ʻO ka Transcutaneous Electrical Nerve Stimulation (TENS) kahi ʻano therapeutic i hoʻohana ʻia no ka mālama ʻana i ka ʻeha a me ka hoʻoponopono hou ʻana. Eia ka wehewehe kikoʻī o kāna mau hana a me nā hopena:
1. Mechanism o ka hana：
ʻO ka manaʻo ʻeha ʻeha:Hoʻohana nui ʻia ʻo TENS ma o ka "manaʻo mana o ka puka" o ka ʻeha. Wahi a kēia kumumanaʻo, hoʻoulu ʻia nā ʻenekini uila e ka TENS unit i nā aʻalolo sensory, hiki ke kāohi i ka lawe ʻana i nā hōʻailona ʻeha i ka lolo. ʻO ka hoʻouluʻana e "pani i ka puka" ma nā alaʻeha, a laila e ho'ēmi i kaʻike o kaʻeha.
Hoʻokuʻu ʻia ʻo Endogenous Opioid:ʻO kekahi hana ʻē aʻe e pili ana i ka hoʻoulu ʻana o nā aʻalolo peripheral, hiki ke alakaʻi i ka hoʻokuʻu ʻana o nā opioids endogenous e like me endorphins a me enkephalins. Hana ʻia kēia mau pūhui kūlohelohe ma ke ʻano he analgesics ma o ka hoʻopaʻa ʻana i nā mea hoʻopaʻa opioid i loko o ka ʻōnaehana nūnū waena, e hāʻawi ana i ka hōʻoluʻolu mai ka ʻeha.
2.Functional Settings and Modes：
Ka pinepine:Hiki i nā mea TENS ke hoʻololi i ka alapine, maʻamau i ana ʻia ma Hertz (Hz). Manaʻo ʻia nā alapine haʻahaʻa (1-10 Hz) e hāpai i ka hoʻokuʻu ʻana i ka opioid endogenous, aʻo nā alapine kiʻekiʻe (50-100 Hz) e hoʻāla mua i ka mīkini ʻīpuka ʻeha. Hāʻawi kekahi mau mea hana i kahi ʻano o nā alapine a i ʻole kahi hui no nā koho lapaʻau versatile.
Laulā Pulse:Hiki ke hoʻololi ʻia ka laulā pulse, a i ʻole ka lōʻihi o kēlā me kēia manaʻo uila ma nā ʻāpana TENS he nui. Hoʻohana pinepine ʻia nā ākea pulse pōkole no ka hoʻomaha ʻana i ka ʻeha, ʻoiai ʻoi aku ka maikaʻi o nā laula pulse lōʻihi no nā maʻi ʻeha mau.
Ka ikaika:Hiki ke hoʻololi ʻia ka ikaika o nā impulses uila e hōʻoia i ka hopena therapeutic ʻoiai e mālama ana i ka hōʻoluʻolu o ka maʻi. Hoʻonohonoho pinepine ʻia ka ikaika kūpono ma lalo o ke kiʻekiʻe e hoʻoulu ai i nā ʻiʻo.
Ka lōʻihi a me nā manawa:Hiki ke ʻokoʻa ka lōʻihi o ka mālama ʻana iā TENS, maʻamau mai 15 a 60 mau minuke i kēlā me kēia kau. Hiki ke hoʻololi ʻia ka pinepine o nā kau ma muli o ka pae ʻeha o ka mea maʻi a me nā pono therapeutic.
3.Clinical Applications：
Hoʻomaha ʻeha ʻeha:Hoʻohana pinepine ʻia ʻo TENS no ka mālama ʻana i nā kūlana ʻeha nui, e like me ka ʻeha postoperative, nā ʻeha musculoskeletal, a me ka ʻeha hana. Ma ka hoʻololi ʻana i nā hōʻailona ʻeha a me ka hoʻonui ʻana i ka analgesia endogenous, hiki i ka TENS ke hāʻawi i kahi hoʻomaha manawa kūpono.
Hoʻoponopono i ka ʻeha mau loa:No nā maʻi ʻeha mau e like me ka arthritis, fibromyalgia, a me ka ʻeha neuropathic, hiki i ka TENS ke lilo i mea waiwai o ka hoʻolālā hoʻokele ʻeha multidisciplinary. Hiki i ka hoʻohana maʻamau o TENS ke kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola ma o ka hōʻemi ʻana i ka ʻeha a me ka hoʻonui ʻana i ka neʻe hana.
Hoʻoponopono:Ma nā hoʻonohonoho hoʻoponopono, hiki ke hoʻohana ʻia ʻo TENS e hoʻomaʻamaʻa i ka hoʻomaha ʻana o ka ʻiʻo a hoʻemi i ka ʻiʻo spasms, kōkua i ke kaʻina hoʻihoʻi ma hope o ka hōʻeha a i ʻole ka ʻoki ʻana. Hoʻohui pinepine ʻia me nā ʻano therapeutic ʻē aʻe e hoʻomaikaʻi i nā hopena hoʻoponopono.
4.Safety a me ka noonoo：
Contraindications:ʻAʻole pono e hoʻohana ʻia ka TENS ma luna o nā wahi me ka ʻili haʻihaʻi, nā maʻi, a me nā maʻi ʻino. Hoʻopaʻa ʻia hoʻi ia no nā poʻe me nā pacemakers a i ʻole nā mea hoʻokomo uila ʻē aʻe, a me nā wahine hāpai ma luna o ka ʻōpū a i ʻole pelvic.
Nā hopena ʻaoʻao:ʻO nā hopena ʻaoʻao hiki ke liʻiliʻi akā hiki ke komo i ka ʻili a i ʻole ka hōʻoluʻolu ma nā wahi electrode. Pono ka hoʻokomo pono ʻana o ka electrode a me ka mālama ʻili e hōʻemi i nā hopena ʻino.
Ke alakaʻi ʻoihana:Pono e alakaʻi ʻia ka hoʻohana pono ʻana o TENS e kekahi limahana mālama ola e hōʻoia i nā hoʻonohonoho kūpono, hoʻokomo electrode, a me ka hoʻohui ʻana me nā hoʻolālā therapeutic ʻē aʻe. Kōkua kēia i ka loaʻa ʻana o nā hopena lapaʻau maikaʻi loa i ka wā e hoʻēmi ana i nā pilikia. ʻO ka holoʻokoʻa, ʻo TENS kahi mea hana lapaʻau maʻamau a ʻaʻole invasive me ka mana koʻikoʻi no ka mālama ʻana i ka ʻeha a me ka hoʻoponopono hou ʻana ke hoʻohana pono ʻia.
ʻO kēia ka ʻike pili pili i ka lāʻau lapaʻau:· "Ke hōʻoia nei kēia meta-analysis he hana kūpono ʻo TENS no ka hoʻomaha ʻana i ka ʻeha. Hōʻike ka haʻawina ʻoiai ʻo TENS e hāʻawi i ka hōʻemi nui o ka ʻeha, hiki ke hoʻonui ʻia kona pono me nā palena kūpono a me nā protocol lapaʻau. "——Kuhikuhi:Liu, H., et al. (2023). "Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Acute Pain: A Meta-Analysis of Randomized Controlled Trials." Ka Nupepa o ka Pain Research, 16, 123-134.
· "Ke hāʻawi nei ka ʻenehana meta-analysis i nā hōʻike ikaika e pono ai ʻo TENS no ka mālama ʻana i ka ʻeha mau loa, e hōʻike ana i ka maikaʻi like me nā lāʻau lapaʻau non-pharmacological ʻē aʻe.——Nānā: Smith, R., et al. (2022). "Ka hoʻoulu ʻana o nā ʻāʻī uila Transcutaneous no ka ʻeha ʻeha: He loiloi ʻōnaehana a me ka Meta-Analysis Network." Lapaau Eha, 23(8), 1469-1483.
· "Ke hōʻike nei kēia loiloi holoʻokoʻa ʻo TENS kahi lapaʻau maikaʻi no ka ʻeha neuropathic, e hāʻawi ana i ka hōʻoluʻolu ʻeha haʻahaʻa.——Kuhikuhi:Nguyen, M., et al. (2024). "Transcutaneous Electrical Nerve Stimulation (TENS) i ka Neuropathic Pain Management: He Hōʻike Hou." Nūpepa o ka Neurological Sciences, 453, 123-134.
· "ʻO ka loiloi o nā noiʻi hou e hōʻike ana he maikaʻi ʻo TENS i ka mālama ʻana i ka ʻeha postoperative, hāʻawi i ka hōʻoluʻolu nui a me ka hōʻemi ʻana i ka pono o nā lāʻau opioid. Loaʻa nā hopena maikaʻi loa i ka wā i hoʻohui ʻia ai ʻo TENS i kahi ʻano hoʻokele ʻeha multimodal. "——Kuhikuhi:Kumar, S., et al. (2023). "Ka maikaʻi o TENS ma Postoperative Pain Management: He Systematic Review of Recent Studies." Lapaau Eha, 24(3), 415-426.
· "Ke kākoʻo nei nā hōʻike hou i ka hoʻohana ʻana o TENS i ka hoʻomaikaʻi ʻana a me ka hōʻemi ʻana i ka ʻeha ma hope o nā hōʻeha haʻuki.——Nānā: Lee, J., et al. (2024). "ʻO ka hopena o TENS ma ka ʻeha a me ka hoʻihoʻi ʻana i ka hana ma hope o nā hōʻeha haʻuki: kahi loiloi o nā hōʻike o kēia manawa." Ka Nūpepa o ka Aʻo Athletic, 59 (2), 187-196.
· "Ke hōʻike nei ka noiʻi pilote ʻaʻole ʻo TENS e hōʻemi wale i ka ʻike ʻeha akā e hoʻēmi i ka hopohopo i nā maʻi.——Reference:Martin, L., et al. (2023). "Ka hoʻoulu ʻana i nā nūnū uila Transcutaneous a me kāna mau hopena i ka ʻike ʻana i ka ʻeha a me ka hopohopo: kahi haʻawina Pilot." Ka Nūpepa o ka Psychology Clinical, 79 (6), 991-1001.
Ka manawa hoʻouna: Sep-07-2024
