Lenzani iyunithi ye-TENS?

I-Transcutaneous Electrical Nerve Stimulation (TENS) iyindlela yokwelapha yokukhulula ubuhlungu engahlaseli esebenzisa imisinga kagesi ene-voltage ephansi ukuze ivuse imizwa esikhumbeni. Ngokuvamile isetshenziswa ekwelapheni ngokomzimba, ukubuyisela esimweni, kanye nokulawulwa kobuhlungu ezimweni ezinjengobuhlungu obungapheli, ubuhlungu obungemuva kokuhlinzwa, kanye nokugoqeka kwemisipha.

Indlela Yokwenza:

Indlela ngemuva kwe-TENS isekelwe ngokuyinhloko kumbono wokulawula isango lobuhlungu kanye nokukhululwa kwama-opioid angapheli:

• I-Gate Control Theory of Pain:

Ehlongozwa nguMelzack noWall ku-1965, le mbono iphakamisa ukuthi umbono wobuhlungu ulungiswa ezingeni lomgogodla. Lapho i-TENS iletha ama-impulses kagesi, ivuselela imicu ye-A-beta enobubanzi obukhulu esikhumbeni nasezicutshini ezingaphansi. Lezi zintambo zingavimbela ukudluliswa kwezibonakaliso zobuhlungu ezithwala izintambo ezincane ze-A-delta ne-C. Ngokuyinhloko, ukugqugquzelwa kwezintambo ze-A-beta "kuvala isango" ezimpawu zobuhlungu, kunciphisa umbono wobuhlungu. Lokhu kungabonwa njengomncintiswano phakathi kokufaka izinzwa (kusuka ku-TENS) nokufaka ubuhlungu.

• Ukukhishwa kwe-Endogenous Opioid:

I-TENS iboniswe ukukhuthaza ukukhululwa kwama-endorphin namanye ama-opioid angapheli ngaphakathi kwesistimu yezinzwa ephakathi. Lezi zinto zemvelo ezidambisa izinhlungu zibophezela kuma-opioid receptors, ziqhubeke nokudambisa izinhlungu futhi zithuthukise umuzwa wenhlalakahle.

• Ukuphumula Kwemisipha:

Ngaphezu kokukhululeka kobuhlungu, i-TENS ingasiza ekuphumuleni kwemisipha. Ama-impulses kagesi anganciphisa ukungezwani kwemisipha kanye ne-spasm, enenzuzo ekulawuleni izimo ezifana ne-fibromyalgia ne-myofascial pain syndrome.

Izinhlobo ze-TENS

• I-TENS evamile:Iletha ama-high-frequency (80-100 Hz) ama-pulses anezinga eliphansi. Le modi isebenza ngokuyinhloko nge-theory yokulawula isango futhi inikeza ukukhululeka kobuhlungu ngokushesha.

• I-TENS efana ne-acupuncture (AL-TENS):Isebenzisa i-low-frequency (1-4 Hz) kanye nokuqina okuphezulu. Le modi ihlose ukugqugquzela ukukhululwa kwama-endorphin futhi ivame ukusetshenziselwa ukukhulula ubuhlungu obuhlala isikhathi eside.

• Imodi yokuqhuma i-TENS:Ihlanganisa izici zakho kokubili i-TENS evamile kanye ne-acupuncture-like, ilethe ama-pulses ngokuqhuma. Le ndlela ingathuthukisa ukukhululeka kobuhlungu nokunethezeka.

• I-TENS Enamandla Kafushane:Isebenzisa ukuqina okuphezulu kanye nemvamisa ephezulu isikhathi esifushane, evame ukusetshenziselwa ukukhulula ubuhlungu obukhulu phakathi nezinqubo.

Izinhlelo zokusebenza

I-TENS isetshenziswa kuzilungiselelo zomtholampilo ezahlukahlukene, kufaka phakathi:

• Ukuphathwa Kwezinhlungu Ezingapheli: Izimo ezinjenge-arthritis, ubuhlungu obuphansi emuva, nobuhlungu be-neuropathic.

• Ukukhululwa Kwezinhlungu Zangemva Kokuhlinzwa: Kusiza ekwehliseni ukuthembela emithini ye-opioid.

• Ukulawulwa Kwezinhlungu Zabasebenzi: Kusetshenziswa kwezinye izilungiselelo ukuze kudambise ukungakhululeki ngesikhathi sokubeletha.

• Ukuvuselela: Kwenza ukululama ngokunciphisa ubuhlungu nokukhuthaza ukukhululeka kwemisipha ngesikhathi sokwelashwa ngokomzimba.

Ukuphepha Nokucatshangelwa

I-TENS ngokuvamile ibhekwa njengephephile uma isetshenziswe ngendlela efanele. Nokho, kukhona contraindications, kuhlanganise:

• Akunconyelwe ukusetshenziswa ezindaweni ezingezwakali kahle, amanxeba avulekile, noma izinto ezithile zokwelapha (isb., izihlinzeki zenhliziyo).

• Ukuqapha kuyelulekwa kubantu abanezimo ezithile zezokwelapha njengesithuthwane noma izimo zenhliziyo.

Isiphetho

I-TENS iyindlela eguquguqukayo nephumelelayo yokuphathwa kobuhlungu esebenzisa ukugqugquzelwa kukagesi ukuze kuguqulwe umbono wobuhlungu ngokusebenzisa kokubili izindlela ezizungezile nezimaphakathi. Imvelo yayo engahlaseli kanye nokuphepha okuhlobene kuyenza ibe ithuluzi elibalulekile kuzo zombili izilungiselelo zomtholampilo nezasekhaya ezigulini ezifuna ukukhululeka ezimweni ezihlukahlukene zobuhlungu. Njenganoma iyiphi indlela yokwelapha, izimpendulo ngazinye zingahluka, futhi kuyatuseka ukuthintana nochwepheshe bezokunakekelwa kwempilo ngezinhlelo zokwelashwa eziqondene nawe.