1. yintoni iDysmenorrhea?
I-Dysmenorrhea ibhekisa kwintlungu efunyanwa ngabafazi esiswini okanye esinqeni esisezantsi nangaphandle ngexesha lokuya exesheni, enokufikelela nakwindawo ye-lumbosacral. Kwiimeko ezinzima, inokuhamba neempawu ezifana nokucaphuka, ukuhlanza, ukubila okubandayo, izandla neenyawo ezibandayo, kunye nokuquleka, okuchaphazela kakhulu ubomi bemihla ngemihla nomsebenzi. Okwangoku, i-dysmenorrhea idla ngokwahlulwahlulwa ibe ziintlobo ezimbini: eyokuqala neyesibini. I-dysmenorrhea yokuqala yenzeka ngaphandle kokuphazamiseka okubonakalayo kwamalungu okuzala kwaye idla ngokubizwa ngokuba yi-functional dysmenorrhea. Ixhaphake kakhulu kumantombazana aselula angatshatanga okanye angekazali. Olu hlobo lwe-dysmenorrhea lunokukhululeka okanye luphele emva kokuzala okuqhelekileyo. Kwelinye icala, i-secondary dysmenorrhea ibangelwa kakhulu zizifo eziphilayo ezichaphazela amalungu okuzala. Yimeko eqhelekileyo yabasetyhini enezinga lokwenzeka elixeliweyo le-33.19%.
2.iimpawu:
2.1.I-dysmenorrhea yokuqala ixhaphake kakhulu ngexesha lokufikisa kwaye idla ngokuvela kwiminyaka eyi-1 ukuya kwemi-2 emva kokuqala kokuya exesheni. Uphawu oluphambili ziintlungu zesisu ezisezantsi ezihambelana nomjikelo wesiqhelo wokuya exesheni. Iimpawu ze-dysmenorrhea yesibini ziyafana nezo ze-dysmenorrhea yokuqala, kodwa xa ibangelwa yi-endometriosis, ihlala iba mandundu ngokuthe ngcembe.
2.2. Iintlungu zihlala ziqala emva kokuya exesheni, ngamanye amaxesha ziqala kwiiyure ezili-12 ngaphambi koko, kwaye eyona ntlungu inzima kakhulu iyenzeka ngosuku lokuqala lokuya exesheni. Le ntlungu inokuhlala iintsuku ezi-2 ukuya kwezi-3 ize iphele kancinci kancinci. Idla ngokuchazwa njenge-spasmodic kwaye ngokubanzi ayihambi kunye noxinzelelo kwimisipha yesisu okanye intlungu yokubuyela umva.
2.3. Ezinye iimpawu ezinokubakho ziquka isicaphucaphu, ukuhlanza, urhudo, isiyezi, ukudinwa, kwaye kwiimeko ezinzima kunokwenzeka ukuba umntu abe nombala omdaka okanye abile.
2.4. Uvavanyo lwezifo zabasetyhini alubonisi naziphi na iziphumo ezingaqhelekanga.
2.5. Ngokusekelwe ekubeni kukho iintlungu zesisu esisezantsi ngexesha lokuya exesheni kunye neziphumo zovavanyo olubi lwezifo zabasetyhini, ukuxilongwa kwezonyango kunokwenziwa.
Ngokwezinga lobunzima be-dysmenorrhea, inokwahlulwa ibe ngamanqanaba amathathu:
*Ithambile: Ngexesha okanye ngaphambi nasemva kokuya exesheni, kukho intlungu encinci esiswini esisezantsi ehamba nomqolo. Nangona kunjalo, umntu usenokuqhubeka nemisebenzi yemihla ngemihla ngaphandle kokungakhululeki ngokubanzi. Ngamanye amaxesha, iintlungu zokuphelisa iintlungu zinokufuneka.
*Okuphakathi: Ngaphambi nasemva kokuya exesheni, kukho iintlungu eziphakathi esiswini kunye neentlungu zomqolo, isicaphucaphu nokuhlanza, kunye neengalo ezibandayo. Ukuthatha amanyathelo okunciphisa iintlungu kunokubonelela ngokukhululeka okwethutyana kolu buhlungu.
*Inzima kakhulu: Ngaphambi nasemva kokuya exesheni, kukho iintlungu ezinzima esiswini esisezantsi ezenza kube nzima ukuhlala phantsi uzolile. Zichaphazela kakhulu umsebenzi, ukufunda, kunye nobomi bemihla ngemihla; ngoko ke kufuneka ulale ebhedini. Ukongeza, iimpawu ezinje ngokuba mhlophe, ukubila okubandayo***ge zinokubakho. Nangona kuthathelwa ingqalelo imizamo yokunciphisa iintlungu; aziniki mandla.
3. Unyango lomzimba
Inani elikhulu lezifundo zeklinikhi libonise impembelelo ebalulekileyo ye-TENS kunyango lwe-dysmenorrhea:
I-Primary dysmenorrhea yimeko yempilo engapheliyo echaphazela ikakhulu abasetyhini abancinci. I-Transcutaneous electrical nerve stimulation (TENS) icetyiswa njengendlela esebenzayo yokunciphisa iintlungu kwi-primary dysmenorrhea. I-TENS yindlela engangenisi ntsholongwane, engabizi kakhulu, ephathwayo enemingcipheko emincinci kunye nezinto ezimbalwa ezingahambelaniyo nayo. Xa kuyimfuneko, ingasetyenziswa imihla ngemihla ngexesha lemisebenzi yemihla ngemihla. Izifundo ezininzi ziphande ukusebenza kwe-TENS ekunciphiseni iintlungu, ukunciphisa ukusetyenziswa kwe-analgesics, kunye nokuphucula umgangatho wobomi kwizigulane ze-primary dysmenorrhea. Ezi zifundo zinemida ethile kumgangatho wendlela kunye nokuqinisekiswa konyango. Nangona kunjalo, iziphumo ezilungileyo ze-TENS kwi-primary dysmenorrhea ezifunyenwe kuzo zonke izifundo zangaphambili zibonise ixabiso layo elinokubakho. Olu phononongo lubonisa iingcebiso zeklinikhi ze-TENS parameters zokunyanga iimpawu ze-primary dysmenorrhea ngokusekelwe kwizifundo ezipapashwe ngaphambili.
Ungayinyanga njani i-dysmenorrhea 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-electrode patches ze-TENS kwindawo ebuhlungu okanye kufutshane nayo. Xa unentlungu ye-dysmenorrhea, ungazibeka kwindawo ebuhlungu ezantsi kwesisu. Qinisekisa ukuba uzibophelele ngokuqinileyo ii-electrode pads eluswini lwakho.
③Khetha imo kunye nefrequency efanelekileyo: Izixhobo ze-electrotherapy ze-TENS zihlala zineendlela ezahlukeneyo kunye nefrequency onokukhetha kuzo. Xa kuziwa kwi-dysmenorrhea, ifrequency efanelekileyo yokuphelisa iintlungu yi-100 Hz, ungakhetha ukuvuselela okuqhubekayo okanye ukuvuselela nge-pulsed. Khetha nje imo kunye nefrequency ezivakalelwa zikhululekile kuwe ukuze ufumane ukukhululeka kwentlungu okungcono 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 ufumane uncedo olukhulu kwi-dysmenorrhea, kungangcono ukuba udibanisa unyango lwe-TENS nezinye iindlela zonyango. Umzekelo, zama ukusebenzisa izinto ezicinezela ubushushu, ukolula isisu kancinci okanye ukwenza umthambo wokuphumla, okanye nokuba ufumane imassage - zonke zinokusebenzisana kakuhle!
Khetha imo yeTENS, uze uncamathisele ii-electrodes kwisisu esisezantsi, kumacala omabini omgca ophakathi ongaphambili, ii-intshi ezi-3 ngaphantsi kwe-umbilicus.
Ixesha leposi: Jan-16-2024
