Te Āwhina a te Whakaora Tinana i ngā Tamariki e pāngia ana e te Pararutiki Hinengaro
Ko te pararutiki roro (CP) he mate pūnaha io e pā ana ki te nekehanga me te taunga o te tinana. Ka puta mai i te kino o te roro i mua atu, i te wā whānau, i muri tata mai rānei i te whānautanga. He maha ngā wā ka pāngia ngā tamariki whai CP e te ngoikore o te whakahaere uaua, te pakari, te ngoikore, me ngā herenga o te taunga me te taurite. Nō reira, me whai tiaki motuhake rātou hei āwhina i te whakapai ake i ō rātou pūkenga tinana. Ko tētahi huarahi nui ki te whakahaere i te CP ko te whakaora tinana.
He aha te Pararutiki Hinengaro?
Ko te pararutiki roro he rōpū mate e pā ana ki te nekehanga me te whanaketanga o te tū o te tangata. Ka puta ēnei mate nā te kino o te roro kāore e whanake noa, ka pakaru rānei i te wā e whanake ana te kukune, te whānautanga, te wā poto rānei i muri i te whānautanga. Ka rerekē te kaha o te pararutiki roro, mai i te ngawari ki te hohonu. Ko ngā tohu o te pararutiki roro ko te whakaroa i te whanaketanga o te nekeneke, te pakari o te uaua (spasticity), te ngoikore o te uaua, te wiri, me ngā raruraru taunga.
He aha te take e hiahiatia ai te whakaora tinana mō ngā tamariki e pāngia ana e te pararutiki roro?
He kaupapa hauora te whakaora tinana e whakamahi ana i ngā huarahi tinana hei āwhina i te whakapai ake me te whakaora i te nekehanga me te mahi. Mō ngā tamariki e pāngia ana e te pararutiki roro, he mea nui te whakaora tinana nā te mea ka taea te āwhina ki te aro atu ki ngā wero tinana maha e pā ana ki a rātou. Anei ētahi take e tika ai te whakaora tinana:
1. Whakapai ake i te Kaha me te Taunga o ngā Uaua: He maha ngā wā ka pāngia ngā tamariki whai CP e te ngoikore o ngā uaua me ngā raruraru taunga. Ka taea e te whakaora tinana te āwhina i te whakapai ake i te kaha me te taunga o ngā uaua mā roto i ngā mahi whakakori tinana i hangaia mō rātou.
2. Te Whakaiti i te Āhua Pīrori: Ko te āhua pīrori he āhuatanga e pakari ai ngā uaua, e uaua ai te neke. Ka taea e te whakaora tinana te āwhina i te totoro me te whakangāwari i ngā uaua pīrori mā roto i ngā mahi totoro me ngā tikanga whakangā.
3. Te Whakapai Ake i te Nekenekehanga me te Mahi Ā-Motuka: Tērā pea he herenga o te hikoi, te nekeneke rānei a ngā tamariki whai CP. Ka taea e ngā kaiwhakaora tinana te āwhina i a rātou ki te ako i ngā tikanga hikoi me te whakamahi i ngā taputapu āwhina mēnā e tika ana, me te āwhina hoki ki te whakapai ake i ō rātou pūkenga nekenekehanga.
4. Te Whakaiti i te Mōrearea o ngā Whakararuraru Tuarua: He maha ngā wā ka pāngia ngā tamariki whai CP e ngā raruraru tuarua pērā i te whakapoto o ngā uaua, te whakararuraru i te tū o te tinana, te āhua o ngā wheua, me ngā raruraru manawa. Ka taea e te whakaora tinana te āwhina ki te ārai, ki te whakaiti rānei i te mōrearea o ēnei raruraru.
5. Te Whakarato Tautoko Hinengaro-pāpori: Haunga ngā painga tinana, ka taea hoki e te whakaora tinana te whakarato tautoko hinengaro-pāpori mō ngā tamariki whai CP me ō rātou whānau. Mā te whai wāhi atu ki ngā wā whakaora tinana ka taea te whakanui ake i te whakapono ki a ia anō me te whakarato whai wāhitanga mō rātou ki te taunekeneke me ētahi atu tamariki he rite ngā āhuatanga.
Te Huarahi Whakaora Tinana mō ngā Tamariki e pāngia ana e te Pararutiki Hinengaro
He rerekē te whakaora tinana mō ngā tamariki whai CP i ia tangata, i ia tangata. Me whakarite ngā mahere maimoatanga kia rite ki ngā hiahia motuhake o te tamaiti me te kaha o te mate. Anei ētahi huarahi e whakamahia whānuitia ana i roto i te whakaora tinana mō ngā tamariki whai CP:
1. Ngā Mahi Totoro me te Nekeneke: He wāhanga nui o te whakaora tinana te totoro uaua mō ngā tamariki whai CP. Ka āwhina ngā mahi totoro ki te pupuri i te ngāwari me te whakaiti i te pakari o te uaua. Hei tāpiri, ka āwhina ngā mahi nekeneke i ngā tamariki ki te neke haere noa ake, me te whakaiti i te mōrearea o te whakahekenga o ngā uaua.
2. Whakangungu Kaha: He mea nui te kaha o ngā uaua tino pai mō ngā tamariki whai CP kia taea ai e rātou te mahi i ngā mahi o ia rā me te whai hua ake. Ka hangaia e te kaiwhakaora tinana ngā mahi whakangungu kaha e hāngai ana ki ngā pūkenga o te tamaiti hei āwhina i te whakapai ake i te kaha o ngā uaua e tautoko ana i tō rātou tū me te nekehanga.
3. Ngā Tikanga Whakangā me te Whakahaere Mamae: He maha ngā tamariki whai CP e mamae ana nā te koretake o te uaua, nā ētahi atu raruraru uaua rānei. Mā ngā tikanga whakangā pēnei i te whakaora wera me te makariri, te mirimiri, me te whakaoho hiko i ngā io ka āwhina i te whakaiti i te mamae me te kore whakamarie.
4. Ngā Mahi Taurite me te Whakariterite: Mā te kaiwhakaora tinana tāu tamaiti e āwhina ki te whakapai ake i tōna taurite me te whakaritenga. Tērā pea ka uru atu ki ēnei mahi ngā taputapu pēnei i te pōro taurite, te trampoline, te āwhina hikoi rānei.
5. Te Whakamahinga o ngā Taputapu Āwhina: I ētahi wā, ka hiahiatia pea ngā taputapu āwhina pēnei i ngā orthotics, ngā tūru wīra, ngā hikoi rānei hei āwhina i te tamaiti kia neke motuhake ake. Mā te kaiwhakaora tinana te tamaiti e āwhina ki te ako ki te whakamahi i ēnei taputapu me te whai hua.
6. Whakaora Mahi: Ka arotahi tēnei whakaora ki ngā mahi o ia rā. Ka akona ngā tamariki ki te mahi i ngā mahi pēnei i te kai, te whakakakahu, me te whakamahi i te wharepaku kia motuhake ake.
7. Whakaoraora wai: He huarahi tino whai hua te whakaoraora wai mō ngā tamariki whai CP. Mā te wai ka tautoko ngā tamariki kia tū, kia nekeneke ngāwari ake i roto i te wai, ā, ka taea ai ngā mahi whakakori tinana kāore e taea i runga i te whenua.
Te Mahi Ngātahi me ngā Rōpū Maha-mātauranga
He maha ngā wā ka mahi tahi ngā kaiwhakaora tinana hei wāhanga o tētahi tīma maha-mātauranga e uru ana ki ngā tākuta tamariki, ngā tākuta roro, ngā kaiwhakaora mahi, ngā kaiwhakaora reo-kōrero, me ētahi atu tohunga e whai wāhi ana ki te tiaki i ngā tamariki whai CP. Ka mahi tahi tēnei tīma ki te whakawhanake i tētahi mahere maimoatanga whānui e aro ana ki ngā āhuatanga katoa o te hauora me ngā matea o te tamaiti.
Te Tūranga o ngā Mātua me te Whānau
He mea nui te mahi a ngā mātua me ngā whānau ki te angitu o te whakaora tinana mō ngā tamariki whai CP. Me mahi tahi rātou me te kaiwhakaora tinana kia mārama ai rātou ki te mahi i ngā mahi whakakori tinana i te kāinga, me te aroturuki i te ahunga whakamua o te tamaiti. Hei tāpiri, he mea tino nui te tautoko kare ā-roto me te hihiri mai i te whānau i roto i te haerenga whakaora tinana a te tamaiti.
Whakamutunga
He mate pūnaha io te pararutiki roro e pāngia ai te nekehanga me te taunga o te tinana. Ahakoa kāore he rongoā mō te CP, ko te whakaora tinana tētahi o ngā momo wawaotanga tino whai hua hei āwhina i ngā tamariki e pāngia ana e tēnei mate. Mā te huarahi tika me te mahi tahi a te tīma me te whānau maha-mātauranga, ka taea e ngā tamariki whai CP te whakatutuki i ō rātou pūmanawa katoa i roto i te nekehanga me te mahi tinana. Ehara i te mea ka whakapai ake te whakaora tinana i te kounga o te oranga o te tamaiti engari ka whakarato hoki i te tumanako me te tautoko mō ngā whānau e haere tahi ana i tēnei haerenga.
