Ntụle nke TENS (Mkpalite Nerve Electric Transcutaneous) na EMS (Mkpụrụ ọkụ eletrik), na-emesi usoro ha, ngwa ngwa, na ihe gbasara ụlọ ọgwụ ike.
1. Nkọwa na ebumnobi:
TENS:
Nkọwa: TENS gụnyere itinye ọkụ eletrik dị ala na akpụkpọ ahụ site na electrodes, bụ isi maka njikwa mgbu.
Ebumnobi: Isi ihe mgbaru ọsọ ya bụ ibelata nnukwu mgbu na-adịghị ala ala site n'ịkwalite irighiri akwara, si otú ahụ gbanwee nghọta mgbu na ịkwalite ntọhapụ nke opioids endogenous.
EMS:
Nkọwa: EMS na-ezo aka n'itinye ọkụ eletrik n'ime ìgwè anụ ahụ, na-eme ka nkwekọrịta na-enweghị mmasị.
Ebumnobi: Ebumnuche bụ isi bụ imeziwanye ọrụ akwara, welie ike, gbochie atrophy, na kwalite mmezigharị mgbe mmerụ ahụ ma ọ bụ ịwa ahụ gasịrị.
2. Usoro nke Omume
TENS:
Usoro nchịkwa ọnụ ụzọ ámá: TENS na-arụ ọrụ nke ọma n'okpuru usoro nchịkwa ọnụ ụzọ ámá, ebe mkpali nke nnukwu A-beta fibers na-egbochi nnyefe nke mgbaàmà mgbu nke obere C fibers na-ebu na usoro nhụjuanya nke etiti.
Mwepụta Endorphin: TENS dị ala (1-10 Hz) nwere ike kpalite ntọhapụ nke endorphins na enkephalins, nke jikọtara ndị na-anabata opioid na ụbụrụ, na-emepụta mmetụta analgesic.
Mgbanwe Mgbu Mgbu: Mkpali ahụ nwere ike gbanwee ọnụ ụzọ nghọta mgbu, na-enye ndị mmadụ ohere ịnweta obere mgbu.
EMS:
Nrụ ọrụ Neuron moto: EMS na-arụ ọrụ neurons moto ozugbo, na-eduga n'ịrụ ọrụ eriri akwara na mkpirisi. Mgbochi ndị ahụ nwere ike ịbụ nke afọ ofufo ma ọ bụ nke akaghị aka, dabere na parampat setịpụrụ.
Ụdị nkwekọrịta akwara: EMS nwere ike ịkpata ma nkwekọrịta isotonic (mkpụkọ nke eriri anụ ahụ) na nkwekọrịta isometric (mgbagwoju anya na-enweghị mmegharị), dabere na ngwa ahụ.
Ọbara na-abawanye na mgbake: Mkpịsị ahụ na-eme ka mgbasa ozi mpaghara, nke nwere ike inye aka n'iwepụ ihe mkpofu nke metabolic na inye nri, si otú ahụ na-akwalite mgbake na nrụzi ahụ.
3. Ntọala paramita
TENS:
Ugboro: Ọ na-adịkarị site na 1 Hz ruo 150 Hz. Ugboro ala (1-10 Hz) dị irè maka ntọhapụ opioid endogenous, ebe frequencies dị elu (80-100 Hz) nwere ike inye enyemaka mgbu ngwa ngwa.
Ogologo Pulse: Dị iche site na 50 ruo 400 microseconds; obosara usu obosara nwere ike kpalie omimi anụ ahụ n'ígwé.
Mgbanwe: Ngwa TENS na-enwekarị ntọala maka modul pulse iji gbochie ebe obibi, na-eme ka ọ dị mma na-aga n'ihu.
EMS:
Ugboro: A na-edobekarị n'etiti 1 Hz na 100 Hz. Ugboro n'etiti 20 Hz na 50 Hz bụ ihe a na-ahụkarị maka ọzụzụ anụ ahụ, ebe ugboro dị elu nwere ike ịkpata ike ọgwụgwụ ngwa ngwa.
Ogologo Pulse: Na-adịkarị site na 200 ruo 400 microseconds iji hụ na arụ ọrụ eriri akwara dị irè.
Usoro ọrụ: Ngwa EMS na-ejikarị usoro ọrụ dị iche iche na-ebuli mkpụkọ akwara na usoro mgbake (dịka ọmụmaatụ, sekọn 10 na, 15 sekọnd kwụsịrị).
4. Ngwa ụlọ ọgwụ
TENS:
Nlekọta mgbu: A na-ejikarị ya eme ihe maka ọnọdụ ndị dị ka mgbu na-adịghị ala ala, ọrịa ogbu na nkwonkwo, neuropathic mgbu, na dysmenorrhea.
Mgbu na-aga n'ihu: Enwere ike iji belata ịdabere na analgesics pharmacological mgbe usoro ịwa ahụ gasịrị.
Mmetụta anụ ahụ: Ọ nwekwara ike ibelata mgbakasị ahụ akwara, kwalite mmegharị, ma kwalite nkasi obi onye ọrịa n'ozuzu ya.
EMS:
Ndozigharị: A na-eji ya na ọgwụgwọ anụ ahụ maka ndị ọrịa na-agbake site na ịwa ahụ ma ọ bụ mmerụ ahụ iji nọgide na-enwe ahụ ike na ọrụ.
Ọzụzụ Ike: A na-arụ ọrụ na ọgwụ egwuregwu iji kwalite ike na ntachi obi na ndị na-eme egwuregwu, a na-ejikarị ya na usoro ọzụzụ ọdịnala.
Nlekọta Spasticity: Nwere ike inye aka ijikwa spasticity na ọnọdụ akwara ozi site n'ịkwalite izu ike nke anụ ahụ na ibelata mkpụkọ aka ike.
5. Ntinye Electrode na nhazi
Ebe TENS Electrode:
A na-edobe electrodes n'usoro n'elu ma ọ bụ gburugburu ebe ndị na-egbu mgbu, na nhazi na-agbasokarị usoro dermatome ma ọ bụ na-akpalite isi iji kwalite ihe mgbu.
Ebe EMS Electrode:
Electrodes na-edobere n'elu otu akwara dị iche iche, na-ahụ na ekpuchiri afọ akwara dum iji nweta nkwekọrịta dị irè.
6. Safety na Contraindications
Nchekwa TENS:
Ọ dị mma maka ọtụtụ ndị mmadụ; Otú ọ dị, a na-adụ ọdụ ịkpachara anya n'ime ndị nwere ọnọdụ ụfọdụ dị ka ndị na-eme ngwa ngwa, ọnya anụ ahụ, ma ọ bụ ọnọdụ na-emebi mmetụta.
Mmetụta ọjọọ na-adịkarị ntakịrị, gụnyere mgbakasị anụ ahụ ma ọ bụ ahụ erughị ala na saịtị electrode.
Nchekwa EMS:
Ọ bụ ezie na ọ dị nchebe n'ozuzu, EMS kwesịrị iji nlezianya mee ihe na ndị ọrịa nwere nsogbu neuromuscular, afọ ime, ma ọ bụ ụfọdụ ọnọdụ obi obi.
Ihe ize ndụ gụnyere ahụ mgbu, mgbakasị anụ ahụ, na n'ọnọdụ ndị a na-adịghị ahụkebe, rhabdomyolysis ma ọ bụrụ na ejiri ya mee ihe na-ekwesịghị ekwesị.
Mmechi:
Na nchịkọta, TENS na EMS bụ usoro ọgwụgwọ electrotherapy bara uru, nke ọ bụla nwere usoro dị iche iche, ngwa, na nsonaazụ ọgwụgwọ. TENS na-elekwasị anya na enyemaka mgbu site na mkpali akwara mmetụta, ebe a na-eji EMS eme ihe maka ịgbalite akwara na nhazigharị.
Oge nzipu: Dec-06-2024
