Ukubaluleka Kokuhlolwa Kokuqala Ekwelashweni Kwe-Physiotherapy
Ukuhlolwa kokuqala kuyisisekelo sokunakekelwa kwe-physiotherapy. Ngaphambi kokuba kuqalwe uhlelo lokuzivocavoca, kusetshenziswa indlela, noma imigomo yokululama isungulwe, udokotela we-physiotherapist udinga ukuqonda isimo sesiguli kahle. Ukuhlolwa kokuqala akuyona nje indlela yokuphatha, kodwa kunalokho inqubo yezokwelapha enquma indlela yokungenelela: ukuthi inkinga eyisisekelo iyini, yiziphi izimbangela ezingaba khona, ubukhulu bokukhubazeka, kanye nanoma yiziphi izici ezingasheshisa noma zivimbele ukululama. Ngaphandle kokuhlolwa okufanele, ukwelashwa kungaba yingozi yokungasebenzi kahle, kudle isikhathi, kubize kakhulu, futhi kuholele ngisho nasekulimaleni okusha.
Kusho ukuthini ukuhlolwa kokuqala?
Ukuhlolwa kokuqala ku-physiotherapy kuwuchungechunge lokuhlolwa kanye nokuqoqwa kwedatha yezokwelapha ukuze kuhlolwe isimo sesiguli ngesikhathi sokuvakasha kokuqala. Le nqubo ivame ukufaka ingxoxo (ukuthatha umlando), ukubuka, ukuhlolwa ngokomzimba, ukuhlolwa kokusebenza, ukuhlolwa kwezimo ezibucayi (amafulegi abomvu), ukusungula inkinga yokuxilongwa/ukunyakaza kokwelashwa ngokomzimba, kanye nokwakha uhlelo lokungenelela kanye nemigomo yokwelapha. Imiphumela yokuhlola isebenza "njengomhlahlandlela" wodokotela we-physiotherapist kanye nesiguli kuyo yonke inqubo yokuvuselelwa.
Empeleni, ukuhlolwa kokuqala akuhloli nje kuphela isikhalo esiyinhloko, njengobuhlungu bomhlane noma ubunzima bokuhamba, kodwa futhi kuhlola nomthelela waso emisebenzini yansuku zonke. Lokhu kwenza i-physiotherapy ibe nenjongo kakhulu ngoba igxile ekusebenzeni, hhayi ezimpawini kuphela.
Ukuhlonza izinkinga eziyinhloko kanye nezimbangela eziyinhloko
Isikhalazo somuntu obonisa isiguli ngokuvamile siba "yiphuzu leqhwa." Isibonelo, ubuhlungu bedolo abubonisi njalo inkinga yedolo; kungaba ubuthakathaka bemisipha yephansi le-pelvic, ukulawula okungahambi kahle kwemisipha, noma ukuhamba okungalungile. Ukuhlolwa kokuqala kusiza udokotela wezokwelapha umzimba ukuhlukanisa phakathi kwezimpawu nezici ezibangela lokho.
Ngokulinganisa amandla emisipha, ukuguquguquka, ibhalansi, ukulawula imisipha, kanye namaphethini okunyakaza, odokotela be-physiotherapists bangakha umbono wezokwelapha: ukuthi kungani isikhalazo senzeka, yiziphi ukunyakaza okusibangelayo, nokuthi yiziphi izinguquko ezidingekayo. Yilokhu okwenza uhlelo lokwelapha luqonde futhi lusebenze, kunokuba kube "ukuzivocavoca okuvamile" okungahle kungafaneleki kuwo wonke umuntu.
Ukunquma ngokuphephile izinto eziza kuqala ekwelashweni (ukuhlolwa kwengozi)
Omunye wemisebenzi ebaluleke kakhulu yokuhlolwa kokuqala ukuphepha kwesiguli. Odokotela bezokwelapha umzimba kudingeka bahlole izimpawu ezibomvu ezibonisa isimo esibucayi sezokwelapha esidinga ukudluliselwa ngokushesha. Isibonelo, ubuhlungu emhlane obuhambisana nokwehla kwesisindo okukhulu, umkhuhlane, umlando womdlavuza, ukulawulwa komchamo okuphazamisekile, noma ukuba ndikindiki okuqhubekayo kungabonisa isimo esidinga ukunakekelwa kwezokwelapha okusheshayo.
Ngaphezu kwezimpawu ezibomvu, ukuhlolwa kucabangela nezifo ezihambisanayo ezifana nesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, i-osteoporosis, noma umlando wokuhlinzwa. Lolu lwazi lunquma imikhawulo yokuzivocavoca okuphephile, ukuqina kokungenelela, nokuthi yiziphi izindlela okufanele zisetshenziswe noma ezingafanele zisetshenziswe. Ukwelashwa okuphephile yileyo ehlelwe ngolwazi oluphelele.
Dala imigomo ecacile nelinganisekayo
Ukwelashwa nge-physiotherapy okuphumelelayo kuhlala kunemigomo ethile nelinganisekayo. Ukuhlolwa kokuqala kunikeza isisekelo esidingekayo ukuze kubekwe imigomo. Isibonelo:
– Ububanzi bokunyakaza kwejoyinti ledolo: kusukela kuma-degree angu-90 kuya kwangu-120
– Isikali sobuhlungu: kusukela ku-7/10 kuya ku-3/10 emavikini amabili
– Isikhathi sokuma ngomlenze owodwa: kusukela kumasekhondi angu-5 kuya kumasekhondi angu-20
– Ibanga lokuhamba ngezinyawo: kusuka kumamitha ayi-100 kuya kwamamitha angu-500 ngaphandle kokuma
– Amaphuzu okusebenza (isib. i-ODI yobuhlungu bomhlane noma i-WOMAC yedolo) anciphile emazingeni okukhubazeka
Imigomo ecacile isiza iziguli ukuqonda indlela yokwelapha futhi ikhuthaze ukungaguquguquki. Kudokotela wezokwelapha ngomzimba, imigomo isebenza njengethuluzi lokuhlola: ukuthi ukungenelela kuyaphumelela yini, kudinga ukuguqulwa, noma isu elihlukile liyadingeka.
Thuthukisa uhlelo lokungenelela komuntu ngamunye
Azikho iziguli ezimbili ezifana ncamashi. Abantu ababili abatholakale benesifo sohlangothi, isibonelo, bangase babe namazinga ahlukene obuthakathaka, izinkinga zokulinganisela, izinkinga zokukhuluma, kanye nokusekelwa komndeni. Ukuhlolwa kokuqala kuvumela udokotela we-physiotherapist ukuthi athuthukise uhlelo oluqondene nomuntu ngamunye ngokusekelwe ezidingweni nasezimweni zesiguli.
Izinhlelo zokungenelela zingafaka phakathi ukuqinisa izivivinyo, ukuqeqeshwa kokuguquguquka, ukuqeqeshwa kokulinganisela, ukuqeqeshwa kokusebenza, imfundo ye-ergonomics, izivivinyo zokuphefumula, kanye nokusetshenziswa kwamadivayisi okusiza. Ukuqina, ukuvama, kanye nokuqhubeka kwezivivinyo kufanele kulungiselelwe ngokwekhono lokuqala lesiguli. Ngokusekelwe ekuhlolweni okufanele, udokotela we-physiotherapist angaklama ukuqhubekela phambili kancane kancane ukuze athole imiphumela emihle kakhulu ngengozi encane.
Ukulinganisa intuthuko ngendlela eqotho
Ukuhlolwa kokuqala kusebenza njengendawo yokuqala yokuhlolwa okuvamile. Ngaphandle kwedatha eyisisekelo, kunzima ukunquma ukuthi isiguli siyathuthuka ngempela yini. Ukuhlolwa kwenhloso okufana nobubanzi bokulinganisa ukunyakaza, amandla emisipha, ukuhlolwa kwebhalansi, ukuhlolwa kokusebenza kokuhamba, noma imibuzo yekhwalithi yokuphila kuvumela ukulandelela okubonakalayo kwentuthuko yesiguli.
Ezigulini, idatha eqondile isiza ukukhulisa ukuzethemba enkambisweni yokwelapha ngoba zingabona ubufakazi bentuthuko, hhayi nje "ukuzizwa zingcono kancane." Kwabezokwelapha ngomzimba, le datha isekela ukwenziwa kwezinqumo zezokwelapha, okuhlanganisa ukuthi kufanele kukhuliswe nini ukuqina kokuzivocavoca, ukuthi kufanele kuncishiswe nini ukuqina, noma ukuthi isiguli sesilungele ukukhishwa ohlelweni lokwelapha.
Thuthukisa ukuxhumana kanye nokubambisana neziguli
Ukuhlolwa kokuqala nakho kuyisikhathi esibalulekile sokwakha ubudlelwano bokwelapha. Kulesi sigaba, udokotela wezokwelapha umzimba uhlola okulindelwe yisiguli, imisebenzi ebalulekile kubo, kanye nokukhathazeka kwabo. Isibonelo, kubasebenzi basehhovisi, umgomo oyinhloko kungaba ukubuyela ekuhlaleni isikhathi eside ngaphandle kobuhlungu. Kwabadlali, umgomo kungaba ukubuyela ekuqeqeshweni ngesikhathi besebenza ngokugcwele. Kwabadala asebekhulile, imigomo ingaba ukuvimbela ukuwa nokugcina ukuzimela.
Ukuxhumana okuhle kusiza iziguli ukuba zizwe zizwakala futhi ziqondwa. Lokhu kuthinta kakhulu ukuhambisana nokwelashwa, okuhlanganisa nokunamathela ekuzilolongeni kwasekhaya. Ngaphezu kwalokho, imfundo yasekuqaleni ngesimo, inqubo yokululama elindelwe, kanye nezinto okufanele zenziwe nokungafanele zenziwe kuzonciphisa ukukhathazeka futhi kuvimbele izenzo ezingase zibhebhethekise ukulimala.
Izici zemibhalo kanye nobungcweti
Kwezokunakekelwa kwempilo, imibhalo iyisici esibalulekile sobungcweti. Ukuhlolwa kokuqala okubhalwe kahle kwenza kube lula ukuqhubeka kokunakekelwa, ikakhulukazi lapho isiguli selashwa ochwepheshe be-physiotherapist abangaphezu koyedwa noma sidinga ukuxhumana nodokotela, umhlengikazi, noma isazi sokudla okunempilo. Amarekhodi okuhlola asiza ukuchaza isizathu sokungenelela okukhethiwe, ukuqapha impendulo yokwelashwa, kanye nokunikeza ubufakazi bezokwelapha lapho kudingeka ngezinjongo zokuphatha noma zomshuwalense.
Imibhalo emihle iphinde isekele umkhuba osekelwe ebufakazini, njengoba odokotela be-physiotherapists bengaqhathanisa imiphumela futhi bathuthukise izindlela zokwelapha ngokusekelwe kudatha.
Izibonelo zezingxenye ezivamile ekuhlolweni kokuqala
Nakuba kungahluka kuye ngesimo, ukuhlolwa kokuqala kwe-physiotherapy kuvame ukufaka:
1. Umlando: isikhalazo esiyinhloko, umlando wokulimala/ukugula, izinto ezibangela lokhu, imithi esetshenzisiwe, izindlela zokusebenza.
2. Ukuhlolwa kwezimpawu ezibomvu: izimpawu zezimo ezibucayi ezidinga ukudluliselwa.
3. Ukuqaphela: ukuma komzimba, indlela yokuhamba, ukuvuvukala, izinguquko zombala wesikhumba, isinxephezelo sokunyakaza.
4. Ukuhlolwa kwe-Palpation kanye nezicubu: ukuqina, izinga lokushisa, ukuqaqamba kwemisipha.
5. Izilinganiso: ububanzi bokunyakaza (ROM), amandla emisipha, ubude bemisipha, ukuqina kwamalunga.
6. Ukuhlolwa kokusebenza: ukugoba, ukukhwela izitebhisi, ukuhlala phansi nokuma, ukuhlolwa kokuhamba, ukuhlolwa kokulinganisela.
7. Ukuhlolwa kobuhlungu: indawo, ubukhali, ikhwalithi, ukusabalala, izinto ezibangela/ezinciphisa ubuhlungu.
8. Iziphetho zezokwelapha: izinkinga eziyinhloko, izici ezibangela, izinto eziza kuqala ezinkingeni.
9. Uhlelo lokwelapha: imigomo, izindlela zokungenelela, imfundo, uhlelo lwasekhaya, isimiso sokulandelela.
Isiphetho
Ukuhlolwa kokuqala ku-physiotherapy kuyisinyathelo esibalulekile ekunqumeni impumelelo yokuvuselelwa. Ngokuhlolwa okuphelele, odokotela be-physiotherapists bangaqinisekisa ukuphepha kwesiguli, bathole izimbangela eziyinhloko, babeke imigomo ecacile, futhi baklame uhlelo lokwelapha oluqondene nomuntu ngamunye nolulinganiswayo. Ngaphezu kwalokho, ukuhlolwa kokuqala kuthuthukisa ukuxhumana, kuqinisa isisusa sesiguli, futhi kunikeze idatha eqondile yokuqapha inqubekela phambili. Ekugcineni, i-physiotherapy eqala ngokuhlolwa kokuqala okunengqondo izosebenza kahle, isebenze kahle, futhi iqondiswe ekubuyiseleni umsebenzi kanye nokuthuthukisa ikhwalithi yokuphila kwesiguli.
