Kukosha Kwekutanga Kuongorora Mukurapa Kwemuviri
Kuongororwa kwekutanga ndiko hwaro hwekurapa kwemuviri. Chirongwa chekurovedza muviri chisati chatangwa, nzira yekurovedza muviri inoshandiswa, kana zvinangwa zvekupora zvasimbiswa, chiremba wemuviri anofanira kunzwisisa mamiriro emurwere zvakakwana. Kuongororwa kwekutanga hakusi kungoitwa kwekutonga chete, asi inzira yekurapa inosarudza kwaanofanira kupindira: dambudziko riripo, zvikonzero zvingangove zvakaita sei, kuoma kwekukuvara, uye chero zvinhu zvinogona kukurumidzisa kana kukanganisa kupora. Pasina kuongororwa kwakakodzera, kurapwa kunogona kusava nemhedzisiro, kutora nguva, kudhura, uye kutokonzera kukuvara kutsva.
Chii chinorehwa nekuongorora kwekutanga?
Kuongororwa kwekutanga mu physiotherapy kunotevedzana kwekuongorora uye kuunganidzwa kwedata rekiriniki kuti kuone mamiriro emurwere panguva yekushanya kwekutanga. Maitiro aya anowanzo sanganisira kubvunzurudzwa (kutora nhoroondo), kutarisa, kuongororwa kwemuviri, kuongororwa kwebasa, kuongororwa kwezvirwere zvakakomba (zviratidzo zvinokatyamadza), kuona dambudziko rekuongorora physiotherapy/kufamba, uye kugadzira hurongwa hwekupindira uye zvinangwa zvekurapa. Mhedzisiro yekuongorora inoshanda se "gwara" renyanzvi ye physiotherapist nemurwere panguva yese yekurapa.
Mukuita, kuongororwa kwekutanga hakungotaridzi chete chichemo chikuru, senge kurwadziwa kwemusana kana kuoma kwekufamba, asiwo kunotarisa kukanganisa kwacho pamabasa ezuva nezuva. Izvi zvinoita kuti physiotherapy ive nemusoro nekuti inotarisa pakushanda kwemuviri, kwete zviratidzo chete.
Kuziva matambudziko makuru nezvikonzero zvikuru
Kunyunyuta kwemurwere kunowanzova "mugumo wedambudziko guru." Semuenzaniso, kurwadziwa kwebvi hakurevi nguva dzose kuti ibvi rine dambudziko; kungave kushaya simba kwetsandanyama dzechiuno, kusagona kudzora kufamba zvakanaka, kana kufamba zvisina kunaka. Ongororo yekutanga inobatsira chiremba wezvemuviri kusiyanisa zviratidzo nezvinhu zvinokonzera.
Nekuyera simba retsandanyama, kuchinjika, kuenzana, kudzora tsandanyama dzetsinga, uye maitiro ekufamba, vanachiremba ve physiotherapists vanogona kugadzira fungidziro yekiriniki: nei kunyunyuta kuri kuitika, mafambiro api ari kukonzera, uye shanduko dzipi dzinodiwa. Izvi ndizvo zvinoita kuti chirongwa chekurapa chive chakananga uye chinoshanda, pane kungova "maekisesaizi akajairika" angasakodzera munhu wese.
Kusarudza zvinhu zvinonyanya kukosha pakurapa zvakachengeteka (kuongorora njodzi)
Chimwe chezvinhu zvinonyanya kukosha pakuongororwa kwekutanga kuchengetedzeka kwemurwere. Vanachiremba vemuviri vanofanirwa kuongorora zviratidzo zvinoratidza chirwere chakakomba chinoda kutumirwa nekukurumidza. Semuenzaniso, kurwadziwa kwemusana pamwe chete nekudzikira kwehuremu zvakanyanya, fivha, nhoroondo yekenza, kusagadzikana kwekutonga weti, kana kusanzwa kunzwa zviri nani zvinogona kuratidza chirwere chinoda kurapwa nekukurumidza.
Pamusoro pezvirambidzo, ongororo iyi inotarisawo zvirwere zvakaita sechirwere cheshuga, BP, chirwere chemwoyo, osteoporosis, kana nhoroondo yekuvhiyiwa. Ruzivo urwu runoratidza miganhu yekurovedza muviri kwakachengeteka, simba rekupindira, uye nzira dzinofanira kushandiswa kana kusashandiswa. Kurapa kwakachengeteka ndekunorongwa neruzivo rwakakwana.
Gadzira zvinangwa zvakajeka uye zvinoyerwa
Kushanda kwemuviri kunoshanda nguva dzose kune zvinangwa zvakananga uye zvinoyerwa. Ongororo yekutanga inopa hwaro hwekutanga hunodiwa pakuisa zvinangwa. Semuenzaniso:
- Kufamba kwegumbo: kubva pamadhigirii 90 kusvika pamadhigirii 120
- Chiyero chekurwadziwa: kubva 7/10 kusvika 3/10 mumavhiki maviri
- Nguva yekumira negumbo rimwe: kubva pamasekonzi mashanu kusvika kumasekonzi makumi maviri
- Kufamba netsoka: kubva pamamita zana kusvika pamamita mazana mashanu pasina kumira
- Mapoinzi ekushanda (semuenzaniso ODI yekurwadziwa kwemusana kana WOMAC yebvi) akaderera muhuwandu hwekuremara
Zvinangwa zvakajeka zvinobatsira varwere kunzwisisa divi rekurapa uye kukurudzira kugara kwenguva refu. Kune nyanzvi yekurapa muviri, zvinangwa zvinoshanda sechishandiso chekuongorora: kana kupindira kwacho kuchibudirira, kuchida kugadziriswa, kana kuti kuchida nzira yakasiyana.
Gadzira hurongwa hwekupindira hwemunhu mumwe nemumwe
Hapana varwere vaviri vakafanana chaizvo. Semuenzaniso, vanhu vaviri vanoonekwa vaine sitiroko vanogona kunge vaine mazinga akasiyana ekushaya simba, matambudziko ekuenzanisa, matambudziko ekutaura, uye rutsigiro rwemhuri. Ongororo yekutanga inobvumira chiremba wemuviri kugadzira chirongwa chega chega zvichienderana nezvinodiwa nemurwere nemamiriro ake ezvinhu.
Zvirongwa zvekupindira zvinogona kusanganisira kusimbisa maekisesaizi, kudzidzisa kuchinjika, kudzidzisa kuenzana, kurovedza muviri, kudzidzisa ergonomics, kurovedza muviri kufema, uye kushandisa zvishandiso zvinobatsira. Kusimba, kuwanda, uye kufambira mberi kweekisesaizi kunofanirwa kugadziriswa zvichienderana nekugona kwemurwere kwekutanga. Zvichibva pakuongororwa kwakakodzera, chiremba wephysiotherapist anogona kugadzira kufambira mberi zvishoma nezvishoma kuti awane mhedzisiro yakanaka pasina njodzi yakawanda.
Kuyera kufambira mberi nenzira yakatwasuka
Ongororo yekutanga inoshanda senzvimbo yekutanga yekuongorora nguva dzose. Pasina data rekutanga, zvakaoma kuona kana murwere ari kuvandudzika zvechokwadi. Ongororo dzechinangwa dzakadai sekuyera mafambiro akasiyana-siyana, simba retsandanyama, bvunzo dzekuenzanisa, bvunzo dzekufamba, kana mibvunzo yemhando yehupenyu inobvumira kuteverwa kunooneka kwekufambira mberi kwemurwere.
Kune varwere, ruzivo rwakajeka runobatsira kuwedzera chivimbo mukurapa nekuti vanogona kuona humbowo hwekufambira mberi, kwete kungonzwa "zviri nani zvishoma." Kune vanachiremba ve physiotherapists, ruzivo urwu runotsigira kuita sarudzo dzekiriniki, kusanganisira nguva yekuwedzera simba rekurovedza muviri, nguva yekuderedza simba, kana kana murwere agadzirira kusunungurwa kubva muchirongwa chekurapa.
Kuvandudza kutaurirana uye kushanda pamwe chete nevarwere
Kuongororwa kwekutanga inguva yakakoshawo yekusimbisa hukama hwekurapa. Panguva ino, chiremba wemuviri anoongorora zvinotarisirwa nemurwere, mabasa akakosha kwaari, uye zvinomunetsa. Semuenzaniso, kune vashandi vemuhofisi, chinangwa chikuru chingave chekudzokera pakugara kwenguva refu pasina kurwadziwa. Kune vatambi, chinangwa chingave chekudzokera kukudzidzira pakushanda zvizere. Kune vakuru, zvinangwa zvingave zvekudzivirira kudonha uye kuchengetedza kuzvimiririra.
Kutaurirana kwakanaka kunobatsira varwere kunzwa kuti vanonzwiwa uye vanonzwisiswa. Izvi zvinokanganisa zvikuru kutevedzera kurapwa, kusanganisira kutevedzera maekisesaizi ekumba. Uyezve, kudzidziswa kwekutanga nezvechirwere, maitiro ekutarisira kupora, uye zvekuita nekuita zvichaderedza kuzvidya mwoyo uye kudzivirira zviito zvinogona kuwedzera kukuvara.
Zvinyorwa uye hunyanzvi
Mukurapa, magwaro chinhu chakakosha chehunyanzvi. Ongororo yekutanga yakanyorwa zvakanaka inobatsira kuti kurapwa kurambe kuripo, kunyanya kana murwere achirapwa nevanorapa muviri vanopfuura mumwe chete kana kuti achida kubatsirwa nachiremba, mukoti, kana nyanzvi yezvekudya. Zvinyorwa zvekuongorora zvinobatsira kutsanangura zvikonzero zvekusarudzwa kwemishonga, kutarisa mhinduro yekurapa, uye kupa humbowo hwekiriniki kana zvichidikanwa pakutarisira kana kuti painishuwarenzi.
Zvinyorwa zvakanaka zvinotsigirawo maitiro akavakirwa pauchapupu, sezvo vanachiremba vemuviri vachigona kuenzanisa mhedzisiro uye kunatsiridza nzira dzekurapa zvichibva padata.
Mienzaniso yezvikamu zvakajairika muongororo dzekutanga
Kunyangwe zvichigona kusiyana zvichienderana nenyaya yacho, kuongororwa kwekutanga kwe physiotherapy kunowanzo sanganisira:
1. Kuongororwa kwezvirwere: kunyunyuta kukuru, nhoroondo yekukuvara/kurwara, zvinhu zvinokonzera chirwere, mishonga yawakashandisa, maitiro ekuita zvinhu.
2. Kuongororwa kwezviratidzo zvekurwara: zviratidzo zvezvirwere zvakakomba zvinoda kutumirwa kuchipatara.
3. Kucherechedza: chimiro chemuviri, maitiro ekufamba, kuzvimba, kuchinja kweruvara rweganda, kugadzirisa mafambiro.
4. Kubata pameso nekutarisa nyama: kupfava, tembiricha, kugwinha kwetsandanyama.
5. Kuyera: mafambiro (ROM), simba remhasuru, kureba kwemhasuru, kugadzikana kwemajoini.
6. Miedzo yekushanda: kugwinha-gwinha, kukwira masitepisi, kugara-kumira, bvunzo yekufamba, bvunzo yekuenzanisa.
7. Kuongororwa kwemarwadzo: nzvimbo, kusimba, mhando, kupararira, zvinhu zvinowedzera/kuderedza.
8. Mhedziso dzekiriniki: matambudziko makuru, zvinhu zvinokonzera, zvinhu zvinonyanya kukonzera matambudziko.
9. Chirongwa chekurapa: zvinangwa, nzira dzekupindira, dzidzo, chirongwa chekumba, purogiramu yekutevera.
Mhedziso
Kuongororwa kwekutanga mu physiotherapy idanho rakakosha pakuona kubudirira kwekurapwa. Kuburikidza nekuongorora kwakazara, vanachiremba ve physiotherapists vanogona kuve nechokwadi chekuchengetedzwa kwemurwere, kuona zvikonzero, kuisa zvinangwa zvakajeka, uye kugadzira chirongwa chekurapa chakagadzirirwa munhu mumwe nemumwe uye chinoyerwa. Uyezve, kuongororwa kwekutanga kunovandudza kutaurirana, kunosimbisa chido chemurwere, uye kunopa ruzivo rwakanangana nekutarisa kufambira mberi. Pakupedzisira, physiotherapy inotanga nekuongorora kwekutanga kwakanaka ichave inoshanda zvakanyanya, inoshanda, uye yakanangana nekudzoreredza mashandiro uye kuvandudza hupenyu hwemurwere.
