Kurapa neElectrotherapy yeOA (Osteoarthritis)

1. Chii chinonzi OA (Osteoarthritis)?

Kumashure:

Osteoarthritis (OA) chirwere chinokanganisa majoini emutsinga zvichikonzera kuora kwehyaline cartilage. Kusvika pari zvino, hapana mushonga wekurapa weOA uripo. Zvinangwa zvikuru zvekurapa OA ndezvekuderedza marwadzo, kuchengetedza kana kuvandudza mashandiro emuviri, uye kuderedza kuremara. Transcutaneous electrical nerve stimulation (TENS) inzira isingakuvadzi iyo inowanzoshandiswa mu physiotherapy kudzora marwadzo anorwadza uye asingaperi anokonzerwa nezvirwere zvakasiyana-siyana. Miedzo yakati wandei inoongorora kushanda kweTENS muOA yakaburitswa.

Osteoarthritis (OA) chirwere chinokonzerwa nekuchinja-chinja kwemuviri. Chinonyanya kubata vanhu vane makore epakati nepakati nevakwegura, uye zviratidzo zvacho zvinosanganisira kurwadziwa kwemabvi matsvuku uye akazvimba, kurwadziwa kumusoro nekudzika masitepisi, kurwadziwa kwemabvi uye kusagadzikana kana wakagara wakamira nekufamba. Pachavawo nevarwere vane kuzvimba, kusvetuka-svetuka, kubuda kwemvura mumuviri, nezvimwewo, kana zvikasarapwa nenguva, zvinokonzeresa kuremara kwemajoini.

2. Zviratidzo:

*Marwadzo: Varwere vane huremu hwakanyanya vanorwadziwa zvakanyanya, kunyanya pavanenge vakamira kana kukwira nekudzika masitepisi. Muzviitiko zvakakomba zvearthritis, panogona kuva nemarwadzo kunyangwe pakuzorora uye pakumuka kubva kuhope.

*Kunyorova uye kuremara kwemajoini ndizvo zviratidzo zvikuru zve osteoarthritis. Majoini ebvi anogona kuratidza kuremara kwevarus kana valgus, pamwe chete nekuwedzera kwemapfupa emajoini. Vamwe varwere vanogona kunge vasina kutambanudza majoini ebvi, nepo zviitiko zvakakomba zvinogona kukonzera kuremara kwe contracture.

*Zviratidzo zvekusunga majoini: Zvakafanana nezviratidzo zvekukuvara kwemeniscus, nzvimbo dzakaoma dzemajoini kana kuti kunamatira zvinogona kukonzera kuti vamwe varwere vanzwe miviri yakasununguka mukati memajoini.

* Kuomarara kana kuzvimba kwemajoini: Marwadzo anokonzera kufamba kushoma, zvichikonzera kuomarara kwemajoini uye kukuvara kunogona kukonzera kuremara. Munguva ye synovitis yakanyanya, kuzvimba kunokanganisa kufamba kwemajoini.

3. Kuongororwa:

Zviratidzo zvekuongorora OA zvinosanganisira zvinotevera:

1. Kurwadziwa kwebvi kunoramba kuchiitika mukati memwedzi wapfuura;

2. X ray (inotorwa wakamira kana kuti wakatakura huremu) inoratidza kutetepa kwenzvimbo yemajoini, subchondral osteosclerosis, shanduko dzecystic, uye kuumbwa kwemaosteophytes pamucheto wemajoini;

3. Kuongorora mvura yemumajoini (kwakaitwa kaviri kana kupfuura) kuchiratidza kugadzikana kwakanaka uye kwakakora pamwe chete nehuwandu hwemasero machena eropa pasi pe2000/ml;

4. Varwere vezera repakati nepakati nevakuru (vane makore ≥40);

5. Kuomarara kwemangwanani kunogara kwemaminitsi asingasviki gumi nemashanu;

6. Kukweshana kwemapfupa panguva yekushanda;

7. Kuwedzera kwehudyu mubvi, kuzvimba kwemunzvimbo kusvika padanho rakasiyana, mafambiro ekufamba akaderera kana mashoma ekukwenya kana kuwedzera.

4.purogiramu yekurapa:

Nzira yekurapa OA nezvigadzirwa zve electrotherapy?

Nzira chaiyo yekushandisa ndeiyi inotevera (TENS mode):

①Sarudza huwandu hwakakodzera hwemagetsi: Gadzirisa simba remagetsi reTENS electrotherapy zvichienderana nekuti unonzwa kurwadziwa kwakadii uye chii chinokufadza. Kazhinji, tanga nesimba rakaderera wowedzera zvishoma nezvishoma kusvika wanzwa kunzwa kunofadza.

②Kuisa maelectrode: Isa mapedhi eTENS electrode panzvimbo inorwadza kana pedyo nayo. Kana uine marwadzo eOA, unogona kuaisa pamhasuru dzakatenderedza ibvi rako kana zvakananga pamusoro pepanorwadza. Ita shuwa kuti wasunga mapedhi eelectrode zvakasimba paganda rako.

③Sarudza nzira chaiyo uye maitikiro: Zvishandiso zveTENS electrotherapy zvinowanzova nenzira dzakasiyana siyana uye maitikiro ekusarudza kubva. Kana zvasvika pakurwadziwa kwebvi, unogona kusarudza nzira yekukurudzira inoramba ichienderera mberi kana yekurova kwemoyo. Ingosarudza nzira uye maitikiro anonzwa akasununguka kwauri kuti uwane zororo rakanakisa remarwadzo.

④Nguva uye kakawanda: Zvichienderana nekuti chii chinokunakira, chikamu chega chega cheTENS electrotherapy chinofanira kugara pakati pemaminitsi gumi nemashanu kusvika makumi matatu, uye zvinokurudzirwa kuchishandisa kamwe chete kusvika katatu pazuva. Sezvo muviri wako uchipindura, inzwa wakasununguka kugadzirisa zvishoma nezvishoma nguva yekushandisa uye nguva yekushandisa sezvinodiwa.

⑤Kusanganisa nemamwe marapirwo: Kuti unyatsorerutsira marwadzo emabvi, zvingashanda zvakanyanya kana ukasanganisa TENS therapy nemamwe marapirwo. Semuenzaniso, edza kushandisa heat compresses, kuita mamwe maekisesaizi ekutambanudza mutsipa zvinyoro nyoro kana kuzorora, kana kutoita masaji - zvese izvi zvinogona kushanda pamwe chete zvichiwirirana!

Mirayiridzo yekushandisa: Nzira ye cross electrode inofanira kusarudzwa. Channel1 (yebhuruu), inoiswa kune vastus lateralis tsandanyama uye medial tuberositas tibiae. Channel2 (yegirini) yakabatana ne vastus medialis tsandanyama uye lateral tuberositas tibiae.