ʻO ka hauʻoli o kāu keiki liʻiliʻi e hoʻomaka ana e hele! Akā i kekahi manawa ua ʻike paha ʻoe i kahi pēpē e hele ana ʻaʻole me ko lākou wāwae holoʻokoʻa ma ka honua, akā me ko lākou mau manamana wāwae me he mea lā e hula ana. He mea maʻamau loa ia no ka makuahine a makua paha ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike lākou i kēia. "Auē, he hewa anei kekahi mea me kaʻu pēpē?" Manaʻo paha ʻoe. He mea maoli anei kēia e makaʻu ai? E kamaʻilio kākou e pili ana i kēia mau mea a pau i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hele wāwae?
ʻO ka inoa Pelekania no kēia ʻo ka wāwae wāwae . I ka ʻōlelo maʻalahi, ʻo ia ka wā e hele ai kāu keiki me ke kau ʻole ʻana i ka kuʻekuʻe wāwae ma ka honua, akā ma nā wēlau o ko lākou mau manamana wāwae a me ke alo o ko lākou mau wāwae. E like me ka mea hula ballet.
Akā e hoʻomanaʻo i kēia. He mea maʻamau loa ia no nā keiki ma lalo o 2 mau makahiki , ʻo ia hoʻi, i ko lākou wā e aʻo wale ana e hele, e hele e like me kēia. ʻAʻohe pono e hopohopo iki no ia mea. I ka hala ʻana o ka manawa, e aʻo mālie lākou e hele me ko lākou mau kuʻekuʻe wāwae ma ka honua a ma ke ʻano maʻamau mai ke kuʻekuʻe wāwae a i ka manamana wāwae. ʻAʻole pono kēia i kekahi lāʻau lapaʻau.
Eia nō naʻe, inā hoʻomau kāu keiki i ka heʻe wāwae ʻoiai ma hope o ka piha ʻana o 2 mau makahiki , he hōʻailona paha ia o kahi maʻi olakino ʻē aʻe, no laila he manaʻo maikaʻi e hopohopo iki.
Pehea ka maʻamau o kēia ʻano?
ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Wahi a ka ʻikepili, ma kahi o 2 o 100 (2%) o nā keiki e ulu mau ana e hele wāwae mau ana i ka makahiki 5 1/2. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o kēia helu i waena o nā keiki me nā lohi o ka ulu ʻana a i ʻole nā pilikia ulu ʻē aʻe. Ma kahi o 41 o 100 (41%) o ia mau keiki i ʻike ʻia e hele wāwae mau ana i kēia makahiki.
He aha nā ʻano ʻē aʻe o ka hele wāwae ʻūlū?
ʻO ka hōʻailona nui a maopopo loa, ʻo ia ka hele wāwae ʻana. Akā, ke ʻōlelo aku ʻoe i kāu keiki, "E ke keiki kāne/kaikamahine, e hele maʻamau me kou mau wāwae ma ka honua," hiki i ka hapa nui o nā keiki liʻiliʻi ke hele ma ia ʻano. Akā, inā hoʻomau kēia ʻano maʻamau, e ʻike pū ʻoe i nā hōʻailona ma lalo nei. E nānā kākou i kēia ala e hoʻomaopopo pono ai.
| Hiʻohiʻona ʻike maka ʻia | He aha kēlā manaʻo? |
|---|---|
| Hoʻemi ʻia ke kaulike a me ka hoʻonohonoho ʻana | Me he mea lā ʻaʻole kaulike ke keiki. Kūpaʻa ʻo ia i ka hele ʻana a me ka holo ʻana. |
| Hāʻule mau | Hāʻule a kuʻia pinepine ma mua o ke keiki maʻamau. |
| Ka paʻakikī ke kau ʻana i nā kāmaʻa | He paʻakikī ke kau ʻana i kekahi mau ʻano kāmaʻa. ʻAʻole kūpono loa ia i kou mau wāwae. |
| Ka paʻakikī e komo i nā haʻuki | ʻOi aku ko lākou paʻakikī ma mua o nā keiki ʻē aʻe i nā pāʻani e pono ai lākou e holo a lele. |
| Ke hoʻopiʻi nei e pili ana i ka ʻeha o ka wāwae | Pili ia i ka ʻeha a i ʻole ka ʻoʻoleʻa, ʻoi aku hoʻi ma ka ʻāpana groin a i ʻole nā kapuaʻi o nā wāwae. |
| Nā kaula kuʻekuʻe wāwae paʻa | Paʻa nā ʻiʻo a me nā aʻa koko ma ka ʻāpana ʻūhā. Ua emi ka hiki ke kulou i ka wāwae i luna a i lalo. |
No ke aha e hele ai nā keiki penei? E nānā kākou i kekahi o nā kumu.
I ka hapanui o nā hihia, ʻo ia hoʻi, i ka hapa nui o nā hihia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī no ka hele wāwae mau ʻana. Ma nā huaʻōlelo lapaʻau, ua kapa ʻia kēia he ' idiopathic ' . ʻO ia hoʻi, "ʻaʻohe kumu i ʻike ʻia."
Eia nō naʻe, i kekahi mau hihia, aia paha kekahi mau kumu no kēia.
1. ʻO ke aʻalolo Achilles i pōkole ʻia
Hoʻohui ʻia nā ʻiʻo ma ko kākou wahi kuʻekuʻe wāwae a loaʻa iā ia kahi tendon ikaika e pili ana i ka iwi kuʻekuʻe wāwae. Ua kapa ʻia kēia ʻo ke 'Achilles tendon'.ʻO ia hoʻi. Ke hoʻohana mākou i ko mākou mau ʻiʻo bipi, ʻo ia ke aʻalolo e huki ai i ke kuʻekuʻe wāwae i luna. Hiki i kekahi mau keiki ke hānau ʻia me kēia aʻalolo i pōkole iki ʻia. A i ʻole, i ka hala ʻana o ka manawa, hiki ke lilo i mea pōkole loa ma muli o ka hele wāwae mau. A laila lilo ia i mea paʻakikī iā lākou ke kau i ko lākou mau kuʻekuʻe wāwae ma ka honua a hele maʻamau.
2. Kekahi mea i hana ʻia ma ke ʻano he maʻamau
Hana kekahi mau keiki makua i kēia ma muli o ka maʻa mau. Malia paha no ka mea ua paʻa ko lākou mau ʻiʻo kuli a me nā olonā no ka manawa lōʻihi, e hōʻeha ana i ka wā e hele maʻamau ai lākou.
3. Nā kūlana olakino ma lalo o ka laha ʻole
I ka liʻiliʻi loa, hiki i kēia hele wāwae ke lilo i hōʻailona o kahi maʻi koʻikoʻi. I ia mau hihia, ʻike ʻia me kekahi mau hōʻailona ʻē aʻe.
- He maʻi e pili ana i ka lolo, no ka laʻana , ka cerebral palsy .
- He maʻi e pili ana i nā ʻiʻo a i ʻole nā aʻalolo, no ka laʻana , muscular dystrophy .
- Kekahi ʻano ʻē ma ka iwi kuamoʻo.
- Ka maʻi ʻōpū o ka Autism Spectrum (ASD) .
Aia kekahi pilina ma waena o ka autism a me kēia ʻano hele wāwae?
ʻAe, ʻoi aku ka maʻamau o ka hele wāwae ʻana i waena o nā keiki me ka maʻi autism spectrum (ASD) ma mua o nā keiki me ka ʻole o ke ʻano. Ua ʻike ʻia kekahi noiʻi nui ma kahi o 9% o nā keiki me ka autism e hele ana ma kēia ʻaoʻao. Akā i waena o nā keiki me ka ʻole o ka autism, ʻoi aku ka liʻiliʻi o kēia pakeneka ma mua o 0.5% .
ʻAʻole maopopo loa ke kumu maoli o kēia. Eia nō naʻe, ua manaʻoʻiʻo ʻia he nui nā kumu e kōkua i kēia. ʻO kekahi, ua kaupalena ʻia ka laulā o ka neʻe ʻana o ka wāwae ma muli o ka paʻa ʻana o nā ʻiʻo hamstring.
ʻO kekahi kumu nui paha he pilikia e pili ana i ka sensory . He nui nā keiki me ka autism e loaʻa ana kekahi mau loli i ka hana o ka ʻōnaehana vestibular , ka ʻōnaehana e hāʻawi ana i ka ʻike i ka lolo e pili ana i ke kaulike o ko mākou kino, ka neʻe ʻana, a me ke kuhikuhi ʻana i ka spatial. Hiki i nā loli i loko o kēia ʻōnaehana sensory ke kumu i kahi keiki e heʻe wāwae.
Pehea e ʻike ai ke kauka i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i ka mōʻaukala olakino o kāu keiki. A laila, e hana ʻo ia i kahi hoʻokolokolo piha o ke keiki. I loko o kēia hoʻokolokolo ʻana,
- Nānā i ke ala e hele ai ke keiki: ʻIke i ke ala e hele ai a me ka holo ai ke keiki.
- Nānā i nā wāwae a me nā kapuwaʻi: Nānā i nā pilikia me nā wāwae a i ʻole nā wāwae.
- Hoʻāʻo Laulā o ka Neʻe ʻana: Nānā i ka mamao e hiki ai iā ʻoe ke kulou i kou kuʻekuʻe wāwae a me kou wāwae.
- Nā nānā ʻana o ka ʻōnaehana nerve:I kekahi manawa hana ʻia kekahi mau hoʻokolohua liʻiliʻi e nānā i kekahi mau pilikia me ka ʻōnaehana nerve. No ka laʻana, e pā paha lākou i ke kuli me ka hāmare liʻiliʻi e nānā i nā reflexes , e nānā i ke ʻano o nā wāwae, a ana i ka ikaika o nā ʻiʻo.
He aha nā lāʻau lapaʻau e hiki ke hana ʻia e hoʻōki ai i kēia ʻano hele wāwae?
ʻO ke ʻano o ka mālama ʻana i kēia ma muli o kekahi mau kumu. E noʻonoʻo ke kauka i nā kumu e like me ka makahiki o ke keiki, ke koʻikoʻi o ke kūlana, a me ke kumu kumu e hoʻoholo ai i ka lāʻau kūpono loa. I ka hapanui o nā hihia, ʻōlelo mua ʻia nā lāʻau lapaʻau ʻole me ke ʻoki kino.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Hoʻōla kino | Hana ʻia nā hoʻomaʻamaʻa hoʻolōʻihi ma nā ʻiʻo o ke kuʻekuʻe wāwae a me ka wāwae. Kōkua kēia i ka hoʻokuʻu ʻana i nā ʻiʻo paʻa a me nā olonā a hoʻonui i ka laulā o ka neʻe ʻana. Pono paha ʻoe e komo i kahi casting serial ma kou wāwae no kekahi mau pule. |
| Nā orthotics/braces kuʻekuʻe wāwae | Hoʻokomo ʻia kahi pale palaki kūikawā i ke ao holoʻokoʻa. Hoʻopaʻa ia i ka wāwae ma kahi kihi 90-degere a hoʻolōʻihi i nā ʻiʻo a me nā ligaments i kou hele ʻana. |
| Nānā ʻana | I kekahi manawa e lawe paha ke kauka i kahi ala "kali a ʻike". E kali lākou no kahi o 6 mau mahina e ʻike ai inā e hoʻomaikaʻi ke kūlana iā ia iho. |
| Nā inikini Botulinum A toxin (Botox®) | Hoʻonāwaliwali kēia i nā ʻiʻo o ke kuli no kekahi manawa, e maʻalahi ai ka hoʻolōʻihi ʻana i kēlā mau ʻiʻo me nā hoʻomaʻamaʻa kino. |
Inā ua hala ke keiki ma mua o 5 mau makahikiA inā ʻaʻole holo pono kēia mau lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino . Pili kēia i ke ʻoki kino ʻana a me ka wehe ʻana i ka ʻiʻo bipi paʻa a i ʻole ke aʻalolo Achilles.
He aha nā pilikia e hiki ke kū mai inā hoʻomau kēia?
Inā ʻaʻole mālama ʻia, hiki i nā ʻiʻo bipi o ke keiki a me ke aʻalolo Achilles ke lilo i mea paʻa loa. Hiki i kēia ke paʻakikī loa, inā ʻaʻole hiki ʻole, ke hele maʻamau me ke kuʻekuʻe wāwae ma ka honua. Eia kekahi, hiki ke hoʻemi ʻia ka laulā o ka neʻe ʻana o ka wāwae, ʻaʻole paha e kūpono kekahi ʻano kāmaʻa, a hiki ke ulu aʻe nā pilikia ʻiʻo a me ka iwi a me ka ʻeha i ka wā e ulu ai ke keiki . No laila, ʻaʻole maikaʻi ka hoʻowahāwahā ʻana i kēia.
Nā nīnau koʻikoʻi e nīnau aku i kāu kauka
Inā hoʻomau kāu keiki i ka hele wāwae ʻana ma hope o 2 mau makahiki, he mea nui loa e ʻike i ke kauka a nīnau i kēia mau nīnau.
- ʻO wai ke kauka lapaʻau e pono ai iaʻu e kuhikuhi i kaʻu keiki no ka mālama ʻana? (e.g., pediatrician, orthopedic specialist)
- E pono anei i kaʻu keiki nā mea hoʻoheheʻe a i ʻole nā mea pale?
- He aha nā hoʻokolohua e pono e hana ʻia e hōʻoia ai ʻaʻohe pilikia olakino ʻē aʻe e like me ka cerebral palsy?
- Pono anei au e hopohopo e pili ana i nā hōʻailona o kekahi maʻi ʻē aʻe, e like me ka autism spectrum disorder (ASD)?
- Inā hoʻomau kēia kūlana, pehea lā e pili ai i ke ola o kaʻu keiki i ka wā e hiki mai ana?
Leka Lawe-Home
- He mea maʻamau loa ka hele wāwae ʻana a he mea maʻamau no nā kamaliʻi hou, ʻoiai nā keiki ma lalo o 2 makahiki. ʻAʻohe pono e makaʻu i kēia.
- Inā hoʻomau kāu keiki i ka hele wāwae penei ma hope o 2 mau makahiki, he mea nui loa ia e ʻimi i ke kōkua lapaʻau.
- I ka hapanui o nā hihia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī (idiopathic), a hiki ke ho'ōla ʻia me nā lāʻau lapaʻau maʻalahi e like me ka physical therapy.
- I kekahi manawa, he hōʻailona kēia o kahi maʻi maʻi, e like me ka cerebral palsy a i ʻole autism, no laila he mea naʻauao ke nānā ʻia e ke kauka.
- Mai hoʻowahāwahā i kēia kūlana, no ka mea, hiki ke alakaʻi i ka ʻoʻoleʻa o nā ʻiʻo, ka ʻeha, a me nā pilikia ʻē aʻe i ka wā e hiki mai ana inā ʻaʻole mālama pono ʻia.
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