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Хлопчику з Умані, у якого була вроджена відсутність ануса лікарі «Охматдиту» завершили багатоетапне хірургічне лікування

17 Серпня, 2023 Новини Comments (502)

Дитині ліквідували ентеростому і зʼєднали товсту кишку аби процес випорожнення міг відбуватися природньо.

Тепер Віталія чекає шлях реабілітації, який триватиме не один рік. Зараз вага хлопчика – 8 кг. Під час першої операції вага становила 6 кг. Цифра зупинилася на позначці 6 і набрати вагу хлопчик до втручання не міг.

«Все що ми мали зробити – ми усе зробили. Зараз він має рости, розвиватися. З часом його мають вчити користуватися горщиком. У діток без такої патології це відбувається біля одного року. У нього це буде трохи пізніше. Зараз головне реабілітація. Дитина має відчути цей природній рефлекс. Весь цей час ми будемо з ним на звʼязку та за необхідності будемо проводити контрольні огляди», – розповів завідувач клініки «Хірургія Плюс» львівського «Охматдиту» Роман Стеник.

Нагадаємо, кілька місяців тому Віталія прооперували в «Охматдиті» у віці 9-ти місяців. Другу операцію провели дитині у нашому шпиталі у рік. Атрезію ануса у дитинки виявили ще у пологовому будинку одразу після народження. Перший етап оперативного лікування виконано в Черкаській обласній лікарні – дитині було накладено колостому, через яку відбувається опорожнення кишківника, тому дитинка може їсти і поправлятися.

Після дообстеження з’ясувалося, що у хлопчика також є нориця – вроджений хід від кишківника до сечових шляхів, через що у дитини було постійне запалення нирок. Також хлопчик не набирав вагу через довготривалу інфекцію та антибактеріальну терапію. Відтак, ніхто із медиків не погоджувався робити втручання дитинці із такою малою вагою.

Оперативні втручання хлопчику проводила команда медиків: завідувач клініки «Хірургія Плюс» Стеник Роман, завідувач операційно-ендоскопічного відділення Содома Олег, лікар хірург дитячий Микита Микола, лікар-інтерн, хірург дитячий Катринець Тетяна. Анестезіологічне забезпечення – Приймакова Віра і Галина Коваленко.

Бажаємо хлопчику міцного здоров’я!

502 thoughts on “Хлопчику з Умані, у якого була вроджена відсутність ануса лікарі «Охматдиту» завершили багатоетапне хірургічне лікування”

  502. If you’re just beginning, think about a full body or upper/lower break up.
    These choices provide a solid foundation for building muscle and improving power.
    As you progress, you might experiment with more specialized splits, like
    Push/Pull/Legs or a Bro cut up, to fine-tune your coaching.

    Many lifters really feel that using dumbbells is gentler on the shoulder joint and
    offers extra comfort than barbells.
    “If you’re coaching five or six occasions per week, a body-part cut up is greatest to be able to permit enough restoration of each muscle group between exercises,” Tumminello says.
    You want to practice every physique part no less than two occasions every week and get 10 to twenty units per muscle group per week
    for finest outcomes. For instance, many chest workout routines, like push-ups or bench presses, also have interaction the shoulders and triceps as
    secondary movers.
    For those that are more novice stage, go
    with a three day split or 4 day break up. And if
    you are an intermediate lifter (say, 1-3 years of training), a four or 5 day split must be perfectly efficient.
    If you may have sufficient training experience, you’ll find a way
    to raise 6 days per week (7 days is just an overkill for most people, including high tier athletes).

    If that sounds intense and like it’s lots, that’s because it is!
    Working out 6 days per week puts you in the identical
    league as “The Rock”, as Dwayne Johnson’s exercise routine contains both cardio
    and weight lifting 6 days every week.
    This method not only reduces the chance of burnout but in addition supports better performance in each exercise,
    making certain you get the most out of each set. This method prevents
    anybody muscle group from changing into overly fatigued
    and lets you preserve a excessive degree of effort all
    through the session. By regularly integrating
    balanced pairings, you build a well-rounded physique and enhance total performance.
    Focusing on complementary or opposing muscle teams ensures that either
    side of a joint or physique space are equally trained.
    This keeps your exercise depth high with out prolonged relaxation periods.

    The intensity at which we train is the ultimate word think
    about determining our muscle growth and strength features.
    You have to problem your muscle groups, then permit them the right time to recuperate
    so that you just’re prepared for the following workout.
    One huge benefit of this explicit cut up is that the biceps and
    triceps, smaller muscle teams that get well extra shortly, get trained twice over the break up.
    This is a great strategy should you’re looking for serious arm growth.

    Rise until you’re as close to your knees as
    potential after which return to the beginning position. Starting with the weights down by
    your sides, slowly lift till your thumbs are near your shoulders and your elbows are bent at a ninety-degree angle.
    If you’re new to weightlifting, you could need to have a private coach or extra experienced lifter nearby to identify you.
    Take the barbell off the rack and hold it together with your palms shoulder-width aside and facing the ceiling.
    As you’ll have the ability to see, some of these muscular tissues have proximity to a minimum of one another
    that lends itself naturally to larger groupings.
    We present the nutrients you should power your active way of life.
    Your vitamin will play a giant function in figuring out when you succeed with this program;
    however, you don’t must overcomplicate it. That said, if you want to make up for
    a exercise any given week, exceptions can be made.
    Don’t forget to include correct warm-ups and cool-downs to take care of flexibility and stop damage.
    You can combine it up with completely different curl variations,
    like hammer curls or focus curls, to hit the muscle from varied angles.
    Biacromial distance or width is just the width of your shoulders.

    This makes it ideal for many who journey or have unpredictable schedules.

    Another mistake is choosing a cut up that doesn’t align along with your
    targets. For occasion, if you’re focused on hypertrophy but observe a strength-oriented program, you might not achieve the specified results.
    You can download it and use it as a workout tracker and common strength coaching app – and all fundamental performance is free eternally.
    4 sets of 6–8 reps must be enough to fry the again of your legs.
    The difficult lower-body part of the exercise might
    be over, but the pushing continues with the incline
    dumbbell press.
    Many exercises, such because the pushup or bench press, will target these muscle tissue
    together. Like, what number of workouts for
    my chest or for my biceps ought to I do on their workout days, or if I
    ought to bother to coach my forearm muscles. You won’t be doing
    any pushing workout routines at all while you’re on your back/biceps or legs’ days.
    So you see, it makes sense from a sports science perspective to work your shoulders &
    triceps on chest training day, again and biceps on again day, squats and leg curls on leg day, etc.

    Popular options embrace Push/Pull/Legs, Upper/Lower, Full Physique, and Bro Splits, each
    with its professionals and cons. The secret is choosing a cut up
    that allows consistent development and suits individual restoration wants.
    Many people swear by bro splits, but I don’t suppose they’re as bad as they’re made
    out to be. Positive, science says coaching a muscle twice a week
    is “optimal,” however let’s be real—tons of bodybuilders have built insane physiques
    hitting each muscle as quickly as per week. I’d somewhat see
    somebody crush chest on Monday and take the remainder of the week to recover properly than half-ass it each different day.
    When designing a training cut up, focus on a couple of key ideas.
    These principles ensure that your workouts are efficient and that you can get well properly.

    This way, your chest muscular tissues have time to get well while you’re working
    your biceps. As a result, you’ll be able to carry more weight and get higher outcomes.

    So, when you’re planning your workout routine, ensure
    to mix up the different muscle teams that you’re working with.

    Progressive overload involves gradually increasing the intensity of your exercises over the course of your coaching interval.
    By doing this, you shall be able to construct
    muscle or energy as a result of your muscles might be adequately confused for continual adaptation. As you
    presumably can see, on the two week scale, you’ve educated every muscle group three instances.
    So, the “6 Day Bro Split” allows for somewhat greater muscle frequency than the
    more standard 5 day bro split, but it still permits for
    loads of rest time between each muscle group.
    Whether you’re new to working out or have been doing it for
    years, knowing the way to arrange your workouts issues.
    This technique enables you to tailor your coaching to suit your targets and how briskly you get well.
    By choosing the right muscle teams, you’ll find a way to work out totally without getting too tired.

    First up after the bench press is the incline dumbbell press, for 3 units of 8 reps.
    The incline dumbbell presses complement the bench press by focusing on the higher portion of your chest more.
    Additionally, the dumbbells will allow you to uncover and proper any side-to-side asymmetries you might have.
    The bench press is at the similar time elegantly easy
    and ruthlessly effective for rising your chest measurement and energy.
    Load up the bar, press it for reps, and repeat frequently – every time attempting to add somewhat little bit of
    weight to the bar, or one other rep to your set. Nevertheless,
    this training these muscular tissues together is efficient and effective.

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    Understanding what muscle groups to work out collectively so you make the most out of your treasured fitness center time.

    The best workout plans will ensure you hit the most important
    muscle groups—chest, back, abs, legs, shoulders, and arms—each week, says Peloton teacher Ben Alldis.

    That may sound like extra physique parts than you
    might have days within the week to work out,
    but with strategic pairing and intention, you
    can hit all of them with ease. It’s an especially nice split if you’re aiming to hit the health club four
    times per week. For example, coaching chest on day one, shoulders on day
    two, and triceps on days three is a nasty selection. Those are all pushing muscle groups,
    that means they hit a few of the identical muscle tissue,
    specifically the higher pecs, anterior delts, and triceps.
    Doing them on consecutive days defeats the aim of building in extra recovery time and can limit how exhausting you probably can work.

    As a result, you are stimulating muscle growth numerous instances
    every week for every muscle group. Additionally, you will have to do much less volume
    for every muscle group in a single training session so you should be succesful of practice with the next level of intensity.
    The best way to keep away from overtraining is to decide
    on the best exercise break up that works along with your life-style.
    And when you do decide to do a 6 day workout split, then take 1-2 weeks off
    from coaching each 8-12 weeks.
    “Personally, I like to split my week of workouts up by upper-body push muscles, upper-body pull muscular tissues after which two leg days,” she says.
    “However should you’re training for a particular sport or event, the perfect combinations may differ.”
    For example, pairing chest and triceps allows you to perform heavy bench
    presses followed by tricep-focused workout routines, capitalizing on the synergy between these
    muscle tissue in urgent motions.
    Feel free to do the dumbbell shoulder press as an alternative choice to the barbell variant.
    Bear In Mind, these preliminary units aren’t meant to tire you out however to make you’re feeling
    ready and motivated for the main workout. StrengthLog’s Push-Pull Workout Routine is
    an easy and uncomplicated coaching program.

    If you really want to spark development, the Push/Pull/Legs or the “Bro” split are
    your finest bet.
    The concept is to focus on a selected body
    half every session, train it with the best depth, and “cause as much harm” as
    attainable. It was believed that extra harm to the muscle would lead
    to larger growth. We know this is not exactly true, but it’s
    nonetheless used heavily today, particularly by bodybuilders.
    Full-body coaching splits are precisely as they sound; you prepare the complete physique each session.
    Do a bicep train, a triceps workout and at last a core transfer.
    For occasion, do a whole set of the bicep curls adopted
    by one for triceps kickbacks and then do a plank hold.

    You can even do a bicep barbell curls, overhead extensions of the triceps and again the
    reverse. The again and chest muscle tissue are giant and are generally known as
    antagonistic muscle tissue, implying that the muscles
    move the bones in several directions. When you pair chest exercises along with the back exercises, you permit one group of muscle tissue to rest because the others work.

    I would say get your chin to the bar, roughly, after which, especially within the backside two-thirds, really milk that
    eccentric,’ says Israetel. Lastly, an important side of any exercise
    regime is consistency. Common exercises, mixed
    with proper diet and rest, are important for reaching and maintaining
    results. It’s not about intense, sporadic exercises but quite
    about steady, ongoing dedication.
    Understanding the means to manipulate volume is significant for
    maximizing gains. If you discover stagnation, contemplate
    adjusting the variety of units or reps, and even the sort of workouts you perform.
    The benefits of incorporating full-body exercises can range from time saved to fat loss
    to higher recovery. Yet, while you suppose your workout could
    also be absolutely hitting everything required to be functionally
    fit, you may be inadvertently omitting certain key actions.
    Few workout routines improve your energy in as many muscle teams because
    the deadlift. One of the most well-liked strength-training workout routines on the planet, in addition to a competitive lift in powerlifting, the deadlift holds
    a novel place in the pull part of a push-pull routine.
    Use a light enough weight to take care of management of the motion always,
    carry out four sets of 10–12 reps, and feel the burn.
    When you are selecting which break up commit to so you’ll be able to tackle all your
    muscle groups, do not overthink it. When focusing on particular muscle target groups,
    contemplate the sort of training that may benefit every.
    The right exercises for muscle teams permit your muscles
    to rest and work codependently, promoting swift recovery
    periods between workout routines and decreasing muscle fatigue.
    Many in style break up workouts specify 3 sets of 10 reps for every movement.

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