Ukadaulo waukadaulo wazachipatala wawona kupita patsogolo mwachangu m'zaka zaposachedwa, makamaka pankhani yamagetsi opangira maopaleshoni opangira mphamvu. Zina mwa izi, diathermy imakhalabe ukadaulo wapangodya pazachipatala, kutsekereza kusiyana pakati pa chithandizo chamankhwala chokhazikika komanso maopaleshoni apamwamba. Pogwiritsa ntchito mafunde a electromagnetic othamanga kwambiri, madokotala amatha kuwongolera kutentha kwa minofu pazotsatira zosiyanasiyana zachipatala, kuyambira pakuwongolera ululu mpaka kudula bwino kwa minofu ndi kukomoka.
Diathermy ndi njira yochizira komanso yopangira opaleshoni yomwe imagwiritsa ntchito mafunde amagetsi othamanga kwambiri, ma ultrasonic, kapena ma microwave kuti apange kutentha kwakukulu mkati mwa minofu ya thupi, kumathandizira kupumula kwa minofu, kuchepetsa ululu, kapena kuyika bwino maopaleshoni ndi cauterization.
Pamene opereka chithandizo chamankhwala akupitiriza kufunafuna njira zothandizira, zosautsa pang'ono, komanso zothandiza, kumvetsetsa zovuta za diathermy yamakono kumakhala kofunikira. Nkhaniyi ikuyang'ana njira zoyambira zaukadaulowu, imasiyanitsa njira zosiyanasiyana zomwe zimagwiritsidwa ntchito pazachipatala, ndikuwunikiranso zachipatala zomwe zimapangitsa kuti chikhale chida chofunikira kwambiri kwa madokotala ndi othandizira.
M'ndandanda wazopezekamo
Kodi diathermy ndi chiyani?
Kodi mankhwala a diathermy ndi ati?
Ndani amene akufuna kulandira chithandizo cha diathermy?
Kodi diathermy imathandizira chiyani?
Kodi diathermy ndi chiyani?
Diathermy ndi njira yachipatala yomwe imagwiritsa ntchito mafunde amagetsi othamanga kwambiri kuti apange kutentha kwakukulu mkati mwa minyewa yofewa, yomwe ingagwiritsidwe ntchito pazifukwa zochizira monga kukonzanso thupi kapena kuchita opaleshoni monga incision ndi coagulation.
Pakatikati pake, makina othamanga kwambiri a diathermy amagwira ntchito popanga magetsi ozungulira. Mphamvuyi ikalowetsedwa mu minofu yachilengedwe, ma ion ndi mamolekyu a polar mkati mwa maselo amayesa kudzigwirizanitsa ndi gawo lomwe likusintha mwachangu. Kusunthaku kumapangitsa kukangana kwamkati, komwe kumawonekera ngati kutentha. Mosiyana ndi njira zotenthetsera pamwamba, monga mapaketi otentha kapena zotenthetsera, diathermy imatha kutenthetsa minofu yozama kwambiri, kuphatikiza minofu, tendon, ndi minofu yolumikizana, popanda kupwetekedwa kwambiri pakhungu kapena zigawo zapamwamba.
Pochita opaleshoni, makina opangira opaleshoni amagwiritsa ntchito mfundoyi kuti akwaniritse kutentha kwakukulu kwambiri kumapeto kwa electrode. Poyang'ana zamakono, chipangizochi chimatha kudula bwino m'minofu pamene nthawi yomweyo chimayambitsa mitsempha ya magazi, kuchepetsa kwambiri kutaya magazi. Kuthekera kumeneku kumapangitsa kuti ikhale yofunika kwambiri m'malo opangira opaleshoni amakono, zomwe zimapatsa madokotala ochita maopaleshoni olondola omwe amafunikira panjira zovuta.
Umisiri wamakono wakonza zipangizozi kuti zitsimikizire chitetezo ndi kusasinthasintha. Kaya ndi chipangizo chonyamulika kapena chipatala chachikulu, cholinga chachikulu ndikupereka mphamvu zoyendetsedwa bwino. Mwa kusintha mphamvu zopangira mphamvu ndi maulendo afupipafupi, madokotala amatha kusintha kutentha kwa kutentha kwa thupi la wodwalayo, kuonetsetsa kuti cholinga chachipatala kapena opaleshoni chikukwaniritsidwa popanda kuwononga kutentha kwa minofu yozungulira.
Kodi mankhwala a diathermy ndi ati?
Diathermy imagawidwa m'magulu atatu oyambira kutengera mphamvu yomwe imagwiritsidwa ntchito popangira kutentha: Shortwave Diathermy (SWD), Microwave Diathermy (MWD), ndi Ultrasound Diathermy (USD), iliyonse imapereka zabwino zake zamankhwala.
Shortwave diathermy mwina ndi njira yodziwika kwambiri yotenthetsera machiritso. Imagwiritsa ntchito mphamvu zamagetsi zamagetsi, nthawi zambiri pamafupipafupi a 27.12 MHz. Mphamvuyi imaperekedwa kudzera mu maelekitirodi awiri omwe amaikidwa kumbali zosiyana za thupi lomwe likukhudzidwa. Izi zimapanga mphamvu yamagetsi yomwe imalowa mkati mwa minyewa, kulimbikitsa kutuluka kwa magazi, kuchepetsa kupweteka kwa minofu, ndikuthandizira kuchira muzochitika zotupa.
Microwave diathermy imagwiritsa ntchito mafunde a electromagnetic okhala ndi mafunde amfupi komanso ma frequency apamwamba poyerekeza ndi ma shortwave. Chifukwa cha zinthu zakuthupi izi, mphamvu ya microwave imakhala ndi kuchuluka kwa mayamwidwe mu minofu yokhala ndi madzi ambiri, monga minofu ndi khungu. Izi zimapangitsa kuti zikhale zogwira mtima kwambiri pochiza mikhalidwe yomwe ili pafupi ndi pamwamba kapena kumene magulu a minofu amafunikira kulunjika molondola.
Ultrasound diathermy, ngakhale ili m'magulu osiyanasiyana chifukwa imagwiritsa ntchito mafunde amawu opangidwa ndi makina osati ma radiation a electromagnetic, nthawi zambiri imayikidwa m'magulu a diathermy chifukwa cha kutentha kwake kwakukulu. Makina opangira ma diathermy apamwamba kwambiri opangira ma ultrasound amagwiritsa ntchito transducer kuti asinthe mphamvu zamagetsi kukhala zomveka zomveka kwambiri. Kugwedezeka kumeneku kumayambitsa kusuntha kwa maselo mu minofu yomwe mukufuna, kumapanga kutentha kwakukulu, kofanana.
Kuyerekeza kwa Diathermy Modalities
| Makhalidwe |
Gwero la Mphamvu |
Kugwiritsa Ntchito Kwambiri |
Kuzama kwa Kulowa |
| Shortwave |
Mphamvu yamagetsi |
Minofu yakuya, mafupa |
Wapamwamba |
| Microwave |
Mphamvu yamagetsi |
Minofu, zosanjikiza zapamwamba |
Wapakati |
| Ultrasound |
Acoustic Waves |
Tendons, mitsempha |
Wapamwamba |
Ndani amene akufuna kulandira chithandizo cha diathermy?
Omwe akufuna kulandira chithandizo cha diathermy ndi anthu omwe akudwala matenda a minofu ndi mafupa, kupweteka kosalekeza, kutupa, kapena omwe amafunikira kuchitidwa opaleshoni yolondola kumene kudula ndi kupindika ndikofunikira.
Odwala a physiotherapy ndi omwe amapezeka nthawi zambiri akamapereka ululu wopweteka kwambiri wa minofu ndi mafupa, monga kupweteka kwa msana, nyamakazi, kapena kuuma m'magulu akuluakulu monga mapewa ndi mawondo. Chifukwa diathermy imapangitsa kuti magazi aziyenda komanso kusungunuka kwa minofu, imakhala yothandiza kwambiri kwa odwala omwe sanayankhe bwino pakuchita masewera olimbitsa thupi kapena chithandizo chamankhwala chapamwamba. Amapereka mphamvu yowonjezera yofunikira kuti ilole chithandizo chabwinoko chamayendedwe osiyanasiyana.
M'malo opangira opaleshoni, odwala omwe amasankhidwa kapena apatsidwa chithandizo chadzidzidzi ndi oyenerera opaleshoni ya diathermy ngati chikhalidwe chawo chimafuna kudulidwa kapena kutulutsa magazi. Wodwala aliyense amene akufuna kuchitidwa opaleshoni yowuma ndikofunikira - monga opaleshoni yanthawi zonse, gynecology, kapena mafupa - atha kukhala ndi diathermy yomwe imagwiritsidwa ntchito ngati gawo la protocol.
Komabe, kusankha odwala kuyenera kukhala kosamalitsa. Diathermy imatsutsana ndi odwala omwe ali ndi zitsulo zachitsulo (monga pacemakers, malo olowa m'malo, kapena zipangizo zopangira mkati), chifukwa izi zimatha kutentha ndi kuyambitsa kutentha kwambiri mkati. Kuonjezera apo, odwala omwe ali ndi vuto lakumva, odwala apakati, kapena omwe ali ndi zilonda zam'deralo m'dera lachipatala nthawi zambiri saganiziridwa kuti ndi oyenerera chifukwa cha chiopsezo cha kutentha kosalamulirika kapena kukondoweza kosafunika kwa thupi.
Kodi diathermy imathandizira chiyani?
Diathermy imagwiritsidwa ntchito pochiza matenda osiyanasiyana osachiritsika komanso ovuta kuphatikiza bursitis, nyamakazi, tendonitis, ndi kugunda kwa minofu, komanso ngati chida chofunikira chopangira opaleshoni yochotsa minofu ndi kusindikiza mitsempha yamagazi.
Kwa ntchito zochizira, cholinga chachikulu ndicho kuthetsa kutupa kosatha. Popanga kutentha kwakukulu, mankhwalawa amachulukitsa kuchuluka kwa kagayidwe kachakudya komweko ndikuwonjezera kutulutsa kwa okosijeni kumalo okhudzidwawo. Kuphatikiza uku ndikothandiza kwambiri kufulumizitsa machiritso a minofu ya fibrous ndikumasula minyewa yolimba kapena minyewa. Mwachitsanzo, kwa odwala omwe ali ndi zomatira capsulitis (mapewa oundana), diathermy imagwiritsidwa ntchito mobwerezabwereza kumasula kapisozi, zomwe zimathandiza kuti wodwalayo azitha kuyenda mosiyanasiyana panthawi yamaphunziro.
Opaleshoni ntchito, mosiyana, kuganizira kudula ndi coagulation katundu wa mkulu pafupipafupi diathermy makina. Madokotala amagwiritsa ntchito chipangizochi kuti achepetse kuvulala kwa minofu yozungulira poyerekeza ndi scalpels zachikhalidwe, zomwe zingayambitse kuwonongeka kwa makina. Mwa vaporizing maselo pa mfundo kukhudzana, makina amapanga chodulidwa woyera pamene kutentha-kusindikiza mitsempha yaing'ono ya magazi, amene kumabweretsa kuchepetsa nthawi ntchito ndi bwino pambuyo opaleshoni zotsatira.
Chidule cha Zopindulitsa Zachipatala
Kuchepetsa Ululu: Kutentha kwakukulu kumachepetsa kukhudzidwa kwa zolandilira zowawa ndikuchepetsa kupsinjika kwa minofu.
Kuchiza Mofulumira: Kuwonjezeka kwa vasodilation kumabweretsa zakudya zambiri ku minofu yovulala.
Kuchita Opaleshoni Mwachangu: Kucheka ndi kukomoka panthawi imodzi kumateteza kutaya magazi kwambiri.
Kusinthasintha: Imathandiza pazochitika zonse zachipatala komanso malo opangira opaleshoni.
Mapeto
Diathermy ikadali mzati wofunikira pazamankhwala amakono, yopereka mayankho osunthika pakukonzanso komanso kuchita bwino opaleshoni. Pomvetsetsa njira zoperekera mphamvu komanso kugwiritsa ntchito moyenera njira za shortwave, microwave, ndi ultrasound, othandizira azaumoyo atha kupereka zotsatira zabwino kwambiri kwa odwala awo. Pamene teknoloji ikupitirizabe kusintha, kuphatikizidwa kwa zipangizo zotetezeka, zolondola kwambiri zimatsimikizira kuti diathermy idzapitiriza kugwira ntchito yofunika kwambiri m'tsogolomu ya chisamaliro cha odwala.
