Boikoetliso ba Physiotherapy bakeng sa Bakuli ba Lefu la Addison
Lefu la Addison, kapa ho se sebetse hantle ha adrenal ka botlalo, ke boemo boo ho bona litšoelesa tsa adrenal li sa hlahiseng lihormone tse lekaneng, haholo-holo cortisol le aldosterone. Khaello ena ea hormone e ka ama matla, khatello ea mali, matla a mesifa, mamello ea boikoetliso ba 'mele, le bokhoni ba' mele ba ho ikamahanya le khatello ea maikutlo. Batho ba bangata ba nang le lefu la Addison ba ba le mokhathala, ho tsekela ha ba eme (orthostatic hypotension), bohloko ba mesifa, ho theola boima ba 'mele le ho fokotseha ha mamello. Mona ke moo phekolo ea 'mele e kenang teng: ho thusa 'mele ho tsamaea ka katleho, ho eketsa bokhoni ba ho sebetsa, ho matlafatsa mesifa le ho fokotsa kotsi ea ho oa ntle le ho baka mokhathala o feteletseng.
Sengoloa sena se tšohla melao-motheo ea boikoetliso ba 'mele bo sireletsehileng le bo sebetsang bakeng sa batho ba nang le lefu la Addison, ho kenyeletsoa le mehlala ea mananeo a boikoetliso a ikhethileng. Leha ho le joalo, ho bohlokoa ho hopola hore boemo ba mokuli e mong le e mong bo ikhetha, kahoo boikoetliso bo lokela ho ntlafatsoa ka tšebelisano-'moho le ngaka le setsebi sa 'mele, haholo-holo haeba ho na le mafu a mang a kang lefu la tsoekere, mathata a thyroid, lefu la pelo, kapa mathata a manonyeletso.
Ke Hobane'ng ha Physiotherapy e le ea Bohlokoa Lefung la Addison?
Ho hloka cortisol ho ka thatafalletsa 'mele ho boloka matla nakong ea boikoetliso, ha ho haella ha aldosterone ho ama botsitso ba metsi le electrolyte. Ka lebaka leo, batho ba nang le lefu la Addison ba ka ba le mokhathala, bofokoli le ho theoha ha khatello ea mali. Boemo bona bo ka lebisa ho fokotseng mosebetsi, bofokoli ba mesifa, ho fokotseha ha boikoetliso le matšoao a mpefalang.
Mekhoa ea physiotherapy e hlophisitsoeng hantle e ka fana ka melemo e latelang:
1. Eketsa mamello butle-butle ntle le ho feta bokgoni ba mmele.
2. Matlafatsa mesifa e meholo (maoto, pelvis, mokokotlo le karolo e ka hare) ho tšehetsa mesebetsi ea letsatsi le letsatsi.
3. E ntlafatsa tekano le tšebelisano-'moho, ka hona e fokotsa kotsi ea ho oa, haholo-holo haeba u atisa ho ikutloa u ferekane ha u eme.
4. Ntlafatsa ho tenyetseha le boemo ba mmele ho fokotsa bohloko ba mesifa le kgatello ya maikutlo.
5. Ruta taolo ea matla (lebelo) e le hore bakuli ba ka ba mafolofolo haholoanyane ka linako tsohle.
Melao-motheo e Akaretsang ea Boikoetliso bo Sireletsehileng
Kaha batho ba nang le bothata ba Addison ba sekametse mokhathaleng le liphetohong tsa khatello ea mali, boikoetliso bo lokela ho latela molao-motheo oa "ho lieha le ho tsitsa." Litataiso tse ling tse tloaelehileng li kenyelletsa:
1. Qala ka matla a tlase 'me u eketse butle-butle.
Sebelisa tekanyetso e bonolo joalo ka Tekanyetso ea Boitlamo bo Lemohuoang (RPE) kapa sekala sa "ho ikutloa eka ke boiteko". Sebaka se sireletsehileng sa ho qala hangata ke bobebe-bo itekanetseng: o ntse o ka bua nakong ea boikoetliso ntle le ho felloa ke moea.
2. Beha botsitso pele, eseng ho qobella nako
Ho molemo ho etsa boikoetliso bo bokhutšoanyane ba metsotso e 10-20 empa khafetsa, ho e-na le boikoetliso bo bolelele empa bo baka "ho theoha" matsatsi a 'maloa hamorao.
3. Ela hloko khatello e tlase ea mali e sa fetoheng 'meleng (orthostatic hypotension)
Haeba o atisa ho ikutloa o tsekela ha o eme:
– Futhumatsa nako e telele.
– Qoba diphetoho tse tshohanyetso tsa boemo ho tloha ho robale fatshe ho isa ho emeng.
– Ho bolokehile ho qala ka boikoetliso ba ho dula/ho robala, ebe o fetela ho emeng.
4. Ela hloko ho noa metsi le letsoai ho latela keletso ea ngaka ea hau.
Batho ba bang ba nang le lefu la Addison ba hloka tlhokomelo e khethehileng ho metsi le sodium. Hobane boikoetliso bo eketsa tahlehelo ea metsi ka ho fufuleloa, buisana le ngaka ea hau mabapi le litlhoko tsa hau tsa metsi le electrolyte.
5. Ema haeba matšoao a kotsi a hlaha
Khaotsa ho ikoetlisa 'me u batle thuso ea bongaka haeba:
– ho tsekela ho matla, ho batla ho akheha
- ho nyekeloa ke pelo ho matla, ho hlatsa, bofokoli bo feteletseng
– bohloko ba sefuba, ho hema ka thata
– pherekano, mofufutso o batang, kapa matšoao a bontšang bothata ba adrenal
Likarolo tsa Boikoetliso ba Physiotherapy
Lenaneo le letle la boikoetliso hangata le kenyelletsa likarolo tse 'ne: boikoetliso ba aerobic, ho matlafatsa, ho tenyetseha le koetliso ea teka-tekano. Tlhaloso ke ena.
A. Boikoetliso ba Aerobic e bobebe le e itekanetseng (Cardio)
Sepheo sa boikoetliso ba aerobic ke ho ntlafatsa bokgoni ba pelo le matšoafo le matla a letsatsi le letsatsi. Dikgetho tseo hangata di leng bonolo bakeng sa batho ba nang le lefu la Addison di kenyeletsa:
- ho itsamaela ka boiketlo
– baesekele e sa sisinyeheng
– sesa butle (ela hloko mocheso 'me u se ke ua tsamaea u le mong haeba u ka ba le moferefere habonolo)
- treadmill ka lebelo le tlase
Tlhahiso ea pele: makhetlo a 3-5 ka beke, metsotso e 10-20 thutong ka 'ngoe.
Tswelopele: Eketsa nako ka metsotso e 2-5 ka beke ha mmele wa hao o ntse o e mamella, ho fihlela metsotsong e 30. Boloka matla a le bobebe–a itekanetseng.
B. Boikoetliso ba ho Matlafatsa Mesifa
Ho matlafatsa ho bohlokoa bakeng sa ho sebetsana le bofokoli le ho boloka mosebetsi oa manonyeletso. Tsepamisa maikutlo mesifang e meholo: lirope, li-glutes, mokokotlo, mahetla le karolo e ka hare ea 'mele.
Mehlala ea boikoetliso bo sireletsehileng ba ho matlafatsa 'mele:
1. Lula ho tloha ho eme ho ea ho eme (ho tloha ho lula ho ea ho eme) – lisete tse 2–3 × makhetlo a 6–10 a pheta-phetoang
2. Li-push-up tsa leboteng (li-push-up leboteng) – lisete tse 2–3 × makhetlo a 8–12 a pheta-phetoang
3. Borokho ba Glute (ho phahamisa letheka le robetseng) – disete tse 2–3 × diphetoho tse 8–12
4. Mola o lutseng ka lebanta la ho hanyetsa - disete tse 2–3 × makhetlo a 8–12
5. Ho phahamisa namane (ho phahamisa serethe) – disete tse 2–3 × 10–15 reps, e ka tshwara
Molao-motheo oa bohlokoa: phomola nako e telele lipakeng tsa lisete haeba ho hlokahala (metsotsoana e 60-120), 'me u emise pele u "khathala" ka botlalo. Koetliso e lokela ho etsoa makhetlo a 2-3 ka beke 'me letsatsi la ho hlaphoheloa le lipakeng.
C. Boikoetliso ba ho Tenyetseha le ho Tsamaea
Boikoetliso ba ho tenyetseha bo thusa ho fokotsa ho satalla, ho ntlafatsa boemo ba 'mele, le ho etsa hore motsamao o sebetse hantle haholoanyane. E etse ka mor'a ho iphuthumatsa kapa ka mor'a boikoetliso ba hau bo boholo.
Contoh:
– ho otlolla manamane, lirope tsa mesifa, li-flexor tsa letheka, sefuba le mahetla
– ho tsamaya ha lesapo la mokokotlo (katse-khomo) ha le phutholohile
- ho otlolla molala o bobebe ho fokotsa kgatello
Tšoara ho otlolla mesifa metsotsoana e 15-30, pheta makhetlo a 2-3 ka mesifa, matsatsi a 3-5 ka beke.
D. Koetliso ea Tekanyo le Thibelo ea ho oa
Haeba o tsekela kapa mmele wa hao o ikutlwa o "tetebela," boikoetliso ba ho leka-lekanya mmele bo molemo haholo.
Contoh:
– ho ema ka lehlakore le le leng (ho ema leoto le leng ka pela le leng) metsotsoana e 20–30
– Ho ema ka leoto le le leng ka ho tshwara hanyane metsotsoana e 10–20 ka lehlakore
– ho fetola boima ba mmele (ho tsamaisa boima ka ho le letona ho tloha ka ho le letshehadi) ha o ntse o itshwareletse
– itloaetse ho tsoha ho tloha ha u lutse butle 'me u tsitsise' mele pele u tsamaea
E etse makhetlo a 3-5 ka beke, nako eohle ke metsotso e 5-10.
Mohlala oa Lenaneo la Boikoetliso la Beke e le 'Ngoe (Moqali)
Letsatsi la 1: Ho tsamaea metsotso e 15 + ho otlolla metsotso e 10
Letsatsi la 2: Ho matlafatsa (ho dula ho fihlela o eme, ho sutumelletsa leboteng, borokho ba glute, mola wa band) kakaretso ya metsotso e 20-25
Letsatsi la 3: Metsotso e 10 ea ho ikoetlisa ka ho leka-lekanya + metsotso e 10 ea ho tsamaea ka maoto
Letsatsi la 4: Phomolo e mafolofolo (ho tsamaea hanyane, ho otlolla) metsotso e 15
Letsatsi la 5: Metsotso e 20 ho tsamaea ka maoto/ho palama baesekele ho sa sisinyeheng + metsotso e 10 ho otlolla maoto
Letsatsi la 6: Matlafatso (phetoho ea boikoetliso ba letsatsi la 2) metsotso e 20-25 + tekano e khutšoanyane
Letsatsi la 7: Phomola kapa yoga e bobebe/otlolla metsotso e 15-20
Lenaneo lena le ka fetoloa: haeba o khathala habonolo, fokotsa nako; haeba o phetse hantle, eketsa butle-butle nako ea aerobic kapa ho pheta-pheta.
Leano la Taolo ea Matla (Ho Lekanya Nako)
Batho ba bangata ba nang le lefu la Addison ba ikutloa ba "phetse hantle" ka letsatsi le leng ebe ba hlaheloa ke kotsi ka le latelang. Ho tsamaea butle ho thusa ho qoba mokhoa ona:
– Arola mosebetsi ka likarolo tse 'maloa tse khutšoanyane.
– Kenya khefu e reriloeng, u se ke ua emela ho fihlela u khathetse.
– Rekota likarabo tsa 'mele oa hau (matla, ho tsekela, ho otla ha pelo, boleng ba boroko) ho bona mekhoa.
– Khetha nako ea ho ikoetlisa eo matla a hao a leng boemong bo tsitsitseng (mohlala, hoseng kapa thapama ho latela mekhoa ea hao le kemiso ea meriana).
Karolo ea Lingaka tsa 'Mele le Tšebelisano-'moho ea Bongaka
Lingaka tsa 'mele li ka hlahloba:
- matla a mesifa le boemo ba 'mele
– bokgoni ba ho sebetsa (mohlala, teko ya ho dula ka ho ema)
– kotsi ea ho oa le mathata a ho leka-lekanya
– karabelo ea khatello ea mali liphetohong tsa boemo
Ho latela liphetho tsena, setsebi sa 'mele se tla theha lenaneo le sireletsehileng le moralo oa tsoelo-pele. Tšebelisano-'moho le ngaka ke ea bohlokoa, haholo-holo mabapi le liphetoho tsa meriana, metsi le taolo ea khatello ea maikutlo 'meleng (mohlala, nakong ea bokuli, feberu, kapa leeto).
Qetello
Boikoetliso ba 'mele bakeng sa batho ba nang le lefu la Addison ha bo mabapi le boikoetliso bo boima, empa bo mabapi le ho haha boikoetliso butle-butle le ka mokhoa o sireletsehileng. Ka motsoako oa boikoetliso bo bobebe ho isa ho bo itekanetseng ba aerobic, ho matlafatsa mesifa, ho tenyetseha le ho leka-lekana, batho ba nang le lefu la Addison ba ka ntlafatsa matla, ba fokotsa kotsi ea ho oa, 'me ba etsa mesebetsi ea letsatsi le letsatsi ka kholiseho e kholoanyane. Linotlolo tsa katleho ke ho tsitsisa, tsoelo-pele butle-butle, le ho mamela matšoao a 'mele ea bona. Bakeng sa liphetho tse ntle ka ho fetisisa, etsa boikoetliso tlas'a tataiso ea setsebi sa 'mele' me u tsoele pele ho latela litlhahiso tsa bongaka mabapi le meriana le mokhoa oa bophelo.
Haeba o rata, nka etsa moralo o qaqileng haholoanyane oa koetliso ea libeke tse 4 (nako, li-sete-reps, tsoelo-pele), e etselitsoeng lilemo tsa hau, boemo ba boikoetliso le matšoao.
