Rehabilitation o ngā tamariki ki te pararutiki kaka: he whakaahuatanga o ngā tikanga

whakaaurakitanga tōtika o ngā tamariki ki te pararutiki kaka ngā te whānuitanga o ngā ngohe. utua web te kore anake te tinana, engari ano hoki i te whanaketanga hinengaro o te tamaiti, te rironga o ngā pūkenga ora me te urutaunga pāpori. Hoki ngā tamariki ki te hauā e hoki taea kitea free, tīkiti mō te maimoatanga i roto i sanatoriums, whakarato rongoa me te tikanga hangarau o te whakanohonoho.

Ko te take o te mate, me te mōrea āhuatanga

Kei te wehea nga take o te pararutiki kaka ki pāngia e mua-mua, me te pou-mua. Ko te momo tuatahi ngā:

• hapūtanga nui;
• ara e hawata ana o te ora o te whaea;
• predisposition ira;
• tuku matatini, i roto i nei i reira asphyxia;
• whakapeka me etahi mate mau o te whaea;
• Tamariki whanau materoto me ki taimaha whanau iti;
• tukanga hopuhopu tupu i roto i te puka moe i roto i te tinana o te whaea;
• poisoning paitini o te roro tamaiti e tika ana ki te incompatibility rōpū toto i waenganui whaea me te kukune, me te tauwehe rH ranei tamaiti iti hoki ate.

pāngia e kulukia ngā:

• taimaha o te tamaiti ki te 1 kg i whanau;
• whanau ki mahanga te demoni ranei;
• whētuki upoko i te wawe tau.

toru o ia take, Heoi, e kore te mea taea ki te tautuhi i te take motuhake o te māuiuitanga. A te nuinga o, e kore e te whakanohonoho o ngā tamariki ki te pararutiki kaka whakawhirinaki i runga i nga take o te mate. hōtaka whakanohonoho takitahi kia whakahou anake i roto i te take o te preterm me kohungahunga LBW - rapua e maha enei tūroro tiaki atu tupato, me te te tirotiro hauora.

Ko te wāhanga matua o te rere mate

Te whakanohonoho tamariki ki CP tei runga i te wā o te mate, te pakeke o te mate, me te tau o te manawanui. Tohatoha enei ngā wāhanga e toru o te mate:

1. Early (ki runga, ki te 5 marama). whakakitea palsy retardation tupu, te tiaki o reflexes unconditioned.
2. Elementary (3 tau). Ko te tamaiti maha awhi nei i runga i te kai, e kore e rapu i ki te korero, karawhiti korerotia, hypertonia ranei whakangā uaua nui.
3. Late (i runga i toru tau). whakakitea reira shortening tetahi wahanga i runga i tetahi, horomia disorders, rongo, kite, kupu, haehae, urination waimaero me nekehanga whēkau, te retardation hinengaro.

tohu wawe o te pararutiki kaka

E nga tohu wawe o te pararutiki kaka ngā te rerekētanga e whai ake nei:

• roa i roto i te whanaketanga ā-tinana: upoko mana, okeoke runga, e noho ana i waho tautoko, ngoki, ranei e haere;
• tiaki "o tamariki" reflexes tae 3-6 marama o tau;
• predominance o tetahi ringa ki te 18 marama;
• tetahi tohu e whakaaro hypertonus whakangā nui (ngoikore) uaua ranei.

faaiteraa haumanu o te mate e taea e rua korerotia, me te tata e kitea - te reira i katoa tei runga i te tohu o CNS me roro. Ki te rapu i tiaki hauora kia, ki te:

• kaupapa anuanu o te tamaiti;
• He haehae te tamaiti;
• puta uaua māhorahora rawa ranei kukū;
• e kore e te tamaiti kemo i roto i te whakautu ki te nui te tangi i roto i te kotahi marama;
• 4 marama e kore e pēpē tawhito tahuri tona upoko ki he tangi nui;
• 7 marama kihai i noho, kahore tautoko;
• i 12 marama kihai i mea i te kupu torutoru;
• e kore e taea e pepe haere, ranei e haere ana i puwhenua te;
• kua he squint te tamaiti.

whakaaurakitanga whānui o ngā tamariki ki te pararutiki kaka homai nga hua pai ki te tīmata i te wawe tau. I roto i te puka nui o te mate e roa te ora o te mahi tinana ranei te whanaketanga i muri o ngā pūkenga pāpori taea te tino taunga te tamaiti ki te ora.

He taea ki te whakaora i te mate

E pā ana pararutiki kaka ki te mate e he tata e taea ki te whakaora rawa. Heoi, ka taea whakanohonoho whānui, me te wā haamatahia tamariki ki tenei tātaritanga ki te kia whakaakona i runga i te par ki ngā tamariki hauora, me te arahi i te ora tonu. Ka taea te whakaaro nui te ahunga whakamua i te tiaki o ngā tohu takitahi o te tamaiti.

tikanga hou o te maimoatanga o te pararutiki kaka

Ko te mahi matua o te hōtaka whakanohonoho takitahi mō ngā tamariki ki te pāpāngia ko te whanaketanga māmālie o ngā pūkenga me ngā pūmanawa, urutaunga tinana, me te pāpori. Techniques e whakawhanakehia fakafo'ituitui mo ia tamaiti, āta whakatikatika kohakore nekeneke, te whakapai ake mahi motor, whakawhanake manawanui fakaeongo, fakatāutaha me pāpori, te whakawhanake i ngā pūkenga o te rangatiratanga i roto i to ratou ora ia. Ka rite ki te hua o te whakanohonoho pūnahanaha o kia tango pakiaka i roto i te hapori, me te urutau ki te ora i mua nei i runga i to ratou ake te tamaiti.

Ko te hōtaka o te whakanohonoho o ngā tamariki ki te haaparuparu pararutiki ngā nga huarahi e whai ake nei:

• ngā tukanga maimoatanga wai: kauhoe, balneotherapy hydrotherapy ranei;
• PET therapy, ranei maimoatanga o te kararehe: ippoterapiya (maimoatanga o hoiho), whakanohonoho psychophysical i roto i te kōrero ki te aihe me te kaukau;
• tono o ngā pūrere orthopedic, simulators, gymnastic pōro arawhata;
• tono paru, te whakarei ake i te mahi bioelectric o nga uaua;
• mirimiri whakaora, e taea ana ki te whakaiti i te tohu o te lethargy me te uaua mamae;
• maimoatanga raau: Anga atu Botox, tāoke botulinum, kseomin, Dysport;
• haereraa kahuki, tuku ki whakahoki nga tauira tūturu o te whanonga;
• i tua: Miauton, ultrasound, therapy autō, darsonvalization;
• Montessori therapy, tuku ki te hanga i te kaha ki te aro, me te mahi takitahi;
• wā ki te kaimātai hinengaro;
• akomanga therapy kupu, disorders kupu whakaora (hōtaka "Logoritmika");
• mātauranga motuhake;
• Shiatsu therapy - acupressure;
• akomanga technique Bobath - taka porepore motuhake ki te whakamahi o etahi taputapu;
• pānga taiaho i runga i nga rohe pūpū, te matamata o te ihu, hononga, pūpū-segmental rohe rohe uaua paretic;
• therapy toi, e hāngai ana ki te whakarite i te tamaiti ki te ako;
• Peto technique - te wehenga o nekehanga takitahi ki mahi me te Practice;
• wawaotanga hāparapara orthopedic;
• maimoatanga kaukau;
• maimoatanga kē: Osteopathy, Chiropractic, catgut-therapy, mārua therapy, electroreflexotherapy.

O te akoranga, e kore he tikanga katoa o whakanohonoho o ngā tamariki ki te pararutiki kaka te rārangi i runga ake. He maha ngā hōtaka rite-hanga hangaia ki te whanake me te pokapū whakanohonoho hakari, huarahi kē me ngā tūāhua.

whakanohonoho tinana o ngā tamariki ki te pararutiki kaka

whakaora tinana o te tamaiti mate kia timata rite wawe tonu. Kua mohio ārahi tohunga i roto i te ao e hopoi mai i te hua pai ki runga ki tau e toru te whakanohonoho o te tamaiti ki te hauātanga (palsy), engari i roto i Russia maha pokapū kore ki te tango i ngā tamariki ki runga, ki te tau kotahi ki runga ranei ki nga tau e toru, a kahore e kaiwhakaako hohoro ki te tātaritanga me te hoahoa o te hauātanga. whakaauraki ano tinana - te wā tino nui o urutaunga ki nga āhuatanga o te tamaiti i muri i roto i te ora, ka timata ki te whai wāhi ki te tūroro taitamariki e whai ake tonu tātaritanga, "pararutiki kaka."

hiahiatia Rehabilitation o ngā tamariki ki te pararutiki kaka te ki te ārai vaivai me atrophy o uaua, te aperaa i te whanaketanga o pōauautanga, me te paitanga ki reira ki te whakatairanga i te whanaketanga pūkaha o te tamaiti. Te whakamahi mirimiri whakaora, te whakangungu tinana, me mahi i runga i kaiwhakangungu motuhake. Ko te tikanga whai hua tetahi tinana mahi, tohunga mātakitaki me te ka tauturu i te hanga i te tauira kaupapa tika whakawhanake tinana tinana, me te ārai i ma'unimā ki tūranga pathological.

Bobath whakanohonoho therapy

Ko te puka tino noa o te whakanohonoho ko te therapy Bobath i roto i ngā ki atu, tikanga rite whai hua. Ko te ngako o te therapy ko ki te whakarato i te tūranga mutunga ritenga ki taua i te mea te reira, pera me te hua o te Kōnei, feinga ki te tango. kia Karaehe kia whakahaeretia i roto i te huru marino, e toru nga wa i te ra i te wiki ranei, nga kaupapa e toutou 3 ki te 5 ngā wā. Nekehanga kua ratou i puhoi, no te mea te whāinga matua o te maimoatanga he ki te akaanga te uaua. Ko te matatini o te mahi whakawhanakehia takitahi. Treatment i te tikanga o Bobath therapy taea te kawea atu i roto i te kāinga - whakangungua he matua, kaitiaki rānei o te fariiraa e te whakamahi i te pokapū mātanga whakanohonoho.

tikanga hangarau o te whakanohonoho

A, no te e whakamahia hoki te faaho'iraa mai tinana o te mahi nekeneke o te tamaiti ki te pararutiki kaka tikanga hangarau o te whakanohonoho o ngā tamariki. ICP i roto i tono nui mō ngā pūrere nekeneke (kaihīkoi, teketeke), whanaketanga (paihikara mahi, tepu motuhake me tūru), me te akuaku (nohoanga pati, tūru, wharepaku) tamaiti. Ka rite ki te tikanga o te whakanohonoho mō ngā tamariki ki te pararutiki kaka whai wāhi te whakamahi o ngā pūrere orthopedic me simulators. Kei te whakamahia te reira, hei tauira, Adèle take, pūtohu te kawenga simulator Gross, whakawhanake pūkenga nekeneke, "Veloton" take uaua whakaongaonga "Koru", e taea ana ki te hanga tauira hou o te kaupapa, me pera i runga i.

Ko te whakanohonoho pāpori o ngā tamariki hauā ki te pararutiki kaka

Ofi ki tau kura, utua atu te aro te ki te urutaunga pāpori o te tamaiti. E whakahaua tautooraa ki te hanganga o ngā pūkenga ora, te whanaketanga hinengaro, te faaineineraa o te tamaiti mō te ako ngātahi, me te kōrero. I tua atu, e whakaako tūroro ki te taka ratou, tangohia tiaki o ratou, ki te kawe i roto i akuaku, haere, me te pera i runga i. Ka whakaiti i tenei katoa i te pikaunga i runga i ngā kaitiaki o te tamaiti hauā, me te manawanui, te whakaotinga - ki te urutau ki te ora.

Ki te kaimātai hinengaro tamaiti motuhake, kaihaumanu reo me ngā kaiako. tūranga tino nui o ngā mātua, kaitiaki ranei ko wai e mahi ki tō tamaiti i te kāinga. whakaaurakitanga pāpori o ngā tamariki (CP) whāinga he:

• kupu me te outlook;
• te whanaketanga o te mahara, whakarongo, me te whakaaro;
• mātauranga o te akuaku whaiaro;
• mātauranga pūkenga awhina-whaiaro;
• whanaketanga reo, te hanganga o te ahurea.

Ka taea te whakangungua tamariki ki tenei tātaritanga i roto i te akomanga whakamātautau, e maha i hanga e i roto i te kura tūmatanui, engari ki te whāititanga nui pai whakaaro e pā ana ki kura ranei i te ako kāinga. I roto i te te tau e taea tamaiti kura te kōrero ki ō rātou hoa, ia farii i ngā pūkenga motuhake, me te whai wāhi i roto i ngā mahi tohutohu mahi. A, no te whakangungu i te kāinga e hiahia whai wāhi kaha ake o ngā mātua, me te rā te tirotiro hauora.

I roto i te nuinga o te wā, ka taea e koe atu mahi mahi o te tangata ki te tātaritanga o "pararutiki kaka." Ka taea e taua iwi rangatira te tikanga o te mahi hinengaro (kaiako, engari mahi māka e kore raro, economists, kaihoahoa, teina kaimahi hauora) mahi i hötaka kāinga, freelancers me tae noa (ki te haumaru o te ringa nekehanga) tuahine nira ahu. e kore e taea e Mahi e anake i roto i ngā take kino.

Hauātanga ki te pararutiki kaka

He maha ngā momo me nga nekehanga o te pakeke pararutiki kaka. Hauātanga ka puta ICP te i roto i te hui i haere tahi te mate e here ki te faatura ki te mahi noa, te ako, whaiaro ratonga-, reo whakapā. Making hauātanga he taea anake i muri i te whakamātautau hauora. Mama ki te tamaiti ki te haere i roto i te toketā neave, taote, tākuta, tākuta tamariki, podiatrist, ophthalmologist me Ent. I roto i tenei "mōrearea" e kore e mutu i reira. aru tenei e:

• ki te puta he whakaaro whakamutunga i te matenga o te whare hauora;
• waha te tukanga o te manatoko o ngā tuhinga kua i roto i te whare hauora pakeke;
• hoatu i te tuhinga ki te wāhi kohinga mo te take o te whakamātautau hauora-pāpori.

Ko te wa tei runga i te haamauraa i hauātanga whakahaere whakamātautau hauora, me te pāpori (me i konei ano haere rata katoa) me toutou i muri i te tetahi wā o te wā. Hoki e hiahia ana koe ki te tiki anō-here i roto i te hui e te whakamamaetia he hōtaka whakanohonoho takitahi hou huringa - hei tauira, titau mātanga ki te tikanga te tamaiti ko te tikanga hou o te whakanohonoho.

Hua mō ngā tamariki hauā ki te pararutiki kaka

Making hauātanga hoki etahi hapu ko te take faufaa, no te mea homai reira te rave'a no te farii utu moni mo te whakanohonoho me te te tauturu.

Hei tauira, ngā whānau me ngā tamariki hauā ki kaka painga whai ake pararutiki hāngai i runga i:

• whakanohonoho noa i roto i te pokapū e hānga ana, me te rohe, me sanatoriums;
• he hekenga o te iti rawa 50% ki te utu mō ngā ratonga whare me te whare terenga tūmatanui ranei;
• te tika ki te matua i roto i te whiwhi whakaaro whenua mo te whare takitahi hanga, māra me te riko;
• supply raau (i whakahaunga), hua kai tōtika haumanu;
• transportation Free ki te wahi o te maimoatanga hōhipera, me te hoki, me te rite i roto i te waka tāone (whakawāteatanga e takoto tamaiti hauā, me te kotahi tangata tahi);
• ratonga kaimātai hinengaro utu, kaiako me te kaihaumanu kupu, etahi hōtaka whakanohonoho takitahi (moni ki kaua e moni neke atu i 11.2 mano te tau.)
• whakawāteatanga i utu i roto i te kindergarten;
• utu e vai ki nga tangata kore mahi nei tiaki mo te tamaiti hauā (matua, matua whāngai kaitiaki ranei e taea te riro 5.5 mano moni, tetahi atu tangata - 1.2 mano moni ..);
• penihana mo te tamaiti hauā, me te atu utu (katoa 14.6 mano moni rite o 2017.);
• te wā o te tamaiti tiaki te whaea hauā kiia i roto i te roa o te mahi;
• He whaea o te tamaiti hauā ki pararutiki kaka he maha o ngā hua i raro i te ture mahi: e kore e taea e te mahi i te reira te roanga, haerenga pakihi, whai i te tika ki te mahi wahi-wa, i muri wawe, a pera i runga i;
• e kore e taea te tukunga he whaea kotahi te whakatairanga i te tamaiti ki te hauātanga, ki te kahore oti toremi o te hinonga.

pokapū Rehabilitation i roto i Russia

whakahaere te pokapū whakanohonoho motuhake mō ngā tamariki ki te pararutiki kaka te whānui me te i raro i te mātakitaki o nga tohunga e hāngai ana. Ka rite ki te tikanga, ngaahi kalasi nahanaha, ngā hōtaka takitahi me te tautoko ngaio hauora e taea e rua tamariki me ngā mātua whakatutuki i ngā hua nui i roto i te wā poto ngā o te wā. O te akoranga, ki te whakatōpū Me nga hua ki tonu ki te kia whai wāhi i runga i te hōtaka e whakaarohia ana me te kāinga.

Russian Center Scientific-Practical o Tinana Rehabilitation me Sports (Grossko Center)

I roto i Russia reira e rave rahi pokapū whakanohonoho. Kei te mahi Grossko Center i Moscou i runga i te hōtaka whānui: kua pāngia whakauru, a ka he tamaiti motuhake e mātanga-i nga kaiwhakaako i roto i te whakanohonoho tinana. whakanohonoho tinana o ngā tamariki ki te pararutiki kaka i roto i Grossko Center whakarato mahi tinana, kaukau, te faaohipa ki simulators motuhake, tuku ki te whakawhanake i nekeneke ruruku me ngā tauira kaupapa haumaru, te whakangungu i runga i te wīra, e eke ana ki runga ki te Roha takai. E ai ki nga hua o whakamātautau kawea i roto i ngā hōtaka mātauranga o te ako, ki te toe fakafoki o nga hiahia me o te manawanui iti motuhake.

Ko pono e kore te utu o te whakanohonoho o (CP) te tamaiti i roto i Grossko Center iti. Hei tauira, mo te fariiraa tuatahi e whai ki te utu 1,700 moni, me te utu o te 10 wā therapy tinana (45-50 meneti) he 30 mano. Miria. Kotahi wātū ki te kaihaumanu kupu (roanga 30 meneti), me te massages (30-40 meneti i runga i te whakaaturanga o te tākuta) ka utu 1000 moni. Heoi, hua o akoranga tino ko, me te pokapū rawa Grossko ko te whakanōhanga nui.

Russian Scientific Institute Research o traumatology, me orthopedics. R. R. Vredena

pokapū Rehabilitation mō ngā tamariki ki te kaka pararutiki ko R. R. Vredena (RNIITO - Russian Scientific Research Institute o traumatology, me orthopedics) i roto i St Petersburg tuku ona kiritaki i te whānuitanga ki tonu o ratonga i tātaritanga ki te pokanga, tae atu, o te akoranga, maimoatanga me te ora. I te tukunga o mātanga tino tohu o te pokapū ki te maha nga tau o te wheako mahi o neke atu i te rua tekau tari tino-rawa.

Moscow Scientific ko Center Practical mo Rehabilitation o Monokia Persons rite ki te hua o te pararutiki kaka

whakaaro Moscow SPC whakanohonoho o te monokia rite ki te hua o te pararutiki kaka te tetahi o te wātea tino me rongonui. Kei te mahi tākuta Center i te pūtake o te torutoru tekau o ngā hōtaka whakanohonoho, te whakamahi i te whanaketanga kāinga hou katoa, me te kitea i te huarahi takitahi ki ia manawanui. e te Center tamariki i nga tau e toru. I tua atu ki te whakatika whakaora tinana, me ngā kaimātai hinengaro tūroro iti wāhi, Pathologists kupu, kaihaumanu kupu, masseurs ngaio me te konduktologi - kaiako e mahi ana ki te mahi tamariki, me ngā pakeke ki te disorders CNS.

Institute o conductive Mātauranga me te whakanohonoho kaupapa therapy i Budapest, Hungary

Rehabilitation o te tamaiti hauā (CP) i te Institute mo ratou. A. Peto i Budapest - whakapaipai Hungarian - te pokapū, e tamata ki te tiki rau o te mau utuafare. Whakatū rongonui hoki o ratou tohunga tino, te whakamahi i te whanaketanga hou i roto i te maimoatanga o te tūroro taitamariki, me te hua kitea, e tae tamariki ki pararutiki kaka nei i haere te akoranga whakanohonoho.

He maha atu pokapū whakanohonoho me pokapū hauora, tango i runga i te whakanohonoho o ngā tamariki ki te pararutiki kaka. I roto i Moscow, hei tauira, ko te pokapū o te whakanohonoho o ngā tamariki ki te haaparuparu pararutiki "Movement" pokapū whakanohonoho "Purangi", Rehabilitation Center "Ikuna'i" me etahi atu. E wātea ana utu o te tiaki whakanohonoho o ngā tamariki ki te pararutiki kaka hoki ētahi pūtahi. Mau utuafare ki ngā tamariki hauā, me te whakarato tautoko mō ngā rōpū whakahaere kaupapa atawhai me pokapū pāpori.