Ngezinye izikhathi, ngenxa yengozi engacabangeki, noma ngenxa yesimo esithile sezokwelapha, noma ngisho kusukela ekuzalweni, umuntu angalahlekelwa yingalo. Nakuba lokhu kuyinto enomthelela omkhulu empilweni, ngobuchwepheshe bezokwelapha obuthuthukisiwe namuhla, ingalo yokufakelwa ingasetshenziswa ukusiza ukunqoba leyo nselele. Ngakho-ke namuhla, ake sixoxe ngalokhu, okungukuthi, izingalo zokufakelwa, ngemininingwane ethe xaxa .
Kalula nje, iyini ingalo yokufakelwa?
Ingalo yokufakelwa iyithuluzi elingasetshenziswa ukufaka esikhundleni sengalo yakho yemvelo. Ibizwa nangokuthi i-prosthesis yemilenze engenhla. Ingaba yingxenye yengalo yakho, njengesandla sakho, isihlakala , ingalo, noma ngisho nengalo yakho yonke, kusukela endololwaneni, engalweni engenhla, noma ehlombe. Lezi ziza ngobukhulu obuhlukahlukene, kusukela kwezingasebenzi, njengengalo kanodoli esitolo sezingubo, kuya kwezinobuchwepheshe obuphezulu, njengengalo yerobhothi.
Ubani odinga ingalo yokufakelwa?
Lokhu kuvame ukuba yinkinga kumuntu osuswe isitho ngokuhlinzwa (ukunqunywa) noma umuntu owazalwa enomehluko wesitho sokuzalwa. Kunezinhlobo ezahlukene zezitho zokufakelwa ezifanele kuye ngokuthi isitho sisuswe kanjani kanye nomehluko wokuzalwa.
Nazi ezinye izibonelo:
- Ukunqunywa kwe-Transradial: Uma ingalo yakho isuswa ngethambo elisesikhwameni sakho.
- Ukuhlukana kwendololwane: Uma ingalo ihlukene ngokuphelele endaweni yokuhlangana kwendololwane.
- Ukunqunywa kwe-Transhumeral: Uma ingalo isuswa ngaphezu kwengqiniba , ngethambo le-humerus.
- Ukuhlukana kwamahlombe: Uma ingalo isusiwe esihlanganisi sehlombe.
- Ukunqunywa kwengxenye engaphambili: Kulokhu, ingalo yonke, kanye ne-blade yehlombe kanye ne-collarbone, kuyasuswa.
- Ukuntuleka kwemilenze yokuzalwa: Ubude nobubanzi bengalo kuyathinteka ngenxa yokuntuleka kokukhula kwamathambo engalo lapho ezalwa.
Yiziphi izinhlobo eziyinhloko zezandla zokufakelwa?
Kunezinhlobo ezahlukene zezandla zokufakelwa. Ezinye zenzelwe ukubukeka nje, ezinye ziyasebenza. Ezinye zenzelwe imisebenzi yansuku zonke, kanti ezinye zenzelwe imisebenzi ekhethekile noma ezemidlalo. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwesandla sokufakelwa | Indlela esebenza ngayo kanye nezici zayo |
|---|---|
| I-Passive Arm Prosthesis (ingalo ebonakala kuphela) | Lokhu akusebenzi njengesandla somuntu, kodwa kungenziwa kubukeke njengesandla semvelo. Kungenziwa nge-silicone, umbala nesimo esifanayo nesandla sakho esinye. Abantu abaningi basebenzisa lokhu lapho beya emaphathini nasemicimbini yomphakathi. |
| I-Prosthesis Yengalo Esebenzisa Umzimba | Lena idivayisi yomshini. Ixhunywe kweminye imisipha emzimbeni wakho (isib. ihlombe lakho) ngohlelo lwezintambo nezintambo. Uma ushukumisa leyo misipha, ungenza ingxenye efana nozipho yale ngalo yokwenziwa ivuleke futhi ivaleke. Lokhu kuhle kakhulu emsebenzini onzima, ngoba ihlala isikhathi eside. |
| Ingalo Yokufakelwa Eqondene Nomsebenzi | Uma ufuna ukwenza umsebenzi othile, ezemidlalo, noma umsebenzi wokuzilibazisa, ungenza ngendlela oyifisayo le ngalo ukuze ivumelane nalokho. Isibonelo, unganamathisela idivayisi oyidingayo ukuze ugibele ibhayisikili, uphakamise izinsimbi, noma ubazi ngqo kule ngalo. |
| I-Myoelectric Arm Prosthesis (ingalo eqhutshwa yizimpawu zikagesi zemisipha) | Lolu uhlobo oluthuthuke kakhulu olutholakala namuhla. Lesi sandla sinama-sensor (ama-electrode) angakwazi ukubona izimpawu zikagesi ezicashile kakhulu uma ucindezela imisipha esele esandleni sakho ngamabomu. Lezi zimpawu zisetshenziselwa ukuhambisa amalunga neminwe yaso. Lokhu kungenza imisebenzi ebucayi kakhulu. Njengesandla serobhothi. |
| Ingalo Yokufakelwa Ehlanganisiwe | Lokhu kuhlanganisa izindlela ezimbili okukhulunywe ngazo ngenhla. Isibonelo, indololwane ingenziwa ukuthi inikwe amandla ngomzimba, kanti isandla neminwe kungenziwa ukuthi kube yi-myoelectric. |
Injani inqubo yokuthola ingalo yokufakelwa?
Lokhu akuyona into engenziwa ngobusuku obubodwa. Kudinga isikhathi, ukuzijwayeza, kanye nokubekezela okukhulu. Kuzodingeka usebenzisane eduze kakhulu nethimba lakho lezokwelapha kulolu hambo.
Le nqubo, uma sikhuluma iqiniso, akuyona uhambo oludlula wedwa. Iwumzamo wokubambisana phakathi kodokotela, abelaphi bomzimba, odokotela bokufakelwa, kanye nomndeni wakho.
Nazi izinyathelo ngamagama alula:
1. Ukubonisana nokuhlolwa kwezokwelapha: Okokuqala, udinga ukuhlangana nodokotela wakho ukuze nixoxe ngalokhu. Uzokudlulisela kudokotela wezitho zokufakelwa. Bazoxoxa ngesimo sakho somzimba, indlela yokuphila, izidingo zakho, kanye nemigomo yakho bese benquma ukuthi yiluphi uhlobo lwezitho zokufakelwa olukulungele.
2. Ukulinganisa Nokufaka: Lokhu kwenziwa cishe emavikini ama-3-6 ngemva kokuhlinzwa. Isokhethi yokufakelwa yenzelwe ukukulingana ngokuthatha izilinganiso zesandla sakho esisele, mhlawumbe usebenzisa isikhunta noma i-3D scan.
3. Ukuqeqeshwa okuyisisekelo: Uma ingalo yakho isiqediwe, uzonikezwa ukuqeqeshwa okuyisisekelo kokuthi ungayisebenzisa kanjani, ungayisusa kanjani, uyifake kanjani, uyihlanze kanjani, nokuthi ungazisebenzisa kanjani izingxenye zayo.
4. Ukwelashwa Komzimba Nokwelashwa Komsebenzi: Okulandelayo, kuzodingeka usebenze nodokotela wezifo zomzimba kanye nodokotela wezifo zomsebenzi ukuze ufunde ukusebenzisa lesi sandla ukwenza imisebenzi yansuku zonke. Kuzokwenziwa izivivinyo zokuqinisa imisipha edingekayo.
5. Ukusekelwa kwempilo yengqondo: Lena yingxenye ebaluleke kakhulu . Ukulahlekelwa yilungu lomzimba kuyinto ebuhlungu kakhulu ngokomzwelo. Njengoba uvuselela umzimba wakho, udinga nokwelapha ingqondo yakho. Ungathola usizo oluningi kochwepheshe bezempilo yengqondo kanye namaqembu okusekelana nabantu abake babhekana nezinto ezifanayo nezakho.
Yiziphi izinzuzo nezingozi lapha?
Ukuthi uzosebenzisa ingalo yokufakelwa noma cha kuyisinqumo somuntu siqu, kodwa cabanga ngalezi zici ngaphambi kokwenza leso sinqumo.
Izinzuzo nezinzuzo
Uma ungasebenzisi isandla sokufakelwa, uzojwayela ukusebenzisa esinye isandla sakho kukho konke ngokungazi. Lokhu kungaholela ezinkingeni ezifana nalezi:
- Ukulahlekelwa yibhalansi yomzimba kanye nokuma okuxekethile.
- Ubuhlungu bentamo nomhlane isikhathi eside.
- Ubuhlungu kanye nokulimala okubangelwa ukusetshenziswa ngokweqile kwengalo nehlombe elinye (Ukulimala kokucindezeleka okuphindaphindiwe).
Lezi zingozi zingancishiswa ngokusebenzisa ingalo yokufakelwa.
Izingozi nezinselele
- Uma usebenzisa izingalo ezisebenza ngomzimba, imisipha ingase izwakale ikhathele.
- Amaphutha emishini kanye namadivayisi kagesi angabangela izinkinga zokushaja.
- Uma kungenziwanga kahle, kungase kube nezilonda zokucindezeleka noma ukucasuka kwesikhumba.
- Ukujuluka kunganqwabelana ngaphakathi kwesokhethi futhi kubangele ukungakhululeki, ngakho-ke kudinga ukuhlanzwa njalo.
Kodwa khumbula,Eziningi zalezi zingozi zingagwenywa ngokufakwa, ukuqeqeshwa, kanye nokugcinwa kahle.
Ubuchwepheshe obusha obubizwa ngokuthi i-Targeted Muscle Reinnervation (TMR)
Lobu ubuchwepheshe obusha nobuthuthukisiwe obuqhutshwa kanye nokuhlinzwa. Lokhu kubaluleke kakhulu kulabo abafuna ukusebenzisa ingalo ye-myoelectric.
Kalula nje, ukuze kuvinjelwe ubuhlungu lapho imizwa emikhulu inqanyulwa ngesikhathi sokuhlinzwa kokususwa kwengalo, udokotela ohlinzayo uxhumanisa lezo ziphetho zemizwa neminye imisipha. Lokhu kubizwa ngokuthi ``Targeted Muscle Reinnervation (TMR)``.
Lokhu kunezinzuzo ezimbili eziyinhloko:
1. Ukunciphisa ubuhlungu: Kunciphisa ingozi yobuhlungu bemizwa ngemva kokuhlinzwa (ama-neuromas) kanye nobuhlungu bemilenze engabonakali (ubuhlungu obuzwakala sengathi kukhona isitho yize singekho).
2. Ukwenza lula ukulawulwa kwesandla se-myoelectric: Ngokusebenzisa leyo misipha exhunywe kabusha, isandla se-myoelectric singalawulwa kalula nangokwemvelo.
Ungacela udokotela wakho ulwazi olwengeziwe ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ingalo yokufakelwa ingamandla amakhulu kumuntu olahlekelwe yingalo ukuze aqale imisebenzi yansuku zonke futhi abhekane nomphakathi.
- Kunezinhlobo ezahlukene zezandla zokufakelwa ongakhetha kuzo kuye ngezidingo zakho, indlela yokuphila, kanye namakhono akho ezezimali.
- Lokhu akulona ikhambi elisheshayo. Kuthatha isikhathi ukujwayela. Kubaluleke kakhulu ukufuna ukwesekwa kodokotela, abelaphi bezomzimba, kanye nochwepheshe bezempilo yengqondo kulolu hambo.
- Ngokuthuthuka kobuchwepheshe, namuhla, kudalwa izandla zokwenziwa ezithuthuke kakhulu, ngisho nezithambile, ezingenza imisebenzi.
- Ukubekezela, isimo sengqondo esihle, kanye nomusa kuwe kubalulekile empumelelweni kulo lonke lolu hlelo.
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