Ke manaʻo nei ʻoe i kekahi manawa, "Auē, inā wale nō he mea ʻē aʻe āu e hiki ai ke hana no kēia me ka ʻole o ka lawe ʻana i ka lāʻau lapaʻau" ke loaʻa iā ʻoe ka ʻeha hope, ka ʻeha kuli, a i ʻole kekahi ʻeha mau? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana e hiki ai ke hōʻemi i ka ʻeha ma waho aʻe o ka lawe ʻana i ka lāʻau lapaʻau. Ua lohe paha ʻoe e pili ana i kēia a ʻike paha iā ia ma ke kikowaena physiotherapy. ʻO ia ka lāʻau lapaʻau TENS.
He aha ka TENS? E hoʻomaopopo maʻalahi kākou.
I ka ʻōlelo maʻalahi, ʻo TENS kahi pōkole no nā huaʻōlelo lōʻihi ʻo Transcutaneous Electrical Nerve Stimulation . Ma ka Sinhala, ʻo ia hoʻi "ka hoʻoulu uila ʻana o nā aʻalolo ma o ka ʻili." Akā, maʻalahi ke poina i kēia inoa lōʻihi a hoʻomanaʻo wale i ka inoa ʻo TENS.
He ʻano kēia o ka hoʻomaha ʻeha. Hoʻohana ia i kahi au uila liʻiliʻi loa, haʻahaʻa-voltage e ālai i kou ʻeha a hoʻololi paha i ke ʻano o kou manaʻo. Mai hopohopo, ʻaʻole kēia ke au uila nui āu e ʻike ai i loko o nā hale, he au uila liʻiliʻi loa ia a palekana. Ua like ia me ka hoʻouna ʻana i kahi leka liʻiliʻi i nā aʻalolo ʻike ʻeha i loko o ko kākou kino.
No nā kānaka he nui, he kūpono ka lāʻau lapaʻau TENS. Akā no kekahi poʻe, ʻaʻole paha e like ka maikaʻi. Ke hoʻāʻo nei nā kānaka noiʻi e ʻike i ke kumu. Manaʻo nā kauka he nui ua hoʻokuʻu kēia au uila i nā kemika i loko o ko mākou kino e hōʻemi ana i ka ʻeha.
Pehea e hōʻemi maoli ai ka mīkini TENS i ka ʻeha?
ʻElua mau manaʻo nui e pili ana i ke ʻano o ka hoʻomaha ʻana o ka lāʻau lapaʻau TENS i ka ʻeha. E noʻonoʻo i kēia ala: ʻelua mau ala e hana ai.
1. Ke ālai nei i nā hōʻailona ʻeha:
E noʻonoʻo aia kekahi ala aʻalolo e lawe ana i kahi leka e pili ana i ka ʻeha mai kahi āu e ʻeha nei i ka lolo. Hele ka hōʻailona uila liʻiliʻi mai ka mīkini TENS ma kēlā ala ma mua o ka hiki ʻana o ka hōʻailona ʻeha i ka lolo. A laila e kālele ana ka lolo i kēlā hōʻailona uila. Ua like ia me ka hoʻokumu ʻana i kahi kaʻa ma ke alanui a ʻaʻole e ʻae i ke kaʻa e lawe ana i ka ʻeha e hele i mua. Hoʻemi nui kēia i kou ʻeha.
2. Hoʻokuʻu i nā endorphins:
ʻO kekahi manaʻo ʻē aʻe, ʻo kēia hoʻoulu uila ke kumu o ko mākou kino e hana i kahi lāʻau ʻeha kūlohelohe. Kāhea mākou i kēia mau kemika he 'endorphins' . Ke hoʻoikaika kino ʻoe a ʻakaʻaka paha, hauʻoli ʻoe no ka mea ua hoʻokuʻu ʻia kēia mau endorphins. No laila, ʻo ka mea a ka mīkini TENS e hana ai, ʻo ia ka hoʻāla ʻana i kēia 'lāʻau ʻeha' i loko o ko mākou kino.
I kēia manawa, ua manaʻoʻiʻo ʻia ua hoʻemi pinepine ʻia ka ʻeha ma ka hui pū ʻana o kēia mau ʻano ʻelua.
He aha ke ʻano o ka ʻeha e hoʻohana ʻia ai ʻo TENS?
Hoʻohana nā kauka i ka TENS e mālama i nā ʻano ʻeha like ʻole no ka wā pōkole (ʻoi) a me ka wā lōʻihi (mau). Eia kekahi mau mea o lākou.
| ʻEha/maʻi | He wehewehe maʻalahi |
|---|---|
| ʻEha hope | He pilikia maʻamau no nā kānaka he nui. |
| ʻO ka ʻeha puʻuwai | ʻEha hui e kū mai ana i ko kākou wā ʻelemakule. |
| ʻO ka Fibromyalgia | ʻEha nā ʻiʻo a me ka luhi ma ke kino holoʻokoʻa. |
| ʻO ka ʻeha o ka ʻūhā | Ka pehu ʻana o nā ʻiʻo (tendons) e hoʻopili ana i nā ʻiʻo i nā iwi. |
| ʻO ka bursitis | Ka pehu ʻana o nā ʻeke piha i ka wai (bursa) a puni nā hono. |
| ʻO ka Neuropathy Diabetic | Ka mumū a me ka ʻeha i hoʻokumu ʻia e ka hōʻino ʻana o nā aʻalolo i nā lālā ma muli o ka maʻi diabetes. |
Pehea ʻoe e hoʻohana ai i kahi mīkini TENS?
He mea hana ka mīkini TENS e like me ka nui o kahi kelepona liʻiliʻi. Loaʻa iā ia nā uea i hoʻopili ʻia iā ia a me kekahi mau pads e hoʻopili ʻia i nā wēlau o kēlā mau uea hiki iā ʻoe ke hoʻopili i kou ʻili. Ua kapa ʻia kēia mau pads he electrodes .
E nānā kākou pehea e hoʻohana ai i kēia ma ke ʻano kikoʻī:
1. ʻO ka mea mua, pono ʻoe e hoʻopili i nā pads electrode i nā kaula e hoʻopili ai iā lākou i ka mīkini.
2. A laila, e wehe i ka sticker ma ke kua o kēia mau pads a hoʻopili iā lākou i kahi o ka ʻeha a i ʻole ka wahi a puni. He mea nui loa e nīnau i kāu kauka a i ʻole physiotherapist no kahi kikoʻī o nā pads. ʻO ke kau ʻana iā lākou ma nā wahi kūpono ʻole e hopena i nā hopena maikaʻi ʻole.
3. I kēia manawa, e hoʻā i ka mīkini a hoʻoponopono i ka ikaika a me ke alapine (frequency) o ke au uila e hele mai ana mai ia mea a hiki i ka pae āu e ʻoluʻolu ai.
4. ʻO ka pahuhopu ka mālama ʻana i nā impulses uila i kahi pae ʻoluʻolu, e like me ka ʻakaʻaka, ʻoiai inā ikaika loa lākou . Mai hoʻonui i ka ikaika a hiki i kahi o ka ʻeha.
I ka wā o ka lāʻau lapaʻau TENS, emi pinepine ka ʻeha. Eia nō naʻe, ʻokoʻa ka lōʻihi o ka manawa e emi ai ka ʻeha ma hope o ka pau ʻana o ka lāʻau lapaʻau mai kēlā kanaka a kēia kanaka. Wahi a kekahi poʻe e emi ana ka ʻeha i loko o 24 mau hola. No kekahi poʻe, hoʻomaka ka ʻeha e hoʻi hou mai ke pio ʻana o ka mīkini.
ʻO ka mea nui loa, mai ho'āʻo e hoʻohana i ka mīkini TENS ma kāu iho me ka ʻole o ke kūkākūkā ʻana me kāu kauka, ʻoiai inā he mau maʻi ʻē aʻe kou.
ʻO wai ka mea pono ʻole ke hana i ka lāʻau lapaʻau TENS a ma hea kahi e hana ʻole ʻia ai!
ʻOiai he ʻano palekana loa kēia, ʻaʻole kūpono ka lāʻau lapaʻau TENS no nā kānaka āpau. ʻAʻole hoʻi he manaʻo maikaʻi ke kau ʻana i kēia mau pads ma ke kino holoʻokoʻa. Pono ʻoe e makaʻala i kēia.
| ʻŌlelo Aʻo! E akahele loa i kēia. |
|---|
| ʻO ka poʻe pono ʻole e hoʻohana iā TENS |
| - Nā makuahine hāpai (ʻoi aku hoʻi ma ka ʻōpū a me ke kua haʻahaʻa) |
| - ʻO ka poʻe i hoʻokomo ʻia kahi mea hana e like me ka pacemaker i loko o ko lākou kino |
| - Nā kānaka me ke kanesa |
| - Nā kānaka me ka maʻi epilepsy |
| - Nā kānaka me ka maʻi puʻuwai |
| - Nā kānaka me nā maʻi koko koko (Deep Vein Thrombosis - DVT) |
| Nā wahi i ʻole e kau ʻia ai nā pads TENS |
| - Nā ʻili i ʻeha, ʻoki ʻia, unahi a i ʻole nā ʻili i loaʻa i ka maʻi |
| - Ma nā maka, ka waha, nā ʻaoʻao mua a me nā ʻaoʻao o ke poʻo a i ʻole ka ʻāʻī |
| - E pili ana i nā ʻōpū |
| - Ma nā wahi i nakinaki ʻia ai nā aʻa koko (Varicose veins) |
| - Nā wahi ʻili mae a palupalu |
| - Ma nā wahi i loaʻa koke nei ka radiation therapy |
Inā he kānalua kou e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana.
He aha nā pōmaikaʻi a me nā pōʻino o ka lāʻau TENS?
E like me kekahi ʻano hana, loaʻa iā TENS nā pono a me nā hemahema.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
| ʻAʻole komo kino: ʻAʻole ia e ʻoki a hou paha i ka ʻili, no laila ʻaʻole ia e hōʻeha i ke kino. | Nā Allergies: Hiki i kekahi poʻe ke maʻi i ka mea hoʻopili i loko o nā pads. |
| Ka hiki ke hōʻemi i ka lāʻau lapaʻau: Hiki i kēia ke kōkua i kekahi poʻe e hōʻemi i ka nui o nā lāʻau ʻeha a lākou e lawe ai. ( Akā, mai hōʻemi i ka lāʻau lapaʻau me ka ʻole o ke noi ʻana i kāu kauka. ) | ʻOluʻolu ʻole: ʻAʻole makemake kekahi poʻe i ka manaʻo ʻoni. |
| Ka lawe lima ʻana: He liʻiliʻi kēia mīkini no laila hiki iā ʻoe ke lawe iā ia i nā wahi āpau. | Wela ka ʻili: I ka manawa pinepine ʻole, e wela paha ka ʻili kahi i kau ʻia ai nā pads (ʻoiai inā i hoʻopili ikaika ʻia). |
| Holomua no nā mea he nui: He ala kūpono kēia e hōʻemi ai i ka ʻeha no nā poʻe he nui. | ʻAʻole no nā kānaka a pau: ʻAʻole loaʻa i kekahi poʻe ka hoʻomaha ʻeha mai kēia ʻano hana. |
Āhea ʻoe e pono ai e ʻike i ke kauka?
ʻOiai ʻo TENS kahi ala palekana maʻamau, inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā a ma hope paha o ka mālama ʻana, e hoʻōki i ka hoʻohana ʻana i ka mīkini a haʻi koke i kāu kauka.
- ʻUlaʻula a ʻulaʻula paha ka ʻili
- ʻO ka maneʻo hiki ʻole ke hoʻomanawanui (pruritus) ma kahi i mālama ʻia
- Pōʻino
- ʻEha poʻo
- Inā manaʻo ʻoe ua luaʻi
No laila, hana maoli anei ʻo TENS? He aha ka hopena hope loa?
ʻO kēia ka nīnau a ka poʻe he nui. Ke hana maoli nei anei ʻo TENS? A i ʻole he moʻolelo moeʻuhane wale nō?
ʻO kaʻoiaʻiʻo, ua hui pū ʻia nā hopena o ka noiʻi ʻepekema ma kēia. Hōʻike maopopo kekahi mau haʻawina he ala kūpono ia e hōʻemi ai i ka ʻeha no nā poʻe he nui. Eia nō naʻe, hōʻike nā haʻawina ʻē aʻe he hiki ke noʻonoʻo nā pono (ka hopena placebo). ʻO ia hoʻi, ka manaʻo o ka hōʻoluʻolu ʻana i ka ʻeha no ka mea ke manaʻo nei ʻoe e "loaʻa ana iā ʻoe ka lāʻau lapaʻau."
ʻO ka holomua o kēia e hilinaʻi pinepine ʻia i kekahi mau kumu, e like me kou kūlana olakino, kahi o nā pads electrode, a me nā hoʻonohonoho ma ka mīkini.
Eia naʻe, ʻo ka mea nui loa, ʻo TENS kahi ʻano lapaʻau palekana me ka ʻole o nā hopena koʻikoʻi. No laila, inā ʻeha ʻoe i ka ʻeha mau loa, he mea kūpono ke kamaʻilio me kāu kauka e pili ana i kēia. E nānā ʻo ia i kou kūlana a alakaʻi iā ʻoe inā kūpono ia iā ʻoe a pehea e hoʻohana pono ai.
Leka Lawe-Home
- He lāʻau palekana ʻo TENS, ʻaʻohe invasive e hōʻoluʻolu ai i ka ʻeha ma ka hāʻawi ʻana i kahi au uila liʻiliʻi loa ma o ka ʻili.
- Hoʻemi kēia i ka ʻeha ma ke ālai ʻana i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo a i ʻole ma ka hana ʻana i nā lāʻau ʻeha kūlohelohe o ke kino (endorphins).
- Mai hoʻohana i kahi mīkini TENS me ka ʻole o ke kūkākūkā ʻana me kāu kauka. E haʻi aku kāu kauka iā ʻoe inā kūpono ia iā ʻoe a ma hea e kau ai i nā pads.
- ʻAʻole pono e hoʻohana ʻia ʻo TENS ma nā poʻe kikoʻī e like me nā makuahine hāpai, ka poʻe me nā pacemakers, a me nā wahi e like me ka ʻāʻī, nā maka, a me ka ʻili i hōʻeha ʻia.
- Inā loaʻa iā ʻoe nā hopena ʻaoʻao e like me ka huhū o ka ʻili a i ʻole ka poniuniu i ka wā o ka mālama ʻana, e hoʻōki koke i ka hoʻohana ʻana a e hoʻomaopopo i kāu kauka.











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