Riba:
- Ikon samar da daftarin tsarin motsa jiki da aka tsara tare da AI bisa ga binciken mai haƙuri, maƙasudi da iyakancewa
- Ikon gwada saitin shawarar AI, maimaitawa, ƙarfi da dabarun ci gaba tare da hikimar asibiti da contraindications
- Ability don daidaita daftarin shirin bisa ga takamaiman ciwo mai haƙuri, mataki da rashin lafiya da kuma shirya shi don amincewar likitan ilimin lissafi.
Rubutun motsa jiki shine zuciyar ilimin motsa jiki. Ƙaƙƙarfan motsi, nauyin da ya dace, daidaitattun mita da ci gaba mai kyau; Duk waɗannan an tsara su bisa ga ganewar asali na mai haƙuri, matakin farfadowa, burin da rayuwar yau da kullum. Wannan ginin babban tunani ne kuma yana ɗaukar lokaci. Hankali na wucin gadi (AI) na iya zana wannan aikin a cikin mintuna, yantar da ku don tunani da tunani na asibiti. Amma ku tuna: shirin da AI ke samarwa shine farkon farawa, ba takardar sayan magani ba. A cikin wannan rukunin za ku koyi yadda ake amfani da AI cikin aminci don samar da jigon shirin motsa jiki, tace abin da aka fitar tare da hankali na asibiti kuma daidaita shi ga majiyyaci.
Abubuwan da aka tsara na kyakkyawan tsarin tsarawa
Shirin motsa jiki ba jerin sunayen "yi wannan motsa jiki sau da yawa ba." Shirin sauti na asibiti yana da abubuwa masu zuwa: burin (don abin da: rage jin zafi, kewayon motsin motsi, ƙarfafawa, dawowar aiki), zaɓin motsa jiki (matakin da ya dace), sashi (saitin, sakewa, kaya, hutawa; FITT ka'idar: Frequency-Intensity-Time-Type), mulkin ci gaba (lokacin da za a yi shi da wuya), sake dawowa (yadda za a dakatar da dakatarwa idan ciwo ya karu) (abin da mara lafiya zai fahimta). da harshe). AI na iya samar da duk waɗannan abubuwan da aka gyara a cikin daftarin tsari; Aikin ku shine tace kowanne ta hanyar jarrabawa.
Tukwici: Kar a tambayi AI don shirin kai tsaye; Bayyana manufa da mataki na farko. "Ƙarfafa burin a cikin lokaci mai tsanani" da "gudanar da ciwo a cikin mummunan tashin hankali" shirye-shirye daban-daban ne. Idan zaren ba daidai ba ne, ko da mafi kyawun hanzari zai haifar da shirin da ba daidai ba.
Mataki-mataki: Daftarin shirin tare da AI
- Kammala jarrabawa. Ya kamata ya sami ganewar asali, mataki, gwajin ja, da ma'auni na asali a hannu kafin ya tafi AI.
- Bayanan martaba da ba a san su ba ya bayyana. Shekaru, jinsi, ganewar asali, mataki, manufa, cututtuka, iyakoki; Babu suna ko ID.
- Ba da ingantaccen faɗakarwa. Rubuta makasudin, lokaci, kayan aiki, tsawon lokaci, da ƙa'idodin aminci.
- Dauki daftarin kuma tace. Bincika kowane motsa jiki don contraindications, zafi da mataki.
- Daidaita sashi tare da hukunci na asibiti. Saitin / wakilin AI yana ba da zato ne na gaba ɗaya; daidaita bisa ga majiyyaci.
- Ƙara ci gaba da mulkin koma baya. Sharuɗɗan sharuɗɗa kamar "Idan zafin ya wuce 3/10, dakatar da magana a cikin zama na gaba."
- Daidaita ga haƙuri kuma tabbatarwa. Sauƙaƙe harshe, tabbatar a matsayin likitan ilimin lissafi, sanar da majiyyaci.
Karama guda uku (a cikin lambobi)
Case 1 - Ciwon ƙananan baya na yau da kullun. 42 shekara ma'aikacin ofishin, inji ƙananan baya zafi na 4 watanni, babu ja tutoci, zafi a sauran 2/10, tare da aiki 5/10. An tambayi AI don yin 2 sets × 10 maimaitawa na ainihin daidaitawa + ƙayyadaddun motsin hip, kwanaki 4 a mako. Tunda haƙurin zaman majiyyaci ya yi ƙasa kaɗan, likitan ilimin lissafi ya rage maimaitawa zuwa 2 sets × 8 a cikin makon farko kuma ya ƙara ƙa'idar dakatarwa idan zafin ya wuce 4/10. A cikin makonni 6, ciwon aiki ya ragu daga 5/10 zuwa 2/10.
Case 2 - Bayan tiyatar ligament na gaba (mako na hudu bayan-op). Dan wasan kwallon kafa mai son shekaru 24. AI ya samar da jigon "ƙarfafa gwiwa" gabaɗaya amma bai san ƙa'idar aikin tiyata ba kuma ya ba da shawarar motsa jiki na motsa jiki a buɗe a mako na 4. Masanin ilimin likitancin jiki ya cire shi saboda ka'idar likitan likitancin ta hana wannan motsi a wannan matakin. Darasi: AI na iya inganta ka'idar post-op; Ka'idar likitan fiɗa na da mahimmanci.
Case 3 - Daskararre kafada (m capsulitis), lokacin daskarewa. Shekaru 55, masu ciwon sukari. AI ya ba da shawarar mikewa mai ƙarfi. Sanin cewa m mikewa a lokacin daskarewa lokaci zai iya ƙara zafi da kumburi, da jiki mai ilimin hanyoyin kwantar da hankali rage sashi zuwa wani haske, zafi kewayon motsi da kuma shirya akai-akai amma gajeren zaman yada a ko'ina cikin yini. Jujjuyawar waje mai wucewa ta ƙaru daga 10° zuwa 35° a cikin makonni 8.
Rauni mai ƙarfi / Ƙarfi mai ƙarfi
Rauni: "Rubuta shirin motsa jiki don ciwon gwiwa."
Sakamakon ganewar asali ba shi da tabbas, babu wani mataki, babu kayan aiki da ka'idojin aminci; fitarwa ya zama gama gari kuma mai haɗari.
Ƙarfafa: "Samar da DRAFT na shirin motsa jiki na gida na 6 na mako-mako don mace mai shekaru 30 da aka gano tare da ciwo mai zafi na patellofemoral. Babu wani mummunan tashin hankali, zafi 4 / 10 a kan matakan hawa. Kayan aiki: ƙungiyar juriya da nauyin jiki. An mayar da hankali kan hips da quadriceps, tare da raɗaɗi-free loading ka'idodin farko. zato, ana buƙatar daidaitawar asibiti'.
Ƙarfi mai ƙarfi yana ba da cikakkiyar ganewar asali, mataki, kayan aiki, manufofin aminci da rawar AI.
Samfura huɗu masu kwafi
Matsayi: Mataimakin motsa jiki na motsa jiki (yanke shawarar asibiti nawa ne). Aiki: Samar da DRAFT na shirin motsa jiki. Bayanan martaba mara izini: [shekaru, jinsi, ganewar asali, mataki, manufa, kayan aiki, ƙuntatawa/comorbidity]. Da ake buƙata: 5-8 motsa jiki, burin + saiti / maimaitawa ga kowane (kamar yadda zato na farko). Tilas: (1) Gargadi na rashin daidaituwa a cikin taken daban, (2) tsarin ci gaba, (3) mulkin koma baya, (4) “tsaya komai” iyakar aminci. Rubuta "TABBATA ANA BUKATAR" ga kowane sashi wanda ba ku da tabbas. Yare bayyananne.
Aiki: Bincika jigon shirin mai zuwa don CONTRAINDICATIONS.Shirin: [draft]Profile: [bayanin martaba mara lafiya] Ina so: Matsala mai yuwuwar hanawa / tsattsauran ra'ayi ga kowane motsa jiki + wanda ya kamata a guji shi. Kada ku yanke shawara, sanya alamar haɗari.
Aiki: Daidaita motsa jiki na gaba zuwa matakin mara lafiya. Motsa jiki: [motsa jiki + sashi na yanzu] Matsayin manufa: [m / subacute / na kullum] Ina so: Regression da bambance-bambancen ci gaba da ya dace da wannan mataki, la'akari da dangantakar da ke da zafi. Rubuta ma'auni a fili (misali "ciwo ya rage <3/10").
Aiki: Fassara jigo na shirin zuwa harshen majiyyaci.Draft: [shiri a cikin sharuɗɗan asibiti] Doka: matakin karatun aji na 8, ɗan gajeren jimla, "me yasa" bayani, 1 tip aminci ga kowane aiki. Sauƙaƙe jargon likita amma kar a haifar da rashin fahimta.
Sashi: Mafi raunin AI
AI sau da yawa yana cika adadin saiti da maimaitawa tare da ƙimar "na al'ada" (kamar 3 × 10, 3 × 12). Waɗannan dabi'un ba su san haƙurin haƙuri na gaskiya ba, zafi, lokacin dawowa da burin. Teburin da ke ƙasa yana taƙaita yadda ake tace fitar AI tare da hikimar asibiti.
Mai canzawa
Yawan fitowar AI
Tace physiotherapist
Saita/magana
Daidaitaccen 3 × 10
Daidaita ta haƙuri, mataki, manufa
Load/yawanci
Gabaɗaya "matsakaici"
Ƙayyade bisa ga amsawar jin zafi da ma'aunin ƙarfi
mita
Kwana 3 a mako
Dangane da ƙarfin dawowa da nauyin rayuwa
ci gaba
Rashin tabbas ko babu
Ƙara doka tare da bayyanannun ma'auni
Contraindication
Sau da yawa ana tsallakewa
Tabbatar duba bisa ga jarrabawa
Tsanaki: A cikin marasa lafiya bayan tiyata, ƙa'idar gaba ɗaya ta AI na iya cin karo da ƙayyadaddun ka'idar likitan fiɗa. Ka'idar da likitan fiɗa/likita ya bayar koyaushe yana kan gaba; Fitowar AI ba zai iya soke shi ba.
Auna ci gaba
Mafi raunin batu na shirin shine sau da yawa tambaya "yaushe za a kara tsanantawa?" AI ya bar wannan m (kamar "ƙara lokacin da haƙuri ya shirya"). Duk da haka, kyakkyawan tsarin ci gaba shine ma'auni: alal misali, "idan mai haƙuri ya kammala nauyin halin yanzu don 2 a jere zaman ba tare da ciwo ba (ciwo <3/10) kuma tare da fasaha mai kyau, ƙara nauyin da 10%". Hakazalika, koma baya (janyewa) ya kamata ya zama ma'auni: "Idan zafin ya wuce tsawon sa'o'i 48 ko ya wuce 4/10, komawa zuwa mataki na baya." Idan ka buga waɗannan sharuɗɗa a cikin AI kuma daidaita shi a asibiti, mai haƙuri zai iya yanke shawara mai kyau da kansa kuma shirin zai ci gaba lafiya. Shirin ba tare da ma'auni ba ko dai yana riƙe da mara lafiya baya ko kuma ya yi sauri da kuma ƙone shi; Dukansu jinkirta jiyya.
Tukwici: Ƙayyata “tsani” mai matakai uku (mai sauƙi/matsakaici/manufa) don kowane motsa jiki kuma rubuta a sarari ma'aunin wucewa. Lokacin da mai haƙuri ya san matakin da yake kan da kuma yadda za a motsa sama, yarda da amincewa suna ƙaruwa sosai.
Kuskuren gama gari
- Ba tantance matakin ba. Shirin mai tsanani da na yau da kullum ya bambanta; Idan babu zaren, fitarwa zai kasance mai haɗari.
- Bayar da adadin AI kamar yadda yake. Saita/wakili shine zato na gaba ɗaya; Kada a ba shi ba tare da daidaitawa ga majiyyaci ba.
- Tsallake contraindications. AI sau da yawa ba ya rubuta contraindications da kansa; yakamata ku tambaya.
- Ba saita dokokin koma baya ba. Idan ciwo ya karu, abin da za a yi ba a rubuta shi ba, mai haƙuri zai yanke shawarar da ba daidai ba da kansa.
- Barin ka'idar bayan-op zuwa AI. Tsarin tiyata yana da mahimmanci; AI bai san shi ba ko ya sanya shi.
- Yin watsi da burin majiyyaci. Rage ciwo da komawa wasanni suna buƙatar shirye-shirye daban-daban.
A takaice
AI da sauri yana zayyana shirin motsa jiki, yana 'yantar da ku lokacin tunani na asibiti. Amma sashi, yarda da lokaci, contraindications da ka'idojin ci gaba dole ne su wuce ta tacewar ku na asibiti. Ba da saurin da aka tsara (bincike, mataki, manufa, kayan aiki, ka'idar aminci), zayyana fitarwa, daidaita kowane motsa jiki ga majiyyaci kuma yarda a matsayin likitan physiotherapist. Shirin likitan fiɗa yana da mahimmanci a cikin ka'idojin bayan-op.
Aikin aikace-aikace
Zaɓi bayanin martaba mara lafiya wanda ba a san sunansa ba kuma ƙirƙirar daftarin shiri tare da samfuri na farko. Sannan duba samfuri na biyu da daftarin guda ɗaya don contraindications. Canja aƙalla ƙimar kashi uku ta amfani da hikimar asibiti kuma tabbatar da dalilin da yasa kuka canza cikin jumla ɗaya. A ƙarshe, tare da samfuri na huɗu, fassara shirin zuwa harshen majiyyaci kuma duba daidaitonsa.
jerin abubuwan dubawa
- [ ] Na ƙara ganewar asali, mataki, manufa, kayan aiki da ka'idar aminci a cikin gaggawa.
- [ ] Na ɗauki fitarwa azaman daftarin aiki, ban yi amfani da shi kai tsaye azaman girke-girke ba.
- [] Na duba kowane motsa jiki don contraindications da zafi.
- [ ] Na daidaita sashi bisa ga haƙurin haƙuri da matakin.
- [ ] Na kara da tsarin ci gaba da koma baya da kuma iyaka "dakatar da komai".
- [ ] Game da post-op, na ba da fifiko ga ka'idar likitan fiɗa kuma na amince da shirin a matsayin likitan motsa jiki.