1.yintoni iDysmenorrhea?
I-Dysmenorrhea ibhekisela kwintlungu efunyanwa ngabasetyhini kunye nangaphantsi kwesisu esisezantsi okanye esinqeni ngexesha lokuya kwabo exesheni, enokwandiswa kwindawo ye-lumbosacral. Kwiimeko ezimandundu, kunokukhatshwa ziimpawu ezifana nesicaphucaphu, ukuhlanza, ukubila okubandayo, izandla neenyawo ezibandayo, kunye nokuquleka, okunempembelelo enkulu kubomi bemihla ngemihla nomsebenzi. Okwangoku, i-dysmenorrhea idla ngokuhlelwa kwiindidi ezimbini: eziphambili kunye nesekondari. I-dysmenorrhea esisiseko yenzeka ngaphandle kwayo nayiphi na into engaqhelekanga kwizitho zokuzala kwaye ihlala ibizwa ngokuba yi-dysmenorrhea esebenzayo. Ixhaphake kakhulu kumantombazana akwishumi elivisayo angatshatanga okanye angekabeleki. Olu hlobo lwe-dysmenorrhea lunokukhululwa okanye lunyamalale emva kokubeleka okuqhelekileyo. Ngakolunye uhlangothi, i-dysmenorrhea yesibini ibangelwa ngokuyinhloko zizifo eziphilayo ezichaphazela izitho zokuzala. Yimeko eqhelekileyo ye-gynecology enezinga lezehlo ezixeliweyo ze-33.19%.
2.iimpawu:
2.1.I-dysmenorrhea esisiseko ixhaphake kakhulu ngexesha lokufikisa kwaye yenzeka phakathi kwe-1 ukuya kwi-2 iminyaka emva kokuqala kokuya exesheni. Uphawu oluphambili lubuhlungu obuphantsi besisu obuhambelana nomjikelezo oqhelekileyo wokuya esikhathini. Iimpawu ze-dysmenorrhea yesibini ziyafana nezo ze-primary dysmenorrhea, kodwa xa zibangelwa yi-endometriosis, zihlala ziba mandundu ngokuqhubekayo.
2.2. Iintlungu zihlala ziqala emva kokuya exesheni, ngamanye amaxesha kwangoko kwiiyure ze-12 ngaphambili, kunye neentlungu ezibuhlungu kakhulu ezenzeka ngosuku lokuqala lokuya esikhathini. Le ntlungu inokuhlala iintsuku ezi-2 ukuya kwezi-3 kwaye iyancipha ngokuthe ngcembe. Ihlala ichazwa njenge-spasmodic kwaye ngokuqhelekileyo ayihambi kunye noxinzelelo kwimisipha yesisu okanye intlungu ebuyela emuva.
2.3. Ezinye iimpawu ezinokubakho ziquka isicaphucaphu, ukugabha, urhudo, ukuba nesiyezi, ukudinwa, kwaye kwiimeko ezimandundu kusenokubakho ukubila nokubila okubandayo.
2.4. Uvavanyo lwe-gynecology aluvezi naziphi na iziphumo ezingaqhelekanga.
2.5. Ngokusekelwe kubukho beentlungu ezisezantsi zesisu ngexesha lokuya esikhathini kunye neziphumo zovavanyo olubi lwe-gynecological, ukuxilongwa kweklinikhi kunokwenziwa.
Ngokobunzima be-dysmenorrhea, inokuthi ihlelwe kwiidigri ezintathu:
*Ubumnene: Ngexesha okanye ngaphambi nasemva kokuya exesheni, kukho iintlungu ezincinci kumazantsi esisu ezihamba nomqolo. Nangona kunjalo, umntu usenokwenza imisebenzi yemihla ngemihla ngaphandle kokuziva engonwabanga ngokubanzi. Ngamanye amaxesha, kusenokufuneka amayeza okuthomalalisa iintlungu.
*Ophakathi: Phambi nasemva kokuya exesheni, kukho iintlungu ezilinganiselweyo kumazantsi esisu kunye nomqolo obuhlungu, isicaphucaphu nokugabha, kunye namalungu abandayo. Ukuthatha amanyathelo okuthomalalisa iintlungu kunokubonelela ngesiqabu sexeshana kobu bunzima.
*Ubunzima: Ngaphambi nasemva kokuya exesheni, kukho iintlungu ezibuhlungu emazantsi esisu ezenza kube nzima ukuhlala uthule. Ichaphazela kakhulu umsebenzi, ukufunda, kunye nobomi bemihla ngemihla; ngoko ke ukuphumla ebhedini kuba yimfuneko. Ukongeza, iimpawu ezinjengokuphaphatheka, ukubila okubandayo***ge kunokwenzeka. Nangona iinzame zokunciphisa intlungu zithathelwa ingqalelo; ababoneleli ngonciphiso olubalulekileyo.
3.Unyango lomzimba
Inani elikhulu lezifundo zeklinikhi libonise umphumo obalulekileyo we-TENS kunyango lwe-dysmenorrhea:
I-dysmenorrhea esisiseko yimeko yempilo engapheliyo echaphazela ngokuyintloko abasetyhini abancinci. I-Transcutaneous electrical nerve stimulation (TENS) iphakanyiswe njengendlela esebenzayo yokunciphisa intlungu kwi-primary dysmenorrhea. I-TENS yindlela engabonakaliyo, engabizi, ephathekayo kunye neengozi ezincinci kunye nezichaso ezimbalwa. Xa kuyimfuneko, inokuzilawula yonke imihla ngexesha lemisebenzi yemihla ngemihla. Izifundo ezininzi ziye zaphanda ukusebenza kwe-TENS ekunciphiseni iintlungu, ukunciphisa ukusetyenziswa kwe-analgesics, kunye nokuphucula umgangatho wobomi kwizigulana eziphambili ze-dysmenorrhea. Ezi zifundo zinemida ethile kumgangatho we-methodological kunye nokuqinisekiswa konyango. Nangona kunjalo, iziphumo ezilungileyo zizonke ze-TENS kwi-primary dysmenorrhea edibene nazo zonke izifundo zangaphambili zibonise ukubaluleka kwayo. Olu phononongo lubonisa iingcebiso zeklinikhi kwiiparamitha ze-TENS zokunyanga iimpawu eziphambili ze-dysmenorrhea ezisekelwe kwizifundo ezipapashwe ngaphambili.
Indlela yokuphatha i-dysmenorrhea 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-dysmenorrhea, unokuzibeka kwindawo yentlungu esezantsi kwesisu. Qinisekisa ukuba ukhusela i-electrode pads ngokuqinileyo eluswini lwakho.
③Khetha imowudi echanekileyo kunye nokuphindaphinda: Izixhobo ze-TENS zonyango zihlala zineqela leendlela ezahlukeneyo kunye neefrikhwensi zokukhetha kuzo.Xa kufikwa kwi-dysmenorrhea, elona xesha lifanelekileyo lokuthomalalisa iintlungu yi-100 Hz, ungaya kuvuselelo oluqhubekayo okanye lwepulsed. 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 kakhulu isiqabu se-dysmenorrhea, kunokusebenza ngakumbi ukuba udibanisa unyango lwe-TENS nolunye unyango. Umzekelo, zama ukusebenzisa izicinezeli zobushushu, ukwenza umthambo wokuzolula isisu okanye umthambo wokuphumza, okanye ufumane nokuphulula umzimba – zinokusebenzisana zonke ngemvisiswano!
Khetha imo ye-TENS, emva koko uqhoboshele i-electrodes kumazantsi esisu, macala omabini omgca we-median wangaphambili, i-intshi ezi-3 ngaphantsi kwe-umbilicus.
Ixesha lokuposa: Jan-16-2024
