Electrotherapy rau OA (Osteoarthritis)

1.OA (Osteoarthritis) yog dab tsi?

Keeb kwm:

Osteoarthritis (OA) yog ib yam kab mob uas cuam tshuam rau cov pob qij txha synovial ua rau degeneration thiab puas ntawm cov pob txha mos hyaline.Txog niaj hnub no, tsis muaj kev kho mob rau OA.Lub hom phiaj tseem ceeb rau kev kho OA yog txhawm rau txo qhov mob, tswj lossis txhim kho kev ua haujlwm, thiab txo qis deformity.Transcutaneous hluav taws xob paj hlwb stimulation (TENS) yog ib qho kev ua tsis zoo uas feem ntau siv hauv kev kho lub cev los tswj ob qho tib si mob thiab mob ntev tshwm sim los ntawm ntau yam mob.Ntau qhov kev sim ntsuas ntsuas qhov ua tau zoo ntawm TENS hauv OA tau tshaj tawm.

Osteoarthritis (OA) yog kab mob raws li kev hloov pauv degenerative.Nws feem ntau cuam tshuam rau cov neeg laus thiab cov laus, thiab nws cov tsos mob yog liab thiab o hauv caug mob, mob nce thiab nqis ntaiv, mob hauv caug thiab tsis xis nyob thaum zaum thiab taug kev.Tseem yuav muaj cov neeg mob o, bouncing, effusion, thiab lwm yam, yog tias tsis kho raws sijhawm, nws yuav ua rau kev sib koom ua ke thiab kev tsis taus.

2. Cov tsos mob:

* Mob: Cov neeg mob hnyav dhau qhov mob hnyav, tshwj xeeb tshaj yog thaum squatting lossis nce thiab nqis ntaiv.Nyob rau hauv cov mob hnyav ntawm kev mob caj dab, tej zaum yuav muaj mob txawm tias thaum so thiab thaum tsaug zog.

* Tenderness thiab sib koom deformity yog cov cim tseem ceeb ntawm osteoarthritis.Lub hauv caug pob qij txha tuaj yeem pom varus lossis valgus deformities, nrog rau cov pob txha pob txha loj.Qee tus neeg mob yuav muaj qhov txwv txuas ntxiv ntawm lub hauv caug pob qij txha, thaum mob hnyav tuaj yeem ua rau flexion contracture deformity.

* Cov tsos mob ntawm kev sib koom ua ke: Zoo ib yam li cov tsos mob ntawm kev raug mob meniscus, cov pob qij txha ntxhib los yog adhesions tuaj yeem ua rau qee tus neeg mob muaj lub cev xoob hauv cov pob qij txha.

* Joint txhav los yog o: Mob ua rau muaj kev txwv tsis pub txav mus los, ua rau muaj kev sib koom tes khov kho thiab muaj peev xwm contractures ua rau deformity.Thaum lub sijhawm mob synovitis, o cuam tshuam rau kev sib koom ua ke.

3. Kev kuaj mob:

Cov txheej txheem kuaj mob rau OA suav nrog cov hauv qab no:

1. Kev mob hauv caug rov tshwm sim hauv lub hli dhau los;

2. X ray (kub nyob rau hauv ib qho chaw sawv ntsug lossis qhov hnyav-cov kabmob) nthuav tawm qhov sib koom ua ke ntawm qhov chaw nqaim, subchondral osteosclerosis, cystic hloov pauv, thiab tsim cov osteophytes ntawm qhov sib koom ua ke;

3. Kev tshuaj xyuas cov kua dej sib koom ua ke (ua yam tsawg kawg ob zaug) qhia qhov txias thiab khov sib xws nrog cov qe ntshav dawb suav <2000/ml;

4. Cov neeg mob hnub nyoog nruab nrab thiab cov neeg laus (≥40 xyoo);

5.Siv thaum sawv ntxov tsis pub dhau 15 feeb;

6. Pob txha txhuam thaum ua haujlwm;

7. Lub hauv caug kawg hypertrophy, o hauv zos o mus rau qhov sib txawv, txo qis lossis txwv ntau ntawm kev txav mus rau flexion thiab txuas ntxiv.

4.Lub sij hawm kho mob:

Yuav kho OA li cas nrog cov khoom siv electrotherapy?

Txoj kev siv tshwj xeeb yog raws li hauv qab no (TENS hom):

① Txiav txim siab tus nqi tam sim no: Kho lub zog tam sim no ntawm TENS electrotherapy ntaus ntawv raws li qhov mob koj hnov ​​​​ntau npaum li cas thiab qhov zoo rau koj.Feem ntau, pib nrog qhov kev siv qis thiab maj mam nce mus txog thaum koj hnov ​​​​qhov zoo siab.

②Qhov chaw ntawm electrodes: Muab TENS electrode thaj ua rau thaj rau lossis ze ntawm thaj chaw uas mob.Rau OA mob, koj tuaj yeem tso rau ntawm cov leeg ib ncig ntawm koj lub hauv caug lossis ncaj qha rau qhov nws mob.Nco ntsoov xyuas cov electrode pads nruj nreem tiv thaiv koj cov tawv nqaij.

③Xaiv hom thiab zaus: TENS cov khoom siv hluav taws xob feem ntau muaj ntau hom sib txawv thiab ntau zaus xaiv los ntawm.Thaum nws los txog rau lub hauv caug mob, koj tuaj yeem mus rau kev ua kom tsis tu ncua lossis ua kom muaj zog.Tsuas yog xaiv ib hom thiab zaus uas zoo rau koj kom koj thiaj li tau txais qhov mob zoo tshaj plaws.

④ Sijhawm thiab zaus: Nyob ntawm seb qhov ua haujlwm zoo tshaj plaws rau koj, txhua qhov kev sib kho ntawm TENS electrotherapy yuav tsum nyob nruab nrab ntawm 15 mus rau 30 feeb, thiab nws raug pom zoo kom siv 1 mus rau 3 zaug hauv ib hnub.Raws li koj lub cev teb, xav tias dawb maj mam kho qhov zaus thiab lub sijhawm siv raws li xav tau.

⑤ Ua ke nrog lwm cov kev kho mob: Txhawm rau kom txo qhov mob hauv caug, nws yuav ua tau zoo dua yog tias koj muab TENS txoj kev kho nrog lwm yam kev kho mob.Piv txwv li, sim siv cov cua sov compresses, ua qee lub caj dab maj mam ncab lossis so kom txaus, lossis txawm tias tau txais kev zaws - lawv txhua tus tuaj yeem ua haujlwm sib haum xeeb!

Cov lus qhia rau kev siv: Txoj kev hla electrode yuav tsum raug xaiv.Channel1 (xiav), nws yog siv rau vastus lateralis leeg thiab medial tuberositas tibiae.Channel2 (ntsuab) txuas mus rau vastus medialis leeg thiab lateral tuberositas tibiae.