Ke kokoke mākou e hāʻule, ʻo ka mea mua a mākou e hana ai me ka ʻike ʻole ʻana, ʻo ia ka hoʻāʻo ʻana e hoʻopakele iā mākou iho ma ke kau ʻana i ko mākou mau lima ma ka honua. E noʻonoʻo ua paheʻe ʻoe ma luna o kahi alapiʻi, a i ʻole ua kuʻia ʻoe ma luna o kekahi mea i kou hele ʻana. I kēlā manawa, hoʻāʻo mākou e pale i ko mākou kino mai ke kuʻi ʻana i ka honua ma ke kau ʻana i ko mākou mau lima ma ka honua. Akā i ka wā e hana ai mākou i kēlā, hele koke ke kaumaha o ko mākou kino holoʻokoʻa i ko mākou pulima . Me ke kaomi ikaika e hiki mai ana i kēlā manawa, aia kahi manawa kiʻekiʻe e haki ai ka iwi ma ka pulima . ʻO ia ke kumu e kapa ai mākou i ka haki pulima , kahi mea maʻamau loa, he "Colles Fracture" i ka lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Colles Fracture?
ʻAe, e wehewehe iki kākou i kēia me ka maʻalahi iki. ʻElua mau iwi nui ma kou lima, mai kou kuʻekuʻe a i kou pulima . ʻO ka mea nui, ma ka ʻaoʻao manamana nui, ua kapa ʻia ʻo ka radius. ʻO ka Colles Fracture kahi haki o ka iwi radius, kahi kokoke loa i ka pulima , ma kahi o hoʻokahi ʻīniha ma luna o ka pulima .
ʻO ka mea kūikawā e pili ana i kēia, ʻo ia ka wā e haki ai ka iwi, huki ʻia ka ʻāpana haki i luna i loko o ka lima. Ua like ia me kahi ʻāpana o kahi lālā liʻiliʻi i haki i ʻelua e kūlou ana i luna. He ʻano ʻeha loa kēia a he koʻikoʻi hoʻi e pono ai ke kōkua koke ʻia e ke kauka.
Inā kānalua ʻoe he haki kou pulima , mai noʻonoʻo e mālama iā ia ma ka home. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hele i ka keʻena pilikia o ka haukapila kokoke loa, a i ʻole ETU (Emergency Treatment Unit), i ka hikiwawe loa.
ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia maʻi?
ʻOiai hiki ke loaʻa kahi Colles Fracture i kekahi o kēlā me kēia makahiki, ʻoi aku ka nui o ka pilikia o kekahi mau hui.
- Nā wāhine ma luna o 60: He kiʻekiʻe loa kēia pilikia no nā wāhine ʻelemakule me ke ʻano i kapa ʻia ʻo "Osteoporosis." I ka ʻōlelo maʻalahi, ʻo "Osteoporosis" kahi maʻi e nāwaliwali ai nā iwi, palupalu, a maʻalahi hoʻi e haki i ko kākou ʻelemakule. I kekahi manawa, ʻaʻole ʻike ka poʻe he maʻi ko lākou. ʻOiai kahi paheʻe liʻiliʻi a me ka hāʻule ʻana hiki ke kumu i ka haki ʻana o ka iwi.
- Nā mea pāʻani: ʻO ka poʻe e pāʻani ana i nā haʻuki e like me ka cricket, ka pôpeku, a me ka heʻe hau e pilikia pū ana hoʻi no ka mea ua maʻalahi lākou i ka hāʻule.
- Nā pōpilikia ʻē aʻe: Hiki i kēia ʻano haki ke hana i nā pōpilikia koʻikoʻi e like me nā pōpilikia kaʻa, hāʻule mai nā paikikala, a hāʻule i ka wā e holo lio ana.
Pehea e pili ai ka osteoporosis i kēia?
Kou pulima limaInā haki ʻoe i ka iwi mai kahi hāʻule liʻiliʻi, he hōʻailona paha ia e loaʻa ana iā ʻoe ka osteoporosis. ʻAʻole maʻalahi ka haki ʻana o nā iwi olakino a ikaika e ka hāʻule liʻiliʻi. No laila, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i kēia a e hoʻāʻo ʻia no ka osteoporosis. I kēia manawa aia nā lāʻau lapaʻau maikaʻi no ia.
He aha nā hōʻailona o ka haki ʻana o ka Colles?
Ke haki kou pulima lima , nui kou ʻeha. Me kēlā, e ʻike paha ʻoe i kekahi mau hōʻailona ʻē aʻe.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha nui | He ʻeha ʻoi a hiki ʻole ke hoʻomanawanui e hele mai ana mai kahi pulima haki. |
| Pehu ʻana | Hoʻomaka ka ʻāpana a puni ka haki e pehu nui. |
| ʻUlaʻula/palapala | Hiki ke kahe ke koko ma lalo o ka ʻili, e lilo ai ka ʻāpana i polū a poni paha. |
| ʻAno ʻē (Deformity) | ʻO kēia kekahi o nā hiʻohiʻona ʻokoʻa loa o kahi Colles Fracture. Hiki ke ʻike ʻia ka pulima lima he kūlou ʻē, kekee, a kūlou i luna, e like me ka ʻō. |
| Paʻakikī ke neʻe ʻana | ʻAʻole paha ʻoe e hiki ke hoʻohuli i kou pulima lima ma ke ʻano maʻamau, a i ʻole e hoʻoneʻe iā ia i luna a i lalo. He mea paʻakikī paha ke hoʻoneʻe i kou mau manamana lima. |
He aha nā pilikia e hiki ke kū mai inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama pono ʻia kahi Colles Fracture, a i kekahi manawa me ka mālama ʻana, hiki ke loaʻa kekahi mau pilikia. He mea nui loa ka makaʻala i kēia mau mea.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| ʻOʻoleʻa o ka pulima lima | ʻO kēia ka pilikia maʻamau. Ma hope o ka wehe ʻia ʻana o ke kāpili, he mea paʻakikī paha ke kulou a hoʻopololei paha i ka pulima no hoʻokahi a ʻelua paha mahina. Hiki ke pale nui ʻia kēia me ka hoʻōla kino. |
| ʻO ka maʻi ʻāpana | He ʻano ʻeha nui a ʻeha hoʻi i hoʻokumu ʻia e ke kaomi nui ʻana a puni nā ʻiʻo o ka lima. He pilikia kēia. |
| Malunion | ʻAʻole paha e kūlike loa nā ʻāpana iwi haki ʻelua, akā hiki ke hoʻokaʻawale iki ʻia. Hiki i kēia ke hoʻololi i ke ʻano o ka pulima a hoʻomau i ka ʻeha. |
| ʻEha o ke aʻalolo | Ke haki kahi iwi, hiki ke hōʻino ʻia nā aʻalolo kokoke. No ka laʻana, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo "Carpal Tunnel Syndrome". I loko o kēia, ua ʻomi ʻia kahi aʻalolo ma ka pulima , e hoʻoulu ai i ka maneʻo a me ka ʻeha ma ka lima a me nā manamana lima. |
| ʻO ka Osteoarthritis Lua | Ma hope o kekahi manawa, hiki i ka rumatika ke ulu i loko o ke ami kahi i haki ai ka iwi. ʻO kēia ke kumu o ka ʻeha a me ka pehu ʻana i loko o ke ami. |
Pehea e ʻike ai ke kauka i kēia? He aha ka lāʻau lapaʻau?
Ke hele ʻoe i ka ETU, e nīnau mua ke kauka iā ʻoe e pili ana i ke ʻano o ka ulia, ka ʻeha āu e manaʻo nei, a me nā hōʻailona āu e loaʻa nei. A laila e nānā ʻo ia i kou lima.
A laila, hana ʻia kahi X-ray e ʻike pono inā ua haki ka iwi, a inā pēlā, ma hea a pehea i haki ai. Hiki i kahi X-ray ke hōʻoia maopopo inā he `Colles Fracture`.
Nā ʻano lapaʻau
ʻElua mau pahuhopu nui o ka mālama ʻana. ʻO kekahi, ʻo ia ka hoʻihoʻi ʻana i nā ʻāpana iwi haʻihaʻi i ko lākou kūlana kūpono (Reduction). ʻO ka lua, ʻo ia ka hoʻopaʻa ʻana i ka iwi i hiki ai ke ho'ōla hou (Immobilization).
1. Lapaʻau ʻoki ʻole:
ʻO kēia ke ʻano lapaʻau i hoʻohana pinepine ʻia. Maanei, e hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau e hoʻomāʻū i kou pulima a hoʻoneʻe mālie i nā ʻāpana iwi haʻihaʻi i ko lākou wahi me ka huki ʻana i kou lima. Ua kapa ʻia kēia ʻo "resetting". A laila, ua kau ʻia kahi plaster cast mai lalo o ke kuʻekuʻe a i waenakonu o ka manamana lima e mālama i nā iwi ma ko lākou wahi. Pono e ʻaʻahu ʻia kēia plaster cast no kahi o 6 mau pule . I loko o kēia manawa, e ho'ōla ka iwi haʻihaʻi a hui hou.
2. ʻOki kino:
I kekahi manawa, inā ua haki ka iwi i nā ʻāpana he nui a ua kīkoʻo loa ʻia e hoʻopaʻa lima ʻia, pono paha ke ʻoki kino. Hana ʻia kēia e ke kauka ʻoki iwi. ʻOki ʻia ka ʻili, hoʻololi ʻia nā ʻāpana iwi haki, a hoʻohana ʻia nā mea aʻe e mālama iā lākou i ko lākou wahi:
- Nā pine hao
- Nā papa hao
- Nā wili
- He mea hoʻopaʻa waho
Ma hope o ke ʻoki ʻana, e hoʻopili ʻia kahi plaster a splint paha ma ka lima.
ʻEhia ka lōʻihi e ola ai? Hiki iaʻu ke hoʻi i ka maʻamau?
Hoʻohemo pinepine ʻia ke kāpili ma hope o 6 mau pule. Eia naʻe, ʻaʻole i ho'ōla piha ʻia kou lima ke wehe ʻia. Aia paha kekahi ʻoʻoleʻa a me kekahi ʻeha ma ka pulima lima .
Hiki ke hala ma waena o 6 mau mahina a i hoʻokahi makahiki e hoʻihoʻi piha ai, ʻo ia hoʻi 100%, i ka hana o kou lima e like me ia ma mua o ka ulia. ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka.
Ma hope o ka wehe ʻia ʻana o ke kāpili, e kuhikuhi aku kāu kauka iā ʻoe i ka lāʻau lapaʻau kino . E aʻo aku kekahi mea lapaʻau kino iā ʻoe i nā hoʻomaʻamaʻa kikoʻī e kōkua iā ʻoe e hoʻihoʻi i ka neʻe ʻana i kou pulima a hoʻonui i ka ikaika i kou lima. He mea nui loa ka hana pololei ʻana i kēia mau hoʻomaʻamaʻa no ka hoʻōla wikiwiki ʻana.
Āhea e ʻike hou ai i ke kauka
Inā ʻike ʻoe i kēia mau hōʻailona, inā paha ʻoe e kau ana i ka plaster a ma hope paha o ka wehe ʻana, pono ʻoe e ʻike koke i kāu kauka.
- Inā lilo ka ʻeha i mea hiki ʻole ke hoʻomanawanui.
- Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou mau manamana lima a inā paha e loli ke kala o kou mau manamana lima (polū, keʻokeʻo, a palalulu paha).
- Inā ʻike ʻoe i ka ʻūlū a i ʻole ka ʻāʻī ʻana i kou mau manamana lima.
- Inā he ʻala ʻino e puka mai ana mai loko mai o ka palaki.
- Inā paʻa loa ka plaster.
He mea nui e ʻimi koke i ke kōkua lapaʻau no ka mea he mau hōʻailona kēia o kahi pilikia.
Leka Lawe-Home
- ʻO ka Colles Fracture kahi haki ʻeha a ʻeha pinepine o ka pulima i ka wā e hāʻule ai ka lima i waho.
- Inā loaʻa iā ʻoe ka ʻeha nui, ka pehu ʻana, a me ka palupalu maʻamau i kou pulima lima , he haki paha ia.
- Inā kānalua, mai ho'āʻo i ka mālama ʻana ma ka home a e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- ʻO kēia ʻano haki i nā wahine ʻelemakule he hōʻailona ia o ka osteoporosis, no laila e kamaʻilio pū me kāu kauka e pili ana i kēlā.
- Ma hope o ka lāʻau lapaʻau, he mea nui ka hoʻoikaika kino a me ka hoʻoikaika kino no ka ho'ōla piha ʻana.
- He mea nui ka hahai pololei ʻana i nā ʻōlelo a ke kauka no ka hoʻōla wikiwiki a me ka holomua.











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