Extracorporeal shock wave therapy, kana ESWT, yakatanga sechinhu chinogona kurapwa chisarudzo kune varwere vane zvinetso zvisingaperi zvetendon. ESWT inopa kushamiswa kwakanyanya mumuviri uye yakashandiswa kurapwa kwemamiriro akasiyana-siyana anosanganisira:
Izvo zvose zvine simba-refu uye ine simba-ine simba shock wave wave, uye ose maitiro erapi anogona kushandiswa mukurapa kwemamiriro aya.
Kuderedza-simba kunotyisa kunorapwa kwakapiwa sezvikamu zvitatu kana kupfuura. Izvo-izvo zvinokonzera kushamiswa kwemafuta hazvisi zvinorwadza, kana zvinorwadza zvishoma. Ukuwo, rumwe ruzhinji-simba rinotyisa rinorapa mishonga rinopiwa panguva imwechete. Kushandiswa kwemasimba ekudengenyeka kwakanyanya kunorwadza, uye kazhinji mamwe maitiro eesesthesia anodiwa. Chero nzvimbo yeharaunda kana aneshehesia inogona kugoverwa kune mishonga yakasimba-ine simba.
Shock wave therapy inofungidzirwa kuti inoshanda kuburikidza nekuderedza microtrauma kune mhuka inokanganiswa nezvinetso izvi. Iyi microtrauma inotanga kupindura kuporesa nemuviri. Kupindura kwekuporesa kunokonzera ropa mudziyo kuumbwa uye kuwedzerwa kupiwa kwezvibereko kunzvimbo inobatwa. Iyo microtrauma inofungidzirwa kuti inokurudzira kugadzirisa nekugadzirisa zviratidzo zvekutambudzika.
Background
Kutanga kutaurwa muna 1996, vaparidzi vakawanda vakabudisa migumisiro yakabudirira pavanoshandisa kushungurudzika kwekuita zvinhu izvi.
Iyo FDA yakazobvumidza kushandiswa kwekutyisidzika kwekurapa kwema plantic fasciitis mugore ra2000. Kubvira panguva iyo, zvidzidzo zvakawanda zvakatsvaga kushandiswa kwekutyisidzira maitiro ekurapa kwezvinetso izvi.
Kune mitsva yakawanda pamusoro pekubudirira kwehutano hwemamiriro aya akasiyana. Zvimwe zvidzidzo zvinoratidza zvibereko zvakanaka zvekurapa, kunyanya ne calcific tendonitis uye plantar fasciitis.
Zvisinei, kunewo mitsara yakawanda iyo isina kumbobudirira uye haina kuratidza kusiyana kwakakosha apo kutyisidzika kwekurapa kunoenzaniswa nemishonga yakawanda yezvinetso izvi.
Pros
Chimwe chinonyanya kukosha chekutyisidzika kwehutano hwehutano ndechokuti ndiyo nzira isingaiti yezvinetso izvo dzimwe nguva zvinonetsa kurapa. Nemhaka yezvipingamupinyi izvi, vanachiremba vanogara vachitsvaka kurapa kwakanakisisa kune varwere vasingaoneki vachivandudza nekurapa kwakanyanya.
Uyezve, chimwe chezvinhu zvikuru pamusoro pekurapwa kwemamiriro ezvinhu akadai se plantar fasciitis ndechokuti pane zvinetso zvakakomba. Zvishomanana zvinetso zvakave zvichirondedzerwa nekushandiswa kwekutyisa wave therapy. Varwere vanovhiyiwa vari pangozi yekupfuurira kurwadziwa, zvinetso zvekuvadzwa, uye zvirwere. Dambudziko guru re ESWT nderokuti havasi varwere vose vanorapwa zviratidzo zvavo.
Cons
Kushungurudza wave therapy inodhura zvikuru, uye kana kuti kwete kana kurapa kwakanaka kunopesana. Chirwere chimwe nechimwe chinogona kutengesa mari yakawanda, uye makambani einishuwarenzi angave asingafaniri kuvhara mari. Saka, varwere vanoda kuve nemishonga iyi vanogona kuguma vachibhadhara muhomwe.
Pakupedzisira, kubudirira kwemishonga kunobvunzwa. Kana kushungurudzika kworopa kunobatsira, musiyano muduku. Iyo mitsara mumabhuku acho yakasiyana-siyana, asi kunyange mune zvidzidzo zvinoratidza kunaka kwe ESWT, zvichida inobatsira chete chikamu chevarwere. Nokudaro, nhamba yakawanda yevarwere vacharamba vachirwadziwa mushure mekutyisidzika kwehutano.
Kwainoenda
Nhengo dzejeri dzichiri kunze kana kuti kana kuti kwete shock wave therapy ndiyo inobatsira kurapwa kwemamiriro emapfupa aya. Nhasi mazano ekurapa iyi ndeyekuti yakachengeteka kune varwere vakakundikana matanho anochengetedza uye vangada kurapwa kwakanyanya.
Zvakakosha kuti varwere vanoedza mamwe mararamiro emitambo kwenguva inenge mwedzi mitatu kusvika pagore vasati vatarisa kushamiswa kwehutachiona. Kune varwere vane plantar fasciitis, maitiro anochengetedza maitiro ekurapa anoshandiswa nemishonga, ice application , maitiro uye kutambanudza , uye kuiswa shangu kunowanzorapwa. Uyezve, inozivikanwawo kuti imwe nguva yemwedzi 6 kusvika kune rimwe gore inotarisirwa kuti ibudirire zvakakwana zvinetso izvi.
Varwere vasina kubudirira nemishonga iyi yekodzero vanogona kubatsirwa nekutya tsvina. Icho chisarudzo chinonzwisisika chekutarisa ESWT isati yasvika pakubatanidzwa. Zvimwe zvinokonzerwa nemigumisiro ye ESWT hazvisi zvishoma. Nokudaro, kune varwere vane chirwere chisingaperi chine faritiitis , uye avo vakakundikana mwedzi mitanhatu inoshandiswa kuongororwa kwemishonga yakazara, kutyisa wave therapy ndeimwe nzira yakachengeteka yekurapa.
Sources:
Rompe, JD, et al. "Kuongororwa kwepasi-simba rinokonzera kushamisa-wave kushandiswa kwekurapwa kwekusingaperi plantar fasciitis." Day Bone Joint Surg. 2002: 84: 335-41.
Sems A1, Dimeff R, Iannotti JP. "Extracorporeal shock wave therapy mukurapwa kwemazuva ano tendinopathies" J Am Acad Orthop Surg. 2006 Apr; 14 (4): 195-204.