ʻAʻole ia he mea hou no kāu keiki liʻiliʻi ke hāʻule i ka wā e pāʻani ana, a i ʻole e hōʻeha i ka lima a i ʻole ka wāwae i ka wā e holo ana. ʻO ka maʻamau, manaʻo mākou he palapū liʻiliʻi a he ʻōpala paha ia, akā i kekahi manawa hiki ke lilo i mea koʻikoʻi. ʻO nā iwi o nā keiki, ma ke ʻano kūikawā, he wahi nāwaliwali ko lākou e pili ana i ko lākou ulu ʻana. Kapa mākou i kēia ʻo 'growth plate' . I kēia lā, ke kamaʻilio nei mākou e pili ana i ka hōʻino ʻana i kēia wahi, ʻo ia hoʻi, he haki iwi. Ua ʻike ʻia kēia ma ke ʻano lapaʻau he Salter-Harris Fracture .
He aha ka papa ulu?
I ka ʻōlelo maʻalahi, ʻo ka papa ulu he wahi kūikawā i hana ʻia me ke cartilage ma nā wēlau o nā iwi lōʻihi o ke keiki (e like me nā mea ma ko lākou mau lima a me nā wāwae). E noʻonoʻo e like me ka lālā o kahi lāʻau e kīkoʻo ana. ʻO kēia kahi e ulu mālie ai nā iwi o ke keiki a ulu i ka nui a me ke ʻano kūpono. Ke pau ka ulu ʻana o ke keiki, ʻo ia hoʻi, ke hiki lākou i ka wā ʻōpio, e paʻakikī mālie kēia cartilage a lilo i iwi maʻamau.
ʻIke nui ʻia kēia mau papa ulu ma:
- Ma ka iwi lima luna
- ʻO nā iwi ʻelua ma ka lima lalo (radius a me ulna)
- I loko o nā iwi o ka lima
- I loko o ka iwi ʻūhā
ʻOiai he mea nui kēia wahi no ka ulu ʻana o ke keiki, pono kākou e hopohopo no kekahi pōʻino i kēia wahi.
Aia kekahi ʻano haki Salter-Harris?
ʻAe, ua hoʻokaʻawale nā kauka i kēia mau haki i ʻelima mau ʻano nui, ma muli o ke ʻano o ko lākou hanana ʻana. ʻAʻole pono ʻoe e ʻike nui e pili ana i kēia, akā he mea maikaʻi ke ʻike iki e pili ana i ia mea i maʻalahi ai ke hoʻomaopopo i ka wā e wehewehe ai ke kauka iā ʻoe.
| ʻAno o ka haki | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻAno 1 | Hoʻokaʻawale loa ʻia ka papa ulu, me he mea lā e paheʻe ana mai ka wēlau o ka iwi. |
| ʻAno 2 | ʻO ka haki e kū mai ana ma ka papa ulu e hoʻolōʻihi i ka ʻāpana waena (ʻau) o ka iwi. ʻO kēia ʻano ka mea maʻamau i nā keiki. |
| ʻAno 3 | ʻO ka haki ke kumu o ka hoʻokaʻawale ʻana o kahi ʻāpana o ka papa ulu a me kahi ʻāpana o ka wēlau o ka iwi. ʻO kēia ka mea maʻamau i nā keiki ʻōpio, i ka wā e hoʻomaka ai nā papa ulu e paʻakikī . |
| ʻAno 4 | Ua like kēia me ke ʻano 3, akā ʻoi aku ka koʻikoʻi. Hoʻolōʻihi ka haki ma waena o ka papa ulu, e hoʻopilikia ana i nā wēlau o ka iwi a me ka waena o ka iwi. |
| ʻAno 5 | ʻO ke kaomi nui ma luna o ka iwi ke kumu o ka ʻūlū ʻana a me ka ʻānai ʻia ʻana o ka papa ulu. He maʻi kakaikahi kēia akā he koʻikoʻi. |
Pehea e ʻike ai inā ua hana ʻia kekahi mea e like me kēia i kaʻu keiki? (Nā hōʻailona)
Inā ʻike ʻoe i kēia mau hōʻailona ma hope o ka hāʻule ʻana o ke keiki, e hopohopo.
- ʻEha iwi: Uē ke keiki i ka ʻeha ke hoʻopā ʻia ka ʻāpana i ʻeha.
- Pehu: Ua pehu ka ʻāpana i ʻeha.
- ʻAno ʻē: Ke ʻike ʻia nei kahi lima a wāwae paha i kīkoʻo ʻia, kūlou, a i ʻole he ʻano ʻē aʻe.
- Hiki ʻole ke hoʻohana: ʻAʻole hiki i ke keiki ke neʻe a hoʻohana paha i ka lima a i ʻole ka wāwae i ʻeha.
- ʻO ke kala ʻana o ka polū/poni: Ua kahe ke koko ma lalo o ka ʻili, e hōʻike ana i kahi ʻano palapū.
- ʻIke i ka hoʻopā ʻana: Ua ʻeha ke keiki ʻoiai ke hoʻopā ʻia ka ʻāpana.
ʻAʻole paha e hiki i kahi keiki ʻōpiopio ke haʻi pololei iā ʻoe i ka manawa e ʻeha ai lākou. Inā oki koke kāu keiki i ka hoʻohana ʻana i kahi lima a wāwae paha, e paʻa i ka lima a wāwae paha i ʻeha a kokoke i ko lākou kino, a ʻoʻopa paha i ka wā e hele ai lākou, e hoʻolohe i kēia.
No ke aha i loaʻa ai i nā keiki kēia ʻano haki?
ʻO ke kumu nui o kēia, ʻo ia nā ulia pōpilikia.
- Hāʻule: Hāʻule i ka wā e pāʻani ana, holo paikikala ana, piʻi ʻana i nā lāʻau, a pēlā aku.
- Nā ulia haʻuki: Nā ulia e kū mai ana i ka wā e pāʻani ana i nā haʻuki e like me ka cricket, ka pôpeku, ka basketball, a me ka gymnastics.
- Nā ulia kaʻa.
Eia kekahi, ʻo ka hoʻomaʻamaʻa nui ʻana i ka haʻuki hoʻokahi no ka manawa lōʻihi, ʻoiai ma mua o ka ulu piha ʻana o ke kino o ke keiki, hiki ke hoʻoulu i ke kaomi mau ma nā papa ulu, e alakaʻi ana i kēia ʻano haki.
ʻO wai ka mea i pilikia nui no kēia maʻi?
ʻOiai hiki ke hana kēia i kekahi keiki, ʻoi aku ka kiʻekiʻe o ka pilikia no kekahi poʻe.
- ʻŌpio: ʻO kēia mau haki ka mea i hōʻike pinepine ʻia i kēia hui makahiki.
- Nā Keikikāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā keikikāne ma mua o nā kaikamahine. ʻO kēia no ka mea e ulu wikiwiki ana nā kaikamahine, a ʻoi aku ka wikiwiki o ka paʻakikī o kā lākou mau papa ulu i nā iwi paʻakikī .
- Nā mea pāʻani: ʻOi aku ka nui o ka pilikia o nā keiki e pāʻani pinepine ana i nā haʻuki lele a me ka holo (basketball, gymnastics, skiing).
Hiki paha i kēia ke loaʻa ka hopena lōʻihi?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, inā mālama pono ʻia a wikiwiki hoʻi, ʻaʻohe hopena lōʻihi. ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka a hoʻomaka i ka mālama ʻana i loko o hoʻokahi pule o ka ulia.
Eia nō naʻe, he mea kākaʻikahi loa ia, ʻoiai hoʻi i nā haki koʻikoʻi (ʻAno 4, 5) a inā hoʻopaneʻe ʻia ka mālama ʻana, hiki mai paha kekahi mau pilikia.
- Malunion: Ua kūpono ʻole ke kau ʻana o ka iwi haʻihaʻi.
- Nonunion: ʻAʻole kūpono ka iwi haki i kahi i kekahi.
- Ka lohi o ka ulu ʻana: Hiki ke ulu mālie ka iwi i hōʻino ʻia. No ka laʻana, ʻoi aku ka pōkole o kēlā lima a wāwae paha ma mua o kekahi. I kēia hihia, pono paha ke ʻoki kino e pale aku ai i kēia.
Pehea e ʻike pololei ai ke kauka i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e nānā pono mua ʻo ia i ke keiki. E nānā lākou i ka ʻeha, ka pehu, a me ka ʻeha. E hoʻohālikelike pū lākou iā ia me kahi lima a wāwae olakino paha. E nīnau ke kauka iā ʻoe i nā nīnau e like me ke ʻano o ka ulia a me ka wā i hoʻomaka mua ai ʻoe e ʻike i nā hōʻailona.
Ma hope o kēlā, hana ʻia kekahi mau hoʻokolohua e nānā i ke kūlana o ka iwi.
- X-ray: Hiki i kēia ke ʻike pinepine i kahi haki.
- MRI a i ʻole CT scan: I kekahi manawa pono paha kēia mau hoʻokolohua e ʻimi i nā haki a i ʻole nā hōʻino i nā ʻiʻo a puni i ʻike maopopo ʻole ʻia ma kahi X-ray.
Pehea e mālama ʻia ai?
ʻO ka lāʻau lapaʻau maʻamau a holomua hoʻi no kēia, ʻo ia ke kau ʻana i kahi mea hoʻoheheʻe, e like me ka Plaster of Paris (POP) a i ʻole Fiberglass.E hoʻopaʻa kēia i ka iwi haki a pale iā ia a hiki i kona ho'ōla ʻana. E wehewehe kāu kauka iā ʻoe i ke ʻano o ka ʻōpala e pono ai kāu keiki, pehea ka lōʻihi e kau ai, a pehea e mālama ai. ʻO ka maʻamau, e kau ʻia kahi ʻōpala no kahi o 4-6 mau pule.
No nā haki koʻikoʻi (nā papa 3, 4, a i ʻole 5), pono paha ke ʻoki kino . Eia naʻe, he mea kākaʻikahi loa kēia. I kēia hihia, hoʻoponopono hou ke kauka ʻoki kino i nā ʻāpana iwi a hoʻohana i nā mea hoʻopaʻa kūloko e like me nā wili, nā pine, a i ʻole nā papa e hoʻopaʻa iā lākou ma kahi. Ua kapa ʻia kēia ʻo "Internal Fixation." Ma hope o ka ho'ōla ʻana o ka iwi, pono kekahi ʻoki kino liʻiliʻi e wehe i nā mea hana.
Āhea wau e lawe koke aku ai i kaʻu keiki i ke kauka?
Inā hāʻule nui kāu keiki a i ʻole he ulia paha, e ʻike koke i ke kauka. ʻOi loa aku inā he kānalua iki kou ua haki ka iwi o kāu keiki, e lawe iā lākou i ka ETU (Emergency Treatment Unit) o ka haukapila kokoke loa .
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, mai hoʻokaʻulua:
- Inā he ʻeha nui .
- Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kahi lima a i ʻole kahi wāwae.
- Inā ua kīkoʻo maopopo ʻia kahi lima a wāwae paha a he ʻano ʻē ke ʻano .
- Inā ʻike ʻia ka iwi haki ma o ka ʻili .
- Inā pehu nui ia.
- Inā hele pū kēia mau hōʻailona me kahi helehelena palapū koke a i ʻole ka loli ʻana o ke kala o ka ʻili .
E hoʻomanaʻo, ʻo ka ʻae ʻana i kāu keiki e holo, lele, a pāʻani hou paha ma mua o ka ho'ōla piha ʻana o ka iwi e hoʻonui ai i ka pilikia o nā pilikia. No laila e hoʻomaha i kāu keiki a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe.
He mea maʻamau i nā mākua ke makaʻu i ka wā e ʻeha ai kā lākou keiki. Akā, ʻaneʻane hiki ke hoʻihoʻi loa ʻia kēia mau haki ulu inā ʻike ʻia a mālama ʻia i ka wā mua. He mea nui ka manawa. Inā he mau hopohopo kāu, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke lawe koke i kāu keiki i ke kauka.
Leka Lawe-Home
- ʻO nā papa ulu ma nā wēlau o nā iwi lōʻihi o nā keiki he mau wahi ia o ko lākou ʻōnaehana iwi i nāwaliwali iki a ʻoi aku ka maʻalahi o ka hōʻino ʻana.
- Inā ʻike ke keiki i ka ʻeha, ka pehu ʻana, a i ʻole ka ʻoʻoleʻa ma ka lima a i ʻole ka wāwae ma hope o ka hāʻule ʻana, mai manaʻo he palapū wale nō ia a e ʻike pono i ke kauka.
- Ma ka ʻike ʻana a me ka mālama ʻana i ia ʻano haki i ka hikiwawe loa, hiki ke hoʻemi ʻia ka hopena o ka ulu ʻana o ka iwi o ke keiki i ka wā e hiki mai ana.
- Hoʻōla maikaʻi ka hapa nui o nā keiki me ka ʻole o nā pilikia lōʻihi ma hope o ka mālama kūpono.
- He mea nui loa e hahai i ka ʻōlelo aʻo a ke kauka a hiki i ka wā e ʻae ʻia ai kāu keiki e hoʻi i nā haʻuki a i ʻole nā hana maʻamau.
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