He aha te Whakangungu Locomotor mō te Whara o te Wāhi Tūāuri? Te Whāinga, te Hātepe & Ngā Hua

Ko te whakangungu locomotor he momo rongoā tinana motuhake e āwhina ana i te hunga whai whara o te wāhi tūāuri ki te ako anō me pēhea te haere, ki te whakapai ake rānei i tō rātou kaha ki te haere. E mahi ana tēnei huarahi mā te whakahihiri i te kaha tūturu o te wāhi tūāuri ki te whakatikatika i ngā nekehanga haere, ahakoa kua pakaru te hononga i waenga i te roro me ngā waewae.

E whakakotahi ana te rongoā i ngā mea matua e toru: te tautoko wāhanga i te taumaha, te mira e neke ana, me ngā kaiwhakaora e ārahi ana i ō nekehanga waewae. Whakaarohia he mea e hoatu ana ki tō pūnaha io te whai wāhi ki te mahara ki ngā tauira haere i te wā e whakarato ana i te tautoko e hiahia ana koe ki te whakangungu i runga i te haumaru.

He aha te whakangungu locomotor?

Ko te whakangungu locomotor he tikanga whakahou e āwhina ana ki te whakangungu anō i tō pūnaha io ki te whakahaere i te haere i muri i te whara o te wāhi tūāuri. E whakatakoto ana te huarahi i runga i te kitenga kei roto i tō wāhi tūāuri ngā ara iahiko io ka taea te whakaputa i ngā tauira haere i a rātou anō, kāore he whakauru tika mai i tō roro.

I te wā o te whakangungu, ka whakatārewa koe i roto i te hānehi i runga i te mira i te wā e neke ana ngā kaiwhakaora i ō waewae i ngā nekehanga haere. E āwhina ana tēnei whakangungu tukurua ki te whakahohe i ngā ara io moe me te whakakaha i ngā hononga e toe ana i waenga i tō roro me ō waewae.

E whai hua ana te whakangungu i te neuroplasticity, ko te kaha o tō pūnaha io ki te hanga hononga hou me te urutau i muri i te whara. I te roanga o te wā, ka taea e tēnei te arahi ki te whakapai ake i te kaha ki te haere, te taurite, me te nekeneke whānui.

He aha te take e mahia ana te whakangungu locomotor?

Ka mahia te whakangungu locomotor hei āwhina i te hunga whai whara o te wāhi tūāuri ki te whakahoki mai i ētahi mahi haere me te whakapai ake i tō rātou kounga o te oranga. Ko te whāinga tuatahi ko te whakahohe me te whakakaha i ngā ara io e whakahaere ana i te haere, ahakoa kua pakaru wāhanga te wāhi tūāuri.

Ka whai hua tēnei rongoā ki ngā tāngata i ngā wāhanga rerekē o te whakaora, mai i te hunga i whara tata nei ki te hunga i whara i ngā tau ki muri. Ka āwhina te whakangungu ki te whakapai ake i te kaha o te uaua, te ruruku, te taurite, me te oranga ngākau.

I tua atu i ngā painga tinana, ka taea e te whakangungu hikoi te whai hua hinengaro nui. He tokomaha ngā tāngata e kite ana ko te mahi ki te whakatutuki i ngā whāinga hikoi ka whakanui i tō rātou māia me te mana motuhake, ahakoa kāore rātou i te whakaora hikoi katoa.

He aha te tikanga mō te whakangungu hikoi?

Ka whai te whakangungu hikoi i tētahi huarahi hanganga e hanga ana i ō pūkenga hikoi. Ka arotake tō rōpū rongoā i tō mahi o nāianei, ka waihanga i tētahi hōtaka whaiaro e hāngai ana ki ō hiahia me ō whāinga.

Kei roto i te tikanga taketake ētahi wāhanga matua e mahi ngātahi ana:

1. Te whakarite here: Ka whakauruhia koe ki tētahi here tautoko e hono ana ki tētahi pūnaha o runga, e āhei ana koe ki te kawe i tētahi taumaha ki ō waewae i te wā e ārai ana i te hinga
2. Whakangungu rīpene: Ka hikoi koe i runga i tētahi rīpene e neke ana i te wā e ārahi ana ngā kaiwhakaora i ō nekehanga waewae kia mōhio ai ngā tauira takahi tika
3. Āwhina ā-ringa: E rua, e toru rānei ngā kaiwhakaora ka āwhina i te neke i ō waewae, ō hope, me ō tūātea kia rite ai ngā nekehanga hikoi noa
4. Te kawe taumaha haere: I te wā e pai ake ana koe, ka iti ake te taumaha o tō tinana e tautokona ana e te here, ka piki haere te kawenga ki ō waewae
5. Whakangungu i runga i te whenua: I te mutunga, ka taea e koe te haere ki te hikoi i runga i te whenua mārō me ngā momo taputapu āwhina

Ko te tikanga ka roa ngā wāhanga i te 45 meneti ki te hāora, ā, ka puta e toru ki te rima ngā wā i te wiki. Ko te kaha me te roa o te whakangungu ka whakawhirinaki ki tō manawanui me ō whāinga whakaora.

Me pēhea te whakarite mō tō whakangungu hikoi?

Ko te whakarite mō te whakangungu nekeneke e hāngai ana ki te whakarite tinana me te hinengaro hei āwhina i a koe kia whai hua mai i ia wāhanga. Mā te rōpū hauora e ārahi i a koe i roto i te whakarite, me te whakarite kia rite koe ki te tīmata i te haumaru.

Ko te whakarite tinana ko te mau i ngā kākahu hāneanea, tautoko, me ngā hū hākinakina me te pai o te kapo. Me karo koe i ngā kākahu whānui ka raru pea i te here, i ngā taputapu rānei.

Anei ngā mahi whakarite matua me whai koe:

• Kai i te kai māmā 2-3 haora i mua i te whakangungu kia mau tonu te kaha me te kore e pōuri rawa
• Kia pai te wai engari karo te inu i te nui o te wai i mua tonu i tō wāhanga
• Whakaotia ngā whakangungu totoro, whakangungu whakamahana rānei i whakaritea
• Tangohia ngā rongoā e tika ana i runga i te tohutohu a tō tākuta
• Haere mai 15-20 meneti i mua kia whai wāhi mō te whakarite me te whakatika i ngā taputapu

He mea nui te whakarite hinengaro. Whakaritea ngā tūmanako tūturu, me te mahara ko te ahunga whakamua he mea iti tonu, kaua ki ngā whakapainga nui.

Me pēhea te pānui i tō ahunga whakamua whakangungu nekeneke?

Ko te ahunga whakamua i roto i te whakangungu nekeneke e inea ana mā ngā aromatawai rerekē e whai ana i tō kaha hikoi, te taurite, me te mahi whānui. Ka arotakehia e tō rōpū rongoā ēnei ine i ngā wā katoa hei whakatika i tō mahere maimoatanga me te whakatakoto i ngā whāinga hou.

Ko te huarahi tino noa ki te whai i te ahunga whakamua ko ngā whakamātautau hikoi e ine ana i te tere, te tawhiti, me te nui o te āwhina e hiahia ana koe. Mā ēnei whakamātautau paerewa e āwhina i tō rōpū ki te kite i ngā whakapainga kaore pea i te kitea i ia rā.

Ngā tohu ahunga whakamua matua ko:

1. Te kaha ki te tautoko i te taumaha: Te ōrau o te taumaha o tō tinana ka taea e koe te tautoko mā ō waewae
2. Te roa me te wā o te hikoi: Kia pēhea te roa o ō hikoi me te pai o tō whakatikatika i ngā nekehanga o te waewae mauī me te waewae matau
3. Te tere o te hikoi: Kia pēhea te tere o tō hikoi i runga i te haumaru, ka inea ki te mita ia meneti
4. Te manawanui i te tawhiti: Kia pēhea te tawhiti ka taea e koe te hikoi i mua i te hiahia ki te okioki
5. Te taurite me te pūmautanga: Tō kaha ki te pupuri i te tū tika i te wā e hikoi ana

Ka arotake hoki ō tākuta i ngā whakapainga kāore i te kitea pērā i te pai ake o ngā tauira whakahohe uaua, te pai ake o te oranga ngākau, me te whakarei ake i te whakatikatika. Ko ēnei huringa ka puta i mua i te kitea o ngā whakapainga hikoi.

Me pēhea te whakapai ake i ō hua whakangungu locomotor?

Ko te whakanui i ō hua whakangungu locomotor e hiahia ana kia kaha te whai wāhi i ngā wā o ngā hui me tō oranga o ia rā. Ko te rite tonu me te whakapau kaha ki tō hōtaka ka whai pānga nui ki ō hua.

Ko te huarahi tino whai hua ko te whakakotahi i ō hui whakangungu okawa me ngā mahi e tautoko ana i tō whakaora. Ka tūtohu tō rōpū rongoā i ngā mahi motuhake me ngā whakarerekētanga o te oranga e hāngai ana ki ō hiahia.

Ngā rautaki hei whakarei ake i ō hua ko:

• Kia tae rite tonu ki ngā hui whakangungu katoa kua whakaritea
• Whakawhanake i ngā mahi kua whakaritea i te kāinga i waenga i ngā hui
• Arotahi ki te kai tika hei tautoko i te whakaora uaua me ngā taumata pūngao
• Kia nui te moe hei whakatairanga i te whakaora me te whakakotahitanga o te io
• Kia kaha te hinengaro me te hihiri puta noa i te tukanga
• Whakawhitiwhiti kōrero tuwhera ki tō rōpū rongoā mō ngā wero me te ahunga whakamua

Kia mahara he uaua te whakaora, ā, ka pā pea koe ki ngā wā pōturi, ki ngā hokinga whakamuri rānei. He wāhanga noa ēnei o te hātepe whakaora, ā, ka āwhina tō rōpū rongoā i a koe ki te whakatika i ēnei wero.

He aha te putanga pai rawa atu mō te whakangungu nekeneke?

He rerekē te putanga pai rawa atu mō te whakangungu nekeneke i te tangata ki te tangata, i runga i ngā āhuatanga pēnei i te kaha me te wāhi o tō whara i te taurakira, tō hauora whānui, me te roa o te wā i pā mai ai tō whara. E inea ana te angitu ehara i te mea nā te kaha ki te hikoi anake, engari nā te whakapai ake i te mahi me te kounga o te oranga.

Ka eke ētahi tāngata ki te kaha ki te hikoi motuhake me te kore rānei he taputapu āwhina, i te wā e whiwhi ana ētahi atu i te mahi nui hei whakawhiti mā ngā mahi o ia rā, hei tū rānei mō ngā mahi o ia rā. Ahakoa ngā whakapainga iti ake nei ka whai pānga nui ki tō motuhake me tō oranga.

Ko ngā tūmanako tūturu mō ngā taumata whara rerekē ko:

1. Ngā whara kāore i oti: Te kaha nui ake mō te whakaora i te hikoi, me ētahi tāngata e eke ana ki te hikoi motuhake
2. Ngā whara oti: Te arotahi ki te whakapai ake i ngā whakawhitinga, te tūnga tū, me te oranga o te ngākau me ngā uaua
3. Ngā whara tata nei: He pai ake te kaha mō te whakaora i te whara tawhito
4. Ngā whara tawhito: Ngā whakapainga i te kaha, te taurite, me te mahi whānui, ahakoa kāore i eke te hikoi

Ko ngā putanga tino angitu ka uru mai he huinga whakapainga tinana me te whakarei ake i te oranga hinengaro. He maha ngā tāngata e kī ana he nui ake te māia me te tūmanako mō tō rātou anamata, ahakoa te kaha ki te hikoi.

He aha ngā āhuatanga tūpono mō ngā putanga whakangungu nekeneke kāore i te pai?

He maha ngā āhuatanga ka pā ki te pai o tō urupare ki te whakangungu nekeneke, ahakoa te whai i ngā āhuatanga tūpono, ehara i te mea e kore koe e whai hua mai i te hōtaka. Mā te māramatanga ki ēnei āhuatanga ka āwhina tō rōpū rongoā ki te waihanga i te mahere rongoā tino whai hua mō tō āhuatanga.

Ko te āhuatanga tūpono nui rawa atu ko te oti me te taumata o tō wharanga i te taurakira. Ko ngā wharanga oti, kāore he pānga, he nekehanga rānei i raro i te wāhi wharanga, te nuinga he iti ake te whai wāhi ki te whakaora i te hikoi i ngā wharanga kāore i oti.

Ngā āhuatanga tūpono noa ka pā ki tō haere whakamua ko:

• Te wharanga taurakira oti kāore he pānga, he nekehanga rānei i rongoa
• Ngā wharanga taumata tiketike (cervical, thoracic rānei) e pā ana ki te nuinga o te tinana
• Ngā kirimoko uaua nui, te mārō rānei o te hononga
• Te korenga o te oranga ngākau, ētahi atu āhuatanga hauora rānei
• Te mamae roa e pā ana ki te whai wāhi ki te whakangungu
• Te kore o te ngākau nui, ngā tūmanako rānei kāore i te tūturu
• Te iti o te uru atu ki ngā hōtaka whakangungu rite tonu, kounga tiketike

Heoi, ahakoa ēnei āhuatanga tūpono, ka taea tonu e te whakangungu nekeneke te whakarato i ngā painga pēnei i te whakapai ake i te hauora ngākau, ngā pūkenga whakawhiti pai ake, me te whakarei ake i te oranga whānui. Ka mahi tō rōpū rongoā ki a koe kia whakanui i ngā whai wāhi katoa kei a koe.

He pai ake te tīmata i te whakangungu nekeneke i te wā wawe, i te wā mutunga rānei i muri i te wharanga?

Ko te tīmata i te whakangungu nekeneke i te wā wawe i muri i te wharanga taurakira te nuinga ka hua i ngā putanga pai ake, ahakoa ka taea tonu e te tangata te whai hua mai i te whakangungu ahakoa ngā tau i muri i tō rātou wharanga. Ko te kaha o te pūnaha io ki te whakaora te mea nui rawa atu i te tau tuatahi i muri i te wharanga, e hanga ana i tēnei he matapihi nui mō te whakahou kaha.

Ko te whakangungu wawe, i roto i nga marama tuatahi i muri i te whara, ka whai hua mai i nga tukanga whakaora taiao me te neuroplasticity e puta ana i tenei wa. Ko to tuaiwi te mea tino aro ki te whakangungu ano i te wa o te whakaora.

Heoi, ko te timata i muri mai ehara i te mea me ngaro te tumanako. E whakaatu ana nga rangahau ka taea tonu e nga tangata te whakapai ake i te mahi hikoi ahakoa ka timata ratou ki te whakangungu i nga tau i muri i to ratou whara, ahakoa he iti ake pea nga hua, he roa ake ranei te whakatutuki.

Kei roto i nga whakaaro mo te wa te painga o te wawaotanga wawe me te pono o te mahi kaore etahi tangata i te pumau hauora mo te whakangungu kaha i muri tonu i te whara. Ka whakatauhia e to roopu hauora te wa pai mo to ahuatanga motuhake.

He aha nga raruraru ka puta mai i te whakangungu locomotor?

Ko te whakangungu locomotor te nuinga he haumaru ina mahia e nga kaiwhakaora whai mana, engari pera i nga rongoa tinana, i etahi wa ka raru pea. Ko te nuinga o nga take he iti, ka taea te whakahaere me nga whakatupatotanga tika me te aroturuki.

Ko nga raruraru tino noa e pa ana ki nga hiahia tinana o te whakangungu me te whakamahi i nga taputapu tautoko. Ka tino aroturukihia koe e to roopu rongoa hei aukati me te whakatika i nga raru ka puta.

Ko nga raruraru ka taea e koe te mohio ko:

• Te riri kiri: Ka puta pea te whero, te ngau rānei i te whitiki, i ngā taputapu rānei, inā koa i ngā wā tuatahi
• Te mamae uaua: Ka mamae pea ō uaua i muri i te whakangungu, pērā i tētahi hōtaka whakakori tinana hou
• Ngā huringa pēhanga toto: Ka pā pea te whanoke, te rere kē rānei o te pēhanga toto ki ētahi tāngata i te wā whakangungu
• Autonomic dysreflexia: Ka pā pea te pikinga kino o te pēhanga toto ki ngā tāngata whai whara nui
• Ngā whati: He mea pāwhara, engari ka taea, inā koa ki te whai osteoporosis koe i te kore neke mō te wā roa
• Te ngenge: Ka ngenge te whakangungu, ā, ka hiahia pea koe ki te wā ki te whakatipu i tō manawanui

Kua whakangungua tō rōpū rongoā ki te mōhio me te whakahaere i ēnei raruraru. Ka whakatikatika rātou i tō hōtaka i te mea e tika ana kia whakarite i tō haumaru i te wā e whakanui ana i tō kaha ki te whakapai ake.

Āhea ahau e kite ai i te tākuta mō te whakangungu locomotor?

Me kōrero koe ki tō tākuta mēnā ka pā ki a koe ētahi tohumate rerekē i te wā, i muri rānei i te whakangungu locomotor, mēnā he āwangawanga koe mō tō ahunga whakamua, tō haumaru rānei. Me whai wāhi tō rōpū hauora ki tō hōtaka whakangungu mai i te tīmatanga kia whakarite e tika ana mō tō āhua.

Ka taea te whakatika i te nuinga o ngā āwangawanga e tō rōpū rongoā, engari me āta rongoā ētahi tohumate. Kaua rawa e mangere ki te kōrero mēnā kāore i te pai tētahi mea i ngā wā whakangungu.

Rapua te āwhina hauora tonu mēnā ka pā ki a koe:

1. He mamae nui i te upoko, i te pikinga rānei o te pēhanga toto: Ka tohu pea i te autonomic dysreflexia, he ohorere hauora
2. He mamae i te uma, he uaua rānei ki te manawa: Ka tohu pea i ngā raruraru ngākau me ngā uaua
3. He mamae nui ohorere, he whati rānei e whakaarohia ana: Me arotake tonu
4. Ngā tohu o te mate: Kirika, te ngenge rerekē, te pakaru rānei o te kiri
5. Ngā huringa nui i te rongo, i te neke rānei: Ka tohu pea i te piki haere o tō whara

Me whakapā atu anō koe ki tō tākuta mēnā ka kite koe i te pakaru tonu o te kiri, te mamae tonu e pā ana ki te whakangungu, mēnā rānei ka whakaaro koe kāore te hōtaka e whakatutuki ana i ō hiahia.

Ngā pātai e pā ana ki te whakangungu nekeneke

Q.1 He pai te whakangungu nekeneke mō te whara tuaiwi tawhito?

Āe, he pai te whakangungu nekeneke mō te hunga whai whara tuaiwi tawhito, tae atu ki te hunga i whara i ngā tau ki muri. Ahakoa te iti o te whai wāhi ki te whakapai ake, ka taea e ngā tūroro tawhito te whai hua i roto i te mahi, te kaha, me te kounga o te oranga.

E whakaatu ana te rangahau kei te mau tonu te pūnaha io i ētahi kaha ki te huri i roto i te oranga, he āhuatanga e kiia nei ko te neuroplasticity. Ko te tikanga, ahakoa ngā tau i muri i te whara, ka taea e te whakangungu kaha te āwhina i te whakahohe i ngā ara io moe, me te whakapai ake i te mahi hīkoi.

Q.2 Ka pā te ngenge i te whakangungu nekeneke?

Āe, te tikanga ka pā te ngenge i te whakangungu nekeneke, ina koa i te wā e tīmata ana koe i te hōtaka. He mea noa tēnei, e tika ana kia pērā, i te mea kei te kaha tō tinana ki te ako anō i ngā tauira nekehanga uaua i te wā e hanga ana i te kaha me te manawanui.

Ko te tikanga ka pai ake te ngenge i te pikinga o tō taumata whakapakari tinana, me te urutau o tō tinana ki ngā hiahia whakangungu. Ka aroturuki tō rōpū rongoā i ō taumata pūngao, me te whakatika i te kaha o ō wāhanga kia mōhio ai koe kei te wero engari kāore i te pōuri.

Q.3 E hia te roa ka kitea ai ngā hua mai i te whakangungu whakawhiti?

He rerekē ngā hua mai i te whakangungu whakawhiti i waenga i ngā tāngata, engari he maha ngā tāngata ka tīmata ki te kite i ētahi whakapainga i roto i te 4-8 wiki o te whakangungu tonu. Ko ēnei huringa tōmua pea ko te pai ake o te tauritenga, te kaha ake, te pai ake rānei o te ruruku, kaua ki ngā whakapainga hikoi nui.

Ko ngā whakapainga mahi nui ake, pēnei i te tere ake o te hikoi, te iti ake rānei o te hiahia ki te āwhina, ka roa te 3-6 marama o te whakangungu auau kia kitea. Ka haere tonu ētahi tāngata ki te whai hua mō te tau, neke atu rānei me te whai wāhi tonu.

Q.4 Ka taea e te whakangungu whakawhiti te āwhina ki te whakahaere i te mamae?

Āe, ka taea e te whakangungu whakawhiti te āwhina ki ētahi momo mamae e pā ana ki te whara o te taurakira. Ka taea e te mahi te whakaiti i te mārō o te uaua me te kōpiko, te whakapai ake i te rere o te toto, me te tuku i ngā matū whakaiti mamae tūturu i tō tinana.

Heoi, ka pāngia pea e ētahi tāngata te mamae nui ake i te tīmatanga i te wā e urutau ana ō rātou uaua ki ngā tono hou. Ka mahi tō rōpū rongoā ki a koe ki te kimi i te taurite tika i waenga i te wero i tō pūnaha me te whakahaere i te raruraru.

Q.5 Ka hipokina te whakangungu whakawhiti e te inihua?

He rerekē te hipoki mō te whakangungu whakawhiti i runga i te mahere inihua, ā, ka whakawhirinaki pea ki ngā āhuatanga pēnei i te hiahia rongoā, tō tātaritanga motuhake, me ngā tohu o te whare whakangungu. He maha ngā mahere inihua e hipoki ana i tēnei momo rongoā ina whakaarohia he mea tika ā-rongoā.

Ka taea e tō rōpū hauora te āwhina i a koe ki te whakatere i ngā whakaritenga inihua me te whakarato i ngā tuhinga hei tautoko i te whakaaetanga hipoki. Ka tukuna hoki e ētahi whare ngā mahere utu, ngā hōtaka āwhina pūtea rānei hei āwhina i te whakangungu kia wātea.