Raka'a
1. Gabatarwa zuwa Hankali na Artificial a cikin Jiki: Iyakoki, Tabbatarwa, Nauyi da Da'a 2. Daftarin Shirin Motsa Jiki: Sauri da Amintacce Gyara tare da Hankali na Artificial 3. Binciken Motsi da Matsayi: Bidiyo da Hankali na Artificial 4. Bin Saƙon haƙuri, Biyayya da Ƙarfafawa 5. Rubutun Rubutun Rahoto da Ci gaba 6. Samar da abun ciki na Ilimin haƙuri: Kasida, Shirin Gida da Lacca 7. Aiki na tushen Shaida: Nazari na Adabi da Shaida 8. Takardun asibiti da Bayanan kula da SABULU 9. Jama'a na Musamman: Neurological, Pediatric, Geriatric, Orthopedic da 'Yan wasa 10. Tele-rehabilitation da Nesa Kulawa 11. Sirri, KVKK, Da'a da Tsaron Bayanai 12. Ƙarshe-zuwa-Ƙarshen Ƙarshen Aiki: Haɗuwa, Inganci da Gaba a cikin Clinic
Naúrar 9 / 12

Jama'a na Musamman: Neurological, Pediatric, Geriatric, Orthopedic da 'Yan wasa

Riba:

  • Ikon daidaita shawarwarin AI zuwa takamaiman ƙayyadaddun yawan jama'a, mataki da ƙarancin aminci
  • Ability don gane yadda gama-gari da haɗarin hallucination na AI ya bambanta a cikin ƙungiyoyin haƙuri daban-daban.
  • Ƙarfin ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙofa don tabbatarwa da tuntuɓar ƙwararrun kowane takamaiman rukuni

Babu wani abu kamar "matsakaicin majiyyaci" a fannin ilimin likitanci. Majinyacin da ke da bugun jini, yaro mai shekaru 5, mai rauni mai shekaru 85, dan wasan da ya yi aikin tiyatar gwiwa; kowanne ɗayan waɗannan yana ɗauke da ƙaƙƙarfan tsaro daban-daban, makasudi, da buƙatun sadarwa. Hankali na wucin gadi (AI) yana kula da tsohuwa zuwa “baligi na gabaɗaya,” kuma waɗannan gabaɗayan na iya zama haɗari a cikin mutane na musamman. A cikin wannan rukunin, zaku koyi yadda ake keɓanta shawarwarin AI zuwa takamaiman ƙungiyoyi biyar masu mahimmanci, yadda haɗarin hasashe da gama-gari ya bambanta a kowace ƙungiya, da yadda ake tantance kofa na shawarwarinku.

Me yasa gabaɗaya ke da haɗari

AI yana ɗaukar yanayi na yau da kullun a cikin bayanan horon zama "al'ada". Amma yayin da ma'auni na motsa jiki yana da lafiya ga matashi mai girma, yana iya haifar da hadarin fadowa, spasticity (ci gaba da ƙaddamar da tsokoki) ko al'amurran tsaro a cikin mai haƙuri bayan bugun jini. Duk da yake shimfidawa ya dace da matashin dan wasa, yana iya ɗaukar haɗarin karaya a cikin tsofaffi tare da osteoporosis. Yayin da karuwa a cikin kaya yana da kyau ga gwiwa mai lafiya, zai iya lalata farantin girma a cikin yaro mai girma. AI bai san waɗannan bambance-bambance ba; Idan ba ku fayyace shi ba, yana ba da shawarar gabaɗaya.

Tsanaki: Kada a taɓa amfani da fitarwa na AI ga mutane na musamman tare da zato "babban manya". Ga kowane rukuni, haɗa da takamaiman takamaiman yawan jama'a, ƙuntatawa na aminci, da tuntuɓar ƙungiyar (likita, likitan yara, likitan jijiyoyi) idan ya cancanta.

Ƙungiyoyi biyar, wuraren kulawa biyar

yawan jama'a

Babban haɗari

Tabbatar gaya AI

Ƙofar shawara

Neurological (bugun jini, MS, Parkinson's, SCI)

Falls, spasticity, gajiya, aminci

Matsayin jijiyoyi, tarihin faɗuwa, buƙatar kulawa

Ƙananan - yanke shawara akai-akai

Likitan Yara (Yaro)

Farantin girma, haɓakawa, tushen wasa, yarda

Shekaru, matakin ci gaba, shigar iyaye

Haɗin kai tare da likitan yara

Geriatric (tsofaffi)

Osteoporosis, faduwa, fragility, polypharmacy

Yawan kashi, tarihin faɗuwa, haɗuwa

Matsakaici - babban haɗarin karaya / faɗuwa

Orthopedic / post-op

Ka'idar tiyata, lokacin warkar da nama

Nau'in tiyata, ka'idar likitan fiɗa, mataki

Bisa ka'idar likitan fiɗa

dan wasa

Yi yawa, dawowa da wuri, sake rauni

Wasanni, ka'idojin dawowa, kakar

Likitan wasanni / ƙungiyar

Mataki-mataki: daidaitawa ga yawan jama'a na musamman

  1. Ƙayyade ƙungiyar da bayanin martaba. Ba kawai "tsohuwar" ba; Kamar "mai shekaru 82, yana da osteoporosis, ya fadi sau biyu."
  2. Rubuta ƙayyadaddun ƙayyadaddun ƙayyadaddun yawan jama'a zuwa faɗakarwa. A fili bayyana contraindications da aminci iyaka.
  3. Tambaya gabaɗayan AI. "Shin wannan shawarar lafiya ce ga wannan rukunin?" A duba shi ma.
  4. Aiwatar da iyakar shawarwari. Idan shawarar ta kasance a fagen wani horo, tuntuɓi.
  5. Ƙara tsarin sa ido da tsaro. Musamman a cikin ƙungiyoyi masu haɗarin faɗuwa/aminci.
  6. Daidaita, yarda, saka idanu. A matsayin mai ilimin motsa jiki, ba da izini na ƙarshe kuma saka idanu sosai.

Karama guda uku (a cikin lambobi)

Case 1 - Neurological (bugun jini). Shekaru 67, hemiparesis na dama, tarihin faɗuwar 1. AI ta ba da shawarar motsa jiki na "ma'auni na biyu na 30 akan ƙafa ɗaya". Masanin ilimin lissafin jiki ya canza wannan saboda haɗarin faɗuwa: layi ɗaya, kulawa, farawa taimako. Tare da ingantaccen ci gaba a cikin makonni 4, lokacin tsayawa mara tallafi ya karu daga daƙiƙa 5 zuwa daƙiƙa 22, kuma babu faɗuwa. Darasi: aminci koyaushe yana zuwa na farko a rukunin jijiya.

Case 2 - Geriatric (osteoporosis). Shekaru 78, mai tsanani osteoporosis. AI ya ba da shawarar motsa jiki na tushen sassauƙa don ƙananan baya. Mai ilimin hanyoyin kwantar da hankali ya cire shi saboda maimaita juzu'i na lumbar a cikin osteoporosis yana kara haɗarin raunin kashin baya; maye gurbin shi da tsawo da motsa jiki. Darasi: AI bai san takamaiman takamaiman yawan jama'a ba; da bilmelisiniz.

Vaka 3 - Pediatric. Shekaru 8, ciwon gwiwa bayan wasanni (Osgood-Schlatter). AI ya ba da ƙa'idar manya (ɗagawa mai nauyi). Masanin ilimin lissafin jiki yayi la'akari da shekarun girma, rage nauyi, canza shi zuwa motsa jiki na motsa jiki da ba tare da jin zafi ba, kuma ya kasance tare da likitan yara. An haɗa iyaye a cikin shirin. Darasi: Yaro ba karamin girma ba ne.

Rauni mai ƙarfi / Ƙarfi mai ƙarfi

Rauni: "Ba da ma'auni na ma'auni ga tsofaffi marasa lafiya."

Ƙananan bayanan martaba, babu tarihin faɗuwa, babu cututtuka, kuma babu aminci; AI yana haifar da shawarwari masu haɗari waɗanda ke ɗaukan babban matashi.

Güçlü: "Samar da DRAFT na motsa jiki mai aminci ga mai haƙuri mai shekaru 82 tare da osteoporosis da tarihin 2 ya fadi, ta yin amfani da mai tafiya. Ka guje wa gyare-gyaren lumbar saboda osteoporosis. Ƙara goyon baya na farko da shawarwarin kulawa ga kowane motsa jiki. Yi gargadin ƙungiyoyin da za su kara haɗarin fadowa daban. Tsarin hangen nesa shine yanke shawara da kulawa. "

Samfura huɗu masu kwafi

Matsayi: Mataimakin ilimin motsa jiki (yawan jama'a na musamman) .Task: Samar da DRAFT na motsa jiki don [yawan jama'a + subprofile] . Ƙayyade wajibi: shekaru, ganewar asali, rashin lafiya, tarihin faɗuwa / aminci, buƙatar kulawa.Dokar: Gargaɗi game da contraindications musamman ga wannan yawan a cikin wani batu dabam. Ga kowane shawarwarin, sanya alamar tsaro da kulawa idan ya cancanta.

Aiki: Tsaro-duba wannan shawarar gabaɗaya don [yawan jama'a].Shawarwari: [Gaba ɗaya fitarwa na AI] Bayanan martaba: [ƙarshen bayanin martaba + contraindications] Ina so: Duba kowane abu da ke da haɗari / hana don wannan rukunin + dalili + amintaccen madadin. Kada ku yanke shawara, nuna kasada.

Aiki: Tabbatar da bin ka'ida don majinyata bayan-op. Bayanin shirin: [motsa jiki] Ƙa'idar tiyata: [ƙaddamar da matakin da likitan fiɗa ya bayar] Ina so: Alama duk wani abu da ya ci karo da ka'idar tiyata a cikin shirin. Yarjejeniya tana da mahimmanci; Ka gargade ni in cire shawara mai karo da juna.

Aiki: tushen wasa, daidaitawa ba tare da jin zafi ba ga majinyacin yara. Motsa jiki: [adult version], yaro: [shekaru, ganewar asali]. Doka: Girman aminci na shekaru, harshe wasa / motsa jiki, sa hannun iyaye, iyaka mara zafi. Kada a yi amfani da nauyi mai nauyi ko adadin manya.

Tukwici: Shirya kanku "jerin layin ja" don kowane takamaiman adadin jama'a (misali lumbar juzu'i a cikin osteoporosis, ma'auni mara kulawa a bugun jini, ɗagawa mai nauyi a cikin yaro). Da sauri bincika fitar AI akan wannan jerin; Kurakurai gamayya yawanci ana kama su anan.

Wani muhimmin girma a cikin al'umma na musamman shine sadarwa da daidaita manufa. Yayin da burin dan wasa zai iya zama komawa ga yin aiki, ga babban babba mai rauni burin zai iya zama don kiyaye zaman kanta da kuma faɗuwar rigakafi; Ga yaro, motsa jiki yana dogara ne akan wasanni da nishaɗi. Harshen ƙarfafawa ko harshe na ilimi wanda AI ke samarwa baya nuna waɗannan bambance-bambance; Misali, gaya wa yaro "za ku ƙara ƙarfin tsoka" a cikin yaren manya ba shi da tasiri, amma juya wannan motsi zuwa wasa yana da amfani. Lokacin daidaita maƙasudi da harshe ga yawan jama'a, ba AI wannan mahallin a sarari ("a cikin yare mai gamuwa wanda ɗan shekara 8 zai fahimta") kuma duba cewa fitowar tana da aminci kuma ta dace da shekaru. Maƙasudin da ya dace da harshen da ya dace sun ƙayyade nasarar maganin kamar yadda ya dace.

Kwayar cuta da polypharmacy Layer

A cikin al'ummomi na musamman, ganewar asali guda ɗaya ba ya zuwa ita kaɗai. Ma'aikacin tsofaffi yana iya samun osteoporosis, hauhawar jini, ciwon sukari da matsalolin daidaitawa lokaci guda; kowane ɗayan waɗannan yana rinjayar shawarar motsa jiki. Kwayoyin cuta (cututtuka fiye da ɗaya) da kuma polypharmacy (amfani da magunguna da yawa) sune yadudduka da AI ta fi kulawa da su, kamar yadda AI yakan mayar da hankali kan ganewar asali guda ɗaya. Alal misali, haɗarin faɗuwa a cikin majiyyaci ta yin amfani da magungunan jini yana da sakamako mai tsanani; Matsakaicin zuciya bazai zama abin dogaro ba na ƙarfin motsa jiki a cikin majiyyaci shan beta blockers. Idan ba ku rubuta waɗannan hulɗar a fili a cikin hanzari ba, AI ba za ta yi la'akari da su ba. Sabili da haka, ba da cikakkiyar bayanin martaba, musamman a cikin marasa lafiya da aka gano da yawa, kuma tuntuɓi likitan da ke ba da izini idan kuna cikin shakka game da hulɗar motsa jiki na miyagun ƙwayoyi.

Tukwici: A cikin hadaddun marasa lafiya, tambayi AI wata tambaya daban "jera yadda cututtuka da magunguna a cikin wannan bayanin martaba na iya shafar lafiyar motsa jiki"; amma yi amfani da wannan jeri azaman tunatarwa kuma tabbatar da kowane abu a asibiti kuma tare da likita idan ya cancanta.

Kuskuren gama gari

  • "Babban balagaggu" zato. Aiwatar da fitar AI ba tare da daidaita shi da yawan jama'a yana da haɗari ba.
  • Alt bayanin martaba. "Yaşlı" duk da haka; cuta, tarihin faɗuwa da kamewa ana buƙatar.
  • Kewaya takamaiman yawan yawan jama'a. An yi watsi da ramummuka irin su jujjuyawa a cikin osteoporosis.
  • Yin watsi da ka'idar bayan-op. Ka'idar likitan tiyata koyaushe tana kan gaba.
  • Yin la'akari da yaron a matsayin ƙaramin babba. Bangaren girma, ci gaba da wasa bai kamata a yi watsi da su ba.
  • Haɓaka ƙofa na shawarwari. Lokacin da ake shakka, yin yanke shawara na ƙungiyar yana ƙara aminci.

A takaice

AI gabaɗaya ta hanyar tsoho a cikin takamaiman yawan jama'a, kuma waɗannan gaba ɗaya na iya zama haɗari. Kowane rukuni (jinin jijiya, likitan yara, geriatric, orthopedic/post-op, dan wasa) yana ɗaukar nasa hani na aminci, contraindications da ƙofofin shawarwari. A sarari fayyace bayanin martaba, rubuta takamaiman ƙayyadaddun ƙayyadaddun yawan jama'a akan saurin, duba abin da aka fitar akan "jerin layin ja," ba da fifikon ƙa'idar tiyata a bayan-op, da samun tuntuɓar ƙungiyar lokacin da ake shakka. Amincewa ta ƙarshe koyaushe tana ga likitan physiotherapist.

Aikin aikace-aikace

Zaɓi takamaiman mutane biyu daban-daban. Rubuta cikakken bayanin martaba ga kowane kuma samar da jimillar motsa jiki tare da samfuri na farko. Sa'an nan tsaro-duba kowane daftarin aiki tare da samfuri na biyu kuma kama aƙalla ƙayyadaddun ƙayyadaddun yawan jama'a. Ƙirƙiri "jerin layin ja" naku tare da aƙalla abubuwa biyar.

jerin abubuwan dubawa

  • [ ] Na ayyana ƙungiyar da cikakkun bayanan bayanan (comorbidity, tarihi, iyakance).
  • [ ] Na rubuta ƙayyadaddun ƙayyadaddun yawan jama'a akan saƙon.
  • [ ] Na yi tsaro-duba fitar AI.
  • [ ] Idan bayan-op ne, na ba da fifiko ga ka'idar likitan fiɗa.
  • [ ] Na yi amfani da ƙofa na shawarwarin da ake buƙata (haɗin gwiwar likita/kwararre).
  • [ ] Na ƙara tsarin kulawa/tsarin tsaro kuma na amince da shi azaman mai ilimin motsa jiki.
A baya Na gaba