Mushure mekurohwa, chirongwa chikuru chekuporesa nekugadzirisa kunosanganisira chirongwa chekugadziriswa kwekugadzirisa kuvandudza mano ehutano uye kugona kuita basa. Kune mhando dzakasiyana dzakasiyana-siyana dze post-strokepost kurwadziwa kwekugadzirisa, uye kana iwe uchiri kudzoka kubva pane chirwere, iwe uchada kutora chikamu mune chimwe kana zvimwe zveizvi.
Therapy Therapy
Chirwere chepanyama chinosanganisira maitiro akasiyana-siyana emakumbo uye maitiro.
Post stroke physically therapy works are designed to train the brain and muscles to work together using approaches inowedzera musimba simba uye inochengetedza hutano hutano hwakanaka. Ongororo yezvino kubva kuUnited Kingdom yakashandisa data kubva kune dhamanhau reChrane, imwe yepamusoro-soro yakapona databanks, kuti iongorore kubudirira kwehutano hwepanyama mushure mekurohwa. Migumisiro yeUnited UK yakagumisa kuti pane hutano hwakasiyana-siyana hwehutano hwehutano uye nzira dzinoshandiswa pasi pose kuti dziwane varombo vanorwara.
Kunyange zvazvo vatsvakurudzi vasina kuwana kuti rumwe rudzi rwechirwere chepanyama rwakanaka kupfuura humwe, vakagumisa kuti kurapwa kwepanyama kunobatsira pakubatsira vapenyu vechirwere kuti vashandise kufambisa (kukwanisa kufamba-famba,) kufamba nenzira inokurumidza, kushanda zvakajeka uye uve nehana iri nani. Vatsvakurudzi vanofungidzira kuti chirwere chakanaka chekurapa kwepanyama chinofanira kuva maminitsi anenge 30-60 5-7 mazuva evhiki.
Kurapa kwepanyama kwakawanikwawo kunonyanya kushanda apo zvidzidzo zvakatanga nguva pfupi mushure mekurohwa.
Occupational Therapy
Kusiyana nekurapa kwepanyama, kurapwa kwebasa iri rimwe basa-rinonyanya kuratidza kudzidziswa. Occupational therapists inoshanda nevarwi vashoma pamabasa, chaiwo ezuva nezuva semabasa akaita sekumakwira masitepisi, kupinda nekubuda pamubhedha uye kupfeka.
Zvechokwadi, pane kuwirirana pakati pezvechirwere chepanyama uye basa remishonga, uye izvo zviviri zviri zviviri zvikamu zvakakosha zvekurohwa chirwere, asi chirwere chepanyama chinonyanya kusimbiswa pakusimbisa nekuchengetedza inzwi rezvidzidzo zvemashure mapoka, asi chirongwa chekushanda chinonyanya kurongedza kugadzirisa uye achishandisa misumbu kune zvimwe zvinangwa zvinotungamirirwa.
Kutaura uye Kurapa Kurapa
Kutaura uye kumedza unyanzvi hunodikanwa kufunga nezvechiito apo uchigadzirisa masumbu. Unyanzvi hwose hunoshandisa misumbu yechiso, muromo, rurimi uye nehuro. Dambudziko rekutaura rinowanzotarisirwa mushure mekurohwa, apo kumedza matambudziko kazhinji kunowedzera kushamisika kusingashamisi kune vanopona murwere nevanodiwa vavo.
Kutaura uye kukanganisa kuongorora kunowanzoitwa muchipatara, mukati memazuva mushure mekurohwa. Sezvaunopora kubva pamarwadzo ako, kutaura kwako uye kumedza mano zvinogona kutanga kuvandudza pachavo.
Kutaura kunokosha pakukurukurirana. Kutaura kunoda kushandiswa kwemutauro kunzwisisa zvinotaurwa nevanhu. Kutaura kunodawo kushandiswa kwemutauro kutaurirana nevamwe. Kutaura kwemazwi kunowedzera pakunzwisisa mashoko uyewo pakubudisa mashoko vamwe vanogona kunyatsonzwisisa. Dzimwe nguva, kurapa kwekutaura kunosanganisira flashcards, mifananidzo, uye, zvechokwadi, tsika uye kudzokorora nokutaura.
Kuchengeta kunokosha kune zvikonzero zvakawanda. Zvokudya zvinovaka muviri chikamu chinokosha chehupenyu, uye izvozvo hazvishanduki mushure mekurohwa. Kunyatsogadzirisa unyanzvi kunokosha kuti ugare wakagadzikana. Zvisinei, kunyatsorongedzwa kukanganisa kunokosha kune dzimwe nhau dzehutano, pamwe nekudya. Kana kumedza misumbu isingafambi sezvavanofanirwa, kukanganisa kudya ndeimwe yemigumisiro ine ngozi.
Kusangana kunogona kukonzera utachiona hunonzi aspiration pneumonia , iyo idambudziko guru pakati pevanopona murwere kupfuura vanhu vakawanda vanoziva. Kusarudza zvokudya kunogonawo kukonzera kushaya njodzi kwe okisijeni, iyo inogona kukonzera kukanganisa kwehupi uye kunyange uropi rufu.
Migumisiro yekuremara kunowedzera haisi chinhu chisingafaniri kuchengetwa. Nenzira inofadza, kune imwe sangano iri panzvimbo yekurapa kurapa kubatsira varwi vanorwara kuti varege kunetseka kwakanyanya uye kunotyisa kwekurohwa.
Therapy The Visual
Kuona kurapwa uye kuenzanisa kwechirwere kunowanzogadzirirwa muzvikamu zvekugadzirisa zvekudzivirirwa kwevanopona varwere. Izvi ndechokuti zviratidzo zvishoma nezvishoma zvinotenderera pakuenzanisa kwakanaka uye kuenzanisa zvishoma zvinotsigira pane zvakanaka. Nzvimbo dzehuropi dzinotungamirira mabasa maviri aya dzakasiyana, asi dzinotarisana kune imwe neimwe sezvo dzichibatana. Izvi ndizvo zvinonzwisisika kuti post stroke balance exercise inosanganisira maitiro ekuona.
Chimwe chiitiko chekutsvakurudza kwezvechiremba munguva pfupi yapfuura chakasanganisira kubatana pakati pevanotsvakurudza kubva kuMemphis, Tennessee uye kubva kuDenmark vakagumisa kuti 60 muzana yevakasara vakaroora avo vakabatanidzwa mukubatana kwemaono ekuratidzira uye kurapwa kwemaitiro zvakashandiswa, zvichienzaniswa ne 23 muzana chete yevakasara varosi vasina kubatanidzwa muchirapa.
Cognitive Therapy
Chirwere chepfungwa chinenge chichiri chirevo chitsva mukurohwa kwekugadzirisa. Kuchengetedza kwepfungwa kunosanganisira kupindira kwakagadzirirwa kuvandudza unyanzvi hwokufunga uye kugadzirisa matambudziko mano. Kune hutano hwehutano hwekuremara shure kwekurohwa. Vanopukunyuka sitiroko vari kuporeswa kubva muhombe huru yekoriki vanowanzova nezvimwe zvinonzwisisika pane vanopukunyuka sitiroko vachidzoka kubva kumudziyo muduku wechirwere checroketical stroke. Kuruboshwe rutivi rwegoroti kurwisana kunokonzera kukanganisa kwakasiyana kwakasiyana kwezvakanaka kune kurudyi-sided cortical strokes , uye izvi zvinogona kukanganisa nzira yako yekudzoka seunopona sitiroko.
Kuchengetedza kwepfungwa kunosvika sekushandisa mitambo yemavhidhiyo , maitiro chaiwo echokwadi uye makombiyuta anokonzerwa nekugadzirisa kurapwa iye zvino ari kuongororwa senzira dzekuvandudza kusangana kwebasa shure kwekurohwa. Pakati pezvibvumirano zvakasiyana-siyana zvekupererwa kwepfungwa kunetseka kwepfungwa, rudzi rwakanakisisa rwehutano hwekuziva harisati hwagadzirwa. Zvisinei, kusvika ikozvino, mhedziso ndeyokuti vapukunyu vemarwadzo avo vanobatanidzwa muhutano hwekuziva vanovandudza zviri nani kupfuura vasara vanoparara vasingabatanidzi muhutano hwekuziva.
Innovative Physical Therapy
Mitambo mitsva yekurapa inosanganisira mirror therapy, magetsi therapy uye therapy therapy. Vanopukunyuka vane chirwere chepachirwere vanobatanidzwa muongororo dzekutsvakurudza dzinoshandisa mushonga mutsva uye hutsva hwekugadzirisa hutano hunoedza kuedza zviri nani pamiganho yemigumisiro yechirwere uye kazhinji haigoni kusangana nemigumisiro yakaipa inokonzerwa nekuvandudzwa kwekuedza. Mashoko ekutanga ekudzosa mushure mekurohwa kwechirwere ichivimbisa, asi kutsvakurudza masayendisiti nguva dzose vanofunga kuti kune 'placebo effect'. A placebo effect ndiyo mikana yokuti munhu ari kupindira achavandudzwa nekuda kwekutenda kwakatangira kuti kupindira kuchabatsira. A placebo effect inogona kuita kuti kupindira kuve kunobatsira kunyange kana kupindira kusina maturo. Pano pane imwe nzvimbo ye-placebo effect uye chidimbu chekubatsira pazvinouya kune zvakawanda zvekuvandudza nzira dzekugadzirisa huri huri pasi pekutsvakurudza.
> Sources:
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> Pollock A, Baer G, Campbell P, et al. Kugadziriswa kwepanyama kunosvika pakugadzirisa kwekushanda nekufamba shure kwekurohwa. Cochrane Database Syst Rev. 2014; (4): CD001920.
> Schow T, Harris P, Teasdale TW, Rasmussen MA. Kuongororwa kwehurongwa hwekudzorera kwemwedzi mina kwevarwere vanorwara nehutano hwematambudziko uye binocular inooneka kusagadzikana. NeuroRehabilitation. 2016; 38 (4): 331-41.