Kurapa Kwemuviri Mukurapa Matambudziko Etsinga Ekuzvimirira
Matambudziko ehurongwa hwetsinga dzinozvitonga—anowanzonzi kusashanda zvakanaka kwehurongwa hwetsinga dzinozvitonga (ANS)—mamiriro ezvinhu umo chikamu chetsinga chinotonga mashandiro emuviri “otomatiki” hachishande zvakanaka. Hurongwa uhwu hunodzora maitiro akasiyana-siyana anoitika asingazive, akadai sekurova kwemoyo, kumanikidzwa kweropa, kufema, kugaya, tembiricha yemuviri, kudikitira, uye mhinduro yemuviri kudzvinyirirwa. Kana matambudziko akaitika, munhu anogona kusangana nezviratidzo zvakasiyana-siyana: dzungu kana akamira, kurova kwemoyo zvakanyanya, kuneta, kusashivirira kupisa, kusagadzikana kwekurara, matambudziko ekugaya, uye kurwadziwa kusingaperi. Muchiitiko ichi, physiotherapy inoita basa rakakosha mukubatsira kudzoreredza kushivirira kwekuita, kuderedza zviratidzo, uye kuvandudza hupenyu kuburikidza nekurovedza muviri, dzidzo, uye kudzora mhinduro yemuviri kune shanduko munzvimbo uye mutoro wemuviri.
Kunzwisisa matambudziko etsinga e autonomic: zviratidzo uye zvikonzero
Kusashanda zvakanaka kwetsinga dzemuviri (autonomic nervous system) hakusi chirwere chimwe chete, asi izwi rinobatanidza zvirwere zvakasiyana-siyana. Mienzaniso inosanganisira orthostatic hypotension (kudzikira kweBP paunomira), POTS (postural orthostatic tachycardia syndrome), post-infectious dysautonomia, diabetic autonomic neuropathy, uye autonomic dysfunction muzvirwere zve neurodegenerative. Zviratidzo zvinowanzo sanganisira dzungu kana kufenda kana wakamira, kuda kurutsa, brain fog, kuneta, musoro, kurova kwemoyo, kufema zvishoma, uye matambudziko ekudikitira. Nekuti zviratidzo zvinogona kutevedzera matambudziko emwoyo, matambudziko ekuzvidya mwoyo, kana kuneta kusingaperi, kuongororwa kwakakodzera kwechiremba kwakakosha kuti usimbise kuongororwa uye kubvisa zvimwe zvinokonzera.
Zvikonzero zvezvirwere zvetsinga zvinozvitonga zvinogona kusiyana: zvinhu zvinokonzerwa nemajini, kukuvara kwetsinga kunokonzerwa nechirwere cheshuga, migumisiro yemishonga, kushaya mvura mumuviri kwenguva refu, zvirwere zve autoimmune, zvirwere zvepashure pehutachiona, kana kusakwanisa kufamba kwenguva refu. Uyezve, zvinoshungurudza mumuviri zvakaita sekushaya hope, kurwadziwa kusingadzoreki, uye mamiriro epfungwa zvinogona kuwedzera zviratidzo nekuti ANS yakabatana zvakanyanya nemhinduro dze "kurwa-kana-kutiza" uye "kuzorora-uye-kugaya".
Sei physiotherapy ichikosha muzvirwere zve autonomic nervous?
Kurapa muviri hakurapi zvese zvinokonzera dysautonomia, kunyanya kana zvichibatanidzwa nechirwere chemuviri. Zvisinei, zvinoshanda zvikuru sechikamu chechirongwa chakakwana chekutarisira:
1. Wedzera kushivirira kwemuviri (orthostatic tolerance) (kukwanisa kwemuviri kurarama wakamira usina dzungu/kurova nemoyo zvakanyanya).
2. Wedzera zvishoma nezvishoma kugona kwemwoyo kufema uye kusimba kwemuviri pasina kukonzera zviratidzo zvekubuda kwechirwere.
3. Inovandudza kudzora kufema uye inoderedza sympathetic hyperactivity.
4. Inoderedza kudzika kwemuviri (kudzikira kweutano nekuda kwekushaya maekisesaizi) izvo zvinowanzoita kuti zviratidzo zviwedzere kuipa.
5. Kuvandudza mashandiro ezuva nezuva: kufamba, kushanda, mabasa epamba, uye kurovedza muviri kushoma.
Maitiro ekurapa nemuviri anosarudzwa nemunhu mumwe nemumwe. Semuenzaniso, chirongwa chemurwere ane POTS chichasiyana nechevanhu vane chirwere cheshuga chinozvitonga kana kuti vane hypotension yeropa muvanhu vakwegura. Saka, kuongororwa kwekutanga ndiko kwakakosha pakurapa.
Kuongororwa kwephysiotherapy: zvinopfuura kungorovedza muviri chete
Pakutanga kwekushanya, chiremba wezvekurapa anowanzo ongorora nhoroondo yezviratidzo zvako, zvinokukonzera (kumira kwenguva refu, kugeza nemvura inopisa, mushure mekudya, kusanwa mvura yakakwana), maitiro ekuita, kunaka kwekurara, uye nhoroondo yekurapa nemishonga. Kuongorora kunogona kusanganisira kuyera zviratidzo zvakakosha (kurova kwemoyo, BP, kufema) munzvimbo dzakasiyana-siyana - kurara, kugara, uye kumira - kuti vaongorore maitiro emuviri. Kugona kushanda (semuenzaniso, kushivirira kufamba), simba retsandanyama, kuchinjika, chimiro, maitiro ekufema, uye zviratidzo zvekusagadzikana kwemuviri zvinoongororwawo.
Vanachiremba vemuviri vanofungawo nezvezvirwere zvakaita sekufamba kwemajoini zvakanyanya, kurwadziwa kusingaperi, matambudziko emusana, kana kuzvidya mwoyo, izvo zvinogona kuwedzera zviratidzo. Chinangwa hachisi chekuvandudza hutano hwemuviri chete asiwo kuchengetedza murwere akachengeteka uye kudzivirira zviratidzo kuti zvisawedzere kuipa.
Maitiro ekudzidzisa: zvishoma nezvishoma, akayerwa, uye akachengeteka
Chinhu chikuru chekurapa zvirwere zvetsinga dzemuviri (autonomic nervous system) kurovedza muviri kwakarongeka zvichibva papfungwa yekuti "tanga zvishoma, famba zvishoma." Varwere vazhinji vanonzwa kurwara zvakanyanya kana vakawedzera mashandiro avo nekukurumidza. Dzimwe nzira dzakakosha dzinosanganisira:
1. Dzidzira wakarara pasi kana kuti wakarara pasi.
Muchikamu chekutanga, kurovedza muviri kunowanzotanga nenzvimbo dzinoderedza kushushikana kwepfungwa, dzakadai se:
– bhasikoro rakarara (bhasikoro rakarara rakarara),
– muchina wekukwasva (uchitarisirwa),
- maekisesaizi emubhedha: kubatanidza, kugadzirisa zvipembenene zvakafa, kana mafambiro emakumbo.
Chinangwa ndechekuvaka simba rekurovedza muviri pasina kukonzera dzungu rakawandisa.
2. Kufambira mberi kunzvimbo dzekugara nedzekumira
Sezvo kushivirira kuchiwedzera, maekisesaizi anogona kufambira mberi kusvika ku:
- bhasikoro rekurovedza muviri nguva dzose,
- kudzidzira simba rekugara/kumira,
- kufamba kwenguva pfupi,
- maekisesaizi ekuenzanisa zviri nyore.
Kufambira mberi kwechirwere kunoenderana nemhinduro yezviratidzo, kwete chete nenguva yakatarwa. Kuongororwa kwekurova kwemoyo uye kumhanya kwemoyo (RPE) zvinowanzo shandiswa kuona kuti kudzidziswa kunoramba kuri munzvimbo yakachengeteka.
3. Kudzidziswa simba re "pombi yetsandanyama"
Kusimbisa tsandanyama dzemakumbo nedzemukati kwakakosha kuti tsinga dzidzokere kumoyo. Tsandanyama dzemakumbo nedzemuhudyu dzinoshanda se "pombi" inoderedza kuungana kweropa mumakumbo kana wakamira. Maekisesaizi akadai sekusimudza mazamu, kukwenya mazamu, mahinji echiuno, kana kudzvanya makumbo zviri nyore zvinogona kubatanidzwa pamwe nekuchinja.
4. Maekisesaizi ekufema uye kurongeka kwetsinga
Kufema nekukurumidza uye zvisina kudzika kunogona kuwedzera zviratidzo zvakaita sekurova kwemoyo nekuzvidya mwoyo. Vanachiremba vemuviri vanogona kudzidzisa zvinotevera:
- kufema kwe diaphragmatic,
- kuwedzera nguva yekufema,
- "Kufema nekukurumidza" maekisesaizi,
- kuzorora kwetsandanyama kunofambira mberi.
Chiitwa ichi chinangwa chekubatsira kudzikamisa sisitimu yesympathetic-parasympathetic kuitira kuti zviratidzo zvive nyore kudzora, kunyanya mumamiriro ezvinhu anonetsa.
Dzidzo yemararamiro uye shanduko: chikamu chakakosha che physiotherapy
Kunze kwekurovedza muviri, dzidzo ndiyo chinhu chakakosha. Zviratidzo zvakawanda zvinovandudzika kana varwere vakanzwisisa zvinokonzera chirwere uye nzira dzekudzivirira. Dzimwe nyaya dzinokurukurwa kakawanda dzinosanganisira:
– Kutarisira nzvimbo: simuka zvishoma nezvishoma kubva pahope (kurara pasi → kugara → kumira), dzivisa kumira kwenguva yakareba, uye ita zvinhu zvinodzivisa kufamba (semuenzaniso kusanganisa makumbo ako, kusimbisa tsandanyama dzemakumbo ako) paunotanga kunzwa dzungu.
– Kudzora tembiricha: Kupisa kunogona kuwedzera mitsipa yeropa uye zviratidzo zvinotowedzera kuipa. Varwere vanokurudzirwa kuti vasageze nemvura inopisa zvakanyanya uye kuti vaone kuti mhepo inofema zvakanaka.
- Kufamba-famba kwezviitiko: kupatsanura zviitiko kuita zvidiki, zvakasanganiswa nekuputsika, kudzivirira "kuputsika" mushure mechiito.
– Kupa mvura mumuviri uye kudya kunovaka muviri: Varwere vazhinji vanoda nzira yekurapwa nemvura yakawanda; zvisinei, izvi zvinofanirwa kugadziriswa zvichienderana nemamiriro avo ehutano (semuenzaniso, matambudziko eitsvo kana emwoyo). Vanachiremba vemuviri vanowanzo shanda pamwe chete navanachiremba vavo kuti vawane mazano akachengeteka.
– Kushandisa kudzvanya: vamwe varwere vanoona masokisi ekudzvanya kana zvinhu zvinosunga dumbu zvichibatsira mukuderedza kuungana kweropa, sezvakarairwa nenyanzvi yehutano.
Kushandira pamwe nekuchengetedza pakati pezvikoro zvakasiyana-siyana
Kurapwa kwezvirwere zvetsinga zvinozvitonga kunosanganisira chikwata chevanachiremba (nyanzvi dzetsinga, nyanzvi dzepfungwa, nyanzvi dzemwoyo), nyanzvi dzetsinga, nyanzvi dzezvekudya, uye, kana zvichidikanwa, nyanzvi dzepfungwa/nyanzvi dzepfungwa. Nyanzvi dzetsinga dzinofanira kuziva nguva yekutaurazve: semuenzaniso, kana paine kufenda kunowanzoitika, kurwadziwa pachipfuva, kushaya mweya zvakanyanya, kudzikira kwehuremu kusingatsananguriki, kana zviratidzo zvetsinga zvinoramba zvichiwedzera.
Kuchengetedzeka kwekurovedza muviri ndiko kunonyanya kukosha. Maekisesaizi anowanzo rongwa nekudziisa muviri zvakakwana, simba riri pakati nepakati, kudzikama zvishoma nezvishoma, uye kuongororwa mushure meekisesaizi kuti pasave nekukasira kwenguva refu. Kune vamwe varwere, maekisesaizi mapfupi anowanzo shanda kupfuura maekisesaizi marefu.
Mhedziso
Kurapa nemuviri kunoita basa guru mukugadzirisa matambudziko etsinga dzemuviri kuburikidza nechirongwa chekurovedza muviri zvishoma nezvishoma, kusimbisa tsandanyama kunotsigira kufamba kweropa, kurovedza muviri kufema kuti udzore kushushikana, uye dzidzo yakadzama nezvezvinokonzeresa uye nzira dzekuita mabasa ezuva nezuva. Nekushandisa nzira yakasarudzika, yakanangana, uye yekushandira pamwe, physiotherapy inobatsira varwere kuvakazve kushivirira kwavo kuita chimwe chinhu, kuderedza zviratidzo zvakaita sedzungu nekuneta, uye kuvandudza hupenyu hwavo. Matambudziko etsinga dzemuviri anongoerekana aoma, asi nehurongwa hwakakodzera hwekugadzirisa - uye kutevedzera nguva dzose - varwere vazhinji vanogona kuwana basa rakavandudzwa zvakanyanya kwenguva refu.
