Ke hāʻule nei kāu keiki a ʻeha kona lima a wāwae paha? E aʻo kākou e pili ana i kēia Greenstick Fracture?

He mea maʻamau no nā kamaliʻi ke hāʻule iki a me nā ʻeha i ka wā e pāʻani ana, e holo ana a puni, a e pāʻani ana. Akā i kekahi manawa, ʻoiai he hāʻule iki hiki ke hōʻeha nui i ka lima a i ʻole ka wāwae. I ia mau hihia, hiki ke ʻoi aku ma mua o ka ʻeha maʻalahi, a hiki ke lilo i iwi haki. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano haki maʻamau, akā ʻokoʻa iki i nā keiki ʻōpio. Ua kapa ʻia kēlā he haki greenstick .

He aha ka haki ʻo Greenstick?

I ka ʻōlelo maʻalahi, he ʻano haki kēia, ʻo ia hoʻi ka haki ʻana o ka iwi. Akā aia kekahi mea kūikawā e pili ana i kēia. E like me ka inoa e hōʻike nei, ua like ia me ke kulou ʻana i kahi lāʻau ʻōmaʻomaʻo . E noʻonoʻo ʻoe e lawe ʻoe i kahi lāʻau ʻōmaʻomaʻo hou a kulou iā ia. ʻAʻole ia e haki loa i ʻelua, ʻeā? Pīpī iki ia ma kekahi ʻaoʻao, a i ʻole me he mea lā ua pīpī ʻia. ʻO ia ke ʻano o ka haki ʻana o ka lāʻau ʻōmaʻomaʻo.

ʻOi aku ka palupalu o nā iwi o nā keiki, e like me kēlā lālā maka, a palupalu iki. ʻAʻole lākou e haki koke i ʻelua e like me ka hana a nā pākeke. Akā, ke hoʻopili ʻia kahi ikaika, e haki iki kekahi ʻaoʻao o ka iwi, a i ʻole e haki e like me ka pahū. ʻAʻole ia e haki loa i ʻelua ʻāpana . E haki ka iwi ma kekahi ʻaoʻao, a e kūlou kekahi ʻaoʻao.

ʻO wai ka mea e loaʻa nui ana i kēia mau mea?

ʻO kēia kūlana, i kapa ʻia ʻo "Greenstick Fracture" , ʻike pinepine ʻia i nā keiki ma lalo o 10 mau makahiki. ʻO ke kumu nui o kēia, e like me kaʻu i ʻōlelo ai ma mua, ʻaʻole i ulu piha ko lākou mau iwi, no laila ua palupalu iki lākou a ʻoi aku ka maʻalahi. Hiki i ka iwi o kahi pākeke ke haki pinepine i kekahi mau ʻāpana me kēlā ʻano ikaika.

I nā iwi hea ma nā wāwae a me nā lima e hiki ai ke hana i kēia?

ʻO ka maʻamau, loaʻa kēia ʻano haki i nā iwi lōʻihi o ke kino . Eia kekahi laʻana:

• ʻO ka iwi ma ko kākou lima luna (`(Humerus)`)
• ʻO nā iwi ʻelua ma ka lima poʻohiwi (`(Radius)` a me `(Ulna)`)
• Nā iwi liʻiliʻi ma nā manamana lima a me nā manamana wāwae (`(Phalanges)`)
• Ka iwi nui ma ka ʻūhā (`(Femur)`)
• ʻIwi ʻūhā (fibula)

Ma nā wahi e like me kēia ʻoe e ʻike pinepine ai i kēia "Greenstick Fracture".

Pehea ka maʻamau o kēia ʻano?

He mea maʻamau loa nā haki ʻōmaʻomaʻo i waena o nā keiki ʻōpio. Ma kekahi mau ʻāina, hōʻike nā helu helu he miliona mau keiki e ʻeha nei i kēia maʻi i kēlā me kēia makahiki. No laila, inā loaʻa kekahi mea e like me kēia i kāu keiki, e hoʻomanaʻo ʻaʻole ia he mea maʻamau.

He aha nā hōʻailona o kēia?

Inā loaʻa i kāu keiki kekahi mea e like me kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Aia ka ʻeha nui , ʻoiai ke hoʻopā ʻia ka wahi i ʻeha.
• Hiki ke polū ka ʻāpana i ʻeha a nānā aku ua palapū .
• E uē paha ke keiki i ka ʻeha ke hoʻopā ʻia.
• ʻIke ʻia ka pehu ʻana ma ka wahi i ʻeha.
• I kekahi manawa he ʻāpana kino i hōʻeha ʻia, e like me ka lima a i ʻole ka wāwaeHiki ke ʻike ʻia aku he ʻoi aku ka kīkoʻo a wili paha ma mua o ka mea maʻamau.

Inā ʻike ʻoe i kahi hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka ma kahi o ka manaʻo he palapū wale nō ia.

He aha ke kumu o kēia?

ʻO kēlā me kēia mea e kau ana i ka ikaika nui ma ka iwi lōʻihi o ke keiki hiki ke hana i ka haki ʻana o ka greenstick. E noʻonoʻo e pili ana i ia mea, hāʻule kā mākou poʻe liʻiliʻi i ka wā e holo ana a lele ana. ʻOi loa aku i ka wā e hāʻule ai lākou me ko lākou mau lima i kīkoʻo ʻia a me ko lākou mau lima ma ka honua, hiki ke hana i kēia i nā iwi ma ko lākou mau lima. Eia kekahi:

• Nā ulia i ka wā e pāʻani ana i nā haʻuki : e like me ka pāʻani pôpeku, ka lele ʻana i nā lupe, a me ke piʻi ʻana i nā kumulāʻau.
• Hiki i nā ʻeha e like me kēia ke hana i nā ulia kaʻa .

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā keiki ma lalo o 10 mau makahiki ka poʻe i pilikia nui loa. Aia kekahi mau kumu no kēia:

• ʻO ke kūlou a me ka palupalu o ko lākou mau iwi .
• ʻOi aku ka pinepine o ka hāʻule ʻana o nā keiki ʻōpio ma mua o nā keiki makua no ka mea ʻaʻole i hoʻomohala piha ʻia ko lākou kaulike.
• ʻOiai ke hāʻule ʻoe, pinepine ʻoe e kuʻi i ka lepo me kou mau lima i ʻō aku , kahi e kau ai i ka nui o ke kaumaha ma nā iwi ma kou mau lima.

Eia kekahi, ʻo nā keiki i nele i ka meaʻai a i ʻole ka nele i ka wikamina D ("Vitamin D)") e piʻi aʻe ana ko lākou pilikia i ka haki ʻana o ka iwi. ʻO kēia no ka mea he mea nui ka wikamina D no nā iwi ikaika. Kākaʻikahi ka loaʻa ʻana o kēia haki greenstick i nā pākeke. ʻO ka maʻamau, haki loa ko lākou mau iwi.

Pehea e ʻike ai ke kauka i kēia?

E ʻike ke kauka i kēia ma ka hana mua ʻana i kahi hoʻokolokolo kino ma ke keiki, a laila, inā pono, e hana i nā hoʻokolohua kiʻi .

E nānā pono ke kauka i kahi i hōʻeha ʻia ai ke keiki a me nā wahi e pili ana. He mea nui loa e haʻi i ke kauka i nā kikoʻī āpau āu e ʻike ai, e like me ke ʻano o ka hāʻule ʻana o ke keiki a me kā lākou hana i ka wā i hana ʻia ai.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hana pinepine ʻia kahi X-ray e hōʻoia i kahi Greenstick Fracture. ʻO ka X-ray wale nō ke ala e ʻike pono ai i ke ʻano o ka haki a me kona wahi.

I kekahi manawa, ʻoiai inā pono ke ʻoki kino, hiki ke hana ʻia kahi MRI (Magnetic Resonance Imaging) a i ʻole CT (Computed Tomography) . Hiki i kēia mau mea ke hāʻawi i kahi hiʻohiʻona ʻekolu-dimensional maikaʻi o nā ʻiʻo e hoʻopuni ana i ka iwi, e like me nā ʻiʻo a me nā kīʻaha koko.

He aha nā lāʻau lapaʻau?

ʻO ka hapa pinepine, mālama ʻia kēia mau haki ʻōmaʻomaʻo ma ke kāohi ʻana i ka iwi me kahi ʻōpala . Pono paha kāu keiki e komo i kahi ʻōpala no kahi o ʻeono pule . I loko o kēia manawa, e lawe ʻia nā kukuna X e hōʻoia i ka ho'ōla pono ʻana o ka iwi.

Pono anei ke ʻoki ʻana no ka haki ʻana o ka greenstick?

ʻOiai hiki ke mālama pinepine ʻia me kahi ʻoki, i kekahi manawa pono paha ke ʻoki kino. ʻOiai inā ua hemo nui ka iwi a kūlou paha ma kahi kihi koʻikoʻi , pono paha ke ʻoki kino e hiki ai i ka iwi ke ho'ōla pono.

I ka wā o ke ʻoki ʻana, hoʻoponopono hou ke kauka i ka iwi a hoʻohana i nā pine metala e hoʻopaʻa iā ia ma kahi. Ua kapa ʻia kēia he hoʻopaʻa kūloko . Ma hope o ka ho'ōla ʻana o ka iwi, pono kekahi ʻoki liʻiliʻi e wehe i nā pine.

Aia kekahi mau pilikia i ke ʻoki kino?

E like me nā hana ʻoki kino a pau, hiki ke loaʻa nā pilikia liʻiliʻi, akā he mea maʻamau ʻole ia.

• `Malunion` : ʻO ke ʻano kēia, i ka wā e ho'ōla ai ka iwi, ʻaʻole ia e pili pono, akā e ho'ōla iki ʻia ma ka ʻaoʻao.
• ʻO ka `Nonunion` : ʻO ka hui pono ʻole ʻana o nā iwi, a i ʻole ua lohi ka hui ʻana.
• ʻO ka `Acute Compartment Syndrome (ACS)` : ʻO kēia ka wā e hōʻiliʻili ai ke kaomi i loko o nā ʻiʻo a puni ka ʻeha, e ʻoki ana i ke kahe ʻana o ke koko. Hiki i kēia ke hōʻino i nā ʻiʻo a me nā aʻalolo. He ʻano pilikia iki kēia.

He mea kākaʻikahi kēia ʻano pilikia, akā ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kēia a noho mākaukau.

Pehea lā e hiki ai ke pale ʻia kekahi mea e like me kēia?

He mea paʻakikī loa ke pale loa i kahi keiki mai ka hāʻule ʻana a i ʻole ka loaʻa ʻana o kahi ulia. He poʻe wikiwiki nā keiki ʻōpio. Akā, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ka pilikia:

• Pono nā kānaka a pau, ʻoi aku hoʻi nā keiki, e komo pono i nā kāʻei palekana i ka wā e holo ai i loko o nā kaʻa.
• E nānā e ʻike inā ke hoʻohana nei nā keiki i nā lako palekana kūpono (e like me nā mahiole a me nā pale kuli) i ka wā e pāʻani ana i nā haʻuki a holo paikikala paha.
• Mai waiho i nā mea pono ʻole e waiho ana a puni ka hale i kahi e hiki ai i nā keiki ke kuʻi ma luna o lākou . E mālama i ka hale i maʻemaʻe.
• E aʻo aku i nā keiki e hoʻohana i nā lako kūpono (e like me ke alapiʻi) ma kahi o ka piʻi ʻana ma luna o nā noho a i ʻole nā ​​​​papaʻaina i ka wā e hiki aku ai i kahi mea ma luna o lākou.
• Mai ʻae i nā keiki liʻiliʻi e piʻi ma luna o nā noho, nā pākaukau, a i ʻole nā ​​pākaukau . Hiki iā lākou ke hāʻule maʻalahi.

He aha kāu e manaʻo ai inā loaʻa kekahi mea e like me kēia i kāu pēpē?

Hoʻōla piha ka hapa nui o nā keiki me ka haki ʻōmaʻomaʻo. Ke ho'ōla ʻia ka iwi, hiki iā lākou ke holo, pāʻani, a hana i nā hana kula e like me ka maʻamau. Eia nō naʻe, he manaʻo maikaʻi e nānā me kāu kauka ma mua o ka hoʻomaka hou ʻana i nā haʻuki a i ʻole nā ​​​​hana ʻē aʻe.

Inā loaʻa kahi haki, ʻoi aku hoʻi ma ka lima, aia kahi pilikia liʻiliʻi o ka haki hou ʻana o ka iwi like i ka wā e hiki mai ana inā ʻaʻole mālama pono ʻia. No laila, he mea nui loa e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi ʻeha a pehu paha.

ʻEhia ka lōʻihi e hoʻōla ai?

ʻO ka maʻamau, he ʻeono pule ka lōʻihi no ka ho'ōla ʻana o kahi haki e like me kēia.E nalo aku ana ia. Akā hiki ke ʻokoʻa ma muli o nā mea e like me ke ʻano o ka iwi i ʻeha, ke ʻano o ka haki (e like me ka mamao o kona kūlou ʻana, ka nui o ka palapū), ka makahiki o ke keiki, a inā he mau ʻeha ʻē aʻe. E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o ka manawa a me ka wā e hiki ai iā ʻoe ke hoʻomaka hou e holo.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kahi keiki ka ʻeha a i ʻole ka pehu ʻana ma kahi iwi ma hope o ka hāʻule ʻana a i ʻole kahi ulia ʻē aʻe, e ʻike pono i ke kauka. Mai hoʻowahāwahā iā ia.

Āhea ʻoe e hele ai i ka lumi pilikia (ER)?

Ma ia ʻano kūlana, pono ʻoe e hele koke i ka lumi pilikia o ka haukapila ( ETU ):

• Inā he ʻeha hiki ʻole ke hoʻomanawanui .
• Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i ka ʻāpana i ʻeha o kou kino.
• Inā ʻokoʻa ke ʻano o ka wahi i ʻeha ma mua o ka mea maʻamau, a inā paha e like me ke kīkoʻo a wili paha .
• Inā ua māwae ka ʻili a ʻike ʻia ka iwi (he mea kākaʻikahi kēia i nā ʻōmaʻomaʻo, akā hiki ke hana).
• Inā pehu loa ia.
• Inā ʻike ʻoe i nā palapū hou a i ʻole nā ​​palapū me kēia mau hōʻailona.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia e kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana:

• Loaʻa i kaʻu keiki kahi haki ʻōmaʻomaʻo a i ʻole kekahi ʻeha ʻē aʻe?
• Pehea ka lōʻihi e pono ai iaʻu e hoʻopaʻa i ka plaster?
• Pono ʻoe i ke ʻoki kino? Inā pēlā, he aha ke ʻano?
• ʻEhia ka lōʻihi e ola ai?
• Pehea ʻoe e mālama ai i ka plaster i kona wā e kau ana? ʻAʻole anei e pulu?
• He aha nā hana hiki a hiki ʻole i ke keiki ke hana a hiki i kona hoʻōla ʻana? Hiki iā ia ke hele i ke kula?
• He aha ka pilikia o ka haki like ʻana i ka wā e hiki mai ana? Aia kekahi mea e hiki ke hana ʻia e hōʻemi ai?

ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo

He mea maʻamau i nā mākua ke makaʻu a hopohopo ke ʻike lākou ua ʻeha kāu keiki, ʻoiai inā he iwi haki ko lākou. Akā ʻo ka mea maikaʻi loa, ʻo ka hapa nui o nā keiki me nā haki Greenstick e hoʻōla piha . Ke ho'ōla ʻia ka iwi, ʻaʻohe o lākou hopena lōʻihi a i ʻole nā ​​​​pilikia.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a ke kauka. E mālama pono i ka palaki, e hoʻi e ʻike i ke kauka i nā lā āna e ʻōlelo ai iā ʻoe, a e hoʻomaha i kāu keiki. A laila hiki iā ʻoe ke mālama i kāu keiki a hiki i kona hoʻōla ʻana.

Inā he mau nīnau hou aku kāu, mai makaʻu e nīnau i kāu kauka.

ʻO ka haki ʻōmaʻomaʻo, ka haki ʻōmaʻomaʻo, nā haki keiki, nā hōʻailona o ka haki, ka mālama ʻana i ka haki, ke olakino keiki, ke olakino iwi