Therapeutic ultrasound inorapwa mushonga unowanzoshandiswa muhutano hwepanyama. Inoshandiswa kuisa kupisa kwakadzika kumeso akadzikisa mumuviri. Izvi zvinosanganisira misumbu, maitiro, mafundo, uye mitsipa. Ultrasound muhutano hwepanyama haisi kuzovhiringidzika nekuongororwa kwe ultrasound, iyo inonzi ultrasound iyo inoshandiswa kuwona mukati memuviri, zvakadai sekutarisa pane fetus panguva yekuzvitakura.
Chii Chinonzi Ultrasound?
Mishonga inonzi ultrasound inoshandiswa zvikuru pamigumisiro miviri yakasiyana: iyo yakadzika inopisa mishonga uye isiri-inotyisa inoshandisa.
Mvura Yakadzika Yakadzika: Ultrasound inowanzoshandiswa kunopa kupisa kwakadzika kune zvipfeko zvakanyoroka mumuviri. Iyo yakadzika inotonhorera, mitsipa kana mishonga inowedzera kupararira kune maviri, ayo anofungidzirwa kubatsira rubatsiro rwekuporesa. Kuwedzera kwemaviri ekushisa uye ultrasound inoshandiswawo kubatsira kubatsira kuderedza marwadzo.
Kuchenesa kwakadzika kunogona kushandiswa kuwedzera "kutamba" kwemasumbu uye tete zvinogona kuva zvakasimba. Kana iwe uine marwadzo epafudzi uye wakarongerwa une fudzi rakanyanyisa, murapa wako wepanyama angashandisa ultrasound kuti ubatsire kuwedzera kukwanisika kwemashuga akakomberedza fudzi rako usati waita maitiro ekufamba maitiro. Izvi zvinogona kubatsira kuvandudza kukwanisa kwepafudzi rako kutambanudza.
Zvisiri-Mafuta Anopisa (Cavitation): Ultrasound inotanga simba mumuviri.
Iyi simba inokonzera microscopic gas bubbles kuzungaira maitiro ako kuti awedzere uye kubvumirana nokukurumidza, chirongwa chinonzi cavitation. Inotarisirwa kuti kuwedzera uye kupesana kwemabhubu aya kunobatsira kukurumidza kushandiswa kwemasero uye kunowedzera kuporesa kwezvigunwe zvakakuvara.
Mhando mbiri dze cavitation dzinosanganisira yakasimba uye isina kugadzikana cavitation.
Simba rakagadzikana rinodiwa apo mushandi wako wepanyama ari kushandisa ultrasound mumuviri wako. Kusagadzikana kwema cavitation kunogona kuva noutano kumatumbu emuviri wako, uye mupfungwa wako wepanyama achaita kuti izvi zvirege kuitika panguva yekushandiswa kwe ultrasound.
Ko Ultrasound Inoshanda Sei?
Muchikamu chako cheP PT's ultrasound unit is small crystal. Apo mhepo yemagetsi inoshandiswa kune iyi crystal, inodedera nokukurumidza, ichigadzira mazai emagetsi. Mafungu aya anosunungurwa kubva kumusoro wemhepo inonzi ultrasound semafungu e-ultrasound. Iko inonzi ultrasound wave inopinda mukati memaoko ako akakuvara panguva yekushandiswa kwemaitiro. Izvi zvinoita kuti ropa riyerere uye kutseuka, zvichiita kuti hutungamiri huvepo hunobudirira hwekurapa.
Ko Ultrasound Inoshandiswa Sei?
Ultrasound inoshandiswa nemashini ine ultrasound transducer (musoro wemusoro). Chinhu chiduku chejeri chinoshandiswa kumunhu mumwechete chikamu; ipapo mushandi wako wepanyama anononoka kutamisa musoro wechipfuva mune shoma shoma rinotungamirira mumuviri wako. Murapa wacho anogona kuchinja maitiro akasiyana-siyana pachikwata che ultrasound kuti atarisire kuwedzera kwekupinda kwemazai e-ultrasound kana kuti kuchinja simba re ultrasound. Zvirongwa zvakasiyana-siyana zvinoshandiswa mumatanho akasiyana-siyana ekuporesa.
Dzimwe nzira dzekushandiswa kwe ultrasound dzinowanikwa kana chikamu chikamu chiri boney uye bumpy, kana kana pane ronda rakazaruka. (Iyo girasi ye ultrasound uye musoro wakagadzikana inogona kubatira mabhakitiriya anokwanisa kupinda muvanga.)
Murapi wako wepanyama angashandisa gel ultrasound pamwe chete nemishonga yepicopia kubatsira kubata kupisa mukati mezvidimbu zvakanyoro mumuviri. Izvi zvinonzi phonophoresis . Nepo pane humwe humwe uchapupu hwokuti mazai e ultrasound anobatsira kuunza gel rinoshandiswa kune mavara akakuvara, zvinyorwa zvakawanda zvakabudiswa zvinoratidza kuti kurapwa uku kungave kusingabatsiri.
Contraindications nekushandisa Ultrasound
Pane dzimwe mamiriro apo iwe haufaniri kushandisa ultrasound zvachose.
Izvi zvinopesana ne ultrasound zvinogona kusanganisira:
- Pamaronda akazaruka
- Pamusoro pezvipembenene zvemastastatic
- Kunzvimbo dzakaderedza kunzwa
- Pane zvikamu zvemuviri ane zvigadzirwa zvematare, semakumbo ose akachinjwa kushandiswa kwemafupa
- Pedyo kana kupfuura pane pacemaker
- Nevakadzi vane pamuviri
- Pasi pameso, mazamu, kana nhengo dzepabonde
- Pamapfupa akaputsika
- Pedyo kana kupfuura pamusoro pekugadziriswa kwemagetsi ekusimudzira chigadzirwa
Chii Chinokonzera Kuti Simba Rakanzwa?
Paunenge uchigamuchira kurapwa kwe-ultrasound, iwe pachako haungambofungi chero chinhu chiri kuitika, kunze kwekuda kungonzwa kunhuwa kwekunzwa kana kuputika kunharaunda iyo inotapwa. Kana iyo musoro we-ultrasound inonzwika yakasara panzvimbo yako paganda rako uye isingafambi muchitenderera chine tsvina, unogona kurwadziwa. Kana izvi zvikaitika, udza chiremba wako chaiyo pakarepo.
Kukuvadza Kunowanzoitika Kunosangana ne Ultrasound
Kazhinji, kukuvara kwemapfu kunobatwa ne ultrasound. Izvi zvinogona kusanganisira:
- Bursitis
- Tendonitis
- Tsvina inomesa uye misodzi
- Frozen shoulder
- Zvirwere uye kukuvara kwegumbo
- Joint contract or tightness
Kazhinji kutaura, chero kukuvadza kwakanyanyisa mumuviri kunogona kuva mukana wokurapa ultrasound. Wako PT angashandisa ultrasound kumarwadzo ekudzika shure, kurwadziwa kwemutsipa, rotator mitsipa misodzi, mabheji meniscus misodzi, kana mazai emakumbo.
Ultrasound for Chronic Pain
Pane humwe uchapupu hwokuti kana uine marwadzo asingagumi, iwe unogona kubatsirwa nehutachiona hwe ultrasound. Inofungidzirwa kuti mazai e-ultrasound anobatsira kuwedzera kukwanisa kwemaviri uye kupararira, zvichiita kuti kuwedzere kufambisa uye, pakupedzisira, kuderedza marwadzo. Ultrasound haigone kushandira munhu wose, asi zvakakodzera kuedza kana iwe uine chirwere chisingaperi, chisingaregi. Vamwe vanhu vangareva kuti kubatsirwa kwe ultrasound nokuda kwekutambudzika kusingaperi kunokonzerwa nemuipi we placebo. Asi, kana ikakupa ruregerero ipapo ndiyo yakakodzera kurapwa kwako.
Chenjerera Panguva Yacho Ultrasound
Kana uri kuenda kuchipatara uye uri kuwana ultrasound, unofanira kuziva kuti dzakawanda zvidzidzo zvakawana kuti ultrasound inopa zvishoma kubatsiro kune zvakaguma zvehutano hwepanyama. Semuenzaniso, kana uine urombo huri shure , hutachiona hwe ultrasound hwakaratidzwa kuti hunopa zvishoma zvishoma. Ichokwadi kuti ultrasound yakagamuchira chikamu che "C" (hapana kubatsirwa kwakaratidzwa) nemarwadzo emabvi, kurwadziwa kwepashure uye kurwadziwa kwemutsipa mumakakatani emapepanhi akabudiswa muPhysical Therapy Journal muna 2001. Uchapupu hunoita kuti vazhinji vangazvibvunza kana ultrasound inokubatsira chaizvo mukurapa mumuviri.
Chidzidzo chegore ra2014 muAmerican Journal of Physical Medicine nekudzorerazve kuongorora kushanda kwe ultrasound pamarwadzo uye kushanda kune varwere vane knee osteoarthritis. Vatsvakurudzi havana kuwana kusiyana pakati pemabvi uye kurwadziwa nekugadziriswa kushandisa ultrasound, kwete ultrasound, uye sham (fake) ultrasound. Saka kana iwe PT iri kugovera ultrasound kwauri, munhu anofanira kubvunza kana zvakakosha sechikamu chepurogiramu yako yese rehab.
Vanhu vazhinji vanopikisa kuti ultrasound inogona kuva nemigumisiro yakaipa pahutano hwako hwepanyama nekusawedzera kusingairira kutarisira kwako pasina. Ultrasound is a passive treatment. Mune mamwe mazwi, haugone kupa mishonga iwe pachako; iwe uri kungova mukana wekutambira we ultrasound. Kana PT yako inoshandisa ultrasound panguva yako yekurapa, iva nechokwadi chokuti uri kuita basa rinoshanda reprogma kuti ubatsire kuvandudza mararamiro ako ekufambisa . Kudzidzira uye kushingaira kunobatanidzwa kunofanira kuva nguva dzose zvikamu zvepurogiramu yako rehabhi.
Shoko kubva
Murapa wako wepanyama angashandisa ultrasound kuti ubatsire kuvandudza mamiriro ako. Kana zvakadaro, iva nechokwadi chekubvunza pamusoro pekudiwa kwe ultrasound. Uyewo, iva nechokwadi chokuti iwe uri kuitawo purogiramu yekuzvichengetedza yekuzvichengetedza mumutambo weP PT uye kumba. Kana iwe uri kushingairira kuita zvekuvandudza kwako, unogona kuve nechokwadi kuti une kuchengetedzwa kwakachengeteka uye nokukurumidza kudzokera kune zvakajairika basa.
Sources:
Albright, J. et al. Philadelphia panel panopupurirwa-based clinic Practice guidelines pamusoro pekugadziriswa kwekugadzirisa marapirwo ekurwadziwa kwepamusoro. Therapy Therapy. 2001. Oct; 81 (10): 1641-1674.
Cakir, S, etal. > Kubudirira kweTherapeutic Ultrasound yekutungamirirwa kweKnee Osteoarthritis: A Randomized, Controled, uye Double-Blind Study. Am J kana Phys uye Rehab. 2014. 93 (5): 405-12.
Yeğin, T., Altan, L., & Aksoy, MK Kubudirira kweArapeutic Ultrasound Pamarwadzo uye Muviri Wemabasa Muvarwere neKnee Osteoarthritis. Ultrasound in Medicine uye Biology. 2017. 43 (1), 187-194.