Recovery Loop la gi?
Recovery Loop la mot phuong phap luan mo danh cho phuc hoi chuc nang sau phau thuat chinh hinh. Bon buoc, chu trinh lien tuc:
Danh gia → Ke don → Tap luyen → Tai danh gia
Day khong phai la mot ung dung. Khong phai la phan mem. Day la mot khung lam sang ma bat ky bac si, ky thuat vien vat ly tri lieu hay phong kham nao cung co the su dung mien phi.
Ban co the thuc hien quy trinh nay bang giay but, hoac bang bat ky phan mem nao ban chon.
Bon buoc
1. Danh gia (Evaluate)
Danh gia tinh trang hien tai cua benh nhan bang cac phuong phap chuan hoa:
- ROM (Tam van dong khop) — do bang thuoc do goc hoac ky thuat so
- VAS (Thang diem dau) — diem dau hang ngay, 0-10
- Chuc nang — ngoi-dung, khoang cach di bo, kha nang leo cau thang
- PROM (Ket qua do benh nhan bao cao) — khao sat chuan hoa tai cac thoi diem xac dinh
- Vet thuong — chup anh ghi nhan
- Sung ne — phan do sung
2. Ke don (Prescribe)
Dua tren ket qua danh gia va giai doan phuc hoi hien tai, lap hoac dieu chinh don tap luyen:
- Bai tap nao, so hiep, so lan, thoi gian giu, tan suat
- Chu y va chong chi dinh
- Cac mau protocol lam diem khoi dau
3. Tap luyen (Exercise)
Benh nhan thuc hien bai tap theo don va ghi nhan ket qua:
- Tu tap tai nha hoac co giam sat tai phong kham
- Ghi nhan: bai tap hoan thanh, so lan thuc te, dau khi tap, do kho
- Bao cao diem dau hang ngay
- Chup anh vet thuong
4. Tai danh gia (Re-evaluate)
Danh gia lai bang cung phuong phap nhu buoc 1. So sanh voi lan danh gia truoc:
- ROM co tien bo huong toi muc tieu giai doan khong?
- Dau co giam khong?
- Benh nhan co tuan thu tap luyen khong?
- Co dau hieu canh bao nao khong?
Dua tren ket qua: nang giai doan, duy tri giai doan hien tai, hoac lui ve giai doan truoc. Sau do ke don lai. Vong lap tiep tuc.
Protocol nam giai doan (Vi du: Thay khop goi TKA)
| Giai doan | Ten | Tuan | Muc tieu ROM | Tieu chi nang giai doan |
|---|---|---|---|---|
| Phase 0 | Ngay sau mo | 0-2 | Gap 90 do | ROM >= 90, VAS <= 5, Sung ne <= nhe |
| Phase 1 | Cap tinh | 2-6 | Gap 105 do | ROM >= 105, Di lai doc lap |
| Phase 2 | Ban cap | 6-12 | Gap 115 do | ROM >= 115, Leo cau thang duoc |
| Phase 3 | Nang cao | 12-24 | Gap 125 do | Dat cac bai kiem tra chuc nang |
| Phase 4 | Hoi nhap chuc nang | 24-52 | Duy tri | Dat tat ca muc tieu |
Giai doan duoc xac dinh dua tren tieu chi dat muc tieu, khong phai theo lich. Co benh nhan nang giai doan sau hai tuan. Co benh nhan can bon tuan.
Quan ly dau (Phoi hop gay me)
Kiem soat dau sau mo anh huong den tien trinh phuc hoi. Recovery Loop bao gom cac combo giam dau phong than kinh thuong gap:
| Thu thuat | Combo giam dau |
|---|---|
| Thay khop goi (TKR) | Than kinh dui + Ong co khep + iPACK |
| Tai tao day chang cheo truoc (ACLR) | Ong co khep + AFCN + iPACK |
| Sua chua chop xoay / Thay khop vai (RCR/TSA) | Dam rut than kinh canh tay tren xuong don + Co rang truoc |
| Khop hang | Can mac chau + LFCN |
| Tiem noi xuong | Morphine + Ketorolac |
Moi combo bao gom: vi tri phong, phuong phap dan duong, thuoc, nong do va lieu luong.
Ai co the su dung?
Tat ca moi nguoi. Giay phep CC BY 4.0 — tu do su dung, chinh sua va thuong mai hoa. Yeu cau duy nhat la ghi nguon.
| Vai tro | Cach su dung |
|---|---|
| Ky thuat vien Vat ly tri lieu | Tai lieu tham chieu lam sang cho protocol phuc hoi |
| Bac si Chinh hinh | Chuan hoa quy trinh phuc hoi sau mo |
| Phong kham / Benh vien | Ap dung lam tieu chuan phuc hoi cua khoa |
| Nha nghien cuu | Tham chieu cau truc protocol trong nghien cuu |
| Nha phat trien | Xay dung he thong tuong thich su dung JSON schema |
| Cong ty thiet bi y te | Tich hop vao san pham cua ban |
Noi dung bao gom
| Noi dung | Mo ta |
|---|---|
| Dinh nghia Recovery Loop | Mo ta day du chu trinh bon buoc |
| Protocol TKA 5 giai doan | Muc tieu ROM, tieu chi nang giai doan, don tap luyen |
| Combo giam dau | To hop phong than kinh cho 5 loai phau thuat |
| Mau SOAP | 29 mau van ban nhanh lam sang (da ngon ngu) |
| 76 Bai tap phuc hoi | Ten + huong dan + goi am thanh bang 7 ngon ngu |
| JSON Schema | Dinh dang du lieu doc duoc bang may (cho nha phat trien) |
Khong bao gom
- Day khong phai la ung dung (la phuong phap luan, khong phai phan mem)
- Khong chua du lieu benh nhan
- Khong co tu dong hoa hoac he thong canh bao
- Khong chua toan van khao sat PROM (mot so cong cu can giay phep rieng)
Neu ban muon ban trien khai tu dong hoa day du — iRehab mien phi.
Dong gop
Chung toi hoan nghenh cac protocol moi (vai, cot song, co chan), ban dich ngon ngu moi va cac gop y chinh sua. Moi nguoi dong gop deu duoc ghi nhan la dong tac gia.
Lien ket
- Recovery Loop Protocol: GitHub
- Thu vien bai tap (76 x 7 ngon ngu): GitHub
- iRehab (mien phi): irehab-patient.pages.dev
- WishPool: irehab-wishpool.pages.dev
Tuyen bo mien trach: Noi dung nay la khung tham chieu cho giao duc lam sang va phat trien phan mem. Noi dung nay khong cau thanh loi khuyen y khoa. Cac quyet dinh lam sang phai do cac chuyen gia y te co trinh do thuc hien dua tren danh gia tung benh nhan cu the.