Te whakamahi kakaho

He mea nui kia tiimata te haere i muri tata tonu o te pokanga mo te whara o to waewae. Engari ka hiahia tautoko koe i te wa e ora ana to waewae. Ka taea te whakamahi i te tokotoko hei awhina. He pai rawa pea te kowhiri mena he iti noa te awhina e hiahiatia ana e koe mo te toenga me te pumau, mena he ngoikore noa iho ranei to waewae.

Ko nga momo cane matua e 2 ko:

• Kanai me te pito kotahi
• Kakei me te 4 ngutu o runga o raro

Ma to taakuta, ma te kaiwhakawhakaro tinana ranei koe e awhina i a koe ki te kowhiri i te momo tokotoko e pai ana maau. Ko te momo o te tokotoko e whakamahia ana e koe ka whakawhirinaki ki to tautoko e hiahia ana koe.

Korero atu ki to kaiwhakarato hauora mena kei te mamae koe, kei te ngoikore koe, kei te raru ranei te pauna. Ko nga tokotoko me te hikoi ranei he pai ake pea maau.

Ko te patai e pa ana ki te whakamahi i te tokotoko, "Ko tehea te ringaringa e pupuri ahau?" Ko te whakautu ko te ringa kei tua atu o te waewae i pokaia e koe, ko tera ranei te mea ngoikore.

Ko te pito o nga tohu e 4 katoa me noho ki te whenua i mua i to taumaha i to tokotoko.

Titiro whakamua ina haere koe, kaua ki raro o waewae.

Kia mahara kua whakatauhia to kakaho ki to teitei:

• Me waiho te kakau ki te taumata o to ringa.
• Me piko to kokonga i te wa e mau ana koe i te kakau.

Tiwhihia he kakaho me te kakau whakamarie.

Whakamahia he tuuru me nga ringaringa ka taea e koe kia ngawari ake ai te noho me te tu.

Whaaia enei hikoi ina haere koe me te tokotoko:

1. Tu me mau tonu to kakaho.
2. I te wa e neke atu ai koe me to waewae ngoikore, piia te tokotoko kia rite te tawhiti ki mua i a koe. Ko te pito o te kakaho me to waewae whakamua kia rite.
3. Tangohia etahi pehanga i to waewae ngoikore ma te pehanga i te tokotoko.
4. Takahia te kakaho me to waewae kaha.
5. Tukuruatia nga taahiraa 1 ki te 3.
6. Hurihia ma te huri i to waewae kaha, kaua ki te waewae ngoikore.
7. Haere pōturi. Ka roa pea ka waia ki te hikoi me te kakaho.

Ki te piki i runga i te pikitanga, i te ara ranei:

• Me piki ake me to waewae kaha ake i te tuatahi.
• Whakanohia to taumaha ki to waewae kaha ka kawe i to tokotoko me to waewae ngoikore kia tutuki ai te waewae kaha.
• Whakamahia te tokotoko hei awhina i to toenga.

Ki te heke iho i tetahi taahiraa, i te ara ranei:

• Whakatakotoria to tokotoko ki raro o te takahanga.
• Kawea mai to waewae ngoikore ki raro. Whakamahia te tokotoko mo te toenga me te tautoko.
• Kawea mai to waewae kaha ki raro i te taha o to waewae ngoikore.

Mena i pokaia koe ki o waewae e rua, arahi tonu me to waewae kaha ka piki ana koe me to waewae ngoikore ka heke ana. Kia mahara, "ki runga ki te pai, ki raro ki te hunga kino."

Mena he ringaringa, mau ki runga ka whakamahi i to tokotoko i tetahi atu ringa. Whakamahia te tikanga rite mo te huinga arawhata e mahia ana e koe mo nga hikoinga kotahi.

Haere ki runga i te arawhata me to waewae kaha ake i te tuatahi, kaatahi to waewae ngoikore, ka mutu te kakaho.

Mena kei te heke koe i te pikitanga, tiimata me to kakato, katahi to waewae ngoikore, katahi to waewae kaha.

Me whai i nga kaupae i ia wa.

Ka eke ana koe ki runga, kati mo tetahi wa poto ki te whakahoki mai i to pauna me to kaha i mua i to haerenga.

Mena i pokaia koe ki o waewae e rua, arahi me to waewae kaha ka piki ana koe me to waewae ngoikore ka heke ana.

Me huri i to whare kia kore e hinga.

• Kia maarama nga whariki whariki, nga kokonga whariki e piri atu ana, kia mau ranei he taura ki te whenua kia kore koe e peke, kia kore ranei e uru ki roto.
• Tangohia te pakaru, kia ma kia maroke o papa.
• Me mau hu, he hu ranei koe ki te rapa, ki etahi atu ranei kaore i te reti. KAUA E mau hu ki nga rekereke, ki nga waewae hiako ranei.

Tirohia te tohu, nga tohutohu ranei o to tokotoko ia ra ka whakakapihia mena ka mau. Ka taea e koe te tiki awhina hou i to toa taonga rongoa, i te toa rongoa raanei ranei.

I a koe e ako ana ki te whakamahi i to kakaho, tono atu ki tetahi ki to taha taha ki te awhina i a koe mena e hiahiatia ana.

Whakamahia he peeke iti, peeke peepi, peke pokohiwi ranei hei pupuri i nga taonga e hiahia ana koe (penei i to waea). Ma tenei ka pupuri noa o ringaringa i a koe e hikoi ana.

Edelstein J. Canes, tokotoko, me nga hikoi. I roto i: Webster JB, Murphy DP, eds. Atlas o nga Orthoses me nga Pūrere Awhina. 5th ed. Philadelphia, PA: Elsevier; 2019: chap 36.

Meftah M, Ranawat AS, Ranawat AS, Caughran AT. Te tapeke whakahou whakakapi hip: te ahunga whakamua me nga herenga. I roto i: Giangarra CE, Manske RC, eds. Whakaoranga Orthopedic Haumanu. 4th ed. Philadelphia, PA: Elsevier; 2018: chap 66.

• Awhina nekeneke