Thandizo la mankhwala a ultrasound ndilo mankhwala ochiritsira omwe amagwiritsidwa ntchito kwambiri m'thupi. Amagwiritsidwa ntchito kutentha kwakukulu kwa matenda ofewa m'thupi. Ziphuphuzi zimaphatikizapo minofu, matope, ziwalo, ndi mitsempha. Kupanga mankhwala m'thupi sikuyenera kusokonezeka ndi matenda a ultrasound, omwe ndi ultrasound omwe amagwiritsidwa ntchito kuti awone mkati mwa thupi, monga kuyang'ana pa mwana wakhanda pa nthawi ya mimba.
Kodi Ultrasound Imatani?
Mankhwala otchedwa ultrasound amagwiritsidwa ntchito makamaka pa zotsatira ziwiri zosiyana: Kutentha kwakukulu kwa mankhwala ndi kusagwiritsa ntchito mafuta.
Zotsatira Zozama Kutentha: Ultrasound imagwiritsidwa ntchito popereka kutentha kwakukulu kwa ziwalo zofewa m'thupi. Mitambo yotentha yotentha, minofu kapena mitsempha imapitirira kufalikira kumatenda amenewa, omwe amaganiziridwa kuti amathandiza kuchiritsa. Kuchuluka kwa minofu kutentha ndi ultrasound kumagwiritsidwanso ntchito kuthandiza kuchepetsa ululu.
Kutentha kwakukulu kungagwiritsidwe ntchito kuonjezera "kutambasula" kwa minofu ndi matope zomwe zingakhale zolimba. Ngati muli ndi ululu wamphongo ndipo mwapezeka kuti muli ndi mapewa osungunuka , wodwala wanu angagwiritse ntchito ultrasound kuti athandizidwe kuwonjezera mapangidwe a mapepala anu paphewa musanayambe kuchita masewera olimbitsa thupi. Izi zingakuthandizeni kuti muzitha kuwongolera.
Zopanda Kutentha (Cavitation): Ultrasound imatulutsa mphamvu m'thupi.
Mphamvu izi zimayambitsa mitsempha ya tizilombo tomwe timapanga tizilombo tambiri kuti tikulitse ndikugwirizanitsa mwamsanga, njira yotchedwa cavitation. Amadziwika kuti kuwonjezeka ndi kuvomereza kwa ming'oma imeneyi kumathandiza kuyendetsa njira zamagulu komanso kumathandiza kuchiritsa machira ovulala.
Mitundu iwiri ya cavitation imakhala ndi khola lolimba komanso losakhazikika.
Kuika khola kumafunidwa pamene wodwala wanu akugwiritsa ntchito ultrasound m'thupi lanu. Cavitation yosakhazikika ikhoza kukhala yoopsa kumatupi a thupi lanu, ndipo wodwala wanu wathanzi adzaonetsetsa kuti izi sizikuchitika panthawi yogwiritsira ntchito ultrasound.
Kodi Ultrasound Amagwira Ntchito Bwanji?
M'kati mwa unit yanu ya PT ya ultrasound ndi kristalo kakang'ono. Pamene magetsi amagwiritsidwa ntchito pa kristalo iyi, imamveka mofulumira, ndipo imapanga mafunde a piezoelectric. Mafunde ameneŵa amachokera kumutu wamveka ngati ultrasound. Phulusa la ultrasound limalowetsa m'magazi anu opweteka pogwiritsa ntchito maonekedwe. Izi zimapangitsa kuti magazi aziyenda bwino komanso kuti asamayende bwino, zomwe zimawathandiza kupeza mankhwala.
Kodi Akugwiritsa Ntchito Bwanji Ultrasound?
Ultrasound imachitidwa ndi makina omwe ali ndi transducer ya ultrasound (mutu wa phokoso). Gawo laling'ono limagwiritsidwa ntchito ku gawo lapadera la thupi; ndiye wodwala wanu wathanzi amachititsa kuti mutu wa phokoso ufike pamtunda pang'ono. Wothandizira angasinthe machitidwe osiyanasiyana pa chipangizo cha ultrasound kuti athetse kuyendayenda kwa mafunde a ultrasound kapena kusintha mphamvu ya ultrasound. Machitidwe osiyana amagwiritsidwa ntchito muzigawo zosiyanasiyana za machiritso.
Njira zina zothandizira ultrasound zimapezeka ngati gawo la thupi liri boney ndi phokoso, kapena ngati pali bala lotseguka. (Gel ultrasound ndi mutu womveka akhoza kukhala ndi mabakiteriya omwe angalowere bala.)
Wodwala wanu wamagetsi angagwiritse ntchito jelisoni ya ultrasound kuphatikizapo mankhwala opatsirana pogwiritsa ntchito mankhwala opangira mankhwala kuti athandizire kutupa kuzungulira minofu yofewa m'thupi. Izi zimatchedwa phonophoresis . Ngakhale kuti pali maumboni osonyeza kuti mafunde amphamvu amawathandiza kupatsa mazira opwetekawo, mafukufuku ambiri amasonyeza kuti mankhwalawa sangakhale othandiza.
Contraindications kwa Kugwiritsa Ultrasound
Pali zina zomwe simuyenera kugwiritsa ntchito ultrasound konse.
Izi zotsutsana ndi ultrasound zingaphatikizepo:
- Mabala otseguka
- Pa zilonda za metastatic
- Pa madera a kuchepa kwachisoni
- Pambali ya thupi ndi zitsulo zopangidwa ndi zitsulo, ngati mmalo mwa bondo m'malo mwa fusion lumbar
- Pafupi kapena kuposa pacemaker
- Ndi amayi apakati
- Pamaso, mabere, kapena ziwalo zogonana
- Mafupa ophwanyika
- Pafupi kapena kuposa chipangizo chogwiritsira ntchito cha magetsi
Kodi Ultrasound Imamva Bwanji?
Pamene mukulandira chithandizo cha ultrasound, simungamve chilichonse chikuchitika, kupatula mwinamwake kutentha pang'ono kapena kuthamanga kuzungulira dera lomwe likuchitidwa. Ngati mutu wamveka wa ultrasound umachoka pambali pa khungu lanu ndipo osasunthira, mukhoza kumva ululu. Ngati izi zikuchitika, kambiranani ndi wodwalayo.
Zowonongeka Zomwe Zimagwiridwa ndi Ultrasound
Kawirikawiri, kuvulala kwa mafupa kumachiritsidwa ndi ultrasound. Izi ziphatikizapo:
- Bursitis
- Tendonitis
- Minofu imatulutsa misonzi
- Frozen shoulder
- Kuvulala ndi kupweteka kwa ligament
- Kugwirizana mgwirizano kapena zolimba
Kawirikawiri, chovulala chilichonse chofewa m'thupi chingakhale chithandizo cha mankhwala a ultrasound. Anu PT angagwiritse ntchito ultrasound kupweteka kwa msana, kupweteka kwa pakhosi, misozi ya rotator, misozi ya meniscus misozi, kapena mitsempha ya minofu.
Ultrasound for Chronic Pain
Pali umboni wina wakuti ngati muli ndi ululu wosatha, mukhoza kupindula ndi mankhwala opangidwa ndi ultrasound. Zimaganizidwa kuti mafunde a ultrasound amathandizira kupanga minofu yambiri ndi kusindikizidwa, zomwe zimapangitsa kuwonjezeka ndipo potsirizira pake, kuchepetsa ululu. Ultrasound singagwire ntchito kwa aliyense, koma ndiyeso kuyesa ngati muli ndi ululu wosatha. Anthu ena anganene kuti kupindula kwa ultrasound kwa ululu wopitirira ndi chifukwa cha zotsatira za placebo. Koma, ngati atakupatsani mpumulo ndiye ndiye mankhwala abwino.
Chenjerani Pa Ultrasound
Ngati mukupita kuchipatala ndipo mukupeza ultrasound, muyenera kudziŵa kuti kafukufuku ambiri apeza kuti ultrasound imapindula pang'ono phindu lonse la mankhwala. Mwachitsanzo, ngati muli ndi ululu wopweteka kwambiri , mankhwala opangidwa ndi ultrasound awonetsedwa kuti sangapindule kwambiri. Ndipotu, ultrasound inalandira kalasi ya "C" (palibe ubwino wowonekera) chifukwa cha kupweteka kwa maondo, kupweteka kwa mmbuyo komanso kupweteka kwa pakhosi pamapepala angapo ofalitsidwa mu Physical Therapy Journal mu 2001. Umboni umatsogolera ambiri kudzifunsa ngati ultrasound imakuthandizani mu mankhwala opatsirana.
Kuphunzira kwa 2014 mu American Journal of Physical Medicine ndi Rehabilitation anafufuza zotsatira za ultrasound pa ululu ndi ntchito kwa odwala osteoarthritis. Ofufuza sanapeze kusiyana kwa mawondo ndi kupweteka ndi rehab pogwiritsira ntchito ultrasound, palibe ultrasound, ndi sham (fake) ultrasound. Kotero ngati PT ikupereka ultrasound kwa inu, wina ayenera kukayikira ngati kuli kofunikira ngati gawo la pulogalamu yanu yonse ya rehab.
Anthu ambiri amanena kuti ultrasound ikhoza kukhala ndi zotsatira zolakwika pa mankhwala anu a thupi mwa kupitiriza mosalekeza chisamaliro chanu. Ultrasound ndi mankhwala osayenera. Mwa kuyankhula kwina, simungapereke chithandizo nokha; inu mumangokhala chabe wolandira wa ultrasound. Ngati PT yanu ikugwiritsa ntchito ultrasound panthawi ya kuchipatala, onetsetsani kuti mukugwira ntchito yogwira ntchito mwakhama kuti muthandizire kuti muziyenda bwino. Kuchita masewera olimbitsa thupi ndi kuchitapo kanthu mwakhama zikhale nthawi zonse zigawo zazikulu za pulogalamu yanu.
Mawu ochokera
Wodwala wanu wamagetsi angagwiritse ntchito ultrasound kuti athandize kusintha matendawo. Ngati ndi choncho, onetsetsani kuti mufunse za kusowa kwa ultrasound. Komanso, onetsetsani kuti mukuchita pulogalamu yogwiritsira ntchito kudzipangira nokha ku chipatala cha PT komanso kunyumba. Ngati mukugwira nawo ntchito mwakhama, mukhoza kutsimikizira kuti muli ndi vuto labwino komanso lokhazikika kumbuyo.
Zotsatira:
Albright, J. et al. Philadelphia panel evidence-based clinic practice guidelines pamasankhidwe omwe angasankhidwe kuti athetse vuto lakumbuyo. Thandizo la Thupi. 2001. Oct; 81 (10): 1641-1674.
Cakir, S, etal. > Kugwira ntchito kwachipatala Ultrasound kwa Management of Knee Osteoarthritis: Kuphunzira Kwambiri, Kulamulidwa, ndi Kachiwiri. Am J kapena Phys ndi Rehab. 2014. 93 (5): 405-12.
Yeğin, T., Altan, L., & Aksoy, MK Zotsatira za Opaleshoni Yachiritsi pa Zowawa ndi Kuchita Thupi kwa Odwala ndi Knee Osteoarthritis. Ultrasound mu Medicine ndi Biology. 2017. 43 (1), 187-194.