Amasu Okwelapha Ngokuzivocavoca Ukwelapha Ukuphuka Kwamanxeba
Ukuphuka kwamathambo, noma amathambo aphukile, kumelela umphumela ovamile wokuhlukumezeka okungashintsha kakhulu ikhwalithi yokuphila komuntu. Ukuvuselelwa okuphumelelayo kanye nokululama ekuqhekekeni kwamathambo kubalulekile ukubuyisela ukusebenza okugcwele nokunciphisa izinkinga zesikhathi eside. Ukwelashwa ngemithambo yegazi kudlala indima ebalulekile enkambisweni yokululama ngemva kokuphuka kwamathambo, kusetshenziswa amasu amaningi aklanyelwe ukubhekana nobuhlungu, ukubuyisela ukuhamba, ukuqinisa imisipha, nokuthuthukisa imiphumela yokusebenza iyonke. Lesi sihloko sihlola amasu ahlukahlukene e-physiotherapy asetshenziswa ekwelapheni ukuphuka kwamathambo, sinikeza ukuqonda mayelana nokusetshenziswa kwawo kanye nokusebenza kwawo kahle.
Ukuqonda Ukuphuka Kwama-Fracture
Ngaphambi kokuhlola amasu okwelapha umzimba, kubalulekile ukuqonda uhlobo lokuphuka kwamathambo. Ukuphuka kwamathambo kungenzeka ngenxa yamandla amakhulu asetshenziswa ethanjeni, njengasekuwa, ezingozini, noma ekulimaleni kwezemidlalo. Kuhlukaniswa ngokusekelwe ohlotsheni (okulula, okuhlanganisiwe, okuhlanganisiwe, njll.), indawo, kanye nobunzima. Indlela yokwelapha incike kakhulu kulezi zinhlaka kanye nezinga lempilo kanye nomsebenzi wesiguli iyonke.
Indima Yokwelapha Ngokuzivocavoca Ekwelapheni Ukuphuka Kwamathambo
Ukwelashwa nge-physiotherapy kubalulekile kuzo zonke izigaba zokuphulukiswa kwamathambo:
1. Isigaba Sokuqala (Ukungasebenzi/Isigaba Sokuvuvukala): Sigxile ekunciphiseni ubuhlungu nokulawula ukuvuvukala ngenkathi ithambo liqala ukuphola.
2. Ukungasebenzi Kahle Kwamalunga Ngemva Kokungakwazi Ukunyakaza (Isigaba Sokubuyisela): Ihlose ukubuyisela ukuhamba kwamalunga, ukuguquguquka kwezicubu ezithambile, kanye namandla emisipha.
3. Isigaba Sokugcina (Isigaba Sokulungisa): Kugxila ekuqeqeshweni kokusebenza ukuze kubuyiselwe isiguli emisebenzini yaso yangaphambi kokulimala.
Amasu Abalulekile Okwelapha Ngomzimba
1. Ukuphathwa Kobuhlungu
Ukuphathwa kobuhlungu okuphumelelayo kubalulekile ezigabeni zokuqala zokwelapha ukuphuka kwamathambo. Odokotela be-physiotherapists basebenzisa izindlela ezahlukene ukufeza lo mgomo:
– Ukwelashwa Ngeqhwa: Ukusebenzisa amaphakethe eqhwa endaweni elimele kungasiza ekunciphiseni ukuvuvukala futhi kuqede ubuhlungu obukhulu.
– Ukwelashwa nge-Electrotherapy: Amasu anjenge-Transcutaneous Electrical Nerve Stimulation (TENS) asebenzisa ama-electrical impulses ukuze anikeze ukukhululeka ebuhlungwini.
– Ukwelashwa Ngesandla: Ukuhlikihla okuthambile endaweni lapho kwaphuka khona kungasiza ekulawuleni ubuhlungu futhi kukhuthaze ukuphumula.
2. Ukuzivocavoca Kokugqugquzela Nokuqinisa
Uma ukuvuvukala kokuqala sekudambile futhi ukwaphuka kuqala ukuphola, ukunyakaza kancane kancane kubalulekile ukuze kubuyiselwe ukunyakaza:
– Ukuzivocavoca Okuhambayo (ROM): Lokhu kuzivocavoca kubalulekile ekugcineni nasekuthuthukiseni ukunyakaza kwamalunga. Ukuzivocavoca kwe-ROM okungenziwa kungaqalwa kuqala, kulandelwe ukuzivocavoca okusizwa ngokusebenzayo bese kuba ukuzivocavoca okusebenzayo njengoba ukuphulukiswa kuqhubeka.
– Ukuqinisa Ukuzivocavoca: Ekuqaleni, ukuzivocavoca kwe-isometric (lapho imisipha ifinyela ngaphandle kokunyakaza kwamalunga) ukuvimbela ukulahleka kwemisipha, kulandelwe ukuzivocavoca kwe-isotonic (lapho ilunga lihamba khona ngezindlela ezahlukene zokunyakaza).
3. Ukuqeqeshwa Okusebenzayo
Ukuqeqeshwa kokusebenza kuhilela ukuzivocavoca kanye nemisebenzi elingisa imisebenzi yansuku zonke noma ukunyakaza okuqondene nezemidlalo:
– Ukuzivocavoca Kokuthwala Isisindo: Ukuqhubekela phambili emisebenzini yokuthwala izinsimbi kubalulekile, kuye ngohlobo nendawo lapho kuqhekeke khona. Lokhu kukhuthaza ithambo ukuthi liphinde lilungiswe futhi liqine.
– Ukuqeqeshwa Kokulinganisela Nokwamukela Ilungu: Imisebenzi ebekela inselele ibhalansi yesiguli ibalulekile, ikakhulukazi uma kuphuka izitho ezingezansi.
– Ukuqeqeshwa Kokuhamba: Uma ukwaphuka kuthinte imilenze engezansi, odokotela be-physiotherapists banikeza ukuqeqeshwa kokuhamba ukuze balungise amaphethini okuhamba futhi bavimbele ukunyakaza okuyisinxephezelo okungaholela ezinkingeni zesikhathi esizayo.
4. Ukwelashwa Ngezandla
Ukwelashwa ngesandla kuhlanganisa izindlela eziningi ezisetshenziswa ngezandla ezenzelwe ukuhlanganisa amalunga nezicubu ezithambile:
– Ukunyakaza Kwamalunga: Ukunyakaza okuthile okwenziwa udokotela we-physiotherapist ukuze kubuyiselwe ukusebenza okuvamile kwamalunga.
– Ukunyakaza Kwezicubu Ezithambile: Amasu ahlose ukunciphisa izicubu ezibomvu nokuthuthukisa ukuguquguquka kwemisipha.
5. Izindlela
Izindlela ezahlukene zisetshenziswa ukuthuthukisa ukuphulukiswa kwezicubu nokuqeda ubuhlungu:
– Ukwelashwa nge-Ultrasound: Kusebenzisa amaza omsindo avame kakhulu ukukhuthaza ukuphulukiswa kwezicubu nokunciphisa ubuhlungu.
– Ukwelashwa Nge-Laser: Ukwelashwa nge-laser okuphansi (LLLT) kungasiza ekunciphiseni ukuvuvukala nokuthuthukisa ukulungiswa kwezicubu.
– Ukwelashwa ngamanzi: Ukuzivocavoca okwenziwa emanzini kunganciphisa umthwalo esithweni esilimele ngenkathi kunikeza ukumelana nokugcina umsebenzi wemisipha.
6. Imfundo Yesiguli Nokuguqulwa Kwendlela Yokuphila
Ukufundisa iziguli ngokulimala kwazo kanye nenqubo yokululama kubaluleke kakhulu:
– Iseluleko Sokulungisa Isimo Sengqondo: Isiqondiso mayelana nokuma, amasu okuphakamisa, kanye nokuguqulwa kwendawo yokusebenza ukuze kugwenywe ukulimala okwengeziwe.
– Izinhlelo Zokuzivocavoca Ekhaya: Izinqubo zokuzivocavoca eziklanyelwe iziguli ukuze ziqhubeke nokuvuselelwa kwazo ngaphandle kwezikhathi zokwelashwa.
– Ukuguqulwa Kwemisebenzi: Izincomo zendlela yokushintsha imisebenzi yansuku zonke ukuze kuhlangatshezwane nenqubo yokuphulukiswa nokuvimbela ukulimala kabusha.
Izifundo Zezimo: Ukusetshenziswa Kwamasu Okwelapha Ngokuzivocavoca
Ucwaningo Lwesibonelo 1: Ukuphuka Kwe-Distal Radius (Isihlakala)
– Isigaba Sokuqala: Ukwelashwa ngeqhwa kanye nokuvimbela ukunyakaza nge-cast.
– Ngemuva Kokungakwazi Ukunyakaza: Ukuzivocavoca okuthambile kwe-ROM kwesihlakala, kuqhubekela phambili ekunyakazeni okusebenzayo. Ukwelashwa nge-ultrasound ukulawula ubuhlungu nokuqina kwezicubu ezithambile.
– Isigaba Sokugcina: Ukuqinisa izivivinyo kusetshenziswa i-putty yokwelapha kanye nezibambi zezandla, ukuqeqeshwa kokusebenza kwemisebenzi efana nokuthayipha nokuphakamisa.
Isifundo Secala 2: Ukuphuka Komgodi We-Tibial (Umlenze)
– Isigaba Sokuqala: Ukuphakama, ukwelashwa ngeqhwa, kanye nokwelashwa nge-electrotherapy ukuze kulawulwe ubuhlungu.
– Ngemuva Kokuvinjelwa: Ukuzivocavoca kwe-Isometric quadriceps okushintshela ekuzivocavoceni kwe-isotonic kusetshenziswa amabhande okumelana. Ukwelashwa ngamanzi ukuze kuncishiswe ukucindezeleka okuthwala umthwalo.
– Isigaba Sokugcina: Ukuzivocavoca okuthwala isisindo ngokuqhubeka kancane kancane, ukulinganisela ukuqeqeshwa ngebhola le-bosu, kanye nokuqeqeshwa kokuhamba ukuze kulungiswe indlela yokuhamba.
Isiphetho
Ukwelashwa nge-physiotherapy kuyingxenye ebalulekile ekuphathweni kwezinhlobo eziningi zokuphuka kwamathambo, okuthonya kakhulu ijubane kanye nekhwalithi yokululama. Ngesu eliphelele elihlanganisa ukuphathwa kobuhlungu, ukubuyiselwa kokuhamba, ukuqinisa izivivinyo, ukuqeqeshwa kokusebenza, ukwelashwa ngesandla, kanye nemfundo yesiguli, odokotela be-physiotherapists basiza iziguli ukuthi ziphinde zikwazi ukuzimela futhi zibuyele emisebenzini yazo yansuku zonke. Ngokuqonda nokusebenzisa lezi zindlela ngendlela efanele, abahlinzeki bezempilo bangenza ngcono imiphumela yeziguli ezilulama ekuqhekekeni kwamathambo.
