere vari muboka rekutonga vakacherechedza kuderedzwa kwehupenyu hwavo.

Mumwe muyedzo wakasarudzika wakafananidza mhedzisiro yekurapa kubata uye Swedish masaja panguva yepfupa yekuchinjisa maitiro mu88 zvidzidzo zvine kenza²⁶. Varwere vakagamuchira kurapa kubata kana masaja maseji ega ega mazuva matatu kubva pakutanga kusvika kumagumo ekurapa kwavo. Zvidzidzo zviri muboka rokudzora zvakashanyirwa nomuzvipiri kuti vatore rutivi mukurukurirano youshamwari. Varwere vari mukurapa kubata uye mapoka emasaji vakashuma a nyaradzo yepamusoro panguva yekusimwa, zvichienzaniswa neavo vari muboka rekutonga. Zvisinei, hapana misiyano yakaonekwa pakati pemapoka e3 maererano nezvinetso zvepashure.

 Bvisa marwadzo ane chekuita nekuvhiyiwa kana kurapwa kunorwadza muvarwere vari muchipatara. Nekuita kuti munhu anzwe kunyaradzwa uye kuzorora, kubata kwekurapa kunogona kuve kupindira kunopindirana kune kwakajairika kurapwa kwemishonga kudzora marwadzo evarwere vari muchipatara.^27,28. Muedzo wakanyatsodzorwa zvisina tsarukano wakaburitswa muna 1993 wakapa imwe yekutanga nhanho dzemabhenefiti ekubata kwekurapa munzvimbo ino.²⁹. Muedzo uyu waisanganisira varwere 108 vakanga vaitwa sejari kuvhiyiwa kukuru kwedumbu kana pelvic. Kuderedzwa kwe postoperative kurwadziwa yakaonekwa kune varwere mu "therapeutic touch" (13%) uye "standard analgesic treatment" (42%) mapoka, asi hapana kuchinja kwakaonekwa kune varwere vari muboka re placebo. Mukuwedzera, zvigumisiro zvakaratidza kuti kubata kwekurapa kwakawedzera nguva yenguva pakati pemishonga yeanalgesics yakakumbirwa nevarwere kana ichienzaniswa neavo vari muboka re placebo.

Muna 2008, chidzidzo chakaongorora kubata kwekurapa muvarwere vari kutanga kekutanga. kupfuurira coronary³⁰. Zvidzidzo zvakapatsanurwa kuita mapoka matatu: kubata kwekurapa, kushanya kwehushamwari uye kutarisirwa kwakajairwa. Varwere vari muboka rekurapa vakaratidza kuderera kwekushushikana uye kupfupika kwekugara muchipatara pane avo mune mamwe mapoka e3. Kune rumwe rutivi, hapana misiyano yakakura mukushandiswa kwezvinodhaka kana chiitiko chemwoyo rhythm dambudziko mushure mekuvhiyiwa kwakaonekwa.

Mhedzisiro yeimwe randomized muyedzo we99 kutsva kukuru varwere muchipatara vakaratidza kuti, zvichienzaniswa neboka re placebo, kurapa kwekubata zvikamu kwakabudirira mukuderedza iyo marwadzo¹⁸. Zvisinei, hapana kusiyana kwakaonekwa pakati pemapoka e2 maererano nekushandisa zvinodhaka.

Izvi zvinoguma hazvitibvumiri kuti tikurudzire kushandiswa kwekurapa kubata chete kuti kuderedze kurwadziwa kwepashure. Asi ivo vanoratidza kuti mukubatana nekutarisirwa kwakajairwa, zvinogona kubatsira kuderedza marwadzo kana kuderedza kutora zvinodhaka. Pharmaceuticals.

 Bvisa marwadzo ane arthritis uye osteoarthritis. Miedzo miviri yekiriniki yakaongorora migumisiro ye kurapa kubata pamusoro pemarwadzo anonzwisiswa nevanotambura nearthritis uye osteoarthritis. Mune yekutanga, inosanganisira vanhu makumi matatu nevaviri vane osteoarthritis yemabvi, kuderedzwa kwechiyero chemarwadzo kwakaonekwa mune zvidzidzo muboka rekurapa rekubata zvichienzaniswa nezvidzidzo zviri mu placebo uye mapoka ekudzora.³¹. Mune imwe muedzo, mhedzisiro yekurapa kubata uye kufambira mberi kwemhasuru kuzorora kwakaongororwa muzvidzidzo zve82 zvine degenerative arthritis.³². Kunyange zvazvo mishonga miviri yakakonzera kuderera kwemarwadzo, kuderera uku kwaive kwakakura munyaya yekufambira mberi kwekuzorora kwemhasuru, zvichiratidza kushanda kukuru kweiyi nzira.

 Deredza zviratidzo muvarwere vane dementia sechirwere cheAlzheimer. Chiyedzo chidiki apo chidzidzo chega chega chaive chekutonga kwavo, chakaitwa nevanhu gumi vane makore makumi manomwe nenomwe kusvika makumi masere nemana vane chirwere cheAlzheimer's chiri pakati nepakati.³³ rakabudiswa muna 2002. Vadzidzi vakagamuchira 5-7 maminetsi ekurapa kubata kurapwa, ka2 pazuva, kwemazuva matatu. Zvigumisiro zvinoratidza kuderera kwemamiriro ekushungurudzika zvidzidzo, kusagadzikana kwemaitiro kunoonekwa panguva dementia.

Imwe muedzo wakasarudzika, unosanganisira 3 mapoka (kurapa kubata 30 maminetsi pazuva kwemazuva 5, placebo uye mwero kutarisirwa), yakaitwa pa51 zvidzidzo zvine makore anopfuura makumi matanhatu nechirwere cheAlzheimer uye kutambura nezviratidzo zvehunhu. senile dementia³⁴. Mhedzisiro yacho inoratidza kuti kubata kwekurapa kwakakonzera kuderera kweasina hutsinye maitiro ezviratidzo zvedementia, zvichienzaniswa ne placebo uye kuchengetwa kwakajairwa. Zvisinei, hapana mutsauko wakaonekwa pakati pemapoka e3 maererano nechisimba chemuviri uye kushungurudzwa kwemashoko. Muna 2009, mhedzisiro yeimwe ongororo yakatsigira zvakawanikwa izvi nekupa zano kuti kubata kwekurapa kunogona kushanda mukugadzirisa zviratidzo senge.kushungurudzika nekushushikana³⁵.

 Kuderedza kurwadziwa kwemusoro. Imwe chete yekiriniki yekuedzwa inoongorora zviratidzo zvemusoro yakaburitswa^36,37. Uyu muyedzo wakasarudzika, unosanganisira 60 zvidzidzo zvine makore 18 kusvika 59 makore uye kutambura kubva kukanganiswa musoro musoro, akaenzanisa mhedzisiro yechikamu che kurapa kubata kumusangano we placebo. Marwadzo akaderedzwa chete mune zvidzidzo muboka rekuedza. Mukuwedzera, kuderedzwa uku kwakachengetwa kwemaawa mana anotevera.

 Kurumidza kupora maronda. Therapeutic touch yakashandiswa kwemakore akati wandei kubatsira mukurapa kwe maronda, asi zvidzidzo zvishomanana zvakanyatsodzorwa zvakaitwa. Ongororo yakarongeka yakabudiswa muna 2004 yakasimbisa 4 randomized kiriniki miedzo, zvese nemunyori mumwechete, panyaya iyi.³⁸. Iyi miedzo, kusanganisira yakazara yezvidzidzo zve121, yakashuma zvinopesana. Miedzo miviri yakaratidza mhedzisiro yekufarira kurapwa, asi imwe 2 yakapa zvakapesana. Vanyori vekubatanidza saka vakagumisa kuti hapana humbowo hwesainzi hwechokwadi hwekubudirira kwekubata kwekurapa pakurapa maronda.

 Batsira pakurapa kweanemia. Muyedzo wekiriniki imwechete chete wakaburitswa pane iyi nyaya (muna 2006)³⁹. Muchiyedzo ichi, chinosanganisira vadzidzi ve92 vane anemia, zvidzidzo zvakakamurwa kuita mapoka e3: kubata kwekurapa (3 nguva 15 kusvika 20 maminetsi pazuva, 3 mazuva akaparadzana), placebo kana kusapindira. Zvabuda zvinoratidza kukwira kwemitengo yehemoglobin uye hematocrit zvakanyanya muzvidzidzo zveboka rekuedza sezviri muboka re placebo, kusiyana neboka rinodzora. Zvisinei, kuwedzera kwemazinga ehemoglobin kwaive kwakakura muboka rekurapa rekubata kupfuura muboka re placebo. Izvi zvekutanga mhedzisiro zvinoratidza kuti kubata kwekurapa kunogona kushandiswa mukurapa kupererwa neropa, asi zvimwe zvidzidzo zvinofanirwa kusimbisa izvi.

 Bvisa kurwadziwa kusingaperi. Chidzidzo chemutyairi chakabudiswa muna 2002 chakaenzanisa migumisiro yekuwedzera kurapa kwekubata kupindira kune cognitive behavioral therapy inotarisirwa kuderedza marwadzo muzvidzidzo zve12 nekurwadziwa kusingaperi.⁴⁰. Kunyangwe zvekutanga, zviwanikwa izvi zvinoratidza kuti kubata kwekurapa kunogona kuvandudza kushanda kwemaitiro ekurapa. rudekaro kuderedza kurwadziwa kusingaperi.

 Batsira kubvisa zviratidzo zve fibromyalgia. Chidzidzo chemutyairi chinodzorwa chakabudiswa muna 2004, chinosanganisira zvidzidzo gumi neshanu, chakaongorora maitiro ekurapa kubata.⁴¹ pane zviratidzo zve fibromyalgia. Vadzidzi vakagamuchira kurapwa kwekubata bata vakashuma kuvandudzwa mukati marwadzo kunzwa uye hupenyu hwehupenyu. Zvisinei, kuvandudzwa kwakaenzaniswa kwakashumwa nezvidzidzo muboka rekutonga. Mimwe bvunzo saka ichadikanwa kuitira kuti ugone kuongorora kunyatsoshanda kwemaitiro.

Le kurapa kubata inoitwa zvakanyanya nevanamukoti muzvipatara, nzvimbo dzekugara kwenguva refu, nzvimbo dzekudzorera uye nzvimbo dzekugara dzevakuru. vamwe varapi vanopawo sevhisi mukati purogiramu yega.

Chikamu chinowanzotora kubva paawa imwe kusvika paawa imwe nehafu. Munguva iyi, iyo chaiyo yekurapa kubata haifanirwe kugara inopfuura maminitsi makumi maviri. Inowanzo kuteverwa nenguva yekuzorora uye kubatanidzwa kwemaminetsi makumi maviri.

Kurapa zvirwere zviri nyore, zvakadai sekurwadziwa kwemusoro, kazhinji musangano mumwe wakakwana. Kune rumwe rutivi, kana iri mubvunzo wemamiriro ezvinhu akaoma, akadai sekurwadziwa kusingaperi, zvichave zvakakosha kuronga mishonga yakawanda.

Iko hakuna kurongeka certification yevatori vechikamu mune kurapa kubata. Mukoti Vanoporesa - Professional Associates International vakagadzira Mitemo kudzidziswa uye kuita, asi ziva kuti kudzidzira kunoenderana nekuzvibata uye hazvigoneke kuongorora "zvine chinangwa". Zvinokurudzirwa kusarudza mushandi anoshandisa nzira yacho nguva dzose (kanenge kaviri pavhiki) uye ane makore anopfuura maviri echiitiko pasi pekutariswa kwechipangamazano. Pakupedzisira, kubva tsitsi uye kuda kuporesa inoita senge ichiita basa rekutarisa mukurapa kubata, zvakakosha kwazvo kusarudza murapi waunonzwa naye muhukama uye zvizere. shamwari yekutenga.

Kudzidza maitiro ekutanga e kurapa kubata inowanzoitwa mumazuva matatu emaawa masere. Vamwe varairidzi vanoti kudzidziswa uku hakuna kukwana zvakakwana uye panzvimbo pezvo vanopa mavhiki matatu.

Kuva nyanzvi yezvenyanzvi, unogona kuzotora chikamu mumashopu akasiyana siyana ekuvandudza nyanzvi uye kudzidzira pasi pekutariswa kwemuperekedzi. Masangano akasiyana akadai saNurse Healers - Professional Associates International kana Therapeutic Touch Network yeOntario inobvumidza makosi ekudzidzisa anotungamira kumazita e. Mushandi Anokwanisa or Recognized Practitioner, Semuyenzaniso. Asi ingave ichizivikanwa kana kwete, iwe pachako simbisa kunaka kwekudzidziswa. Tarisa kuti chiiruzivo varairidzi chaivo, sevashandi pamwe chete nevadzidzisi, uye musazeza kukumbira Zvinyorwa.

West Andree. Therapeutic touch - Tora chikamu mukupora kwechisikigo, Zvinyorwa du Roseau, 2001.

Nhungamiro yakazara kwazvo yakanyorwa nemoyo uye nechido. Theoretical nheyo, conceptual framework, mamiriro ekutsvagisa, matekiniki uye ndima dzekushandisa, zvese zviripo.

Mugadziri wekurapa kubata akanyora mabhuku akati wandei nezvenyaya iyi. Imwe yacho yakashandurirwa muchiFrench:

Warrior Dolores. Nhungamiro yekurapa kubata, Live Sun, 1998.

Videos

Mukoti Vanoporesa - Professional Associates International inopa mavhidhiyo matatu ari kuratidza kubata kwekurapa: Therapeutic Touch: Chiratidzo uye Chokwadi, naDolores Krieger naDora Kunz, Basa reMuviri Wenyama, Wepfungwa uye Wemweya Mukuporesa naDora Kunz, uye Vhidhiyo Kosi yeVashandi Vehutano naJanet Quinn.

Iyo Therapeutic Touch Network yeQuebec

Webhusaiti yemubatanidzwa wechidiki uyu iri muChirungu chete parizvino. Sangano iri rakabatana neTherapeutic Touch Network yeOntario uye inopa makosi akasiyana ekudzidzisa. General ruzivo uye runyorwa rwenhengo.

www.ttnq.ca

Mukoti Vanoporesa — Professional Associates International

Webhusaiti yepamutemo yesangano yakavambwa muna 1977 nemugadziri wekurapa kubata, Dolores Krieger.

www.therapeutic-touch.org

Therapeutic Touch Network yeOntario (TTNO)

Ndiyo imwe yemasangano akakosha pasi rose mumunda wekurapa kubata. Iyo saiti izere neruzivo, zvidzidzo, zvinyorwa uye zvinongedzo.

www.therapeuctouchontario.org

Therapeutic Touch -Inoshanda here?

Saiti inopa akawanda zvinongedzo kumasaiti angave akanaka, kana anopokana, kana asina kwaakarerekera zvine chekuita nekurapa kubata.

www.phact.org/e/tt