The Parkinson's disease rehabilitation ndeyekutanga itsva neural network seyakajairika mumabasa.Chirwere cheParkinson (PD) chirwere chetsinga chinobata vanhu vakwegura vakawanda.Varwere vane PD vanozove nehupenyu hwakanyanya kusagadzikana mumatanho avo ekupedzisira ehupenyu.
Parizvino hapana mushonga wechirwere ichi, mishonga chete inowanikwa kune varwere kudzora zviratidzo zvavo uye kuderedza zviratidzo zvemotokari yavo.Pamusoro pekurapa zvinodhaka, kudzidziswa kwekuvandudza zvakare isarudzo yakanaka kwazvo.
Chii chinonzi Parkinson's Disease Rehabilitation?
Occupational therapy
Chinangwa chikuru cheoccupational therapy ndechekuchengetedza nekuvandudza mashandiro emakumbo epamusoro nekuvandudza hupenyu hwezuva nezuva kuzvitarisira kwevarwere.Occupational therapy inokodzera varwere vane urema hwepfungwa kana hwekuziva.Kuruka, kubata, kutaipa uye zvimwe zviitiko zvinogona kuwedzera huwandu hwekufamba kwemajoini uye kunatsiridza mashandiro emaoko.Pamusoro pezvo, kudzidziswa sekupfeka, kudya, kugeza kumeso, kukwenya, kunyora, uye basa remumba zvakakoshawo kune kudzoreredzwa kwevarwere.
Physiotherapy
1. Kudzidzira kuzorora
Inobatsira varwere kufambisa nhengo dzavo uye hunde tsandanyama rhythmically;
Joint range of motion training inorayira varwere kuti vafambise majoini emuviri wose, rimwe nerimwe remajoini rinofamba 3-5 nguva.Famba zvishoma nezvishoma uye zvinyoro kuti usanyanya kutambanudza uye kukonzera marwadzo.
2. Kudzidzira simba retsandanyama
Tarisa pakudzidzira mhasuru dzechipfuva, tsandanyama dzemudumbu, uye tsandanyama dzekumusana.
Kudzidziswa kwetrunk: trunk flexion, kuwedzera, lateral flexion uye kudzidzisa kutenderera;
Kudzidzira tsandanyama dzemudumbu: kuchinjika ibvi kuenda kuchifuva kudzidziswa munzvimbo yekumusoro, gumbo rakatwasuka rinosimudza kudzidziswa munzvimbo yekumusoro, uye kugara-up kudzidzira munzvimbo ye supine.
Lumbodorsal muscle kudzidziswa: mashanu-point support kudzidziswa, matatu-point support kudzidziswa;
Gluteal tsandanyama kudzidzisa: pamwe chete kusimudza nhengo yezasi nekuwedzera ibvi munzvimbo yakatarisana.
3. Kuenzanisa kudzidziswa
Balance function ndiyo hwaro hwekuchengeta yakajairika chimiro chemuviri, kufamba, uye kupedzisa kwakasiyana kufambisa mafambiro.
Murwere anogara pamubhedha makumbo achitsika pasi uye zvimwe zvinhu zvakatenderedza.Varwere vanotora zvinhu kubva kune rumwe rutivi kuenda kune rumwe neruoko rwavo rworuboshwe kana rworudyi, uye kudzidzira kakawanda.Mukuwedzera, varwere vanogona kutanga kudzidzira kubva pakugara kusvika pakumira kakawanda, nokudaro zvishoma nezvishoma vachivandudza kukurumidza kwavo uye kugadzikana kwekumira.
4. Kudzidzira kufamba
Kufamba inzira iyo nzvimbo yemuviri wemunhu yesimba rinokwevera zvinhu pasi inofamba ichienderera pahwaro hwezvakanaka postural control uye kuenzanisa kugona.Kudzidzira kufamba kunonyanya kugadzirisa kufamba kusina kujairika muvarwere.
Kudzidzira kufamba kunoda kuti varwere vaite maekisesaizi ekumberi nekumashure.Zvichakadaro, vanogonawo kufamba nemucherechedzo kana 5-7cm zvipingamupinyi pasi.Ehe, ivo vanogona zvakare kuita nhanho, kusvetuka nemaoko, uye mamwe maekisesaizi.
Kuturika kufamba kudzidziswa kunonyanya kushandisa mabhandeji ekumisikidza kumisa chikamu chemuviri wemurwere, izvo zvinoderedza kuremerwa kwemakumbo evarwere uye kuvandudza kugona kwavo kufamba.Kana kudzidziswa kuchienda netreadmill, mhedzisiro ichava nani.
5. Kurapa kwemitambo
Nheyo yekurapa kwemitambo ndeyekudzivisa maitiro asina kujairika ekufamba uye kudzidza akajairwa.Chirongwa chekudzidzisa chega chakakosha mukurapa kwemitambo, uye kufarira kwevarwere kunofanirwa kukwidziridzwa zvizere panguva yekudzidziswa.Chero bedzi varwere vachidzidzira kushingaira kunogona kudzidziswa kushanda zvakanaka.
Kurapa muviri
1. Low-frequency repetitive transcranial magnetic stimulation
2. Transcranial yakananga ikozvino stimulation
3. External Cue Training
Mutauro kurapa uye kumedza kudzidziswa
Varwere vane chirwere cheParkinson vane dysarthria, iyo inogona kukanganisa rhythm yekutaura, kuchengetwa kwemashoko ekutaura, uye kunzwisisa kwemirairo yakanyorwa kana yemuromo.
Kurapa kwekutaura kune varwere veParkinson kunoda kutaurwa uye kudzidzira.Mukuwedzera, kududzwa kwakarurama kweshoko rimwe nerimwe kwakakosha.Varwere vanogona kutanga kubva pakurira uye mavhawero kusvika kumataurirwo ezwi rega rega nechirevo.Vanogona kudzidzira kutarisana negirazi kuitira kuti vaone chimiro chemuromo wavo, nzvimbo yerurimi uye kutaura kwetsandanyama yechiso, uye kudzidzira kufamba kwemuromo nerurimi kuita kuti mataurirwo avo ajeke uye akarurama.
Dysphagia chimwe chezviratidzo zvinowanzoitika zvekusashanda zvakanaka kwekudya muvarwere veParkinson.Zviratidzo zvaro zvinonyanya kuoma mukudya, kunyanya pakudya zvokudya zvakaoma.
Kumedza kurovedza kunonangana nekupindira kunoshanda kwenhengo dzine chekuita nekumedza, kusanganisira pharyngeal reflex kudzidziswa, yakavharwa glottis kudzidziswa, supraglottic kumedza kudzidziswa, uye isina chinhu kumedza kudzidziswa, pamwe nekudzidziswa kwemuromo, chiso, uye rurimi tsandanyama.
Nguva yekutumira: Nov-17-2020