I ētahi wā, nā tētahi aituā kāore i te whakaarohia, nā tētahi mate hauora rānei, mai i te whānautanga mai anō rānei, ka ngaro te ringa o te tangata. Ahakoa he mea nui tēnei ki te oranga, nā te hangarau hauora matatau kua whanake i ēnei rā, ka taea te whakamahi i tētahi ringa hangai hei āwhina i te wikitoria i taua wero. Nō reira, i tēnei rā, me kōrero tātou mō tēnei, arā, ngā ringa hangai, me ētahi atu taipitopito .
He aha te ringa hangai?
He taputapu te ringa hanga-ringa ka taea te whakamahi hei whakakapi i tō ringa tūturu. Ka kiia hoki he ringa hanga-ringa mō ngā peka o runga. Ka taea te whakamahi hei wāhanga o tō ringa, pērā i tō ringaringa, i tō ringaringa , i tō ringaringa whānui, i tō ringa katoa rānei, mai i te tuke, i te ringa o runga, i te pakihiwi rānei. He maha ngā rahi o ēnei, mai i ngā mea kore mahi, pērā i te ringa o te tāre i roto i te toa kakahu, ki ngā mea hangarau-teitei, pērā i te ringa karetao.
Ko wai e hiahia ana ki te ringa hangai?
He āwangawanga tēnei mō te tangata kua tangohia te peka i te taha o te tinana mā te pokanga (tapahia te waewae), mō te tangata rānei i whānau mai me te rerekētanga o te peka i te whānautanga mai. He momo rerekē ngā peka hangai e tika ana, i runga i te āhua o te tangohanga o te peka me te rerekētanga i te whānautanga mai.
Anei ētahi tauira:
- Te tapahi transradial: Ki te tangohia tō ringa mā roto i te wheua i roto i tō ringaringa.
- Te motumotu o te hononga o te tuke: Mena kua motumotu katoa te ringa i te hononga o te tuke.
- Te tapahi whakawhiti humerus: Ki te tangohia te ringa i runga ake i te tuke , ka tangohia mā roto i te wheua humerus.
- Te wehenga o te hononga o te pakihiwi: Ki te tangohia te ringa mai i te hononga o te pakihiwi.
- Te tapahi i te taha mua o te ringa: I tēnei mahi, ka tangohia te ringa katoa, me te pakihiwi me te wheua kaki.
- Te ngoikore o ngā peka whānau: Ka pāngia te roa me te whānui o te ringa nā te korenga o te tipu o ngā wheua o te ringa i te whānautanga.
He aha ngā momo matua o ngā ringaringa hanga-ringa?
He momo ringaringa hangai rerekē. Ko ētahi he mea hanga mō te āhua noa iho, ko ētahi he mea mahi. Ko ētahi he mea hanga mō ngā mahi o ia rā, ko ētahi he mea hanga mō ngā mahi motuhake, mō ngā hākinakina rānei. Me titiro tātou ki ngā momo matua.
| Momo ringa hangai | Te āhua o tana mahi me ngā āhuatanga |
|---|---|
| Te Ringa Whakapūmau (ringa e kitea anake) | Kāore tēnei e mahi pērā i te ringa tangata, engari ka taea te hanga kia rite ki te ringa tūturu. Ka taea te hanga mai i te silicone, he rite te tae me te āhua ki tō ringa kē. He maha ngā tāngata e whakamahi ana i tēnei ina haere ki ngā pāti me ngā huihuinga pāpori. |
| Ringa Whakapūmau Tinana | He taputapu miihini tēnei. Ka honoa ki ētahi atu uaua o tō tinana (hei tauira, tō pakihiwi) mā roto i tētahi pūnaha taura me ngā whitiki. Ina nekehia aua uaua, ka taea e koe te whakatuwhera me te kati i te wāhanga rite ki te maikuku o tēnei ringa horihori. He tino pai tēnei mō ngā mahi taumaha, nā te mea he pakari. |
| Ringa Whakapūmau Motuhake mō te Mahi | Ki te hiahia koe ki te mahi i tētahi mahi, hākinakina, whakangahau rānei, ka taea e koe te whakarite i tēnei ringa kia rite ki tēnā. Hei tauira, ka taea e koe te tāpiri i tētahi taputapu e hiahiatia ana e koe mō te eke pahikara, te hiki taumaha, te mahi kāmura rānei ki tēnei ringa. |
| Te Ringa Myoelectric (te ringa e whakakahangia ana e ngā tohu hiko uaua) | Koinei te momo matatau rawa atu e wātea ana i ēnei rā. He pūoko (ngā hikohiko) kei tēnei ringa ka taea te kite i ngā tohu hiko tino ngawari ina whakakorikorihia e koe ngā uaua e toe ana i roto i tō ringa. Ka whakamahia ēnei tohu hei neke i ōna hononga me ōna maihao. Ka taea e tēnei te mahi i ngā mahi tino ngawari. Pērā i te ringa karetao. |
| Ringa Whakapūmau Ranu | Ka honoa ngā tikanga e rua kua whakahuatia ake nei e tēnei. Hei tauira, ka taea te hanga i te tuke kia whakamahia e te tinana, ā, ka taea te hanga i te ringa me ngā maihao kia whakamahia e te uaua o roto. |
He aha te tukanga mō te whiwhi ringa hangai?
Ehara tēnei i te mea ka taea te mahi i roto i te pō kotahi. E hiahia ana ki te wā, ki te whakaharatau, me te nui o te manawanui. Me mahi tahi koe me tō tīma hauora i tēnei haerenga.
Ehara tēnei tukanga i te haerenga e haerea ana e koe anake. He mahi tahi tēnei i waenganui i ngā tākuta, ngā kaiwhakaora tinana, ngā kaiwhakapai niho, me tō whānau.
Anei ngā kaupae māmā noa iho:
1. Te kōrero hauora me te aromatawai: Tuatahi, me tūtaki koe ki tō tākuta ki te matapaki i tēnei. Māna koe e tuku ki tētahi tohunga hanga niho. Mā rātou e matapaki tō āhua tinana, tō momo noho, ō hiahia, me ō whāinga, ā, ka whakatauhia ko tēhea momo hanga niho te mea pai mōu.
2. Ngā Ine me te Whakaurunga: Ka mahia tēnei i te 3-6 wiki i muri i te pokanga. Ka hangaia te pūwero hangai kia tau ki a koe mā te tango i ngā inenga o te toenga o tō ringa, mā te whakamahi pea i te pokepokea ai, i te matawai 3D rānei.
3. Whakangungu taketake: Kia oti te hanga o tō ringaringa, ka whakawhiwhia koe ki ngā whakangungu taketake mō te whakamahi, te tango atu, te whakakakahu, te horoi, me te whakahaere i ōna wāhanga.
4. Te Whakaora Tinana me te Whakaora Mahi: Muri iho, me mahi tahi koe me te kaiwhakaora tinana me te kaiwhakaora mahi ki te ako me pēhea te whakamahi i tēnei ringa hei mahi i ngā mahi o ia rā. Ka mahia ngā mahi whakakori tinana hei whakapakari i ngā uaua e tika ana.
5. Tautoko hauora hinengaro: He wāhanga tino nui tēnei. He whara nui te ngaronga o tētahi peka. I a koe e whakaora ana i tō tinana, me whakaora anō hoki tō hinengaro. Ka taea e koe te tiki awhina nui mai i ngā tohunga hauora hinengaro me ngā rōpū tautoko me te hunga kua pāngia e ngā āhuatanga rite tonu ki a koe.
He aha ngā painga me ngā mōrearea i konei?
He whakatau whaiaro te whakamahi i te ringa hangai, engari whakaarohia ēnei āhuatanga i mua i te whakatau.
Ngā painga me ngā painga
Ki te kore koe e whakamahi i te ringa hangai, ka taunga koe ki te whakamahi i tō ringa kē atu mō ngā mea katoa. Ka arahi pea tēnei ki ngā raruraru pēnei i:
- Te ngaronga o te taurite o te tinana me te tū piko.
- Te mamae o te kaki me te tuara mō te wā roa.
- Te mamae me ngā whara i puta mai i te whakamahinga nui rawa o te ringa me te pakihiwi (Ngā whara taumahatanga auau).
Ka taea te whakaiti i ēnei mōrearea mā te whakamahi i tētahi ringa hanga-ringa.
Ngā tūponotanga me ngā wero
- I te wā e whakamahia ana ngā ringa e whakamahia ana e te tinana, ka ngenge pea ngā uaua.
- Ka raru pea te utu i ngā hapa miihini me ngā taputapu hiko.
- Ki te kore e tika te mahi, ka pā mai pea he mate pēhanga, he riri rānei ki te kiri.
- Ka taea e te werawera te hanga i roto i te putanga, ā, ka whakararuraru i a ia, nō reira me horoi pinepine.
Engari kia mahara,Ka taea te karo i te nuinga o ēnei mōrearea mā te tāutanga tika, te whakangungu, me te tiaki.
He hangarau hou e kiia nei ko te Targeted Muscle Reinnervation (TMR)
He hangarau hou, matatau hoki tēnei e mahia tahitia ana me te pokanga. He mea nui rawa atu tēnei mō te hunga e hiahia ana ki te whakamahi i te ringa myoelectric.
Hei whakarāpopototanga, hei ārai i te mamae ina motuhia ngā io nui i te wā e pokanga ana te tango i te ringa, ka hono anō te taote pokanga i aua pito io ki ētahi atu uaua. Ka kiia tēnei ko te "Whakahoutanga Uaua Whaiaro (TMR)".
E rua ngā painga matua o tēnei:
1. Te whakaiti i te mamae: Ka whakaiti i te mōrearea o te mamae io (neuromas) me te mamae peka phantom (te mamae e rite ana ki te mea kei reira tetahi peka ahakoa kāore i reira).
2. Te whakahaere i te ringa myoelectric: Mā te whakamahi i aua uaua kua honoa anō, ka taea te whakahaere i te ringa myoelectric kia māmā ake, kia māori hoki.
Ka taea e koe te pātai atu ki tō tākuta mō ētahi atu kōrero e pā ana ki tēnei.
Karere Tangohia ki te Kāinga
- He kaha nui te ringa hanga-rua mō te tangata kua ngaro te ringa kia taea ai e ia te tīmata anō i ngā mahi o ia rā, me te anga atu ki te hapori.
- He rerekē ngā momo ringaringa hangai hei whiriwhiri māu, i runga i ō hiahia, i tō momo noho, me ō āheinga pūtea.
- Ehara tēnei i te otinga tere. He roa te wā e hiahiatia ana hei taunga ki tēnei. He mea tino nui kia rapu tautoko mai i ngā tākuta, i ngā kaiwhakaora tinana, me ngā tohunga hauora hinengaro i tēnei haerenga.
- Nā te whanaketanga o te hangarau, i ēnei rā, kua hangaia ngā ringaringa horihori ka taea te mahi i ngā mahi tino matatau me ngā mahi tino uaua.
- Ko te manawanui, te waiaro pai, me te atawhai ki a koe anō puta noa i tēnei tukanga katoa, he mea nui ki te angitu.
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