Ua loaʻa koke anei i kāu keiki liʻiliʻi kahi kuʻekuʻe ʻeha? Eia kā mākou e kamaʻilio nei: Nursemaid Elbow!

Ua hoʻomaka koke anei kāu keiki liʻiliʻi e uē me ka hoʻohana ʻole ʻana i ka lima? A i ʻole he mea ʻē paha e pili ana i ka lima e kau ana i lalo? Malia paha ua huki ikaika iki ʻoe i kou lima i ka wā e pāʻani ana me kāu keiki a i ʻole e hāpai ana iā ia. I nā manawa e like me kēia, hiki paha ke loaʻa kahi ʻeha liʻiliʻi ma ka ʻāpana kuʻekuʻe o nā keiki liʻiliʻi. E kamaʻilio kākou e pili ana i kēlā i kēia lā.

He aha ke ʻano o ka 'Nursemaid Elbow'?

I ka ʻōlelo maʻalahi, ʻo Nursemaid Elbow kahi ʻeha maʻamau i nā keiki ma lalo o 5 mau makahiki i huki ʻia ma ke kuʻekuʻe . Ua kapa pū kekahi poʻe iā ia he Pulled Elbow. Hana ʻia kēia no ka mea ʻaʻole i hoʻomohala piha ʻia nā kaula ikaika e hoʻopaʻa ana i nā hono a me nā iwi, i kapa ʻia ʻo ligaments, i nā keiki ʻōpio. No laila, me ka ikaika iki, hiki i kahi iwi liʻiliʻi ma ke kuʻekuʻe - ka mea a nā kauka e kapa nei he iwi Radial - ke paheʻe i waho o kahi a paʻa ma waena o kēlā mau ligaments.

E noʻonoʻo, i kahi mea e like me ke pani ʻana i kahi drawer, puka iki mai kahi mea i loko a paʻa, ʻo ia ka mea e hana ʻia ma ʻaneʻi.

ʻAʻole kēia he kuʻekuʻe lima i hemo . ʻOi aku ka pololei, ua neʻe iki ka iwi a ua paʻa ma waena o nā ligaments. Ua kapa nā kauka i kēia ʻano he subluxation poʻo radial. Ua loaʻa kona inoa no ka mea ua manaʻo ʻia he mea maʻamau i waena o nā kahu hānai nāna i mālama i nā keiki.

Pehea ka maʻamau o kēia ʻano?

ʻO kēia ke kumu o kahi 20% o nā ʻeha o ka lima luna i nā keiki ʻōpio. ʻOi aku ka maʻamau i nā kaikamahine ma mua o nā keikikāne. Loaʻa pinepine ia ma ka lima hema ma mua o ka lima ʻākau. Mai hopohopo, ʻaʻole ia he mea weliweli. Eia nō naʻe, he mea nui e hoʻomanaʻo inā hana ʻia i hoʻokahi manawa, aia he 20% ka manawa e hana hou ʻia ai.

No ke aha i loaʻa ai ka 'Nursemaid Elbow'?

ʻAʻole pono ka ikaika nui e hoʻoneʻe i ka iwi radius mai ke kuʻekuʻe lima o kahi keiki liʻiliʻi. Hiki i kahi huki iki ke hana i kēia. Eia ke ʻano e hiki ai ke hana maʻamau :

• Ke hāpai ʻoe i kāu pēpē a hoʻohuli iā ia: ʻO ka hapa nui o ka manawa, he mea ia a mākou e hana ai me ke aloha. Akā inā lilo ia i mea ikaika loa, hiki ke hana ʻia kēia.
• I ka hāpai ʻana i ke keiki me nā lima ʻelua.
• Ke hoʻāʻo nei e hoʻokomo i ka lima i loko o kahi ʻaʻahu ma ka huki ʻana i ka lima o ke keiki: Inā paʻa iki, huki ikaika iki mākou.
• Ke hoʻāʻo ʻoe e hoʻōki i kahi keiki ma ka paʻa ʻana i ko lākou lima ke kokoke lākou e hāʻule.
• Ke lele koke ʻoe i ke alanui a hopu i ka lima o kāu keiki e hoʻopakele iā lākou mai ka pōʻino.

ʻO nā mea e like me kēia ke kumu pinepine o kēia kūlana 'Nursemaid Elbow'.

He aha nā hōʻailona o kēia?

I kekahi manawa, inā ʻaʻole ʻoe ma laila i ka wā i loaʻa ai ka ʻeha, hiki ke paʻakikī ke ʻike i kekahi o nā hōʻailona. I ka wā mua, e uē nui paha ke keiki ma muli o ka ʻeha , akā ma hope o kekahi manawa, ʻaʻole paha lākou e kamaʻilio nui e pili ana i ka ʻeha. ʻAʻohe pehu . Akā e makaʻala i kēia mau mea:

• Inā ʻoe e uē koke a hōʻike paha i ka ʻeha ma hope o ka hoʻopā ʻia ʻana.
• Inā he ʻeha kou ma kou pulima a me/a i ʻole poʻohiwi.
• Inā ʻaʻole ʻoe e hoʻoneʻe i kou lima mai ka poʻohiwi i lalo a ʻōlelo paha ʻaʻole hiki iā ʻoe ke hoʻoneʻe.
• Inā ʻoe e paʻa i kekahi lima me kekahi, me he mea lā e akahele ana ʻoe.
• Inā ʻoe e hoʻopololei i kou lima, a i ʻole e kulou iki a paʻa kokoke i kou kino.
• Inā ʻōlelo ʻoe ʻaʻole hiki iā ʻoe ke hoʻohuli i ka lima i luna a i lalo.

Inā ʻike ʻoe i kekahi mea e like me kēia, pono ʻoe e akahele iki.

Pehea e ʻike ai nā kauka i kēia?

Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua a lākou e hana ai, ʻo ia ka nānā kino. E nīnau lākou iā ʻoe pehea i hana ʻia ai ka ʻeha. E hoʻoneʻe mālie ke kauka i ka lima o kāu keiki a e hoʻopā i ke kuʻekuʻe e ʻike inā he ʻeha.

I ka hapanui o nā hihia , ʻaʻole pono kahi X-ray no kēia kūlana, no ka mea, ʻaʻole ʻike ʻia ma kahi X-ray. Eia nō naʻe, i kekahi manawa e hoʻoholo paha ke kauka e lawe i kahi X-ray e hōʻoia inā ua haki kahi iwi ma ka lima a inā paha he ʻeha koʻikoʻi ʻē aʻe.

Pehea ʻoe e mālama ai i ka 'Nursemaid Elbow'?

He maʻalahi loa ka lāʻau no kēia, ʻaʻohe mea e hopohopo ai. Hana ke kauka i kahi hana liʻiliʻi - kapa mākou ia he 'reduction' - a hoʻihoʻi i ka iwi i kona wahi . He mau kekona wale nō kēia.

Hana ke kauka i kēia ma ke kūlou mālie ʻana i ka lima o ke keiki a wili iki iā ia. E lohe paha ʻoe i kahi leo 'kaomi' . E ʻeha iki paha ke keiki i ia manawa, akā ʻaʻole ʻino loa ka ʻeha. ʻO ia wale nō! ʻO ka maʻamau, hana ʻia kēia i hoʻokahi manawa. Kākaʻikahi loa, pono e hana ʻia i ʻelua manawa.

ʻAʻole hiki iā ʻoe ke hana i kēia ma ka home?

Hiki iā ʻoe ke kau i kahi hau i ke kuli o kāu keiki e hōʻemi i ka ʻeha, a hāʻawi paha iā lākou i kahi lāʻau ʻeha OTC . Akā, pono ʻoe e ʻike i ke kauka . ʻO ke kauka akamai a aʻo wale nō ke hoʻoponopono i kēlā kuʻekuʻe wāwae i haki.

Ua lohe mākou e hoʻāʻo ana kekahi poʻe e hoʻoponopono i kēia ma ka home, akā ʻaʻole ia he manaʻo maikaʻi . He mea weliweli loa ka hoʻāʻo ʻana i kēia a hiki i ka hiki ʻana i ke kauka ke hōʻoia i ke kumu o ka pilikia a inā he mea ʻē aʻe, e like me ka haki ʻana o ka iwi. Hiki iā ʻoe ke loaʻa i kahi ʻeha koʻikoʻi.

Pehea e hiki ai ke pale ʻia kēia? (Kāohi ʻana)

I mea e pale aku ai i kēia, pono kākou e akahele iki i ka wā e hana ai me nā keiki ʻōpio.

• Ke pono ʻoe e kiʻi i ka manaʻo o kāu keiki, e hoʻāʻo e kamaʻilio me lākou ma kahi o ka hoʻohana ʻana i ko lākou mau lima .
• E hoʻomanawanui i ke kau ʻana i nā ʻaʻahu ma luna o nā keiki liʻiliʻi a i ʻole ke kau ʻana iā lākou i loko o nā noho kaʻa. Mai huki ikaika loa no ka mea ua paʻa lākou.
• ʻOiai ke pāʻani nei, mai hāpai i ke pēpē me nā lima ʻelua a milo ikaika iā ia. Akā, e ʻōwili i kou mau lima a puni kona kino a hāpai iā ia.

Inā ʻoe e mālama i kēia mau mea liʻiliʻi, hiki iā ʻoe ke pale nui i nā pōpilikia e like me kēia.

ʻEhia ka lōʻihi o ka ho'ōla ʻana o 'Nursemaid Elbow'?

ʻO ka mea maikaʻi loa, hoʻōla koke ke keiki ma hope o ke kau ʻana o ke kauka i ka lima. ʻOiai aia kekahi ʻeha no kekahi mau kekona i ka wā o ka hōʻemi ʻana, nalo koke ka ʻeha. I loko o kekahi mau minuke, e hoʻomaka ke keiki e pāʻani me he mea lā ʻaʻohe mea i hana ʻia!

Hiki paha kēia ke hana hou?

Ke hoʻoponopono ʻia, ʻaʻole e hoʻi hou mai ka ʻeha. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ka ʻeha i ke keiki i loaʻa iā ia ka 'Nursemaid Elbow' i hoʻokahi manawa . ʻO kēia no ka mea ua kīkoʻo ʻia nā ligaments ma ke kuʻekuʻe mai ka ʻeha mua, e paʻakikī ai iā lākou ke hoʻopaʻa i ka iwi. Eia kekahi, ʻoi aku ka palupalu o kekahi mau ligaments o nā keiki.

Akā, he nūhou maikaʻi! I ka ulu ʻana o nā keiki, e ikaika a kūpono hoʻi ko lākou mau iwi a me nā ligaments. No laila , he mea kakaikahi loa ka ulu ʻana o kēia maʻi ma hope o 5 mau makahiki .

He pilikia anei kēia? Pono anei au e ʻike koke i ke kauka?

ʻAe, ʻoiaʻiʻo nō! Pono e mālama ʻia kēia ma ke ʻano he pilikia. ʻOiai inā ʻaʻole hōʻike ke keiki i kekahi ʻeha (ʻaʻole kamaʻilio nui nā keiki liʻiliʻi o kēia makahiki, a i kekahi manawa ʻaʻole lākou ʻike pehea e hōʻike ai i ka ʻeha), he mea ʻeha ia nona ke hoʻohana ʻana i kona lima. Hiki ke hoʻomau ka ʻeha a hiki i ka wā e kau ai ke kauka i ka lima. No laila, he mea nui loa e ʻimi koke i ke kōkua lapaʻau .

Pono ke kauka e nānā mua i ke keiki a e hōʻoia ʻaʻohe pilikia ʻē aʻe, e like me ka haki ʻana, ma mua o ke kau ʻana i ka lima. ʻO kēia no ka mea ʻo ke kau ʻana i ka lima i ka wā he haki hiki ke hōʻeha hou aʻe. Ke hana ʻia ka ʻike, hiki i ke kauka i aʻo ʻia ke hoʻoponopono maʻalahi i kēia.

Mai hele me ka ʻole o ka lāʻau lapaʻau. ʻOiai aia kekahi mau moʻolelo e ho'ōla wale ia i kekahi manawa, ʻaʻole maikaʻi ke manaʻoʻiʻo i kēlā. I ka hapa nui o ka manawa, ʻaʻole ia. ʻOiai inā e ho'ōla wale ia, pono ʻoe e ʻike i ke kauka e hōʻoia ua ho'ōla loa ʻia.

Mai kali! Inā ʻoe e hoʻokaʻulua, e ʻoi aku ka ʻō aku o nā ligaments ma muli o ka iwi radial. A laila paʻakikī paha ke hoʻihoʻi iā ia i kahi kūpono. I kēia manawa, e ʻeha ana ke keiki. Inā ʻaʻole i hoʻopaʻa ʻia ka lima i ka manawa kūpono, hiki i ke keiki ke loaʻa i ke kīnā mau loa. No laila, he mea nui loa ka mālama mua ʻana.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau loa kēia kūlana i kapa ʻia ʻo 'Nursemaid Elbow' i waena o nā kamaliʻi ʻōpio.. No ka mea, ʻaʻole i ulu pono ko lākou mau hono a me nā ligaments. Hiki ke hana ʻia kēia i ka wā pāʻani a i ʻole nā ​​​​hana maʻamau ʻē aʻe me ka ʻike ʻole o nā mākua aloha, nā kūpuna, a i ʻole nā ​​​​mākua ʻē aʻe. No laila, mai hoʻāhewa iā ʻoe iho no kēia.

I kekahi manawa, ʻaʻole ʻike koke ka poʻe mākua i ka ʻeha, ʻoiai inā ʻaʻole lākou ma laila i kēlā manawa. Inā ʻike ʻoe i kāu keiki e paʻa ana i kahi lima, ʻaʻole hoʻohana, a i ʻole e hāpai ana i luna, e makaʻala loa . Inā he kānalua kou, e ʻike koke i ke kauka . He mea kēia e hiki i ke kauka i aʻo ʻia ke hoʻoponopono maʻalahi, i loko o kekahi mau kekona. Ke hoʻopaʻa pono ʻia ka lima, e ʻoluʻolu koke ke keiki a hiki ke pāʻani hou. No laila, mai hopohopo, a e ʻimi koke i ke aʻo lapaʻau.

Kuʻekuʻe lima o ka wahine hānai, dislocation o ke kuʻekuʻe lima, nā ʻeha o nā keiki, nā sprains lima, radial head subluxation, olakino o nā keiki, kōkua mua