Haʻihaʻi Hui: Mai makaʻu, e makaʻala kākou i kēia

E noʻonoʻo ʻoe e hāʻule koke ana ʻoe mai kahi alapiʻi a i ʻole he ulia kaʻa. I kēlā manawa, nānā ʻoe i luna me ka ʻeha nui a ʻike i kahi ʻāpana iwi haki e puka mai ana ma waho o ka ʻili o kou lima a wāwae paha. ʻOiaʻiʻo, ʻo ka mea e ʻike i kahi mea e like me kēia e makaʻu loa. Hopohopo lākou. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he Compound Fracture a i ʻole Open Fracture . He ʻano koʻikoʻi loa kēia a pono ʻoe e hele koke i ka haukapila.

I ka ʻōlelo maʻalahi, he aha kēia Compound Fracture?

ʻO ke kumu nui o ka haki ʻana o ka iwi, a i ʻole e like me kā mākou e kapa aku ai, he haki, ʻo ia ka ikaika nui i kau ʻia ma luna. Hiki ke hana ʻia kēia mai kahi mea e like me kahi ulia. Akā i kekahi manawa hiki nō hoʻi ke kumu o ke kaomi mau i kau ʻia ma kahi like. No ka laʻana, i ka wā e hele mau ana kekahi koa me kahi ʻeke kua kaumaha ma kona kua, hiki i ke kaomi mau ma ka wāwae ke hana i kahi māwae liʻiliʻi ma ka iwi.

I kēia manawa, e nānā kākou i ke ʻano o ka haki "Compound" a i ʻole "Open". I ka ʻōlelo maʻalahi, ʻo ia ka manawa e ʻike ʻia ai ka iwi haki ma o kou ʻili. Inā hāʻule ʻoe mai kahi alapiʻi a haki kou lima, a ʻike ʻia ka iwi haki ma o ka ʻili, he haki hui ia. Eia nō naʻe, inā ua haki ka iwi akā ua paʻa ka ʻili, ʻo ia hoʻi, ʻaʻole ʻike ʻia ka iwi haki, kapa mākou ia he haki "Simple" a i ʻole "Closed".

ʻO wai nā iwi o ke kino i maʻalahi i kēia ʻeha?

Hiki i kekahi iwi i loko o ko kākou kino ke haki. Eia nō naʻe, ʻo ka hapa nui o nā haki hui ʻia ma ko kākou mau lima, nā wāwae, nā lima, a me nā wāwae. Eia kekahi, aia kekahi mau iwi ʻē aʻe i hiki ke hoʻopilikia ʻia, ʻoiai ma kahi haʻahaʻa.

• Nā iwi ʻaoʻao
• Iwi ʻāʻī
• Nā iwi maka
• Pelvis
• Iwi poʻo
• Nā iwi maka
• ʻIwi kuamoʻo a i ʻole nā ​​iwi kuamoʻo

He aha nā kumu nui o ka haki hui ʻia?

I mea e hiki ai ke haki nui e like me kēia, pono e loaʻa kahi hahau nui a i ʻole ka hopena (Severe Trauma) i ke kino. Eia kekahi laʻana:

• Ulia kaʻa koʻikoʻi
• ʻO ka hāʻule ʻana mai kahi kiʻekiʻe nui
• He ulia i hana ʻia i ka wā o kahi haʻuki pili e like me ka pôpeku a i ʻole ka rugby

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui a maopopo loa, ʻo ia ka iwi haki e puka mai ana ma o ka ʻili. Eia kekahi, aia kekahi mau hōʻailona ʻē aʻe e ʻike ʻia. E nānā pono kākou iā lākou ma kahi papa.

Pehea e ʻike ai ke kauka a mālama i kēia?

ʻAʻole paʻakikī loa i ke kauka ke ʻike i kahi haki hui. No ka mea, ʻike ʻia ka iwi haki ma o ka ʻili. Akā, ʻaʻole wale nā ​​kauka e ʻike a kali. E hana maoli lākou i kahi X-ray e ʻike pono ai pehea i haki ai ka iwi, pehea ka nui o ka pōʻino i hana ʻia, a pehea e pono ai ke hoʻoponopono ʻia. I kekahi manawa, pono paha nā hoʻokolohua e like me ka MRI a i ʻole CT scan e aʻo hohonu i ka pōʻino.

Eia kekahi, nānā pū nā kauka i nā pilikia ʻē aʻe:

• E nānā i ke kala a me ka mahana o kou ʻili (e aʻo e pili ana i ka lako koko).
• Nānā lākou i ke koko a me ka pulse e ʻike inā he nui ke kahe ʻana o ke koko.
• Hoʻāʻo ʻia ka ʻike ma nā wahi a puni a ma lalo o ka ʻeha e ʻike ai inā he hōʻino ʻia nā aʻalolo.

Nā ʻano lapaʻau

Ke lawe ʻia ʻoe i ka ʻOihana Pōpilikia (ETU), ʻo ka mea mua e hana ʻia, ʻo ia ke kāohi i ka ʻeha. Hana ʻia kēia ma ka hāʻawi ʻana iā ʻoe i nā lāʻau hōʻeha waha, a i ʻole nā ​​lāʻau hōʻeha intravenous no ka hōʻoluʻolu koke. I kekahi manawa, hāʻawi ʻia kahi inikini i nā aʻalolo a puni ka ʻeha e hoʻomāʻū i ka wahi. Ua kapa ʻia kēia he Nerve Block .

Ma muli o ke ʻano o ka ʻeha, hāʻawi ʻia kahi pana tetanus a me nā lāʻau antibiotic e pale aku i ka maʻi.

A laila, hoʻoponopono hou ʻia ka iwi a lawe ʻia nā hana e pono ai e ho'ōla iā ia. Pono kēia i ke ʻoki kino. I ka wā o ke ʻoki kino, e hāʻawi ke kauka i nā lāʻau ʻeha a me nā lāʻau anesthetic, a laila e hoʻihoʻi i nā ʻāpana iwi haki i ko lākou mau wahi kūpono. Kāhea mākou i kēia he hōʻemi ʻana o ka haki .

No ka hoʻopaʻa ʻana i nā iwi i ke kūlana kūpono, hoʻohana ʻia nā mea hana like ʻole i ka wā o ke ʻoki ʻana:

• Nā pine
• Nā koʻokoʻo
• Nā Papa
• Nā wili

Ma hope o ka hoʻomākaukau ʻia ʻana o nā iwi ma kēia ʻano, hoʻohana ʻia kahi mea i hoʻoheheʻe ʻia a i ʻole kekahi mea hana ʻē aʻe e hoʻopaʻa i ka ʻāpana e pale ai i ka neʻe ʻana.

Pehea e ulu hou ai ka iwi haki?

He hiki kupaianaha ko ko kākou kino ke kūkulu i nā ʻiʻo iwi hou. Ke haki kahi iwi, hoʻomaka ka ulu ʻana o nā ʻiʻo iwi hou a puni ka iwi i haki. Kāhea mākou i kēia he External Callus . I ka wā mua, he palupalu ia, e like me ka jelly, akā i loko o nā pule a me nā mahina, paʻakikī mālie ia, waiho i ka calcium, a lilo i iwi maʻamau.

Hana ʻia kēia kaʻina hana ho'ōla ma ʻekolu mau pae nui:

1. Ka pae mumū

I ka wā e haki ai ka iwi, hoʻomaka ke kino i ke kaʻina hana ho'ōla. Holo wikiwiki nā pūnaewele ʻōnaehana pale i kahi o ka ʻeha a hoʻonui i ke kahe koko i ka wahi. ʻO ia ke kumu e pehu ai a ʻulaʻula ka wahi a puni ka ʻeha.

2. Kahua hoʻoponopono

Hiki i kēia kahua ke mau mai kekahi mau pule a i kekahi mau mahina. I loko o kēia manawa, hoʻopaʻa ʻia kou iwi haʻihaʻi me kahi ʻōpala. I loko o kēia manawa, hana ke kino i ka mea a mākou i kapa ai he External Callus.Ke hana ʻia nei. No ka mea he mea palupalu loa kēia, he mea nui loa ia e pale aku.

3. Kahua hana hou

Hiki i kēia ke hala i kekahi mau mahina. I loko o kēia manawa, mānoanoa ka ʻiʻo iwi hou (callus), waiho ka calcium, a lilo i ikaika. Ma hope o ka hoʻi ʻana o ka iwi i kona ʻano maʻamau a me kona ikaika.

He aha nā pilikia e hiki ai i kēia ke hana?

He ʻeha paʻakikī ka haki hui. No laila, hiki ke loaʻa nā pilikia like ʻole i kekahi manawa. Hoʻomaopopo mau nā kauka i kēia ma ka ETU, i ka wā o ke ʻoki ʻana, a i ka wā hoʻōla.

ʻEhia ka lōʻihi e ho'ōla ai?

Hiki i kahi haki hui ke hala i kekahi mau mahina a ʻoi aku paha e ho'ōla piha ai. He mea nui e hoʻomanawanui i kēia manawa. Aia ka manawa ho'ōla i kekahi mau kumu:

• Ke koʻikoʻi o ka ʻeha.
• Kou makahiki (e ola koke ana nā keiki ma mua o nā mākua).
• Nā pilikia ma hope o ka mālama ʻana.
• Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi diabetes, hiki ke lohi ka hoʻōla ʻana.

Pehea e mālama ai i kahi mea hoʻoheheʻe?

He mea nui loa ka mālama pono ʻana i kou ʻūpā no ka ho'ōla koke ʻana. Eia kekahi mau ʻōlelo aʻoaʻo:

• Inā ʻaʻole ʻae ke kauka,Mai hoʻokuʻu i ka palaki e pulu. Inā pulu, e paʻakikī ke maloʻo a hiki ke hana i nā ʻeha ʻili a i ʻole nā ​​maʻi.
• E nānā pinepine i ka ʻili a puni ka plaster. E haʻi i kāu kauka inā lilo ia i ʻulaʻula, puka mai ka wai, a ʻeha paha.
• No nā hola 24-48 mua, e hoʻokiʻekiʻe i kou lima/wāwae ma luna o kou puʻuwai me kahi uluna i ka hiki. E kōkua kēia i ka hōʻemi ʻana i ka pehu.
• Inā maneʻo ka ʻili i loko o ka plaster, mai hoʻokomo i kekahi mea i loko e kahakaha ai.
• No ka hōʻemi ʻana i ka pehu, ua maikaʻi ke hoʻoneʻe i kou mau manamana lima inā ua ʻae ʻia ʻoe e kāu kauka.
• Inā ʻoʻoleʻa a ʻoi paha nā kihi o ka plaster, e hoʻopili i kahi plaster a lipine paha e pale ai i ka hōʻeha ʻana i ka ʻili.

Ke kau ʻia kou ʻeke ma ke kaula, ma ke ʻano hea e pono ai ʻoe e hele koke i ka ETU?

Inā he ʻōpeʻapeʻa kou ma kou kino, e makaʻala loa i nā hōʻailona ma lalo nei. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele koke i ka lumi pilikia.

• Inā hoʻomānoino ka plaster i kou lima/wāwae.
• Inā manaʻo ʻoe e nāwaliwali ana kou lima/wāwae.
• Inā hoʻomau a hoʻonui paha ka ʻeha.
• Inā paʻa loa ka plaster.
• Inā he ʻala ikaika e puka mai ana mai ka palaki.
• Inā he kuni kou.