Kulimbikitsa Mitsempha Yodutsa Pakhungu (TENS) ndi njira yochepetsera ululu yomwe imagwiritsa ntchito mphamvu zamagetsi zochepa kuti ilimbikitse mitsempha kudzera pakhungu. Imagwiritsidwa ntchito kwambiri pochiza mitsempha, kubwezeretsa, komanso kuchepetsa ululu pamavuto monga kupweteka kosatha, kupweteka pambuyo pa opaleshoni, komanso kupweteka kwa minofu.
Lingaliro la Ntchito:
Njira yomwe TENS imagwirira ntchito makamaka imachokera ku chiphunzitso cha ululu cha chipata komanso kutulutsidwa kwa ma opioid achilengedwe:
- Chiphunzitso cha Ululu Chokhudza Chipata:
Chiphunzitsochi chomwe chinaperekedwa ndi Melzack ndi Wall mu 1965, chikusonyeza kuti kumva ululu kumasinthidwa pamlingo wa msana. Pamene TENS ikupereka mphamvu zamagetsi, imalimbikitsa ulusi wa A-beta waukulu m'mimba mwake pakhungu ndi m'minofu yapansi. Ulusiwu ukhoza kuletsa kufalitsa zizindikiro za ululu zomwe zimanyamulidwa ndi ulusi waung'ono wa A-delta ndi C. Kwenikweni, kusonkhezera ulusi wa A-beta "kumatseka chipata" ku zizindikiro za ululu, kuchepetsa kumva ululu. Izi zitha kuwonedwa ngati mpikisano pakati pa zomwe munthu akumva (kuchokera ku TENS) ndi zomwe munthu akumva ululu.
- Kutulutsidwa kwa Opioid Yochokera Kuthupi:
Zawonetsedwa kuti TENS imalimbikitsa kutulutsa ma endorphins ndi ma opioid ena achilengedwe mkati mwa dongosolo la mitsempha. Zinthu zachilengedwezi zochepetsa ululu zimamangirira ku ma opioid receptors, zomwe zimathandiza kuchepetsa ululu ndikuwonjezera kumva bwino.
- Kupumula Minofu:
Kuwonjezera pa kuchepetsa ululu, TENS ingathandize kupumula minofu. Mphamvu zamagetsi zimatha kuchepetsa kupsinjika kwa minofu ndi kupindika, zomwe zimathandiza pothana ndi matenda monga fibromyalgia ndi myofascial pain syndrome.
Mitundu ya TENS
- Ma TENS Achizolowezi:Imapereka ma pulse amphamvu kwambiri (80-100 Hz) ndi mphamvu yochepa. Njira imeneyi imagwira ntchito makamaka kudzera mu chiphunzitso cha gate control ndipo imapereka mpumulo wa ululu nthawi yomweyo.
- Ma TENS Ofanana ndi Acupuncture (AL-TENS):Imagwiritsa ntchito mphamvu yolimbikitsa yotsika (1-4 Hz) komanso mphamvu yowonjezereka. Njira imeneyi cholinga chake ndi kulimbikitsa kutulutsa ma endorphins ndipo nthawi zambiri imagwiritsidwa ntchito pochepetsa ululu kwa nthawi yayitali.
- Burst Mode TENS: (Magawo Oyamba):Amaphatikiza zinthu za TENS zachikhalidwe komanso zonga acupuncture, zomwe zimapangitsa kuti kugunda kwa mtima kukhale kofulumira. Njirayi imatha kupititsa patsogolo kuchepetsa ululu komanso chitonthozo.
- Ma TENS Aafupi Kwambiri:Amagwiritsa ntchito mphamvu zambiri komanso pafupipafupi kwa nthawi yochepa, nthawi zambiri amagwiritsidwa ntchito pochepetsa ululu panthawi ya opaleshoni.
Mapulogalamu
TENS imagwiritsidwa ntchito m'malo osiyanasiyana azachipatala, kuphatikizapo:
- Kusamalira Ululu Wosatha: Matenda monga nyamakazi, kupweteka kwa msana, ndi ululu wa neuropathic.
- Mpumulo wa Ululu Pambuyo pa Opaleshoni: Zimathandiza kuchepetsa kudalira mankhwala a opioid.
- Kuchepetsa Ululu wa Pakubereka: Kumagwiritsidwa ntchito nthawi zina kuti achepetse ululu panthawi yobereka.
- Kubwezeretsa: Kumathandiza kuchira mwa kuchepetsa ululu ndikulimbikitsa kupumula kwa minofu panthawi ya chithandizo cha thupi.
Chitetezo ndi Zofunika Kuziganizira
TENS nthawi zambiri imaonedwa kuti ndi yotetezeka ikagwiritsidwa ntchito moyenera. Komabe, pali zoletsa zina, kuphatikizapo:
- Sikovomerezeka kugwiritsa ntchito pamalo omwe ali ndi vuto la kumva, mabala otseguka, kapena zida zina zamankhwala (monga pacemakers).
- Chenjezo limaperekedwa kwa anthu omwe ali ndi matenda enaake monga khunyu kapena matenda a mtima.
Mapeto
TENS ndi njira yothandiza komanso yothandiza yochepetsera ululu yomwe imagwiritsa ntchito mphamvu zamagetsi kuti isinthe momwe ululu umamvekera kudzera m'njira zonse ziwiri zamkati ndi zapakati. Kusavulaza kwake komanso chitetezo chake zimapangitsa kuti ikhale chida chofunikira kwambiri m'malo azachipatala komanso kunyumba kwa odwala omwe akufuna mpumulo ku mavuto osiyanasiyana a ululu. Monga momwe zimakhalira ndi njira zina zochiritsira, mayankho a munthu payekha amatha kusiyana, ndipo ndibwino kufunsa akatswiri azaumoyo kuti akupatseni mapulani ochiritsira omwe ali ndi zosowa zanu.
Nthawi yotumizira: Feb-08-2008