14/8 今日到講中風既awareness既問題///
會有spatial, visual, body, 同midline neglect~
spatial係空間既野....右腦中風...會忽視左左邊既野.....
好似食飯...只係食晒右邊....完全唔知左邊有野咁.....
treatment就係...專登叫佢去廁所...但個廁所一定要向左轉先去到..
等佢aware返有左邊呢回事...~
不過如果屋企所有野都係左邊多...就危險d~
咁點知呢...就有個test....一張紙有好多個圖形...叫佢數有幾多個3角形...佢會數少左左邊果d
body就係拍忽視左身體既一邊....
拎起隻左手....問佢隻手係邊個...唔會覺得係自己...
treatment就係照鏡~睇返自己既左邊....
midline就係身體既midline..重心移左去左邊....所以佢地行路會側埋一邊
treatment就好似係格硬要佢企返好...移返正個midline...
visual就係正常我地望前面會睇到側邊既野///say 140度
但係stroke果d...就睇唔到左邊側邊既野...
呢個冇得攪返好....唯有佢拎個頭先睇側邊既野...
一般半邊睇唔到都會好易check到....係佢左眼側邊..好快伸隻手指埋去...佢冇合眼就有事!
但係如果佢1/4睇唔到....咁就難check到~
咁牙roy都講左sensation果方面....sensation有幾個..pressure,pain,hot/cold,soft,sharp,dull.....
test都係test左佢有冇感覺先....先再test佢痛唔痛....
有個叫dermatone map...從個map可以睇到人d nerve會去到邊////
咁咪跟住個map睇..睇下佢邊條nerve有問題lo..
有支捧捧...有唔同粗幼...咁就可以用黎吉...吉到佢曲就放手...
如果佢feel好幼果d..即佢sensation都ok~
咁都好似冇得醫~
之後就講左個case,,佢冇左隻腳指公....結果個重心唔同左...
balance唔到又行唔到..好易跌......
點樣醫呢...就首先要睇佢行路...overall之後再慢慢睇.......
列晒睇到既現像...之後就逐個逐個去解決....
gait pattern呢d...真係要溫下書先攪得店....
咁時間既關係...只係做左1個case....婆婆hip做過手術..adductor緊左d....要幫佢拉返..
同埋要拉埋hip extension,, 點拉呢...就係打側訓係度既...不過佢唔合作既關係...
點做都唔係好知.....同埋又睇左佢行路啦...呢方面真係要溫下書....
今日係咁多啦......
