Rehabilitation vana vane palsy: tsanangudzo nzira

Zvinobudirira kunaya vana palsy kunosanganisira zvakawanda zvinoitwa. Pfungwa vakabhadhara kwete chete mumuviri asiwo kukura mupfungwa mwana, kuunganidza unyanzvi upenyu uye magariro kwadzakabva. Nokuti vana vakaremara kunobvirawo vakasununguka pakuongorora, vouchers kunorapwa mu nekwevanorwa pfungwa, kupa mishonga uye michina nzira vapore.

The zvinokonzera chirwere uye ngozi zvinhu

Zvinokonzera palsy rakakamurwa pre-Natal uye post-Natal ude. Chokutanga mhando zvinosanganisira:

• zvakakomba pamuviri;
• Rwara mararamiro amai;
• nemagene kubatwa;
• kunzwisisa wakurukura, panguva iyo kwakanga asphyxia;
• chenjera uye vamwe chirwere nezvirwere amai;
• Vana akaberekwa nguva isati yakwana uye pasi nokuberekwa uremu;
• kutapuriranwa pezvakaitwa kuitika mune Isimba rakadini rinogona kubudiswa chimiro mumuviri namai;
• hunokachidza chepfu ari mwana uropi nokuda boka ropa kusapindirana pakati amai uye mudumbu uye kusapindirana kweropa chinhu kana hepatic insufficiency mwana.

Postpartum ude dzinosanganisira:

• kwomwana uremu kusvika 1 kg pakuzvarwa;
• akabereka mapatya kana vatatu;
• musoro kunotevera pazera duku.

Zvisinei, nyaya wechitatu nomumwe, kuziva chaizvo chinokonzera zvokurwara hazvibviri. Uye kazhinji, rokuchinjwa vana palsy hakunei zvinokonzera chirwere. Individual vapore chirongwa anogona rakadzokororwa asi nyaya preterm uye LBW vacheche - varwere izvi kazhinji zvinoda kungwarira kutarisirwa uye zvokurapa achitarisirwa.

The chikuru chokutambudzika kuerera chirwere

The vapore vana CP kunoenderana chehupenyu chirwere, nekuomarara chirwere uye zera murwere. Govera izvi maitikiro vatatu chirwere:

1. Early (kusvika 5 months). Palsy akaratidza kukura retardation, ndichengetedze unconditional hunenge.
2. Elementary (3 years). Mwana kazhinji chinovhunga pazvokudya, haatsvaki kutaura, raidudzwa asymmetry, hypertonia kana kunyanya tsandanyama kuzvivaraidza.
3. Late (anopfuura matatu). It akaratidza vachigurisira mumwe mutezo pamusoro perimwe, pakuparadza zvirwere, kunzwa, chiratidzo, matauriro, kugwinha, havachanyatsogoni weti uye bowel kufamba, mupfungwa retardation.

zviratidzo palsy Early

Pakazosvika mangwanani zviratidzo palsy zvinosanganisira zvinotevera variations:

• kunonoka kwomuviri: kuzvidzora musoro achifinyamisa pamusoro, agere pasina rutsigiro, zvinokambaira, kana kufamba;
• kuchengetedza "chevana" hunenge rinosvika 3-6 mwedzi zera;
• predominance ruoko mumwe mwedzi 18;
• chero zviratidzo anoratidza hypertonus kana kunyanya kutandara (utera) netsandanyama.

Clinical zvinoratidza chirwere kunogona raidudzwa uye anongoda asingaoneki - zvose zvinoenderana noukuru CNS uye pfungwa. Kutsvaka mishonga vanofanira, kana:

• tyisa kwebasa mwana;
• mwana ane nokugwinha;
• Tsandanyama kuonekwa zvakare vagadzikana kana tya;
• mwana asingagari boira papiwa Ruzha nomwedzi mumwe
• 4 mwedzi mwana akwegura akasatendeuka musoro wake kuti Ruzha;
• 7 months haana kugara pasina rubatsiro;
• pane mwedzi 12 havana kutaura mashoko mashomanana;
• mwana haagoni kufamba, kana achifamba mavhundukiro ayo;
• mwana ane squint.

Nzwisisika kunaya vana palsy kunopa migumisiro yakanakisisa kana vakatanga vachiri vaduku. In chakakomba marudzi chirwere vari kunonoka kupora kurovedza muviri kana kuti gare gare kukura kugarisana mwana anogona kuramba akaderedzwa zvachose kuupenyu.

Zvinoita kurapa chirwere

Palsy zvinoreva chirwere kwakaoma zvisingaiti kurapa zvachose. Zvisinei, nzwisisika uye nenguva vatangisa vapore kunoita kudzidziswa vana chirwere ichi pamusoro ndima nevana utano uye kurarama hupenyu huzere. Zvinokosha mberi anogona kunzi ndichengetedze nomumwe zviratidzo vomwana.

Modern nzira yokurapa palsy

The chikuru basa wacho vapore mapurogiramu vana nourema chinhu zvishoma nezvishoma unyanzvi nemano, panyama nemagariro kwadzakabva. Unyanzvi izvo dzinokudziridzwa mumwe nomumwe mwana mumwe, zvishoma nezvishoma akachinja injini kuremara, kuvandudza gwenya basa, kuva nemwoyo murefu mupfungwa, pachake uye mumagariro, unyanzvi yokuzvimirira muupenyu hwavo hwezuva nezuva. Somugumisiro ane hurongwa kunaya mwana midzi munzanga uye zvinoenderana upenyu ramangwana pachavo.

The purogiramu kunaya vana palsy zvinosanganisira zvinotevera nzira:

• mvura kurapwa nzira: kushambira, balneotherapy kana hydrotherapy;
• PET mushonga, kana kurapwa mhuka: ippoterapiya (kurapwa mabhiza), psychophysical vapore panguva kukurukura Dolphins uye kushambira;
• kushanda vachibatsira mano, simulators, gymnastic balls Manera;
• madhaka zvikumbiro, kuwedzera bioelectric basa tsandanyama;
• kuchirapa masaja, izvo anobvumira kuti kuderedza mwero lethargy kwetsandanyama;
• mushonga kurapwa: Isai Botox, botulinum toxin, kseomin, Dysport;
• Reflex pakufamba, vachibvumira kudzoreredza kwomuzvarirwo mifananidzo maitiro;
• physiotherapy: Miauton, Ultrasound, rinobva kurapa, darsonvalization;
• Montessori mushonga, vachibvumira kuumba kugona kuisa pfungwa uye kushanda vakazvimiririra;
• namazvikokota wepfungwa;
• kutaura mushonga makirasi, remedial kutaura zvirwere (chirongwa "Logoritmika");
• dzidzo chaiyo;
• Shiatsu kurapa - acupressure;
• Bobath chidobi makirasi - chinokosha jimunasitikisi nokushandiswa zvimwe zvinoshandiswa;
• Laser migumisiro pamusoro dzepanguva munyika dzine, muromo mhino, mapfundo, dzepanguva-segmental nharaunda mapazi paretic tsandanyama;
• uri mushonga, zvainanga achigadzirira mwana kudzidza;
• Peto chidobi - kuparadzana nomumwe kufamba kune mabasa uye Practice;
• vachibatsira kuvhiya kupindira;
• Spa kurapwa;
• nzira dzokurapa: osteopathy, chiropractic, catgut-kurapa, Vacuum marapirwo, electroreflexotherapy.

Chokwadika, pamusoro apa haasi nzira yose inorapa vana vane palsy. Kune zvirongwa zvakawanda makagadzirira-yakaitwa akagadzirirwa kutanga uye nechipo vapore nzvimbo, dzimwe nzira uye unyanzvi.

vapore Physical vana vane palsy

kupora zvokunyama mwana anorwara anofanira kutanga nokukurumidza sezvinobvira. Mukusarudza nyanzvi munyika vakaona kuti rokuchinjwa mwana akaremara (palsy) kunounza migumisiro yakanakisisa kusvika makore matatu, asi muRussia nzvimbo zhinji vanoramba kutora vana kusvikira gore rimwe kana kusvika makore matatu, uye vanachiremba havana kukurumidza pamwe nechirwere uye akaitwa vakaremara. Asi panyama vapore - rinokosha Danho kuchinjira kumamiriro zvinoitwa mwana gare gare muupenyu, uye kutanga kuita pamwe nevarwere vaduku pakarepo chirwere anotevera, "palsy."

Rehabilitation vana vane palsy zvinodiwa kudzivirira kwakaderera uye atrophy kuti tsandanyama, kudzivisa pave yematambudziko, uyewo kushandisa nayo kusimudzira gwenya kukura mwana. Isai kuchirapa masaja, kurovedza muviri uye kurovedza kunyatsonzwisisa vanodzidzisa. Kazhinji kubatsira chero kurovedza muviri, nyanzvi cherechedzo uye kuchakubatsira kuumba sangano mapatani zvakarurama kuva mumuviri kugwinya uye kudzivirira muropa pathological nzvimbo.

Bobath vapore kurapa

Vakawanda muchimiro vapore ndiye Bobath mishonga akabatana nevamwe, zvakaenzana dzinobudirira. Musimboti yokurapa ndiko kupa mugumo nzvimbo rwakatarisana zvisingatenderwi, semubairo hyper, vanoedza kutevedzera. Classes zvinofanira kuitwa wakadzikama mhepo, katatu pazuva kana pavhiki, sangano ose inodzokororwa 3 kusvika 5 nguva. Kufamba pachavo kunge kunonoka, nokuti chinangwa chikuru kurapa ndiko kuzorora tsandanyama. The kunzwisisa kurovedza dzakabudirira nomumwe. Treatment kubudikidza nzira Bobath mushonga kunogona kuitwa mumba - mubereki kana mutarisiri nokugamuchirwa yakadzidziswa kushandisa nyanzvi Rehabilitation Centre.

hwokugadzira nzira vapore

Kana kudzorerwa gwenya basa mwana palsy mumuviri anoshandiswawo hwokugadzira achishandisa vapore vana. ICP mu kwazvo zvinoda kuti mufambo mano (walkers, mawiricheya), budiriro (kurovedza bikes, inokosha matafura nemacheya) uye utsanana (kugeza nezvigaro, macheya, zvimbuzi) mwana. Senzira Zvokusunungurwa vana vane palsy dzinosanganisira kushandiswa vachibatsira mano uye simulators. Rinoshandiswa Somuenzaniso, Adele sutu, redistributing mutoro Simulator Gross, kukura injini unyanzvi, "Veloton" anotokonya tsandanyama suit "Spiral", iro anobvumira kuti pave mapatani itsva rwokufamba, uye zvichingodaro.

The Social vapore vana vakaremara vane palsy

Pedyo kuchikoro zera, pfungwa iri rwakabhadharwa kuna evanhu kwadzakabva mwana. Kuedza vanotorayirwa kuti paumbwe unyanzvi upenyu, zvishande kukura, gadziriro mwana kubatana kudzidza uye kukurukurirana. Mukuwedzera, varwere vanodzidziswa kupfeka pachavo, kuzvitarisira, kuita utsanana, kufamba uye zvichingodaro. izvi zvose kuchaderedza mutoro pamusoro vachengeti ane mwana akaremara, uye gotwe murwere - kuchinja upenyu.

With chaiyo mwana vanachiremba, matauriro varapi uye vadzidzisi. Zvikuru basa vabereki kana vachengeti ndiani kukurira mwana wako kumba. Social kunaya vana (CP) zvinangwa ndiwo:

• Mutauro uye maonero;
• kukura ndangariro, nzeve uye kufunga;
• dzidzo utsanana;
• dzidzo okuzvibatsira unyanzvi;
• mutauro kukura, paumbwe tsika.

Vana vane chirwere ichi chinogona vakadzidzira experimental makirasi, anowanzoshandurwa kuumbwa munzvimbo muzvikoro, asi zvinokosha zvausingakwanisi nani kufunga chikoro chebhodhingi kana kumba pakudzidza. In yevanogara mwana kuchikoro anogona kukurukura nevezera ravo, vanowana unyanzvi uye kubatanidzwa basa mazano mabasa. Pavaiisa pamba vanoda zvikuru kutora mukana nevabereki uye zuva zvokurapa achitarisirwa.

Muzviitiko zvakawanda, unogona kufambisa basa rinoitwa munhu ane chirwere che "palsy." vanhu vakadaro vanogona ishe kupupura basa pfungwa (vadzidzisi, asi kuita mamakisi kwete kudzika, nezvoupfumi, ezvivako, mudiki zvokurapa mudonzvo) vanoshanda kumba programmers, freelancers uye kunyange (pamwe kuchengeteka fambisa maoko) seamstresses. Employment haagoni kuva chete Muzviitiko zvakaipisisa.

Disability ne palsy

Palsy ane dzakawanda uye inosiyana kukuvadza. Disability kana ICP iri wakabudiswa chiitiko kuti hosha iri pamwe nemitemo panyaya dzose basa, kudzidza, kuzvicheka-basa, izwi nevateereri. Kuita urema zvinogoneka chete mushure kuongorora zvokurapa. Amai vane mwana kuenda achishandisa wetsinga, chiremba, chiremba wepfungwa, chiremba, podiatrist, ophthalmologist uye pfava. In ichi "uchinzvera" asingadi kugumisa ikoko. Izvi zvinoteverwa:

• kuti ape chokupedzisira pfungwa kubva musoro tsika yokurapa;
• achindireverera nzira kuti ongororo magwaro atova akura kiriniki;
• kupa zvinyorwa kuti muunganidzwa nguva kuti nyaya yekurapa-munzanga kuzviongorora.

The nguva kunotsamira nokuvumba urema kuitisa zvokurapa uye nemagariro kuongororwa (uye nokudaro achapfuurazve n'anga dzose) inofanira kudzokororwa pashure imwe nguva. Munofanirawo kuwana apiwa mujeri iri chiitiko kuti vapore purogiramu nomumwe ano kaviri kuchinja - semuenzaniso, kana mwana wacho akaronga nyanzvi kunoda nzira itsva Zvokusunungurwa.

Kubatsira vana vakaremara vane palsy

Kugadzira urema vamwe mhuri chinhu nyaya inokosha, nokuti anopa mukana wokugamuchira mari kubhadhara vapore uye kuzorodzwa.

Somuenzaniso, mhuri nevana vakaremara vane palsy zvinotevera zvakanakira kwakavakirwa:

• vakasununguka vapore ari yeUnited uye kwematunhu nzvimbo nekwevanorwa pfungwa;
• mumwe dhisikaundi vanenge 50% kubhadhara matunhu neminisiparati kana voruzhinji pekugara uye dzimba mabasa;
• kodzero yokutanga kuwana munyika nalla nomumwe pekugara kuvaka, kurima uye rokuchenesa;
• mushonga zvitengeswa (by inonyorwa), chiremba kudya zvinhu;
• Free chokufambisa kunzvimbo pachipatara pacho kurapwa uye musana, uyewo mumaguta chokufambisa (kusiya aisa mwana vakaremara uye mumwe muchiridzira munhu);
• Kwepfungwa Services muripo, mudzidzisi uye chiremba wechikadzi achindidzidzisa kutaura, mumwe munhu vapore chirongwa (US hapana vanopfuura zviuru 11.2 rubles pagore.)
• dzisashande mubayiro kukireshi;
• compensatory kubhadhara kune asingashandi vanhu kutarisira mwana akaremara (mubereki, mubereki vokurera kana muchengeti anogona kugamuchira 5.5 zviuru rubles, mumwe munhu - 1,2 zviuru rubles ..);
• mudyandigere mwana akaremara uye mamwe kubhadhara (zvachose 14.6 zviuru rubles sekune 2017.);
• nguva mwana hanya mai vakaremara kuverengerwa pakureba basa;
• mai mwana akaremara pamwe palsy ane nhamba zvikomborero pasi basa mitemo: hachigoni kushanda maawa okuwedzera, mabhizimisi nzendo, vane kodzero yokushanda chikamu-nguva, regera mangwanani, uye zvichingodaro;
• amai vasina kurera mwana akaremara usingagoni acharega, kunze wakakwana liquidation yacho vachida.

Rehabilitation nzvimbo muRussia

The rinokosha Rehabilitation Centre vana vane palsy nevamwe comprehensively uye pasi pokudzora kuMudzidzisi unyanzvi. Kazhinji, hurongwa makirasi, mumwe zvirongwa uye rutsigiro nyanzvi dzokurapa Vabereki nevana vanogona kuzadzisa kucherechedza kunoguma pfupi nguva. Chokwadi, kusimbisa migumisiro vanofanira kuramba tichiita pamusoro aronga chirongwa uye kumba.

Russian Scientific-Practical Center of Chaiko Rehabilitation uye Sports (Grossko Center)

MuRussia mune dzakawanda vapore nzvimbo. Grossko Center muMoscow ari kushanda misoro chirongwa: kubvuma vari panoonekwa, uye zvino mwana rinokosha nokuda unyanzvi-varayiridzi panyama vapore. vapore Physical vana vane palsy muna Grossko Center inopa muviri, kushambira, rinotenda chaizvo simulators, vachibvumira kutanga gwenya Kufambisa uye akachengeteka kufamba mapatani, kurovedza pamuchina wekusimbisa muviri, akatasva chinotenderera skates. Maererano migumisiro nemiedzo kunze zvirongwa zvedzidzo nokuraira, yokudzorerwa nezvinodiwa uye yakananga shoma murwere.

Mari kunaya mwana (CP) muna Grossko Center zvechokwadi kwete diki. Somuenzaniso, nokuti kugamuchira kwokutanga aizofanira kubhadhara 1,700 rubles, uye mari 10 panyama kurapa muzvirongwa (45-50 maminitsi) ndiyo 30 zviuru. Kwiza nechekuzasi. Imwe chiremba wechikadzi achindidzidzisa kutaura (nguva maminitsi 30), uyewo kukwizwa (30-40 maminitsi pamusoro uchapupu chiremba) achaita mari 1000 rubles. Zvisinei, migumisiro zvidzidzo chaizvoizvo, uye muzinda Grossko kwakatangwa akakurumbira.

Russian Scientific Research Institute of Traumatology uye Orthopedics. R. R. Vredena

Rehabilitation Centre vana vane palsy anonzi R. R. Vredena (RNIITO - Russian Scientific Research Institute of Traumatology uye Orthopedics) muSt Petersburg anopa vatengi ayo yakazara-siyana mabasa kubva nechirwere kuti kuvhiyiwa, kusanganisira, Chokwadi, kurapwa uye kupora. At kurasa zvikuru vanonyatsokwanisa unyanzvi ari pakati vane makore akawanda anobatsira ruzivo anopfuura makumi maviri mahofisi zvizere-akashongedzerwa.

Moscow Scientific uye Mazano Centre nokuda Rehabilitation kuti Akaremara Persons somugumisiro palsy

Moscow SPC kunaya vakaremara somugumisiro palsy ichaongororwa imwe yenzvimbo nyore uye vakakurumbira. Center vanachiremba vari kushanda nokuda vashoma makumi ezviuru zvirongwa vapore, vachishandisa zvose ichangoburwa zvipfuwo zviitiko uye kuwana munhu yokusvika mumwe murwere. The Center anotora vana makore matatu. Kuwedzera kutungamirira mumuviri kupora, pamwe varwere shoma anobatanidzwa vanachiremba, kutaura pathologists, kutaura varapi, masseurs kwounyanzvi uye konduktologi - nevadzidzisi vanoshanda nevana uye vakuru vane CNS zvinetso kushanda.

Institute of Conductive Education uye vapore sangano kurapa muBudapest, Hungary

Rehabilitation mwana akaremara (CP) panguva Institute kwavari. A. Peto muBudapest - Hungarian guta - nepakati, izvo vanoedza mazana mhuri. Pokugadzwa inozivikanwa kwavo kunoshamisa nyanzvi, uchishandisa achangobuda zviitiko pakurapa varwere vaduku, uyewo nemigumisiro inooneka, izvo kubaya vana palsy avo vakapfuura nzira vapore.

Pane zvimwe zvakawanda vapore nzvimbo uye utano nzvimbo, kuita rokuchinjwa vana palsy. MuMoscow Somuenzaniso, ndiwo muzinda kunaya vana palsy "Movement" vapore centre "dzomoto", Rehabilitation Centre "Kukunda" uye vamwe. Vamwe Masangano iripo pachena kunaya nevana palsy. Mhuri nevana vakaremara uye vanopa rutsigiro masangano anoyamura nemagariro nzvimbo.