Yiziphi Izinzuzo Eziqinisekisiwe Zokwelashwa Nge-Red Light Laser Kwamahhashi

Uma uke wachitha isikhathi useduze namahhashi, uyazi iqiniso elilodwa elivamile: lezi zilwane ezinamandla nezinhle zibuthakathaka ngokumangalisayo uma kukhulunywa ngemilenze yazo, amalunga, kanye nezicubu ezithambile. Ukucindezeleka okuncane kwemisipha kungavimbela ihhashi elisebenza kahle izinyanga eziningi. Isilonda esiphola kancane singaphenduka inkinga enkulu.

Yingakho ukwelashwa nge-laser ebomvu (i-RLT) yamahhashi kuye kwaba ngenye yamathuluzi okululama akhulunywa kakhulu ngawo kwezokwelapha ngezimoto zamahhashi eminyakeni eyishumi edlule. Kusukela kumahhashi ezemidlalo asezingeni lama-Olympic kuya kubangane abathandekayo bomzila, abanikazi abaningi nodokotela bezilwane baphendukela kulolu hlobo lokwelapha olungangenisi ukutheleleka ukuze basheshise ukuphulukiswa nokuphatha ubuhlungu obungapheli.

Kodwa ingabe iyasebenza ngempela? Futhi uma kunjalo, uyisebenzisa kanjani ngendlela efanele? Lo mhlahlandlela uchaza konke ngesayensi, ukusetshenziswa kwayo, kanye nendlela yokwenza ukuze ukwazi ukwenza isinqumo esinolwazi ngehhashi lakho.

Kuyini Ukwelashwa Kokukhanya Okubomvu Futhi Kusebenza Kanjani?

Ukwelashwa nge-laser yokukhanya okubomvu (i-RLT), okwaziwa nangokuthi i-photobiomodulation (i-PBM) noma ukwelashwa nge-laser okuphansi (i-LLLT), kusebenzisa ubude besikhathi obuthile bokukhanya okubomvu nokuseduze kwe-infrared ngokuvamile phakathi kuka-630nm no-850nm ukukhuthaza ukulungiswa kwamaseli nokunciphisa ukuvuvukala.

Nansi i-biology elula: wonke amaseli emzimbeni wehhashi lakho aqukethe i-mitochondria, izitshalo zamandla ezincane ezikhiqiza i-adenosine triphosphate (ATP) amaseli emali yamandla adinga ukusebenza, ukulungisa, nokuvuselela. Lapho izicubu zonakele, umsebenzi we-mitochondrial uyehla. Ama-photon okukhanya abomvu naseduze kwe-infrared angena esikhumbeni futhi amuncwa yi-molecule ebizwa ngokuthi i-cytochrome c oxidase ngaphakathi kwe-mitochondria, empeleni avuselela injini yeseli.

Imiphumela engezansi ihlanganisa:

Ukukhiqizwa kwe-ATP okwandisiwe: - Amaseli anamandla engeziwe okuzilungisa.

Ukunciphisa ukucindezeleka kwe-oxidative: - Umonakalo omncane wama-free radical ezicutshini ezilimele.

Ukugeleza kwegazi okuthuthukisiwe: - Ukujikeleza kwegazi okuthuthukisiwe kuletha umoya-mpilo omningi kanye nezakhamzimba.

Ukuvuvukala okuguquliwe: - Impendulo yokuvuvukala ilawulwa, ayicindezelwa ngokuphelele.

Ukwenziwa kwe-collagen okukhuthaziwe: - Kubalulekile ekulungisweni kwemisipha, imisipha, kanye nesikhumba.

Kungani Amahhashi Engabantu Abafanelekayo Bokwelashwa Kokukhanya Okubomvu

Amahhashi anezinselele eziyingqayizivele uma kukhulunywa ngokululama. Isisindo sawo esikhulu somzimba sibeka ingcindezi njalo ezicutshini zokuphulukisa. Awakwazi ukuphumula embhedeni amasonto ayisithupha. Futhi izitho zawo ezingezansi zinokunikezwa kwegazi okuncane kakhulu, okunciphisa ukuphulukiswa kwemisipha, imisipha, kanye nezinselo.

• Ukujula kokungena kubalulekile:

• Amaza okukhanya aseduze kwe-infrared (810-850nm) angangena ngamasentimitha angu-4-5 ezicutshini, afinyelele imisipha ejulile kanye namalunga ngisho nasesikhumbeni nasebusweni obukhulu behhashi.

• Ayihlaseli futhi ayinazo izingcindezi:

• Ngokungafani nemijovo noma imithi yomlomo, i-RLT ayidingi ukudambisa noma ukuzibamba. Iningi lamahhashi lima ngokuthula ngesikhathi sokwelashwa amaningi abonakala ekhululekile.

• Akukho ukusebenzisana kwezidakamizwa noma izikhathi zokuziyeka:

• Kumahhashi ancintisanayo, lokhu kukhulu. Azikho izidakamizwa ezivinjelwe ezihilelekile, awekho amathuba okuhoxisa izidakamizwa okufanele uwaphathe ngaphambi kwemicimbi.

• Okuhambisana nezinqubo ezikhona:

  
  
• I-RLT isebenza kanye nokunakekelwa kwezilwane, hhayi njengokufaka esikhundleni. Ithuthukisa ukuphulukiswa kwemvelo komzimba ngaphandle kokuphazamisa ezinye izindlela zokwelapha.

Ukusetshenziswa Okuvamile Kokwelashwa Kokukhanya Okubomvu Kwamahhashi

Ukwelashwa nge-laser ebomvu kuye kwazuza amandla amakhulu ezinsizakalweni eziningana kumahhashi:

Ukulimala Kwemisipha Nemisipha

Kungashiwo ukuthi yilapho ukwelashwa kwamahhashi ngokukhanya okubomvu kuye kwathola khona ukudonseka okukhulu. Ukulimala kwe-digital flexor tendon (SDFT) okungaphezulu kanye nokulimala kwe-suspensory ligament kuphakathi kokulimala okuvamile nokukhungathekisayo kwehhashi. Ukwelashwa kuhamba kancane ngenxa yokutholakala kwegazi okulinganiselwe, futhi amazinga okulimala kabusha aphezulu ngendlela eshaqisayo.

Ngokwezinto ezingokoqobo, odokotela bezilwane abaningi bezilwane manje sebefaka ukwelashwa kokukhanya okubomvu ezinhlelweni zokuvuselela imisipha, ikakhulukazi ngesikhathi sesigaba esibalulekile sokuphulukiswa kwasekuqaleni lapho kumiswa ukuhambisana kwe-collagen.

Ubuhlungu Bamalunga kanye ne-Osteoarthritis

I-osteoarthritis yamahhashi ivame kakhulu, ikakhulukazi emahhashini asebenzayo kanye nezilwane ezigugayo. Ama-hocks, ama-stifles, ama-fetlocks, kanye nama-coffin joints yizindawo ezivame ukuba nezinkinga.

Ukwelashwa ngokukhanya okubomvu kusiza ukuphatha ubuhlungu bamalunga ngezindlela eziningi: ukunciphisa ama-cytokine okuvuvukala ngaphakathi kwe-capsule yamalunga, ukuthuthukisa ukujikeleza koketshezi lwe-synovial, kanye nokunciphisa izimpawu zobuhlungu ezingeni lemizwa. Ucwaningo olulawulwayo lubonise ukuthi i-photobiomodulation inciphise kakhulu amaphuzu okukhubazeka kanye nokuthuthukisa ububanzi bokunyakaza kwamahhashi ane-osteoarthritis eqoshiwe (Ramel et al., 2012).

Kubanikazi bamahhashi ababhekene nehhashi elidala eliqinile njalo, izikhathi ezivamile ze-RLT zingaba ushintsho olukhulu hhayi ekwelapheni isifo samathambo, kodwa zithuthukise induduzo nokuhamba kahle.

Ukwelapha Amanxeba

Amahhashi anethalente lokuzilimaza. Ukusikwa kwezintambo, amanxeba okukhaba, ukusikwa ngokuhlinzwa, ukuphathwa kwamanxeba ehhashi elizidlayo cishe kuyindlela yalo ekhethekile.

Ubufakazi be-RLT ekwelapheni amanxeba buqinile kuzo zonke izinhlobo. Amaza okukhanya okubomvu (630-660nm) akhuthaza ukwanda kwe-fibroblast kanye nokukhiqizwa kwe-collagen, kuyilapho amaza okukhanya aseduze kwe-infrared ehlisa umthwalo wamagciwane futhi alawula isigaba sokuvuvukala. Ucwaningo luthole ukuthi amanxeba aphathwe yi-PBM kumahhashi abonise ukusheshisa kwe-epithelialization kanye nesikhathi sokwelapha esinciphile uma kuqhathaniswa nezilawuli (Petersen et al., 1999).

Inzuzo eyodwa ekhethekile yamahhashi: I-RLT ingasiza ekuvimbeleni izicubu eziqhekekile ngokweqile (inyama eqhoshayo), inkinga evamile ekulimaleni kwezitho zangaphansi zehhashi, ngokukhuthaza ukufakwa kwe-collagen okuhlelekile kunokwakheka kwezicubu ezingafuneki.

Izinkinga Zezinselo

I-Laminitis, i-navicular syndrome, kanye nama-hoop abscesses konke kuhilela ukujikeleza kwegazi okuphazamisekile enselo, isakhiwo esivele sisekupheleni kwendlela ende yokujikeleza kwegazi. Ukwelashwa kokukhanya okuseduze kwe-infrared okusetshenziswa odongeni lwe-coronary band kanye ne-hoop kungathuthukisa ukugeleza kwegazi kwendawo futhi kusekele ukuphulukiswa.

Nakuba izivivinyo ezinkulu zemitholampilo ikakhulukazi ezimweni zezinzwane zehhashi zisalinganiselwe, isizathu sobuchwepheshe sinamandla, futhi imibiko emfushane evela kodokotela bezilwane kanye nodokotela bezilwane ihlala ilungile. Odokotela abaningi basebenzisa i-RLT njengengxenye yenqubo ephelele yokuphathwa kwe-laminitis kanye nokunciphisa okulungisayo, imithi yokulwa nokuvuvukala, kanye nokuphathwa kokudla.

Ubuhlungu Bomhlane Nobuhlungu Bemisipha

Amahhashi asebenza kahle avame ukuba nobuhlungu emhlane, ukucindezeleka kwemisipha, kanye namaphuzu okucindezela imisipha. Ukwelashwa ngokukhanya okubomvu okusetshenziswa endaweni ephezulu, esifundeni se-lumbar, kanye nemisipha ye-gluteal kunganciphisa ukuqaqamba kwemisipha, kuthuthukise ukujikeleza kwegazi kwendawo, futhi kusheshise ukululama ngemva komsebenzi onzima. Izisebenzi eziningi zomzimba zamahhashi kanye nodokotela be-physiotherapists manje basebenzisa amaphaneli e-RLT njengengxenye yamathuluzi abo okwelapha.

Buthini Ubufakazi Bezokwelapha?

Masibe qotho ngokuthi isayensi imi kuphi. Isisekelo sebhayoloji yokuguqulwa kwe-photobio sisekelwe kahle ezifundweni eziningi. Ubufakazi kwezokwelapha kwabantu buqinile, ikakhulukazi ngobuhlungu bemisipha, ukuphulukiswa kwamanxeba, kanye nokuvuvukala.

Ocwaningweni oluqondene nezilwane zasolwandle, ubufakazi obuningi buyakhula kodwa busebuncane kunalokho esingathanda. Okutholakele okubalulekile kufaka phakathi:

• Ukwelashwa kwemisipha:

• Izifundo eziningi zibonisa ukuhleleka kwe-collagen kanye namandla ayo athuthukisiwe (Dahlgren et al., 2005; Pluhar et al., 2004).

• Ukunciphisa ubuhlungu:

• Izifundo ezilawulwayo zibonisa ukwehla kwamaphuzu okukhubazeka kwamahhashi ane-arthritis (Ramel et al., 2012).

• Ukwelashwa kwenxeba:

• Ukuvalwa okusheshayo kanye nezinkinga ezincishisiwe ezilonda zezilwane zamahhashi (Petersen et al., 1999).

• Imiphumela yezinga leselula:

• Izifundo ze-in vitro kumaseli e-equine ziqinisekisa ukwanda okukhulu kanye nomsebenzi we-metabolic ekuphenduleni i-PBM (Zielinska et al., 2020).

Ingabe kudingeka ucwaningo olwengeziwe? Impela. Kodwa ubufakazi obukhona, obuhlanganiswe nokuqonda okuqinile kwemishini kanye nephrofayili yokuphepha enhle kakhulu, buyicala elinamandla.

Ukukhetha Idivayisi Engcono Kakhulu Yokwelapha Nge-Red Light Laser Yamahhashi

Akuwona wonke amadivayisi okwelapha ngokukhanya okubomvu adalwe ngokulinganayo. Ukuze kusetshenziswe amahhashi, udinga amandla anele (ukukhazimula) ukuze ulethe umthamo wokwelapha ngesikhathi esifanele sokwelashwa. Amadivayisi amancane asetshenziswa ngesandla aklanyelwe ukunakekelwa kwesikhumba kwabantu ngeke akwenze kube nzima ngoba umzimba wehhashi mkhulu kakhulu futhi izicubu zijule kakhulu.

Izici Okufanele Uzicabangele:

• Ubude bamagagasi:
• Inhlanganisela yamaza okukhanya abomvu (630-660nm) kanye namaza acishe abe yi-infrared (810-850nm).
• Ubuningi bamandla:
• Okungenani ama-50-100 mW/cm endaweni yokwelapha.
• Indawo yokwelapha:
• Amaphaneli noma ama-pad amakhulu amboza indawo eningi ngeseshini ngayinye.
• Ikhwalithi yokwakha:
• Amahhashi awamnene ngemishini. Ukuqina kubalulekile. Amadivayisi kufanele angangeni uthuli futhi akwazi ukumelana nokugudluzwa yihhashi.

Izincomo Eziqondile:

• Amadivayisi Okwelapha Nge-Sunglor LED:
• I-Sunglor inikeza imikhiqizo yokwelapha nge-LED eyenzelwe ukuphepha, ukulethwa komthamo ophezulu, ukukhishwa kwe-EMF okuphansi, kanye nokusebenza okungenaziphazamisi. Lawa madivayisi akhelwe ukumelana nezimo ezinzima zesibaya.
• Iphaneli Yezilwane Ezifuywayo zaseSunglor Lumera:
  • Yakhelwe ngokukhipha ubude obuphindwe kabili kanye nendawo enkulu yokumboza, ilungele ukwelapha umhlane, izinqe, kanye nezinhlelo zokusebenza zemilenze engezansi ezidinga ukuthintana njalo endaweni ebanzi yokwelapha.

Indlela Yokusebenzisa Ukwelashwa Okubomvu Ehhashini Lakho

• Ukukhethwa Kwedivayisi:

• Funa inhlanganisela efanele yamaza okukhanya, ubuningi bamandla, kanye nokuqina. Khetha idivayisi esezingeni eliphezulu eyenzelwe ngqo ukusetshenziswa kwenqola, ukuqinisekisa ukuthi ihlangabezana nezidingo zokukhanya ezidingekayo.

• Iphrothokholi Yokwelapha:

• Ubude besikhathi:

  • Kuye ngokuthi idivayisi yakho ikhipha amandla kangakanani. Iphaneli enamandla kakhulu inganikeza umthamo wokwelapha ngemizuzu emi-5-10 endaweni ngayinye, kuyilapho idivayisi enamandla amancane ingadinga imizuzu eyi-15-20.

• Amathiphu Awusizo:

  
  
  • Sika noma bhulasha indawo yokwelapha uma uboya bukhulu noma bungcolile futhi imfucumfucu inciphisa ukudluliselwa kokukhanya.
  • Phatha endaweni ethule lapho ihhashi lingaphumula khona.
  • Qala ngezikhathi ezimfushane zokulimala okukhulu bese welula isikhathi sokulawula ubuhlungu obungapheli.
  • Hlanza isikhumba kahle ngaphambi kokwelashwa. Amaconsi amanzi kanye nemfucumfucu kungavimbela ukungena kokukhanya.
  • Sebenzisa indlela yokuthintana engaguquki , kungaba ukuthinta isikhumba ngqo noma ukuphakamisa kancane idivayisi ibanga elingamasentimitha angu-1-2.

Iphrothokholi Yokwelapha Yesampula Yezindawo Ezihlukene:

Umhlane kanye ne-Topline: Ukwelapha Imisipha Ebuhlungu kanye Nezinhlungu Zokuqabulana

1. Indawo:

2. Thola indawo engemuva kwesihlalo noma noma yiliphi iphuzu lokuqina (umugqa ophezulu).

3. Indlela Yokusebenza:

4. Sebenzisa i-Light Therapy Pad enkulu. Uma usebenzisa idivayisi encane ephathwa ngesandla, sebenzisa i-"Grid Scanning Method," ubambe idivayisi phezu kwengxenye ngayinye yemisipha imizuzu eyi-10-15 ngaphambi kokuthuthela endaweni elandelayo.

5. Isikhathi:

6. Ingasetshenziswa ngaphambi noma ngemva kokuzivocavoca. Ngaphambi kokugibela kusiza ekufudumaleni kwemisipha; ngemva kokugibela kusiza ekususeni i-lactic acid.

Imilenze Nemisipha: Izinqubo Zokusebenza Kwemisipha Egobile

1. Ukugoqa:

2. Sebenzisa i-Light Therapy Leg Wrap eguquguqukayo eyenzelwe amahhashi. Lokhu kuqinisekisa ukumbozwa kwama-fiber alimele ngama-degree angu-360.

3. Isikhathi:

4. Izikhathi zivame ukuthatha imizuzu eyi-15-20.

5. Qaphela:

6. Uma kwenzeka ukulimala okukhulu kwemisipha, faka ukwelashwa ngemva kokufaka umbhobho obandayo (uma umlenze usubuyele ekushiseni okuvamile) noma ngaphambi kokufaka amajeli okupholisa.

Ama-Hooves: Izinkinga ze-Laminitis kanye ne-Navicular

1. Indawo:

2. Beka idivayisi eduze kwe-coronary band kanye nama-bulb esithende. Lezi yizindawo ezibalulekile zokungena emithanjeni yegazi ehambisa unyawo.

3. Umgomo:

4. Khulisa ukugeleza kwegazi ezinselweni futhi usize ekukhipheni izinto ezibangela ukuvuvukala.

Amanxeba Nesikhumba: Ukusheshisa Ukwelapha

1. Ukukhetha Imodi:

2. Sebenzisa imodi yokukhanya okubomvu kuphela (uma idivayisi yakho ivuma). Ukukhanya okubomvu kungcono kakhulu ekulungiseni isikhumba.

3. Ibanga:

4. Bamba idivayisi ibanga elingu-1-2 cm ukusuka enxebeni, noma umboze inxeba nge-clear wrap ehlanzekile ehlanzekile bese ubeka idivayisi ngqo phezulu.

5. Umphumela:

   
   
6. Izifundo zezokwelapha zisikisela ukuthi i-PBM inganciphisa kakhulu ukwakheka kwenyama eqhoshayo kanye nezicubu zesibazi.

Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)

Q1: Ngingawasebenzisa yini ama-pads okwelapha ngokukhanya komuntu emahhashini?A: Ngobuchwepheshe, yebo, kodwa amadivayisi abantu avame ukuba mancane kakhulu futhi awanakho ukuqina okudingekayo endaweni enzima yesibaya. Amadivayisi aqondene nenqola yehhashi avame ukwakhiwa ngamandla amakhulu ukuze angene esikhumbeni nasezinweleni ezijiyile.

Umbuzo 2: Ukwelashwa okulula kusebenza ngokushesha kangakanani kumahhashi?A: Kuye ngesimo. Uma ubuhlungu obukhulu (njengobuhlungu bemisipha), ungase ubone izimpawu zokuphumula (ukukhotha, ukuhlafuna, ukububula) ngemva kweseshini eyodwa noma ezimbili. Uma ulimele imisipha noma ukuphola kwenxeba, ukulungiswa kwezicubu ezibonakalayo ngokuvamile kuthatha amasonto ama-2-4 okusetshenziswa njalo.

Q3: Ungakwazi yini ukweqisa ukwelashwa kokukhanya okubomvu kumahhashi?A: Yebo. Nakuba ungeke ushise ihhashi ngama-LED, ukwelapha ngokweqile kungaholela "ekubuyeni okunciphayo" noma ekuvimbeleni, okubambezela inqubo yokuphulukisa. Namathela etafuleni lomthamo elinconyiwe ngenhla.

Umbuzo 4: Ingabe ukwelashwa okulula kuphephile emehlweni amahhashi?A: Ukukhanya okubomvu ngokuvamile kuphephile, kodwa ukukhanya okuseduze kwe-Infrared (NIR) kungabangela umonakalo wokushisa ku-retina uma ubhekwe ngqo isikhathi eside. Mboza amehlo ehhashi noma uqinisekise ukuthi ukukhanya akuqondi ngqo ku-pupil lapho welapha ikhanda noma eduze kwamehlo.

Isiphetho

Ukwelashwa okulula akuyona imilingo, i-biology eqinile. Ngephrothokholi efanele isikhumba esihlanzekile, ubude be-wavelength obufanele, kanye nomthamo oqhubekayo, amadivayisi we-Sunglor LED Therapy angathuthukisa kakhulu isikhathi sokululama kwehhashi lakho kanye nekhwalithi yokuphila. Ukuze uthole isiqondiso esiningiliziwe, xhumana nodokotela wezilwane wakho bese ulandela inqubo esekelwa yisayensi.