Unyango Physical emva ngesibetho; iseti olulandelenayo ekhaya

Stroke - an sifo singanyangekiyo ochaphazela isakhiwo ingqondo yomntu, aze ke yanyhashwa. Le ngezifo kukhokelela ukusilela imisebenzi eyahlukeneyo lomzimba soze zinto azithathelwa ngqalelo. Ukubuyiselwa impilo kwixesha kwisimo, ukongeza kunyango ngamachiza, igalelo umthambo rhoqo, ngokungqongqo taxis kunye ngabanye nezifanele. Kweli nqaku izixhobo umfundi uya kufumana iimpendulo zemibuzo emininzi. Ngokomzekelo, yintoni na le nto unyango emzimbeni emva istroke? Iseti loqheliso amiselwe ngugqirha, lwenziwa kuphela ngexesha ehleli esibhedlele okanye eqhubekile unyango ekhaya? Ziziphi iindidi zemithwalo esebenzayo kunye isigulo ezinjalo? Kwaye kakhulu ngakumbi.

Yintoni istroke?

Stroke - yinto disorder yayiyazi yegazi kwezakhiwo ingqondo, nto leyo ebonakalisa iimpawu kwenzeka ngesiquphe kwaye nakujoliso olutsha ekwanti okanye isakhiwo wonke ngokubanzi. Le ngezifo ivame ebulalayo. Ngokutsho manani, emva kwemithambo zobuchopho isifo nemithambo Zezomntu izicwangciso zentliziyo oonobangela yesibini ephambili yokufa evela ezimbi ze kwegazi. iqhosha yobuchopho, kunye ukopha ezahlukeneyo ingqondo kwakhona uhlobo kokubetha kwakhe.

Ukuba iimpawu zesi sifo kunokwenzeka ngexesha ukufumana ukuqala unyango ngoko nangoko, isigulana indenzele ithuba apha ebomini. Noko ke, zokugula kwiimeko ezininzi kukhokelela ekuphazanyisweni kwenkqubo kweemoto okanye imisebenzi sensory kwento ephilayo, ebangela ngokonakala nokusebenza kwengqondo - intetho kakuhle, inkumbulo, kuqhelaniswa isithuba, ukucinga.

Kuxhomekeke uhlobo icala umntu efunyaniswe ene, isigulana ezahlukeneyo kunye amathuba sokubuyisela kunye nokuqhubekeka ubomi ngokupheleleyo. Ngoko ke, ukufa kwamalungu kobuchopho, apho i-75-80% izifo kubume, kulula ukuba kunyango. Ngenxeba sophele zibi ngakumbi kwaye baphathwe nzima kakhulu ngakumbi.

Kutheni Kufuneka I kwimeko yesiqhelo?

Unyango kwizigulane owayefumene isifo efanayo yinkqubo entsonkothileyo eliquka izigaba ezininzi kwaye ifuna umonde ngobuchule. Therapy luqala bazamile apho unyango isigulane wenziwe ngqo, ngokuvumela kusinda. iingcali Ezinye esibhedlele luvo bekwi ekubuyiselweni iiseli zobuchopho uchaphazelekayo yengqondo yesigulane.

Kufuneka iqondwe into yokuba ifuthe zonyango isiyobisi kuhambe. Noko ke, kukho iindlela ezongezelelweyo ukuba bakhawulezise ukuchacha emva stroke. Ukuzilolonga therapy - omnye wabo.

utshintsho yezifo kubume zobuchopho ayibuyiseki umva - iiseli abafileyo ngaphaya yokulungisa kunye eshotayo luvo kuba ezinye endaweni yazo. Ngethamsanqa, umsebenzi kwengqondo kunye nentshukumo ukuphazamiseka ukuba kuhlangene omnye komnye. Ngenxa yoko, ukufunyanwa kwezakhono yengqondo yomguli nga kwenzeka emva kokubuya kuka umsebenzi lwemoto kwindawo imilenze efe okanye umzimba wonke.

Movement kuthintela ngxi igazi emzimbeni kwaye ibuyisela kofe memory kwezihlunu, kwaye senza umsebenzi kwezinye luvo ukuba azichaphazeleki ziinkqubo zophendlo lwezifo. umsebenzi iziqu iza kuba negalelo ukubuyiselwa nokusebenza kwengqondo. Ngoko ke kubaluleke kakhulu emva osenyameni yomguli esibhedlele ukuqalisa ukwenziwa ngoko nangoko imiceli olulandelenayo ijolise ekuphuculeni imo kumzimba xa uwonke.

Umphumo eyahlukahlukeneyo

Njengokuba bekutshiwo ngaphambili, isicwangciso sonyango kwisimo kufuneka iphunyezwe ngokuthe ngcembe, ngokuthe ngcembe yaye azimiseleyo. Oku kuthetha ukuba kude kube mzuzu yokufikelela oyifunayo kuya kuthatha ixesha, kufuneka umnqweno nengqeqesho phezu inxalenye kumguli zizalamane okanye ngabantu abagcina abantwana. Ngelo isanda esibhedlele exercise and ekukhathaleleni ziingcali zonyango. zonyango okubuyisela ezifana yokuthanjiswa kwaye ukukhanya umsebenzi ngokwasemzimbeni, baqale phantse ukususela kusuku lokuqala emva kokuqala kwekhefu lokugula. unyango Physical kunye umthambo emva ngesibetho;

• ukukhusela ulusu ukusuka kukuvela izilonda koxinzelelo, ingakumbi imilenze - kwindawo isithende, apho kukho khona qha mkhulu kunye esililini, kwaye umzimba phantsi ubunzima obungakumbi;
• kunciphise kwezihlunu kunye ombane eqhelekileyo, oko kuvela ngenxa ukushwabana ngesibetho; ngexesha ngcembe sidlula hyperexcitability;
• ukuphucula izixwexwe microcirculation ngokuthe abuyisele nokuhamba kwegazi eqhelekileyo;
• ukunceda Uhlaziye iintshukumo ezifihlakeleyo ezandleni eziphelweni langaphezulu yonke;
• kwisiqalo kokubetha zingenzeka contracture - nomqathango intshukumo kunye yokuqaqadeka imisipha overexertion rhoqo. Ukuzilolonga ukuqinisekisa nokuthintela le meko.

ukuqala phi?

Ngomhla umbuzo kuthatha ixesha elingakanani, awukwazi ukuphendula ukubuyiselwa kwenxenye imisebenzi ezilahlekileyo umzimba kwixesha posleinsultny ngokucacileyo.

konke kuxhomekeke kudidi sifo, ubungakanani sisilonda esidumbileyoesingaphakathi kunye nendawo kwiziseko ebuchotsheni, kwakunye ixesha elidluleyo kuba iimpawu zesi sifo kwilungiselelo lezonyango. Ngako oko, i ngakumbi kwezi zalathisi, kubi lo abane. Kuyo nayiphi na imeko ayikwazi angadimazeki aze anikezele, kufuneka ukulwela ubomi kunye nempilo. Phambi kokuba umkhwetha iinkqubo wobuyiselo, kufuneka udibane nogqirha - iseti olulandelenayo kwimeko nganye iya kwahluka. Umzekelo, ukusebenzisa unyango emva sisithuko kobuchopho lwahlukile imithwalo kuhlobo ukopha leengxaki.

Ekuqaleni, xa kukho ogulayo ukushwabana (ewonke okanye icala elinye) kangangeveki okanye ezimbini kucetyiswa ukuba basebenze izihlunu ngokutshintsha sikhundla. Ukunqanda ngxi igazi kwaye ukuyilwa izilonda uxinzelelo, kucetyiswa ukuba isigulane qho kwiiyure 2-3.

Emva kwexesha elithile ekuqaleni ukuya iintlobo zezenzi kwemithwalo (yokuthanjiswa), ezo kunokwenzeka ngoncedo kubantu besithathu. Injongo yezi zazo na ukunyenyiswa izihlunu ukuzilungiselela ngenxa elandelayo imithwalo (esebenzayo).

Massage kunye nomthwalo eyimpumelelo

Kukho imithetho ethile xa esenza zazo umyalezo. Ukuba siqale kwiziphakamiso setyhula kufuneka ulusu itshiswa nokubonelela igazi kuqukuqela emzimbeni. Imigudu akufuneki ukuba kakhulu, kufuneka ukukhanya kunye nenkqubo ezinqwenelekayo. Massage (imithambo passive) Hand emva ngesibetho lwenziwa ukusuka ezantsi ngasentla - ukusuka kwisihlahla ukuya egxalabeni. Ngako oko iinyawo wayixova ziinyawo esinqeni.

Ngexesha massage bobume umzimba, ingakumbi ngasemva, ezisetyenziswa iintshukumo ngokukhawuleza ngakumbi ukulungisa yokusebenza kunye iitephu. Umphululela ibele, esebenzisa uxinzelelo nokuthantamisa, iintshukumo kwenziwa isangqa ukusuka kwiziko yangaphandle.

Emva kokuba massage unyango kuqala imithwalo kwisixando sokwenziwa. Ezi ziquka flexion eyenye kunye nokwandiswa omzimba - iingalo kunye nemilenze. ukusebenzisa le ndlela ilandelayo. Isigulane ibekwa emqolo, lomzimba lift kwaye uzimisele kwiNdibanisela ukuze xa zisendleleni phezu ukwandiswa phezu kwebhedi. Ngokusebenzisa le mithambo emva umvumbo umzimba iinyawo nezandla, ngokuthe ngcembe buyisela motor memory komzimba. Kungasisalathisi esibalulekileyo sokuba impumelelo kule meko iinkqubo zenkolo - umthambo yenziwa ukuba imizuzu engama-40 kabini ngosuku, ukuqala kwiveki yesibini - kathathu ngemini.

Uqeqesho yengqondo

Njengokuba sele sitshilo, intshukumo yalityatya ngokwamathambo ilawulwa memory kwezihlunu. Ukubuyisela oko kuyimfuneko ekwenzeni lwamihla le imithambo yengqondo. Sincoma scheme elandelayo. Ngexesha umzimba kufuneka uphindaphindwe amaxesha amaninzi ngokuvakalayo qela. Ngokomzekelo, xa ugoba izandla uthini: "Bayalutyeda mna ingalo, Ndiyisusa iminwe yam, etc ...." Ukuba isigulana ngeli nqanaba kunzima ukuba avakalise ilizwi, kuba umele ukuba nabahlobo abasenyongweni. Le ndlela kulungile yokuba eliqeqesha lo izixhobo uyakhala yesigulana. imithambo ngengqondo emva ngesibetho (ekhaya izakwenziwa rhoqo kwaye azimiseleyo) kukhokelela zentsebenzo ukwehla.

Ukutyhubela unyango kufuneka ibe ukudumisa sesigulane naliphi na inyathelo, ngamandla ukukhuthaza imqinisekise ukuba ulungise ukuba umphumo ube mhle le meko. Kudla izigulane unesifo onjalo abafuni ukuba kuphuhle ukomelela ngokwasemzimbeni, amava ukudakumba, musani ukukholwa ngamandla abo. Esi simo sengqondo engalunganga. isimo sengqondo - isitshixo ukuze uphumelele kulo naliphi na ishishini. Kubalulekile ukucacisa ukuba umntu uxhomekeke kuphela kuye ngenxa unyango, yaye akukho namnye ngaphandle ngokwakhe, yena akazange kunceda.

Recovery yokukhuluma

Le ngenxa zestrowuku inokuba kophulwa nje umsebenzi imoto, kodwa yesigulana nentetho engekho mgaqweni. nolo silelo emzimbeni ithatha ixesha elide, ukusuka kwiinyanga ezimbalwa ukuya kwiminyaka emininzi, yaye zifuna ukulungiswa isigxina. Isigulana kufuneka unyamezelo, umnqweno rhoqo ukubuyisa kunye umthambo lwemethodoloji. Awukwazi ukuyeka umsebenzi kuyo nayiphi na imeko, uze kungekudala kuya kukhokelela kunye imeko iyathembisa.

Zesigama izixhobo articular eyenzelwe ukubuyisela umsebenzi ezidakileyo iiseli zemithambo ibekwe kwindawo embindini zentetho. Okokuqala, kwintetho isigulane abuyela eziqhelekileyo, kufuneka usoloko kuva ngayo kwabanye. Ingxaki osapho kunye nakwabo basenyongweni - sithetha rhoqo kwindoda wahlaselwa sistroke, ngoko akwazi ukudlala izandi kwixesha elizayo ngokwabo.

Ukuba silahlekile ngokupheleleyo, kufuneka uqale yokubiza izandi ngamnye, ngoko amalungu, ngoko amazwi, umthamo apho ngokuhamba kwexesha kufuneka iqhubeke ukwandisa. Ngelo xesha lokugqibela, kubalulekile ukufunda isihobe kunye ukubiza athintithisayo ulwimi. iziphumo okulungileyo unyango unika umculo. Isigulana luncedo ukuphulaphula ukucula, kwakunye ukuzama ukucula iingoma - xa ezilula lokuqala, ngoko kakhulu ngakumbi.

ngokuba imithambo kwiCandelo. buyisela memory

Ngenxa stroke kwenzeka ukuphazamiseka ekuhanjisweni imisipha yobuso c Ukuqinisa zabo ezilandelayo. Le nto ikhokelela ekulahlekeni ubuchule umntu ukuba athethe. Ukuqeqesha izixhobo yokuthetha ibandakanya isethi olulandelenayo. Isiguli akufanele:

• tyhala ulwimi phambili kangangoko kunokwenzeka;
• ukucima imilebe ibe tube, amazinyo ayo;
• ulwimi wayimunca umlomo wakhe ekhohlo ukuya ekunene ukusuka ekunene ukuya ekhohlo;
• yaluma imilebe yanjalo eliphezulu nengasezantsi.

Stroke kakuhle inkumbulo, omnye wemisebenzi ibalulekileyo kwimo ukubuyiselwa kwalo hlobo lomsebenzi luvo. Kunye yonyango kweziyobisi, iingcali wenziwe ukulungisa nomonde esebenza kunye okungenisa. Le ndlela iquka i ukuzilolonga ebuchotsheni ngokuthi ubuya amanani, amagama, imibongo.

Ukongeza, nempembelelo entle ekubuyiselweni memory imidlalo ebhodini. indlela Ngokubanzi kaThixo ezisetyenziswa kwimeko yesiqhelo, linika iziphumo ezilungileyo - isigulane kugxila ukwenza iintshukumo kwelinye icala, yaye uyaphazamiseka ubunyani le meko kunye nokusingqongileyo kwelinye icala.

umthwalo esebenzayo

Xa iziphumo zokuqala kunye isigulane lizuza ukuzithemba kunye neziphumo ezifanelekileyo esi sifo, u nga ngcembe ukuya i imisebenzi esebenzayo emzimbeni. Ngeli xesha, njengoko umthetho, isigulana iyakhutshwa, kwaye ukutshintsha kwisibhedlele intle ukuya eludongeni ekhaya kunceda ekuphuculeni imo nokonyusa "umoya ukulwa" womntu.

Ukuzilolonga umzimba emva kokuba icala (ekhaya wenziwe) kakhulu zahlukahlukene. Ekuqaleni kunokuba iklasi ebhedini, ngoko - in a ekuhlaleni emi okanye isikhundla. Emva kokuba impumelelo kwezi zigaba nga phambili ukuya imithambo ukuhamba. Qaphela ukuba kwimeko nganye ngobunzulu umthwalo zisenokwahluka kwaye kufuneka ugqirha esekelwe ngokungqinelana ne kwimbali yesigulane.

Imithwalo kufuneka imihla ukulidla ngamaxesha ekhefu imini ngamnye iiyure eziliqela.

imisebenzi kwezonyango kwindawo ehleli iquka isethi ukuzilolonga zilandelayo:

• ukuqeqesha izihlunu kwamehlo kwenziwa kokutshintsha amehlo ephambana - on the idiagonal, ekunene ukuya ekhohlo, phezulu ukuya ezantsi, ukuvulwa nokuvala iinkophe ezifana umthambo ukukhuthaza kuqheleke uxinzelelo;
• ukuthatha ntshikilelo ngaphandle ukuzilolonga ngasentla ziya kunceda squinting, ngokuphindaphindiweyo amaxesha 10-15;
• wolule izihlunu zakho intamo ukuvumela ujikelezo intloko kuwo onke amacala yaye ngesantya ezahlukeneyo;
• emva istrowuku kuyimfuneko ukuphuhlisa motility yeminwe, ikhaliphe izama ukuqeqesha. Ukuze ezi njongo, sebenzisa wegazi;
• ukuqeqesha umlenze kunye nezihlunu ngeenyawo ayikwazi, nibaphanga kunye ukuyeke.

Ngokulandelana ukwimeko ehleli Ungayisusa kwi imithambo awo ngaphezulu - ngokuziphakamisa imilenze, nokuba wedwa okanye ngoncedo ibhanti.

LFK emi

Kufuneka kuqatshelwe ukuba kwisikhundla sokuba ukuma inika amathuba amaninzi Kuba eyeyomzimba noqeqesho imilenze neengalo. imithambo okubuyisela isekelwe phezu ukuzilolonga ezingundoqo:

• Ukuphakamisa iingalo: indawo yokuqala ngqo yomzimba, izandla zakhe - kule seams, iinyawo - zamagxa magxa. Kuyimfuneko ukuba uphefumlela baphakamise izandla zabo, ezansi phezu siphefumla. Kufuneka ube amaxesha 4-6 ukuphinda le khosi.
• Squats ngaphandle izithende kokuphazanyiswa ngezandla etsala phambili. Injongo yalo msebenzi kukuba ukugcina imali kunye umthambo umlenze kwezihlunu. Exercise uphinde amaxesha 4-8.
• Kwamaxandeka ekhohlo nasekunene kunye nengalo esahlukileyo batsale up.
• Esifubeni ilenze ukuba linegunya, ndikwanzima umntla. Ukuzilolonga iyaphindwa amaxesha ama-5 ubuncinane.
• Ukuze wolule amalungu, enze ujikelezo izandla neenyawo, bezisa izandla zakhe ngasemva yakhe enqabeni yomkhosi.
• Qeqesha izandla zombini neenyawo kunceda lo msebenzi - ngokukhululekileyo xa kwenziwa uhamba ngeenyawo ube namandla awo encinane. Kulo mzekelo, sincoma ngesandla ukhululekile ukuba abambelele ukuxhasa kwaye hayi ukuba babambe umoya. Entamo liphindwe 7-8 kunye nezandla.

abaqeqeshi

Emva kokuba umntu ngesibetho, namandla omncinane siqhelane umthwalo resistive, ungasa ku kwingqesho kwi simulators ezikhethekileyo. Ukusetyenziswa kwezi zixhobo ayiyi kuphela komeleza corset kwezihlunu nokubuyisela umsebenzi iimoto, kodwa ukuphucula imeko xa iyonke ngokweemvakalelo malunga nesigulane eso. Ithuba lemisebenzi yesiqhelo kufuneka kwenziwe kuphela phantsi kweliso zonyango kunye nokusebenzisa cardiomonitors - izixhobo ezinokusetyenziswa ukulandelela intsebenzo kwentliziyo.

Kuxhomekeka injongo yomsebenzi lo mshini, zonke izixhobo ngokuqhelekileyo amaqela ngamaqela ahlukeneyo.

• Verticalizer - isixhobo anika umzimba womntu tye ukuba awukwazi, akunakuwenza wedwa. Loo kuyi ixhasa abantu kunye nokulungiselela ngokuthe ngcembe ukuba "ukuhamba tye."
• "Lokomat" - amathambo kuyi - isixhobo kwabo bafunda ukuba ahambe kwakhona.
• izixhobo Mini ukufaneleka - umthambo izixhobo imilenze kwaye ubuyisele motility weminwe.
• Simulators ezifana "asset-liability" kunceda ukubuyisela umsebenzi kwengubo kweqondo eliphezulu nengasezantsi.
• Velosimulators ukwandisa unyamezelo nokuphucula imeko jikelele yesigulana.

imithetho ebalulekileyo

Rehabilitation - inyathelo emangalisayo ebalulekileyo kule nkqubo yonyango, ngoko ke asikwazi ukuchitha ixesha elixabisekileyo. Kukho ezinye imithetho, ezinceda ukuphumeza impumelelo ukuze kuphunyezwe iziphumo okulungileyo kwakhona umzimba umntu ogulayo.

Okokuqala kuyimfuneko ukuba alandele ngqo icebiso gqirha khona. Oku kuthetha ukuba akunakwenzeka ukuba abandakanyeke inyathelo ezizimeleyo. Khumbula, kuphela yobuchule kunye nemfundo kunye namava omsebenzi ungakhetha ngokufanelekileyo kwaye ukubala ubukhulu kunye nobushushu umsebenzi ngokomzimba kwimeko ethile, oko kukuthi ukwenza inkqubo unyango emzimbeni emva kokuba icala. Iseti loqheliso kunye ngokungqongqo ngamnye.

Efuna umsebenzi osebenzayo, akunakwenzeka ukuba yokusebenza. Ukuba uqale ukulayisha kunye umthambo ukukhanya, ngokuthe ngcembe kokugqithela lunzima kakhulu. Kubalulekile ukuqonda ukuba injongo yomsebenzi enyama na isakhiwo kwezihlunu kunye lokukhuthazwa iiseli ezintsha zengqondo ukusebenza.

Phambi kokwenza naluphi na umthwalo (esebenzayo okanye passive) kubaluleke kakhulu akakhululeki ulusu kuzo zonke izicwili wavuka ukuhamba kwegazi. Oku izigulane ikakhulukazi ngumlwelwe.

Nabantu abasondeleleneyo kumntu ogulayo, kufuneka ulandele imo yawo, ngobunono kufuna ukuba enze imiyalelo kagqirha, phawula naliphi na impumelelo yakhe.

Thina musa ukulibala yesiqhelo lwemethodoloji ngobuchule. Umthambo kufuneka ibe imihla ngemihla. Ixesha - yeza lugqwesileyo.