M'malo osinthika azachipatala komanso kukonzanso, kugwiritsa ntchito mphamvu zamagetsi pazifukwa zochiritsira kwakhala maziko a chisamaliro cha odwala. Short Wave Diathermy (SWD) ndi njira yomwe imagwiritsa ntchito ma electromagnetic maginito apamwamba kwambiri kuti apange kutentha kwakukulu mkati mwa minofu ya thupi, kuisiyanitsa ndi njira zotenthetsera zachiphamaso monga mapaketi otentha kapena nyali za infrared. Pamene zipatala zikufuna kupititsa patsogolo zotsatira za kuchira, kumvetsetsa kagwiritsidwe ntchito ka zida zapamwamba zachipatala ndikofunikira kuti zithandizire bwino pakuchiritsa.
Short Wave Diathermy (SWD) imagwira ntchito ngati njira yochiritsira yosunthika, yokhala ndi ntchito zoyambira 12 zakuchipatala kuphatikiza kuwongolera ululu wocheperako wammbuyo, osteoarthritis, bursitis, tendonitis, kupindika kwa minofu, capsulitis, sprains, zovuta, matenda otupa m'chiuno, sinusitis, matenda opweteka a myofascial, ndi kuvulala kwapambuyo pakhungu.
Popereka mphamvu zamagetsi molunjika kuzinthu zakuya, mankhwalawa amalimbikitsa vasodilation, amachulukitsa kagayidwe kachakudya, komanso amachepetsa kumva kupweteka kwa odwala omwe ali ndi matenda osiyanasiyana a minofu ndi mafupa. Nkhaniyi ikufotokoza za chithandizo chachipatala cha teknolojiyi, kupereka opereka chithandizo chamankhwala kumvetsetsa mozama momwe angaphatikizire pulogalamu yowonjezera yokonzanso.
M'ndandanda wazopezekamo
Kodi Short Wave Diathermy ndi chiyani?
Kodi SWD imagwira ntchito bwanji?
Ubwino Wochiritsa
Ntchito Zachipatala & Zizindikiro
Contraindications
Ma Parameters & Protocols
Mitundu ya Makina a SWD
Chifukwa Chosankha Njira Zachipatala Zapamwamba
Kodi Short Wave Diathermy ndi chiyani?
Short Wave Diathermy ndi chithandizo chamankhwala chapadera chomwe chimagwiritsa ntchito mafunde amagetsi othamanga kwambiri, omwe amagwira ntchito pa 27.12 MHz, kuti apange matenthedwe akuya mkati mwa minyewa yachilengedwe kuti athe kukonzanso ndikuwongolera ululu.
Mawu akuti 'diathermy' amachokera ku mawu achigiriki otanthauza 'kuwotchera.' Mosiyana ndi njira zowotchera wamba zomwe zimadalira conduction, makina amakono a diathermy amagwiritsa ntchito mphamvu yamagetsi yamagetsi kuti asinthe kukhala kutentha mkati mwa minofuyo. Njirayi imalola kutentha kwa zinthu zakuya monga zolumikizira, minofu yakuya, ndi minyewa yolumikizana popanda kutentha kwambiri pakhungu.
Muzochita zamankhwala, makina a diathermy amagwira ntchito ngati gwero lamphamvu kwambiri. Ndikofunikira kwambiri pochiza mikhalidwe yozama kwambiri yomwe kutentha kwapang'onopang'ono sikungafike. Chifukwa imalowa bwino kwambiri, imakhalabe yodziwika bwino m'zipatala zachipatala padziko lonse lapansi, makamaka ikaphatikizidwa ndi njira zina zochira.
Popereka kutentha kwa thupi lakuya, lusoli limathandiza madokotala kuthana ndi mavuto omwe nthawi zambiri samagwirizana ndi mankhwala apamwamba. Kaya agwiritsidwa ntchito popanga opaleshoni kapena m'chipinda chothandizira odwala, kumvetsetsa kufunikira kwa kusamutsa mphamvu kumeneku ndi gawo loyamba lothandizira kuchipatala.
Kodi SWD imagwira ntchito bwanji?
SWD imagwira ntchito podutsa mafunde amagetsi othamanga kwambiri kudzera m'thupi, zomwe zimapangitsa kuti ma ion ndi ma molekyulu a dipolar azithamanga kwambiri mkati mwa minofu, zomwe zimapangitsa kuti kutentha kwamkati kupangidwe kudzera mukusintha mphamvu ya kinetic.
Makinawa amaphatikiza njira ziwiri zazikulu zosinthira mphamvu: njira yamagetsi (capacitor) ndi njira ya maginito (inductor). Mu njira ya capacitor, gawo la thupi limayikidwa pakati pa ma electrode awiri, ndikuchita ngati dielectric. Izi ndizothandiza kwambiri pakuwotcha minofu yokhala ndi mphamvu zambiri zamagetsi, monga khungu, mafuta, ndi fupa.
Mosiyana ndi zimenezi, njira yoloweramo imagwiritsa ntchito koyilo kapena ng'oma kupanga maginito osinthasintha. Izi zimapangitsa mafunde a eddy mkati mwa minyewa, yomwe imakhala yothandiza kwambiri pakuwotcha minofu yokhala ndi ma conductivity apamwamba, monga madera okhala ndi magazi ambiri. Kusankha njira kumadalira kwambiri zomwe wodwala akufunikira komanso kuya kwa minofu yomwe ikukhudzidwa.
Makina amakono a high frequency diathermy adapangidwa kuti aziwongolera bwino magawowa. Mwa kusintha mphamvu ndi nthawi ya kugunda kwa mtima, othandizira amatha kuwongolera kuchuluka kwa mphamvu zomwe zimaperekedwa, kuonetsetsa kuti minofu yomwe ikukhudzidwayo ikufika ku kutentha kwachirengedwe ndikusunga wodwalayo bwino komanso otetezeka panthawi yonseyi.
Ubwino Wochiritsa
Zopindulitsa zazikulu zochiritsira za SWD zimaphatikizapo vasodilation, kuchepetsa kupweteka kosalekeza, kuwonjezeka kwa collagen, kupititsa patsogolo kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake, komanso kuchira msanga kwa minofu yotupa kupyolera mu kutuluka kwa magazi.
Ubwino umodzi wodziwika bwino ndikutha kutenthetsa minofu yambiri. Mosiyana ndi ultrasound, yomwe imangokhala kumadera ang'onoang'ono ochizira, makina opangira opaleshoni amphamvu kapena chipatala chodziwika bwino chingathe kuphimba mbali zazikulu za thupi, monga m'munsi mwa msana kapena lamba lonse la mapewa, panthawi imodzi.
Kuonjezera apo, zotsatira za kutentha zimathandizira kuchepetsa kukhudzidwa kwa minofu ya spindle, yomwe imathandizira kuthetsa ululu-spasm-pain cycle. Izi ndizothandiza makamaka kwa odwala omwe ali ndi matenda osachiritsika omwe chitetezo cha minofu chimalepheretsa kugwiritsa ntchito bwino pamanja kapena kuchita masewera olimbitsa thupi.
Gome lotsatirali likufotokozera mwachidule zaubwino wokhudza thupi:
| Physiological Effect |
Zotsatira Zachipatala |
| Vasodilation |
Kuchulukitsa kwa oxygen ndi michere ku minofu yovulala |
| Kuwonjezeka kwa Metabolism |
Kuchotsa mwachangu zinyalala za metabolic ndi zinyalala zotupa |
| Analgesia |
Kuwonjezeka kwa mphamvu ya mphamvu ndi kuchepetsa ululu |
| Kuwonjezedwa kwa Tissue |
Kusonkhanitsa kosavuta kwa makapisozi olumikizana olumikizana ndi minofu yamabala |
Ntchito Zachipatala & Zizindikiro
Short Wave Diathermy imasonyezedwa pamitundu yambiri yazachipatala komwe kutentha kwakukulu kungapangitse kuthetsa, makamaka kuyang'ana pa ntchito 12 za kupweteka kwa msana, osteoarthritis, bursitis, tendonitis, spasms minofu, capsulitis, sprains, sprains, matenda otupa m'chiuno, sinusitis, myofascial pain syndrome, ndi post-traumatic recovery syndrome.
Kupambana kwachipatala nthawi zambiri kumadalira kusankha zida zoyenera zogwiritsira ntchito. Mwachitsanzo, makina opangira opaleshoni opangira opaleshoni amatha kugwiritsidwa ntchito poyambitsa matenda kapena kusokoneza minofu m'malo osabala, pomwe makina opangira ma diathermy apamwamba kwambiri ndi omwe amathandizira pakuchiritsa thupi.
Pambuyo pa mndandanda wa minofu ndi mafupa omwe aperekedwa pamwambapa, ntchitozo zimafikira kuchira pambuyo pa opaleshoni kumene edema ya minofu iyenera kuthandizidwa. Powonjezera kutuluka kwa magazi kumalo opangira opaleshoni, SWD ikhoza kuthandizira kuchepetsa nthawi ya kutupa kwa machiritso.
Zogwirizana Zogwirizana: Zothandiza kwambiri kwa osteoarthritis pochepetsa kuuma.
Kuvulala kwa Tissue Yofewa: Kumathandizira kuchira kwa ma sprains osatha ndi zovuta mwa kukonza collagen elasticity.
Systemic/Inflammatory: Kale ankagwiritsidwa ntchito pofuna kutupa monga kupweteka kwa m'chiuno ndi sinusitis moyang'aniridwa ndi achipatala.
Contraindications
Zomwe zimatsutsana ndi SWD zimaphatikizapo kupezeka kwa ma implants achitsulo, mtima pacemakers, mimba, malignancy, chifuwa chachikulu, kutuluka kwa magazi, matenda aakulu, kapena minofu ya ischemic, chifukwa kutentha kungathe kuvulaza kwambiri pazochitikazi.
Chifukwa mphamvu imafika mozama, ndizowopsa kwambiri kugwiritsa ntchito chipangizocho pafupi ndi zoyika zachitsulo zilizonse, monga zolowetsa m'chiuno, mapini, kapena mbale. Chitsulochi chimatha kuyendetsa ndikuyika mphamvu zake, zomwe zimatsogolera ku 'malo otentha' omwe amatha kupsa kwambiri mkati.
Kuphatikiza apo, odwala omwe ali ndi vuto lakumva ali pachiwopsezo chachikulu. Ngati wodwala sangathe kumva kutentha, sangathe kupereka ndemanga pa kukula kwa chithandizo, zomwe zimapangitsa kuti azitha kuwonongeka kwa minofu ya kutentha. Zimatsutsananso ndi odwala omwe ali ndi matenda a mitsempha ya m'mitsempha, chifukwa minofu sangathe kutulutsa kutentha kowonjezera bwino.
Madokotala nthawi zonse ayenera kuyeza bwino thupi ndikuwunika mbiri ya wodwala asanayambe chithandizo cha diathermy. Kuwonetsetsa kuti makina othamanga kwambiri a diathermy amayendetsedwa ndi ogwira ntchito oyenerera ndiyo njira yabwino kwambiri yopewera zovuta izi.
Ma Parameters & Protocols
Njira zochiritsira zogwira mtima za SWD zimaphatikizapo kusankha njira yoyenera (yothamanga kapena mosalekeza), kuchuluka kwamphamvu, ndi nthawi ya chithandizo-nthawi zambiri kuyambira 15 mpaka mphindi 20-kuonetsetsa kuti chithandizo chikuyenda bwino popanda kupitirira malire otetezeka a kutentha.
Mu mawonekedwe a pulsed, makinawo amapereka mphamvu pang'onopang'ono, zomwe zimapangitsa kuti kutentha kuwonongeke pakati pa pulses. Izi nthawi zambiri zimakhala chisankho chokondedwa pamene dokotala akufuna kukwaniritsa ubwino wa thupi la kubereka kwamphamvu kwambiri popanda kutentha kwakukulu komwe kumagwirizanitsidwa ndi machitidwe opitirira.
'Mlingo' wamankhwala nthawi zambiri umagawidwa m'magulu anayi:
Mlingo Woyamba (Wopanda kutentha): Kwa kutupa kwakukulu ndi edema.
Mlingo wachiwiri (kutentha pang'ono): Kuvulala kwapang'onopang'ono.
Mlingo wachitatu (kutentha pang'ono): Kwa kutupa kosatha komanso kupweteka.
Mlingo wa IV (Kutentha koopsa): Kutambasula minofu yolimba kapena kugunda kwa minofu kosatha.
Kuwunika pafupipafupi kwa wodwalayo ndikofunikira. Dokotala ayenera kufunsa wodwalayo pafupipafupi kuti atsimikizire kuti akumva bwino, ngakhale kutentha. Ngati ululu uliwonse wakuthwa kapena kuchuluka kwadzidzidzi kumveka, chipangizocho chiyenera kuzimitsidwa nthawi yomweyo.
Mitundu ya Makina a SWD
Mitundu yoyambirira ya makina a SWD imaphatikizapo mayunitsi opangidwa ndi capacitor ndi ma inductor-based units, omwe amasiyana kuchokera kumagulu amtundu wa physiotherapy kupita ku zovuta, makina opangira opaleshoni a diathermy.
Posankha zida, zipatala ziyenera kuganizira kuchuluka kwa odwala awo. Opaleshoniyo imafunikira zinthu zina monga mawonekedwe a mafunde osinthika ndi njira zotsogola zachitetezo kuti mupewe kutayikira mwangozi panthawi yomwe mukuwononga. Mosiyana ndi izi, gawo la dipatimenti yolimbitsa thupi limayika patsogolo kusavuta kugwiritsa ntchito, kugwiritsa ntchito ng'oma mwamphamvu, komanso makonzedwe anthawi yake.
Magawo amakono tsopano akuphatikiza zolumikizira za digito zomwe zimalola kusungidwa kwa mbiri ya odwala ndi njira zodziwika bwino zamankhwala, ndikuwonjezera kubweza kwa zotsatira. Kusintha kwaukadaulo kumeneku kwasintha makina amtundu wa diathermy kukhala chida chokhazikika chamankhwala ozikidwa pa umboni.
Ma Capacitor Systems: Zabwino kwambiri pochiza mafupa ongowoneka ngati bondo kapena dzanja.
Ma Inductor Systems: Okonda magulu akuya aminyewa komanso malo akulu ngati kumbuyo kapena ntchafu.
Mayunitsi Ophatikiza: Perekani mitundu yonse iwiri kuti muzitha kusinthasintha kwambiri pamalo otanganidwa azachipatala.
Chifukwa Chosankha Njira Zachipatala Zapamwamba
Kusankha makina apamwamba kwambiri a diathermy ndikofunika kwambiri chifukwa zimakhudza mwachindunji, chitetezo, ndi zotsatira zachipatala kwa odwala omwe akudwala thermotherapy yakuya.
Kusankha bwenzi loyenera la zida zachipatala kumatsimikizira kuti chipatala chanu chikulandira hardware yodalirika, maphunziro athunthu, ndi chithandizo cha nthawi yaitali. Makina apamwamba kwambiri a diathermy ndi ndalama zambiri; choncho, kusankha zitsanzo zomwe zimakwaniritsa miyezo yapadziko lonse lapansi ndizofunikira kuti muchepetse nthawi ndikuwonetsetsa chitetezo cha oyendetsa.
Kumalo athu, timamvetsetsa kuti akatswiri azachipatala amafunikira zida zolimba komanso zowoneka bwino. Kaya mukuyang'ana gawo lokhazikika la physiotherapy kapena makina opangira opaleshoni apamwamba kwambiri, kuphatikiza kwaukadaulo wapamwamba kumathandizira kutsata kwabwino kwa odwala komanso kuchira mwachangu. Poika ndalama zabwino, mumaonetsetsa kuti wodwala aliyense amalandira chithandizo chokhazikika komanso chothandiza.
Mapeto
Short Wave Diathermy ikadali chida chofunikira pagulu lankhondo lamakono. Pogwiritsa ntchito mphamvu zama electromagnetic minda, akatswiri amatha kuchiza zovuta za minofu ndi mafupa zomwe nthawi zambiri sizimakhudzidwa ndi njira zosavuta. Kuchokera ku ululu wopweteka kwambiri mpaka kuchira kwa minofu yofewa pambuyo pa opaleshoni, ntchito zachipatala za 12 za SWD zimasonyeza kusinthasintha ndi mphamvu za njirayi. Pamene teknoloji ikupitirizabe kusinthika, makina othamanga kwambiri a diathermy ndi makina opangira opaleshoni ya diathermy mosakayikira adzakhala ndi gawo lalikulu pakuwongolera zotsatira za odwala ndikuwongolera ndondomeko zobwezeretsa m'zipatala padziko lonse lapansi.
