Wheelchair - chishandiso chakakosha chekufamba

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Chitubu (W/C) chigaro chine mavhiri, chinonyanya kushandiswa kune vanhu vane hurema kana zvimwe zvinonetsa kufamba. Kuburikidza nekudzidziswa kwemawiricheya, kufamba kwevanhu vakaremara uye vanhu vane matambudziko ekufamba kunogona kuvandudzwa zvikuru, uye kugona kwavo kuita mabasa ezuva nezuva uye kutora chikamu muzviitwa zvekushamwaridzana kunogona kuvandudzwa. Zvisinei, zvose izvi zvakavakirwa pachinhu chikuru: gadziriro yewiricheya yakakodzera.

Chiwiriri chakakodzera chinogona kudzivirira varwere kubva pakushandisa simba rakawanda remuviri, kunatsiridza kufamba, kuderedza kuvimba nenhengo dzemhuri, uye kufambisa kupora kwakazara. Zvikasadaro, zvinokonzeresa kukuvadzwa kweganda, maronda ekumanikidza, edema yemakumbo ese ezasi, kuremara kwemusana, njodzi yekudonha, kurwadziwa kwemhasuru uye chibvumirano, nezvimwe kune varwere.

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1. Zvinhu zvinoshanda zvemawiricheya

① Kuderera kwakanyanya mukufamba basa: sekudimburwa, kutsemuka, kuremara uye kurwadziwa;
② Hapana kufamba maererano nezano rachiremba;
③ Kushandisa wiricheya kufamba kunogona kuwedzera zviitiko zvezuva nezuva, kuwedzera basa remoyo, uye kunatsiridza hupenyu;
④ Vanhu vakaremara mitezo;
⑤ Vanhu vakura.

2. Kurongwa kwewiricheya

Zvinoenderana neakasiyana akakuvadzwa zvikamu uye zvakasara mabasa, mawiricheya akakamurwa kuva akajairwa mawiricheya, emagetsi mawiricheya uye akakosha mawiricheya. Mawiricheya akakosha akakamurwa kuita mawiricheya akamira, mawiricheya akarara, mawiricheya edivi rimwe chete, mawiricheya emagetsi uye mawiricheya anokwikwidza zvichienderana nezvinodiwa zvakasiyana.

3. Kungwarira pakusarudza wiricheya

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Mufananidzo: Wheelchair parameter kuyerwa dhayagiramu a: kureba kwechigaro; b: upamhi hwechigaro; c: kureba kwechigaro; d: armrest urefu; e: backrest urefu

a Seat urefu
Eresa chinhambwe kubva pachitsitsinho (kana chitsitsinho) kune dimple paunenge wakagara, uye wedzera 4cm. Pakuisa footrest, bhodhi repamusoro rinofanira kunge riine 5cm kubva pasi. Kana chigaro chakanyanya kukwirira, wiricheya haigone kuiswa pedyo netafura; kana chigaro chakanyanya kuderera, ischial bone inotakura uremu hwakawandisa.

b Seat width
Yera chinhambwe chiri pakati pemagaro maviri kana zvidya zviviri paunenge wakagara, wowedzera 5cm, kureva kuti pane gap re2.5cm kudivi rega rega mushure mekugara. Kana chigaro chakanyanya kutetepa, zvakaoma kukwira uye kubva pawiricheya, uye matako uye matishu ehudyu anomanikidzwa; kana chigaro chakanyanyisa, hazvisi nyore kugara zvakadzikama, hazvibatsiri kushandisa wiricheya, makumbo epamusoro ari nyore kuneta, uye zvakare zvakaoma kupinda nekubuda pamusuwo.

c Kureba kwechigaro
Eresa nhambwe yakachinjika kubva kumagaro kusvika pamhasuru ye gastrocnemius yemhuru payakagara pasi, wobvisa 6.5cm kubva pakuyera. Kana chigaro chakanyanya kupfupika, uremu huchanyanya kuwira pane ischium, uye nzvimbo yemunharaunda inotarisana nekudzvinyirira kwakanyanya; kana chigaro chakanyanya kureba, chinomanikidza nzvimbo yepopliteal, inokanganisa kutenderera kweropa, uye kutsamwisa ganda munzvimbo ino. Kune varwere vane zvidya zvipfupi zvakanyanya kana hudyu nemabvi kuchinjika chibvumirano, zviri nani kushandisa chigaro chipfupi.

d Kureba kweArmrest
Kana wakagara pasi, ruoko rwepamusoro rwakati dzvii uye ruwoko rwunogadzikwa pasi pearmrest. Eresa kureba kubva pachigaro chechigaro kusvika kumucheto wezasi kweruoko uye uwedzere 2.5cm. Iyo yakakodzera armrest urefu inobatsira kuchengetedza kwakaringana chimiro chemuviri uye kuenzanisa, uye inogona kuisa makumbo epamusoro munzvimbo yakagadzikana. Kana armrest yakanyanyisa, ruoko rwepamusoro runomanikidzwa kusimudza uye rinowanzoita kuneta. Kana iyo armrest yakanyanya kuderera, muviri wepamusoro unofanirwa kusendamira mberi kuti uchengetedze kuenzanisa, izvo zvisingangoiti kuneta, asi zvinogona kukanganisa kufema.

e Backrest urefu
Iyo yakakwira iyo backrest, iyo yakanyanya kugadzikana, uye iyo yakaderera iyo backrest, iyo yakakura huwandu hwekufamba kwemuviri wepamusoro nemakumbo epamusoro. Iyo inonzi yakaderera backrest ndeyekuyera chinhambwe kubva pachigaro kusvika kuhapwa (imwe kana maoko ese akatambanudzwa kumberi), uye kubvisa 10cm kubva pamhedzisiro iyi. High backrest: kuyera hurefu chaihwo kubva pachigaro kusvika pafudzi kana kumashure kwemusoro.

Seat cushion
Kunyaradza uye kudzivirira maronda ekumanikidza, cushion yechigaro inofanira kuiswa pachigaro. Foam rabha (5 ~ 10cm gobvu) kana gel cushion inogona kushandiswa. Kudzivirira chigaro kuti chirege kunyura, 0.6cm gobvu plywood inogona kuiswa pasi pechigaro cushion.

Zvimwe zvikamu zvekubatsira zvewiricheya
Yakagadzirirwa kusangana nezvinodiwa nevarwere vakasarudzika, sekuwedzera friction pamusoro pemubato, kuwedzera brake, shockproof mudziyo, anti-slip mudziyo, armrest yakaiswa pane armrest, uye tafura yewiricheya kuti varwere vadye nekunyora.

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4. Zvido zvakasiyana zvemawiricheya ezvirwere zvakasiyana uye kukuvara

① Kune varwere vane hemiplegic, varwere vanogona kuchengetedza kugara zvakanaka kana vasina kutariswa uye vasina kudzivirirwa vanogona kusarudza wiricheya ine chigaro chakaderera, uye chitsiko chetsoka uye chegumbo chinogona kuvharika kuitira kuti gumbo rine hutano rinyatsobata pasi uye wiricheya inogona kudzorwa nayo. nhengo dzepamusoro nedzezasi dzine hutano. Kune varwere vane mwero wakashata kana kukanganiswa kwekuziva, zvinokurudzirwa kusarudza wiricheya inosundwa nevamwe, uye avo vanoda rubatsiro kubva kune vamwe kuti vatamise vanofanira kusarudza chinodzikira armrest.

② Kune varwere vane quadriplegia, varwere vane C4 (C4, chikamu chechina chekervical spinal cord) uye pamusoro vanogona kusarudza pneumatic kana chin-controlled controlled wheelchair kana wiricheya inosundwa nevamwe. Varwere vane kukuvara pasi peC5 (C5, chikamu chechishanu chemutsara wekervical spinal) vanogona kuvimba nesimba repamusoro pemakumbo ekumusoro kuti ashandise mubato wakadzikama, saka chigaro chepamusoro-soro chinotungamirirwa nechemberi chinogona kusarudzwa. Zvinofanira kucherechedzwa kuti varwere vane orthostatic hypotension vanofanira kusarudza wiricheya yakakwira-kumashure, kuisa musoro, uye kushandisa tsoka inobviswa ine mabvi anochinjika.

③ Zvinodikanwa zvevarwere veparaplegic zvemawiricheya zvakangofanana, uye zvakatemwa zvezvigaro zvinotemerwa nenzira yekuyera muchinyorwa chakapfuura. Kazhinji, mapfupi nhanho-mhando yekumisa ruoko inosarudzwa, uye makiyi ecaster anoiswa. Avo vane ankle spasms kana clonus vanoda kuwedzera tambo dzepamakumbo uye zvitsitsinho. Matai akasimba anogona kushandiswa kana mamiriro emugwagwa munzvimbo yekugara zvakanaka.

④ Kune varwere vane gumbo rezasi, kunyanya kuchekwa kwechidya, pakati pesimba regiravhiti remuviri rachinja zvakanyanya. Kazhinji, axle inofanirwa kudzoserwa kumashure uye anti-dumping tsvimbo dzinofanirwa kuiswa kudzivirira mushandisi kubva kumashure. Kana akashongedzerwa neprosthesis, gumbo netsoka zororo rinofanirawo kuiswa.


Nguva yekutumira: Jul-15-2024