firsn%,a fmda,ais frda.sS ;;ajhg m%;sldr flfrkafka flfiao@
firsn%,a fmda,ais frda.sS ;;ajh iqjlsÍug kqmq¿jk' tfy;a" fndfydaúg <ufhl=f.a yelshdjka ÈhqKq lsÍug úúO m%;sldrl l%u WmldÍ jkjd we;' Tjqkaf.a wdndOhkg ksis mßÈ l<ukdlrKfhka hqla;j m%;sldr l<fyd;a fndfyduhla <uqka" idudkH jeäysá Ôú;hg wdikakj l,a.; lsÍfï jdikdj ,nkjd we;' idudkH jYfhka i,lk úg" m%;sldr lsÍu l,skau mgka.kakd ;rug" ixj¾Ok wdndOhka uevmj;ajd .ekSfï jdish <uqkag ,efnkjd we;' ke;fyd;a Tjqkag t,a, jk wNsfhda.hka ch.ekSfï ld¾hh uqÿkam;a lr .; yels kj l%ufõohka bf.kSug yelshdj ,efnkq we;' firsn%,a fmda,ais frda.sS ;;ajfhka fmf,k iEu mqoa.,hl=gu tlfia m%;sldr lsÍug iu;a iïu; ms<shula fkdmj;S' frda. úksYaph isÿlr.;a miqj" yd fud<h wvmK ùfï j¾.h ks.ukh lr.;a úg" fi!LH fiajd jD;a;slhka lKavdhula" orejd iy Tyqf.a fyda wef.a foudmsfhda iu. tla ù ksYaÑ; wdndOhka iy wjYH;d y÷kd .ekSug l%shd lrkjd we;' bkamiq orejdf.a Ôjk ;;a;ajhg wys;lr jkakd jQ m%Odk wdndOhka uev,Sug fhda.H m%;sldruh jevms<sfj<la ilia lrkjd we;'
YdÍßl Ñls;aidj ^Physical therapy& (
fuu jFdhdu mgka .efkkqfha Ôú;fha uq,a wjqreÿ lSmh ;=<§ h' ke;fyd;a frda.h úksYaph lr.;a blaukskau m%;sldr lsÍu jeo.;a fjS . ksYaÑ; jFdhdu ud,d .Kkdjla tkus Tfrd;a;= §ug bjy,a jkakd jQ fyda Yla;s j¾Ok jFdhdu jevigyka " fmaYS Yla;sh" iunr;djh iy pd,l l=i,;d mj;ajd f.k hdug yd jeä ÈhqKq lr.ekSug iy yels,Sï j<lajd .ekSug fhda.H l%shd ldrlïj, fhoùu' úfYaI wdOdrl ^special braces, orthotic devices hhs y÷kajkq ,nk& tyd fuyd hdfï yelshdj ÈhqKq lsÍug iy uia;sial fmaYSka È.yeÍug bjy,a jk tajd Ndú;d lsÍu o jeo.;ah'
l%shdldÍ fyda jD;a;suh Ñls;aidj ^Occupational therapy& (
YrSrfha l%shdlÍ;ajh by,u ;;a;ajhhg k.d isàug fuys wruqKhs' l%shdldÍ;aj WmfoaYlhka" we| me<| .ekSï" mdi,g hdu iy tÈfkod lghq;=j, ksr;ùug wod< jk kj l%ufõohka mqyqKq lsÍug Wmfoia fokjd we;'
úfkdaod;aul Ñls;aidj ^Recreation therapy& (
ixialD;sl jevigyka" l%Svd yd fjk;a lghq;= j,fhfoñka mqoa.,hdf.a YdÍßl yd wjfndaOd;aul l=i,;d iyd yelshdjka úmq,Ndjhg m;a lr .ekSug Èßu;a flf¾' fufia úfkdaodiajdol Ñls;aidjg iyNd.S jk foudmshka ;u orejdf.a l:dny lsÍu" wd;audNsudkh iy Ñ;a; fjS.Sh .=K j.djg wod, hym;a ÈhqKqjla ,nk whqre f;areï .ks;s'
l:k yd NdId Ñls;aidj ^ Speech and language therapy )
fuh orejl=f.a l:d lsrSfus iy .s,SfuS wmyiq;djka u.yrjd,Sug WmldrS fjs'
kj ud¾.hka yryd ixksfõokh lsÍug b.ekajSu - ix{d NdIdj Ndú;fhka fyda lgy~ iuia:hlg .,md .ekSug fldïmshqgrh jeks úfYaI ixksfõokSh fuj,ï ;=<ska orefjl=g Tyq f.a fyda wef.a ukdmhka fmkajd isàug bjy,a jkakd jQ tÈfkod lghq;= j,§ yuqjk ixfla;hka iy l%shdldrlïj,ska hq;a úfYaI mqjrejla Wmfhda.S lr .ekSu jeks l%u fjsSohka ;=<ska orejdf.a l:k iy ixksfõokh l=i,;djh j¾Okh l< yel'
wdydr .ekSfï § iy fl<je.sÍu wdY%s; .eg¿ ms<ì| m%;sldrhka ,nd §u
fujeks <uqka ;=< wdydr mdk .ekSfï ÿIalr;d u;=ùu" Tjqkaf.a uqLh" ylal yd Èj fufyh ùug wod, fmaYSka ukdj md,kh lr .ekSug Tjqka i;= yelshdj wvq neúks' Tjqyq wdydr fyda Èhr yqiau .ekSfï § fmky¿ ;=<g weo .ekSug isÿ ùfï wjodkug ,laùu fukau ukaofmdIKh h<s h<s;a fmky¿ wdidokhg ,laùu iy fmky¿ .; frda. jeäùu hkd§ wjodkï j,g o ,lafj;s'
T!Iëh m%;sldr ,nd §u
láka fnfy;a ,nd§u' vhiSmï" nelaf,daf*ka" vekafg%d,Ska fidaähï iy áidksvhska" oro~q" yels<S we;s fyda wê l%shdldÍ fmaYSka ,sys,a lsÍfuys ,d ,nd fokq ,nk m<uqjk fmf<a m%;sldr jYfhka idudkHfhka ,nd fokq ,efí' we;eï fnfy;a .ekSfuka ksÈu; ùu" reêr mSvkfha fjkialï we;s ùu" È.gu iqëCIKh lsÍu wjYH jkakd jQ wlaudjg ydkslr wjodkï u;=ùu jeks we;eï w;=re úmdl we;s fõ' fmaYS wd;;sh wvq fyda me;sreKq udxY fmaYS we;s <uqka ioyd uqLfhka ,nd .kakd m%;sldr jvd fhda.H fjs .
fndáhq,skqï fgdlaiska ^BT-A&
firsn%,a fmda,ais frda.sS ;;ajh mj;sk orejka f.a wêl%shdldÍ fmaYSka i|yd iïu; m%;sldrhla njg fuu tkak; m;a ù ;sfí' BT-A yels¨kq fmaYSka ,sys,a lrkqfha iakdhq ffi,hka wêl%shdldÍ fmaYSka flfrka /l.ekSfuks' BT-A tkakf;ys ,sys,a lsÍfï n,meje;aùu o< jYfhka udi 3 la ;rï l%shd;aul fõ' tkak; §fï § we;s jk fõokdj iy jßkajr fiïm%;sIHdj jeks frda. ,laIK flá ld,Skh' YdÍßl wNHdij, fh§u jeks l,la ;siafia lrf.k hk ms<sfj;a j,ska wkq.; jQ úg BT-A jQ tkak; w;sYhska hym;a m%;sM, ,nd§ug iu;a fõ' tu.ska BT-A tkak; jvd;a fyd¢ka .=Kodhl jkafkah' ta pd,l l%shdldrlï flfyß hï wdldrhl md,khla ysñ orejka i|yd Wmfhda.S ùfïys ,d m%;sldr ,nd Èh hq;= fmaYSka .Kk iSñ; ùu;a tajd lsisjla ;o fyda ±ä fkdjk úgh'
bkag%e;sl,a ne.af,df*ka Ñls;aidj ^ Intrathecal Baclofen Therapy&
fmaYSka ,sys,a lrkakla jk nelaf,df*ka fnfy; iDcqju iqiqïkdj jgd we;s ;r,hg fmdïmhla Ndú;d lrñka ,nd foa' nelaf,df*ka iqiqïkdfjys iakdhq ffi, WoaossSmkh my; fy<hs' tu.ska fmaYSkays oevs nj my; fy<hs' Èjd ld,fha fyda rd;%S ld,fha we;eï fõ,djkays fmaYskays ;dkh oreKq jkafka kï Bg" iß,k mßÈ fmdïmfha iSreudre l< yelsh' ksoka.;" oevs fmaYS j, oro~q .;sh fyda YÍrh mqrdu md,kh lsrSug nelaf,df*ka fmdïmh b;d fhda.H fõ'
Y,H ffjµl¾uh ^ Surgery& (
úl,dx. Y,Hl¾u (
weúof.k hdu fyda wx. p,kh wmyiq fyda fõokd;aul jk ;rug uia;sIal .eiau iy oro~q ùu W.% jQ úg úl,dx. Y,Hlrï fndfydaúg ks¾foaY flf¾' firsn%,a fmda,ais frda.sS ;;ajfhka fmf<k fndfyda fofkl=g Tjqka .uka lrk wdldrh ÈhqKq lsÍu .uka ,S,dfõ fmkqu ÈhqKq lsÍu o jeo.;a fõ' iudkqmd;slj muKg jvd flá fmaYSka yd lKavrdjhka Èla lsÍug;a tu.ska ixp,;djh jeä ÈhqKq lsÍug yd fõokdj wvq lsÍug Y,H ffjµjre iu;a fj;s' lKavrdj Y,H l¾u ^tendon surgery& u.ska firsn%,a fmda,ais frda.sS ;;ajfhka fmf<k <uqkaf.a frda. ,laIK ms<sn|j msysgùug yelshdj mj;S' tfy;a" tu.ska §¾> ld,Skj n,meje;aúh yels wys;lr úmdl o f.k§ug bv ;sfí' <ufhl=f.a jhig yd pd,l ixj¾Okfhys uÜgug iß,k mßÈ úl,dx. Y,H l¾uhka lsÍu o we;eï úg iqÿiq mßÈ kshu lr .kakjd we;' firsn%,a fmda,ais frda.sS ;;ajfhka fmf<k whf.a iqiqïkd úmß;;dj ksjerÈ lr§ug fyda fndfyda fihska jeä ÈhqKq lsÍug o Y,H l¾u Wmfhda.S lr .ekSug mq¿jk'
iakdhq lemSfï Y,H l¾uh ^SDR& (
uia;sIal .eiau fyda l,amj;sk fõokdjka wvq lr,Su Wfoid" YdÍßl wNHdi uqLfhka .kakd T!IOhka iy iqiqïkd ;r,h ;=<g hjk ^intrathecal& nela*ef,daka - wid¾:l jQ úgl tkï jvd;a wdrlaIdldÍ m%;sldr úëka ish,a,u wid¾:l jQ úg oreKq wkaofï uia;sIal .eiau we;s frda.Ska i|yd ks¾foaY lrkq ,nkakd jQ Y,H lAruh mámdáhla jYfhka Selective Dorsal Rhizotomy (SDR) ie,fla' fmaYSka ,sys,a lsÍug iy l,amj;akd fõokd ;=kS lsÍug" Y,H ffjµjrfhla lfYareld fmaÀldfõ uq,a mokfuys wêl%shdldÍ iakdhq msysàu fidhd f;dard f.k fjka lrhs' fufia SDR ie;alu nyq, jYfhka Ndú;d flf¾' th wê l%shdldÍ wx.hla ksjrÈ lsÍug o we;eï úg Ndú;d flf¾.
Wmldrl Wmdhhka (
fuys,d Wmldrl Wmdhhka .Khg fldïmshqg¾" lvy~ taldldrj ixiaf,aIkh lr ilia lsÍfï Wmdhhka iy Ñ;% fmd;a jeks fujeks mqoa.,hkaf.a ixksfõok l=i,;dj jeä ÈhqKq lr§ug fndfyda fihska WmldÍ jkjd we;' f.or fodr yd jevm< wjg we;s fjk;a foaj,a ;=<ska fus whf.a ffoksl lghq;=j,g yqre mqreÿ ùug myiqlï ie,fikjd we;'
Orthotic Wmdhhka" fmaYSh wiu;=,s;;dj wvq ¨yq~qlï imqrd ,Sug iy iajdëkj l%shdldÍ ùfï yelshdj ÈhqKq lr§ug WmldÍ fõ' b| .ekSu , ysg .ekSu jeks l%shdldrlï ÈhqKq lsÍug ndysr Yla;sh jdrej ,nd fok lsys,slre yd w;aj,¨ Ndú;d flf¾' fjk;a fmaYSka È.yer .ekSug fyda ykaÈhl ia:dk.; lsÍulg WmldÍ fõ' w;aj<¨" lsys<slre" úfYaI mqgq iy fjk;a Wmdhhu fuj,ï wdndê; whg jvd;a myiqfjka b|.ekSug iy tÈfkod lghq;= myiqfjka lr .ekSug WmldÍ jjkjd we;' frdao mqgq" l%shdldÍ .uka wdOdrlhka ^Tread Mills wdÈ& n,.ekaúh yels ial+grhkao ksoyfia weúof.k hd fkdyels whg WmldÍ jkjd we;'
oDYHOdrl jYfhka Wmeia" úYd,kldrlhka ^Magnifiers& iy f,dl= Ñ;% fmd;a iy fldïmsgqh¾ ghsma f*aia ie,fla' fud<h wvmK jQ we;eï mqoa.,hkaf.a øDIH .eg¿ ksjerÈ lr .ekSfuys ,d ie;alï Wmfhda.S lr .ekSu wjyH úh yel' Y%jH wdOdrl yd ÿrl:k y~ jeä lrk WmlrK fujka whg jvd myiqfjka Y%jKh lsÍug Wmldß jkq we;'
W!kmQrl yd úl,am Ñls;aidjka
firsn%,a fmda,ais frda.sS ;;ajfhka fmf<k jeäysáhka yd <uqka fndfya fofkla W!kmQrl fyda úl,am T!IO Ndú;d lr;s' tjka Ñls;aidjka w;r hyperbaric oxygen therapy jeks úfYaIs; bf.kSfï Wmdh ud¾. we;=<;a fõ' tfiau" Ydlidr we;=¿ w;sf¾l ksIamdÈ; wdydr iy fjk;a ksIamdÈ;hka fyda Ndú;d lrk fnfy;a j¾. fyda Ndjs;d lsrSug mq¿jk' fuu orejkaf.a foudmshka fulS ish¨u Ñls;aidjka ms<sn|j ffjµjrhd iu. idlÉPd l< hq;=h'
iafgï ffi, Ñls;aidj ^Stem cell therapy& (
firsn%,a fmda,ais frda.sS ;;ajuhg m%;sldrhla jYfhka úu¾Ykh lrf.k hkq ,efí' tfy;a" fï ms<sn| wOHhkhka ;ju;a uq,a wjÈfha mj;akd w;r" ñksiqka i|yd Ndú;d lsÍug ;rï fuu m%;sldr úêh wdrlaId iys; iy .=Kodhl jkafka ±hs ksYaph lr .ekSu wrNhd ukd mßudK idhksl w;ayod ne,Sï wjYH jkjd we;' uq,la ^Stem& ffi,hkao" YÍrfha fjk;a ffi, j¾.hka iu. tla ù l%shdldÍ ùfï yelshdfjka hqla; fõ' ydkshg m;aj we;s iakdhq yd fud<fha mglhka m%lD;Ska lsÍfuys,d uQ,sl ffi,hka ^Stem cells& iu;a jkq we;ehs úµd{hka ;=< Y=Njd§ wfmalaIdjla mj;S' fmlks jef,ka ,nd .kakd uq,a ffi,hka" firsn%,a fmda,ais frda.sS ;;ajfhka fmf<k <uqkag we;=¿ lsÍfï wdrlaIs; Ndjh iy ord .ekSfï yelshdj mÍCId lrñka isá;s'