Ua haki anei kahi iwi? Ua kū ʻole anei ke ʻano? E aʻo kākou e pili ana i nā Malunion & Nonunion Fractures

He mea hiki iā kākou a pau ke haki ka iwi i kekahi manawa o ko kākou ola, ʻeā? Hiki ke hana ia ke piʻi kākou i kahi lāʻau a hāʻule, i ka wā e pāʻani ana, a i ʻole i kahi ulia liʻiliʻi. ʻO ka hapa nui o ka manawa, ke hele kākou i ke kauka a kau i kahi plaster (POP cast), ho'ōla loa ia i loko o kekahi mau lā a hoʻi i ka maʻamau. Akā... pehea inā ʻaʻole ia e hana mau? Pehea inā hoʻonohonoho pono ʻole ka iwi haki, a inā ʻaʻole ia e hoʻonohonoho iki ʻaʻohe mea pehea ka lōʻihi o ka manawa? ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia mau kūlana ʻelua ʻo `(Malunion)` a me `(Nonunion)`.

I ka ʻōlelo maʻalahi, he aha ʻo Malunion lāua ʻo Nonunion?

He mea maʻalahi loa kēia. E noʻonoʻo kākou i kēia ʻano.

Malunion: ʻO ke ʻano kēia, ua hoʻohui ʻia nā ʻāpana ʻelua o kou iwi haki, ʻo ia hoʻi, ua hoʻohui ʻia lākou, akā ma ke ʻano kūpono ʻole. ʻAʻole lākou ma kahi e pono ai. He kekee iki paha lākou, he wili, a he pōkole iki paha. E noʻonoʻo ʻoe e hoʻohui ana i ʻelua ʻāpana o ka pā haki me ke kāpili, akā ʻaʻole kūpono nā ʻāpana ʻelua, he kekee iki lākou. Ua hoʻopili ʻia ka pā, akā ua ʻokoʻa kona ʻano i kēia manawa. ʻO ia ka mea ʻo `malunion`.

ʻAʻohe hui pū ʻana: ʻO kēia ka manawa e hui ʻole ai nā ʻāpana iwi haʻihaʻi ʻelua, ʻaʻohe mea pehea ka lōʻihi o ka manawa e hala. Aia nō kahi hakahaka ma waena o nā ʻāpana ʻelua. Inā mākou e lawe i ka laʻana like me ma mua, ua like ia me nā ʻāpana pā ʻelua i pili ʻole i kekahi i kekahi ʻaʻohe mea pehea ka nui o kou hoʻopili ʻana iā lākou.

ʻElua kumu nui e hiki ʻole ai ke ho'ōla pono i ka iwi ma kēia ʻano.

1. Pilikia mīkini: ʻO ke ʻano kēia, ʻaʻole hiki ke hoʻopaʻa pū ʻia nā ʻāpana iwi ʻelua i ka wā o ke kaʻina hana ho'ōla. I kekahi manawa hiki i nā ʻāpana iwi ke neʻe i loko o ka mea i hoʻolei ʻia.

2. Pilikia olaola: ʻO ke ʻano kēia ua pilikia ke kaʻina hana o ka hoʻokumu ʻana o ka iwi hou ma muli o kekahi kumu kūloko i loko o kou kino. No ka laʻana, ʻaʻole lawa ka lako koko i ka wahi, nā hemahema meaʻai, a i ʻole nā ​​​​​​kūlana olakino ʻē aʻe e hiki ke hoʻopilikia i kēia.

Noʻonoʻo nā kauka i kēia mau kumu ʻelua i ka wā e mālama ai i kēia mau kūlana.

Aia kekahi mau ʻano o ka nonunion?

ʻAe, ke kū ʻole ke ʻano o ka iwi, hoʻokaʻawale nā ​​kauka iā ia e ʻike i ke kumu. ʻO ia ka mea e maʻalahi ai ka mālama ʻana.

He aha nā hōʻailona o ka hewa o ka iwi (malunion)?

Ke kū ʻole ke ʻano o ka iwi, hiki ke ʻike ʻia nā hōʻailona ma ka ʻike maka a ma ke ʻano o ka ʻoluʻolu ʻole.

ʻO ke ʻano o kona nānā ʻana mai waho mai

• Me he mea lā ua ʻeha kou lima a i ʻole kou wāwae.
• Me he mea lā ua wili ʻia ka lima a i ʻole ka wāwae.
• He ʻano pōkole iki ke ʻano o kēlā lima a i ʻole kēlā wāwae i ka hoʻohālikelike ʻia me kēlā ʻaoʻao.

Nā manaʻo o ka ʻoluʻolu ʻole

• He ʻeha ia ke hoʻohana ʻoe i kēlā lima a i ʻole kēlā wāwae.
• Aia ka pehu ma laila.
• Inā ma ka wāwae, e ʻoʻopa ia ke hele ʻoe.

I kekahi manawa, hiki i nā ʻāpana iwi i kūlike ʻole ke hoʻopaʻa i kahi aʻalolo. Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻO ke kani ʻana, ka manaʻo ʻana o ke kani ʻana (paresthesia)
• Ka nāwaliwali o nā ʻiʻo, ka ʻōpala ʻana `(atrophy)`
• ʻEha nui o ke aʻalolo me ka mumū (neuropathy)

He aha nā hōʻailona o kahi nonunion?

Ke ʻole e ho'ōla ka iwi no ka manawa lōʻihi, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:

• Ka ʻeha hohonu a mau loa mai ka iwi haki.
• He nāwaliwali ia a i ʻole ka hiki ʻole ke hoʻohana pono i ka lima a i ʻole ka wāwae.
• ʻO kahi kīnā i ʻike ʻia, no ka laʻana, kahi puʻu e like me ka puʻupuʻu, a i ʻole kahi lua e like me ka lua.

Eia kekahi, inā loaʻa ka maʻi i ka iwi, nā hōʻailona e like me:

• Pehu ʻana
• kuni
• Haʻalulu ma muli o ke anu

No ke aha i kū ʻole ai ke kuhikuhi a i ʻole ke kuhikuhi ʻana o nā iwi e like me kēia?

Aia paha kekahi mau kumu no kēia.

• ʻAno o ka haki: He paʻakikī loa kekahi mau haki. Inā kuʻi ʻia ka iwi i loko o kahi puʻu o nā ʻāpana (haʻi i hoʻopili ʻia) a i ʻole i wili ʻia (haʻi wili), he paʻakikī ke hoʻihoʻi iā lākou. Eia kekahi, inā ua hōʻino ʻia nā kīʻaha koko e hoʻolako ana i ka iwi me ke koko i ka ulia, lohi loa ke kaʻina hana ho'ōla.

• Lapaʻau: Inā ʻaʻole i mālama koke ʻia ka iwi haʻihaʻi e ke kauka, e hoʻomaka ka iwi e kū ʻole i ke kūlike. I kekahi manawa, ma hope o ke kau ʻia ʻana o kahi ʻōpeʻapeʻa, hiki ke hemo nā ʻāpana iwi. ʻO ka lohi a i ʻole ka mālama pono ʻole kekahi kumu nui o kēia.

• Nā hewa i hana ʻia i ka wā ho'ōla: Inā ʻoki ʻoe a wehe i ka plaster ma mua o ke ʻōlelo ʻana a ke kauka, a inā ʻoe e kau i ke kaumaha ma luna o kahi wāwae i ʻōlelo ʻia iā ʻoe ʻaʻole e kau i ke kaumaha, ʻoiai he iwi i pono ke kau pono ʻia e kau pono ʻia hiki ke kau pono ʻole ʻia a ʻaʻole loa paha.

• Kou olakino holoʻokoʻa: Lohi ka ho'ōla ʻana o ka iwi i kou wā ʻelemakule. ʻOi aku ka nui o ka pilikia o ka poʻe me nā maʻi e like me ka maʻi diabetes, ka maʻi thyroid, a me nā hemahema meaʻai. ʻO ka puhipaka a me ka hoʻohana ʻana i ka nicotine nā ʻenemi nui o ka ho'ōla ʻana o ka iwi. Hiki iā lākou ke hōʻemi i ke kahe koko i nā iwi, e hoʻōki paha i ke kaʻina hana ho'ōla.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka, e hahai ʻo ia i kēia mau ʻanuʻu.

1. Ke noi ʻana i nā kikoʻī: ʻO ka mea mua, e nīnau lākou iā ʻoe no ka ʻike kikoʻī. E nīnau lākou iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike, e like me ke ʻano o ka ulia, ka manawa i hana ʻia ai, nā pilikia āu e ʻike nei i kēia manawa, nā maʻi ʻē aʻe āu e loaʻa nei, a me nā lāʻau lapaʻau āu e lawe nei.

2. Hoʻokolokolo kino: A laila, nānā pono ʻia ka ʻāpana. Nānā lākou no kekahi pehu a kīnā paha i ʻike ʻia, inā like ka lōʻihi o nā lālā, a inā paha e hana pono ana nā hono. E noi paha lākou iā ʻoe e hele a puni.

3. Nā hoʻāʻo kiʻi: A laila wale nō e hana ʻia ai nā hoʻāʻo.

• X-ray: Hiki i kahi X-ray ke hōʻike pinepine i nā mea he nui. Hiki iā ia ke hōʻike maopopo inā ua kūlike nā iwi, kūpono ʻole, a i ʻole ʻaʻole i kūlike iki.
• ʻO ke kiʻi CT a i ʻole ke kiʻi MRI:I kekahi manawa, inā pono nā kikoʻī hou aku, e like me ka ʻike ʻana i ka pōʻino o nā ʻiʻo palupalu a puni ka iwi, hiki ke kauoha ʻia kahi CT scan a i ʻole MRI scan.

Inā hōʻike ka X-ray ua kū ʻole ke ʻano o nā iwi, ua kapa ʻia ia he `Malunion`. Inā ʻaʻole i kūlike nā iwi ma hope o kekahi manawa lōʻihi (no ka laʻana, 6, 9, 12 mahina), ua kapa ʻia ia he `Nonunion`.

Hiki ke hoʻoponopono ʻia kēia mau kūlana? He aha nā lāʻau lapaʻau?

ʻAe, hiki ke hoʻoponopono ʻia kēia mau mea. Akā, ʻaʻole pono e hoʻoponopono ʻia nā malunion āpau. Inā ʻaʻohe ona hopena nui i kou ola o kēlā me kēia lā, a inā ʻaʻole ia he ʻeha, e haʻi aku paha kāu kauka iā ʻoe ʻaʻole e hana i kekahi mea e pili ana i ia mea. Akā inā e hōʻeha a ʻoluʻolu ʻole paha ia iā ʻoe, pono ʻoe e loaʻa ka lāʻau lapaʻau.

Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau i ʻelua mau ʻāpana: ʻoki kino a me ke ʻoki ʻole.

Lapaʻau no ka malunion

Lapaʻau no kahi nonunion

Pehea lā ke kūlana ma hope o ka lāʻau lapaʻau?

I ka hapa nui o ka manawa, ua holomua loa kēia mau ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe. Akā, he manawa iki ka hoʻōla ʻana. Pono paha ʻoe e hoʻohana i nā crutches no kekahi mau mahina ma hope o ke ʻoki kino. Eia kekahi, he mea nui ka hoʻōla kino e hoʻihoʻi i ka ikaika o nā ʻiʻo i nalowale a hoʻihoʻi i ka neʻe ʻana o nā hono.

Eia nō naʻe, inā ʻaʻole i kaohi pono ʻia nā maʻi ʻē aʻe, e like me ka maʻi diabetes, inā ʻaʻole i hoʻōki ʻia ka puhi paka, a inā e lilo hou ka iwi paʻa i verrucid, aia kahi manawa liʻiliʻi e holomua ʻole ai ka lāʻau.

No laila, e hoʻomanaʻo, inā he kānalua iki kou ua haki kou iwi, mai kānalua e ʻike i ke kauka. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau kūpono a wikiwiki hoʻi e kōkua nui i ka pale ʻana i kēia mau ʻano pilikia.