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DASTGOHHOI ORTOPEDi

dastgohhoi-ortopediDASTGOHHOI ORTOPEDi, oloti shikastabandi, uzvhoi masnu, oloti makhsus baroi barqaror namudan va sabuk gardonidani vazifai zoil (gumshuda) yo sustshudai uzvhoi harakat. Hangomi illathoi gunoguni azoi takyavu harakat va orizahoi onho istifoda meshavand. D. o.-ro dukhturi shikastaband yo osebshinos tain mekunad. Az khud kardani tariqi istifodai dastgoh niz tahti nazorati u anjom meyobad.
D. o. gunogun buda, dar mavridhoi zaruri istifoda meshavand. CHunonchi, jihozi ustuvori ba in yo on uzv muvofiq, ki dastu po yo badanro zich ihota mekunad, yane ba nom tutorho, yak qismi bori ustukhonu bugumro ba khud megirand. Aksari korsetho (kamzulchahoi makhsus)-e, ki baroi muolijai bemorihoi sutunmuhra tain shudaand, ba hamin navi D. o. taalluq dorand. Protezhoe, ki qismi nabudai poro ivaz mekunand, dar vaqti roh raftan, vazifai takyaro ba jo meorand, protezhoi dast boshand, shakl va bazan vazifai uzvro ado menamoyand. Dastgohhoi sabuksoz yak qismi vazni badanro «mebardorand». YAke az onho dastgohi ba gurrii surin takyakunanda meboshad, ki bori poyro sabuk megardonad. Baroi peshgiri yo khud islohi navoqisi shakli poy yo sutunmuhra dastgohhoi islohkunanda (musleh) tain shudaand. In guna dastgohho baroi islohi tadriji va doimii tagyiri shakl kashakhoi yozanda (rezini yo fanari) dorand.
Qismi asosii D. o. gilza (puka)-i charmin yo plastmassi meboshad, ki dastu po yo qismi onro ihota mekunad. Dar yak dastgoh gilzahoro bo yorii takhtachai filizii doroi oshiqmashuq yo be oshiqmashuq dar haddi bandho ba yakdigar payvast kardan mumkin ast. Hangomi payvasti oshiqmashuq band (mas., bandi zonu)-ro junbonidan mumkin megardad.
D. o.-ro dar korkhonahoi makhsusi proteziyu ortopedi mesozand va tamir mekunand. Hangomi kor farmudani D. o. (alalkhusus bori avval) pust abgor meshavad (in illathoro sari vaqt bartaraf namudan lozim ast). Bazan chunin illatho dar natijai nodurust jo ba jo kardani D. o. ba miyon meoyand. Dar in guna mavridho bo dukhturi ortoped yo ustoi protezsoz maslihat kardan darkor. Baroi peshgirii osebi pust ba poy az daruni dastgoh jurobi muloim mepushand.
Boyad dar khotir dosht, ki istifodai uzvi masnu ba mushakho fishor ovarda, onhoro andak nahif mesozad. Binobar in, har ruz pesh az pushidan va bad az kashidani dastgoh uzvro mash kardan va muvofiqi farmoishi dukhtur bo varzishi shifoii makhsus (mushakhoro qavi megardonad) mashgul shudan lozim. Mash va varzish khususan ba bachagon zarur ast. In tadbirhoro boyad volidon anjom dihand. Dar vaqti abgor budani pust mash mumkin nest. Nigohubini D. o. az ravgan kardani oshiqmashuq, ehtiyot namudani qismhoi charmi (az namkashi) va sarivaqt ivaz kardani uzvhoi kuhnashudai dastgoh iborat ast.
Ad.: SHenk N.A., Lechebnoe protezirovanie v ortopedii, M., 1975; Koris A.A., Berdnikov V.A., Amputasiya konechnostey i ekspress – protezirovanie, Kiev, 1977; Kondrashin N.I., Sanin V.G., Amputasiya konechnostey i pervichnie protezirovanie, M., 1984.

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