Ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ: a nkọwa ụzọ

Irè-agwọ nke ụmụ na ọrịa ụbụrụ na-agụnye a dịgasị iche iche nke omume. Anya na-akwụ ụgwọ ọ bụghị nanị anụ ahụ kamakwa iche echiche mmepe nke nwa, nnweta nke ndụ nkà na-elekọta mmadụ mmegharị. Maka ụmụaka nwere nkwarụ na-na-ekwe omume free chọpụtara, vouchers maka ọgwụgwọ na sanatoriums, na-enye ọgwụ na oru n'aka ghara ịgbanwe.

Na-akpata ọrịa na ihe ize ndụ ihe

Na-akpata ọrịa ụbụrụ ekewa tupu Natal na post-Natal triggers. The mbụ ụdị na-agụnye:

• oké ime;
• Ụzọ ọjọọ nke ndụ nke nne ya;
• mkpụrụ ndụ ihe nketa pụrụ ịrịa;
• mgbagwoju nnyefe, n'oge nke e asphyxia;
• nnukwu na ụfọdụ adịghị ala ala ọrịa nke na nne;
• Children a mụkworo amụkwo na na ala ọmụmụ ibu;
• na-efe efe Filiks aa na a latent ụdị ke ahụ nke nne ya;
• na-egbu egbu na nsi nke nwa ụbụrụ n'ihi ọbara otu incompatibility n'etiti nne na nwa ebu n'afọ na RH-akpata ma ọ bụ hepatic insufficiency nwa.

Ọbara triggers na-agụnye:

• nwa ibu 1 n'arọ na nwa;
• mụrụ ejima ma ọ bụ triplets;
• isi trauma na nwata.

Onye ọ bụla nke atọ ikpe, Otú ọ dị, ka a mata kpọmkwem akpata daa ọrịa bụ ekwe omume. Na-emekarị, na-agwọ nke ụmụ na ọrịa ụbụrụ adịghị adabere na ndị na-akpata ọrịa ahụ. Onye ghara ịgbanwe usoro ihe omume nwere ike adi ma e wezụga n'ihe banyere preterm na LBW ụmụ ọhụrụ - ndị ọrịa a na-achọ ihe ịkpachara anya na-elekọta na ọgwụ na-elekọta.

Isi na-adọ nke ọrịa oruru

The ghara ịgbanwe ụmụaka na CP na-adabere na-adọ nke ọrịa, ogo nke ọrịa na afọ nke onye ọrịa. Igbunye atọ ndị a n'ụzọ nke ọrịa:

1. Early (ruo 5 ọnwa). Ọrịa ụbụrụ gosipụtara ibu iberibe, ichebe unconditioned-aghọ nkọ.
2. Elementrị (3 afọ). The nwa mgbe na akpagbu umu nri, anaghị achọ ikwu okwu, akpọ asymmetry, hypertonia ma ọ bụ oké muscle ntụrụndụ.
3. Mbubreyo (karịrị afọ atọ). Ọ puta ìhè shortening otu N'ịdị ọzọ, ilo ọrịa, ntị, ọhụụ, okwu, ụfụ, mkpọchị urination na bowel mmegharị,-eme iberibe.

Early ịrịba ama nke ọrịa ụbụrụ

Site n'oge ihe ịrịba ama nke ọrịa ụbụrụ na-agụnye ndị na-esonụ ọdịiche:

• igbu oge na-ahụ mmepe: akara n'isi, inyefe n'elu, ọdụ enweghị support, crawling, ma ọ bụ na-eje ije;
• -azọpụta "ụmụ" na-aghọ nkọ esịmde 3-6 ọnwa nke afọ;
• predominance nke otu aka ọnwa 18;
• ọ bụla mgbaàmà na-atụ aro hypertonus ma ọ bụ oké ntụrụndụ (adịghị ike) uru.

Clinical ngosipụta nke ọrịa nwere ike ịbụ ma akpọ na ọ fọrọ nke nta-adịghị ahụ anya - ya niile na-adabere ogo CNS na ụbụrụ. Iji achọ ọgwụ na-elekọta kwesịrị, ma ọ bụrụ na:

• ekwekọghị n'okike ije nke nwa;
• nwa nwere ụfụ;
• uru na-egosi kwa iru ala ma ọ bụ na-egosi;
• nwa anaghị itabi omume a oké ụda na otu n'ọnwa ahụ;
• 4 ọnwa agadi na nwa adịghị isi ya ka a oké ụda;
• 7 ọnwa adịghị enweghị support;
• na 12 ọnwa ekwughị a okwu ole na ole;
• nwa nwere ike na-eje ije, ma ọ bụ na-eje ije unnaturally;
• nwa nwere a squint.

Comprehensive ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ enye arụpụta ihe kasị mma ma ọ bụrụ na malitere na nwata. Na oké forms nke ọrịa na-egbu oge mgbake emega ahụ ma ọ bụ na mgbe e mesịrị na mmepe nke mmekọrịta mmadụ na ibe a na nwa nwere ike ịnọgide na-kpam kpam na-emegharị ka ndụ.

Ọ ga-ekwe omume ka ọ gwọọ ndị ọrịa

Ọrịa ụbụrụ na-ezo aka a ọrịa na-fọrọ nke nta ka-agaghị ekwe omume ka ọ gwọọ kpamkpam. Otú ọ dị, saa mbara ma na-adọ bidoro ghara ịgbanwe na-enye ohere ụmụ a nchoputa ka a zụọ na a par na mma ụmụ na-edu a full ndụ. Ịrịba Ama ọganihu nwere ike-atụle ichebe nwa ahụ onye mgbaàmà.

Modern ụzọ nke ọgwụgwọ nke ọrịa ụbụrụ

The isi ọrụ nke onye ghara ịgbanwe omume maka ụmụ na mkpọnwụ bụ a jiri nwayọọ nwayọọ na mmepe nke nkà na ikike, anụ ahụ na-elekọta mmadụ mmegharị. Usoro nke na-mepụtara n'otu n'otu n'ihi na nwa nke ọ bụla, jiri nwayọọ nwayọọ na-agbanwe moto ntụpọ, mma moto ọrụ, ịzụlite ndidi n'ụzọ mmetụta uche, onwe na mmadụ, ịzụlite nkà nke onwe ya na ha kwa ụbọchị ndụ. Dị ka a N'ihi nke a Ịhazi ghara ịgbanwe nke nwa nwere ike buru mgbọrọgwụ n'ime ọha mmadụ na imeghari ndụ n'ọdịnihu na ha onwe ha.

Ihe omume nke ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ na-agụnye ndị na-esonụ na-eru nso:

• na mmiri ọgwụ usoro: igwu mmiri, balneotherapy ma ọ bụ hydrotherapy;
• PITA ọgwụ, ma ọ bụ ọgwụgwọ nke ụmụ anụmanụ: ippoterapiya (ọgwụgwọ nke inyinya), psychophysical ghara ịgbanwe n'oge nkwurịta okwu na Azụ dolphin na igwu mmiri;
• ngwa nke orthopedic ngwaọrụ, simulators, gymnastic bọọlụ ladders;
• apịtị ngwa, ime bioelectric ọrụ nke uru ahụ;
• ọgwụgwọ ịhịa aka n'ahụ, nke na-enye ohere iji belata ogo lethargy na muscle apịajighị apịaji;
• ọgwụ ọgwụgwọ: Tee Botox, Nsí botulinum, kseomin, Dysport;
• Mpiaji locomotion, ikwe iweghachi eke ihe nakawa etu esi nke omume;
• physiotherapy: Miauton, ultrasound, magnetik ọgwụ, darsonvalization;
• Montessori ọgwụ, ikwe ka na-etolite ike itinye uche n'ihe na-arụ ọrụ n'adabereghị;
• sessions na a ọkà n'akparamàgwà mmadụ;
• okwu ọgwụ ọmụmụ, remedial okwu ọrịa (mmemme "Logoritmika");
• Azụrụ;
• Shiatsu ọgwụ - acupressure;
• Bobath Usoro ọmụmụ - pụrụ iche egwuregwu mmega na ojiji nke ụfọdụ ngwá;
• laser mmetụta na mpiaji zones, n'ọnụ nke imi, njikọ, mpiaji-segmental mpaghara region paretic uru;
• art ọgwụ, iji na-akwadebe nwa ịmụta;
• Peto Usoro - nkewa nke onye mmegharị ka omume na Omume;
• orthopedic ịwa ahụ aka;
• spa ọgwụgwọ;
• ọzọ agwọ ọrịa: osteopathy, chiropractic, catgut-ọgwụ, agụụ ọgwụ, electroreflexotherapy.

N'ezie, n'elu ndepụta bụghị niile ụzọ nke ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ. E nwere ọtụtụ njikere mere e mere iji zụlite ma ugbu ghara ịgbanwe emmepe, ọzọ na-eru nso na usoro.

Physical ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ

Physical mgbake nke a na-arịa ọrịa na nwa ga-amalite dị ka n'oge na-adịghị dị ka o kwere. Eduga ọkachamara na ụwa ghọtara na ghara ịgbanwe nke nwa na a nkwarụ (ọrịa ụbụrụ) eweta arụpụta ihe kasị mma ruo afọ atọ, ma na Russia ọtụtụ emmepe ajụ ịnara ụmụ ruo otu afọ ma ọ bụ ruo afọ atọ, na ndị dọkịta na-adịghị ọsọ ọsọ na nchoputa na imewe nkwarụ. Ma anụ ahụ ghara ịgbanwe - kacha mkpa ogbo nke mmegharị àgwà nke nwa e mesịrị ná ndụ, na-amalite na-arụ na-eto eto na-arịa ọrịa ozugbo nchoputa, "ọrịa ụbụrụ."

Ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ dị mkpa iji gbochie idem emem na atrophy uru, na-ezere na mmepe nke nsogbu, dị ka nke ọma dị ka iji ya na-akwalite moto mmepe nke nwa. Tee ọgwụgwọ ịhịa aka n'ahụ, na-azụ ahụ na omume pụrụ iche ọzụzụ. N'ozuzu bara uru ọ bụla ọrụ ahụ, ọkachamara na-elekọta na ga-enyere mmetụta ije nakawa etu esi n'ụzọ ziri ezi ịzụlite anụ ahụ mma ma gbochie riri ahụ enweghị nchịkwa ọnọdụ.

Bobath ghara ịgbanwe ọgwụ

Kacha nkịtị ụdị ghara ịgbanwe bụ Bobath ọgwụ na Nchikota na ndị ọzọ, dokwara ụzọ dị irè. Ihe kachasi mkpa ọgwụ bụ inye ọgwụgwụ ọnọdụ na ncherita-na nke ọ bụ, dị ka a n'ihi nke hyper, gbalịa ịmụta. Klas ga-mụụrụ na a jụụ ikuku, ugboro atọ a ụbọchị ma ọ bụ a izu, ọ bụla ije na-ugboro ugboro 3 5 ugboro. Mmegharị onwe ha anọwo na-adịghị ewe, n'ihi na isi ihe mgbaru ọsọ nke ọgwụgwọ bụ iji zuru ike nke akwara. The mgbagwoju nke omume mepụtara n'otu n'otu. Ọgwụgwọ usoro nke Bobath ọgwụ nwere ike rụrụ ke ufọk - a nne na nna ma ọ bụ onye nlekọta nke n'ikuku na-zụrụ iji a ọkachamara ghara ịgbanwe center.

technical n'aka ghara ịgbanwe

Mgbe ahụ mweghachi nke moto ọrụ nke nwa na ọrịa ụbụrụ na-eji oru n'aka ghara ịgbanwe nke ụmụ. ICP oké choro agagharị agagharị ngwaọrụ (igwe ịga ije, oche nkwagharị), mmepe (mmega anyịnya igwe, pụrụ iche tebụl na oche) ọcha na ịdị ọcha (bath oche, oche, ụlọ mposi) nwa. Dị ka n'ọnụ agwọ na ụmụ na ọrịa ụbụrụ na-agụnye ojiji nke orthopedic ngwaọrụ na simulators. Ọ na-eji ihe atụ, Adele uwe, redistributing ibu simulator Gross, na-emepe emepe moto nkà, "Veloton" na-akpali akpali muscle uwe "gburugburu", nke na-enye ohere ike ọhụrụ ihe nakawa etu esi nke ije, na na.

Ndị na-elekọta ghara ịgbanwe nke ụmụaka nwere nkwarụ na ọrịa ụbụrụ

Nso akwụkwọ afọ, ihe anya na-akwụ iji na-elekọta mmadụ mmegharị nke nwa. Mgbalị na-eduzi ndị guzobere ndụ nkà, cognitive mmepe, na njikere nke nwa mkpokọta mmụta na nkwurịta okwu. Ke adianade do, ọrịa na-akụziri na-eji ejiji ha, na-elekọta onwe ha, na-ebu ọcha, njem na na. All a ga-ebelata ibu arọ nlekọta nke a nwere nkwarụ nwa, ma nke ikpeazụ ndidi - imeghari ka ndụ.

Na pụrụ iche nwa ọkà n'akparamàgwà mmadụ, okwu na-agwọ ọrịa na ndị nkụzi. Oké ọrụ dị mkpa ndị nne na nna ma ọ bụ ẹkekpemede onye ga-gị na nwa gị n'ụlọ. Social ghara ịgbanwe nke ụmụaka (CP) ebumnobi bụ:

• okwu na-ele ihe anya;
• mmepe nke ebe nchekwa, anya na echiche;
• agụmakwụkwọ nke onwe ha ọcha;
• agụmakwụkwọ enyemaka onwe onye nkà;
• asụsụ mmepe, guzobe nke ọdịbendị.

Children na a nchoputa nwere ike zụrụ azụ na ndị ibuo ọmụmụ, nke na-guzobere ke n'ụlọ akwụkwọ ọha na, ma na ịrịba na-agaghị emeli mma na-eche banyere bi n'ụlọ akwụkwọ ma ọ bụ n'ụlọ mmụta. Na bi n'ụlọ akwụkwọ na nwa nwere ike na-ekwurịta okwu ndị ọgbọ ha, na-enweta pụrụ iche nkà na isonye na ọrụ ndụmọdụ eme. Mgbe azụ n'ụlọ mkpa karị òkè nke nne na nna na kwa ọgwụ na-elekọta.

Na ọtụtụ mgbe, i nwere ike gụkwuo oru ọrụ nke onye a nchoputa nke "arịa ọrịa ụbụrụ." Ndị dị otú ahụ nwere ike ịmụta ọrụ nke iche echiche ọrụ (nkụzi, ma unu ala akara ule, economists, architects, keobere ọgwụ mkpara) arụ ọrụ n'ụlọ programmers, freelancers na ọbụna (na nchekwa nke aka mmegharị) seamstresses. Employment nwere ike ịbụ naanị na oké ikpe.

Disability na ọrịa ụbụrụ

Ọrịa ụbụrụ nwere ọtụtụ iche-iche na degrees nke ntaramahụhụ. Disability mgbe ICP na-agbala na ihe omume na ọrịa na-esonyere mgbochi na-akwanyere ndị nkịtị ọrụ, na-amụta, onwe-eje ozi, olu kọntaktị. Ime nkwarụ bụ nanị kwe omume mgbe a ọgwụ nnyocha. Mama m na a na nwa na-aga site a ọkà mmụta ọrịa akwara, dọkịta na-awa, ọrịa uche, pediatrician, podiatrist, ophthalmologist na ENT. Na nke a "na njem" anaghị akwụsị ebe ahụ. Nke a na-agbaso site:

• inye a ikpeazụ echiche site na isi nke ahụ ike na alụmdi;
• -ata usoro nke nkwenye nke akwụkwọ ugbua na okenye ọgwụ;
• -enye akwụkwọ a collection ebe maka nke nke ọgwụ na ahụ ike-elekọta mmadụ ule.

The oge na-adabere na guzosie ike nkwarụ na-eduzi na nkà ọgwụ na-elekọta mmadụ ule (n'ihi ya ọzọ rue niile dọkịta) ga-ugboro ugboro mgbe a ụfọdụ oge. Ọzọkwa ị chọrọ iji nweta re-mkpọrọ na ihe omume ahụ a oge a na onye ghara ịgbanwe usoro ihe omume dabara mgbanwe - n'ihi na ihe atụ, ọ bụrụ na nwa na-aduak ọkachamara na-achọ a ọhụrụ n'aka ghara ịgbanwe.

Uru ụmụaka nwere nkwarụ na ọrịa ụbụrụ

Ime nkwarụ maka ezinụlọ ụfọdụ bụ a dị mkpa nke, n'ihi na ọ na-enye ohere nke inweta ego ego maka ghara ịgbanwe na enyemaka.

Ka ihe atụ, ndị ezinụlọ ya na ụmụaka nwere nkwarụ na ọrịa ụbụrụ na-esonụ uru dabeere na:

• free ghara ịgbanwe na gọọmenti etiti na mpaghara ebe a na sanatoriums;
• a ego nke dịkarịa ala 50% iji kwụọ ụgwọ maka ọchịchị ma ọ bụ ọha ụlọ na ụlọ ọrụ;
• ikike mkpa na inweta ala akpa nkata maka onye ụlọ ewu, ugbo na-elekọta ebe obibi;
• ọgwụ ọkọnọ (site ọgwụ), na-adakarị oriri na-edozi ngwaahịa;
• Free njem ebe sanatorium ọgwụgwọ na azụ, nakwa dị ka n'obodo ukwu iga (anaghịkwa tọrọ nwere nkwarụ nwa na onye soro onye);
• Ọkà n'akparamàgwà mmadụ, ọrụ akwụ ụgwọ, onye nkụzi na-ekwu okwu therapist, ụfọdụ mmadụ ghara ịgbanwe usoro ihe omume (amounting ọ dịghị ihe karịrị 11.2 puku rubles a afọ.)
• anaghịkwa ugwo na ụlọ akwụkwọ ọta akara;
• compensatory ịkwụ ụgwọ na-enweghị ọrụ mmadụ na-elekọta a nwere nkwarụ nwa (nne na nna, kuchiri nne na nna ma ọ bụ onye nlekọta pụrụ inweta 5.5 puku rubles, onye ọzọ - 1.2 puku rubles ..);
• ụgwọ ezumike nká a nwere nkwarụ nwa na ndị ọzọ ịkwụ ụgwọ (ngụkọta 14,6 puku rubles dị ka nke 2017.);
• oge nke nwa-elekọta ndị nwere nkwarụ na nne gua na ogologo nke ọrụ;
• nne nke a nwere nkwarụ nwa na ọrịa ụbụrụ nwere ọtụtụ uru n'okpuru oru iwu: o nwere ike na-arụ ọrụ oge, njem azụmahịa, nwere ikike ịrụ ọrụ akụkụ-oge, ịla ezumike nká n'oge, na na;
• a otu nne ịzụ nwa na a nkwarụ a pụghị iwere, ma e wezụga zuru liquidation nke enterprise.

Ghara ịgbanwe emmepe na Russia

The pụrụ iche ghara ịgbanwe center maka ụmụaka na ọrịa ụbụrụ na-ekenịmde emejuputara na n'okpuru nlekọta nke mkpa ọkachamara. Dị ka a na-achị, Ịhazi ọmụmụ, onye omume na ọkachamara ahụike support ma ụmụaka ma ndị nne na nna nwere ike isi nweta ịrịba arụpụta a dịtụ mkpirikpi oge. N'ezie, inokota pụta kwesịrị ịnọgide na-aku na chọrọ omume na n'ụlọ.

Russian Scientific-Bara Center nke Physical ghara ịgbanwe na Sports (Grossko Center)

Na Russia e nwere ọtụtụ ghara ịgbanwe emmepe. Grossko Center na Moscow na-arụ ọrụ na a sara mbara omume: mbanye na-chọpụtara, na mgbe ahụ a pụrụ iche nwa ọkachamara-andikpep nkịtị ghara ịgbanwe. Physical ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ na Grossko Center na-enye anụ ahụ omume, na-egwu mmiri, na-egosipụta na ndị pụrụ iche simulators, ikwe ịzụlite moto nchikota na ala ije nakawa etu esi, ọzụzụ na mmadụ ịnọ otu ebe, n'elu ala skates. Dị ka ihe ule rụrụ nkuzi ihe nke mgbazi, na mweghachi nke mkpa na nke kpọmkwem obere ndidi.

The na-eri nke ghara ịgbanwe nke nwa (CP) na Grossko Center N'ezie obere. Dị ka ihe atụ, n'ihi na ndị mbụ n'ikuku ga-akwụ 1,700 rubles, na-eri nke 10 ọgwụgwọ anụ ahụ sessions (45-50 nkeji) bụ 30 puku. Ete. Otu nnọkọ na a okwu therapist (oge 30 nkeji), nakwa dị ka ịhịa aka n'ahụ na (30-40 nkeji na-agba akaebe nke a dọkịta) ga-eri 1000 rubles. Otú ọ dị, ihe ọmụmụ bụ n'ezie, na nnọọ center Grossko bụ a ma ama na alụmdi.

Russian Scientific Research Institute of Traumatology na orthopedics. R. R. Vredena

Ghara ịgbanwe center maka ụmụaka na ọrịa ụbụrụ aha ya bụ R. R. Vredena (RNIITO - Russian Scientific Research Institute of Traumatology na orthopedics) na St. Petersburg awade ya ahịa a na nso nke ọrụ site nchoputa na ịwa ahụ, gụnyere, n'ezie, ọgwụgwọ na mgbake. Na mkpofu ukwuu ruru eru ọkachamara nke center na ọtụtụ afọ nke bara uru ahụmahụ nke ihe karịrị iri abụọ n'ụzọ zuru ezu-onwem itieutom.

Moscow Scientific na Baa Uru Center maka ghara ịgbanwe nke Disabled Persons dị ka a n'ihi nke ọrịa ụbụrụ

Moscow SPC ghara ịgbanwe nke ndị nwere nkwarụ dị ka a n'ihi nke ọrịa ụbụrụ a na-ewere otu n'ime ndị kasị mfe ma ama. Center ndị dọkịta na-arụ ọrụ na ndabere nke a ole na ole iri puku kwuru iri ghara ịgbanwe mmemme, eji niile ọhụrụ anụ ụlọ nmepe na-ahụ otu ihe onye obibia onye ọ bụla ndidi. The Center na-ewe ụmụ afọ atọ. Ke adianade kpọmkwem ahụ mgbake, na obere ọrịa aka ọkà n'akparamàgwà mmadụ, okwu pathologists, okwu na-agwọ ọrịa, ọkachamara masseurs na konduktologi - nkụzi na-arụ ọrụ na ụmụaka na ndị okenye na CNS ọrịa na-arụ ọrụ.

Institute of conductive Education na ghara ịgbanwe ije ọgwụ na Budapest, Hungary

Ghara ịgbanwe nke a nwere nkwarụ nwa (CP) na Institute maka ha. A. Peto na Budapest - Hungarian isi obodo - na center, nke-agbalị iji nweta ọtụtụ narị ezinụlọ. Establishment ama maka ịrịba ama ha ọkachamara, na-eji ọhụrụ tolite na ọgwụgwọ nke na-eto eto ndị ọrịa, nakwa dị ka anya na ya pụta, nke iru ụmụaka na-arịa ọrịa ụbụrụ, bụ onye nwere ebe a ghara ịgbanwe N'ezie.

E nwere ọtụtụ ndị ọzọ ghara ịgbanwe ebe a na ike emmepe, na-ewere na-agwọ nke ụmụ na ọrịa ụbụrụ. Na Moscow, n'ihi na ihe atụ, bụ ebe bụ isi nke ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ "Movement" ghara ịgbanwe center "ebua", ghara ịgbanwe Center "Imeri" na ndị ọzọ. Ụfọdụ oru nwekwara n'efu ghara ịgbanwe nke ụmụ na ọrịa ụbụrụ. Ezinụlọ na ụmụaka nwere nkwarụ na-enye nkwado maka ọrụ ebere na òtù na-elekọta mmadụ ebe a.