Ke nānā aku nei anei ka lima a i ʻole ka wāwae o kāu keiki liʻiliʻi me he mea lā ua huki ʻia? He haki ʻōmaʻomaʻo anei kēia?

Ua hāʻule koke anei kāu keiki liʻiliʻi i ka wā e pāʻani ana? A i ʻole ua loaʻa iā ia kahi ulia liʻiliʻi ma ke kahua pāʻani? Ma hope o kēlā, ke uē mau nei ʻo ia no ka mea ua ʻeha kona lima a wāwae paha? Ke nānā aku nei anei ka ʻāpana i ʻeha ua pehu iki a huki ʻia? Ma ke ʻano he makua, he mea maʻamau iā ʻoe ke makaʻu nui i ka manawa e like me kēia. Akā, mai hopohopo. He pinepine kēia he haki iki, kahi mea maʻamau i nā keiki ʻōpio. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ka Greenstick Fracture? E hoʻomaopopo maʻalahi kākou

He ʻano iwi haki ka "Greenstick Fracture". Eia nō naʻe, he ʻokoʻa iki ia mai nā haki a mākou e ʻike pinepine ai.

E noʻonoʻo ʻoe e lawe ana i kahi lālā maka lahilahi mai kahi lāʻau a kulou iā ia. ʻAʻole ia e haki maʻalahi i ʻelua ʻāpana, ʻeā? Akā, kūlou ia, akā inā ʻoe e kūlou nui iā ia, e ʻoki iki ʻia a māwae kekahi ʻaoʻao. E pili mau ana kekahi ʻaoʻao.

I kēia manawa, e noʻonoʻo ʻoe e lawe ana i kahi lālā maloʻo a kahiko a kulou iā ia. "Kuʻi" ia a haki i ʻelua ʻāpana.

Ua like ka "Greenstick Fracture" me ke koʻokoʻo ʻōmaʻomaʻo i ʻōlelo ʻia ma mua. Kāhea mākou i kēia haki ke ʻole e haki loa ka iwi i ʻelua ʻāpana, akā he māwae liʻiliʻi wale nō ma kekahi ʻaoʻao. Loaʻa ka inoa mai ke ʻano o ka huaʻōlelo "green stick".

ʻO wai ka mea e hana pinepine ai kēia? No ke aha e like me he mea lā e hana wale ʻia ai i nā kamaliʻi ʻōpio?

ʻO kēia kūlana i kapa ʻia ʻo 'Greenstick Fracture' ka mea i ʻike pinepine ʻia i nā keiki ma lalo o 10 mau makahiki. He mea kākaʻikahi loa i nā pākeke ke loaʻa i kēia. Aia kekahi kumu kikoʻī no ia mea.

ʻO nā iwi o nā keiki liʻiliʻi, ʻo ia hoʻi nā iwi, ua like ia me kēlā mau lālā ʻōmaʻomaʻo. ʻAʻole lākou i ulu piha a hoʻopaʻa ʻia. No laila, ʻoi aku ko lākou palupalu a palupalu ma mua o nā iwi o nā mākua. Ua like nā iwi o nā mākua me kēlā mau lālā maloʻo; he paʻakikī lākou, no laila e haki maʻalahi lākou i mau ʻāpana inā hāʻule kekahi mea e like me ka hāʻule ʻana.

Eia kekahi, ke holo mau nei nā kamaliʻi ʻōpio, lele, a pāʻani. No laila, ʻoi aku ka nui o ko lākou hāʻule ʻana. ʻOiai ke hāʻule lākou, hoʻāʻo mau lākou e hoʻopakele iā lākou iho ma ka hohola ʻana i ko lākou mau lima a kau iā lākou ma ka honua. A laila, hoʻopili ʻia ka ikaika nui i nā iwi o ka lima, hiki ke hana i kahi `Greenstick Fracture` e like me kēia.

Nā hōʻailona e loaʻa paha i kāu pēpē kahi Greenstick Fracture

E nānā i kēia mau hōʻailona ma hope o ka loaʻa ʻana o kāu keiki i kahi ulia. Inā loaʻa kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​hiki paha he iwi haki.

ʻO nā iwi i hoʻopilikia pinepine ʻia e kēia ʻeha:

ʻO ka maʻamau, hoʻopilikia ka haki ʻana o ka greenstick i nā iwi lōʻihi.

• Iwi lima luna (Humerus)
• Nā iwi o ka lima lalo (Radius a me Ulna)
• Nā iwi o nā manamana lima ('Phalanges')
• ʻIwi ʻūhā (femur)
• ʻO ka fibula

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia i ke keiki a me ʻoe e pili ana i ka ulia. A laila e nānā lākou i ka wahi i ʻeha. E nānā pono lākou no ka pehu ʻana, ka palapū, a me nā hōʻailona ʻē aʻe o ka ʻeha.

A laila, e hōʻoia inā he haki a ʻike pono i ke ʻano o ia mea, hana ʻia kahi X-ray.Hiki i ke kauka ke hoʻoholo maopopo mai ke kiʻi X-ray inā ua haki loa ka iwi a inā he haki ʻano 'Greenstick'.

He mea kākaʻikahi loa, inā ʻoi aku ka paʻakikī o ka haki a inā he kānalua no ka hōʻino ʻia ʻana o nā ʻiʻo a puni a i ʻole nā ​​​​kīʻaha koko, hiki ke ʻōlelo ʻia kahi MRI a i ʻole CT scan.

Pehea e mālama ʻia ai ka haki ʻana o ka Greenstick?

He mea maʻalahi loa ka mālama ʻana i kēia maʻi.

1. Ke kau ʻana i kahi plaster (Cast Immobilization)

ʻO ke ʻano nui o ka mālama ʻana no ka hapa nui o nā haki greenstick, ʻo ia ke kau ʻana i kahi ʻōpeʻa ma ka iwi e paʻa ai. Ma ke kau ʻana i ka iwi haʻihaʻi ma ke kūlana kūpono a me ke kau ʻana i ka ʻōpeʻa ma luna, loaʻa i ka iwi ka manawa kūpono e ho'ōla pono ai me ka ʻole o ke keakea.

• ʻO ka maʻamau, pono ʻoe e komo i kēia plaster no kahi o 4 a 6 mau pule .
• I loko o kēia manawa, ʻōlelo ke kauka pono mākou e lawe i kahi X-ray ʻē aʻe e ʻike ai inā e ho'ōla pono ana ka iwi.

2. ʻOki kino

ʻAʻole pono pinepine ke ʻoki kino. Inā koʻikoʻi loa ke kihi o ka haki, ʻo ia hoʻi ua kūlou loa ka lima a i ʻole ka wāwae, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino.

ʻO kēia ʻoki kino e pili ana i ke kau ʻana/hoʻoponopono hou ʻana i ka iwi a me ke kau ʻana i nā pine metala e hoʻopaʻa iā ia ma kahi . Ua kapa ʻia kēia ʻo 'internal fixation'. Ke ho'ōla piha ʻia ka iwi, e wehe ʻia nā pine ma kahi ʻoki kino liʻiliʻi ʻē aʻe.

Nā pilikia hiki ke loaʻa mai ke ʻoki ʻana

E like me nā ʻoki kino āpau, aia nā hihia kakaikahi loa kahi e hiki ai ke loaʻa nā pilikia.

• Malunion: He iwi i hui pono ʻole i ka wā e ho'ōla ai. He kuhi hewa iki.
• ʻAʻohe hui pū ʻana: ʻAʻole hoʻi hou nā ʻāpana iwi ʻelua.
• ʻO ka Acute Compartment Syndrome (ACS): He kūlana koʻikoʻi kēia a pilikia. Piʻi nui ke kaomi i loko o ka ʻāpana e hoʻopuni ana i ka iwi, e ʻoki ana i ke kahe koko a e hōʻeha mau ana i nā ʻiʻo a me nā aʻalolo. Inā hoʻomau ka ʻeha ma hope o ka ʻeha, a inā ʻike ʻoe i ka maneʻo a i ʻole ke kani ʻana i kou mau lālā, pono ʻoe e ʻike koke i ke kauka.

ʻEhia ka lōʻihi e ho'ōla ai? He aha ka mea e hana ma hope o kēlā?

Hoʻōla loa ka hapa nui o nā haki greenstick i loko o ʻeono pule , akā hiki ke ʻokoʻa iki kēia manawa ma muli o ka makahiki o ke keiki, ke ʻano o ka iwi i haki, a me ke ʻano o ka haki.

Ma hope o ka wehe ʻia ʻana o ka plaster, pono e mālama ʻia ke keiki mai ka holo ʻana a me ka lele ʻana, ʻoiai hoʻi nā haʻuki, a hiki i ka wā e ʻōlelo ai ke kauka iā lākou. Ma hope o kekahi manawa, e hiki i ke keiki ke hana i kāna mau hana maʻamau me ka ʻole o nā pilikia.

Hiki ke pale ʻia nā pōpilikia e like me kēia?

ʻOiai ʻaʻole hiki ke pale ʻia nā ulia i ka 100% o ka manawa, aia kekahi mau mea e hiki ai iā kākou ke hana e hōʻoia i ka palekana o kā kākou mau keiki.

• Nā lako palekana: E ʻaʻahu i nā lako palekana kūpono (nā mahiole, nā pads) i ka wā e holo paikikala ai a i ʻole e pāʻani ana i nā haʻuki e like me ka cricket.
• Kaiapuni home: Mai waiho i nā mea (nā mea pāʻani, ka wai) ma ka papahele kahi e hiki ai i nā keiki ke paheʻe a hāʻule i loko o ka hale.
• Pāʻani palekana: Mai ʻae i nā keiki e piʻi ma luna o nā noho, nā pākaukau, a i ʻole nā ​​pākaukau e pāʻani ai.
• ʻIke Meaʻai: E hāʻawi i kāu keiki i kahi meaʻai kaulike i waiwai i ka calcium a me ka wikamina D. He mea nui kēia mau meaola no nā iwi ikaika.

I ka manawa e ʻike koke ai i ke kauka a hele i ka ETU

Ke loaʻa i kahi keiki kahi ulia, he mea nui loa ia e ʻike i ka wā e ʻike ai i ke kauka a me ka wā e hele ai i ka Emergency Treatment Unit (ETU).