ʻIke ʻoe, he mea maʻamau ka loaʻa ʻana o kahi palapū liʻiliʻi a i ʻole kahi ʻōpala i ka wā e hana ana a pāʻani ana paha i kēlā me kēia lā. Inā paha e kuʻi ana i ka papaʻaina a i ʻole e pāʻani ana me kāu mau keiki, i kekahi manawa e loaʻa iā ʻoe kahi kiko polū a poni paha ma kou ʻili. Akā i kēia lā e kamaʻilio mākou e pili ana i kahi palapū i ʻoi aku ka hohonu a pono e nānā hou aku. Ua kapa ʻia kēlā he ʻūpā iwi .
He aha ka ʻeha o ka iwi?
I ka ʻōlelo maʻalahi, he ʻeha ka iwi i kou iwi. Ua like ia me ka ʻeha ma kou ʻili. Eia naʻe, ʻoi aku ka koʻikoʻi ma mua o ka ʻeha ma ka ʻili. I kekahi manawa kapa ʻia e nā kauka he 'bone contusion'. ʻO Contusion ka huaʻōlelo lapaʻau no ka ʻeha.
ʻO ka palapū ke hōʻiliʻili ʻia ke koko ma lalo o ka ʻili o kou iwi ma hope o kahi hahau ikaika. He ʻiʻo ola nō hoʻi kou mau iwi. E like me ka hiki ke palapū ʻia kou ʻili, hiki ke palapū ʻia nā iwi. Eia nō naʻe, ua palapū ʻia ka iwi ke hahau ʻia ʻoe me ka ikaika nui ma mua o ka haki ʻana o ka ʻili. Hiki i ka iwi ke kahe ke koko mai loko mai me ka ʻole o ka haki ʻana.
E noʻonoʻo, inā ʻoe e hāʻule a loaʻa paha i kahi ulia kaʻa, a manaʻo ʻoe i kahi ʻeha ʻoi loa me he mea lā e hele mai ana mai ka iwi mai, pono ʻoe e ʻike i ke kauka a hele paha i ka haukapila.
Aia kekahi ʻano palapū?
I kēia manawa, e nānā kākou i nā ʻano haki iwi. Hiki i ke kauka ke hoʻokaʻawale i kēia mau haki ma muli o ko lākou wahi:
- ʻO ka ʻeha Periosteal: He membrane lahilahi ka periosteum e hoʻopuni ana i ka hapa nui o kou mau iwi a loaʻa iā ia nā kīʻaha koko a me nā aʻalolo. He palapū kēia i kēia membrane.
- ʻO ka ʻeha subchondral: Hana ʻia kēia ma kahi hui, ʻo ia hoʻi, ma ka iwi ma lalo o ke cartilage i loko o nā hui. E noʻonoʻo e like me ke kuli.
- ʻO ka contusion intraosseous: I kēia hihia, aia ka ʻeha i loko o ka iwi.
Ma hea kahi e ʻike pinepine ʻia ai?
He mea maʻamau ka loaʻa ʻana o kēia mau palapū iwi ma hope o kahi ulia nui a i ʻole kahi ʻeha koʻikoʻi. No ka laʻana, e like me ka ʻōlelo a nā loea, ma kahi o 80% o ka poʻe i haehae i ka ACL (Anterior Cruciate Ligament) ma ke kuli he palapū iwi ko lākou ma ka hui kuli.
ʻOiaʻiʻo, hiki i kēia mau palapū ke loaʻa i loko o kekahi iwi o ke kino. Eia nō naʻe, ʻoi aku ka maʻamau o ia mau mea ma nā iwi lōʻihi, ʻoiai hoʻi ma kou mau wāwae:
- ʻūhā
- Iwi ʻūhā (Tibia)
- ʻO Fibula (iwi liʻiliʻi ma hope o ka tibia)
He aha nā hōʻailona? He aha kou manaʻo?
ʻAe, e nānā kākou i nā hōʻailona o kahi ʻeha iwi. Hiki iā ʻoe ke manaʻo i nā mea e like me kēia:
- ʻEha iwi: He ʻeha ʻoi a hohonu.
- Palupalu: ʻEha nui ke hoʻopā ʻoe i ka ʻāpana .
- Pehu: Hiki ke pehu ka ʻāpana i ʻeha.
- Ka palapū a i ʻole ke kala ʻana o ka ʻili: I kekahi manawa e lilo paha ka ʻili o ka ʻili i polū/poni.
Pehea kēia manaʻo?
ʻO ka ʻeha o ka iwi e like me ka ʻeha ʻoi aku ka nui a hohonu ma mua o ka ʻeha maʻamau o ka ʻili. ʻEha ka ʻeha ma ka ʻili a i ʻole kahi ʻāpana ʻiʻo ke hoʻopā ʻoe iā ia. ʻO ka ʻeha o ka iwi e like me ka ʻeha palupalu a ʻeha e puka mai ana mai loko mai o ke kino. I kekahi manawa, ma muli o ka iwi i ʻeha, hiki ke ʻoi aku ka ʻeha ke neʻe ʻoe, kū, a paʻa paha i kekahi mau kūlana.
No ke aha lā kēia e hana nei? He aha nā kumu?
No ke aha e loaʻa ai nā palapū iwi? I ka ʻōlelo maʻalahi, hiki ke loaʻa kēia ʻano inā ʻoe e paʻi i kahi mea ikaika e hōʻino ai i kou mau iwi.
ʻO kēia ka mea e alakaʻi pinepine ai i nā pōpilikia nui a me nā ʻeha:
- Nā ulia haʻuki: E noʻonoʻo i ka pā ʻia ʻana e ka pōpō i ka wā e pāʻani ana i ka cricket, a i ʻole ka hāʻule ʻana i ka wā e pāʻani ana i ka pôpeku.
- Hāʻule: Ka hāʻule ʻana mai kahi kiʻekiʻe mai, e like me ka hāʻule ʻana i lalo o kahi alapiʻi.
- Nā ulia kaʻa.
ʻO nā ʻeha e pili ana i ka wili ʻana i kou mau hono a i ʻole ke kino e hiki ai ke kumu i ka haki ʻana o ka iwi. No ka laʻana, hiki i kahi kuʻekuʻe wāwae a kuli paha ke kumu i ka haki ʻana o ka iwi ma muli o ke kaomi e kau ai ma luna o nā iwi.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
Hiki i kekahi ke loaʻa ka iwi haki, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe:
- Nā mea pāʻani e pāʻani ana i nā haʻuki pili: e like me ka rugby a me ka mokomoko.
- ʻO nā kānaka me nā hana a i ʻole nā leʻaleʻa e koi kino ana.
- ʻO nā kānaka me kekahi mau maʻi koko.
- ʻO nā kānaka me nā maʻi hono e like me ka arthritis.
He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau? (Nā pilikia)
Inā ʻaʻole e mālama koke ʻia, hiki i kēia palapū iwi ke hoʻonāwaliwali i kou mau iwi a hiki ke alakaʻi i ka haki iwi . ʻO ka pinepine, ʻo nā pōpilikia like e hana ai i nā palapū iwi hiki ke alakaʻi i nā haki iwi.
E noʻonoʻo, ua palapū kou iwi, akā inā ʻoe e hoʻowahāwahā iā ia a hoʻomau i ka hoʻohana ʻana, e kau ana i ke kaomi ma luna, hiki ke hoʻonui ʻia ka pōʻino a hiki i ka iwi ke nahā a haki paha.
Pehea e ʻike ai ke kauka i kēia?
I kēia manawa, e nānā kākou pehea e hiki ai i ke kauka ke ʻike pololei i ka haki ʻana o ka iwi. E nānā ke kauka iā ʻoe a hana i kekahi mau hoʻokolohua kiʻi e hōʻoia i kēia.
E nānā pono kāu kauka i kou iwi i ʻeha a me ka ʻāpana e pili ana. Pono hoʻi ʻoe e haʻi i kāu kauka i ka wā i hoʻomaka mua ai ʻoe e ʻike i nā hōʻailona e like me ka ʻeha a me ka pehu, a inā ʻike ʻoe i ke kumu (e like me ka hāʻule ʻana a i ʻole ka ulia haʻuki). Eia kekahi, e haʻi iā ia inā e hoʻonui (a emi paha) kēia mau hōʻailona me kekahi mau hana, neʻe ʻana, a i ʻole nā kūlana.
He aha ke ʻano o nā hoʻokolohua e hana ʻia?
Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua kiʻi like ʻole e kiʻi i nā kiʻi o kou mau iwi a me nā wahi a puni:
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging): ʻO kēia ke ala maʻamau e ʻike maopopo ai i ka haki iwi.
- Hoʻokolokolo ʻana o ka ultrasound.
- ʻO ke kiʻi CT (Computed Tomography).
ʻAʻole hiki i kahi X-ray ke hōʻike i kahi palapū iwi. Eia nō naʻe, hiki i ke kauka ke lawe i kahi X-ray e nānā inā ua haki kahi iwi.
He aha nā lāʻau lapaʻau? He aha kaʻu e hana ai e ho'ōla?
ʻAe, e nānā kākou i ke ʻano o ka lāʻau lapaʻau no kēia. E aʻo aku ke kauka iā ʻoe e hōʻemi i ke kaomi ma ka iwi i ʻeha a mālama iā ia ma ke ʻano e kōkua ai i kona ho'ōla ʻana.
Hiki i nā poʻe he nui ke mālama i kēia mau hōʻailona ma ka home me ka hoʻohana ʻana i ke ʻano RICE :
- R (Hoʻomaha): E hōʻalo i ka hana kino ikaika. E hoʻāʻo e pale i ka hoʻohana ʻana i ka ʻāpana i ʻeha a hiki i ka wā e ho'ōla ai.
- ʻAu (Hau): E kau i kahi ʻeke hau ma ka ʻāpana i ʻeha no kahi o 15 mau minuke i kekahi mau manawa i ka lā. E hoʻomanaʻo e kāʻei i ka ʻeke hau i loko o kahi lole lahilahi i ʻole e hoʻopā pololei i ka ʻili.
- C (Compression): E kāʻei i kahi kāʻei elastic a puni ka iwi i ʻeha e hōʻemi i ka pehu. E hōʻike kāu kauka iā ʻoe pehea e hana pono ai i kēia.
- E (Kiʻekiʻe): E mālama i ka iwi i ʻeha ma luna o ka pae o kou puʻuwai i nā manawa hiki.
Aia kekahi mau lāʻau lapaʻau ʻē aʻe:
- Nā Lāʻau Lapaʻau: No ka hōʻemi ʻana i ka pehu a me ka ʻeha, hiki i kāu kauka ke hāʻawi iā ʻoe i nā lāʻau ʻeha e like me NSAID (Nonsteroidal Anti-inflammatory Drugs) (e.g. ibuprofen) a i ʻole acetaminophen (e.g. Panadol). E haʻi pololei kāu kauka iā ʻoe i ka lōʻihi o kou lawe ʻana i kēia mau lāʻau a me ka pinepine. Mai lawe mau i nā lāʻau ʻeha no nā lā he 10 a ʻoi me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa kino a me nā kīkoʻo e kōkua i ka hoʻoikaika ʻana i kou mau ʻiʻo, hoʻonui i ka maʻalahi, a hoʻihoʻi i ka laulā o ka neʻe ʻana ma kahi ʻāpana o kou kino. He mea kōkua nui kēia inā aia ka ʻeha i loko a kokoke paha i kahi hui.
- Hoʻopaʻa: Hiki i kāu kauka ke haʻi aku iā ʻoe e komo i kahi splint , brace , a i ʻole cast (e like me ka plaster of Paris). Hoʻopaʻa kēia i kou iwi i kahi, hoʻēmi i ke kaomi ma luna, a kōkua iā ia e ho'ōla. E haʻi pū kāu kauka iā ʻoe i ka lōʻihi o kou mālama ʻana iā ia ma kahi.
Pehea ka wikiwiki o kona ho'ōla ʻana?
I kou hoʻomaka ʻana e mālama i kāu mau hōʻailona, e hoʻomaka mālie ʻoe e ʻoluʻolu. I kou hoʻomaka ʻana e lawe i nā lāʻau hōʻeha a hōʻemi i ka hoʻohana ʻana i ka iwi i ʻeha, pono e emi mālie ka ʻeha a me ka pehu.
Eia nō naʻe, mai hoʻomau i kekahi hana kino a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. He manawa ka lōʻihi no kou iwi e hoʻihoʻi hou i kona ikaika a ho'ōla loa.
Inā ʻoe e kau i ke kaomi ma luna o ka iwi haki ma mua o kona ho'ōla pono ʻana (ma ka pāʻani ʻana i nā haʻuki, hele ʻana i ka hana, a i ʻole ka hana ʻana i ka hoʻoikaika kino ikaika), ʻoi aku ka nui o ka pilikia o ka haki ʻana ma kahi nāwaliwali kokoke i ka palapū.
He aha ka mea e manaʻo ai?
Hiki iā ʻoe ke manaʻo e ho'ōla ʻia kahi iwi haki. Akā hiki ke lōʻihi ka manawa, a i kekahi manawa hiki ke lilo i mea hoʻonāukiuki iki.
ʻO ka maʻamau, ʻaʻole e ʻoi aku ka ʻino o kahi palapū ma ka ʻili (ʻoiai hiki ke ʻeha inā poina ʻoe e ʻoki iā ia). Akā, ʻokoʻa ka palapū iwi. No ka mea, he ʻeha ia i ka iwi, he mea nui e hāʻawi i kou kino i ka manawa e ho'ōla ai. Ma muli o kahi o ka palapū, pono paha ʻoe e noho mamao mai kekahi mau hana no kekahi manawa. Hiki ke ʻoi aku ka hoʻoluhi inā pono ʻoe e hoʻōki i ka pāʻani ʻana i kahi haʻuki, pāʻani, a i ʻole kahi leʻaleʻa āu e hauʻoli ai no kekahi manawa.
E kamaʻilio me kāu kauka e pili ana i ka lōʻihi o kou pale ʻana i ka hana kino ikaika a i ʻole ka hoʻoikaika kino. Ma kēlā ala, e loaʻa iā ʻoe kahi manaʻo maopopo o ka mea e manaʻo ai.
ʻEhia ka lōʻihi e ho'ōla ai?
He manawa ka lōʻihi e ho'ōla ai i nā ʻeha iwi. Ho'ōla ka hapa nui o nā ʻeha iwi i loko o kekahi mau pule. Eia nō naʻe, hiki i kahi ʻeha ʻoi aku ka koʻikoʻi ke hala i nā mahina (a ʻoi aku paha) e ho'ōla piha ai.
ʻO ka lōʻihi o ka ho'ōla ʻana o kahi ʻeha iwi e pili ana i ke ʻano o ka ʻeha, ka iwi hea, a inā he mau ʻeha ʻē aʻe i ka manawa like.
Pehea ʻoe e pale aku ai i kēia? (Pehea ʻoe e pale aku ai?)
ʻAʻole paha ʻoe e hiki ke pale aku i ka iwi haki. ʻO ka hapa nui o ka manawa, ua hana ʻia kēia mau ʻeha e nā ulia pōpilikia ma waho o kou mana. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka ʻeha ma ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo palekana:
- E kau mau i ke kāʻei palekana i ka wā e holo ana i loko o ke kaʻa.
- E komo i nā lako palekana kūpono no kēlā me kēia haʻuki, hana, a hana kino paha.
- E mālama i kou home a me kāu wahi hana i maʻemaʻe a kaʻawale mai nā mea e hiki ai iā ʻoe ke paheʻe a hāʻule.
- I ke kiʻi ʻana i kahi mea mai luna mai, e hoʻohana mau i kahi mea hana kūpono a i ʻole alapiʻi. Mai piʻi i luna o nā noho a i ʻole nā papa ʻaina.
- Inā pilikia ʻoe i ka hele wāwae a i ʻole ua pilikia nui ʻoe i ka hāʻule ʻana, e hoʻohana i ke koʻokoʻo a i ʻole ka mea hele wāwae .
Pono ʻoe e ʻike i ke kauka?
ʻAe, ʻoiaʻiʻo nō. Inā manaʻo ʻoe he ʻeha iwi kou, pono ʻoe e ʻike mau i ke kauka. ʻOiai ʻaʻole pono ʻoe e ʻike i ke kauka no kahi ʻeha maʻamau, pono ʻoe e ʻike i ke kauka no kahi ʻeha iwi.
Inā ʻeha kou iwi no nā lā he nui, a inā he mau hōʻailona ʻē aʻe kāu e like me ka pehu ʻana, ka paʻakikī i ka neʻe ʻana i kahi ʻāpana o kou kino, a i ʻole ka ʻeha i ka wā e hoʻohana ai, e ʻike i ke kauka.
Inā loaʻa iā ʻoe kahi ulia koʻikoʻi, e like me ka hāʻule nui ʻana a i ʻole kahi ulia kaʻa, e hele koke i ka ʻoihana pilikia o ka haukapila.
He aha kāu e nīnau ai i ke kauka?
Hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:
- He ʻeha koʻu iwi a he ʻeha ʻē aʻe paha?
- He aha ka iwi i ʻeha i koʻu ʻeha? He aha ke ʻano o ka palapū?
- He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
- Āhea e hiki ai iaʻu ke hoʻomaka hou e pāʻani i nā haʻuki, hoʻoikaika kino, a i ʻole e hana hou i nā hana kino ʻē aʻe?
He aha nā pae o ka ho'ōla hou ʻana?
Hoʻololi ke kala o nā palapū ma lalo o kou ʻili i ko lākou hoʻōla ʻana. Hiki ke ʻulaʻula a poni paha i ka wā mua. Inā he ʻili ʻeleʻele kou, hiki ke ʻulaʻula, ʻeleʻele, a ʻeleʻele paha ka palapū. I ka hoʻōla ʻana o ka palapū, hiki ke lilo i ʻeleʻele māmā, ʻōmaʻomaʻo, a melemele paha.
Hele pū kekahi ʻeha iwi i nā pae ho'ōla. Eia nō naʻe, no ka mea aia ka ʻeha i loko o ke kino, ʻaʻole paha ʻoe e ʻike i nā loli i ʻike ʻia ma waho. ʻOi aku ka maikaʻi o ke nīnau ʻana i kāu kauka i ka wā e palekana ai ke kau hou i ke kaomi ma kou iwi i ʻeha a hoʻomau i nā hana maʻamau.
Pehea ʻoe e ʻike ai inā ua haki a wili paha kahi iwi?
ʻO ka haki iwi a me ka ʻūlū iwi he mau ʻeha ʻeha i hoʻokumu ʻia e ka hahau ikaika i ke kino (pinepine ka hāʻule ʻana, ulia kaʻa, a ulia haʻuki paha). ʻO ka ʻokoʻa ma ke ʻano o ka hōʻino ʻia ʻana o kou iwi.
Hana ʻia kahi ʻūlū iwi ke pā kekahi mea paʻakikī i ka iwi a hoʻoheheʻe ke koko, akā, ʻaʻole i haki a haki paha ka iwi.
Hana ʻia ka haki iwi ke hahau ʻia ka iwi me ka ikaika e haki ai ma kahi o hoʻokahi wahi. ʻOi aku ka nui o nā ʻeha o nā haki ma mua o nā palapū. Hiki iā lākou ke lōʻihi ka hoʻōla ʻana ma mua o nā palapū.
Inā ua loaʻa ʻoe i kahi ulia koʻikoʻi a loaʻa ka ʻeha ma kahi kokoke a i ʻole ma ka iwi, e hele koke i ka ʻoihana pilikia o ka haukapila. Me ka nānā ʻole i ke ʻano o ka ʻeha āu i loaʻa ai, he mea nui loa ia e nānā koke ʻia kou iwi.
E noʻonoʻo e pili ana i ia mea, inā paha e kuʻi ʻoe i kou wāwae ma luna o kahi papa ʻaina kope a i ʻole e paʻakikī iki ʻoe i ka wā e pāʻani ana i ka basketball me kahi hoa hui, e loaʻa iā ʻoe kahi palapū. ʻO ka palapū iwi e like me kahi kiko polū a ʻeleʻele paha ma kou ʻili. Akā he mau ʻeha hohonu kēia, ʻoi aku ka koʻikoʻi.
ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)
E wehewehe pono ana kāu kauka i kahi o kou iwi haki a me nā mea hiki iā ʻoe ke hana e kōkua iā ia e ho'ōla. Mai wikiwiki i ke kaʻina hana ho'ōla. Hiki ke lōʻihi ka manawa, akā pono ia. E kali a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe e hoʻomaka hou i ka hana kino ikaika. Ke ho'ōla loa ʻia kou iwi, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau. Mai hopohopo, a e hahai pololei i nā ʻōlelo a kāu kauka. A laila hiki iā ʻoe ke ho'ōla koke!
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He ʻeha iwi anei ka ʻūpā iwi?
ʻAʻole! ʻAʻole haki a ʻeha paha nā iwi. Ke hāʻule ʻoe a paʻi ikaika ʻia paha, ʻaʻole wale ka ʻiʻo ma lalo o kou ʻili e ʻeha, akā ʻo ka 'ʻili o ka iwi' (poha nā kīʻaha koko liʻiliʻi). Ua kapa ʻia kēia he ʻeha iwi/contusion, he ʻeha nui ia kahi e piha ai ka iwi i ke koko a me ka wai a pehu.
💬 Pehea e hoʻokaʻawale ai i ka iwi haki mai ka iwi palapū maʻamau?
Hoʻōla ʻia kahi palapū ʻiʻo maʻamau i loko o 1-2 mau pule. Eia nō naʻe, inā palapū kahi iwi, aia kahi kiko polū/ʻeleʻele nui ma ka ʻili (Skin discoloration), a aia kahi ʻeha nui o ka iwi i hiki ʻole ke hoʻomanawanui ke kaomi ʻoe i ka iwi palapū me kou manamana lima no nā mahina. He mea maʻamau kēia ma nā wahi e like me ke kuli.
💬 He aha ka lāʻau lapaʻau e pono e hana ʻia e ho'ōla ai i kēia iwi haki?
ʻAʻole hiki ke ʻike ʻia kēia ma kahi X-ray (ma ka MRI wale nō), no ka mea, ʻaʻole i haki ka iwi. ʻO ke ʻano lapaʻau nui no kēia, ʻo ia ke ʻano 'RICE': Hoʻomaha (hoʻomaha piha, mai kau i ke kaumaha ma luna o ka iwi), Hau (e kau i ka hau i nā manawa he nui i ka lā), Compress (e ʻōwili me kahi bandage) a me Elevate (e hoʻokiʻekiʻe i ka wahi). Hiki ke lawe ʻia ka Paracetamol/Ibuprofen no ka ʻeha. He 2-6 mahina ka lōʻihi e ho'ōla piha ai.
ʻO ka ʻeha iwi, ka ʻeha iwi, ka pehu ʻana, nā ʻeha haʻuki, ke ʻano RICE











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