Uma isigulane noma isazi esibhedlela singathinti ngokungalungile
Isici esibalulekile kunoma yikuphi ukuhlolwa kokwelashwa ngokomzimba noma iseshini yokwelashwa kuthinta. Abahlinzeka ngemithi ngokuvamile basebenzisa izandla zabo ukuhlola, ukugqugquzela, futhi mhlawumbe ukuhlamba umzimba wakho. Ukuthinta kungasetshenziswa ukukusiza uqonde indlela yokuhamba kahle, futhi kungaba yingxenye ewusizo ekutholeni imisipha yakho ukuthengisa indlela iP PT yakho ifuna ngayo ukuba ikhulise ukuhamba kwakho kokusebenza .
Kodwa hlobo luni lokuthinta olwamukelekayo ekuphatheni okwenyama, futhi kuthiwani uma i-PT yakho ikuthinta futhi izwa kabi noma iphula induduzo yakho noma isikhala sakho? Kuthiwani uma u-PT futhi isiguli senza intuthuko noma imibono engafanele noma engafanele kuwe?
Ukuthinta Ukwelashwa Kwemvelo
Ukulinganisa yisenzo sokusebenzisa izandla ukuhlola ingxenye yomzimba. Abahlinzeka ngemithi bangasebenzisa ama-palpation amasu ngesikhathi sokuhlola ukusiza ukuthola inkinga yakho nokuthola ukwelashwa okungcono kwesimo sakho. Ukuthinta ngokuvamile kuhilela ukuthintana ngqo kwesikhumba nesikhumba; izandla zakho zochwepheshe zisetshenziselwa ukungena esikhwameni sakho ukuhlola isimo sakho.
I-PT yakho ingasebenzisa i-palpation ngezindlela ezihlukahlukene, kufaka phakathi:
- Ukuphenya ngokuvuvukala
- Ukuze uzizwe uma imisipha ihamba
- Ukuthutha umzimba wakho ngokungapheli ngesikhathi sokuzivocavoca okuningi (ROM)
- Ukuqondisa umzimba wakho ngenkathi uhamba ngezindlela ezihlukahlukene
- Ukusiza ukuvimbela ukuthi ungawa noma akusize ngenkathi ehamba noma evuka embhedeni noma esihlalweni
- Ukukusiza ukuba uhambe embhedeni ngesikhathi sokuqeqesha ukuhamba kombhede
Ngezinye izikhathi, ukulimala kwakho kungadinga ukuthi umuthi wakho wezempilo ahlole noma uthinte izindawo zomzimba wakho eziyimfihlo noma ezibucayi. Lokhu kungadinga ukuba uveze izingxenye zangasese zomzimba wakho, njenge- hip yakho noma izintambo , futhi lokhu kuvezwa kungenza uzizwe ungakhululekile.
Engeza i-palpation futhi uthinta ukuxuba, futhi ukungakhathazeki kwakho nesimo kungase kwande, futhi lokhu kungase kube nomthelela omubi emizweni yakho kanye nomphumela wakho jikelele we-rehab.
Ingxenye yokuqeqesha ukuba abe ngumbhali wezokwelapha kuhilela ukubekeka kwesiguli esifanele kanye nokugqoka. Lokhu kusho ukuthi ukuzithoba kwesiguli kugcinwa ngesikhathi sokuhlolwa kwe-PT kanye nezinhlelo zokwelashwa. Amasu okudweba angase ahilele ukusebenzisa ishidi noma ithawula ukuvimbela ukungahlonzi okungafuneki komzimba wakho okungenza uzizwe ungakhululekile.
I-palpation ne-massage efaneleko nazo zifundiswa njengengxenye yekharityhulam yezokwelapha. Lokhu kuhlanganisa ukuqinisekisa ukuthi ukuthinta kufanelekile, nokuthi kuqondiswa kuphela ekuhloleni nasekuphatheni ukukhubazeka okuqondile okungenzeka ube nakho. Ukulondoloza induduzo yesiguli, ukwethemba, nokuphepha kuyinhloko uma usebenzisa amasu wokufaka i-palpation.
Uma i-palpation yenzeka ngendlela edidiyelwe yokwelapha futhi igcina ukuphepha kwesineke nenduduzo, kubhekwa njengokufanele.
Kuthiwani Uma I-PT Yakho I-Touch Yimizwa Engalungile?
Uma ubona ochwepheshe wezokwelapha ukwelashwa futhi uzizwa sengathi uhlangane nokuthinta okungalungile noma ukuziphatha, kufanele uthathe isinyathelo ngokushesha. Ezinye izinto ongazenza zingabandakanya:
- Ukukhuluma nodokotela wakho futhi uchaze ukuthi ukuthinta kukukwenza uzizwe kanjani
- Ukukhuluma nomphathi wakho wezokwelapha noma umphathi
- Ukuthola i-rehabist yezokwelapha ehlukile ye-rehab yakho
- Ukukhuluma nommeleli wesibhedlela (uma uthola izinsiza zakho ze-PT esibhedlela)
- Ukuxhumana nebhodi yakho yombuso yokwelapha ngokomzimba ukubika isenzo
Ngokuvamile, ukukhuluma ne-PT kuyindlela enhle, izikhathi eziningi i-PT yakho ayiqapheli ukuthi i-palpation yakhe ikuthinta kanjani. Ngokukhuluma ngalokho okuqhubekayo nemizwa yakho mayelana nokuthinta, i-PT yakho ingenza izinguquko endleleni yakhe yokunakekelwa kwakho futhi unciphise noma iqede noma yikuphi okuthinta nokuthinta.
Uma unomuzwa wokuthi udokotela wakho wenyama uye wakuthinta ngendlela engafanele futhi lokhu kwephule ngokocansi, kufanele uxhumane nezikhulu zokuphoqelela umthetho. Akukaze kwamukeleke ku-PT, noma kunoma isiphi isisebenzi sezempilo noma umuntu, ukukuthinta ngokocansi noma ngendlela ephula umzimba wakho ngendlela yobulili. Uma uzizwa ukuthi lokhu kwenzekile, kufanele uzivikele futhi uxhumane nomthetho.
Kuthiwani Uma Uqala Ukuzwa Ukukhanga Kwakho PT Ngenxa Yokuthinta?
Kuthiwani uma uya PT, futhi uthanda palpation futhi uthinta? Kuthiwani uma lokhu kubangela imizwelo emihle, futhi ukhethwe kumthandi wakho wenyama? Ukubhekana nalezi zimzwelo akukaze kwamukeleke. Umhlinzeki wakho womzimba angase abe ngumuntu omuhle, kodwa ubudlelwane be-therapist-patient kufanele bahlale benobungane futhi bengewona ucansi. Nakuba ungahlakulela ubuhlobo bomuntu siqu ne-PT yakho, lobu buhlobo kumele buhlale bungobungane futhi bungalokothi lube yothando noma ucansi.
Uma uzwa imizwa yakho ku-PT futhi lokhu kuba yisithiyo kuwe ukugxila ngempumelelo ku-rehab yakho, kufanele ucele ukuthi usebenze nodokotela ohlukile. Amaseshini akho yokwelashwa kufanele ahlale echwepheshe, futhi kufanele uhlale ugxile ekuthuthukiseni ukuhamba kwakho okungenabuhlungu.
Izithako ezingalungile zeziguli eziphikisana nabahlengikazi
Ukwelapha ngokomzimba kuyindlela emgwaqeni. Bobabili wena nomhlengikazi wakho womzimba kufanele basebenzisane ndawonye njengobumbano bokulwela ukusiza ukuthuthukisa ukuhamba kwakho okungenabuhlungu. Lokhu kusho ukuthi i-PT kufanele ikuphathe ngokuhlonipha nesithunzi, futhi kufanele uphathe iP PT ngendlela efanayo.
Abahlengikazi abaningi bezempilo babika ukuhlukunyezwa noma ukuziphatha okungalungile kusuka ezigulini zabo. Lokhu kungafaka phakathi izinto ezingalungile noma ukuthinta okungalungile noma okungadingeki. Ukuziphatha okungavumelekile ngokocansi okuchazwayo kuchazwa njengokuthi noma yisiphi isenzo somlomo noma sokwemvelo sokuziphatha okucacile, noma okubonakalayo, ngokobulili, okungamukeleki ngaphakathi kwendawo yomphakathi lapho kwenziwa khona. Futhi abahlinzeki bezempilo-njengabahlinzeki bezitho zomzimba-cishe bayothola leli fomu lokuhlukumeza ngenkathi besebenza.
Ukucwaninga kwakamuva okushicilelwe ku- Physical Therapy Journal kuhlolisisa inkinga yokuziphatha okungalungile kweziguli ezibhekene nezifo zomzimba. Abacwaningi bahlola abaqeqeshi abangu- 892 bezokwelapha kanye nabafundi be-PT futhi bathola ukuthi amaphesenti angu-84 awo ahlangene nokungahambisani okungafanelekile noma ukuziphatha okuvela ezigulini phakathi nenkathi yomsebenzi wabo. Ukusabalalisa kwezinyanga ezingu-12 zokuziphatha okungalungile kwakungamaphesenti angu-47.
Ucwaningo luthole ukuthi kungenzeka ukuthi uhlangabezana nokuziphatha okungavumelekile ngokocansi uma:
- Wena PT PT
- Uneminyaka embalwa yokunakekelwa ngokuqondile kwesineke
- Isiguli sisilisa
- Ungu-PT osebenza neziguli ezinokukhubazeka kwengqondo
Abalobi belo cwaningo baphetha ngokuthi kukhona ukuphakama okuphezulu ngokweqile kokuziphatha ngokocansi okungalungile kweziguli kubagulisi. Ukwandisa imfundo yabafundi nabaqeqeshiwe, kanye nenqubomgomo yokugxila emsebenzini kanye nokusekelwa, kungadingeka ukusiza ukunciphisa le nkinga.
Njengomuthi wezokwelapha, kumele uhlale ulwela ukugcina umsebenzi osebenzayo kanye nemvelo yempilo. Lokhu kungaba yinselele uma isiguli senza ngokungalungile. Ukukhuluma ngalezi zimo ngokuqondile nesiguli kungasiza ekuqedeni. Uma isiguli siqhubeka sikwenza uzizwe ungakhululekile ngamazwana angalungile noma intuthuko, kufanele uzibekezele ekunakekelweni okuqhubekayo nalesi siguli. Ukukhuluma nomphathi noma osebenza nabo kungasiza, futhi ukukhipha isiguli ekunakekeleni kungadingeka. I- American Physical Therapy Association (APTA) ithathe isimo esiqinile ngokumelene nokuhlukunyezwa, futhi izinsiza zitholakala ngokusebenzisa inhlangano ukusiza ama-PTs abuye aqonde lesi sihloko esinzima.
Uma ngabe uthola ukwelashwa kwesiguli, qiniseka ukuthi ugcina amazwana akho nezenzo zobuchwepheshe. Ungase ufunde izinto eziningi zakho mayelana ne-PT ngenkathi usebenza naye, futhi umhlinzeki wakho angakuthinta ngesikhathi sokuhlolwa noma ukwelashwa kwakho. Kodwa kufanele njalo ugcine ubuhlobo bakho ne-PT yakho eyiyo efanelekile.
Ukwenza Ngokufanele Izindlela Zezandla
Uma ungumhlengikazi wezinto ezingokoqobo, ungenza izinto ezithile ukwenza amasu okusebenza kahle, futhi ungasiza ukugcina ingqondo yesiguli sakho ikhululekile ngenkathi yenza ukuhlolwa kwakho noma ukwelashwa okudinga ukunakwa. Lokhu kungafaka:
- Ukubeka kahle kahle njalo nokudweba isiguli sakho ukugcina ukuthobeka
- Njalo ucela imvume yokuthinta noma ukuhambisa isiguli sakho. (Kungumzimba wakho wesiguli emva kwakho konke. Akufanele neze ucabange ukuthi kuyamukeleka ukuthinta, ukuthatha noma ukuhambisa isiguli sakho ngaphandle kwemvume.)
- Ukuchaza kahle lapho, kuphi, nokuthi kungani uthinta isiguli sakho
- Ukucela isiguli sakho ukuthi angathanda yini omunye udokotela noma isisebenzi sezempilo esethula ngesikhathi se-palpation ingxenye yokuhlolwa noma ukwelashwa
- Ukubuza uma isiguli sakho singathanda ukuba nomthelisi wesinye ubulili senze noma yimaphi amasu wokunaka noma ube khona ngesikhathi uhlolwa noma ukwelashwa kwakho
Ngaso sonke isikhathi, imizwa yesiguli kufanele icatshangelwe, futhi indawo lapho isiguli sivikelwe khona kufanele sidalwe. Lokhu kungase kusho ukugwema ekusebenziseni ama-palpation noma amasu omsebenzi futhi uthole ezinye izindlela kulezo zindlela uma isiguli sakho singakhulumi ngezindlela zakho ezinqunyiwe nokwelapha.
Izwi elivela
Enye yezinzuzo zokwelashwa ngokomzimba yisibopho esiseduze esingase sakhiwe phakathi kwesiphakamisi nesiguli. Lesi sibopho singakusiza ukukugqugquzela , futhi kungakusiza ube nesipiliyoni esihle sokwelapha ngokomzimba. Ngesinye isikhathi, ukuthinta okuthandayo okuvela kumhlengikazi wakho kuyinto edingekayo ukukududuza futhi kukusize uphumelele ku-PT.
Ngesinye isikhathi ukwelashwa, i-palpation nokuthinta kuyadingeka ukuze uhlole futhi uphathe isimo sakho. Futhi ngezinye izikhathi, isimo sakho singadinga ukuthi i-PT yakho ikuthinte ezindaweni ezizimele noma eziyimfihlo zomzimba wakho. Lokhu okuthinta kufanele kube njalo ochwepheshe-akukho okunye. Ukuziphatha phakathi kwe-PT nesiguli kumele kube nobungane futhi buhle, futhi kungabi nakakhulu noma ngokobulili ngqo. Ukuqonda ukuthinta nokuziphatha okungalungile emtholampilo we-PT kungakugcina uphephile futhi uqiniseke ukuthi unesipiliyoni esihle sokuvuselela nomzimba wakho wezokwelapha.
> Imithombo:
> Boissonnault, JS, et al. Ukuvama kanye nengozi yokuziphatha okungalungile ngokobulili > iziguli eziya emtholampilo wezokwelapha kanye nabafundi e-United States. PT Journal. 2017; 97 (11): 1084-93.
> Rousch, SE, et al. Imibono yezokwelapha zomzimba ngemingcele yezocansi emisebenzini yomtholampilo e-United States. I-Physiotherapy Theory and Practice; 2015. 31 (5): 327-336. https://doi.org/10.3109/09593985.2014.1003420