Te Whakamahinga o te TENS i roto i te Whakaora Mamae
He wero hauora te rongoā mamae e whanake tonu ana me ngā whanaketanga hangarau me te māramatanga ake ki ngā tikanga mamae. Ko tētahi tikanga kua aro nuitia ko te whakamahinga o te Transcutaneous Electrical Nerve Stimulation (TENS). He taputapu kore-whakaeke te TENS e whakamahia ana hei āwhina i te whakaiti i te mamae mā te whakaoho hiko e tukuna ana mā te kiri (mā roto i te kiri). Ka matapakihia e tēnei tuhinga te whakamahinga o te TENS i roto i te rongoā mamae, tae atu ki tōna tikanga mahi, ngā tono haumanu, ngā painga, me ētahi whakaaro nui.
Tikanga Mahi
Ko te mahi a TENS mā te tuku i ngā irahiko auau-iti mā roto i ngā irahiko kua whakatakotoria ki te kiri e tata ana ki te wāhi mamae. Ko te tikanga matua o TENS e rua ngā ariā matua:
1. Ariā Whakahaere Kūaha o te Mamae: I whakatakotoria tēnei ariā e Melzack rāua ko Wall i te tau 1965. Ko te tikanga, e kī ana tēnei ariā ko ngā muka io nui (A-beta) me ngā muka io iti (A-delta me C) te kawenga mō te tuku tohu mamae ki te roro. Mā te whakaoho i ngā muka io nui, ka taea e te TENS te kati i ngā kuaha i roto i te taurakira, ā, ka whakaiti i te tuku tohu mamae mai i ngā muka io iti ki te roro. He rite tēnei ki te ngau o te maihao whara ka taea te whakaiti i te mamae nā te mea ka tahuri te arotahi o te roro i te whakaoho i tētahi atu wāhi.
2. Te Ariā Tukunga Endorphin: E whakaponohia ana hoki ka whakanui ake a TENS i te tukunga o ngā endorphin me ngā enkephalin, arā, ngā matū taiao i roto i te tinana e mahi ana hei whakamamae mamae. Ka herea ngā endorphin ki ngā kaiwhakawhiwhi opioid i roto i te roro me te taurakira, ka puta he pānga whakamamae rite ki ngā rongoā opioid engari kāore he pānga kino.
Ngā tono haumanu
E whakamahia ana te TENS i roto i ngā momo āhuatanga hauora hei whakaiti i te mamae. Ko ētahi o ngā whakamahinga haumanu noa ko:
1. Mamae Uaua: Ko te mamae uaua me te hononga, tae atu ki ngā mate mau tonu pēnei i te osteoarthritis me te fibromyalgia, he pai te urupare ki te rongoā TENS. He maha hoki ngā painga o te whakamahinga TENS ki ngā tūroro e mamae ana te tuara, te kaki, te pakihiwi rānei.
2. Mamae Neuropathic: Ka taea e ngā āhuatanga pēnei i te neuropathy mate huka, te complex regional pain syndrome (CRPS), te post-herpes zoster neuralgia rānei te whakararu i te mamae nui me te uaua ki te rongoā. Ka taea e te TENS te āwhina ki te whakaiti i te mamae i roto i ēnei āhuatanga mā te whakarerekē i te tuku tohu mamae.
3. Mamae i muri i te pokanga: Ko te mamae tētahi o ngā amuamu matua a ngā tūroro i muri i te pokanga. Mā te whakamahinga o te TENS i te wā i muri i te pokanga ka āwhina i te whakaiti i te whakamahinga o ngā mea whakamamae mamae me te tere ake o te whakaoranga.
4. Mamae o te Paheketanga: Ka pāngia ētahi wāhine e te mamae nui o te paheketanga (dysmenorrhea). Kua whakaatuhia te whai huatanga o TENS ki te whakaiti i te mamae o te paheketanga i roto i ētahi wāhine.
5. Te Mamae i te Wā e Hapū ana, e Whānau ana hoki: He maha ngā rangahau kua whakaatu ka taea te whakamahi i te TENS hei whakaiti i te mamae i te wā e whānau ana, ahakoa me tūpato te whakamahinga, me te tirotiro tata hoki e te rata.
Ngā Painga o te Whakamahi i te TENS
He maha ngā painga o te whakamahinga o te TENS hei rongoā mamae, tae atu ki:
1. Kāore e pokanoa: He tikanga kore pokanga te TENS, arā, kāore e hiahiatia he pokanga, he werohanga rānei. Nā tēnei he kōwhiringa haumaru, he iti hoki te mōrearea.
2. Ngā Pānga Taha Iti: Ki te whakatauritea ki ngā rongoā whakamamae mamae, ka pā mai pea ngā pānga taha pēnei i te whakapairuaki, te whanoke, te mōrearea rānei o te whakawhirinaki ki te rongoā, he iti noa iho ngā pānga taha o TENS. Tērā pea ka pāngia ētahi tūroro e te mumura iti o te kiri i ngā wāhi e whakatakotoranga ana te hikohiko, engari he onge tēnei.
3. Ngāwari ki te Whakamahi: He ngāwari te kawe i ngā taputapu TENS, ā, he ngāwari hoki ki te whakamahi, ahakoa i te kāinga. Ka taea te hoatu tohutohu tika ki ngā tūroro mō te whakahaere i te taputapu, kia taea ai e rātou te whakahaere i ō rātou ake mamae.
4. Te Whai Huatanga: He maha ngā rangahau kua whakaatu he whai hua te TENS ki te whakaiti i te mamae, ahakoa ka rerekē te taumata whai huatanga i runga i te tangata me te momo mamae e pā ana.
5. Te Whakaiti i te Whakawhirinaki ki te Rongoā: Mā te whakamahi i te TENS, ka taea e ētahi tūroro te whakaiti i te nui o te rongoā mamae e hiahiatia ana e rātou, ā, ka whakaiti i te tūponotanga o ngā pānga taha me te whakawhirinaki.
Ngā Whakaaroaro mō te Whakamahi i te TENS
Ahakoa he maha ngā painga o TENS, he mea nui kia maumahara ki ētahi whakaaro nui:
1. Ētahi Āhuatanga Hauora: Kāore i te tūtohutia te TENS mō ngā āhuatanga hauora katoa. Me kōrero ki te tākuta ngā tūroro he mate manawa kei a rātou, he taputapu whakatere, ngā wāhine hāpu (ina koa i te toru marama tuatahi o te hapūtanga), me ngā tūroro he mate haurangi i mua i te whakamahi i te TENS.
2. Te Whakanohonga Irahiko: Ka taea e te whakanohonga irahiko hē te whakaiti i te whai huatanga, te whakararuraru rānei. Me āta whai i ngā tohutohu whakanohonga irahiko, ā, me āwhina pea koe e tētahi tohunga hauora.
3. Te Rerekētanga o te Tauhohenga Takitahi: Ka rerekē pea te urupare ki te TENS i waenga i ngā tāngata takitahi. Tērā pea ka nui te whakamamae i te mamae o ētahi tūroro, ko ētahi ia kāore pea e kite i tētahi huringa nui. He mea tika kia whakarerekētia ngā tawhā pēnei i te auau, te kaha, me te roa o te whakaohooho kia tutuki ai ngā hua tino pai.
4. Ngā Here o te TENS i roto i te Mamae Mau tonu: Ahakoa he whai hua te TENS mō ētahi momo mamae mau tonu, kāore pea ētahi tūroro e pāngia ana e te mamae mau tonu uaua e pai ake ana mā te TENS. He mea nui te aromatawai me te huarahi maha-mātauranga hei whakahaere i te mamae mau tonu.
5. Te wā: Kāore e puta tonu mai ngā hua o te TENS i ngā wā katoa. Tērā pea me maha ngā wā whakangungu mō ētahi tūroro i mua i te wheako i ngā hua katoa. Ko te manawanui me te auau te mea nui.
Whakamutunga
Mā te Whakaoho Hiko Whakawhiti-kiri (TENS) ka taea te whakamahi hei whakahaere i ngā momo mamae, kāore e pokanoa, ā, he iti noa iho te pokanoa. Mā te whakamahi i ngā mātāpono o te Gate Control Theory of Pain me te Endorphin Release Theory, ka taea e TENS te whakaora i te mamae i roto i ētahi āhuatanga hauora. Heoi, me āta whakamahi, me te whai whakaaro ki ngā āhuatanga hauora takitahi, me te arahi hoki a tētahi tohunga hauora whai tohu. Mēnā he tika te huarahi, ka taea e TENS te whakamahi hei taputapu whai hua i roto i ngā rongoā mamae, hei āwhina i ngā tūroro ki te whakapai ake i te kounga o ō rātou oranga me te kore e whakawhirinaki ki te rongoā.
