Rashin hankali na tsawon lokaci, pDoC, su ne cututtukan cututtuka da ke haifar da rauni na kwakwalwa, bugun jini, ischemic-hypoxic encephalopathy da sauran nau'in raunin kwakwalwa wanda ke haifar da asarar sani fiye da kwanaki 28.Ana iya raba pDoC zuwa yanayin ciyayi, VS/cututtukan farkawa, UWS, da yanayin rashin hankali, MCS.Marasa lafiya na pDoC suna da mummunar lalacewar jijiya, rashin aiki mai rikitarwa da rikitarwa, da tsayi da wahala lokacin gyarawa.Sabili da haka, gyare-gyare yana da mahimmanci a duk tsawon lokacin jiyya na marasa lafiya pDoC, kuma yana fuskantar manyan kalubale.

Yadda za a gyara - aikin motsa jiki

1. Koyarwar canji na baya

Amfani
Ga marasa lafiya na pDoC waɗanda ke kwance na dogon lokaci kuma ba za su iya ba da haɗin kai tare da horar da gyare-gyare ba, yana da fa'idodi masu zuwa: (1) haɓaka farkawa mara lafiya da ƙara lokacin buɗe ido;(2) shimfiɗa haɗin gwiwa, tsokoki, tendons da sauran kyawu masu laushi a sassa daban-daban don hana kwangila da lalacewa;(3) inganta farfadowa na zuciya, huhu da ayyukan gastrointestinal da kuma hana hawan jini mai kyau;(4) samar da yanayin da ake buƙata don sauran jiyya na gyarawa daga baya.

Daga DOI:10.1177/0269215520946696

Takamaiman hanyoyin
Yawanci sun haɗa da jujjuyawar gado, jujjuyawa zuwa Semi-sitting, zama gefen gado, zama gefen gado zuwa kujerar guragu, zama mai jujjuyawar gadon tsaye.Ana iya tsawaita lokacin yau da kullun daga gado don marasa lafiya pDoC a hankali kamar yadda yanayin su ya ba da izini, wanda zai iya kewayo daga 30 min zuwa 2-3 h kuma a ƙarshe yana nufin 6-8 h.Yi amfani da taka tsantsan a cikin marasa lafiya tare da rashin aikin zuciya mai tsanani ko hypotension na baya, raunin da ba a warkewa na gida ba, heterotopic ossification, zafi mai tsanani ko spasticity.

Daga DOI:10.2340/16501977-2269  

Rehab Keke don Sama da Ƙarƙashin Ƙarfafa SL4

2. Horon motsa jiki, ciki har da ayyukan haɗin gwiwa masu wucewa, horar da nauyin nauyin jiki, horar da ma'auni na zama, horar da keke, da horar da haɗin gwiwa, ba zai iya inganta ƙarfin tsoka da jimiri na marasa lafiya na pDoC ba kuma ya hana rikitarwa irin su zubar da atrophy na muscular, amma Hakanan inganta aikin mahimman gabobin tsarin da yawa kamar na jijiyoyin jini da na numfashi.Horon motsa jiki na 20-30 min kowane lokaci, 4-6 sau a mako yana da tasiri mafi kyau akan rage matakin spasticity da hana kwangila a cikin marasa lafiya pDoC.

Daga DOI:10.3233/NRE-172229  

Babban Ra'ayin Hankali & Tsarin Horarwa A1-3

Yi amfani da taka tsantsan a cikin marasa lafiya tare da cututtuka marasa ƙarfi, paroxysmal tausayi hyperexcitation aukuwa, matsa lamba a kan ƙananan extremities da buttocks, da fata fata fata.

Daga DOI:10.1097/HTR.000000000000523  

Na'urar Koyarwa Mai Haɗin Gwiwa