Ukugijima Ngomlenze weProsthetic: El Paso Back Clinic

Ngaphambi kokuba uqale ukusebenza, thetha nodokotela wakho, i-prosthetist, kunye nezinye iiklinikhi ezibandakanyekayo kunyango lwakho lokubuyisela / lwezempilo. Ukufunda ukusebenzisa iprothetic kuthatha ixesha kunye nokuziqhelanisa. Abantu abahlangabezana nezona ngcebiso zincinci zokuqhuba kwaye babe onobuchule bokuhamba kwiprothesis ingaqala ukubaleka. Ihlabathi lemidlalo yokwenziwa kweeprosthetics liye laqonda inkqubela phambili yetekhnoloji ukuze licocwe kakhulu kwaye lijolise kuwo onke amanqanaba okhuphiswano.

Ngaphambi kokuba Uqhube Iingcebiso

Wonke umntu unezidingo ezithile zokhathalelo lwempilo, kwaye izikhokelo kufuneka ziqwalaselwe ukukhusela ukulimala.

• Ukuze ube yimbaleki kwaye uqhubele phambili kwimbaleki efanelekileyo, abantu ngabanye kufuneka bagxile ekomelezeni imilenze yabo ukwakha amanqanaba okunyamezela ukuhlangabezana neemfuno zamandla.
• Ukusebenza kunye ne-chiropractic yezemidlalo kunye neqela lonyango lomzimba linconywa ukwakha, ukuqinisa, kunye nemeko yemisipha kunye nokuphuhlisa i-posture enempilo kunye nemikhwa yokuhamba.

Impilo Yesikhumba

Thetha neqela lakho lezempilo ukuqinisekisa ukuba ulusu lunokumelana nemikhosi ngelixa ubaleka. Ukuba umgangatho wolusu lwelungu awonelanga, ukubaleka kunokubangela izilonda namadyungudyungu athintela ukunxiba iprosthesis de ziphole. Eminye imiba ibandakanya oku kulandelayo:

• Ukusikwa kufuneka kunyangwe.
• Yonke imithungo kunye ne-staples isusiwe.
• Kufuneka kungabikho mijelo yamanzi.
• Qinisekisa ukuba akukho manxeba avulekileyo okanye amadyungudyungu.

bone Health

• Uphando lucebisa kwezinye iimeko ukuba ukuncipha kwi ukuxinana kwamathambo/i-osteopenia okanye i-osteoporosis yentsalela yelungu ingenzeka emva kokunqunyulwa.
• Oku kunokubangela intlungu xa usebenzisa ubunzima ngelungu elishiyekileyo.
• Okunye ukunqunyulwa amalungu omzimba kunokubangela heterotopic ossification - ukukhula kwamathambo kwii-tissue ezithambileyo ngaphandle kwe-skeleton eqhelekileyo.
• Ukuba i-heterotopic ossification ibangela iimpawu, akukhuthazwa ukuba uqhube kwaye uthethe nodokotela wakho kunye neprosthetist malunga neenketho.

Ukufakwa ngokufanelekileyo kweProsthetic

• I-Suboptimal socket fit ingakhokelela ekutshintsheni ukuhamba.
• Ukuba kukho nayiphi na imbuyekezo xa uhamba, ukuphambuka kwe-gait kuya kuba nzima xa uqhuba.
• Ukuphambuka kwe-Gait kunokubangela ukulayisha okungaqhelekanga, okubangela ukulimala.
• Thetha ne-prosthetist yakho malunga nokufaneleka ukuba kungaphantsi kweyona nto ifanelekileyo.
• Kunconywa ukuba uthathe inxaxheba ekuqeqesheni i-gait kunye neqela le-chiropractic ye-physical therapy ukuze ufunde ukuhamba ngefom efanelekileyo.

Ukulungelelana kunye nokuKhathalela

Agility drills kucetyiswa ukuba utshintshe ukusuka ekuhambeni ukuya ekubalekeni.

• Bancedisa ukulungelelanisa amalungu kwaye bangenziwa ngeprothesis eqhelekileyo.
• Agility kunye balance Ukuzivocavoca kukhuthaza ukuzinza kwi-socket ukuze uzinze ngakumbi ngexesha lokuhamba ngokukhawuleza.
• Banokunceda ukuthintela ukuwa okunxulumene nokulinganisela.
• Xa usebenza ngokulinganisela, yenze kwindawo ekhuselekileyo kunye nomhlobo, usapho, okanye into onokuyibamba.

Uqeqesho ngamandla

• Umlenze ongathintekiyo ngoku uya kuba ngowona mandla aphambili, ngoko kufuneka kugxininiswe ekuqiniseni yonke imisipha kuloo mlenze.
• Ukuba unqunyulwe imilenze emibini okanye yomibini imilenze, izinqe ziya kuba yeyona nto inamandla ekusebenzeni. Kufuneka ivelise onke amandla okuqhubela phambili umzimba phambili.
• Abantu abanqunyulwe amalungu angaphantsi kwedolo nabo baya kuba nalo imisipha ukunceda.
• Izihlunu ze-Hip kufuneka zomelele ukuhlangabezana neemfuno zokubaleka.
• Ngaphandle kwamandla afanelekileyo, umzimba uya kuhlawulela ngeendlela ezahlukeneyo, ezinokubangela ukulimala.

Ukunyamezela

• Uqeqesho lokunyamezela lubalulekile.
• Inqanaba eliphezulu lonyamezelo liyafuneka phambi koqeqesho lokubaleka ukuhlangabezana neemfuno zamandla.
• Olunye uphononongo lubonise ukuba ukubaleka nge I-SACH/Isithende se-Ankle eSolid Ngeenyawo ifuna ama-28-36% amandla angaphezulu kunabantu abangenawo amalungu omzimba.

Ukubaleka ngeProsthetic

amandla

Ukubaleka kwiprothesis kufuna amandla angakumbi. Kunokucetyiswa ukuba kusetyenziswe a iprosthesis esebenzayo endaweni yeprothesis yemihla ngemihla. Amandla afunekayo ukuqhuba ngala:

• Inkulu kubantu abanqunyulwe amalungu ngaphezu kwedolo kunabo bangaphantsi kwedolo.
• Inkulu ngakumbi kwabo banqunyulwe amalungu macala omabini.

Asymmetry

Ukulayishwa kwe-asymmetrical yingxaki eqhelekileyo xa uqhuba nge-prosthesis. Iimbaleki zifuna ukusebenzisa ilungu elingachaphazelekiyo ngaphezu kokugcina ibhalansi ngenxa yezizathu ezibandakanya:

• Ukungathembi iprothetics.
• Ukungakhululeki xa ulayisha ilungu elishiyekileyo.
• Akukho mandla aneleyo kwintsalela yelungu.
• Izixa ezingalinganiyo zamandla ezivela kwimpembelelo zinokubangela ukulimala.

IShedyuli yokuziqhelanisa

• Kwiveki yokuqala, ivavanya ukuba i-socket ihambelana njani kwaye ukuba kukho nayiphi na into engathandekiyo.
• Ukuba kukho into engahambi kakuhle, jonga ku-prosthetist yakho.
• Musa ukubaleka ngaphezu kwemizuzu eyi-10 ekuqaleni ngaphandle kokuyeka ukujonga ulusu ukuze ubone ukuba kukho amabala abomvu avelayo.
• Uxinzelelo luya kwandiswa, ngoko qaphela nayiphi na into ephazamisayo okanye ukugcoba ulusu.
• Abantu abanqunyulwa ilungu lomzimba kwixesha elidlulileyo banokukwazi ukunyamezela umthwalo ngokulula ngakumbi kwasekuqaleni kunabantu abasandul’ ukunqunyulwa.
• Ukukhawuleza kakhulu kunokubangela ukwenzakala.
• Kancinci kancinci ukubaleka kwaye unike amalungu kunye nomzimba ixesha lokuziqhelanisa noxinzelelo lomzimba kunye nengqondo.

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Ukubaleka Ngelungu Lokufakelwa

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Ucaphulo

Beck, Owen N et al. "Ukuncipha kokuqina kweprosthetic kwehlisa iindleko zemetabolism yokubaleka iimbaleki ezinamacala amabini anqunyulwe imilenze." Ijenali ye-application physiology (Bethesda, Md.: 1985) vol. 122,4 (2017): 976-984. doi:10.1152/japplphysiol.00587.2016

Bragaru, Mihai, et al. "Iiprostheses zezemidlalo kunye nokulungelelaniswa kwe-prosthetic yabantu abanqunyulwe imilenze ephezulu nasezantsi: isishwankathelo soncwadi oluphononongwe ngoontanga." Iprosthetics kunye ne-orthotics yamazwe ngamazwe vol. 36,3 (2012): 290-6. doi:10.1177/0309364612447093

UKanas, uJoanne L, kunye noMark Holowka. "Iiprothesi ezilungelelaniswayo zokuzonwabisa kunye nokudlala." Ijenali yeyeza lokubuyisela kwisimo sabantwana vol. 2,3 (2009): 181-7. doi:10.3233/PRM-2009-0082

Matthews, D et al. “Buyela kwezemidlalo emva kokunqunyulwa amalungu omzimba.” Ijenali yamayeza ezemidlalo kunye nokomelela komzimba vol. 54,4 (2014): 481-6.

Meyers, uCarolyn, kunye nabanye. "I-Heterotopic Ossification: Uphononongo oluBanzi." I-JBMR kunye ne-vol. 3,4 e10172. 27 Feb. 2019, doi:10.1002/jbm4.10172

UMorgan, uSara J et al. "Ukushukuma ngeprosthesis yelungu elisezantsi: amava abasebenzisi abanamanqanaba aphezulu okusebenza." Ukukhubazeka kunye nokubuyisela kwisimo sangaphambili vol. 44,13 (2022): 3236-3244. doi:10.1080/09638288.2020.1851400