Ese wigeze ubona inshuti cyangwa umuntu wo mu muryango wawe atakaza urugingo rw'umubiri nyuma y'impanuka cyangwa indwara yo mu bwonko? Iyo ibyo bibaye, uwo muntu aba ananiwe cyane kandi ntashobora no gukora imirimo ye ya buri munsi. Uyu munsi rero, turimo kuvuga ku buvuzi bwihariye bushobora "gukangura" imitsi yatakaje imbaraga bitewe n'ibimenyetso biva mu bwonko bitagera ku mitsi neza.
Mu magambo make, FES ni iki?
Izina ryuzuye rya FES ni Functional Electrical Stimulation . Muri make, bikubiyemo kohereza umuriro muto cyane, ugenzurwa mu mitsi yawe n'imitsi. Kimwe n'ikimenyetso kiva mu bwonko, imitsi irafungana iyo yakiriye iki kimenyetso cy'amashanyarazi. Ubu buryo bwo kuvura bufasha kongera kwihutisha imitsi no kugarura imikorere yayo.
Abantu benshi batekereza ko ibi bibabaza kuko bikubiyemo amashanyarazi. Mu by'ukuri, ubu si uburyo bubabaza. Ariko, ushobora kumva utameze neza. Bishobora kumva urimo gushyuha, cyangwa nk'udushinge. Hari igihe bishobora no kumva urimo gushya gato. Muganga wawe cyangwa umuganga w'imitsi azagenzura neza ko ubukana bw'uyu muyoboro w'amashanyarazi buri ku rwego rwiza kuri wewe.
Ni izihe nyungu zo kuvura FES?
Ubu buryo bwo kuvura ni nko guha imitsi idashobora kwikorera ubwayo ubufasha n'imyitozo ngororamubiri. Tekereza, iyo udashobora kugenda cyangwa guterura ibyuma bitewe n'ubumuga runaka, imitsi ikoreshwamo iracika intege buhoro buhoro kandi igacika intege. Ubuvuzi bwa FES bushobora kongera gukomeza iyo mitsi.
Reka turebe ku mbonerahamwe iri hepfo ibyiza by'ingenzi by'ubu buvuzi.
| Akamaro | Ibisobanuro byoroshye |
|---|---|
| Kugarura imitsi mu buryo ikora neza | Bifasha gusubiza amaguru ku rugingo, nk'ukuboko cyangwa ukuguru kwangiritse. |
| Kurwanya inkari n'amasaya | Bikangura imitsi y'uruhago n'iy'urura, bikayifasha kongera kwifata. |
| Koroshya guhumeka | Gukangura diaphragm, imitsi minini yo mu gituza, kwishingikiriza ku cyuma gifasha guhumeka bishobora kugabanuka. |
| Gukumira ibisebe byo mu buriri (ibisebe byo mu muvuduko) | Ikangura imitsi yo mu matako y'abarwayi baguma mu mwanya umwe, ikarinda ko ibisebe byo mu buriri bivuka. |
| Kunoza imikorere y'imibonano mpuzabitsina | Bifasha abagabo mu gushyukwa no gusohora. |
| Kugabanya ububabare | Mu bihe bimwe na bimwe, ububabare bushobora kugabanuka binyuze mu kubuza ibimenyetso by'ububabare kugera mu bwonko. |
| Biroroshye kumira | Bikangura imitsi yo mu muhogo kandi bigafasha mu guhangana n'ingorane zo kumira ibiryo n'ibintu binyobwa. |
Ni izihe ndwara ubu buvuzi bukunze gukoreshwa cyane?
Ubuvuzi bwa FES bugira akamaro cyane ku ntege nke z'imitsi ziterwa no kwangirika kw'imitsi yo hagati, ni ukuvuga ubwonko cyangwa uruti rw'umugongo.
Zimwe mu nzira z'ingenzi ubu buvuzi bukoreshwamo ni izi zikurikira:
- Gukomereka k'umugongo
- Igisebe cy'imitsi
- Kugabanuka kw'ikirenge guterwa n'indwara ya sclerosis nyinshi
- Indwara yo mu bwonko itera indwara yo mu bwonko
- Ihungabana ry'ubwonko (TBI)
- Intege nke z'imitsi nyuma yo kubagwa ubwonko cyangwa uruti rw'umugongo
Tekereza ko nyuma yo gukubitwa n'indwara yo mu bwonko, inzira y'ibimenyetso biva mu bwonko bijya mu kuboko irafunze. Nubwo imitsi yo mu kuboko imeze neza, ikiganza kirapfa kuko nta tegeko rihari ryo gukora. Icyo FES ikora ni ukunyura muri iyo nzira ifunze hanyuma ikohereza ikimenyetso mu mitsi kugira ngo "ikore."
Ni nde ukwiriye kuvurwa na FES? Ni nde udakwiriye kuvurwa na FES?
Ubu buryo bwo kuvura ntibukwiriye buri wese. Muganga wawe ni we uzagena niba bukubereye. Muri rusange, ubu buryo bwo kuvura bushobora kuba bukubereye.
Igihe ubu buryo bwo kuvura bushobora kuba bukubereye
- Niba ufite intege nke mu mitsi.
- Gutakaza igice cyangwa burundu imikorere y'umubiri (ubumuga).
- Niba ufite ikibazo kigira ingaruka ku mitsi yo hagati.
- Niba ubushobozi bwawe bwo kwimuka bwagizweho ingaruka n'impanuka.
Mbere yo gutangira kuvurwa, muganga wawe azakora ikizamini gito kugira ngo arebe niba umubiri wawe uzakira. Hari igihe imitsi iri hagati y’umugongo n’imitsi yangiritse, umubiri ushobora kutakira.
Mu bihe ubwo buryo bwo kuvura budakwiye
Niba ufite imwe muri izi ndwara zikurikira, muganga wawe ashobora kukugira inama yo kuvura ubundi buryo aho gukoresha FES. Menya neza ko ubiganiriyeho na muganga wawe.
| Ni ryari ubuvuzi bwa FES bugomba kudakorwa? |
|---|
| Niba ufite ibikoresho by'ikoranabuhanga byashyizweho (urugero: pacemaker). |
| Niba urwaye kanseri. |
| Niba ufite indwara y'amagufwa (osteomyelitis). |
| Niba ufite amateka yo kubyimba kw'amaraso (Trombose) cyangwa kuva amaraso menshi (Kuva amaraso menshi). |
| Niba urwaye igicuri. |
| Niba ufite imitsi ikomeretse cyane cyangwa ipfupfunyurwa. |
| Niba ufite indwara y'amagufwa (osteoporosis). |
| Niba utwite ubu. |
Ni ibihe bice by'igikoresho cya FES?
Ibikoresho bya FES biri mu buryo butandukanye kandi bungana, ariko hari ibice bike bihuriweho hafi ya byose.
- Igice cy'amashanyarazi gitera imitsi y'ubwonko: Aka ni agasanduku gato gatanga ibimenyetso by'amashanyarazi.
- Insinga: Izi ni insinga zitwara ibimenyetso by'amashanyarazi bivuye mu gasanduku. Hari ibikoresho bishya bikora nta nsinga, hakoreshejwe imiraba ya radiyo.
- Electrode: Impande y'insinga ihujwe n'izi electrode. Izi ni zo zihujwe n'umubiri kandi zigatera imbaraga imitsi cyangwa imitsi.
Hari ubwoko butandukanye bwa electrode:
1. Ama-electrode yo hejuru: Ashobora gusigwa ku ruhu nk'agapapuro k'ibati. Akoreshwa cyane mu kuvura igihe gito.
2. Ama-electrode yo mu bwoko bwa percutaneous: Aya ashyirwa munsi y'uruhu na muganga binyuze mu gukata gato.
3. Electrode ziterwa: Ku buvuzi bw'igihe kirekire, izi zishyirwa mu mitsi cyangwa hafi y'imitsi.
Itsinda ry'abaganga niryo rizagena igikoresho kikubereye, imitsi yo gukangura, n'ingano y'amashanyarazi ugomba gutanga.
Ni izihe ngaruka n'ingorane zo kuvurwa na FES?
Kimwe n'ubundi buryo bwose bwo kuvura, FES ishobora kugira ingaruka zimwe na zimwe.
| Ubwoko bw'ibyago | Ibisobanuro |
|---|---|
| Iyo ukoresha electrodes zifatanye n'uruhu (Inyuma) | |
| Kutagenda neza | Kubabara kw'imitsi mu gihe cyo kuvurwa bishobora kubangamira bamwe. |
| Allergie y'uruhu | Gutukura no kwishimagura k'uruhu bishobora kubaho aho electrodes zifatanye. |
| Gukurura imitsi | Iyo gukangurwa kwiyongera, imitsi ishobora kumva inaniwe. |
| Mu gihe ukoresha electrodes zashyizwemo mu buryo bwa muganga | |
| Indwara zandurira mu mubiri | Hari ibyago byo kwandura aho electrodes zishyirwa. |
| Amakosa ku bikoresho | Insinga zishobora kwangirika cyangwa kugenda kwa electrode. |
| Ibipimo bya MRI | Bitewe n'uko hari ibice by'icyuma mu mubiri, bishobora kudashoboka gupimwa na MRI. |
Niba ugize ububabare, ububabare, cyangwa impinduka z'uruhu muri ubu buryo bwo kuvura, bimenyeshe muganga wawe ako kanya . Ntubihishe.
Ni irihe tandukaniro riri hagati ya TENS na FES?
Abantu benshi bahurira mu rujijo ku bijyanye n'uburyo bubiri bwo kuvura, TENS na FES. Nubwo byombi bikoresha amashanyarazi, bifite intego ebyiri zitandukanye.
- TENS (Transcutaneous Electrical Nerf Stimulation): Ibi byibasira imitsi yumva . Intego nyamukuru ni ukugabanya ububabare, ntabwo ari ugufunga imitsi.
- FES (Gukangura amashanyarazi mu buryo bw'imikorere): Iyi mitsi ikoreshwa mu gutera imitsi . Intego nyamukuru ni ugukangura imitsi, kuyizunguza no gukora ibikorwa.
Muri make, ushobora kwibuka ko TENS ari iyo kubabara naho FES ikaba iyo kuzenguruka .
Ubutumwa bwo kujyana mu rugo
- FES ni uburyo bwo kuvura bukoresha ibimenyetso bito by'amashanyarazi kugira ngo busubize imitsi idakora neza mu mubiri.
- Ibi ni ingirakamaro cyane ku ntege nke ziterwa n'indwara nk'imitsi yo mu bwonko n'ibikomere byo mu ruti rw'umugongo.
- Ubu buryo bwo kuvura ntibubabaza, ariko ushobora kumva utameze neza, nko kugira ibinya.
- Ibi ntibikwiriye abantu bafite ibikoresho byashyizweho nk'ibikoresho bifasha mu mugongo, abagore batwite, n'abandi barwayi bamwe na bamwe.
- Buri gihe vugana na muganga wawe niba ubu buryo bw'ubuvuzi bukubereye ndetse n'ibibazo ushobora kuba ufite.
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