I-Electrotherapy ye-OA (i-Osteoarthritis)

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

Ingemuva:

I-Osteoarthritis (OA) yisifo esithinta amalunga e-synovial abangela ukuwohloka nokucekelwa phansi kwe-hyaline cartilage.Kuze kube manje, akukho ukwelashwa kwe-OA okukhona.Imigomo eyinhloko yokwelashwa kwe-OA ukukhulula ubuhlungu, ukugcina noma ukuthuthukisa isimo sokusebenza, kanye nokunciphisa ukukhubazeka.I-Transcutaneous electrical nerve stimulation (TENS) iyindlela engavamile evame ukusetshenziswa ku-physiotherapy ukulawula kokubili ubuhlungu obukhulu nobungapheli obuvela ezimweni eziningana.Inani lezilingo ezihlola ukusebenza kahle kwe-TENS ku-OA zishicilelwe.

I-Osteoarthritis (OA) yisifo esisekelwe ezinguqukweni eziwohlokayo.Ihlasela kakhulu abantu asebekhulile ngeminyaka nasebekhulile, kanti izimpawu zayo wubuhlungu obubomvu nokuvuvuka kwamadolo, izinhlungu ezikhuphukayo neziphansi, idolo kanye nokungakhululeki lapho uhlezi futhi uhamba.Kuzophinde kube neziguli ezinokuvuvukala, ezibhampayo, eziphuma amanzi, njll., uma zingelashwa ngesikhathi, kuzodala ukukhubazeka kwamalunga nokukhubazeka.

2.Izimpawu:

*Ubuhlungu: Iziguli ezinesisindo eseqile zithola ubuhlungu obukhulu, ikakhulukazi lapho zi-squat noma zenyuka futhi zehla ngezitebhisi.Ezimweni ezimbi kakhulu ze-arthritis, kungase kube nobuhlungu ngisho nalapho uphumule futhi lapho uvuka ebuthongweni.

*Ububele nokukhubazeka kwamalunga kuyizinkomba eziphambili ze-osteoarthritis.Ukuhlangana kwamadolo kungase kubonise i-varus noma i-valgus deformities, kanye namaphethelo amathambo ahlangene akhulisiwe.Ezinye iziguli zingase zibe nokunwetshwa okulinganiselwe kwamadolo, kuyilapho izimo ezinzima zingabangela ukukhubazeka kwenkontileka ye-flexion.

*Izimpawu zokukhiya ngokuhlanganyela: Ngokufanayo nezimpawu zokulimala kwe-meniscus, izindawo ezimaholoholo ze-articular noma ukunamathela kungabangela ezinye iziguli ukuba zithole imizimba exegayo ngaphakathi kwamalunga.

* Ukuqina kwamalunga noma ukuvuvukala: Ubuhlungu buholela ekunyakazeni okukhawulelwe, okuholela ekuqineni kwamalunga kanye nezinkontileka ezingase zibe khona eziholela ekuwohlokeni.Phakathi nesigaba esinzima se-synovitis, ukuvuvukala kuthinta ukuhamba kwamalunga.

3.Ukuxilongwa:

Imibandela yokuxilonga ye-OA ihlanganisa lokhu okulandelayo:

1. Ubuhlungu bamadolo obuphindaphindayo phakathi nenyanga edlule;

2. I-X ray (ethathwe endaweni emile noma enesisindo) eveza ukuncipha kwendawo ehlangene, i-subchondral osteosclerosis, izinguquko ze-cystic, nokwakheka kwama-osteophyte emaphethelweni ahlangene;

3. Ukuhlaziywa koketshezi oluhlangene (okwenziwa okungenani kabili) okubonisa ukuvumelana okupholile nokubukekayo nesibalo samangqamuzana amhlophe egazi <2000/ml;

I-4.Iziguli ezineminyaka ephakathi kanye nasebekhulile (≥iminyaka engu-40 ubudala);

5.Ukuqina kwasekuseni okuhlala ngaphansi kwemizuzu eyi-15;

6.Ukungqubuzana kwamathambo ngesikhathi somsebenzi;

7. I-hypertrophy yokuphela kwedolo, ukuvuvukala kwendawo kuya kumazinga ahlukahlukene, ukunyakaza okuncishisiwe noma okulinganiselwe kokuguquguquka nokunwetshwa.

4.uhlelo lokwelapha:

Indlela yokwelapha i-OA ngemikhiqizo ye-electrotherapy?

Indlela ethile yokusebenzisa imi kanje (imodi ye-TENS):

①Thola inani elilungile lamanje: Lungisa amandla amanje wedivayisi ye-electrotherapy ye-TENS ngokususelwe kokuthi bungakanani ubuhlungu obuzwayo nokuthi yini ozizwa ukhululekile ngawe.Ngokuvamile, qala ngomfutho ophansi futhi kancane kancane uyandise kuze kube yilapho uzwa umuzwa omnandi.

②Ukubekwa kwama-electrode: Beka ama-electrode e-TENS endaweni ebuhlungu noma eduze nayo.Ngezinhlungu ze-OA, ungazibeka emisipheni ezungeze idolo lakho noma ngqo lapho ibuhlungu khona.Qinisekisa ukuthi uvikela amaphedi e-electrode ngokuqinile esikhumbeni sakho.

③Khetha imodi efanele kanye nemvamisa: Amadivayisi we-TENS electrotherapy ngokuvamile anenqwaba yezindlela namafrikhwensi ongakhetha kukho.Uma kuziwa ebuhlungu bamadolo, ungahamba ngokuqhubekayo noma ukushaywa kwe-pulsed.Vele ukhethe imodi kanye nemvamisa ezizwa inethezekile kuwena ukuze uthole ukukhululeka kobuhlungu okungcono kakhulu ngangokunokwenzeka.

④Isikhathi nemvamisa: Ngokuya ngokuthi yini ekusebenzela kangcono, iseshini ngayinye ye-TENS electrotherapy kufanele ihlale phakathi kwamaminithi angu-15 kuya kwangu-30, futhi kuyanconywa ukuthi uyisebenzise izikhathi ezingu-1 ukuya kwezingu-3 ngosuku.Njengoba umzimba wakho uphendula, zizwe ukhululekile ukulungisa kancane kancane imvamisa nobude bokusebenzisa njengoba kudingeka.

⑤Ukuhlanganisa nezinye izindlela zokwelapha: Ukwandisa ngempela ukukhululeka kobuhlungu bedolo, kungase kusebenze kangcono uma uhlanganisa ukwelapha kwe-TENS nokunye ukwelashwa.Isibonelo, zama ukusebenzisa izinto ezicindezela ukushisa, ukwenza ukwelula intamo okuthambile noma ukuzilolonga, noma ukuthola amamasaji - konke kungasebenza ndawonye ngokuvumelana!

Imiyalo yokusetshenziswa:Indlela ye-electrode ephambanayo kufanele ikhethwe.Isiteshi1(eluhlaza okwesibhakabhaka), sisetshenziswa kumsipha we-vastus lateralis kanye ne-medial tuberositas tibiae.I-Channel2 (eluhlaza) ixhunywe ku-vastus medialis muscle kanye ne-lateral tuberositas tibiae.