He mea maʻamau loa iā kākou ke loaʻa i nā ʻeha a lilo i polū ke kuʻi mākou i kahi mea ma ko mākou kino, kuʻi i ka puka, a hāʻule iki paha, ʻeā? Kāhea mākou i kēia mau 'ʻeha'. I kekahi manawa ʻeha iki kēia mau mea, akā ho'ōla lākou iā lākou iho i loko o kekahi mau lā. Akā he aha maoli ka ʻeha? No ke aha e loli ai ke kala? E kamaʻilio kākou e pili ana i kēia mau mea a pau i kēia lā.
He aha maoli ka ecchymosis?
I ka ʻōlelo maʻalahi, ʻo ka palapū ka wā e hōʻino ʻia ai nā kīʻaha koko liʻiliʻi ma lalo o ko kākou ʻili a kahe kekahi koko i waho. I ka lāʻau lapaʻau, kapa mākou i kēia (Ecchymosis) . E noʻonoʻo e like me ka paipu wai e pohā iki ana a kahe ka wai. Akā no ka mea ʻaʻohe ʻeha ma ka ʻili o ko kākou ʻili, ʻaʻole e puka mai ke koko, akā, e hōʻiliʻili ana ma lalo o ka ʻili. ʻO kēia koko i hōʻiliʻili ʻia ka mea a kākou e ʻike ai i nā kala e like me ka uliuli, poni, ʻeleʻele, a me ka brown. Ma hope o kekahi manawa, hui pū nā pūnaewele i loko o ko kākou kino e hoʻoponopono i kēia mau kīʻaha koko i hōʻino ʻia, e wehe i ke koko i hōʻiliʻili ʻia, a hoʻihoʻi i ka ʻili i kona kūlana maʻamau.
He aha nā kūlana ʻē aʻe e like me nā palapū?
Aia kekahi mau maʻi ʻē aʻe e like me nā palapū, i hoʻokumu ʻia e ke kahe ʻana o ke koko ma lalo o ka ʻili. E nānā kākou i ke ʻano o lākou. He ʻokoʻa iki kēia mai kekahi i kekahi.
| Inoa kūlana | He wehewehe maʻalahi |
|---|---|
| Hematoma | ʻOi aku ka nui o kēia ma mua o kahi palapū maʻamau. Hiki ke hana ma hope o kahi mea koʻikoʻi, e like me kahi ulia kaʻa a i ʻole kahi hāʻule nui. Manaʻo ia e like me kahi puʻupuʻu liʻiliʻi me ka nui o ke koko ma lalo o ka ʻili, ua pehu, a ʻeha ke hoʻopā ʻoe iā ia. |
| Petekiae | He mau kiko ʻulaʻula liʻiliʻi kēia (ʻaʻole i ʻoi aku ma mua o 2 milimita), e like me nā kiko i hana ʻia me ka wēlau peni. ʻAʻole e lilo kēia mau kiko i keʻokeʻo ke kaomi ʻia me ka manamana lima. |
| Poni | ʻOi aku ka nui o kēia ma mua o ka petechiae, akā ʻoi aku ka liʻiliʻi ma mua o kahi palapū maʻamau (ecchymosis). Ua like lākou me nā kiko poni i hoʻokumu ʻia e nā kahe koko liʻiliʻi ma lalo o ka ʻili. |
ʻO wai ka mea e loaʻa pinepine ai nā palapū?
He mea ia e ʻike ʻia e nā kānaka a pau i kekahi manawa o ko lākou ola. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o nā palapū i kekahi poʻe ma mua o nā poʻe ʻē aʻe, ʻoiai me kahi puʻupuʻu liʻiliʻi. Nui nā kumu no kēia.
- Loaʻa nā maʻi olakino e like me ke kanesa a i ʻole ka maʻi akepaʻa .
- Loaʻa i nā lālā ʻē aʻe o ka ʻohana kahi ʻano hoʻoilina e maʻalahi ka palaho.
- ʻO ka lawe ʻana i nā lāʻau hoʻokahe koko, no ka laʻana ʻo aspirin a i ʻole nā lāʻau lapaʻau koko ʻē aʻe.
- Hoʻohana pinepine ʻia nā NSAID (nā lāʻau anti-inflammatory nonsteroidal), e like me ka ibuprofen a i ʻole naproxen , ma ke ʻano he mau lāʻau hoʻomaha ʻeha.
- Loaʻa nā kūlana e hoʻopilikia ai i ke kāpili ʻana o ke koko, e like me ka hemophilia a i ʻole ka maʻi von Willebrand .
- ʻO ka emi ʻana o ka helu o nā platelets i loko o ke koko. Kāhea mākou i kēia ʻano he Thrombocytopenia .
- Loaʻa iā ʻoe ka nele o ka wikamina C a i ʻole ka wikamina K.
He aha nā hōʻailona o kahi palapū?
Hiki ke ʻokoʻa ke ʻano, ka nui, a me ke kala o kahi palapū ma muli o ke kumu, ke ʻano o ka palapū, a me kahi ma ke kino. Eia kekahi o nā hōʻailona maʻamau e nānā ai.
- Ke ʻeha nei a ʻoʻoleʻa paha i ka wā e hoʻopā ai i ka wahi i palapū ʻia.
- Hoʻololi ke kala o ka ʻili (ʻulaʻula/poni mua, a laila polū/ʻeleʻele, a laila ʻōmaʻomaʻo/melemele/ʻeleʻele a laila nalo).
- I kekahi manawa pehu ka ʻāpana a ʻike ʻia paha he puʻupuʻu, ʻoiai inā he hematoma.
No ke aha e loli ai ke kala o kahi palapū?
He mea hoihoi loa kēia. Hoʻololi ke kala o kahi palapū i ka hala ʻana o ka manawa, i ka hoʻomaʻemaʻe ʻana o ko mākou kino a wehe i ke koko i hōʻiliʻili ʻia. I ka wā mua, lilo ia i polū/poni i ka emi ʻana o ke koko i ka oxygen. Ma hope o kekahi mau lā, hoʻomaka ke kino e wāwahi i ka hemoglobin i loko o ke koko, ka mea e hāʻawi iā ia i kona kala ʻulaʻula. Hoʻokumu kēia i nā hui ʻōmaʻomaʻo (biliverdin) a me ka melemele (bilirubin). ʻO ia ke kumu e lilo ai ka palapū i ʻōmaʻomaʻo a melemele i kona ho'ōla ʻana.
I ka ʻōlelo maʻalahi, ʻo ka loli ʻana o ke kala o kahi palapū he hōʻailona maikaʻi ia e ho'ōla ana kou kino i ka ʻeha!
Pehea ʻoe e mālama ai i nā palapū?
ʻO ka hapa nui o ka manawa, ʻaʻole pono nā palapū maʻamau i kekahi lāʻau kūikawā. E ho'ōla wale lākou i loko o kekahi mau lā a ʻelua pule. Akā aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka hōʻemi ʻana i ka ʻeha a kōkua i ka ho'ōla wikiwiki ʻana o ka palapū.
1. E hoʻomaha:E hoʻomaha i ka ʻāpana i ʻeha. Inā hiki, inā he lālā ia e like me ka lima a i ʻole ka wāwae, e hoʻokiʻekiʻe iā ia, e like me luna o ka uluna. E kōkua kēia i ka hōʻemi ʻana i ka pehu.
2. E kau i ka hau: ʻOi aku ka maikaʻi o ka kau ʻana i ka hau no nā hola 24-48 mua ma hope o kahi palapū. Mai kau pololei i ka hau i ka ʻili. E ʻōwili iā ia i loko o kahi lole a kau no kahi o 15 mau minuke . E hana i kēia i nā manawa he nui i ka lā. E hoʻopaʻa kēia i nā kīʻaha koko a hōʻemi i ke kahe hou ʻana.
3. E hoʻopili i ka wela: Ma hope o kekahi mau lā, hiki iā ʻoe ke kau i kahi ʻōmole wai wela a i ʻole kahi lole mahana i ka wahi. E hoʻonui kēia i ke kahe koko i ka wahi a kōkua i ke kino e omo koke i ke koko i hōʻiliʻili ʻia.
4. Nā lāʻau hoʻopau ʻeha: Inā nui loa ka ʻeha, hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol . Eia nō naʻe, he mea naʻauao ke nīnau i kāu kauka ma mua o ka lawe ʻana i nā NSAID (e like me ibuprofen), no ka mea, hiki i kēia mau lāʻau ke hoʻonui i ke kahe koko i kekahi manawa.
I ka manawa hea e pono ai ʻoe e haʻi i ke kauka e pili ana i kahi palapū?
ʻAʻohe mea e hopohopo ai ka palapū. Eia nō naʻe, i kekahi mau hihia, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, inā loaʻa iā ʻoe kekahi, e ʻike pono i kāu kauka.
| Hiʻohiʻona e hoʻolohe ai | Wehewehena |
|---|---|
| ʻEha pinepine a i ʻole ka wehewehe ʻole ʻia | Inā loaʻa pinepine iā ʻoe nā palapū ma kou kino, me ka ʻole o ka paʻi ʻana i kekahi mea. |
| Nā palapū nui loa | ʻOiai kahi ʻeha liʻiliʻi hiki ke hana i kahi palapū nui loa. |
| ʻOi aku ma mua o ʻelua pule | E ho'ōla ʻia kahi palapū maʻamau i loko o ʻelua pule, inā lōʻihi ka manawa. |
| He puʻupuʻu i loko o ka ʻeha (Hematoma) | Inā manaʻo ka palapū me he puʻupuʻu ʻeha a paʻakikī. |
| Ke kahe koko ʻē aʻe | Inā he mau mea e like me ke kahe ʻana o ka ihu, nā ʻāʻī koko, a i ʻole ke koko i loko o ka mimi a i ʻole ka ʻōpala me nā palapū. |
| Nā pilikia ʻike me ka palapū a puni ka maka | Inā manaʻo ʻoe ua pōwehiwehi kou ʻike me kahi palapū a puni kou maka (maka ʻeleʻele). |
Leka Lawe-Home
- ʻO ka palapū he hōʻiliʻili koko ma muli o ka hōʻino ʻia ʻana o nā kīʻaha koko liʻiliʻi ma lalo o ka ʻili. He mea maʻamau kēia.
- Loli ke kala o kahi palapū i ka hala ʻana o ka manawa i ka ʻulaʻula/poni, polū, ʻōmaʻomaʻo, a me ka melemele/ʻeleʻele i ka wā e ho'ōla ai ke kino i ka ʻeha.
- ʻAʻole pono ka hapa nui o nā palapū i ka mālama ʻia. ʻO ka hoʻopili ʻana i ka hau no nā lā ʻelua mua a laila e hoʻopili i ka wela e wikiwiki ai ka ho'ōla ʻana.
- Inā loaʻa iā ʻoe nā palapū pinepine a nui loa paha me ke kumu ʻole, a inā he kahe koko ʻē aʻe kāu, e ʻimi pono i ke kōkua lapaʻau.
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