Unyango lwe-Electrotherapy lwe-OA (i-Osteoarthritis)

1.Yintoni i-OA(I-Osteoarthritis)?

Imvelaphi:

I-Osteoarthritis (OA) sisifo esichaphazela i-synovial joints ebangela ukuhla kunye nokutshatyalaliswa kwe-hyaline cartilage.Ukuza kuthi ga ngoku, akukho nyango lukhoyo lwe-OA.Iinjongo eziphambili zonyango lwe-OA kukukhulula intlungu, ukugcina okanye ukuphucula isimo sokusebenza, kunye nokunciphisa ukukhubazeka.I-Transcutaneous electrical nerve stimulation (TENS) yindlela engabonakaliyo esetyenziswa ngokuqhelekileyo kwi-physiotherapy ukulawula zombini iintlungu ezibuhlungu kunye nezingapheliyo ezivela kwiimeko ezininzi.Inani lolingo oluvavanya ukusebenza kwe-TENS kwi-OA lupapashiwe.

I-Osteoarthritis (OA) sisifo esisekelwe kwiinguqu eziguqukayo.Ichaphazela kakhulu abantu abakwiminyaka ephakathi kunye nabantu abadala, kwaye iimpawu zayo zibomvu kwaye zidumbile iintlungu zedolo, iintlungu ezinyukayo nezihlayo kwizinyuko, iintlungu zamadolo kunye nokungakhululeki xa uhleli kwaye uhamba.Kuya kubakho nezigulane ezinokuvuvukala, ukubetha, ukukhutshwa, njl., Ukuba ayiphathwanga ngexesha, kuya kubangela ukukhubazeka kunye nokukhubazeka.

2.Iimpawu:

*Intlungu: Izigulana ezinobunzima obugqithisileyo zifumana iintlungu ezinkulu, ngakumbi xa zigquma okanye zinyuka zisehla kwizinyuko.Kwiimeko ezinzima ze-arthritis, kunokubakho iintlungu naxa uphumle naxa uvuka ebuthongweni.

*Ukuthamba kunye nokukhubazeka kwamalungu zezona zalathisi ziphambili zeosteoarthritis.Idolo elidibeneyo lingabonakalisa i-varus okanye i-valgus deformities, kunye nemida yamathambo edibeneyo eyandisiweyo.Ezinye izigulane zinokuba nokwandiswa okulinganiselweyo kwamadolo, ngelixa iimeko ezinzima zingabangela ukukhubazeka kwekhontrakthi ye-flexion.

* Iimpawu zokutshixa ngokudibeneyo: Ngokufana neempawu zokulimala kwe-meniscus, iindawo ezinqabileyo ze-articular okanye ukunamathela kunokubangela ukuba ezinye izigulane zibe nemizimba ekhululekile ngaphakathi kwamalungu.

* Ukuqina okudibeneyo okanye ukudumba: Ubuhlungu bukhokelela ekuhambeni okuthintelweyo, okubangelwa ukuqina kwamalungu kunye neekhontrakthi ezinokubakho ezikhokelela ekukhubazekeni.Ngexesha elibukhali le-synovitis, ukuvuvukala kuchaphazela ukuhamba kwamalungu.

3. Uxilongo:

Indlela yokuxilonga ye-OA ibandakanya oku kulandelayo:

1. Iintlungu zamadolo eziqhubekayo kwinyanga edlulileyo;

2. I-X ray (ethathwe kwindawo yokuma okanye ethwele ubunzima) ityhila indawo edibeneyo yokunciphisa, i-subchondral osteosclerosis, utshintsho lwe-cystic, kunye nokwakhiwa kwe-osteophytes kumda odibeneyo;

3. Uhlalutyo oludibeneyo lwe-fluid (olwenziwa ubuncinane kabini) lubonisa ukuhambelana okupholileyo kunye ne-viscous kunye nenani leeseli ezimhlophe zegazi <2000/ml;

I-4.Izigulane ezineminyaka ephakathi kunye nabantu abadala (≥40 iminyaka ubudala);

5.Ukuqina kwasekuseni okuhlala ngaphantsi kwemizuzu eyi-15;

6.Ukungqubuzana kwamathambo ngexesha lomsebenzi;

7. I-Knee end hypertrophy, ukuvuvukala kwendawo ukuya kwiidigri ezihlukeneyo, ukunciphisa okanye ukukhawulelwa koluhlu lwentshukumo yokunyuka kunye nokwandiswa.

4.ishedyuli yonyango:

Indlela yokuphatha i-OA ngeemveliso ze-electrotherapy?

Indlela yokusetyenziswa yile ilandelayo (imo ye-TENS):

①Qinisekisa ubungakanani obuchanekileyo bangoku: Lungisa amandla akhoyo esixhobo se-TENS sonyango lwe-electrotherapy ngokusekwe kubungakanani bentlungu oyivayo kwaye yintoni eziva ukhululekile kuwe.Ngokubanzi, qalisa ngesantya esisezantsi kwaye uyandise ngokuthe ngcembe de uzive uziva kamnandi.

②Ukubekwa kwee-electrode: Beka iipatches ze-electrode ze-TENS kwindawo okanye kufuphi nendawo ebuhlungu.Ngeentlungu ze-OA, ungazibeka kwizihlunu ezijikeleze idolo lakho okanye ngqo apho ibuhlungu khona.Qinisekisa ukuba ukhusela i-electrode pads ngokuqinileyo eluswini lwakho.

③Khetha imowudi echanekileyo kunye nezihlandlo: Izixhobo ze-TENS zonyango zihlala zineqela leendlela ezahlukeneyo kunye neefrikhwensi zokukhetha kuzo.Xa kuziwa kwiintlungu zamadolo, unokuhamba ngokuqhubekayo okanye ukuvuselela i-pulsed.Khetha nje imowudi kunye nezihlandlo eziziva zikhululekile kuwe ukuze ufumane olona ncedo lungcono lunokufumaneka.

④Ixesha kunye nokuphindaphinda: Kuxhomekeke kwinto esebenza kakuhle kuwe, iseshoni nganye ye-TENS electrotherapy kufuneka ihlale phakathi kwe-15 ukuya kwimizuzu engama-30, kwaye kuyacetyiswa ukuba uyisebenzise 1 ukuya kumaxesha amathathu ngosuku.Njengoko umzimba wakho uphendula, zive ukhululekile ukulungelelanisa ngokuthe ngcembe ukuphindaphinda kunye nobude bokusetyenziswa njengoko kufuneka.

⑤Ukudibanisa nolunye unyango: Ukwandisa ngokwenene ukukhululeka kweentlungu zedolo, kunokusebenza ngakumbi ukuba udibanisa unyango lwe-TENS kunye nolunye unyango.Umzekelo, zama ukusebenzisa izicinezeli zobushushu, ukolula intamo ethambileyo okanye umthambo wokuphumza, okanye ufumane nokuphululwa - zinokusebenzisana zonke ngemvisiswano!

Imiyalelo yokusetyenziswa: Indlela ye-electrode yomnqamlezo kufuneka ikhethwe.I-Channel1 (blue), isetyenziswe kwi-vastus lateralis muscle kunye ne-medial tuberositas tibiae.I-Channel2 (eluhlaza) ifakwe kwi-vastus medialis muscle kunye ne-lateral tuberositas tibiae.