Ngemuva kwe-stroke, cishe i-70% kuya ku-80% iziguli ze-stroke azikwazi ukuzinakekela ngenxa ye-sequelae, okubangela ingcindezi enkulu ezigulini nasemindenini yazo.Bangakwazi kanjani ukubuyisela ngokushesha ikhono lokuzinakekela ngokwelashwa kokuhlunyeleliswa sekuyinkinga ekhathaza kakhulu.Ukwelashwa komsebenzi kancane kancane kwaziwa njengengxenye ebalulekile yemithi yokuvuselela.
1.Isingeniso se-Occupational Therapy
I-Occupational therapy (i-OT ngamafuphi) iyindlela yokwelapha yokuvuselela esebenza imisebenzi enenhloso nekhethiwe (imisebenzi eyahlukene efana nomsebenzi, abasebenzi, kanye nemisebenzi yokuzijabulisa) ukusiza iziguli zithole ukuvivinya umzimba okusebenzayo ukuze imisebenzi yazo yokubamba iqhaza ngokomzimba, ngokwengqondo, kanye nenhlalo zibuyiswe kuze kufike ezingeni eliphezulu.Kuyinqubo yokuhlola, ukwelashwa nokuqeqeshwa kweziguli ezilahlekelwe ukuzinakekela kanye nekhono lokusebenza ngamazinga ahlukahlukene ngenxa yokungasebenzi kahle ngokomzimba, ngokwengqondo nentuthuko noma ukukhubazeka.Le ndlela igxile ekusizeni iziguli ukubuyisela amakhono azo okuphila kwansuku zonke nokusebenza ngangokunokwenzeka.Kuyindlela ebalulekile yokuthi iziguli zibuyele emindenini yazo nasemphakathini.
Umgomo uwukubuyisela noma ukuthuthukisa ikhono lesiguli lokuphila nokusebenza ngokuzimela kuze kufike ezingeni eliphezulu ukuze sikwazi ukuphila ukuphila okunenjongo njengelungu lomndeni nomphakathi.Lokhu kwelashwa kunenani elikhulu lokuvuselelwa kweziguli ezinokukhubazeka okusebenzayo, okungasiza iziguli ukuthi zilulame ezinkingeni zokusebenza, ukushintsha amaphethini okunyakaza okungavamile, ukuthuthukisa ikhono lokuzinakekela, futhi kufinyeze inqubo yokubuyela emndenini nasemphakathini.
2.Ukuhlolwa Kokwelashwa Komsebenzi
A.Ukwelashwa emsebenzini ngenxa yokungasebenzi kahle kwezimoto:
Lungisa ukusebenza kwesimiso sezinzwa sesiguli ngemisebenzi yomsebenzi, uthuthukise amandla emisipha nokunyakaziswa kwamalunga, uthuthukise ukusebenza kwemoto, uthuthukise ukusebenzelana nekhono lokulinganisela, futhi kancane kancane ubuyisele ikhono lesiguli lokuzinakekela.
B.Ukwelashwa emsebenzini we ukuphazamiseka kwengqondo:
Ekuzivivinyweni komsebenzi, iziguli azidingeki nje ukubeka amandla nesikhathi, kodwa futhi kudingeka zithuthukise umuzwa wazo wokuzimela futhi zakhe kabusha ukuzethemba kwazo ekuphileni.Izinkinga ezinjengokuphazamiseka, ukunganaki, nokulahlekelwa inkumbulo zingaxazululwa ngemisebenzi yomsebenzi.Ngemisebenzi ehlanganyelwe kanye neyomphakathi, ukuqwashisa kweziguli ngokubamba iqhaza komphakathi kanye nokuhlanganiswa kabusha kuyatshalwa.
C.Ukwelashwa emsebenzini weaumsebenzi kanyesokokusebenzapukuhlanganyeladiziqondiso:
Esikhathini sokululama, isimo sengqondo sesiguli singashintsha.Imisebenzi yokuxhumana nabantu ingasiza iziguli zithuthukise umuzwa wazo wokubamba iqhaza komphakathi, zikhulise ukuzethemba kwazo, zizizwe zixhumene nomphakathi, zilungise isimo sazo sengqondo, futhi zibambe iqhaza ngenkuthalo ekuqeqesheni ukubuyisela esimweni esihle.
3.Ukuhlukaniswa kweOumsebenziTherapy Imisebenzi
A.Ukuqeqeshwa Komsebenzi Wansuku zonke
Qeqesha ikhono lokuzinakekela leziguli, elifana nokugqoka, ukudla, ukuhamba, ukuqeqeshwa kokusebenza kwezandla, njll. Buyisela ikhono lazo lokuzinakekela ngokuqeqeshwa okuphindaphindiwe.
B.OkwelaphayoActvitiy
Thuthukisa izinkinga zokungasebenzi kahle kweziguli usebenzisa imisebenzi ethile ekhethwe ngokucophelela noma amathuluzi.Thatha iziguli ezine-hemiplegic ezinezinkinga zokunyakaza kwemilenze engenhla njengesibonelo, singaqeqesha imisebenzi yazo yokuphakamisa, ukuzungezisa nokubamba ngemisebenzi efana nokumpintsha ipulasitiki kanye namantongomane okukulungela ukuze sithuthukise umsebenzi wazo wokunyakaza kwemilenze engaphezulu.
C.OkukhiqizayoLisisuAimisebenzi
Lolu hlobo lomsebenzi lufanele iziguli eseziluleme ngezinga elithile, noma iziguli ukukhubazeka kwazo okungenzima kakhulu.Baphinde badale ukubaluleka kwezomnotho ngenkathi benza umsebenzi wokwelapha (njengokwenza izinkuni neminye imisebenzi yezandla).
D.Psychological andSokokusebenzaAimisebenzi
Isimo sengqondo sesiguli sizoshintsha ngokwezinga elithile phakathi nenkathi yangemva kokuhlinzwa noma isikhathi sokululama.Ngemisebenzi enjalo, iziguli zingakwazi ukulungisa isimo sazo esingokwengqondo futhi zigcine isimo sengqondo esihle.
4.Izisetshenziswa ezithuthukile zeOumsebenziTherapy
Uma kuqhathaniswa nemishini yokwelapha evamile yomsebenzi, imishini yokuvuselela i-robotic inganikeza izinga elithile lokusekelwa kwesisindo ukuze iziguli ezinamandla emisipha ebuthaka zikwazi ukuphakamisa izingalo zazo ukuze ziqeqeshelwe umsebenzi.Ngaphezu kwalokho, imidlalo esebenzisanayo ohlelweni ingaheha iziguli'ukunaka kanye nokwenza ngcono izinhlelo zabo zokuqeqesha.
I-Arm Rehabilitation Robotics A2
Ilinganisa ngokunembile umthetho wokunyakaza kwengalo ngesikhathi sangempela.Piziguli zingaqedela ukuqeqeshwa okuhlangene okuningi noma okuhlangene ngokuhlanganyela.Umshini wokuvuselela izingalo usekela kokubili ukuqeqeshwa kokuthwala isisindo nokunciphisa isisindo ezingalweni.FuthikweOkwamanje, inempendulo ekhaliphileumsebenzi, ukuqeqeshwa kwendawo enezinhlangothi ezintathu kanye nesistimu yokuhlola enamandla.
Ukuvuselelwa Kwezikhali kanye Nokuhlola Amarobhothi A6
Ukuvuselelwa kwengalo nokuhlola amarobhothiA6 ingalingisa ukunyakaza kwengalo ngesikhathi sangempela ngokusho kobuchwepheshe bekhompiyutha kanye nethiyori yemithi yokuvuselela.Ingabona ukunyakaza kwezingalo okungenzi lutho nokusebenzayo ngezilinganiso eziningi.Ngaphezu kwalokho, kuhlanganiswe nokusebenzisana kwesimo, ukuqeqeshwa kwempendulo kanye nesistimu yokuhlola enamandla, i-A6 yenza iziguli ziqeqeshe ngaphansi kwamandla omzimba we-zero.Irobhothi le-rehab lisiza ukuqeqesha iziguli ngokungenzi lutho esikhathini sokuqala sokuvuselelwa, ngaleyo ndlela lifinyeze inqubo yokuvuselela.
Funda kabanzi:
Ukuqeqeshwa Kwezitho Zokusebenza Kwe-Stroke Hemiplegia
Ukusetshenziswa kwe-Isokinetic Muscle Training in Stroke Rehabilitation
Ingabe I-Rehabilitation Robot A3 Izisiza Kanjani Iziguli Ze-Stroke?
Isikhathi sokuthumela: Mar-02-2022