Kan kal vek a. Kan nitin nunah kan tih thin a ni. Kan ngaihtuah vak lo pawh a ni lo maw? Mahse, i kal laiin tlem a danglam deuh, nuam lo, hrehawm, a nih loh leh i inthlauhna i nei ngai em? I chhungkuaa tar pakhat kal dan chu a danglam deuh tih i hre tawh mai thei. Chu chu vawiinah kan sawi dawn a ni.
A hmasain ‘gait’ tih hi eng nge ni tih han en ila.
Gait hi thil awlsam tak a ni. I kal dan a ni. Mi tin signature a inang lo ang bawkin, mi tin kal dan pawh a inang lo deuh a, keimahni tan chuan a danglam bik a ni. Kan kal lai hian kan taksa ruh, thluak, nervous system, mit leh beng, balance control tu te hian an thawk ho vek a, a inzawm tlat a ni.
Chuti a nih chuan ‘khualzin dan danglam tak’ tih hi eng nge ni?
Abnormal gait chu i kal dan pangngaia inthlak danglamna eng pawh a ni. Doctor-te chuan hei hi ``Ambulatory Dysfunction'' an ti \hin.Heng inthlak danglamna hi accident emaw natna emaw ang chi thil vang a ni thei. A awlsam zawngin, i thluak, i ruhro, i ke, a nih loh leh i ke tichhe thei thil eng pawh hian i kal dan a tidanglam thei a ni.
Hengte hi a lan chhuah dan tlangpui chu a ni:
- Limping a ni
- Kut zungtang chu leiah chuan a hrual a
- Shuffling a ni
- Step tenau tak tak hmanga kal
- Kal laiin taksa rihna thlawp harsa
- Balance leh coordination hloh
A pawimawh ber chu, hetiang ang inthlak danglamna i hriat chuan ngaihthah suh. Hriselna lama harsatna awm thei chhinchhiahna a ni thei bawk.
Kea kal harsatna chi hrang hrangte chu engte nge ni?
Kal dan dik lo chi hrang hrang a awm. A chhan leh a lan dan a inang lo vek. A chi hrang hrang hman tlanglawn berte han thlir ila. Chûngte hriatthiamna chuan nangmah emaw, i hmangaih tak emaw tâna buaina chu eng nge ni tih hriat a awlsam phah ang.
| Buaina hming (Type of Gait) 1.1. | Chutah chuan eng thil nge thleng? (Hrilhfiahna) |
|---|---|
| Antalgic Kalna (Antalgic Gait) a ni | Hei hi a tam ber chi a ni. Limping hi natna avanga lo awm a ni. Ke emaw ke emaw a na avangin chu mi chuan chu ke chu a rit leh lei nena a inzawmna chu a theih ang anga tihtlem tumin a bei thin. Chuvang chuan an limp thin. |
| Kal chakna / Parkinsonian Kalna | Hei hi Parkinson’s Disease vei te zingah hmuh tur a awm tlangpui. Anni chu a bawkkhup a, a nghet hle a ni . Lu leh kawr chu hmalam hawiin a ben a. Balance vawng reng turin ke te tak te, rang tak tak an nei a. |
| Scissors Kalna a ni | Kal lai hian khup leh kekawrte chu a inzawm khawm emaw, scissors ang maiin a inzawm emaw a ni. Step te chu a zawi zawi a, a te bawk. Hei hi Spastic Cerebral Palsy ang chi condition-ah pawh hmuh theih a ni. |
| Spastic Gait / Hemiplegic Kal theihna (Hemiplegic Gait) a ni | Hei hian ke pakhat khauh tak leh dinglam hawia kal a huam a ni. Chu ke chu an han chawi chuan leiah chuan a hrual thei a, a nih loh leh semicircle-in a sir lamah a herh kual thei a, chutah chuan hmalam pan a ni thei bawk. Hei hi paralysis (hemiplegia) ang chi dinhmunah hmuh tur a awm. |
| Steppage Kal / Neuropathic Kal dan | Hetah hian ke chu hip atanga chawi sang a ni. Chu chu ke chu a pangngai aia sang zawka chawi sang tihna a ni. Ke chu floppy angin a lang thei. Kal laiin ke ruhte hian lei a khawih thei. Hei hi spinal stenosis, herniated disc, etc. ang chi natna avanga lo awm thei a ni. |
| Waddling Gait a ni | Hei hi taksa chunglam chu a sir lehlamah a inthlak nasa lutuk vang a ni. Duck kal ang mai a ni . Hetiang dinhmun hi hip problem ang chi thil vang a ni thei. |
| Shuffling Gait a ni | Hei hi ke chu lei atanga chawi chhuak kim lovin an hrual a ni. Hei hi balance tha lo emaw, ke chawi thei lo hliam nei emaw te chungah a thleng thei a ni. |
A chi dang a awm em?
Ni e, chi dang engemaw zat a awm bawk. Entirnan, ``Ataxic Gait'' an tih type-ah chuan line dik taka kal a harsa a, ke chu kawng khatah dah a ni lo va, zu rui ang maia inthlak danglam theihna a awm bawk. Hei hi cerebellum-a harsatna awm vang a ni thei.
Kea kal harsatna hi engtiang chiahin nge a awm?
Kum upat deuh deuh hian hetiang hian kea kal harsatna hi a awm fo thin. Ngaihtuah teh, kum 60 an tlin hunah chuan mi 15% velin he harsatna hi an nei tawh ang. Mahse kum 85 an tlin hunah chuan mi 80% aia tam chuan kea kal harsatna chi khat an nei tawh ang.
Naupang tê têah chuan heng harsatna chi hrang hrangte hi a hnuaia damdawi lam dinhmun emaw, accident emaw an neih loh chuan a awm lo hle.
Eng thilin nge kea kal harsatna thlen?
Hei hi a thlen thei thil tam tak a awm a. Ṭhenkhat chu a awlsam hle a, a then chu a buaithlak deuh bawk.
A tlangpuiin chhan awlsam tak tak a nghawng thin
- Joint natna (e.g. khup natna) .
- Accident (a ruh tliak, hliam) .
- Ke hliam, callus, ke ruhro (ingrown toenails) te
- Kekawr in fit lo tak tak ha
- Inner ear balance lama harsatna a awm
- Nerve tihchhiat a ni
- Mit lama harsatna nei
Damdawi lam dinhmun hnuaia awmte
A châng chuan kal dan danglam hi natna dang chhinchhiahna a ni thei bawk.
- Parkinson natna a ni
- Multiple Sclerosis natna a ni
- Thai
- Arthritis natna a ni
- Cerebral Palsy natna a ni
- Paralysis (Hemiplegia) a awm thei lo.
- Spinal stenosis, herniated disc a awm thin
Engtin chiah nge doctor hian hei hi a hmuh?
Hetiang harsatna nei doctor i pan hunah chuan history kimchang a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang. A bik takin a hnuaia mite hi a zawng ang:
- I taksa ruh chakna leh coordination
- Ke sei zawng (hip thlak danglam ang chi thil avang hian a sei zawng a inang lo thei) .
- I mit hmuhna leh thisen sang
- Kawng leh ruhro enfiah
- I balance enfiah
- Kalna atana ruh (hip, khup, ke ruh) mamawh nevena pramanaya (range of motion) .
He examination zawhah hian a tul chuan a chhan dik tak hriat theih nan X-ray ang chi test atan refer i ni thei bawk.
Hei hi eng enkawlna nge ni?
Enkawlna chu kea kal harsatna i neih chi leh a chhan a innghat a, chuvangin enkawlna pakhat chauh a awm lo.
- Damdawi: Damdawi lam natna (arthritis emaw Parkinson’s ang chi) enkawlna atana damdawi pek.
- Chawlh hahdam: Accident avanga lo awm a nih chuan hahchawlhna tam tak neih a pawimawh.
- Physical Therapy: Hei hi enkawlna pawimawh tak a ni. Chutah chuan taksa ruh tichaktu leh balance tichaktu exercise a tel a ni.
- Surgery: Entîr nân, ṭhenkhatah chuan hip emaw, khup emaw thlak a ngai mai thei.
- Assistive devices: Kea kal awlsam zawk nan tiang emaw, kea kalna emaw ang chi thil hmang turin an fuih mai thei.
- Kekawr thlak: A châng chuan pheikhawk chawi emaw, brace emaw hmangin harsatna chu a chinfel theih a ni.
A pawimawh ber chu hetiang taka kea kal harsatna i neih chuan tlu laka inven hi a ni. Chumi atan chuan i doctor chuan thurawn tul tak tak a pe ang che.
Doctor hmuh a ngai em?
Ni e, a dik tak zet. Heng symptoms te hi i neih chuan Doctor pan a pawimawh hle.
- I kal danah inthlak danglamna a awm nghal a nih chuan.
- Kal laiin natna i neih chuan.
- Ding chungin i balance hloh ang maia i hriat chuan.
- A hma anga i kal tha thei lo a nih chuan.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
Accident i tawk tawh a, tlu ang chi i neih a, natna nasa tak emaw, hring emaw i neih chuan , emaw, i tho thei lo emaw, i che thei lo emaw a nih chuan Emergency Department (ETU)-ah kal nghal la, ambulance ko rawh.
Chutiang harsatnate chu pumpelh theih a ni em?
Damdawi lam dinhmun hnuaia kea kal harsatna lo awm tur ven hi a harsa hle a, mahse accident avanga harsatna awmte tih tlem nan kan tih theih tur a awm.
- Infiamna i khelh emaw, hna hlauhawm tak tak i thawh hunah emaw invenna hmanrua vuah thin ang che .
- I taksa chu ngaithla rawh. I chau emaw, i natna emaw i neih chuan chawlh hahdam rawh .
- Accident hnua i dam kim vek hma chu chawl la, chuti lo chuan hliam chu a zual thei.
- Exercise i tih chuan technique dik tak zawm rawh.
- I mit hmuh dan enfiah fo thin ang che. Mitdelna hian i balance a hloh a, i tlu thei bawk.
Take-Home Thuchah a ni
- Kal dan inthlak danglamna hi a awm fo thin a, a bik takin kan upa chho zel a, mahse ngaihthah suh.
- Kea kal harsatna thenkhat chu hun eng emaw chen atan (e.g. accident hnuah) a ni. Ṭhenkhat chu hun rei tak enkawl ngai a ni.
- He harsatna awm chhan dik tak zawn chhuah hi enkawl nan a pawimawh hle. Chuvangin Doctor pan ngei ngei tur a ni.
- Kea kal harsatna i neih chuan tlu laka inven a pawimawh. I in chhunga hmun hlauhawmte tihbo ang chi thil ti la, a tul chuan assistive device hmang bawk ang che.
- Assistive device (cane, walker) hman hi chak lohna a ni lo. I humhimtu leh i zalenna humhalhtu hmanrua a ni.











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