Intebe y’ibimuga (W / C) ni intebe ifite ibiziga, ikoreshwa cyane cyane kubantu bafite ubumuga buke cyangwa izindi ngorane zo kugenda. Binyuze mu mahugurwa y’ibimuga, kugenda kwabafite ubumuga nabafite ibibazo byo kugenda birashobora kunozwa cyane, kandi ubushobozi bwabo bwo gukora ibikorwa bya buri munsi no kwitabira ibikorwa byimibereho burashobora kunozwa. Nyamara, ibyo byose bishingiye kubintu byingenzi: ibimuga byabamugaye.
Intebe y’ibimuga ikwiye irashobora kubuza abarwayi gukoresha imbaraga nyinshi zumubiri, kunoza ingendo, kugabanya kwishingikiriza kubagize umuryango, no koroshya gukira neza. Bitabaye ibyo, bizatera kwangirika kwuruhu, ibisebe byumuvuduko, edema yingingo zombi zo hepfo, ubumuga bwumugongo, ibyago byo kugwa, kubabara imitsi no kwandura, nibindi kubarwayi.
1. Ibintu bikoreshwa byintebe yimuga
Kugabanuka cyane mumikorere yo kugenda: nko gucibwa, kuvunika, kumugara no kubabara;
② Nta kugenda ukurikije inama za muganga;
③ Gukoresha igare ry’ibimuga mu ngendo birashobora kongera ibikorwa bya buri munsi, kuzamura imikorere yumutima, no kuzamura imibereho;
④ Ababana n'ubumuga bwo mu gihimba;
People Abantu bageze mu zabukuru.
2. Gutondekanya abamugaye
Ukurikije ibice bitandukanye byangiritse nimirimo isigaye, intebe yibimuga igabanijwemo ibimuga bisanzwe, ibimuga by’amashanyarazi hamwe n’ibimuga bidasanzwe. Intebe zidasanzwe z’ibimuga zigabanijwemo intebe z’ibimuga zihagaze, intebe z’ibimuga ziryamye, intebe y’ibimuga imwe, intebe y’ibimuga n’intebe y’ibimuga ihiganwa ukurikije ibikenewe bitandukanye.
3. Kwirinda muguhitamo igare ryibimuga
Igishushanyo: Igipimo cyibimuga cyibimuga igishushanyo a: uburebure bwintebe; b: ubugari bw'intebe; c: uburebure bw'intebe; d: uburebure bw'intoki; e: uburebure bwinyuma
uburebure bw'intebe
Gupima intera iri hagati y'agatsinsino (cyangwa agatsinsino) kuri dimple wicaye, hanyuma wongereho 4cm. Iyo ushyize ikirenge, ubuso bwibibaho bugomba kuba byibura 5cm uvuye hasi. Niba intebe ari ndende cyane, igare ryibimuga ntirishobora gushyirwa kuruhande rwameza; niba intebe iri hasi cyane, igufwa rya ischial rifite uburemere bwinshi.
b Ubugari bw'intebe
Gupima intera iri hagati yibibuno byombi cyangwa ibibero byombi iyo wicaye, hanyuma wongereho 5cm, ni ukuvuga ko hari icyuho cya 2.5cm kuruhande nyuma yo kwicara. Niba intebe ari ndende cyane, biragoye kwinjira no gusohoka mu kagare k'abamugaye, kandi ibibuno n'amatako y'ibibero birahagarikwa; niba intebe ari ngari cyane, ntabwo byoroshye kwicara ushikamye, ntibyoroshye gukoresha igare ryibimuga, amaguru yo hejuru araruha byoroshye, kandi biragoye kwinjira no gusohoka kumuryango.
c Uburebure bw'intebe
Gupima intera itambitse kuva ku kibuno kugeza imitsi ya gastrocnemius yinyana iyo wicaye, hanyuma ukuramo 6.5cm uhereye kubisubizo byo gupima. Niba intebe ari ngufi cyane, uburemere buzagwa cyane cyane kuri ischium, kandi agace kaho gakunda umuvuduko ukabije; niba intebe ari ndende cyane, izagabanya agace ka popliteal, igire ingaruka kumaraso yaho, kandi irakaze byoroshye uruhu muri kariya gace. Ku barwayi bafite ibibero bigufi cyane cyangwa ikibuno n'amavi byoroheje, nibyiza gukoresha intebe ngufi.
d Uburebure bwa Armrest
Iyo wicaye, ukuboko hejuru kurahagaritse kandi ukuboko gushizwe kumurongo. Gupima uburebure kuva hejuru yintebe kugera kumpera yimbere yikiganza hanyuma wongereho 2.5cm. Uburebure bukwiye bw'amaboko bufasha kugumana umubiri neza no kuringaniza, kandi birashobora gushyira ingingo zo hejuru mumwanya mwiza. Niba ukuboko ari hejuru cyane, ukuboko hejuru guhatirwa kuzamura kandi bikunda umunaniro. Niba ukuboko ari muke cyane, umubiri wo hejuru ugomba kwunama imbere kugirango ugumane uburimbane, ibyo ntibishobora gusa kunanirwa, ariko birashobora no kugira ingaruka kumyuka.
e Uburebure bwinyuma
Iyo hejuru yinyuma, niko ihagaze neza, kandi nu munsi winyuma, niko intera igenda yumubiri wo hejuru hamwe ningingo zo hejuru. Ibyo bita hasi yinyuma ni ugupima intera kuva kuntebe kugera kumaboko (ukuboko kumwe cyangwa amaboko yombi kurambuye imbere), no gukuramo 10cm uhereye kubisubizo. Inyuma ndende: gupima uburebure nyabwo kuva kuntebe kugeza ku rutugu cyangwa inyuma yumutwe.
Intebe
Kugirango uhumurizwe kandi wirinde ibisebe byumuvuduko, intebe yintebe igomba gushyirwa kuntebe. Rubber ifuro (5 ~ 10cm z'ubugari) cyangwa gel cushion irashobora gukoreshwa. Kugirango wirinde intebe kurohama, pani ya 0,6cm yubushyuhe irashobora gushyirwa munsi yintebe yintebe.
Ibindi bice bifasha intebe yimuga
Yashizweho kugira ngo ihuze ibyifuzo by’abarwayi badasanzwe, nko kongera ubushyamirane bw’imigozi, kwagura feri, ibikoresho bitagira shitingi, ibikoresho birwanya kunyerera, amaboko yashyizwe ku ntoki, hamwe n’intebe y’ibimuga kugira ngo abarwayi barye kandi bandike.
4. Ibikenerwa bitandukanye kubimuga byintebe zindwara zitandukanye
① Ku barwayi ba hypiplegic, abarwayi bashobora gukomeza kuringaniza bicaye mugihe batagenzuwe kandi badakingiwe barashobora guhitamo igare ry’ibimuga risanzwe rifite intebe nto, kandi ikirenge hamwe n’ibirenge bishobora gutandukana ku buryo ukuguru kwiza gushobora gukora ku butaka kandi intebe y’ibimuga ishobora kugenzurwa na amagara mazima yo hejuru no hepfo. Ku barwayi bafite uburinganire buke cyangwa ubumuga bwo kutamenya, nibyiza guhitamo igare ryibimuga ryasunitswe nabandi, kandi abakeneye ubufasha bwabandi kugirango bimure bagomba guhitamo ukuboko gutandukana.
② Ku barwayi barwaye quadriplegia, abarwayi bafite C4 (C4, igice cya kane cyuruti rwumugongo rwumugongo) no hejuru barashobora guhitamo intebe y’ibimuga y’umuyonga cyangwa igenzurwa n’imashini cyangwa intebe y’ibimuga yasunitswe n’abandi. Abarwayi bafite ibikomere biri munsi ya C5 (C5, igice cya gatanu cyuruti rwumugongo rwumugongo) barashobora kwishingikiriza ku mbaraga zo guhinduranya ingingo zo hejuru kugirango bakore umutambiko utambitse, bityo intebe y’ibimuga yinyuma igenzurwa nintoki irashobora gutoranywa. Twabibutsa ko abarwayi bafite hypotension ya orthostatike bagomba guhitamo intebe yimuga yimbere yimbere, bagashyiraho igitereko cyumutwe, kandi bagakoresha ikirenge kivanwaho gifite ivi.
Needs Ibikenerwa n’abarwayi bafite ubumuga bw’intebe y’ibimuga ni bimwe, kandi ibisobanuro by’intebe bigenwa nuburyo bwo gupima mu ngingo ibanziriza iyi. Mubisanzwe, intambwe ngufi-ubwoko bwamaboko bwatoranijwe, kandi gufunga caster byashyizweho. Abafite spasms cyangwa clonus bakeneye kongeramo imishumi hamwe nimpeta. Amapine akomeye arashobora gukoreshwa mugihe umuhanda umeze mubuzima bwiza.
Patients Ku barwayi bafite gucibwa ingingo zo hasi, cyane cyane gucibwa ikibero cy’ibibero byombi, hagati yububasha bwumubiri bwahindutse cyane. Mubisanzwe, umutambiko ugomba gusubizwa inyuma hanyuma inkoni zo kurwanya-guta zigomba gushyirwaho kugirango birinde umukoresha gusubira inyuma. Niba ifite prothèse, ikiruhuko cyamaguru namaguru nabyo bigomba gushyirwaho.
Igihe cyo kohereza: Nyakanga-15-2024