Kurapa Kwemuviri Kwevarwere Vane Matambudziko Ekukura
Kuremara kwekukura mamiriro ezvinhu umo mwana (kana munhu) anosangana nekunonoka kana zvipingamupinyi pakuzadzisa zvinangwa zvekukura zvinoenderana nezera rake. Zvipingamupinyi izvi zvinogona kukanganisa hunyanzvi hwekufamba kwemuviri, hunyanzvi hwekufamba kwemuviri, hunyanzvi hwemutauro, hunyanzvi hwekuziva, maitiro, uye kunyange hunyanzvi hwekushamwaridzana nevamwe. Kurapa kwemuviri kunoita basa rakakosha mukutarisira kwavo, kunyanya mukubatsira kuvandudza hunyanzvi hwekufamba, chimiro, kuenzana, kubatana, uye kuzvimiririra mumabasa ezuva nezuva. Chinyorwa chino chinokurukura basa rekurapa kwemuviri muvarwere vane hurema hwekukura, zvinangwa zvekurapa, nzira dzinoshandiswa, uye kukosha kwekushandira pamwe nemhuri nechikwata chevanhu vane hunyanzvi hwakasiyana-siyana.
Kunzwisisa Matambudziko Ekukura Nemigumisiro Yawo
Kuremara kwekukura kunogona kusiyana kubva padiki kusvika kune kwakanyanya, uye zvikonzero zvazvo zvinosiyana. Mamwe matambudziko anowanzobatanidzwa nekuremara kwekukura anosanganisira cerebral palsy, Down syndrome, autism spectrum disorder (ASD) ine chikamu che sensory-motor, global development delay, development coordination disorder (DCD), spina bifida, uye mamwe matambudziko e neuromuscular. Vamwe vana vanononoka kufamba kwemuviri vasina kuongororwa asi vachiri kuda rubatsiro kuti vabate chirwere ichi.
Kukanganisa kwehurema hwekukura hakuonekwi chete muhunyanzvi hwekufamba, asiwo mukutora chikamu kwevana muzviitiko zvechikoro, kutamba, uye kutaurirana nevamwe. Vana vanoomerwa nekugara zvakanaka vanogona kunetseka kutora chikamu muzviitiko zvekudzidza. Vana vasina kuenzana zvakanaka vanogona kudzivisa kutamba neshamwari. Kutadza kufamba kunogonawo kuderedza kuzvivimba, kukonzera kushungurudzika, uye kuwedzera kuvimba nevabereki kana vanovachengeta.
Apa ndipo panotanga kushandiswa physiotherapy: kwete kungodzidzisa tsandanyama chete, asi kubatsira vana kuvaka hwaro hwekufamba hunovabvumira kudzidza, kutamba, uye kutora chikamu zvakanyanya.
Zvinangwa zvePhysiotherapy yeMatambudziko Ekukura
Zvinangwa zve physiotherapy zvinotarisa pakuvandudza mashandiro emuviri, kuchengetedzeka, uye kunaka kwehupenyu. Zvinangwa zvekurapa zvinowanzo gadziriswa zvichienderana nezera remurwere, zvinodiwa, uye mamiriro ekurapa. Kazhinji, physiotherapy inovavarira:
1. Kuvandudza hunyanzvi hwekufamba kwemuviri hwakadai sekukunguruka, kukambaira, kugara, kumira, kufamba, kukwira nekudzika masitepisi, uye kumhanya.
2. Kuvandudza chimiro chemuviri uye kudzora muviri kuitira kuti vana vakwanise kuchengetedza chimiro chakasimba uye chinoshanda zvakanaka.
3. Kuvandudza kuenzana uye kubatana kuitira kuti vana vagare vakachengeteka pavanenge vachifamba uye vave nechivimbo pavanenge vachitamba.
4. Dzivirira matambudziko echipiri akadai sekuomarara kwemajoini (contracture), kuremara kwemuviri, kurwadziwa, uye kushaya simba nekuda kwekushaya simba.
5. Kugadzirisa kuzvimiririra mumabasa ezuva nezuva, semuenzaniso kuchinja nzvimbo, kufamba uchienda kuchimbuzi, kana kugara pachigaro chechikoro.
6. Dzidzisai mhuri kuitira kuti maekisesaizi agone kuitwa nguva dzose kumba, uye kuti vabereki vanzwisise mabatiro evana zvakachengeteka.
Zvakakosha kunzwisisa kuti kufambira mberi kwevana vane hurema hwekukura kunowanzo itika zvishoma nezvishoma. Kubudirira kwekurapa hakuonekwi nguva dzose nekuti mafambiro emwana "akajairika," asi nekuvandudzika kunooneka mukushanda uye kugona kwake kutora chikamu muhupenyu hwezuva nezuva.
Maitiro Ekuongorora: Hwaro hweChirongwa Chekurapwa
Asati atanga chirongwa chekurapa muviri, chiremba wemuviri achaita ongororo yakakwana. Ongororo iyi inowanzo sanganisira nhoroondo yekuzvitakura nekuzvarwa, kukura kwemuviri, maitiro ekuita, kudya nekurara, nhoroondo yezvekurapa, uye chichemo chikuru chemubereki. Kuongorora muviri kunogona kusanganisira:
– Tsandanyama (dzakaoma zvakanyanya/dzinopfungaira, dzisina simba zvakanyanya/dzinodzikisa simba, kana kuti dzinochinja-chinja)
- Kufamba kwakabatana uye kuchinjika
- Simba remhasuru uye kutsungirira
- Kuenzana uye kubatana
- Maitiro ekufamba-famba anoshanda (kugara-kumira, kufamba, kusvetuka)
- Mhinduro dzekunzwa (semuenzaniso kunzwa kubatwa kana kufamba)
- Kuyera budiriro uchishandisa maturusi ekuyera chaiwo kana zvichidikanwa
Zvichibva pamhedzisiro iyi, chiremba wekurovedza muviri anovaka zvinangwa zvenguva pfupi nerefu uye obva agadzira chirongwa chekurovedza muviri chinogoneka uye chinoyerwa. Chirongwa chekurapa chinotarisawo nharaunda yemwana, zvakaita sekuti mwana anoenda kuchikoro here, kana paine mukana wekuwana nzvimbo dzakachengeteka dzekutambira, uye rutsigiro rwemhuri.
Nzira neNzira Dzinowanzo shandiswa dzePhysiotherapy
Kurapa nemuviri kwezvirwere zvekukura kunoitwa nemunhu mumwe nemumwe uye kazhinji kunoshandisa nzira dzakasiyana-siyana. Dzimwe nzira dzakajairika dzinosanganisira:
1. Kurovedza muviri
Maekisesaizi akagadzirirwa kuvandudza simba, kugadzikana kwemukati, kuchinjika, uye kutsungirira. Maekisesaizi ekusimbisa uye kudzikamisa ndiwo anowanzo tariswa nevana vane hypotonia. Kune vana vane spasticity, maekisesaizi anogona kusimbisa kutambanudza, kudzora mafambiro, uye nzvimbo dzinoderedza kuomarara.
2. Kudzidziswa kwemuviri nemitambo
Kune vana, nzira yakanakisisa inowanzoitwa kuburikidza nekutamba kwakarongeka. Semuenzaniso, kudzidzira kuenzana nekufamba pamutsetse, kudzidzira kubatanidza zvinhu nekukanda nekubata bhora, kana kudzidzira hunyanzvi hwekukwira masitepisi nematanho ekupingirisha. Mabasa aya anoita kuti vana varambe vachikurudzirwa uye havanzwe sekunge vari "kurapwa."
3. Kuenzanisa uye kubatanidza mabasa
Vana vane DCD kana kuti vane mafambiro ekunonoka kwemuviri vanowanzoomerwa nekushanda pamwe chete, kuronga mashandiro emuviri, uye dynamic balance. Kurovedza muviri kunogona kusanganisira kumira negumbo rimwe, kusvetuka panzvimbo, mitambo yebhora, kana mabasa anoda shanduko munzira.
4. Kupindira mukuvandudzwa kwetsinga dzeuropi
Mune zvimwe zviitiko, zvakaita se cerebral palsy, vanachiremba ve physiotherapists vanogona kushandisa misimboti yekukura kwetsinga kuti vabatsire kufamba zvakanaka, kuderedza kusimba kwemuviri, uye kuvandudza kudzora chimiro chemuviri.
5. Kudzidziswa kufamba netsoka
Kana mwana aine dambudziko rekufamba, physiotherapy inogona kubatsira kuvandudza kufamba, nzvimbo yetsoka, uye kurongeka kwemuviri. Zvishandiso zvekubatsira zvakaita sekufamba netsoka, madondoro, kana maorthoses (semuenzaniso, maorthoses etsoka netsoka) zvinogona kukurudzirwa sezvinodiwa kuti zvivandudze kugadzikana uye kudzivirira kuremara.
6. Kutarisira spasticity uye kudzivirira marwadzo ekuvharika kwechibereko
Muvana vane tsandanyama dzakaoma, physiotherapy inogona kusanganisira kutambanudza majoini zvakananga, kuisa maekisesaizi panzvimbo imwe chete, kurovedza muviri kwekufamba-famba, uye kudzidzisa majoini kufambisa majoini kana zvichidikanwa. Chinangwa ndechekuchengetedza kufamba-famba kwemajoini uye kudzivirira kuomarara kunogara kuripo.
7. Kurapa nekushandisa tsinga dzemuviri (kana zvichikodzera)
Vamwe vana vane hurema hwekukura vanosangana nematambudziko ekugadzirisa kunzwa, akadai sekukanganiswa nyore nyore neruzha, kusagadzikana nekubata, kana kutsvaga kunzwa kwekufamba kwakanyanya. Kurapa muviri kunogona kubatsira kuburikidza nemabasa anokurudzira masisitimu evestibular uye eproprioceptive nenzira yakadzorwa, tichifunga nezvekuchengetedzwa kwemwana uye kushivirira.
Basa reMhuri: Kiyi yeKurapa Kunobudirira
Kupindira kwakanakisa kunoitika kwete mukiriniki chete asiwo mukati mezuva nezuva remwana. Nokudaro, vanachiremba vemuviri vanowanzopa chirongwa chekurovedza muviri chiri nyore, chakachengeteka, uye chakarongeka kumba. Vabereki vachadzidziswa maitiro ekusimudza nekufambisa mwana wavo nemazvo, maitiro ekuita kutambanudza muviri zvishoma, uye maitiro ekugadzira nzvimbo inokurudzira kufamba-famba.
Pamusoro pekudzidzira, mhuri inoitawo basa mukuvaka chido chemwana. Kurumbidzwa kwakakodzera, purogiramu yenguva dzose, uye mitambo inonakidza zvinogona kuita kuti kudzidzira kunakidze. Kufambira mberi kudiki—sekukwanisa kwemwana kugara kwenguva yakareba kana kufamba zvakadzikama—kunofanira kukosheswa sezvo kuri chikamu chebasa refu.
Kushandira pamwe kwezvikoro zvakasiyana-siyana uye dzidzo inoenderera mberi
Varwere vane hurema hwekukura vanowanzoda rubatsiro kubva kunyanzvi dzakasiyana-siyana, kusanganisira vanachiremba vevana, vanachiremba vekugadzirisa chirwere, vanachiremba vezvemabasa, vanachiremba vekutaura, vanachiremba vepfungwa, uye vabatsiri vevadzidzisi. Kurapa nemuviri ndeimwe yenzira dzakakosha, asi mhedzisiro yakanaka inowanzo kuwanikwa kuburikidza nekushandira pamwe.
Kutaurirana kwevashandi pamwe chete kwakakosha pakugadzirisa zvinangwa, semuenzaniso, kana mwana achida michina yekurapa, kurapwa kwakanangana, kana kugadziriswa kwezviitiko zvechikoro. Kuenderera mberi nedzidzo kwakakoshawo nekuti zvinodiwa nemwana zvinochinja sezvaanokura: matambudziko evana vadiki anogona kusiyana neaya ekupinda chikoro.
Mhedziso
Kurapa kwemuviri kwevarwere vane hurema hwekukura kunoita basa guru mukubatsira vana kusvika pakushanda kwavo. Nekuongororwa kwakakodzera, hurongwa hwekurapa hwakarongwa, uye nzira yekurovedza muviri yakavakirwa pakuita mabasa nekutamba, physiotherapy inogona kuvandudza hunyanzvi hwekufamba kwemuviri, chimiro, kuenzana, uye kuzvimiririra. Kubudirira kwekurapa kunopesvedzerwa zvikuru nekurovedza muviri nguva dzose, rutsigiro rwemhuri, uye kushanda pamwe chete kwechikwata chevanhu vakawanda. Kune vana vane hurema hwekukura, danho rega rega rekuenda kuhupenyu hwakazvimiririra, hwakachengeteka, uye hwakabatikana idanho rakakosha.
Kana muchida, ndinogona kugadzirisa chinyorwa chino kuti chienderane nedambudziko rimwe chete (semuenzaniso, cerebral palsy, Down syndrome, DCD, kana ASD), kana kuwedzera mienzaniso yezvirongwa zvekurovedza muviri kumba zvinoenderana nezera remwana wenyu.
