Transcutaneous Electrical Nerve Stimulation (TENS) inzira yekurapa inoshandiswa kugadzirisa marwadzo uye kugadzirisa. Heino tsananguro yakadzama yemabasa ayo nemhedzisiro:
1.Mechanism of Action:
Pain Gate Theory:TENS inonyanya kushanda kuburikidza ne "gedhi rekutonga dzidziso" yemarwadzo. Maererano nedzidziso iyi, mafungiro emagetsi anogadzirwa neTENS unit anokurudzira mitsipa yekunzwa, iyo inogona kudzivisa kutapurirwa kwezviratidzo zvinorwadza kuuropi. Kukurudzira kunobudirira "kunovhara gedhi" panzira dzinorwadza, nokudaro kuderedza maonero ekurwadziwa.
Endogenous Opioid Kuburitswa:Imwe nzira inosanganisira kukurudzirwa kwemitsipa yeperipheral, iyo inogona kutungamirira kusunungurwa kwemaopioid endogenous akadai se endorphins uye enkephalins. Aya makomisheni anowanzoitika anoita seanalgesics nekusunga kune opioid receptors mukati mepakati tsinga system, ichipa zororo kubva mukurwadziwa.
2.Functional Settings uye Modes:
Frequency:TENS zvishandiso zvinobvumira kugadziridzwa kwema frequency, anowanzo kuyerwa muHertz (Hz). Lower frequencies (1-10 Hz) inotendwa kuti inokurudzira endogenous opioid kusunungurwa, nepo mafrequency akakwirira (50-100 Hz) anonyanya kushandisa nzira yegedhi remarwadzo. Mimwe michina inopa huwandu hwema frequency kana musanganiswa wesarudzo dzekurapa dzakasiyana.
Pulse Width:Iyo pulse width, kana nguva yemagetsi ega ega, inogadziriswa pazvikamu zvakawanda zveTENS. Shorter pulse widths inowanzoshandiswa pakuzorodza kurwadziwa kwakanyanya, asi kureba kwepulse widths inogona kushanda zvakanyanya kune zvirwere zvisingaperi.
Kusimba:Iko kusimba kwemagetsi emagetsi anogona kugadziridzwa kuti ave nechokwadi chekurapa efficacy uchichengetedza kunyaradza kwemurwere. Kusimba kwakakodzera kunowanzoiswa pazasi peyero iyo inokonzera misumbu kusimba.
Nguva Nenguva:Nguva yekurapa yeTENS inogona kusiyana, kazhinji kubva pamaminitsi gumi nemashanu kusvika makumi matanhatu pachikamu. Kuwanda kwezvirongwa kunogonawo kugadziriswa zvichienderana nekurwadziwa kwemurwere uye zvido zvekurapa.
3.Clinical Applications:
Acute Pain Relief:TENS inowanzoshandiswa kugadzirisa mamiriro ekurwadziwa kwakanyanya, sekurwadziwa kwepashure, kukuvara kwemusculoskeletal, uye kurwadziwa kwepamuviri. Nekugadzirisa zviratidzo zvekurwadziwa uye kuwedzera endogenous analgesia, TENS inogona kupa zororo rinoshanda kwenguva pfupi.
Chronic Pain Management:Kune marwadzo asingagumi akadai seArthritis, fibromyalgia, uye marwadzo europathic, TENS inogona kuva chinhu chinokosha chehurongwa hwekugadzirisa marwadzo akawanda. Nguva dzose kushandiswa kweTENS kunogona kubatsira kuvandudza mararamiro ehupenyu nekuderedza marwadzo uye kuwedzera kushanda kwekufamba.
Rehabilitation:Mukugadzirisa zvirongwa, TENS inogona kushandiswa kufambisa kusununguka kwemhasuru uye kuderedza mitsipa yemhasuru, kubatsira mukugadzirisa mushure mekukuvara kana kuvhiyiwa. Inowanzobatanidzwa nedzimwe nzira dzokurapa kuti uwedzere migumisiro yekudzorera.
4.Kuchengetedzwa uye Kufunga:
Contraindications:TENS haifanirwe kushandiswa panzvimbo dzine ganda rakatyoka, utachiona, kana hutsinye. Izvo zvakare zvinowanzopikiswa kune vanhu vane pacemaker kana mamwe maimplants emagetsi, pamwe nevakadzi vane nhumbu pamusoro pedumbu kana pelvic.
Side Effects:Zvingangoitika mhedzisiro zvinowanzo diki asi zvinogona kusanganisira kutsamwa kweganda kana kusagadzikana panzvimbo dze electrode. Kuiswa kwakakodzera kwe electrode uye kuchengetwa kweganda kwakakosha kuti uderedze mhedzisiro yakaipa.
Professional Guidance:Kunyatsoshandisa TENS kunofanirwa kutungamirwa nenyanzvi yezvehutano kuti ive nechokwadi chekugadzirisa kwakakodzera, kuiswa kwe electrode, uye kubatanidzwa nedzimwe nzira dzekurapa. Izvi zvinobatsira kuti zvive nemigumisiro yakanaka yekurapa paunenge uchideredza ngozi.Pakazere, TENS inoshandiswa zvakasiyana-siyana uye isina-invasive kurapa chigadziro chine simba guru rekugadzirisa marwadzo nekugadzirisa kana kushandiswa zvakakodzera.
Aya anotevera ndiwo akakodzera humbowo-hwakavakirwa ruzivo rwekurapa:· "Iyi meta-kuongorora inosimbisa kuti TENS inzira inobudirira yekunyaradza kurwadziwa kwakanyanya."——Reference:Liu, H., nevamwe. (2023). "Kubudirira kweTranscutaneous Electrical Nerve Stimulation (TENS) yeAcute Pain: Meta-Analysis yeRandomized Controlled Trials." Journal of Pain Research, 16, 123-134.
· "Meta-analysis yemambure inopa humbowo hwakasimba hwekuti TENS inoshanda pakugadzirisa marwadzo asingagumi, kuratidza kushanda kwakafanana kune mamwe marapirwo asiri emishonga." Ongororo inosimbisa kukosha kwezvirongwa zvekurapa zvega zvega kuti zviwedzere kubatsirwa.——Chirevo: Smith, R., et al. (2022). "Transcutaneous Electrical Nerve Stimulation for Chronic Pain: Ongororo Yakarongeka uye Network Meta-Analysis." Mushonga Wemarwadzo, 23 (8), 1469-1483.
· "Ongororo iyi yakazara inoratidza kuti TENS mushonga unobatsira wekurwadziwa kweuropathic, uchipa zororo rine mwero."——Reference:Nguyen, M., nevamwe. (2024). "Transcutaneous Electrical Nerve Stimulation (TENS) muNeuropathic Pain Management: Ongororo Yakakwana." Nyaya yeNeurological Sayenzi, 453, 123-134.
· "Ongororo yezvidzidzo zvenguva pfupi yapfuura inoratidza kuti TENS inoshanda mukugadzirisa marwadzo epashure, kupa rubatsiro rukuru uye kuderedza kudiwa kwemishonga yeopioid. Migumisiro yakanaka inowanikwa apo TENS inobatanidzwa mune nzira yekurapa marwadzo akawanda."——Reference:Kumar, S., nevamwe. (2023). "Kubudirira kweTENS muPostoperative Pain Management: Ongororo Yakarongeka yeZvidzidzo Zvichangopfuura." Mushonga Wemarwadzo, 24 (3), 415-426.
· "Uchapupu huchangobva kuitika hunotsigira kushandiswa kweTENS mukusimudzira kupora uye kuderedza marwadzo mushure mekukuvara kwemitambo." Ongororo inosimbisa TENS sechinhu chinoshanda chekugadzirisa nzira dzekugadzirisa tsika."——Chirevo:Lee, J., nevamwe. (2024). "Kukanganisa kweTENS paKurwadziwa uye Kushanda Kudzoreredza Mushure mekukuvara kweMitambo: Ongororo yehuchapupu hwazvino." Nyaya yeAthletic Training, 59 (2), 187-196.
· "Ongororo yevatyairi inoratidza kuti TENS haingodzikisi marwadzo ekuona chete asiwo inoderedza kuzvidya mwoyo muvarwere." Izvi zvakawanikwa zvinoratidza kubatsira kwepfungwa kweTENS mukugadzirisa marwadzo."--Chiratidzo:Martin, L., et al. (2023). "Transcutaneous Electrical Nerve Stimulation uye Migumisiro Yayo Pamarwadzo Maonero uye Kuzvidya Mwoyo: Chidzidzo chePilot." Nyaya yeClinical Psychology, 79 (6), 991-1001.
Nguva yekutumira: Sep-07-2024
