Electrotherapy yeOA (Osteoarthritis)

1.Chii chinonzi OA(Osteoarthritis)?

Background:

Osteoarthritis (OA) chirwere chinokanganisa synovial joints chinokonzera kuora uye kuparadzwa kwehyaline cartilage.Parizvino, hapana kurapwa kweOA kuripo.Zvinangwa zvekutanga zveOA kurapwa ndezvekubvisa marwadzo, kuchengetedza kana kuvandudza chimiro chekushanda, uye kuderedza kuremara.Transcutaneous magetsi nerve stimulation (TENS) inzira isingapindiki iyo inowanzoshandiswa mu physiotherapy kudzora marwadzo akanyanya uye asingaperi anokonzerwa nemamiriro akati wandei.Miedzo yakati wandei inoongorora kushanda kweTENS muOA yakaburitswa.

Osteoarthritis (OA) chirwere chinobva pakuderera kwekuchinja.Inonyanya kubata vanhu vezera repakati nepakati uye vakwegura, uye zviratidzo zvayo zvitsvuku uye kuzvimba kurwadziwa kwemabvi, kurwadziwa kumusoro nekudzika masitepisi, kurwadziwa kwemabvi uye kusagadzikana paunogara uye uchifamba.Pachave zvakare nevarwere vane kuzvimba, kubhuroka, effusion, nezvimwewo, kana zvikasarapwa nenguva, zvinokonzeresa kuremara kwemajoini uye kuremara.

2.Symptoms:

* Marwadzo: Varwere vane uremu hwakawandisa vanonzwa kurwadziwa kwakanyanya, kunyanya kana vachikwenya kana kukwira nekudzika masitepisi.Muzviitiko zvakanyanya zveArthritis, panogona kunge paine kurwadziwa kunyangwe pakuzorora uye pakumuka kubva kuhope.

* Hunyoro uye kuremara kwekubatana ndizvo zvinonyanya kuratidza zveosteoarthritis.Mabvi akabatanidzwa anogona kuratidza varus kana valgus deformities, pamwe chete nekuwedzera mapfupa emapfupa.Vamwe varwere vanogona kunge vane kuwedzera kuduku kwemabvi akabatanidzwa, asi zviitiko zvakakomba zvinogona kukonzera kushanduka kwechibvumirano chekuremara.

* Joint Locking zviratidzo: Zvakafanana nezviratidzo zvekukuvara kwemeniscus, rough articular surfaces kana adhesions zvinogona kuita kuti vamwe varwere vaone miviri yakasununguka mukati memajoini.

* Kuoma kwakabatana kana kuzvimba: Marwadzo anotungamirira kune kurambidzwa kufamba, zvichikonzera kuoma kwemajoini uye zvingangoita zvibvumirano zvinotungamirira kukuremara.Munguva yakaoma ye synovitis, kuzvimba kunokanganisa kufamba kwemajoini.

3.Kuongorora:

Diagnostic maitiro eOA anosanganisira zvinotevera:

1. Kurwadziwa kwemabvi kunowanzoitika mukati memwedzi wapfuura;

2. X ray (inotorwa munzvimbo yakamira kana inorema) inoratidzira nzvimbo yakabatana kuderedza, subchondral osteosclerosis, kuchinja kwecystic, uye kuumbwa kwemaosteophytes pamucheto wejojo;

3. Joint fluid analysis (yakaitwa kanenge kaviri) ichiratidza kutonhora uye viscous consistency ne white blood cell count <2000/ml;

4.Varwere vepakati uye vakwegura (≥40 makore);

5.Morning kuoma kunogara pasi pemaminitsi e15;

6.Bone friction panguva yebasa;

7. Knee end hypertrophy, kuzvimba kwepanzvimbo kune madhigirii akasiyana, kuderedzwa kana kuganhurwa kwekufamba kwekufamba uye kuwedzera.

4.Therapeutic schedule:

Nzira yekurapa OA ne electrotherapy zvigadzirwa?

Iyo chaiyo yekushandisa nzira ndeiyi inotevera (TENS modhi):

①Sarudza huwandu hwakafanira hwezvino: Gadzirisa simba razvino reiyo TENS electrotherapy mudziyo unoenderana nekurwadziwa kwaunonzwa uye izvo zvinokunakira iwe.Kazhinji, tanga nekudzika kwakadzika uye zvishoma nezvishoma uwedzere kusvika iwe uchinzwa kunzwa kunofadza.

②Kuiswa kwemagetsi: Isa maTENS electrode zvigamba pane kana pedyo nenzvimbo inorwadza.Kurwadziwa kweOA, unokwanisa kuaisa pamamhasuru akatenderedza ibvi rako kana kuti parikurwadza.Ita shuwa kuchengetedza ma electrode pads zvakasimba paganda rako.

③Sarudza iyo chaiyo modhi uye frequency: TENS electrotherapy zvishandiso zvinowanzo ine boka remhando dzakasiyana uye ma frequency ekusarudza kubva.Kana zvasvika pakurwadziwa kwemabvi, unogona kuenda kunoenderera mberi kana pulsed stimulation.Ingo sarudza modhi uye frequency inonzwa yakakunakira iwe kuti iwe ugone kuwana yakanakisa zororo rekurwadziwa.

④Nguva uye kuwanda: Zvichienderana nezvinoshanda zvakanyanya kwauri, chikamu chega chega cheTENS electrotherapy chinofanira kugara pakati pemaminitsi gumi nemashanu kusvika makumi matatu, uye zvinokurudzirwa kuishandisa 1 kusvika katatu pazuva.Sezvo muviri wako unopindura, inzwa wakasununguka kugadzirisa zvishoma nezvishoma kuwanda uye nguva yekushandiswa sezvinodiwa.

⑤Kubatanidza nemamwe marapirwo: Kuti uwedzere kuzorora kwemarwadzo emabvi, zvinogona kushanda zvakanyanya kana ukabatanidza TENS therapy nemamwe marapirwo.Semuyenzaniso, edza kushandisa zvinomanikidza kupisa, kuita zvinyoro-nyoro mitsipa kana kurovedza muviri, kana kunyange kuwana masaja - vese vanogona kushanda pamwechete mukuwirirana!

Mirayiridzo yekushandisa: Nzira yemuchinjikwa electrode inofanira kusarudzwa.Channel1(blue), inoshandiswa kune vastus lateralis muscle uye medial tuberositas tibiae.Channel2 (yakasvibirira) yakabatanidzwa kune vastus medialis muscle uye lateral tuberositas tibiae.