Ke hele nei kāu keiki liʻiliʻi ma ko lākou mau manamana wāwae? E kamaʻilio kākou e pili ana i ka hele wāwae ʻana!

Ke hoʻomaka kāu keiki liʻiliʻi e hele, e nānā pono ʻoe i nā mea liʻiliʻi a pau e pili ana iā ia, ʻeā? I kekahi manawa ʻike ʻoe e hele ana kāu pēpē me kona mau manamana wāwae ma kahi o kona mau kuʻekuʻe wāwae e pā ana i ka honua. ʻO kēia ka mea a mākou e kapa nei he "Toe Walking". Makaʻu iki kekahi mau mākua ke ʻike lākou i kēia. Akā, he mea anei kēia e makaʻu mau ai? E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku.

He aha maoli ke ʻano o ka hele wāwae? (Toe Walking) He mea maʻamau anei ia?

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka "Toe Walking" ʻo ia hoʻi ke hele nei kāu keiki ma luna o nā pōpō o ko lākou mau wāwae a me nā manamana wāwae, me ka ʻole o nā kuʻekuʻe wāwae o ko lākou mau wāwae e pā i ka honua. Ua like ia me ka mea hula, akā ke kamaʻilio nei mākou e pili ana i ka hele ʻana ma kēia ʻaoʻao i nā manawa a pau.

ʻĀnō, e nānā, he mea maʻamau loa ia no nā kamaliʻi ma lalo o ʻelua makahiki ke hele ma ko lākou mau manamana wāwae e like me kēia ke aʻo nei lākou e hele. ʻAʻohe mea e hopohopo ai. I ko lākou ulu ʻana, e hoʻomaka lākou e hele pono me ko lākou mau kuʻekuʻe wāwae ma ka honua. ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i kekahi mālama kūikawā.

Eia nō naʻe, inā hoʻomau kāu keiki i ka heʻe wāwae ʻoiai ma hope o ʻelua mau makahiki , hiki i kekahi manawa ke hōʻailona o kahi pilikia olakino, no laila he manaʻo maikaʻi e hopohopo iki.

He mea maʻamau kēia, i waena o nā keiki e ulu maʻamau ana, ma kahi o 2 o 100 (2%) e hele mau ana me ka manamana wāwae i ka makahiki 5 1/2. Eia nō naʻe, i waena o nā keiki me kekahi mau maʻi ulu a i ʻole nā ​​​​lohi, ma kahi o 41% i ʻike ʻia e hele wāwae ana i kēia makahiki.

He aha nā ʻano ʻē aʻe o ka hele wāwae?

ʻO ka hōʻailona nui, ʻo ia ka hele ʻana o ke keiki ma luna o kona mau manamana wāwae. He mea ia e ʻike ʻia e nā mea a pau. Inā ʻoe e ʻōlelo aku i kekahi mau keiki ʻōpio, 'E ke keiki/kaikamahine, e hele me kou mau wāwae pālahalaha ma ka honua,' hiki iā lākou ke hana pēlā. Akā inā e hoʻomau lākou i ka hele ʻana ma luna o ko lākou mau manamana wāwae, e ʻike ʻoe i nā mea ʻē aʻe e like me kēia:

• ʻAʻohe kaulike a me ka hoʻonohonoho ʻana: Me he mea lā he paʻakikī ke mālama i kou kaulike.
• Hāʻule pinepine: Hiki ke hāʻule pinepine ma mua o nā keiki ʻē aʻe.
• Paʻakikī ke kau ʻana i nā kāmaʻa: ʻAʻole paha e kūpono pono kekahi mau kāmaʻa a paʻakikī paha ke kau ʻana.
• Paʻakikī ke komo ʻana i nā haʻuki a i ʻole nā ​​​​​​leʻaleʻa ʻē aʻe: He mea paʻakikī paha ke komo ʻana i nā pāʻani e pono ai ka holo a me ka lele ʻana me nā keiki ʻē aʻe.
• Ke kamaʻilio ʻana e pili ana i ka ʻeha o nā wāwae: I kekahi manawa hiki iā ʻoe ke ʻōlelo ua ʻeha kou mau wāwae.
• Paʻakikī ke hele ma luna o nā kuʻekuʻe wāwae: ʻO ia hoʻi, inā e noi ʻia ʻoe e hele me kou mau manamana wāwae i hāpai ʻia a me kou mau kuʻekuʻe wāwae ma ka honua, he paʻakikī ke hana pēlā.
• ʻOʻoleʻa o nā kaula kuʻekuʻe wāwae/ʻoʻoleʻa o ke aʻalolo Achilles: Hiki ke paʻa nā aʻalolo ma ke kua o ka wāwae, ma luna o ke kuʻekuʻe wāwae.

No ke aha e hele ai nā keiki liʻiliʻi ma ko lākou mau manamana wāwae? He aha nā kumu?

ʻO ka hapa nui o ka manawa, ʻaʻohe kumu kikoʻī no ka heʻe mau ʻana o ka wāwae.Ua kapa ʻia kēia e nā kauka ʻo "Idiopathic Toe Walking." ʻO ia hoʻi, "no ke kumu i ʻike ʻole ʻia." I kekahi manawa he mea maʻamau ia.

Eia nō naʻe, aia paha kekahi mau kumu ʻē aʻe.

ʻO ke aʻalolo Achilles i pōkole ʻia

Ma ke kua o kou wāwae, kahi e hui pū ai kou mau ʻiʻo bipi, aia kahi ʻiʻo ikaika i kapa ʻia ʻo ke Tendon Achilles. ʻO kēia ka mea e pili ana i kou iwi kuʻekuʻe wāwae. Ke hoʻohana ʻoe i kou mau ʻiʻo bipi, huki kēia Tendon Achilles i kou kuʻekuʻe wāwae i luna.

I kekahi poʻe hele wāwae, hiki ke hoʻopōkole iki ʻia kēia aʻalolo i ka wā hānau. (Eia naʻe, ʻaʻole kēia ka hihia maʻamau ke ʻole he kīnā wāwae hānau o ke keiki e like me ka "Club Foot". Ua kapa ʻia kēia ʻano i kekahi manawa ʻo "Equinus Deformity".) A i ʻole, i ka hala ʻana o ka manawa, hiki ke hoʻopōkole ʻia kēia aʻalolo. ʻO kēia ka mea e paʻakikī ai i ke keiki ke hele maʻamau me ko lākou mau kuʻekuʻe wāwae ma ka honua. He pilikia kēia a he ʻano ʻē.

Hiki i kekahi mau keiki makua e hele wāwae ana ma muli o ka maʻa mau. A i ʻole, no ka mea ua paʻakikī ko lākou mau aʻalolo a me nā ligaments i ka hala ʻana o ka manawa a he ʻeha ke hele maʻamau me ko lākou mau kuʻekuʻe wāwae ma ka honua.

Nā kumu ʻē aʻe kakaikahi loa

ʻOiai i ka hapa nui o ka manawa ʻaʻohe mea e hopohopo ai, i nā hihia kakaikahi , hiki i ka hele wāwae ʻana ke lilo i hōʻailona o kahi maʻi maʻi. Eia kekahi laʻana:

• He maʻi lolo: He kūlana e like me `(Cerebral Palsy)`.
• He maʻi ʻiʻo a aʻalolo paha: He kūlana e like me ka "Muscular Dystrophy".
• He ʻano ʻē o ka iwi kuamoʻo.
• Ka Maʻi ʻAutism Spectrum (ASD)

Aia kekahi pilina ma waena o ka autism a me ka tiptoeing?

ʻAe, ʻoi aku ka maʻamau o ka hele wāwae ʻana i waena o nā keiki me ka Autism Spectrum Disorder (ASD). Ua ʻike ʻia kekahi noiʻi nui ma kahi o 9% o nā keiki me ASD i hele ma ko lākou mau manamana wāwae. Ua ʻike ʻia ma ka noiʻi like ʻaʻole i hiki i ka 0.5% o nā keiki me ka ʻole o ka ASD i hele ma kēia ʻaoʻao.

ʻAʻole maopopo ke kumu kikoʻī o kēia , ʻoiai ʻaʻohe pilina pololei i loaʻa ma waena o ka autism a me ka tiptoeing. Malia paha ʻo ka haiki ʻana o nā aʻa koko ma ke kuʻekuʻe wāwae e kāohi ai i ka neʻe ʻana.

A i ʻole, he mea paha ia e pili ana i ka ʻōnaehana sensory . He nui nā keiki me ka autism he hemahema i kā lākou ʻōnaehana vestibular. ʻO kēia ʻōnaehana vestibular ka mea e hāʻawi i ko mākou lolo i ka ʻike e pili ana i ka neʻe ʻana, ke kūlana, a me ke kuhikuhi ʻana i ka wahi. Hiki paha i kēia ke kumu no ka hele wāwae. Pono nā kānaka ʻepekema e hana i nā noiʻi hou aku e pili ana i kēia e hoʻomaopopo pono ai pehea e pili ai ka hana sensory i ka hele wāwae.

Hiki iā kākou ke ʻike i ka hele wāwae ʻana ma waena o nā mākua?

ʻAe, hele mau kekahi poʻe ma ko lākou mau manamana wāwae i ka wā makua. Malia paha ua hoʻāʻo lākou e hoʻoponopono iā ia i ko lākou wā ʻōpiopio, akā ʻaʻole i nalowale loa, a ʻaʻole paha i holomua ka lāʻau.

I nā manawa ʻē aʻe, ʻoiai i ka wā makua, hiki paha iā ʻoe ke hoʻomaka e hele ma kou mau manamana wāwae me ke kumu ʻole. ʻO kekahi mau kūlana olakino e hoʻopilikia ai i nā wāwae, e like me nā corns, calluses, a me ka peripheral neuropathy, hiki ke hana i ka hele wāwae ʻana o ka manamana wāwae.

Pehea e ʻike pololei ai nā kauka i ka hele wāwae?

Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i ka mōʻaukala olakino piha o kāu keiki. A laila, e hana ʻo ia i kahi hoʻokolokolo kino . Ma ke ʻano he ʻāpana o kēia hoʻokolokolo ʻana, e nānā pono ke kauka i ke ʻano o ka hele ʻana o kāu keiki. E nānā ʻo ia no kekahi pilikia me nā wāwae a me nā wāwae o kāu keiki. E nānā pū ʻo ia i ka laulā o ka neʻe ʻana o ke keiki a inā he mau palena.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua neurological e ʻike ai inā he mau pilikia me ka ʻōnaehana nerve o ke keiki. ʻO kēia mau mea:

• Ke nānā nei i nā reflexes o ke keiki.
• Ke ana ʻana i ke kiʻekiʻe o ka manaʻo ma nā lima a me nā wāwae.
• Ke hoʻāʻo ʻana i ka ikaika o nā ʻiʻo.

He aha nā lāʻau lapaʻau e hiki ke hana ʻia e hoʻōki i ka hele wāwae?

ʻO ka lāʻau e hoʻōki ai i ka hele wāwae e pili ana i kekahi mau kumu. ʻO kēia mau mea:

• Ka makahiki o kāu keiki.
• Auē ka ʻino o ke keiki e hele wāwae ana.
• He aha ke kumu nui o kēia kūlana?

ʻO ka mea paha, e ʻōlelo mua kāu kauka i nā lāʻau lapaʻau ʻoki ʻole . ʻO kēia mau mea:

• Hoʻōla Kino: Hana pū ke keiki me kahi mea hoʻōla kino e hana i nā hoʻomaʻamaʻa hoʻolōʻihi no nā ʻiʻo ma ke kuʻekuʻe wāwae a me ka wāwae. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa a hoʻonui i ka laulā o ka neʻe ʻana. I kekahi manawa hoʻohana ka hoʻōla kino kuʻuna i kahi ʻano i kapa ʻia ʻo serial casting. Ma kēia, e komo ke keiki i kahi ʻaʻahu hele wāwae no kekahi mau pule. Kōkua kēia i nā ʻiʻo a me nā ligaments ma ke kuʻekuʻe wāwae e hoʻolōʻihi a hoʻolōʻihi.
• Nā Orthotics Kuʻekuʻe Kuʻekuʻe Wāwae (AFOs): Hiki i kāu keiki ke ʻaʻahu i kahi pale palaki. Kōkua kēia i ka mālama ʻana i ka wāwae ma kahi kihi 90-degere ʻoiai ke keiki e hele ana i ke ao holoʻokoʻa, e hohola ana i nā ʻiʻo a me nā ligaments ma ke kuʻekuʻe wāwae. Hana ʻia kēia ma ka laulima ʻana me kahi mea hoʻōla kino a me kahi orthotist (he loea lapaʻau i loea i nā splints a me nā braces).
• Nānā ʻana:I kekahi manawa e haʻi aku ke kauka iā ʻoe e lawe i kahi ala "kali a ʻike". ʻO ia hoʻi, e ʻike inā e hoʻomaikaʻi ke kūlana iā ia iho. Akā, ʻaʻole hoʻohana ʻia kēia ala no nā mahina ʻeono a ʻoi aku.
• Nā Inikini Botulinum A Toxin (Botox®): Hiki ke hāʻawi ʻia nā inikini Botox® e hoʻonāwaliwali i nā ʻiʻo o ke keiki a e maʻalahi ai ko lākou ʻaelike ʻana.

E noʻonoʻo wale, he mea ʻē paha ke kau ʻana i kahi mea pale e like me kēia ke pāʻani nei kāu keiki i ka lā a pau. Akā i ka wā lōʻihi, kūpono loa nā pono.

Inā ʻoi aku kāu keiki ma mua o 5 mau makahiki , hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e wehe a hoʻolōʻihi i nā olonā Achilles a me nā ʻiʻo bipi. Hiki i kēia ʻoki kino ke kōkua i ka hoʻomaikaʻi ʻana i ka laulā o ka neʻe ʻana a me ka hana a kāu keiki ma ka wāwae a me ka kuʻekuʻe wāwae.

Eia kekahi, hiki i kahi lāʻau i kapa ʻia ʻo "Vestibular-Sensory Therapy" ke kōkua i ke keiki. Ma kēia, hālāwai ke keiki me kahi mea lapaʻau hana a i ʻole ka mea lapaʻau kino a loaʻa iā ia ka lāʻau e hoʻoulu ai i kā lākou "Vestibular System".

Hiki iā ʻoe ke pale aku i ka hele wāwae?

ʻAe, hiki nō i kekahi ʻano. Eia nō naʻe, he mea nui loa ia e hoʻomaopopo ʻoe i ke kauka lapaʻau o kāu keiki e pili ana i kēia. A laila hiki iā ia ke noiʻi pono i ke kūlana a hana i nā mea e pono ai.

I ka wā e ulu aʻe ai kāu keiki, hiki iā ʻoe ke kōkua iā lākou e hoʻolōʻihi i ko lākou mau olonā Achilles a hōʻemi i ka hiki ke hele wāwae. He mea kōkua nō hoʻi ke koho ʻana i nā kāmaʻa e kūpono a loaʻa ke kākoʻo maikaʻi.

He aha ka wānana no nā keiki e hele wāwae ana?

Aia ka wā e hiki mai ana o ke keiki i ke kumu o ko lākou hele wāwae ʻana. I nā hihia o ka hele wāwae idiopathic, kahi i loaʻa ʻole ai ke kumu, hoʻōla piha ka hapa nui o nā keiki me ka lāʻau lapaʻau a aʻo e hele maʻamau me ko lākou mau kuʻekuʻe wāwae ma ka honua. Hiki iā lākou ke komo i nā haʻuki a me nā hana ʻē aʻe.

Eia nō naʻe, hiki i kekahi mau keiki ke hoʻomau i ka hehi wāwae ma hope o ka mālama ʻana a i ʻole ke ʻoki ʻana . ʻO ia ka manawa e pono ai nā pale wāwae a hiki ke kōkua.

He aha nā pilikia e hiki mai ana inā hoʻomau ʻoe e hele ma kou mau manamana wāwae?

ʻO ka hele wāwae mau ʻana e hiki ai ke hoʻopaʻa i nā aʻalolo Achilles a me nā ʻiʻo bipi o kāu keiki. Hiki i kēia ke paʻakikī, inā ʻaʻole hiki ʻole , no kāu keiki ke hele maʻamau me ko lākou mau kuʻekuʻe wāwae ma ka honua.

Eia kekahi, hiki i ke keiki ke emi iho ka neʻe ʻana o ko lākou mau wāwae a me nā kuʻekuʻe wāwae, a i ʻole e paʻakikī paha ke kau ʻana i kekahi mau kāmaʻa, ʻoiai nā mea i hoʻohana ʻia no ka heʻe hau. Inā ʻaʻole kaohi ke keiki i kēia wāwae wāwae i ko lākou ulu ʻana, hiki ke ulu aʻe nā pilikia musculoskeletal a me ka ʻeha .

He aha kaʻu e nīnau aku ai i ke kauka e pili ana i kēia?

Inā hoʻomau kāu keiki i ka ʻūhā wāwae ma hope o ʻelua mau makahiki, he mea maikaʻi ke nīnau i kāna kauka e pili ana i kēia mau mea:

• ʻO wai ke kauka lapaʻau e pono ai i kaʻu keiki ke ʻike e mālama i kēia?
• E pono anei i kaʻu keiki nā mea hoʻoheheʻe a i ʻole nā ​​​​mea pale wāwae ?
• He aha nā hoʻokolohua e pono e hana ʻia e hōʻoia ai ʻaʻohe pilikia olakino ʻē aʻe e like me 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?
• Inā hoʻomau kēia kūlana, pehea lā e pili ai i ke koena o ke ola o kaʻu keiki?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ʻo ka hele wāwae ʻana he ʻano maʻamau i ʻike ʻia i nā keiki ʻōpio, ʻoiai ke aʻo nei lākou e hele. Hoʻopau ka hapa nui o nā keiki i kēia ma hope o kekahi manawa a hoʻomaka e hele maʻamau me ko lākou mau kuʻekuʻe wāwae ma ka honua.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i ka hele wāwae ʻana ke lilo i hōʻailona o kahi maʻi olakino. No laila, inā he mau hopohopo a hopohopo paha kāu e pili ana i ka hele wāwae ʻana o kāu keiki, e kamaʻilio me ke kauka. Hiki i kāu kauka ke hoʻoholo inā he pilikia maoli ia, a inā pēlā, he aha ka lāʻau kūpono no ia.

E hoʻomanaʻo, ʻaʻole koʻikoʻi nā hele wāwae āpau. Eia nō naʻe, he mea nui e makaʻala i ia mea a e ʻimi i ke aʻo lapaʻau inā pono. E loaʻa i kāu keiki liʻiliʻi kahi wā e hiki mai ana olakino a hauʻoli!

ʻO ka hele wāwae ʻana, ka hele wāwae ʻana, nā keiki, nā pilikia wāwae, ka hoʻōla kino, autism, ka lāʻau lapaʻau