Unyango lwe-Electrotherapy lwe-OA (i-Osteoarthritis)

1. Yintoni i-OA (i-Osteoarthritis)?

Imvelaphi:

I-Osteoarthritis (OA) sisifo esichaphazela amalungu e-synovial abangela ukuwohloka kunye nokutshatyalaliswa kwe-hyaline cartilage. Ukuza kuthi ga ngoku, akukho nyango lokunyanga i-OA ekhoyo. Iinjongo eziphambili zonyango lwe-OA kukunciphisa iintlungu, ukugcina okanye ukuphucula imeko yokusebenza, kunye nokunciphisa ukukhubazeka. Ukukhuthazwa kwemithambo-luvo yombane ye-Transcutaneous (TENS) yindlela engangenisi ntsholongwane esetyenziswa rhoqo kwi-physiotherapy ukulawula iintlungu ezibukhali nezingapheliyo ezivela kwiimeko ezahlukeneyo. Kupapashwe uvavanyo oluninzi oluvavanya ukusebenza kwe-TENS kwi-OA.

I-Osteoarthritis (OA) sisifo esisekelwe kutshintsho oluwohlokayo. Ichaphazela kakhulu abantu abakwiminyaka ephakathi kunye nabantu abadala, kwaye iimpawu zayo zibomvu kwaye zidumbile iintlungu zamadolo, iintlungu zokunyuka nokuhla kwezitebhisi, iintlungu zamadolo kunye nokungonwabi xa uhleli phezulu naxa uhamba. Kuza kubakho nezigulana ezinokudumba, ukutsiba, ukuphuma kwamanzi emzimbeni, njl.njl., ukuba azinyangwa ngexesha, ziya kubangela ukukhubazeka kwamalungu kunye nokukhubazeka.

2. Iimpawu:

*Intlungu: Izigulana ezinobunzima obugqithisileyo zifumana iintlungu ezinkulu, ingakumbi xa zigobile okanye zinyuka kwaye zisihla izinyuko. Kwiimeko ezinzima ze-arthritis, kunokubakho iintlungu nokuba ziphumle naxa zivuka ebuthongweni.

*Ukuthamba kunye nokukhubazeka kwamalungu zezona zibonakaliso ziphambili ze-osteoarthritis. Idolo linokubonisa ukukhubazeka kwe-varus okanye i-valgus, kunye nokwanda kwamathambo amalunga. Ezinye izigulana zinokuba nolwandiso oluncinci lwedolo, ngelixa iimeko ezinzima zinokubangela ukukhubazeka kwe-flexion contracture.

*Iimpawu zokutshixa amalungu: Njengeempawu zokulimala kwe-meniscus, iindawo ezirhabaxa ze-articular okanye ukunamathelana kunokubangela ukuba abanye abaguli babe nemizimba ekhululekileyo ngaphakathi kwamalungu.

* Ukuqina okanye ukudumba kwamalungu: Intlungu ikhokelela ekushukumeni okulinganiselweyo kwamalungu, okubangela ukuqina kwamalungu kunye nokuqunjelwa okunokwenzeka okukhokelela ekukhubazekeni. Ngexesha lesigaba esibukhali se-synovitis, ukudumba kuchaphazela ukuhamba kwamalungu.

3. Ukuxilongwa:

Iindlela zokuxilonga i-OA ziquka oku kulandelayo:

1. Iintlungu zedolo eziphindaphindayo kwinyanga ephelileyo;

2. I-X ray (ithathwe umi okanye uthwele ubunzima) ityhila ukuncitshiswa kwendawo yamalungu, i-subchondral osteosclerosis, utshintsho lwe-cystic, kunye nokwakheka kwe-osteophytes kumda wamalungu;

3. Uhlalutyo lolwelo oludibeneyo (olwenziwe ubuncinane kabini) lubonisa ukuhambelana okupholileyo nokuqinileyo kunye nenani leeseli ezimhlophe zegazi ezingaphantsi kwe-2000/ml;

4. Izigulane ezikwiminyaka ephakathi kunye nezikhulileyo (≥iminyaka engama-40 ubudala);

5. Ukuqina kwasekuseni okuhlala ngaphantsi kwemizuzu eli-15;

6. Ukungqubana kwamathambo ngexesha lomsebenzi;

7. Ukuqina kwedolo, ukudumba kwangaphakathi ukuya kumanqanaba ahlukeneyo, ukuncipha okanye ukunqongophala komgama wokunyakaza ukuze ujijeke okanye wolulwe.

4.ishedyuli yonyango:

Ungayinyanga njani i-OA ngeemveliso ze-electrotherapy?

Indlela ethile yokusebenzisa yile ilandelayo (imo ye-TENS):

①Misela ubungakanani obufanelekileyo bombane: Lungisa amandla ombane wesixhobo se-electrotherapy se-TENS ngokusekelwe kubungakanani bentlungu oyivayo kunye nento evakala ikhululekile kuwe. Ngokubanzi, qala ngamandla aphantsi uze uwanyuse kancinci kancinci ude uzive umnandi.

②Ukubekwa kwee-electrode: Beka ii-patches ze-electrode ze-TENS kwindawo ebuhlungu okanye kufutshane nayo. Kwintlungu ye-OA, ungazibeka kwimisipha ejikeleze idolo lakho okanye ngqo phezu kwendawo ebuhlungu kuyo. Qinisekisa ukuba uzibophelele ngokuqinileyo ii-electrode pads eluswini lwakho.

③Khetha imo kunye nezihlandlo ezifanelekileyo: Izixhobo ze-electrotherapy ze-TENS zihlala zineendlela ezahlukeneyo kunye nezihlandlo onokukhetha kuzo. Xa kufikwa kwiintlungu zedolo, ungakhetha ukuvuselela okuqhubekayo okanye ukubetha kwentliziyo. Khetha nje imo kunye nezihlandlo ezivakala zikhululekile kuwe ukuze ufumane isiqabu sentlungu esingcono kangangoko.

④Ixesha kunye nokuphindaphinda: Kuxhomekeke kwinto ekulungeleyo, iseshoni nganye ye-TENS electrotherapy kufuneka ihlale phakathi kwemizuzu eli-15 ukuya kwengama-30, kwaye kuyacetyiswa ukuba uyisebenzise kanye ukuya kwezintathu ngemini. Njengoko umzimba wakho usabela, zive ukhululekile ukulungisa kancinci ukuphindaphinda kunye nobude bokusetyenziswa njengoko kufuneka.

⑤Ukudibanisa nezinye iindlela zonyango: Ukuze unciphise iintlungu zedolo, kungangcono ukuba udibanisa unyango lwe-TENS nezinye iindlela zonyango. Umzekelo, zama ukusebenzisa izinto ezicinezela ubushushu, ukolula intamo kancinci okanye ukwenza umthambo wokuphumla, okanye nokuba ufumane imassage - zonke zinokusebenzisana kakuhle!

Imiyalelo yokusetyenziswa: Indlela ye-cross electrode kufuneka ikhethwe. Itshaneli 1 (eluhlaza okwesibhakabhaka), isetyenziswa kwimisipha ye-vastus lateralis kunye ne-medial tuberositas tibiae. Itshaneli 2 (eluhlaza) incamathele kwimisipha ye-vastus medialis kunye ne-lateral tuberositas tibiae.