Kotero dokotala wanu wamupatsa mankhwala othandizira kuvulaza kwanu, ndipo iye akuyamikira kukakamiza kwa magetsi. Kodi kukakamiza magetsi, kapena kukondweretsa, ndi kotani kumagwiritsidwa ntchito pa mankhwala?
Kukonzekera kwa magetsi ndi mtundu wa mankhwala opatsirana omwe amagwiritsidwa ntchito pokwaniritsa ntchito zosiyanasiyana m'thupi . Ngati muli ndi zovulaza kapena matenda omwe amachititsa ululu kapena kuchepa kwachangu, PT yanu ingagwiritse ntchito mphamvu yogwiritsa ntchito magetsi, kapena E-stim, monga gawo limodzi la pulogalamu yanu yobwezeretsa.
Wodwala wanu wamagetsi adzagwiritsa ntchito njira zosiyana za magetsi kuti akwaniritse ntchito zosiyanasiyana. Izi ziphatikizapo:
- ZOTHANDIZA : Transcutaneous magetsi (stimulus electro-neuromuscular stimulation) (TENS) ndi mankhwala opatsirana omwe amagwiritsidwa ntchito kuti azitha kupweteka kwambiri ndi mankhwala. PT yanu idzagwiritsa ntchito TENS kuchepetsa ululu wanu pogwiritsira ntchito electrode m'thupi lanu pa malo opweteka. Mphamvu za magetsi zidzasinthidwa kuti zisawononge zizindikiro zopweteka zoyenda kuchokera mu thupi lanu kupita ku ubongo wanu.
- Iontophoresis : Iontophoresis ndi mtundu wa mphamvu zamagetsi zomwe zimagwiritsidwa ntchito kuthandizira mankhwala kuchipatala. Mphamvu yamagetsi imayambitsa mankhwala osiyanasiyana kudzera mu khungu lanu ndi thupi lanu. Anu PT angagwiritsire ntchito mankhwala kuti achepetse kutupa kapena kupweteka kwa minofu, kapena mankhwala a iontophoresis angagwiritsidwe ntchito kuthetsa ma pulogalamu ya calcium yomwe ingachitike pamtundu wa shoulderwe tendonitis. Mankhwala osiyana amagwiritsidwa ntchito pokwaniritsa zolinga zosiyanasiyana pogwiritsa ntchito iontophoresis.
- Kutsitsimutsa kwa magetsi (NMES) : NMES amagwiritsa ntchito magetsi kuti apange minofu imodzi kapena gulu la minofu kuti agwirizane. Mwa kuika magetsi pamtunda m'malo osiyanasiyana, wodwalayo angathenso kulumikiza mitsempha yoyenera. Kusokoneza minofu pogwiritsa ntchito mphamvu zamagetsi kumathandizira kusintha njira zomwe zimakhudzira minofu. Wodwala wakuthupi angasinthe malingaliro amtunduwu kuti alolere kupweteka kwa minofu. Pogwiritsa ntchito minofu yowonjezereka, kupangika kwa minofu kumalimbikitsanso kuthamanga kwa magazi kumadera omwe amathandiza kuchiritsa. NMES ingagwiritsidwe ntchito kuthandiza kuchepetsa kupweteka kwa mitsempha mwakumangirira minofu yanu mowonjezereka, kuti mukhale osangalala.
- Kukondoletsa kwa Russia: Kukonzekera kwa Russia ndi mtundu wa kukondoweza kwa magetsi komwe kukhoza kugwira ntchito yofanana ndi NMES: kukonza momwe thupi lanu limagwirizanirana. Russian stimulation imagwiritsa ntchito mawonekedwe osiyana omwe angakhale omasuka kwambiri kuti mulekerere.
- Zosagwirizana tsopano: Zophatikizana zamakono (IFC) nthawi zambiri zimagwiritsidwa ntchito ndi opaleshoni zakuthupi kuti achepetse ululu, kuchepetsa kupuma kwa mitsempha, kapena kupititsa patsogolo kuthamanga kwa magazi kumalo osiyanasiyana kapena minofu. Kawirikawiri amagwiritsidwa ntchito kuchepetsa kupweteka kwa msana komanso kupweteka kwapakhosi. Zophatikizana zamakono zimagwiritsa ntchito magetsi okwana 4 muyeso yamakono. Izi zimayambitsa mafunde kuyenda pakati pa electrode kuti "asokoneze" wina ndi mzake, ndipo amalola PT kuti igwiritse ntchito mphamvu yamakono pomwe ikukhalabe ndi chitonthozo chokwanira kwa inu.
- Mphamvu yamagetsi galvanium (HVGC): High volt galvanic kuyambitsa amagwiritsa ntchito mphamvu zamagetsi ndi otsika kwambiri kuti zilowe mkati mwathunthu. Amagwiritsidwa ntchito kuthetsa kupweteka, kupititsa patsogolo magazi, kutulutsa minofu ya minofu, ndi kusintha njira yogwirizana.
Kumbukirani kuti mitundu yambiri yogwiritsira ntchito magetsi ndi chithandizo chopanda chithandizo; inu simukuchita kanthu pamene mukulandira zokopa. Mitundu ina ya kulingalira, monga NMES ndi Russian stimul, imakhala kuti mukugwira ntchito pamene E-stim ikugwiritsidwa ntchito.
Kulimbikitsa magetsi sikuyenera kukhala chithandizo chokhacho chimene mumalandira panthawi ya mankhwala. Kafukufuku akusonyeza kuti pulogalamu yogwira ntchito pulogalamu yanu yothandizira - popanda kapena kuyambitsa magetsi - zokolola zabwino kwambiri. Kukonzekera kokhakoyenera kokha kugwiritsidwa ntchito kuonjezera pulogalamu yanu yogwira ntchito yomwe imaphatikizapo zizindikiro ndi zochitika zina kuti muzitha kuchiza matenda anu.
Mmene Mungagwiritsire Ntchito Kulimbikitsa Magetsi
Ngati PT yanu ikufuna kugwiritsa ntchito mphamvu zamagetsi pamene mukuchiritsidwa, ayenera kukufotokozerani ubwino ndi zoopsa zosiyanasiyana zomwe zimaphatikizidwa ndi chithandizochi. Mavuto oti mugwiritse ntchito ndi awa:
- Kusokoneza minofu
- Khungu lakupweteka
- Mitundu yambiri imayaka
PT yanu ikhoza kutsimikizira kuti kuyendetsa magetsi kumagwiritsidwa ntchito bwino kuti kuchepetsa kuopsa komwe kumayenderana ndi kugwiritsira ntchito. Kumvetsetsa zoopsazi kungakuthandizeni kusankha ngati mukufuna kuzilemba mu rehab yanu.
Zotsutsana ndi Kugwiritsa Ntchito Moyenera
Pali zinthu zina zomwe simuyenera kugwiritsa ntchito magetsi. Zotsutsana izi kuti kulingalira ntchito ziyenera kumvedwa ndi wodwalayo wanu. Zotsutsana ndi kuyambitsa magetsi zimaphatikizapo:
- Zosintha zokhudzana ndi minofu
- Osauka maganizo
- Kukhalapo kwa chipangizo chogwiritsidwa ntchito chogwiritsira ntchito magetsi (Kuyerekezera kukhoza kusokoneza otentha mtima kapena opweteka opatsirana.)
- Pa minofu yoipa
- Pa mabala omwe ali ouma kwambiri
- Pafupi ndi maso, sinasi ya carotid, khosi lamkati, kapena ziwalo zoberekera
Wothandizira wanu wathanzi ayenera kudziwa zomwe zikutsutsana pa nthawi yoyamba, koma nkofunika kumukumbutsa za chikhalidwe chirichonse chomwe mungakhale nacho chomwe chingakhale ndi kugwirizana kolakwika ndi kulingalira.
Ngati muli ndi ululu kapena kuchepa, yang'anirani ndi wodwala wodwalayo ndipo muwone ngati kugwiritsira ntchito magetsi ndi mankhwala abwino kwa inu komanso mkhalidwe wanu.
Mawu ochokera
Ngati muli ndi vuto lomwe limabweretsa ululu kapena kuchepa kwachangu, muyenera kukaonana ndi dokotala ndikuwona wodwalayo. Angagwiritse ntchito zolimbikitsa kuti athandize pulogalamu yanu yochezera. Ngati ndi choncho, kudziwa chomwe chimagwiritsira ntchito magetsi ndi momwe chimagwiritsidwira ntchito kungakuthandizeni kumvetsetsa ndondomeko yanu yonse ya rehab.
> Zotsatira:
> Carlo Ammendolia, DC, Pierre Côté, DC, Brian Budgell, DC, Bombardier, C., & Hawker, G. (2016). Zotsatira za TENS ndi Placebo pa Kuyenda Mphamvu kwa Odwala Amene Ali ndi Lumbar Stinal Stenosis: A Protocol for a Randomzed Controled Trial.
> Ward, Alex R. " > Ethrical > zolimbikitsa pogwiritsa ntchito kilohertz-frequency." Thandizo la thupi 89.2 (2016): 181-190.