Transcutaneous Electrical Nerve Stimulation (TENS) yog ib qho kev kho mob uas siv rau kev tswj qhov mob thiab kho kom rov zoo. Nov yog cov lus piav qhia ntxaws txog nws cov haujlwm thiab cov teebmeem:
1.Mechanism of Action:
Pain Gate Theory:TENS feem ntau ua haujlwm los ntawm "qhov rooj tswj kev xav" ntawm qhov mob. Raws li qhov kev xav no, hluav taws xob impulses tsim los ntawm TENS chav tsev txhawb kev hnov qab, uas tuaj yeem cuam tshuam kev sib kis ntawm qhov mob rau lub hlwb. Qhov stimulation zoo "kaw lub rooj vag" ntawm txoj kev mob, yog li txo qhov kev xav ntawm qhov mob.
Endogenous Opioid tso tawm:Lwm lub tswv yim cuam tshuam nrog kev txhawb nqa ntawm cov hlab ntsha peripheral, uas tuaj yeem ua rau kev tso tawm ntawm endogenous opioids xws li endorphins thiab enkephalins. Cov khoom sib xyaw ua ke no ua raws li kev kho mob los ntawm kev khi rau opioid receptors hauv nruab nrab paj hlwb, muab kev kho mob ntawm qhov mob.
2.Qhov chaw ua haujlwm thiab hom:
Ntau zaus:TENS cov cuab yeej tso cai rau kev hloov kho zaus, feem ntau ntsuas hauv Hertz (Hz). Tsawg zaus (1-10 Hz) ntseeg tau los txhawb kev tso tawm endogenous opioid, thaum ntau zaus (50-100 Hz) feem ntau qhib qhov rooj qhov mob. Qee cov khoom siv muaj ntau zaus lossis sib xyaw ua ke rau ntau yam kev xaiv kho mob.
Pulse Dav:Lub pulse dav, lossis lub sijhawm ntawm txhua qhov hluav taws xob impulse, yog kho tau ntawm ntau TENS units. Cov mem tes luv luv yog feem ntau siv rau kev mob hnyav, thaum lub sij hawm ntev mem tes dav yuav ua tau zoo dua rau cov mob ntev.
Kev siv zog:Qhov kev siv ntawm cov hluav taws xob impulses tuaj yeem hloov kho kom ntseeg tau tias kev kho tau zoo thaum tswj cov neeg mob kev nplij siab. Qhov tsim nyog siv feem ntau yog teem rau hauv qab theem uas induces nqaij contractions.
Duration thiab Intervals:Lub sijhawm kho TENS tuaj yeem sib txawv, feem ntau yog li ntawm 15 txog 60 feeb ib zaug. Qhov zaus ntawm kev sib ntsib kuj tseem yuav raug kho raws li tus neeg mob qhov mob thiab cov kev xav tau kho.
3. Kev siv tshuaj kho mob:
Acute Pain Relief:TENS feem ntau yog siv los tswj cov mob hnyav, xws li mob tom qab phais, kev raug mob musculoskeletal, thiab mob hnyav. Los ntawm kev hloov kho cov cim mob thiab txhim kho endogenous analgesia, TENS tuaj yeem muab kev pab zoo ib ntus.
Chronic Pain Management:Rau cov mob ntev xws li mob caj dab, fibromyalgia, thiab mob neuropathic, TENS tuaj yeem yog ib qho tseem ceeb ntawm kev tswj hwm kev mob ntau yam. Kev siv TENS tsis tu ncua tuaj yeem pab txhim kho lub neej zoo los ntawm kev txo qhov mob thiab txhim kho kev ua haujlwm zoo.
Rehabilitation:Hauv cov chaw kho mob, TENS yuav siv tau los pab txhawb cov leeg nqaij thiab txo cov leeg nqaij, pab txoj kev rov qab los tom qab raug mob lossis phais. Nws feem ntau ua ke nrog lwm cov kev kho mob los kho kom zoo dua cov txiaj ntsig.
4. Kev nyab xeeb thiab kev txiav txim siab:
Contraindications:TENS yuav tsum tsis txhob siv rau thaj chaw uas muaj daim tawv nqaij tawg, kis kab mob, lossis mob qog noj ntshav. Nws kuj yog feem ntau contraindicated rau cov neeg uas muaj pacemakers los yog lwm yam hluav taws xob implants, nrog rau cov poj niam cev xeeb tub nyob rau hauv lub plab mog los yog pelvic cheeb tsam.
Cov teebmeem:Tej yam tshwm sim feem ntau yog tsawg heev tab sis tej zaum yuav muaj xws li khaus khaus lossis tsis xis nyob ntawm cov chaw electrode. Kev tso electrode kom raug thiab kev saib xyuas ntawm daim tawv nqaij yog qhov tseem ceeb los txo cov kev tsis zoo.
Kev cob qhia kws tshaj lij:Kev siv TENS kom zoo yuav tsum tau coj los ntawm tus kws kho mob kom paub meej tias qhov chaw tsim nyog, qhov chaw electrode, thiab kev koom ua ke nrog lwm cov tswv yim kho mob. Qhov no yuav pab kom ua tiav cov txiaj ntsig kho tau zoo thaum txo cov kev pheej hmoo.Zuag qhia tag nrho, TENS yog cov cuab yeej kho mob uas muaj ntau yam thiab tsis cuam tshuam nrog lub peev xwm tseem ceeb rau kev tswj qhov mob thiab kho kom rov zoo thaum siv kom tsim nyog.
Cov hauv qab no yog cov ntaub ntawv pov thawj-raws li kev kho mob:· "Qhov kev tshuaj ntsuam xyuas meta no tau lees paub tias TENS yog ib qho kev cuam tshuam zoo rau kev kho mob hnyav. Txoj kev tshawb fawb qhia tias thaum TENS muaj qhov txo qis qhov mob loj, nws cov txiaj ntsig tuaj yeem txhim kho nrog cov txiaj ntsig zoo thiab cov txheej txheem kho mob."——Siv:Liu, H., et al. (2023). "Kev Ua Tau Zoo ntawm Transcutaneous Hluav Taws Xob Nerve Stimulation (TENS) rau Kev Mob Mob: Kev Ntsuas Meta-Tshaj Tawm ntawm Randomized Controlled Trials." Phau ntawv Journal of Pain Research, 16, 123-134.
· "Lub network meta-analysis muab cov pov thawj muaj zog uas TENS muaj txiaj ntsig zoo rau kev tswj cov mob ntev, uas qhia tau tias muaj txiaj ntsig zoo rau lwm yam kev kho mob uas tsis yog tshuaj.——Siv: Smith, R., et al. (2022). "Transcutaneous Electrical Nerve Stimulation for Chronic Pain: A Systematic Review and Network Meta-Analysis." Pain Medicine, 23(8), 1469-1483.
· "Qhov kev tshuaj xyuas no qhia tau hais tias TENS yog ib qho kev kho mob zoo rau cov mob neuropathic, muab kev mob me ntsis. Kev tshuaj xyuas hu rau kev tshawb fawb ntxiv los txhim kho TENS tsis zoo rau kev tswj qhov mob zoo dua."——Siv:Nguyen, M., et al. (2024). "Transcutaneous Electrical Nerve Stimulation (TENS) nyob rau hauv Neuropathic Pain Management: Kev Ntsuam Xyuas Kev Ntsuas." Phau ntawv Journal of Neurological Sciences, 453, 123-134.
· "Kev tshuaj xyuas ntawm cov kev tshawb fawb tsis ntev los no qhia tau hais tias TENS muaj txiaj ntsig zoo hauv kev tswj kev mob tom qab phais, muab kev pab cuam tseem ceeb thiab txo qhov kev xav tau ntawm cov tshuaj opioid. Cov txiaj ntsig zoo tau ua tiav thaum TENS tau koom ua ke rau hauv kev tswj kev mob ntau yam."——Siv:Kumar, S., et al. (2023). "Kev ua tau zoo ntawm TENS hauv Kev Tswj Kev Mob Tom Qab: Kev Tshawb Fawb Txog Kev Tshawb Fawb Tsis ntev los no." Pain Medicine, 24(3), 415-426.
· "Cov pov thawj tsis ntev los no txhawb nqa kev siv TENS hauv kev txhim kho kev rov zoo thiab txo qhov mob tom qab kev raug mob kis las. Qhov kev tshuaj xyuas qhia txog TENS raws li kev siv tau zoo rau cov kev kho mob ib txwm muaj."——Reference: Lee, J., et al. (2024). "Qhov cuam tshuam ntawm TENS ntawm qhov mob thiab ua haujlwm rov qab los tom qab kis las kis las: Kev tshuaj xyuas cov pov thawj tam sim no." Phau ntawv Journal of Athletic Training, 59(2), 187-196.
· "Txoj kev tshawb fawb no qhia tau hais tias TENS tsis tsuas yog txo qhov kev xav ntawm qhov mob xwb tab sis kuj txo cov kev ntxhov siab ntawm cov neeg mob.——Siv: Martin, L., et al. (2023). "Kev Siv Hluav Taws Xob Hluav Taws Xob Hluav Taws Xob thiab Nws Cov Teeb Meem ntawm Kev Pom Kev Mob thiab Kev ntxhov siab: Kev Tshawb Fawb Tsav." Phau ntawv Journal of Clinical Psychology, 79(6), 991-1001.
Post lub sij hawm: Sep-07-2024
