Ua hāʻule anei kāu keiki liʻiliʻi a "haʻihaʻi" i ka lima a i ʻole ka wāwae? Hiki paha he (Buckle Fracture)! E kamaʻilio kākou e pili ana i kēia.

Maopopo iaʻu kou makaʻu ma ke ʻano he makua inā hāʻule koke kāu keiki liʻiliʻi a i ʻole he ulia liʻiliʻi i ka wā e pāʻani ana. ʻOi loa aku inā uē kāu keiki liʻiliʻi no ka ʻeha o ka lima a i ʻole ka wāwae, he mea maʻamau ke hopohopo, "ʻAuē, ʻaʻole au i ʻike inā ua haki ka iwi iaʻu." Akā, ua ʻike anei ʻoe he ʻokoʻa iki kekahi o nā haki i loaʻa i nā keiki liʻiliʻi (kapa mākou nā kauka iā lākou he 'fractures') mai nā haki i loaʻa i nā pākeke? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano haki kūikawā i maʻamau i nā keiki liʻiliʻi, akā hoʻōla koke pinepine me ka ʻole o nā pilikia nui. Kāhea mākou i kēia he 'Buckle Fracture' . I kekahi manawa ua kapa ʻia hoʻi he 'Torus Fracture.' No laila, e nānā kākou i ke ʻano o ia mea, no ke aha e hana ai, a me ka mea e hana ai inā hana ia?

He aha ka 'Buckle Fracture'? He aha ka mea e hana nei?

I ka ʻōlelo maʻalahi, ʻo ka haki ʻana o ka buckle he haki liʻiliʻi a piha ʻole i ka wā maʻamau i nā keiki ʻōpio. E noʻonoʻo i ka iwi o kahi keiki ʻōpio e like me ka lālā ʻōmaʻomaʻo a ʻōpiopio o kahi lāʻau. He aha ka mea e hana ai inā kūlou ʻoe i kahi lālā e like me kēlā? ʻAʻole ia e haki loa i ʻelua, ʻeā? Akā, kūlou iki kekahi ʻaoʻao i loko, e hana ana i kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu. ʻO ia ka mea e hana ai i ka haki ʻana o ka buckle. Ke paʻi ikaika ʻia kahi iwi mai kekahi ʻaoʻao, ʻo ka papa waho paʻakikī o ka iwi, i kapa ʻia ʻo ka cortex , e kūlou iki i loko ma kekahi ʻaoʻao, e hana ana i kahi buckle liʻiliʻi a i ʻole torus e like me ka accordion. ʻO ka mea nui, ʻaʻole i māhele loa ka iwi i ʻelua. Ma kekahi ʻaoʻao, hiki ke paʻa ka 'cortex'. ʻO ia ke kumu e manaʻo ai mākou he haki paʻa kēia. Loaʻa pū ka huaʻōlelo 'torus' mai ka Helene/Latin mai, ʻo ia hoʻi kekahi mea e like me ka 'twisting' a i ʻole 'round bulge'. No laila, hāʻawi ka inoa ponoʻī i kahi manaʻo o ke ʻano o kēia haki.

No ke aha e hana nui ai kēia i nā keiki ʻōpio?

I kēia manawa, e noʻonoʻo paha ʻoe, "No ke aha e hiki wale ai kēia i nā keiki ʻōpio a ʻaʻole i nā mākua?" ʻO ke kumu, ʻo nā iwi o nā keiki ʻōpio, ʻoiai ka poʻe ma lalo o 10-12 mau makahiki, he ʻokoʻa ia mai ko nā mākua.

• Nā iwi palupalu a palupalu: No ka mea, ke ulu mau nei nā iwi o nā keiki ʻōpio, ʻaʻole lākou i paʻakikī a paʻa e like me nā iwi makua. He palupalu lākou, ʻoi aku ka porous, a palupalu. E like me kēlā lālā maka aʻu i ʻōlelo ai ma mua. No laila, ke hoʻopili ʻia kahi ikaika nui, ʻoi aku ka nui o ka iwi e "kūlou" a "pale" paha ma mua o ka "pale" loa. I ke kanaka makua, hiki i kēlā ʻano ikaika ke haki loa i ka iwi, e like me ka lāʻau maloʻo.
• Periosteum : ʻO ka periosteum e hoʻopuni ana i nā iwi o nā keiki.ʻOi aku ka mānoanoa a me ka ikaika o ka periosteum, a i ʻole ka uhi iwi, ma mua o nā pākeke. Ua like ia me kahi ʻūpā ikaika a puni ka iwi. ʻOiai i loko o kahi 'haʻi buckle,' ʻo kēia 'periosteum' ikaika e pale nui i nā ʻāpana iwi mai ka neʻe ʻana (neʻe ʻana). ʻO ia kekahi kumu e paʻa ai kēia mau haki.

No kēia mau kumu, ʻike pinepine ʻia kēia ʻeha kikoʻī i kapa ʻia ʻo 'buckle fracture' i waena o nā keiki ʻōpio.

Pehea e hiki ai i kahi ʻeha e like me kēia ke hana? Pehea e hana pinepine ai?

ʻO ke kumu nui o kēia ʻano 'haʻi buckle' he ikaika koke i hoʻopili ʻia i ke koʻokoʻo lōʻihi o ka iwi. He pāʻani nā keiki ʻōpio, holo, lele, a pāʻani. No laila, he mea maʻamau ka loaʻa ʻana o nā pōpilikia liʻiliʻi i kēia mau manawa. ʻIke pinepine ʻia kēia ʻeha:

• Hāʻule ma ka lima i kīkoʻo ʻia (FOOSH): ʻO kēia ke kumu maʻamau. E noʻonoʻo e holo ana kāu keiki ma ke kahua pāʻani a kuʻi koke i ko lākou lima. I kēlā kūlana, hiki i ke kaumaha holoʻokoʻa o ke kino ke iho i lalo i ka lima a kau i ke kaomi ma ka iwi ma ka pulima a i ʻole ka lima mua. ʻO kēia ka manawa e hiki ai ke loaʻa kahi 'haʻi buckle'.
• Pā pololei: I kekahi manawa, ke pā pololei kekahi mea i ka lima a i ʻole ka wāwae, hiki ke hana ʻia kēia ʻano haki ma muli o ka hopena.
• Nā lele a me nā ulia haʻuki : Hiki ke loaʻa kēia ʻano ʻeha i ka wā e lele ai mai kahi kiʻekiʻe a i ʻole i nā ulia ʻē aʻe i ka wā e pāʻani ana i nā haʻuki.

ʻIke pinepine ʻia kēia mau 'haʻi buckle' ma ka radius a me ka ulna , ʻoi aku hoʻi ma kahi kokoke i ka pulima. Hiki ke ʻike ʻia i kekahi manawa ma ka tibia a me ka fibula, akā ʻaʻole i maʻamau ma mua o ka lima.

Pehea e ʻike ai inā he 'buccal fracture' ko kaʻu keiki? He aha nā hōʻailona?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea lā wau e ʻike pono ai inā loaʻa kēia i kaʻu keiki?" ʻAʻole paha e like ka koʻikoʻi o nā hōʻailona o ka 'buckle fracture' me kou manaʻo. Eia nō naʻe, e makaʻala i kēia mau mea:

• ʻEha ma kahi o ka ʻeha: Hiki i ke keiki ke ʻōlelo ua ʻeha ko lākou lima a wāwae paha. Hiki ke hoʻonui ʻia ka ʻeha inā hoʻopā a kaomi paha lākou i ka wahi ( ʻoluʻolu ).
• Pehu: E ʻike paha ʻoe i kekahi pehu a puni ka wahi i hōʻeha ʻia. I kekahi manawa, ʻaʻole paha e ʻike ʻia kēia.
• Hoʻokaʻulua e hoʻohana: Hiki i ke keiki ke hoʻokaʻulua e hoʻohana i ka lima a i ʻole ka wāwae i ʻeha. Eia kekahi laʻana, i ke ʻano o ka lima, ʻaʻole paha lākou e hiki ke hopu i kekahi mea me kēlā lima, a i ke ʻano o ka wāwae, hoʻokaʻulua paha lākou e kau i kēlā wāwae i lalo a hele paha.
• ʻO ke ʻano kīnā: I ka hapa nui o nā 'haʻi buckle', ʻaʻohe ʻano kīnā koʻikoʻi. No laila, mai manaʻo, "ʻAʻole i kūlou ka lima, no laila ʻaʻole i haki."
• ʻEha: I kekahi manawa e loli ke kala o ka ʻili a puni ka ʻeha.Ua loli, a ua ʻike ʻia kahi palapū polū-poni.

He mea nui: He ʻeha loa kekahi mau keiki i ka ʻeha a hiki ke uē nui ma hope o kahi ʻeha liʻiliʻi. ʻAʻole paha e mālama nui kekahi i ka ʻeha. No laila, e makaʻala pono i ke ʻano o kāu keiki a me kāna mea e ʻōlelo ai. Inā he kānalua kou, e ʻimi pono i ke kōkua lapaʻau.

Pehea e ʻike ai ke kauka i kēia? He aha nā hoʻokolohua a lākou e hana ai?

Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua a ke kauka a kahu maʻi paha e hana ai, ʻo ia ke nīnau i ke keiki a me ʻoe e pili ana i ka ulia. A laila, e nānā lākou i ke keiki. E nānā lākou inā ua pehu ka ʻāpana i ʻeha, inā ʻeha ke hoʻopā ʻia, a inā hiki ke hoʻoneʻe ʻia ka lālā. Eia naʻe, no ka hōʻoia ʻana inā he 'haʻi buckle' a ʻaʻole paha, pono ʻoe e lawe i kahi 'X-ray'. Mai ke kiʻi 'X-ray' hiki iā ʻoe ke ʻike maopopo i ke kūlou liʻiliʻi a i ʻole 'buckle' i loko o ka iwi aʻu i ʻōlelo ai ma mua. Mai makaʻu e lawe i kahi 'X-ray'. I ke kūlana e like me kēia, ʻaʻole e hōʻeha kahi 'X-ray' i kahi keiki. He mea nui loa ka ʻike e hāʻawi ai no ka hāʻawi ʻana i ke keiki i ka lāʻau kūpono.

He aha kāu e hana ai no ka 'haʻi buckle'? Pehea e mālama ʻia ai?

ʻO ka nūhou maikaʻi, ʻo ka 'buckle fracture' he ʻeha ia e ho'ōla maikaʻi loa a wikiwiki hoʻi, me ka ʻole o nā pilikia nui. No laila, maʻalahi pinepine ka mālama ʻana.

• Hoʻopaʻa: ʻO ka lāʻau lapaʻau nui, ʻo ia ke hoʻopaʻa i ka iwi i ʻeha ma ka pale ʻana iā ia mai ka neʻe ʻana. No kēia, hoʻohana mākou i:
• He ʻāpana pale: He ʻāpana pale manawa pōkole kēia, i kekahi manawa i hana ʻia me ka fiberglass a i ʻole ka plaster, i kau ʻia ma kekahi ʻaoʻao o ka lima/wāwae a kāʻei ʻia me kahi bandage.
• He 'Castle': ʻO kēia ka 'plaster' a kākou a pau i ʻike ai. Ua ʻoi aku ka paʻa o kona ʻōwili ʻia ma mua o ka 'splint', a hoʻopaʻa loa ia i ka iwi.

E hoʻoholo ke kauka inā e hoʻohana i kahi splint a i ʻole kahi cast, ma muli o ke ʻano o ka ʻeha a me ka makahiki o ke keiki. Hoʻemi kēia paʻa ʻana i ka ʻeha, hāʻawi i ka iwi i ke koena e pono ai e ho'ōla pono, a pale i nā ʻeha hou aʻe.

• Ka Lōʻihi: ʻO ka maʻamau, pono e mālama ʻia kēia 'splint' a i ʻole 'cast' no kahi o 3 a 4 mau pule . ʻO kekahi mau 'buckle fractures' liʻiliʻi e liʻiliʻi ka manawa.

• Nā lāʻau hoʻopau ʻeha : Inā ʻeha ke keiki, hiki ke hāʻawi ʻia kahi lāʻau hoʻopau ʻeha maʻalahi e like me Paracetamol e like me ke kuhikuhi a ke kauka.

ʻO ka mea nui, ʻo kēia mau 'haki buckle' he mau haki paʻa maoli nō ia.ʻO ke ʻano kēia, he kakaikahi loa ka manawa e neʻe ai nā ʻāpana iwi. No laila, he mea kakaikahi loa ka pono no ke ʻoki ʻana .

E haʻi aku ke kauka iā ʻoe i ka manawa e hoʻi mai ai no ka nānā ʻana. I kēlā manawa, hiki iā ʻoe ke hele a wehe i ke kāpili.

Pehea ka lōʻihi e ola ai kēia ʻeha? E ola loa anei?

ʻO kēia ka hōʻoluʻolu nui loa hiki iā ʻoe ke loaʻa ma ke ʻano he makua. He mea kupaianaha ka hiki i nā keiki liʻiliʻi ke ho'ōla i ko lākou mau iwi!

• Ho'ōla wikiwiki: Ho'ōla loa ka 'buckle fracture' i loko o kekahi mau pule. Ho'ōla maika'i ka iwi a lilo i ikaika i ka wā e kau ai ke 'cast'.
• Hoʻōla piha: ʻAʻohe pilikia lōʻihi mai kēia mau ʻeha. E ulu hou ka iwi o ke keiki me ka ikaika e like me ka wā ma mua. Loaʻa i nā iwi o nā keiki kahi hiki ke 'hoʻoponopono hou', ʻo ia hoʻi hiki iā lākou ke hoʻololi iā lākou iho. No laila, ʻo ka wahi i loaʻa ai kēlā 'buckle' liʻiliʻi e lilo i iwi maʻamau.
• Ma hope o ka wehe ʻia ʻana o ke kāpili: Ke wehe ʻia ke kāpili, maloʻo iki paha ka ʻili a hiki ke ʻili. Hiki ke manaʻo ʻia he ʻoʻoleʻa iki ke hono a nāwaliwali iki paha nā ʻiʻo. He mea maʻamau kēia. Ma hope o kekahi mau lā, e nalowale kēia mau mea i ka wā e hoʻi hou ai ke keiki i ka hoʻohana maʻamau o ka lima/wāwae. I kekahi manawa, e ʻōlelo paha ke kauka i kekahi physiotherapy , hiki ke kōkua i ka wikiwiki o ka hoʻōla ʻana.

He aha kaʻu e hana ai ma ke ʻano he makua? He aha nā mea e pono ai iaʻu e hopohopo?

Ke ʻeha kahi keiki i kahi ʻeha e like me kēia, aia kekahi mau mea hiki iā ʻoe ke hana ma ke ʻano he makua.

• Mai hopohopo a e ʻimi i ke kōkua lapaʻau: Inā ua hāʻule kāu keiki, ua ʻeha ka lima a i ʻole ka wāwae, ua pehu, a inā he kānalua kou, mai hopohopo a e ʻike koke i ke kauka. Mai hoʻonui i ke kūlana ma ka hoʻopili ʻana i ka ʻaila a i ʻole ka hamo ʻana ma ka home.
• E makaʻala me ka ʻōwili a i ʻole ka splint:
• E mālama i ka maloʻo: Mai hoʻokuʻu i ke kapa komo e pulu. E uhi iā ia me kahi pepa polythene pale wai i ka wā e ʻauʻau ai.
• E mālama i ka maʻemaʻe: Mai hoʻokuʻu i nā mea e like me ka lepo, ke one, a i ʻole nā ​​​​​​meaʻai e komo i loko o ke 'cast'.
• Mai hoʻokomo i kekahi mea i loko: Mai hoʻokomo i kekahi mea i loko o ke kinikini, e like me ka pahi, ka lāʻau, a i ʻole ka peni. Hiki i kēia ke hōʻino i ka ʻili.
• Inā he mau pilikia me ke kāpili ʻana: Inā paʻa loa ke kāpili ʻana, inā polū a mae paha kou mau manamana lima, inā pilau maikaʻi ʻole ke kāpili ʻana, a inā he ʻeha, e hoʻomaopopo koke i ke kauka .
• E hahai i nā ʻōlelo a ke kauka:E hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka lōʻihi o kou hoʻopaʻa ʻana i ka ʻaʻahu, i ka wā e hoʻi hou mai ai no ia mea, a me nā hana maikaʻi a maikaʻi ʻole hoʻi iā ʻoe.
• E kākoʻo i kāu keiki: Hiki ke ʻoluʻolu iki ke kau ʻana i kahi ʻaʻahu hoʻopili no ke keiki. E kamaʻilio me ke aloha a paipai iā lākou.

Hiki ke pale ʻia nā ʻeha e like me kēia mai ka hana hou ʻana?

He mea paʻakikī ke pale loa i nā ulia liʻiliʻi mai ka hiki ʻana mai i nā keiki liʻiliʻi i ko lākou pāʻani ʻana a me ka pāʻani ʻana. He ʻāpana ia o ka ulu ʻana o ke keiki. Eia nō naʻe, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ka pilikia o nā ulia:

• He wahi pāʻani palekana: E hōʻoia i ka palekana o nā wahi e pāʻani ai nā keiki. E makaʻala i nā kihi ʻoi a me nā ʻili pahee.
• Nā lako palekana i ka wā haʻuki: Inā pāʻani kāu keiki i nā haʻuki (e like me ke kaʻa paikikala, ka heʻe hau), e paipai iā lākou e hoʻohana i nā lako palekana kūpono (mahiole, nā pale kuli, nā pale kuʻekuʻe).
• ʻAi maikaʻi: ʻO ka hāʻawi ʻana i nā keiki i nā meaʻai waiwai i ka calcium a me ka wikamina D e kōkua i ka hoʻoikaika ʻana i ko lākou mau iwi. ʻOiai ʻaʻole kēia e pale pololei i ka 'haʻi buckle', he mea nui loa ia no ke olakino iwi holoʻokoʻa.

Akā e hoʻomanaʻo, me kēia mau mea a pau, i kekahi manawa hiki ke loaʻa nā ulia pōpilikia i manaʻo ʻole ʻia. Ke hana ʻia kēlā, he mea nui e hana i ka mea kūpono me ka hopohopo ʻole.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka 'Buckle Fracture'. ʻO ka mea hope loa, eia kekahi mau mea nui e hoʻomanaʻo ai:

• ʻO ka 'buckle fracture' kahi ʻeha i maʻa mau i nā keiki ʻōpio (ʻoi aku hoʻi ka poʻe ma lalo o 10 mau makahiki), kahi i haki ʻole ai ka iwi, akā me he mea lā e "nahā" iki ana ma kekahi ʻaoʻao.
• ʻAʻole kēia he mau ʻeha koʻikoʻi. ʻO kēia no ka mea he palupalu nā iwi o nā keiki.
• ʻO nā hōʻailona e komo pū ana me ka ʻeha, ka pehu ʻana, a me ka makemake ʻole e hoʻohana i ka lima/wāwae i ʻeha .
• ʻO ka hoʻokolokolo X-ray wale nō ke ala e hōʻoia ai.
• ʻO ka maʻamau, ʻo ke kau ʻana i kahi splint a i ʻole ka cast no 3-4 mau pule ka lāʻau lapaʻau. ʻAʻole koi pinepine ʻia ke ʻoki ʻana.
• Hoʻōla maikaʻi loa a wikiwiki hoʻi kēia mau ʻeha, a ʻaʻole waiho pinepine i nā pilikia lōʻihi.
• Inā kānalua ʻoe ua loaʻa i kāu keiki kahi ʻeha e like me kēia, mai hopohopo a e ʻike koke i ke kauka.
• He mea nui loa e hahai pololei i nā ʻōlelo a ke kauka i mea e hoʻōla koke ai ke keiki.

No laila, ke lana nei koʻu manaʻo ua hoʻopau ʻia kou mau makaʻu a me kou kānalua e pili ana i ka 'haʻi buckle'. ʻO ka ʻike ʻana i kēia ʻano ʻike e lilo ia i mea pono loa iā ʻoe i ka wā pilikia. Makemake au i kāu mau keiki i ke ola olakino a pōmaikaʻi! Haʻi Buckle, Haʻi iwi, Iwi o nā keiki, Haʻi Torus, Haʻi lima, Haʻi wāwae, Ola kino o nā keiki, Haʻi Buckle, Haʻi Torus, haʻi keiki, ʻeha iwi, orthopedics pediatric, splint, cast