Ua haki anei kou iwi ma kou maka? (Facial Fractures) - E kamaʻilio kākou e pili ana i kēia!

ʻAuē, ua loaʻa anei iā ʻoe kahi ʻeha ma kou maka ma muli o kahi ulia, hāʻule ʻana, a i ʻole kekahi mea ʻē aʻe? I kēlā manawa, ua haki paha kahi iwi palupalu ma kou maka me ka ʻike ʻole. ʻO ka ʻoiaʻiʻo, ʻaʻole ikaika nā iwi o ko kākou maka e like me nā iwi ma ke koena o ke kino, no laila hiki ke hōʻino maʻalahi ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau haki maka.

He aha ka haki o ka maka?

I ka ʻōlelo maʻalahi, ʻo ka haki ʻana o ka maka he haki i hoʻokahi a ʻoi aku paha mau iwi ma kou maka. Kāhea pū nā kauka i kēia he trauma maxillofacial. E noʻonoʻo i kēia ʻano: he ulia kaʻa, he hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole kekahi e kuʻi ana iā ʻoe. I kekahi manawa, hiki ke loaʻa nā haki maka i nā kūlana koʻikoʻi, e like me nā ʻeha pū. He palupalu loa ko mākou mau iwi maka, no laila ʻoi aku ka maʻalahi o ka haki ʻana me kahi hopena liʻiliʻi.

He aha nā ʻano iwi e hiki ke haki i ka maka? (Nā ʻAno o nā Haʻi Maka)

Ua hana ʻia ko kākou helehelena me nā iwi he nui, no laila hiki ke haki kekahi o kēia mau iwi i kahi ulia. Aia kekahi mau ʻano haki maka maʻamau:

• Nā haki ihu / ihu haki: ʻO kēia ke ʻano maʻamau o ka haki maka. Hiki ke hana ʻia kēia inā loaʻa iā ʻoe kahi hahau ikaika i ka ihu.
• Nā haki iwi mua: He haki o ka iwi ma ko kākou lae.
• Nā haki o ka orbital: Nā haki o nā iwi a puni ka maka . Hiki ke hana kēia inā he hahau pololei i ka maka.
• Nā haki zygomatic: Nā haki o nā iwi ma ko kākou mau papālina.
• Ka haki ʻana o ka maka tripod: He ʻoi aku ka paʻakikī o kēia. Maanei, aia kahi haki ma nā wahi ʻekolu: ka lua maka, ka iwi papālina, a me ka ʻāwae luna.
• Ka haki ʻana o ka ʻāwae maxillary a i ʻole mandibular / ʻāwae haki: He haki ʻana o ka ʻāwae luna (Maxilla) a i ʻole ka ʻāwae lalo (Mandible). He mea nui loa kēia mau ʻāwae ʻelua i ka wā e ʻai ai a kamaʻilio ai.
• Nā haki waena o ke alo (nā haki Le Fort): ʻO kēia kekahi ʻano haki paʻakikī e hiki ke hana ma nā pae like ʻole. Ua wehewehe mua ʻia e ke kauka lapaʻau Farani ʻo René Le Fort, nāna i kapa iā ia ma muli ona.

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He aha nā hōʻailona o ka iwi maka haki?

ʻO nā hōʻailona o ka iwi maka haki e pili ana i kahi o ka maka i haki ai ka iwi a me ke ʻano o kona haki ʻana. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau:

• Palapū: Ke ʻano polū/poni o ka ʻili.
• Pehu: Pehu ʻana o ka ʻāpana i ʻeha.
• ʻEha a palupalu paha .
• He ʻeha ka maka: I kekahi manawa, inā ua hōʻino ʻia nā aʻalolo, hiki i kahi ʻāpana o ka maka ke lilo i mea heʻe.
• Ka hōʻino ʻana o ka maka: Hiki ke nalowale ke kūlike o ka maka a ʻike ʻia ua piholo ma kekahi ʻaoʻao.

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau, ʻoiai inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona, ​​​​no ka mea, i kekahi manawa hiki ke ʻoi aku ka ʻino o ka pōʻino ma loko ma mua o ka mea i ʻike ʻia ma waho.

I kēia manawa, e nānā kākou i nā hōʻailona o ka haki ʻana o ka iwi ma nā wahi kikoʻī:

He aha inā haki ka ihu?

• Ka paʻakikī o ka hanu ʻana ma ka ihu.
• Kahe ke koko o ka ihu.

He aha inā e haki nā iwi i loko o nā lua maka?

• ʻIke pōwehiwehi.
• Ke hoʻomaka nei e ʻike i nā ʻaoʻao ʻelua (ʻIke pālua).
• Nā maka ʻōhū.
• Nā maka i piholo.
• Ke paʻakikī i ka hoʻoneʻe ʻana i nā maka i luna, i lalo, a i nā ʻaoʻao.

He aha inā haki ke kaula?

• Ke kahe nei ka wai.
• Ka paʻakikī i ka nau ʻana i ka meaʻai a i ʻole ka ʻōlelo ʻana.
• ʻEha i ka wā e wehe ai i ka waha.
• Nā niho palahalaha, haki, a hāʻule paha.

He aha nā kumu nui o kēia mau haki maka?

ʻO ka hapa nui o nā haki o ka maka i hana ʻia e ka hoʻouka kino ʻana i manaʻo ʻia. Eia kekahi:

• Nā ulia kaʻa: Nā ulia kaʻa, paikikala.
• Hāʻule: Ka hāʻule ʻana mai kahi kiʻekiʻe, e like me ka paheʻe ʻana a me ka hāʻule ʻana.
• Nā ʻeha e pili ana i nā haʻuki: Ma nā haʻuki e like me ka cricket a me ka rugby.
• Nā ulia pōpilikia ma ka wahi hana: Ma nā wahi e like me ke kūkulu ʻana.
• Ka hana ʻino i loko o ka home .

E noʻonoʻo wale, inā ʻaʻole ʻoe e kau ana i ka mahiole i kou wā e holo paikikala ana, hiki i kahi ulia liʻiliʻi ke hōʻeha nui i kou maka. Pēlā nō, he mea nui loa hoʻi e hoʻohana i nā mea pale i ka wā e pāʻani ana i nā haʻuki.

He aha nā pilikia e hiki ke loaʻa mai ka haki ʻana o ka maka?

Ke haki kahi iwi ma kou alo, hiki iā ia ke hoʻopilikia ʻaʻole wale i kou helehelena, akā i kou hiki ke hana maʻamau. Eia kekahi laʻana:

• He mea paʻakikī i ka mea nona ka ʻauwae haki ke ʻai.
• He mea paʻakikī i ka mea me ka ihu haki ke hanu ma ko lākou ihu.

Eia kekahi, hiki ke loaʻa nā maʻi, hiki ke loaʻa ke kahe koko i loko, a hiki ke loaʻa nā pilikia neurological. Hiki i kekahi mau haki maka koʻikoʻi ke hoʻoulu i ka wai cerebrospinal (CSF) e kahe mai loko mai o ka ihu a i ʻole ka pepeiao. Ua kapa ʻia kēia he leak CSF.

No ka hōʻemi ʻana i ka pilikia o nā pilikia e like me kēia, he mea nui e ʻike i ke kauka a ʻimi i ka lāʻau lapaʻau i ka wā e loaʻa ai iā ʻoe kahi ʻeha o ka maka.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe i ke kauka me kahi ʻeha maka, ʻo ka mea mua a lākou e hana ai, ʻo ia ke hoʻoholo inā ʻoe e pilikia ana i ka make. Inā pēlā, ʻo ia kā lākou mea nui loa. A laila:

• Nānā lākou e ʻike inā ua ālai ʻia kou mau ala ihu a me nā ala ea.
• Ke nānā nei lākou inā e hana pono ana kou mau maka.
• Ke nānā nei lākou e ʻike inā he pōʻino i kou ʻōnaehana nerve waena, ʻo ia hoʻi, kou lolo a me ke kaula spinal.
• Ke nīnau aku nei au iā ʻoe e pili ana i kou mau hōʻailona.
• Nīnau lākou pehea i ʻeha ai ka maka.
• Ke nānā nei mākou e ʻike inā he loli a ʻaʻole like paha ke ʻano o kou helehelena.
• E pā i nā iwi maka e ʻike ai i ka nui o ka pōʻino.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Kōkua nā hoʻokolohua kiʻi i nā kauka e hōʻoia i kahi haki maka a kāpae i nā pilikia ʻē aʻe, e like me ka dislocation. ʻO ka hoʻāʻo maʻamau i hoʻohana ʻia no kēia he CT scan (Computed Tomography - CT scan) .

Pehea e mālama ʻia ai ka haki maka? (Lāʻau Lapaʻau)

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka ʻeha, nā lāʻau lapaʻau e like me corticosteroids e hōʻemi i ka pehu ʻana, a me nā antibiotics inā he pilikia o ka maʻi.

ʻElua mau lāʻau lapaʻau nui no ka haki ʻana o ka maka:

1. Hoʻēmi ʻana: Ke kaʻina hana o ka hoʻoponopono hou ʻana i nā ʻāpana iwi haʻihaʻi i ko lākou mau wahi kūpono.

2. Hoʻopaʻa ʻana: Hana ʻia kēia e hoʻopaʻa i ka iwi a hiki i kona ho'ōla ʻana. ʻO ka maʻamau, pili kēia i ka hoʻopaʻa ʻana i ka iwi i hoʻopilikia ʻia. I kekahi manawa, pili kēia i ke ʻoki ʻana e hoʻokomo i nā papa liʻiliʻi, nā wili, a me nā uea.

I nā hihia paʻakikī me nā iwi haki he nui, pono paha ke ʻoki hana hou ʻana i ka maka . Aia ka lāʻau lapaʻau ma kahi o ka maka i loaʻa ai ka ʻeha a me kona koʻikoʻi.

Lapaʻau ʻoki ʻole "(Hoʻemi Pani ʻia)"

ʻO kēia ke kau ʻana i ka iwi haki ma kahi me ka ʻole o ke ʻoki ʻana. ʻO ke ʻano kēia e hoʻoponopono hou ke kauka i nā iwi me ka ʻole o ka ʻoki ʻana i kou maka a i ʻole ka wehe ʻana i ka iwi. Eia nō naʻe, hiki ke hana ʻia kēia no nā haki maʻalahi a paʻakikī ʻole.

Lapaʻau me ke ʻoki kino (Open Reduction)

I kekahi manawa, he paʻakikī loa ka iwi haki e hoʻoponopono lima ʻia. I kēlā hihia, pono ke ʻoki ʻana e wehe i ka wahi a hoʻopaʻa i ka iwi.

ʻO ke ʻoki hana hou ʻana o ka maka

He mea pono kēia ʻano hana ʻoki kino ke hōʻino nui ʻia ka maka. ʻElua mau kumu nui o kēia mau hana ʻoki kino:

• Ke hoʻihoʻi nei i ka hana maʻamau: nā mea e like me ka ʻike ʻana, ka ʻai ʻana, ka moni ʻana, a me ka hanu ʻana ma ka ihu.
• Ke hoʻihoʻi nei i kou helehelena i ka mea maikaʻi loa o kou hiki.

ʻEhia ka lōʻihi e ho'ōla ai?

He ʻokoʻa kēia no kēlā me kēia kanaka. Aia kekahi mau kumu e hoʻopilikia ai: ka nui o ka pōʻino i kou maka, nā lāʻau lapaʻau āu i loaʻa ai, a me ka hiki o kou kino ke ho'ōla.

ʻO ka maʻamau, e emi iho ka pehu a me ka palapū ma hope o ke ʻoki hana hou ʻana o ka maka i loko o ʻelua pule. Eia nō naʻe, hiki ke hala kekahi mau mahina e ho'ōla piha ai. No laila pono ʻoe e hoʻomanawanui.

He aha kā kākou e hana ai e hōʻemi i ia mau pōpilikia?

ʻAʻohe ala e pale loa ai i nā haki o ka maka. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pōʻino e hiki ke hana ʻia i kahi ulia:

• E hōʻoia e kau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa.
• Inā ʻoe e holo ana i ka mokokaikala a i ʻole ke kaʻa huila ʻekolu, e komo i ka mahiole a me nā mea palekana ʻē aʻe.
• E komo i nā lako palekana kūpono (mahiole, pale maka, pale waha) i ka wā e pāʻani ana i nā haʻuki.
• E hahai i nā ʻōlelo kuhikuhi palekana no kāu hana. Inā pono kāu hana i ka pale poʻo, e ʻaʻahu pono.

Aia kekahi mau hopena lōʻihi ma hope o kahi haki maka?

ʻAʻole paha e loaʻa i kekahi poʻe nā hopena lōʻihi ma hope o ka haki ʻana o ka maka. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā pilikia lōʻihi. ʻO kēia mau mea:

• Nā pilikia sinus.
• Paʻakikī ka hanu ʻana.
• Ka loli ʻana i ka ʻono a i ʻole ke ʻala.
• ʻO ka maneʻo a i ʻole ka emi ʻana o ka manaʻo.
• Nā pilikia ʻike.
• ʻEha poʻo.
• ʻEha i ka wā e pā ai i ke poʻo a i ʻole ka maka.

ʻO ka loaʻa koke ʻana o ke kōkua lapaʻau hiki ke hōʻemi i ka pilikia o kēia mau pilikia lōʻihi. E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he iwi haki kou ma kou alo, he mea nui e ʻimi koke i ke kōkua lapaʻau. E ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha ma kahi o ka ʻeha a i ʻole ke palupalu i ka wā e hoʻopā ʻia ai.
• Pehu.
• ʻUlaʻula.
• Nā palapū.
• Ka loli ʻana o ke ʻano o ka helehelena.
• ʻAʻole hiki ke hana maʻamau (e.g., hiki ʻole ke hāmama ka waha, hiki ʻole ke ʻai).

Āhea ʻoe e hele koke ai i ka haukapila (ETU) ?

Inā loaʻa kekahi o kēia mau mea, e hele i ka ʻOihana Pilikia kokoke loa (ETU) :

• Nā ʻeha hāmama me ka iwi i ʻike ʻia.
• Ke kahe ʻana o ke koko a i ʻole ka wai maopopo (ʻo ia paha ka CSF) mai ka ihu mai.
• ʻIke pōwehiwehi, ʻike pālua, a paʻakikī paha i ka neʻe ʻana i kou mau maka.
• Ka paʻakikī i ka moni ʻana a i ʻole ka hanu ʻana.
• Inā ʻike ʻia ua neʻe ke makau a i ʻole ka ihu mai kona wahi i kū ai.
• Inā ʻaʻole i kūlike pono nā ʻā o luna a me lalo, a inā he ʻeha i ka wā e neʻe ai i ka ʻā.
• Inā heʻe nā niho.
• Inā he ʻeha nui a me ka pehu ma ke alo.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Inā he ʻeha kou maka a haki paha, he mea maikaʻi e nīnau i kāu kauka i kēia mau nīnau:

• Ehia mau iwi i haki?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pono anei au e hana i ke ʻoki kino i kēia manawa a i ʻole e hana hou au ma hope?
• ʻEhia ka lōʻihi e ho'ōla ai?
• Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?
• Pehea e hiki ai iaʻu ke pale i kēia wahi i ʻeha a hiki i kona ho'ōla ʻana?

He koʻikoʻi anei ka haki ʻana o ka maka?

ʻAʻole hoʻoweliweli ka hapa nui o nā haki maka i ke ola. Eia nō naʻe, hiki i kekahi ke hana i nā pilikia koʻikoʻi me kou ʻike, nā ala ea, ka ʻōnaehana hanu, a i ʻole ka ʻōnaehana nerve waena.

No laila, inā he ʻeha kou ma kou maka, ʻoiai inā manaʻo ʻoe he mea liʻiliʻi ia, pono ʻoe e ʻike i ke kauka.A laila hiki iā ia ke kuhikuhi i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Hiki i ka haki maka ke ho'ōla iā ia iho?

Inā aia ka iwi haki ma kahi kūpono, hiki ke ho'ōla iā ia iho. Eia nō naʻe, i nā manawa he nui, pono ke kauka e hoʻoponopono hou i ka iwi e kōkua iā ia e ho'ōla pono. A i ʻole, hiki i ka iwi ke kū ʻole i ke kūlana a hoʻoulu i nā pilikia ma hope.

ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)

ʻO ka haki maka he mea ia e hiki ke hana ʻia i loko o kahi ulia. I kekahi manawa, ʻoi aku ka nui o nā pōʻino i loko ma mua o ka mea hiki iā mākou ke ʻike. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mau kūlana koʻikoʻi e hiki ke mālama ʻia me ke ʻoki ʻole ʻana. Eia nō naʻe, inā koʻikoʻi ka haki maka, a inā he nui nā haki paʻakikī, pono paha ke ʻoki ʻana.

No laila, inā manaʻo ʻoe he iwi haki kou ma kou alo, e ʻimi koke i ke kōkua lapaʻau. Hiki i ka mālama koke ʻana ke hōʻemi nui i ka pilikia o nā pilikia lōʻihi. Ke makemake nei iā ʻoe e ho'ōla koke!

Nā Haʻihaʻi Maka, Nā Haʻihaʻi Maka, Haʻihaʻi Ihu, Haʻihaʻi ʻAuwae, ʻOki Maka, CT Scan, Nā Ulia, ʻEha Maxillofacial