IiNqununu ezili-10 zeCerebral Infarction Rehabilitation

Yintoni iCerebral Infarction?

I-Cerebral infarction sisifo esingapheliyoizinga eliphezulu lokugula, ukufa, ukukhubazeka, izinga lokuphindaphinda, kunye neengxaki ezininzi.I-infarction iyenzeka rhoqo kwizigulane ezininzi.Uninzi lwezigulana zithwaxwa yi-infarction rhoqo, kwaye ukubuya ngakunye kuya kukhokelela kwimeko embi kakhulu kubo.Ukongezelela, ukuphinda ubuyele kwakhona kunokubeka ubomi esichengeni ngamanye amaxesha.

Kwizigulane ezine-cerebral infarction,Inzululwazi kunye nonyango olufanelekileyo kunye nokuthintela yimilinganiselo efanelekileyo kakhulu yokuphucula umgangatho wobomi bezigulane kunye nokunciphisa izinga eliphezulu lokuphindaphinda.

I-Cerebral infarction sisifo esibangelwa zizizathu ezininzi.Ngaphandle kokutya, ukwenza umthambo, kunye nokonga kwezenzululwazi, amayeza ngokusisiseko anokuthintela aze anyange i-thrombosis kunye ne-arteriosclerosis.Kwaye liyeza elinokuthi lithintele ngokufanelekileyo ukuphindaphinda ngelixa uphucula iimpawu.

Imigaqo elishumi yoBuyiselo kwiCerebral infarction

1. Zazi iimpawu zokubuyisela kwisimo sangaphambili

Izigulana ze-cerebral infarction ezineempawu ezibalulekileyo ezingazinzanga kunye nokungaphumeleli kwamalungu, njenge-edema ye-cerebral, i-pulmonary edema, ukungaphumeleli kwentliziyo, i-myocardial infarction, i-gastrointestinal hemorrhage, i-hypertension crisis, umkhuhlane ophezulu, njl., Kufuneka iphathwe ngamayeza angaphakathi kunye nokuhlinzwa kuqala.Kwaye ukuvuselelwa kufuneka kuqale emva kokuba izigulane zinengqondo ecacileyo kunye neemeko ezizinzileyo.

2 Qalisa ukubuyisela kwisimo sangaphambili kwangethuba

Qala ukubuyisela kwimeko yesiqhelo ngokukhawuleza emva kweeyure ezingama-24 – 48 xa iimeko zezigulane zizinzile.Ukubuyisela kwangaphambili kunenzuzo ekusebenzeni i-prognosis yamalungu akhubazekileyo, kwaye ukusetyenziswa kweyunithi yokulawula unyango lweyunithi yemowudi ilungile ukubuyisela kwangaphambili izigulane.

3. Ukuvuselelwa kweklinikhi

Ukusebenzisana ne-neurology, i-neurosurgery, iyeza likaxakeka kunye nabanye oogqirha kwi-"Stroke Unit", "I-Neurological Intensive Care Unit" kunye "neSebe eliNgxamisekileyo" ukusombulula iingxaki zekliniki zesigulane kunye nokukhuthaza ukuvuselelwa komsebenzi we-neurological wezigulane.

4. Ukuvuselelwa kothintelo

Ukugxininisa ukuba ukuthintela kwangaphambili kunye nokuvuselelwa kufuneka kuqhutywe ngaxeshanye, kunye nokwamkela ngokunzulu i-Brunnstrom 6-level theory.Ukongeza, kungcono ukwazi ukuba ukuthintela "ukusetyenziswa" kunye "nokusetyenziswa kakubi" kubaluleke kakhulu kunokuthatha "unyango lokubuyisela" emva "kokungasebenzisi" kunye "nokusetyenziswa kakubi".Ngokomzekelo, kulula kakhulu kwaye kusebenza ngakumbi ukukhusela i-spasms kunokukhulula.

5. Ukubuyisela kwisimo sangaphambili okusebenzayo

Ukugxininisa ukuba ukunyakaza ngokuzithandela yinjongo yodwa yokuvuselela i-hemiplegic, kunye nokwamkela ngokugqithiseleyo i-theory ye-Bobath kunye nokusebenza.Uqeqesho olusebenzayo kufuneka lujike kuqeqesho lokwenziwayo kwangoko kangangoko.

Kubalulekile ukuqaphela ukuba umjikelo wokubuyisela ezemidlalo jikelele yintshukumo yokwenziwa - ukunyakaza okunyanzeliswayo (kubandakanywa ukuphendula okuhambelanayo kunye nentshukumo ye-synergy) - intshukumo ephantsi yokuzithandela - intshukumo yokuzithandela - intshukumo echasene nokuzithandela.

6 Ukwamkela iindlela ezahlukeneyo zokubuyisela kwisimo sangaphambili kunye neenkqubo kumanqanaba ahlukeneyo

Khetha iindlela ezifanelekileyo ezifana neBrunnstrom, Bobath, Rood, PNF, MRP, kunye ne-BFRO ngokwamaxesha ahlukeneyo afana nokukhubazeka okuthambileyo, i-spasm, kunye ne-sequelae.

Iinkqubo ezi-7 zokuBuyiselwa kwisimo sangaphambili

Isiphumo sokubuyisela kwimeko yesiqhelo sixhomekeke kwixesha kwaye sixhomekeke kwidosi.

8 Ukubuyisela kwisimo sangaphambili esibanzi

Ukulimala okuninzi (i-sensory-motor, intetho-unxibelelwano, ukuqonda-ukuqonda, i-emotion-psychology, i-sympathetic-parasympathetic, ukugwinya, ukukhupha, njl.) kufuneka kuthathelwe ingqalelo ngokubanzi.

Ngokomzekelo, isigulane se-stroke sihlala sinokuphazamiseka kwengqondo okunzulu, ngoko kubalulekile ukwazi ukuba nokuba ucinezelekile kwaye uxhalabile, kuba ukuphazamiseka kuya kuchaphazela kakhulu inkqubo yokubuyisela kunye nesiphumo.

9 Ukubuyisela kwisimo sangaphambili

Ukubuyisela kwisimo sangaphambili asiyongcamango yomzimba kuphela, kodwa kwakhona ukukwazi ukuphinda kuhlanganyelwe kuquka ukuphuculwa kwesakhono sokuphila kunye nokukwazi ukwenza intlalontle.

10 Ukuvuselelwa kwexesha elide

Iplastiki yengqondo ihlala ubomi bonke ukuze ifune uqeqesho lwexesha elide lokubuyela kwimeko yesiqhelo.Ngoko ke, ukuvuselelwa koluntu kuyimfuneko ukufezekisa injongo "yeenkonzo zokubuyisela kwisimo sangaphambili kubo bonke".