Kodi gawo la TENS limachita chiyani?

Transcutaneous Electrical Nerve Stimulation (TENS) ndi chithandizo chosasokoneza kupweteka chomwe chimagwiritsa ntchito mafunde amagetsi otsika kwambiri kuti alimbikitse minyewa kudzera pakhungu. Amagwiritsidwa ntchito kwambiri pochiza thupi, kukonzanso, ndikuwongolera ululu pazinthu monga kupweteka kosalekeza, kupweteka kwapambuyo pa opaleshoni, ndi kugunda kwa minofu.

Njira Zochita:

Njira yomwe ili kumbuyo kwa TENS imachokera ku chiphunzitso cha chipata cha ululu ndi kutulutsidwa kwa opioid osatha:

• Chiphunzitso cha Gate Control of Pain:

Adanenedwa ndi Melzack ndi Wall mu 1965, chiphunzitsochi chikuwonetsa kuti malingaliro opweteka amasinthidwa pamlingo wa msana. TENS ikapereka mphamvu zamagetsi, imatulutsa ulusi wa A-beta wokhala ndi mainchesi akulu pakhungu ndi minyewa yamkati. Ulusiwu ukhoza kulepheretsa kutumiza kwa zizindikiro zowawa zomwe zimatengedwa ndi zing'onozing'ono za A-delta ndi C. Kwenikweni, kukondoweza kwa A-beta fibers "kutseka chipata" ku zizindikiro zowawa, kuchepetsa malingaliro a ululu. Izi zikhoza kuwonetsedwa ngati mpikisano pakati pa kulowetsa kwamaganizo (kuchokera ku TENS) ndi kulowetsa ululu.

• Kutulutsidwa kwa Endogenous Opioid:

TENS yasonyezedwa kuti imalimbikitsa kutulutsidwa kwa endorphins ndi ma opioid ena omwe amapezeka mkati mwa dongosolo la mitsempha. Zinthu zochotsera ululu zachilengedwe izi zimamangiriza ku zolandilira opioid, kupititsa patsogolo kupweteka komanso kukulitsa chisangalalo.

• Kupumula kwa Minofu:

Kuphatikiza pa kuchepetsa ululu, TENS ikhoza kuthandizira kupumula kwa minofu. Mphamvu zamagetsi zimatha kuchepetsa kupsinjika kwa minofu ndi kupindika, komwe kumakhala kopindulitsa pakuwongolera zinthu monga fibromyalgia ndi myofascial pain syndrome.

Mitundu ya TENS

• TENS wamba:Amapereka ma pulse apamwamba kwambiri (80-100 Hz) ndi mphamvu yotsika. Njirayi imagwira ntchito makamaka kudzera mu chiphunzitso cha chipata chowongolera ndipo imapereka mpumulo wanthawi yomweyo.

• TENS (AL-TENS) ya Acupuncture:Imagwiritsa ntchito kukondoweza kwapang'onopang'ono (1-4 Hz) komanso mwamphamvu kwambiri. Njirayi ikufuna kulimbikitsa kutulutsidwa kwa ma endorphin ndipo nthawi zambiri amagwiritsidwa ntchito pochepetsa ululu wokhalitsa.

• Njira Yophulika TENS:Amaphatikiza zinthu zonse za TENS wamba komanso acupuncture ngati TENS, kupereka ma pulses pakuphulika. Njira imeneyi ingathandize kuchepetsa ululu ndi kutonthozedwa.

• Mwachidule TENS:Amagwiritsidwa ntchito mwamphamvu kwambiri komanso pafupipafupi kwakanthawi kochepa, komwe nthawi zambiri amagwiritsidwa ntchito pochepetsa ululu wopweteka panthawi yamankhwala.

Mapulogalamu

TENS imagwiritsidwa ntchito m'malo osiyanasiyana azachipatala, kuphatikiza:

• Chronic Pain Management: Zinthu monga nyamakazi, kupweteka kwa msana, ndi ululu wa neuropathic.

• Thandizo la Ululu Pambuyo pa Opaleshoni: Kumathandiza kuchepetsa kudalira mankhwala opioid.

• Labor Pain Management: Amagwiritsidwa ntchito m'malo ena kuti achepetse kusapeza bwino panthawi yobereka.

• Kubwezeretsa: Kumathandizira kuchira mwa kuchepetsa kupweteka komanso kulimbikitsa kupumula kwa minofu panthawi yolimbitsa thupi.

Chitetezo ndi Malingaliro

TENS nthawi zambiri imawonedwa ngati yotetezeka ikagwiritsidwa ntchito moyenera. Komabe, pali contraindications, kuphatikizapo:

• Osavomerezeka kuti agwiritse ntchito m'malo omwe akhudzidwa, mabala otseguka, kapena zida zina zachipatala (monga makina opangira pacemaker).

• Chenjezo limalangizidwa kwa anthu omwe ali ndi matenda enaake monga khunyu kapena matenda a mtima.

Mapeto

TENS ndi njira yosunthika komanso yothandiza yosamalira ululu yomwe imathandizira kukondoweza kwamagetsi kuti asinthe malingaliro opweteka kudzera m'njira zonse zotumphukira ndi zapakati. Chikhalidwe chake chosasokoneza komanso chitetezo chachibale chimapanga chida chofunika kwambiri m'machipatala komanso kunyumba kwa odwala omwe akufuna mpumulo ku zovuta zosiyanasiyana. Monga momwe zimakhalira ndi njira zina zochiritsira, mayankho amunthu aliyense amatha kusiyanasiyana, ndipo ndikofunikira kuti mufunsane ndi akatswiri azachipatala kuti mukwaniritse zolinga zanu.