Xa Umonde okanye Ophilileyo engenzi kakuhle
Icandelo elibalulekileyo lonyango loviwo lwonyango okanye iseshoni yonyango ifuthe. Iiphilisi zenyama zihlala zisebenzisa izandla ukuze zihlolisise, zihlanganise, mhlawumbi zihlambe umzimba wakho. Ukuthintelwa kungasetyenziselwa ukunceda ukuqonda indlela yokuhamba ngokufanelekileyo, kwaye inokuba yinto ebalulekileyo ekufumaneni imisipha yakho ekuthengiseni indlela iP PT yakho ifuna ukuba banyuse ngayo ukuhamba kwakho kokusebenza .
Kodwa luhlobo luni oluchaphazelekayo olwamkelekileyo kunyango lwangokwenyama, kwaye kuthekani ukuba i-PT iyakuchukumisa kwaye ivakalelwa kakubi okanye iphule intuthuzelo yakho okanye indawo? Kuthekani ukuba ungo-PT kwaye isigulane senza intuthuko engafunekiyo okanye engafanelekanga okanye amazwana kuwe?
Ukuthintela kwiNyango yamaPhilisi
Uhlu luyisenzo sokusebenzisa izandla ukuhlola inxalenye yomzimba. Iingcali zenyama zingasebenzisa iindlela zokwenza i-palpation ngexesha lokuvavanya kwazo ukuncedisa ingxaki yakho kunye nokufumana unyango olungcono kwimeko yakho. Ukuthintana ngokuqhelekileyo kubandakanya ukuxhamla kwesikhumba ngqo kumntu; Izandla zakho zengcali zisetyenziselwa ukunyanzela isikhumba sakho ukuvavanya imeko yakho.
I-PT yakho inokusebenzisa i-palpation ngeendlela ezahlukeneyo, kuquka:
- Ukuphanda ngokuvuvukala
- Ukuziva ukuba i-muscle ityala
- Ukunyusa umzimba wakho ngokukhawuleza ngexesha lokuqhubela phambili (ROM)
- Ukukhokela umzimba wakho xa uhamba kwiindlela ezahlukeneyo
- Ukukunceda ukuwa okanye ukukunceda xa uhamba okanye uvuka ebhedeni okanye usihlalo
- Ukukunceda ukuba ujikeleze embhedeni ngexesha lokuqeqesha ukulala
Ngamanye amaxesha, ukulimala kwakho kungadinga ukuba ugqirha wakho womzimba uhlolisise okanye uthintele indawo zomzimba wakho ezizimeleyo okanye ezibucayi. Oku kungadinga ukuba uveze iinxalenye zangasese zomzimba wakho, njengentsimbi yakho okanye izikhwebu , kwaye ukuvezwa kwento kunokukwenza uzive ungakhululekile.
Yongeza i-palpation kwaye ichukumise kumxube, kwaye ukungaxhatshazi kwakho kwimeko kunokunyusa, kwaye oku kungenokuba nemiphumo emibi kwiimvakalelo zakho kunye nomphumo wakho wokuhlaziya.
Icandelo loqeqesho lokuba ngumphathiswa wezonyango luquka ukubeka isigulane esifanelekileyo nesigxina. Oku kuthetha ukunyamezela isigulane kugcinwe ngexesha lokuhlolwa kwe-PT kunye neeseshoni zonyango. Amasu okudweba angaquka ukusebenzisa ishidi okanye ithawula ukukhusela ukungafunwa komzimba wakho okungafunekiyo kunokukwenza uzive ungakhululekile.
I-palpation efanelekileyo kunye neendlela zokusilalisa zifundiswa njengenxalenye yecandelo lekharityhulam yonyango. Oku kubandakanya ukuqinisekisa ukuba umnqweno uyafaneleka, kwaye ulawulwa kuphela ekuhloleni nasekuphatheni ukuphazamiseka okuthe ngqo. Ukugcina induduzo, ukuthembela, kunye nokukhuseleko kubaluleke kakhulu xa usebenzisa iindlela zokwenza i-palpation.
Xa i-palpation yenziwa ngendlela yobugcisa kunye neyonyango kwaye igcina ukhuseleko lomonde kunye nentuthuzelo, kuthathwa njengefanelekileyo.
Kuthiwani Ukuba i-PT's Touch Your Feels Yiphutha?
Ukuba ubona umphathiswa wezonyango unyango kwaye uvakalelwa ukuba uthintekile okanye uthinteka kakubi, kufuneka uthathe inyathelo ngokukhawuleza. Ezinye izinto onokuzenza zingabandakanya:
- Ukuthetha nomchaphazi wakho kwaye uchaze indlela umgca ukwenza uzive ngayo
- Ukuthetha nomphathi wakho weengcali okanye umphathi wesuphavayiza
- Ukufumana umgqirha ohlukeneyo wempilo yakho yokubuyisela
- Ukuthetha nommeli wesibhedlele (ukuba ufumana iinkonzo zakho ze-PT esibhedlele)
- Ukuqhagamshelana nebhodi likarhulumente yonyango lokwenyama ukubika isenzo
Ngokuqhelekileyo, ukuthetha ne-PT yinto efanelekileyo, ngamaxesha amaninzi i-PT yakho ayiqapheli ukuba indlela yokubamba kwayo inokuchaphazela ngayo. Xa uthetha malunga noko kwenzekayo malunga nokuthintela, i-PT yakho inokwenza utshintsho kwindlela yakhe yokunyamekela kunye nokunciphisa okanye ukuphelisa naluphi na uluthintelo nolunomlenze.
Ukuba uvakalelwa kukuba ugqirha wakho wenyama uthintele ngokungafanelekanga kwaye oku kukuphulaphule ngesondo, kufuneka uqhagamshelane namagosa okuthotyelwa komthetho. Ayize yamkeleka kwi-PT, okanye nayiphi na enye yomsebenzi wezempilo okanye umntu, ukukuchaphazela ngesondo okanye ngendlela ephula umzimba wakho ngendlela yesondo. Ukuba uziva ukuba kwenzekile, kufuneka uzikhusele kwaye uqhagamshelane nomthetho.
Kuthiwani Ukuba Uqala Ukuvakalelwa Kwi-PT Yakho Ngenxa Yokuthintana?
Kuthiwani ukuba uya ku-PT, kwaye uyathanda ukubethelwa kunye nokuthinta? Kuthekani ukuba oku kubangele ukuvakalelwa, kwaye ukhangeka kumgulana wakho wenyama? Ukusebenza ngale mvakalelo akusayi kwamkeleka. Ingcali yakho yomzimba ingaba ngumntu omhle, kodwa ulwalamano lwesigulane-nesigulane kufuneka sihlale sinobubele kwaye singekho ngokwesini. Nangona ungahlakulela ulwalamano lwakho kunye ne-PT yakho, lobu buhlobo kufuneka buhlale bubuhlobo kwaye buze bube nesithandane okanye ngesondo.
Ukuba unemvakalelo yakho kwi-PT kwaye oku kuya kuba ngumqobo kuwe ukugxininisa ngempumelelo kwi-rehab yakho, kufuneka ucele ukuba usebenze kunye nomgqirha ohlukeneyo. Iiseshoni zakho zonyango kufuneka zihlale ziyingcali, kwaye kufuneka uhlale ugxininise ekuphuculeni ukuhamba kwakho kwentlungu.
Iimpawu ezifanelekanga zezigulane ngabaphili be-aphira
Ulwaphulo lwezonyango lendlela yesibini. Bobabini kunye nomzimba wakho wenyama kufuneka usebenzisane kunye njengentsebenziswano yokwelapha ukukunceda ukuphucula ukuhamba kwakho kwentlungu. Oko kuthetha ukuba i-PT kufuneka ikuphathe ngentlonipho nangesidima, kwaye kufuneka uphathe iP PT ngendlela efanayo.
Abaninzi beengcali zeengxaki zibika ingxelo yokuhlukumeza okanye ukuziphatha okungafanelekanga kwizigulane zabo. Oku kungabandakanya ukuthetha izinto ezingafanelekanga okanye ukungathinti okungafunekanga okanye okungafunekiyo. Ukuziphatha kakubi ngesondo ngesigulane kuchazwa njengento nayiphi na isenzo okanye isenzo somzimba esicacileyo, okanye esaziwayo, ngokwesini, esingavumelekanga kwimeko yentlalo eyenziwa kuyo. Kwaye ababoneleli-bonyango-njengabagqirha bempilo-banokufumana le fomu yokuxhatshazwa xa besebenza.
Uphando olutshanje olushicilelwe kwi- Physical Therapy Journal luhlolisise ingxaki yokuziphatha okungafanelekanga kwezigulane. Abaphengululi baphakamise iingcali ezingama-892 zezobuchwephesha kunye nabafundi be-PT kwaye bafumanisa ukuba iipesenti ezingama-84 zazo zifumene uhlobo lokungahambelani okanye ukuziphatha okungafanelekanga kwizigulane malunga nekhosi yabo. Ukunyuka kweenyanga ezili-12 zokuziphatha ezingafanelekanga kwakungama-47 ekhulwini.
Uhlolisiso lufumene ukuba unako ukufumana iziphathamandla zesini zesigulane ezingalunganga ukuba:
- Ungumfazi we-PT
- Uneminyaka embalwa yokunyamekela isigulane ngokuthe ngqo
- Isigulane siyindoda
- Uyi-PT osebenza kunye nezigulane ezinokukhubazeka kwengqondo
Ababhali bolu cwaningo baphetha ngokuthi kukho ukuxhaphaka kakhulu kweendlela zesondo ezingalunganga zezigulane kubagqirha. Ukwandisa imfundo yabafundi kunye neengcali, kunye nomgaqo-nkqubo wendawo yokusebenzela kunye nenkxaso, kunokufuneka ukuba uncede ukunciphisa le ngxaki.
Njengomguqirha womzimba, kufuneka uhlale uzama ukugcina umsebenzi wengcali kunye nemeko yeklinikhi. Oku kunokuba ngumngeni ukuba isigulane senza ngokungafanelekanga. Ukujongana nalezi ziphatho ngqo ngesigulane kunokubanceda ukuphelisa. Ukuba isigulane siqhubeka sikwenza uzive ungakhululekile ngeengcamango ezingafanelekiyo okanye ukuqhubela phambili, kufuneka uzixolele ekunyamekelweni okuqhubekayo nesigulane. Ukuthetha nomphathi okanye umlingane kunokunceda, kwaye ukukhupha isigulane ekunyamekeleni kuyimfuneko. Umbutho we- American Physical Therapy (APTA) uthathe isigxina esinamandla ngokuchasana nokuxhatshazwa, kwaye izibonelelo zifumaneka ngumbutho ukuncedisa ii-PTs ukuhamba nokuqonda le ngxaki.
Ukuba uyigulane efumana unyango, qiniseka ukugcina izimvo zakho nezenzo zobugcisa. Unokufunda ezininzi izinto zakho malunga ne-PT xa usebenza naye, kwaye umgqirha wakho unokukuchaphazela ngexesha lovavanyo lwakho okanye unyango. Kodwa kufuneka ugcine ulwalamano lwakho kunye ne-PT yakho ifanelekileyo kunye nobungcali.
Ukwenza ngokufanelekileyo Amacandelo-kwiindlela
Ukuba ungumguqirha womzimba, unokwenza izinto ezithile ukwenza izixhobo zobuchule ngokufanelekileyo, kwaye unokunceda ukugcina ingqondo yengqondo yakho ikhululekile xa uqhuba iimvavanyo zakho okanye unyango oludinga i-palpation. Ezi ziquka:
- Ukuhlala ubeka ngokufanelekileyo kwaye udwebe isigulane sakho ukugcina ukuthozama
- Njalo ucele imvume yokuchukumisa okanye ukuhambisa isigulane sakho. (Ingumzimba wakho wesigulane emva kwakho konke.Awufanele uphinde ucinge ukuba uyamkeleka ukuthintela, ukuthatha okanye ukuhambisa isigulane sakho ngaphandle kwemvume.)
- Ukucacisa ngokufanelekileyo xa, kuphi, kwaye kutheni uthinte isigulane sakho
- Ukucela isigulane sakho ukuba angathanda omnye ugqirha okanye umqeshwa ononophelo lwezempilo okhoyo ngexesha lesigxina sovavanyo okanye unyango
- Ucela ukuba isigulane sakho sithande ukufumana uphando lwesinye isini kunye naluphi na ubuchule bokunxibelelana okanye ufumane ngexesha loviwo lwakho okanye unyango
Ngamaxesha onke, iimvakalelo zesigulane kufuneka ziqwalaselwe, kwaye indawo apho isigulane ikhuselwe khona kufuneka idale. Oku kusenokuthi ukuphepha ekusebenziseni i-palpation okanye iindlela zobugcisa kunye nokufumana ezinye iindlela xa usigulane sakho sichaza kakuhle ngeendlela zakho ezikhethiweyo kunye neyeza.
ILizwi
Enye yeenzuzo zonyango lomzimba yintlambo esondeleyo enokuthi yenziwe phakathi komgqirha kunye nesigulane. Esi sibophelelo sinokukunceda, kwaye kunokukunceda ukuba ube nolwazi olunokwenyama lwamayeza. Ngamanye amaxesha, umnxeba onomdla ovela kwiphrotheli yakho yonke into efunekayo ukuze akuthuthuzele kwaye akuncede uphumelele kwi-PT.
Ngamanye amaxesha unyango, ukutshatyalaliswa kunye nokuthintela kuyadingeka ukuvavanya nokuphatha imeko yakho. Kwaye ngamanye amaxesha, imeko yakho ingadinga ukuba i-PT yakho ikuthintele kwiindawo ezizimeleyo okanye ezizimeleyo zomzimba wakho. Oku kuchaphazelekayo kufuneka kube sobungcali-akukho ngaphandle. Ukuziphatha phakathi kwe-PT kunye nesigulane kufuneka kube sobubele kunye nokuhleleka, kwaye kungabi nakakhulu okanye ngokukodwa ngesondo. Ukuqonda okufanelekileyo kunye nokuziphatha okungafanelekanga kwipliniki yase-PT kunokukugcina ukhuselekile kwaye uqinisekise ukuba unamava avuselelekileyo okuvuselela umzimba wakho.
> Imithombo:
> Boissonnault, JS, et al. Ubunzima kunye nomngcipheko we > ukuziphatha kakubi ngokwesondo > izigulane kwiinkliniki zonyango kunye nabafundi baseUnited States. PT Journal. 2017; 97 (11): 1084-93.
> Rousch, SE, et al. Iingcamango zomzimba wezobuchwephesha ngemida yesondo kwizenzo zonyango e-United States. I-Physiotherapy Theory kunye nokuSebenza; 2015. 31 (5): 327-336. https://doi.org/10.3109/09593985.2014.1003420