Physiotherapy mu Chithandizo cha Matenda a Mitsempha ya Peripheral
Matenda a mitsempha ya m'mphepete mwa thupi (PNS) ndi matenda omwe amakhudza dongosolo la mitsempha ya m'mphepete mwa thupi (PNS), zomwe zimagwirizanitsa ubongo ndi msana ndi miyendo ndi ziwalo. Zingakhudze kayendedwe ka thupi, ntchito ya kumva, komanso kulamulira thupi. Physiotherapy imagwira ntchito yofunika kwambiri pochiza PNS, popereka njira zosiyanasiyana zochiritsira zomwe cholinga chake ndi kukonza magwiridwe antchito, kuchepetsa ululu, komanso kukweza moyo wa odwala.
Chiyambi cha Matenda a Mitsempha ya Peripheral
Dongosolo la mitsempha ya m'mphepete mwa mitsempha limaphatikizapo mitsempha yonse yomwe ili kunja kwa dongosolo la mitsempha yapakati (ubongo ndi msana). Dongosololi limayang'anira kutumiza zizindikiro pakati pa dongosolo la mitsempha yapakati ndi thupi lonse. Mitsempha ya m'mphepete ikawonongeka, kulumikizana kumeneku kumasokonekera, zomwe zimayambitsa zizindikiro monga kufooka kwa minofu, dzanzi, kumva kuwawa, kapena kupweteka. Matenda ofala a mitsempha ya m'mphepete mwa mitsempha ndi monga peripheral neuropathy, Guillain-Barré syndrome, ndi mitsempha yotsekeka monga carpal tunnel syndrome.
Zomwe Zimayambitsa ndi Zizindikiro
Zomwe zimayambitsa kuwonongeka kwa mitsempha ya m'mbali mwa thupi zimatha kusiyana, kuyambira matenda a shuga, matenda, kuvulala, kusowa kwa mavitamini, mpaka matenda odziteteza ku matenda a autoimmune . Zizindikiro nthawi zambiri zimadalira mtundu wa mitsempha yomwe yakhudzidwa: kumva, kuyenda, kapena kudzilamulira. Kuwonongeka kwa mitsempha ya kumva kungayambitse dzanzi, kumva kuwawa, kapena kupweteka kwambiri; mitsempha yamagetsi yomwe yakhudzidwa ikhoza kubweretsa kufooka kwa minofu kapena kufooka kwa ziwalo; pomwe kuwonongeka kwa mitsempha yamagetsi yomwe imayendetsedwa kungakhudze magwiridwe antchito amthupi monga kuthamanga kwa magazi ndi kugaya chakudya.
Udindo wa Physiotherapy
Physiotherapy pochiza matenda a mitsempha ya m'mphepete imayang'ana kwambiri pakukweza kuyenda, mphamvu ya minofu, ndi ntchito yonse kudzera mu mapulogalamu okonzanso omwe amapangidwa ndi munthu payekha. Akatswiri a physiotherapy amagwiritsa ntchito chidziwitso chawo cha momwe thupi limagwirira ntchito komanso momwe limayendera kuti athandize odwala kukhala ndi thanzi labwino. Nazi njira zina zochizira matenda a mitsempha ya m'mphepete:
1. Zochita Zochizira
Kuchita masewera olimbitsa thupi ndi gawo lofunika kwambiri pa physiotherapy. Pulogalamu yochita masewera olimbitsa thupi yokonzedwa bwino ingathandize kulimbitsa mphamvu ya minofu yofooka, kuwonjezera mayendedwe, ndikusintha kayendedwe ka thupi. Kuchita masewera olimbitsa thupi kungathandizenso kupewa kufooka kwa minofu, kulimbitsa mphamvu ya minofu, komanso kusunga kusinthasintha. Zitsanzo za masewera olimbitsa thupi ndi monga kuphunzitsa thupi pang'ono, kuchita masewera olimbitsa thupi olimbitsa thupi , kutambasula thupi, ndi kuphunzitsa kukhazikika.
2. Kuchiza ndi Magetsi
Electrotherapy imagwiritsa ntchito magetsi kuti ilimbikitse mitsempha ndi minofu yowonongeka. Mankhwalawa amabwera m'njira zosiyanasiyana, kuphatikizapo Transcutaneous Electrical Nerve Stimulation (TENS) ndi Neuromuscular Electrical Stimulation (NMES). TENS nthawi zambiri imagwiritsidwa ntchito kuchepetsa ululu, pomwe NMES imathandizira kulimbikitsa minofu, zomwe zingathandize kulimbitsa mphamvu ndi kugwira ntchito bwino.
3. Chithandizo cha Manja
Chithandizo chamanja chimaphatikizapo kusintha minofu ya thupi ndi manja kuti iyende bwino ndikuchepetsa ululu. Njirazi zingaphatikizepo kulumikiza mafupa , kutikita minofu, ndi kutambasula minofu yofewa. Chithandizo chamanja ndi gawo lofunika kwambiri pakubwezeretsa minofu chifukwa chimagwira ntchito yochepetsa kuuma kwa minofu ndikuwonjezera kuyenda kwa magazi kupita kudera lokhudzidwa.
4. Kugwiritsa Ntchito Zipangizo Zothandizira
Kugwiritsa ntchito zipangizo zothandizira monga zomangira kapena zomangira kungathandize kwambiri miyendo yofooka. Zipangizozi zingathandizenso kupewa kupunduka kwina ndikuwongolera magwiridwe antchito a tsiku ndi tsiku. Mwachitsanzo, zomangira zolimba zingagwiritsidwe ntchito pothana ndi kufooka kwa akakolo komwe kumayambitsa mavuto oyenda.
5. Maphunziro ndi Maphunziro Ogwira Ntchito
Mbali imodzi yofunika kwambiri ya physiotherapy ndi kuphunzitsa odwala. Madokotala a physiotherapy angapereke chidziwitso chokhudza matenda awo, njira zothanirana ndi ululu, ndi zochita zomwe zingachepetse chiopsezo cha kuvulala kwina. Maphunziro apadera a ntchito cholinga chake ndi kubwezeretsa luso la odwala kuchita zinthu za tsiku ndi tsiku.
Mlandu Wachipatala
Phunziro 1: Matenda a Mitsempha ya M'mimba mwa Wodwala Matenda a Shuga
Mwamuna wazaka 55 yemwe ali ndi matenda a shuga amtundu wachiwiri adayamba kudwala matenda a mitsempha ya m'mitsempha, zomwe zidapangitsa kuti minofu ikhale yofooka komanso miyendo yake ikhale yopanda mphamvu. Pa nthawi ya chithandizo chamankhwala, wodwalayo adachita masewera olimbitsa thupi olimbitsa minofu, adagwiritsa ntchito chipangizo cha TENS kuti achepetse ululu, ndipo adaphunzitsidwa kufunika kosunga shuga m'magazi. Pambuyo pa miyezi ingapo ya chithandizo chokhazikika, wodwalayo adanenanso kuti kuyenda kwake kwasintha kwambiri komanso ululu wake wachepa.
Phunziro lachiwiri: Matenda a Guillain-Barré
Mayi wina wazaka 40 anapezeka ndi matenda a Guillain-Barré, matenda omwe chitetezo cha mthupi chimaukira dongosolo la mitsempha. Anayamba kufooka ndipo amafunika thandizo la makina kuti apume. Physiotherapy inayamba ndi chithandizo chamankhwala chopanda mphamvu komanso masewera olimbitsa thupi opumira, kenako pang'onopang'ono inasanduka masewera olimbitsa thupi pamene wodwalayo akupita patsogolo. Electrotherapy inagwiritsidwanso ntchito polimbikitsa minofu yofooka. Patatha miyezi ingapo, wodwalayo anayamba kupezanso mphamvu ndipo anachepetsa kudalira kwake zida zothandizira.
Mavuto mu Physiotherapy
Ngakhale kuti physiotherapy imapereka maubwino ambiri, imabweretsanso mavuto. Si odwala onse omwe amalandira chithandizo mwanjira yofanana, ndipo kupita patsogolo kumatha kuchepa kutengera kuchuluka kwa kuwonongeka kwa mitsempha. Chilimbikitso cha wodwala komanso kutenga nawo mbali ndizofunikira kwambiri pakuchita bwino kwa chithandizo. Kulankhulana bwino pakati pa katswiri wa physiotherapy ndi wodwalayo ndikofunikira kwambiri poyang'anira kupita patsogolo ndikusintha kofunikira pa pulogalamu yochizira.
Mapeto
Kuchiza ndi thupi kumathandiza kwambiri pochiza matenda a mitsempha ya m'mphepete mwa mitsempha mwa kupereka njira yokhazikika komanso yogwirizana yochiritsira. Kudzera mu mapulogalamu olimbitsa thupi, electrotherapy, chithandizo chamanja, kugwiritsa ntchito zipangizo zothandizira, ndi maphunziro a odwala, physiotherapy imathandiza kuchepetsa zizindikiro, kukonza magwiridwe antchito a tsiku ndi tsiku, ndikuwonjezera moyo wa odwala. Ngakhale kuti kubwezeretsa kungakhale kovuta, njira yodzisankhira payekha komanso chithandizo chopitilira kuchokera kwa katswiri wa thupi zingathandize odwala omwe ali ndi matenda a mitsempha ya m'mphepete mwa mitsempha.
