Ko te Whakaoho Hiko Whakawhiti-kiri (TENS) he rongoā whakamamae mamae kore-whakaeke e whakamahi ana i ngā iahiko hiko iti-ngaohiko hei whakaoho i ngā io mā roto i te kiri. He mea whakamahi noa i roto i te whakaora tinana, te whakaora tinana, me te whakahaere mamae mō ngā āhuatanga pēnei i te mamae mau tonu, te mamae i muri i te pokanga, me te mamae o te uaua.
Tikanga Mahi：
Ko te tikanga o TENS e ahu mai ana i te ariā whakahaere kuaha o te mamae me te tukunga o ngā opioid taketake:
- Te Ariā Whakahaere Kūaha o te Mamae:
Nā Melzack rāua ko Wall i whakatakoto i te tau 1965, e kī ana tēnei ariā ka whakarerekētia te kite i te mamae i te taumata o te taurakira. Ina tukuna e te TENS ngā hikohiko, ka whakaohokia e ia ngā muka A-beta whānui i roto i te kiri me ngā kiko o raro. Ka taea e ēnei muka te aukati i te tuku i ngā tohu mamae e haria ana e ngā muka A-delta me C iti ake. Ko te tikanga, ko te whakaoho o ngā muka A-beta ka "kati i te kuaha" ki ngā tohu mamae, ka whakaiti i te kite i te mamae. Ka taea te whakaaro ki tēnei hei whakataetae i waenga i te whakaurunga o ngā kare ā-roto (mai i te TENS) me te whakaurunga o te mamae.
- Te Tukunga Opioid Taketake:
Kua whakaaturia te kaha o TENS ki te whakatairanga i te tukunga o ngā endorphins me ētahi atu opioid taketake i roto i te pūnaha io matua. Ka herea ēnei matū whakamamae mamae ki ngā kaiwhakawhiwhi opioid, ka whakamama ake i te mamae me te whakarei ake i te kare o te oranga.
- Te Whakangāwari i te Uaua:
Haunga te whakamamae i te mamae, ka āwhina a TENS i te whakangāwari i ngā uaua. Ka taea e ngā hikohiko te whakaiti i te pēhanga me te mānukanuka o te uaua, he mea whai hua tēnei mō te whakahaere i ngā āhuatanga pēnei i te fibromyalgia me te myofascial pain syndrome.
Ngā momo TENS
- Ngā TENS Tuku Iho:Ka tukuna ngā pātere auau-teitei (80-100 Hz) me te kaha iti. Ka mahi tuatahi tēnei aratau mā te ariā whakahaere kuaha, ā, ka tere te whakamamae i te mamae.
- Ngā TENS rite ki te wero ngira (AL-TENS):E whakamahi ana i te whakaohooho auau-iti (1-4 Hz) me te kaha ake. Ko te whāinga o tēnei aratau he whakaoho i te tukunga o ngā endorphins, ā, he maha ngā wā ka whakamahia hei whakamamae i te mamae mō te wā roa.
- Aratau Pakū TENS:Ka whakakotahi i ngā āhuatanga o te TENS tikanga me te TENS rite ki te wero ngira, ka tukuna ngā pāorooro i roto i ngā wā poto. Ka taea e tēnei tikanga te whakarei ake i te whakamamae mamae me te whakamarie.
- Ngā TENS Poto Kaha:He kaha te whakamahi, he auau te whakamahi mō te wā poto, e whakamahia ana hei whakamamae i te mamae nui i te wā e rongoatia ana.
Ngā tono
E whakamahia ana te TENS i roto i ngā momo tautuhinga haumanu, tae atu ki:
- Te Whakahaere Mamae Mau tonu: Ngā āhuatanga pēnei i te rumatiki, te mamae o te tuara o raro, me te mamae neuropathic.
- Whakaora Mamae i Muri i te Pokanga: Āwhina ki te whakaiti i te whakawhirinaki ki ngā rongoā opioid.
- Te Whakahaere Mamae o te Whānautanga: Ka whakamahia i ētahi wāhi hei whakamamae i te mamae i te wā e whānau ana.
- Whakaoraora: Ka āwhina i te whakaoranga mā te whakaiti i te mamae me te whakatairanga i te whakangā o ngā uaua i te wā e whakaora tinana ana.
Haumaru me ngā Whakaaroaro
E kiia ana he haumaru te TENS ina whakamahia tika. Heoi anō, kei reira ētahi ārai, tae atu ki:
- Kāore i te tūtohutia kia whakamahia ki ngā wāhi kua ngoikore te kare ā-roto, ki ngā patunga tuwhera, ki ētahi taputapu hauora rānei (hei tauira, ngā taputapu whakaterenga manawa).
- Me tūpato te hunga whai mate hauora motuhake pēnei i te mate haurangi, te mate manawa rānei.
Whakamutunga
He tikanga maha, he whai hua hoki te TENS mō te whakahaere mamae e whakamahi ana i te whakaoho hiko hei whakarerekē i te tirohanga mamae mā roto i ngā tikanga taha me ngā tikanga pokapū. Nā tōna āhua kore-whakaeke me te haumaru e hangai ana hei taputapu whai hua i roto i ngā horopaki haumanu me te kāinga mō ngā tūroro e rapu ana i te whakaora mai i ngā momo āhuatanga mamae. Pērā i ngā momo rongoā katoa, ka rerekē pea ngā urupare a te tangata takitahi, ā, he mea tika kia kōrero ki ngā tohunga hauora mō ngā mahere maimoatanga whaiaro.
Te wā tuku: 8-Pepuere-2008
