Umkhakha wobuchwepheshe bezokwelapha ubone intuthuko esheshayo eminyakeni yamuva, ikakhulukazi emkhakheni wemishini yokwelapha neyokuhlinzwa esekelwe kumandla. Phakathi kwalokhu, i-diathermy isalokhu iwubuchwepheshe obuyisisekelo ezilungiselelweni zomtholampilo, ukuvala igebe phakathi kokwelashwa okuqinile ngokomzimba kanye nezinqubo zokuhlinzwa ezithuthukisiwe. Ngokusebenzisa imisinga ye-electromagnetic ene-frequency high-frequency, odokotela bayakwazi ukuphatha izinga lokushisa kwezicubu ukuze bathole imiphumela ehlukahlukene yomtholampilo, kusukela ekulawulweni kobuhlungu kuya ekusikeni okunembile kwezicubu nokuhlangana.
I-Diathermy iyinqubo yokwelapha neyokuhlinzwa esebenzisa amaza kagesi avela kuma-high-frequency, i-ultrasonic, noma ama-microwave ukuze kukhiqizwe ukushisa okujulile phakathi kwezicubu zomzimba, kube lula ukuphumuza imisipha, ukukhululeka kobuhlungu, noma ukusika okunembile nokuhlinza.
Njengoba abahlinzeki bezokunakekelwa kwempilo beqhubeka nokufuna izindlela zokwelapha eziphumelelayo, ezingavamisile, nezisebenzayo, ukuqonda ama-nuances we-diathermy yesimanje kubaluleka. Lesi sihloko sihlola izindlela eziyisisekelo zalobu buchwepheshe, sihlukanisa izindlela ezihlukahlukene ezisetshenziswa ezenzweni zezokwelapha zamanje, futhi sigqamisa izinhlelo zokusebenza ezithile zomtholampilo ezikwenza kube yithuluzi elibaluleke kakhulu kodokotela abahlinzayo nabelaphi ngokufanayo.
Okuqukethwe
Iyini i-diathermy?
I-Diathermy iyindlela yezokwelapha esebenzisa ukusetshenziswa kwamandla kagesi anemvamisa ephezulu ukuze kukhiqizwe ukushisa okujulile ngaphakathi kwezicubu ezithambile, ezingasetshenziswa ngezinjongo zokwelapha ezifana nokuvuselela umzimba noma izinjongo zokuhlinza ezifana nokusika nokubopha.
Emgogodleni wawo, umshini we-high frequency diathermy usebenza ngokudala inkambu kagesi e-oscillating. Lapho la mandla eqondiswa kuzicubu zebhayoloji, ama-ion nama-molecule asezindaweni ezimaphakathi azama ukuzihlanganisa nenkambu eshintsha ngokushesha. Lokhu kunyakaza kudala ukungqubuzana kwangaphakathi, okubonakala njengokushisa. Ngokungafani nezindlela zokushisisa ngaphezulu, njengamaphakethe ashisayo noma amaphedi okushisa, i-diathermy ikwazi ngokukhethekile ukushisisa izicubu ezihlezi phansi, okuhlanganisa imisipha, imisipha, izicubu ezixhumeneyo, ngaphandle kokuphatheka kabi ngokweqile esikhumbeni noma ezingqimbeni ezingaphezulu.
Esimeni sokuhlinza, umshini wokuhlinza we-diathermy usebenzisa lesi simiso ukuze uthole ukuminyana kokushisa okuphezulu kakhulu ekugcineni kwe-electrode. Ngokugxila kokusebenza kwamanje, idivayisi ingakwazi ukusika ngokuphumelelayo esicutshini kuyilapho ngesikhathi esifanayo i-cautering imithambo yegazi, yehlise ngokuphawulekayo ukulahleka kwegazi ngokuhlinza. Leli khono likwenza kube okuyisisekelo ezinkundleni zokuxhumana zesimanje, okuhlinzeka odokotela abahlinzayo ukunemba okudingekayo ngezinqubo eziyinkimbinkimbi.
Ubuchwepheshe besimanje bucwengisise la madivaysi ukuze kuqinisekiswe ukuphepha nokungaguquguquki. Kungakhathaliseki ukuthi iyunithi ephathekayo noma uhlelo lwesibhedlela esikhulu, inhloso eyinhloko ukulethwa okulawulwayo kwamandla. Ngokulungisa amandla okukhipha amandla kanye nezilungiselelo zemvamisa, odokotela bangakwazi ukulungisa ukushuba kokushisa ngokwezidingo ezithile zomzimba zesiguli, baqinisekise ukuthi umgomo wokwelapha noma wokuhlinza ufinyelelwa ngaphandle kokudala umonakalo oshisayo ezicutshini ezinempilo ezizungezile.
Yiziphi izinhlobo zokwelashwa kwe-diathermy?
I-Diathermy ihlukaniswe yaba izindlela ezintathu eziyinhloko ngokusekelwe emthonjeni wamandla asetshenziselwa ukukhiqiza ukushisa: i-Shortwave Diathermy (SWD), i-Microwave Diathermy (MWD), ne-Ultrasound Diathermy (USD), ngayinye inikeza izinzuzo ezihlukile zomtholampilo.
I-Shortwave diathermy mhlawumbe iyindlela eyaziwa kakhulu yokushisisa kokwelapha. Isebenzisa amandla kazibuthe we-high-frequency, ngokuvamile imvamisa engu-27.12 MHz. Amandla alethwa ngama-electrode amabili abekwe ezinhlangothini ezihlukene zendawo ehlosiwe yomzimba. Lokhu kudala insimu kagesi engena ekujuleni kwemisipha, ikhuthaze ukugeleza kwegazi, inciphise ukugoqa kwemisipha, futhi yenza kube lula inqubo yokuphulukisa ezimweni ezingapheli zokuvuvukala.
I-Microwave diathermy isebenzisa amaza kagesi anobude obufushane namaza amaza aphezulu uma kuqhathaniswa ne-shortwave. Ngenxa yalezi zakhiwo ezingokomzimba, amandla e-microwave anezinga eliphezulu lokumunca ezicutshini ezinamanzi amaningi, njengemisipha nesikhumba. Lokhu kuyenza isebenze kahle kakhulu ekwelapheni izimo zasendaweni eduze nendawo noma lapho amaqembu emisipha ethile edinga ukuqondiswa ngokunemba.
I-Ultrasound diathermy, ngenkathi ihlukaniswa ngokobuchwepheshe ngenxa yokuthi isebenzisa amaza omsindo ayimishini kunemisebe kazibuthe, ivamise ukuhlanganiswa ne-diathermy ngenxa yokushisa kwayo okujulile. Umshini we-high frequency diathermy okhethekile we-ultrasound usebenzisa i-transducer ukuguqula amandla kagesi abe ukudlidliza kwemisindo ephezulu. Lokhu kudlidliza kubangela i-oscillation yamangqamuzana esicutshini esiqondiwe, okwenza ukushisa okujulile, okufanayo.
Ukuqhathaniswa kwe-Diathermy Modalities
| Ukuziphatha |
Umthombo Wamandla |
Ukusetshenziswa Okuyinhloko |
Ukujula Kokungena |
| I-Shortwave |
I-electromagnetic |
Izicubu ezijulile, amalunga |
Phezulu |
| I-microwave |
I-electromagnetic |
Imisipha, izingqimba ezingaphezulu |
Kuphakathi |
| I-Ultrasound |
I-Acoustic Waves |
Imisipha, imisipha |
Phezulu |
Ubani ofuna ukwelashwa nge-diathermy?
Abazokwamukela ukwelashwa kwe-diathermy abantu abahlushwa yizimo ze-musculoskeletal, ubuhlungu obungapheli, ukuvuvukala, noma labo abadinga ukungenelela okuqondile kokuhlinzwa lapho ukusika kwezicubu kanye nokuhlangana kuyadingeka kokubili.
Iziguli ze-Physiotherapy zingamakhandidethi avamile lapho zibonakalisa ubuhlungu obungapheli be-musculoskeletal, njengobuhlungu obuphansi emuva, isifo samathambo, noma ukuqina kwamalunga amakhulu njengamahlombe namadolo. Ngenxa yokuthi i-diathermy inyusa ukugeleza kwegazi nokunwebeka kwezicubu, iphumelela kakhulu ezigulini ezingazange zisabele kahle ekuzilolongeni okujwayelekile noma ukwelashwa kokushisa okungaphezulu. Inikeza ukukhushulwa okushisayo okudingekayo ukuze kuvunyelwe ukwelashwa okungcono kobubanzi bokunyakaza.
Emkhakheni wokuhlinza, iziguli ezenza izinqubo ezikhethiwe noma eziphuthumayo zingama-candidate e-diathermy yokuhlinzwa uma isimo sazo sidinga ukuhlukaniswa okubucayi noma ukulawula ukopha. Noma isiphi isiguli esidinga inqubo lapho ukunakekela inkambu yokuhlinzwa eyomile kubalulekile—njengokuhlinzwa okuvamile, i-gynecology, noma izinqubo zamathambo—cishe sizosebenzisa i-diathermy njengengxenye yephrothokholi evamile.
Nokho, ukukhetha kwesiguli kufanele kuqine. I-Diathermy inqatshelwe ezigulini ezinokufakelwa kwensimbi (njengama-pacemaker, ama-joint replacement, noma amadivaysi okulungisa angaphakathi), njengoba lokhu kungenza ukushisa futhi kubangele ukushisa okukhulu kwangaphakathi. Ukwengeza, iziguli ezinokuntuleka kwezinzwa, iziguli ezikhulelwe, noma lezo ezinezifo ezisebenzayo endaweni yokwelapha ngokuvamile azibhekwa njengabazokhethwa ngenxa yengozi yemiphumela yokushisa engalawuleki noma ukugqugquzelwa komzimba okungafunwa.
Yelaphani i-diathermy?
I-Diathermy isetshenziselwa ukwelapha uchungechunge olubanzi lwezimo ezingapheli nezinzima ezihlanganisa i-bursitis, isifo sokuqaqamba kwamalunga, i-tendonitis, nama-muscle spasms, kanye nokusebenza njengethuluzi elibalulekile lokuhlinza lokuhlinza izicubu nokuvala imithambo yegazi.
Ngezicelo zokwelapha, umgomo oyinhloko ukuxazulula ukuvuvukala okungapheli. Ngokudala ukushisa okujulile, ukwelashwa kwandisa izinga le-metabolic lendawo futhi kuthuthukisa ukutholakala komoyampilo endaweni ethintekile. Le nhlanganisela iphumelela kakhulu ukusheshisa ukuphulukiswa kwezicubu ze-fibrous kanye nokukhulula imisipha eqinile noma imigqa. Ngokwesibonelo, ezigulini ezine-adhesive capsulitis (ihlombe eliqandisiwe), i-diathermy ivame ukusetshenziswa ukukhulula i-capsule, okwenza umelaphi womzimba akwazi ukufeza uhla olukhulu lokunyakaza phakathi neseshini yezandla.
Izicelo zokuhlinza, ngokuphambene, zigxila ezintweni zokusika kanye ne-coagulation zomshini we-high frequency diathermy. Odokotela abahlinzayo basebenzisa idivayisi ukuze banciphise ukuhlukumezeka kwezicubu ezizungezile uma kuqhathaniswa nezinsimbi zendabuko, ezingase zidale ukulimala okwengeziwe. Ngokukhipha umhwamuko amangqamuzana lapho kuxhunywana khona, umshini udala ukusika okuhlanzekile ngenkathi ukushisa-uvala imithambo yegazi emincane, okuholela ekunciphiseni isikhathi sokusebenza kanye nemiphumela ethuthukisiwe yangemva kokuhlinzwa.
Isifinyezo Sezinzuzo Zomtholampilo
Ubuhlungu Obuncishisiwe: Ukushisa okuphezulu kunciphisa ukuzwela kwama-receptors ezinhlungu futhi kunciphisa ukungezwani kwemisipha.
Ukuphulukisa Ngokushesha: Ukwanda kwe-vasodilation kuletha izakhi eziningi ezicutshini ezilimele.
Ukusebenza kahle Kokuhlinza: Ukusika kanye nokujiya ngesikhathi esisodwa kuvimbela ukulahlekelwa igazi eliningi.
I-Versatility: Iwusizo kuzo zombili izilungiselelo zokubuyisela emtholampilo nasezindaweni zokuhlinzwa eziyinyumba.
Isiphetho
I-Diathermy isalokhu iyinsika ebalulekile kwezokwelapha zesimanje, inikeza izixazululo ezihlukahlukene kokubili ukuvuselela kanye nokusebenza kahle kokuhlinzwa. Ngokuqonda izindlela zokulethwa kwamandla kanye nokusetshenziswa okufanele kwezindlela ze-shortwave, i-microwave, ne-ultrasound, abahlinzeki bezempilo banganikeza imiphumela ephakeme ezigulini zabo. Njengoba ubuchwepheshe buqhubeka nokuvela, ukuhlanganiswa kwemishini ephephile, nenembe kakhudlwana kuqinisekisa ukuthi i-diathermy izoqhubeka idlala indima ebalulekile esikhathini esizayo sokunakekelwa kwesiguli.
