Amasu Okwelapha Ngokuzivocavoca Kokwelapha Ukuphuka Kwamathambo
Ithambo eliphukile, noma ukwaphuka, kuyisimo esivamile sezokwelapha esivame ukwenzeka ngenxa yokulimala noma ukulimala. Inqubo yokuphulukiswa ngemva kokuphuka idinga ukunakwa okukhulu, hhayi nje ngokombono wezokwelapha kodwa futhi nangokuphathelene nokuvuselelwa ngokomzimba. Ukwelashwa nge-physiotherapy kudlala indima ebalulekile ekululameni kokusebenza nasekuvimbeleni izinkinga zesikhathi eside ezigulini ezinamathambo aphukile. Lesi sihloko sizoxoxa ngamasu ahlukahlukene e-physiotherapy asetshenziswa ekwelapheni ukuphuka, izinzuzo zawo, nokuthi asiza kanjani inqubo yokuphulukiswa.
Isingeniso: Ukubaluleka Kokwelashwa Nge-Physiotherapy Ekwelapheni Ukuphuka Kwamathambo
Amathambo aphukile ngokuvamile adinga ukumiswa kokuqala ukuze kuqinisekiswe ukuhlangana kwamathambo ngendlela efanele. Kodwa-ke, ngemva kwesigaba sokumiswa, noma ngisho nangesikhathi saso, i-physiotherapy iyadingeka ukuze kubuyiselwe ukusebenza, kuncishiswe ubuhlungu, futhi kuvinjelwe ukuqina. I-physiotherapy ihlose futhi ukuqinisa imisipha ezungezile, ukuthuthukisa ukuhamba kwamalunga, kanye nokugcina ukugeleza kwegazi endaweni elimele, okusekela inqubo yokuphulukiswa.
1. Ukuhlola Nokuhlela Kokuqala
Isinyathelo sokuqala ekwelashweni kokwelashwa ngokomzimba kokuphuka kwethambo ukuhlolwa kokuqala okuphelele. Umelaphi wezifo zomzimba uzohlola isimo sesiguli, indawo kanye nobunzima bokuphuka kwethambo, kanye nanoma yiziphi izinkinga ezingaba khona. Ngokusekelwe kulokhu kuhlolwa, bazokwakha uhlelo lokwelapha oluthile nolulinganisekayo, oluhlanganisa amasu ahlukahlukene nezindlela eziklanyelwe isimo sesiguli.
2. Amasu Okungashukumisi Okuphephile Nokushukumisa
Esigabeni sokuqala ngemva kokuphuka, ukungasebenzi kahle komzimba kubalulekile. Odokotela be-physiotherapist bazoqinisekisa ukuthi amadivayisi okusekela afana ne-cast, ama-splint, noma ama-braces asetshenziswa kahle ukuze kugcinwe ukuqina kwamathambo. Kodwa-ke, ukungasebenzi kahle isikhathi eside kungaholela ekuqineni kwamalunga kanye nokungasasebenzi kahle (ukulahlekelwa yimisipha ngenxa yokungasasetshenziswa).
– Ukunyakaza Okungenasithukuthezi: Ngemva kokumiswa kokuqala, udokotela we-physiotherapist uqala ngamasu okunyakaza okungenasithukuthezi. Lokhu kufaka phakathi ukunyakaza okwenziwa ngumelaphi ngaphandle komzamo wesiguli. Lawa masu asiza ukwandisa ukugeleza kwegazi endaweni ethintekile futhi avimbele ukuqina.
– Ukunyakaza Okusebenzayo: Uma isimo sesizinzile, isiguli sikhuthazwa ukuba siqale ukunyakaza okusebenzayo, ngokusekelwa noma ukuqondiswa udokotela wezokwelapha. Lokhu kusiza ukubuyisela amandla emisipha kanye nobubanzi bokunyakaza (ROM) emalungeni aseduze nendawo elimele.
3. Ukwelashwa Kokuzivocavoca
Ukuzivocavoca umzimba kuyingxenye ebalulekile ye-physiotherapy yama-fracture. Izinhlobo ezahlukene zokuzivocavoca ziyasetshenziswa kuye ngesigaba sesiguli sokululama:
– Ukuzivocavoca kwe-Isometric: Lokhu kuwukuzivocavoca "okusebenza" imisipha ngaphandle kokunyakaza. Lokhu kuzivocavoca kuwusizo ikakhulukazi ezigabeni zokuqala zokululama ngoba kushukumisa imisipha ngaphandle kokubeka ukucindezeleka okukhulu ethanjeni eliphukile.
– Ukuzivocavoca kwe-ROM: Ukuzivocavoca okuhlukahlukene kokunyakaza kuhlose ukugcina nokuthuthukisa ukunyakaza kwamalunga. Lokhu kubalulekile ekuvimbeleni ukugoba nokuqina kwamalunga, okunganciphisa ukusebenza kwesikhathi eside.
– Ukuzivocavoca Okuqinisiwe: Njengoba ukuphulukiswa kuqhubeka, kudingeka ukuzivocavoca okuqinisiwe ukuze kuthuthukiswe imisipha namandla azungeze indawo elimele. Ukuzivocavoca okunesisindo esincane kanye nokumelana okwanda kancane kancane kuyasiza kule nqubo.
4. Amadivayisi Okusiza kanye Nezindlela Zomzimba
Ngaphezu kokuzivocavoca, odokotela be-physiotherapists basebenzisa izindlela ezahlukene zomzimba ukusekela inqubo yokuphulukisa amathambo aphukile:
– Ukwelashwa nge-Ultrasound: Ukwelashwa nge-ultrasound kusebenzisa amaza omsindo avame kakhulu ukukhuthaza ukuphulukiswa ezingeni lamaseli. Kuyasebenza ekunciphiseni ubuhlungu nokuvuvukala kanye nokusheshisa inqubo yokuphulukiswa.
– Ukuvuselela Umzimba Nge-Electro (TENS): Ukuvuselela Umzimba Nge-Transcutaneous Electrical Nerve (TENS) kuyindlela yokunciphisa ubuhlungu ngokusebenzisa imisinga kagesi ephansi.
– Ukwelashwa Okushisayo Nokubanda: Ukushintshana ngokucindezela okushisayo nokubandayo ukunciphisa ukuvuvukala nokwandisa ukugeleza kwegazi nokuphumula kwemisipha.
5. Indlela Yokwenza Ngesandla
Amasu ezandla ku-physiotherapy ahilela ukuphathwa ngezandla ngumelaphi ukuze kuthuthukiswe ukuhamba kwamalunga, kuncishiswe ukuqina kwawo, futhi kukhululwe izicubu zesilonda:
– Ukunyakaza Kwamalunga: Le ndlela igxile ekubuyiseleni ububanzi bokunyakaza ejoyintini eduze nendawo lapho kwaphuka khona. Ukunyakaza kwenziwa ngobumnene ukuze kubuyiselwe ukusebenza ngaphandle kokubangela ukungakhululeki.
– Ukuhlikihla: Ukuhlikihla okwelaphayo kungandisa ukugeleza kwegazi, kunciphise ukuqina, futhi kunciphise ubuhlungu bemisipha. Ukwelashwa kokukhulula imisipha kungasetshenziswa futhi ukukhulula ukucindezeleka kwezicubu ezixhumeneyo.
6. Isu Lokusebenza Nele-Ergonomic
Ngaphezu kwamasu okukhulunywe ngawo ngenhla, odokotela be-physiotherapists bafundisa iziguli amasu okusebenza kwemisebenzi yansuku zonke. Lokhu kufaka phakathi izindlela zokwenza imisebenzi ngaphandle kokubeka ukucindezeleka okungadingekile endaweni elimele. Imfundo ngesimo esifanele, amasu okuphakamisa, kanye ne-ergonomics yasekhaya/ehhovisi nayo iyisici esibalulekile sokuvuselelwa.
7. Ukuvimbela Izinkinga
Izinkinga ezifana ne-deep vein thrombosis (DVT), i-muscle atrophy, kanye nokuhlukana kwamalunga kungenzeka ngemva kokuphuka. Odokotela be-physiotherapists baqapha izimpawu zalezi zinkinga futhi basebenzisa amasu akhethekile ukuze bazivimbele. Isibonelo, ku-DVT, ukuvivinya umzimba okuhambayo kanye nama-compression stockings kunganconywa ukuze kuthuthukiswe ukujikeleza kwegazi.
Isiphetho
Ukwelashwa nge-physiotherapy ekwelapheni ukuphuka kwethambo akugxili nje kuphela ekwelapheni ithambo ngokwalo kodwa futhi nasekubuyiseleni ukusebenza komzimba wonke. Amasu asukela ekuvinjweni kokuqala kuya ekuzilolongeni okunamandla okuqinisa, kanye nezindlela zomzimba kanye nokwelashwa ngesandla ukuze kusheshiswe ukululama nokuvimbela izinkinga. Indima yodokotela be-physiotherapists ibalulekile kuzo zonke izigaba zokululama, isiza iziguli ukuthi zibuyele empilweni enempilo nesebenzayo.
Ukusebenzisa amasu afanele afanela izidingo zomuntu ngamunye zesiguli kuqinisekisa ukululama okuhle, kunciphisa ingozi yezinkinga, futhi kubuyisela ikhwalithi yokuphila kwesiguli ngokushesha okukhulu. Ukusekelwa, ugqozi, kanye namakhono kadokotela wezokwelapha umzimba akugcini nje ngokusheshisa ukuphulukiswa ngokomzimba kodwa futhi kunikeza iziguli ukuzethemba kokubuyela emisebenzini yazo yansuku zonke ngendlela efanele.
