Kumenya no gutoranya abamugaye

Imiterere y'intebe y'abamugaye

Intebe zisanzwe z’ibimuga zigizwe nibice bine: ikariso y’ibimuga, ibiziga, igikoresho cya feri nintebe. Nkuko bigaragara ku gishushanyo, imikorere ya buri kintu cyingenzi kigize ibimuga byasobanuwe.

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Inziga nini: gutwara uburemere nyamukuru, diameter yiziga ni 51.56.61.66cm, nibindi. Amapine make akomeye asabwa nibidukikije bikoreshwa, abandi bakoresha amapine pneumatike.

Uruziga ruto: Hano hari diameter nyinshi nka 12.15.18.20cm. Inziga ntoya ya diameter yorohereza kuganira inzitizi ntoya hamwe nigitambara kidasanzwe.Nyamara, niba diameter ari nini cyane, umwanya ufitwe nintebe yimuga yose uba munini, bigatuma kugenda bitoroha. Mubisanzwe, uruziga ruto ruza mbere yiziga rinini, ariko mu kagare k’ibimuga gakoreshwa n’abantu bafite ubumuga bwo hepfo, uruziga ruto rushyirwa nyuma yiziga rinini. Mugihe cyo gukora, hagomba kwitonderwa kugirango umenye neza ko icyerekezo cyuruziga ruto ruri perpendicular ku ruziga runini, bitabaye ibyo bikanyura hejuru.

Uruziga: idasanzwe yintebe yimuga, diameter muri rusange iba ntoya ya 5cm kurenza uruziga runini.Iyo hemiplegia itwarwa nikiganza kimwe, ongeramo indi ifite diameter ntoya kugirango uhitemo. Uruziga rwibiziga rusunikwa neza numurwayi. Niba imikorere itari nziza, irashobora guhindurwa muburyo bukurikira kugirango byoroshye gutwara:

  1. Ongeramo reberi hejuru yintoki za handwheel kugirango wongere ubushyamirane.
  2. Ongeraho udusunika tuzengurutse uruziga rw'intoki
  • Shyira Knob mu buryo butambitse. Ikoreshwa kuri C5 ibikomere byumugongo. Muri iki gihe, biceps brachii irakomeye, amaboko ashyirwa kumurongo wo gusunika, kandi igare rishobora gusunikwa imbere mukunama inkokora. Niba nta horizontal itambitse, ntishobora gusunikwa.
  • vertical push knob.Bikoreshwa mugihe hari umuvuduko muke wigitugu hamwe nintoki zintoki kubera rubagimpande ya rubagimpande.Kubera itambitse rya horizontal ntishobora gukoreshwa muriki gihe.
  • Bold push knob.Bikoreshwa kubarwayi bafite urutoki rugufi cyane kandi biragoye gukora agafuni. Irakwiriye kandi kubarwayi barwaye osteoarthritis, indwara z'umutima cyangwa abarwayi bageze mu zabukuru.

Amapine. muri ruhago yagutse nk'ipine; Amapine y'imbere arakomeye birasunika gusunika kandi byoroshye gutobora, ariko kunyeganyega kuruta amapine akomeye; Ubwoko bwa tubeless inflatable ubwoko bworoshye kubyicaraho kuko umuyoboro utagira igituba ntuzacumita kandi nayo yuzuye imbere, ariko biragoye gusunika kuruta ubwoko bukomeye.

Feri: Inziga nini zigomba kugira feri kuri buri ruziga. Birumvikana ko, iyo umuntu ufite hemiplegic ashobora gukoresha ikiganza kimwe gusa, agomba gukoresha ikiganza kimwe kugirango feri, ariko urashobora kandi gushiraho inkoni yagutse kugirango ukoreshe feri kumpande zombi.

Hariho ubwoko bubiri bwa feri:

Feri. Iyi feri ifite umutekano kandi yizewe, ariko irakora cyane. Nyuma yo guhinduka, irashobora gufungirwa kumurongo. Niba ihinduwe kurwego rwa 1 kandi ntishobora gufungwa kubutaka, ntabwo byemewe.

Fata feri.Ukoresheje ihame rya lever, ifata ibice byinshi, Ibyiza byayo bya mashini birakomeye kuruta feri ya noteri, ariko birananirana vuba.Kugira ngo imbaraga za feri yumurwayi zongerwe, inkoni yo kwagura akenshi yongerwa kuri feri. Nyamara, iyi nkoni yangiritse byoroshye kandi irashobora guhungabanya umutekano iyo itagenzuwe buri gihe.

Intebe: Uburebure, ubujyakuzimu, n'ubugari biterwa n'imiterere y'umubiri w'umurwayi, kandi imiterere y'ibikoresho nayo iterwa n'indwara. Muri rusange, ubujyakuzimu ni 41.43cm, ubugari ni 40,46cm, n'uburebure ni 45,50cm.

Intebe: Kugira ngo wirinde ibisebe byumuvuduko, witondere cyane amakariso yawe. Niba bishoboka, koresha amagi cyangwa Roto padi, bikozwe mubice binini bya plastiki.Bigizwe numubare munini wibikoresho bya papillary papillary bidafite inkingi ya diameter hafi 5cm. Buri nkingi iroroshye kandi yoroshye kwimuka. Umurwayi amaze kuyicaraho, hejuru yumuvuduko uhinduka umubare munini wumuvuduko.Ikindi kandi, niba umurwayi yimutse gato, ingingo yumuvuduko izahinduka hamwe nigitambambuga, kugirango igitutu gishobora guhora gihinduka kugirango wirinde igitutu ibisebe biterwa numuvuduko ukabije kumwanya wafashwe.Niba nta musego uri hejuru, ugomba gukoresha ifuro ryuzuye, uburebure bwacyo bugomba kuba 10cm. Igice cyo hejuru kigomba kuba 0,5cm z'uburebure bwa polychloroformate ifuro, naho igice cyo hasi kigomba kuba plastike yubucucike buciriritse bwa kamere imwe.Ibice byinshi-bishyigikira, mugihe ubucucike buciriritse bworoshye kandi bworoshye.Iyo wicaye, umuvuduko wigituntu cya ischial nini cyane, akenshi urenga inshuro 1-16 umuvuduko usanzwe wa capillary ngufi, ikunze kwibasirwa na ischemia no gukora ibisebe byumuvuduko. Kugirango wirinde umuvuduko mwinshi hano, akenshi ucukure igice. padi ijyanye no kwemerera imiterere ya ischial kuzamurwa. Iyo ucukura, imbere igomba kuba 2,5cm imbere yigituntu cya ischial, naho uruhande rugomba kuba 2,5cm hanze yigituntu cya ischial. Ubujyakuzimu Hafi ya 7.5cm, padi izagaragara nkimigozi nyuma yo gucukura, hamwe na noti kumunwa. Niba padi yavuzwe haruguru ikoreshwa hamwe no gutemagura, birashobora kuba ingirakamaro mukurinda ko habaho ibisebe byumuvuduko.

Ikirenge n'amaguru biraruhuka: Kuruhuka kwamaguru birashobora kuba ubwoko bwambukiranya cyangwa ubwoko bubiri bwo gutandukana. Kuri ubu bwoko bwombi bwinkunga, nibyiza gukoresha imwe ishobora guhindukira kuruhande rumwe kandi ntishobora gutandukana.Icyitonderwa kigomba kwitabwaho muburebure bwikiruhuko cyikirenge.Niba inkunga yibirenge ari ndende cyane, impande ya hip flexion izaba binini cyane, kandi uburemere bwinshi buzashyirwa kuri ischial tuberosity, ishobora gutera byoroshye ibisebe byumuvuduko.

Inyuma: Inyuma yinyuma igabanijwemo hejuru no hasi, ihindagurika kandi idahindagurika. Niba umurwayi afite uburinganire bwiza no kugenzura igiti, intebe y’ibimuga ifite inyuma yinyuma irashobora gukoreshwa kugirango umurwayi agire urugendo runini. Bitabaye ibyo, hitamo igare ryibimuga-inyuma.

Amaboko cyangwa ikibuno: Mubisanzwe ni 22.5-25cm hejuru yintebe yintebe, kandi ibibuno bimwe bishobora guhindura uburebure. Urashobora kandi gushira ikibaho cya lap ku kibuno cyo gusoma no kurya.

Guhitamo igare ry'abamugaye

Icyitonderwa cyingenzi muguhitamo igare ryibimuga nubunini bwibimuga.Ibice byingenzi abakoresha amagare bafite uburemere ni hafi ya ischial tuberosity yigituba, hafi yigitereko no hafi ya scapula. Ubunini bwibimuga, cyane cyane ubugari bwintebe. intebe, ubujyakuzimu bw'intebe, uburebure bw'inyuma, kandi niba intera kuva ku kirenge kugera ku ntebe y'intebe ikwiye, bizagira ingaruka ku gutembera kw'amaraso ku ntebe aho uyigenderamo ashyira igitutu, kandi gishobora gutera gukuramo uruhu ndetse no gukomeretsa umuvuduko. Byongeye kandi, umutekano wumurwayi, ubushobozi bwo gukora, uburemere bwintebe yimuga, aho ukoreshwa, isura nibindi bibazo nabyo bigomba kwitabwaho.

Ibibazo ugomba kumenya muguhitamo:

Ubugari bw'intebe: Gupima intera iri hagati yigituba cyangwa igituba iyo wicaye. Ongeramo 5cm, ni ukuvuga ko hazaba icyuho cya 2,5cm kumpande zombi nyuma yo kwicara.Intebe iragufi cyane, kuburyo bigoye kwinjira no gusohoka mu kagare k'abamugaye, kandi ibibuno hamwe nuduce twibibero birahagarikwa; Niba intebe ni mugari cyane, bizagorana kwicara ushikamye, ntibizoroha kuyobora intebe y’ibimuga, amaguru yawe azaruha byoroshye, kandi bizagorana kwinjira no gusohoka.

Uburebure bw'intebe: Gupima intera itambitse kuva ikibuno cyinyuma kugeza imitsi ya gastrocnemius yinyana mugihe wicaye. Kuramo 6.5cm uhereye kubipimo.Niba intebe ari ngufi cyane, uburemere buzagwa cyane kuri ischium, bishobora gutera umuvuduko ukabije kuri agace kaho; Niba intebe ari ndende cyane, izagabanya fossa ya popliteal, igire ingaruka kumaraso yaho, kandi byoroshye kurakaza uruhu muri kariya gace. Kubarwayi bafite ibibero bigufi cyangwa abarwayi bafite ikibuno cyangwa ivi flexion amasezerano, nibyiza gukoresha intebe ngufi.

Uburebure bw'intebe: Gupima intera iri hagati y'agatsinsino (cyangwa agatsinsino) kuri fossa ya popliteal wicaye, hanyuma wongereho 4cm. Iyo ushyize ikirenge, ikibaho kigomba kuba byibura 5cm uvuye hasi. Niba intebe ari ndende cyane, igare ryibimuga ntirishobora kwinjira kumeza; niba intebe iri hasi cyane, Amagufwa yicaye afite uburemere bukabije.

Cushion. Kugira ngo intebe idasenyuka, pani ya cm 0,6 irashobora gushyirwa munsi yintebe yintebe.

Wicare inyuma: Iyo intebe iri hejuru, niko ihagaze neza, hepfo yinyuma, niko kugenda kwumubiri wo hejuru hamwe ningingo zo hejuru.

Inyuma yinyuma: Gupima intera kuva hejuru yicaye kugera mukiganza (ukoresheje ukuboko kumwe cyangwa byombi kurambuye imbere), hanyuma ukuramo 10cm uhereye kubisubizo.

Intebe ndende inyuma: Gupima uburebure nyabwo kuva hejuru yicaye kugeza ku bitugu cyangwa inyuma.

Uburebure bwa Armrest. umubiri wo hejuru kugirango ushyirwe mumwanya mwiza.Amaboko maremare cyane kandi amaboko yo hejuru ahatirwa kuzamuka, bigatuma bakunda umunaniro. Niba ukuboko ari hasi cyane, uzakenera kwunama umubiri wawe wo hejuru kugirango ukomeze kuringaniza, ibyo ntibishobora gusa kunanirwa ahubwo bishobora no kugira ingaruka kumyuka.

Ibindi bikoresho byintebe yimuga. .

Kubungabunga ibimuga

Mbere yo gukoresha igare ryibimuga kandi mugihe cyukwezi kumwe, genzura niba bolts irekuye. Niba bidakabije, ubizirikane mugihe.Mukoresha bisanzwe, kora ubugenzuzi buri mezi atatu kugirango urebe ko ibice byose bimeze neza. Reba utubuto dutandukanye dukomeye ku kagare k'abamugaye (cyane cyane utubuto tumeze nk'uruziga rw'inyuma). Niba basanze barekuye, bakeneye guhinduka no gukomera mugihe.

Niba igare ryibimuga rihuye nimvura mugihe cyo gukoresha, bigomba guhanagurwa byumye mugihe. Intebe z’ibimuga zikoreshwa mu buryo busanzwe nazo zigomba guhanagurwa buri gihe hamwe nigitambaro cyumye cyoroshye kandi kigashyirwaho ibishashara birwanya ingese kugirango igare ry’ibimuga ryaka kandi ryiza igihe kirekire.

Kugenzura kenshi urujya n'uruza, guhuza uburyo bwo kuzunguruka, hanyuma ugasiga amavuta. Niba kubwimpamvu runaka, umutambiko wuruziga rwa santimetero 24 ugomba gukurwaho, menya neza ko ibinyomoro byiziritse kandi bitarekuye mugihe wongeyeho.

Ihuza rya bolts yintebe yintebe yintebe irekuye kandi ntigomba gukomera.

Ibyiciro by'ibimuga

Intebe rusange

Nkuko izina ribigaragaza, ni igare ryibimuga rigurishwa nububiko rusange bwibikoresho byubuvuzi. Nuburyo bumeze nkintebe. Ifite ibiziga bine, uruziga rw'inyuma nini, kandi hongeweho uruziga rwo gusunika intoki. Feri nayo yongewe kumuziga winyuma. Uruziga rw'imbere ni ruto, rukoreshwa mu kuyobora. Intebe yimuga Nzongeramo an-tipper inyuma.

Mubisanzwe, intebe y’ibimuga iroroshye kandi irashobora kugundwa no gutabwa kure.

Birakwiriye kubantu bafite imiterere rusange cyangwa ingorane zigihe gito. Ntibikwiye kwicara umwanya muremure.

Kubijyanye nibikoresho, irashobora kandi kugabanywamo: guteka ibyuma (guteka ibiro 40-50), amashanyarazi ya electroplating (ibiro 40-50), aluminiyumu (ibiro 20-30), aluminium aluminiyumu (uburemere 15 -Injangwe 30), aluminium-magnesium ivanze (uburemere buri hagati ya 15-30)

Intebe idasanzwe

Ukurikije uko umurwayi ameze, hari ibikoresho byinshi bitandukanye, nkubushobozi bwo kongera imbaraga, kwicara ku ntebe zidasanzwe cyangwa inyuma, sisitemu yo gushyigikira ijosi, amaguru ashobora guhinduka, ameza yo gufungura akurwaho nibindi byinshi.

Kubera ko yitwa idasanzwe-yakozwe, igiciro birumvikana rwose. Kubijyanye no gukoresha, nabyo birababaje kubera ibikoresho byinshi. Ubusanzwe ikoreshwa kubantu bafite ingingo zikomeye cyangwa zikomeye cyangwa imitsi yumubiri.

Intebe y’ibimuga

Nintebe yimuga ifite moteri yamashanyarazi

Ukurikije uburyo bwo kugenzura, hariho rockers, imitwe, kuvuza no guswera, nubundi bwoko bwa switch.

Kubantu bafite ubumuga bukabije cyangwa bakeneye kwimuka intera nini, mugihe cyose ubushobozi bwabo bwo kumenya ari bwiza, gukoresha igare ryibimuga ryamashanyarazi ni amahitamo meza, ariko bisaba umwanya munini wo kugenda.

Intebe zidasanzwe (siporo)

Intebe yimuga yabugenewe ikoreshwa mumikino yo kwidagadura cyangwa amarushanwa.

Ibisanzwe birimo gusiganwa cyangwa basketball, kandi ibyakoreshejwe kubyina nabyo birasanzwe cyane.

Mubisanzwe, kuvuga, kuramba no kuramba nibyo biranga, kandi ibikoresho byinshi byikoranabuhanga bikoreshwa.

Igipimo cyo gukoresha n'ibiranga intebe zitandukanye

Hano hari ubwoko bwinshi bwibimuga bwibimuga kumasoko kurubu. Bashobora kugabanywamo aluminiyumu, ibikoresho byoroheje nicyuma ukurikije ibikoresho. Kurugero, zirashobora kugabanywa mubimuga bisanzwe byabamugaye hamwe nintebe zidasanzwe z’ibimuga ukurikije ubwoko. Intebe z’ibimuga zidasanzwe zirashobora kugabanywamo: urukurikirane rw’ibimuga bya siporo yo kwidagadura, ibimuga by’ibimuga bya elegitoronike, sisitemu y’ibimuga ku ntebe, n'ibindi.

Ikimuga gisanzwe

Ahanini igizwe nigare ryibimuga, ibiziga, feri nibindi bikoresho

Igipimo cyo gusaba:

Abantu bafite ubumuga bwo hasi, hemiplegia, paraplegia munsi yigituza nabasaza bafite umuvuduko muke

Ibiranga:

  • Abarwayi barashobora gukora amaboko ahamye cyangwa akurwaho ubwabo
  • Ikirenge gihamye cyangwa gikurwaho
  • Irashobora gukubitwa kugirango itware iyo isohotse cyangwa mugihe idakoreshwa

Ukurikije imiterere n'ibiciro bitandukanye, bigabanijwemo:

Intebe ikomeye, intebe yoroshye, ipine ya pneumatike cyangwa amapine akomeye.Muri bo: intebe y’ibimuga ifite amaboko ahamye hamwe n’ibirenge byagenwe bihendutse.

Intebe idasanzwe

Impamvu nyamukuru nuko ifite imikorere yuzuye ugereranije. Ntabwo ari igikoresho kigendanwa gusa kubantu bafite ubumuga nabantu bafite ubushobozi buke, ariko kandi gifite indi mirimo.

Igipimo cyo gusaba:

Abamugaye cyane n'abasaza, abanyantege nke n'abarwayi

Ibiranga:

  • Inyuma yintebe yintebe yimodoka ni ndende nkumutwe wuyigenderaho, hamwe namaboko yimukanwa hamwe na pedal yubwoko bwikirenge. Pedale irashobora kuzamurwa no kumanurwa no kuzunguruka dogere 90, kandi inyuguti irashobora guhindurwa kumwanya utambitse.
  • Inguni yinyuma irashobora guhindurwa mubice cyangwa guhora kurwego urwo arirwo rwose (bihwanye nigitanda). Umukoresha arashobora kuruhukira mu kagare k'abamugaye, kandi umutwe w’umutwe nawo urashobora gukurwaho.

Intebe y’ibimuga

Igipimo cyo gusaba:

Gukoreshwa nabantu bafite paraplegia nyinshi cyangwa hemiplegia bafite ubushobozi bwo kugenzura ukoresheje ukuboko kumwe.

Intebe y’ibimuga ikoreshwa na bateri kandi ifite kwihanganira ibirometero 20 kumurongo umwe. Ifite igikoresho cyo kugenzura ukuboko kumwe.Bishobora kugenda imbere, gusubira inyuma no guhindukira. Irashobora gukoreshwa mu nzu no hanze. Igiciro kiri hejuru.

 

 


Igihe cyo kohereza: Ukuboza-09-2024