Ukuvavanya iiNzuzo zoLwaphulo lwe-Ultrasound kwiArthritis
I-ultrasound yokwelapha yindlela yokukhetha unyango lwangokonyango ukunyanga intlungu kunye nokulahlekelwa komsebenzi ohlanganyelweyo ngenxa ye- osteoarthritis . Isebenza njani kwaye siyazi ntoni ngokusebenza kwayo?
Ziyiphi i-Ultrasound Therapeutic?
I-ultrasound yokwelapha yindlela esebenzisa amaza omsindo (okubangela ukunyakaza) ukunciphisa intlungu okanye ukuphucula umsebenzi odibeneyo. Ezi zivalo zivela kwi-high-frequency-high so that vibration is invisible to the person receiving therapy ultrasound.
Ukutshuzuliswa kunokutsalwa okanye kuqhubeke. Ukunyakaza kwama-ultrasound okuqhubekayo kuvelisa ukushisa okubonakalayo, ngelixa iingu-ultrasound vibrations ezingenayo. Kucingelwa ukuba iziphumo zombane kunye non-thermal zijongene nayo nayiphi na imiphumo yilezi zonyango.
Ngokuqhelekileyo, i-ultrasound yokwelapha eyenziwa kwiklinikhi yokwelapha okanye kwireferensi. Nangona kukho ukhetho lwonyango lwe-osteoarthritis, ukuphumelela kwalo kusasazwa.
I-ultrasound yezokwelapha ihluke kwi-ultrasound ye-diagnostic kwindlela yokwelapha i-ultrasound iyasetyenziselwa unyango (njengonyango) nangona u-diagnostic ultrasound isetyenziselwa ukuxilonga isifo (okanye ukulawula ukukhulelwa.) Kanye nje ngokuba uvavanyo lwe-ultrasound luye lwajikeleza ixesha elide, i-ultrasound ye-thrape ukususela ngowe-1950.
I-Ultrasound yeTherapeutic isebenza njani kwiArthritis?
I-ultrasound yokwelapha inokusebenza ngethempile okanye engeyiyo-thermal.
Xa usebenzisa i-ultrasound kwimiphumo ye-thermal, izicubu kufuneka zifike kwiqondo lokushisa lika-40 ° C ukuya kwi-45 ° C (104 F ukuya ku-113 F) ubuncinane imizuzu emi-5.
Ukusebenza kwe-Ultrasound yeTherapeutic kwi-Knee ne-Hip Arthritis
Izifundo zivavanya ukuphumelela kwe-ultrasound yokwelapha kwi-arthritis; ezinye izifundo zingabikho nzuzo, kwaye abanye bafumana inzuzo, ngakumbi kwi-osteoarthritis yegama.
Ngokubanzi, kukho izifundo ezimbalwa ezihlola iingenelo ze-ultrasound yonyango, kwaye izifundo esiye zihlala zizincinci okanye zingathembekanga. Uphando olongezelelweyo luyadingeka, kodwa makhe sijonge oko sikuyazi ngexesha langoku.
Ngo-2008, uphando lwapapashwa kwi- Journal ye-Canadian Chiropractic Association eyayiphonononge izigqibo ezivela kwizilingo zokuhlola, ezikliniki nakwezilwanyana ze-ultrasound ye-osteoarthritis. Ukusebenzisa uphando lwe-PubMed ukususela ngonyaka ka-1985, abaphandi bafumanisa iiphando ezili-16 ezidibene neendlela zabo zokufaka ukuhlaziywa. Kwakukho izifundo ezilisithoba ezagqitywa nge-ultrasound ye-thrapeutic ineziphumo ezizuzisayo kwiintlungu kunye nomsebenzi. Izifundo ezincinci ezintlanu zanconywa ukuba i-ultrasound yayine- cartilage yokuphulukisa iimpahla. Olunye uphando lwamavavanyo lubonise ukunyuswa kwe- hyaluronan ngokusebenzisa i-ultrasound phonophoresis. Kwakukho isifundo esisodwa esaphetha ukuba akukho mphumo kwiintlungu okanye kwiindawo zokunyakaza xa unyango lwe-ultrasound luhlanganiswe nokuzivocavoca. Kwakhona, kumaphepha emihlanu okuphonononga, ezimbini zaphetha ukuba kukho iziphumo ezintle kwi-ultrasound ye-thrapeutic, ababini abazange bafumane nayiphi na inzuzo, kwaye enye yayingenakuthelekiswa.
Ngo-2010, uhlolo lweCochrane lwezifundo ezisebenzisa i-ultrasound ye-thérapetic for knees and hip osteoarthritis zenziwa.
Ukuphonononga uphononongo uphando oluqhathanisa i-ultrasound ukuhlazisa okanye akukho ncedo malunga nentlungu kunye nomsebenzi. Izilingo ezincinci ezincinci, ezibandakanya izigulane ezingama-341 ezine-knee osteoarthritis, zafakwa kwi-Cochrane. Iingqungquthela kwezi zihlanu zihlolwe i-pulsed ultrasound, ii-ultrasound eziqhubekayo zivandlakanywe, kwaye enye ihlolwe ukudibanisa kwe-ultrasound ye-pulsed neyoqhubekayo. Abaphengululi baphetha ngokuthi i-ultrasound inokuba luncedo kwi-osteoarthritis yamadolo. Sekunjalo, babengaqinisekanga malunga nendlela ezuze ngayo inzuzo kunye nokusebenza kwaye bazive ukuba kukho imfuno yezifundo ezicwangcisiweyo.
Kanti olunye uphando olwanyatheliswa ngo-2011 kwiphephancwadi lwe- Orthopedic Surgery , lugqiba ukuba i-ultrasound ikhululile kakhulu impawu kunye kunye nokuvuvukala okuhlangeneyo, ngelixa kuphuculwe ukuhamba kunye kunye nokunciphisa ukuvuvukala kubantu abane-osteoarthritis. Uhlolisiso lwabandakanya abantu abangama-87 abane-knee osteoarthritis abafumana unyango lwe-ultrasound kwiinyanga ezili-9.
Ngoku kutshanje, uvavanyo lwango-2016 olujonge ukuphumelela kwe-low power pulsed ultrasound kwabangama-106 abane-osteoarthritis yamadolo bafumanisa ukuba i-ultrasound yonyango ibalulekile ekunciphiseni intlungu (malunga neveki ezi-4) kunye nokuphucula umsebenzi kunye nomgangatho wobomi. Kufuneka kuqatshelwe ukuba le nto yayiyincwadana encinci malunga nokusekwa kwezi zigqibo, kwaye ngexesha langoku uphando oluthe lufunekayo.
Iimiphumo zeMolcular of Ultrasound therapy kwiArthritis
Ngokubanzi, zikhona ezimbalwa izifundo ezithembekileyo zijonga ingcamango yezinto eziphilayo emva kwe-ultrasound ye-thérapeutic, kwaye ngexesha langoku aliqinisekanga ukuba lisebenza njani (ukuba lenza) ekuphatheni i-arthritis. I-arthritis ibonakaliswe ukuphahlaka kwe-cartilage, ukukhula okungavamile kwethambo ekuphenduleni, kunye nokutshintshwa kwezicubu ezithambileyo ezifana ne-synovial membrane, ligaments, kunye nezihlunu ezijikeleze amajoyina.
Imiphumo ye-thermal inokunciphisa i-spasm kwiimisipha kunye nemigqa, nangona oku kulinganiselwe, njengoko imisipha ayifumananga amandla kwaye indawo enkulu yonyango iyadingeka.
Kuphando olujonge abantu (kwizifundo ze-vivo) kucingelwa ukuba iziphumo eziphambili zonyango lwe-ultrasound kwi-arthritis ziyimishini, ayikho i-thermal. Iimpembelelo zombane zingasebenza ukukhuthaza i-cartilage ngqo.
Ngokusekelwe kwizifundo kwiirats, i-pulsed ultrasound ibonakala ibe neempembelelo zokuvuselela kwiishubhu kunye ne-cartilage. Nangona oku kulungile, siyazi ukuba uphando kwezinye izilwanyana alisoloko lukhokelo oluchanekileyo lwento eya kwenzeka kubantu. Akukho ubungqina obuninzi ngeli xesha ukuba i-ultrasound yokwelapha inefuthe ngqo kwi-cartilage kubantu.
Ngezantsi kwiNzuzo ye-Ultrasound yeArapeutic ye-Osteoarthritis
I-ultrasound yokwelapha inokusebenza kwabanye abantu abane-osteoarthritis yamadolo okanye i-hip, kodwa uphando oluthe lufunekayo ngaphambi kokuba le zonyango zijongwe njengesigxina "unyango olusisiseko." Kukho iingcamango malunga nendlela i-ultrasound yokwelapha inokusebenza ngayo kwi-molecular molecular level, kodwa oku kunjalo, akuqinisekanga; akukho ubungqina obunelisayo bokusibuyisela i-ultrasound ekuphuculeni i-cartilage okanye izakhiwo ezikufutshane kwinqanaba le-molecular. Sekunjalo unyango lwe-ultrasound luyonyango olungenasiphene olubonakala lukhuselekile kakhulu, lunempembelelo embalwa, kwaye alubizi.
I-Osteoarthritis ixhaphake kakhulu, ichaphazela isiqingatha sabantu abangaphezu kweminyaka engama-65 ukuya kwinqanaba elithile, kwaye inokudlala indima enkulu ekunciphiseni umgangatho wobomi. Kukho uluhlu olubanzi lwezonyango olufumanekayo oluvela kumachiza eyeza kwiyeza "zendalo" ezifana namagnet. Nangona uphando oluncinci luyenziwe kwiindlela zokwelapha ezingenasiphene kunye nezingezizo zonyango (ezivela kwi-ultrasound ye-thrapeutic ukuya kwi-acupuncture), akuthethi ukuba oku akunakwenzeka. Ngokwahlukileyo, sifuna uphando olongezelelweyo ukuvavanya le "zokhuseleko" njengokuba sifunde ukuba ezinye zezifo "eziqhelekileyo" zonyango ziphethe ingozi enkulu, njengengozi yokugaya isisu kwiimithi ezingekho-steroidal ezichasayo ezifana ne-Advil (ibuprofen.)
Kubalulekile ukusebenzisana nodokotela wakho ukuhlola iindlela ezininzi zokonyango ezifumanekayo kwi-arthritis, ingakumbi kuba ukuhlanganiswa kwezilwanyana ngokuqhelekileyo kusebenza bhetele kunanoma yintoni na unyango olulodwa lodwa. Ekugqibeleni, inxaxheba enokuzilolonga kunye nokutya, njengento yokutya okuvuthayo ekuvukeleni i-arthritis ayikwazi ukuhlaziywa, kwaye ukulawula uxinzelelo kubalulekile (sifunde ukuba uxinzelelo luyandisa intlungu nge-arthritis.) Kungakhathaliseki ukuba uhlala ne-arthritis okanye cha, uthathe umzuzu ukujonga ezi 70 iindlela zokunciphisa uxinzelelo ukuze uqale ukuhlala ungakhathazeki kakhulu (kwaye ngokuqinisekileyo, ubomi obubuhlungu) namhlanje.
> Imithombo:
> Jia, L., Wang, Y., Chen, J., noWhen Chen. Ukusebenza kweCandelo le-Ultrasound Pulsed Pulsed Pulsed Pulsed Pulsed for the Management of Knee Osteoarthritis: I-Randomized, Double Blind, i-Placebo-Controled Trial. Iingxelo zeSayensi . 2016. 6: 35453.
> Rutjes, A., Nuesch, E., Sterchi, R., noP. Juni. I-Ultrasound ye-Osteoarthritis ye-Knee okanye i-Hip. I-Cochrane Database yeeNkqubo eziPhezulu . 2010. (1): CD003132.