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کلینیک ارتوپدی فنی دی - اسکولیوز و بریس های تجویزی
 
کلینیک ارتوپدی فنی دی
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درباره وبلاگ


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این وبلاگ در جهت معرفی خدمات کلینیک دی و در اختیار گذاشتن اطلاعات و اصول صحیح استفاده از ارتزها و پروتزها جهت بیماران محترم وسایر مراجعین به این وبلاگ ایجاد شده است.
مرکز تخصصی طراحی و ساخت پیشرفته ترین انواع:ارتزهای اندام فوقانی_تحتانی_ستون فقرات_کفش و .../انواع پروتزهای مکانیکی و الکترونیکی
مسئول فنی:مهندس حمید جرجانی کارشناس ارتوز پروتز

زیر نظر انجمن علمی ارتوز پروتز ایران

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مدیر وبلاگ : مهندس حمید جرجانی

اسکولیوز

 به انحراف جانبی ستون فقرات اسكولیوز میگویند. در فرد مبتلا به اسکولیوز به دلیل تغیراتی كه در ستون فقرات ایجاد می شود، دنده ها نیز تحت تاثیر قرارگرفته و برجستگی در پشت ایجاد می كند.

 در صورتی كه اسكولیوز طی سالهای رشد درمان نشود میتواند به  بد شکلی یا دفورمیتی شدیدی تبدیل شده و ظاهر فرد را نیز  تحت تاثیر قرار دهد. یکی از راههای درمان اسکولیوز استفاده از بریس می باشد .  بهترین زمان جهت درمان اسكولیوز با بریس، زمانی است كه هنوز بدن در حال رشد است.

 علت استفاده از بریس در اسكولیوز

   هدف استفاد ه از بریس، ممانعت از پیشرفت اسكولیوز تا زمانی است كه رشد فرد به اتمام برسد. بریس به صورت دائمی اسكولیوز را بهبود نمی بخشد اما از بدتر شدن و پیشرفت بیماری، ممانعت می نماید.

كسانی كه از بریس استفاده می كنند، زندگی كاملآ عادی دارند و می توانند در فعالیت های متفاوت ورزشی، تفریحی و آموزشی، شركت كنند.

انواع بریس مورد استفاده در اسکولیوز:

بریس با اعمال فشار بر پشت و دنده ها، ستون فقرات را در وضعیت صاف و مستقیم  قرار می دهد.  انواع مختلفی از بریسها برای این منظور ساخته می شوند ، شایع ترین بریسها بریس میلواکی و بریس بوستون است.

بریس میلواکی:شامل میله های فلزی ، قطعه گردنی و بخش لگنی و تعدادی بالشتک نرم است کهبه ستون فقرات فشار اعمال می کنند.

بریس بوستون: این بریس از جنس پلاستیک بوده و بر اساس شکل بدن هر بیمار ساخته میشود و از پهلو تا زیر بغل قرار میگیرد. پدها جهت اعمال فشار داخل بریس قرار میگیرند.


مدت زمان پوشیدن بریس

بریس در هر روز باید 23 ساعت پوشیده شود تا زمانی كه تیم درمان تعیین كند كه فرد به بلوغ رسیده، در این موقع، پوشیدن بریس فقط به صورت شبانه صورت می گیرد و كم كم كنار گذاشتن بریس شروع خواهد شد.   اکثر کسانی که از بریس استفاده كرده اند، نتایج موفقیت آمیزی در بر داشته یعنی انحراف ستون فقرات آنها بعد از پوشیدن بریس، پیشرفت چشمگیری نكرده است.

روش پوشیدن بریس

نحوه قرار گرفتن صحیح بریس بروی بدن آموزشداده میشود. ساده ترین روش به شرح زیر است:

با باز كردن بریس و نگه داشتن هر گوشه آن  می توان بدن را داخل آن فرو برد در حالی كه همه بندهای بریس بیرون باشد.

فضای باز بریس باید در وسط پشت بدن  باشد طوری كه ستون فقرات و خط باسن  دقیقآ در مركز فضای بازقرار گیرد.

با قرار دادن دستها بر روی لگن، بریس را به پائین کشیده به نحوی که، برجستگی داخل بریس باید درست بالای لگن و پایئن دنده ها باشد.

برای بستن بندهای بریس از ناحیه لگن به جلو خم شده، و بندها  یكی یكی به سمت خارج، پائین و دور از سگك كشیده شوند. اول بند پائین، سپس بالا و بعد بند وسطی  در سگك محكم شود. محكم كردن بندها  ادامه یافته تا بریس سفت و محكم روی بدن  قرار بگیرد. انجام این کار نیاز به تمرین دارد و در اوایل برای بستن بریس ممکن است نیاز به کمک باشد.

بریس باید تا حد ممكن سفت و محكم باشد . فشار بریس بر بدن بتدریج در عرض یك ماه به حداكثر می رسد. باید در محل های فشار بریس، قرمزی بوجود آید. قرمزی باید بیشتر از پانزده دقیقه باقی بماند اما در زمان كمتر از از نیم ساعت برطرف شود.  بدن نباید در بریس حركت داشته باشد. در غیر این صورت بریس پوست را تحریك می كند. حتما ستون فقرات  در وسط بریس باشد.

محل قرار گرفتن  پدهای كمری درست بالای لگن و زیر پائین ترین دنده است.

هنگام استفاده از بریس به نقاط قرمز رنگ پوست توجه زیادی شود. اگر مناطق قرمز رنگ با برداشتن بریس پس از 30 دقیقه از بین نرفت، ارتز  نیاز به تنظیماتی دارد و به ارتزیست مراجعه گردد.

محافظت از پوست

حمام برای محافظت از پوست ضروری است.  در دو یا سه هفته اول پوشیدن بریس، بروی مناطق حساس مثل برجستگی بالای لگن، الكل مالیده شود.

همیشه یك زیر پوش نازك، بدون درز جانبی زیر بریس پوشیده شود، بهتر است این زیر پوش فقط یك درز عمودی در وسط پشت جائی كه فضای بریس باز است داشته باشد.

از مالیدن كرم، یا پودر روی پوست زیر بریس خودداری شود چون سبب نرم شدن پوست و آسیب آن می گردد.

برنامه درمانی پوشیدن بریس

حدود 2 یا 3 هفته طول می كشد تا پوشیدن بریس  به صورت 23 ساعته انجام شود. عمل بر طبق برنامه زیر سبب می شود كه پوست و عضلات برای پذیرش بریس، آماده گردد.

·       در هفته اول بریس  6  ساعت در روز پوشیده شود. در این ساعات هر 2 ساعت یكبار بریس را در آورده، پوست  چك شود و دوباره بریس  پوشیده شود.

·       در هفته دوم، ساعات پوشیدن بریس  در هر روز به 10 ساعت برسد. اول 4 ساعت پوشیده شود. سپس بریس در آورده و پوست  چك شود و 6 ساعت دیگر به دو دوره زمانی 3 ساعته مثل قبل تقسیم گردد.

در این مرحله كه در هفته سوم است باید ساعت پوشیدن بریس  به 18 ساعت برسد. در صورت بیدار شدن از خواب با بریس در شب اول می توان آن را در آورد و بدون بریس  خوابید ، در صورت بیدار شدن در شب دوم ، چرخیده و سعی کنید با بریس بخوابید.

پس از 3-2 هفته به این مرحله رسیده و بریس را به صورت 23 ساعت در روز پوشیده و فقط برای لباس پوشیدن، حمام كردن می توان بریس را 1 ساعت در آورد.

مراقبت از بریس

هر روز بریس با دستمال خیس تمیز شود و جهت جلوگیری از تغییر شكل میله های بریس ، نباید بریس با اجسام سخت برخورد كند. 

در آغاز پوشیدن بریس هر 2تا3 هفته یکبار و پس از آن   هر دو ماه یكبار برای چك بریس به ارتزیست مراجعه شود.

تمرین درمانی اسكولیوز

بخش تكمیل كننده برنامه درمانی ، انجام تمرینات ورزشی به صورت صحیح و مداوم است که این تمرینات باعث تقویت عضلات ، افزایش انعطاف پذیری ستون فقرات و کاهش خستگی میشود با بریس همه فعالیتها به جز ورزشهای تماسی مثل فوتبال و همچنین ژیمناستیك قابل انجام است. شنا و بارفیكس بهترین ورزشی است كه

می توان بدون بریس انجام داد. تمرینها به دو صورت با بریس و بدون بریس انجام می گیرند.

تمرینات بدون بریس

1)در حالی كه بروی شكم دراز می کشید، گردن خود را به یك سمت چرخانده، از یك نفر بخواهید كه دو طرف ناحیه باسن و كمر شما را محكم نگه دارد، سپس سمتی را كه در سمت برجستگی پشت شما قرار دارد، تا حد ممكن به زانوی همان طرف نزدیك كنید و دست دیگر را از بالای سر خود دور كنید و مدتی در این وضعیت نگه دارید.

2)   روی شكم دراز بكشید، از یك نفر بخواهید دو طرف ناحیه باسن و كمر شما را محكم نگه دارد، دستها یتان را پشت سر حلقه كنید، تنه خود را به طرف سمت برجسته پشت، نزدیك كنید..

 





نوع مطلب : ارتوزهای ستون فقرات، 
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سه شنبه 25 تیر 1398 10:09 ق.ظ
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پنجشنبه 20 تیر 1398 06:18 ب.ظ
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دوشنبه 17 تیر 1398 05:11 ب.ظ
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یکشنبه 16 تیر 1398 02:39 ق.ظ
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سه شنبه 11 تیر 1398 01:05 ب.ظ
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‘No, how could I?' , I replied

"So, make use of mind if I kissed you right this moment?' he stated as I am much better him and kiss him.

‘The very next time don't ask, do it.' I reply.

‘I favor how you would think.' , he said.

While waiting, I start scrubbing my your back heel within his leg, massaging it slowly. ‘What do you want girls? And, Andrew, don't spare me the details.' I ask.

‘I really like determined women. Someone that knows what they want. Somebody that won't say yes although I said yes. Someone who's unafraid of attempting new things,' he says. ‘I'm never afraid when you try interesting things, especially in regards to making new stuff in the sack ', I intimate ‘And I like women that are direct, who cut throughout the chase, like you only did. Being
honest, that is a huge turn on.'
یکشنبه 9 تیر 1398 08:54 ق.ظ
Index Search Villas and lofts to rent, search by region, find in minutes a villa
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جمعه 31 خرداد 1398 07:34 ق.ظ
We're having coffee at Nylon Coffee Roasters on Everton Park in Singapore.
I'm having black coffee, he's possessing a cappuccino.
He's handsome. Brown hair slicked back, glasses that suited his face, hazel eyes and the most wonderful lips
I've seen. He or she is well-built, with incredible arms plus a
chest that is unique on this sweater. We're standing in the front of one another talking about how we
live, what we wish for the future, what we're looking for on another person. He starts saying that he has been rejected a lot of times.


‘Why Andrew? You're so handsome. I'd never reject you ',
I believe that He smiles at me, biting his lip.


‘Oh, I wouldn't know. Everything happens for
a reason right. But let me know, would you reject me, can you Ana?' He said.


‘No, how could I?' , I replied

"So, can you mind if I kissed you right this moment?' he said as I buy nearer to him and kiss him.

‘When don't ask, accomplish it.' I reply.

‘I love the method that you think.' , he said.

At the same time, I start scrubbing my hindfoot within his leg, massaging it slowly. ‘What do you enjoy in females? And, Andrew, don't spare me the details.' I ask.

‘Everyone loves determined women. Someone discussion the things they want. A person that won't say yes just because I said yes. Someone who's not scared of trying a new challenge,' he says. ‘I'm never afraid when attemping a new challenge, especially when it comes to making new things in the bed room ', I intimate ‘And I really like girls that are direct, who cut through the chase, like you simply did. To be
honest, that is a huge turn on.'
شنبه 25 خرداد 1398 10:45 ب.ظ
"We've got to build to another crescendo, cheri," he said.
"And we all will have an ending which is to be as none before."

His smile was decadent, his eyes were packed with lust,
along with the soft skin of his hard cock against
my sex was having its intended effect. I had been feeling a stronger arousal now as I felt his cock slide between my sensitive lips.

I felt the of his cock push agonizingly at the entrance of my pussy, and I need to him to thrust into me hard.
Instead he retracted and slid his hardness back up to my clit.


I became aching to possess him inside, and I could truthfully tell that his really need to push that wonderful hard cock inside
me was growing. His moans grew to fit mine, and I
knew the feeling of my wet pussy lips within the head of his cock
was getting an excessive amount of for of us.

"Allow finale begin," he explained, and hubby slid
the tip of his cock inside me.

Both of us gasped when he held his cock there for a moment.
I contracted my pussy to drag him further inside, and that he threw his return in the sensation. Inch by excruciating inch he pushed his
cock inside me, every time I squeezed my pussy around him.
His cock felt wonderful since it filled me, but Needed everything inside me.

I rolled to the side and rested my leg against his shoulder, and he plunged his cock entirely
in.
جمعه 24 خرداد 1398 03:02 ب.ظ
Cracқ eggs гight intо a microwave seccure bowl.
جمعه 24 خرداد 1398 02:02 ب.ظ
They chased the little codfiԁh all аround thhe room.
جمعه 24 خرداد 1398 01:53 ب.ظ
It ԝas a surpгisingly succesѕful experimеnt!
جمعه 24 خرداد 1398 07:10 ق.ظ
Mix the eggs wіth sаutéed greens orr ϲooked mеats.
پنجشنبه 23 خرداد 1398 08:56 ب.ظ
Go aᴡay the eggs inn tthe water for 10 minutes.
پنجشنبه 23 خرداد 1398 06:09 ب.ظ
Raѕpberry Clafoutgi Reсile + Larger Ⲣictսre.
چهارشنبه 22 خرداد 1398 03:05 ب.ظ
Eggѕ first, then water. AԀd fourr ehgs and poahh till
set.
چهارشنبه 22 خرداد 1398 04:19 ق.ظ
Ϝresh Eցgs һave more watеr thɑn oⅼder eggs.
چهارشنبه 22 خرداد 1398 01:18 ق.ظ
Ꮤhy ԁoes this methodology of harԁ-boiling egbgs work?
 
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