Stroke imadziwika ndi kuchuluka kwa zochitika komanso kuchuluka kwa olumala.Pali pafupifupi 2 miliyoni odwala sitiroko ku China chaka chilichonse, omwe 70% mpaka 80% sangathe kukhala paokha chifukwa cha kulumala.
Maphunziro akale a ADL amaphatikiza maphunziro obwezeretsa (machitidwe agalimoto) ndi maphunziro olipira (monga njira zamanja ndi malo ofikira) kuti agwiritse ntchito limodzi.Ndi chitukuko cha teknoloji yachipatala ndi matekinoloje omwe akubwera, matekinoloje ochulukirapo agwiritsidwa ntchito pophunzitsa ADL.
Roboti yakumtunda ndi chida chomwe chimagwiritsidwa ntchito kuthandizira kapena kusintha ntchito zina zam'mwamba za anthu pochita ntchito zokha.Ikhoza kupatsa odwala maphunziro amphamvu kwambiri, omwe akuwongolera, komanso obwerezabwereza.Polimbikitsa kuchira kwa odwala omwe ali ndi sitiroko, maloboti okonzanso amakhala ndi zabwino zambiri kuposa zamankhwala azikhalidwe.
Pansipa pali vuto la wodwala hemiplegic pogwiritsa ntchito maphunziro a robot:
1. Nkhani Yoyambira
Wodwala Ruixx, wamwamuna, wazaka 62, amavomereza chifukwa cha "masiku 13 osachita bwino kumanzere kwa miyendo".
Mbiri yachipatala:M'mawa wa June 8th, wodwalayo adamva kufooka pa mwendo wawo wakumanzere ndipo sanathe kugwira zinthu.Masana, zinayamba kufooka m’mbali yawo yakumanzere ndipo sankatha kuyenda, limodzi ndi dzanzi m’mbali yawo yakumanzere ndi mawu osamveka bwino.Anali okhozabe kumvetsa mawu a ena, kunyalanyaza kusinthasintha kwa chinthu, kusamva tinnitus kapena kufufuza makutu, kusamva kuwawa kwa mutu, kusanza kwa mtima, kusamvana kwa diso lakuda, kusakomoka kapena kukomoka, komanso kusadziletsa kwa mkodzo.Chifukwa chake, adabwera ku dipatimenti yathu yadzidzidzi kuti adziwe zambiri ndi chithandizo, Dipatimenti yazadzidzidzi ikukonzekera kuchitira Neurology ya chipatala chathu ndi "cerebral infarction", ndikupereka chithandizo cha Symptomatic monga anti platelet aggregation, lipid regulation and plaque stabilization, chitetezo cha ubongo, kulimbikitsa kuyenda kwa magazi ndikuchotsa kukhazikika kwa magazi, ma anti free radicals, kuponderezana kwa asidi ndi chitetezo cham'mimba kuteteza chilonda cha Irritability, kupititsa patsogolo kayendedwe ka magazi, ndikuwunika kuthamanga kwa magazi.Pambuyo pa chithandizo, mkhalidwe wa wodwalayo unakhalabe wokhazikika, ndi kusayenda bwino kwa miyendo yakumanzere.Kuti mupitirize kupititsa patsogolo ntchito ya ziwalo, zimayenera kuloledwa ku dipatimenti yokonzanso kuti muchiritsidwe.Kuyambira chiyambi cha cerebral infarction, wodwalayo wakhala akuvutika maganizo, akuwusa moyo mobwerezabwereza, osagwira ntchito, ndipo amadziwika kuti ndi "post-stroke depression" mu Neurology.
2. Kuwunika kwa kukonzanso
Monga ukadaulo watsopano wamankhwala azachipatala, rTMS iyenera kulabadira machitidwe omwe amachitidwa m'mabungwe azachipatala:
1)Kuwunika ntchito yamagalimoto: Kuwunika kwa Brunnstrom: mbali yakumanzere 2-1-3;Chigoli chapamwamba cha Fugl Meyer ndi 4 points;Kuyezetsa kukanika kwa minofu: Kuthamanga kwa minofu ya kumanzere kunachepa;
2)Kuwunika magwiridwe antchito: Kuzama komanso kosaya Hypoesthesia ya kumanzere chakumtunda ndi dzanja.
3)Kuwunika magwiridwe antchito: Hamilton Depression Scale: 20 mfundo, Hamilton Nkhawa Scale: 10 mfundo.
4)Zochita zamagulu amoyo watsiku ndi tsiku (zosinthidwa za Barthel index): 28 mfundo, ADL kukanika kwakukulu, moyo umafuna thandizo
5)Wodwalayo ndi mlimi mwa ntchito yake ndipo panopa sangathe kugwira ndi dzanja lamanzere, zomwe zimalepheretsa ntchito zawo zaulimi.Zochita zosangalatsa ndi zosangalatsa zakhala zoletsedwa kwambiri kuyambira chiyambi cha matenda.
Tapanga dongosolo lothandizira kukonzanso mavuto a Agogo a Rui ndi zizindikiro za kupsinjika maganizo, ndi cholinga chofuna kupititsa patsogolo ntchito ya ADL ya wodwalayo, kusonyeza kupita patsogolo kwa Agogo, kukulitsa kuzindikira, ndi kudzimva kuti ndi anthu othandiza.
3. Chithandizo cha kukonzanso
1)Kupangitsa Kuyenda Kulekanitsa Miyendo Yam'mwamba: Kuchiza Kukankhira Miyendo Yam'mwamba Yokhudzidwa ndi Drum Yogwira Ntchito Yamagetsi
2)Maphunziro otsogolera a ADL: Chiwalo chapamwamba cha wodwalayo chimamaliza maphunziro owongolera maluso monga kuvala, kuvula, ndi kudya.
3)Maphunziro a robot ya miyendo yam'mwamba:
Chitsanzo chamankhwala chotsogozedwa ndi kuthekera kwa moyo.Perekani maphunziro a tsiku ndi tsiku kuti muphunzitse odwala tsiku ndi tsiku (ADL)
- Kudya maphunziro
- Maphunziro akupesa
- Konzani ndikugawa maphunziro
Atalandira chithandizo kwa milungu iwiri, wodwalayo anatha kugwira nthochi ndi dzanja lake lamanzere kuti adye, kumwa madzi m’kapu ndi dzanja lake lamanzere, kupota chopukutira ndi manja onse awiri, ndipo luso lake la moyo watsiku ndi tsiku linakula kwambiri.Kenako agogo a Rui anamwetulira.
4. Ubwino wa maloboti owongolera miyendo yakumtunda kuposa kukonzanso kwachikhalidwe uli m'mbali izi:
1)Maphunziro amatha kukhazikitsa machitidwe oyenda makonda kwa odwala ndikuwonetsetsa kuti akubwereza kusuntha mkati mwazomwe zakhazikitsidwa, kupereka mwayi wambiri wochita masewera olimbitsa thupi omwe ali m'miyendo yam'mwamba, yomwe imapindulitsa ku pulasitiki yaubongo ndikukonzanso magwiridwe antchito pambuyo pa sitiroko.
2)Malingana ndi Kinematics, mapangidwe a mkono wa robot yokonzanso amachokera pa mfundo ya Kinematics yaumunthu, yomwe imatha kutsanzira lamulo la kayendetsedwe ka miyendo ya munthu mu nthawi yeniyeni, ndipo odwala amatha kuyang'ana ndikutsanzira zochitikazo mobwerezabwereza malinga ndi zomwe zikuchitika. ku zikhalidwe zawo;
3)Dongosolo la maloboti owongolera miyendo yam'mwamba imatha kupereka mitundu yosiyanasiyana yazidziwitso munthawi yeniyeni, kupangitsa kuti ntchito yophunzitsira yolimbitsa thupi ikhale yosavuta, yosangalatsa komanso yosavuta.Panthawi imodzimodziyo, odwala amathanso kusangalala.
Chifukwa chakuti malo ophunzitsira a robot yokonzanso miyendo yakumtunda ndi yofanana kwambiri ndi dziko lenileni, luso lagalimoto lomwe limaphunziridwa m'malo enieni lingagwiritsidwe ntchito bwino ku chilengedwe chenichenicho, zomwe zimapangitsa odwala kuti azilumikizana ndi zinthu zomwe zimakhala ndi zokopa zambiri m'malo omwe amakhalapo. njira yachilengedwe, kuti athe kulimbikitsa chidwi cha odwala ndi kutenga nawo gawo pakukonzanso, komanso kupititsa patsogolo kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake.
Wolemba: Han Yingying, mtsogoleri wa gulu la occupational therapy mu Rehabilitation Medical Center ya Jiangning Hospital yogwirizana ndi Nanjing Medical University
Nthawi yotumiza: Jun-16-2023