Matenda a Parkinson Rehabilitaiton

Kukonzanso matenda a Parkinson ndikukhazikitsa neural network yatsopano ngati yomwe imagwira ntchito.Matenda a Parkinson (PD) ndi matenda a neurodegenerative omwe amakhudza okalamba ambiri.Odwala omwe ali ndi PD adzakhala ndi vuto lalikulu m'moyo wawo wam'tsogolo.

Pakalipano palibe mankhwala a matendawa, mankhwala okhawo omwe alipo kuti odwala athe kuwongolera zizindikiro zawo ndikuchepetsa zizindikiro zawo zamagalimoto.Kuphatikiza pa chithandizo chamankhwala, maphunziro obwezeretsanso ndi chisankho chabwino kwambiri.

Kodi Parkinson's Disease Rehabilitation ndi chiyani?

Thandizo lantchito

Cholinga chachikulu cha chithandizo chamankhwala ndikusunga ndikuwongolera magwiridwe antchito am'miyendo ndikuwongolera moyo watsiku ndi tsiku luso la odwala.Thandizo la ntchito ndi loyenera kwa odwala omwe ali ndi vuto lamalingaliro kapena chidziwitso.Kuluka, kulumikiza, kulemba ndi ntchito zina zimatha kukulitsa kusuntha kwamagulu ndikuwongolera ntchito zamanja.Kuphatikiza apo, maphunziro monga kuvala, kudya, kuchapa kumaso, kugwedezeka, kulemba, ndi ntchito zapakhomo ndizofunikanso pakuwongolera odwala.

Physiotherapy

1. Maphunziro omasuka

Imathandiza odwala kusuntha miyendo ndi thunthu minofu rhythmically;

Olowa osiyanasiyana zoyenda maphunziro amalangiza odwala kusuntha thupi lonse olowa, aliyense olowa kusuntha 3-5 zina.Yendani pang'onopang'ono ndi pang'onopang'ono kuti mupewe kutambasula kwambiri ndikuyambitsa kupweteka.

2. Kuphunzitsa mphamvu za minofu

Yang'anani pakuchita minofu ya pachifuwa, minofu ya m'mimba, ndi minofu yakumbuyo.

Maphunziro a thunthu: kupindika kwa thunthu, kukulitsa, kupindika kwapambuyo ndi maphunziro ozungulira;

Kuphunzitsidwa kwa minofu ya m'mimba: kuwondolera mawondo kupita pachifuwa kuphunzitsidwa pa malo a chapamwamba, kukweza mwendo wowongoka ndikuphunzitsidwa kukhala chapamwamba, ndikuphunzitsidwa kukhala mmwamba mu malo a supine.

Maphunziro a minofu ya Lumbodorsal: maphunziro othandizira mfundo zisanu, maphunziro atatu othandizira;

Kuphunzitsidwa kwa minofu ya Gluteal: mosinthana kwezani mwendo wakumunsi pokulitsa bondo pamalo okhazikika.

3. Kulinganiza maphunziro

Kusamalitsa ntchito ndi maziko a kukhalabe bwino kwa thupi, kuyenda, ndi kukwaniritsa kayendedwe kosiyanasiyana.

Wodwala amakhala pabedi ndi mapazi akuponda pansi ndi zinthu zina mozungulira.Odwala amatenga zinthu kuchokera mbali imodzi kupita ku ina ndi dzanja lawo lamanzere kapena lamanja, ndikuchita mobwerezabwereza.Kuonjezera apo, odwala angayambe kuphunzitsidwa kuchokera pakukhala mpaka kuyima mobwerezabwereza, motero pang'onopang'ono amawongolera liwiro lawo ndi kukhazikika kwa kuyima.

4. Maphunziro oyenda

Kuyenda ndi njira yomwe likulu la thupi la munthu la mphamvu yokoka limayenda mosalekeza pamaziko a kuwongolera bwino kwa postural ndi kuthekera koyenera.Maphunziro oyenda amawongolera kuyenda kwachilendo kwa odwala.

Maphunziro oyenda amafunika kuti odwala azichita masewera olimbitsa thupi kutsogolo ndi kumbuyo.Panthawiyi, amathanso kuyenda ndi chizindikiro kapena zopinga za 5-7cm pansi.Inde, amathanso kuchita masitepe, kugwedeza mkono, ndi zina zolimbitsa thupi.

Kuyimitsidwa kuyenda maphunziro makamaka ntchito kuyimitsidwa mabandeji kuyimitsa mbali ya thupi la wodwalayo, amene amachepetsa katundu katundu wa odwala m`munsi miyendo ndi bwino kuyenda luso lawo.Ngati maphunzirowo apita ndi treadmill, zotsatira zake zidzakhala bwino.

5. Chithandizo chamasewera

Mfundo ya chithandizo chamasewera ndikuletsa kusuntha kwachilendo ndikuphunzira zabwinobwino.Pulogalamu yophunzitsira payekhapayekha ndiyofunikira pamasewera olimbitsa thupi, ndipo chidwi cha odwala chiyenera kukulitsidwa panthawi yophunzitsira.Malingana ngati odwala akuphunzitsidwa mwakhama akhoza kukhala ndi luso la maphunziro.

Thandizo lakuthupi

1. Low-frequency repetitive transcranial magnetic stimulation
2. Transcranial mwachindunji kukondoweza panopa
3. Maphunziro a Cue Akunja

Thandizo la chinenero ndi maphunziro omeza

Odwala matenda a Parkinson ali ndi dysarthria, yomwe ingakhudze kamvekedwe ka mawu, kusungidwa kwa chidziwitso chodzilankhula, komanso kumvetsetsa malamulo olembedwa kapena apakamwa.

Chithandizo cholankhulira odwala Parkinson chimafuna kulankhula ndi kuchita zambiri.Kuwonjezera pamenepo, katchulidwe kolondola ka liwu lililonse n’kofunika.Odwala amatha kuyambira pa mawu ndi mavawelo mpaka katchulidwe ka liwu lililonse ndi chiganizo.Angathe kuyeseza kuyang’anizana ndi kalilole kuti athe kuona mmene m’kamwa mwawo amaonekera, kaimidwe ka lilime ndi mmene minofu ya nkhope imaonekera, ndi kuyeseza kusuntha kwa milomo ndi lilime kuti katchulidwe kawo kamveke bwino komanso kolondola.

Dysphagia ndi chimodzi mwa zizindikiro zofala za kusagwira ntchito kwa m'mimba mwa odwala a Parkinson.Zizindikiro zake makamaka zimakhala zovuta kudya, makamaka pakudya zakudya zolimba.

Kumeza kumafuna kulowererapo kwa ziwalo zokhudzana ndi kumeza, kuphatikiza kuphunzitsidwa kwa pharyngeal reflex, kutsekeka kwa glottis, maphunziro omeza a supraglottic, komanso kumeza kopanda kanthu, komanso kuphunzitsa minofu yapakamwa, kumaso, ndi lilime.