{"id":4402,"date":"2025-08-11T20:57:09","date_gmt":"2025-08-11T20:57:09","guid":{"rendered":"https:\/\/qelizaesthetics.com\/pemf-an-innovative-treatment-or-a-waste-of-money\/"},"modified":"2025-08-11T20:57:09","modified_gmt":"2025-08-11T20:57:09","slug":"pemf-an-innovative-treatment-or-a-waste-of-money","status":"publish","type":"post","link":"https:\/\/qelizaesthetics.com\/sq\/pemf-nje-trajtim-inovativ-apo-nje-humbje-parash\/","title":{"rendered":"PEMF: Nj\u00eb trajtim inovativ apo nj\u00eb humbje parash?"},"content":{"rendered":"
Terapia me fush\u00eb pulsuese elektromagnetike (PEMF) \u00ebsht\u00eb nj\u00eb form\u00eb e terapis\u00eb fizike e p\u00ebrdorur n\u00eb fush\u00ebn fizioterapeutike q\u00eb p\u00ebrdor vetit\u00eb e fushave magnetike ose elektromagnetike p\u00ebr t\u00eb zvog\u00ebluar simptomat e gjendjeve inflamatore muskulore dhe gjendjeve traumatike ose kronike t\u00eb kockave. Ky artikull p\u00ebrmbledh parimet e funksionimit t\u00eb PEMF-s\u00eb, mekanizmat biologjik\u00eb dhe konsideratat sh\u00ebndet\u00ebsore q\u00eb duhen marr\u00eb n\u00eb konsiderat\u00eb para se t\u00eb aplikohet, si dhe zbatimet e saj m\u00eb t\u00eb zakonshme klinike.<\/div>\n
\n

PEMF, i njohur edhe si stimulim magnetik me fush\u00eb t\u00eb ul\u00ebt (LFMS), \u00ebsht\u00eb nj\u00eb trajtim jo-invaziv q\u00eb p\u00ebrdor fusha elektromagnetike p\u00ebr t\u00eb p\u00ebrmir\u00ebsuar aspekte t\u00eb sh\u00ebndetit dhe mir\u00ebqenies s\u00eb p\u00ebrgjithshme. PEMF bazohet n\u00eb parimin se fushat elektromagnetike mund t\u00eb ndihmojn\u00eb n\u00eb trajtimin e frakturave t\u00eb kockave duke nxitur sintez\u00ebn e matric\u00ebs jasht\u00ebqelizore skeletore. Si rezultat, propozohet q\u00eb PEMF mund t\u00eb zvog\u00ebloj\u00eb inflamacionin dhe dhimbjen dhe t\u00eb nxis\u00eb riparimin e indeve duke rritur aft\u00ebsin\u00eb e qelizave skeletore p\u00ebr t\u00eb leht\u00ebsuar sh\u00ebrimin e frakturave. N\u00eb fakt, terapia PEMF \u00ebsht\u00eb miratuar nga Administrata e Ushqimit dhe Barnave (FDA) q\u00eb nga viti 1979 p\u00ebr trajtimin e gjendjeve ortopedike, t\u00eb tilla si frakturat e kockave, mosbashkimet (kockat e thyera q\u00eb nuk arrijn\u00eb t\u00eb sh\u00ebrohen), osteoartriti, etj.<\/span><\/p>\n

Terapia PEMF kryhet nga pajisje specifike q\u00eb prodhojn\u00eb val\u00eb fushe magnetike t\u00eb gjeneruara me puls rryme me nd\u00ebrprerje (jo t\u00eb vazhdueshme) n\u00eb indin p\u00ebrkat\u00ebs trupor gjat\u00eb nj\u00eb periudhe t\u00eb shkurt\u00ebr kohore duke p\u00ebrdorur nj\u00eb frekuenc\u00eb p\u00ebrs\u00ebritjeje t\u00eb pulsit. P\u00ebr shkak t\u00eb koh\u00ebzgjatjes s\u00eb shkurt\u00ebr t\u00eb pulsit dhe frekuenc\u00ebs s\u00eb ul\u00ebt t\u00eb aplikimit plus p\u00ebrs\u00ebritje, fusha elektromagnetike aktivizohet vet\u00ebm p\u00ebr nj\u00eb pjes\u00eb t\u00eb vog\u00ebl t\u00eb koh\u00ebs s\u00eb terapis\u00eb. Koh\u00ebzgjatja e ekspozimit terapeutik mund t\u00eb ndryshoj\u00eb nga disa minuta deri n\u00eb disa or\u00eb, var\u00ebsisht nga gjendja. P\u00ebr m\u00eb tep\u00ebr, PEMF mund t\u00eb kategorizohet sipas frekuencave elektromagnetike t\u00eb aplikuara n\u00eb Frekuenc\u00eb Ultra t\u00eb Ul\u00ebt (ULF) q\u00eb p\u00ebrdor frekuenca n\u00ebn 3Hz, Frekuenc\u00eb Jasht\u00ebzakonisht t\u00eb Ul\u00ebt (ELF) q\u00eb p\u00ebrdor frekuenca midis 3 Hz dhe 30 kHz, dhe Frekuenc\u00eb Shum\u00eb t\u00eb Ul\u00ebt (VLF) q\u00eb p\u00ebrdor frekuenca midis 30kHz dhe 300kHz.<\/span><\/p>\n

 <\/p>\n

Mekanizmat biologjik\u00eb t\u00eb PEMF-s\u00eb
\n<\/strong><\/p>\n

PEMF aktivizon kanalet jonike t\u00eb membran\u00ebs s\u00eb kalciumit, duke rezultuar n\u00eb \u00e7lirimin e kalciumit dhe duke ndikuar k\u00ebshtu n\u00eb procese t\u00eb tilla si metabolizmi qelizor, apoptoza, p\u00ebrhapja dhe inflamacioni. P\u00ebr m\u00eb tep\u00ebr, PEMF \u00ebsht\u00eb treguar se stimulon receptor\u00ebt membranor\u00eb t\u00eb adenozin\u00ebs, nj\u00eb nukleozid purine me role t\u00eb ndryshme n\u00eb proceset biologjike, t\u00eb tilla si p\u00ebrhapja e qelizave dhe aktivizimi i osteoklasteve (qeliza q\u00eb degradojn\u00eb kock\u00ebn dhe nd\u00ebrmjet\u00ebsojn\u00eb humbjen e kockave). Ekspozimi ndaj PEMF n\u00eb osteoblaste (qeliza q\u00eb formojn\u00eb kocka t\u00eb reja dhe sh\u00ebrojn\u00eb kockat ekzistuese) stimulon rritjen e oksidit nitrik, duke penguar potencialisht apoptoz\u00ebn dhe duke p\u00ebrmir\u00ebsuar q\u00ebndrueshm\u00ebrin\u00eb e qelizave. Efektet apoptotike t\u00eb shkaktuara nga PEMF mund t\u00eb ken\u00eb r\u00ebnd\u00ebsi t\u00eb madhe klinike n\u00eb rastin e kancerit dhe qelizave malinje, pasi ky lloj terapie mund t\u00eb p\u00ebrdoret n\u00eb strategji t\u00eb reja trajtimi t\u00eb kombinuar n\u00eb kombinim me kimioterapeutik\u00eb. Megjithat\u00eb, mbeten shum\u00eb pyetje n\u00eb lidhje me k\u00ebt\u00eb lidhje, q\u00eb do t\u00eb thot\u00eb se aplikimi i PEMF n\u00eb terapin\u00eb e kancerit \u00ebsht\u00eb ende shum\u00eb i kufizuar.<\/span><\/p>\n

Diferencimi qelizor \u00ebsht\u00eb nj\u00eb tjet\u00ebr mekaniz\u00ebm kryesor p\u00ebrmes t\u00eb cilit PEMF konsiderohet se ushtron efektet e tij sh\u00ebndet\u00ebsore. Studimet kan\u00eb treguar se ekspozimi ndaj PEMF shkakton shprehjen e sh\u00ebnjuesve osteogjenik\u00eb, si\u00e7 jan\u00eb osteopontina dhe kolagjeni, duke nxitur diferencimin e qelizave staminale, q\u00eb do t\u00eb thot\u00eb qeliza q\u00eb mund t\u00eb vet\u00ebrinovohen dhe diferencohen, n\u00eb osteoblaste, duke shkaktuar k\u00ebshtu formimin e kockave dhe k\u00ebrceve. N\u00eb fakt, p\u00ebr shkak t\u00eb k\u00ebtij efekti stimulues t\u00eb sakt\u00eb n\u00eb diferencimin osteoblastik, PEMF mund t\u00eb jet\u00eb ve\u00e7an\u00ebrisht i dobish\u00ebm n\u00eb parandalimin dhe trajtimin e osteoporoz\u00ebs.<\/span><\/p>\n

 <\/strong><\/p>\n

Konsiderata sh\u00ebndet\u00ebsore<\/strong><\/p>\n

Nd\u00ebrveprimet biologjike q\u00eb mund t\u00eb shkaktohen nga aplikimi i PEMF varen nga frekuenca e fush\u00ebs elektromagnetike t\u00eb p\u00ebrdorur. Efektet e d\u00ebmshme nuk jan\u00eb t\u00eb zakonshme n\u00eb fushat magnetike t\u00eb nivelit t\u00eb ul\u00ebt, duke p\u00ebrfshir\u00eb ULF dhe ELF. P\u00ebr fushat magnetike statike t\u00eb forta, jan\u00eb raportuar t\u00eb p\u00ebrziera, marramendje dhe shije metalike. P\u00ebr m\u00eb tep\u00ebr, fushat e forta magnetike jan\u00eb lidhur me efekte kancerogjene. Prandaj, p\u00ebrdorimi i PEMF n\u00eb frekuenca aq t\u00eb ul\u00ebta sa t\u00eb jet\u00eb e mundur rekomandohet p\u00ebr t\u00eb siguruar shmangien e \u00e7do nd\u00ebrlikimi serioz sh\u00ebndet\u00ebsor.<\/span><\/p>\n

 <\/p>\n

Seksionet n\u00eb vijim do t\u00eb shqyrtojn\u00eb aplikimet m\u00eb t\u00eb zakonshme klinike t\u00eb PEMF.<\/span><\/p>\n

 <\/p>\n

Ortopedi
\n<\/b>Stimulimi PEMF mund t\u00eb p\u00ebrdoret p\u00ebr t\u00eb nxitur rigjenerimin e kockave. Zbatimi i tij mund t\u00eb lidhet me frakturat akute t\u00eb hershme dhe frakturat e pabashkuara q\u00eb nuk kan\u00eb arritur t\u00eb sh\u00ebrohen gjat\u00eb nj\u00eb periudhe t\u00eb zgjatur kohore. PEMF mund t\u00eb rris\u00eb shkall\u00ebn e sh\u00ebrimit dhe t\u00eb zvog\u00ebloj\u00eb dhimbjen me nj\u00eb shkall\u00eb t\u00eb habitshme sh\u00ebrimi midis 60% dhe 88%, me nj\u00eb koh\u00ebzgjatje trajtimi prej 3-20 or\u00ebsh n\u00eb dit\u00eb gjat\u00eb 8-29 jav\u00ebve n\u00eb trajtimin e frakturave tibiale q\u00eb nuk sh\u00ebrohen.<\/p>\n


\nOsteoartriti
\n<\/b>Osteoartriti \u00ebsht\u00eb nj\u00eb s\u00ebmundje degjenerative dhe dob\u00ebsuese e ky\u00e7eve, n\u00eb t\u00eb cil\u00ebn indet n\u00eb ky\u00e7 shp\u00ebrb\u00ebhen me kalimin e koh\u00ebs. Studime t\u00eb shumta kan\u00eb treguar se PEMF i aplikuar p\u00ebr t\u00eb pakt\u00ebn kat\u00ebr jav\u00eb leht\u00ebson ndjesh\u00ebm dhimbjen q\u00eb lidhet me osteoartritin, zvog\u00eblon ngurt\u00ebsin\u00eb, rrit funksionin fizik dhe ka nj\u00eb efekt mbrojt\u00ebs n\u00eb p\u00ebrparimin e s\u00ebmundjes, ve\u00e7an\u00ebrisht tek pacient\u00ebt < 45 vje\u00e7.<\/p>\n

 <\/span><\/p>\n

Osteopenia
\n<\/b>Osteopenia \u00ebsht\u00eb nj\u00eb pararend\u00ebs i osteoporoz\u00ebs, n\u00eb t\u00eb cil\u00ebn dend\u00ebsia minerale e kockave zvog\u00eblohet, duke \u00e7uar n\u00eb nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb t\u00eb thyerjes. Trajtimi me PEMF \u00ebsht\u00eb treguar t\u00eb jet\u00eb nj\u00eb zgjedhje premtuese p\u00ebr leht\u00ebsimin e dhimbjes tek k\u00ebta pacient\u00eb, t\u00eb pakt\u00ebn n\u00eb afat t\u00eb shkurt\u00ebr. PEMF jo vet\u00ebm q\u00eb p\u00ebrmir\u00ebson dend\u00ebsin\u00eb minerale t\u00eb kockave, por gjithashtu stimulon osteogjenez\u00ebn, si\u00e7 tregohet nga biomarkuesit e kockave. Edhe pse FDA nuk e ka miratuar PEMF p\u00ebr trajtimin e osteoporoz\u00ebs, t\u00eb dh\u00ebnat tregojn\u00eb se ai mund t\u00eb jet\u00eb nj\u00eb shtes\u00eb mjaft efektive ndaj trajtimit kryesor. <\/span><\/p>\n

 <\/span><\/p>\n

Sh\u00ebrimi i plag\u00ebve
\n<\/b>T\u00eb dh\u00ebnat sugjerojn\u00eb q\u00eb PEMF mund t\u00eb leht\u00ebsoj\u00eb dhimbjen dhe t\u00eb zvog\u00ebloj\u00eb \u00ebnjtjen pas kirurgjis\u00eb plastike dhe rind\u00ebrtuese. Efekti i PEMF \u00ebsht\u00eb studiuar gjithashtu n\u00eb ulcerat kronike t\u00eb k\u00ebmb\u00ebs diabetike, ku nj\u00eb trajtim i p\u00ebrb\u00ebr\u00eb nga 14 seanca gjat\u00eb tre jav\u00ebve rezultoi n\u00eb nj\u00eb ulje prej 18% n\u00eb madh\u00ebsin\u00eb e plag\u00ebs.<\/span><\/p>\n

 <\/p>\n

N\u00eb p\u00ebrgjith\u00ebsi, fushat magnetike t\u00eb gjeneruara nga PEMF mund t\u00eb dep\u00ebrtojn\u00eb n\u00eb t\u00eb gjitha indet, duke shkaktuar p\u00ebrgjigje qelizore dhe fiziologjike n\u00eb shum\u00eb pjes\u00eb t\u00eb trupit t\u00eb njeriut. Edhe pse PEMF aplikohet kryesisht p\u00ebr t\u00eb trajtuar frakturat ose p\u00ebr t\u00eb ngadal\u00ebsuar p\u00ebrparimin e osteoartritit, ai mund t\u00eb p\u00ebrdoret gjithashtu si nj\u00eb terapi shtes\u00eb p\u00ebr osteoporoz\u00ebn dhe sh\u00ebrimin e plag\u00ebve pas operacionit. Sidomos p\u00ebr sa i p\u00ebrket frakturave, shmangia e sh\u00ebrimit t\u00eb nd\u00ebrlikuar t\u00eb frakturave mund t\u00eb ket\u00eb potencial t\u00eb madh kursimi p\u00ebr fondet e sigurimeve sh\u00ebndet\u00ebsore, pasi ky mjet trajtimi jo-invaziv dhe relativisht i lir\u00eb mund t\u00eb kontribuoj\u00eb pozitivisht n\u00eb trajtimin e k\u00ebtyre gjendjeve.<\/span><\/p>\n

 <\/span><\/p>\n

         Referencat<\/strong>
\n<\/span><\/em><\/p>\n

    \n
  1. Bhavsar MB, Han Z, DeCoster T, Leppik L, Oliveira KMC, Barker JH. Trajtimi i frakturave t\u00eb kockave bazuar n\u00eb stimulim elektrik, n\u00ebse funksionon kaq mir\u00eb, pse nuk e p\u00ebrdorin m\u00eb shum\u00eb kirurg\u00eb? Eur J Trauma Emerg Surg. 2020;46(2):245-264. DOI: <\/span>10.1007\/s00068-019-01127-z<\/span><\/a><\/li>\n
  2. Chen L, Duan X, Xing F, Liu G, Gong M, Li L, Chen R, Xiang Z. Efektet e terapis\u00eb me fush\u00eb elektromagnetike t\u00eb pulsuar n\u00eb dhimbje, ngurt\u00ebsi dhe funksion fizik tek pacient\u00ebt me osteoartrit n\u00eb gju: Nj\u00eb rishikim sistematik dhe meta-analiz\u00eb e studimeve t\u00eb kontrolluara t\u00eb rast\u00ebsishme. J Rehabil Med. 2019;51(11):821-827. DOI: <\/span>10.2340\/16501977-2613<\/span><\/a><\/li>\n
  3. Flatcher J, Lori\u00e9 EP, Mittermayr R, Meznik P, Slezak P, Redl H, Slezak C. Fushat elektromagnetike t\u00eb pulsuara (PEMF) - P\u00ebrgjigja fiziologjike dhe potenciali i saj n\u00eb trajtimin e traumave. Int J Mol Sci. 2023;24(14):11239. DOI: <\/span>10.3390\/ijms241411239<\/span><\/a><\/li>\n
  4. Kwan RL-C, Wong WC, Yip SL, Chan KL, Zheng YP, Cheing GL-Y. Terapia me fush\u00eb elektromagnetike pulsuese nxit sh\u00ebrimin dhe mikroqarkullimin e ulcerave kronike diabetike n\u00eb k\u00ebmb\u00eb: nj\u00eb studim pilot. Adv Skin Wound Care. 2015;28(5):212-219. DOI: <\/span>10.1097\/01.ASW.0000462012.58911.53<\/span><\/a><\/li>\n
  5. Peng L, Fu C, Xiong F, Zhang Q, Liang Z, Chen L, He C, Wei Q. Efektiviteti i fushave elektromagnetike t\u00eb pulsuara n\u00eb sh\u00ebrimin e kockave: Nj\u00eb rishikim sistematik dhe meta-analiz\u00eb e provave t\u00eb kontrolluara t\u00eb rast\u00ebsishme. Bioelectromagnetics. 2020;41(5):323-337. DOI: <\/span>10.1002\/bem.22271<\/span><\/a><\/li>\n
  6. Tong J, Chen Z, Sun G, Zhou J, Zeng Y, Zhong P, Deng C, Chen X, Liu L, Wang S, Chen J, Liao Y. Efikasiteti i fushave elektromagnetike t\u00eb pulsuara n\u00eb dhimbje, ngurt\u00ebsi dhe funksion fizik n\u00eb osteoartrit: Nj\u00eb rishikim sistematik dhe meta-analiz\u00eb. Pain Res Manag. 2022;9:2022:9939891. DOI: <\/span>10.1155\/2022\/9939891<\/span><\/a><\/li>\n
  7. Wang T, Yang L, Jiang J, Liu Y, Fan Z, Zhong C, He C. Fushat elektromagnetike t\u00eb pulsuara: nj\u00eb trajtim premtues p\u00ebr osteoporoz\u00ebn. Osteoporoza Nd\u00ebrkomb\u00ebtare. 2019;30(2):267-276. DOI: <\/span>10.1007\/s00198-018-04822-6<\/span><\/a><\/li>\n
  8. Yang X, He H, Ye W, Perry T, He C. Efektet e terapis\u00eb me fush\u00eb elektromagnetike t\u00eb pulsuar n\u00eb dhimbje, ngurt\u00ebsi, funksion fizik dhe cil\u00ebsi t\u00eb jet\u00ebs tek pacient\u00ebt me osteoartrit: Nj\u00eb rishikim sistematik dhe meta-analiz\u00eb e studimeve t\u00eb rast\u00ebsishme t\u00eb kontrolluara me placebo. Phys Ther. 2020;100(7):1118-1131. DOI: <\/span>10.1093\/ptj\/pzaa054<\/a><\/span><\/li>\n
  9.  Zhang W, Luo Y, Xu J, Guo C, Shi J, Li L, Sun X, Kong Q. Roli i mundsh\u00ebm i stimulimit elektrik n\u00eb osteoporoz\u00eb: Nj\u00eb p\u00ebrmbledhje narrative. Medicina (Kaunas). 2023;59(1):121. DOI: 10.3390\/medicin\u00eb59010121<\/a><\/li>\n<\/ol>\n

     <\/p>\n






    <\/span><\/em><\/p>\n




    <\/span><\/p>\n



    <\/strong><\/p>\n




    <\/p>\n

     <\/p>\n<\/div>\n

    Performanca<\/b><\/p>\n

    \n

     <\/p><\/p>","protected":false},"excerpt":{"rendered":"

    Pulsed-electromagnetic field therapy (PEMF) is a form of physical therapy used in the physiotherapeutic field that utilizes the properties of magnetic or electromagnetic fields to reduce the symptoms of muscular inflammatory states and traumatic or chronic bone conditions. This article summarizes PEMF\u2019s operation principles, biological mechanisms, and health considerations that should be considered before applying […]<\/p>","protected":false},"author":1,"featured_media":4421,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4402","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts\/4402","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/comments?post=4402"}],"version-history":[{"count":0,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/posts\/4402\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/media\/4421"}],"wp:attachment":[{"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/media?parent=4402"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/categories?post=4402"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/qelizaesthetics.com\/sq\/wp-json\/wp\/v2\/tags?post=4402"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}