Ngakho udokotela wakho ucele ukwelashwa ngokomzimba kokulimala kwakho, futhi ukhuthaza ukuncintisana kagesi. Kuyini ukuvuselela kagesi, noma i-e-stim, futhi isetshenziselwa kanjani ukwelashwa ngokomzimba?
Ukugqugquzela kagesi kuyindlela yokwelashwa ngokomzimba okusetshenziselwa ukwenza imisebenzi ehlukahlukene ekwelapheni ngokomzimba . Uma unokulimala noma ukugula okubangela ubuhlungu noma ukuhamba okusebenzayo okuhambayo, i-PT yakho ingasebenzisa ukuvuselela kagesi, noma i-E-stim, njengengxenye eyodwa yohlelo lwakho lokuvuselela.
Umhlinzeki wakho womzimba uzosebenzisa izinhlobo ezahlukene zokuvuselela kagesi ukuze enze imisebenzi ehlukene. Lokhu kungafaka:
- I-TENS : Ukukhushulwa kwe-neuromuscular kagesi (TENS) yomshuwalense womzimba yindlela yokwelapha ngokomzimba esetshenziselwa ukuphatha ubuhlungu obukhulu nobuhlungu obungapheliyo ekwelapheni ngokomzimba. I-PT yakho izosebenzisa i-TENS ukunciphisa ubuhlungu bakho ngokusebenzisa ama-electrodes emzimbeni wakho ezindaweni ezibuhlungu. Ubukhulu begesi buzoguqulwa ukuvimbela izibonakaliso zobuhlungu ezihamba ukusuka emzimbeni wakho kuya ebuchosheni bakho.
- Iontophoresis : Iontophoresis uhlobo lokuvuselela kagesi olusetshenziswa ukusiza ukuhambisa imithi kuwe ekwelapheni ngokomzimba. Amanje kagesi aqhubela imithi ehlukahlukene ngaphakathi kwesikhumba sakho nasemzimbeni wakho. I-PT yakho ingase isebenzise imithi yokwehlisa ukuvuvukala noma isisindo se-muscle, noma izidakamizwa ze-iontophoresis zingasetshenziselwa ukuphula amaphalamende e-calcium angase avele ezimweni ezifana ne-shoulder strain tendonitis. Imithi ehlukene isetshenziselwa ukwenza imigomo ehlukile usebenzisa iontophoresis.
- Ukuvuselela kwamandla kagesi (NMES) : I-NMES isebenzisa amanje kagesi ukudala isisindo esisodwa noma iqoqo lezinhlanzi ukuze zivumelwano. Ngokubeka ama-electrodes esikhumbeni ezindaweni ezihlukahlukene, udokotela ongokwenyama angakwazi ukuthola ama-muscle afanelekayo. Ukwenqabela umsizi nge-stimulation kagesi kusiza ukuthuthukisa indlela ezithintekayo ngayo izikhwama ze-muscle. Umuthi wezokwelapha angashintsha ukulungiselelwa kwamanje ukuze avumele ukuchotshozwa kwemisipha enamandla noma emnene. Ngokuhambisana nokusebenza komzimba, imisipha ye-muscle nayo ikhuthaza ukugeleza kwegazi endaweni esiza ekuphulukiseni. I-NMES ingasetshenziselwa ukusiza ukunciphisa isikhuhlane semisipha ngokukhwabanisa imisipha yakho ngokweqile, ukuyivumela ukuba iphumule.
- Ukugqugquzela isiRussia: Ukugqugquzela isiRashiya kuyindlela yokuvuselela kagesi engakwazi ukufeza umsebenzi ofana nawo njenge-NMES: ukuthuthukisa indlela inhlanzi yakho yokuthenga ngayo. Isimo saseRashiya sisebenzisa nje isimo esihlukile esingasese esingahle sikwazi ukusibekezelela.
- Isikhathi esivamile: Isikhathi esingajwayelekile (i-IFC) sivame ukusetshenziselwa abahlinzeki bomzimba ukunciphisa ubuhlungu, ukunciphisa ukuqhuma kwemisipha, noma ukuthuthukisa ukugeleza kwegazi endaweni ezihlukahlukene kumisipha noma izicubu. Kuvame ukusetshenziselwa ukunciphisa ubuhlungu obuphansi be-back back and spasm muscular. I-current interferential ngokuvamile isebenzisa ama-electrode angu-4 ku-pattern crisscross. Lokhu kubangela ukuthi izimpondo zigijime phakathi kwama-electrode ukuze "ziphazamise" omunye nomunye, futhi ivumela i-PT ukuthi isebenzise amanani aphezulu kakhulu ngenkathi isalondoloze induduzo enkulu kuwe.
- I-voltage ephezulu ye-galvanic yamanje (HVGC): Ukuvusa okukhulu kwe-galvani yokuvota kusebenzisa amandla kagesi aphezulu kanye ne-low-frequency kagesi ukungena ezijulile zibe izicubu. Isetshenziselwa ukunciphisa ubuhlungu, ukuthuthukisa ukugeleza kwegazi, ukunciphisa umsizi we-muscle, nokuthuthukisa ukuhamba okuhlangene.
Khumbula ukuthi izinhlobo eziningi zokuvuselela kagesi ziyindlela yokwelapha; awukwenzi lutho ngenkathi uthola ukuvuselelwa. Ezinye izinhlobo zokulinganisa, njenge-NMES nesisusa seRussia, zidinga ukuthi usebenza ngenkathi i-E-stim isetshenziswa.
Ukugqugquzela kagesi akufanele kube yilapho kuphela ukwelashwa okwenziwe ngesikhathi ukwelashwa ngokomzimba. Ukucwaninga kubonisa ukuthi ukuhlanganyela okusebenzayo ohlelweni lwakho lokwelapha - ngaphandle noma ukuvuselela kagesi - kuveza imiphumela emihle kakhulu. I-E-stim kufanele isetshenziswe kuphela ukukhulisa uhlelo lwakho lokusebenza oluthile lwezokwelapha oluhlanganisa ukunyakaza okuqondile nokuzivocavoca ukuphatha isimo sakho.
Izingozi Zokusebenzisa Ukukhuthazwa Kokugesi
Uma i-PT yakho ifuna ukusebenzisa ukuvuselela kagesi phakathi nezinqubo zakho zokulungisa kabusha, kufanele ikuchazele izinzuzo ezihlukahlukene nezingozi ezihambisana nokwelashwa. Izingozi zokusebenzisa ukulinganisa zihlanganisa:
- Ukudubula kwe-muscle
- Ukucasula isikhumba
- Izicubu ziyashisa
I-PT yakho ingaqinisekisa ukuthi ukuvuselela kagesi kusetshenziselwa kahle ukunciphisa izingozi ezihambisana nokusetshenziswa kokulinganisela. Ukuqonda lezi zingozi kungakusiza unqume ukuthi ufuna ukuyifaka yini ku-rehab yakho.
Ukuqhathaniswa kokusetshenziswa kokusetshenziswa
Kunezimo ezithile lapho ungalokothi usebenzise ukugqugquzela kagesi. Lezi zingqinamba zokuqagela ukusetshenziswa kufanele zilalelwe ngumuthi wakho wenyama. Ukungahambisani nokuvuselela kagesi kuhlanganisa:
- Ukuzizwa kwesisindo esiphezulu
- Ukukhubazeka kwengqondo
- Ubukhona bomshini kagesi osetshenzisiwe (Ukulinganisa kungaphazamisa ama-pacemaker noma ama-stimulators abathintekayo).
- Ngaphezu kwezicubu ezimbi
- Amanxeba angaphezu kwamanzi amaningi
- Eduze kwamehlo, isinus carotid, intamo yangaphakathi, noma ngaphezu kwezitho zokuzala
Umhlinzeki wakho wenyama kufanele abone lezi zingqinamba ngesikhathi sokuhlola kwakho kokuqala, kodwa kubalulekile ukumkhumbuza nganoma yisiphi isimo ongase ube nayo esingase sibe nokusebenzisana okungalungile nokulinganisela.
Uma unemihelo noma ukuhamba okulinganiselwe, hlola nomhlinzeki wakho womzimba bese ubona ukuthi ukusebenzisa ukuvuselela kagesi kuyindlela yokwelashwa efanele wena nesimo sakho esithile.
Izwi kusuka
Uma unesimo esibangela ubuhlungu noma ukuhamba okuhambayo okusebenzayo, kufanele uhlole nodokotela wakho ubone umhlinzeki wakho womzimba. Angasebenzisa i-e-stim ukusiza ukunyusa uhlelo lwakho lokubuyisela kabusha. Uma kunjalo, ukwazi ukuthi yisiphi amandla kagesi nokuthi sisetshenziswe kanjani kungakusiza uqonde ngokuphelele uhlelo lwakho lonke lohlelo.
> Imithombo:
> Carlo Ammendolia, DC, Pierre Côté, DC, Brian Budgell, DC, Bombardier, C., & Hawker, G. (2016). Imiphumela ye-TENS Versus Placebo ekuhambeni kwamakhono kwiziguli ezine-Lumbar Stinal Stenosis: I-Protocol for a Trial Controled Trial.
> Ward, Alex R. " > I-elektric > ukuvuselela usebenzisa i-kilohertz-frequency alternating yamanje." Ukwelapha ngokomzimba 89.2 (2016): 181-190.