Physiotherapy mu Kusamalira Matenda a Msana
Kupweteka kwa msana ndi chimodzi mwa mavuto azaumoyo omwe amafala kwambiri m'gulu la anthu, onse azaka zogwira ntchito komanso okalamba. Madandaulo monga kupweteka kwa msana, kupweteka kwa msana wam'mwamba, kuuma, komanso kuyenda pang'ono kungasokoneze zochita za tsiku ndi tsiku, kuchepetsa moyo wabwino, komanso kusokoneza ntchito. Pakati pa njira zosiyanasiyana zochiritsira, physiotherapy imagwira ntchito yofunika kwambiri, kuyang'ana kwambiri pakubwezeretsa magwiridwe antchito, kuchepetsa ululu, komanso kupewa kubwereranso kudzera munjira yokonzedwa bwino komanso yozikidwa pa umboni.
Kumvetsetsa matenda a msana: zomwe zimayambitsa ndi zoopsa zake
Ululu wammbuyo ungayambike chifukwa cha zifukwa zosiyanasiyana. Zina ndi zamakina, monga kusakhazikika bwino, kukhala nthawi yayitali, njira yosayenera yonyamulira, kufooka kwa minofu yamkati, kapena kusakhazikika kwa minofu. Zina mwa zifukwazi zimagwirizananso ndi matenda ena, monga ma disc a herniated (mitsempha yokhotakhota), spinal stenosis, osteoarthritis of the spine, scoliosis, ndi osteoporosis. Kuphatikiza apo, zinthu zokhudzana ndi maganizo monga kupsinjika maganizo, nkhawa, kugona movutikira, komanso kusakhutira ndi ntchito zingapangitsenso kuti ululu ukhale wovuta komanso kuti munthu azitha kuchira msanga.
Mwachipatala, matenda a msana amatha kukhala owopsa (kuyambira kwatsopano, nthawi zambiri osapitirira milungu 6), subacute (masabata 6-12 kapena osatha (masabata >12). Chithandizo sichimakhala chofanana nthawi zonse, chifukwa zolinga za chithandizo, kupirira kwa zochita, ndi zinthu zomwe zimayambitsa zimatha kukhala zosiyana pagawo lililonse. Ichi ndichifukwa chake kuwunika kwa physiotherapy payekha ndikofunikira.
Ntchito ya physiotherapy: zambiri osati kungochepetsa ululu
Kuchiza ndi thupi si kungochita "kusisita" kapena kugwiritsa ntchito njira zina. Kuchiza ndi thupi ndi njira yosamalira thanzi yomwe imaphatikizapo kuyezetsa, kuzindikira matenda a thupi, kupanga mapulogalamu olimbitsa thupi, maphunziro, ndi kuwunika momwe zinthu zikuyendera. Zolinga zake zazikulu ndi izi:
1. Kuchepetsa ululu ndi kutupa
2. Bwezeretsani kayendedwe kake komanso kusinthasintha kwake
3. Limbitsani minofu yothandizira msana, monga minofu ya m'mimba, msana, m'chiuno ndi m'mafupa a gluteal.
4. Zimathandiza kuti kayendetsedwe ka thupi kayende bwino komanso kuti kakhale kokhazikika (kulamulira kayendedwe ka thupi) panthawi ya zochitika
5. Makhalidwe abwino ndi ergonomics kuti mupewe kupsinjika kwambiri kumbuyo.
6. Pewani kubwereranso m'mbuyo kudzera mu mapulogalamu odzithandiza omwe akupitilizabe
Mwanjira ina, physiotherapy imathandiza odwala kubwerera kuntchito yawo mosamala komanso pang'onopang'ono, m'malo mongopereka mpumulo wa zizindikiro kwakanthawi.
Kuwunika kwa physiotherapy kwa matenda a msana
Kuyang'anira bwino kumayamba ndi kuyezetsa koyenera. Madokotala a physiotherapy nthawi zambiri amachita kuyezetsa mbiri ya ululu, kuphatikizapo malo omwe ululu uli, chilengedwe (chowawa, chosawoneka bwino, chowala), zoyambitsa, mbiri ya kuvulala, ntchito, zochita zolimbitsa thupi, ndi zizolowezi za tsiku ndi tsiku. Kuyezetsa thupi kumaphatikizapo kaimidwe ka thupi, kayendedwe ka thupi, kuchuluka kwa mayendedwe, mphamvu ya minofu, ndi kusinthasintha, komanso kuyezetsa mitsempha ngati mukukayikira kuti mitsempha yakhudzidwa (monga, kumva kuwawa, dzanzi, kapena kufooka kwa miyendo).
Madokotala a za thupi ayeneranso kuzindikira zizindikiro zowopsa zomwe zimafuna kutumizidwa mwamsanga, monga kuchepa thupi kosamveka bwino, kutentha thupi, mbiri ya khansa, mavuto a m'mimba mwadzidzidzi, dzanzi pamalo opachikira, kapena kupweteka kwambiri chifukwa cha kuvulala. Pachifukwa ichi, madokotala a za thupi amagwira ntchito limodzi ndi madokotala ndi akatswiri ena azaumoyo.
Njira zochiritsira thupi zomwe zimagwiritsidwa ntchito kwambiri
1. Maphunziro ndi kasamalidwe ka ntchito
Maphunziro nthawi zambiri amakhala gawo lofunika kwambiri. Odwala amaphunzitsidwa kumvetsetsa momwe alili, njira zothanirana ndi ululu, komanso kufunika kopitiriza kuyenda pang'onopang'ono. Pa ululu wosalunjika wa msana, kupuma kwathunthu nthawi zambiri kumachedwetsa kuchira. Katswiri wa physiotherapist angathandize kudziwa zochita zomwe ziyenera kuchepetsedwa kwakanthawi, momwe angabwererenso bwino, komanso momwe angapewere mayendedwe oyambitsa ululu.
2. Kuchita masewera olimbitsa thupi
Kuchita masewera olimbitsa thupi ndiye maziko a chithandizo cha physiotherapy. Mtundu wa masewera olimbitsa thupi umapangidwira zosowa za wodwalayo, mwachitsanzo:
- Maseŵero olimbitsa thupi osinthasintha komanso otambasula minofu ya m'chiuno, minofu ya m'chiuno, kapena minofu ya msana.
- Maseŵero olimbitsa thupi monga transversus abdominis activation, multifidus, bridging exercises, bird-dog, ndi plank variations monga momwe zimakhalira.
- Kuchita masewera olimbitsa thupi olimbitsa thupi komanso kuyendetsa bwino minofu kuti thupi lizilamulira msana panthawi yoyenda.
- Maseŵero olimbitsa thupi omwe amatsanzira zochita za tsiku ndi tsiku, monga kukwawa bwino, ma hinges a m'chiuno ponyamula, kapena maseŵero olimbitsa thupi otha kuimirira.
Nthawi zina, katswiri wothandiza anthu kuvulala angagwiritse ntchito njira yochitira masewera olimbitsa thupi monga njira ya McKenzie (pofuna kuchepetsa ululu), pulogalamu yolimbitsa thupi, kapena masewera olimbitsa thupi okonzedwa bwino a ululu wosatha wa msana.
3. Chithandizo cha manja
Chithandizo cha manja chimaphatikizapo kugwiritsa ntchito mafupa, kugwiritsa ntchito ziwalo zinazake (monga momwe zasonyezedwera komanso ngati zotetezeka), ndi njira zofewa za minofu. Zolinga zingaphatikizepo kuchepetsa ululu, kuyenda kwambiri, komanso kuchepetsa kuuma. Komabe, chithandizo chamanja nthawi zambiri chimakhala chothandiza kwambiri chikaphatikizidwa ndi masewera olimbitsa thupi komanso maphunziro, osati ngati njira yokhayo yothandizira.
4. Kuchiza ndi electrotherapy ndi njira zakuthupi
Njira monga TENS zosinthira ululu, ultrasound yochizira, kapena ma compress otentha/ozizira zingagwiritsidwe ntchito ngati gawo la pulogalamu yochepetsera ululu ndikuthandizira kuchita masewera olimbitsa thupi. Ndikofunikira kutsindika kuti njirazi ndizothandiza. Zotsatira za nthawi yayitali zimatsimikiziridwa kwambiri ndi kusintha kwa mphamvu ya thupi ya wodwalayo, kayendedwe ka thupi, ndi zizolowezi zake.
5. Maphunziro a Ergonomics ndi kaimidwe ka thupi
Mavuto ambiri a msana amayamba chifukwa cha zizolowezi zogwira ntchito komanso zochita zobwerezabwereza. Akatswiri ochizira matenda a minofu amathandiza kukonza ergonomics, mwachitsanzo:
- kusintha kutalika kwa mpando ndi tebulo logwirira ntchito,
- ikani chophimba cha kompyuta pamalo ofanana ndi maso,
- chithandizo choyenera cha lumbar,
- kupuma pang'onopang'ono mphindi 30-60 zilizonse kuti mutambasule thupi pang'ono,
- njira zoyenera zonyamulira ndi kunyamula (pogwiritsa ntchito minofu ya m'chiuno ndi miyendo, osati kupindika kuchokera m'chiuno).
Kukonza bwino zinthu kumachepetsa kupsinjika kwa msana ndipo kumathandiza kupewa kupweteka kosalekeza.
Kusamalira matenda ena a msana
Pa ululu wosalunjika wa msana, chithandizo cha physiotherapy nthawi zambiri chimayang'ana kwambiri pa maphunziro, kukhalabe wochita masewera olimbitsa thupi, masewera olimbitsa thupi olimbitsa thupi komanso okhazikika, komanso njira zopewera kubwereranso. Pa ma disc a herniated kapena sciatica, katswiri wa physiotherapy amawunika zizindikiro za mitsempha, kusankha malo kapena masewera olimbitsa thupi omwe amachepetsa ululu, ndikuwonjezera pang'onopang'ono kulekerera masewera olimbitsa thupi. Pa stenosis ya msana, masewera olimbitsa thupi enaake ndi kusintha kwa masewera olimbitsa thupi kungathandize kuchepetsa kusasangalala poyenda kapena kuyimirira kwa nthawi yayitali. Pa matenda a postural ndi scoliosis yogwira ntchito, mapulogalamu olimbitsa thupi okonza, kulimbitsa thupi, ndi maphunziro a kaimidwe ka thupi amayikidwa patsogolo.
Kupewa kubwereranso m'mbuyo: chinsinsi cha kupambana kwa nthawi yayitali
Odwala ambiri amachira atatha kuchita masewera olimbitsa thupi pang'ono, koma amabwereranso chifukwa chobwerera m'mbuyo m'machitidwe akale. Chifukwa chake, physiotherapy nthawi zonse imalimbikitsa kupewa: kuchita masewera olimbitsa thupi nthawi zonse, kusunga mphamvu ya pansi ndi m'chiuno, kuchepetsa kulemera, kukonza kugona bwino, komanso kuchepetsa kukhala nthawi yayitali. Pulogalamu yochita masewera olimbitsa thupi kunyumba yolondola komanso yosavuta kutsatira ndi njira yofunika kwambiri yosungira zotsatira za chithandizo.
Mapeto
Kuchiza ndi thupi kumathandiza kwambiri polimbana ndi matenda a msana kudzera mu njira yokwanira yomwe imaphatikizapo kuwunika bwino, maphunziro, kuchita masewera olimbitsa thupi, kugwiritsa ntchito manja, njira zothandizira, komanso kukonza bwino magwiridwe antchito a thupi. Cholinga chake sikuti chimangokhala kuchepetsa ululu komanso kubwezeretsa magwiridwe antchito ndikuletsa kubwereranso. Ndi pulogalamu yoyenera komanso kutenga nawo mbali kwa odwala mwachangu, matenda ambiri a msana amatha kuthandizidwa bwino, zomwe zimathandiza odwala kubwerera ku zochita zawo za tsiku ndi tsiku momasuka, mosamala, komanso mwaphindu.
