Ngaba wakha wambona umhlobo okanye ilungu losapho liphulukana nelungu lomzimba emva kwengozi okanye istroke? Xa oko kusenzeka, loo mntu uba ngumntu ongenakuzinceda aze angakwazi nokwenza imisebenzi yakhe yemihla ngemihla. Ngoko ke namhlanje, sithetha ngonyango olukhethekileyo olunokuvusa izihlunu ezingasebenziyo ngenxa yemiqondiso evela kwingqondo engafikeleli kakuhle kwizihlunu.
Kalula nje, yintoni i-FES?
Igama elipheleleyo le-FES yi- Functional Electrical Stimulation . Ngamafutshane, ibandakanya ukuthumela umbane omncinci kakhulu, olawulwayo kwimithambo-luvo nakwimisipha yakho. Njengomqondiso ovela engqondweni, imisipha iyafinyela xa ifumana lo mqondiso wombane. Olu nyango lunceda ekuvuseleleni imisipha kwaye ibuyisele umsebenzi wayo.
Abantu abaninzi bacinga ukuba oku kubuhlungu kuba kubandakanya umbane. Enyanisweni, olu asilonyango lubuhlungu. Nangona kunjalo, ungaziva ungakhululekanga. Kusenokuvakala ngathi kukurhawuzelela, okanye ngathi ziinaliti. Ngamanye amaxesha kunokuvakala ngathi kukutsha kancinci. Ugqirha wakho okanye ingcali ye-physiotherapist iya kuqinisekisa ukuba amandla alo mbane akwinqanaba elifanelekileyo kuwe.
Zithini iingenelo zonyango lwe-FES?
Olu nyango lufana nokunika izihlunu ezingakwaziyo ukuzishukuma zodwa uncedo lwangaphandle kunye nokuzilolonga. Khawuthelekelele, xa ungakwazi ukuhamba okanye ukuphakamisa iintsimbi ngenxa yokukhubazeka okuthile, izihlunu ezibandakanyekayo ziyathamba kancinci kancinci kwaye ziphele. Unyango lwe-FES lunokuqinisa ezo zihlunu kwakhona.
Makhe sibone kwitheyibhile engezantsi ukuba zeziphi izibonelelo eziphambili zolu nyango.
| Ukuba luncedo | Ingcaciso elula |
|---|---|
| Ukubuyisela intshukumo yezihlunu | Inceda ukubuyisela intshukumo kwilungu, njengengalo okanye umlenze okhubazekileyo. |
| Ulawulo lomchamo kunye nendle | Ivuselela izihlunu zesinyi kunye ne-rectum, izinceda ukuba zikwazi ukulawula kwakhona. |
| Ukwenza ukuphefumla kube lula | Ngokuvuselela i-diaphragm, umsipha omkhulu esifubeni, ukuthembela kwi-ventilator kunokunciphisa. |
| Ukuthintela Izilonda Zebhedi (Izilonda Zoxinzelelo) | Ivuselela izihlunu kwindawo yeempundu zezigulane ezihlala kwindawo efanayo, ithintela ukwakheka kwezilonda zebhedi. |
| Ukuphucula ukusebenza ngokwesondo | Inceda ekuqineni nasekuphumeni komlomo emadodeni. |
| Ukunciphisa iintlungu | Kwezinye iimeko, iintlungu zinokuthomalaliswa ngokuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni. |
| Ukwenza kube lula ukuginya | Ivuselela izihlunu zomqala kwaye inceda ukoyisa ubunzima bokuginya ukutya kunye nolwelo. |
Zeziphi iimeko ezisetyenziswa kakhulu kolu nyango?
Unyango lwe-FES luluncedo kakhulu kubuthathaka bemisipha obubangelwa kukonakala kwenkqubo ye-nervous ephakathi, oko kukuthi, ingqondo okanye intambo yomqolo.
Nazi ezinye zeendlela eziphambili zokusetyenziswa kolu nyango:
- Ukulimala komqolo
- Istroke
- Ukuwa kweenyawo okubangelwa yi -multiple sclerosis
- Umvakalelo yokitazo
- Ukulimala kwengqondo okubuhlungu (TBI)
- Ubuthathaka bemisipha emva kotyando lobuchopho okanye lomqolo
Khawuthelekelele ukuba emva kwestroke, indlela yemiqondiso esuka ebuchotsheni iye esandleni ivaliwe. Nangona izihlunu ezisesandleni zilungile, isandla siyakhubazeka kuba akukho myalelo wokusebenza. Into eyenziwa yi-FES kukudlula loo ndlela ivaliweyo ize ithumele isignali ngqo kwisihlunu ukuze "sisebenze."
Ngubani unyango lwe-FES olufanelekelayo? Ngubani olungafanelekelanga?
Olu nyango alufanelekanga kuye wonke umntu. Ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na. Ngokubanzi, olu nyango lunokukulungela.
Xa olu nyango lunokuba lufanelekile kuwe
- Ukuba ubuthathaka kwimisipha.
- Ukulahlekelwa yinxenye okanye ngokupheleleyo kokusebenza kwinxalenye yomzimba (ukukhubazeka).
- Ukuba unesifo esichaphazela inkqubo yemithambo-luvo ephakathi.
- Ukuba ukukwazi kwakho ukuhamba kuye kwachaphazeleka yingozi.
Ngaphambi kokuba uqale unyango, ugqirha wakho uza kwenza uvavanyo oluncinci ukuze abone ukuba umzimba wakho uza kusabela na kulo. Ngamanye amaxesha, ukuba imicu yemithambo-luvo ephakathi komqolo kunye nezihlunu yonakele, umzimba usenokungasabeli kulo.
Amatyala apho olu nyango lungafanelekanga
Ukuba unenye yezi meko zilandelayo, ugqirha wakho unokucebisa olunye unyango endaweni ye-FES. Qiniseka ukuba uxoxa ngale nto nogqirha wakho.
| Kunini apho unyango lwe-FES lungafanelekanga ukwenziwa? |
|---|
| Ukuba unezixhobo ze-elektroniki ezifakelweyo (umz. i-pacemaker). |
| Ukuba unomhlaza. |
| Ukuba une-osteomyelitis (usulelo lwamathambo). |
| Ukuba unembali yokuqhekeka kwegazi (iThrombosis) okanye ukopha kakhulu (iHemorrhage). |
| Ukuba unesifo sokuwa. |
| Ukuba unemisipha ebuhlungu okanye ukuqina okukhulu. |
| Ukuba une-osteoporosis. |
| Ukuba ukhulelwe okwangoku. |
Zeziphi iindawo zesixhobo se-FES?
Izixhobo ze-FES ziza ngeemilo nobukhulu obahlukeneyo, kodwa kukho iindawo ezimbalwa ezifanayo phantse kuzo zonke.
- Iyunithi yokuvuselela umbane ye-neuromuscular: Le yibhokisi encinci evelisa imiqondiso yombane.
- Iintambo: Ezi ziintambo ezithwala imiqondiso yombane esuka ebhokisini. Ezinye izixhobo ezintsha zisebenza ngaphandle kweentambo, zisebenzisa amaza erediyo.
- Ii-electrode: Elinye icala lentambo liqhagamshelwe kwezi electrode. Ezi zezo ziqhagamshelwe ngqo emzimbeni kwaye zivuselela imithambo-luvo okanye izihlunu.
Kukho iintlobo ezahlukeneyo ze-electrodes:
1. Ii-electrode ezingaphezulu: Ezi zinokufakwa eluswini njengesitikha. Ezi zisetyenziswa kakhulu kunyango lwexesha elifutshane.
2. Ii-electrode ezisebenzisa i-percutaneous: Ezi zifakwa phantsi kolusu ngugqirha ngokusebenzisa umqhekezo omncinci.
3. Ii-electrode ezifakelweyo: Kunyango lwexesha elide, ezi zifakelwa ngotyando kwisihlunu okanye kufutshane nomthambo.
Iqela lakho lezonyango liza kugqiba ukuba sesiphi isixhobo esifanelekileyo kuwe, zeziphi izihlunu ekufuneka zivuselelwe, kunye nokuba umbane ongakanani oza kunikwa.
Zithini iingozi kunye neengxaki zonyango lwe-FES?
Njengayo nayiphi na indlela yonyango, i-FES inokuba neengozi ezithile.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Xa usebenzisa ii-electrodes ezinamathele eluswini (Ngaphandle) | |
| Ukuphazamiseka | Ukungabi nangqondo okuvakalayo ngexesha lonyango kusenokungakhululeki kwabanye abantu. |
| Ukunganyamezelani kolusu | Ukuba bomvu nokurhawuzelela kwesikhumba kunokwenzeka apho ii-electrode zincamathele khona. |
| Ukutsalwa kwemisipha | Ukuba ukukhuthazwa kuyanda, izihlunu zinokuziva zidiniwe. |
| Xa usebenzisa ii-electrode ezifakwe ngotyando | |
| Iintsholongwane | Kukho umngcipheko wokosuleleka kwindawo apho ii-electrode zifakwe khona. |
| Iimpazamo zezixhobo | Kusenokubakho ukuqhekeka kwentambo okanye intshukumo ye-electrode. |
| Uvavanyo lwe-MRI | Ngenxa yokuba kukho iindawo zesinyithi emzimbeni, kusenokwenzeka ukuba akunakwenzeka ukuba kwenziwe ii-MRI scans. |
Ukuba ufumana naluphi na usizi olunganyamezelekiyo, iintlungu, okanye utshintsho lolusu ngexesha lonyango, yazisa ugqirha wakho ngoko nangoko . Musa ukuyifihla loo nto.
Yintoni umahluko phakathi kwe-TENS kunye ne-FES?
Abantu abaninzi bayadideka malunga nonyango olubini, i-TENS kunye ne-FES. Nangona zombini zisebenzisa ukuvuselela ngombane, zisebenza ngeenjongo ezimbini ezahlukeneyo.
- I-TENS (Transcutaneous Electrical Nerve Stimulation): Oku kujoliswe kwimithambo-luvo . Injongo ephambili kukunciphisa iintlungu, hayi ukufinyeza izihlunu.
- I-FES (Ukukhuthaza Umbane Okusebenzayo): Oku kujoliswe kwimithambo-luvo yentshukumo . Injongo ephambili kukuvuselela izihlunu, ukuzishukumisa, kunye nokudala umsebenzi.
Ngamafutshane, ungakhumbula ukuba i-TENS yeyokubangela intlungu kwaye i-FES yeyokushukuma .
Umyalezo Wokuya Ekhaya
- I-FES lunyango olusebenzisa imiqondiso emincinci yombane ukubuyisela intshukumo kwizihlunu ezingasebenziyo.
- Oku kuluncedo kakhulu kubuthathaka obubangelwa zizifo ezinje ngestroke kunye nokwenzakala komqolo.
- Olu nyango alubuhlungu, kodwa ungaziva ungakhululekanga, njengokungathi awunangqondo.
- Oku akufanelekanga kubantu abanezixhobo ezifakelweyo ezifana ne-pacemakers, abafazi abakhulelweyo, kunye nabanye abaguli.
- Soloko uthetha nogqirha wakho malunga nokuba olu nyango lukulungele na kwaye nayiphi na imibuzo onokuba nayo.
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