Педагогічні передумови фізичної терапії хворих із пневмонією на стаціонарному етапі

Abstract

Pneumonia cases go on taking primary places among diseases of breathing system at the present moment in the whole world which are leading among those that cause temporary loss of productivity. Besides mentioned, great part (up to 25 % of cases) and number of pneumonia complications gross is observed. Methods. The purpose of research is to analyze literature sources, set up and evaluate peculiarities of physical therapy of ill people with pneumonia at in-patient stage. To reach the set goals, theoretical analysis and summarizing of science literature data were used. Clinical development of illness was thoroughly studied. Evaluating the physical state of patient with pneumonia, we used peak flow metry and pneumotachometry, researched the function of external breathing - spirography, Shtange and Genche tests, muscles testing. Results. Treatment effectiveness criteria are full absence of inflammation process in lungs (absence of remaining changes in lungs tissue according to X-ray), abolishment of muscle misbalance, considerable improvement or normalization of ventilation index, increasing of hypoxia resistance. Course of therapeutic gymnastics has to include not less than 3-4 practices a day with rehabilitation therapist with further transferring to self-training. The following is recommended to patient during self-training:1) therapeutic gymnastics (breathing, relaxing exercises and isometric and post isometric relaxation of muscles) which is based on functional muscles testing results, researching of external breathing function, pulse oxymetry in the process of performing exercises during practices; 2)sport-applied exercises: dosed walking, riding bicycle trainer. Conclusion. Comprehensive program of treatment people with pneumonia at in-patient stage, which includes developed methodology of physical rehabilitation assisted, according to X-ray testing, faster finishing of inflammation process. Breathing exercises, chosen considering localization of process and peculiarities of changing in spirography index, and miocorrection assisted more distinct increasing of external breathing function and decreasing of patient’s muscle misbalance.