Hypertension hauv me nyuam mos: cov tsos mob thiab kev kho mob
Hypertension hauv me nyuam mos: cov tsos mob thiab kev kho mob
Anonim

Tus me nyuam yug los, nws muaj kev sib tw thiab tiv thaiv, thiab ntxiv rau, nws tseem tsis tuaj yeem qhia txog nws qhov kev xav tau thiab kev noj qab haus huv. Yog li ntawd, txhua tus niam xav kom paub tseeb tias txhua yam nyob rau hauv kev txiav txim nrog lawv tus menyuam. Qee qhov kev mob tshwm sim tau pom nyob rau hauv ntau tus menyuam yaus. Qhov no tsis txo qhov yuav tsum tau txheeb xyuas thiab kho lawv. Ib qho teeb meem zoo li no yog kub siab. Tab sis nws puas yog ib txwm muaj pathology?

Norm lossis pathology

Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm cov leeg nqaij hypertonicity nyob rau hauv cov me nyuam mos raws li ib txwm nyob rau hauv thawj lub hlis tom qab yug me nyuam thiab raws li ib tug pathological mob tom qab lub neej. Qhov tseeb yog tias tag nrho cov me nyuam yug los muaj zog flexor tone. Nyob rau hauv lub tsev me nyuam, tus me nyuam nyob rau hauv lub fetal txoj hauj lwm. Nyob rau hauv lub hlis tsis ntev los no, lub fetus yuav loj, thiab yog hais tias ua ntej nws yuav hloov nws txoj hauj lwm thiab txawm ncaws, uas tau hnov los ntawm leej niam raws li pushes nyob rau hauv lub plab los ntawm sab hauv, tam sim no nws siv tag nrho cov sij hawm nyob rau hauv tib txoj hauj lwm. Nws ob txhais ceg yog khoov, nias rau ntawm nws lub plab thiab sib nrug me ntsis, nws txhais tes kuj tau khoov ntawm lub luj tshib, nws lub nrig yog clenched. Tom qab yug me nyuam, txoj hauj lwm no rau tus me nyuam tseem paub thiab zoo txog li 6 lub hlis. Txawm li cas los xij, yog tias koj sim maj mam ncaj tus me nyuam ob txhais ceg los yog tsis quav ntsej nws lub nrig, qhov nonws yuav yooj yim. Yog hais tias tus me nyuam muaj hypertonicity, nws yuav pom tau tias tsis kam thiab ob txhais ceg yuav ncab ib nrab xwb.

khoov ob txhais ceg
khoov ob txhais ceg

Dab tsi ua rau hypertonicity

Lub paj hlwb ntawm tus menyuam tom qab yug me nyuam tseem tsis tuaj yeem hu ua kev loj hlob thiab npaj txhij rau kev ua haujlwm puv ntoob. Lub paj hlwb thiab lub paj hlwb peripheral tseem tab tom loj hlob. Lub paj hlwb peripheral matures ua ntej. Cov hlwb nyob hauv nws feem ntau yog lub luag haujlwm rau cov leeg nro. Thiab lub hlwb hlwb xa cov impulse rau lawv, uas thaum lub sijhawm "tawm" qhov voltage. Cov leeg nqaij so. Txawm li cas los xij, hauv cov menyuam yug tshiab, cov hlwb tseem tsis paub tab lossis kev sib txuas ntawm cov hlwb tsis tau tsim. Lub teeb liab uas hais txog kev so tsis tuaj yeem tshwm sim hauv lub hlwb lossis tsis ncav cuag "tus neeg sawv cev". Cov leeg tsis tu ncua. Txawm li cas los xij, txhua yam muaj nws qhov txwv. Yog hais tias thaum xub thawj qhov no yog ib txwm, ces nws hais txog ib tug me ntsis lag nyob rau hauv kev loj hlob ntawm lub paj hlwb los yog ib tug loj pathology, xws li cerebral palsy. Tseem muaj cov mob me me thaum kub siab hauv cov me nyuam mos ploj mus ntawm nws tus kheej. Tab sis tseem nws yog qhov zoo dua tsis txhob pheej hmoo thiab mus ntsib kws kho mob. Yog hais tias nyob rau hauv ib rooj plaub tus me nyuam muaj peev xwm outgrow nws teeb meem - maturation yuav tshwm sim me ntsis tom qab, los yog nws muaj peev xwm pab tau nws tus kheej nrog kev pab los ntawm ib tug light massage, ces nyob rau hauv lwm yam, kev kho mob loj thiab pedagogical pab yog indispensable.

tus me nyuam nrog spasticity
tus me nyuam nrog spasticity

Ua rau hypertonicity

Qhov ua rau muaj ntshav siab hauv cov menyuam mos yog cov teeb meem uas tuaj yeem cuam tshuam lossis ua rau txoj kev loj hlob ntawm lub paj hlwb. Ntau yam kev phom sij tuaj yeem cuam tshuam rau kev txhim khokab mob hauv plab, thaum yug me nyuam thiab tom qab yug me nyuam.

Intrauterine yam: kis kab mob ntawm leej niam thaum cev xeeb tub, raug tus cwj pwm phem - haus cawv, haus luam yeeb, quav yeeb tshuaj, qaug cawv rau lwm yam, mob toxicosis, kev ntxhov siab hnyav.

Thaum yug menyuam, kev raug mob thaum yug me nyuam xws li cranial compression, cervical spine raug mob, thiab hypoxia vim yog entanglement ntawm umbilical qaum los yog ua haujlwm ntev.

Tom qab yug me nyuam, teeb meem tshwm sim tsawg dua. Hauv qhov no, muaj kev phom sij ntawm kev raug mob, kev qaug cawv hnyav, kis kab mob nrog kub taub hau thiab kiv taub hau, uas feem ntau ua rau lub cev tsis muaj zog, suav nrog cov paj hlwb.

Sib cais cais Rh-tsis sib haum xeeb ntawm niam thiab menyuam.

cev xeeb tub thiab tus cwj pwm phem
cev xeeb tub thiab tus cwj pwm phem

Cov cim qhia ntawm hypertonicity

Nws tuaj yeem kuaj pom hypertonicity hauv tus menyuam mos ntawm 3 lub hlis. Cov me nyuam no feem ntau muaj teeb meem pw tsaug zog. Lawv pw tsis tsaug zog thiab sawv ntau zaus. Thaum tus me nyuam dag, nws arches rov qab, thim rov qab nws lub taub hau, rub nws txhais tes thiab ob txhais ceg. Yog tias koj sim nplawm koj txhais tes lossis ob txhais ceg, ces qhov kev tawm tsam yuav hnov, thiab tus menyuam yuav pib quaj. Nws cov ceg thiab puab tsaig tuaj yeem co co. Ob txhais tes feem ntau yog nruj nreem kaw rau hauv lub nrig, tus ntiv tes xoo feem ntau nyob hauv lub nrig. Txawm tias lub teeb ci thiab lub suab ntsiag to tuaj yeem ua rau tus menyuam chim siab. Cov menyuam mos feem ntau nto qaub ncaug tom qab noj mov. Nrog hypertonicity, cov me nyuam taug kev ntawm tiptoe. Yog hais tias tus me nyuam raug tsa los ntawm armpits thiab muab tso rau ntawm ib tug tiaj tus, nws yuav tsis mus rau ib tug tag nrho ko taw, tab sis tsuasmus rau nws pem hauv ntej. Lub taub hau feem ntau tig mus rau sab.

Nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas cov tsos mob ntawm kev kub siab hauv cov me nyuam mos. Thaum koj mus ntsib kws kho mob sai, qhov kev kho mob yuav zoo dua.

Kev phom sij ntawm hypertonicity

Dab tsi yog fraught nrog hypertonicity hauv cov menyuam mos? Ua ntej, raws li twb tau hais lawm, nws tuaj yeem yog ib qho cim ntawm cerebral palsy lossis lwm yam pathologies hauv cov hlab ntsha. Nws yog ib qho tseem ceeb kom paub txog lub sijhawm. Tab sis txawm hais tias txhua yam tsis loj heev, hypertonicity cuam tshuam rau kev loj hlob ntawm tus menyuam lub cev. Piv txwv li, txoj kev loj hlob ntawm lub cev muaj zog kev txawj ntse tej zaum yuav poob qab, ib tug tsis raug gait thiab posture yog tsim. Kev hais lus pathologies kuj tsis tshua muaj, vim hais tias lub suab kuj tuaj yeem kis mus rau cov leeg ntawm lub ntsej muag thiab qhov ncauj kab noj hniav. Qee zaum, kev tsim cov kab mob ua pa thiab kev loj hlob ntawm lub cev tag nrho ntawm tus menyuam raug kev txom nyem.

Kev kuaj mob ntawm hypertonicity

Txhawm rau txiav txim siab dab tsi zais tom qab lub suab nrov ntxiv thiab seb puas muaj kab mob hnyav dua tom qab, kws kho mob tau sau cov kev tshawb fawb no. Neurosonography yog ib qho ultrasound ntawm lub hlwb ua nyob rau hauv thaj tsam ntawm fontanel. Qhov no ua tau thaum muaj hnub nyoog 1 xyoos, thaum nws qhib. Txoj kev no muaj kev nyab xeeb thiab tso cai rau koj txheeb xyuas lub hlwb pathology.

Electromyography. Txoj kev no ntsuas lub xeev ntawm tus menyuam cov leeg - lawv lub zog, qhov nrawm ntawm cov hlab ntsha impulses dhau los ntawm lawv, symmetry ntawm cov leeg ntawm so thiab thaum lub sijhawm txav.

Computed tomography tsis tshua muaj tshuaj rau cov menyuam mos thiab feem ntau yog siv yog tias lwm txoj kev tsis tau muab cov txiaj ntsig zoo.

Yog tsis pom dab tsi, thiab tus menyuam muaj teeb meem nrog lub suab, kws kho mob feem ntauKev kuaj mob ntawm PEP (Perinatal Encephalopathy) tau tsim. Qhov kev kuaj mob no tuaj yeem hnov ntau zaus, txawm tias ntau dhau lawm. Kev kuaj mob ntau dhau tsis yog qhov tsis yooj yim: qee zaum cov kws kho mob muab AEDs rau cov menyuam mos los ntawm qhov yuam kev. Vim li cas qhov no tshwm sim? Lub ntsiab lus ntawm tus kab mob yog tsis meej, thiab kev kuaj mob yuav siv sij hawm mus rau hauv tus account ntau yam tsos mob. Nws yooj yim heev ua yuam kev. Kev kuaj mob tsis yog mob hnyav, thiab feem ntau cov menyuam yaus nrog nws loj hlob ib txwm lossis me ntsis tom qab. Tsis tas li ntawd, muaj cov menyuam yaus uas muaj PEP thiab kev loj hlob ntawm kev txawj ntse - qee zaum pathology tuaj yeem ua rau lub hlwb ua haujlwm tau zoo.

tus me nyuam ntawm tus kws kho mob
tus me nyuam ntawm tus kws kho mob

Kev kho mob

Kev txiav txim siab cov tsos mob thiab kev kho mob ntshav siab hauv cov menyuam mos yuav tsum xaiv tus kws kho mob hlwb. Kev kho mob yuav suav nrog kev zaws, kev kho mob qoj ib ce thiab qoj ib ce, ua luam dej, da dej hauv cov tshuaj ntsuab tshuaj ntsuab (xws li sage thiab motherwort), electrophoresis, thiab paraffin packs. Tau kawg, kev kho mob ntshav siab hauv cov menyuam mos kuj tuaj yeem raug tshuaj. Niam tuaj yeem paub ntau yam txheej txheem ntawm nws tus kheej. Qhov no yog ua tiav tom qab ua tib zoo saib xyuas kev ua haujlwm ntawm tus kws tshaj lij thiab nws cov kev cob qhia hauv txhua yam kev tsim nyog. Tus menyuam yaus tuaj yeem tsis ntseeg thiab ntshai ntawm cov neeg txawv tebchaws uas ua ib yam dab tsi rau nws, thiab qhov no yuav ua rau quaj thiab muaj suab nrov. Thiab niam qhov kov yuav so nws zoo dua. Lawv cuam tshuam nrog kev sov siab, kev nplij siab thiab kev nyab xeeb.

massage

Ua ntej ua qhov zaws rau hypertonicity hauv cov menyuam mos, nws yog ib qho tseem ceeb kom ua pa hauv chav zoo, tab sis yuav tsum tsis muaj cov ntawv sau thaum lub sijhawm ua haujlwm. Cov huab cua kub tuaj yeemfluctuate ntawm 20 mus rau 23 C. Nws yog ib qho tsim nyog yuav tsum tau zaws ntawm lub rooj muaj zog. Ua ntej txheej txheem, ntxuav koj txhais tes kom huv si nrog xab npum thiab tshem tawm cov hniav nyiaj hniav kub kom tsis txhob khawb cov tawv nqaij ntawm tus menyuam. Lub massage yog ua tiav nrog tus me nyuam massage oil.

Yuav ua li cas massage

Nws yog qhov zoo tshaj los tham nrog tus kws tshaj lij. Nws yuav muaj peev xwm txiav txim siab seb qhov twg yog qhov nyuaj tshaj plaws rau tus menyuam thiab yuav pab nws li cas. Tab sis yog tias koj xav xyaum ntawm koj tus kheej, txawm tias cov me nyuam noj qab haus huv tuaj yeem tau txais txiaj ntsig los ntawm kev zaws. Nws pib nrog stroking tes. Koj yuav tsum txav ntawm xib teg mus rau lub xub pwg nyom, maj mam maj mam thiab smoothly. Bypass pob qij txha thiab lub luj tshib.

Ko taw massage yog ua tib yam - stroking ntawm ko taw mus rau ncej puab. Tom qab ntawd, koj tuaj yeem pib khoov thiab ncaj koj ob txhais ceg. Nws yog ib qho tsim nyog yuav tsum nqa ob txhais taw ntawm koj txhais tes thiab ua tib zoo khoov txhua ceg ntawm tus menyuam 10 zaug.

Tam sim no koj tuaj yeem zaws koj tus menyuam ko taw. Ntawm nws ib sab peb kos ib daim duab yim, me ntsis nias ntawm ceg. Tom qab ntawd, massage txhua tus ntiv taw. Lub massage xaus nrog maj mam stroking ntawm pob taws mus rau cov ntiv taw.

ko taw massage
ko taw massage

YGymnastics

Txhawm rau ua kom lub cev muaj zog thiab rov ua haujlwm, siv cov kev tawm dag zog no.

Koj yuav tsum muab tus menyuam tso rau ntawm nws sab. Peb stroke lub nraub qaum los ntawm lub pob tw mus rau caj dab. Tus me nyuam yuav koov me ntsis.

Flexion-extension ntawm cov ntiv taw. Koj yuav tsum nqa ko taw hauv koj txhais tes thiab nias rau hauv thaj chaw hauv qab tus ntiv tes thiab ntawm nws sab hauv. Tus menyuam, hauv kev teb rau qhov kev txav no, khoov cov ntiv tes thiab nyem ko taw. Tom qab ntawd koj tuaj yeem kos rau sab nrauv ntawm ko taw. Tus me nyuam yuav ncaj ko taw.

Kev so kom txaus rau tag nrho lub cev - "lub txaj" thiab "rocker". Thawj qhov kev tawm dag zog yog ua raws li hauv qab no: tus menyuam pw ntawm nws nraub qaum. Hauv qab nws lub taub hau thiab nraub qaum, koj yuav tsum nqa koj txhais tes thiab co nws ntawm sab mus rau sab. Ib yam yog ua rau lub cev qis. Koj yuav tsum nqa koj ob txhais tes hauv qab pob tw thiab sab nraub qaum ntawm tus menyuam thiab co nws. Thiab "rocker" yog ua txawv. Koj yuav tsum coj tus me nyuam los ntawm caj npab thiab viav vias ntawm ib sab mus rau sab.

YFitball gymnastics

Koj yuav tsum muab tus menyuam rov qab rau ntawm lub pob thiab rub nws rov qab los, tuav nws ob sab. Nqa tus menyuam los ntawm caj npab kom nws lub hauv siab tawm ntawm lub pob. Ua vibrating txav thaum tuav tus menyuam.

tus txiv neej ntawm fitball
tus txiv neej ntawm fitball

Swimming

Ua luam dej da dej ua ntej yuav mus pw - ua ntej nruab hnub thiab ua ntej hmo ntuj. Lub da dej tuaj yeem sau nrog dej sov nrog ib decoction ntawm tshuaj ntsuab. Cov dej sov twb muaj cov nyhuv so, thiab cov tshuaj ntsuab yuav pab txo cov suab nrov zoo dua. Piv txwv li, thawj tus menyuam yaus da dej nrog decoction ntawm valerian hauv paus, hnub tom qab - lingonberry nplooj, ces motherwort, thiab ces sage.

menyuam hauv chav dej
menyuam hauv chav dej

Tom qab ntawd, koj tuaj yeem so, thiab rov pib dua tag nrho lub voj voog. Tab sis dhia dej hauv chav dej nrog hypertonicity hauv cov menyuam mos yog contraindicated.

Pom zoo: