Transcutaneous Electrical Nerv Stimulation (TENS) nuburyo bwo kuvura bukoreshwa mugucunga ububabare no gusubiza mu buzima busanzwe. Dore ibisobanuro birambuye kumikorere n'ingaruka zayo:
1.Uburyo bwibikorwa：
Irembo ry'ububabare:ICUMI ikora cyane cyane binyuze muri "irembo ryo kugenzura amarembo" y'ububabare. Ukurikije iki gitekerezo, imbaraga z'amashanyarazi zakozwe nigice cya TENS zitera imitsi yumutima, ishobora kubuza kwanduza ibimenyetso byububabare mubwonko. Kubyutsa neza "gufunga irembo" munzira zububabare, bityo bikagabanya imyumvire yububabare.
Endogenous Opioid Isohora:Ubundi buryo bukubiyemo gukangura imitsi ya periferique, ishobora gutuma habaho irekurwa rya opioide endogenous nka endorphine na enkephaline. Ibi bintu bisanzwe bibaho bikora nk'uburondogozi mu guhuza reseptor ya opioide muri sisitemu yo hagati yo hagati, itanga ububabare.
2. Igenamiterere n'imikorere：
Inshuro:Ibikoresho icumi byemerera guhindura inshuro, mubisanzwe bipimirwa muri Hertz (Hz). Imirongo yo hasi (1-10 Hz) bemeza ko itera irekurwa rya endogenous opioid, mugihe imirongo myinshi (50-100 Hz) ikora cyane cyane uburyo bwo kubabaza amarembo yububabare. Ibikoresho bimwe bitanga urutonde rwinshyi cyangwa guhuza uburyo bwo kuvura butandukanye.
Ubugari bwa Pulse:Ubugari bwa pulse, cyangwa igihe cya buri cyuma cyamashanyarazi, kirashobora guhinduka kubice byinshi bya TENS. Ubugari bugufi bukoreshwa kenshi mugukoresha ububabare bukabije, mugihe ubugari burebure bushobora kuba bwiza kuburwayi budakira.
Ubukomezi:Imbaraga zamashanyarazi zirashobora guhindurwa kugirango habeho kuvura neza mugihe ukomeje ihumure ryumurwayi. Imbaraga zikwiye zisanzwe zishyirwa munsi yurwego rutera kwikuramo imitsi.
Igihe n'intera:Igihe cyo kuvura ICUMI kirashobora gutandukana, mubisanzwe kuva muminota 15 kugeza kuri 60 kumasomo. Inshuro y'amasomo irashobora kandi guhindurwa hashingiwe ku bubabare bw'umurwayi ndetse no kuvura.
3.Ibisabwa：
Kugabanya ububabare bukabije:ICUMI gikunze gukoreshwa mugukemura ububabare bukabije, nk'ububabare nyuma yo kubagwa, ibikomere by'imitsi, n'ububabare bw'umurimo. Muguhindura ibimenyetso byububabare no kongera analgesie endogenous, TENS irashobora gutanga ubutabazi bwigihe gito.
Gucunga ububabare budashira:Kubibazo byububabare budakira nka arthritis, fibromyalgia, nububabare bwa neuropathique, TENS irashobora kuba ikintu cyingenzi muri gahunda yo gucunga ububabare butandukanye. Gukoresha buri gihe ICUMI birashobora gufasha kuzamura imibereho mugabanya ububabare no kuzamura imikorere.
Gusubiza mu buzima busanzwe:Mugihe cyo gusubiza mu buzima busanzwe, ICUMI irashobora gukoreshwa mu koroshya imitsi no kugabanya imitsi, ifasha mugukiza nyuma yo gukomeretsa cyangwa kubagwa. Bikunze guhuzwa nubundi buryo bwo kuvura kugirango bigerweho neza.
4.Umutekano no Gutekereza：
Kurwanya:ICUMI ntigomba gukoreshwa ahantu hafite uruhu rwacitse, indwara, cyangwa indwara mbi. Muri rusange kandi birabujijwe kubantu bafite pacemakers cyangwa ibindi bikoresho bya elegitoroniki, kimwe nabagore batwite hejuru yinda cyangwa pelvic.
Ingaruka zo ku ruhande:Ingaruka mbi zishobora kuba nkeya ariko zirashobora gushiramo uruhu cyangwa kutoroherwa kurubuga rwa electrode. Gushyira electrode neza no kwita ku ruhu ni ngombwa kugirango ugabanye ingaruka mbi.
Ubuyobozi bw'umwuga:Gukoresha neza ICUMI bigomba kuyoborwa ninzobere mu buvuzi kugira ngo hamenyekane neza, gushyira electrode, hamwe n’ubundi buryo bwo kuvura. Ibi bifasha kugera kubisubizo byiza byo kuvura mugihe hagabanijwe ingaruka.Muri rusange, TENS nigikoresho cyinshi kandi kidashobora gutera kandi gifite imbaraga zikomeye zo gucunga ububabare no gusubiza mu buzima busanzwe iyo gikoreshejwe neza.
Ibikurikira namakuru afatika ashingiye kumakuru yubuvuzi ：· "Iri sesengura ryakozwe ryemeza ko TENS ari uburyo bwiza bwo kugabanya ububabare bukabije. Ubushakashatsi bugaragaza ko mu gihe TENS itanga kugabanya ububabare bukabije, imikorere yayo ishobora kongerwa hifashishijwe ibipimo ngenderwaho hamwe na protocole yo kuvura."——Reba:Liu, H., n'abandi. (2023). "Ingaruka zo Guhinduranya Amashanyarazi ya Transcutaneous (TENS) kububabare bukabije: Meta-Isesengura ry'ibigeragezo byemewe." Ikinyamakuru cyubushakashatsi bwububabare, 16, 123-134.
· "Isesengura meta-isesengura ritanga ibimenyetso bifatika byerekana ko TENS ifite akamaro mu gucunga ububabare budakira, ikagaragaza ingaruka zigereranywa n’ubundi buvuzi butari ibya farumasi. Iri suzuma ryerekana ko hakenewe gahunda yo kuvura umuntu ku giti cye kugira ngo yunguke byinshi."——Reba: Smith, R., n'abandi. (2022). “Gukwirakwiza amashanyarazi ya Transcutaneous Nervice Kubabara Kubabara: Isubiramo Itunganijwe hamwe na Meta-Isesengura.” Ubuvuzi bubabaza, 23 (8), 1469-1483.
· "Iri suzuma ryuzuye ryerekana ko TENS ari uburyo bwiza bwo kuvura ububabare bwa neuropathique, butanga ububabare butagereranywa. Iri suzuma risaba ko hakorwa ubundi bushakashatsi kugira ngo ibipimo bya TENS bigerweho neza."——Reba:Nguyen, M., n'abandi. (2024). “Transcutaneous Electrical Nerv Stimulation (TENS) mu gucunga ububabare bwa Neuropathic: Isubiramo ryuzuye.” Ikinyamakuru cya siyanse ya Neurologiya, 453, 123-134.
· "Isuzuma ry’ubushakashatsi buherutse gukorwa ryerekana ko TENS ifite akamaro mu guhangana n’ububabare nyuma yo kubagwa, gutanga ubutabazi bukomeye no kugabanya ibikenerwa n’imiti ya opioid. Ibisubizo byiza bigerwaho iyo TENS yinjijwe mu buryo bwo gucunga ububabare butandukanye."——Reba:Kumar, S., n'abandi. (2023). “Ingaruka z'icumi mu gucunga ububabare nyuma yo kubagwa: Isubiramo rifatika ry'ubushakashatsi buherutse.” Ubuvuzi bubabaza, 24 (3), 415-426.
· "Ibimenyetso biheruka gushyigikira ikoreshwa rya TENS mu kongera ubuzima no kugabanya ububabare nyuma y’imvune za siporo. Iri suzuma ryerekana ko TENS ari umugereka mwiza w’uburyo gakondo bwo gusubiza mu buzima busanzwe."——Reba: Lee, J., n'abandi. (2024). “Ingaruka z'icumi ku bubabare no gukira imikorere nyuma yo gukomeretsa siporo: Isubiramo ry'ibimenyetso biriho ubu.” Ikinyamakuru cyamahugurwa yimikino, 59 (2), 187-196.
· "Ubushakashatsi bw'icyitegererezo bugaragaza ko ICUMI itagabanya gusa imyumvire y'ububabare ahubwo inagabanya amaganya ku barwayi. Ubu bushakashatsi bwerekana inyungu zishobora guturuka ku mitekerereze ya TENS mu gucunga ububabare."-—Ibisobanuro: Martin, L., n'abandi. (2023). “Guhindura imitsi ya Transcutaneous Electric Nerv n'ingaruka zayo ku myumvire y'ububabare no guhangayika: Inyigisho y'indege.” Ikinyamakuru cya psychologue Clinique, 79 (6), 991-1001.
Igihe cyo kohereza: Nzeri-07-2024
