E noʻonoʻo ua haki kou lima a wāwae paha i kahi ulia, a ua ʻōlelo paha ke kauka i kahi pale kūikawā no kekahi āu i ʻike ai ma muli o kahi pilikia kua. Ua lohe paha ʻoe i kahi kanaka i pono e ʻoki ʻia kona wāwae ma muli o kahi maʻi e like me ka maʻi diabetes. I kēlā mau hihia, aia kahi hui o nā loea e hāʻawi ana i ka hōʻoluʻolu nui a me ke kōkua i ko mākou ola, akā ʻaʻole mākou e kamaʻilio nui e pili ana iā lākou i loko o ke kaiāulu, a ʻaʻole mākou e lohe nui i ko lākou mau inoa. I kēia lā e kamaʻilio mākou e pili ana i ʻelua mau loea e hiki ke lawe mai i ka manaʻolana hou i kou ola. ʻO lākou ka Orthotist a me ka Prosthetist.
ʻO wai kēia Orthotist?
I ka ʻōlelo maʻalahi, he loea ka Orthotist nāna e hoʻolālā a hoʻokomo i nā mea lapaʻau i hoʻolālā ʻia e kākoʻo i kou kino, hoʻoponopono i kahi ʻāpana o kou kino, a i ʻole e maʻalahi i kahi hana. Kāhea pinepine mākou i kēia mau mea he "Orthotics" a i ʻole "Orthoses".
ʻAʻole paha ʻoe i lohe i kēia mau ʻōlelo ma mua. Akā, ua ʻike paha ʻoe i kēia mau mea hana. E noʻonoʻo i ke kākoʻo kuli āu e ʻaʻahu ai i ka wā e pāʻani ana i ka cricket, ke kāʻei kūikawā āu e ʻaʻahu ai no ka ʻeha hope, a i ʻole ke komo kāmaʻa kūikawā āu e ʻaʻahu ai no nā wāwae pālahalaha. ʻO kēia nā ʻano āpau o `(Orthotics)`.
E lawe ke kauka niho i kāu mau ana a hana i kēia mau mea hana kūikawā nou. ʻAʻole kēia e like me ke kūʻai ʻana i kahi mea mai kahi hale kūʻai, ua like ia me ke kāhiko ʻana i kahi lole komo.
ʻO nā ʻano nui o nā mea hana a ka orthotist i hana ai:
- Nā Palekana: Hoʻohana ʻia kēia mau mea e hoʻopaʻa a kākoʻo i nā hono a i ʻole nā ʻāpana o ke kino. Eia kekahi laʻana, he pale scoliosis a he pale kuli paha.
- Nā ʻokiʻoki: Hoʻohana pinepine ʻia kēia mau mea e hoʻopaʻa i kahi ʻāpana kino. Hoʻohana ʻia kekahi manawa nā ʻokiʻoki ma kahi o kahi hoʻolei no ka lima a i ʻole ka wāwae i haki. Kōkua pū lākou i ka pale ʻana i nā hono i nā kūlana e like me ka rumatika.
- Nā hoʻokomo kāmaʻa: Ua kapa ʻia kēia he "nā insoles Orthotic". He mea pono loa kēia no ka poʻe me nā "wāwae pālahalaha", ka poʻe i ʻeha ma lalo o ko lākou mau wāwae, a me ka poʻe pilikia i ka hele wāwae. Ke hoʻokomo ʻia i loko o nā kāmaʻa, e maʻalahi ka hele wāwae a emi ka ʻeha.
I ka manawa hea e pono ai ke kōkua o ke kauka orthopedic?
E ʻike wale ʻoe i kahi Orthotist inā kuhikuhi kāu kauka, ʻoiai he Orthopedic Surgeon, iā ʻoe i hoʻokahi. Pono pinepine kā lākou lawelawe i nā kūlana aʻe:
| ʻO ke ʻano o ke kūlana | Ka wehewehe maʻalahi a me nā laʻana |
|---|---|
| Nā ʻeha | Kōkua kēia mau mea hana i ka mālama ʻana i ka ʻāpana i ʻeha a pale ʻia a hiki i ka wā e ho'ōla ai ma hope o ka haki ʻana, ka dislocation, a i ʻole ka sprain. Hoʻohana pinepine ʻia lākou i nā ʻeha haʻuki. |
| Nā pilikia iwi | ʻO kēia nā kūlana e hoʻopilikia i ke ʻano o ko mākou kino. Nā Laʻana: (Scoliosis) (piʻo o ke kuamoʻo), (Hip Dysplasia) (ʻano ʻē o ka iwi ʻūhā), (Flat Feet) (nā wāwae pālahalaha), a me (Clubfoot) (kahi ʻano ʻē hānau o ka wāwae). |
| Nā kūlana neuromuscular | Hoʻohana ʻia kēia mau mea hana e kōkua i ka kaohi ʻana i ke kino a me ka hele ʻana i nā kūlana e like me ka cerebral palsy a me ka stroke . |
| ʻEha mau loa | ʻEha lōʻihi. No ka laʻana, ʻeha nā hono i hoʻokumu ʻia e ka maʻi ʻaʻai , ka carpal tunnel syndrome (kahi aʻalolo i ʻoki ʻia ma ka pulima), a i ʻole kahi ʻeha mau loa e kōkua i ka kaohi ʻana i ka ʻeha a hāʻawi i ka hoʻomaha i ka wahi. |
I ka ʻōlelo maʻalahi, inā pono kahi ʻāpana o kou kino i ka ikaika hou aku, ke kākoʻo, a i ʻole ka hoʻoponopono ʻana, hiki i ke kauka niho ke kōkua iā ʻoe.
No laila ʻo wai ka Prosthetist?
I kēia manawa, e kamaʻilio kākou e pili ana i kahi prosthetist.He loea ka prosthetist nāna e hana a hoʻokomo i kahi ʻāpana kino hana e pani i kahi ʻāpana kino i nalowale ma muli o kahi ulia, maʻi, a i ʻole pilikia hānau. Kāhea mākou i kēia mau ʻāpana kino hana ʻia he `(Prosthetics)` a i ʻole `(Prostheses)`.
Ke lohe ʻoe i kēia, manaʻo paha ʻoe i kahi lima a i ʻole wāwae prosthetic. ʻAe, ʻo ia ka mea nui a lākou e hana ai. Akā, ʻaʻole ia e pau ma laila. ʻO kekahi o nā mea hana a lākou e hana ai:
- Nā lima hana
- Nā wāwae hana
- Nā lima a me nā manamana lima hana
- Nā wāwae a me nā manamana wāwae hana
E hana pū kekahi kauka hana prosthetist me ʻoe e hana i kahi lālā prosthetic e kūpono i kou nohona a me kou mau pono. No ka laʻana, pono paha kahi lima prosthetic no kahi mahiʻai, aʻo kekahi e pono paha no kahi limahana keʻena. Hiki iā lākou ke hana i ka hāmeʻa e kūlike me kou ʻili a i ʻole ke ʻano āu e makemake ai. ʻAʻole lākou e hana wale i ka hāmeʻa, akā hiki iā lākou ke hana i nā hoʻoponopono a i ʻole nā hoʻoponopono e pono ai i ka hala ʻana o ka manawa.
ʻO wai ka mea e pono ai nā lawelawe a kahi prosthetist?
ʻO ke kōkua o kahi prosthetist ka mea nui e pono ai e ka poʻe i nalowale kahi lālā a me ka poʻe i loaʻa nā ʻokoʻa hānau o nā lālā.
- Ma hope o ke ʻoki ʻana: ʻO nā kumu maʻamau ma Sri Lanka he mau ulia kaʻa nui, nā ulia kaʻa ma ka wahi hana, a me nā ʻeha i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i nā wāwae ma muli o ka maʻi diabetes mellitus i kāohi ʻole ʻia. I ia mau hihia, pono paha e wehe ʻia kahi lālā a wāwae paha ma ke ʻoki ʻana e hoʻopakele i ke ola. Ma hope o kēlā, hiki ke loaʻa kahi lālā prosthetic me ke kōkua o kahi prosthetist e kōkua iā ʻoe e hoʻi i ke ola maʻamau.
- Nā ʻokoʻa o nā lālā hānau: Hānau ʻia kekahi mau keiki me nā ʻokoʻa o ka ulu ʻana o ka lima, ka wāwae, a i ʻole ka manamana lima. Hiki i kahi prosthetist ke kōkua i kēia mau keiki e hana i kā lākou mau hana o kēlā me kēia lā me ka maʻalahi.
He aha ka ʻokoʻa ma waena o kēia mau mea ʻelua? He mea maʻalahi loa ia!
I kēia manawa ua loaʻa iā ʻoe kekahi manaʻo e pili ana i kēia mau mea ʻelua, ke manaʻo nei paha ʻoe he ʻano like kā lāua hana. ʻAe, loea kekahi poʻe loea i nā kahua ʻelua a hana ma ke ʻano he Orthotists a me Prosthetists.
Akā ʻo ka ʻokoʻa nui a maʻalahi hoʻi ma waena o nā mea ʻelua penei:
Hāʻawi kahi orthotist i ke kākoʻo i kahi ʻāpana o kou kino.
Hoʻololi kahi prosthetist i kahi ʻāpana o kou kino i nalowale .
E noʻonoʻo i kahi splint i kau ʻia i ka wā e ʻeha ai ka wāwae. Hāʻawi ia i ke kākoʻo i ka wāwae e kū nei. ʻO ia ka hana a kahi Orthotist. I kēia manawa e noʻonoʻo i kahi ulia e nalowale ana kahi wāwae ma lalo o ke kuli. Akā, ʻo ia ka hana a kahi Prosthetist e hana i kahi wāwae hana. I kēia manawa ua maopopo ka ʻokoʻa, ʻeā?
He mau kauka kēia poʻe? (Hele lākou i ke kula lapaʻau?)
ʻAʻole. He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole nā Orthotists a me nā Prosthetists he mau kauka lapaʻau. ʻAʻole lākou e hele i ke kula lapaʻau.
Ua kapa ʻia lākou he mau loea olakino pili, e like me nā physiotherapists a me nā occupational therapists. ʻO ke ʻano kēia e hāʻawi lākou i nā lawelawe kūikawā i nā mea maʻi ma ke ʻano he ʻāpana o ka hui lapaʻau.
Pono nā Orthotist a me nā Prosthetists i nā hōʻoia hoʻonaʻauao kūikawā a me ke aʻo ʻana. Ke aʻo nei lākou a hiki i ke kekelē Master ma Orthotics a/a i ʻole Prosthetics. He ākea loa kā lākou hoʻonaʻauao.
- Ke aʻo nei lākou i nā kumuhana e like me ke anatomy a me ka pathology , e like me nā kauka.
- Loaʻa iā lākou ka ʻike hohonu o ka ʻenekinia a me ka hoʻolālā e pono ai e hana i kēia mau mea hana.
ʻO kā lākou ʻoihana he hui pū ʻana o ka ʻepekema, ka lāʻau lapaʻau, a me ka ʻenekinia. ʻO ia ke kumu e hiki ai iā lākou ke hana i kahi mea hana pono a ʻoluʻolu hoʻi e kūpono i kou kino.
Hiki iā mākou ke kapa aku iā lākou he mau kauka lapaʻau?
ʻAe, ʻoiaʻiʻo nō. ʻO 'Clinician' kekahi inoa ʻē aʻe no kekahi loea e hāʻawi ana i ka mālama ola i nā maʻi. No laila, ʻo Orthotist a me Prosthetist he 'Clinicians' maoli nō.
Eia ka mea a lākou e hana ai ke pono ʻoe i kahi hāmeʻa e like me kēia:
1. Loiloi: ʻO ka mea mua, nānā lākou iā ʻoe a hoʻomaopopo pono i kāu mau pono, ke kūlana kino, a me ke ʻano o ka nohona.
2. Nā Ana: ʻO ka mea aʻe, lawe ʻia nā ana pololei o ka ʻāpana kino e hoʻohana ʻia e hana i ka hāmeʻa. I kekahi manawa, lawe ʻia kahi paʻi a i ʻole kahi i hoʻolei ʻia me ka hoʻohana ʻana i kahi mea e like me ka plaster.
3. Hoʻolālā & Hana ʻana: Ma ka hoʻohana ʻana i nā ana a me nā kumu hoʻohālike i lawe ʻia, hana lākou i kāu hāmeʻa kūikawā i kā lākou hale hana.
4. Ke Hoʻokomo & Hoʻoponopono: Ua hoʻokomo ʻia ka hāmeʻa iā ʻoe, ʻike ʻia nā kīnā a i ʻole nā mea ʻoluʻolu ʻole, a hoʻoponopono pinepine ʻia a hiki i kou ʻoluʻolu.
5. Hoʻomaʻamaʻa: ʻO ka mea hope loa, e aʻo ʻia ʻoe pehea e hoʻohana pono ai i kēia hāmeʻa, pehea e mālama ai i ka maʻemaʻe, a pehea e hoʻohana pono ai.
Hiki paha iā ʻoe ke ʻike i kahi Orthotist no kahi manawa pōkole wale nō, e like me ka wā e ho'ōla ai kahi ʻeha. Akā inā loaʻa iā ʻoe kahi maʻi lōʻihi e like me ka scoliosis, pono paha ʻoe e ʻike iā lākou i kēlā me kēia manawa i kou ola. No kekahi mea e hoʻohana ana i kahi Prosthetist, he pilina ola kou me lākou no ka mea ke noho nei lākou me ka hāmeʻa.
Leka Lawe-Home
- He loea ka orthotist nāna e hana i nā orthotics ( nā mea kākoʻo ) e kōkua i ke kākoʻo ʻana i kahi ʻāpana o kou kino (e laʻa, nā pale hope, nā kākoʻo kuli, nā mea hoʻokomo kāmaʻa kūikawā).
- He loea ka prosthetist nāna e hana i nā prosthetics e pani i kahi ʻāpana o ke kino i nalowale (e.g., nā lima hana, nā wāwae hana).
- ʻAʻole kēia mau mea ʻelua he mau kauka, akā, he mau loea olakino pili i aʻo nui ʻia lāua a he ʻāpana o ka hui lapaʻau.
- Inā ʻōlelo kāu kauka i kahi mea hana e like me kēia, e kuhikuhi ʻia ʻoe i kahi loea nāna e hoʻokomo i ka mea hana iā ʻoe a aʻo iā ʻoe pehea e hoʻohana ai.
- He mea waiwai nui ke kākoʻo a kēia mau mea hana a me nā lawelawe a kēia poʻe loea i ka maʻalahi o ke ola o nā poʻe he nui, ʻoi aku ka ʻoluʻolu, emi ka ʻeha, a ʻoi aku ka hana hou.
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