Ua hāʻule anei kāu keiki liʻiliʻi? Ua haki anei kona lima a i ʻole kona wāwae? E kamaʻilio kākou e pili ana i ka haki ʻana o ke kūpeʻe!

Ke hāʻule koke kāu keiki liʻiliʻi a kuʻi paha i kahi mea i ka wā e pāʻani ana, hiki ke lilo i manawa kaumaha no ka makua, ʻeā? He mea maikaʻi kahi ʻeha liʻiliʻi, akā i kekahi manawa ke hoʻomaka kāu keiki e uē a ʻeha loa ʻaʻole hiki iā ia ke hoʻoneʻe i kona lima a i ʻole kona wāwae, hiki ke hopohopo. Manaʻo paha ʻoe, "ʻAuē, ʻaʻole maopopo iaʻu inā ua haki au i ka iwi." Akā, ʻaʻole nā ​​haki āpau i like me ke koʻikoʻi o ka iwi haki. I kēia lā, e kamaʻilio mākou e pili ana i kahi haki liʻiliʻi i maʻamau i waena o nā keiki ʻōpio. ʻO kēia ka mea a mākou e kapa nei he haki buckle a i ʻole he haki torus.

Ua ʻike anei ʻoe i ke ʻano o kēia (Buckle Fracture)?

I ka ʻōlelo maʻalahi, ʻo ka haki ʻana o ka buckle kahi kūlana kahi e puʻupuʻu iki ai kekahi ʻaoʻao o ka iwi i nā keiki a kīkoʻo paha. Ma ke ʻano pololei, ʻaʻole haki loa ka iwi i ʻelua. E noʻonoʻo, he aha ka mea e hana ai inā ʻoe e lawe i kahi lālā lāʻau hou a pulu a kūlou iā ia? ʻAʻole ia e haki loa, akā kūlou iki ia ma kekahi ʻaoʻao, ʻeā? ʻO ia ka mea e hana nei ma ʻaneʻi. Ke paʻi ʻia kekahi ʻaoʻao o ka iwi, e puʻupuʻu iki ana kēlā ʻaoʻao. ʻAʻole haki kekahi ʻaoʻao a ʻeha paha i kahi pōʻino nui. ʻO ia ke kumu i kapa ʻia ai ʻo "buckle," no ka mea, hana ia i kahi puʻupuʻu liʻiliʻi, e like me ke buckle ma ke kāʻei. I kekahi manawa kapa pū nā kauka iā ia he haki torus. He huaʻōlelo Helene ʻo Torus, ʻo ia hoʻi "puʻupuʻu." No laila, ʻo ia ke ʻano like.

ʻO ka mea nui, i ka haki ʻana o ka buckle, ʻaʻole e haki loa ka iwi. Ua like ia me kahi kūlou liʻiliʻi.

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

Ke noʻonoʻo nei paha ʻoe, "No ke aha e hana ai kēia i nā keiki ʻōpio a ʻaʻole i nā pākeke?" Aia kekahi kumu kūpono no kēlā. ʻOkoʻa loa nā iwi o nā keiki ʻōpio, ʻoiai ka poʻe ma lalo o 10-12 mau makahiki, mai nā iwi o nā pākeke.

• He palupalu a palupalu nā iwi o nā keiki: E like me ka lālā lāʻau hou, hiki i nā iwi o nā keiki ke kūlou i kekahi ʻano. ʻAʻole lākou e "palupalu" koke e like me nā iwi makua.
• Aia kahi (Periosteum) mānoanoa: ʻO ka membrane lahilahi e hoʻopuni ana i ka iwi ua kapa ʻia ʻo (Periosteum). ʻOi aku ka mānoanoa a me ka ikaika o kēia (Periosteum) i nā keiki ma mua o nā pākeke. ʻO ke ʻano kēia, ʻoiai inā ua hōʻino iki ʻia ka iwi, ʻaʻole hiki i ka iwi ke haki loa a haki i mau ʻāpana ma muli o kēia (Periosteum). Hana ia e like me ke kākoʻo liʻiliʻi no ka iwi.

No laila, ke hāʻule kekahi keiki a i ʻole kahi mea paʻakikī e paʻi i ko lākou lima a i ʻole wāwae, hiki i ka iwi o ka pākeke ke "kū" a haki. Akā, ʻo ka iwi o ke keiki, ma muli o kona palupalu a me ka ikaika (periosteum), ma kahi o ka haki loa ʻana, "kū" a puʻupuʻu paha ma kekahi ʻaoʻao, e like me kā lākou e ʻōlelo nei. Ua like kēia me ka bumper o ke kaʻa, e pale ana iā ia mai ka pōʻino piha i kahi hopena liʻiliʻi.

Pehea e haki ai ka buckle? He aha nā kumu maʻamau?

ʻO ke kumu nui o ka haki ʻana o ka buckle, ʻo ia ke kaomi koke a koʻikoʻi ma ka lima a i ʻole ka wāwae o ke keiki. Hiki ke hana ʻia kēia ma nā ʻano like ʻole:

• Hāʻule ma ka lima i hoʻolōʻihi ʻia (FOOSH): ʻO kēia ke kumu maʻamau. ʻOiai nā keiki e pāʻani ana, e holo ana, a e lele ana paha, nalowale lākou i ko lākou kaulike a hāʻule. A laila aia kahi manawa kūpono o ka haki ʻana o ka buckle ma ka pulima a i ʻole ka lima lima. E noʻonoʻo ua paheʻe koke kāu keiki a hāʻule ma kona lima i ka wā e pāʻani ana ma ke kahua pāʻani. ʻO ia ka manawa e hiki ai kēia ʻano ʻeha.
• Pā pololei: I kekahi manawa hiki ke hana ʻia kēia ʻano haki ke pa pololei kekahi mea i ka lima a i ʻole ka wāwae, no ka laʻana, kahi mea pāʻani e hele mai ana me ka wikiwiki kiʻekiʻe.
• Nā ulia haʻuki: He mea maʻamau kēia ʻano ʻeha i waena o nā kamaliʻi ʻōpio e hāʻule ana i ka wā e pāʻani ana i nā haʻuki, ʻoiai nā haʻuki e like me ka pôpeku, ka basketball, a i ʻole ka lele ʻana ma luna o kahi trampoline.
• Ka hāʻule ʻana mai kahi moe a i ʻole ka sofa: Piʻi a lele nā ​​​​keiki liʻiliʻi ma luna o nā moena a me nā sofa. Inā hāʻule lākou i ia mau manawa, hiki ke haki ka buckle.

ʻAʻole i manaʻo maoli ʻia nā ulia e like me kēia, akā, no ka mea, he hui hana nui nā kamaliʻi ʻōpio, he mea maʻamau nā ulia liʻiliʻi e like me kēia.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

Hiki ke ʻokoʻa iki nā hōʻailona o ka haki ʻana o ka buckle mai kekahi keiki a i kekahi keiki. ʻAʻole paha e hana i nā hōʻailona he nui e like me ka haki piha. Eia nō naʻe, pono ʻoe e makaʻala i kēia mau mea:

• ʻEha: E ʻeha ke keiki ke hoʻopā ʻia ka ʻāpana i ʻeha a i ʻole ke neʻe ʻia ka lima/wāwae. E kamaʻilio maopopo kekahi mau keiki e pili ana i ia mea, aʻo kekahi e uē.
• Pehu: E pehu iki paha ka ʻāpana i ʻeha, akā i kekahi manawa ʻaʻole paha he pehu nui.
• ʻEha: E ʻike paha ʻoe i kahi ʻeha liʻiliʻi.
• Ka hoʻokaʻulua ʻole e hoʻohana i ka lima/wāwae: He hōʻailona koʻikoʻi loa kēia. Inā hoʻokaʻulua ke keiki e hoʻopā a hāpai paha i kekahi mea me ka lima i ʻeha, a inā hoʻokaʻulua lākou e waiho i lalo a hele paha me ka wāwae i ʻeha, he hōʻailona paha kēia o ka haki ʻana o ka ʻōpū. No ka laʻana, inā hoʻokaʻulua ke keiki e ʻai a pāʻani paha me ko lākou lima ʻākau ma hope o ka hāʻule ʻana, e hopohopo.
• Palupalu: Inā ʻūhū ke keiki i ka ʻeha ke kaomi ʻoe i ka ʻāpana i ʻeha me kou manamana lima, he hōʻailona nō hoʻi kēlā.
• ʻAʻohe ʻokoʻa i ʻike ʻia mai waho mai: I ka hapanui o nā hihia, i ka haki ʻana o ka buckle, ʻaʻohe loli i ʻike ʻia i ke ʻano o ka lima/wāwae, e like me ka haki piha. Ma muli o kēia, manaʻo paha kekahi mau mākua, "He ʻeha liʻiliʻi wale nō paha kēia." Akā inā he ʻeha a kānalua paha, he mea naʻauao ke ʻike i ke kauka.

E hoʻomanaʻo: ʻOiai inā ʻaʻohe loli i ʻike ʻia ma waho, inā ʻeha ke keiki a ʻaʻole makemake paha e hoʻohana i ka lima/wāwae, mai hoʻowahāwahā iā ia.

Pehea lā e ʻike ai ke kauka i kēia?

Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nīnau i ke keiki a me ʻoe e pili ana i ke ʻano o ka ulia. A laila e nānā lākou i ka lima/wāwae o ke keiki i ʻeha.

• Hoʻokolokolo kino: E nānā ke kauka i ka ʻāpana i ʻeha no ka pehu ʻana, ka palapū, a me ka ʻeha ke hoʻopā ʻia. E nānā pū lākou e ʻike inā hiki i ke keiki ke hoʻoneʻe i ko lākou lima/wāwae a inā e hana pono ana nā hono.
• X-ray: No ka hōʻoia ʻana inā he haki kou ʻiʻo buckle , pono ʻoe e loaʻa kahi X-ray. E like me ka mea i ʻōlelo ʻia ma mua, e hōʻike kahi X-ray i kahi puʻupuʻu liʻiliʻi, a i ʻole "buckle," ma kekahi ʻaoʻao o ka iwi. I kekahi manawa he loli maalea loa kēia, no laila hiki i ke kauka akamai ke ʻike pololei.

Mai makaʻu e kiʻi i kahi X-ray. He hoʻāʻo wikiwiki a ʻeha ʻole ia. Eia kekahi, ʻo ka nui o ka radiation i hōʻike ʻia e nā keiki mai kahi X-ray he haʻahaʻa loa ia, e palekana ai.

ʻAe, he aha kā kākou e hana ai i kēia manawa? He aha ka lāʻau lapaʻau no kēia?

Inā ua ʻike ʻia ʻoe me ka haki ʻana o ka buckle, ʻaʻohe ou mea e hopohopo ai. Hoʻōla loa kēia mau haki me nā lāʻau lapaʻau maʻalahi. ʻAʻole koi pinepine ʻia nā ʻoki kino nui (`(operations)`).

ʻElua mau pahuhopu nui o ka mālama ʻana:

1. Hoʻopaʻa ʻana: I mea e ho'ōla pono ai ka iwi haʻihaʻi, pono e noho paʻa.

2. Hoʻomaha ʻeha: Ke hāʻawi nei i ka hoʻomaha ma ka hoʻēmi ʻana i ka ʻeha o ke keiki.

No ka hoʻokō ʻana i kēia mau pahuhopu, ʻōlelo ke kauka i kēia mau mea:

• Ke kau nei i kahi splint a i ʻole ka cast:
• No ka hapa nui o nā haki buckle, hoʻohana ʻia kahi splint wehe ʻia e hoʻopaʻa i ka lima/wāwae. Hiki ke hana ʻia kēia me kahi bandage a i ʻole kekahi kākoʻo ʻē aʻe. I kekahi manawa, ʻoi aku hoʻi no nā haki e pili ana i ka pulima, hiki ke hoʻohana ʻia kahi plaster liʻiliʻi o ka Paris cast ( i kapa pinepine ʻia he "cast") no kekahi mau lā.
• Pono e waiho ʻia kēia ʻāpana a i ʻole ka mea hoʻoheheʻe ma kahi no kahi o 3 a 4 mau pule . I loko o kēia manawa, ho'ōla ka iwi.
• Nā lāʻau hoʻopau ʻeha:
• No ka hōʻemi ʻana i ka ʻeha o ke keiki, e kuhikuhi ke kauka i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol a i ʻole ibuprofen . Pono e hāʻawi ʻia kēia mau mea ma ke ʻano like a me ka manawa i kuhikuhi ʻia e ke kauka.
• Ke Kiʻekiʻe: ʻO ka hoʻokiʻekiʻe iki ʻana i ka lima a i ʻole ka wāwae i ʻeha me kahi mea e like me ka uluna hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
• Hoʻopili hau: ʻO ke kau ʻana i kahi ʻeke hau i wahī ʻia i ka lole i ka wahi i ʻeha no 10-15 mau minuke i kekahi mau manawa i ka lā hiki ke kōkua i ka hoʻēmi ʻana i ka ʻeha a me ka pehu.

ʻEhia ka lōʻihi e ola hou ai?

ʻO ka maʻamau, he 3 a 4 mau pule ka lōʻihi o ka ho'ōla ʻana o ka iwi poʻohiwi. I loko o kēia manawa, e aneane pau loa ka ho'ōla ʻia ʻana o ka iwi. Ma hope o ka wehe ʻia ʻana o ke kāʻei a i ʻole ka ʻōwili, hiki i ke keiki ke hoʻi mālie i nā hana maʻamau, e like me ka ʻōlelo a ke kauka.

Eia naʻe, mai hoʻouna koke iā ia e holo, lele, a pāʻani haʻuki paha. E like me ka ʻōlelo a ke kauka, pono ʻoe e akahele iki no kekahi manawa. I kekahi manawa, ma hope o ka wehe ʻana i ke kāʻei, hiki i ka lima/wāwae ke manaʻo iki i ka mae, a i ʻole he ʻeha iki paha. E emi iho ia i loko o kekahi mau lā. Hiki iā ʻoe ke ho'ōla koke ma ka hana ʻana i nā hoʻoikaika kino e like me ke kauoha a ke kauka.

He aha kāu e hiki ai ke hana ma ke ʻano he makua?

Ke loaʻa i kahi keiki kahi ulia e like me kēia, aia kekahi mau mea nui hiki iā ʻoe ke hana ma ke ʻano he makua:

• E hahai pono i nā ʻōlelo a ke kauka: e lawe i ka lāʻau lapaʻau i kuhikuhi ʻia, e mālama i ke kāʻei/hoʻoheheʻe ʻia, a hele i ke kauka i nā lā i hoʻonohonoho ʻia.
• Mai hoʻokuʻu i ka ʻōwili/ʻōwili e pulu, e mālama i ka maʻemaʻe: ʻo ka pulu ʻana hiki ke alakaʻi i nā maʻi ʻili. Eia kekahi, mai hoʻokomo i kekahi mea i loko o ka ʻōwili.
• E makaʻala no nā hōʻailona hōʻike:
• Inā e ʻoi aku ka ʻeha.
• Inā piʻi ka pehu.
• Inā he mae kou mau manamana lima a i ʻole e lilo ana i polū/keʻokeʻo.
• Inā he ʻala maikaʻi ʻole e puka mai ana mai ka mea hoʻolei.
• Inā loaʻa ke kuni i ke keiki.

Inā ʻike ʻoe i kekahi mea e like me kēia, e ʻike koke i ke kauka.

• E hāʻawi i ke kākoʻo naʻau i ke keiki: Ke hana ʻia kekahi mea e like me kēia i kahi keiki liʻiliʻi, makaʻu lākou a hoʻonāukiuki ʻia ma muli o ka ʻeha. He mea waiwai nui kou aloha, kou aloha, a me ke kākoʻo i ke keiki i kēia manawa. E haʻi moʻolelo i ke keiki, e pāʻani pū me ia (ma ke ʻano e ʻole ai e hoʻoluhi i kona mau lima/wāwae).

ʻO kou aloha a me kou ikaika ka lāʻau lapaʻau nui loa no kāu keiki i kēia manawa!

Āhea mākou e ʻike pono ai i ke kauka?

I kekahi manawa, ʻaʻole mākou e nānā nui i kahi hāʻule liʻiliʻi. Akā i nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka:

• Inā hōʻole ke keiki e hoʻohana i ka lima a i ʻole ka wāwae ma hope o ka hāʻule ʻana.
• Inā he ʻeha nui, pehu, a i ʻole he palupalu maopopo ma kahi o ka ʻeha.
• Inā hoʻomau ke keiki i ka uē ma muli o ka ʻeha.
• Inā he kānalua iki kou, e nīnau iā ʻoe iho, "ʻOi aku anei kēia ma mua o ka ʻeha wale nō?"

Inā he kānalua iki kou, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. A laila hiki ke hoʻomaka koke ka lāʻau lapaʻau.

Hiki ke pale ʻia nā pōpilikia e like me kēia?

ʻAʻole hiki ke pale ʻia nā ulia pōpilikia me ka 100%, ʻoiai inā he mau keiki kolohe. Eia nō naʻe, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ka pilikia:

• Ka nānā ʻana o nā mākua i ka wā e pāʻani ai nā keiki: ʻOi aku hoʻi ma nā kahua pāʻani a ma nā wahi kiʻekiʻe.
• He wahi pāʻani palekana: E nānā inā he lepo palupalu (e like me ke one a i ʻole ka laholio) ma lalo o nā lako ma nā kahua pāʻani.
• Palekana home:E wehe i nā mea e hāʻule mai nā kiʻekiʻe a hoʻokomo i nā ʻupena palekana ma nā puka makani.
• Nā lako palekana kūpono no nā haʻuki: Inā komo kāu keiki i nā haʻuki, e paipai iā lākou e hoʻohana i nā lako kūpono no kēlā haʻuki, e like me nā mahiole a me nā pale kuli.
• He ʻai kaulike: Hoʻoikaika nā meaʻai i waiwai i ka calcium a me ka wikamina D i nā iwi o nā keiki.

I ka hōʻuluʻulu ʻana, nā mea nui e pono ai ʻoe e hoʻomanaʻo!

ʻAe, ua kamaʻilio nui mākou e pili ana i ka Buckle Fracture. ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• ʻO ka haki ʻana o ke kuʻekuʻe lima (buckle fracture) kahi ʻano haki i maʻamau i waena o nā keiki ʻōpio (ʻoi aku hoʻi ka poʻe ma lalo o 10 mau makahiki), kahi e pehu/kulou ai ka iwi i kekahi ʻaoʻao me ka ʻole o ka haki loa.
• ʻAʻole kēia he mau haki koʻikoʻi. ʻO kēia no ka mea ʻoi aku ka palupalu o nā iwi o nā keiki.
• Me nā lāʻau lapaʻau maʻalahi (nā ʻāpana palupalu, nā mea hoʻoheheʻe, nā mea ʻeha), e ola maikaʻi kēia i loko o 3-4 mau pule. ʻAʻole pono pinepine ke ʻoki ʻana.
• Inā kānalua ke keiki e hoʻohana i ka lima/wāwae ma hope o ka hāʻule ʻana a i ʻole ke ʻeha nei, e hōʻoia e kiʻi i kahi X-ray a hōʻike i ke kauka.
• Mai hopohopo! ʻO ka haki ʻana o ke kuʻekuʻe wāwae kahi kūlana, inā mālama pono ʻia, hiki ke alakaʻi i ka hoʻōla piha ʻana o ke keiki me ka ʻole o nā hopena lōʻihi.

No laila, inā loaʻa kekahi mea e like me kēia i kāu keiki liʻiliʻi, mai hopohopo, e kiʻi i ke aʻo lapaʻau e pono ai, a e mālama i kāu keiki me ke aloha. E maikaʻi koke nā mea a pau!

Haʻihaʻi buckle , haki Taurus, haki pediatric, ʻeha lima, ʻeha wāwae, olakino pediatric, olakino iwi