Hele wāwae kākou a pau. He mea ia a kākou e hana ai i ko kākou ola o kēlā me kēia lā. ʻAʻole kākou e noʻonoʻo nui i ia mea, ʻeā? Akā, ua manaʻo anei ʻoe i kahi ʻano ʻokoʻa iki, ʻoluʻolu ʻole, ʻeha, a i ʻole ke kaulike ʻole i kou wā e hele ana? Ua ʻike paha ʻoe ua loli iki ke ʻano o ka hele wāwae ʻana o kahi ʻelemakule o kou ʻohana. ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā.
ʻO ka mea mua, e nānā kākou i ke ʻano o ka 'gait'.
He mea maʻalahi loa ke ʻano o ka hele ʻana. ʻO ke ʻano ia o kou hele ʻana. E like me ke ʻano o kēlā me kēia kanaka, he ʻokoʻa iki nō hoʻi ke ʻano o ka hele ʻana o kēlā me kēia kanaka, he mea kū hoʻokahi ia iā kākou. Ke hele kākou, ʻo nā ʻiʻo o ko kākou kino, ka lolo, ka ʻōnaehana nerve, nā maka, a me nā pepeiao, ka mea e hoʻomalu ana i ke kaulike, e hana pū ana ma ke ʻano hoʻonohonoho pono.
No laila he aha ke ʻano huakaʻi ʻokoʻa?
ʻO ke ʻano hele wāwae ʻole kekahi loli i kāu ʻano hele wāwae maʻamau. I kekahi manawa kapa nā kauka i kēia "Ambulatory Dysfunction." Hiki ke hana ʻia kēia mau loli e nā mea e like me kahi ulia a i ʻole kahi maʻi. I ka ʻōlelo maʻalahi, ʻo nā mea āpau e hoʻopilikia ai i kou lolo, ke kaula kuamoʻo, nā wāwae, a i ʻole nā wāwae hiki ke hoʻololi i kāu hele wāwae.
Eia nā hōʻailona i ʻike pinepine ʻia:
- ʻOkiʻoki
- Ke kauō nei i nā manamana lima ma ka papahele
- Ke hoʻololi nei
- Ke hele nei me nā kapuaʻi liʻiliʻi loa
- Ke paʻakikī ke kākoʻo ʻana i ke kaumaha o ke kino i ka wā e hele ana
- Ka nalowale o ke kaulike a me ka hoʻonohonoho ʻana
ʻO ka mea nui, inā ʻike ʻoe i kahi loli e like me kēia, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o kahi pilikia olakino.
He aha nā ʻano nui o nā pilikia hele wāwae?
Aia kekahi mau ʻano ʻano ʻē o ke ʻano hele wāwae. He ʻokoʻa ke kumu a me ke ʻano o kēlā me kēia. E nānā kākou i nā ʻano maʻamau. ʻO ka hoʻomaopopo ʻana i kēia mau mea e maʻalahi ai iā ʻoe ke ʻike i ka pilikia nou a i ʻole kahi mea aloha.
| Inoa o ka pilikia (ʻAno o ke Alahele) | He aha ka mea e hana ʻia ana i loko? (Wehewehe) |
|---|---|
| Ka hele ʻana o Antalgic | ʻO kēia ke ʻano maʻamau. ʻO ka ʻeha ka mea e hana ai i ka ʻōʻō ʻana. Ma muli o ka ʻeha ma ka wāwae a i ʻole ka wāwae paha, hoʻāʻo ke kanaka e hōʻemi i ke kaumaha ma kēlā wāwae a me kona pili ʻana me ka honua i ka hiki. ʻO ia ke kumu e ʻōʻō ai lākou. |
| Ka hele ʻana o ka propulsive / ka hele ʻana o Parkinson | ʻIke pinepine ʻia kēia i nā poʻe me ka maʻi Parkinson. Kū lākou me ke kūlana kūlou a ʻoʻoleʻa . Kūlou ke poʻo a me ka ʻāʻī i mua. He mau wāwae liʻiliʻi a wikiwiki ko lākou e kōkua iā lākou e mālama i ke kaulike. |
| ʻŪmiʻi Gait | I ka hele wāwae ʻana, hui pū nā kuli a me nā ʻūhā a keʻa paha e like me ka ʻokiʻoki. Lohi a liʻiliʻi nā ʻanuʻu. Hiki ke ʻike ʻia kēia i nā kūlana e like me Spastic Cerebral Palsy. |
| Ka hele wāwae Spastic / Ka hele wāwae Hemiplegic | ʻO kēia ka hele wāwae ʻana me kekahi wāwae ʻoʻoleʻa a pololei. Ke hāpai ʻia kēlā wāwae, hiki ke kauō ʻia ma ka honua, a i ʻole hiki ke hoʻohuli ʻia i loko o ka hapalua pōʻai i ka ʻaoʻao a laila lawe ʻia i mua. ʻIke ʻia kēia i nā kūlana e like me ka maʻi lolo (hemiplegia). |
| ʻO ke ala hele wāwae / ke ala neuropathic | Ma kēia, ua hāpai ʻia ka wāwae mai ka ʻūhā. ʻO ia hoʻi, ua hāpai ʻia ka wāwae ma luna aʻe o ka maʻamau. Hiki ke ʻike ʻia ka wāwae he palupalu. Hiki i nā manamana wāwae ke pā i ka lepo i ka wā e hele ana. Hiki ke hana ʻia kēia e nā kūlana e like me ka spinal stenosis, herniated disc, a pēlā aku. |
| Ka hele wāwae ʻana | Hoʻohālikelike ʻia kēia e ka luliluli nui ʻana o ke kino o luna mai kēlā ʻaoʻao a i kēia ʻaoʻao. Me he ʻano ʻīlio lā e hele ana . Hiki ke hana ʻia kēia ʻano e nā mea e like me nā pilikia o ka ʻūhā. |
| Ke hele wāwae ʻana | ʻO kēia ka manawa e kauō ʻia ai nā wāwae me ka ʻole o ka hāpai piha ʻia ʻana mai ka honua. Hiki i kēia ke hana i nā poʻe me ke kaulike maikaʻi ʻole a i ʻole ka poʻe i loaʻa kahi ʻeha e pale ai iā lākou mai ka hāpai ʻana i ko lākou mau wāwae. |
Aia kekahi mau ʻano ʻē aʻe?
ʻAe, aia kekahi mau ʻano ʻē aʻe. No ka laʻana, ma ke ʻano i kapa ʻia ʻo "Ataxic Gait", he paʻakikī ke hele ma kahi laina pololei, ʻaʻole i kau ʻia nā wāwae ma kekahi ʻaoʻao, a aia kahi ʻano luliluli e like me ke kanaka ʻona. Hiki ke hana ʻia kēia e nā pilikia ma ka cerebellum.
Pehea ka maʻamau o nā pilikia hele wāwae?
He mea maʻamau loa ka loaʻa ʻana o nā pilikia hele wāwae e like me kēia i kou wā ʻelemakule. E noʻonoʻo wale, i ka hiki ʻana i ka makahiki 60, ma kahi o 15% o ka poʻe e loaʻa i kēia pilikia. Akā i ka hiki ʻana i ka makahiki 85, ʻoi aku ma mua o 80% o ka poʻe e loaʻa i kekahi ʻano pilikia hele wāwae.
I nā keiki ʻōpio, he mea kakaikahi loa kēia ʻano pilikia ke ʻole lākou he maʻi lapaʻau ma lalo a i ʻole he ulia.
He aha ke kumu o nā pilikia hele wāwae?
Nui nā mea e hiki ai ke hana i kēia. He maʻalahi loa kekahi, a he ʻoi aku ka paʻakikī o kekahi.
Hoʻopilikia pinepine i nā kumu maʻalahi
- ʻEha hui (e.g. ʻeha kuli)
- He ulia (haʻihaʻi, ʻeha)
- Nā ʻeha wāwae, nā calluses, nā kui wāwae i ulu i loko
- Ke komo ʻana i nā kāmaʻa kūpono ʻole
- Nā pilikia kaulike pepeiao o loko
- Ka pōʻino o ke aʻalolo
- Nā hemahema o ka ʻike maka
Nā kūlana olakino ma lalo
I kekahi manawa hiki i kahi loli o ke ʻano hele ke lilo i hōʻailona o kahi maʻi ʻē aʻe.
- ka maʻi o Parkinson
- Sclerosis lehulehu
- Hahau
- ʻO ka ʻāʻī o ke kino
- Ka maʻi lolo
- Ka maʻi lolo (Hemiplegia)
- ʻO ka stenosis spinal, ka herniated disc
Pehea lā e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka me kahi pilikia e like me kēia, e nīnau mua ʻo ia iā ʻoe i ka mōʻaukala piha. A laila e hana ʻo ia i kahi hoʻokolokolo kino. E ʻimi pono ʻo ia i kēia mau mea:
- Kou ikaika a me ka hoʻonohonoho ʻana o nā ʻiʻo
- Ka lōʻihi o ka wāwae (hiki ke ʻokoʻa ka lōʻihi ma muli o nā mea e like me ke pani ʻana o ka ʻūhā)
- Kou ʻike a me ke koko
- Ka nānā ʻana o ka ʻāʻī a me ke kuamoʻo
- Ke nānā nei i kāu kaulike
- Nā hono e pono ai no ka hele wāwae (ʻūhā, kuli, kuʻekuʻe wāwae) nevena pramanaya (ka laulā o ka neʻe ʻana)
Ma hope o kēia hoʻokolokolo ʻana, inā pono, e hoʻouna ʻia paha ʻoe no nā hoʻokolohua e like me nā X-ray e hoʻoholo ai i ke kumu pololei.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke ʻano o ka pilikia hele wāwae āu a me kona kumu, no laila ʻaʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau.
- Lāʻau lapaʻau: Ke hāʻawi ʻana i ka lāʻau lapaʻau e mālama ai i kahi maʻi olakino (e like me ka arthritis a i ʻole Parkinson's).
- Hoʻomaha: Inā i hana ʻia e kahi ulia, he mea nui e loaʻa ka nui o ka hoʻomaha.
- Hoʻōla Kino: He lāʻau lapaʻau koʻikoʻi loa kēia. Pili ia i nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo a hoʻomaikaʻi i ke kaulike.
- ʻO ke ʻoki kino: I kekahi mau hihia, no ka laʻana, pono paha ke pani ʻana i ka ʻūhā a i ʻole ke kuli.
- Nā mea kōkua: E aʻo ʻia paha ʻoe e hoʻohana i kahi mea e like me ke koʻokoʻo a i ʻole ka mea hele wāwae e maʻalahi ai ka hele wāwae.
- Ke hoʻololi nei i nā kāmaʻa: I kekahi manawa hiki i nā hāpai kāmaʻa a i ʻole ke kākoʻo ke kōkua i ka hoʻoponopono ʻana i ka pilikia.
ʻO ka mea nui loa, ʻo ia ke pale iā ʻoe iho mai ka hāʻule ʻana inā loaʻa iā ʻoe kahi pilikia hele wāwae e like me kēia. E hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai no kēlā.
Pono ʻoe e ʻike i ke kauka?
ʻAe, ʻoiaʻiʻo nō. Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka.
- Inā he loli koke i kou ʻano hele wāwae.
- Inā ʻoe e ʻeha i ka wā e hele ai.
- Inā manaʻo ʻoe e nalowale ana kou kaulike i kou kū ʻana.
- Inā ʻaʻole hiki iā ʻoe ke hele maikaʻi e like me ka mea maʻamau.
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā ua loaʻa iā ʻoe kahi ulia e like me ka hāʻule ʻana a loaʻa iā ʻoe ka ʻeha nui a i ʻole ka pehu ʻana , a inā ʻaʻole hiki iā ʻoe ke ala aʻe a neʻe paha, e hele koke i ka Emergency Department (ETU) a i ʻole e kelepona i kahi ambulance.
Hiki ke pale ʻia kēlā mau pilikia?
He paʻakikī ke pale aku i nā pilikia hele wāwae i hoʻokumu ʻia e kahi maʻi olakino, akā aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i nā pilikia i hoʻokumu ʻia e nā ulia.
- E komo i nā lako pale i ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana i nā hana pilikia.
- E hoʻolohe i kou kino. Inā luhi ʻoe a ʻeha paha, e hoʻomaha .
- E hoʻomaha a hiki i kou ho'ōla piha ʻia ʻana ma hope o kahi ulia, inā ʻaʻole e ʻoi aku ka ʻino o ka ʻeha.
- Inā ʻoe e hoʻoikaika kino, e hahai i ke ʻano hana kūpono.
- E nānā pinepine i kou ʻike maka. Hiki i ka hemahema o ka ʻike ke lilo i kou kaulike a hāʻule.
Leka Lawe-Home
- He mea maʻamau nā loli i ke ʻano o ka hele ʻana, ʻoiai hoʻi i ko kākou wā ʻelemakule, akā, mai hoʻowahāwahā iā lākou.
- He manawa pōkole kekahi mau pilikia hele wāwae (e.g. ma hope o kahi ulia). Pono kekahi i ka mālama ʻana i ka wā lōʻihi.
- He mea nui ka loaʻa ʻana o ke kumu kūpono o kēia pilikia no ka mālama ʻana. No laila, e ʻike pono i ke kauka.
- Inā pilikia ʻoe i ka hele wāwae, he mea nui e pale iā ʻoe iho mai ka hāʻule ʻana. E hana i nā mea e like me ka hoʻopau ʻana i nā wahi weliweli i loko o kou home a e hoʻohana i kahi mea kōkua inā pono.
- ʻAʻole ia he nāwaliwali ka hoʻohana ʻana i kahi mea kōkua (koʻokoʻo, mea hele wāwae). He mea hana ia e pale ai iā ʻoe a mālama i kou kūʻokoʻa.
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