Kev kho mob hluav taws xob rau OA (Osteoarthritis)

1. OA (Osteoarthritis) yog dab tsi?

Keeb Kwm:

Kab mob pob qij txha (OA) yog ib yam kab mob uas cuam tshuam rau cov pob qij txha synovial ua rau puas tsuaj thiab ua rau cov pob txha mos hyaline puas tsuaj. Txog niaj hnub no, tsis muaj kev kho mob zoo rau OA. Lub hom phiaj tseem ceeb rau kev kho mob OA yog kom txo qhov mob, tswj lossis txhim kho qhov ua haujlwm, thiab txo qhov deformation. Kev siv hluav taws xob transcutaneous electrical nerve stimulation (TENS) yog ib txoj kev kho mob tsis muaj kev phais uas feem ntau siv hauv kev kho lub cev los tswj ob qho tib si mob hnyav thiab mob ntev uas tshwm sim los ntawm ntau yam mob. Muaj ntau qhov kev sim ntsuas qhov ua tau zoo ntawm TENS hauv OA tau luam tawm.

Kab mob pob qij txha (OA) yog ib yam kab mob uas ua rau muaj kev hloov pauv ntawm cov pob qij txha. Feem ntau nws cuam tshuam rau cov neeg hnub nyoog nruab nrab thiab cov neeg laus, thiab nws cov tsos mob yog mob hauv caug liab thiab o, mob nce thiab nqis ntaiv, mob hauv caug thiab tsis xis nyob thaum zaum thiab taug kev. Kuj tseem yuav muaj cov neeg mob uas o, dhia, dej ntws, thiab lwm yam, yog tias tsis kho raws sijhawm, nws yuav ua rau cov pob qij txha puas thiab tsis taus.

2. Cov tsos mob:

*Mob: Cov neeg mob uas hnyav dhau yuav mob heev, tshwj xeeb tshaj yog thaum zaum lossis nce thiab nqis ntaiv. Hauv cov mob pob qij txha hnyav, tej zaum yuav mob txawm tias thaum so thiab thaum sawv los ntawm kev pw tsaug zog.

*Qhov mob thiab pob qij txha tsis zoo yog cov cim qhia tseem ceeb ntawm osteoarthritis. Cov pob qij txha hauv caug yuav muaj cov varus lossis valgus deformities, nrog rau cov pob txha ntug pob qij txha loj hlob. Qee tus neeg mob yuav muaj qhov ntev ntawm pob qij txha hauv caug tsawg, thaum cov mob hnyav tuaj yeem ua rau flexion contracture deformity.

*Cov tsos mob ntawm kev sib koom ua ke: Zoo ib yam li cov tsos mob ntawm kev raug mob meniscus, cov pob qij txha uas ntxhib lossis cov nplaum tuaj yeem ua rau qee tus neeg mob muaj cov pob qij txha xoob.

* Cov pob qij txha tawv los yog o: Qhov mob ua rau tsis txav tau, ua rau cov pob qij txha tawv thiab tej zaum yuav raug mob ua rau puas. Thaum lub sij hawm mob synovitis, o yuav cuam tshuam rau kev txav mus los ntawm cov pob qij txha.

3. Kev kuaj mob:

Cov txheej txheem kuaj mob rau OA suav nrog cov hauv qab no:

1. Mob hauv caug rov tshwm sim dua hauv ib hlis dhau los;

2. Duab X-ray (thaum sawv ntsug lossis thaum tuav qhov hnyav) qhia txog qhov chaw sib koom ua ke nqaim, subchondral osteosclerosis, cystic changes, thiab kev tsim cov osteophytes ntawm ntug sib koom ua ke;

3. Kev tshuaj xyuas cov kua dej ntawm cov pob qij txha (ua tsawg kawg yog ob zaug) qhia tias txias thiab nplaum nrog rau cov qe ntshav dawb tsawg dua 2000/ml;

4. Cov neeg mob hnub nyoog nruab nrab thiab cov neeg laus (≥40 xyoo);

5. Sawv ntxov mob nqaij tawv tsis txog 15 feeb;

6. Kev sib txhuam ntawm pob txha thaum lub sijhawm ua ub ua no;

7. Qhov kawg ntawm lub hauv caug loj hlob tuaj, qhov o ntawm qhov chaw ntawd mus rau ntau qib, txo qis lossis txwv txoj kev txav mus los rau kev khoov thiab ncab.

4.teem sijhawm kho mob:

Yuav kho OA li cas nrog cov khoom siv hluav taws xob?

Txoj kev siv tshwj xeeb yog raws li nram no (TENS hom):

①Txiav txim siab qhov ntau ntawm cov hluav taws xob kom raug: Kho qhov zog tam sim no ntawm TENS electrotherapy device raws li qhov mob koj hnov ​​​​​​ntau npaum li cas thiab qhov koj xis nyob. Feem ntau, pib nrog qhov muaj zog tsawg thiab maj mam nce nws kom txog thaum koj hnov ​​​​​​qhov kev xav zoo siab.

②Kev Muab Cov Hluav Taws Xob Tso Rau: Muab cov TENS electrode patches rau ntawm lossis ze ntawm qhov chaw uas mob. Rau qhov mob OA, koj tuaj yeem muab lawv tso rau ntawm cov leeg nqaij nyob ib puag ncig koj lub hauv caug lossis ncaj qha rau ntawm qhov chaw uas nws mob. Nco ntsoov kom ruaj cov electrode pads nruj nreem rau ntawm koj daim tawv nqaij.

③Xaiv hom thiab zaus kom raug: Cov khoom siv TENS electrotherapy feem ntau muaj ntau hom thiab zaus sib txawv xaiv los ntawm. Thaum nws los txog rau qhov mob hauv caug, koj tuaj yeem mus rau kev txhawb nqa tas mus li lossis pulsed. Tsuas yog xaiv hom thiab zaus uas xis nyob rau koj kom koj tuaj yeem tau txais kev pab txo qhov mob zoo tshaj plaws.

④Lub Sijhawm thiab zaus: Nyob ntawm seb yam twg ua haujlwm zoo tshaj plaws rau koj, txhua zaus ntawm TENS electrotherapy feem ntau yuav tsum kav ntev li ntawm 15 txog 30 feeb, thiab nws raug pom zoo kom siv nws 1 txog 3 zaug hauv ib hnub. Thaum koj lub cev teb, xav tias dawb maj mam hloov kho zaus thiab lub sijhawm siv raws li qhov xav tau.

⑤Sib xyaw nrog lwm yam kev kho mob: Yuav kom txo qhov mob hauv caug tau zoo tshaj plaws, nws yuav zoo dua yog tias koj muab TENS kho mob ua ke nrog lwm yam kev kho mob. Piv txwv li, sim siv cov cua sov compresses, ua qee qhov kev ncab caj dab maj mam lossis kev tawm dag zog so, lossis txawm tias tau txais kev zaws - lawv txhua tus tuaj yeem ua haujlwm ua ke hauv kev sib haum xeeb!

Cov Lus Qhia Siv: Yuav tsum xaiv txoj kev hla electrode. Channel1 (xiav), nws siv rau cov leeg vastus lateralis thiab medial tuberositas tibiae. Channel2 (ntsuab) txuas rau cov leeg vastus medialis thiab lateral tuberositas tibiae.