Chii chinoita chikamu cheTENS?

Transcutaneous Electrical Nerve Stimulation (TENS) isiri-invasive pain relief therapy iyo inoshandisa low-voltage magetsi emagetsi kuti akurudzire tsinga kuburikidza neganda. Inowanzoshandiswa mukurapa kwepanyama, kudzoreredza, uye kutonga kwemarwadzo kune mamiriro akadai sekurwadziwa kusingaperi, kurwadziwa kwepashure-operative, uye tsandanyama spasms.

Nzira Yekuita:

Iyo nzira yekuseri kweTENS inonyanya kuenderana negedhi rekudzora dzidziso yekurwadziwa uye kuburitswa kwe endogenous opioid:

• Gedhi Kudzora Dzidziso yePain:

Yakarongedzwa naMelzack uye Wall muna 1965, iyi dzidziso inoratidza kuti marwadzo ekuona anogadziriswa pamutsipa wepelinha. Kana TENS inounza manzwiro emagetsi, inomutsa hombe-diameter A-beta fiber muganda uye pasi pematishu. Iyi fiber inogona kudzivisa kutapurirwa kwezviratidzo zvinorwadza zvinotakurwa nediki A-delta uye C fibers. Chaizvoizvo, kukurudzirwa kweA-beta fibers "kunovhara gedhi" kune zviratidzo zvinorwadza, kuderedza maonero ekurwadziwa. Izvi zvinogona kuonekwa semakwikwi pakati pekunzwa kwekunzwa (kubva kuTENS) uye kuisa marwadzo.

• Endogenous Opioid Kuburitswa:

TENS yakaratidzwa kukurudzira kusunungurwa kwe endorphins uye mamwe endogenous opioid mukati mehutano hwehutano. Izvi zvinhu zvakasikwa zvinobvisa marwadzo zvinosunga kune opioid receptors, zvichiwedzera kuderedza marwadzo uye kuwedzera kunzwa kwekugara zvakanaka.

• Kuzorodza tsandanyama:

Pamusoro pekuzorodza kurwadziwa, TENS inogona kubatsira mukuzorodza tsandanyama. Mafungiro emagetsi anogona kuderedza kushushikana kwemhasuru uye spasm, izvo zvinobatsira mukugadzirisa mamiriro akaita se fibromyalgia uye myofascial pain syndrome.

Mhando dzeTENS

• Zvakajairika TENS:Inopa high-frequency (80-100 Hz) pulses ine simba rakaderera. Iyi modhi inonyanya kushanda kuburikidza negedhi rekudzora dzidziso uye inopa kukurumidza kunyaradza kurwadziwa.

• Acupuncture-senge TENS (AL-TENS):Inoshandisa yakaderera-frequency (1-4 Hz) kukurudzira uye yakanyanya kusimba. Iyi modhi ine chinangwa chekusimudzira kuburitswa kweendorphin uye inowanzoshandiswa pakuzorodza marwadzo kwenguva refu.

• Burst Mode TENS:Inosanganisa zvinhu zveese akajairwa uye acupuncture-seTENS, kuendesa pulses mukuputika. Iyi nzira inogona kuwedzera marwadzo uye kunyaradza.

• Pfupi Yakanyanya TENS:Inoshandisa high intensity uye yakakwirira frequency kwenguva pfupi, inowanzo shandiswa pakurwadzisa kwakanyanya panguva yekuitwa.

Applications

TENS inoshandiswa munzvimbo dzakasiyana dzekiriniki, kusanganisira:

• Chronic Pain Management: Mamiriro ezvinhu akadai seArthritis, kurwadziwa kwepashure, uye kurwadziwa neuropathic.

• Post-Surgical Pain Relief: Inobatsira mukuderedza kuvimba nemishonga yeopioid.

• Labor Pain Management: Inoshandiswa mune dzimwe nzvimbo kuderedza kusagadzikana panguva yekusununguka.

• Rehabilitation: Inobatsira kupora nekuderedza marwadzo uye nekusimudzira kuzorora kwemhasuru panguva yekurapa kwemuviri.

Kuchengeteka uye Kufunga

TENS inowanzoonekwa yakachengeteka kana yakashandiswa zvakakodzera. Zvisinei, pane contraindications, kusanganisira:

• Hazvikurudzirwe kushandiswa munzvimbo dzine kusagadzikana kwekunzwa, maronda akavhurika, kana zvimwe zvigadzirwa zvekurapa (semuenzaniso, pacemaker).

• Yambiro inopihwa kune vanhu vane mamiriro ekurapa akadai sepfari kana moyo.

Mhedziso

TENS inzira inochinja-chinja uye inoshanda yekutarisira marwadzo iyo inosimudzira kukurudzira kwemagetsi kushandura marwadzo maonero kuburikidza nepakati uye pakati nzira. Chimiro chayo chisina-invasive uye kuchengetedzwa kwehukama kunoita kuti ive chinhu chakakosha mune zvese zvekiriniki uye zvepamba zvevarwere vanotsvaga zororo kubva kune akasiyana marwadzo. Sezvinoita chero nzira yekurapa, mhinduro dzemunhu dzingasiyana, uye zvinokurudzirwa kubvunza nyanzvi dzehutano nezvezvirongwa zvemunhu zvekurapa.