Ukwelashwa nge-Electrotherapy kwe-OA (i-Osteoarthritis)

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

Ingemuva:

I-Osteoarthritis (OA) yisifo esithinta amalunga e-synovial okubangela ukuwohloka kanye nokubhujiswa kwe-hyaline cartilage. Kuze kube manje, akukho ukwelashwa okwelaphayo kwe-OA okukhona. Imigomo eyinhloko yokwelashwa kwe-OA ukunciphisa ubuhlungu, ukugcina noma ukuthuthukisa isimo sokusebenza, kanye nokunciphisa ukukhubazeka. Ukukhuthazwa kwemizwa kagesi ye-Transcutaneous (TENS) kuyindlela engahlaseli evame ukusetshenziswa ku-physiotherapy ukulawula ubuhlungu obukhulu nobungamahlalakhona obuvela ezimweni eziningana. Kushicilelwe izivivinyo eziningana ezihlola ukusebenza kahle kwe-TENS ku-OA.

I-Osteoarthritis (OA) yisifo esisekelwe ezinguqukweni eziwohlokayo. Ithinta kakhulu abantu abaseminyakeni ephakathi kanye nabantu asebekhulile, futhi izimpawu zaso ubuhlungu obubomvu nokuvuvukala kwamadolo, ubuhlungu bokunyuka nokwehla kwezitebhisi, ubuhlungu bamadolo kanye nokungakhululeki lapho uhleli futhi uhamba. Kuzoba neziguli ezivuvukalayo, ezigxumagxumayo, ezikhipha amanzi emzimbeni, njll., uma zingelashwa ngesikhathi, zizobangela ukukhubazeka kwamalunga kanye nokukhubazeka.

2. Izimpawu:

*Ubuhlungu: Iziguli ezinesisindo esiningi zizwa ubuhlungu obukhulu, ikakhulukazi lapho zigoba noma zenyuka futhi zehla izitebhisi. Ezimweni ezimbi kakhulu ze-arthritis, kungase kube nobuhlungu ngisho nalapho ziphumule nalapho zivuka ebuthongweni.

*Ubumnene kanye nokukhubazeka kwamalunga kuyizinkomba eziyinhloko ze-osteoarthritis. Ilunga ledolo lingabonisa ukukhubazeka kwe-varus noma kwe-valgus, kanye nokukhula kwemingcele yamathambo amalunga. Ezinye iziguli zingase zibe nokwandiswa okulinganiselwe kwelunga ledolo, kanti izimo ezimbi kakhulu zingabangela ukukhubazeka kwe-flexion contracture.

*Izimpawu zokukhiya amalunga: Njengezimpawu zokulimala kwe-meniscus, izindawo eziqinile noma ukunamathela kungabangela ukuthi ezinye iziguli zibe nemizimba ekhululekile ngaphakathi kwamalunga.

* Ukuqina noma ukuvuvukala kwamalunga: Ubuhlungu buholela ekunyakazeni okuvinjelwe, okuholela ekuqineni kwamalunga kanye nokugoba okungenzeka okuholela ekukhubazekeni. Ngesikhathi sesigaba esibi se-synovitis, ukuvuvukala kuthinta ukuhamba kwamalunga.

3. Ukuxilongwa:

Izindlela zokuxilonga i-OA zifaka okulandelayo:

1. Ubuhlungu obuphindaphindayo edolweni phakathi nenyanga edlule;

2. I-X ray (ethathwe umi noma uthwele isisindo) eveza ukuncishiswa kwesikhala samalunga, i-subchondral osteosclerosis, izinguquko ze-cystic, kanye nokwakheka kwama-osteophyte emngceleni wamalunga;

3. Ukuhlaziywa koketshezi oluhlangene (okwenziwe okungenani kabili) okubonisa ukuqina okupholile nokuqinile ngenani lamaseli amhlophe egazi <2000/ml;

4. Iziguli ezineminyaka ephakathi nendawo kanye nezikhulile (ezineminyaka engu-≥40 ubudala);

5. Ukuqina kwasekuseni okuhlala isikhathi esingaphansi kwemizuzu eyi-15;

6. Ukungqubuzana kwamathambo ngesikhathi somsebenzi;

7. Ukuqina kwedolo, ukuvuvukala kwendawo ngamazinga ahlukahlukene, ukwehla noma umkhawulo wokunyakaza kokugoba nokwelula.

4.uhlelo lokwelapha:

Ungayiphatha kanjani i-OA ngemikhiqizo ye-electrotherapy?

Indlela ethile yokusebenzisa yilena elandelayo (imodi ye-TENS):

①Nquma inani elifanele lamandla kagesi: Lungisa amandla amanje edivayisi ye-electrotherapy ye-TENS ngokusekelwe ekutheni uzizwa ubuhlungu obungakanani nokuthi yini ekhululekile kuwe. Ngokuvamile, qala ngamandla aphansi bese uwandisa kancane kancane uze uzizwe umuzwa omnandi.

②Ukubekwa kwama-electrode: Beka ama-electrode patches e-TENS endaweni ebuhlungu noma eduze kwayo. Uma une-OA, ungawabeka emisipheni ezungeze idolo lakho noma ngqo lapho libuhlungu khona. Qiniseka ukuthi ubopha ama-electrode pads ngokuqinile esikhumbeni sakho.

③Khetha imodi efanele kanye nemvamisa: Amadivayisi e-electrotherapy e-TENS avame ukuba nezindlela eziningi ezahlukene kanye nemvamisa ongakhetha kuzo. Uma kukhulunywa ngobuhlungu bedolo, ungakhetha ukuvuselela okuqhubekayo noma okuqhutshwa yi-pulse. Vele ukhethe imodi kanye nemvamisa ezwakala ikhululekile kuwe ukuze uthole ukukhululeka kobuhlungu okungcono kakhulu.

④Isikhathi kanye nemvamisa: Kuye ngokuthi yini esebenza kahle kuwe, iseshini ngayinye ye-TENS electrotherapy kufanele ihlale imizuzu eyi-15 kuya kwengama-30, futhi kunconywa ukuyisebenzisa kanye kuya kwezintathu ngosuku. Njengoba umzimba wakho usabela, zizwe ukhululekile ukulungisa kancane kancane imvamisa kanye nobude bokusetshenziswa njengoba kudingeka.

⑤Ukuhlanganisa nezinye izindlela zokwelapha: Ukuze unciphise ubuhlungu edolweni, kungase kusebenze kangcono uma uhlanganisa ukwelashwa kwe-TENS nezinye izindlela zokwelapha. Isibonelo, zama ukusebenzisa izinto zokucindezela ukushisa, ukwelula intamo kancane noma ukuvivinya umzimba ngokuphumula, noma ngisho nokubhucungwa - konke kungasebenza ndawonye ngokuvumelana!

Imiyalelo yokusebenzisa: Indlela ye-cross electrode kufanele ikhethwe. Isiteshi 1 (esiluhlaza okwesibhakabhaka), sisetshenziswa emsipheni we-vastus lateralis kanye ne-medial tuberositas tibiae. Isiteshi 2 (esiluhlaza okwesibhakabhaka) sinamathele emsipheni we-vastus medialis kanye ne-lateral tuberositas tibiae.