Electrical qhov muag stimulation: lub hom phiaj, txheej txheem, indications, contraindications thiab tshwm sim

Cov txheej txheem:

Electrical qhov muag stimulation: lub hom phiaj, txheej txheem, indications, contraindications thiab tshwm sim
Electrical qhov muag stimulation: lub hom phiaj, txheej txheem, indications, contraindications thiab tshwm sim

Video: Electrical qhov muag stimulation: lub hom phiaj, txheej txheem, indications, contraindications thiab tshwm sim

Video: Electrical qhov muag stimulation: lub hom phiaj, txheej txheem, indications, contraindications thiab tshwm sim
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Anonim

Hluav taws xob qhov muag stimulation yog ib txoj kev kho mob ntawm lub cev, uas yog ua raws li qhov kev txiav txim ntawm hluav taws xob impulse tam sim no. Hauv ophthalmology, nws yog siv los ua cov leeg nqaij ntawm lub qhov muag, lub paj hlwb thiab lub retina. Qhov no yog cov txheej txheem niaj hnub, xis nyob thiab yog ib qho zoo tshaj plaws. Txoj kev no yog qhov zoo tshaj plaws rau kev tiv thaiv qhov muag tsis pom kev thiab kev kho mob ntawm ntau qhov muag pathologies. Hauv kev xyaum kho mob, hluav taws xob qhov muag stimulation tau siv rau ntau tshaj nees nkaum-tsib xyoo.

electrostimulation ntawm lub qhov muag
electrostimulation ntawm lub qhov muag

Destination

Qhov kev txiav txim ntawm hluav taws xob tam sim no ntawm lub cev muaj zog ntawm lub qhov muag thiab daim tawv muag ua rau kev txhim kho ntawm cov hlab ntsha thiab cov leeg nqaij. Qhov no yuav pab kom ua tiav qhov normalization ntawm cov leeg nqaij, thiab, ntxiv rau, txhim kho lawv cov kev ua haujlwm ncaj qha nrog cov phooj ywg qhov muag txav (tawm tsam keeb kwm ntawm strabismus), tsa daim tawv muag (nyob rau hauv muaj ptosis), thiab lwm yam.

Actionhluav taws xob stimulation aimed ntawm lub sensory apparatus ntawm lub cev ntawm lub zeem muag (optic paj hlwb thiab retina) yuav pab tau kom tus xov tooj ntawm haumxeeb kev twb kev txuas nrog lub hlwb thiab tsim ib tug loj cov lus teb. Nyob rau tib lub sijhawm, tawm tsam keeb kwm yav dhau los ntawm txhua theem ntawm qhov pom kev tsom xam hauv lub xeev ntawm kev pw tsaug zog, tus naj npawb ntawm cov neurons txo qis. Kev ua kom pom tseeb ntawm excitation tshwm nyob rau hauv occipital lobe ntawm cerebral cortex, paj hlwb tau qhib.

hluav taws xob stimulation ntawm retina yog muab rau dystrophic hloov nyob rau hauv lub paj hlwb thiab retina, amblyopia, myopia, pathologies ntawm oculomotor nqaij (tawm tsam keeb kwm ntawm paresis thiab tuag tes tuag taw).

electrostimulation ntawm lub qhov muag khoom
electrostimulation ntawm lub qhov muag khoom

Kev taw qhia rau hluav taws xob stimulation

Yog tias muaj cov kev kho mob uas tsim nyog (xav tias yuav txhim kho los ntawm kev kho), qhov muag hluav taws xob yog ua rau cov menyuam yaus thiab cov neeg laus. Nrog rau cov kab mob sib txawv ntawm qhov muag, qhov ua tau zoo ntawm txoj kev no txawv nyob ntawm lub hnub nyoog ntawm tus neeg mob thiab lub sijhawm ntawm tus kab mob. Rau cov menyuam yaus hnub nyoog qis dua yim xyoo, kev txhawb nqa hluav taws xob yog ua raws li kev npaj siab ntawm tus menyuam rau hom kev kho mob no (cov lus nug ntawm qhov no yeej ib txwm txiav txim siab ib leeg nrog niam txiv). Cov kab mob uas tag nrho cov txiaj ntsig ntawm kev txhawb nqa hluav taws xob tau raug pov thawj:

  • Atrophy ntawm lub paj hlwb ntawm ntau lub hauv paus chiv keeb (tom qab raug mob, glaucomatous, tshuaj lom, ischemic puas).
  • Kev txhim kho myopia (kev pom ze) hauv tus neeg mob.
  • Nrog spasms ntawm kev pab (tawm tsam keeb kwm ntawm myopia cuav). Qhov no yog ib qho malfunction ntawm ciliary qhov muag nqaij, vim qhov muagtsis paub meej qhov txawv ntawm qhov sib txawv ntawm qhov pom ntawm lub cev.
  • Nrog astheopia. Ntawd yog, tiv thaiv keeb kwm yav dhau los ntawm qhov tsis pom kev tsis pom kev lossis qaug zog uas tshwm sim sai sai thaum lub sijhawm ua haujlwm ntawm lub cev ntawm lub zeem muag (nearsightedness, farsightedness, astigmatism, presbyopia, thiab lwm yam).
  • Tawm tsam keeb kwm ntawm amblyopia, uas yog, nrog kev tsis pom kev tsis pom kev, uas ua haujlwm zoo thiab tsis tuaj yeem kho tau siv cov tsom iav lossis lo ntsiab muag (saib ze, pom deb, astigmatism, congenital cataracts, corneal opacities, thiab lwm yam).
hluav taws xob stimulation nyob rau hauv lub qhov muag
hluav taws xob stimulation nyob rau hauv lub qhov muag
  • Tawm tsam keeb kwm ntawm presbyopia (senile farsightedness). Nyob rau hauv rooj plaub no, peb tab tom tham txog cov hnub nyoog hloov pauv ntawm lub qhov muag tsis pom kev, uas tshwm sim ze rau plaub caug xyoo thiab tau tshwm sim los ntawm kev nyuaj thaum saib cov khoom me me, thaum nyeem cov ntawv kaw, uas tau luam tawm hauv cov ntawv me me.
  • Raws li ib feem ntawm kev tiv thaiv kev kho mob rau cov neeg ua haujlwm hauv qhov muag hom.
  • Tawm tsam keeb kwm yav dhau los ntawm kev pom lub ntsej muag lub ntsej muag, uas tshwm sim hauv tsib caug feem pua ntawm cov neeg siv PC. Xws li ib tug syndrome tshwm sim nws tus kheej raws li ib tug txo nyob rau hauv lub qhov muag acuity, qhov tsos ntawm pos huab, thiab, nyob rau hauv tas li ntawd, ib tug ua txhaum ntawm lub peev xwm pom tej yam khoom los yog ntawv nyeem nyob rau hauv sib txawv deb. Nws raug nquahu kom ua cov txheej txheem no thaum muaj ob npaug ntawm cov khoom, tawm tsam keeb kwm ntawm qhov mob thaum txav lub qhov muag, hauv pliaj thiab lub voj voog, qhuav, kub hnyiab hauv qhov muag (nrog xuab zeb hauv ob lub qhov muag), photophobia thiab lwm yam tshwm sim, mus txog qhov tshwm sim ntawm myopia cuav.
  • Nyob hauv keeb kwm yav dhaudystrophic lesion ntawm retina.
  • Nrog retinitis, uas yog ib hom kab mob ntawm cov retina, tshwm sim los ntawm cov xim tsis sib xws ntawm qhov chaw ntawm lub retina. Xws li cov deposits yog qee zaum hu ua pob txha corpuscles thiab tsis pom kev tsis pom kev twilight (nyob rau hauv lub teeb qis), thiab, ntxiv rau, txo qhov pom kev pom.
  • Nyob rau hauv lub xub ntiag ntawm strabismus thiab ptosis.
  • Nyob rau hauv lub xub ntiag ntawm ib tug congenital pathology ntawm lub ntsiab ntawm lub nrig txog kev pom analyzer.
  • Tawm tsam keeb kwm ntawm cataract (kom tiv thaiv qhov tshwm sim ntawm amblyopia thiab npaj rau kev phais).

Contraindications rau hluav taws xob qhov muag stimulation

Txoj kev no kuj muaj qee qhov tsis zoo. Piv txwv li, nyob rau hauv lub xub ntiag ntawm kev puas hlwb puas tsuaj, cov txheej txheem no tej zaum yuav siv tsis tau los yog yuav tsis ua hauj lwm txhua. Nrog kev pab los ntawm cov txheej txheem no, cov kab mob hauv qab no tsis kho, tab sis tsuas yog nws cov txiaj ntsig tseem ceeb raug tshem tawm. Tsis tas li ntawd, muaj contraindications rau kev siv ntawm txoj kev no:

  • Tus neeg mob muaj atrial fibrillation.
  • Kev txhim kho ntawm rheumatism nyob rau theem nquag.
  • Muaj ntshav ntau.
  • Kev tshwm sim ntawm kab mob plawv thiab mob qog noj ntshav.
  • Kev tshwm sim ntawm cov kab mob sib kis.
  • Cov tsos mob ntawm qhov mob tshwm sim.
hluav taws xob stimulation ntawm lub qhov muag nqaij
hluav taws xob stimulation ntawm lub qhov muag nqaij

Nws yog txwv tsis pub siv hluav taws xob stimulation ntawm lub qhov muag los kho cov leeg thiab cov leeg yog tias lawv raug sutured tsawg dua ib hlis dhau los. Nyob rau hauv tsis muaj cov ntaub ntawv no yuav tsum tau siv rau cov leeg nqaij rehabilitation rau cov poj niam cev xeeb tub, txij li thaum tus txheej txheem tuaj yeemprovoke ib qho kev nce hauv uterine suab, uas feem ntau tuaj yeem ua rau nchuav menyuam lossis yug ntxov ntxov (nyob ntawm lub sijhawm gestation).

kev kho mob zoo li cas?

Cov txiaj ntsig los ntawm hluav taws xob stimulation ntawm cov leeg ntawm lub qhov muag, raws li txoj cai, tau ua tiav raws li hauv qab no:

  • Achieve improved visual acuity.
  • Txhim kho qib ntawm qhov pom kev sab nraud.
  • Ua kom muaj kev ruaj khov ntawm lub siab hauv lub cev (nyob rau hauv lub xub ntiag ntawm kev them nyiaj glaucoma).
  • Ntawm lub suab tag nrho ntawm cov leeg oculomotor.
  • Kev nthuav dav ntawm chaw nyob.

Nws yog qhov zoo dua los nyeem cov kev tshuaj xyuas txog hluav taws xob qhov muag ua ntej.

Kuv tuaj yeem tau txais hluav taws xob ntawm lub cev pom kev li cas?

txhawm rau paub txog cov lus qhia rau kev txhawb nqa hluav taws xob, koj yuav tsum tau teem sijhawm nrog tus kws kho qhov muag. Hauv cov chaw kho mob tshwj xeeb, kev txhawb nqa hluav taws xob tau ua raws li kev kho mob qhia thiab tawm tsam keeb kwm yav dhau los ntawm qhov tsis muaj contraindications rau hom kev kho no.

retinal hluav taws xob stimulation
retinal hluav taws xob stimulation

Kev txhawb nqa hluav taws xob ua li cas thiab siv cov cuab yeej twg?

Lawv siv cov cuab yeej tshwj xeeb rau hluav taws xob stimulation ntawm lub qhov muag, uas yog hu ua ophthalmic microprocessor-based hluav taws xob stimulator "ESOM". Txhawm rau txiav txim siab txog tus kheej cov yam ntxwv thiab cov yam ntxwv uas cov txheej txheem yuav ua rau ib tus neeg tshwj xeeb, nws yuav tsum tau ua qhov kev ntsuam xyuas ua ntej.

Tom qab txiav txim siab qhov tsim nyog uas qhov nomanipulation nyob rau hauv ib tug tshwj xeeb tus neeg mob, ib tug ntawm cov sensors ntawm lub apparatus rau hluav taws xob stimulation ntawm lub qhov muag yog txuas mus rau tus neeg mob txhais tes, thiab lwm yam, uas zoo li tus cwj mem cwj mem, yog siv rau tus neeg mob daim tawv muag. Cov txheej txheem stimulation kav li ntawm kaum mus rau kaum tsib feeb. Cov neeg mob tsis hnov mob lossis tsis xis nyob, tab sis tsuas yog pom lub teeb tsis muaj zog (xws li phosphene). Cov txheej txheem yog ua txhua hnub, txhua qhov muag yog muab kev pabcuam cais.

Kev kho mob tau

Raws li ntau qhov chaw, cov txiaj ntsig zoo tom qab thawj chav kawm ntawm kev txhawb nqa hluav taws xob tau pom nyob hauv 25-97% ntawm cov neeg mob, uas ncaj qha nyob ntawm qhov kev puas tsuaj rau qhov pom kev ua haujlwm. Qhov tshwm sim ntawm kev kho mob kav li ntawm rau lub hlis mus rau ob xyoos. Ua kom tiav cov ntaub ntawv muaj, nws tsim nyog hais txog ntau yam kab mob uas cov hluav taws xob stimulation yog tshwj xeeb tshaj yog zoo raws li ib feem ntawm ib qho kev kho mob:

  • Tawm tsam keeb kwm yav dhau los ntawm ib nrab atrophy ntawm cov hlab ntsha ntawm lub paj hlwb tom qab raug mob lub hlwb, nyob rau hauv lub xub ntiag ntawm glaucomatous etiology thiab tshuaj lom puas rau lub paj hlwb. Hauv txhua qhov xwm txheej no, qhov txiaj ntsig zoo tau ua tiav hauv xya caum tsib feem pua ntawm cov neeg mob.
  • Tawm tsam keeb kwm ntawm menyuam yaus amblyopia, qhov ua tau zoo ntawm rau caum txog yim caum feem pua.
  • Nyob rau hauv lub xub ntiag ntawm ib nrab congenital thiab postneuritic atrophy ntawm lub paj hlwb optic, qhov txiaj ntsig zoo tau ua tiav hauv xya caum cuaj feem pua ntawm cov neeg mob.

Nyob rau hauv ib tug xov tooj ntawm cov xwm txheej, tawm tsam keeb kwm ntawm kev pom acuity tsis hloov tom qab thawj chav kawm ntawm kev kho mob, qhov taw qhia electrophysiological txhim kho, uas tuaj yeem suav hais tias yogqhov txiaj ntsig zoo stimulation.

Raws li kev tshuaj xyuas, hluav taws xob qhov muag stimulation rau cov me nyuam tau zoo heev.

txheej txheem hauv me nyuam

Tam sim ua ntej pib txheej txheem, nws tseem ceeb heev kom kuaj xyuas tus neeg kom raug, thiab, ntxiv rau, xaiv txoj hauv kev kho lub cev. Tom ntej no, koj yuav tsum tau npaj tus me nyuam, thiab kev puas siab puas ntsws ib yam nkaus. Qhov no tseem ceeb tshwj xeeb tshaj yog rau cov menyuam yaus hnub nyoog qis dua. Thawj cov txheej txheem feem ntau tso cai rau niam lossis txiv kom txo qis kev ntxhov siab.

electrostimulation ntawm qhov muag tshuaj xyuas
electrostimulation ntawm qhov muag tshuaj xyuas

Duration

Lub sijhawm ntawm txhua qhov kev sib tham, raws li txoj cai, ncav cuag ib teev. Hauv chav kho mob tshwj xeeb, tus menyuam zaum ntawm lub rooj uas lub cuab yeej nyob. Txhua lub sijhawm ua cov txheej txheem, nws ob lub qhov muag yuav tsum tau saib nruj me ntsis rau hauv ib qho screen tshwj xeeb, uas yog coj los ze rau ntawm lub cev pom. Qee txoj hauv kev siv tsom iav tshwj xeeb.

Raws li txoj cai, tus menyuam txoj kev kho mob tsis tshua muaj tshaj plaub zaug thiab yuav luag tsis muaj kev kho mob. Cov neeg mob me tuaj yeem muab cov tshuaj pab kom kho tau sai thiab kho qhov tshwm sim, nrog rau cov iav tsom iav tshwj xeeb.

Kev kho mob tshwm sim hauv menyuam yaus

Txawm hais tias qhov mob hnyav npaum li cas, qhov txiaj ntsig zoo ntawm qhov muag hluav taws xob hauv cov menyuam yaus muaj kev xav sai. Txawm li cas los xij, qhov zoo ntawm kev kho mob, ua ntej ntawm tag nrho cov, yuav nyob ntawm seb qhov kev ua kom raug ntawm tus kheej txoj kev npaj, thiab,Tsis tas li ntawd, nyob rau qhov tsis tu ncua ntawm tus menyuam mus ntsib chav physiotherapy. Feem ntau, xws li kho vajtse kho mob ntawm cov menyuam yaus, raws li txoj cai, pab kom ua tiav cov txiaj ntsig hauv qab no:

  • Qhia me nyuam qhov pom kev pom.
  • Txhim kho qhov muag tag nrho nrog rau txo qis qaug zog.
  • Txhim kho cov ntshav kom zoo, thiab, ntxiv rau, cov ntshav ncig hauv cov ntaub so ntswg ntawm lub cev pom.
  • Kev thaiv kev txhim kho ntawm qhov muag ntxiv ntawm tus menyuam.

Yog li, cov kab mob qhov muag hauv cov menyuam yaus yuav tsum tau ua tib zoo saib xyuas thiab ua raws li txhua cov lus qhia uas tus kws kho mob thiab kws kho qhov muag tau sau tseg. Tom qab tag nrho, nws yog ib qho tseem ceeb rau cov niam txiv thiab cov txiv kom nco ntsoov tias qhov tsis xws luag uas tshwm sim thaum ntxov tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus menyuam uas twb dhau los lawm hauv nws lub neej.

cuam tshuam rau ntawm retina

Ua ntej tshaj plaws, cov txheej txheem kev txhawb nqa hluav taws xob tuaj yeem cuam tshuam rau cov leeg ciliary, uas tswj cov txheej txheem ntawm kev tsom cov duab ntawm retina thiab lub xeev ntawm nws cov photoreceptors - cones thiab rods. Thaum lub sij hawm tus txheej txheem, cov kev hloov nyob rau hauv lub neural kev ua si ntawm lub qhov muag pom system tshwm sim. Nyob rau theem ntawm retina, kev ua kom lub luag haujlwm ntawm kev tsim txom cov ntsiab lus tau ua tiav nrog rau kev txhim kho lub zog metabolism. Thiab ncaj qha ntawm theem ntawm cov paj hlwb, nws muaj peev xwm ua tiav qhov kev txhim kho ntawm cov paj hlwb.

hluav taws xob stimulation hauv qab ob lub qhov muag

Cov txiaj ntsig kho tau tiav vim muaj kev cuam tshuam ntawm cov ntaub so ntswg nyob nrog cov hluav taws xob tsawg zaus ntawm lub zog qis. Cov nyhuv no tsis ua rau pomcontractions ntawm nqaij fibers, tab sis ua hauj lwm nyob rau hauv lub cellular theem. Qhov chaw ntawm qhov kev ua ntawm tam sim no txuas mus rau ntawm daim tawv nqaij, cov leeg nqaij, lymphatic thiab cov hlab ntsha. Microcurrents tuaj yeem txhim kho cov ntshav ncig thiab qog ntshav, pab ua kom cov txheej txheem metabolic thiab rov tsim dua tshiab. Ntawm lwm yam, nws muaj cov nyhuv anti-inflammatory.

Cov hauv qab no yog kev tshuaj xyuas ntawm qhov muag hluav taws xob hauv cov menyuam yaus thiab cov neeg laus.

hluav taws xob qhov muag stimulation ntaus ntawv
hluav taws xob qhov muag stimulation ntaus ntawv

Reviews

Kev tshuaj xyuas txog cov txheej txheem no feem ntau yog qhov zoo. Visual acuity txhim kho thiab qhov muag qaug zog yog txo. Cov neeg hauv lawv cov lus tshaj tawm hais tias kev txhawb nqa hluav taws xob feem ntau ua tau zoo, tsis ua rau muaj kev phiv, thiab tsis mob. Muaj tseeb tiag, qee cov neeg mob tau ntxhov siab me ntsis los ntawm lub sijhawm ntawm kev sib tham. Kev pab tiv thaiv keeb kwm yav dhau los ntawm cov txheej txheem no rau cov menyuam yaus pab kho qhov muag sai dua.

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