Ua manaʻo koke paha ʻoe ua like ʻoe me he lolo lā a ʻaʻole hiki ke hoʻoneʻe i kahi lima a wāwae paha? A i ʻole ua nalowale mālie ʻoe i ka mana o kekahi o kou mau lima a wāwae paha? Hiki i kēia ke lilo i mea weliweli maoli. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi, kahi maʻi i kapa ʻia ʻo "Monoplegia".
He aha ka `(Monoplegia)`? E hoʻomaopopo maʻalahi kākou!
I ka ʻōlelo maʻalahi, ʻo `(Monoplegia)` ʻo ia hoʻi ua lolo loa kekahi lima a i ʻole kekahi wāwae o kou kino. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kēlā lima a wāwae paha ma kou makemake ponoʻī. Hoʻohana pinepine mākou i kahi huaʻōlelo e like me "paralysis" no kēia, akā ma `(Monoplegia)`, hoʻokahi wale nō lālā i hoʻopilikia ʻia. I kekahi manawa hiki ke lilo kēia ʻano i mea manawa pōkole, ʻo ia hoʻi hiki ke hoʻomaikaʻi ma hope o kekahi manawa. Eia naʻe, i ka hapanui o nā hihia, he ʻano mau loa ʻo `(Monoplegia)`.
No ke aha lā kēia e hana nei? He aha ka mea e hana nei i loko o ko kākou kino?
E noʻonoʻo e pili ana i ia mea, he mīkini kupaianaha ko kākou kino. Loaʻa iā ia kahi `(Nervous System)`, ʻo ia hoʻi, kahi ʻōnaehana nerve. Ua like kēia me ka "lumi hoʻomalu" o ko kākou kino. ʻO nā leka mai ka lolo, e like me nā leka uila, e hele i nā ʻāpana ʻē aʻe o ke kino ma o kēia ʻōnaehana nerve. Inā makemake kākou e hoʻoneʻe i kahi lima a hāpai paha i kahi wāwae, pono kēia leka e hele mai ka lolo ma o ke `Spinal Cord`, a laila ma nā aʻa nerve pili, nā aʻalolo, a laila i nā `ʻiʻo`.
I kēia manawa, e nānā, he aha ka mea e hana ʻia inā he pōʻino a he haunaele paha ma kekahi wahi ma kēia ala leka, ʻo ia hoʻi, ma ka lolo, ke kaula kuamoʻo, nā aʻa aʻalolo, a i ʻole nā aʻalolo ponoʻī? A laila, ʻaʻole i hele pono kēlā leka i nā ʻiʻo. ʻO ia ka manawa e lilo ai kēlā lima a wāwae paha i paralysis, ʻo ia hoʻi, `(Monoplegia)`. He hana paʻakikī loa ia, ʻeā? ʻO ia ke kumu he nui nā wahi e hiki ai ke hana i kēia.
He aha nā hōʻailona o `(Monoplegia)`? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui a maopopo loa o ka "Monoplegia" ʻo ia ka hiki ʻole ke hoʻoneʻe i hoʻokahi lima a i ʻole kekahi wāwae. Eia naʻe, ma waho aʻe o kēia, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe ma kou lima a i ʻole kou wāwae i hoʻopilikia ʻia:
- Manaʻo e like me ka ʻōwili ʻana o kou mau manamana lima: Hiki ke ʻōwili ʻia kou mau manamana lima a me kou mau manamana wāwae i loko a ʻōwili ʻia me ka ʻole o kou ʻike.
- Nalowale o ke kani o nā ʻiʻo: Manaʻo paha ia me he mea lā ua "wehe" ka lima/wāwae a ʻaʻohe ikaika.
- Hoʻonui ʻia ke kani o nā ʻiʻo: I kekahi manawa hiki i nā ʻiʻo ke lilo i ʻoʻoleʻa a manaʻo "paʻakikī".
- ʻO ke kuʻi ʻana o nā ʻiʻo a i ʻole ka ʻoʻoleʻa: Hiki i nā ʻiʻo ke manaʻo koke e like me ka ʻūlū ʻana, ka ʻūlū ʻana, a i ʻole ke paʻa wale ʻana.
ʻOkoʻa nō hoʻi ke ʻano o ka ʻike ʻia ʻana o kēia mau hōʻailona mai kekahi kanaka a i kekahi. Eia kekahi laʻana, inā loaʻa iā ʻoe kahi ʻeha a i ʻole kahi hahau, hiki ke ʻike koke ʻia kēia mau hōʻailona.Eia nō naʻe, i loko o kahi maʻi hānau e like me Cerebral Palsy, ulu mālie kēia mau hōʻailona.
He aha nā kumu nui o ka `(Monoplegia)`?
E like me kā mākou i kūkākūkā ai ma mua, hiki ke hana ʻia kēia kūlana e ka hōʻino ʻia ma kekahi wahi o ka ʻōnaehana nerve. E nānā kākou i nā kumu nui:
- ʻO Cerebral Palsy : ʻO kēia ke kumu maʻamau o Monoplegia. He kūlana kēia e pili ana i ka ʻōnaehana nerve. Hana ʻia ia i ka wā ʻaʻole e ulu pono nā ʻāpana o ka lolo e hoʻomalu ana i nā ʻiʻo a i ʻole ua hōʻino ʻia. Loaʻa pinepine kēia kūlana mai ka hānau ʻana.
- ʻEha lolo traumatic: Hiki ke hana i kēia ʻano inā ua ʻeha nui ke poʻo, e like me kahi ulia, e hōʻino ana i ka lolo.
- ʻEha o ke kaula kuamoʻo: Inā ua hōʻino ʻia ke kaula kuamoʻo ma ke kua i kahi ulia, hiki ke hoʻopau ʻia nā leka aʻalolo e hele ana ma o ia mea, e hopena ai i ka "Monoplegia".
- Ka ʻeha i ka lima a i ʻole ka wāwae i hoʻopilikia ʻia: I kekahi manawa, ʻo kahi ʻeha nui i kahi aʻalolo nui ma ka lima a i ʻole ka wāwae hiki ke lilo i kumu.
- Nā maʻi: ʻO kekahi mau maʻi, e like me ka polio, hiki ke hōʻino i ka ʻōnaehana nerve a hoʻoulu i kēia kūlana.
- ʻO ka hahau a me nā aneurysms i haki: Hiki i kēia ke hoʻōki i ke kahe koko i kahi ʻāpana o ka lolo, e make ai nā cell ma ia ʻāpana, e hana ana i ka monoplegia.
- Nā maʻi o ke kaula kuamoʻo a i ʻole ka lolo: ʻO nā maʻi bacteria a viral paha o ka lolo a i ʻole ke kaula kuamoʻo kekahi kumu.
- Nā puʻupuʻu i loko o ke kaula kuamoʻo a i ʻole ka lolo: Hiki i kēia mau puʻupuʻu ke hōʻino i nā aʻalolo.
Nā pilikia ʻē aʻe e hiki mai ana ma muli o ka `(Monoplegia)`
Hiki i ka Monoplegia ke hoʻopilikia i nā pilikia olakino ʻē aʻe, a he mea nui e ʻike i kēlā mau mea.
- Nā ʻūpā koko: Aia kahi pilikia o ke kūkulu ʻia ʻana o nā ʻūpā koko ma ka lima a i ʻole ka wāwae lolo, no ka mea ua pilikia ke kahe ʻana o ke koko. ʻO ka Deep Vein Thrombosis (DVT), kahi kūlana e kūkulu ʻia ai nā ʻūpā koko ma nā aa koko hohonu o nā wāwae, hiki ke lilo i mea weliweli loa.
- Kīnā: ʻO ka nalowale ʻana o kekahi lima a wāwae paha e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā, ʻo ia hoʻi ke kū mai kekahi kīnā.
- Nā pilikia olakino noʻonoʻo: ʻO ka noho ʻana me kahi maʻi lōʻihi e like me kēia hiki ke alakaʻi i ka pilikia noʻonoʻo. Hiki ke loaʻa nā kūlana e like me ke kaumaha a me ka hopohopo .
Mai manaʻo ʻoe ua mehameha ʻoe i ka manawa e like me kēia. He mea nui e kiʻi i ke kōkua mai ka ʻohana, nā hoaaloha, a me nā kauka.
Pehea e ʻike ai nā kauka i ke kūlana `(Monoplegia)`?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe. Ua loaʻa anei iā ʻoe kekahi mau ʻeha i hala koke aku nei, a i ka wā i ʻike mua ai ʻoe i kēia mau hōʻailona. A laila e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e kōkua i ka hoʻoholo ʻana i ke kumu pololei:
- Nā kukuna X-ray: E nānā inā ua hōʻino ʻia ka iwi.
- ʻO ke kiʻi ʻana (Computed tomography - CT) scan (CT scan): E kiʻi i kahi kiʻi maopopo o ka lolo a i ʻole ke kaula kuamoʻo.
- ʻO ke kiʻi ʻana o ka resonance imaging (MRI): Hiki i kēia ke hāʻawi i ka nui o nā kikoʻī e pili ana i ka lolo, ke kaulahao spinal, a me nā aʻalolo.
- Electromyogram (EMG): Nānā kēia ho'āʻo inā e hoʻouna ʻia ana nā hōʻailona uila mai nā aʻalolo i kou mau ʻiʻo a inā paha e pane mai ana nā ʻiʻo iā lākou.
He aha nā lāʻau lapaʻau no ka `(Monoplegia)`?
ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau no ka monoplegia i kēia manawa. Eia nō naʻe, hoʻāʻo nā kauka e mālama i ke kumu kumu a hoʻokele i kāu mau hōʻailona e hoʻomaikaʻi i kou ʻano ola.
Aia kekahi mau koho lapaʻau:
1. Hoʻōla
- Hoʻōla kino: Kōkua kēia i ka hoʻomaikaʻi ʻana i ka ikaika, ka maʻalahi, a me ka neʻe ʻana o kou lima/wāwae lolo. Hoʻohana ʻia nā ʻano hoʻoikaika kino a me nā lako like ʻole no kēia.
- Hoʻōla hana: Kōkua kēia hoʻōla iā ʻoe e hana i nā hana o kēlā me kēia lā, e like me ke komo ʻana, ka ʻai ʻana, a me ke kākau ʻana, ma kāu iho.
- Psychotherapy: Kōkua kēia "talk therapy" iā ʻoe e hoʻoponopono i nā pilikia psychological (e like me ke kaumaha, ka huhū, a me ka manaʻolana ʻole) e hele mai me ka noho ʻana me ke kino kīnā, a kōkua iā ʻoe e ʻike a hoʻololi i nā manaʻo a me nā ʻano maikaʻi ʻole.
2. Nā Mea Kōkua
Hiki i kāu kauka ke ʻōlelo aku i nā mea hana e like me kēia e kōkua iā ʻoe e neʻe a hana i nā hana:
- He noho huila
- Nā koʻokoʻo
- He scooter kūikawā
3. Nā lāʻau lapaʻau
Ma muli o kou kūlana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i kekahi o nā hōʻailona:
- Nā mea hōʻoluʻolu ʻeha
- Nā mea hoʻomaha ʻiʻo
- Hoʻohana ʻia kekahi manawa kahi inikini i kapa ʻia ʻo "Botulinum toxin" e mālama ai i nā ʻūmiʻi ʻiʻo a i ʻole ka ʻūmiʻi ʻana o nā lima/wāwae.
4. ʻoki kino
I ka liʻiliʻi loa, hiki i nā kauka ke ʻōlelo aku i ke ʻoki ʻana e hoʻoponopono i kekahi mau ʻano ʻē i ke kino (no ka laʻana, inā ua ʻūmiʻi ʻia kahi aʻalolo).
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i nā hōʻailona o ka "Stroke" (e laʻa me ke kūlou koke ʻana o kekahi ʻaoʻao o ka maka, ka hiki ʻole ke ʻōlelo, ka nalowale ʻana o ka hana lima), a inā paha ʻoe e manaʻo nei he ʻeha nui kou poʻo, ʻāʻī, a i ʻole ka iwi kuamoʻo,E kelepona koke i ka 1990 (Sri Lankan Ambulance Service) a i ʻole e hele i ka lumi pilikia kokoke loa.
Eia kekahi, e ʻike i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Inā he ʻeha mau a ʻūlū paha kou mau lima a mau wāwae paha.
- Inā mau ka nāwaliwali o nā ʻiʻo a hele mai a hele aku paha.
- Inā hiki ʻole iā ʻoe ke hoʻoneʻe i kou mau ʻiʻo.
He aha kaʻu e nīnau aku ai i kaʻu kauka?
Inā ua ʻike ʻia ʻoe me ka "Monoplegia", hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau. E kōkua kēia iā ʻoe e hoʻomaopopo i ke kūlana a hoʻomaopopo iā ʻoe e pili ana i ka lāʻau lapaʻau e hiki mai ana.
- "E ke kauka, he manawa pōkole a mau loa paha koʻu maʻi '(Monoplegia)'?"
- "Pehea ka lōʻihi e hiki ai iaʻu ke hoʻoneʻe hou i kēia lima/wāwae?"
- "He aha ke ʻano lapaʻau āu e ʻōlelo nei he kūpono loa iaʻu?"
- "He aha nā lāʻau lapaʻau a i ʻole nā mea kōkua e loaʻa ana e hiki ke kōkua i koʻu kūlana?"
- "He aha nā pilikia e pono iaʻu e makaʻala nui?"
- "E paipai hou aku anei ʻoe iaʻu i ka `(Physical therapy)` a i ʻole `(Occupational therapy)`?"
He aha ka manaʻo no ke kūlana `(Monoplegia)`?
ʻO ka wānana no ka monoplegia e pili ana i ke kumu a me ke koʻikoʻi o ke kūlana. I kekahi manawa e hoʻomaikaʻi iki ke kūlana i ka hala ʻana o ka manawa. Eia nō naʻe, nui ka poʻe e noho lolo mau ana. Eia nō naʻe, hiki i ka mālama kūpono ke hōʻemi i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.
He aha ka ʻokoʻa ma waena o `(Monoplegia)` a me `(Monoparesis)`?
ʻOiai ua like iki kēia mau huaʻōlelo ʻelua, aia kekahi ʻokoʻa iki.
- ʻO Monoplegia ka nalowale piha ʻana o ka neʻe manawaleʻa ma kekahi o kou mau lima a i ʻole kou mau wāwae.
- ʻO Monoparesis ka wā e nalowale ai ʻoe i kahi hapa wale o kou hiki ke hoʻoneʻe i hoʻokahi lima a i ʻole wāwae. ʻO ia hoʻi, ʻaʻole ʻoe e nalowale loa i kou ikaika, e lilo wale i mea nāwaliwali.
I ka ʻōlelo maʻalahi, ma ka "Monoplegia" ʻaʻohe ola iki, ʻoiai ma ka "Monoparesis" aia kekahi ola, akā ua nāwaliwali.
He aha ka ʻokoʻa ma waena o `(Monoplegia)` a me `(Hemiplegia)`?
He mea nui hoʻi e ʻike i kēia.
- ʻO ka Monoplegia kahi ʻano o ka maʻi lolo e hoʻopilikia wale i hoʻokahi lālā (hoʻokahi lima a i ʻole hoʻokahi wāwae).
- ʻO ka Hemiplegia ka nalowale piha ʻana o kekahi ʻaoʻao o ke kino (e.g., ka lima ʻākau, ka wāwae ʻākau, a malia paha ka ʻaoʻao ʻākau o ka maka).
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He ʻano hoʻololi ola ka Monoplegia. Pono paha ʻoe e hoʻololi i ke ʻano o kāu hana ʻana i kāu mau hana o kēlā me kēia lā - ʻoiai inā he manawa pōkole kou lolo. He mea maʻamau ke manaʻo i nā ʻano manaʻo like ʻole (kaumaha, huhū, makaʻu) e pili ana i kēia.
Akā, ʻo ka mea nui loa, ʻo ia ka hoʻomanaʻo ʻana he mau lāʻau lapaʻau e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona o kēia ʻano a hoʻomaikaʻi i kou ʻano ola. E kamaʻilio me kāu kauka e ʻike i nā koho i loaʻa iā ʻoe. Mai manaʻo ʻoe ua hoʻokahi ʻoe ma kēia huakaʻi.
monoplegia , lolo, nalowale o ka lima, nalowale o ka wāwae, nā maʻi neurological, lolo lolo, lāʻau lapaʻau











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