Mankhwala otchedwa ultrasound ndi njira zamagwiritsidwe kawirikawiri zomwe zimagwiritsidwa ntchito pakuthandizira thupi. Amagwiritsidwa ntchito m'mbiri yakale kuti apititse patsogolo kuyendayenda ndi machiritso a minofu, koma kafufuzidwe yakhala ikukayikira kufunika kwake. Kodi ultrasound imagwiradi ntchito, ndipo kodi ndizofunikira pa pulogalamu yanu ya rehab pambuyo povulazidwa?
Ngati muli ndi vuto monga bursitis, tendonitis , kapena nyamakazi mungafunike mankhwala othandizira kuchepetsa ululu ndi kusintha ntchito.
Wodwala wanu wathanzi angasankhe kugwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana anu monga gawo la pulogalamu yanu yobwezeretsa.
Thandizo la ultrasound ndi mankhwala omwe akhala akugwiritsidwa ntchito kuzipatala zakuthupi kwa zaka zoposa 50. Zimapereka kutentha kwa ziwalo za thupi zomwe ziri mkati mwa thupi lanu zomwe sungakhoze kuyanjidwa ndi pakiti yotentha yotentha yokha. Ultrasound imalingaliranso kuti imapangitsanso makina opanga mphamvu pogwiritsa ntchito michulukitsi ya mpweya pafupi ndi kuvulaza kwanu ndikuwonjezereka mwamsanga, ntchito yotchedwa cavitation. Kupititsa patsogolo uku ndi kusinthasintha ndikulingalira kuti kufulumizitsa njira yakuchiritsa mu gawo lanu la thupi lovulala.
Kodi ultrasound imagwira ntchito bwanji? Mphamvu yamagetsi imagwiritsidwa ntchito ku kristalo, yopanga piezo magetsi. Izi zimapangitsa mafunde akupanga. Mafunde omveka sangamvedwe, koma amatha kudutsa pakhungu lanu ndi kumatenda, kutenthetsa ndi kuyambitsa cavitation.
Koma kodi ultrasound imagwiradi ntchito?
Kodi ultrasound imapereka kwenikweni kutentha kwa thupi lanu, ndipo kodi kutentha kumeneku kumathandiza kwambiri kuti chithandizo chanu chichiritse bwino kapena mofulumira?
Zotsatira za Kutentha kwa Ultrasound
Kupenda kafukufuku wofalitsidwa wokhudza ultrasound kumasonyeza kuti kumapangitsa kuti thupi lanu lizitenthedwa ngati likugwiritsidwa ntchito molondola.
Zimatenthetsanso ziwalo za thupi lanu zomwe zili zakuya ndipo zili kunja kwa ma phukusi otentha. Choncho ngati muvulazidwa ndipo wodwala wanu akuwona kuti kutentha kumafunikira kuti muthandize matenda anu, ultrasound ndi yabwino kugwiritsa ntchito.
Kodi Machiritso Odzidzimutsa Amadziwika?
Maphunziro okhudza kugwiritsa ntchito ultrasound kuti athandize machiritso si abwino. Pali maphunziro ochuluka omwe amayerekezera ultrasound ndikugwiritsa ntchito mankhwala osokoneza bongo. Maphunzirowa amasonyeza kuti anthu omwe amalandira ultrasound kuti avulala samakhala ndi thanzi labwino, amachiza matenda kapena zotsatira zabwino.
Mwachitsanzo, mu kafukufuku wogwiritsa ntchito ultrasound kwa nyamakazi ya knee , ena mwa ophunzirawo adalandira chithandizo cha ultrasound, pamene ena ophunzira anapeza sham ultrasound. Panalibe kusiyana pakati pa odwala mu gulu lililonse.
Pali phunziro limodzi lothandiza pankhani yogwiritsira ntchito ultrasound pochiza ululu wa m'mapewa . Kafukufuku wa kafukufuku wa kafukufuku wa chaka cha 2001 wapereka chithandizo cha kupweteka kunapereka ultrasound kalasi ya "A" (kupindula) pofuna kugwiritsa ntchito ultrasound pochiza chikhalidwe chimodzi cha mapewa. Izi zinali zochizira ma calcific tendinitis m'mapewa. Vuto lopweteka limalepheretsa kuyenda mosiyanasiyana ndikupweteka pamene mukuyendetsa mkono wanu.
Kodi Ultrasound Ingakhumudwitse?
Ultrasound ndi mankhwala abwino komanso otetezeka mu mankhwala opatsirana. Pali nthawi zina pamene ultrasound sayenera kugwiritsidwa ntchito , monga ziwalo za thupi ndi khansara ndi ana ang'onoang'ono, koma mbali zambiri, zingagwiritsidwe ntchito mosamala kutentha thupi lanu.
Popeza kafukufuku ambiri amasonyeza kuti ultrasound imapereka zochepa kwambiri kuti zithandize kuthamanga machiritso mu gawo lanu la thupi lovulala, othandizira ena amaganiza kuti ultrasound ikhoza "kupweteka" pakupangitsa iwe kumverera ngati ukufunikira kuti ukhale bwino. Mankhwala omwe samakukhudzani mu chisamaliro chanu angakuchititseni kuti mukumverera ngati mulibe ulamuliro wochepa pa kasamalidwe ka vuto lanu.
Izi zimapereka udindo wa chisamaliro chanu mu manja anu okhudza thupi osati anu.
Zotsatira za Placebo
Ambiri opatsirana opaleshoni akupitirizabe kugwiritsa ntchito ultrasound ndipo ambiri amaona kuti imapanga zotsatira zabwino pochiza zinthu zambiri. Koma kodi kwenikweni ndi zotsatira za placebo?
Zotsatira za placebo ndizozizwitsa komwe mumawona kusintha kwa mkhalidwe wanu chifukwa chakuti chinachake chikuchitidwa kwa inu. Wodwala wanu akukuuzani kuti chithandizo chamachilendo cha ultrasound chingakupangitseni kukhala bwinoko, choncho mumayamba kumva bwino mukalandira chithandizo.
Ngati matenda anu amakula chifukwa cha zotsatira za placebo, zimenezo ndi zabwino. Koma akatswiri ena amanena kuti kugwiritsira ntchito mpweya wa placebo mu chithandizo cha mikhalidwe ndi wosayenera.
Pansi
Kawirikawiri, ultrasound ndi mankhwala otetezedwa omwe akhala akugwiritsidwa ntchito m'thupi labwino kwa zaka zambiri. Zimapereka kutentha kwa ziwalo zakuya m'thupi, ndipo zimaganiziridwa kuti kutentha uku kumathandiza kusintha njira yomwe thupi lanu limachiritsira.
Kafukufuku sangathandize kwenikweni kugwiritsa ntchito ultrasound mu mankhwala opatsirana. Komabe, zimagwiritsidwa ntchito ndipo mungathe kuzipeza ngati mukupita kuchipatala, kotero muyenera kudziŵa chomwe chiri ndi zomwe angathe (ndipo sangathe) kuchita. Ngati PT yanu ikufuna kugwiritsa ntchito ultrasound monga gawo la pulogalamu yanu ya rehab, mungafune kukayikira ngati ziri zofunika kwambiri kwa inu.
Ngati mukulandira ultrasound, muyeneranso kutenga nawo mbali pulogalamu yanu yothandizira. Muyenera kuonetsetsa kuti wodwala wanu akuthandizani kumvetsetsa chikhalidwe chanu komanso kuti akukupatsani njira zomwe mungagwiritse ntchito kuti muthe kusintha mkhalidwe wanu.
Mawu ochokera
Ultrasound ikhoza kukhala njira yothandizira yomwe mumakhala nayo panthawi ya mankhwala anu opatsirana. Kafukufuku amachititsa kuti ntchito yake ikhale yogwira mtima, choncho ngati PT ikuigwiritsira ntchito, onetsetsani kuti mumvetsetsa zolinga za chithandizo komanso momwe mukufunikira chithandizo.
Zotsatira:
Cakir, S. et al. Njira Yabwino Yachiritsira Ultrasound kwa Utsogoleri wa Knee Osteoarthritis: Kuphunzira Kwambiri, Kulamulidwa, ndi Kachiwiri. American Journal of Physical Medicine & Kukonzanso: May 2014 - Voliyumu 93 - Nkhani 5 - p 405-412 do: 10.1097 / PHM.0000000000000033
Wonyenga, J. etal. Zotsatira za ultrasound pa kuyenda kwa osteoarthritis wa bondo. Mayesero ochizira odwala. Arthritis ndi Rheumatism. 1992 Mar; 5 (1): 29-35.
Prentice, W. (1998) Njira zothandizira odziwa zaumoyo. New York: Hill ya Mcgraw.