Emkhakheni othuthukayo wezokwelapha ngokomzimba kanye nokuvuselelwa, ukusetshenziswa kwamandla kagesi ngezinjongo zokwelapha sekuphenduke isisekelo sokunakekelwa kwesiguli. I-Short Wave Diathermy (SWD) iyindlela esebenzisa izinkambu zikagesi ezinemvamisa ephezulu ukuze ikhiqize ukushisa okujulile ngaphakathi kwezicubu zomzimba, ikuhlukanise ezindleleni zokushisisa okukha phezulu njengamaphekhi ashisayo noma amalambu e-infrared. Njengoba imitholampilo ifuna ukuthuthukisa imiphumela yokululama, ukuqonda ukusetshenziswa okunembile kwemishini yezokwelapha ethuthukisiwe kubalulekile ukuze kuthuthukiswe ukusebenza ngempumelelo kokwelapha.
Igagasi Elifushane I-Diathermy (SWD) isebenza njengendlela yokwelapha eguquguqukayo, enezinhlelo zokusebenza zomtholampilo eziyinhloko eziyi-12 ezihlanganisa ukuphathwa kobuhlungu obungapheli obuphansi emuva, i-osteoarthritis, i-bursitis, i-tendonitis, i-muscle spasms, i-capsulitis, i-sprains, i-sprains, isifo sokuvuvukala kwe-pelvic, i-sinusitis, i-myofascial pain syndrome, nokulimala kwezicubu ezithambile zangemva kwe-traumatic.
Ngokuletha amandla kazibuthe kagesi ngqo ezakhiweni ezijulile, lokhu kwelashwa kuthuthukisa i-vasodilation, kwandisa izinga lomzimba, futhi kunciphisa ukuzwela kobuhlungu ezigulini ezihlushwa izimo ezihlukahlukene ze-musculoskeletal kanye nokuvuvukala. Lesi sihloko sihlola ukusetshenziswa komtholampilo kwalobu buchwepheshe, sinikeza abahlinzeki bezokunakekelwa kwempilo ukuqonda okujulile kokuthi bangabuhlanganisa kanjani ohlelweni lokubuyisela esimweni esiphelele.
Okuqukethwe
Iyini i-Short Wave Diathermy?
Isebenza kanjani i-SWD?
Izinzuzo Zokwelapha
Izicelo Zomtholampilo Nezinkomba
Contraindications
Amapharamitha Wokwelapha kanye Nezinqubo
Izinhlobo zemishini ye-SWD
Kungani Khetha Amasistimu Wezokwelapha Ekhwalithi
Iyini i-Short Wave Diathermy?
I-Short Wave Diathermy iwukwelashwa okukhethekile kwezokwelapha okusebenzisa amagagasi kagesi avamile, ngokuvamile asebenza ku-27.12 MHz, ukukhiqiza imiphumela ejulile yokushisa ngaphakathi kwezicubu zebhayoloji ukuze kubuyiselwe esimweni futhi kulawuleke ubuhlungu.
Igama elithi 'i-diathermy' lisuka emagameni esiGreki asho 'ukushisa phakathi.' Ngokungafani nezindlela ezivamile zokushisisa ezincike ekuqhubeni, umshini wesimanje we-diathermy usebenzisa amandla kazibuthe kagesi ukuze uguqule ube ukushisa ngaphakathi kwezicubu ngokwazo. Le nqubo ivumela ukushisisa kwezakhiwo ezijulile njengamalunga, imisipha ejulile, nezicubu ezixhumene ngaphandle kokushisa ngokweqile indawo yesikhumba.
Emisebenzini yomtholampilo, umshini we-diathermy usebenza njengomthombo wamandla we-high-frequency. Kubaluleke kakhulu ekwelapheni izimo ezijulile lapho ukushisa okungaphezulu okungeke kufinyelele khona. Ngenxa yokuthi ingena ngempumelelo kangaka, ihlala iyindlela evamile emitholampilo yokwelapha ngokomzimba emhlabeni wonke, ikakhulukazi uma ihlanganiswe nezinye izimiso zokululama.
Ngokuhlinzeka ngokushisa kwezicubu ezijulile, ubuchwepheshe busiza odokotela ukuthi babhekane nezinkinga ngokuvamile ezingaphenduli ekwelashweni okungaphezulu. Kungakhathaliseki ukuthi isetshenziswa endaweni yokuhlinzwa noma ewodini yokwelapha ngokomzimba, ukuqonda imvelo eyisisekelo yalokhu kudluliselwa kwamandla kuyisinyathelo sokuqala sokusetshenziswa komtholampilo okuphumelelayo.
Isebenza kanjani i-SWD?
I-SWD isebenza ngokudlula amaza kagesi ama-high-frequency electromagnetic emzimbeni, okubangela ukugeleza okusheshayo kwama-ion nama-dipoles molecules ngaphakathi kwezicubu, okuholela ekukhiqizeni ukushisa kwangaphakathi ngokuguqulwa kwamandla e-kinetic.
Umshini uhilela izindlela ezimbili eziyinhloko zokudlulisa amandla: indlela kagesi (i-capacitor) kanye nendlela yamagnetic field (inductor). Ngendlela ye-capacitor, ingxenye yomzimba ibekwe phakathi kwama-electrode amabili, esebenza njenge-dielectric. Lokhu kusebenza kahle kakhulu ekushiseni izicubu ezinokumelana nogesi okuphezulu, njengesikhumba, amafutha, namathambo.
Ngokuphambene, indlela yokungeniswa isebenzisa ikhoyili noma isigubhu ukwakha inkambu kazibuthe eshintshanayo. Lokhu kudala imisinga e-eddy ngaphakathi kwezicubu, esebenza kahle kakhulu ekushiseni izicubu ezinokuhanjiswa okuphezulu, njengezindawo ezigcwele imisipha negazi. Ukukhethwa kwendlela kuncike kakhulu ezidingweni ezithile zesiguli kanye nokujula kwezicubu ezihlosiwe.
Imishini yesimanje ye-high frequency diathermy yakhelwe ukunikeza ukulawula okunembe kule mikhakha. Ngokulungisa ukuqina nobude be-pulse, abelaphi bangakwazi ukulungisa inani lamandla alethwayo, baqinisekise ukuthi izicubu ezihlosiwe zifinyelela emazingeni okushisa okwelapha kuyilapho begcina isiguli sikhululekile futhi siphephile kuso sonke isikhathi.
Izinzuzo Zokwelapha
Izinzuzo eziyinhloko zokwelapha ze-SWD zifaka i-vasodilation ebalulekile, ukunciphisa ubuhlungu obungapheli, ukwanda kwe-collagen enwetshiwe, ukunyakaza okuhlangene okuthuthukisiwe, nokusheshisa ukuphulukiswa kwezicubu ezivuthayo ngokugeleza kwegazi okuthuthukisiwe.
Enye yezinzuzo eziphawuleka kakhulu yikhono layo lokushisa inqwaba yezicubu. Ngokungafani ne-ultrasound, ekhawulelwe ezindaweni ezincane zokwelapha, umshini wokuhlinza onamandla wokuhlinza i-diathermy noma iyunithi yomtholampilo evamile ingamboza izingxenye ezibalulekile ze-anatomy, njengawo wonke umhlane ongezansi noma lonke ibhande lehlombe, ngesikhathi esisodwa.
Ukwengeza, imiphumela yokushisa inomthelela ekunciphiseni ukuzwela kwe-muscle spindle, okusiza ukuphula umjikelezo we-pain-spasm-pain. Lokhu kuwusizo ikakhulukazi ezigulini ezinezimo ezingapheli lapho ukugada kwemisipha kuvimbela ukwelapha okusebenzayo okusebenzayo noma ukuqhubeka kokuzivocavoca.
Ithebula elilandelayo lifinyeza izinzuzo ezibalulekile zomzimba:
| Physiological Effect |
Umphumela Womtholampilo |
| I-Vasodilation |
Ukwenyuka kwe-oksijini nokunikezwa kwezakhi ezicutshini ezilimele |
| Ukwanda kwe-Metabolism |
Ukususwa ngokushesha kwemfucuza ye-metabolic kanye nemfucumfucu evuthayo |
| I-analgesia |
Ukuphakama komkhawulo wobuhlungu nokunciphisa ukudubula kwezinzwa |
| Ukwandiswa Kwezicubu |
Ukuhlanganisa kalula ama-capsules ahlangene aqinile kanye nezicubu ezibomvu |
Izicelo Zomtholampilo Nezinkomba
I-Short Wave Diathermy iboniswa ngezimo eziningi zemitholampilo lapho ukushisa okujulile kungakhuthaza ukuxazululwa, ikakhulukazi ngokugxila ekusetshenzisweni kwe-12 yobuhlungu obungapheli bokubuyela emuva, i-osteoarthritis, i-bursitis, i-tendonitis, i-muscle spasms, i-capsulitis, i-sprains, i-sprains, isifo sokuvuvukala kwe-pelvic, i-sinusitis, i-myofascial pain syndrome, kanye nokululama kwangemva kokuhlukumezeka.
Ukuphumelela komtholampilo kuvame ukuncika ekukhetheni okokusebenza okuyiwona wohlelo oluthile. Isibonelo, umshini oyinkimbinkimbi wokuhlinza umshini wokukhipha amanzi emzimbeni ungase usetshenziselwe ukukhishwa kwe-cauterization noma ukuphazamiseka okunembile kwezicubu endaweni eyinyumba, kuyilapho umshini we-diathermy osezingeni eliphezulu uyisisetshenziswa sokwelapha ngokomzimba.
Ngaphandle kohlu lwe-musculoskeletal oluhlinzekwe ngenhla, izicelo zidlulela ekululameni kwangemva kokuhlinzwa lapho i-tissue edema kufanele ixazululwe. Ngokwandisa ukugeleza kwegazi endaweni yokuhlinzwa, i-SWD ingasiza ukunciphisa ubude besigaba sokuvuvukala sokuphulukisa.
Izimo Ezihlangene: Isebenza kahle kakhulu ku-osteoarthritis ngokunciphisa ukuqina.
Ukulimala Kwezicubu Ezithambile: Izinsiza ekubuyiseleni ama-sprains angapheli kanye nezinkinga ngokuthuthukisa ukunwebeka kwe-collagen.
I-Systemic/Inflammatory: Ngokomlando yayisetshenziselwa izimo ezivuthayo ezifana nobuhlungu be-pelvic kanye ne-sinusitis ngaphansi kokuqondisa okuqinile kwezokwelapha.
Contraindications
Ukuphikisana okuphelele kwe-SWD kufaka phakathi ubukhona bokufakelwa kwensimbi, ama-pacemakers enhliziyo, ukukhulelwa, ukonakala, isifo sofuba esisebenzayo, ukopha, ukutheleleka okunamandla, noma izicubu ze-ischemic, njengoba umphumela wokushisa ungabangela ukulimala okukhulu kulezi zimo.
Ngenxa yokuthi amandla afinyelela ekujuleni, kuyingozi kakhulu ukusebenzisa idivayisi eduze kwanoma yiziphi izimila zensimbi, ezifana nokushintshwa kwenyonga, izikhonkwane, noma amapuleti. Insimbi ingaphatha futhi igxilise amandla, okuholela 'ezindaweni ezishisayo' zendawo ezingabangela ukusha okukhulu kwangaphakathi.
Ngaphezu kwalokho, iziguli ezinokukhubazeka kwezinzwa zisengozini enkulu. Uma isiguli singakwazi ukuzwa ukushisa, asikwazi ukunikeza impendulo mayelana nokuqina kokwelashwa, okwenza kube lula ekulimaleni kwezicubu ezishisayo. Iphinde iphikisana neziguli ezine-peripheral vascular disease, njengoba izicubu zingase zingakwazi ukuqeda ukushisa okungeziwe ngokuphumelelayo.
Odokotela kufanele ngaso sonke isikhathi bahlole umzimba wonke futhi babuyekeze umlando wesiguli ngaphambi kokuqala noma yikuphi ukwelashwa kwe-diathermy. Ukuqinisekisa ukuthi umshini we-high frequency diathermy usebenza ngabasebenzi abaqeqeshiwe kuyindlela ephumelela kakhulu yokuvimbela lezi zenzakalo ezimbi.
Amapharamitha Wokwelapha kanye Nezinqubo
Izinqubo zokwelashwa ezisebenzayo ze-SWD zibandakanya ukukhetha imodi efanelekile (i-pulsed noma eqhubekayo), amazinga okuqina, nobude besikhathi sokwelashwa-ngokuvamile ukusuka ku-15 kuya kumaminithi we-20-ukuqinisekisa ukusebenza ngempumelelo kokwelapha ngaphandle kokweqa imingcele ephephile yokushisa.
Kumodi ye-pulsed, umshini uletha amandla ngokuqhuma okufushane, okuvumela ukuchithwa kokushisa phakathi kwama-pulses. Lokhu ngokuvamile kuyisinqumo esikhethwayo lapho udokotela efuna ukuzuza izinzuzo zomzimba zokulethwa kwamandla aphezulu ngaphandle kokwakheka okushisayo okunamandla okuhambisana nemodi eqhubekayo.
'Umthamo' wokwelashwa uvamise ukuhlukaniswa ngamaleveli amane:
I-Dose I (Non-thermal): Ngokuvuvukala okunamandla kanye ne-edema.
I-Dose II (Ukushisa okuncane): Ngokulimala okuncane kakhulu.
I-Dose III (Ukushisa okumaphakathi): Ngokuvuvukala okungapheli nobuhlungu.
I-Dose IV (Ukushisa okunamandla): Ngokwelula izicubu eziqinile noma ama-spasms emisipha angapheli.
Ukuqapha njalo kwesiguli kuyadingeka. Udokotela kufanele acele isiguli njalo ukuthi siqinisekise ukuthi sizizwa sikhululekile, ngisho nokufudumala. Uma kukhona ubuhlungu obuhlabayo noma ukuqina okungazelelwe, ucingo kufanele luvalwe ngokushesha.
Izinhlobo zemishini ye-SWD
Izinhlobo eziyinhloko zemishini ye-SWD zifaka amayunithi asekelwe ku-capacitor namayunithi asekelwe ku-inductor, nokuhluka okusuka kumayunithi e-physiotherapy eselula kuya kumamodeli emishini yokuhlinzwa eyinkimbinkimbi, enembayo ephezulu.
Lapho kukh 4=Kumodi ye-pulsed, umshini uletha amandla ngokuqhuma okufushane, okuvumela ukuchithwa kokushisa phakathi kwama-pulses. Lokhu ngokuvamile kuyisinqumo esikhethwayo lapho udokotela efuna ukuzuza izinzuzo zomzimba zokulethwa kwamandla aphezulu ngaphandle kokwakheka okushisayo okunamandla okuhambisana nemodi eqhubekayo.
Amayunithi esimanje manje ahlanganisa ukuxhumana kwedijithali oku Somsindo we-Ultrasound
I-Capacitor Systems: Ingcono kakhulu yokwelapha amalunga angaphandle njengeqakala noma isihlakala.
Ama-Inductor Systems: Okuncanyelwa amaqembu emisipha ajulile kanye nezindawo ezinkulu ezingaphezulu njengomhlane noma amathanga.
Amayunithi Enhlanganisela: Nikeza zombili izindlela zokuguquguquka okukhulu endaweni ematasa yomtholampilo.
Kungani Khetha Amasistimu Wezokwelapha Ekhwalithi
Ukukhetha umshini wokugcwalisa umshini wekhwalithi ephezulu kubaluleke kakhulu ngoba kuthinta ngokuqondile ukunemba, ukuphepha, kanye nemiphumela yomtholampilo ezigulini ezelashwa nge-deep-tissue thermotherapy.
Ukukhetha uphathina ofanele wemishini yezokwelapha kuqinisekisa ukuthi umtholampilo wakho uthola ihadiwe ethembekile, ukuqeqeshwa okuphelele, nokwesekwa kwesikhathi eside. Umshini wokuhlanganisa imvamisa ephezulu uwutshalomali olubalulekile; ngakho-ke, ukukhetha amamodeli ahlangabezana nezindinganiso zekhwalithi yamazwe ngamazwe kubalulekile ukuze kuncishiswe isikhathi sokuphumula nokuqinisekisa ukuphepha komqhubi.
Esikhungweni sethu, siyaqonda ukuthi ochwepheshe bezokwelapha badinga imishini eqinile futhi enembile. Kungakhathaliseki ukuthi ufuna iyunithi evamile ye-physiotherapy noma umshini wokuhlinza osebenza kahle kakhulu we-diathermy, ukuhlanganiswa kobuchwepheshe obuthuthukisiwe kusiza ukuthobela okungcono kwesiguli kanye namazinga okululama ngokushesha. Ngokutshala imali eqophelweni eliphezulu, uqinisekisa ukuthi sonke isiguli sithola ukunakekelwa okungaguquki nempumelelo ngangokunokwenzeka.
Isiphetho
I-Short Wave Diathermy isalokhu iyithuluzi elibalulekile endaweni yesimanje yokunakekelwa kwempilo. Ngokusebenzisa amandla ezinkambu ze-electromagnetic, odokotela bangakwazi ukwelapha izinkinga eziyinkimbinkimbi ze-musculoskeletal ezivame ukungaphenduli ekungeneleleni okulula. Kusukela ebuhlungwini obungapheli kuya ekubuyiseleni okuyinkimbinkimbi kwezicubu ezithambile ze-post-operative, izicelo zomtholampilo ze-12 ze-SWD zibonisa ukuguquguquka namandla ale ndlela. Njengoba ubuchwepheshe buqhubeka nokuvela, imishini ye-diathermy ephezulu kanye nezinhlelo zemishini yokuhlinza i-diathermy ngokungangabazeki izodlala indima ebalulekile ekuthuthukiseni imiphumela yesiguli kanye nokwenza lula izinqubo zokululama ezikhungweni zezokwelapha emhlabeni wonke.
