Kurapa Kwemuviri Mukutarisira Varwere Vane Tourette Syndrome
Tourette syndrome chirwere chetsinga dzeuropi chinoratidzwa nekuitika kwekudzokorora kwekufamba kwemuviri nenzwi, kusaziva, uye zvakaoma kudzora. Kutamba kunogona kubva pakubwaira maziso, kufamba-famba nekukurumidza kwemusoro, kusimudza mapendekete, kusvika pakubuda kwehuro kana kudzokorora mazwi chaiwo. Chirwere ichi chinowanzo tanga muhudiki uye chinogona kuchinja-chinja mukusimba - dzimwe nguva kuchivandudzika, dzimwe nguva kuchiipa - kuchikanganiswa nekushushikana, kuneta, kana mamiriro ezvinhu anoda kutarisisa. Nzira dzakasiyana-siyana dzakakosha mukutarisira Tourette syndrome: kurapa maitiro, kurapa nemishonga kana zvichidikanwa, rutsigiro rwepfungwa, dzidzo yemhuri, uye kupindira mukugadzirisa. Pakati pemabasa ekugadzirisa, physiotherapy ine basa rinozivikanwa zvakanyanya, kunyanya mukubatsira varwere kugadzirisa kukanganisa kwemuviri kwekutamba nekuvandudza mashandiro ezuva nezuva.
Kunzwisisa Kukanganiswa Kwemuviri Kwezvirwere Zvinonzi Tics Pamuviri
Kufamba kwemakumbo kwaTourette hakusi kungo "tsika" kana "kufamba kwerudo." Kufamba kwemakumbo kwakawanda kunosanganisira kukanda tsandanyama nekukurumidza, kunodzokororwa uye kunowanzoonekwa sekwakajairika. Mune vamwe varwere, kunyanya avo vane kufamba kwakaomarara kwakadai sekuzunza musoro, kumonereka kwemutsipa, kana kufamba kwemaoko nesimba, matambudziko emapfupa nemapfupa akadai sekurwadziwa kwemutsipa, kushushikana kwemafudzi, misoro yekuneta, kutsamwa kwemajoini, uye kusagadzikana kwechimiro chemuviri kunogona kuitika. Kufamba kwemakumbo kunowanzo kanganisa nzvimbo yechiso kunogonawo kukonzera kurwadziwa kwetsandanyama dzakatenderedza maziso neshaya.
Pamusoro pekurwadziwa nekushushikana, tic inogona kukanganisa kubatana uye kugadzikana. Vamwe vana vane Tourette's vanewo zvimwe zvirwere zvakaita seADHD, OCD, anxiety disorders, kana matambudziko ekugadzirisa manzwiro. Musanganiswa uyu unogona kukanganisa kunaka kwekurara, kushivirira kushanda, uye kusimba kwemuviri. Nokudaro, physiotherapy haitarisirwi zvakananga "kubvisa tic," asi pane kubatsira kuderedza mhedzisiro yemuviri uye yekushanda kwe tic uye kuvandudza kugona kwemurwere kushanda zvakanaka uye zvakachengeteka.
Zvinangwa zvePhysiotherapy muTourette Syndrome
Zvinangwa zve physiotherapy muvarwere vane Tourette syndrome zvinowanzo sanganisira:
1. Inoderedza marwadzo uye kushushikana kwetsandanyama nekuda kwekufamba-famba kunogara kuchiitika.
2. Kuvandudza chimiro chemuviri uye kudzora mafambiro emuviri kunyanya kune varwere vane mutsipa, mapendekete, musana, kana chiuno.
3. Wedzera ruzivo rwemuviri kuitira kuti varwere vagone kuziva zviri nani maitiro ekurerutsira kushushikana, nzvimbo dzemajoini, uye tsika dzekugadzirisa mafambiro.
4. Wedzera kugwinya uye kutsungirira kuitira kuti muviri uve wakagadzirira kutarisana nemabasa ezuva nezuva usinganeti nyore nyore, nekuti kuneta kunowanzoita kuti kudengenyeka kuwedzere.
5. Inotsigira kudzora kushushikana uye kuzorora, sezvo kushushikana kuri chinhu chinowanzo kukonzera kuwedzera kwe tic frequency.
6. Dzivirirai kukuvara kwakasimba kana kamwe kamwe kunokonzerwa nekufamba kwenguva, semuenzaniso pamutsipa nemusana.
Nechinangwa ichi mupfungwa, physiotherapy inosanganisa nzira dzekurapa dzakadai seCBIT (Comprehensive Behavioral Intervention for Tics) kana Habit Reversal Training (HRT). Vanachiremba vemuviri havatsivi vanachiremba vepfungwa kana vanachiremba, asi vanobatsira kuburikidza nenzira inosimbisa mashandiro emuviri uye hupenyu hwakanaka.
Kuongorora Kurapa Kwemuviri: Kuongorora Maitiro Ekufamba Uye Mashandiro Ako
Chiremba wezvekurovedza muviri achaita ongororo yakakwana asati apindira, chiremba wezvemuviri achaita ongororo yakakwana. Kutanga, kubvunzurudzwa kuchaitwa kuti vaone kuti kurovedza muviri kwakatanga riini, zvinokukonzera, chero kusagadzikana kwakaitika, mabasa anovakanganisa (kunyora, kurovedza muviri, kugara kwenguva refu mukirasi, kurara), uye chero nhoroondo yekukuvara. Ongororo yemuviri ichaitwa, iyo inogona kusanganisira:
- Kuongororwa kwechimiro (musoro, fudzi, nzvimbo yemusana).
- Kufamba kwemajoini, kunyanya mutsipa, mapendekete, shaya, uye musana.
- Simba remhasuru dzemuviri uye kutsungirira.
– Kushushikana kwetsandanyama (semuenzaniso trapezius yepamusoro, levator scapulae, suboccipital).
- Maitiro ekufema uye hunyanzvi hwekuzorora.
- Kuenzana, kubatana, uye mhando yekufamba kwebasa.
Muvana, vanachiremba vemuviri vanofungawo nezvekuvandudzwa kwemuviri uye zvinodiwa pakutamba. Kuongorora uku kwakakosha kuona kuti chirongwa chekurovedza muviri chakagadzirirwa munhu mumwe nemumwe, chakachengeteka, uye chakakodzera zvinangwa zvemurwere.
Kupindira Kwekutanga Kwekurapa Nemuviri
1. Kutarisira Dzidzo neMabasa
Dzidzo ndiyo hwaro. Varwere nemhuri vanofanira kunzwisisa kuti kurovedza muviri hakusi mhosva yavo uye havagone kudzorwa nguva dzose. Vanachiremba vemuviri vanobatsira kuona zvinhu zvinokonzera kukuvara (semuenzaniso, kugara kwenguva refu pasina kuzorora, kudzidza wakakotama mutsipa, kushandisa michina) uye kugadzira nzira dzekugadzirisa kukuvara dzakadai se:
– Kufamba-famba (kudzora kurongeka kwechiitiko nekuzorora).
- Deredza nzvimbo dzakamira kwenguva refu.
- Kugadziriswa kweErgonomic kumba nekuchikoro (kukwirira kwedhesiki, nzvimbo yechidzitiro, rutsigiro rwechigaro).
Maitiro aya anogona kuderedza kusvuta kwetsandanyama uye kuderedza njodzi yekurwadziwa kunoramba kuchiitika.
2. Kurovedza muviri uye Kugadzikana
Varwere vane mutsipa kana mapendekete vanomira zvakanaka uye vane mapendekete akatenderera. Chirongwa chekurovedza muviri chinogona kusanganisira:
– Kusimbisa tsandanyama dzinosimbisa makumbo (pakati petrapezius, serratus anterior).
- Kushanda kwe "deep throws" dzinoita kuti mutsipa ugare wakasimba.
- Kudzidzira kufamba zvishoma nezvishoma kuti uvandudze kunaka kwekufamba, kwete simba chete.
Maekisesaizi anoitwa muzvikamu zvishoma nezvishoma achitarisirwa kuitira kuti asakonzere kushushikana kwakanyanya.
3. Kutambanudza uye Kusunungura Kushushikana kweTsuru
Kudzokorora mafambiro emuviri kunogona kukonzera kuti tsandanyama dziome uye dzipfupike. Nyanzvi yekurovedza muviri inogona kupa:
- Kutambanudzwa kwakanangana pamutsipa, pamafudzi, pachipfuva, pashaya, kana kumusana.
- Nzira yekuderedza tsandanyama zvinofambira mberi.
– Kurapa nemaoko kushoma (sezvakaratidzwa) kuderedza kurwadza kwemuviri.
Chinangwa hachisi chekudzvinyirira kusvetuka-svetuka, asi kuvandudza mamiriro enyama kuti murwere anzwe akasununguka uye kuderedza marwadzo anogona kukonzera kushushikana.
4. Kurovedza muviri nekufema
Kufema zvisina kudzika kunowanzoitika kana munhu achinetseka, uye kuzvidya mwoyo kunogona kuwedzera kuzvidya mwoyo. Kurapa nemuviri kunogona kusanganisira:
- Maekisesaizi ekufema ne diaphragm.
- Maekisesaizi ekuzorora anoitwa nemuviri (kuongorora muviri).
- Nzira dziri nyore dzekugadzirisa tsinga dzemuviri.
Vamwe varwere vanotaura kuti kusvetuka-svetuka kwakaderera kana muviri wakasununguka, kunyange zvazvo maitiro emunhu mumwe nemumwe achisiyana.
5. Zviitwa zveKubatanidza uye Mabasa Ekushanda
Kune vana nevachiri kuyaruka, physiotherapy inogona kushandisa mitambo yakarongeka kuti ivandudze kubatana, kuenzana, uye kuzvivimba. Semuenzaniso:
- Kudzidzira kuenzana kwesimba.
- Kufamba-famba kwemuviri kwakadai sekumira zvishoma, kufamba-famba, uye kurovedza muviri kwemuviri.
– Mabasa ane mutinhimira akadai sekufamba nekukurumidza kana kushambira (kana zvichidikanwa uye zvakachengeteka).
Kurovedza muviri kunoitwa nemunhu mumwe nemumwe. Vamwe varwere vanoona kuti kugwinha-gwinha kwavo kunoderera kana vakatarisa pane zvimwe zvinhu zvemuviri, nepo vamwe vanogona kuwedzera kana vakaneta kana kushushikana. Saka, sarudzo yemabasa inofanira kunge yakachinjika uye yakagadzirirwa.
6. Nzira dzekudzivirira nekudzivirira kukuvara
Kushungurudzika kunosanganisira kuzununguka kwemusoro kana kufambisa-fambisa zvinhu zvakanyanya kamwe kamwe kunowedzera njodzi yekukuvara kwemutsipa nemusana. Vanachiremba vemuviri vanodzidzisa kuti:
- Maitiro ekuderedza mutoro wemutsipa nekushandisa chiedza chinodzikamisa mutsipa.
- Maitiro ekutambanudza mushure mechiitiko chakasimba che tic.
- Nzira dzakachengeteka panguva yemitambo (semuenzaniso pakutakura mabhegi, mitambo yekubata, kana kupfeka ngowani yezvimwe zviitiko kana zvichikurudzirwa).
Mune zvimwe zviitiko, kutumirwa kuna chiremba kunodiwa kana paine zviratidzo zvetsinga, kurwadziwa kwakanyanya, kukwenya, kana kukanganiswa kukuru kwekufamba.
Kushanda pamwe chete neMapoka Enyanzvi Dzakawanda
Kurapa kwakakodzera kweTourette kunosanganisira chiremba wepfungwa/chiremba wepfungwa wevana, chiremba wepfungwa, chiremba wezvemabasa, vadzidzisi, nemhuri. Nyanzvi yezvekurovedza muviri inogona kushanda pamwe chete nenyanzvi yezvepfungwa inopa CBIT/HRT kuronga nzira dzekutarisira tic. Nyanzvi yezvemabasa inogona kubatsira nehunyanzvi hwechikoro, kunyora, uye hunyanzvi hwepfungwa, ukuwo nyanzvi yezvekurovedza muviri ichitarisa pachimiro, kugwinya, uye marwadzo. Kutaurirana pakati penyanzvi dzakasiyana kunobatsira kudzivirira nzira dzinopesana—semuenzaniso, kusimbisa murwere kuti agare "achibatirira tic," izvo zvinogona kuwedzera kushushikana.
Matambudziko uye Zvinotarisirwa Zvinoitika
Zvakakosha kuisa tarisiro dzakakodzera. Kurapa nemuviri hakusi iko kurapwa kukuru kwekurapa kwe tic relieve, sezvo tic zvichibva mumichina yetsinga. Zvisinei, physiotherapy inogona:
- Inoderedza marwadzo nekusagadzikana.
- Inovandudza kunaka kwekufamba uye chimiro.
- Wedzerai mukana wekupinda muzvikoro, mitambo, uye mabasa emagariro evanhu.
- Inopa varwere pfungwa yekudzora muviri kuburikidza nekuzorora uye hunyanzvi hwekutarisira muviri.
Kufambira mberi kunowanzo famba zvishoma nezvishoma uye kunodzorwa nekurovedza muviri nguva dzose, rutsigiro rwemhuri, uye zvirwere zvinouya pamwe chete. Mune vamwe varwere, kusimbisa kugona kwemuviri uye kuderedza kushushikana kunogona kuva nemigumisiro yakanaka pakuwanda kwe tic, kunyange zvazvo mhedzisiro yacho ichisiyana kubva pamunhu nemunhu.
Penutup
Kurapa nemuviri kunoita basa guru mukutarisira varwere vane Tourette syndrome senzira yekutsigira inotarisa mashandiro uye hupenyu hwemunhu. Nekutarisa pakuderedza marwadzo, kuvandudza chimiro, kugadzikana, kugwinya, uye nzira dzekuzorora, physiotherapy inobatsira varwere kubata nekukanganiswa kwemuviri kwe tics uye kuita mabasa ezuva nezuva zviri nyore. Kana ikasanganiswa nekurapa maitiro, dzidzo yemhuri, uye rutsigiro rwechikoro, physiotherapy inogona kuva chikamu chakakosha chenzira dzakasiyana-siyana dzinoona zvinodiwa zvakasiyana zvemurwere wega wega weTourette.
Kana muchida, ndinogona kugadzirisa chinyorwa ichi kuti chienderane nebasa rekukoreji (nemafomati edzidzo, magwaro, uye bhaibheri) kana kugadzira vhezheni inozivikanwa zvikuru yedzidzo yevabereki nevadzidzisi.
