Ke hāʻule nei kāu keiki liʻiliʻi a ʻeha kona lima? He haki paha kēia o ke kūpeʻe lima?

He mea maʻamau i kā mākou poʻe liʻiliʻi ke loaʻa nā ʻoki liʻiliʻi a me nā ʻōpala i ka wā e holo ana a pāʻani ana. Akā i kekahi manawa, ʻoiai ma hope o kahi mea e like me ka hāʻule ʻana, ke hoʻomau nei lākou i ka hoʻopiʻi ʻana ua ʻeha ko lākou lima a wāwae paha, ʻaʻole paha he ʻūmiʻi wale nō. Hiki ke lilo i haki iwi liʻiliʻi, a i ʻole he kūlana i kapa ʻia ʻo 'buckle fracture', he mea maʻamau, ʻoiai hoʻi i nā keiki ʻōpio, a e kamaʻilio mākou e pili ana i kēia lā.

He aha ka 'Buckle Fracture'?

I ka ʻōlelo maʻalahi, ʻo ka 'buckle fracture' kahi haki maʻamau i nā keiki ʻōpio, kahi i haki ʻole ai ka iwi i ʻelua, akā ua hōʻino ʻia ka iwi. I ka pololei, he 'incomplete fracture' kēia. I kekahi manawa kapa pū nā kauka ia he 'impacted fracture' a i ʻole 'torus fracture'.

Loaʻa kona inoa ma muli o ke ʻano o ka hana ʻana. E noʻonoʻo e wāwahi ana i kahi kini Coke alumini hakahaka me ka lima. ʻAʻole haki loa ka kini i ʻelua, ʻeā? Akā, kūlou ia i loko ma kekahi ʻaoʻao a puka i waho e like me kahi puʻupuʻu liʻiliʻi. ʻO ia ka mea e hana ʻia i nā iwi o kā mākou poʻe liʻiliʻi i ka 'haʻi buckle'. ʻO ka maʻamau, ke kau ʻia kahi kaomi koke (compression) i ka iwi, e like me ka wā hāʻule, ke kumu o ke kaomi i kekahi ʻaoʻao o ka iwi e kūlou iki i waho, e like me ka buckle. ʻAʻole haki loa ka iwi a kaʻawale, akā, kūlou ia e like me kahi puʻupuʻu liʻiliʻi ma kahi hoʻokahi.

ʻIke pinepine ʻia kēia 'haʻi buckle' ma nā iwi ʻelua o ka lima i nā keiki, ʻo ia hoʻi ka radius a me ka ulna. ʻO ia hoʻi, ma ka ʻāpana o ka lima e holo ana mai ke kuʻekuʻe a i ka pulima. Eia naʻe, hiki ke hana ʻia ma kekahi iwi lōʻihi. Eia kekahi laʻana:

• ʻIwi ʻūhā (femur)
• Tibia (iwi ʻūhā)
• ʻO ka iwi liʻiliʻi ma waho o ke kuʻekuʻe wāwae (Fibula)
• Iwi lima luna (Humerus)

Hoʻomaka pinepine kēia ʻano i ka wā e hāʻule ai nā keiki ʻōpio i ka wā e pāʻani ana a holo ana paha a kuʻi i ka honua me ko lākou mau lima i hohola ʻia . He mea maʻamau loa ia i nā keiki ma lalo o 12 makahiki. ʻO ka mea maikaʻi loa, ʻaʻole ia e koi ʻia ke ʻoki kino. I ka manawa pinepine, hoʻohana ʻia kahi splint, kahi kākoʻo e pale ai i ka lima mai ka neʻe ʻana, a i kekahi manawa he cast, ʻo ia hoʻi kahi cast plaster e pale ai i ka iwi a hiki i kona ho'ōla ʻana.

He aha ka ʻokoʻa ma waena o ka 'Buckle Fracture' a me ka 'Greenstick Fracture'?

ʻO kēia nā ʻano ʻelua o nā 'haki iwi piha ʻole' i ʻike ʻia i nā keiki ʻōpio. Kōkua kēia mau inoa i ke kauka e hoʻomaopopo pehea, ma hea, a me nā mea i haki ai ka iwi o ke keiki.

• I loko o ka 'buckle fracture' , kau ʻia ke kaomi i ka iwi, e hoʻoulu ana i kekahi ʻaoʻao o ka iwi e puʻupuʻu i waho, e hana ana i kahi puʻupuʻu, e like me kēlā kini alumini aʻu i ʻōlelo ai ma mua.
• ʻO ka 'greenstick fracture' ka wā e kūlou ai ka iwi o ke keiki a haki i ʻelua, akā hoʻokahi wale nō ʻaoʻao i haki. Ua hoʻāʻo anei ʻoe e uhaʻi i kahi lāʻau lāʻau hou a pulu (he lāʻau ʻōmaʻomaʻo) me kou lima? ʻAʻole ia e "kūlou" e like me ka lāʻau maloʻo a haki i ʻelua, ʻeā? Hoʻokahi wale nō ʻaoʻao i haki, a ua pili mau kekahi ʻaoʻao. Pēlā nō ia.

ʻO ke kumu i ʻoi aku ka pinepine o nā 'buckle fractures' a me nā 'greenstick fractures' i nā keiki ma mua o nā pākeke no ka mea he palupalu a ʻoi aku ka maʻalahi o nā iwi o nā keiki ma mua o nā iwi makua. ʻAʻole lākou e haki maʻalahi e like me kahi ʻāpana plastik a aniani paha. ʻO ia ke kumu e ʻoi aku ka maʻalahi o nā iwi o nā keiki e kūlou a haki penei ma mua o ka haki loa.

Eia nō naʻe, ʻaʻohe mea āu e kapa aku ai i ka iwi haʻihaʻi o kāu keiki, ʻo ka hana mua koʻikoʻi loa, ʻo ia ke ʻike koke i ke kauka.

Loaʻa anei nā haki ma nā lima, nā manamana lima, a me nā manamana nui?

ʻO kēia kūlana, i kapa ʻia ʻo 'buckle fracture,' ʻo ia ka mea pinepine e hoʻopilikia i nā iwi lōʻihi i nā keiki. He mea kākaʻikahi ka loaʻa ʻana o kahi 'buckle fracture' i nā iwi liʻiliʻi o nā lima, nā manamana lima, a i ʻole ka manamana nui. Inā ʻōhumu kāu keiki i ka ʻeha ma ko lākou mau lima a i ʻole nā ​​manamana lima, he manamana lima paha ia i ʻeha a he manamana lima haki paha. No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou.

Pehea ka maʻamau o ka 'Buckle Fracture'?

He kūlana maʻamau loa kēia. Hoʻokahi o nā keiki ʻehā i haki ka iwi (1 o 4) he 'haʻi buckle'. Eia kekahi, ʻo ka hapalua (50%) o nā haki pulima āpau i nā keiki ʻōpio he ʻano haki kēia.

ʻO wai ka mea e loaʻa ana i ka 'Buckle Fracture'?

ʻO nā 'haʻi buckle' (i kapa ʻia hoʻi he mau haki impact) ka mea maʻamau i nā keiki ma lalo o ka makahiki 12. ʻO ke kumu, e like me kā mākou i kūkākūkā ai ma mua, ke ulu mau nei nā kino o nā keiki, no laila ua palupalu a ʻoi aku ka maʻalahi o ko lākou mau iwi ma mua o ko nā pākeke. I ko kākou ʻelemakule ʻana, e nalowale mālie ana ko kākou mau iwi i kēlā maʻalahi. No ka mea, ua palupalu nā iwi o nā keiki, ʻoi aku ka nui o ka haki ʻana e like me kēia (a me nā haki ʻē aʻe i piha ʻole) ma mua o ka haki loa ʻana.

ʻOiai hiki i nā pākeke ke loaʻa i kēia 'haʻi buckle', he mea kākaʻikahi loa ia. I kekahi manawa hiki ke loaʻa i nā pākeke me nā iwi pālahalaha, e like me nā iwi ʻaoʻao. Eia kekahi, ʻo ka poʻe me nā maʻi lahilahi iwi, e like me ka osteoporosis, ua piʻi aʻe ka pilikia o nā ʻano haki āpau, me nā 'haʻi buckle'.

He aha nā hōʻailona o ka 'Buckle Fracture'?

Inā loaʻa i kāu keiki kahi 'buccal fracture', e ʻike paha ʻoe i nā hōʻailona e like me kēia:

• ʻEha: Hiki paha iā ʻoe ke ʻeha ke hoʻopā ʻoe i ka ʻāpana i ʻeha a hoʻoneʻe paha i ka lima/wāwae i hoʻopilikia ʻia.
• Pehu: Hiki ke pehu ka ʻāpana i ʻeha.
• Palupalu: ʻOi aku ka ʻeha o ka ʻāpana i ʻeha ke hoʻopā aku ma mua o nā wahi ʻē aʻe.
• ʻEha a ʻulaʻula paha ka ʻili: I kekahi manawa e ʻike paha ʻoe i kahi ʻulaʻula polū a poni paha ma kahi o ka ʻeha.
• He kīnā a puʻupuʻu paha: Inā he mea i ʻike ʻia, e like me ka puʻupuʻu a i ʻole ka puʻupuʻu, i ʻike ʻole ʻia ma ia ʻāpana o ke kino o ke keiki.
• No nā kamaliʻi ʻōpio: ʻAʻole hiki i kekahi mau kamaliʻi ke kamaʻilio maikaʻi i ka ʻeha, no laila e hoʻāʻo paha lākou e pale i ka hoʻohana ʻana i ka lima i ʻeha. No ka laʻana, hiki iā lākou ke paʻa i nā mea pāʻani me hoʻokahi lima wale nō, a inā ua ʻeha kahi wāwae, hiki iā lākou ke waiho i kēlā wāwae i lalo a hōʻole e hele.

He aha nā kumu o ka 'Buckle Fracture'?

ʻO ka hapa nui o nā 'haʻi buckle' e hana ʻia i ka wā e hāʻule ai nā keiki liʻiliʻi a hoʻāʻo e hoʻopakele iā lākou iho ma ke kau ʻana i ko lākou mau lima i mua o lākou a kuʻi i ka honua . ʻO ka ikaika o ka hāʻule ʻana e kau i ke kaomi ma luna o ko lākou mau iwi, ka mea e hana ai i kēia mau 'haʻi buckle'. ʻO ia ke kumu e hoʻopilikia pinepine ai kēia ʻano i nā iwi ma nā lima lima (radius a me ulna) o nā keiki. E noʻonoʻo e pāʻani ana kāu keikikāne ma ka pā hale a hāʻule koke, e kuʻi ana i kona lima. A i ʻole e ʻōlelo kākou ua hele iki kāu kaikamahine i ka ʻaoʻao i kona holo paikikala a kuʻi i ka honua. ʻO ia ka manawa e hiki ai ke hana ʻia kēia ʻano ʻeha.

Pehea e ʻike ai i kahi 'Buckle Fracture'?

Ke lawe ʻoe i kāu keiki i ke kauka, e hana mua lākou i kahi hoʻokolokolo kino . ʻO ia hoʻi, e ʻike lākou i ka ʻeha, e nānā i ka pehu, a me ka ʻeha. A laila, e kauoha pinepine lākou i kahi X-ray e hōʻoia inā he haki a e ʻike i ke ʻano o ka pōʻino i hana ʻia i ka iwi.

Pehea e mālama ʻia ai nā haki buckle?

ʻO ka 'buckle fracture' (i kapa ʻia hoʻi he 'impacted fracture') e mālama pinepine ʻia me kahi 'splint' . Ua kapa ʻia hoʻi kēia ʻo 'immobilization', ʻo ia hoʻi ke kāohi ʻana i ka iwi i ʻeha mai ka neʻe ʻana. No kekahi mau keiki, hiki i nā kauka ke ʻōlelo aku i kahi 'cast', ʻo ia hoʻi kahi plaster cast. E haʻi aku kāu kauka iā ʻoe i ka lāʻau lapaʻau maikaʻi loa no kāu keiki. Hiki i kēia 'splint' a i ʻole 'cast' ke pale i ka iwi i ʻeha o kāu keiki mai ka hōʻino hou aʻe, kōkua i ka hōʻemi ʻana i ka ʻeha, a kōkua iā lākou e ʻoluʻolu.

Pono ka hapa nui o nā keiki e komo i kahi splint no kahi o ʻelua a ʻekolu pule. ʻO ka lōʻihi o ko lākou komo ʻana, ma muli ia o ka wikiwiki o ka hoʻomaikaʻi ʻana o nā hōʻailona o ke keiki (e like me ka ʻeha a me ka pehu).

No ka hōʻemi ʻana i ka ʻeha, hiki iā ʻoe ke lawe i nā NSAID (Non-Steroidal Anti-Inflammatory Drugs) e like me Aspirin a i ʻole Ibuprofen, e like me ke kauoha a kāu kauka. Eia nō naʻe,Pono ʻoe e makaʻala loa i ka hāʻawi ʻana i ka aspirin i nā keiki, no ka mea hiki iā ia ke hana i nā maʻi koʻikoʻi e like me ka Reye's syndrome, no laila mai hāʻawi me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau. E wehewehe kāu kauka iā ʻoe i nā lāʻau lapaʻau hiki iā ʻoe ke hāʻawi i kāu keiki a me ka nui.

E ho'ōla anei ka haki ʻana o ka buckle iā ia iho? He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

ʻOiai ʻaʻole koʻikoʻi ka 'buccal fracture' e like me kekahi mau haki ʻē aʻe, mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha, ka pehu, a me ka palupalu. Inā loaʻa i kāu keiki kahi 'buccal fracture' a ʻaʻole i mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia e like me:

• Malunion: ʻAʻole paha e kūpono nā ʻāpana iwi haki i ka wā e ho'ōla ai lākou.
• ʻAʻohe hui pū ʻana: ʻAʻole paha e hui piha nā ʻāpana iwi haʻihaʻi, a ʻaʻole paha e hui iki.
• ʻO ka ʻoi aku ka ʻino o nā hōʻailona: Inā ʻaʻole mālama ʻia, hiki i nā hōʻailona e like me ka ʻeha i ke keiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, e hoʻonui ana i ka manawa e hoʻōla ai.

No laila, he mea naʻauao ke ʻimi i ke kōkua lapaʻau inā he kānalua kou, ʻoiai inā he ʻeha liʻiliʻi wale nō.

He aha nā pilikia e hiki ke loaʻa i ka wā o ka mālama ʻana?

I ka mālama ʻana i kahi 'buckle fracture', hiki i kēia mau mea ke hana i kekahi manawa:

• ʻEha hou: Inā komo koke ke keiki i nā hana kino e like me nā haʻuki (ma mua o ka ho'ōla ʻana), e ʻeha hou paha ka iwi a haki paha i ke koʻikoʻi.
• Nā ʻeha kūloko ʻē aʻe: Hiki i ka haki ke hōʻino i nā ʻiʻo a puni, nā aʻalolo, nā kīʻaha koko, nā tendon, a me nā ligament.
• Nā hopena ʻaoʻao o nā NSAID: Hiki i kēia mau lāʻau hoʻomaha ʻeha ke hoʻoulu i ke kahe koko, nā ʻōpū ʻōpū, nā ʻeha ʻōpū, a me nā pilikia ʻōpū i kekahi poʻe. ʻO ia ke kumu e hoʻohana ai ʻoe i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka.

ʻEhia ka manawa e ʻoi aku ai ka maikaʻi o ke keiki ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau?

Nui nā keiki e ʻike koke i ka hōʻoluʻolu a me ka hoʻomaikaʻi ʻana i ka ʻeha ma hope o ke kau ʻia ʻana o ke kāwele. Eia nō naʻe, he mau pule ka lōʻihi no ka hoʻopau loa ʻana o nā hōʻailona. No ka mea e mālama ka kāwele i ka iwi ma kahi, hiki iā ia ke hōʻemi nui i ka ʻeha.

Inā ʻeha nui kāu keiki a ʻaʻole hoʻi e emi iho, e ʻike koke i ke kauka.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia o ka haki ʻana o ka buckle i kaʻu keiki?

ʻOiai ʻaʻohe ala 100% e pale aku ai i nā haki, hiki iā ʻoe ke hōʻemi i ka pilikia o kāu keiki i ka hōʻeha ma o ka hahai ʻana i kēia mau ʻōlelo palekana laulā:

• E kau mau i nā kāʻei palekana i ka wā e holo ai i loko o nā kaʻa.
• E komo i nā lako palekana kūpono i ka wā e pāʻani ana i nā haʻuki a i ʻole e hoʻoikaika kino ana.(e.g. mahiole, nā pale kuli).
• E wehe a mālama i nā mea e hiki ke hoʻopilikia i kou home a me nā wahi pāʻani ma ke ʻano hoʻonohonoho.
• I ka hiki ʻana aku i kahi mea kiʻekiʻe o ka hale , e hoʻohana i kahi mea kūpono, e like me ke alapiʻi. E aʻo aku i nā keiki ʻaʻole e piʻi ma luna o nā noho a me nā papa ʻaina.
• E paipai i kāu keiki e hahai i kahi papaʻai kaulike a me ka hoʻoikaika kino e kōkua ai i ka mālama ʻana i ke olakino maikaʻi o ka iwi.

Hoʻokumu pinepine ʻia nā haki buckle e nā ulia e like me ka hāʻule koke ʻana, no laila he paʻakikī ke pale loa aku. Eia nō naʻe, he mea nui e nānā iki i nā keiki liʻiliʻi i ka wā e pāʻani ana lākou a hana i kahi palekana no lākou.

Inā ʻoe he ʻelemakule, ma luna o 50 mau makahiki, a i ʻole he mōʻaukala ʻohana no ka osteoporosis, he mea maikaʻi ke kamaʻilio me ke kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo paʻa o ka iwi.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu keiki kahi 'Buckle Fracture'?

Hiki iā ʻoe ke manaʻo e hoʻōla piha kāu keiki. He pilikia manawa pōkole ka 'buccal fracture'. ʻAʻole e ʻike ke keiki i kekahi ʻeha lōʻihi a i ʻole nā ​​​​hopena ʻē aʻe ma hope o kēia.

Hoʻōla koke nā haki i pā ʻia i ka hoʻohālikelike ʻia me nā haki ʻē aʻe. ʻO ka maʻamau, pono nā keiki e ʻaʻahu i kahi splint no 2-3 mau pule. Ke pau nā hōʻailona e like me ka ʻeha a me ke aloha, ʻaʻole pono ka hapa nui o nā hihia i ka mālama hou ʻana a i ʻole nā ​​​​kipa hahai.

ʻAʻole hiki i kaʻu keiki ke hele i ke kula a i ʻole e komo i nā hana?

ʻAʻole manaʻo ka 'haʻi buckle' e hoʻōki ke keiki i ke kula. Eia nō naʻe, pono lākou e pale i nā hana kino ikaika e like me nā haʻuki a hiki i ka pau ʻana o nā hōʻailona a no ʻelua pule hou aʻe.

Hiki i ka hapa nui o nā keiki ke hoʻi i kā lākou mau haʻuki a me nā hana ʻē aʻe ma hope o hoʻokahi mahina. E haʻi pololei kāu kauka iā ʻoe i ka lōʻihi e pono ai ʻoe e pale aku i kekahi mau hana.

He aha ke ʻano o ka haki ʻana o ka buckle?

He maikaʻi loa ka manaʻo no ka 'haʻi ʻana o ke kuamoʻo'. E ho'ōla piha ana kāu keiki a e ola me ka ʻole o ka ʻeha lōʻihi a i ʻole nā ​​hōʻailona ʻē aʻe.

Āhea wau e hele ai i ka lumi pilikia?

Inā manaʻo ʻoe ua loaʻa i kāu keiki kahi 'buckle fracture' - a i ʻole kekahi iwi haki ʻē aʻe - pono ʻoe e ʻike i ke kauka i ka wā hikiwawe loa. Inā loaʻa iā lākou kekahi o kēia mau hōʻailona, ​​​​e hele koke i ka lumi pilikia:

• ʻEha nui loa.
• ʻAʻole hiki ke hoʻoneʻe i kahi ʻāpana o ke kino i hiki ke hoʻoneʻe ʻia ma ke ʻano maʻamau.
• ʻOkoʻa ke ʻano o kekahi ʻāpana o ke kino mai ka mea maʻamau, a i ʻole me he mea lā ua kūpono ʻole i kahi.
• Inā ua māwae ka ʻili a ʻike ʻia ka iwi.
• Pehu.
• Hoʻopili ʻia kēia mau hōʻailona me ke ʻano o nā palapū hou.

Inā ua loaʻa iā ʻoe a i ʻole kāu keiki kahi ulia koʻikoʻi (trauma), e hele koke i ka lumi pilikia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia e pili ana i ke kūlana o kāu keiki:

• He aha ka iwi i haki?
• Loaʻa i kaʻu keiki kahi 'buckle fracture' a i ʻole kekahi ʻano haki ʻē aʻe?
• ʻEhia ka lōʻihi e pono ai kaʻu keiki e hoʻokomo i ka splint?
• ʻEhia ka lōʻihi e ho'ōla ai?
• Āhea e hiki ai iā ia ke hoʻomaka hou i nā hana kino (e like me ka pāʻani)?

He mea maʻamau no kekahi makua ke makaʻu i ka wā e ʻeha ai kā lākou keiki, ʻoiai ke lohe lākou ua haki ko lākou iwi. Akā e hoʻomanaʻo, he ʻeha hiki ke mālama ʻia ka 'buckle fracture', a he mea maʻamau ia i nā keiki ʻōpio. ʻO ia hoʻi, hiki i kāu kauka ke ʻike a mālama koke iā ia. E wehewehe i kāu keiki e pili ana i kona ʻeha, no ke aha ʻo ia e ʻaʻahu ai i kahi 'splint' a no ka lōʻihi. E wehewehe iā ia he manawa pōkole kēia ʻeha a hiki iā ia ke pāʻani a komo i nā hana āpau āna e makemake ai ke ho'ōla ʻia kona kino.

E hoʻomanaʻo i nā mea nui loa (Leka Lawe-Home)

• ʻO ka 'buckle fracture' kahi haki i haki ʻole ai ka iwi, a he mea maʻamau ia i nā keiki ʻōpio.
• ʻO ka hapa pinepine kēia ma muli o ka hāʻule ʻana, ʻoiai ke paʻa ka lima i ka honua.
• E ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha, ka pehu ʻana, a i ʻole ka nalowale o ka hoʻohana ʻana i kou lima/wāwae.
• Hoʻōla pinepine ʻia kēia i loko o 2-3 mau pule me kahi splint. ʻAʻole koi ʻia ke ʻoki ʻana.
• Hoʻōla piha ke keiki a ʻaʻohe hopena lōʻihi.
• E hōʻalo i ka hana kino ikaika a hiki i ka wā e ʻōlelo aku ai kāu kauka.

Ke makemake nei i kāu keiki e ola koke!

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