Kubatsira Kwakaita Physiotherapy Varwere Vane Chirwere CheCeliac
Chirwere cheCeliac chinowanzonzwisiswa sedambudziko rekugaya chikafu rine chekuita nekudya gluten. Zvisinei, mhedzisiro yacho inogona kupararira kure nedumbu. Varwere vazhinji vanowana kuneta kunogara kuripo, kurwadziwa kwemhasuru nemajoini, kudzikira kwehuremu hwetsandanyama, matambudziko ekuenzanisa, uye kunyange zviratidzo zvetsinga zvakaita sekukwenya. Apa ndipo panogona kuita basa guru re physiotherapy - kwete sekutsiva kudya kusina gluten, asi sekurapa kunopindirana kunobatsira kudzorera mashandiro emuviri, kuvandudza hupenyu, uye kudzivirira matambudziko kwenguva refu.
Kunzwisisa chirwere checeliac uye kukanganisa kwacho mumuviri
Chirwere cheCeliac chirwere chinokonzerwa ne autoimmune: kana munhu akadya gluten (puroteni inowanikwa mugorosi, bhari, uye rye), masoja emuviri anokanganisa zvakanyanya uye anokuvadza villi yemudumbu diki. Kukuvara uku kunokanganisa kutorwa kwezvinovaka muviri zvakakosha zvakaita sesimbi, calcium, vhitamini D, vhitamini B12, folate, uye magnesium. Nekuda kweizvozvo, varwere vanogona kusangana neanemia, osteopenia/osteoporosis, kushomeka kwesimba retsandanyama, uye matambudziko etsinga.
Kuwedzera kune zviratidzo zvekugaya chikafu zvakaita semanyoka, kuzvimba, uye kurwadziwa mudumbu, varwere vazhinji vanosangana nezviratidzo "zvisingasanganisi chikafu" zvakaita se:
- Kuneta uye kusashivirira kuita zvinhu
- Kurwadziwa kwemajoini kana tsandanyama
- Kushaya simba uye kuneta zviri nyore
- Kurwadziwa kwetsandanyama, kukwenya, kana kusanzwa kunzwa
- Matambudziko edzungu uye kuenzana
- Kudzikira kwehuremu uye tsandanyama
– Njodzi yekutyoka mapfupa inowedzera sezvo kuwanda kwemapfupa kuchiderera.
Nekuti zviratidzo zvakasiyana-siyana zvakasiyana-siyana, nzira yakanaka yekupora inyanzvi dzakasiyana-siyana: vanachiremba, nyanzvi dzezvekudya, uye nyanzvi dzezvekurovedza muviri vanoshanda pamwe chete. Kudya kusina gluten kunoramba kuri kurapwa kukuru, asi physiotherapy inobatsira varwere kuti vawanezve hunyanzvi hwavo hwemuviri hungave hwakaderera vasati vaonekwa kana panguva yekupora.
Sei physiotherapy ichikosha kune varwere veceliac?
Kurapa nemuviri kunotarisa pakufamba uye mashandiro. Muchirwere checeliac, kushomeka kwekudya uye kuzvimba zvinogona kukonzera kushaya simba kwetsandanyama, kurwadziwa kwetsandanyama nemapfupa, uye kudzikira kwesimba re aerobic. Kunyangwe mushure mekudya zvisina gluten, kupora kwesimba nemuviri kazhinji kunotora mwedzi. Kurapa nemuviri kunopa gwara rekurovedza muviri rakachengeteka uye rakanangana, ukuwo kuchigadzirisa marwadzo nekutadza kufamba.
Zvinangwa zvikuru zve physiotherapy muvarwere veceliac zvinowanzo sanganisira:
1. Inoderedza marwadzo nekuomarara
2. Wedzera simba remhasuru uye kutsungirira
3. Kuvandudza chimiro chemuviri uye kudzora kufamba
4. Kuvandudza hutano hwemwoyo nekufema
5. Deredza njodzi yekudonha nekukuvara
6. Dzivirirai hutano hwemapfupa kuburikidza nekurovedza muviri kwakakodzera
7. Batsira varwere kudzokera kubasa, kurovedza muviri, uye mabasa ezuva nezuva.
Ongororo yekutanga: hwaro hwechirongwa che physiotherapy
Asati agadzira chirongwa, chiremba wemuviri achaita ongororo kuti anzwisise mamiriro emurwere. Zvinhu zvinowanzo ongororwa zvinosanganisira:
- Nhoroondo yezviratidzo: kuneta, kurwadziwa, dzungu, kunzwa kurwadza, uye maitiro ekuita zvinhu
- Kuongororwa kwesimba retsandanyama uye kuchinjika kwayo
- Kufamba kwemajoini kwenguva yakareba uye kuomarara kwawo
- Kuenzana uye kubatana
- Kugona kushanda (semuenzaniso kugona kukwira masitepisi, kumira pachigaro, kufamba daro refu)
- Maitiro ekufema uye kugwinya kwakazara
- Zvinhu zvinokonzera njodzi ye osteoporosis kana nhoroondo yekutyoka kwemapfupa
- Maitiro ekushanda emurwere, kurovedza muviri, uye zvinangwa
Zvichibva pamhedzisiro iyi, chiremba wezvekurovedza muviri anogadzira chirongwa chinoenderera mberi zvishoma nezvishoma. Pfungwa yacho haisi yekuti "kana zvakaoma zviri nani," asi kuti kurovedza muviri kwacho kunogara kwenguva refu, kwakachengeteka, uye kunofambira mberi zvichienderana nekushivirira kwemuviri.
Kupindira kwemuviri kunowanzoitwa
1. Kudzidziswa simba
Kusanyatsonwa zvinovaka muviri kunogona kukonzera kudzikira kwehuremu hwetsandanyama nekushaya simba. Kudzidzisa muviri simba kunobatsira kuvandudza kugona kwetsandanyama kutsigira majoini, kuvandudza kugadzikana, uye kuderedza kuneta panguva yekurovedza muviri.
Zvirongwa zvinowanzo tanga nechiedza kusvika pakati nepakati, semuenzaniso:
- Kurovedza tsandanyama dzechidya nedzehudyu (kugwinha zvishoma, kugara-kumira)
- Maekisesaizi etsoka nemhuru kuti ugare wakasimba pakufamba
- Maekisesaizi emhasuru yemusana nedumbu (yepakati) ekugadzirisa mamiriro emuviri
- Maekisesaizi emaoko nemapfudzi ekuita mabasa emuviri
Kana murwere aine osteoporosis kana kuti ari panjodzi yekutyoka mapfupa, chiremba we physiotherapist achasarudza maekisesaizi akasiyana-siyana akachengeteka, achidzivisa kukotama zvakanyanya kana kuremerwa kusingadzoreki.
2. Kudzidzira uremu pahutano hwemapfupa
Kudzikira kwehuwandu hwemapfupa idambudziko rinowanzoitika kune varwere vane celiac, kunyanya kana chirwere ichi chikanonoka. Kudzidzira kutakura huremu uye kuramba kushanda kunobatsira kukurudzira kuumbwa kwemapfupa.
Muenzaniso:
- Kufamba kwakarongeka
- Kwira nekudzika masitepisi uchishandisa nzira yekudzora
- Kurovedza muviri wakamira negumbo rimwe (neruoko kana zvichidikanwa)
- Kudzidziswa kwekudzivirira uchishandisa masimbi akareruka kana mabhande ekudzivirira
Maekisesaizi akadai anowanzo gadzirwa zvichienderana nezera, nhoroondo yekutyoka kwemapfupa, uye mhedzisiro yekuongororwa nachiremba.
3. Kurovedza muviri kuti ukunde kuneta uye kuwedzera simba
Kuneta chinhu chinonetsa zvikuru muchirwere checeliac. Kurapa muviri kunogona kubatsira kuburikidza nekurovedza muviri zvishoma nezvishoma izvo zvinovandudza kushanda zvakanaka kwemwoyo nemapapu uye kushivirira kushanda.
Sarudzo dzekurovedza muviri dzinosanganisira:
- Kufamba zvinofambira mberi
- Bhasikoro risingachinji
- Kushambira kana kurovedza muviri mumvura (zvakanaka pakurwadziwa kwemajoini)
- Kurovedza muviri kwakareruka nekudzora simba
Nheyo inokosha ndeye "kufamba netsoka": kudzora huwandu hwesimba remuviri kudzivirira kuneta kwakanyanya mushure mekurovedza muviri. Vanachiremba vemuviri vanogona kukudzidzisa maitiro ekutarisa kusimba kwemuviri (semuenzaniso, chiyero cheRPE) uye maitiro ekuwedzera nguva yekurovedza muviri zvishoma nezvishoma.
4. Kurapa marwadzo, kufambisa muviri, uye kutambanudza muviri
Vamwe varwere vane chirwere checeliac vanorwadziwa netsandanyama nemajoini zvakafanana nezviratidzo zverheumatic. Vanachiremba vemuviri vanogona kushandisa:
- Kutambanudza kwakanangana nekuderedza kuomarara
- Maekisesaizi ekufamba kwemajoini
- Kurapa kwakanangana nemaoko kuderedza kushushikana kwetsandanyama (kana zvakakodzera)
- Ergonomics uye dzidzo yechimiro chemuviri kudzivirira marwadzo anodzokororwa
Kupindira uku kunobatsira varwere kufamba zvakanaka, zvichiita kuti zvive nyore kuchengetedza maitiro ekurovedza muviri uye mabasa ezuva nezuva.
5. Kuenzanisa uye kubatanidza mabasa
Kusakwana kwemavhitamini (senge B12) kana kubatanidzwa kwetsinga kunogona kukonzera matambudziko ekunzwa kurwadza, kusanzwa, kana kugadzikana. Kudzidziswa kudzikamisa muviri kunobatsira mukuderedza njodzi yekudonha, kunyanya kuvarwere vari panjodzi ye osteoporosis.
Kudzidzira muviri kunogona kusanganisira:
- Mira negumbo rimwe chete
- Dzidzira kufamba wakatwasuka
- Maekisesaizi ekudzivirira pamuviri (semuenzaniso pameti yakapfava)
- Maitiro ekuita uye kubatanidza
Vanachiremba vemuviri vanogonawo kupa rubatsiro rwechinguvana kana zvichidikanwa nekuda kwezvikonzero zvekuchengetedza.
6. Maekisesaizi ekufema nekuzorora
Kushushikana, kuzvidya mwoyo, uye kurara zvisina kunaka zvinogona kuwedzera kunzwa marwadzo uye kuneta. Maekisesaizi ekufema ne diaphragm, kuzorora kwetsandanyama, uye dzidzo yekugadzirisa kushushikana zvinogona kuva chikamu chakakosha chechirongwa chekurapa muviri, kunyanya kune varwere vanonzwa kuneta kana kuoma kupora kubva mukuita basa.
Dzidzo: chikamu chakakosha che physiotherapy
Pamusoro pekurovedza muviri, physiotherapy inosimbisawo dzidzo inoshanda, yakaita se:
- Maitiro ekugovanisa mabasa ezuva nezuva (kuenzana kwebasa nekuzorora)
- Maitiro ekutakura zvakachengeteka
- Ergonomics yekushanda kuderedza marwadzo emusana/mutsipa
- Kudziisa nekutonhodza kwakakodzera
- Nzira dzekudzoka kukurovedza muviri mushure menguva refu yekusaita maekisesaizi
- Zviratidzo zvengozi zvekumira kudzidziswa uye kubvunzana
Dzidzo iyi inoita kuti varwere vazvimirire uye vagone kurarama nedambudziko ravo kwenguva refu.
Kushanda pamwe chete navanachiremba nenyanzvi dzezvekudya
Kurapa nemuviri kunoshanda zvakanyanya kana kuchisanganiswa nekurapwa uye kurapwa kwezvekudya. Kudya kusina gluten kunobatsira kudzivirira kukuvara kwemudumbu uye kunovandudza kunwa kwezvinovaka muviri, ukuwo physiotherapy inoshandisa kupora uku kuvakazve simba nekushanda.
Mune zvimwe zviitiko, varwere vangada kuongororwa kwakawedzerwa, semuenzaniso:
- Kuongororwa kwehuwandu hwemapfupa (DEXA)
- Tarisa huwandu hwevhitamini D, B12, uye iron
- Kurapa kweanemia kana zvimwe zvinovaka muviri
Vanachiremba vemuviri vanogona kugadzirisa kusimba kwekurovedza muviri zvichienderana nemamiriro ezvinhu aya uye kushanda pamwe chete nechikwata chehutano.
Varwere vane celiac vanofanira kufunga nezve physiotherapy riini?
Kurapa muviri kunogona kufungwa nezvako kana murwere akawana:
- Kuneta kunotadzisa kuita zvinhu
- Kurwadziwa kwemhasuru/majoini nguva dzose
- Kushaya simba, kudonha nyore nyore, kana kusaenzana zvakanaka
- Nhoroondo yekutyoka kana kuongororwa kwe osteopenia/osteoporosis
- Kuomerwa nekudzokera kukurovedza muviri mushure menguva yakareba yekusaita maekisesaizi
- Matambudziko emuviri kana kurwadziwa kwemusana kunoramba kuchiitika
Kana ikarapwa nekukurumidza, mikana yekuti murwere adzokere kumabasa akachengeteka inowedzera.
Mhedziso
Chirwere cheCeliac hachisi chekungodzivirira gluten chete. Mhedzisiro yacho inogona kukanganisa tsandanyama, majoini, tsinga, simba, uye hutano hwemapfupa. Kurapa muviri kunobatsira varwere kuti vadzore simba remuviri kuburikidza nekurovedza muviri nesimba, ma aerobics, uye kuenzana, pamwe nehurongwa hwesimba nekurwadziwa. Nechirongwa chakakodzera uye kushanda pamwe chete navanachiremba nenyanzvi dzezvekudya, physiotherapy inogona kuva chinhu chakakosha pakudzorera hupenyu hwemurwere ane celiac - zvichiita kuti muviri uve wakasimba, wakagadzikana, uye wakashongedzerwa zviri nani kuita mabasa ezuva nezuva pasina kutya kuneta kana kukuvara.
Kana muchida, ndinogona kugadzirisa chinyorwa ichi kuti chive "chakakurumbira" kune vaverengi vazhinji, kana kuti "chakanyatsojeka" nekuwedzera mareferensi uye chimiro chakafanana nejenari (sumo-nzira-hurukuro).
