Diploma Fіzichna reabіlіtatsіya ailing for rheumatic heart disease

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ZMІST

List umovnih skorochen ............................................. ... ............ 4
Vstup ........................................................................... ............ ... ... 5
CHAPTER I
SUCHASNІ UYAVLENNYA ABM LІKUVANNYA TA REABІLІTATSІYU REVMATICHNIH ailments (analіz lіteraturnih Jerel)
Rozdіl 1
Zagalna characteristic of rheumatism that Yogo Find our ............................ 9
1.1 Patomorfologіya, etіologіya that the pathogenesis of rheumatic fever ............ .. ... .. ... ... 9
1.2 Klasifіkatsіya that klіnіchna picture rheumatism ............... .. ...... .. ... .. 13
1.2.1 Osnovnі Find our picture of rheumatic heart disease that klіnіchna ......... .... ... ..16
1.3 Lіkuvannya that profіlaktika rheumatism ........................ ... ....... ... ..19
Rozdіl 2
Zastosuvannya metodіv fіzichnoї reabіlіtatsії ailing rheumatism s urazhennyam Serdce ............................................................... .. ... .. ... .23
2.1 Zagalna scheme fіzichnoї reabіlіtatsії ailing rheumatism ......... .. ... 23
2.2 Fіzіoterapevtichnі methodological lіkuvannya ailing rheumatism s perevazh-it urazhennyam Serdce ............................................. .. ..................... .25
2.3 Zastosuvannya kіnezoterapії from ailments rheumatism s perevazhnim jingoistic zhennyam Serdce ......................................................................... ... ... 29
2.4 Lіkuvalny massage yak efektivnosti zasіb aktivnoї funktsіonalnoї those ailments, rheumatism rapії s perevazhnim urazhennyam Serdce ............ ... ...... .33
2.5 SANATORIUM lіkuvannya that fіzіoprofіlaktika ailments on revma-Semitism .......................................................................................... 36
CHAPTER II Vlasna DOSLІDNITSKA ROBOT
Rozdіl 1
Zagalna klіnіchna characteristic ailments rheumatism ............ ... 39
1.1 Vihіdnі klіnіko-іnstrumentalnі, laboratornі that funktsіonalnі show-nicks in doslіdzhuvanih ailing rheumatism ................................. .. ... ..42
Rozdіl 2 Method of doslіdzhennya ...................... ... .... ... ... 45
2.1 Analіz danih lіteraturnih Jerel that іstorіy hvorob ................ ... ..45
2.2 Zagalno-klіnіchnі methodological doslіdzhennya .......... ........................ .... 46
2.3 Metodi otsіnki funktsіonalnogo become ailing rheumatism ...... ..... 46
2.3.1 Pulsometrіya that tonometrіya ............................................. 46
2.3.2 Funktsіonalnі Proby otsіnki pratsezdatnostі ailing rheumatism ............................................................................... ... .48
2.4 Mathematics and randomness method obrobki danih, otrimanih in hodі
eksperimentu for St'yudentom ................................................ .. ... .48
Rozdіl 3
Venue of Hіd doslіdzhennya ............................................. ..... ... 54
Rozdіl 4
Zastosuvannya prog fіzichnoї reabіlіtatsії in kompleksі s physician-mentoznoyu terapієyu ailing rheumatism s manifest rheumatic heart disease ... 56
Rozdіl 5
Result kompleksnoї vіdnovnoї terapії .............................. ... ... 65
5.1 Dinamіka zagalno-klіnіchnih pokaznikіv .............................. .. ... ..65
5.2 Result funktsіonalnih pokaznikіv ........................... .. ......... 72
Rozdіl 6
Carrying Otsіnka doslіdzhennya .......................................... .. ... .76


VISNOVKI ...................................................................... ......... 85
DODATKI ........................................................................... .. ... ..87
LIST VIKORISTANOЇ LІTERATURI .............................. .. ... 91







List umovnih skorochen


A / T - arterіalny TISK
DMC - detsimetrovі hvilі
SMP - zagalno rozvivayuchі-RIGHT
SX - zagalny cholesterol
EHC - elektrokardіograma
EMX - elektromagnіtnі hvilі
KHJ - korotkohvilovі frequen

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Aktualnіst ones.
Sered is therapeutic hvorob profіlyu digit Location Nabeul problem revmatichnih zahvoryuvan on Danian hour vrazheny them mayzhe Leather two-dtsyaty resident of Ukraine (VM Kovalenko, 2005). Revmatizm- grave PICKUP-ryuvannya, yak generally produces up stіykoї vtrati pratsezdatnostі that іnvalіdіzatsії osіb, navіt young vіku.
Rheumatism (hvoroba Sokolskogo - Buyo) - System-ignition zahvoryu vannya spoluchnoї tkanini s perevazhnoyu lokalіzatsієyu processes in Sertsevy-sudinnіy sistemі scho rozvivaєtsya have zv'yazku s GOSTR іnfektsієyu - (gemolі partially streptokok groupies-A) have skhilnih osіb, headaches rank dіtey she pіdlіtkіv (7-15). Naybіlsh frequent lokalіzatsіya revmatichnih urazhen mіokardu that aparata valve insertions poyasnyuєtsya nayavnіstyu antigenіv streptokok, perehresnih reaguyuchih s bіlkami klіtok mіokardu that glіkoproteїdami klapa-nіv insertions. Revmatichny carditis viznachaє nozologіchnu spetsifіchnіst revmati-SCM is the result hvorobi in tsіlomu being naychastіshoyu Find our hvorobi that one s basic її kriterіїv.
For danimi povіdomlen provіdnih revmatologіv (Dzyak GV Koval EA, 1998; Nasonova VA Folomeeva OM 2001, Amosov EM 2001, VM Kovalenko, Shuba H .M., 2003) vstanovleno scho Sered ailing rheumatism s jingoistic zhennyam Serdce perevazhayut FORMS s latency that v'yalim perebіgom and kіl-kіst s ailing GOSTR revmatichnoyu garyachkoyu in zagalnіy kіlkostі patsієn-tіv s rheumatism uniquely zmenshilas (Yakimenko OO, Zakatova LV that INSHI, 2004).
Vnaslіdok prihovanogo perebіgu rheumatism dosit often a Diagnosis Vista vlyaєtsya nesvoєchasno, abo zovsіm not viznachaєtsya. Patsієnti not otrimuyut patogenetichnoї terapії scho generally produces up progresuyuchih log The valve aparata insertions - Wade, urazhennya Sertsevy m'yazu that coronary arterіy, Zago, exacerbations of rheumatic heart disease.
Lіkuvannya ailing rheumatism s perevazhnimi Find our rheumatic heart disease Je Folding tasks through neobhіdnіst priznachennya trivaly hour velikoї Ki-lkostі medikamentozno preparatіv. Pong pogіrshuyut іmunny status Dhu movlyuyut alergіzatsіyu organіzmu, toxic dіyut on Nirk that pechіnku not zavzhdi zapobіgayut mozhlivostі viniknennya retsidivіv zahvoryuvannya (On-sones VA, NN Kuzmin, 1997; Pertseva TA Bogackaya EE, 2001; Cova Lenko VM, NM Shuba, Protsenko GO that INSHI 2002). Zaznachenі Fakti svіd-chat about neobhіdnіst Poshuk bіlsh optimal schemes, Vibor bezpechnih that efektivnosti metodіv lіkuvannya, vrahovuyuchi osoblivostі perebіgu revmatich-tion processes.
W metoyu zmenshennya medical navantazhennya, pіdvischennya efek-tivnostі lіkuvannya in complex terapіyu vklyuchayut zasobi that methodological fіzi-chnoї reabіlіtatsії. In Suchasnyj lіkuvannі ailing rheumatism all bіlshu ne-revagu vіdіgrayut methodological fіzichnoї reabіlіtatsії scho toil polіetіologіchnu dіyu on organіzm, schadny, adhesive character without any negative vplivu on ne-chіnku, Nirk, zhittєvo vazhlivі authority (TA Belichenko, 1998; Voloshin OB, 2002; Orzheshkovsky VV, 2002; Serebryakov AA, 2002). Zasobi that methodological fіzichnoї reabіlіtatsії yak modifіkatori farmakoterapії, pіdvischuyut efekta-nіst medikamentoznoї terapії Shlyakhov zmіni farmakokіnetiki, farmakodi-namіki preparatіv, zmenshennya їh pobіchnoї dії through znizhennya Dozy not toil protipokazan (Boris Mikhailov, 1999; Ponomarenko GN , Zolotarev TA 2004 is the INSHI).
Ostannіm hour Sered metodіv fіzichnoї reabіlіtatsії privertaє uwagi on itself Suchasna fіzіoterapіya, Especially zastosuvannya elektromagnіtnih Hvilya (EMX) decimeter that mіlіmetrovogo dіapazonіv (DMAC that MMX) lіkuva-lny massage that refleksoterapіya. Vstanovleny Positive lіkuvalny efekt zastosuvannya elektromagnіtnih Hvilya at rіznomanіtnіy patologії, vіdmіchaєtsya analgezuyucha, protizapalna that exposure The desensibіlіzuyucha at hronі-chnih, system zahvoryuvannyah and takozh in ailing rheumatism (Bocsa VG et al., 1995; Voloshin OB, 2002; Orzhesh

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