1.yini i-Dysmenorrhea?
I-Dysmenorrhea ibhekisela ebuhlungu obuzwiwa abesifazane abangaphansi naseduze kwesisu noma okhalweni ngesikhathi sokuya esikhathini, okungadlulela endaweni ye-lumbosacral. Ezimweni ezimbi kakhulu, kungase kuhambisane nezimpawu ezinjengokucanuzela kwenhliziyo, ukuhlanza, ukujuluka okubandayo, izandla nezinyawo ezibandayo, ngisho nokuquleka, okuba nomthelela omkhulu empilweni yansuku zonke nomsebenzi. Njengamanje, i-dysmenorrhea ivame ukuhlukaniswa ngezinhlobo ezimbili: eyinhloko neyesibili. I-dysmenorrhea eyinhloko yenzeka ngaphandle kokungajwayelekile kwesitho sokuzala futhi ngokuvamile ibizwa ngokuthi i-dysmenorrhea esebenzayo. Kuvame kakhulu emantombazaneni asakhula angashadile noma angakabelethi. Lolu hlobo lwe-dysmenorrhea ngokuvamile lungakhululeka noma lunyamalale ngemva kokubeletha okuvamile. Ngakolunye uhlangothi, i-dysmenorrhea yesibili ngokuyinhloko ibangelwa izifo eziphilayo ezithinta izitho zokuzala. Kuyisimo esijwayelekile sezifo zabesifazane esinezinga lokubikwa kwezigameko ezingama-33.19%.
2.izimpawu:
2.1.I-dysmenorrhea eyinhloko ijwayeleke kakhulu phakathi nentsha futhi ivamise ukwenzeka phakathi nonyaka ongu-1 kuya kwemi-2 ngemva kokuqala kokuya esikhathini. Uphawu oluyinhloko ubuhlungu obuphansi besisu obuhambisana nomjikelezo ovamile wokuya esikhathini. Izimpawu ze-dysmenorrhea yesibili zifana nalezo ze-dysmenorrhea eyinhloko, kodwa uma ibangelwa i-endometriosis, ivame ukuba yimbi ngokuqhubekayo.
2.2. Ubuhlungu ngokuvamile buqala ngemva kokuya esikhathini, ngezinye izikhathi ngemva kwamahora angu-12 ngaphambili, nobuhlungu obukhulu kakhulu obenzeka ngosuku lokuqala lokuya esikhathini. Lobu buhlungu bungahlala izinsuku ezi-2 kuya kwezi-3 bese kuncipha kancane kancane. Ivame ukuchazwa ngokuthi i-spasmodic futhi ngokuvamile ayihambisani nokucindezeleka emisipha yesisu noma ubuhlungu obuphindaphindiwe.
2.3. Ezinye izimpawu ezingaba khona zihlanganisa isicanucanu, ukuhlanza, isifo sohudo, isiyezi, ukukhathala, futhi ezimeni ezinzima kungase kuvele ukuphaphatheka nokujuluka okubandayo.
2.4. Ukuhlolwa kwezifo zabesifazane akuvezi noma yikuphi ukutholwa okungavamile.
2.5. Ngokusekelwe ebukhoneni bezinhlungu eziphansi zesisu ngesikhathi sokuya esikhathini kanye nemiphumela emibi yokuhlolwa kwezifo zabesifazane, ukuxilongwa komtholampilo kungenziwa.
Ngokusho kobunzima be-dysmenorrhea, ingahlukaniswa ngamadigri amathathu:
*Okumaphakathi: Ngesikhathi noma ngaphambi nangemuva kokuya esikhathini, kuba nobuhlungu obuncane ngaphansi kwesisu obuhambisana neqolo. Nokho, umuntu usengakwazi ukwenza imisebenzi yansuku zonke ngaphandle kokuzizwa engakhululekile. Ngezinye izikhathi kungase kudingeke amaphilisi ezinhlungu.
*Okumaphakathi: Ngaphambi nangemuva kokuya esikhathini, kuba nobuhlungu obumaphakathi ngaphansi kwesisu kanye nomgogodla, isicanucanu nokuhlanza, kanye nezitho ezibandayo. Ukuthatha izinyathelo zokudambisa izinhlungu kunganikeza impumuzo yesikhashana kulokhu kuphatheka kabi.
*Okunzima: Ngaphambi nangemuva kokuya esikhathini, kuba nobuhlungu obukhulu ngaphansi kwesisu okwenza kube nzima ukuhlala uthule. Kuthinta kakhulu umsebenzi, ukufunda, kanye nempilo yansuku zonke; ngakho-ke ukuphumula kombhede kuba kudingekile. Ukwengeza, izimpawu ezifana nokuphaphatheka, umjuluko obandayo***ge zingase zenzeke. Naphezu kwemizamo yezinyathelo zokunciphisa ubuhlungu ezicatshangelwayo; abahlinzeki ngokudambisa okukhulu.
3.Ukwelashwa ngokomzimba
Inani elikhulu lezifundo zomtholampilo libonise umphumela obalulekile we-TENS ekwelapheni i-dysmenorrhea:
I-dysmenorrhea eyinhloko yisimo sempilo esingelapheki esithinta ngokuyinhloko abesifazane abasebasha. I-Transcutaneous electrical nerve stimulation (TENS) iye yaphakanyiswa njengendlela ephumelelayo yokunciphisa ubuhlungu ku-dysmenorrhea eyinhloko. I-TENS iyindlela engadli, engabizi, ephathwayo enezingozi ezincane kanye nezingqinamba ezimbalwa. Uma kunesidingo, ingakwazi ukuzilawula nsuku zonke phakathi nemisebenzi yansuku zonke. Ucwaningo oluningana luye lwaphenya ukuphumelela kwe-TENS ekwehliseni izinhlungu, ukunciphisa ukusetshenziswa kwama-analgesics, kanye nokwenza ngcono izinga lempilo ezigulini eziyinhloko ze-dysmenorrhea. Lezi zifundo zinemikhawulo ethile kwikhwalithi ye-methodological kanye nokuqinisekiswa kokwelashwa. Kodwa-ke, imiphumela emihle iyonke ye-TENS ku-primary dysmenorrhea okuhlangatshezwane nayo kuzo zonke izifundo zangaphambilini ibonise ukubaluleka kwayo okungaba khona. Lokhu kubuyekezwa kuveza izincomo zomtholampilo zemingcele ye-TENS yokwelapha izimpawu eziyinhloko ze-dysmenorrhea ngokusekelwe ezifundweni ezishicilelwe ngaphambilini.
Indlela yokwelapha i-dysmenorrhea 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-dysmenorrhea, ungazibeka endaweni ebuhlungu ngaphansi kwesisu. Qinisekisa ukuthi uvikela amaphedi e-electrode ngokuqinile esikhumbeni sakho.
③Khetha imodi efanele kanye nemvamisa: Amadivayisi we-TENS electrotherapy ngokuvamile anenqwaba yezindlela namafrikhwensi ongakhetha kuzo.Uma kukhulunywa nge-dysmenorrhea, imvamisa efanelekile yokudambisa izinhlungu ngu-100 Hz, ungaya ukuze uthole ukukhuthazwa okuqhubekayo noma okushaywayo. 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 kwe-dysmenorrhea, kungase kusebenze kakhulu uma uhlanganisa ukwelapha kwe-TENS nokunye ukwelashwa. Isibonelo, zama ukusebenzisa izinto ezicindezela ukushisa, ukwenza ukunwebeka kwesisu okuthambile noma ukuzilolonga, noma ukuthola amamasaji - konke kungasebenza ndawonye ngokuvumelana!
Khetha imodi ye-TENS, bese unamathisela ama-electrode ngaphansi kwesisu, nhlangothi zombili zomugqa ophakathi nendawo wangaphambili, amayintshi angu-3 ngaphansi kwenkaba.
Isikhathi sokuthumela: Jan-16-2024
