Papiso ea TENS (Transcutaneous Electrical Nerve Stimulation) le EMS (Electrical Muscle Stimulation), e totobatsang mekhoa ea bona, likopo, le liphello tsa kliniki.
1. Litlhaloso le Maikemisetso:
TENS:
Tlhaloso: TENS e kenyelletsa ho sebelisoa ha maqhubu a motlakase a tlaase letlalong ka li-electrode, haholo-holo bakeng sa ho laola bohloko.
Sepheo: Sepheo sa eona se seholo ke ho fokotsa bohloko bo bohloko le bo sa foleng ka ho susumetsa methapo ea kutlo, ka hona ho fetola maikutlo a bohloko le ho khothalletsa ho lokolloa ha li-opioid tse sa feleng.
EMS:
Tlhaloso: EMS e bolela ho sebelisoa ha tšusumetso ea motlakase ho lihlopha tsa mesifa, e leng ho bakang ho hokahanngoa ho sa tsitsang.
Sepheo: Sepheo sa mantlha ke ho ntlafatsa ts'ebetso ea mesifa, ho matlafatsa matla, ho thibela atrophy, le ho khothalletsa ho tsosolosoa ka mor'a kotsi kapa ho buuoa.
2. Mekhoa ea Ts'ebetso
TENS:
Khopolo ea Taolo ea Liheke: TENS e sebetsa haholo-holo tlas'a khopolo ea taolo ea heke, moo ho tsosoa ha likhoele tse kholo tsa A-beta ho thibela phetiso ea matšoao a bohloko a tsamaisoang ke likhoele tse nyenyane tsa C ho tsamaiso ea methapo e bohareng.
Ho lokolloa ha Endorphin: TENS e tlaase-frequency (1-10 Hz) e ka susumelletsa ho lokolloa ha endorphin le enkephalins, tse tlamang li-receptor tsa opioid bokong, ho hlahisa liphello tsa analgesic.
Pain Threshold Ateration: Tšusumetso e ka fetola menyako ea maikutlo a bohloko, e lumellang batho ho utloa bohloko bo fokolang.
EMS:
Motor Neuron Activation: EMS e kenya tšebetsong li-motor neurons ka kotloloho, e lebisang ho ho hiroeng ha fiber ea mesifa le ho honyela. Li-contraction li ka ba tsa boithaopo kapa tsa boithaopo, ho itšetlehile ka li-parameter tse behiloeng.
Mofuta oa ho Thibela mesifa: EMS e ka etsa hore ho be le li-contraction tse peli tsa isotonic (ho khutsufatsa mesifa ea mesifa) le li-contraction tsa isometric (khatello ea mesifa ntle le ho sisinyeha), ho itšetlehile ka kopo.
Keketseho ea Phallo ea Mali le Tsoelo-pele: Li-contraction li matlafatsa phallo ea mali sebakeng, tse ka thusang ho tlosoa ha litšila tsa metabolism le ho fana ka limatlafatsi, kahoo li khothalletsa ho hlaphoheloa le ho lokisoa ha mesifa.
3. Litlhophiso tsa Parameter
TENS:
Khafetsa: Hangata e tloha ho 1 Hz ho isa ho 150 Hz. Maqhubu a tlase (1-10 Hz) a sebetsa hantle bakeng sa tokollo ea opioid ea endogenous, athe maqhubu a phahameng (80-100 Hz) a ka fana ka phomolo ea bohloko kapele.
Pulse Width: E fapana ho tloha ho 50 ho isa ho 400 microseconds; bophara bo pharaletseng ba pulse bo ka susumetsa likarolo tse tebileng tsa lisele.
Ho feto-fetoha ha maemo: Lisebelisoa tsa TENS hangata li na le litlhophiso tsa ho feto-fetoha ha pulse ho thibela bolulo, ho netefatsa ts'ebetso e tsoelang pele.
EMS:
Khafetsa: Ka kakaretso e behiloe lipakeng tsa 1 Hz le 100 Hz. Maqhubu a pakeng tsa 20 Hz le 50 Hz a tloaelehile bakeng sa koetliso ea mesifa, athe maqhubu a phahameng a ka baka mokhathala o potlakileng.
Pulse Width: Ka tloaelo ho tloha ho 200 ho isa ho 400 microseconds ho netefatsa ts'ebetso e sebetsang ea fiber ea mesifa.
Mosebetsi oa Potoloho: Lisebelisoa tsa EMS hangata li sebelisa lipotoloho tse fapaneng tsa mosebetsi ho ntlafatsa mekhahlelo ea mesifa le ho hlaphoheloa (mohlala, metsotsoana ea 10 ho, metsotsoana ea 15 ho tloha).
4. Likopo tsa Clinical
TENS:
Taolo ea Mahlaba: E sebelisoa haholo bakeng sa maemo a kang bohloko bo sa foleng ba morao, lefu la masapo a manonyeletso, bohloko ba neuropathic, le dysmenorrhea.
Bohloko ba Postoperative: E ka sebelisoa ho fokotsa ho itšetleha ka li-analgesics tsa pharmacological ka mor'a mekhoa ea ho buuoa.
Liphello tsa 'mele: E ka boela ea fokotsa tsitsipano ea mesifa, ea ntlafatsa ho tsamaea, le ho ntlafatsa boiketlo ba mokuli ka kakaretso.
EMS:
Rehabilitation: E sebelisoa kalafo ea 'mele bakeng sa bakuli ba hlaphoheloang ho tsoa ho opereishene kapa likotsi ho boloka boima ba mesifa le ts'ebetso.
Koetliso ea Matla: Ho sebelisoa meriana ea lipapali ho matlafatsa matla le mamello ho baatlelete, hangata e sebelisoang hammoho le mekhoa ea setso ea koetliso.
Taolo ea Spasticity: E ka thusa ho laola spasticity maemong a methapo ea kutlo ka ho khothaletsa ho phomola ha mesifa le ho fokotsa ho honyela ho sa hlokahaleng.
5. Ho behoa ha Electrode le Tlhophiso
TENS Electrode Placement:
Li-electrode li behiloe ka mokhoa o hlophisitsoeng holim'a kapa ho potoloha libaka tse bohloko, 'me litlhophiso hangata li latela mekhoa ea dermatome kapa lintlha tse qalang ho fokotsa bohloko.
EMS Electrode Placement:
Li-electrode li behiloe holim'a lihlopha tse itseng tsa mesifa, ho etsa bonnete ba hore mpa eohle ea mesifa e koahetsoe ho finyella li-contraction tse sebetsang hantle.
6. Polokeho le Contraindications
Tšireletseho ea TENS:
Ka kakaretso e bolokehile bakeng sa baahi ba bangata; leha ho le joalo, ho eletsoa tlhokomeliso ho batho ba nang le maemo a itseng a kang li-pacemaker, maqeba a letlalo, kapa maemo a sitisang kutlo.
Litlamorao tse mpe hangata ha li nyane, ho kenyelletsa ho teneha ha letlalo kapa ho se thabise libakeng tsa li-electrode.
Tšireletseho ea EMS:
Le hoja ka kakaretso e sireletsehile, EMS e lokela ho sebelisoa ka hloko ho bakuli ba nang le mathata a neuromuscular, bokhachane, kapa maemo a itseng a pelo.
Likotsi li kenyelletsa bohloko ba mesifa, ho halefa ha letlalo, 'me maemong a sa tloaelehang, rhabdomyolysis haeba e sa sebelisoe hantle.
Qetello:
Ka kakaretso, TENS le EMS ke mekhoa ea bohlokoa ea electrotherapy, e 'ngoe le e' ngoe e na le mekhoa e fapaneng, likopo, le liphello tsa phekolo. TENS e tsepamisitse maikutlo haholo ho kokobetsa bohloko ka ho susumetsa methapo ea kutlo, ha EMS e sebelisoa bakeng sa ts'ebetso ea mesifa le ho tsosolosa.
Nako ea poso: Dec-06-2024
