Laser kho yog ib txoj hauv kev los ntawm kev siv lub teeb ci nrog qee yam ntxwv rau kev kho mob. Txhais los ntawm lus Askiv, lo lus "laser" yog txhais raws li ib tug nce nyob rau hauv lub teeb los ntawm stimulated emission. Thawj quantum generator tau tsim nyob rau hauv lub sixties ntawm lub xyoo pua xeem. Cov cuab yeej siv rau kev kho mob laser hauv tebchaws Russia tau pom zoo siv rau hauv kev kho mob hauv xyoo 1974. Laser kho pob qij txha tsis ntev los no tau txais koob meej.
me ntsis ntawm keeb kwm ntawm hluav taws xob laser
Tam sim no thaum kawg ntawm lub xyoo pua puv 19, kev kho mob nrog cov khoom siv dag zog ntawm lub teeb tsis muaj zog. Ib txoj kev kho zoo sib xws tau tsim thiab qhia los ntawm tus kws kho mob physiotherapist N. R. Finsen los ntawm Denmark, uas nws tau txais txiaj ntsig Nobel hauv xyoo 1903. Rau tag nrho lub sijhawm ntawm kev kawm txog qhov notxheej txheem thiab nws txoj kev loj hlob, ntau theem tau ua tiav tiav:
- heliotherapy;
- kho nrog lub teeb;
- laser kho.
Cov txiaj ntsig thiab kev puas tsuaj ntawm kev kho laser sib koom yuav tau tham hauv kab lus no.
Efficiency lees paub
Kev ua tau zoo ntawm cov txheej txheem tau lees paub ntawm thaj chaw qub USSR xyoo 1974. Nyob rau hauv 1986, lub koom haum ntawm Laser tshuaj tau qhib nyob rau hauv Moscow, tam sim no hu ua lub Scientific Center rau Laser tshuaj ntawm tsoom fwv teb chaws kho mob thiab lom lub koom haum ntawm Lavxias teb sab Federation. Ntawm no, cov yam ntxwv ntawm qhov kev txiav txim tau ua tib zoo kawm, thiab cov txheej txheem kho niaj hnub raug tsim. Tam sim no, Russia yog lub ntiaj teb no tus thawj coj nyob rau hauv lub scientific suab, tswv yim siv laser kho, indications thiab contraindications rau nws tau kawm mus rau qhov siab tshaj plaws. Hauv Teb Chaws Asmeskas thiab Europe, cov txheej txheem no tau lees paub hauv xyoo 2003, thiab qhov no yog lub zog rau kev loj hlob ntawm kev siv laser rau kev kuaj mob thiab kev kho mob, nrog rau kev tshawb fawb txog nws cov teebmeem.
Daim ntawv thov
Thaum siv kev kho laser sib koom ua ke, ua tib zoo saib thiab ua tib zoo saib ntawm hom txheej txheem, tsis muaj, mem tes zaus, wavelength, hom thiab lub zog ntawm LILI kev ua haujlwm, zaus, thaj chaw thiab lub sijhawm raug. Tsuas yog tias tag nrho cov cim no raug coj mus rau hauv tus account, kev kho mob yuav muaj kev nyab xeeb tiag tiag thiab siv tau. Tias yog vim li cas nws thiaj paub meej tias cov kws tshaj lij thiab qib kev txawj ntse ntawm tus kws tshaj lij uas ua haujlwm ntawm kev teeb tsa laseryog qhov tseem ceeb. Txawm hais tias muaj tseeb tias cov txheej txheem thiab thev naus laus zis ntawm hom kev kho no yog qhov yooj yim, kev nkag siab meej meej ntawm qhov tshwj xeeb ntawm kev siv laser kho arthrosis ntawm lub hauv caug sib koom yog tsim nyog.
Cov khoom zoo ntawm kev kho laser
Ib qho ntawm qhov zoo ntawm txoj kev no yog ib qho me me ntawm cov contraindications kiag li. Yog hais tias feem ntau ntawm cev xeeb tub, oncology thiab lub hnub nyoog siab ntawm cov neeg mob ua raws li nruj me ntsis txwv tsis pub, ces nrog laser kho lawv kuj raug txwv thiab coj mus rau hauv tus account thaum xaiv nws ntau yam. Cov txheej txheem ntawm kev kho mob laser sib koom suav nrog hauv cov qauv kev kho mob ntawm ntau thaj chaw kho mob.
Mechanisms of laser action
Vim qhov cuam tshuam ntawm LILI thiab vim yog qhov nqus ntawm lub teeb lub zog, cov npe ntawm cov txheej txheem photobiological tau tsim. Ib qho kev nce hauv cov ntsiab lus ntawm cov calcium dawb hauv cov hlwb hauv lub sijhawm luv luv ua rau cov lus teb ntxiv ntawm lub cev rau nws cov cawv:
- ua kom cov txheej txheem metabolic thiab proliferative tshwm sim;
- qhov kev ua ntawm lub cev tiv thaiv kab mob rov qab mus li qub;
- cov nkoj ntawm kev txhim kho, suav nrog kev nthuav dav ntawm lawv cov phab ntsa;
- tshuaj loog nyhuv tshwm sim;
- kev lom zem thiab kev tiv thaiv ntawm tes raug kho;
- nce kev tiv thaiv ntawm ib hom kab mob tsis sib xws;
- txhim kho cov khoom zoo li nontshav li rheological;
- microcirculation yog txhim kho;
- oxygen thiab ntshav thauj mus rau qhov qub;
- cov txheej txheem metabolic tau txhim kho;
- nce proteolytic thiab antioxidant ntshav ua haujlwm;
- daim tawv nqaij rov tsim dua yog qhib;
- hematopoiesis yog stimulated;
- tshuaj tiv thaiv kab mob, detoxifying thiab tiv thaiv kev ua xua, thiab ntau lwm cov cim zoo tuaj yeem taug qab.
Contraindications rau laser kho
Tsis muaj teeb meem yuav tsum tau kho laser ntawm cov pob qij txha yuav tsum tau ua nyob rau hauv cov ntaub ntawv hauv qab no:
- kev tsis nkag siab ntawm tus kheej;
- first trimester ntawm cev xeeb tub;
- qhib TB;
- pathology ntawm thyroid caj pas;
- hematopoietic defects;
- ntshav qab zib;
- xov xwm yeem thiab ntshav qis.
txheeb ze contraindications rau kev kho mob hauv caug laser yog:
- mob hnyav ntawm lub plawv thiab cov hlab ntsha;
- cerebral ncig defects;
- lub raum thiab lub siab tsis ua haujlwm, uas nyob rau theem ntawm decompensation;
- malignant thiab benign qog;
- tuberculosis nyob rau hauv daim ntawv ntev (thaum cais cov kab mobploj lawm).
txheej txheem ntawm kev kho laser
Tus neeg mob tsis muaj kev hnov lus tseem ceeb thaum kho cov pob qij txha. Tsis tas yuav npaj tshwj xeeb. Kev kho mob yog nqa tawm tsuas yog tsis tau mus pw hauv tsev kho mob, tam sim ntawd tom qab tus txheej txheem nws raug tso cai mus tsev. Los ntawm kev siv lub sensor tshwj xeeb, ib qho kev cuam tshuam yog ua rau ntawm qhov projection ntawm lub cev lossis ntawm daim tawv nqaij: ntawm qhov deb, nrog rau kov lub cev nrog thiab tsis muaj compression. Nrog rau txoj kev acupuncture, nws yog ib qhov tsim nyog los xaiv peb mus rau tsib lub ntsiab lus sib haum mus rau pathology, thiab txhua tus ntawm lawv raug cuam tshuam rau ib mus rau peb feeb. Lub sijhawm ntawm tus txheej txheem thiab tus lej ntawm cov txheej txheem yog txiav txim siab ntawm tus kheej.
Contraindications rau kev kho mob laser sib koom yuav tsum tau ua nruj me ntsis saib.
Kev kho mob ua li cas?
Txhua yam kab mob ntawm cov pob qij txha yog qhov txawv ntawm nws tus kheej cov txheej txheem ntawm qhov tshwm sim thiab cuam tshuam rau lub xeev ntawm lub cev tag nrho. Tias yog vim li cas cov kws kho mob siv ntau yam kev npaj laser thiab txoj kev raug rau hauv lawv txoj kev kho mob.
- Yog tias tus neeg mob tau kuaj pom muaj tus kab mob gonarthrosis, coxarthrosis lossis arthrosis ntawm pob qij txha, ces siv txoj kev siv laser beam. Nyob rau hauv cov ntaub ntawv no, cov hluav taws xob maj mam dhau mus raws li lub coordinates teev rau nws. Rau qhov siab tshaj plaws kev cuam tshuam ntawm qhov tsom ntawm tus kab mob, kev siv dej scanning yog siv. Txhawm rau cuam tshuam rau lub ntsej muag, tsis siv neeg scanning yog xav tau nrog kev pab los ntawm cov khoom siv hluav taws xob tshwj xeeb tsim. Cov nyhuv ntawm laser hluav taws xob rau ntawm qhov chaw mobkav rau rau yim feeb. Tom qab yim ntu tau ua tiav lawm, thawj cov cim qhia ntawm kev rov qab tshwm sim: qhov tawv nqaij ntawm qhov txav tau raug tshem tawm thiab lawv qhov qub rov qab los, qhov mob ploj mus.
- Kev kho sib xyaw (magnetic-laser) pab kom kov yeej cov theem hnyav ntawm coxarthrosis thiab arthrosis. Vim muaj kev sib nrig sib cuam tshuam ntawm lub laser beam thiab qhov chaw sib nqus tas li, muaj qhov cuam tshuam rau lub cev. Cov hluav taws xob no nkag mus rau yim caum mus rau ib puas millimeters rau hauv cov ntaub so ntswg.
- Helium neon laser yog siv los tshem tawm periarthritis. Qhov kev tsim no yog qhov tshwj xeeb thiab tsim cov wavelengths mus txog 0.6328 nm. Ua tsaug rau cov kab hluav taws xob infrared, electromagnetic, photochemical thiab thermal teebmeem. Tom qab kaum ntu tau ua tiav, kav ntev li ntawm peb mus rau tsib feeb, kev puas tsuaj ntawm cov ntaub so ntswg nres, nkag mus ntawm microelements uas yuav tsum tau ua hauv lub cev rov pib dua, cov txheej txheem tiv thaiv kab mob tau txhawb nqa thiab cov txheej txheem tshiab ntawm capillaries yog tsim nyob rau hauv cov hlab ntsha..
txiaj ntsig ntawm kev kho mob
Lub teeb laser hauv kev kho mob hip laser txhawb ntau yam kev hloov pauv ntawm lub cev thiab tshuaj lom neeg zoo. Nyob rau hauv cov ntaub so ntswg, vim yog cov nyhuv ntawm cov txheej txheem no, cov txheej txheem biochemical loj tau ua tiav uas yog tsom rau kev rov zoo:
- ua kom lub cev ua haujlwm;
- txhim kho cov ntaub so ntswg paj hlwb;
- nrawm metabolism;
- tshem tawm qhov mob syndrome;
- tshuaj tiv thaiv yog tsim los pabtiv thaiv kab mob hauv lub cev thiab kev tsis haum tshuaj.
Ib qho ntawm cov txiaj ntsig tseem ceeb ntawm kev kho laser ntawm lub hauv caug sib koom ua ke raws li kev tshuaj xyuas yog txo qis kev siv tshuaj ntau hauv cov kab mob sib koom ua ke.
Txoj cai ntawm kev raug laser
Qhov ua tau zoo ntawm kev kho laser nyob ntawm ntau yam. Yog tias koj paub cov yam ntxwv no, koj tuaj yeem zam kev kho tsis zoo.
- Kom tau txais lub hom phiaj tiag tiag thiab ua tiav cov txiaj ntsig, cov kws tshaj lij tsim nyog ib txwm siv ntau lub tshuab laser nrog qhov sib txawv electromagnetic yoj ntev, tsis tu ncua thiab hloov pauv.
- Tsuas infrared pulsed radiation yog siv rau kev kho mob ntawm articular ntaub so ntswg.
- hom kev kho no yuav tsum tau ua tsuas yog thaum sawv ntxov, vim tias lub sijhawm no lub paj hlwb muaj kev xav zoo.
- Thaum lub sijhawm sib tham, tsis muaj qhov xwm txheej twg yuav tsum tau txhaj tshuaj tag nrho cov hluav taws xob ntau ntxiv, vim qhov no yuav ua rau muaj kev cuam tshuam loj heev hauv kev sib koom ua ke.
- Yog hais tias muaj kev sib kis ntawm cov kab mob sib koom ua ke, nws yuav tsum tau tig mus rau kev tswj cov mem tes, txawm li cas los xij, cov koob tshuaj yuav tsum me me.
- Yog tias tus kab mob no tshwm sim los ntawm kev kawm ntev, qhov kev siv ntawm cov nyhuv laser tau nce ntau zaus.
- Thaum cov ntsiab lus acupuncture yog irradiated, cov nyiaj them poob haujlwmkev ua haujlwm, kev tiv thaiv nce ntxiv.
- Siv cov nqaj hauv zos hauv thaj tsam ntawm pathology txhim kho cov ntshav ncig. Qhov no muab cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob thiab tshuaj tiv thaiv edematous.
- Yog tias koj tso lub emitter rau ntawm daim tawv nqaij, qhov kev nkag mus ntawm lub teeb laser los ntawm cov ntaub so ntswg yuav nce ntxiv.
- Qhov tshwm sim ntawm cov hluav taws xob hluav taws xob ntawm kev sib koom ua ke yog txiav txim siab los ntawm qhov zaus ntawm laser pulses.
Cov teeb meem ntawm kev kho laser
Tej zaum yuav muaj qhov mob ntxiv thaum lub sij hawm kho laser ntawm lub xub pwg leeg. Nws feem ntau tshwm sim vim tsis ua raws li cov txheej txheem xav tau, nrog rau yog tias tus neeg mob muaj tus yam ntxwv ntawm tus kheej.
kiv taub hau thiab mob taub hau tuaj yeem tshwm sim. Hauv qhov no, qhov rhiab heev rau lub cuab yeej lossis nws qhov kev puas tsuaj kuj cuam tshuam.
Tsis tas li ntawd, hyperthermia tuaj yeem ua tau vim yog lub siab tso tawm cov co toxins rau hauv cov hlab ntsha thiab lawv cov kev tshem tawm ntxiv ntawm lub cev. Tab sis feem ntau cov tshuaj tiv thaiv no dhau mus, thiab yog li kev kho mob tsis tas yuav tsum tau muab tso tseg.
