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Case study 2

ผู้ป่วยหญิงไทย ผ่านการผ่าตัดศัลยกรรมหน้าอกมา สองปี มีอาการตึงด้านใต้รักแร้ และสีข้างมาโดยตลอด
⁃ ซักประวัติพบว่า เคยได้รับการนวดหน้าอก โดยผู้เชี่ยวชาญทางด้านการนวดมาแล้ว ช่วยให้อาการตึงบริเวณหน้าอกดีขึ้น แต่อาการตึงด้านใต้รักแร้ และสีข้างยังคงอยู่
⁃ ตรวจร่างกายพบว่า การไหลเวียนน้ำเหลืองบริเวณหน้าอกด้วนข้าง และรักแร้ไหลเวียนน้อยกว่าปกติ
⁃ การรักษา กระตุ้นการระบายน้ำเหลืองบริเวณคอ รักแร้ และรอบเต้านม
⁃ ผู้ป่วยพบว่า อาการตึงใต้รักแร้และสีข้างหายไป
⁃ การดูแลตนเองที่บ้าน ให้ผู้ป่วยกระตุ้นการไหลเวียนน้ำเหลืองบริเวณ คอ รักแร้และเต้านม ด้วยตนเอง
⁃ ผ่านไปสองสัปดาห์ พบว่าอาการตึงใต้รักแร้และสีข้าง มีอาการตึงกลับมาเล็กน้อย


โดย กภ.ปรียานันท์

Case study 1

ผู้ป่วย มาด้วยอาการปวดไหล่ซ้าย ปวดมากตอนกลางคืน หรือไม่ได้ขยับตัว อาการเป็นๆหายๆมาประมาณ 6 เดือน
ขณะมาพบนักกายภาพบำบัด ระดับความปวดบริเวณหัวไหล่ซ้ายอยู่ที่ pain scale 6/10
⁃ ซักประวัติไม่มีความเสี่ยงเกี่ยวข้องกับโรคร้ายแรง
⁃ การตรวจร่างกายพบว่า มีความตึงตัวของกล้ามเนื้อรวบหัวไหล่และหน้าอกซ้าย รวมถึงการไหลเวียนของน้ำเหลืองบริเวณคอซ้าย นิ่งกว่าปกติ
องศาการเคลื่อนไหลของหัวไหล่. ปกติ(ยังไม่มีอาการของไหล่ติด)
⁃ การรักษาด้วยการระบายน้ำเหลือง บริเวณคอ รักแร้ซ้ายและต้นแขนซ้าย เป็นระยะเวลาประมาณ 5 นาที
อาการบริเวณหัวไหล่ซ้ายหายไป pain scale 0/10
⁃ การดูแลตนเองที่บ้าน ที่นักกายภาพบำบัดมอบให้ คือการระบายน้ำเหลืองบริเวณคอด้วยตนเอง และฝึกการหายใจ
⁃ หลังจากนั้นหนึ่งสัปดาห์ผู้ป่วยดูแลตนเองตามคำแนะนำและอาการปวดตอนกลางคืนไม่กลับมาอีก

โดย กภ.ปรียานันท์

Qualification traits of your specialty-pre-School education.

Certified exercise on the professional is aimed at the development, instruction and teaching of youngsters of early, preschool and preschool age

The graduate will have to be prepared for pedagogical, organizational, managerial, instructional things to do. the link In accordance considering the demands of contemporary society, a specialist need to have a large amount of guidance humanistic beliefs concentrated on common values. A expert may want to combine broad elementary and simple exercise to master his occupation, be able to apply to apply the acquired awareness, to have pedagogical instruments and methods of work of the specialist of preschool instruction. The goal of the graduates within the specialty often is the instruction, education and development of youngsters on the simple deliver the results of preschool companies, orphanages. Sphere of certified exercise: The sphere of high quality activity of graduates on the specialty is-the subject of schooling: education and learning, exercising and formation of children of preschool age in accordance while using the Essential minimum articles on the Common training application of preschool instruction and schooling of youngsters from one to 6 a long time.

Objects of skilled action:

The objects of qualified exercise of graduates are: academic organizations, pre-school companies, mini-centers, pedagogical colleges, departments of education and learning, institutes of advancement of skilled professional talent. Subjects of certified activity: The topics of experienced activity are: ambitions, aims, material, sorts of group of coaching and training, outcomes, strategies to use the requirements within the theory of education and learning belonging to the Republic of Kazakhstan. Sorts of top notch exercise: – education and learning, training, growth and formation belonging to the persona of a preschooler; – corporation of your process of education and learning and training, administration belonging to the pedagogical system; – diagnostics, correction, forecasting of success of pedagogical activity; learning, generalization, distribution of highly developed practical knowledge inside sphere of preschool education. High quality features: Capabilities of professional activity belonging to the expert of preschool training and schooling are: the corporation of assorted functions of youngsters of preschool age, administration of technique of formation and advancement within the temperament. Standards for fundamental competencies with the specialty 0101000 – pre-School education and learning and upbringing know: – with regards to the phenomena and legislation of progress of mother nature, culture and person; – within the progress of society: variety of cultures, civilization, kinds of social adventure, the site of Kazakhstan inside the world-historical practice; know: – scientific and theoretical bases and regularities of education, guidance, progress of preschool kids, functions of education of children of early childhood; – fundamentals with the legislative method from the Republic of Kazakhstan, lawful, ethical and moral specifications around the area of professional exercise; – styles of mental growth, age and person qualities within the child’s psyche; – the role of intellectual improvement as one in the most vital issues of getting ready a baby for varsity; – new styles of pre-school businesses at the moment stage; – the essence of modern instructional technologies, innovative pedagogical, domestic, ethnic expertise inside the organization of training and schooling; – the most crucial sorts of violations of child progression; – the place and purpose of preschool pedagogy and private ways inside model of interdisciplinary explore in fixing realistic concerns of schooling, preparation and personal progress of preschool youngsters; – traits with the condition of progress of your child’s style around the relatives during the new varieties of pre-school organizations at this time stage. know: – to investigate the principle financial processes with the Republic of Kazakhstan and abroad; – to research the history of preschool pedagogy in addition to the up-to-date state of domestic and overseas preschool pedagogy; – expose the defining patterns of mental progress of youngsters as well as their partnership with education and learning and exercise; – use modern options of scientific examine, engineered in psychological and pedagogical science, to understand the means of processing the particular materials; – to reveal the psychological structure of each and every variety of kid’s exercise, to indicate the designs of its enhancement during the course of preschool childhood; provide the expertise: – improvement and implementation belonging to the academic means of preschool establishments; – mental, moral, actual physical, social, aesthetic, financial, environmental education and progress of kids of early, preschool and preschool age. be competent: – within the subject of education: to be aware of the main components, qualities of functioning and progression, idea and practice of training and guidance, prospective customers for renewal and enhancement; – in comprehending the part of psychological elements in solving the issues of training, instruction to get ready to view psychological worries within their specialty; – with the usually means of diagnosis and correction of specific traits of preschool young people.

Pre-school education and learning and workout

Aim: to guarantee equivalent entry to good pre-school education and learning and preparation Focus on indicator: proportion of children aged 3-6 decades enrolled in pre-school education and preparation on up-to-date articles and other content Duties: 1. To further improve the standard from the training employees of pre-school corporations and maximize the status within the training career. By 2020, it is usually prepared to increase the share of teachers in pre-school organizations with specialised greater and technical and vocational education to 50 percent. To realize this indicator, the condition educational get for that training of academics in universities and schools on the specialty “pre – College education and learning and training” will likely to be increased annually (in 2015, one 805 grants have been allotted in schools, 295 grants in universities, in 2019 in schools – as many as 2,two hundred, in universities – approximately 350 grants). It truly is also prepared to modify to independent certification of teaching staff members for pre-school instruction and guidance in 2019. Each and every year, about seven,000 teachers of pre-school instruction and schooling will undergo preparation programs in the expenditure with the finances. Moreover, academics of pre-school corporations will annually develop their skills at the price of extra-budgetary money. 2. Boost the network of pre-school organizations using under consideration the demographic position. Pre-school organizations will produce both quantitatively and qualitatively, shall be focused on conference the wants of the populace, getting into consideration the demographic condition. By 2020, 186.three thousand new sites will probably be put together (2016 – forty seven.four thousand; 2017 – 41.9 thousand; 2018 – forty four.six thousand; 2019 – 52.4 thousand), which is able to increase the rate of protection of youngsters, this includes from low-income people, preschool education and learning and training. These places should be provided within the expenditure of growth of the community belonging to the preschool corporations with whole day of work by gradual transformation from the mini-centers with short-term day of labor in comprehensive within the price of implies belonging to the local price range and mechanisms of PPP. Lively and focused details about the benefits of PPPs and also placement for the point out educational will sakasavesa appreciable progress of personal preschools. New conventional jobs for that development and operation of pre-school companies found within the 1st flooring of residential complexes, for example thru PPP, would be designed. In 2019, the number of rooms of psychological and pedagogical correction will improve from a hundred thirty five models to 263 units. three. Update the material of pre-school education and schooling directed at excellent preparing of youngsters for school. Seeing that 2016, the updated Point out pre-school instruction and instruction application might be introduced, designed using into consideration the early development of children from 1 to three yrs, Typical education model software of pre-school education and coaching and educational system of pre-school exercise. Due to the fact 2017, all organizations of preschool instruction and education will little by little introduce components on the course of multilingual education while using the study of Kazakh, Russian and English languages. By 2017, a application of indicators might be engineered and executed to track the event of competencies in young children in pre-school companies. Prognosis may be carried out in the commencing, middle and stop of the school calendar year (establishing regulate, intermediate and closing), the outcome are crammed inside of the “observation Sheets”. For the foundation from the received information, someone youngster progress card is loaded in. Operate will proceed within the improvement and implementation of instructional and methodical complexes (hereinafter-UMK), together with special applications for children with unique instructional demands for 8 variations of violations. Pre-school preparing of 6-year-olds can be reworked in to the 1st grade of the 12-year university with the 2019-2020 faculty calendar year. From 2017, at the cost of extra-budgetary funds, the mechanism of distance knowing for fogeys to treatment for kids of preschool age as well as their enhancement (at a minimum two thousand moms and dads of children 1-6 years aged who you shouldn’t go to preschool businesses in every single area) will be examined and implemented as a result of the portal “??????.kz”. 4. To enhance administration and monitoring in the improvement of pre-school education and learning and exercising. The notification process to the beginning and termination of routines during the subject of pre-school education and instruction would be additional enhanced, and that is geared toward strengthening deal with above the pursuits of pre-school businesses and boosting the accountability in the subjects of pre-school instruction. Each individual yr, 20 % of pre-school education and learning institutions will undergo the process of point out certification in order to influence the compliance of instructional expert services because of the standards with the point out compulsory commonplace of pre-school schooling and guidance. In accordance with the Idea of social growth for the Republic of Kazakhstan until such time as 2030, work will continue on to further improve the process of evaluation of instructional achievements. Educational applications of sophisticated workout programs inside of the field of management would be up-to-date, that could be experienced yearly by 20 percent of heads of preschool companies. The academic applications of leading-edge workout courses will include things like ground breaking forms of administration with the advancement of management traits in a new paradigm of schooling. Actions are going to be taken to create a tradition of nourishment among preschool kids, which include by the advertising of a balanced healthier weight loss program and making certain their intake of organic and natural and clean products and solutions.

ลาป่วย เพราะออฟฟิศซินโดรม



Manual therapy คืออะไร?


Manual therapy คือเทคนิคการรักษาโดยใช้มือเพื่อปรับโครงสร้างร่างกาย จากประสบการณ์การทำงานมากว่า 10 ปี ทำให้เราพบว่าเทคนิคการรักษาโดยการใช้มือมีความสำคัญและสามารถแก้ไขปัญหาผู้ป่วย ณ เวลานั้นๆได้ 50-70 % เลยที่เดียว  พีเคคลินิกกายภาพบำบัดจึงมุ่งเน้นให้ความสำคัญ ทำการเรียนรู้และแลกเปลี่ยนประสบการณ์ เพื่อพัฒนาเทคนิคการรักษาด้วยมืออย่างจริงจัง ทั้งในและต่างประเทศ จนมีความชำนาญและยังคงพัฒนาอย่างต่อเนื่องและสม่ำเสมอ เพื่อประโยชน์สูงสุดของผู้ที่ได้รับความเดือดร้อนจากความเจ็บป่วย