Lub TENS ua dab tsi?

Transcutaneous Electrical Nerve Stimulation (TENS) yog ib qho kev kho mob uas tsis muaj kev cuam tshuam uas siv cov hluav taws xob qis hluav taws xob los txhawb cov hlab ntsha hauv daim tawv nqaij. Nws yog feem ntau siv rau hauv kev kho lub cev, kho dua tshiab, thiab tswj kev mob rau cov mob xws li mob ntev, mob tom qab phais, thiab cov leeg nqaij.

Mechanism ntawm Action:

Cov txheej txheem tom qab TENS yog feem ntau raws li lub rooj vag tswj txoj kev xav ntawm qhov mob thiab tso tawm ntawm endogenous opioids:

• Gate Control Theory of Mob:

Tshaj tawm los ntawm Melzack thiab Phab ntsa hauv xyoo 1965, qhov kev xav no qhia tias qhov kev xav tau raug hloov kho ntawm tus txha caj qaum. Thaum TENS xa cov hluav taws xob impulses, nws txhawb nqa loj-inch A-beta fibers hauv daim tawv nqaij thiab cov ntaub so ntswg. Cov fibers no tuaj yeem cuam tshuam qhov kev sib kis ntawm qhov mob tshwm sim los ntawm me me A-delta thiab C fibers.Qhov tseem ceeb, qhov stimulation ntawm A-beta fibers "kaw lub rooj vag" rau cov teeb liab mob, txo qhov kev xav ntawm qhov mob. Qhov no tuaj yeem pom tau tias yog kev sib tw ntawm kev nkag siab (los ntawm TENS) thiab qhov mob nkag.

• Endogenous Opioid tso tawm:

TENS tau pom tias txhawb kev tso tawm ntawm endorphins thiab lwm yam endogenous opioids nyob rau hauv lub hauv paus paj hlwb. Cov tshuaj tua kab mob ntuj no khi rau opioid receptors, ntxiv txo qhov mob thiab txhim kho qhov kev xav ntawm kev noj qab haus huv.

• Muscle Relaxation:

Ntxiv nrog rau qhov mob nyem, TENS tuaj yeem pab ua kom cov leeg so. Cov hluav taws xob impulses tuaj yeem txo cov leeg nro thiab spasm, uas muaj txiaj ntsig zoo hauv kev tswj cov mob xws li fibromyalgia thiab myofascial mob syndrome.

Hom TENS

• Conventional TENS:Muab high-frequency (80-100 Hz) pulses nrog qhov siv tsawg. Hom no feem ntau ua haujlwm los ntawm kev tswj lub rooj vag txoj kev xav thiab muab qhov mob tam sim ntawd.

• Acupuncture-zoo li TENS (AL-TENS):Siv tsawg zaus (1-4 Hz) stimulation thiab siv ntau dua. Hom no aims txhawb kev tso tawm ntawm endorphins thiab feem ntau yog siv rau kev mob ntev ntev.

• Burst Mode TENS:Muab cov ntsiab lus ntawm ob qho tib si pa thiab acupuncture zoo li TENS, xa cov pulses hauv tawg. Txoj kev no tuaj yeem txhim kho qhov mob nyem thiab kev nplij siab.

• Luv luv Intense TENS:Siv kev siv siab thiab ntau zaus rau lub sijhawm luv luv, feem ntau siv rau kev mob hnyav thaum lub sijhawm ua haujlwm.

Daim ntawv thov

TENS yog siv rau hauv ntau qhov chaw kho mob, suav nrog:

• Kev Tswj Kab Mob Ntev: Cov mob xws li mob caj dab, mob nraub qaum, thiab mob neuropathic.

• Kev Kho Mob Tom Qab Kev Kho Mob: Pab txo qis kev cia siab ntawm cov tshuaj opioid.

• Labor Pain Management: Siv rau hauv qee qhov chaw los txo qhov tsis xis nyob thaum yug menyuam.

• Rehabilitation: Ua kom rov zoo los ntawm kev txo qhov mob thiab txhawb cov leeg nqaij thaum lub sij hawm kho lub cev.

Kev nyab xeeb thiab kev txiav txim siab

TENS feem ntau suav hais tias muaj kev nyab xeeb thaum siv kom tsim nyog. Txawm li cas los xij, muaj cov contraindications, suav nrog:

• Tsis pom zoo siv rau thaj chaw uas muaj qhov tsis hnov ​​​​tsw, qhib qhov txhab, lossis qee yam khoom siv kho mob (xws li, pacemakers).

• Kev ceev faj yog qhia rau cov tib neeg uas muaj mob tshwj xeeb xws li qaug dab peg lossis mob plawv.

Xaus

TENS yog ib txoj hauv kev uas muaj ntau yam thiab muaj txiaj ntsig zoo rau kev tswj qhov mob uas siv hluav taws xob stimulation los hloov qhov kev xav ntawm ob qho tib si peripheral thiab central mechanisms. Nws qhov xwm txheej tsis muaj kev cuam tshuam thiab kev nyab xeeb ntawm tus txheeb ze ua rau nws yog ib qho cuab yeej tseem ceeb hauv kev kho mob thiab hauv tsev rau cov neeg mob nrhiav kev pab los ntawm ntau yam mob. Raws li nrog txhua qhov kev kho mob, cov lus teb ntawm tus kheej tuaj yeem sib txawv, thiab nws raug nquahu kom sab laj nrog kws kho mob rau tus kheej cov phiaj xwm kho mob.