Kuphatikizidwa kwa Mfupa Ndiponso Kuphatikizana Kwambiri - Military Metal
Anthu ambiri akufuna kulowa mu Military US. Komabe, pali mankhwala ambiri okhudzana ndi mafupa ndi ziwalo zomwe zingalepheretse anthu kuchita zimenezo. Ndipotu, mndandandawu ndi nthawi yayitali yachipatala yomwe imakulepheretsani kuchita nawo usilikali ndipo zambiri mwazifukwazi zingalepheretse anthu ambiri kulowa usilikali. Ambiri mwa matendawa akhoza kutsutsidwa ndi kuchotsedwa malinga ndi momwe zinthu zilili, koma zosiya zimakhala pazochitika ndizochitika.
Ambiri amadalira kuvulaza kapena kupweteka, komanso kupititsa patsogolo zamakono mu kukonzanso opaleshoni. Zomwe zimayambitsa kukanidwa, kulembedwa, ndi kulowetsa (popanda chiwomerezo chovomerezeka ) ndi mbiri yotsimikizirika ya:
Fractures
- Pakalipano palibe mgwirizano wa fracture (kupatula asymptomatic ulnar pensulo kupasuka) ndi kulephera.
- Maofesi omwe alipo tsopano omwe ali ndi chizindikiro, amalepheretsa kuvala zoyenera za zida zotetezera kapena yunifolomu ya nkhondo , ndi / kapena akuvutika ndi zovuta, ndizosavomerezeka.
- Zosungidwa zomangamanga (kuphatikizapo mbale, mapepala, ndodo, waya, kapena zojambula zomwe zimagwiritsidwa ntchito kuti zikhazikitsidwe) SIZINAKHALITSIDWA ngati fractures amachiritsidwa, miyendo imakhala yosasunthika, palibe ululu, ndipo sikumangokhala zovuta.
- Zida zamakono, kuphatikizapo, koma osati zowonjezera kapena titaniyamu, zomwe zimayikidwa kuti zithetse vuto la mafupa, ziri zosayenera.
- Panopa kapena mbiri ya kusokonezeka kwa fupa kapena mgwirizano; kuvulazidwa kwa zinthu zoposa zazing'ono zomwe zidzasokoneza kapena kuziletsa ntchito ya usilikali, kapena zidzafuna chithandizo chokhazikika kapena chokhalitsa popanda kupweteka kwa mitsempha, kutsegula, kuvulaza kapena kuvulaza, zomwe zinachitika mkati mwa masabata asanu ndi limodzi (kumtunda, kumapeto kwenikweni , nthiti ndi ziphuphu) sizikuyenera.
- Mbiri yotsimikiziridwa pamodzi kwa malo aliwonse ndi osayenera.
- Pakalipano kapena mbiri ya kuuma ziwalo, kuvomereza, kapena atrophy, ngati pang'onopang'ono kapena mokwanira kulepheretsa kapena kuteteza ntchito yokhutiritsa yogwira ntchito za usilikali kapena ngati imafuna chithandizo chokhalitsa kapena chokhalitsa, sichiyenera.
- Masiku ano osteochondritis amadzikongoletsera amalephera.
- Panopo kapena mbiri ya osteochondromatosis kapena multipletilaginous exostoses ndi osayenera.
- Matenda a pakali pano amalephera.
- Mafupa osteomyelitis, kapena mbiri ya chidziwitso cha osteomyelitis, sichiyenera.
- Onaninso Zovuta Kwambiri ndi Zovuta Kwambiri.
Kulepheretsa Kutsatsa
Mphatikizidwe wamakono omwe akuyendera pang'ono kupitirira miyezo yomwe ili mu ndime zotsatirazi ikuletsedwa.
Hip (chifukwa cha matenda kapena kuvulala)
(a) Kuwombera mpaka madigiri 90.
(b) Palibe chiwonetsero chowonekera.
(c) Kuwonjezera mpaka madigiri 10 (kupitirira 0 madigiri).
(d) Kutengedwera kwa madigiri 45.
(e) Kusinthasintha kwa madigiri 60 (mkati ndi kunja).
Khala (chifukwa cha matenda kapena kuvulala)
(a) Kuwonjezera kwa madigiri 0.
(b) Kuwombera mpaka madigiri 110.
Ankle (chifukwa cha matenda kapena kuvulala):
(a) Kutsekemera kwa madigiri khumi.
(b) Kupanga mapulani mpaka madigiri 30.
Evertral subtralar ndi kusokoneza kwa madigiri asanu
Kupweteka Kumene Kumalepheretsa Kwambiri Kuthamanga / Mphamvu
Zomwe zilipo panopa kapena mbiri ya chondromalacia, kuphatikizapo, koma osati kwa matenda aakulu a patellofemoral matenda ndi retro-patellar ululu wa matenda, matenda aakulu a osteoarthritis kapena matenda a nyamakazi ndi oyenerera.
Kuphatikizidwa kwadzidzidzi ngati sikunaphunzitsidwe, kapena mbiri ya kuwonongeka kwapadera kwa chigwirizano chachikulu monga mapewa, chiuno, goli, bondo, ngongole, kapena kusakhazikika kwa chigwirizano chachikulu (mapewa, chigoba, chiuno, chiuno, phazi kapena malo ambiri) ndilokwanira.
Mbiri ya kusasinthasintha kobwerezabwereza kwa bondo kapena mapewa sikulepheretsa.
Komabe, kukonzanso opaleshoni kungapangitse zina mwazimenezi pamwamba pazifukwa zotsalira.
Pakalipano kapena mbiri ya matenda odwala matenda a osteoarthritis kapena matenda a nyamakazi a ziwalo zochepa zomwe sizinasokoneze ntchito zotsatirazi zokhudzana ndi moyo waumphawi, kapena zomwe zimalepheretsa kugwira ntchito yokhudzana ndi usilikali ndizosavomerezeka.
Foot ndi Ankle
Nthenda yamakono yomwe imatsutsana ndi chithandizo chamankhwala, kapena kusokoneza kuyenda, kuyendayenda, kuthamanga, kapena kulumpha, kapena kuletsa zovala zoyenera za nsapato zankhondo, ndizosavomerezeka.
Pakali pano palibe phazi kapena gawo lililonse lache likulephera.
Panopa kapena mbiri ya zofooka zazendo zakumaso kuphatikizapo, koma osati zokhazokha monga zinthu monga hallux valgus, hallux varus, hallux rigidicus, chovala chamanyundo, nyani, zowamba, zomwe zimalepheretsa kuvala moyenera nsapato zankhondo kapena zovuta kuyenda, kuyenda, kuthamanga, kapena kulumpha, sizikuyenera.
Pakalipano kapena mbiri ya clubfoot kapena pes cavus yomwe imalepheretsa kuvala zoyenera za nsapato zankhondo kapena zovuta kuyenda, kuyenda, kuthamanga kapena kudumphira sikulepheretsa.
Zolemba zamakono pes planus kapena mbiri ya pes planus yokonzedweratu ndi mankhwala kapena mwambo wamakono ndi osayenera.
Zochitika zamakono zowonongeka, ngati zili ndi kachilombo kapena zozizwitsa, sizikuyenera.
Panopo chomera fasciitis chiri chosayenera.
Mabala amtundu wamakono, fasciitis, osokoneza thupi amachititsa kulephera ku yeseso ya MEPS kapena DODMERB. Ofunsidwa ndi olembera sayenera kukhala ndi zovulala zamakono, ngakhale atakhala ochepa komanso angachiritse kanthawi kochepa.
Mwendo, Mphepete, Chiuno ndi Hip
Panopa thupi lotayirira kapena lachilendo pambali mwa mawondo ndilololeka.
Mbiri ya kuvulazidwa kwapansi kapena kuperewera kwapachiyambi koyambitsa matenda ndikulingalira.
Mbiri yokhudza opaleshoni yokonzanso mawonekedwe a mawondo ndi ololedwa kokha ngati chizindikiro kapena chosakhazikika. Zochitika zamakono zowonongeka ndi zowonongeka zowonongeka kwa ligament ndizoletsedwa.
Zochitika zamakono zowonongeka ndi zosavulaza zazimuna zimakhala zosayenera.
Chotsutsana chamkati chamkati chosadziwika cha bondo n'chosavomerezeka.
Panopa kapena mbiri ya chifuwa chogonana, chifuwa cha opeochondritis (matenda a Legg-Perthes), kapena kutsekedwa kwa chifuwa cha chipsinjo ndi chilolezo.
Panopa kapena mbiri ya chipsinjo cha hip mkatikati mwa zaka ziwiri zisanayambe kuyesedwa ndikuletsedwa.
Mafupa osteochondritis amasiku ano (Osgood-Schlatter matenda) akulepheretsa ngati chizindikiro.
Zinthu Zachikhalidwe
Zochitika zamakono, matenda, kapena kupweteka kwapadera kwa chigawo cha m'mimba, chifuwa, mwendo wapansi, ngolo ndi / kapena phazi zomwe zasokoneza ntchito kuti ziteteze munthu kuti asatengere ntchito yeniyeni mumoyo waumphawi, kapena kuti kusokoneza kuyenda, kuthamanga, kulemetsa, kapena kumaliza kukwanitsa maphunziro kapena ntchito za usilikali, sikulepheretsa.
Zovuta zapamtunda-kutalika kwazitali zomwe zimapangitsa kuti chiwindi chilepheretsedwe.
Nkhani Zina
- Miyezo ya Zamankhwala Yachimuna Yolembera
- Miyezo ya Zamankhwala Yolembera Zachimuna: Zovuta Kwambiri
- Msilikali Akulepheretseratu Zamankhwala Zamankhwala
- Msilikali Wogwiritsa Ntchito Zachilendo Zosakwanira Mavuto Amtima
Kuchokera ku Dipatimenti ya Chitetezo (DOD) Directive 6130.3, "Makhalidwe Abwino Osankhidwa, Kulembetsa, ndi Kulowetsa," ndi DOD Malamulo 6130.4, " Zofunikira ndi Zomwe Zikufunikiratu pa Malamulo a Kukonzekera, Kulembetsa, kapena Kugonjetsa Zida."