
dukene muscular dystrophy key liye shaaririk chikitsa

dukene muscular dystrophy mein shaaririk aur vyaavsaayik chikitsa kaa lakshya
vyakti kii, unaki samajik paristhitiyon kii aur unake paryaavaran kii spasht samajh praapt karna ack upchaar yojana vikasit karna haye joe unake jeevan kii gunavatta mein sudhaar karega. dee. aim. dee. vaale vyakti aksar aatm-dekhbhal, utpaadaktaa aur avkash key kshetron mein kathinaaiyon kaa anubhav karate hain. yeh vikaar key prabhaavon seey sambandhit haye, jaise kii gatishilata mein kamee; shakti aur mudra sthirata mein kamee; oopari-anga kaary kaa pragatisheel girawat; aur anubandh. vyaavsaayik aur shaaririk chikitsak saarthak vyavsaayon kaa upayog karke aur gatividhi koo shrenibaddh karke, vibhinn mulyankan aur sansadhanon jaise kii splinting, bracing, manual maanspeshiyon kaa pareekshan (mmt), rome, postural hastakshep aur upkaran prescription kaa upayog karke ack vyakti kii seemaon koo sambodhit karate hain.
orthos.
splint, jinhen orthos key roop mein bhee jaanaa jaataa haye, rome koo banaae rakhane yaa sudhaarne, vikriti koo rokane aur kaary mein sudhaar karane key liye design kiye gaye hain. splint angon koo sahaara dene aur kheenchane mein madad karate hain, joe aamtaur parr ghutanon, koolhon, pairon, kohni, kalaai aur ungaliyon koo prabhaavit karane vaale anubandh kii shuruat mein deree yaa rokta haye. takhane key pair key orthos (aphos) kaa upayog neend key dauran yaa dinn key dauran kiya jaa sakata haye. iska uddeshya pair koo neeche kii or ingit karane seey rokna aur akilis tendon key khinchaav koo banaae rakhna haye. tendo-achilles kii lambai koo banaae rakhna, jise gastrochnemius-solius complexes bhee kahaa jaataa haye, chalane key liye behad mahatvapurna haye. ghutane key pair key orthos (kaphos) kaa upayog chalane yaa khade honey key liye bhee kiya jaataa haye aur iska upayog gherabandi koo badhaane yaa nichale anga key anubandh kii shuruat mein deree karane mein madad karane key liye kiya jaa sakata haye. orthotic upkaranon koo una logon kii madad karane key liye bhee sujhaaya gayaa haye jinhen yaantrik samarthan kii aavashyakta haye aur way seedhe khade hain.
khade upkaran.
dukene muscular dystrophy stand vaale vyakti kii madad karane key liye upkaran ack samanya upchaar drishtikon hain. orthotic upkaranon kaa upayog kiya jaataa haye (jaisa kii oopar charcha kii gaee haye) aur vishisht khade upkaranon jaise kii khade frame, khade wheelchair aur table jinamen jhukaav kaary hotaa haye. khade honey vaale upkaranon koo ack vyakti koo sthir karane key liye design kiya gayaa haye taaki way vajan sahan curr sakein aur surakshit roop seey khade reh sakein, bhale hii way apane dumm parr khade honey mein saksham naa houn. sthaayi upkaranon key laabhon koo nirdhaarit karane key liye adhyayan cumm hain aur koee uchch gunavatta vaale yaadrichhik pareekshan naheen kiye gaye hain. ack chikitsa key roop mein khade honey key prastaavit laabhon mein maanspeshiyon kii lambai mein sudhaar, koolhon aur nichale angon kii gati kii seema mein sudhaar, parshvagooth kii shuruat mein deree kii kshamata, huddy key ghanatva mein sudhaar, maanspeshiyon kii ainthan mein sudhaar, shwasan pranali aur aavaaj key behtar kaary, twacha parr cumm dabaav, aur behtar neend aur samagr kalyan shamil hain.
haath seey maanspeshiyon kaa pareekshan (aim. aim. tii.) aur gati kii seema (rome).
aim. aim. tii. kaa upayog maanspeshiyon kii taakat kaa mulyankan karane key liye kiya jaataa haye, jabaki goniometry yaa rome pareekshan ack jodd key aspas kii gati koo maapate hain. yeye pareekshan nishkriya aur sakriya rome, majboot karane aur tootane jaise hastakshep kii aavashyakta kaa sanket dete hain. raat key splint key upayog key saath nishkriya rome tendo-echil anubandh mein kaafee sudhaar curr sakata haye.
vyayam karein.
aabhaasi vaastaviktaa upkaranon kaa upayog vyakti koo kuchh oopari chhor key abhyaas karane key liye prerit karane key liye kiya jaa sakata haye. ack shaaririk chikitsak satra key dauran dhyaan badhaane key liye iss upkaran kaa upayog curr sakata haye, sambhavatah satra key pradarshan koo badhaa sakata haye.
baithane aur sthiti.
reedh kii huddy key vakrata koo rokane key liye uchit baithane kii aavashyakta haye. dee. aim. dee. mein gambhir parshvagooth samanya haye aur baithane, soney aur saans lene mein hastakshep curr sakata haye. ack wheelchair joe frame key aakar, seat key prakaar, cutty samarthan aur dabaav key alsar seey bachane key liye kushan key liye uchit roop seey fitt kii jaati haye. yeh anya yaantrik upkaranon seey susajjit honah chaahiye, jaise kii jhukaav kshamata, taaki aaraam pradaan kiya jaa sakey aur twacha kii raksha kii jaa sakey. power wheelchair koo adhikansh grahakon key liye ingit kiya jaataa haye joe abb gherabandi naheen curr sakate hain, kyonki unake paas swatantra roop seey ack manual wheelchair koo aage badhaane key liye paryaapt oopari chhor kii taakat naheen haye. dee. aim. dee. kaee logon koo unaki kishoravastha mein prabhaavit kartaa haye, isaliye punarvasan chikitsak key liye yeh sachet honah mahatvapurna haye kii iss samay key dauran mahatvapurna vikas hoe sakata haye. poore vikas key dauran uchit baithane aur mudra samarthan key binaa, viroopan hoe sakata haye. isake parinamswarup nishkriya sthiti hoe sakati haye. punarvasan chikitsak key liye kishoravastha key dauran harr saal kii tarah kissy vyakti kii wheelchair kii yogyata kaa punarmulyankan karna mahatvapurna haye. baithane aur sthiti key liye anya anukoolan mein sir aur gardan key samarthan key saath-saath pairon aur baahon key liye samarthan shamil hoe sakate hain.
anukoolan upkaran aur upkaran.
kaee vaikalpik gatishilata vikalp, sthiti sahayak aur anya upkaran hain joe punarvasan chikitsak nirdhaarit curr sakate hain. inmein walker yaa kwad-caine shamil hain, jinka upayog una vyaktiyon key liye kiya jaa sakata haye joe girane key jokhim koo cumm karane mein saksham hain. isake alawa, sthanantaran board, yaantrik lift aur vishisht sthanantaran shiksha mahatvapurna hain kyonki asthi-shoth key parinamswarup sthanantaran key dauran asthi-bhang hotey dekhe gaye hain. haath seey pakade jaane vaale shower haid aur baath bench koo vyaktiyon koo apani swayam kii dekhbhal kii jarooraton koo yathasambhav prabandhit karane mein saksham banaane key liye sanket diyaa jaataa haye. joe vyakti vajan sahan karane aur kuchh kadam uthaane mein saksham hain, way kamod kursiyon kaa upayog curr sakate hain, iss prakaar unhein swatantra roop seey shauchalaya jaane kii kshamata milati haye. ack vyaktigat wheelchair key poorak key roop mein, ack vyaavsaayik chikitsak dabaav twacha key alsar, anubandh aur vikritiyon koo rokane key liye uchit sthiti key liye aspatal kaa bistar, dabaav-raahat gadde aur phome vages nirdhaarit karane parr bhee vichaar curr sakata haye. computer key upayog koo suvidhajanak banaane key liye vishesh tray, input upkaran aur software bhee nirdhaarit kiye jaa sakate hain. jaise-jaise dee. aim. dee. aage badhata haye, anya chikitsa upkaran jaise kii ventilator yaa anya shwasan sahayak upkaran aavashyak hoe sakate hain.
samajik kaushal vikas.
shaaririk kathinaaiyon key saath-saath, dee. aim. dee. vaale vyaktiyon key paas samajik mudde hoe sakate hain jinn parr kaaboo paane mein ack vyaavsaayik chikitsak unaki sahaayata curr sakata haye. samooh satra yaa vyaktigat karyakram joe avasaad key liye tantra kaa saamana karane parr dhyaan kendrit karate hain, ack vyaavsaayik chikitsak kii suvidha key udaaharan hain. sabhi umr key vyaktiyon key liye atmasamman nirmaan yeh sunishchit karane kaa ack aavashyak hissa haye kii jeevan kii uchch gunavatta praapt kii jaae. vyaavsaayik chikitsa hastakshep samooh baatchit aur anya jeevan anubhavon key madhyam seey samajik kaushal key vikas kaa samarthan karane mein ack aavashyak bhoomika nibha sakata haye. ack vyaavsaayik chikitsak vyaktiyon key upayog key liye ranneetiyon aur takneekon koo vikasit karane key liye vibhinn prakaar key manosamajik dhaanche kaa upayog curr sakata haye, joe unhein vibhinn manosamajik muddon key madhyam seey kaam karane mein madad karega joe way anubhav curr rahey honge.
yaun swaasthya.
kamukta ack aisaa vishay haye jiss parr charcha karane mein kaee loga asahaj mahsoos karate hain aur iss prakaar swaasthya dekhbhal peshevaron dwara isaki andekhi kii jaa sakati haye. ack vyaavsaayik chikitsak dee. aim. dee. vaale vyaktiyon koo unake yaun jeevan kaa anubhav karane key surakshit aur prabhaavi tarikon key baare mein shikshit karega. iss tarah kii shiksha mein vibhinn prakaar key yaun sambandh key saath-saath kaee aise pada shamil hoe sakate hain joe way curr sakate hain.
rojgar.
dee. aim. dee. vaale vyaktiyon key liye rojgar praapt karna aur banaae rakhna mushkil hoe sakata haye. ack vyaavsaayik chikitsak ack vyakti, niyokta aur cases manager key saath sahyog curr sakata haye taaki yeh sunishchit kiya jaa sakey kii vyakti kaa kaary vatavaran yathasambhav saksham aur sulabh hoe. bhautik kaary vatavaran, samajik vatavaran aur kaary aavashyaktaon aur dishaanirdeshon koo anukoolit karke, ack vyakti saarthak rojgar banaae rakh sakata haye aur saath hii apane niyokta key liye ack sampatti key roop mein bhee hoe sakata haye. yeh naa kewal vyakti kii kathit aatm-prabhavsheelta koo prabhaavit curr sakata haye, balki usaki vittiya bhalai koo bhee prabhaavit curr sakata haye.
ghar mein sanshodhan.
yadi yeh graahak kii prathamikta haye, tou swatantrata banaae rakhna aksar vyaavsaayik chikitsa hastakshepon kaa mukhya dhyaan hotaa haye. ghar key bheetar, kaee baadhaaen hain joe ack graahak koo yathasambhav swatantra honey seey roque sakati hain. ghar mein kiye gaye sanshodhan aur anukoolan kuchh aise hain jinamen ack vyaavsaayik chikitsak sahaayata curr sakata haye. iss tarah key sanshodhanon mein shamil hoe sakate hainh surakshit gatishilata aur sthanantaran key liye railing, lift, anukoolit rasoi joe wheelchair key liye sulabh hain aur bathroom sanshodhan jaise kii oopar uthaaye gaye shauchalaya kii seeten yaa sanshodhit snan. anya udaaharan computer aur video game khelane key liye anukuli upkaran, biking key liye samarthan aur machhali pakadane kii chhad key liye anukoolan hain.
avkash.
ack manoranjak yaa vyaavsaayik chikitsak dee. aim. dee. vaale vyaktiyon koo avkash gatividhiyon koo khojane mein sahaayata curr sakata haye jisamen unake liye bhaag lena saarthak haye. bhagidari badhaane key liye awas aur anukoolan kiye jaa sakate hain.
vakaalat.
ack safal chikitsiya sambandh banaane key liye, yeh sunishchit karane key liye kii dee. aim. dee. vaale vyakti koo shaaririk aur bhaavnaatmak donon tarah kaa samarthan praapt hoe, parivaar key sadasyon, doston aur anya samajik sansadhanon key saath samanvaya karna mahatvapurna haye. ack vyaavsaayik chikitsak apane muvakkil key liye ack vakeel key roop mein kaary curr sakata haye aur bimari, samarthan, sansadhanon aur anya chintaon key baare mein jaankaari key baare mein apane aas-paas key logon koo shikshit curr sakata haye. ack vyaavsaayik chikitsak apane graahak koo apani vakaalat kaise pradaan karein, yeh seekhane key liye upkaran bhee pradaan curr sakata haye.