I-Parkinson's Rehabilitaiton

Ukuvuselelwa kwesifo sika-Parkinson wukusungula inethiwekhi entsha ye-neural efana naleyo evamile ekusebenzeni.Isifo sikaParkinson (PD) yisifo se-neurodegenerative esiphatha abantu abaningi asebekhulile.Iziguli ezine-PD zizoba nokungasebenzi kahle kwempilo ezigabeni zazo zakamuva zempilo.

Okwamanje alikho ikhambi lalesi sifo, yimithi kuphela etholakalayo ukuze iziguli zilawule izimpawu zazo futhi zidambise izimpawu zemoto.Ngaphezu kokwelashwa kwezidakamizwa, ukuqeqeshwa kokubuyisela esimweni esihle nakho kuyisinqumo esihle kakhulu.

Iyini i-Parkinson's Rehabilitation?

Ukwelapha emsebenzini

Inhloso eyinhloko yokwelapha emsebenzini ukugcina nokuthuthukisa ukusebenza kwezitho eziphezulu kanye nokwenza ngcono impilo yansuku zonke ikhono lokuzinakekela leziguli.Ukwelashwa komsebenzi kulungele iziguli ezinokukhubazeka kwengqondo noma kwengqondo.Ukunitha, ukusebenzisa ifoni njengemodemu, ukuthayipha neminye imisebenzi kungakhuphula ububanzi bokunyakaza kwamalungu futhi kuthuthukise imisebenzi yezandla.Ngaphezu kwalokho, ukuqeqeshwa okufana nokugqoka, ukudla, ukugeza ubuso, ukugoqa, ukubhala, kanye nomsebenzi wasendlini nakho kubalulekile ekuhlumelelweni kweziguli.

I-Physiotherapy

1. Ukuqeqeshwa ukuphumula

Isiza iziguli ukuthi zinyakaze izitho nezicubu ze-trunk ngendlela enesigqi;

Uhla oluhlangene lokuqeqeshwa kokunyakaza luyala iziguli ukuthi zihambise amalunga omzimba wonke, ilunga ngalinye linyakaze izikhathi ezi-3-5.Hamba kancane futhi ngobumnene ukuze ugweme ukwelula ngokweqile futhi ubangele ubuhlungu.

2. Ukuqeqeshwa kwamandla emisipha

Gxila ekuzilolongeni imisipha yesifuba, imisipha yesisu, nemisipha yangemuva.

Ukuqeqeshwa kwe-trunk: i-trunk flexion, isandiso, i-lateral flexion kanye nokuqeqeshwa kokujikeleza;

Ukuqeqeshwa kwemisipha yesisu: ukuguquguquka kwedolo ukuya esifubeni ekuqeqesheni endaweni ephansi, ukuqeqeshwa kokuphakamisa umlenze oqondile usendaweni ephansi, nokuqeqeshwa kokuhlala phansi usendaweni yangemuva.

Ukuqeqeshwa kwemisipha ye-Lumbodorsal: ukuqeqeshwa kokusekela amaphuzu amahlanu, ukuqeqeshwa kokusekela amaphuzu amathathu;

Ukuqeqeshwa kwemisipha ye-Gluteal: ngokushintshana phakamisa isitho esingezansi ngokunweba idolo endaweni ethambekele.

3. Ukuqeqeshwa kokulinganisela

Ukusebenza kokulinganisela kuyisisekelo sokugcina isimo somzimba esivamile, ukuhamba, nokuqedela ukunyakaza okuhlukahlukene kokudlulisa.

Isiguli sihlezi phezu kombhede izinyawo zinyathele phansi futhi ezinye izinto zizungezile.Iziguli zithatha izinto zisuka kolunye uhlangothi ziye kolunye ngesandla sobunxele noma kwesokudla, futhi zizilolonge ngokuphindaphindiwe.Ukwengeza, iziguli zingaqala ukuqeqeshwa kusukela ekuhlaleni ukuya ekumeni ngokuphindaphindiwe, ngaleyo ndlela zithuthukise kancane kancane isivinini sabo nokuzinza kokuma.

4. Ukuqeqeshwa kokuhamba

Ukuhamba kuyinqubo lapho isikhungo somzimba womuntu sinyakaza ngokuqhubekayo ngesisekelo sokulawula okuhle kwe-postural kanye nekhono lokulinganisa.Ukuqeqeshwa kokuhamba kulungisa ikakhulukazi ukuhamba okungavamile ezigulini.

Ukuqeqeshwa kokuhamba kudinga ukuthi iziguli zenze igxathu eliya phambili nangemuva.Phakathi naleso sikhathi, bangakwazi futhi ukuhamba ngophawu noma izithiyo ezingu-5-7cm phansi.Vele, bangakwazi nokwenza ukunyathela, ukushwiba ingalo, nokunye ukuzivocavoca.

Ukuqeqeshwa kokuhamba ngezinyawo okulengisiwe ikakhulukazi kusebenzisa amabhandeshi alengayo ukuze kumiswe ingxenye yomzimba wesiguli, okunciphisa ukulayishwa kwesisindo kwezitho ezingezansi zeziguli futhi kuthuthukise ikhono lazo lokuhamba.Uma ukuqeqeshwa kuhambisana ne-treadmill, umphumela uzoba ngcono.

5. Ukwelashwa kwezemidlalo

Umgomo wokwelashwa kwezemidlalo ukuvimbela amaphethini okunyakaza okungavamile futhi ufunde ajwayelekile.Uhlelo lokuqeqeshwa komuntu ngamunye lubalulekile ekwelashweni kwezemidlalo, futhi umdlandla weziguli kufanele uthuthukiswe ngokugcwele ngesikhathi sokuqeqeshwa.Uma nje iziguli ziziqeqesha ngokuzimisela ukusebenza kokuqeqeshwa kungathuthukiswa.

Ukwelashwa ngokomzimba

1. Isivuseleli kazibuthe se-low-frequency ephindaphindayo
2. I-Transcranial direct current stimulation
3. Ukuqeqeshwa Kwe-Cue kwangaphandle

Ukwelapha ngolimi nokuqeqeshwa kokugwinya

Iziguli ezine-Parkinson’s disease zine-dysarthria, engathinta isigqi senkulumo, ukugcinwa kolwazi olukhulunywa wena, kanye nokuqonda imiyalo ebhaliwe noma yomlomo.

Ukwelapha ngenkulumo ezigulini zikaParkinson kudinga ukukhuluma nokuzijwayeza okwengeziwe.Ngaphezu kwalokho, indlela efanele yokuphimisela igama ngalinye ibalulekile.Iziguli zingaqala emsindweni nakunkamisa kuye ekuphimiseleni kwegama ngalinye nebinzana.Bangazijwayeza ukubhekana nesibuko ukuze babone ukuma komlomo wabo, ukuma kolimi kanye nokubonakala kwemisipha yobuso, futhi baprakthize ukunyakaza kwezindebe nolimi ukwenza ukuphimisela kwabo kucace futhi kunembile.

I-Dysphagia ingenye yezimpawu ezivamile zokungasebenzi kahle kwesistimu yokugaya ezigulini zikaParkinson.Izimpawu zayo ziwubunzima bokudla, ikakhulukazi ekudleni ukudla okunzima.

Ukuqeqeshwa kokugwinya kuhlose ukungenelela okusebenzayo kwezitho ezihlobene nokugwinya, okuhlanganisa ukuqeqeshwa kwe-pharyngeal reflex, ukuqeqeshwa kwe-glottis evaliwe, ukuqeqeshwa kokugwinya kwe-supraglottic, nokuqeqeshwa kokugwinya okungenalutho, kanye nokuqeqeshwa komlomo, ubuso, nemisipha yolimi.