Kurapa Nemuviri Mukugadzirisa Matambudziko Eganda
Matambudziko eganda anowanzoonekwa senyaya dzekunaka chete kana kuti anogadziriswa chete navanachiremba veganda. Zvisinei, ganda ndiro nhengo huru yemuviri, yakabatana zvakanyanya nehurongwa hwetsinga, kutenderera kweropa, lymphatic, uye musculoskeletal. Nekuda kwekubatana uku, zvichemo zvakawanda zveganda—kunyanya zvine chekuita nekuyerera kweropa, kupora kwemaronda, mavanga, kuzvimba, uye kurwadziwa—zvinogona kubatsirwa kuburikidza nenzira ye physiotherapy. Physiotherapy haitsivi basa rechiremba weganda, asi inogona kuva kurapa kunoshanda kunobatsira mune mamwe mamiriro ezvinhu, nechinangwa chekukurumidzisa kupora kwebasa, kuderedza zviratidzo, uye kuvandudza hupenyu.
Basa re physiotherapy: kubva pakushanda kusvika pamhando yenyama
Kurapa nemuviri kunotarisa pakudzoreredza mashandiro emuviri kuburikidza nekupindira kwemuviri, kudzidzisa, uye kurovedza muviri. Panyaya yezvirwere zveganda, kurapa nemuviri kunowanzo batsira pazvinhu zvakakosha: kuvandudza kuyerera kweropa uye oxygen munyama, kuderedza kuzvimba (kuzvimba) kuburikidza nekukurudzira lymphatic, kugadzirisa kufamba kwenyama kudzivirira kunamira, kuderedza marwadzo nekukwenya, uye kubatsira mukupora kweronda uye kudzora mavanga. Ganda rinogara richizvimba kana kukuvara rinowanzo chinja magadzirirwo, kunzwa, uye kusimba. Kurapa nemuviri kunotarisa kugadzirisa mamiriro aya kuitira kuti varwere vadzokere kumabasa avo ezuva nezuva vakasununguka.
Matambudziko eganda anowanzo da rutsigiro rwe physiotherapy
Haasi ese matambudziko eganda anoda physiotherapy. Zvisinei, kune mamwe mamiriro ezvinhu anowanzo batsira kubva pakurapa.
Chekutanga, maronda asingaperi akadai semaronda ane chirwere cheshuga, maronda emutsinga, uye maronda ekumanikidzwa (decubitus ulcers). Mumamiriro ezvinhu aya, dambudziko guru harisi iro ronda repamusoro chete, asiwo kusafamba zvakanaka kweropa, kumanikidzwa kwakanyanya panzvimbo dzakatarwa, neuropathy, uye kufamba kushoma. Vanachiremba vemuviri vanogona kubatsira kuburikidza nekudzidziswa kweropa, kudzidziswa kwekuchinja nzvimbo, maekisesaizi ekusimbisa tsandanyama, uye nzira dzakasiyana dzinokurudzira kupora kwenyama.
Chechipiri, mavanga epashure pekuvhiyiwa, kutsva, kana mavanga ekukuvara. Mavanga anogona kukora (hypertrophic), kukura, kunamira panyama iri pasi (adhesions), kana kukonzera kudhonzwa panguva yekufamba. Dambudziko iri haringokanganisi chitarisiko chete asi rinogonawo kudzikamisa kufamba kwemajoini uye kukonzera marwadzo. Kurapa muviri kunoita basa rekuchengetedza mavanga uye kudzoreredza mashandiro awo.
Chechitatu, lymphedema, kana kuzvimba kusingaperi kunokonzerwa nekusafamba zvakanaka kwelymph, semuenzaniso mushure mekuvhiyiwa kwekenza yemazamu kana kubviswa kwelymph node. Ganda riri munzvimbo ye lymphedema rinowanzo kurumidza kushatirwa, rinokuvara nyore nyore, uye rinogona kuchinja magadzirirwo aro. Kurapa muviri kunogona kubatsira kuderedza kuzvimba uye kuderedza njodzi yezvirwere zveganda zvinodzokorora zvakaita se cellulitis.
Chechina, kurwadziwa uye kukanganiswa kwemanzwiro muganda, zvakaita sekunge munhu anonzwa kurwadziwa mushure mekutsva, kurwadziwa kwetsinga munzvimbo dzakati, kana kuvaviwa kunoramba kuripo panguva yekupora. Kuburikidza nekusanzwa, kurovedza muviri, uye kudzidzisa, physiotherapy inogona kubatsira kugadzirisa matambudziko aya, ayo anowanzo kanganisa kurara uye mabasa ezuva nezuva.
Nzira dzekurapa matambudziko eganda dzinoshanda
Maitiro ekurapa murwere anofanira kuenderana nechirwere chake, mamiriro eganda, uye nguva yekupora. Mamwe maitiro anowanzo shandiswa anosanganisira:
1) Kurapa kwekurovedza muviri uye kufambisa muviri
Kurovedza muviri kunoita basa guru, kunyanya mumaronda asingaperi uye mushure mekuvhiyiwa. Kusunga tsandanyama dzemakumbo, semuenzaniso, kunokurudzira "pombi yetsandanyama" iyo inokurudzira kudzoka kwetsinga uye kufamba kwemalymph. Muvarwere vane maronda etsinga, kurovedza muviri kwezvigunwe, kufamba kwakayerwa, uye kusimudza mhuru kazhinji zvinhu zvakakosha kuderedza kuzvimba uye kukurudzira kupora.
Kuunganidza nyama dzakapfava kunogonawo kuitwa kudzivirira kuomarara, kunyanya kana ganda nenyama dziri pasi paro zvikatanga kuomarara nekuda kwekupora. Zvisinei, kuunganidza nyama kunofanira kuitwa nokungwarira, kudzivirira maronda akazaruka, asina kugadzikana, uye kutevedzera nhungamiro dzekiriniki.
2) Kugadzirisa mavanga
Kune mavanga akavharwa uye akura zvakakwana, vanachiremba vezvekurapa vanogona kushandisa nzira dzakadai sekukwiza mavanga, kubatanidza kunamatira, maekisesaizi ekutambanudza, uye kushandisa tepi chaiyo kubatsira kuderedza kusimba kwenyama. Chinangwa ndechekuwedzera kusimba, kuderedza kuomarara, uye kubatsira varwere kuti vadzore kufamba kwavo. Mune zvimwe zviitiko, vanachiremba vezvekurapa vanoshandawo navanachiremba kuisa mbatya dzekumanikidza kana machira esilicone, anoshandiswa zvakanyanya mukurapa maronda ekutsva.
3) Kuyerera kwemvura mumuviri (lymphatic drainage) uye kudzvanywa kwemvura (compression)
Kune lymphedema, nzira inowanzo shandiswa ndeyekushandisa lymphatic drainage nemaoko (MLD) inoitiswa nenyanzvi yekurapa yakadzidziswa, pamwe chete nekudzvanya (mabhandiji kana maoko), maekisesaizi, uye kuchengetedza ganda. Musanganiswa uyu unozivikanwa se complex decogestive therapy. Chikamu chekuchengetedza ganda chakakosha nekuti ganda rakazvimba rinowanzotsemuka uye rinova nzira yekupinda mabhakitiriya. Kudzidziswa kwehutsanana, moisturizers dzakakodzera, uye kudzivirira mavanga madiki zvakakosha.
4) Kurapa neElectrotherapy uye nzira dzemuviri
Mamwe makiriniki anoshandisa nzira dzakadai se therapy ultrasound, TENS, kana low-level laser therapy mumamiriro ezvinhu chaiwo, akadai sekubatsira kudzora marwadzo, kukurudzira kugadziriswa kwenyama, kana kuderedza kuzvimba kwenzvimbo. Kushandiswa kwenzira idzi kunofanirwa kubva pakuongororwa kwakakodzera uye zviratidzo, nekufunga nezvezvinopesana zvakaita sehutachiona hunoshanda, gomarara munzvimbo yacho, kana ganda risina kusimba zvakanyanya.
5) Dzidzo yeErgonomics uye kudzivirira kushushikana
Kune maronda ekumanikidzwa uye njodzi yemaronda ekumanikidzwa, vanachiremba vemuviri vanoita basa rekudzidzisa varwere nezvekuchinja kwenzvimbo, maekisesaizi akapfava, kushandiswa kwemidziyo yekubatsira, uye nzira dzekuderedza kumanikidzwa kwenguva refu pamapfupa. Kufamba nekukurumidza muvarwere vari muchipatara kwakakoshawo kudzivirira kukuvara kweganda kubva pakusafamba zvakanaka.
Kushanda pamwe chete nevamwe vashandi vehutano
Kubudirira mukugadzirisa matambudziko akaomarara eganda kunowanzoda timu yevashandi vane hunyanzvi hwakasiyana-siyana. Vanachiremba veganda, vanachiremba vekuvhiya, vanachiremba vekurapa, vanamukoti vemaronda, nyanzvi dzezvekudya, uye vanachiremba vekurovedza muviri vanowanzo shanda pamwe chete. Semuenzaniso, mumaronda ane chirwere cheshuga, kudzora shuga muropa, kutarisirwa kwemaronda kwakakodzera, kusarudzwa kweshangu, uye kurovedza muviri kwakachengeteka zvinofanira kubatanidzwa. Mukutsva, kudzora marwadzo, kutarisirwa kwemaronda, kudzivirira kuvharika kweganda, uye kugadziriswa kwepfungwa nepfungwa zvakabatanawo.
Vanachiremba vemuviri vanofanira kunzwisisa zvikanganiso zvayo: haitsivi mishonga inorwisa utachiona, haibvisi maronda, uye haisiriyo nzira huru yekurapa zvirwere zveganda zvinongozvimba chete. Zvisinei, inogona kukurumidzisa kupora kwemuviri uye kuderedza matambudziko, kunyanya mumamiriro ezvinhu anosanganisira kuzvimba, kufamba zvishoma, kana kupora zvishoma nezvishoma.
Kurapa muviri kunofanira kufungwa nezvako rini?
Kurapa nemuviri kunofanirwa kufungwa nezvako kana murwere akasangana ne: maronda anopora zvishoma nezvishoma nekuda kwekufamba zvishoma, kuzvimba kunogara kuripo, mavanga anovhiringidza kufamba kana kuti anorwadza, kuomarara kwemajoini nekuda kwekudhonzwa kweganda, kana kukanganiswa kwemabasa ezuva nezuva nekuda kwekurwadziwa/kukwenya munzvimbo inoporeswa. Kubvunzana kunowanzo tanga mushure mekuongororwa kwechiremba, zvichibvumira chiremba wemuviri kugadzira chirongwa chakachengeteka chakagadzirirwa chikamu chekupora kwemurwere uye zvimwe zvirwere zvinomukanganisa.
Zviratidzo zvinonyevera zvinoda kurapwa nekukurumidza zvinosanganisira kutsvuka kunokurumidza, fivha, kurwadziwa kwakanyanya uye kuri kuwedzera, kubuda kwetsvina, ronda rinoramba richikura, kana ganda richichinja ruvara zvichiratidza kusashanda zvakanaka kweropa. Mumamiriro ezvinhu aya, kuongororwa kwechiremba ndiko kunonyanya kukosha usati wawana imwe nzira yekurapa.
Penutup
Kurapa nemuviri kunoita basa guru mukurapa zvirwere zvakasiyana-siyana zveganda, kunyanya izvo zvine chekuita nemaronda asingaperi, mavanga, lymphedema, uye kurwadziwa uye kufamba kushoma nekuda kwekuchinja kwenyama. Kuburikidza nekurovedza muviri, matekiniki emaoko, kudzvanya, dzidzo, uye maitiro chaiwo emuviri, physiotherapy inobatsira kuvandudza mashandiro, kukurumidzisa kupora, uye kudzivirira matambudziko. Chinokosha chekubudirira chiri mukusarudza zviratidzo zvakakodzera, kugara uchitarisa mamiriro eganda, uye kushanda pamwe nevamwe vashandi vehutano. Nekushandisa nzira yakabatana, kurapwa kwematambudziko eganda hakungotaridzi chete pakuonekwa kwepamusoro asiwo pahutano hwenyama uye kugona kwemurwere kuita mabasa ezuva nezuva zvakanaka.
