Ukuhlola Izinzuzo Ze-Ultrasound Therapy for Arthritis
I-ultrasound yokwelapha kuyindlela yokwelashwa ngokomzimba ukuphatha ubuhlungu nokulahlekelwa umsebenzi ohlangene ngenxa ye- osteoarthritis . Isebenza kanjani futhi siyini ngokusebenza kwayo?
Iyini i-Ultrasound ye-Therapeutic?
I-ultrasound yokwelapha yindlela esebenzisa amagagasi omsindo (okubangela ukudlidliza) ukunciphisa ubuhlungu noma ukuthuthukisa umsebenzi ohlangene. Lezi zivunguvungu zenzeka ngezimvamisa eziphezulu kakhulu kangangokuba izidakamizwa azibonakali kumuntu othola ukwelashwa kwe-ultrasound.
Ukudlidliza kungahle kulandelwe noma kuqhubeke. Ukudumala kwe-ultrasound okuqhubekayo kudala ukushisa okubonakalayo, kuyilapho ukudlidliza kwe-ultrasound okufakiwe kungenzi. Kucatshangwa ukuthi kokubili imiphumela yokushisa nokungahlosi komzimba kunomthwalo wemiphumela yilezi zokwelapha.
Ngokuvamile, i-ultrasound yokwelashwa yenziwa emtholampilo wokwelapha ngokomzimba noma ehhovisi likadokotela. Nakuba kuyindlela yokwelapha ye-osteoarthritis, ukuphumelela kwayo kusacatshangelwa.
I-ultrasound yokwelapha ihluke ekuhloleni i-ultrasound kuleyo ndlela yokwelashwa i-ultrasound isetshenziselwa ukwelashwa (njengelashwa) kanti kuyilapho i-ultrasound yokuxilonga isetshenziselwa ukuxilonga isifo (noma ukuphatha ukukhulelwa.) Njengoba nje i-ultrasound yokuxilonga iye yahlala isikhathi esithile, i-ultrasound yokwelapha isitholakale kusukela ngo-1950.
I-Ultrasound Yokwelashwa Isebenza Kanjani I-Arthritis?
I-ultrasound yokwelashwa ingase isebenze ngemiphumela evuthayo noma engeyona eyishisayo (imishini).
Uma usebenzisa i-ultrasound ngemiphumela evuthayo, izicubu kufanele zifinyelele izinga lokushisa lika-40 ° C kuya ku-45 ° C (104 F kuya ku-113 F) okungenani imizuzu engu-5.
Ukusebenza kwe-Ultrasound Therapeutic on Knee and Hip Arthritis
Ucwaningo lokuhlola ukusebenza kahle kwe-ultrasound yokwelapha kwi-arthritis kuhlanganisiwe; ezinye izifundo azizuzi lutho, kanti abanye bathola izinzuzo, ikakhulukazi e-osteoarthritis yamadolo.
Ngokubanzi, kube nezifundo ezimbalwa ezihlola izinzuzo ze-ultrasound yezokwelapha, futhi izifundo esinazo ngokuvamile zizincane noma ezingathembeki. Ucwaningo olwengeziwe luyadingeka, kodwa ake sibheke lokho esikwaziyo ngesikhathi samanje.
Ngonyaka we-2008, isifundo sanyatheliswa kuyi- Journal of the Canadian Chiropractic Association ebuyekeze iziphetho ezivela ezihlolweni zokuhlola, ezempilo nezilwane ze-ultrasound zokwelapha ze-osteoarthritis. Ukusebenzisa usesho lwe-PubMed kusukela ngonyaka ka-1985, abacwaningi bathole izifundo ezingu-16 ezahlangabezana nemigomo yabo yokufaka ekubuyekezweni. Kwakukhona izifundo eziyisishiyagalolunye ezaphetha i-ultrasound yokwelashwa inezinzuzo ezizuzayo ebuhlungu nasemsebenzini. Ucwaningo oluncane olunhlanu lwaluphakamisa ukuthi i-ultrasound yayinezinambuzane zokuphulukisa. Olunye ucwaningo olwenziwe ngokuhlola lubonise ukumunwa okwandisiwe kwe- hyaluronan usebenzisa i-phonophoresis ye-ultrasound. Kwakukhona isifundo esisodwa esiphetha ukuthi asikho umthelela ekuhluphekeni noma ekuhambeni kokuhamba lapho ukwelashwa kwe-ultrasound kuhlanganiswe nokuzivocavoca. Futhi, ngamaphepha amahlanu wokubukeza, amabili aphetha ukuthi kukhona imiphumela emihle evela ku-ultrasound yokwelapha, ababili abazange bathole noma iyiphi inzuzo, kanti enye yayingavumelani.
Ngo-2010, ukuhlaziywa kukaChcomrane kwezifundo ezisebenzisa i-ultrasound yokwelapha nge- knee kanye ne- hip osteoarthritis yenziwa.
Ukubuyekezwa kuhlolisisa izifundo eziqhathanisa i-ultrasound ukuhlambalaza noma ukungeneleli kokubuhlungu nokusebenza. Izilingo ezincane ezinhlanu, ezibandakanya iziguli ezingu-341 ezine-knee osteoarthritis, zafakwa ekubuyekezweni kweCochrane. Amakhompi amabili kulawo mahlanu ahlolwe i-ultrasound ye-pulsed, i-ultrasound eqhubekayo ehlolwayo, futhi eyodwa ihlolwe inhlanganisela ye-ultrasound evuthayo neqhubekayo. Ababuyekezi baphetha ngokuthi i-ultrasound ingase izuze i-osteoarthritis yamadolo. Noma kunjalo, bebengakaqiniseki ukuthi imiphumela ezuzisayo yayibuhlungu kanjani ekusebenziseni ubuhlungu nokusebenza futhi bezwa ukuthi kunesidingo sokwenza izifundo ezenziwe kangcono.
Kodwa enye isifundo esanyatheliswa ngo-2011 encwadini ye- Orthopedic Surgery , yaphetha ngokuthi i-ultrasound yakhulisa kakhulu izimpawu ezihlangene nokuvuvukala okuhlangene, kuyilapho kuthuthukiswa ukuhamba okuhlangene nokunciphisa ukuvuvukala kubantu abane-osteoarthritis. Ucwaningo lwabandakanya abantu abangu-87 abane-knee osteoarthritis abathola ukwelashwa kwe-ultrasound izinyanga ezingu-9.
Muva nje, ukuhlolwa kuka-2016 kubheka ukuphumelela kwe-low energy pulsed ultrasound kubantu abangu-106 abane-osteoarthritis yamadolo bathola ukuthi ukwelashwa kwe-ultrasound kwakubalulekile ekunciphiseni ubuhlungu (cishe amasonto amane) nokuthuthukisa umsebenzi kanye nekhwalithi yokuphila. Kumele kuqashelwe ukuthi lokhu kwakuyinkimbinkimbi encane yokusekela lezi ziphetho, futhi ngesikhathi samanje ucwaningo olwengeziwe luyadingeka.
Imiphumela ye-Molecular of Ultrasound Therapy on Arthritis
Konke, kunezinkambiso ezimbalwa zokuhlola okuthembekile okubheka i-theory ye-ultrasound yezokwelapha, futhi ngesikhathi samanje akuqiniseki ukuthi isebenza kanjani (uma ikhona) ekwelapheni i-arthritis. I-arthritis ibonakala ngokuhlukana kwe-cartilage, ukukhula kwethambo okungavamile kokuphendula, kanye nezinguquko ezicubu ezincane ezifana nekhanda le-synovial, ligaments, kanye nemisipha ezungeza amalunga.
Imiphumela evuthayo inganciphisa ukugxila emisipha kanye nemigqa, nakuba lokhu kungalinganiselwe, njengoba imisipha engayitholi kahle amandla futhi indawo enkulu yokwelapha iyadingeka.
Ezicwaningweni ezibheke abantu (ezifundweni ze-vivo) kucatshangwa ukuthi imiphumela eyinhloko yokwelashwa kwe-ultrasound ku-arthritis iyimishini, ayiyishisayo. Imiphumela emihle ingase isebenze ukugqugquzela i-cartilage ngqo.
Ngokususelwa kwizifundo kumagundane, i-ultrasound evuthayo ibonakala inemiphumela yokuvuselela ezinhlotsheni kanye ne-cartilage. Nakuba lokhu kuhlose, siyazi ukuthi izifundo kwezinye izilwane akuzona ngaso sonke isikhathi isibonakaliso esinokwethenjelwa salokho okuzokwenzeka kubantu. Akukho ubufakazi obuningi ngalesi sikhathi ukuthi i-ultrasound yokwelapha inomthelela oqondile kwi-cartilage kubantu.
Ngezansi Ezinzuzo Ze-Ultrasound Therape for Osteoarthritis
I-ultrasound yokwelashwa ingasebenza kwabanye abantu abane-osteoarthritis emadolweni noma emlonyeni, kodwa ucwaningo olwengeziwe luyadingeka ngaphambi kokuba lezokwelapha zibhekwe njengesimo esiqinile "semithi esekelwe ebufakazini." Kukhona imibono mayelana nokuthi i-ultrasound yokwelapha ingase isebenze kanjani ezingeni lemangqamuzana, kodwa lokhu, futhi, akuqinisekile; kukhona ubufakazi obwanele bokuthi ubuciko be-biophysical babuyele ekusebenzeni kwe-ultrasound ekuthuthukiseni i-cartilage noma izakhiwo eziseduze ezingeni lemangqamuzana. Noma kunjalo i-ultrasound yokwelashwa yindlela yokwelapha engeyona intsha ebonakala sengathi iphephile kakhulu, inezimbalwa ezimbalwa ezimbi, futhi ezingabizi kakhulu.
I-osteoarthritis ivame kakhulu, isithinta cishe isigamu sabantu abangaphezu kweminyaka engama-65 ngezinga elithile, futhi ingadlala indima enkulu ekunciphiseni izinga lokuphila. Kunezinhlobo ezahlukene zokwelapha ezitholakalayo ezivela emithi yokwelapha "zokwelapha" zemvelo ezifana namagundane. Ngenkathi ucwaningo oluncane selwenziwe ezindaweni zokwelapha ezingenasidlangalaleni nezingezona izidakamizwa (okususelwa kwindlela yokwelapha i-ultrasound kuya ku-acupuncture), akusho ukuthi lezi zingasebenzi. Ngokuphambene nalokho, sidinga ukucwaninga okuqhubekayo ukuhlola lezi zindlela "eziphephile" njengoba sifunda ukuthi ezinye zezokwelapha "ezijwayelekile" ze-arthritis zithwala ingozi enkulu, njengengozi yokuphuma kwamathumbu emithonjeni engeyona i-steroidal anti-inflammatory efana ne-Advil (ibuprofen.)
Kubalulekile ukusebenza nodokotela wakho ukuhlola izinketho eziningi zokwelapha ezitholakalayo nge-arthritis, ikakhulukazi njengoba inhlanganisela yezokwelapha ngokuvamile isebenza kangcono kunanoma yiluphi ukwelashwa olulodwa lodwa. Okokugcina, indima engenzeka yokuzivocavoca nokudla, njengokudla okuvutha ukuvuvukala kwe-arthritis ayikwazi ukunqunywa, futhi ukuphathwa kokucindezeleka kubalulekile (sesiye safunda ukuthi ukucindezeleka kukhulisa ubuhlungu nge-arthritis.) Kungakhathaliseki ukuthi uhlala ne-arthritis noma cha, uthathe isikhashana ukubuka lezi zindlela ezingu-70 zokunciphisa ukucindezeleka ukuze uqale ukuphila okucindezelayo (futhi ngokuqinisekile, okubuhlungu kakhulu) namuhla.
> Imithombo:
> Jia, L., Wang, Y., Chen, J., noWhen Chen. Ukusebenza kweTherapy ebizwa ngokuthi i-Low-Intensity Pulsed Treatment Ultrasound ekuphathweni kwe-Knee Osteoarthritis: I-Randomised, Double Blind, i-Placebo-Controled Trial. Imibiko yeSayensi . 2016. 6: 35453.
> Rutjes, A., Nuesch, E., Sterchi, R., noP. Juni. Ultrasound Therapy for Osteoarthritis of the Knee noma Hip. I-Cochrane Database yezibuyekezo ezihleliwe . 2010. (1): i-CD003132.