Kutaya chiwalo, kaya kwathunthu kapena pang'ono, chifukwa cha ngozi, matenda, kapena kubadwa, kungakhudze kwambiri moyo wa munthu. Ndi vuto lalikulu, mwakuthupi komanso m'maganizo. Komabe, ndi ukadaulo wapamwamba wa zamankhwala wamakono, pali njira zothetsera mavuto zomwe zingatithandize kuthana ndi vutoli. Limodzi mwa njira zofunika kwambiri ndi mkono wopangira. Chifukwa chake, tiyeni tikambirane za izi mosavuta komanso mwaubwenzi lero.
Kodi mkono wa Prosthetic ndi chiyani?
Mwachidule, dzanja lopangira opaleshoni ndi chipangizo chomwe chimapangidwa kuti chilowe m'malo mwa dzanja lanu lachilengedwe. Chimatchedwanso kuti gawo lapamwamba la mwendo . Kutengera ndi gawo lomwe mwataya, likhoza kulowa m'malo mwa gawo lililonse la dzanja lanu, monga zala zanu, chikhatho, dzanja , mkono, chigongono, mkono, kapena phewa.
Taganizirani izi, manja ena opangidwa ndi mapulasitiki ndi osavuta ngati dzanja la munthu m'sitolo yogulitsa zovala. Ndipo ena ndi aluso ngati dzanja la loboti mufilimu. Pali mitundu yambiri ya manja opangidwa ndi mapulasitiki pakati pawo, pamlingo wosiyanasiyana.
Ndani angafunike mkono wopangidwa ngati uwu?
Kawirikawiri, munthu amene wachotsedwa mwendo chifukwa cha opaleshoni (kudulidwa ziwalo) kapena amene anabadwa ndi chiwalo chosiyana ndi chiwalo chobadwa nacho angakhale ndi chidwi ndi mwendo wopangidwa. Pali mitundu yosiyanasiyana ya miyendo yopangidwa yomwe ingagwiritsidwe ntchito kutengera ndi momwe zinthu zilili. Nazi zina mwa milanduyi.
| Mtundu wa Matenda/Kudulidwa Chilonda | Kufotokozera kosavuta |
|---|---|
| Kudulidwa kwa Transradial | Kuchotsa mkono pansi pa chigongono, kudutsa fupa la mkono. |
| Kusokonezeka kwa chigongono | Kuchotsa mkono ndendende kuchokera pa chigongono. |
| Kudulidwa kwa Transhumeral | Kuchotsa mkono kudzera mu fupa la mkono (Humerus), pamwamba pa chigongono. |
| Kusokonezeka kwa Mapewa | Kuchotsa mkono wonse pa phewa. |
| Kudulidwa kwa Forequarter | Kuchotsa mkono wonse, kuphatikizapo tsamba la phewa ndi khosi. |
| Kusowa kwa Ziwalo Zobadwa Nazo | Kuchepa kwa kutalika kapena m'lifupi mwa dzanja chifukwa cha kuchepa kwa kukula kwa mafupa a dzanja. |
Ndi mitundu yanji ya manja opangira opaleshoni omwe alipo?
Manja opangidwa ndi pulasitiki amatha kugawidwa m'mitundu ikuluikulu ingapo. Iliyonse ili ndi ntchito yake komanso ntchito yake. Kutengera zosowa zanu, mutha kusankha mtundu womwe ukukuyenererani.
1. Chopangira cha Dzanja Losagwira Ntchito
Izi sizigwira ntchito mofanana ndi dzanja la munthu. Komabe, lingapangidwe kuti liwoneke ngati dzanja lachilengedwe. Makamaka lopangidwa ndi silicone , lingapangidwe kuti ligwirizane ndi mtundu wa khungu lanu, misomali, komanso mizere yaying'ono ya dzanja lanu. Cholinga chachikulu cha izi ndikubwezeretsa mawonekedwe. Anthu ambiri amagwiritsa ntchito mtundu uwu wa dzanja akamapita ku phwando kapena chochitika chosangalatsa.
2. Chogwirira cha mkono choyendetsedwa ndi thupi
Ichi ndi chipangizo chamakina. Chimagwira ntchito ngati makina opukutira. Dongosolo la zingwe limalumikiza mkono wopangira ndi minofu ina m'thupi lanu (monga minofu yomwe ili m'mapewa anu). Mukayambitsa minofuyo, zingwezo zimakoka ndipo chikhadabo kapena chipangizo china pa mkono wopangira chimatsegulidwa ndikutsekedwa.
Mtundu uwu ndi woyenera kwambiri pa ntchito zobwerezabwereza komanso ntchito zamanja. Ndi wamphamvu kwambiri komanso wosalowa madzi. Komanso, mukagwiritsa ntchito mkono uwu, mumamva kuyankha kudzera mu chingwe. Kuti mudziwe ngati ukugwira ntchito popanda kuyang'ana mkonowo.
3. Dzanja Lopangira Loyenera Zochita Zokha
Ngati mukufuna mkono wopangira pa ntchito inayake, masewera, kapena zosangalatsa, mutha kupeza womwe wapangidwira ntchitoyi. Mwachitsanzo, wapangidwa kuti ukhale woyenera kunyamula zolemera, ukalipentala, kukwera njinga, kapena kusambira. Ukhoza kusinthidwa ndikugwiritsidwa ntchito ngati pakufunika kutero.
4. Chopangira cha mkono cha myoelectric
Uwu ndi mkono wamakono komanso wa robotic womwe tinkakamba. `Myo` amatanthauza minofu. Umagwira ntchito potumiza mphamvu zamagetsi zazing'ono minofu yanu ikagundana . Ma electrode omwe ali pakhungu lanu amazindikira zizindikirozi ndikuyambitsa ma motors mu mkono wopangira.
Njira imeneyi imalola kuti ngakhale mayendedwe osavuta kwambiri apangidwe mopanda khama kwambiri kuposa dzanja loyendetsedwa ndi thupi. Dzanja lamtunduwu nthawi zambiri limakhala ndi dzanja la bionic lokhala ndi zala zomwe zimatha kusunthidwa palokha.
Ngakhale izi zingagwiritsidwe ntchito pochita ntchito zosiyanasiyana za tsiku ndi tsiku, sizothandiza pa ntchito zonse. Zimatenga nthawi kuti uzolowere kugwiritsa ntchito. Komanso, sizoyenera kwambiri ntchito zolemera zomwe zimafuna mphamvu zambiri. Komabe, ndi yokongola kwambiri komanso yogwira ntchito bwino. Anthu omwe aidziwa bwino aphunziranso kuyendetsa galimoto, kulemba pa kompyuta, komanso kusewera piyano.
5. Dzanja Lopangidwa ndi Prosthetic Losakanikirana
Uku ndi kuphatikiza kwa mitundu iwiri yomwe yatchulidwa pamwambapa. Mwachitsanzo, chigongono chingapangidwe kuti chigwiritsidwe ntchito ndi thupi, ndipo chikhatho ndi zala zingapangidwe kuti zikhale zamagetsi. Izi zimakupatsani mwayi wopeza ubwino wa mitundu yonse iwiri pamodzi.
Kodi njira yopezera mkono wopangira opaleshoni imagwira ntchito bwanji?
Kupeza mkono wopangira ndi kuuzolowera ndi ulendo waukulu. Zimatengera nthawi, maphunziro, komanso kuleza mtima kwambiri. Pali gulu la azaumoyo, kuphatikizapo madokotala ndi akatswiri azachipatala, kuti akuthandizeni paulendowu. Njirayi ili ndi masitepe angapo ofunikira.
1. Kufunsa ndi Kuwunika: Choyamba, dokotala wanu ndi katswiri wa ziwalo adzakuyesani. Adzakambirana za thanzi lanu, moyo wanu, zosowa zanu, ndi zolinga zanu, ndi kusankha mtundu wa chiwalo chopangira chomwe chili choyenera kwa inu.
2. Kuyeza ndi Kuyika: Gawoli nthawi zambiri limachitika milungu 3-6 mutachotsa dzanja. Apa, katswiriyo amayesa bwino kwambiri mwendo wanu wotsala. Nthawi zina angayesedwe ndi nkhungu kapena 3D scan.
3. Maphunziro Oyambira: Mukapanga mkono wanu wopangira, mudzaphunzitsidwa momwe mungagwiritsire ntchito, momwe mungawuvalire ndikuwuvula, momwe mungawuyeretsere, komanso momwe mungawusamalire.
4. Maphunziro a Thupi ndi Ntchito: Iyi ndi gawo lofunika kwambiri. Katswiri wa zamaganizo ndi katswiri wa zamaganizo adzagwira ntchito limodzi kuti akuphunzitseni kugwiritsa ntchito mkono wanu pochita ntchito za tsiku ndi tsiku. Adzakupatsani masewera olimbitsa thupi kuti alimbitse minofu yofunikira.
5. Chisamaliro cha Thanzi la Maganizo:Pamene thupi lanu likuchira, maganizo anu akusinthanso kwambiri. Musanyoze gawo ili. Mutha kupeza thandizo lalikulu kuchokera kwa madokotala amisala, alangizi, ndi magulu othandizira anzanu kuti mukhale olimba m'maganizo paulendowu.
Kodi ubwino ndi kuipa kogwiritsa ntchito dzanja lopangira opaleshoni ndi kotani?
Kugwiritsa ntchito mkono wopangira kapena ayi ndi chisankho chaumwini. Anthu ena amaona kuti n'kosavuta kugwiritsa ntchito njira zina (monga kugwiritsa ntchito mkono wawo wina kapena mwendo wawo). Komabe, pali ubwino wambiri pa thanzi pogwiritsa ntchito mkono wopangira.
| Ubwino | Zoopsa ndi Zovuta |
|---|---|
| Kulinganiza Thupi : Kumathandiza kugawa kulemera kwa thupi ndi khama mofanana mbali zonse ziwiri. | Kupweteka kwa minofu : Kugwiritsa ntchito manja oyendetsedwa ndi thupi nthawi zonse kungayambitse kutopa kwa minofu. |
| Kuchepetsa kutopa kwa dzanja lina : Kugwiritsa ntchito dzanja lina lokha kungalepheretse kupweteka kwa nthawi yayitali komanso kuvulala kobwerezabwereza. | Zolakwika za makina : Kusweka kwa zida, mavuto amagetsi, kapena mavuto ochaja kungachitike. |
| Kusunga kaimidwe kabwino : Kumachepetsa ululu wa msana ndi khosi. | Mavuto a pakhungu : Ngati sichinaikidwe bwino, chingayambitse kuyabwa ndi kutsekeka kwa khungu. |
| Ntchito ndi mawonekedwe : Zimathandiza kuti ntchito za tsiku ndi tsiku zikhale zosavuta komanso kubwezeretsa mawonekedwe. | Kutuluka thukuta : Mkono wopangidwa umatuluka thukuta, choncho umafunika kutsukidwa pafupipafupi. |
Zambiri mwa zoopsa izi,Zingathe kupewedwa mwa kuyika bwino, kuphunzitsa bwino, komanso kusamalira bwino .
Kodi zimatenga nthawi yayitali bwanji kuti uzolowere izi?
Nthawi yomwe imatenga kuti izi zitheke imasiyana malinga ndi munthu. Zimatengera zinthu zambiri, kuphatikizapo mtundu wa mkono wopangira womwe mumagwiritsa ntchito, momwe mumaphunzitsira, ndi zolinga zanu. Katswiri wanu wa zamaganizo adzapanga ndondomeko yophunzitsira yomwe ikuyenererani. Nthawi yophunzitsira iyi imatha kuyambira miyezi ingapo mpaka chaka chimodzi .
Kumbukirani, zimatenga nthawi kuti muzolowere thupi, komanso maganizo ndi malingaliro. Khalani okoma mtima kwa inu nokha ndipo khalani oleza mtima paulendowu.
Kodi Target Muscle Reinnervation (TMR) ndi chiyani?
Iyi ndi njira yophweka koma yofunika kwambiri yochitira opaleshoni yamakono. Izi ndizofunikira kwambiri kwa iwo omwe akufuna kugwiritsa ntchito dzanja la myoelectric.
Mwachidule, panthawi yodulidwa chiwalo, mitsempha yathu yayikulu imadulidwa. Nthawi zina mitsempha yodulidwayi imatha kuyambitsa kupweteka kwa nthawi yayitali (neuromas) kapena "zomverera za phantom limb."
Mu opaleshoni ya TMR, dokotalayo amalumikizanso mitsempha yodulidwayo ku minofu yathanzi yapafupi. Izi zingathandize kupewa kupweteka komwe kwatchulidwa pamwambapa. Chofunika kwambiri, mitsempha yolumikizidwanso ingagwiritsidwe ntchito kupereka zizindikiro zamagetsi zofunika kuti ziwongolere dzanja la myoelectric. Izi zimapangitsa kuti kulamulira dzanja lopangidwalo kukhale kosavuta komanso kwachilengedwe.
Ukadaulo wa manja opangira opaleshoni wapita patsogolo kwambiri m'zaka zaposachedwa. Ngati muli wakhama, mudzadabwa ndi zomwe mungachite ndi izi. Gulu lanu lazachipatala nthawi zonse limakhala lokonzeka kukuthandizani paulendowu. Komabe, ngakhale titapita patsogolo chonchi, tiyeneranso kumvetsetsa kuti dzanja lopangira opaleshoni silofanana ndi dzanja lachilengedwe. Gulu lanu lachipatala limadziwa zovuta ndi ululu wa ulendowu. Chifukwa chake, pamene mukugwira ntchito mwakhama, musaiwale kukhala ofatsa komanso okoma mtima kwa inu nokha.
Uthenga Wopita Nawo Kunyumba
- Mkono wopangira ndi chipangizo chapamwamba kwambiri chachipatala chomwe chimabwezeretsa ntchito ndi mawonekedwe a munthu amene wataya mkono.
- Pali mitundu yosiyanasiyana, kuyambira yosavuta yomwe imangogwiritsidwa ntchito pongofuna mawonekedwe, mpaka manja amakono a robotic omwe amagwiritsa ntchito zizindikiro za minofu. Mutha kusankha yomwe ikugwirizana ndi zosowa zanu.
- Kupeza mkono wopangira ndi njira yogwirira ntchito limodzi yokhudza madokotala, akatswiri, ndi akatswiri a zamaganizo.
- Zimatenga nthawi kuti uzolowere izi, mwakuthupi komanso m'maganizo. Kuleza mtima ndi kudzichitira chifundo ndizofunikira kwambiri paulendowu.
- Kugwiritsa ntchito mkono wopangira sikuti kumangothandiza kuti thupi likhale lolimba, komanso kumachepetsa kupsinjika kosafunikira pa mkono wina ndi msana.
- Ngati muli ndi vuto lililonse ndi mkono wanu wopangira, lankhulani ndi dokotala wanu kapena katswiri nthawi yomweyo.
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