An san ciwon bugun jini da yawan abin da ya faru da yawan nakasa.Ana samun sabbin masu fama da bugun jini kusan miliyan 2 a kasar Sin a kowace shekara, wadanda kashi 70 zuwa 80% daga cikinsu ba sa iya rayuwa da kansu saboda nakasa.
Koyarwar ADL ta yau da kullun ta haɗu da horarwar maidowa ( horon aikin mota) da horon ramawa (kamar fasahohin hannu ɗaya da wuraren samun dama) don aikace-aikacen haɗin gwiwa.Tare da haɓaka fasahar likitanci da fasaha masu tasowa, an yi amfani da fasaha da yawa don horar da ADL.
Robot na gyaran gaɓoɓin hannu na'urar na'ura ce da ake amfani da ita don taimakawa ko maye gurbin wasu ayyukan gaɓoɓin jikin ɗan adam wajen aiwatar da ayyuka kai tsaye.Zai iya ba wa marasa lafiya ƙarfin ƙarfi, wanda aka yi niyya, da kuma maimaita horo na gyare-gyare.A inganta farfadowar aiki a cikin majinyata bugun jini, robobin gyaran gyare-gyare suna da fa'ida mai mahimmanci akan jiyya na gargajiya.
A ƙasa akwai yanayin al'ada na majiyyaci na jini ta amfani da horon robot:
1. Gabatarwa Case
Patient Ruixx, namiji, mai shekaru 62, ya yarda saboda "kwanaki 13 na rashin aikin hannu na hagu".
Tarihin likita:A safiyar ranar 8 ga Yuni, majiyyacin ya ji rauni a hannun hagu na hagu kuma ya kasa rike abubuwa.Da tsakar rana, sun sami rauni a cikin ƙananan ƙafar su na hagu kuma ba su iya tafiya, tare da ragi a hannun hagu da kuma maganganun da ba a sani ba.Har yanzu sun iya fahimtar kalmomin wasu, ba tare da la'akari da jujjuyawar abu ba, ba tinnitus ko duban kunne ba, ba ciwon kai, amai na zuciya, baƙar fata ba tare da haɗin ido ba, ba coma ko raɗaɗi, ba tare da rashin daidaituwar fitsari ba.Saboda haka, sun zo sashen mu na gaggawa don ƙarin ganewar asali da magani, Sashen gaggawa na shirin yin maganin Neurology na asibitinmu tare da "ƙwaƙwalwar ƙwaƙwalwa", da kuma ba da maganin Symptomatic irin su antiplatelet aggregation, tsarin lipid da plaque stabilization, kariyar kwakwalwa. inganta jini wurare dabam dabam da kuma cire jini stasis, anti free radicals, acid suppression da ciki kariyar don hana irritability ulcer, inganta lallausan wurare dabam dabam, da kuma lura da hawan jini.Bayan jiyya, yanayin majiyyaci ya kasance mai inganci, tare da ƙarancin motsi na hagu.Don ƙara haɓaka aikin gaɓoɓin hannu, ana buƙatar shigar da shi a sashin gyaran gyare-gyare don gyaran gyare-gyare.Tun lokacin da aka fara ciwon ƙwayar cuta, mai haƙuri ya kasance mai tawayar rai, mai maimaita numfashi, m, kuma an gano shi a matsayin "bacin rai bayan bugun jini" a cikin Neurology.
2. Ƙimar farfadowa
A matsayin sabuwar fasahar jiyya na asibiti, rTMS yana buƙatar kula da ƙa'idodin aiki lokacin da ake aiwatar da su a cibiyoyin likitancin asibiti:
1)Ƙimar aikin mota: Ƙimar Brunnstrom: gefen hagu 2-1-3;Makin babban gaɓoɓin Fugl Meyer shine maki 4;Ƙimar tashin hankali na tsoka: Ƙunƙarar tsokar tsoka ta hagu ta ragu;
2)Ƙimar aikin ji na ji: zurfi da rashin zurfi Hypoesthesia na babba da hannu na hagu.
3)Kima aikin motsin rai: Hamilton Depression Scale: 20 maki, Hamilton Anxiety Scale: 10 maki.
4)Ayyukan makin rayuwa na yau da kullun (gyara Barthel index): maki 28, rashin aikin ADL mai tsanani, rayuwa tana buƙatar taimako.
5)Mara lafiya manomi ne ta sana'a kuma a halin yanzu ba za su iya kama hannun hagu ba, wanda ke hana su ayyukan noma na yau da kullun.An taƙaita ayyukan nishaɗi da nishaɗi sosai tun farkon rashin lafiya.
Mun ƙaddamar da shirin gyaran gyaran gyare-gyare don matsalolin aiki na Grandpa Rui da alamun rashin tausayi, tare da mayar da hankali kan inganta aikin ADL mai haƙuri, nuna ci gaban kakan, haɓaka fahimtar kai, da jin cewa shi mutane ne masu amfani.
3. Maganin gyarawa
1)Haɓakar Motsin Rabewar Gaɓar Hannu: Maganin Tutar Ƙararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwaƙwalwa na Ƙarƙashin Ƙarƙashin Ya Yi da Ƙarfafa Ƙarfafawa
2)Horon jagoranci na ADL: Lafiyayyen gaɓoɓin babba na majiyyaci yana kammala horon jagora kamar tufa, tuɓe, da cin abinci.
3)Horar da mutum-mutumi na hannu:
Samfurin takardar magani wanda ikon rayuwa ke jagoranta.Bayar da horon aikin likita na yau da kullun don horar da iyawar rayuwar yau da kullun na marasa lafiya (ADL)
- Horon cin abinci
- Tsokaci horo
- Tsara da rarraba horo
Bayan sati biyu na jinya, majiyyacin ya samu damar damko ayaba da hannun hagu ya ci, ya sha ruwa a kofi da hannunsa na hagu, sannan ya murda tawul da hannu biyu, kuma yanayin rayuwarsa ya inganta sosai.Kaka Rui ya yi murmushi.
4. Fa'idodin na'urorin gyaran kafa na sama akan gyaran al'ada sun ta'allaka ne a cikin abubuwa masu zuwa:
1)Koyarwa na iya saita tsarin motsi na keɓaɓɓen ga marasa lafiya kuma tabbatar da cewa sun sake maimaita motsi a cikin kewayon da aka saita, suna ba da ƙarin dama don motsa jiki da aka yi niyya a cikin manyan gaɓɓai, wanda ke da fa'ida ga filastik kwakwalwa da sake tsarin aiki bayan bugun jini.
2)Daga mahangar Kinematics, ƙirar ƙirar hannu na robobin gyaran gyare-gyare yana dogara ne akan ka'idar Kinematics na ɗan adam, wanda zai iya daidaita dokar motsi na manyan gaɓoɓin ɗan adam a ainihin lokacin, kuma marasa lafiya na iya lura da yin kwaikwayon motsa jiki akai-akai bisa ga tsarin. ga yanayinsu;
3)Tsarin mutum-mutumi na gyaran hannu na sama na iya samar da nau'ikan bayanan amsa daban-daban a cikin ainihin-lokaci, yana sa tsarin horon gyaran motsa jiki maras ban sha'awa da sauƙi, mai ban sha'awa, da sauƙi.A lokaci guda kuma, marasa lafiya na iya jin daɗin nasara.
Saboda yanayin horarwa na mutum-mutumi na gyaran hannu na sama ya yi kama da ainihin duniyar, ƙwarewar injin da aka koya a cikin yanayin kama-da-wane za a iya amfani da shi mafi kyau ga yanayin ainihin, yana sa marasa lafiya suyi hulɗa tare da abubuwa tare da abubuwan motsa jiki da yawa a cikin yanayin kama-da-wane. wata hanya ta dabi'a, ta yadda za a inganta sha'awar marasa lafiya da shiga cikin gyarawa, da kuma kara inganta aikin motsa jiki na babba a gefen hemiplegic da kuma iyawar Ayyuka na rayuwar yau da kullum.
Marubuci: Han Yingying, shugaban rukunin masu aikin jinya a Cibiyar Kula da Lafiya ta Jiangning mai alaƙa da Jami'ar Kiwon Lafiya ta Nanjing
Lokacin aikawa: Juni-16-2023