Electrotherapy no ka OA (Osteoarthritis)

1. He aha ka OA (Osteoarthritis)?

Ka hope:

ʻO ka osteoarthritis (OA) kahi maʻi e pili ana i nā hui synovial e hoʻohaʻahaʻa a luku ʻia ka cartilage hyaline.I kēia lā, ʻaʻohe lāʻau lapaʻau no ka OA.ʻO nā pahuhopu mua no ka maʻi OA e hoʻomaha i ka ʻeha, mālama a hoʻomaikaʻi paha i ke kūlana hana, a hōʻemi i ka deformity.ʻO ka transcutaneous electrical nerve stimulation (TENS) kahi ʻano hana noninvasive i hoʻohana mau ʻia i ka physiotherapy e hoʻomalu i ka ʻeha ʻeha a me ka ʻeha mau loa e kū mai ana mai kekahi mau kūlana.Ua paʻi ʻia kekahi mau hoʻokolohua e loiloi ana i ka pono o TENS ma OA.

ʻO Osteoarthritis (OA) kahi maʻi e pili ana i nā loli degenerative.Hoʻopilikia nui ia i ka poʻe waena a me ka poʻe ʻelemakule, a ʻo kona mau hōʻailona he ʻulaʻula a pehu ka ʻeha o ke kuli, ʻeha i luna a i lalo i ke alapiʻi, ʻeha ʻeha a me ka ʻeha i ka wā e noho ai a hele.E loaʻa pū kekahi mau maʻi me ka pehu, bounce, effusion, a me nā mea ʻē aʻe, inā ʻaʻole mālama ʻia i ka manawa, hiki ke hōʻeha i ka hui a me ke kīnā.

2. Nā hōʻailona:

*Eha: Loaʻa i nā maʻi me ke kaumaha keu ka ʻeha nui, ʻoi aku ka nui i ka wā e kuʻi a piʻi a iho i nā alapiʻi.I nā hihia koʻikoʻi o ka maʻi ʻāʻī, hiki ke ʻeha i ka wā hoʻomaha a i ke ala ʻana mai ka hiamoe.

* ʻO ka palupalu a me ka hoʻohaʻahaʻa ʻana i ka hui ka hōʻailona nui o ka osteoarthritis.Hiki i ka hui kuli ke hōʻike i ka varus a i ʻole valgus deformities, me ka hoʻonui ʻia ʻana o nā ʻaoʻao iwi hui.Hiki i kekahi poʻe maʻi ke hoʻolōʻihi i ka hui kuli, ʻoiai nā hihia koʻikoʻi hiki ke hopena i ka deformity contracture flexion.

*Nā hōʻailona hoʻopaʻa hui: E like me nā hōʻailona hōʻeha meniscus, nā ʻili aʻe a i ʻole nā ​​mea hoʻopili hiki ke hoʻoulu i kekahi poʻe maʻi e ʻike i nā kino hemo i loko o nā ami.

* ʻOoleʻa a pehu ʻia paha: ʻO ka ʻeha ke alakaʻi i ka neʻe kaohi ʻana, ka hopena i ka ʻoʻoleʻa hui a me nā ʻaelike hiki ke alakaʻi i ka deformity.I ka wā o ka synovitis, pili ka pehu i ka neʻe hui.

3. ʻIkepili:

Aia nā pae hoʻohālikelike no ka OA penei:

1. Eha mau kuli i ka malama i hala;

2. X ray (lawe ʻia ma ke kūlana kū a kaumaha paha) e hōʻike ana i ka liʻiliʻi ʻana o ka lumi a me ka osteosclerosis subchondral, nā loli cystic, a me ka hoʻokumu ʻana o nā osteophytes ma ka ʻaoʻao hui;

3. ʻO ka nānā ʻana i ka wai hui (hana ʻia ma ka liʻiliʻi ʻelua) e hōʻike ana i ke kūpaʻa ʻoluʻolu a me ka viscous me ka helu keʻokeʻo keʻokeʻo <2000/ml;

4.Middle-aged a me ka poʻe maʻi (≥40 makahiki);

5. ʻO ka ʻoʻoleʻa kakahiaka ma lalo o 15 mau minuke;

6. ʻO ke kuʻi iwi i ka wā o ka hana;

7. Knee end hypertrophy, pehu kūloko i nā degere like ʻole, hoʻemi ʻia a i ʻole ka palena o ka neʻe no ka flexion a me ka hoʻonui.

4.papa hana therapeutic:

Pehea e mālama ai i ka OA me nā huahana electrotherapy?

Penei ke ʻano hoʻohana kikoʻī（TENS mode）:

①E hoʻoholo i ka nui kūpono o kēia manawa: E hoʻololi i ka ikaika o kēia manawa o ka hāmeʻa electrotherapy TENS e pili ana i ka nui o kou ʻeha a me kou ʻoluʻolu.ʻO ka mea maʻamau, e hoʻomaka me ka haʻahaʻa haʻahaʻa a hoʻonui mālie a hiki i kou ʻike ʻana i kahi ʻano ʻoluʻolu.

②Ka hoʻokomo ʻana i nā electrodes: E kau i nā ʻāpana electrode TENS ma kahi a kokoke paha i kahi ʻeha.No ka ʻeha OA, hiki iā ʻoe ke kau iā lākou ma nā ʻiʻo a puni kou kuli a i ʻole ma luna pono o kahi e ʻeha ai.E hōʻoia e hoʻopaʻa paʻa i nā pad electrode i kou ʻili.

③E koho i ke ʻano kūpono a me ke alapine: loaʻa i nā mea electrotherapy TENS he mau ʻano ʻano like ʻole a me nā alapine e koho ai.I ka wā e pili ana i ka ʻeha o ke kuli, hiki iā ʻoe ke hele no ka hoʻoikaika mau a i ʻole pulsed.E koho wale i ke ʻano a me ka alapine e ʻoluʻolu iā ʻoe i hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ʻeha maikaʻi loa.

④Ka manawa a me ke alapine: Ma muli o ka mea kūpono loa iā ʻoe, ʻo kēlā me kēia kau o TENS electrotherapy e mau ma waena o 15 a 30 mau minuke, a manaʻo ʻia e hoʻohana ia 1 a 3 manawa i ka lā.Ke pane mai nei kou kino, e ʻoluʻolu e hoʻololi mālie i ka pinepine a me ka lōʻihi o ka hoʻohana ʻana e like me ka mea e pono ai.

⑤Ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe: No ka hoʻonui nui ʻana i ka ʻeha o ke kuli, ʻoi aku ka maikaʻi inā hoʻohui ʻoe i ka lāʻau TENS me nā lāʻau lapaʻau ʻē aʻe.No ka la'ana, e ho'ā'o e ho'ohana i ka ho'oma'ama'a wela, e hana i ka 'ā'ī mālie a i 'ole ka ho'oma'ama'a ho'omaha, a i 'ole ka lomilomi - hiki iā lākou ke hana like me ka lokahi!

Nā ʻōkuhi no ka hoʻohana: Pono ke koho ʻana i ke ala electrode kea. Channel1(blue), pili ia i ka ʻiʻo vastus lateralis a me ka medial tuberositas tibiae.Hoʻopili ʻia ʻo Channel2 ('ōmaʻomaʻo) i ka ʻiʻo vastus medialis a me ka tuberositas tibiae.