Kea kal hi kan nunah hian a hluar hle. Kan ngaihtuah vak lo pawh a ni lo maw? Mahse a takah chuan kea kal hi thil buaithlak tak a ni. Kan thluak, kan nerve, ruh, muscle, heng zawng zawng hian kan thawk dun a, kan thinlung leh kan lungte puihnain, ke pen khata kan kal theih nan. Heng system zinga pakhatah pawh harsatna a awm chuan kan kal theihna a nghawng thei a ni. Chu chu "gait disorder" kan tih chu a ni.
He gait disorder hi eng nge ni?
A awlsam zawngin sawi ila, ‘gait’ tih hian i kal emaw, i tlan lai emawa i chetna pattern i hman dan a kawk a ni. I "walking style" a ni. Hetianga kal danah hian thil dik lo eng pawh hi gait disorder kan tih hi a ni.
Hei hi thil thleng mai mai a ni lo. Vawi tam tak chu taksa chhunga damdawi lam dinhmun hnuaia awm dang chhinchhiahna a ni thei. Hetiang kea kal chak lohna hi kum upat deuh deuh hian a awm fo thin. Hetiang dinhmun i neih hian i nunphung a nghawng thei a , i tlu leh hliam theihna nasa takin a tipung thei bawk . Chuvangin ngaihthah tur thil a ni lo.
Kea kal chak lohna chi hrang hrang
Doctor thiam tak chuan i kal dan a en hian eng ang gait impairment nge i neih tih a hre thei a ni . I taksa che dan, chu chu i kal dan hian a chhan hriat theihna tur clue lian tak a pe thei a ni. Hei hi doctor-in dik taka natna a hriat theih dan leh a tul anga enkawl dan tur a ruahman theih dan a ni.
Rualbanlo chi hrang hrangte hian kawng hrang hrang an nei a. Tin, an natna lan chhuah dan pawh a inang chiah lo. Mahse doctor-te chuan heng classification te hi common features te hriatchhuah nan an hmang thin. Kea kal chak lohna chi hrang hrang langsar zual thenkhat han thlir ila.
| Chak lohna hming (Type of Gait) 1.1. | A lan dan & A Mizia | Thil awm dan tlangpui |
|---|---|---|
| Hemiplegic Kal theihna (Hemiplegic Gait) a awm | Taksa kil khat chauh a nghawng a ni. Kal lai chuan kut pakhat chu a sir lamah vawn a, che thei lovin an chelh thin. Chumi lam ke chu semicircle angin hmalam pan a ni. | Vawi tam tak chu stroke avanga lo awm a ni. |
| Diplegic Kalna (Diplegic Gait) a ni | Taksa sir lehlamah a nghawng a ni. Hip leh khup a ben thei a, ke ruh chu chhung lam hawiin a inher thei bawk. Ke chu scissor ang maia dah a ni. | Cerebral palsy, stroke, emaw lu hliam emaw a awm thei. |
| Neuropathic Gait (Kea tlak) 1.1. | Hei hi "foot drop" an ti bawk. A chhan chu i ke i han chawi chuan ke pakhat a tla a, i ke ruhte lei a khawih loh nan i khup chu sang takin i chawi a ngai a, chu chu i ke pen a ngai a ni. | Nerve nena inzawm natna chi hrang hrang (Multiple Sclerosis - MS), (Amyotrophic Lateral Sclerosis - ALS), emaw (Peripheral Neuropathy) te hi a ni. |
| Myopathic Gait (Ka kal dan (Waddling Gait)) tih hi a ni. | Ka kalna (swaying gait) a awm a, duck kal ang mai a ni. Hetiang dinhmun hi pelvic area-a muscle chak lo vang a ni. | Congenital hip problem, muscular dystrophy, emaw spinal muscular atrophy emaw a awm thei. |
| Ataxic Kalna (Ataxic Gait) a ni | A kal laiin a tlu a, a sir lehlamah a inher a, a kal dan pawh a nghet lo a, zu rui ang mai a ni. Line dik takah a kal thei lo. Ding mai mai pawhin balance a nei tha lo. | Zu in vangin hun eng emaw chen atan a ni thei. Damdawi thenkhat vang pawh a ni thei bawk. A nasat chuan thluak chhiatna chhinchhiahna a ni thei. |
| Parkinsonian Kalna (Kea kalna) a ni | Hma lam panna (hunched forward posture) an nei a, an hnungzang leh kawr chu a hunched hle. Ke lian tak nei lovin, ke pen te tak te, rang tak tak (shuffling) hmangin an kal thin. | Vawi tam tak chu Parkinson natna chhinchhiahna a ni. |
Kea kal chak lohna chhan dangte
A chunga kan sawi chi hrang hrangte bakah hian chhan dang engemaw zat avangin kea kal harsatna i nei thei bawk.
Ngaihtuah teh, i pi hian arthritis a nei a ni . A khup a na em avangin a hma angin a kal awlsam thei tawh lo. Fimkhur takin a kal a, a hlim hmel hle bawk. Hei hi kal dan inthlak danglamna a ni bawk.
- Chronic pain: Arthritis emaw hliam hlui emaw ang chi natna avanga hun rei tak natna hian i kal dan a nghawng thei a ni.
- Ke lama harsatna: Ke na emaw, chak lohna emaw hian kal dan a tidanglam thei bawk.
- Balance problems: Kan beng chhungril ah hian kan taksa balance control tu part a awm a. He part-a harsatna eng pawh kan neih chuan kan kal laiin kan luak chhuak thei a, kan tlu thei bawk.
- Damdawi lam thil dang: Lung natna, thawk harsatna, thau lutuk pawh hian i kal theihna leh i kal dan a nghawng thei a ni.
Hemi atan hian eng enkawlna nge awm?
A pawimawh ber chu i kal danah harsatna emaw, inthlak danglamna emaw i hmuh chuan i doctor hnenah i sawipui ngei tur a ni. A chhan hriat tumin specialist, neurologist, orthopedist, a nih loh leh podiatrist te i pan a ngai mai thei.
Diagnosis siam turin i doctor chuan taksa a enfiah ang a, thisen test a ti ang a, X-ray emaw MRI emaw ang chi scan turin a refer thei bawk ang che.
I kalna lama harsatna awm chhan dik tak hriat chian a nih chuan i doctor chuan i dinhmun enkawl dan tur ruahmanna a siam ang.
- Kea kal harsatna thenkhat chu damdawi emaw, zai emaw hmanga enkawl theih a ni.
- He harsatna hi damdawi i ei avanga lo awm a nih chuan i doctor nen inbiain damdawi thlak leh thlak loh tur chu i rel thei ang.
- Thil tam takah chuan physical therapy leh exercise hian taksa chakna a tipung thei a, kea kal pawh a titha thei bawk.
- I kalna tura pui turin cane emaw walker emaw ang chi hmanrua i hman a ngai mai thei.
- I kal dan tur siam that nan pheikhawk bik emaw kekawr bul (orthotics) emaw i mamawh thei bawk.
Kea kal chak lohna i neih chuan i doctor chuan a nghawng tih tlem nan a pui thei che a, a tha thei ang bera kea kal leh turin a pui thei che tih hre reng ang che.
Take-Home Thuchah a ni
- Kea kal harsatna hi "tar chhoh" tihna mai a ni lo. Damdawi lam dinhmun chhinchhiahna a ni thei.
- I kal dan inthlak danglamna chu ngaihthah ngai suh, chu chuan tlu hlauhawm tak i neih theihna a tipung thei a ni.
- I kal dan hian i doctor hnenah natna thlentu hriat theihna tura puitu tur clues pawimawh tak tak a pe a ni.
- Diagnosis dik tak neih theih nan doctor rawn fo la , ngaihthah emaw, mahni inenkawl emaw loh tur a ni.
- Physics therapy, damdawi, leh kea kalna atana puitu ang chi enkawlna hian i nunphung nasa takin a tichangtlung thei a ni.
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