He mea maʻamau ka hele wāwae i ko kākou ola. ʻAʻole mākou e noʻonoʻo nui i ia mea, ʻeā? Akā, he hana paʻakikī loa ka hele wāwae. Hana pū ko kākou lolo, nā aʻalolo, nā iwi, nā ʻiʻo, me ke kōkua o ko kākou puʻuwai a me nā māmā, e hoʻoneʻe iā kākou i hoʻokahi kapuaʻi. Inā he pilikia me kekahi o kēia mau ʻōnaehana, hiki iā ia ke hoʻopilikia i ko kākou hiki ke hele. ʻO ia ka mea a kākou e kapa nei he "gait disorder".
He aha kēia maʻi hele wāwae?
I ka ʻōlelo maʻalahi, ʻo ka huaʻōlelo 'gait' e pili ana i ke ʻano neʻe āu e hoʻohana ai i kou hele ʻana a i ʻole ka holo ʻana. ʻO kou "ʻano hele wāwae" ia. ʻO kēlā me kēia ʻano ʻē i kēia ʻano hele wāwae ka mea a mākou e kapa nei he maʻi hele wāwae.
ʻAʻole kēia he mea e hana wale ʻia. I ka manawa pinepine, hiki ke lilo i hōʻailona o kekahi maʻi olakino ʻē aʻe i loko o ke kino. He mea maʻamau kēia ʻano hemahema o ka hele ʻana i kou wā ʻelemakule. Hiki i ka loaʻa ʻana o kēia ʻano ke hoʻopilikia i kou ʻano ola a hoʻonui nui i kou pilikia o ka hāʻule ʻana a me nā ʻeha . No laila, ʻaʻole ia he mea e lawe māmā ʻia.
Nā ʻano nui o nā kīnā hele wāwae
Hiki i ke kauka akamai ke ʻike i ke ʻano o ka hemahema o kou hele ʻana ma ka nānā ʻana i ke ʻano o kou hele ʻana . ʻO ke ʻano o ka neʻe ʻana o kou kino, ʻo ia hoʻi kou hele ʻana, hiki ke hāʻawi i kahi hōʻailona nui i ke kumu. Penei ke hiki i ke kauka ke ʻike pololei i ka maʻi a hoʻolālā i ka lāʻau e pono ai.
He ʻokoʻa nā ʻano o kēlā me kēia ʻano kīnā. ʻAʻole like loa nā hōʻailona o kēlā me kēia. Akā hoʻohana nā kauka i kēia mau hoʻokaʻawale ʻana e ʻike i nā hiʻohiʻona maʻamau. E nānā kākou i kekahi o nā ʻano maʻamau o ke kīnā hele wāwae.
| Ka inoa o ka nāwaliwali (ʻAno o ke hele wāwae) | ʻAno a me nā ʻano | Nā Kūlana Pili Maʻamau |
|---|---|---|
| Hemiplegic Gait | Hoʻopilikia wale ia i hoʻokahi ʻaoʻao o ke kino. I ka hele ʻana, paʻa kekahi lima ma ka ʻaoʻao a paʻa ʻole. Huki ʻia ka wāwae ma kēlā ʻaoʻao i mua i loko o ka hapalua pōʻai. | ʻO ka hopena pinepine o ka hahau ʻana. |
| Diplegic Gait | Ua pilikia nā ʻaoʻao ʻelua o ke kino. Hiki ke kūlou nā pūhaka a me nā kuli, a hiki ke hoʻohuli ʻia nā kuʻekuʻe wāwae i loko. Hoʻonoho ʻia nā wāwae i kahi ʻokiʻoki. | ʻO ka lolo lolo, ka hahau ʻana, a i ʻole ka ʻeha poʻo. |
| Neuropathic Gait (Foot Drop) | Ua kapa ʻia kēia ʻo "foot drop." Ma muli o ka hāʻule ʻana o kekahi wāwae ke hāpai ʻoe i kou wāwae, pono ʻoe e hāpai i kou kuli i kiʻekiʻe loa a hehi ma luna o ia mea e pale ai i kou mau manamana wāwae mai ka pā ʻana i ka honua. | Nā maʻi e pili ana i nā aʻalolo e like me (Multiple Sclerosis - MS), (Amyotrophic Lateral Sclerosis - ALS), a i ʻole (Peripheral Neuropathy). |
| Ka hele wāwae ʻole (Waddling Gait) | Aia kahi hele wāwae e luliluli ana, e like me ka hele ʻana o ka ʻiole. Hiki mai kēia ʻano ma muli o ka nāwaliwali o nā ʻiʻo ma ka ʻāpana pelvic. | Nā pilikia ʻūhā hānau ʻia, muscular dystrophy, a i ʻole spinal muscular atrophy. |
| Ka hele ʻana o Ataxic | Kūlou ʻo ia i ka hele ʻana, neʻe aʻe mai kēlā ʻaoʻao a i kēia ʻaoʻao, a he hele wāwae kūpaʻa ʻole hoʻi, e like me ke kanaka ʻona. ʻAʻole hiki iā ia ke hele ma ka laina pololei. He kaulike ʻole kona ʻoiai ke kū wale. | Hiki ke lilo ia i mea manawa pōkole ma muli o ka inu ʻana i ka waiʻona. Hiki nō hoʻi ke hana ʻia e kekahi mau lāʻau lapaʻau. I nā hihia koʻikoʻi, hiki ke lilo i hōʻailona o ka hōʻino ʻia o ka lolo. |
| ʻO ke ala hele ʻana o Parkinson | He kūlana kūlou ko lākou i mua, me ko lākou kua a me ko lākou ʻāʻī i kūlou. Ma kahi o ka loaʻa ʻana o nā wāwae nui, hele lākou me nā ʻanuʻu liʻiliʻi a wikiwiki hoʻi (shuffling). | I ka manawa pinepine, he hōʻailona ia o ka maʻi o Parkinson. |
Nā kumu ʻē aʻe o ka hemahema o ka hele wāwae
Ma waho aʻe o nā ʻano kikoʻī i ʻōlelo ʻia ma luna, hiki paha iā ʻoe ke paʻakikī i ka hele wāwae no kekahi mau kumu ʻē aʻe.
E noʻonoʻo, ua loaʻa i kou kupuna kāne ka maʻi ʻāʻī . Ma muli o ka ʻeha ma kona mau kuli, ʻaʻole hiki iā ia ke hele maʻalahi e like me ka wā ma mua. Hele mālie ʻo ia, me ka ʻōʻopa iki. He loli nō hoʻi kēia i ka hele ʻana.
- ʻEha mau loa: ʻO ka ʻeha lōʻihi i hoʻokumu ʻia e nā kūlana e like me ka maʻi ʻaʻai a i ʻole nā ʻeha kahiko e hiki ke hoʻopilikia i ke ala āu e hele ai.
- Nā pilikia wāwae: ʻO ka ʻeha a i ʻole ka nāwaliwali o nā wāwae hiki ke hana i nā loli i ke ʻano o ka hele ʻana.
- Nā pilikia kaulike: Aia i loko o ko kākou pepeiao i loko kahi ʻāpana e hoʻomalu ana i ke kaulike o ko kākou kino. ʻO nā pilikia me kēia ʻāpana e hiki ai iā kākou ke poniuniu a hina paha i ka wā e hele ai.
- Nā kūlana olakino ʻē aʻe: ʻO nā kūlana e like me ka maʻi puʻuwai, nā pilikia hanu, a me ka momona nui hiki ke hoʻopilikia i kou neʻe ʻana a me kou ʻano hele wāwae.
He aha nā lāʻau lapaʻau i loaʻa no kēia?
ʻO ka mea nui loa, inā ʻike ʻoe i kekahi pilikia a loli paha i kou hele wāwae ʻana, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ia mea. Pono paha ʻoe e ʻike i kahi loea, e like me ke kauka neurologist, orthopedist, a i ʻole podiatrist, e ʻike i ke kumu.
No ka hana ʻana i kahi hōʻailona, e hana kāu kauka i kahi hoʻokolohua kino, kauoha i nā hoʻokolohua koko, a hiki paha ke kuhikuhi iā ʻoe no nā scans e like me ka X-ray a i ʻole MRI.
Ke hoʻoholo ʻia ke kumu pololei o kou pilikia hele wāwae, e hoʻomohala kāu kauka i kahi hoʻolālā e mālama ai i ke kūlana.
- Hiki ke mālama ʻia kekahi mau pilikia hele wāwae me ka lāʻau lapaʻau a i ʻole ke ʻoki kino.
- Inā pili kēia pilikia i kahi lāʻau lapaʻau āu e lawe nei, hiki iā ʻoe ke kamaʻilio me kāu kauka a hoʻoholo inā e hoʻololi i ka lāʻau lapaʻau.
- I nā manawa he nui, hiki i ka hoʻoikaika kino a me ka hoʻoikaika kino ke hoʻonui i ka ikaika o ke kino a hoʻomaikaʻi i ka hele wāwae.
- Pono paha ʻoe e hoʻohana i kahi mea hana e like me ke koʻokoʻo a i ʻole ka mea hele wāwae e kōkua iā ʻoe e hele.
- Pono paha ʻoe i nā kāmaʻa kūikawā a i ʻole nā kākoʻo wāwae (orthotics) e hoʻomaikaʻi i kou ʻano hele wāwae.
E hoʻomanaʻo, inā he kīnā kou no ka hele wāwae ʻana, hiki i kāu kauka ke kōkua iā ʻoe e hōʻemi i ka hopena a hoʻihoʻi iā ʻoe e hele wāwae hou e like me ka hiki.
Leka Lawe-Home
- ʻAʻole wale ka paʻakikī o ka hele wāwae he ʻāpana o ka "ʻelemakule." Hiki ke lilo i hōʻailona o kahi maʻi.
- Mai hoʻowahāwahā i nā loli i kāu ʻano hele wāwae, no ka mea, hiki iā lākou ke hoʻonui i kou pilikia o ka hāʻule ʻana.
- ʻO ke ʻano o kou hele ʻana e hāʻawi i kāu kauka i nā hōʻailona koʻikoʻi e kōkua i ka ʻike ʻana i ke kumu o ka maʻi.
- E kūkākūkā mau me kāu kauka no kahi hōʻoia kūpono a pale i ka hoʻowahāwahā ʻana iā ia a i ʻole ka mālama ponoʻī ʻana iā ia iho.
- ʻO nā lāʻau lapaʻau e like me ka hoʻoikaika kino, nā lāʻau lapaʻau, a me nā mea kōkua hele wāwae e hoʻomaikaʻi nui i kou ola.
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