Njira Zodziwika Zothandizira Kukonzanso Mafupa

Omatenda a rthopedicRkutsitsimuka Njira:

Zimakhazikitsidwa ndi kubwezeretsedwa kwa 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 ka anthu.potsirizira pake, ntchito ya wodwalayo imabwezeretsedwa bwino kudzera mu maphunziro a luso la moyo wa tsiku ndi tsiku. 

1. Gawo Loyambirira - nthawi yodziletsa, nthawi yotupa (mkati mwa masabata a 3 pambuyo pa opaleshoni)

(1) Kuchepetsa ululu: mankhwala ochepetsa ululu (mankhwala apakamwa, pampu ya analgesic);chithandizo chamankhwala.

(2) Kuchepetsa kutupa kwa mwendo womwe wakhudzidwa: kutsekereza bandeji;kungokhala: kukweza mwendo womwe wakhudzidwa, physiotherapy, CPM, mpope wa venous m'munsi;yogwira: maphunziro a mphamvu ya isometric.

(3) Kuchepetsa atrophy ya minofu: kutsika kwa isometric.

2. Mid Phase - cartilaginous callus period (masabata 3-6 pambuyo pa opaleshoni)

(1) Wonjezerani kusuntha kwamagulu: kusuntha kwapang'onopang'ono;chachikulu-yothandiza olowa kayendedwe.

(2) Kuphunzitsa mphamvu za minofu: maphunziro a mphamvu ya static;ntchito zotsitsa zamagulu apamwamba a maphunziro a tsiku ndi tsiku;m`munsi mwendo chatsekedwa unyolo minofu mphamvu maphunziro.

3. MochedwaGawo- gawo lolimba la callus (6- 12 masabata pambuyo opaleshoni)

(1) Wonjezerani kusuntha kwamagulu: mankhwala a sera, mapaketi otentha;kutambasula mafupa (kusintha, zitsulo);kusonkhanitsa pamodzi.

(2) Kupititsa patsogolo kulimbitsa minofu ya minofu (malingana ndi machiritso a fracture): masewera olimbitsa thupi aulere;(zopanda katundu) ntchito zamaphunziro a tsiku ndi tsiku;kukaniza minofu mphamvu maphunziro.

4. MochedwaGawo - Molding Period (masabata 12 pambuyo pa opaleshoni)

(1) Wonjezerani kusuntha komwe kumayenderana ndi njira yabwinobwino: yogwira ntchito komanso yokhazikika yolumikizana;mphamvu yokoka;zomangira.

(2) Kupititsa patsogolo kulimbitsa minofu ya minofu: maphunziro a mphamvu ya minofu ya isometric, isotonic minofu yophunzitsa mphamvu-kukana, kuphunzitsidwa kwamphamvu kwa minofu ya isokinetic.

5. MochedwaGawo - ZowonjezeraKuphunzitsidwa bwino kwa miyendo (masabata 12 pambuyo pa opaleshoni)

(1) Miyendo yam'mwamba: maphunziro ogwirizanitsa kayendetsedwe ka kayendetsedwe kake, maphunziro a manja

(2) Miyendo ya m'munsi: maphunziro oyenerera;ntchito yogwirizanitsa minofu ndi maphunziro oyenerera;maphunziro oyenda.

WambaTnjira zaOmatenda a rthopedicRkutsitsimuka

Njira zodziwika bwino zakukonzanso mafupa zimaphatikizanso njira zochiritsira za 3M: Modality, Manual therapy ndi Movement.

Makhalidwe:Kugwiritsa ntchito mphamvu zosiyanasiyana zakuthupi, monga zida za ultrasonic therapy, laser, ma frequency apakatikati, acupuncture, etc., kusintha, kusunga kapena kubwezeretsa magwiridwe antchito amthupi.Ntchito zazikuluzikulu ndikuwongolera ndi kuthetsa ululu, kuchepetsa edema ndi kupindika kwa minofu, kusunga ndi kupititsa patsogolo machiritso a minofu, kuonjezera kufalikira kwa magazi, ndi zina zotero. Tengani mafunde a extracorporeal mantha monga mwachitsanzo, ndi oyenera kupweteka kwa minofu yofewa yopweteka ndi matenda ofotokozera mu khosi & mapewa, m'munsi kumbuyo ndi miyendo ya thupi la munthu.

PamanjaTmankhwala:Imayang'ana kwambiri pakulimbikitsana ndi njira zotambasula kuti mupumule magulu a minofu, kumasula zomata, ndikuwonjezera kusinthasintha kwa minofu.Njira yolimbikitsira pamodzi ndi njira yolumikizirana ndi manja yomwe imamalizidwa ndi ochiritsa mkati mwakusuntha kwa mafupa.Ndilo gulu la kusuntha kosasunthika ndipo makamaka limagwira kukanika kwamagulu komwe kumachitika chifukwa cha makina (osakhala a neural), monga kuuma kwa mafupa pambuyo pa opaleshoni, kumamatira kwamagulu, ndi mgwirizano.

Kuyenda:Kulimbitsa thupi, kutambasula, kuchita masewera olimbitsa thupi, kuwongolera magwiridwe antchito, kudzitambasula nokha, kuphunzitsa mphamvu za minofu.Zimayang'ana pa maphunziro a 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 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 kakeKuchita masewera olimbitsa thupi kumawonjezera mphamvu ndi kupirira kwa minofu, kumapangitsanso kugwira ntchito kwake kwanthawi zonse, kumapangitsa kuti mafupa azikhala okhazikika, komanso kuti aziyenda mosiyanasiyana.Thandizo lolimbitsa thupi ndilo chinsinsi cha kukonzanso.

Tsatanetsatane ndi motere:

1. Kuchotsa edema ndi kutupa: makina ozizira ozizira, laser semiconductor, short-wave therapy chipangizo, ultra-short-wave therapy chipangizo.

2. Kupweteka kosalekeza: extracorporeal shock wave, laser magnetic field physiotherapy chida, fumigation, sera mankhwala, kusokoneza magetsi, infrared polarized kuwala, maginito resonance kutentha.

3. Kupewa thrombosis ndi minofu atrophy: air wave pressure therapy chida, medium frequency interference electrotherapy chida, deep muscle massager, DMS.

4. Imathandizira machiritso a bala ndi mapangidwe a callus: zida zochizira za akupanga, zida zopangira mafunde a Ultrashort, laser semiconductor, zida zamagetsi zamagetsi zamagetsi, zida zamagetsi zotsika pafupipafupi.

5. Sungani ndi kuonjezera kusuntha kwamagulu ndikuletsa kuwonongeka kwa mgwirizano: Chipangizo chothandizira mgwirizano wa CPM, laser magnetism, kuyimitsidwa kukonzanso dongosolo, etc.

6. Limbikitsani mphamvu ya minofu ndikupewa kupwetekedwa kwa minofu: miyendo yogwira ntchito komanso yopanda phokoso pamwamba ndi pansi, njira yophunzitsira yokonzanso ntchito, electromyography biofeedback chida, mphamvu ya isokinetic minofu, kuyimitsidwa kukonzanso dongosolo.

7. Sinthani magwiridwe antchito ndikuwongolera kuyenda kosazolowereka: kuyanjana kowoneka bwino, kusanja kosunthika, makina ophunzitsira amagulu amagulu a minofu, makina ophunzitsira ntchito moyenera.

8. Kupititsa patsogolo luso la ADL ndi moyo wabwino: ntchito yamanja yophunzitsa njira yowonjezera, ADL intelligent feedback feedback system, robot yapamwamba ya miyendo.

Monga katswiri wopanga zida zamankhwala,Yikang Medicalimapanga ndi kupanga zida zambiri zachipatala zapamwamba zotsitsimutsa, kuphatikizapophysiotherapy mndandandandirehabilitation robotics mndandanda.DinaniPanokuti mupeze kalozera wathu waposachedwa komansoLumikizanani nafekuti mudziwe zambiri.Tikuyembekezera kukhala mnzako wolimba.