Ua nahu anei kekahi iā ʻoe? E kamaʻilio kākou e pili ana i nā nahu kanaka!

ʻAuē, i kekahi manawa nahu nā keiki liʻiliʻi kekahi i kekahi ke huhū lākou a i ʻole ke pāʻani nei lākou, ʻeā? Hiki ke hana kēia i ka wā o nā hakakā ma waena o nā pākeke. No laila he aha kāu e hana ai inā nahu kekahi iā ʻoe a ʻeha ʻoe? ʻAʻole anei ia he mea e hopohopo ai? I kēia lā, e kamaʻilio kākou e pili ana i nā nahu kanaka . E nānā kākou inā he mea maʻalahi kēia e like me ke kani ʻana, a i ʻole he mau wahi e hopohopo ai.

He aha ke ʻano o ka nau ʻana o nā kānaka? He like anei kēia mau mea?

I ka ʻōlelo maʻalahi, ʻo ka 'nahu kanaka' ke kuʻi nā niho o ke kanaka i ka ʻili o kekahi kanaka a hōʻeha . Ua ʻike anei ʻoe hiki i kēia mau nahu ke hele mai i ʻelua ʻano nui?

1. Nahu pololei (Nahu ʻOcclusion)

ʻO kēia ke ʻano nahu maʻamau . E noʻonoʻo i kahi keiki e nahu ana i kahi keiki ʻē aʻe me ka manaʻo, no ka huhū, a no ka leʻaleʻa paha. He mea maʻamau loa kēia i waena o nā keiki ʻōpio. ʻAʻole lākou ʻike pehea e hōʻike ai i ko lākou mau manaʻo e like me ka huhū, ke kaumaha, a i ʻole ka huhū ma nā huaʻōlelo, no laila i kekahi manawa nahu lākou e hōʻike iā lākou. ʻIke pinepine ʻia kēia ʻano nahu i waena o nā keiki ʻōpio.

2. Nahu lima paʻa a pani ʻia paha

He ʻano ʻokoʻa iki kēia, ʻoi aku ka ʻeha pololei ʻole . E noʻonoʻo, i ka wā e kuʻi ai kekahi i kekahi, paʻi ka lima wikiwiki i nā niho o kekahi. A laila ua hou ʻia ka ʻili o ka lima a ʻeha. I kēia hihia, nui ka manawa e hōʻino ʻia ai ke ami ma ka piko o nā manamana lima, ʻo ia hoʻi, ka ami metacarpophalangeal . Ma muli o kēia, hiki ke loaʻa kahi maʻi , tendonitis , a i ʻole ka ʻoʻoleʻa i ke ami e hiki ʻole ai ke neʻe. ʻO nā mea e like me kēia ka mea pinepine i kēlā mau hakakā.

ʻO ka hapa nui o ka manawa, ʻaʻole i ʻeha nui nā kānaka i nā nahu. ʻAʻole ʻoi ko mākou mau niho e like me ko nā holoholona. No laila, ʻo ka maʻamau, ʻo ka palapū wale nō a i ʻole ka ʻoki liʻiliʻi e loaʻa. Eia nō naʻe, inā haki ka ʻili a loaʻa kahi ʻeha, pono ʻoe e ʻimi i ke kōkua lapaʻau . No ka mea, ʻoi aku ka nui o ka bacteria i loko o ko mākou lawai e hoʻoulu i ka maʻi.

He mea weliweli maoli anei i nā kānaka ke nau ʻana?

ʻAe, i kekahi manawa hiki i nā nahu kanaka ke ʻoi aku ka weliweli ma mua o kou manaʻo. ʻO ke kumu nui nā bacteria like ʻole e noho ana i loko o ko kākou lawai. ʻOiai inā he ʻano liʻiliʻi ka ʻeha, hiki i kēia mau bacteria ke hana i nā maʻi koʻikoʻi a me nā pilikia ʻē aʻe. No laila he mea nui e makaʻala inā haki ʻoe i kou ʻili.

Hoʻōla nā mea lawelawe olakino ma kahi o 2.5 miliona mau nahu kanaka i kēlā me kēia makahiki . Ma kahi o 10% o nā keiki e nahu ana e loaʻa i nā maʻi mai ka bacteria i loko o ko lākou lawai. Eia nō naʻe, ʻo nā nahu kanaka he 3% wale nō o nā nahu āpau e hele mai i nā lumi pilikia.

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He aha nā hōʻailona o kēia nahu?

Hiki paha iā ʻoe ke ʻike mua i nā hōʻailona ma kahi o ka ʻeha. Hiki i kēia mau mea ke komo pū me:

• ʻEha
• Ka palupalu
• Ke kahe ʻana o ke koko
• Pehu ʻana

Eia nō naʻe, inā ua loaʻa ka maʻi i ka ʻeha , ʻoi aku ka koʻikoʻi o nā hōʻailona:

• ʻEha nui a me ka pehu
• Me he mea lā e puka mai ana ka pus mai ka ʻeha mai.
• ʻUlaʻula a puni ka ʻeha
• Mehana ke pā a puni ka ʻeha
• Kuni, manaʻo anu, manaʻo maʻi

I kekahi manawa, inā ʻoe e ʻeha i kahi hui, e like me ka manamana lima , hiki iā ia ke hōʻino i nā tendon a i ʻole nā ​​​​aʻalolo ma laila. Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Ka nalowale o ka manaʻo ma nā manamana lima
• Ka paʻakikī i ke kūlou ʻana a me ka hoʻopololei pono ʻana i ka manamana lima

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kahi maʻi ma hope o ka nahu ʻana?

ʻOkoʻa ka pilikia o ka maʻi ma muli o kou olakino holoʻokoʻa a me kahi o ka nahu ʻana. Inā loaʻa iā ʻoe kekahi o kēia mau mea, ʻoi aku ka nui o ka loaʻa ʻana o kahi maʻi:

• Inā ua nahu ʻia ʻoe ma kahi e like me ka lima, ka wāwae, ka maka, ke poʻo, a i ʻole ka iwi/hui koʻikoʻi .
• Inā ʻoe e lawe ana i nā lāʻau lapaʻau e hoʻonāwaliwali i kou ʻōnaehana pale .
• Inā loaʻa iā ʻoe ka maʻi diabetes .
• Inā ʻoe e hoʻohana ana i nā lāʻau lapaʻau a i ʻole ka waiʻona (Substance use disorder).
• Inā loaʻa iā ʻoe nā maʻi vascular .
• Inā ʻoe ma luna o 50 mau makahiki.

Hiki i kēia mau nahu ke hana i nā pilikia ʻē aʻe?

ʻAe, ʻoiaʻiʻo nō. Inā ʻaʻole mālama pono ʻia, hiki i nā nahu kanaka ke alakaʻi i nā maʻi a me nā pilikia koʻikoʻi ʻē aʻe . Aia ka pilikia o ka maʻi i kekahi mau kumu:

• ʻO ke ʻano o ka hōʻeha a me kona wahi.
• Kou olakino laulā.
• ʻO ka manawa e pono ai mai ka manawa i hana ʻia ai ka ʻeha a hiki i ka manawa e pono ai e loaʻa ai ka lāʻau lapaʻau.

Inā ʻaʻole ʻoe e hele koke i ka haukapila, hiki ke loaʻa nā pilikia, no ka mea, hiki i ka maʻi ke laha i ka hala ʻana o ka manawa.

ʻO nā nahu ma nā wahi e like me nā lima, nā wāwae, ka ihu, a me ke cartilage pepeiao hiki ke hoʻoulu i nā pilikia hou aʻe ma mua o nā nahu ma nā wahi ʻē aʻe o ke kino. ʻOiai inā like lākou me he ʻeha liʻiliʻi lā, hiki iā lākou ke hōʻino i nā hono, nā tendon, a i ʻole nā ​​​​iwi ma lalo , a i ʻole ke kumu o kahi maʻi koʻikoʻi.

Inā ʻaʻole e mālama koke ʻia kēia mau maʻi, hiki iā lākou ke hōʻeha mau loa i ka ʻāpana kino i ʻeha . No ka laʻana, hiki i kahi nahu lima paʻa ke hōʻino i ka hui metacarpophalangeal, a hiki paha ke alakaʻi i ka arthritis . I ka hihia ʻino loa, pono paha ke ʻoki ʻia ke kino . Hiki i nā nahu occlusion ke hoʻopilikia i:

• Ka maʻi iwi (Osteomyelitis)
• ʻO ka maʻi hono (Septic arthritis)
• ʻO ka Tenosynovitis
• ʻO ka ʻeha o ka ʻūhā

ʻOiai he mea kakaikahi loa, ua loaʻa nā hōʻike e pili ana i nā maʻi e like me ka HIV/AIDS, Hepatitis B, a me Tetanus i laha ma o nā nahu kanaka. Eia nō naʻe, he mea kakaikahi loa kēia a he haʻahaʻa loa ka manawa e hiki mai ai.

Hiki i kahi nahu kanaka ke pepehi iā ʻoe?

Inā loaʻa iā ʻoe ke kōkua lapaʻau kūpono, he haʻahaʻa loa ka pilikia o ka make mai ka nahu ʻana o ke kanaka. Eia nō naʻe, hiki i nā nahu kanaka ke lilo i mea weliweli, ʻoiai ma muli o nā ʻano bacteria like ʻole e hele ana ma o ko kākou lawai. Hiki i nā pilikia e hiki mai ana mai kēia ke koʻikoʻi loa, me nā maʻi koʻikoʻi a me ka hōʻino mau ʻana i nā iwi, nā hono a me nā tendon. No laila he mea nui e makaʻala mau.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kou mōʻaukala olakino . Hoʻokomo pū kēia i nā kūlana olakino ʻē aʻe āu i loaʻa ai, nā pale ʻana āu i loaʻa ai, nā maʻi allergies āu i loaʻa ai, a me nā lāʻau lapaʻau āu e lawe nei. A laila, e nīnau lākou e pili ana i ka nahu. Hoʻokomo pū kēia i ke ʻano o ka hana ʻana, ka manawa hea i hana ʻia ai, a me ka mea nāna ʻoe i nahu . E kōkua kēia ʻike iā lākou e hoʻoholo pehea e mālama ai i ka ʻeha.

He aha kāu e hana ai ma ka home inā nahu kekahi iā ʻoe?

Inā hahau kekahi iā ʻoe, aia kekahi mau mea āu e hana mua ai.

1. Inā e kahe nui ana ke koko o ka ʻeha , e kau i kahi lole maʻemaʻe a maloʻo ma luna o ka ʻeha a kaomi ikaika .

2. A laila, e hoʻomaʻemaʻe mālie i ka ʻeha me ka hoʻohana ʻana i ke kopa akahai a me ka wai mehana .

3. Inā he syringe kāu, he manaʻo maikaʻi e hoʻohana ia mea e hoʻopiha i ka ʻeha me ka wai. E kōkua ke kaomi i ka hōʻemi ʻana i ka nui o ka bacteria. Akā e makaʻala loa ʻaʻole e hōʻino i ka ʻeha a i ʻole ka ʻili a puni.

4. Inā hiki iā ʻoe ke wehe i kekahi ʻili make a i ʻole nā ​​ʻōpala ʻē aʻe mai ka ʻeha (ke ʻole ʻoe e makaʻu i ka hōʻino hou ʻana), e wehe iā ia.

5. A laila, e pā mālie i ka ʻeha a hoʻopili i kahi poni antibacterial e hōʻemi i ka pilikia o ka maʻi.

6. ʻO ka hope loa, e uhi i ka ʻeha me kahi kāʻei maʻemaʻe .

Inā ʻaʻole i haki ka ʻili , ʻo ia hoʻi, ua ʻeha wale nō ia ma kahi ʻili iki, ʻaʻole pono ʻoe e ʻike i ke kauka. Akā e makaʻala pono i nā hōʻailona o ka maʻi . Pono ka ʻeha e ho'ōla ponoʻī.

Āhea pololei wau e ʻike ai i ke kauka?

Inā nahu kekahi iā ʻoe, ʻoiai ma kahi ʻāpana koʻikoʻi e like me kou lima, maka, a ʻāʻī paha, pono ʻoe e ʻike i ke kauka a nānā . Kiʻekiʻe loa ka pilikia o ka maʻi. ʻOi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau i loko o 24 mau hola o kekahi nahu e haki ai ka ʻili.

Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau mea, e kāhea koke aku i kāu kauka, a i ʻole e hele i ka lumi pilikia haukapila kokoke loa:

• Inā ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko ma hope o ke kaomi ʻana no kekahi mau minuke.
• Inā ʻike ʻoe i ka ʻulaʻula, ka pehu, a i ʻole ka pus e puka mai ana mai ka ʻeha.
• Inā ʻike ʻoe i nā kaha ʻulaʻula e pālahalaha ana mai ka ʻeha.
• Inā nui a hohonu paha ka nahu .
• Inā ʻike ʻia nā iwi a i ʻole nā ​​ʻiʻo .
• Inā manaʻo ʻoe e pono ana ʻoe i nā humuhumu no ka ʻeha.
• Inā ʻaʻole ʻoe i loaʻa i ka lāʻau pale tetanus i loko o nā makahiki ʻelima i hala, a inā ʻaʻole ʻoe maopopo e pili ana i ia mea.

Pehea e mālama ai ke kauka i kēia?

Ma hope o ka nānā ʻana o ke kauka i kou ʻeha, hiki iā ʻoe ke manaʻo e hana i kekahi mau hana, me:

• Ka hoʻomaʻemaʻe ʻana: E hoʻomaʻemaʻe pono ke kauka i ka ʻeha, e kau i kahi antiseptic, a nānā no kekahi hōʻino i nā aʻalolo, nā ligaments, nā tendons, a me nā iwi.
• Hoʻāʻo: Hiki ke lawe ʻia nā moʻomeheu ʻiʻo mai ka ʻeha e nānā i nā meaola lele. Inā he mau hōʻailona o ka hōʻino ʻana i nā hono a i ʻole nā ​​​​tendon, a inā ʻike ʻia ua maʻi ka ʻeha, hiki ke kauoha ʻia nā hoʻāʻo koko a i ʻole nā ​​​​hoʻāʻo kiʻi e like me nā X-ray .
• Hoʻolālā lapaʻau: Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. Hiki ke pani ʻia nā ʻeha hohonu me nā humuhumu i hoʻoheheʻe ʻole ʻia. I nā hihia koʻikoʻi, hiki ke hana ʻia ka debridement e wehe i nā ʻiʻo make a pau, a ukali ʻia e kahi graft ʻili . Pono paha ke ʻoki kino inā he haki, hōʻino ʻia nā hono/tendon, a i ʻole kahi maʻi koʻikoʻi.

Inā ʻaʻole i hou kāu mau pale ʻana , pono paha ʻoe e kiʻi i kahi pana tetanus . ʻO kēlā me kēia nahu e komo i loko o ka ʻili ma mua o 1 cm ka hohonu e mālama koke ʻia me kahi pana tetanus.

Pono ʻoe e ʻike hou i ke kauka i loko o 24 a 72 mau hola. Inā hoʻomaka ʻoe e hōʻike i kekahi mau hōʻailona o ka maʻi, pono ʻoe e hele koke.

He aha nā lāʻau lapaʻau i hāʻawi ʻia no kēia?

Inā pono, e kuhikuhi ke kauka i nā lāʻau lapaʻau nou. Hiki ke hāʻawi ʻia nā antibiotics i nā hihia aʻe:

• No nā maʻi ʻiʻo palupalu: 7-10 lā.
• No nā maʻi koʻikoʻi: 10-14 mau lā.
• No nā maʻi ʻino o ka iwi/hui: 4-6 pule.

Hiki i kāu kauka ke kuhikuhi i kahi lāʻau antibiotic e like me Amoxicillin (Augmentin®) . Loaʻa iā ia ka penicillin. ʻO ʻoeInā he maʻi ʻoe i ka penicillin, hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau lapaʻau e like me kēia:

• ʻO Clindamycin
• ʻO Trimethoprim/sulfamethoxazole
• ʻO Ciprofloxacin (Cipro®)

ʻAʻole anei hiki ke pale ʻia kēia mau nahu kanaka?

ʻAe. Hiki iā ʻoe ke pale aku i ka nahu ʻana ma ke aʻo ʻana i kāu keiki ʻaʻole e nahu i nā poʻe ʻē aʻe . Hiki nō hoʻi iā ʻoe ke pale aku i kēia mai ka hana ʻana ma ka komo ʻole ʻana i nā hakakā . He mea nui loa ke aʻo ʻana i nā keiki mai ka wā ʻōpiopio e kāohi i ko lākou mau manaʻo a e hoʻokele i ko lākou huhū ma nā ʻano ʻē aʻe.

ʻEhia ka lōʻihi e ola ai ma hope o ka nahu ʻana?

ʻOkoʻa ka manawa e ola ai mai kahi nahu kanaka mai kēlā kanaka a kēia kanaka. Aia ia i kekahi mau kumu:

• ʻO ke ʻano, ka wahi, a me ke koʻikoʻi o ka nahu.
• ʻO ka pōʻino i hana ʻia a me nā maʻi e hiki ke hana mai.
• Nā pilikia olakino ʻē aʻe āu e loaʻa nei.

ʻOiai ma hope o ka mālama mua ʻana, pono ʻoe e nānā i ka ʻeha no nā hōʻailona o ka maʻi . Hiki i nā nahu koʻikoʻi ke waiho i nā ʻeha a loaʻa nā hopena lōʻihi. E hoʻomanaʻo, inā ua nahu ʻia ʻoe e ke kanaka, ʻo ke kipa ʻana i ke kauka ke ala maikaʻi loa e hōʻemi ai i nā pilikia.

He ʻike hou iki: Pehea ka nui o ka mana nau ʻana i loaʻa i kānaka?

Ke hoʻohālikelike ʻia me nā mammals ʻē aʻe (e like me nā ʻīlio a me nā bea), ʻaʻole nui ka mana nau o kānaka. Ana nā kānaka ʻepekema i ke kaomi nau o kahi holoholona ma nā paona no ka ʻīniha kuea (psi) . ʻO ka ikaika nau awelika o ke kanaka ma kahi o 162 psi . Hiki i kekahi mau ʻīlio ke nau a hiki i 250 psi, a hiki i kekahi mau bea ke nau a hiki i 1,000 psi! No laila, ma ia ʻano, ua mālie loa mākou, ʻeā?

No laila, ʻo ka mea hope loa e hoʻomanaʻo! (Leka Lawe-Home)

ʻO ka nahu ʻana o ke kanaka ka mea maʻamau i waena o nā keiki ʻōpio, akā pono e makaʻala nā pākeke i kēia.

ʻOiai ʻaʻole koʻikoʻi ka hapa nui o nā nahu kanaka, ʻo kēlā me kēia nahu e haki i ka ʻili, pono e nānā ʻia e ke kauka.

Hiki i ka lawai kanaka ke loaʻa ka nui o nā bacteria, hiki ke hoʻoulu i nā maʻi. No laila , he mea nui loa ka ʻimi ʻana i ke kōkua lapaʻau e pale aku i ka maʻi a me nā pilikia ʻē aʻe. E hoʻomaʻemaʻe pono i ka ʻeha, a inā pono ʻoe e ʻike i ke kauka, mai hoʻokaʻulua. He waiwai kou olakino!

Nā Nahu Kanaka, Nā Nahu Kanaka, Nā ʻEha, Nā Maʻi, Kōkua Mua, Maʻi, Kōkua Mua