Cerebral Infarction yog dab tsi?
Cerebral infarction yog ib hom kab mob ntevkev mob siab, kev tuag, kev xiam oob qhab, tus nqi rov qab, thiab muaj ntau yam teeb meem.Infarction feem ntau tshwm sim hauv ntau tus neeg mob.Ntau tus neeg mob raug kev txom nyem ntau zaus, thiab txhua qhov kev rov qab los yuav ua rau lawv tus mob tsis zoo.Tsis tas li ntawd, qhov rov ua dua tuaj yeem ua rau muaj kev phom sij rau lub neej qee zaum.
Rau cov neeg mob cerebral infarction,scientific thiab tsim nyog kev kho mob thiab kev tiv thaiv yog qhov zoo tshaj plaws kev ntsuas los txhim kho lub neej zoo ntawm cov neeg mob thiab txo tus nqi rov qab siab.
Cerebral infarction yog kab mob tshwm sim los ntawm ntau yam ua rau.Ntxiv nrog rau kev noj zaub mov, kev tawm dag zog, thiab kev saib xyuas kev noj qab haus huv, tshuaj tuaj yeem tiv thaiv thiab kho thrombosis thiab arteriosclerosis.Thiab nws kuj yog cov tshuaj uas tuaj yeem tiv thaiv kev rov zoo dua thaum txhim kho cov tsos mob.
Kaum Txoj Cai ntawm Cerebral Infarction Rehabilitation
1. Paub cov cim qhia txog kev kho mob
Cov neeg mob cerebral infarction nrog cov cim tseem ceeb tsis ruaj khov thiab lub cev tsis ua haujlwm, xws li cerebral edema, pulmonary edema, plawv tsis ua hauj lwm, myocardial infarction, gastrointestinal hemorrhage, hypertensive ntsoog, kub kub, thiab lwm yam, yuav tsum tau kho los ntawm cov tshuaj sab hauv thiab phais ua ntej.Thiab kev kho kom rov zoo yuav tsum pib tom qab cov neeg mob paub meej thiab nyob rau hauv cov xwm txheej ruaj khov.
2 Pib kho dua tshiab kom sai li sai tau
Pib kho kom rov zoo sai tom qab 24 - 48 teev thaum cov neeg mob cov mob nyob ruaj khov.Kev kho mob thaum ntxov muaj txiaj ntsig zoo rau kev ua haujlwm ntawm kev mob caj dab tuag tes tuag taw, thiab daim ntawv thov kev kho mob stroke unit kho mob hom yog qhov zoo rau kev kho mob thaum ntxov.
3. Kev kho mob kho mob
Koom tes nrog neurology, neurosurgery, tshuaj kho mob xwm txheej ceev thiab lwm tus kws kho mob hauv "Stroke Unit", "Neurological Intensive Care Unit" thiab "Emergency Department" los daws tus neeg mob cov teeb meem kho mob thiab txhawb kev kho mob ntawm cov neeg mob lub paj hlwb.
4. Kev tiv thaiv kev kho mob
Qhia hais tias kev tiv thaiv preclinical thiab rehabilitation yuav tsum tau ua ib txhij, thiab critically txais Brunnstrom 6-theem txoj kev xav.Tsis tas li ntawd, nws yog qhov zoo dua kom paub tias kev tiv thaiv "kev siv tsis raug" thiab "kev siv tsis raug" yog qhov muaj txiaj ntsig ntau dua li kev noj "kev kho mob rov qab" tom qab "tsis siv" thiab "kev siv tsis raug".Piv txwv li, nws yooj yim dua thiab zoo dua los tiv thaiv spasms dua li txo nws.
5. Kev kho kom rov zoo
Ua kom pom tseeb tias kev yeem txav mus los tsuas yog lub hom phiaj ntawm kev kho mob hemiplegic, thiab lees txais Bobath txoj kev xav thiab kev coj ua.Kev cob qhia nquag yuav tsum tig mus rau kev cob qhia passive kom ntxov li sai tau.
Nws yog ib qho tseem ceeb kom paub tias lub voj voog kev ua kis las dav dav yog kev txav mus los - kev txav mus los (nrog rau cov kev cuam tshuam cuam tshuam thiab kev sib koom ua ke) - tsis muaj kev ywj pheej txav - kev yeem txav - tawm tsam kev yeem txav mus los.
6 Siv cov txheej txheem kho kom rov zoo thiab cov txheej txheem sib txawv ntawm ntau theem
Xaiv txoj hauv kev tsim nyog xws li Brunnstrom, Bobath, Rood, PNF, MRP, thiab BFRO raws li lub sijhawm sib txawv xws li mos mos, spasm, thiab sequelae.
7 Cov txheej txheem kho kom rov zoo ntxiv
Cov nyhuv ntawm kev kho kom rov zoo li qub yog nyob ntawm lub sijhawm thiab koob tshuaj.
8 Kev kho dua tshiab
Kev raug mob ntau yam (sensory-motor, hais lus-kev sib txuas lus, kev paub-kev xav, kev xav-psychology, sympathetic-parasympathetic, nqos, defecation, thiab lwm yam) yuav tsum tau muab rau hauv kev txiav txim siab.
Piv txwv li, tus neeg mob stroke feem ntau muaj kev puas siab puas ntsws loj heev, yog li nws yog ib qho tseem ceeb kom paub tias nws puas muaj kev nyuaj siab thiab ntxhov siab, vim tias qhov teeb meem no yuav cuam tshuam rau cov txheej txheem kev kho mob thiab qhov tshwm sim.
9 Zuag qhia tag nrho kev kho mob
Rehabilitation tsis yog tsuas yog lub tswv yim ntawm lub cev xwb, tab sis kuj muaj peev xwm ntawm kev sib koom ua ke nrog rau kev txhim kho kev muaj peev xwm ua neej nyob thiab muaj peev xwm ua tau zoo.
10 Kev kho mob mus ntev
Lub plasticity ntawm lub hlwb kav ntev rau lub neej kom nws yuav tsum tau mus sij hawm ntev rehab cob qhia.Yog li ntawd, kev kho kom rov zoo hauv zej zog yog qhov tsim nyog kom ua tiav lub hom phiaj ntawm "kev pabcuam kev kho mob rau txhua tus".
Post lub sij hawm: Aug-24-2020