Ukwelashwa kwe-wave extra wave, noma i-ESWT, sekuvele njengendlela yokwelapha okungenzeka ukwelashwa kweziguli ezinezinkinga zethenonki ezingapheli. I-ESWT idlulisela amagagasi okhathazekile emzimbeni futhi isetshenziselwe ukwelashwa kwezimo ezihlukahlukene ezihlanganisa:
Kukhona kokubili ukwelashwa kwe-wave wave-energy namandla aphansi kakhulu, futhi kokubili izinhlobo zokwelapha zingasetshenziswa ekwelapheni le mibandela.
Izindlela zokwelapha ezisezingeni eliphansi ezishintshayo zinikezwa njengochungechunge lwezokwelapha ezintathu noma ngaphezulu. Amagagasi amancane ashaqisayo angabuhlungu, noma abuhlungu kabuhlungu. Ngakolunye uhlangothi, ukwelashwa okukhulu kwamandla okushaqeka kwamandla kunikezwa ngesikhathi esisodwa. Amaphilisi ama-high-energy ama-wave ama-track amahloni, futhi ngokuvamile kudingwa uhlobo lwe- anesthesia . Kungakhathaliseki ukuthi i-block yesifunda noma i- anesthesia ejwayelekile ingenziwa ukuphathwa kwezidakamizwa eziphezulu.
Ukucutshungulwa kwe-wave waverapy kucatshangwa ukuthi kusebenza ngokunyusa ama-microtrauma kuya kwezicubu ezithinteka yizinkinga. Le microtrauma iqala impendulo yokuphulukisa ngomzimba. Impendulo yokuphulukisa ibangela ukuklanywa kwemithambo yegazi nokukhuphuka kwezidingo zomzimba ezindaweni ezithintekayo. I-microtrauma kucatshangwa ukuthi ivuselele inqubo yokulungisa futhi inciphise izimpawu zobuhlungu.
Ingemuva
Kubikwa okokuqala ngo-1996, abaphenyi abaningana bakhicilele imiphumela ephumelelayo uma besetshenziselwa ukuphazamiseka kwemibandela.
I-FDA yavuma ukuthi ukusetshenziswa kwamagagasi okwethuka okwelashwa kwe-fasciitis plantar ngo-2000. Kusukela ngaleso sikhathi, ucwaningo oluningi luye lwahlola ukusetshenziselwa ukwesatshiswa kwemithi yokwelashwa kulezi zinkinga.
Kunemibiko eminingi mayelana nokusebenza kokwelashwa kwale mibandela ehlukene. Ezinye izifundo zibonisa imiphumela emihle yokwelashwa, ikakhulukazi nge-tendonitis ye-calcific ne-fastaitis plantar.
Kodwa-ke, kunemibiko eminingi engakazange iphumelele futhi ayibonisi umehluko ophawulekayo lapho ukwelashwa kokusakazwa kwamangqamuzana kuqhathaniswa nokwelashwa okujwayelekile kulezi zinkinga.
Izinzuzo
Isici esithandekayo kakhulu sokwelashwa kwe-wave wave ukuthi yindlela engavumelekile yezinkinga ngezinye izikhathi eziyinselele ukuphatha. Ngenxa yalezi zinselelo, odokotela bahlale befuna ukwelashwa okuphumelelayo kweziguli ezingabonakali ukuthuthukisa ngezokwelapha ezilula.
Ngaphezu kwalokho, esinye sezici eziphathelene nokuhlinzwa ukwelashwa kwezimo ezifana ne-plantar fasciitis ukuthi kunezinkinga ezinkulu. Zimbalwa izixazululo ezibikiwe ngokusetshenziswa kokwelashwa kwe-wave wave. Iziguli ezihlinzwayo zisengozini yokuqhubeka nobuhlungu, izinkinga zokulimala, nezifo. Inkinga eyinhloko nge-ESWT ukuthi akuzona zonke iziguli ezilashwa izimpawu zabo.
I-Cons
Ukudabuka kwe-wave waverapy kuyabiza kakhulu, nokuthi ngabe kungcono yini ukwelashwa okuphumelelayo kuyinkinga. Ukwelashwa ngabanye kungadala imali eningi, futhi izinkampani zomshuwalense kungenzeka zingabheki izindleko. Ngakho-ke, iziguli ezifisa ukuba nalezi zokwelapha zingase ziqede ukuzikhokhela ngaphandle kwephaketheni.
Okokugcina, ukuphumelela kokwelapha kuyabuzwa. Uma ukwelashwa kwe-wave shock kuyasiza, umehluko uncane. Imibiko kulezi zincwadi iyashintsha kakhulu, kodwa ngisho nasezifundweni ezibonisa umphumela omuhle we-ESWT, mhlawumbe kusiza kuphela ingxenyana yeziguli. Ngakho-ke, inani elikhulu leziguli lizobe lisaba nobuhlungu ngemva kokusakazwa kwe-wave wave.
Lapho Uqala khona
Ijaji lingakapheli ukuthi ngabe noma ukushaqeka ukwelashwa kwe-wave kungokwelashwa okuphumelelayo kulezi zimo zomzimba. Izincomo zamanje zokwelashwa yilokuthi ukwelashwa okuphephile kweziguli eziye zahluleka ukwenza izinyathelo ezingavamile futhi zingadinga ukwelashwa okungaphezulu okunamandla.
Kubalulekile ukuthi iziguli zizame ukwelashwa okungokwesiko okungenani izinyanga ezingu-6 ngonyaka ngaphambi kokucubungula ukwelashwa kwe-wave wave. Iziguli ezine-fasciitis plantar, izinyathelo zokwelapha eziqaphayo ezihlanganisa imithi, isicelo seqhwa , umzimba nokulula , futhi ukufaka izicathulo kuvame ukwelashwa okuphumelelayo. Ngaphezu kwalokho, kwaziwa futhi ukuthi isikhathi sezinyanga ezingu-6 kuya konyaka kudingekile ukuphatha kahle lezi zinkinga.
Iziguli ezingaphumeleli ngalezi zindlela zendabuko zingase zithole ekuthekisweni kwe-wave wave. Kuyindlela enengqondo yokucubungula i-ESWT ngaphambi kokungenelela kokuhlinzwa. Imiphumela emibi engaba khona ye-ESWT ayifanele. Ngakho-ke, ezigulini ezine- fasciitis ezingelapheki , futhi eziye zahluleka ukuhlolwa kwezinyanga eziyisithupha zemithi ejwayelekile, ukwethusa ukwelashwa kwe-wave yindlela ephuthumayo yokwelashwa okuhlukile.
Imithombo:
I-Rompe, JD, et al. "Ukuhlolwa kwesicelo sokusakazeka kwe-extra-body shock-wave wave for the treatment of fasciitis." I-Day Bone Joint Surg. 2002; 84: 335-41.
Ifunda i-A1, i-Dimeff R, i-Iannotti JP. "Ukwelashwa kwe-extracorporeal wave wave in therapy of tendinopathies ezingapheli" J Am Acad Orthop Surg. 2006 Apr; 14 (4): 195-204.