Kuwunika Phindu la Thandizo la Ultrasound for Arthritis
Thandizo la mankhwala a ultrasound ndilo njira yothandizira kuchipatala kuti muzitha kupweteka komanso kutayika kwa mgwirizano chifukwa cha osteoarthritis . Zimagwira ntchito bwanji ndipo timadziwa chiyani za mphamvu yake?
Kodi Chithandizo Chachilendo Chachilendo N'chiyani?
Thandizo la ultrasound ndi njira yomwe imagwiritsa ntchito mafunde (omwe amachititsa kugwedeza) kuchepetsa ululu kapena kusintha ntchito yogwirizana. Kuthamanga uku kumachitika pafupipafupi -pamwamba kwambiri kuti zivomezi sizingatheke kwa munthu amene amalandira chithandizo cha ultrasound.
Zizindikirozi zingakhale zovuta kapena zopitilira. Kupitiriza kutuluka kwa ultrasound kumapangitsa kuti kutentha kumveke, pamene kuthamanga kwa ultrasound sikutanthauza. Zimaganizidwa kuti zonse zotentha ndi zosapsa zimayambitsa zotsatira zina zomwe mankhwalawa angakhale nawo.
Kawirikawiri, achiritsi ultrasound amachitidwa kuchipatala cha mankhwala kapena kuchipatala. Ngakhale kuti ndi njira yopangira chithandizo cha osteoarthritis, mphamvu yake ikufunsidwabe.
Thandizo la ultrasound limasiyana ndi lingaliro la ultrasound kuti mankhwala achiritsira ultrasound amagwiritsidwa ntchito kuchiza (monga mankhwala) pamene matenda a ultrasound amagwiritsidwa ntchito kupeza matenda (kapena kusamalira mimba.) Monga momwe matenda a ultrasound akhala akuzungulira kwa nthawi ndithu, mankhwala opatsirana amatha kukhalapo kuyambira 1950.
Kodi Mankhwala Othandizira Odwala Amathandiza Bwanji Arthritis?
Mankhwala otchedwa ultrasound angagwire ntchito ndi zotentha kapena zosapsa (zotsatira).
Pogwiritsira ntchito ultrasound kwa zotsatira zowonjezera, matisituni ayenera kufika kutentha kwa 40 ° C mpaka 45 ° C (104 F mpaka 113 F) kwa mphindi zisanu.
Mphamvu ya Thandizo la Ultrasound pa Knee ndi Hip Arthritis
Kafukufuku akuwonetsa kuti mphamvu yamagulu yodwala matenda a nyamakazi imakhala yosakaniza; zofufuza zina sizipeza phindu, ndipo ena amapindula, makamaka mu osteoarthritis wa bondo.
Pafupipafupi, pakhala kafukufuku wowerengeka omwe akuyesa phindu la mankhwala achiritsira ultrasound, ndipo maphunziro omwe tili nawo nthawi zambiri amakhala ang'onoang'ono kapena osakhulupirika. Kufufuza kwina kumafunika, koma tiyeni tiyang'ane zomwe tikudziwa pakali pano.
Mu 2008, kafukufuku adafalitsidwa mu Journal of the Canadian Chiropractic Association yomwe inafotokozera zotsatira za kafukufuku, zamakono, ndi zinyama za kafukufuku wa mankhwala opatsirana osteoarthritis. Pogwiritsa ntchito kafukufuku wa PubMed kuyambira mu 1985, ofufuza adapeza kafukufuku 16 omwe anakwaniritsa zofunikira zawo kuti alowe muzokambirana. Panali maphunziro asanu ndi anayi omwe anamaliza kuchiritsira ultrasound ali ndi phindu pa ululu ndi ntchito. Kafukufuku wazing'ono zisanu adanena kuti ultrasound ili ndi matenda ochiritsa. Kafukufuku wina adawonetsa kuchulukira kwa hyaluronan pogwiritsira ntchito ultrasound phonophoresis. Panali phunziro limodzi lokha limene linatsimikizira kuti panalibe zotsatirapo pa ululu kapena kuyenda kwazitsulo pamene chithandizo cha ultrasound chinaphatikizidwa ndi zochita zolimbitsa thupi. Komanso, pa mapepala asanu oyambiranso, awiri anamaliza kuti pali zotsatira zabwino za mankhwala ochizira matenda, awiri sanapeze phindu lililonse, ndipo imodzi sinali yovomerezeka.
Mu 2010, kafukufuku wa Cochrane wa kafukufuku wogwiritsira ntchito mankhwala opatsirana pogwiritsa ntchito mawonekedwe a mitsempha ndi mavupa am'thupi anachitidwa.
Kuwongolera kunayesa maphunziro omwe amafanizira ultrasound kuti amunyoze kapena ayi kulowetsa mwa ululu ndi ntchito. Mayesero asanu aang'ono, okhudzana ndi odwala 341 omwe ali ndi mafupa a m'magazi, anaphatikizidwa mu ndemanga ya Cochrane. Awiri mwa asanu anayesedwa pulsed ultrasound, awiri amayesedwa mosalekeza ultrasound, ndipo wina anayesa kuphatikiza pulsed ndi mosalekeza ultrasound. Ofufuza akuganiza kuti ultrasound ikhoza kukhala yopindulitsa kwa osteoarthritis wa bondo. Komabe, iwo sankakayikira kuti zotsatira zake zinali zopindulitsa bwanji pa ululu ndi ntchito ndipo amamva kuti pakufunika maphunziro apangidwa bwino.
Magazini ina yotchedwa Orthopedic Surgery inafotokoza kuti mu 2011, kafukufuku wina anafotokoza kuti ultrasound inathandiza kwambiri kuti zizindikirozi zizikhala bwino, komanso kuti zikhale zochepa kwambiri, komanso zimachepetsa kuchepa kwa anthu odwala matenda a osteoarthritis. Phunziroli linaphatikizapo anthu 87 omwe ali ndi mafupa a m'magazi omwe adalandira chithandizo cha ultrasound kwa miyezi 9.
Posakhalitsa, kufufuza kwa 2016 kuyang'ana mphamvu ya mphamvu yotsika ya pulsed ultrasound pa anthu 106 omwe ali ndi matenda a osteoarthritis a bondo anapeza kuti mankhwala ochiritsira otchedwa ultrasound anali ofunika kuchepetsa kupweteka (kwa pafupi masabata 4) ndikukwaniritsa ntchito ndi umoyo wa moyo. Tiyenera kukumbukira kuti ichi chinali phunziro laling'ono kwambiri lomwe lingagwiritse ntchito mfundozi, ndipo pakalipano kafukufuku wina amafunika.
Zotsatira za Mitsempha Yachiritsira Ultrasound pa Arthritis
Kawirikawiri, pali maphunziro ochepa odalirika akuyang'ana chiphunzitso chachilengedwe cha mankhwala ochiritsira ultrasound, ndipo pakalipano sichidziwika momwe chimagwirira ntchito (ngati icho) kuchiza nyamakazi. Matenda a nyamakazi amawonongeka chifukwa cha kupwetekedwa kwa khungu, kupweteka kwa mafupa osasinthasintha, komanso kusintha kwa minofu yofewa monga synovial membrane, ligaments, ndi minofu yomwe imayandikana nawo.
Zotsatira zotentha zimachepetsa spasm mu minofu ndi mitsempha, ngakhale izi zili zochepa, monga minofu sikumatenga mphamvu komanso malo akuluakulu ochizira.
Phunziro poyang'ana anthu (mu vivo maphunziro) amaganiza kuti zotsatira za mankhwala a ultrasound pa nyamakazi ndi mawotchi, osati matenthedwe. Mankhwalawa amatha kugwiritsidwa ntchito mofulumira.
Malingana ndi maphunziro a makoswe, pulsed ultrasound ikuwoneka kuti imakhala ndi zotsatira zowonongeka pamatenda ndi cartilage. Ngakhale kuti izi ndi zabwino, timadziwa kuti maphunziro a zinyama zina sizisonyeza nthawi zonse zomwe zidzachitike ndi anthu. Palibenso umboni wochuluka pa nthawi ino kuti mankhwala achilendo otchedwa ultrasound ali ndi zotsatira zenizeni pa katemera wa anthu.
Mfundo Zofunika Kwambiri za Thandizo Ultrasound kwa Osteoarthritis
Mankhwalawa amatha kugwira ntchito kwa anthu ena omwe ali ndi matenda a mitsempha ya bondo kapena mchiuno, koma kufufuza kwina kuli kofunika kuti chithandizochi chisawonedwe kuti ndi "mankhwala ochirikiza umboni." Pali zikhulupiriro zokhudzana ndi momwe chithandizo chamachiritsira cha ultrasound chingagwire ntchito pa maselo a maselo, koma izi, ndizosayembekezeka; pali umboni wosakwanira wa chilengedwe kuti ubweretse mphamvu ya ultrasound pakusintha kanyama kakang'ono kapena malo oyandikana nawo pa maselo a maselo. Komabe mankhwala achilendo ndi mankhwala osakondera omwe amaoneka kuti ali otetezeka, alibe zotsatira zochepa, ndipo ndi otsika mtengo.
Matenda a osteoarthritis amafala kwambiri, amachititsa pafupifupi theka la anthu opitirira zaka 65, ndipo akhoza kuthandizira kwambiri kuchepetsa moyo. Pali mankhwala osiyanasiyana omwe alipo kuchokera ku mankhwala ochiza mankhwala ndi "mankhwala" monga maginito. Ngakhale kuti kafukufuku wochepa sanachitidwe pa mankhwala osalimbikitsa komanso opanda mankhwala (kuchokera kuchipatala cha ultrasound mpaka kuchipiritsa), sizikutanthauza kuti izi sizothandiza. Mosiyana ndi zimenezi, tikufuna kufufuza kwina kuti tiwone za "mankhwala" oterewa monga momwe tikuphunzirira kuti zina mwa "mankhwala" a matenda a nyamakazi zimakhala ndi chiopsezo chachikulu, monga chiopsezo cha m'mimba mwazi kuchokera ku mankhwala osagwiritsidwa ntchito ndi mankhwala oletsa kutupa monga Advil (ibuprofen.)
Ndikofunika kuti muzigwira ntchito ndi dokotala kuti mufufuze njira zamankhwala zothandizira matenda a nyamakazi, makamaka popeza mankhwala ochiritsira amagwiritsidwa ntchito bwino kuposa mankhwala ena okhawo. Pomaliza, ntchito yowonetsera masewera olimbitsa thupi komanso zakudya, monga zakudya zotsutsa kutupa nyamakazi sizingatheke, ndipo kusamalira nkhawa n'kofunikira (taphunzira kuti kupanikizika kumapweteka kwambiri ndi nyamakazi.) Kaya mukukhala ndi nyamakazi kapena ayi, Tengani kamphindi kuti muwone njira 70 zochepetsera nkhawa kuti muyambe kukhala ndi moyo wovuta kwambiri (ndipo mukuganiza kuti ndi wovuta kwambiri) lero.
> Zotsatira:
> Jia, L., Wang, Y., Chen, J., ndi W. Chen. Njira Yabwino ya Thandizo la Lows Intensity Pulsed Ultrasound Thandizo kwa Management of Knee Osteoarthritis: A Randomized, Double Blind, Placebo-Controlled Trial. Scientific Reports . 2016. 6: 35453.
> Rutjes, A., Nuesch, E., Sterchi, R., ndi P. Juni. Kuchiza kwa Ultrasound kwa Osteoarthritis ya Knee kapena Hip. Dongosolo la Cochrane la Zosintha Zogwirizana . 2010. (1): CD003132.