Munda wehunyanzvi hwekurapa wakaona kufambira mberi nekukurumidza mumakore achangopfuura, kunyanya munzvimbo yekurapa uye yekuvhiya-yakavakirwa masimba. Pakati peizvi, diathermy inoramba iri yekona tekinoroji mumakiriniki marongero, ichivharira mukaha pakati pekuchengetedza muviri kurapwa uye epamberi ekuvhiya. Nekushandisa high-frequency electromagnetic currents, varapi vanokwanisa kushandura tembiricha yematishu kune zvakasiyana siyana zvemhedzisiro yekiriniki, kubva pakurwadzisa marwadzo kusvika kukucheka matishu chaiwo uye kubatana.
Diathermy inzira yekurapa uye yekuvhiya inoshandisa yakakwira-frequency electromagnetic, ultrasonic, kana microwave currents kuburitsa kupisa kwakadzika mukati mematishu emuviri, kufambisa mhasuru kuzorora, kunyaradza marwadzo, kana kuvhiya chaiko incision uye cauterization.
Sezvo vatapi vehutano vanoramba vachitsvaga inoshanda, zvishoma invasive, uye inoshanda nzira dzekurapa, kunzwisisa nuances yemazuva ano diathermy inova yakakosha. Ichi chinyorwa chinoongorora maitiro akakosha ari kumashure tekinoroji iyi, inosiyanisa nzira dzakasiyana-siyana dzinoshandiswa mune yazvino yekurapa, uye inosimbisa chaiyo yekiriniki mashandisirwo ayo anoita kuti ive chishandiso chakakosha kune vanovhiya nevarapi zvakafanana.
Zviri Mukati
Chii chinonzi diathermy?
Ndeapi marudzi ekurapa diathermy?
Ndiani anoda kurapwa diathermy?
Chii chinonzi diathermy chinorapa?
Chii chinonzi diathermy?
Diathermy inyanzvi yezvokurapa inoshandisa kushandiswa kwemagetsi emagetsi epamusoro-soro kuti ibudise kupisa kwakadzika mukati mematishu akapfava, ayo anogona kuiswa kune zvinangwa zvekurapa senge kudzoreredza kwemuviri kana kuvhiya zvinangwa senge incision uye coagulation.
Pakati payo, yakakwira frequency diathermy muchina unoshanda nekugadzira oscillating magetsi munda. Kana simba iri rakananga mubiological tissue, maion uye polar molecules mukati memasero anoedza kuzvibatanidza nemunda unokurumidza kuchinja. Kufamba uku kunounza kukweshana kwemukati, kunoratidza kupisa. Kusiyana nenzira dzekudziya dzepamusoro, dzakadai semapakiti anopisa kana mapedhi ekudziya, diathermy inokwanisa kudziya yakadzika-yakadzika matishu, anosanganisira mhasuru, tendon, uye matishu anobatana, pasina kusagadzikana kwakanyanya paganda kana zvidimbu zvepamusoro.
Mumamiriro ekuvhiya, muchina wekuvhiya diathermy unoshandisa musimboti uyu kuwana yakanyanya kupisa densities pamuromo we electrode. Nekutarisa ikozvino, mudziyo unogona kunyatsocheka kuburikidza nematishu uku panguva imwe chete cautering tsinga dzeropa, zvakanyanya kuderedza intraoperative kurasikirwa kweropa. Kugona uku kunoita kuti ive chinhu chikuru mudzimba dzemazuvano dzekuvhiya, zvichipa vanachiremba vanovhiya nemazvo anodiwa pamaitiro akaomarara.
Tekinoroji yemazuva ano yakanatsa michina iyi kuti ive nechokwadi chekuchengetedza uye kuenderana. Ingave iri yuniti inotakurika kana hurongwa hwechipatara chikuru, chinangwa chikuru ndechekudzora kuendeswa kwesimba. Nekugadzirisa simba rekubuda uye zvigadziriso zvenguva zhinji, varapi vanogona kugadzirisa kusimba kwekupisa kune izvo zvinodiwa zvemuviri zvemurwere, kuve nechokwadi chekuti chinangwa chekurapa kana chekuvhiya chinozadzikiswa pasina kukonzeresa kukuvadza kwekupisa kune zvakatenderedza tishu zvine hutano.
Ndeapi marudzi ekurapa diathermy?
Diathermy yakakamurwa muzvikamu zvitatu zvekutanga zvinoenderana nesosi yesimba rinoshandiswa kugadzira kupisa: Shortwave Diathermy (SWD), Microwave Diathermy (MWD), uye Ultrasound Diathermy (USD), imwe neimwe ichipa akasiyana ekiriniki mabhenefiti.
Shortwave diathermy ndiyo inonyanya kuzivikanwa nzira yekudziya yekurapa. Inoshandisa yakakwira-frequency electromagnetic simba, kazhinji pane frequency ye27.12 MHz. Simba rinounzwa kuburikidza nemagetsi maviri akaiswa kumativi akatarisana enzvimbo yakanangwa yemuviri. Izvi zvinogadzira munda wemagetsi unopinda mukati-kati musculature, uchikurudzira kuyerera kweropa, kuderedza misumbu yemhasuru, uye kufambisa nzira yekupora mumamiriro ekuzvimba zvisingaperi.
Microwave diathermy inoshandisa masaisai emagetsi ane mapfupi marefu uye ma frequency akakwira zvichienzaniswa neshortwave. Nekuda kweizvi zvimiro zvemuviri, microwave simba rine yakakwira yekunyura mumatishu ane yakakwira yemvura, semhasuru neganda. Izvi zvinoita kuti zvive zvakanyanya kushanda pakurapa mamiriro enzvimbo pedyo nepamusoro kana kuti mapoka emhasuru chaiwo anoda kutariswa nemazvo.
Ultrasound diathermy, nepo tekinoroji yakakamurwa zvakasiyana nekuti inoshandisa mafungu eruzha kwete emagetsi emagetsi, inowanzoiswa muboka ne diathermy nekuda kwekudzika kwayo kupisa. Muchina wepamusoro-frequency diathermy muchina wakagadzirirwa ultrasound unoshandisa transducer kushandura simba remagetsi kuita yakakwirira-frequency ruzha vibrations. Aya mavibrations anokonzera mamolecular oscillation munyama yakanangwa, ichigadzira yakadzika, yakaenzana kupisa.
Kuenzanisa kweDiathermy Modalities
| Modality |
Kunobva Simba |
Primary Kushandisa |
Kudzika Kwekupinda |
| Shortwave |
Electromagnetic |
Matishu akadzika, majoini |
High |
| Microwave |
Electromagnetic |
Tsandanyama, pamusoro pepamusoro |
Pakati nepakati |
| Ultrasound |
Acoustic Waves |
Tendons, ligaments |
High |
Ndiani anoda kurapwa diathermy?
Vanoda kurapwa nedhiathermy vanhu vari kurwara nemhasuru, kurwadziwa kusingaperi, kuzvimba, kana avo vanoda kuvhiyiwa chaiko uko kucheka matishu uye coagulation zvese zvinodiwa.
Varwere vePhysiotherapy vanowanzo kwikwidza pavanouya nemarwadzo asingagumi emusculoskeletal, akadai sekurwadziwa kwemusana, arthritis, kana kuoma kwemajoini makuru semapfudzi nemabvi. Nekuti diathermy inowedzera kuyerera kweropa uye elasticity yetishu, inoshanda zvakanyanya kune varwere vasina kupindura zvakanaka kune yakajairwa maekisesaizi kana kwepamusoro kupisa kurapwa. Inopa iyo inodiwa yekupisa inosimudzira kubvumira zviri nani siyana-ye-kufamba kurapwa.
Munzvimbo yekuvhiya, varwere vari kuita sarudzo kana nzira dzekukurumidzira vanomirira diathermy yekuvhiya kana mamiriro avo achida kutsemuka kana kudzora kubuda ropa. Chero murwere anoda nzira iyo kuchengetedza nzvimbo yakaoma yekuvhiya kwakakosha - sekuvhiyiwa kwese, gynecology, kana maitiro emapfupa - angangove ane diathermy inoshandiswa sechikamu cheiyo standard protocol.
Zvisinei, kusarudzwa kwevarwere kunofanira kuva kwakaoma. Diathermy inopesana nevarwere vane simbi yesimbi (yakadai sepacemakers, majoini ekutsiva, kana magadzirirwo emukati), sezvo izvi zvinogona kuita kupisa uye kukonzera kupisa kwakanyanya mukati. Pamusoro pezvo, varwere vane hurema hwekunzwa, varwere vane pamuviri, kana avo vane hutachiona hunoshanda munzvimbo yekurapa havawanzo kutorwa sevanoda kukwikwidza nekuda kwenjodzi yekusadzora kupisa mhedzisiro kana kusingadiwi kukurudzirwa kwemuviri.
Chii chinonzi diathermy chinorapa?
Diathermy inoshandiswa kurapa huwandu hwakawanda hwezvisingaperi uye zvakakomba mamiriro anosanganisira bursitis, arthritis, tendonitis, uye tsandanyama spasms, pamwe nekushanda sechinhu chakakosha chekuvhiya chishandiso chekubvisa tishu uye kuvhara mutsinga weropa.
Zvekurapa zvikumbiro, chinangwa chikuru ndechekugadzirisa kuzvimba kusingaperi. Nekugadzira kupisa kwakadzika, kurapwa kunowedzera mwero wemetabolism yemuno uye inosimudzira kupihwa kweokisijeni kunzvimbo yakakanganiswa. Musanganiswa uyu unoshanda zvakanyanya kukurumidza kupora kwefibrous tissue uye kusunungura tight tendon kana ligaments. Semuenzaniso, kune varwere vane adhesive capsulitis (pafudzi rakaomeswa), diathermy inowanzoshandiswa kusunungura capsule, zvichiita kuti murapi wepanyama awane huwandu hukuru hwekufamba panguva dzemanyorero.
Kuvhiya maapplication, nekusiyana, tarisa pane yekucheka uye coagulation zvimiro zveyakakwira frequency diathermy muchina. Vanachiremba vanovhiya vanoshandisa mudziyo kuderedza kukuvadzwa kune tishu dzakatenderedza zvichienzaniswa nedzechinyakare scalpels, izvo zvinogona kukonzeresa kukuvara kwemagetsi. Nekuputira maseru padanho rekusangana, muchina unogadzira kuchekwa kwakachena nepo kupisa-kuvharira tsinga diki dzeropa, izvo zvinotungamira kuderedzwa nguva yekushanda uye kuvandudzwa kwemashure ekuvhiya.
Clinical Benefits Summary
Yakaderedzwa Marwadzo: Kupisa kwakanyanya kunoderedza kunzwisiswa kwemarwadzo ekugamuchira uye kunoderedza kushushikana kwemhasuru.
Kukurumidza Kuporesa: Kuwedzera kwevasodilation kunounza zvimwe zvinovaka muviri kune zvakakuvara tishu.
Kubudirira Kwekuvhiya: Kucheka panguva imwe chete uye kubatana kunodzivirira kurasikirwa kweropa rakawandisa.
Versatility: Inobatsira mune zvese zviri zviviri zvekiriniki rehabilitative marongero uye steril kuvhiya nharaunda.
Mhedziso
Diathermy inoramba iri mbiru yakakosha mukurapa kwemazuva ano, ichipa mhinduro dzakasiyana-siyana dzezvese kudzoreredza uye kugona kwekuvhiya. Nekunzwisisa maitiro ekuunza simba uye mashandisirwo akakodzera eshortwave, microwave, uye ultrasound modalities, vatapi vehutano vanogona kupa mhedzisiro yepamusoro kuvarwere vavo. Sezvo tekinoroji ichiramba ichishanduka, kubatanidzwa kwemidziyo yakachengeteka, yakanyatsojeka inovimbisa kuti diathermy icharamba ichiita basa rakakosha mune ramangwana rekuchengeta varwere.
