Accident-a i kut emaw, ke emaw i tliak emaw, i hnungzang lama harsatna a neih avangin doctor-in i hriat mi pakhat tan brace bik a rawt angin han ngaihtuah teh. Zunthlum ang chi natna avanga ke tan a ngai tih i hre tawh mai thei. Chutiang hunah chuan kan nunah chhawmdawlna leh tanpuina nasa tak pe thin specialist pawl an awm a, mahse khawtlangah chuan kan sawi tam lo va, an hming pawh kan hre vak lo. Vawiin hian chutiang professional pahnih, i nunah beiseina thar thlen thei tur chungchang kan sawi dawn a ni. Orthotist leh Prosthetist te an ni.
He Orthotist hi tu nge ni?
A awlsam zawngin, Orthotist chu i taksa thlawptu tur, i taksa peng pakhat siamthatna tur emaw, thil engemaw tih awlsam zawka siam thei tur medical devices design leh fit-tu specialist a ni. Heng hmanrua te hi ``Orthotics`` emaw ``Orthoses`` emaw kan ti tlangpui.
Heng thute hi i la hre ngai lo mai thei. Mahse chance a awm a, heng device te hi i hmu tawh a ni. Cricket khelh laiin khup brace i bun te, hnungzang natna atana i hak tur special belt te, ke flat feet atana i bun tur special shoe insert te kha han ngaihtuah teh. Hengte hi `(Orthotics)` chi hrang hrang a ni.
Orthotist chuan i tehnate chu a la ang a, heng hmanrua te hi i tan bik a siam ang. Hei hi dawr atanga thil lei ang a ni lo, suit tailoring ang a ni.
Orthotist-in a siam hmanraw chi hrang hrangte chu:
- Braces: Hengte hi ruhkawr emaw taksa peng thenkhat emaw tihngheh leh thlawp nan hman a ni. Entirnan, scoliosis brace emaw khup brace emaw.
- Splints: Hengte hi taksa peng pakhat immobilize nan an hmang tlangpui. Kut emaw ke emaw tliak tan chuan cast aiah splints hman a ni \hin. Tin, arthritis ang chi dinhmunah pawh ruh (joint) venhimna atan an pui bawk.
- Kekawr insert: Hengte hi ``Orthotic insoles'' an ti bawk. Hengte hi ``Flat Feet'' nei te, ke hnuai lam natna nei te, leh kal harsatna nei te tan a tangkai hle. Pheikhawk chhunga dah a nih chuan hengte hian kal a ti awlsam a, a ti na lo bawk.
Engtikah nge orthotist tanpuina mamawh?
I doctor, a bik takin Orthopedic Surgeon-in Orthotist a refer che chauhvin Orthotist i hmu ang. An rawngbawlna hi a hnuaia thil awm danah hian a mamawh tlangpui a ni:
| Thil awmdan awmzia | Hrilhfiahna leh entirnan awlsam tak |
|---|---|
| Hliam a awm | Heng hmanrua te hian hliam na hmun chu a ke ruh tliak, a inthlak danglam emaw, a hliam hnua a dam hma loh chuan a che thei lo va, a humhim thei a ni. Sports inhliam ah an hmang fo thin. |
| Skeletal chungchang a ni | Hengte hi kan taksa pianzia tichhe thei dinhmun a ni. Entirnan: (Scoliosis) (ruh hring hring), (Hip Dysplasia) (hip ruh deformity), (Flat Feet) (ke flat), leh (Clubfoot) (ke pianpui piansualna). |
| Neuromuscular dinhmun (neuromuscular) a awm thei | Heng hmanrua te hi taksa control nan leh cerebral palsy leh stroke ang chi condition ah te kalna atan hman a ni . |
| Natna rei tak a awm | Hun rei tak chhung natna. Entîr nân, arthritis , carpal tunnel syndrome (kutphah nerve pinched), a nih loh leh hliam na tak avânga ruh natna chuan natna chu a thunun thei a, chu hmun chu chawlh hahdamna a pe thei a ni. |
A awlsam zawngin, i taksa peng pakhatin chakna, thlawpna, emaw, siamthatna emaw a mamawh belh chuan Orthotist chuan a pui thei che a ni.
Chuti a nih chuan tu nge Prosthetist ni?
Tunah chuan prosthetist chungchang han sawi ila.Prosthetist chu accident, natna emaw, pianpui harsatna avanga taksa peng bo thlak nan taksa peng siam (artificial body part) siam leh fit-tu specialist a ni. Heng taksa peng siamchhuah te hi `(Prosthetics)` emaw `(Prostheses)` emaw kan ti thin.
Chu thu i hriat chuan kut emaw, ke emaw siam chhuah i ngaihtuah mai thei. Ni e, chu chu an tih ber chu a ni. Mahse, chutah chuan a tawp lo. An siam chhuah device thenkhat chu:
- Kut siamna (artificial arms) a ni
- Ke lem siam (Ke) 1.1.
- Kut leh kut zungtang siam chhuah
- Ke leh ke ruh siam chhuah
Prosthetist chuan i nunphung leh i mamawh ang zela prosthetic limb siam turin hna a thawk ang che. Entîr nân, loneitu tân kut lem siam a ngai mai thei a, office-a thawk tân chuan kut dang siam a ngai thei bawk. I vun rawng emaw, i duh ang style emaw nena inmil turin device an siam thei bawk. Device an siam mai bakah hun kal zelah siamthat emaw siamthat emaw tul apiang an ti thei bawk.
Tuin nge prosthetist rawngbawlna mamawh?
Prosthetist tanpuina hi kut leh ke hloh tawh leh pianpui taksa peng hrang hrang nei te tan a mamawh ber a ni.
- Kal tan hnu: Sri Lanka rama a chhan tam ber chu kawngpui chetsualna nasa tak, hnathawhna hmuna chetsualna, leh zunthlum thunun theih loh vanga kea thisen pek tlem vanga hliamte a ni. Chutiang hunah chuan nunna chhanhim nan a ke emaw, ke emaw chu operation hmanga lak chhuah a ngai mai thei. Chumi hnuah chuan nun pangngaia i awm leh theih nan prosthetist puihnain prosthetic limb lak theih a ni.
- Congenital Limb Differences: Naupang thenkhat chu an pian tirh lamah an kut, ke emaw, kut zungtang emaw-ah an thanlen dan inang lo tak tak an nei a. Prosthetist hian heng naupangte hi awlsam zawkin nitin hna an thawh theih nan a pui thei a ni.
Heng pahnih hi eng nge an danglamna? A awlsam khawp mai!
Tunah chuan heng pahnih chungchangah hian ngaihdan engemaw zat i neih tawh avangin an hnathawh hi a inang deuh hlek niin i ngai mai thei. Ni e, professional thenkhat chu field pahnihah hian specialise an ni a, Orthotist leh Prosthetist angin an thawk ve ve a ni.
Mahse an pahnih inthlauhna ber leh awlsam ber chu hei hi a ni:
Orthotist chuan i taksa peng awm tawh chu a pui thin .
Prosthetist hian i taksa peng pakhat bo chu a thlak leh thin .
Ke pakhat a hrual chuan splint dah chu han mitthla teh. Leg awmsa chu support a pe a ni. Chu chu Orthotist hna a ni. Tunah chuan accident-ah chuan khup hnuaiah ke pakhat a bo tih han ngaihtuah teh. Chu ai chuan ke siam chhuah (artificial leg) siam chu Prosthetist hna a ni zawk. Tunah chuan a danglamna chu a chiang ta a ni lawm ni?
Heng mite hi doctor an ni em? (Medical school-ah an kal em?)
Ni lo, hei hi mi tam takin harsatna an neih a ni. Orthotist leh Prosthetist te hi damdawi lam doctor an ni lo. Medical school-ah an kal ngai lo.
Anni hi allied health professional an ti a, physiotherapist leh occupational therapist te ang chi an ni. Hei hian medical team-a tel ve angin damlote tan specialized service an pe tihna a ni.
Orthotist leh Prosthetist te hian zirna lama thiamna bik leh training bik an mamawh a ni. Orthotics leh/ emaw Prosthetics lamah Master’s Degree thlengin an zir thin. An zirna pawh a zau hle.
- Anatomy leh pathology ang chi subject an zir a, doctor ang bawkin.
- Heng hmanrua siamna atana engineering leh design mamawh chungchangah pawh hriatna thuk tak an nei bawk.
An hnathawh hi science, medicine leh engineering te inzawmkhawm a ni. Chuvangin i taksa nena inmil tak, hmanraw tangkai, nuam tak an siam thei a ni.
Clinician kan ti thei ang em?
Ni e, a dik ngei ang. `Clinician` tih hi damlote hnena healthcare pe thin professional tu pawhin hming dang a ni mai. Chuvangin Orthotist leh Prosthetist te hi `Clinician` an ni ngei ang.
Hetiang device i mamawh huna an tih dan chiang tak hi hetiang hi a ni:
1. Assessment: A hmasain an enfiah che a, i mamawh, i taksa dinhmun leh i nunphung te uluk takin an hrethiam a ni.
2. Measurements: A dawtah chuan device siamna atana hman tur taksa peng dik tak tehna siam a ni. A châng chuan, plaster ang chi thil hmangin impression emaw cast emaw an la ṭhin.
3. Design & Fabrication: Measurement leh template an lak te hmangin an workshop-ah i device danglam tak an siam thin.
4. Fitting & Adjustment: Device hi i tan fit a ni a, flaws emaw discomforts awm zawng zawng hriatchhuah a ni a, i comfortable thlengin adjusted nawn leh thin a ni.
5. Training: A tawp berah chuan he hmanrua hi a hman dan tur dik tak, a fai dan tur leh a hlawkpui theih dan tur te zirtir i ni ang.
Hun rei lote chhung chauh Orthotist i hmu mai thei, hliam a dam lai ang chi. Mahse scoliosis ang chi hun rei tak chhunga natna i neih chuan i dam chhungin a hun hunah i hmuh a ngai mai thei. Prosthetist hmangtu tan chuan anmahni nen hian dam chhung inzawmna i nei a, a chhan chu device nen hian an khawsa a ni.
Take-Home Thuchah a ni
- Orthotist chu i taksa peng pakhat (e.g., back braces, knee supports, special shoe inserts) thlawptu tur orthotics ( support devices) siamtu specialist a ni.
- Prosthetist chu taksa peng bo (e.g., kut siam, ke siam) thlak nan prosthetics siamtu specialist a ni.
- Heng pahnih hi doctor ni lo mahse training sang tak nei allied health professional an ni a, medical team-ah hian an tel ve a ni.
- I doctor chuan hetiang device hi a rawn rawt a nih chuan specialist hnenah refer i ni ang a, ani chuan device nen hian a fit ang che a, hman dan tur a zirtir ang che.
- Heng hmanrua leh heng specialist-te rawngbawlna hian mi tam tak nun awlsam zawk, nuam zawk, hrehawm lo zawk, leh thawkrim lehzual tura an puihna hi a hlu hle.
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