Yenza ntoni iyunithi ye-TENS?

I-Transcutaneous Electrical Nerve Stimulation (TENS) lunyango lwentlungu engabonakaliyo olusebenzisa i-low-voltage currents zombane ukuvuselela imithambo-luvo ngesikhumba. Ngokuqhelekileyo isetyenziselwa unyango lomzimba, ukulungiswa, kunye nokulawulwa kweentlungu kwiimeko ezinjengeentlungu ezingapheliyo, intlungu emva kokuhlinzwa, kunye ne-muscle spasms.

Indlela yokwenza:

Indlela esemva kwe-TENS isekwe ngokuyintloko kwithiyori yokulawula isango lentlungu kunye nokukhululwa kwe-opioids engapheliyo:

• Ithiyori yoLawulo lweSango leeNtlungu:

Ecetywayo nguMelzack kunye noWall kwi-1965, le ngcamango ibonisa ukuba ukuqonda intlungu imodulated kwinqanaba lomgogodla. Xa i-TENS ihambisa iimpembelelo zombane, ivuselela i-A-beta fibers enobubanzi obukhulu eluswini nakwizicubu ezingaphantsi. Le micu inokuthintela ukuhanjiswa kweempawu zentlungu ezithwalwa yi-A-delta encinci kunye ne-C. Oku kunokubonwa njengokhuphiswano phakathi kwe-sensory input (ukusuka kwi-TENS) kunye negalelo lentlungu.

• Ukukhutshwa kwe-Endogenous Opioid:

I-TENS iboniswe ukukhuthaza ukukhululwa kwee-endorphins kunye nezinye i-opioids ezingapheliyo ngaphakathi kwenkqubo ye-nervous central. Ezi zinto zendalo ezidambisa iintlungu zibophelela kwi-opioid receptors, ngakumbi ukunciphisa intlungu kunye nokuphucula imvakalelo yokuphila kakuhle.

• Ukuphumla Kwezihlunu:

Ukongeza kwintlungu, i-TENS inokunceda ekuphumleni kwemisipha. Iimpembelelo zombane zinokunciphisa uxinzelelo lwemisipha kunye ne-spasm, enenzuzo ekulawuleni iimeko ezifana ne-fibromyalgia kunye ne-myofascial pain syndrome.

Iintlobo zeTENS

• I-TENS eqhelekileyo:Ihambisa i-high-frequency (80-100 Hz) i-pulses ene-low intensity. Le mowudi isebenza ngokuyintloko ngethiyori yokulawula isango kwaye ibonelela ngokukhawuleza intlungu.

• I-TENS efana ne-acupuncture (AL-TENS):Isebenzisa i-low-frequency (1-4 Hz) ukuvuselela kunye nokuqina okuphezulu. Le ndlela ijolise ekuvuseleleni ukukhululwa kwee-endorphins kwaye ihlala isetyenziselwa ukukhulula iintlungu ezihlala ixesha elide.

• Imo YokuQhuba i-TENS:Udibanisa izinto zombini eziqhelekileyo kunye ne-acupuncture-efana ne-TENS, ukuhambisa iipulses ngokugqabhuka. Le ndlela inokwandisa intlungu kunye nokuthuthuzela.

• I-TENS emfutshane:Isebenzisa ukuqina okuphezulu kunye nokuphindaphinda okuphezulu ixesha elifutshane, elihlala lisetyenziselwa ukukhululeka kweentlungu ngexesha leenkqubo.

Usetyenziso

I-TENS isetyenziswa kwiisethingi ezahlukeneyo zeklinikhi, kubandakanya:

• Ulawulo lweentlungu ezingapheliyo: Iimeko ezifana nesifo samathambo, iintlungu ezisezantsi, kunye neentlungu ze-neuropathic.

• Uncedo lwentlungu emva kokuhlinzwa: Inceda ekunciphiseni ukuthembela kumayeza e-opioid.

• Ulawulo lweentlungu zokuSebenza: Isetyenziswe kwezinye iindawo zokunciphisa ukungonwabi ngexesha lokubeleka.

• Ukuvuselela: Iququzelela ukubuyiswa ngokunciphisa intlungu kunye nokukhuthaza ukuphumla kwemisipha ngexesha lonyango lomzimba.

Ukhuseleko kunye neNgqwalasela

I-TENS ithathwa njengekhuselekile xa isetyenziswe ngokufanelekileyo. Nangona kunjalo, kukho contraindications, kuquka:

• Ayikhuthazwa ukuba isetyenziswe kwiindawo ezinezivamkelo, amanxeba avulekileyo, okanye izixhobo ezithile zonyango (umz., izincedisi-ntliziyo).

• Isilumkiso siyacetyiswa kubantu abaneemeko ezithile zonyango ezifana nokuxhuzula okanye iimeko zentliziyo.

Ukuqukumbela

I-TENS yindlela eguquguqukayo kunye nesebenzayo yokulawula intlungu ehambisa ukuvuselela umbane ukuguqula ukuqonda kweentlungu ngeendlela zombini kunye ne-central systems. Ubume bayo obungakhuselekanga kunye nokhuseleko oluhambelanayo lwenza ukuba kube sisixhobo esibalulekileyo kwizicwangciso zombini zeklinikhi kunye nekhaya kwizigulane ezifuna ukukhululeka kwiimeko ezahlukeneyo zentlungu. Njengayo nayiphi na indlela yonyango, iimpendulo zomntu ngamnye zinokwahluka, kwaye kuyacetyiswa ukuba udibane neengcali zonyango ngezicwangciso zonyango lomntu ngamnye.