I fate kal tan hlimna chu! Mahse, a châng chuan naute chu a ke pum pui leia dah ni lovin, a ke ruhte chu zai ang maia kal lai i hmu tawh mai thei. Nu emaw pa emaw hian hei hi an hmuh hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. "Aw, ka naute hi thil dik lo a awm em?" I ngaihtuah mai thei. Hei hi hlauh tur thil tak tak a ni em? Vawiin hian heng zawng zawng hi han sawi ila.
A awlsam zawngin, toe walking tih hi eng nge ni?
Hei hi English hming chu toe walking tih a ni . A awlsam zawngin, hei hi i fa chu a kekawrte chu leiah dah lovin a kal a, mahse a ke ruh tawp leh a ke hmalam chauh a kal lai a ni. Ballet lam thiam ang maiin.
Mahse hei hi hre reng ang che. Naupang kum 2 hnuai lam , chu chu kal an zir chauh lai hian hetiang hian kal hi thil awmze nei tak leh thil pangngai tak a ni. Chu chu ngaihtuah buai a ngai lo tak zet a ni. Hun a kal zel a, zawi zawiin an kekawrte chu leiah dahin, kekawrte atanga kephah thlenga kal dan pangngaia kal an zir dawn a ni. Hei hi a tlangpuiin enkawlna engmah a ngai lo.
Mahse, i fain kum 2 a tlin hnuah pawh a kephah a tip chhunzawm zel a nih chuan , chu chu hriselna lama harsatna dang a awm tih chhinchhiahna a ni thei a, chuvangin tlem tal ngaihtuah a tha.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Data atanga a lan dan chuan naupang typically developing 100 zinga 2 (2%) vel chuan kum 5 1/2 an tlin meuh chuan tiptoe an la nei reng a ni. Mahse, naupang hmasawnna tlai emaw, hmasawnna lama harsatna dang nei emaw zingah chuan he zat hi a tam zawk hle. Chutiang naupang 100 zinga 41 (41%) vel chu he kum ah hian kephah tip (tiptoe) an la nei tih hmuhchhuah a ni.
Tiptoe walking-a mizia dangte chu engte nge ni?
A chhinchhiahna ber leh langsar ber chu tiptoe walking hi a ni. Mahse, i fa hnenah, "Fapa/fanu, leia ke nghatin pangngai takin kal rawh," i tih hian naupang tê tê tam zawk chu chutiang lam chuan an kal thei tawh ang. Mahse he tih dan hi a awm reng chuan a hnuaia chhinchhiahnate hi i hmu bawk ang. Fiah taka hriatthiam theih nan hetiang hian han thlir ila.
| Hmuh theih feature | Chu chu eng nge a awmzia? |
|---|---|
| Balance leh coordination tlahniam | Naupang hian balance a nei tha lo hle niin a lang. Kea kal leh tlan lai pawhin a nghet lo hle. |
| Tlu reng reng | Naupang pangngai aiin a tlu leh tlu fo thin. |
| Kekawr hak harsat | Kekawr chi thenkhat chu bun harsa tak a ni. I keah an in fit chiah lo. |
| Infiamna lama tel harsat | Tlan leh zuang ngai game-ah naupang dangte aiin harsatna an nei tam zawk. |
| Ke na avanga phunnawi | A bik takin ke ruh (groin area) emaw ke kephah emawa natna emaw, a nghet lo emaw tihna a ni. |
| Heel cord khauh tak tak a awm | Groin area-a muscle leh veins te chu a tight hle niin a lang. Ke chu chung leh hnuai ben theihna a tlahniam. |
Engvangin nge naupangte hi hetiang hian an kal? A chhan thenkhat han chhui ila.
A tam zawkah chuan, chu chu a tam zawkah chuan persistent tiptoeing awm chhan chiang tak hmuh tur a awm lo . Damdawi lam hawi chuan hei hi ' idiopathic ' an ti a. Chu chu "a chhan hriat loh" tihna a ni.
Mahse, a then phei chuan hei hi chhan hrang hrang a awm thei.
1. Achilles Tendon tih tawi
Kan ke ruh hmuna ruh te hi an inzawm khawm a, ke ruh nena inzawm tendon chak tak an nei a. Hei hi ‘Achilles tendon’ an ti a.Chu chu. Kan bawnghnute ruh (calf muscles) kan hman hian hei hi kekawrte (heel) ti sangtu nerve a ni. Naupang thenkhat chu he nerve hi tlem a tawi deuhin an piang thei bawk. A nih loh leh, hun kal zelah tiptoe kal reng avang hian a tawi lehzual thei bawk. Tichuan an kekawrte leia dah a, pangngai taka kal chu a harsa ta hle a ni.
2. Thil tih dan anga tih thin
Naupang kum upa zawk ṭhenkhat chuan an tih dan avângin hetiang hian an ti a. An khup ruh leh ruh (tendon) te chu rei tak a lo tight tawh a, an kal dan pangngaia an kal chuan natna a thlen thin vang pawh a ni thei.
3. Damdawi lam dinhmun hnuaia awm rare
A tlem hle a, he kal dan hi damdawi lam dinhmun khirh tak chhinchhiahna a ni thei. Chutiang hunah chuan symptom dang engemaw zat nen a lang chhuak thin.
- Thluak nena inzawm natna, entirnan , cerebral palsy .
- Natna pakhat, taksa ruh emaw, nerve emaw, entirnan , muscular dystrophy .
- Spine-a thil danglam thenkhat.
- Autism Spectrum Disorder (ASD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a .
Autism leh hetiang kal dan hi inzawmna a awm em?
Ni e, ke ruh (toe walking) hi autism spectrum disorder (ASD) nei naupang zingah chuan he natna nei lo naupangte aiin a tam zawk. Zirchianna lian tak pakhatah chuan autism nei naupang 9% vel chu hetiang hian an kal tih hmuhchhuah a ni. Mahse autism nei lo naupang zingah chuan he percentage hi 0.5% aia tlem a ni .
Hei hi a chhan dik tak erawh hriat chian a la ni lo. Mahse, thil engemaw zatin hei hi a thlen thei niin an ngai. Pakhat chu ke ruh (hamstring muscles) a tight avangin ke range of motion a tlem hle.
A chhan lian ber dang chu sensory-related issue a ni thei bawk . Autism nei naupang tam tak chuan kan taksa balance, movement, leh spatial orientation chungchang thluak hnena information pe thin vestibular system , hnathawh danah inthlak danglamna engemaw zat an nei a. He sensory system inthlak danglamna hian naupang kephah tiptoe a tichhuak thei bawk.
Engtin nge doctor hian hei hi a hriat chian?
Doctor hnena i fa i hruai dawn chuan i fa medical history chungchang a zawt hmasa ang che. Tichuan, naupang chu a enfiah kim vek ang. He exam chhung hian, .
- Naupang kal dan a enfiah: Naupang kal dan leh tlan dan a hmu thin.
- Ke leh ke a enfiah: Ke emaw ke emaw a harsatna a awm leh awm loh a enfiah thin.
- Range of Motion Test: I ke ruh leh ke i ben theih dan tur a enfiah thin.
- Nervous system enfiahna: 1.1.A chang chuan nervous system-a harsatna awm leh awm loh enfiah nan test tenau tlemte an nei thin. Entîr nân, khup chu hammer tê tak tê hmangin an tap thei a, reflexes -te enfiah nân, ke-te rilru put hmang enfiah nân, leh taksa ruh chakna teh tûrin.
Hetiang kal dan hi tihtawp nan eng enkawlna nge tih theih ang?
Hei hi enkawl dan tur chu thil engemaw zatah a innghat a ni. Doctor chuan naupang kum, a natna nasat dan, leh a chhan bulpui ang chi thilte chu a ngaihtuah ang a, enkawlna dik ber a hriat theih nan. A tam zawkah chuan non-surgical treatment hi a tha ber.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Taksa lam enkawlna | Stretching exercise hi ke ruh leh ke ruh (muscle)-ah an ti thin. Hei hian tight muscle leh tendons te a tizau a, range of motion a ti sang bawk. Kar engemaw zat chhung chu i keah serial casting i vuah a ngai mai thei bawk. |
| Ankle-foot orthotics/braces hmanga siam a ni | Nitin plastic brace bik an vuah thin. Ke chu 90 degree angle-ah a chelh a, i kal laiin taksa ruh leh ruh (ligament) te a tizau bawk. |
| Hmuhdan | A châng chuan doctor chuan "wait-and-see" approach a hmang thei bawk. Thla 6 vel an nghak ang a, an dinhmun chu a mah chauhin a ṭhat leh ṭhat loh an en ang. |
| Botulinum A toxin (Botox®) injection hmanga siam a ni | Hei hian khup ruhte chu hun engemaw chen a tichak lo va, chu ruhte chu physical therapy exercise hmanga tihzauh a awlsam phah a ni. |
Naupang kum 5 aia upa a nih chuanTin, heng enkawlnate hian hna a thawk lo a nih chuan i doctor chuan operation neih a rawt thei bawk . Hei hian surgery hmanga calf muscle tight emaw Achilles tendon emaw chu tihzauh leh tihzauh a ngai a ni.
Hei hi a kal zel chuan eng harsatna nge a awm theih ang?
Enkawl loh chuan naupang bawnghnute ruh leh Achilles tendon te chu a nghet lehzual thei a ni. Hei hian a kephah chu leiah dahin a pangngaia kal chu a ti harsa hle thei a, thil theih loh pawh a ni thei. Chu bâkah, kea kal theihna range a tlahniam thei a, pheikhawk chi ṭhenkhat chu a fit lo thei a, naupang a lo puitlin chuan taksa leh ruh lama harsatna leh natna dang a awm thei bawk Chuvangin hei hi ngaihthah mai mai a tha lo.
Doctor zawh tur zawhna pawimawh
I fa hian kum 2 a tlin hnuah pawh a kephah a tip chhunzawm zel a nih chuan doctor hmu a, heng zawhnate hi zawh a pawimawh hle.
- Ka fa hi eng specialist hnenah nge enkawl turin ka refer ang? (e.g., naupang enkawltu, ruh lam thiam)
- Ka fa hian cast emaw braces emaw a mamawh dawn em?
- Cerebral palsy ang chi damdawi dang a awm loh nan eng test nge tih tur?
- Condition dang, autism spectrum disorder (ASD) ang chi symptoms te hi ka ngaihtuah tur em ni?
- Hetiang dinhmun hi a la awm zel a nih chuan engtin nge ka fa hmalam hun a nghawng ang?
Take-Home Thuchah a ni
- Toe walking hi naupang kum 2 hnuai lam tan chuan a awm fo a, thil pangngai tak a ni. Hei hi hlauh a ngai lo.
- I fain kum 2 a tlin hnuah pawh hetiang hian a kal chhunzawm zel a nih chuan damdawi lam thurawn lak a pawimawh hle.
- A tam zawkah chuan a chhan chiang tak hmuh tur a awm lo (idiopathic), physical therapy ang chi enkawlna awlsam tak hmangin a tidam thei bawk.
- A tlem berah chuan hei hi a hnuaia awm, cerebral palsy emaw autism emaw chhinchhiahna a ni thei a, chuvangin doctor hnena enfiah hi a finthlak hle.
- Hetiang dinhmun hi ngaihthah loh tur a ni, a chhan chu a enkawl that loh chuan nakin lawkah taksa ruh a tikhauh thei a, a na thei a, harsatna dang a thlen thei bawk.
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