Kusintha kwaukadaulo wazachipatala kwapitilira malire a momwe timayendera kukonzanso ndi opaleshoni. Pakati pa njira zosiyanasiyana zomwe zilipo m'zipatala zamakono, kugwiritsa ntchito mphamvu zotentha kumakhalabe mwala wapangodya wa machiritso obwezeretsa komanso kuchitapo opaleshoni yolondola. Pamene othandizira azaumoyo akufuna kupititsa patsogolo zotsatira za odwala ndikuwongolera magwiridwe antchito, kumvetsetsa zovuta za zida zapadera kumakhala kofunika kwambiri.
Diathermy ndi njira yochiritsira komanso yopangira opaleshoni yomwe imagwiritsa ntchito mafunde amagetsi othamanga kwambiri kapena mafunde akupanga kuti apange kutentha kwambiri mkati mwa minofu ya thupi, kulimbikitsa kupumula kwa ululu, kufulumizitsa machiritso, kapena kupangitsa kuti minyewa idulidwe ndikulumikizana.
Kaya akuphatikizidwa mu chipatala chothandizira thupi kapena chipinda chogwiritsira ntchito zojambulajambula, kugwiritsa ntchito mphamvuyi ndikusintha. Pogwiritsa ntchito makina othamanga kwambiri a diathermy, asing'anga amatha kufikira minofu yozama kwambiri yomwe njira zotenthetsera zapamwamba sizingathe kuzipeza. Nkhaniyi ikuyang'ana zamakanikidwe aukadaulowu, momwe amagwiritsidwira ntchito zosiyanasiyana zamankhwala, komanso chifukwa chake kuyika ndalama pamakina apamwamba opangira opaleshoni ya diathermy ndi lingaliro lanzeru pachipatala chilichonse chomwe chikukula.
M'ndandanda wazopezekamo
Kodi diathermy ndi chiyani?
Zotsatira za diathermy pathupi la munthu
Ndi matenda ati omwe amapindula kwambiri ndi diathermy?
Zokumana nazo za odwala
Kodi mukufuna kugwiritsa ntchito diathermy pazochita zanu?
Kodi diathermy ndi chiyani?
Diathermy ndi chithandizo chamankhwala chomwe chimagwiritsa ntchito mafunde amagetsi othamanga kwambiri kuti apangitse kutentha kwambiri kwa minofu, mogwira mtima ngati gwero la kutentha kwamkati kuti lilimbikitse machitidwe amthupi kapena ngati chida chothandizira kulondola kwa maopaleshoni.
Pakatikati pake, ukadaulo umagwira ntchito potembenuza mphamvu zamagetsi zamagetsi kapena mafunde amawu kukhala mphamvu yotentha akakumana ndi kukana kwa minofu yamunthu. Mosiyana ndi chotenthetsera chotenthetsera chomwe chimangotentha pamwamba, makina opangira ma diathermy apamwamba kwambiri amathandizira kulowa mkati mwa minofu, tendon, ndi minyewa yolumikizana. Izi zimatheka kudzera m'njira zitatu zazikulu: shortwave, microwave, ndi ultrasound diathermy, iliyonse ikupereka maubwino ake malinga ndi cholinga chachipatala.
Pankhani ya opaleshoni, makina opangira opaleshoni - omwe nthawi zambiri amatchedwa electrosurgical unit - amagwira ntchito yosiyana, koma yofunika kwambiri. Poyang'ana kwambiri mphamvu yamagetsi kumapeto kwa chida chopangira opaleshoni, madokotala amatha kudula minofu ndi kutulutsa mitsempha ya magazi nthawi imodzi. Kuchita zimenezi n'kofunika kwambiri pofuna kuchepetsa kutaya magazi m'kati mwa opaleshoni komanso kuti anthu aziwoneka bwino m'malo opangira opaleshoni, zomwe zimapangitsa kuti zikhale zofunikira kwambiri m'malo opangira opaleshoni amakono.
Kusinthasintha kwa zipangizozi kumapangitsa kuti zikhale zofunikira kwambiri pothandizira odwala kunja komanso opaleshoni ya odwala. Madokotala ayenera kumvetsetsa zofunikira pafupipafupi komanso zotsutsana ndi odwala kuti apititse patsogolo chitetezo ndi mphamvu. Posankha zida zoyenera, akatswiri amaonetsetsa kuti akupereka chithandizo chapamwamba kwambiri, chosasokoneza kapena chochepa kwambiri chomwe chilipo kwa odwala awo masiku ano.
Zotsatira za diathermy pathupi la munthu
Zotsatira zoyambirira za diathermy pa thupi la munthu imaphatikizapo kuwonjezereka kwa magazi, kuchepetsa kupweteka kwa minofu, kuwonjezereka kwa minofu, ndi kufulumizitsa kagayidwe kake ka ma cell, zomwe zimathandiza kuchira msanga ndi kuchepetsa ululu.
Minofu yakuya ikakumana ndi kutentha koyendetsedwa kudzera pamakina apamwamba kwambiri a diathermy, thupi limakhala ndi kusintha kosiyanasiyana kochiritsira. Vasodilation yomwe imabwera chifukwa cha kutentha kumawonjezera kuthamanga kwa magazi kupita kumalo ochiritsira, komwe kumathandizira kutulutsa zinyalala za metabolic ndikubweretsa michere yofunika komanso okosijeni ku maselo owonongeka. Izi ndizofunikira pakukonza zovulala zosatha ndipo nthawi zambiri zimagwiritsidwa ntchito ngati kalambulabwalo wa masewera olimbitsa thupi kuti akonzekere kusuntha kwa minofu.
Kupitilira magazi osavuta, kuchepa kwa minofu ndi phindu lalikulu. Kutentha kumagwira ntchito ngati sedative ku mathero a mitsempha, yomwe imathandiza kuthetsa ululu wa-spasms. Kwa odwala omwe akudwala ululu wammbuyo kapena kupsinjika kwanthawi yayitali, izi zitha kupereka mpumulo wanthawi yomweyo. Kuphatikiza apo, diathermy imawonjezera kusungunuka kwa ulusi wa collagen, womwe umalola kusuntha kwabwinoko. Izi ndizothandiza makamaka kwa odwala omwe ali ndi kuuma kwa mgwirizano kapena kumamatira, chifukwa amalola kutambasula mozama ndi kulimbikitsana panthawi ya chithandizo.
Kuchokera pakuwona opaleshoni, zotsatira zake zimayang'ana molondola. Makina opangira opaleshoni ya diathermy amagwiritsa ntchito ma frequency apamwamba kwambiri kuti asungunuke minofu pamalo olumikizirana ndikusindikiza mitsempha yaying'ono yamagazi. Kulumikizana kumeneku ndikofunikira kuti pakhale malo oyera komanso kuchepetsa hematoma ya postoperative. Tebulo ili likufotokozera mwachidule momwe thupi limakhudzira machitidwe osiyanasiyanawa:
| Mtundu wa Ntchito |
Chotsatira Choyambirira |
Cholinga chachipatala |
| Zochizira |
Kuwonjezeka kwa vasodilation |
Kupumula kwa minofu ndi kuchepetsa ululu |
| Zochizira |
Kusinthasintha kwa collagen |
Kuwonjezeka kosiyanasiyana |
| Opaleshoni |
Enice minofu vaporization |
Zocheka zoyera popanda kutaya magazi pang'ono |
| Opaleshoni |
Hemostasis (kutsekeka) |
Kuletsa kutuluka kwa magazi panthawi ya ndondomeko |
Ndi matenda ati omwe amapindula kwambiri ndi diathermy?
Diathermy ndi yothandiza kwambiri pochiza matenda osachiritsika a minofu ndi mafupa, monga nyamakazi, bursitis, ndi tendonitis, komanso kupereka chiwongolero chofunikira pakuchita maopaleshoni osavuta komwe kumafunikira magazi ochepa.
Kwa odwala omwe akuvutika ndi ululu wosatha, diathermy nthawi zambiri imaganiziridwa pamene mankhwala osamalidwa monga ayezi ndi kutentha kwapang'onopang'ono akulephera. Mikhalidwe monga osteoarthritis ndiyo chandamale chachikulu; kutentha kwakuya kumathandiza kuchepetsa zolumikizana zolimba ndikuchepetsa kutupa komwe kumalepheretsa kuyenda kwa tsiku ndi tsiku. Mofananamo, othamanga omwe akuvutika ndi kuvulala kwa minofu yofewa, monga matenda a tendonitis, amapindula ndi kayendedwe kabwino kamene kamathandizira minyewa yowonongeka kuti ikonzekere bwino.
M'malo opangira opaleshoni, makina opangira opaleshoni amagwiritsidwa ntchito pazinthu zingapo, kuphatikizapo dermatology, gynecology, ndi opaleshoni wamba. Chifukwa imatha kusinthidwa kuti ipereke njira yodulira kapena yolumikizira, imapatsa dokotala mphamvu zowongolera. Mwachitsanzo, mu njira ya laparoscopic, luso lodula minofu pamene mukugwirizanitsa zotengera zazing'ono nthawi yomweyo kusiyana pakati pa opaleshoni yopambana, yogwira ntchito komanso yomwe ili ndi zovuta.
Poyerekeza zosankha zosiyanasiyana za zida, akatswiri akuyenera kuyang'ana zinthu zomwe zimalola kuwongolera kulimba kwa zomwe zimatuluka. Kaya ndi makina apamwamba kwambiri a diathermy a chipatala cha physiotherapy kapena chigawo chapamwamba cha opaleshoni ya opaleshoni, kukwanitsa kukonza zomwe zimatuluka ku matenda enieni ndi chizindikiro cha zipangizo zachipatala zapamwamba. Mndandanda wotsatirawu ukufotokoza zina mwazofala zomwe zimayankhidwa:
Kupweteka kwam'mbuyo kwanthawi yayitali komanso zovuta za lumbar disc.
Myositis ndi kulimbikira kwa minofu.
Kuuma kwa mafupa pambuyo pochita opaleshoni ya mafupa kapena mafupa.
Zofewa minofu coagulation pa njira zosiyanasiyana opaleshoni.
Kusamalira bwino kwa kutupa komwe kumakhala kozama.
Zokumana nazo za odwala
Odwala nthawi zambiri amafotokoza kuti akumva kutentha kozama panthawi ya chithandizo cha diathermy, nthawi zambiri amatsatiridwa ndi kuchepa kwakukulu kwa ululu ndi kuyenda bwino, pamene odwala opaleshoni amapindula ndi nthawi zazifupi komanso nthawi yochira msanga.
Wodwalayo akakhala ndi chithandizo chamankhwala nthawi zambiri amakhala womasuka. Mosiyana ndi njira zochiritsira zolimbitsa thupi, kugwiritsa ntchito makina othamanga kwambiri a diathermy sikusokoneza ndipo kumapereka kutentha kotonthoza, kozama kwambiri. Odwala ambiri amawona kusintha kwachangu pakutha kusuntha gawo lomwe lakhudzidwa kapena minofu pambuyo pa gawo. Chifukwa kutentha kumafika mozama kuposa momwe amagwiritsira ntchito pamutu, odwala nthawi zambiri amamva kuti mpumulowo ndi wozama komanso wokhalitsa, zomwe zimalimbikitsa kugwirizana kwa ndondomeko zawo zachipatala.
Pankhani ya opaleshoni, wodwalayo amapindula pang'ono ponena za kumverera komanso zambiri za zotsatira zake. Chifukwa makina opangira opaleshoni amalola kupatukana bwino kwa minofu ndi kusindikiza chotengera nthawi yomweyo, kuvulala kwa minofu yozungulira yozungulira kumachepetsedwa kwambiri. Izi zimapangitsa kuti pakhale ululu wochepa pambuyo pa opaleshoni, kuchepetsa chiopsezo cha matenda chifukwa cha nthawi yochepa yopangira opaleshoni, komanso kuchira msanga. Odwala amayamikira kuchepa kwa zipsera ndi kubwerera mwamsanga kuntchito zawo za tsiku ndi tsiku.
Kusasinthasintha ndi khalidwe ndizofunikira kuti mukhalebe ndi zotsatira zabwino za odwala. Zipatala zomwe zimagwiritsa ntchito zida zodalirika, zamakono zimatha kuwonetsetsa kuti kugawa kwamafuta kumakhalabe kotetezeka, kupeŵa chiopsezo cha kuyaka kapena chithandizo chosagwirizana. Poika patsogolo zida zomwe zimakhala ndi chitetezo cholumikizirana ndi mawonekedwe owoneka bwino, opereka chithandizo chamankhwala amatha kuyang'ana wodwalayo m'malo mwa makina, kulimbikitsa malo odalirika komanso chisamaliro choyenera.
Kodi mukufuna kugwiritsa ntchito diathermy pazochita zanu?
Kuphatikiza makina opangira ma diathermy apamwamba kwambiri kapena makina opangira opaleshoni ya diathermy muzochita zanu ndi gawo lolimbikitsira kukulitsa chisamaliro, kukonza magwiridwe antchito, ndikukulitsa chithandizo chamankhwala chomwe mungapereke kwa odwala anu.
Kusankha kukweza kapena kukulitsa zida zanu zachipatala ndi ndalama zambiri. Komabe, mukamaganizira zaubwino wapawiri wa kuthekera kopitilira muyeso komanso zotsatira zabwino za opaleshoni, phindu limawonekera. Makina apamwamba kwambiri amagwira ntchito ngati chida chosunthika chomwe chingagwirizane ndi zosowa zosiyanasiyana za odwala, kuonetsetsa kuti chipatala chanu chimakhalabe patsogolo pa luso lachipatala. Posankha zida zodalirika, zogwira ntchito kwambiri, mumachepetsa nthawi yokonza ndikuwonjezera kupititsa patsogolo kwa odwala.
Tikumvetsetsa kuti kusankha zida zoyenera sikungokhudza luso laukadaulo - ndikupeza yankho lomwe likugwirizana bwino ndi momwe mumagwirira ntchito. Kuchokera kwa wodwala thupi yemwe amafunikira chigawo chodalirika chothandizira kupweteka kosalekeza kwa dokotala yemwe amafuna kulondola, kukhala ndi luso loyenera ndilofunika. Kufunika kwa chisamaliro choyenera, chokhazikika pafupipafupi kukukulirakulira, ndipo kukhala okonzeka kuthana ndi izi kumakupangitsani kukhala mtsogoleri mdera lanu.
Ngati mwakonzeka kukonzanso chipatala chanu ndi zida zamakono, gulu lathu lili pano kuti likutsogolereni. Timapereka zidziwitso mwatsatanetsatane pazida zosiyanasiyana, kuwonetsetsa kuti mumapeza zomwe zimayenderana ndi zomwe mumafunikira.
