Chii sitiroko? Zviratidzo uye mabatiro rutivi

Chii sitiroko? Ndiwo mamiriro kwevanhu, umo chose isina injini nemano nokuda kwokushayiwa simba tsandanyama. ezvinhu uyu anokonzerwa maronda tsinga fibers: murwere asingagoni kufamba vakazvimiririra uye anova novimba vanhu vakavapoteredza.

Kakawanda, tsinga dzomuviri ndiyo migumisiro dzakakomba kunaka pezvakaitwa pamuviri, asi mamwe marudzi anogona kuita yakazvimirira chirwere: Erb kuti mitezo, Bell mitezo, Parkinson, chirwere poriyo, palsy.

nzira nechirwere

Chirwere zvirwere yakakonzerwa lesion tsinga fibers kuitika:

• Kuongorora pedyo wetsinga;
• Maekisirei;
• Computed tomography uye rinobva resonance;
• myography;
• neurosonography;
• pakuongorora dzepanguva repasi wamativi nemano (achilles, plantar, ibvi-jerk maitiro uye kugamuchirwa Endrashika).

Migumisiro kutadza kufamba ehurumende

Chii sitiroko? Kutarisira varwere vari mumamiriro ezvinhu kutadza kufamba? Refu mubhedha zororo, anokonzerwa downtime, isakarurama kunokanganisa utano akanga akaoma mutezo. Kana ari supine nzvimbo mukuru 4 Mazuva, murwere ane kuderera mune tsandanyama matauriro, pane matambudziko BP, akaderedza vadyi mufambo. Munzira, mumuviri vakavakazve muviri, shuga kuwedzera kuchengetwa muropa, vakadhakwa nitric-karusiyamu mwero.

Nokuda nourema uye recumbency, zvinokonzerwa mamiriro iyi nhengo iri kuwedzera nokukurumidza mwero mapfupa rive dete, vakawedzera mukana Urinary turakiti chirwere, Urinary incontinence anoratidza kuitika dzungu uye kufenda, kunyanya kana kuchinja nzvimbo mumuviri uye unopinza majana musoro. Muitiro chinofema zvemapapu vhoriyamu rinoshandiswa pamwe anetseka kuparadzirwa, iyo gare gare anotarisana thrombosis.

Kutarisira akanga akaoma mutezo

A murwere anoshayiwa panguva ino inokosha hanya, zvinofanira kuzivikanwa kuti kuomarara majoini hakufaniri kusarudza yose kutadza kufamba. Kunyange nourema vanofanira kufamba, kuita kurovedza nokuda mano avo siyana. Naizvozvo, kubva pakutanga mubhedha zororo anodiwa chezvinonhuwira yepamusoro hanya zvinofanira kuva kurovedza uye kudzidza mapfundo. Kana murwere asingakwanisi kuita izvozvo pachake, anofanira kubatsira. Kufema kurovedza zvainanga kunobatanidza nhengo dzose mumapapu, basa iri rutivi rwomuviri.

Chii chako kuremara

mitezo nokururamisira kupararira Bell, iyo hunokonzera ane chiitiko vari:

• zvirwere (diphtheria, dambudziko parotitis);
• randakambosangana naro zvinokuvadza;
• hypothermia;
• kenza;
• ropa kuyerera kunetswa mune neBP uye atherosclerosis;
• migumisiro otitis nhau;
• anogumbura pezvakaitwa muuropi.

Chiso rutivi rwomuviri ari kukura nokukurumidza zvikuru uye kungazviratidza chero zera, asi kazhinji inobata vanhu vanenge vafamba chinhu-gore 60. Yakavimbika zvikonzero chirwere ichi haina kudzidza; isu chete kuti mashandiro pakati parinowanika kunokonzerwa kuzvimba chiso etsinga kuti kunoitika nokuda chaikonzerwa noutachiona kana masoja kukundikana.

Symptomatology chiso chake kuremara

Zviratidzo ane ezvinhu ngozi iri:

• marwadzo seri nzeve, kazhinji kuitika pamusoro avaida zviratidzo tsandanyama simba iri chako nzvimbo;
• kushaya zvaanoita chiso chake pamusoro zvakakanganisa divi uye nokunyanyisa tsandanyama marwadzo ari divi kumeso. Saka, apo vachiedza kunyemwerera mumuromo zvomurwere nokushapira kune utano divi;
• muskulaturnaya chinetso chinogona kuva panyaya maawa;
• upamhi hwomukova optic kutsemuka uku. Vairwara munhu haasi kukwanisa kuvhara akaremara ziso;
• chiveve ari chako nzvimbo;
• zvaipesana salivation uye lacrimation.

chako kuremara kurapwa

Chii kuoma chiso, uye chii anoyera Zvinokurudzirwa kuti kutora kurapa nayo? Nzira kurapwa chiso chake rutivi rwomuviri anosarudzwa zvichienderana mwero kukuvara tsinga uye kazhinji ndiye zvokurapa kurapa.

In kwokutanga nzendo chirwere murwere waakaudzwa glucocorticoids, naro zvinokwanisika kuderedza kukuvadza uye paanowedzera residual dzomuviri. Akagadzwa zvinodhaka antiviral, "Valacyclovir", "Acyclovir" "Famciclovir."

Used vachiviga murwere meso zvakasikwa misodzi kana isotonic mhinduro, uye bandaging. Pashure vhiki imwe kurapwa vanotumirwa vhitamini zvivako uye zvinoreva anatsiridze tsinga conduction.

Parallel kushandisa nzira dzakadaro:

• physiotherapy;
• jekiseni;
• Mutsipa masaja;
• Laser kurapa;
• Ultrasound;
• UHF yemagetsi munda.

In Muzviitiko zvakaipisisa, munhu kuvhiya, izvo zvinofanira kuitika hapana paya pane 3 months pashure vasabatwa chirwere. Zvikasadaro zvokurwara anogona kugara nokusingaperi. Panguva mashandiro akatakurwa nemaziso decompression, panguva iyo abvisa pfupa anofukidza nyika chako etsinga. Zvakakodzera kuvhura Neural membrane. Ipapo chiremba prescribes chaiyo muviri kuti tsandanyama dzechiso, nokuda iyo anokundikana kunyatsopora kakawanda.

Zvakaipira yokushaya gumbo injini nemano

rutivi rwomuviri mugumisiro musana maronda. Kana vakakwana wogadzirisa kuvimbika nenyere. The papi achimukuvadza kunokanganisa tsandanyama kukundikana imwe nzvimbo mumuviri.

Musana kukuvadzwa pachiyero 4, 5 uye 6th remuromo vertebrae zvichiguma quadriplegia, - kuoma zvose zvina maoko nemakumbo, asi murwere anogona vanokunga uye kusimudza maoko avo. Kana lesion nharaunda iri 6th uye 7th remuromo vertebrae subtracted makumbo akaremara maoko uye chiningoningo majoini; murwere anogona chete kufambisa papfudzi rako uye zvishoma shanyarika maoko.

Kana zvakakanganisika ndepana uye pamusoro 4th remuromo vertebra, mitezo kufema, izvo kazhinji kacho rinoguma murufu.

Paraplegia anonzi kuoma makumbo zvose kuti kunoitika nokuda kwomuchinjikwa-musana zvinokuvadza munzvimbo yacho lumbar uye thoracal vertebrae.

Muzviitiko zvose zviri musana kukuvara kunoratidzwa kutyora nehanya nharaunda sei.

Symptomatology richiripo kuremara

muzvidimbu immobilization chinoratidzwa anotevera zviratidzo:

• Mienzaniso zvinoderedza tsandanyama simba, vakapfuura vari spastic (whooping) kuremara;
• nokushaiwa kurwadziwa nehanya;
• Urinary uye fecal incontinence;
• kushomeka ropa riyerere munzira njodzi maoko nemakumbo.

Kunoita rutivi rwomuviri maoko nemakumbo

Zvinokonzera kushaya injini yayo ndiwo:

• vachiberekwa chirwere;
• bundu inotungamirwa, nzwara kuti musana;
• kuzvimba musana.

Kukonzera tsaona.

How kudzorera akaremara nemakumbo?

kuoma Mbabvu kurapwa kunokonzerwa kubva tsaona chiitiko, ndiko kuva nechokwadi kushanda kweropa uye kufema hurongwa zvinokosha kuti muviri. Inogona kushandawo zvokuimba kufefetedza. The murwere ushandiswe mubhedha refu zororo.

Chinhu chinokosha munzira apore vane muviri uye zvakasiyana-siyana inorapa maitirwe ezvinhu. Nokufamba jimunasitikisi kuti ropa wedzerai njodzi muzvidimbu mutezo tsandanyama vari anosundwa pusa nzira. Vamwe munhevedzano zviitwa vari kuitwawo kuti utano tsandanyama. Kamwe zvinova pachena kuti tsandanyama muviri vakanyangarika, vanoda kuita chaiyo motokari kurovedza.

Occupational kurapa unoshandiswawo - kuva Zvokusunungurwa matanho zvainanga kuzoita muupenyu hwezuva nezuva uye zvatinosiita mabasa evanhu, kufungisisa mumuviri constraints varipo.

A mukugumisa kurapwa kwacho, munhu zvakakwana refu, kuridza pfungwa rutsigiro akaoma mutezo anonzwa akaderera. Hondo pamwe zvichiitika zvivako rinoitwa kushandisa psychotherapy uye nzira mafungiro.

Zvakakomba chetsinga chirwere: palsy

Palsy - hosha isingarapiki, iyo inoratidza raro nokushaiwa mberi, kureva pakuzadzisa. The kukonzera palsy nhasi vari:

• hypoxia mwana achangobva kuberekwa kana panguva mutsigiro mudumbu. Kazhinji, mhaka akaoma rutivi rwomuviri ari zvokurwara kuti munguva gestation (chirwere dzakasiyana chamangwanani kurwara, havachanyatsogoni placental kuparadzirwa mhando), uye kungaita kuti kukwana kusimudzira uropi munzvimbo anokonzera pakuenzanisa muviri wayo dzepanguva zvigadziriswe. Nekuti pezvakaitwa ari marangwanda Data zvisiri vakagovera tsandanyama inzwi kunokonzera kukura pathological motokari mano;
• kukuvara pakusununguka. Kungava kuchikonzerwa nemamiriro chiuno parturient, simba basa basa nokukurumidza kupfuura munhu pakukurukura kwenguva refu, pashure refu-refu chokuendesa anhydrous kumwedzi malposition;
• hemolytic chirwere of achangoberekwa umo mwana uropi uropi kunoitika chepfu. Zvinogona kukonzerwa hepatic insufficiency ari mudumbu kana kusapindirana boka rake ropa kana kusapindirana kweropa nemubereki;
• chirwere kana chenjera zvirwere vakadzi panguva pamuviri (mwoyo chirwere, rubella, kufutisa, kupererwa neropa, chirwere cheshuga, BP). Uyewo ngozi nokuti mwana zvinhu kugamuchira ramangwana mai zvinodhaka, kunyanya mapiritsi uye Migumisiro: kushushikana, panyama kunotevera, udhakwa, pfungwa kusagadzikana, kushandisa zvinodhaka;
• zvakaipa pamuviri, nokuda toxicity, chidzivaidzo kutyisidzira, immunological kusapindirana pakati mai uye mwana;
• Matambudziko pakusununguka, Nokumukira mamiriro nokuti kwaita zvokuimba asphyxia uye musoro kukuvara - yechipiri zvinhu zvichikonzera uropi.

Wakakura zvikuru chimiro palsy spastic quadriplegia, vaiona, mune rokusamhanyira vacheche. Hafu yevana ava vakanga akaberekwa nguva isati yakwana, panguva imwe chete vakachengeta deformation muviri, nezvipusha, zvava kundiomera kufambisa muviri muzvidimbu strabismus, optic atrophy, kusanzwa, microcephaly (abnormality kwouropi pakukura). A mwana ane chirwere che "palsy" haasi kukwanisa kuzvitarisira uye vamwe nyore basa hwose.

Palsy mu hemiplegic muchimiro kunoratidzwa ne kutyora makumbo kurutivi rumwe muviri. Hand kana achitambura kusvikira pamwero mukuru kupfuura rutsoka.

Dyskinetic, kana hyperkinetic, chimiro kunoratidzwa wakawedzera tsandanyama matauriro, kurasikirwa kunzwa, rutivi rwomuviri. Intelligence ndewokuti: mwana anogona kupinda chikoro uye kuyunivhesiti.

Ataxic chirwere akaratidza kukura kwepfungwa retardation, mupfungwa retardation.

Infantile kuremara: Signs

Zviratidzo palsy vari:

• Kunonoka kuratidzwa gwenya basa (majana, anokotama makumbo uye maoko).
• Complete kutadza kufamba pane maoko nemakumbo.
• Nokugwinha uye pfari.
• The lag kukura kutaura.
• Murombo musoro chengetedzo.

Palsy kurapwa

Muviri, zviratidzo zvacho chikonzero guru kuti kuteterera kuti vana wetsinga nechinangwa kuongororwa zvakarurama uye kurapwa, haagoni murapwe zvachose, asi anogona yekudyidzana kuvandudza upenyu hwomwana vanorwara. Mumakore okutanga oupenyu yaitwa remedial matanho kuderedza chinyamunhari chinorwadza, tsandanyama matauriro, kuvandudza gwenya mano mapfundo. Zviito izvi yekuzvidzivirira skeletal deformities, kuvandudza mano mwana kuchengeta nepakati, kuti zvinoitika fambisa maoko nemakumbo uye kuwana ruzivo zvepakutanga nokuzvidzora basa.

A mwana ane chirwere che "palsy" rinofanira vakanyorwa pedyo wetsinga, chiremba, podiatrist, chiremba wechikadzi achindidzidzisa kutaura, kuti vapore nyanzvi uye chiremba wepfungwa. Zviri misoro nzira nyanzvi zvakakodzera achasarudza zvayo kunonyanyisa kwadzakabva kuupenyu.

Rutivi rwomuviri vana kubatwa mubatanidzwa nzira dzakawanda. kugamuchirwa uku mishonga, kugara physiotherapy, kushanda kurapa, kurapwa mune nekwevanorwa pfungwa.