Ke hele wāwae maʻamau

He ʻano ʻē ka hele wāwae maʻamau a ʻaʻole hiki ke kaohi ʻia. Pili pinepine lākou i nā maʻi a ʻeha paha i nā wāwae, nā wāwae, ka lolo, ka iwi kuamoo, a me ka pepeiao o loko.

ʻO ke kumu o ka hele ʻana o ke kanaka i kapa ʻia ʻo gait. Hana ʻia nā ʻano pilikia like ʻole me ka kaohi ʻole o ke kanaka. ʻO ka hapa nui, ʻaʻole naʻe nā mea āpau, no ke ʻano o ke kino.

Ua hāʻawi ʻia kekahi mau ʻano o ka hele wāwae i nā inoa:

• Ka hele wāwae propulsive - kahi kūlou, kū i ke poʻo me ke poʻo a me ka ʻāʻī e kūlou i mua
• Holo ka ʻūmiʻi - nā wāwae i wili liʻiliʻi ma nā pūhaka a me nā kuli e like me ke kūlou ʻana, me nā kuli a me nā ʻūhā e pā a i ʻole ke keʻa ʻana i kahi neʻe e like me ka ʻūpā.
• ʻO ka hele wāwae Spastic - kahi hele wāwae paʻa e huki ai i ka wāwae i hoʻokumu ʻia e ka lōʻihi o ka mākala lōʻihi ma kekahi ʻaoʻao
• Hele wāwae wāwae - hāʻule ka wāwae ma kahi e kau ai ka wāwae me nā manamana wāwae e kuhikuhi ana i lalo, e ʻānai i nā manamana wāwae i ka wā e hele wāwae ana, e koi ana i kekahi e hāpai i ka wāwae i luna ma mua o ka wā maʻamau.
• Ka hele wāwae Waddling - kahi hele wāwae e like me ka duck i ʻike ʻia i ka wā kamaliʻi a i ʻole ma hope o ke ola
• Ataxic, a i ʻole ka laulā, hele wāwae - kapuaʻi ākea me ke kaulike ʻole, ʻeleʻele, a me ka ulana ʻana a palu paha i ka hoʻāʻo ʻana e hele
• Ka hele ʻana me ka mākēnika - ke kuʻi ʻana me nā wāwae e like me ke kū ʻana i ka lepo

Hoʻokumu ʻia ka hele maʻamau ʻole e nā maʻi ma nā wahi like ʻole o ke kino.

Hiki i nā kumu āpau o ka hele maʻamau ke hoʻopili:

• Pākuʻi o ka wāwae a me nā hono o ka wāwae
• ʻO ka maʻi hoʻololi (kahi maʻi noʻonoʻo)
• Nā pilikia o ka wāwae (e like me ka callus, ka palaoa, ingrena toenail, wart, ʻeha, ʻili ʻeha, pehu, a i ʻole nā ​​spasms)
• Iwi haʻi
• Hoʻokomo ʻia i loko o nā mākala e ʻeha ai ka wāwae a i ʻole ka ʻūhā
• Maʻi kīnā
• ʻEhaʻeha
• Nā ʻūhā o nā lōʻihi like ʻole
• Ka hoʻohauna a me ka pehu ʻana o nā mākala (myositis)
• Pākuʻi ʻo Shin
• Nā pilikia kāmaʻa
• Hoʻonā a puhū paha o nā uaua (tendinitis)
• Torsion o nā hōʻike
• ʻO ka lolo, ka iwi kuamoo, a me nā maʻi nerves peripheral

ʻAʻole hoʻokomo kēia papa inoa i nā kumu āpau o ka hele maʻamau.

NA KUMU O KA PONO ANA

Kahi hele wawae:

• Lāʻau make kalapona
• Lāʻau make kai manganese
• Maʻi ʻo Parkinson
• Hoʻohana o kekahi mau lāʻau, e like me phenothiazines, haloperidol, thiothixene, loxapine, a me metoclopramide (ʻo ka maʻamau, he mau manawa nā hopena lāʻau)

ʻO ka spastic a i ʻole nā ​​ʻūlū hele wāwae:

• Holo ka lolo
• Hoʻopilikia lolo a poʻo poʻo paha
• Tumo lolo
• Hahau
• Pāpā lolo
• ʻO ka Cerond spondylosis me ka myelopathy (kahi pilikia me ka vertebrae i ka ʻāʻī)
• Hoka kōpaʻa
• Sclerosis maha (MS)
• Peremia weliweli (kūlana ʻaʻohe lawa o ke olakino ʻulaʻula ke olakino e hāʻawi i ka oxygen i nā kino o ke kino)
• ʻ .pala kuamoʻo spinal
• Tumo kaula ʻiwi
• Neurosyphilis (maʻi koʻohune o ka lolo a i ʻole ke kuamoʻo ma muli o ka syphilis)
• Syringomyelia (hōʻiliʻili o ka wai cerebrospinal e hana i ka iwi kuamoʻo)

Ke ala hele wāwae:

• ʻO Guillain-Barre Syndrome
• Pākuʻi lumbar Herniated
• Sclerosis lehulehu
• Nāwaliwali kaʻiʻo o ka tibia
• Neuropathy peroneal
• Polio
• ʻEha ʻiwi

Hele wāwae Waddling:

• ʻO ka dysplasia pūhaka congenital
• Muscular dystrophy (pūʻulu o nā maʻi i hoʻoili ʻia e kumu i ka nāwaliwali o nā mākala a me ka nalo ʻana o nāʻiʻo muscle)
• Muscle maʻi (myopathy)
• Hoʻoiho lāʻau spinal

Ataxic, a i ʻole laulā, hele wāwae:

• Acute cerebellar ataxia (uncoordinated Muscle neʻe ma muli o ka maʻi a ʻeha i ka cerebellum i ka lolo)
• ʻOna ʻona
• ʻEha lolo
• Ka hōʻino i nā hunaola nerve i ka cerebellum o ka lolo (hoʻohaʻahaʻa cerebellar)
• Nā Laʻau Lapaʻau (phenytoin a me nā lāʻau seizure ʻē aʻe)
• Polyneuropathy (hōʻino i nā aʻa he nui, e like me ka maʻi kō)
• Hahau

Ka hele ʻana o ka mākēneki:

• Nā maʻi e hoʻopili i ka ʻaoʻao mua o ka lolo
• Hydrocephalus (ʻōhū o ka lolo)

ʻO ka mālama ʻana i ke kumu e hoʻomaikaʻi pinepine ai i ke ala hele. ʻO kahi laʻana, e hoʻomaikaʻi ke ʻano o ka gait mai ka trauma a i kahi ʻāpana o ka wāwae i ka wā e hoʻōla ai ka wāwae.

Kokua pinepine ka hoʻomaʻamaʻa kino i nā maʻi hele lōʻihi a lōʻihi paha. E hoʻemi ana ka Therapy i ka makaʻu o ka hāʻule a me nā ʻeha ʻē aʻe.

No kahi hele maʻamau i kū me ka maʻi hoʻohuli, koi nui ʻia ka ʻōlelo aʻoaʻo a me ke kākoʻo mai nā lālā o ka ʻohana.

No kahi ala hele paakiki:

• E paipai i ke kanaka e kūʻokoʻa i ka hiki.
• E hāʻawi i ka manawa nui no nā hana o kēlā me kēia lā, keu hoʻi i ka hele wāwae. E hāʻule paha ka poʻe me kēia pilikia no ka mea loaʻa ʻole ke kaulike a ke hoʻāʻo mau nei e hopu.
• Hāʻawi i ke kōkua hele wāwae no nā kumu palekana, keu hoʻi ma ka honua kaulike.
• E ʻike i kahi mea hoʻoponopono kino no ka hoʻomaʻamaʻa hoʻoikaika kino a me ka hoʻomaʻamaʻa hele hou ʻana.

No ka hele wāwae o ka ʻūpā:

• ʻO ka poʻe me ka ʻūlū hele wāwae lilo pinepine i ka ʻili. Pono e hoʻohana i ka mālama ʻana i ka ʻili e hōʻalo ai i ka ʻeha o ka ʻili.
• Hiki i nā pale wāwae wāwae a me nā kāmaʻa i ka kāmaʻa ke kōkua i ka wāwae i ke kūlana kūpono no ke kū a me ka hele wāwae. Hiki i kahi mea hoʻoponopono kino ke hoʻolako i kēia mau mea a hāʻawi i ka hoʻomaʻamaʻa hoʻoikaika kino, inā pono.
• ʻO nā lāʻau lapaʻau (nā mea hōʻoluʻolu o kaʻiʻo, nā lāʻau anti-spasticity) hiki ke hōʻemi i ka overactivity o nā mākala.

No kahi ala hele spastic:

• Paipai ʻia nā hoʻoikaika kino.
• Hiki i nā pale wāwae wāwae a me nā kāmaʻa i ka kāmaʻa ke kōkua i ka wāwae i ke kūlana kūpono no ke kū a me ka hele wāwae. Hiki i kahi mea hoʻoponopono kino ke hoʻolako i kēia mau mea a hāʻawi i ka hoʻomaʻamaʻa hoʻoikaika kino, inā pono.
• Paipai ʻia kahi kō a me ka mea hele wāwae no ka poʻe me ke kaulike maikaʻi ʻole.
• ʻO nā lāʻau lapaʻau (nā mea hōʻoluʻolu o kaʻiʻo, nā lāʻau anti-spasticity) hiki ke hōʻemi i ka overactivity o nā mākala.

No kahi ala hele wāwae:

• E hoʻomaha nui. Hiki pinepine ka luhi i ke kanaka e ʻōniu i kahi manamana wāwae a hāʻule.
• Hiki i nā pale wāwae wāwae a me nā kāmaʻa i ka kāmaʻa ke kōkua i ka wāwae i ke kūlana kūpono no ke kū a me ka hele wāwae. Hiki i kahi mea hoʻoponopono kino ke hoʻolako i kēia mau mea a hāʻawi i ka hoʻomaʻamaʻa hoʻoikaika kino, inā pono.

No kahi ala hele wāwae, e hāhai i ka lāʻau i kauoha ʻia e kāu kahu mālama ola.

No ke ala hele ma muli o ka hydrocephalus, hiki ke hoʻomaikaʻi i ka hele ʻana ma hope o ka mālama ʻia ʻana o ka lolo.

Inā loaʻa kekahi hōʻailona o nā hele a hiki ʻole ke wehewehe ʻole ʻia, hele aku i kāu mea hāʻawi.

E lawe ka mea hāʻawi i kahi mōʻaukala olakino a hana i kahi hoʻokolokolo kino.

E komo pū paha nā nīnau mōʻaukala olakino:

• ʻO ke kumu manawa, e like me ka wā i hoʻomaka ai ka pilikia, a inā i hiki koke mai a lohi paha
• Ke ʻano o ka haunaele hele, e like me kekahi o nā mea i ʻōlelo ʻia ma luna
• ʻO nā ʻōuli ʻē aʻe, e like me ka ʻeha a me kona wahi, ka maʻi lōlō, inā paha aia kahi maʻi hou
• He aha nā lāʻau e lawe ʻia
• ʻO ka mōʻaukala hōʻeha, e like me ka wāwae, poʻo, a i ʻole ʻehaʻeha
• Nā maʻi ʻē aʻe e like me ka polio, nā tumors, ka hahau a i ʻole nā ​​pilikia ʻē aʻe o ke koko
• Inā he mau lapaʻau hou e like me nā lāʻau lapaʻau, ʻoki kino, chemotherapy a i ʻole radiation therapy
• ʻO ka moʻolelo pilikino a me ka ʻohana, e like me nā kīnā hānau, nā maʻi o ka ʻōnaehana ʻōnaehana, nā pilikia ulu, nā pilikia o ka iwi kuamoʻo

E hoʻopili ka hoʻokolohua kino i nā mākala, iwi, a me nā ʻōnaehana ʻōnaehana. E hoʻoholo ka mea hāʻawi i nā hoʻokolohua e hana ma muli o nā hopena o ka hoʻokolokolo kino.

Nā hana kūpono ʻole

Magee DJ. Loiloi i ka hele. I: Magee DJ, hoʻoponopono. Helu Helu Orthopedic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2014: chap 14.

ʻO Thompson PD, Nutt JG. Nā maʻi Gait. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 24.