I-Cerebral palsy (CP) i-syndrome engaqhubeki ebangelwa yizimbangela ezihlukahlukene eziholela ekulimaleni kobuchopho okungaqhubeki phakathi nezigaba zokuqala zokukhula kobuchopho, ngaphambi kokuzalwa noma phakathi nenyanga yokuqala ngemva kokuzalwa.Ibonakala ngokukhubazeka kwemoto emaphakathi kanye nokuma okungavamile futhi ingahambisana nokukhubazeka kwengqondo, isithuthwane, ukukhubazeka kwezinzwa, ukuphazamiseka kokukhuluma, kanye nokungajwayelekile kokuziphatha.I-CP ingesinye sezifo ezinkulu ezidala ukukhubazeka kwezimoto ezinganeni.
I-CP ingabangela ukukhubazeka okuphawulekayo emisebenzini yezimoto zezingane ezithintekile futhi iyisimo esikhubaza kakhulu.Ngaphandle kokungenelela kusenesikhathi, kungaba nomthelela omubi eqophelweni lempilo esikhathini esizayo.
Ezinganeni ezisesigabeni sokuqala sokuvuselela ukusindisa, ukusetshenziswa kwama-exoskeleton ekuqeqesheni ukulingisa ukuma nokuhamba kungathuthukisa ukukhula komzimba, kusize ukutholwa kwamakhono emoto, futhi kunciphise izinga lokonakala.Ezinganeni ezisesigabeni sokuvuselela ukungenelela, ukuqeqeshwa kwe-exoskeleton-assisted gait kungalungisa ukuma okungavamile, kukhuthaze ukuthuthukiswa kwephethini evamile ye-gait, ukunciphisa ukukhubazeka kwe-musculoskeletal, ukuthuthukisa ukuhamba, ukuthuthukisa inhlalakahle engokwengqondo, futhi kuqhubekisele phambili ukuthuthukiswa kwamakhono omphakathi ezinganeni. .
Kungani kufanele usebenzise amarobhothi okuvuselela?
Izindlela ezijwayelekile zokuvuselela zinemikhawulo:
1.Ubunzima ekuqeqesheni umsebenzi wokuhamba: Ukuqeqeshwa kokuhamba kuyindlela yokuvuselela ehlosiwe futhi egxile emsebenzini.Ukuthola amakhono okuhamba kubalulekile ekukhuleni ngokomzimba nangokwengqondo ezinganeni zasenkulisa.Kodwa-ke, ukuqeqeshwa kokuhamba kusenesikhathi kuyinselele ngenxa yokulinganiselwa ngokomzimba kwezingane ezine-CP kanye nokuntuleka kwezinsiza ezisebenzayo ezikhethekile zokusiza.
2.Ukubamba iqhaza okulinganiselwe kwezingane ekwelapheni: Ngenxa yokungakhuli kahle ngokomzimba nangokwengqondo kwezingane ezine-CP, ukubamba iqhaza kwazo ekwelapheni ngokuvamile kulinganiselwe, futhi zingase zikhungatheke kalula.Ezinye izindlela zokwelapha ezijwayelekile zokuhlunyeleliswa izimilo azinambithisi futhi azikho ukuzijabulisa nokuzilibazisa, okwenza kube nzima ukuzuza amandla ezingane, kugqugquzele ugqozi lwazo, futhi kuthinte ngokuphawulekayo inqubekelaphambili nokusebenza ngempumelelo kokwelashwa kokuhlunyeleliswa.
3.Ukuncika okuphezulu emandleni nokufunda kwabelaphi: Izindlela zokuqeqesha zamanje zithembele osizweni lomuntu oyedwa (noma ngisho nokukodwa kokuningi) oluvela kobelaphi bokubuyisela esimweni esijwayelekile.Njengoba ukuqeqeshwa kokuhlunyeleliswa kwesimilo kudinga ukushuba okwanele nokuphindaphinda, kubeka umthwalo obalulekile ngokomzimba kubelaphi.Ekuqeqesheni okuvamile kokubuyisela, izici ezifana namandla asetshenziswayo, ububanzi bokunyakaza, nokuphindaphinda ngokuvamile zincike kokuhlangenwe nakho komelaphi, okwenza izinga lekhono lomelaphi kanye nolwazi olubalulekile lwezinto ezithinta ukusebenza kokwelashwa kokubuyisela esimweni esihle.
4.Ubunzima bokulinganisa ukuqeqeshwa kokuhlunyeleliswa: Ukuvuselela okuvamile kuncike kakhulu ekusebenzeni ngokomzimba kwabelaphi, okwenza kube inselele ukumisa nokulawula inqubo yokuqeqesha ngokunembile.Abelaphi abahlukene abasebenzisa uhlelo olufanayo lokuqeqesha bangaholela ekuhlukeni kwekhwalithi yokuqeqeshwa.Izinto ezifana nesimo somelaphi ngokomzimba nangokwengqondo zingaholela kukhwalithi yokuqeqeshwa engahambisani.
Ngakho-ke, senze amarobhothi aklanyelwe ngokukhethekile ukuvuselela izitho eziphansi zezingane.
Izinzuzo zethu:
1.Ukuhlolwa kokuvuselela okulinganiselwe: Ubuchwepheshe berobhothi bokuvuselela bungahlola ubuningi bokusebenza kwezimoto zezingane ngezinzwa nokuhlaziywa kwedatha.Le miphumela yokuhlola isebenza njengezinkomba zenhloso yenqubekelaphambili yokubuyisela, isiza odokotela nabelaphi baqonde isimo sokubuyisela esimeni somntwana, balungise izinhlelo zokwelashwa, futhi bakhe amasu okubuyisela asebenza kangcono.
2.Ukwenza lula ukululama kwemoto: Amarobhothi okuvuselela izitho ezingaphansi ahlinzeka ngokusekela nosizo, asize izingane ezine-CP ukuba zihlanganyele ekuqeqesheni ukuhamba nokululama kwemoto.Ngokunikeza ukuzinza nokulungisa amaphethini okuhamba, amarobhothi athuthukisa ukulawulwa kokuma, ibhalansi, nokuxhumana, enze lula ukululama kwemoto.
3.Ukwenyuka kwevolumu yokuqeqeshwa kanye nokuqina: Amarobhothi okuvuselela asiza izingane ekwandiseni umthamo nokuqina kokuqeqeshwa.Banikeza ukwesekwa okwenziwe ngokwezifiso kanye nesiqondiso, ukuhlinzeka ngosizo oludingekayo ngesikhathi sokuvuselela ukuze izingane zihlanganyele ekuphindaphindweni okwengeziwe, ziqinise umsebenzi wemisipha kanye nokuxhumana kwe-neural, futhi zikhuthaze inqubekelaphambili yokubuyisela.
4.Izinhlelo zokubuyisela esimweni esijwayelekile: Ubuchwepheshe berobhothi bokuvuselela buvumela ukuthuthukiswa kwezinhlelo zokuvuselela eziqondene nomuntu ngokusekelwe ezimeni ezithile.Amarobhothi angakwazi ukulungisa ukuqeqeshwa ngokusekelwe emandleni emisipha yengane, ikhono lokulinganisela, nezici zokunyakaza, anikeze ukuqeqeshwa okulungiselelwe ukubuyisela okukhuthaza ngempumelelo inqubekelaphambili.
5.Impendulo nesiqondiso sesikhathi sangempela: Amarobhothi okuvuselela ahlinzeka ngedatha yesikhathi sangempela sokunyakaza kanye nesiqondiso ngezinzwa nezinhlelo zokuphendula.Izingane zingakwazi ukulungisa ukuma kwazo, ukuhamba kwazo, namaphethini okunyakaza ngokusekelwe empendulweni yerobhothi, kuthuthukise ukunemba nokusebenza kahle kokunyakaza kwazo futhi kusheshise inqubo yokuvuselela.
6.Imidlalo ehlukahlukene nebandakanyayo ebandakanyayo: Ukudala izindawo zokuqeqesha ezigxilile lapho izingane zingabamba iqhaza kumageyimu kusiza ukuthuthukisa ukusebenzisana kwazo nobuchwepheshe obuhlakaniphile.Lokhu kwandisa injabulo nokusebenza ngempumelelo kokuqeqeshwa kanye nokubamba iqhaza okugcwele kwezingane ekwelashweni kokubuyisela.
Funda kabanzi:Ukusetshenziswa kwe-Isokinetic Technology ku-Clinical Practice
Isikhathi sokuthumela: Dec-21-2023