Spinal cord hliam ang chi dinhmun avanga kea kal harsatna nei te tan nitin hna thawk turin wheelchair hi a tha hle. Wheelchair hian an zalenna leh zalenna vawng reng turin a pui thin. Amaherawhchu, a chang chuan he wheelchair hi hman chhunzawm zel a nih chuan taksa peng hrang hrangah, a bik takin ruhroah natna a awm thei a ni. Nang pawhin hetiang hi i tawng tawh mai thei. Hei hi mi tam takin an hmachhawn thin a ni a, chuvangin lungngai suh. Vawiin hian he wheelchair kan hman laia ruh natna lo awm thin te, a chhan te, kan tihbo theih dan te kan sawi dawn a ni.
Wheelchair-a rei lutuk i awm chuan eng nge thleng tak tak?
I ni tam zawk chu wheelchair-a i hman hian eng nge thleng tih hi han ngaihtuah teh. Kan taksa chunglam, kan kut, kan ke leh kan hnungzang te pawh hi a tlangpui aia nasa zawkin kan buai a ni. Wheelchair nawr te, a chhunga luh leh chhuah te, a chhunga thu chunga nitin hna thawh te hian taksa chunglam a hmang vek a ni. Hun a kal zel a, hei hian kawr, kutphah, kutphah, kut leh hnungzang hnuai lam natna a thlen thei a ni .
Chung zingah chuan kan kekawrte hi a tuar nasa ber a ni. Hei hi chhan hrang hrang a awm a.
- Overuse: Wheelchair i nawr apiangin i shoulder joint hian hna a thawkrim a ngai thin. Hetianga i thawhrim hian shoulder joint vel muscle leh tendons te chu a lo hring thei a, a na thei bawk.
- Complex structure: Kan taksaah hian shoulder joint hi a complex ber pawl a ni a, a chetna hrang hrang a awm a. Tin, a chhehvelah hian taksa ruh (muscle tissue) tlemte a nei bawk a, chu chuan hliam a tuar awlsam zawk a ni.
Kekawrte bakah hian mi thenkhat chuan hip na an nei thei bawk. Hei hi a chhan ber chu hmun khata rei tak ṭhut hi a ni.
He natna tichhe thei thil dang a awm em?
Ni e, a ni tak zet a ni. Mi zawng zawng hian he hrehawmna hi an tawng vek lo. A nghawngtu thil engemaw zat a awm.
- Kum: Kum upa zawkte hian a tlangpuiin naupang zawkte aiin ruh natna an nei tam zawk.
- Body Mass Index (BMI): A awlsam zawngin sawi ila, i thau lutuk chuan i ruh (joint)-a pressure a sang a, chu chuan natna a thlen theihna a tipung a ni.
- He natna hi a awm rei zawng: Spinal cord hliam ang chi natna hi rei tak a awm tawh chuan ruhkawr inthlak danglamna engemaw zat avanga natna a awm thei.
Mahse, chanchin lawmawm tak a awm. Zirna thenkhatah chuan wheelchair hman atanga thla thum chhungin ruh natna hi a pung thei a, chutah chuan wheelchair i hman thiam deuh deuh chuan a tlahniam thei tih an hmuchhuak. Hei hi a chhan chu hun kal zelah kan kut leh kein tawnhriat leh chakna a neih belh zel vang a ni.
Mahse, natna hi kan taksa chhungah thil dik lo a awm tih hriattirna a ni tih hre reng ang che. Chuvangin ngaihthah ngai suh.
Natna venna tur leh tihziaawm nan eng nge tih theih ang?
He hrehawmna nen hian kan khawsak a ngai lo. A enkawl dan tur hian thil engemaw zat kan tih theih a awm.
1. Damdawi lam thurawn leh exercise lak
Hei hi a solution tha ber chu muscle strength training tih hi a ni . Kawngkhar, kut leh hnungzang vel ruhte a chak chuan ruhkawr chunga pressure a tlahniam thin.
Mahse hetah hian a pawimawh ber chu i doctor emaw physiotherapist emaw nen inbia a, eng exercise nge i tan a tha tih i rel a ni. I dinhmun an zirchiang ang a, exercise set bik, him tak an pe ang che. I rilru hahdam taka exercise tih hian a takah chuan i natna a tizual thei a ni.
2. Wheelchair-a dinhmun dik tak vawn reng
Hei hi thil pawimawh leh awlsam ber a ni. I wheelchair-a i thut dan tlem i thlak chuan i ruh (joint)-a pressure chu nasa takin i tihziaawm thei a ni. A dik tak chuan kan taksa rih zawng hi chair chhung zawngah inang tlang taka sem darh tur a ni.
Wheelchair-a thut dik dan tur chu a hnuaia dawhkan hi han en ila.
| Taksa peng pakhat | Posture dik tak neih tur |
|---|---|
| Hips leh Pelvis te pawh a awm | I hnute chu chair hnunglam khawih chungin thu rawh. I taksa chu chair chungah centered tur a ni. I hip dinglam leh veilam pahnih chu a level vek tur a ni. |
| Thinrem | I rilru leh hnungzang chu chair hnungzang chungah a laiah dah tur a ni. Khaw khatah innghat suh. Ding takin awm rawh. |
| Thighs & Khup te pawh a awm | Thighs chu a dinglam tur a ni. Khup chu hip joint-ah emaw, a hnuai lamah emaw a awm tur a ni. Khup pahnih chu level khatah dah rawh. |
| Ke | I kephah chu footplate nen a inzawm kim tur a ni. |
| Lu | I lu chu dinglam leh centered-ah dah la. Khaw khatah innghat suh. Lu nghahna i neih chuan i lu hnung lamah, i kawr chung lamah chiah, leh i luruh bul lamah dah tur a ni. |
| Arms & Elbows te pawh a awm | Chair-a armrest chu i elbow leh forearm-a support tha tak pe thei tur san zawngah dah tur a ni. A sang lutuk tur a ni lo va, a hniam lutuk tur a ni lo. |
He posture hi a awm reng theih nan a harsa deuh mai thei. Mahse vawikhat i thiam tawh chuan i taksa pianphung (natural instinct) a lo ni tawh ang. Hetiang dinhmun dik hian ruhkawr chunga pressure tul lo tak a ti bo a, natna pawh nasa takin a tihziaawm bawk.
Engtikah nge damdawi lam thurawn lak ngei ngei tur
Ka sawi tawh ang khan natna hi ngaihthah tur a ni ngai lo. Wheelchair i hman laiin natna thar, natna thar i neih chuan, chu chu i doctor hnenah sawipui ngei ang che.
A bik takin, .
- Thla thum aia rei a natna a awm chuan, .
- Zawi zawiin a natna a lo pun chuan, .
- Natna hian i nitin hnathawh a tibuai a nih chuan, .
Damdawi lam thurawn zawng nghal rawh. A na chhan dang a awm thei bawk. Chuvangin diagnosis mumal tak neih a, a tul anga enkawlna dawn a pawimawh hle.
Take-Home Thuchah a ni
- Wheelchair i hman hian i ke ruh, i kawr leh i hnungzang ang chi ruh natna hi a awm fo thin. Ngaihtuah buai suh, enkawl theih a ni tih hre reng ang che.
- Natna laka invenna tha ber pakhat chu wheelchair ah hian posture dik tak nen thut hi a ni . I taksa rih zawng inang tlangin thu rawh.
- I ke leh i ke ruh tichaktu exercise tih hi a \angkai hle. Mahse, i doctor emaw, physical therapist emaw hnenah eng exercise nge i tana tha ber tih zawt rawh.
- Natna chi hrang hrang hi ngaihthah suh. A awm reng emaw, a nasat emaw chuan, .Doctor hmu ngei ngei la, thurawn la rawh.
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