Ua hāʻule anei kāu keiki liʻiliʻi? Ke ʻōlelo nei ʻo ia ua ʻeha kona lima/wāwae? He (Buckle Fracture/Torus Fracture) paha ia!

Ua pāʻani anei kāu keiki kolohe a hoʻomaka koke e uē, e paʻa ana i ka lima a i ʻole ka wāwae? A i ʻole, ma hope o ka hāʻule iki ʻana, noho wale ʻo ia ma laila, ʻaʻole hana i kekahi mea me kēlā lima a wāwae paha, e ʻōlelo ana he ʻeha? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻeha i maʻamau i nā keiki ʻōpio, akā ʻaʻole ʻike ka nui o nā mākua. ʻO kēia ka mea a mākou e kapa nei he "Buckle Fracture" a i ʻole "Torus Fracture".

He aha kēia "Buckle Fracture"? E hoʻomaopopo maʻalahi kākou, ʻeā?

I ka ʻōlelo maʻalahi, ʻo ka "Buckle Fracture" he ʻano haki kūikawā ia e kū mai ana i nā keiki ʻōpio. Eia naʻe, i kēia hihia, ʻaʻole haki ka iwi i ʻelua e like me kā mākou e manaʻo nei. Akā, ua paʻi iki ʻia kekahi ʻaoʻao o ka iwi i loko, a i ʻole i kuʻi ʻia . E like me ke kūlou ʻana i kahi lāʻau ʻohe ʻōpiopio a palupalu me ka paʻakikī iki, ʻaʻole ia e haki loa, akā ua kuʻi ʻia kekahi ʻaoʻao, a ua like ia me kahi puʻupuʻu liʻiliʻi? ʻO ia ka mea e hana ʻia ma kēia hihia. E noʻonoʻo i kahi iwi ma ka lima o kahi keiki ʻōpio. Ke paʻi koke ʻia e kahi mea e like me ka hāʻule ʻana, ʻaʻole e haki loa ka ʻaoʻao paʻakikī o ka iwi (ʻo ia hoʻi ka "cortex"), akā ua paʻi iki ʻia i loko. I kekahi manawa hiki ke kuʻi iki ʻia kēlā wahi, a hiki ke like me kahi puʻu liʻiliʻi. Ua kapa ʻia hoʻi ʻo ia he "Torus Fracture" ma muli o kēlā ʻano pehu. ʻO "Torus" kahi huaʻōlelo Helene ʻo ia hoʻi "pehu" a i ʻole "puʻupuʻu".

Ma muli o ka haki ʻole o ka iwi i ʻelua, i kekahi manawa ua kapa ʻia ia he "incomplete fracture ".

No ke aha i ʻike pinepine ʻia ai kēia "Buckle Fracture" i nā keiki ʻōpio?

Ke noʻonoʻo nei paha ʻoe, "No ke aha e hiki ai kēia i nā keiki a ʻaʻole i nā pākeke?" Aia kekahi kumu maʻalahi loa no kēia. ʻO nā iwi o nā keiki, ʻoiai ka poʻe ma lalo o 10-12 mau makahiki , ʻaʻole i ulu piha a paʻakikī e like me nā iwi o nā pākeke e like me mākou. Ke ulu mau nei ko lākou mau iwi. No laila, ua palupalu iki lākou a ʻoi aku ka maʻalahi . E like me ka lālā lāʻau ʻōpio, ʻaʻole lākou e "kuʻi" a haki maʻalahi, akā kūlou a hiolo lākou. Inā hāʻule kahi pākeke, nui ka manawa e haki loa ai ka iwi, e like me ka lāʻau maloʻo. Akā inā hāʻule kahi keiki ʻōpio, ma muli o ka maʻalahi o kēlā mau iwi, ʻaʻole haki loa ka iwi, akā, e like me kaʻu i ʻōlelo ai, e haki ia ma kekahi ʻaoʻao, a i ʻole e kīkoʻo ʻia. I nā huaʻōlelo ʻē aʻe, ua hōʻino ʻia ka iwi, akā ua hōʻino ʻia ma ke ʻano ʻokoʻa ma mua o ka wā e haki ai ka iwi o kahi pākeke.

Pehea lā e hiki ai kēia "Buckle Fracture" i nā kamaliʻi liʻiliʻi?

Ua ʻike anei ʻoe pehea e hana ʻia ai ka "Buckle Fracture"? ʻO ka hapa pinepine, hana ʻia kēia ke hāʻule kahi keiki liʻiliʻi me ko lākou lima i hohola ʻia . E noʻonoʻo, ke hāʻule lākou mai kahi wili, kau koke lākou i ko lākou lima i mua a hopu i ka lepo e hoʻopakele iā lākou iho. I kēlā manawa, ʻo kahi maʻamau no kēia haki ʻo ia ka pulima lima , a i ʻole ka hopena o ka lima (forearm) kahi e kūlou ai ka pulima lima . I kēlā mau manawa, ua ʻūlū ʻia ka iwi ma ia ʻano. Eia kekahi o nā hihia maʻamau o kēia ʻano ʻeha:

• Ua paheʻe kekahi keiki a hāʻule iho mai kahi paheʻe ma ke kahua pāʻani.
• Ka hāʻule ʻana mai kahi moe, sofa, noho, a i ʻole kahi keiki bipi.
• Ke holo a pāʻani nā keiki, kuʻi lākou kekahi i kekahi a i ʻole paheʻe wale a hāʻule.
• I kekahi manawa hiki ke hana ʻia mai ka hāʻule ʻana mai kahi paikikala .
• Inā hāʻule ʻoe ma ke ala hewa i kou lele ʻana ma luna o kahi trampoline .
• Hiki nō hoʻi ke hana i ka wā e pāʻani ana i kekahi mau haʻuki . Eia kekahi laʻana, i ka wā e pāʻani ana i ka pôpeku me nā keiki ʻōpio, inā hāʻule ʻoe i ka wā e hoʻāʻo ana e hopu i ka pōpō.

ʻO ka mea nui, ʻaʻole pono ia he ulia nui a koʻikoʻi e hana ai i kahi "Buckle Fracture ". I kekahi manawa, ʻoiai kahi hāʻule liʻiliʻi āu e noʻonoʻo ʻole ai, "Auē, he hāʻule liʻiliʻi wale nō kēia," hiki ke hana i kahi mea e like me kēia. No laila, ke hāʻule kahi keiki ʻōpio, inā lākou e kamaʻilio e pili ana i ka ʻeha, mai hoʻowahāwahā iā ia.

Loaʻa iā Poditta kahi "Buckle Fracture"? He aha nā hōʻailona e ʻike ai?

I kēia manawa, e nānā kākou i nā hōʻailona hiki iā ʻoe ke nānā inā loaʻa i kāu keiki liʻiliʻi kahi "Buckle Fracture". Akā e hoʻomanaʻo, ʻaʻole like nā keiki a pau, a ʻaʻole paha e hōʻike nui kekahi mau keiki i ka ʻeha.

• ʻEha : ʻO kēia ka hōʻailona maʻamau a maopopo loa. Inā uē kāu keiki ke hoʻopā ʻoe a lūlū paha i ka lima/wāwae i ʻeha , a i ʻole e ʻōlelo "ʻeha," he hōʻailona kēlā. I kekahi manawa, aia paha ka ʻeha ʻoiai ke kū mālie wale.
• Pehu : ʻO kahi i haki ai a hemo paha ka iwi e pehu iki paha. ʻAʻole paha e ʻike iki ʻia kēia pehu, a i ʻole e ʻike ʻia ma hope o kekahi manawa.
• ʻAʻole hoʻohana i ka lima/wāwae : Inā ʻaʻole kāu keiki e paʻa ana i kahi mea pāʻani me kēlā lima, ʻaʻole ʻai, a ʻaʻole hoʻi e kau i kēlā wāwae i lalo a kau paha i ke kaumaha ma luna, ʻo ia hoʻi he paʻakikī iā ia ke hoʻohana a ʻeha.
• Palupalu : Inā pane ke keiki me ka ʻeha ke hoʻopā ʻia a kaomi māmā ʻia paha ka ʻāpana i ʻeha, ʻo ia hoʻi ua palupalu loa ia wahi.
• ʻO ke ʻano kīnā : ʻAʻole ʻike pinepine ʻia kahi ʻano kīnā nui, e like me ka lima/wāwae kūlou, i loko o kahi haki buckle. ʻO kēia no ka mea ʻaʻole i haki loa ka iwi a ʻaʻole i neʻe ʻia. Eia nō naʻe, i kekahi manawa e ʻike ʻia ka iwi ma ke ʻano he puʻupuʻu liʻiliʻi a i ʻole kahi pehu iki, me kahi loli iki o ke ʻano.
• ʻEha : I kekahi manawa e loli ke kala o ka ʻili ma ka wahi i ʻeha a like me ka ʻeha polū/poni.

He mea nui: ʻAʻole i loaʻa kēia mau hōʻailona āpau i ka manawa hoʻokahi ma kēlā me kēia haki buckle. Hiki i kekahi mau keiki ke hōʻike iki a ʻaʻohe ʻeha. No laila, inā hana ʻē kāu keiki ma hope o ka hāʻule ʻana, e hoʻopiʻi ana i ka ʻeha, a inā he kānalua kāu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.

Āhea wau e ʻike ai i ke kauka? I ka manawa hea?

He nīnau koʻikoʻi loa kēia. Inā ua hāʻule kāu keiki liʻiliʻi a hōʻike i kekahi a ʻoi aku paha o nā hōʻailona i luna, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka. Manaʻo kekahi mau mākua, "He hāʻule liʻiliʻi wale nō ia, e hoʻomaikaʻi koke ia i loko o kekahi manawa." Akā inā he haki iwi, he mea nui e ʻike pono i ka mea i hana ʻia a mālama pono ʻia. A i ʻole, inā ʻaʻole ia e ho'ōla pono, hiki ke hoʻopilikia ma hope. No ka laʻana, hiki i ka iwi ke kū pololei ʻole, e hoʻoulu i ka ʻeha mau, a i ʻole e hoʻopilikia i ka hana o ka lima/wāwae. No laila, mai hoʻowahāwahā i kekahi ʻeha i kāu keiki, ʻoiai ma hope o ka hāʻule ʻana. Hiki ke lilo i mea hōʻoluʻolu ke ʻike i ke kauka a ʻike ʻaʻole ia he mea koʻikoʻi.

Pehea e ʻike ai nā kauka i ka "Buckle Fracture"?

Ke hele ʻoe i ke kauka, ʻo ka mea mua a ke kauka e hana ai , ʻo ia ke nīnau i kāu keiki a me ʻoe e pili ana i ka hanana . Pehea ʻoe i hāʻule ai, he aha ka mea i hana ʻia ma hope o ka hāʻule ʻana, i ka manawa hea i hoʻomaka ai ka ʻeha, a inā he pehu. A laila e nānā ke kauka i ka lima/wāwae i ʻeha o kāu keiki . Ua pehu, ʻeha, ʻeha ke hoʻopā ʻia, ua loli ke ʻano, a hiki iā ʻoe ke hoʻoneʻe i kou lima/wāwae? Eia naʻe, no ka hōʻoia inā he haki buckle, ʻano haki iwi ʻē aʻe, a i ʻole he sprain wale nō, pono kahi X-ray . Hiki i kahi X-ray ke hōʻike maopopo i ka pōʻino o ka iwi, kahi i haki ai a hemo paha ka iwi. Inā he "Buckle Fracture", e ʻike ʻia ma ke ʻano kikoʻī ma kahi "X-ray".

Pehea ʻoe e mālama ai i kēia? E ʻeha nui anei ia no ke keiki liʻiliʻi?

Eia ka nūhou maikaʻi! ʻAʻole maʻamau ka haki ʻana o ka buckle a hoʻōla maikaʻi a wikiwiki hoʻi . No laila, mai hopohopo pono ʻole. Ma ke ʻano he lāʻau lapaʻau, kau pinepine nā kauka i kahi splint a i ʻole ka cast ma ka lima/wāwae i ʻeha.

• He kākoʻo wehe ʻia ka splint i hoʻohana ʻia e hoʻopaʻa i ka lima a i ʻole ka wāwae no kekahi manawa. Hiki ke hana ʻia me ka fiberglass a i ʻole ka plastic .
• He `Hōʻike`ʻO ka hoʻolei ʻia he uhi i hana ʻia me ka plaster of Paris a i ʻole fiberglass i kau ʻia a puni ka lima/wāwae a ʻaʻole hiki ke wehe ʻia ma ka home. Kōkua kēia i ka iwi e ho'ōla koke a kūpono, no ka mea, pale ia i ka neʻe ʻana a hiki i ka wā e hoʻonohonoho pono ʻia ai a ho'ōla ʻia ka iwi.

ʻO ka maʻamau, pono e mālama ʻia kēia ʻāpana ʻokiʻoki a i ʻole ka ʻāpana i hoʻolei ʻia no 2 a 3 mau pule, i kekahi manawa he 4 mau pule . E hoʻoholo ʻia ka manawa e nā mea e like me ka nui o ka pōʻino a me ka makahiki o ke keiki. E haʻi pololei ke kauka iā ʻoe e pili ana i ia mea. Nā lāʻau hoʻopau ʻeha : Inā ʻeha kāu keiki, e kuhikuhi ke kauka i kahi lāʻau hoʻopau ʻeha palupalu e like me ka Paracetamol. E hāʻawi iā ia ma ka nui a me ka manawa a ke kauka e haʻi aku ai iā ʻoe.

ʻAʻole koi ʻia ke ʻoki ʻana no ka haki ʻana o ka buckle i ka hapa nui o nā hihia, ʻo ia hoʻi, ma kahi o 99% o nā hihia. No ka mea, ʻaʻole hemo a haki paha ka iwi i mau ʻāpana, hiki ke mālama maikaʻi ʻia me kahi splint a i ʻole ka cast.

ʻEhia ka lōʻihi e ho'ōla ai? E hiki anei iaʻu ke pāʻani hou?

Hoʻōla koke nā iwi o nā keiki liʻiliʻi! ʻO ia ke kumu e hoʻōla piha ai ka haki ʻana o ka buckle ma kahi o 3-4 mau pule. I kekahi manawa hiki ke liʻiliʻi iki ka manawa. Ma hope o ka wehe ʻia ʻana o ke kāʻei a i ʻole ka mea hoʻolei, hiki i ka lima/wāwae ke manaʻo iki he ʻoʻoleʻa a ʻeha paha no kekahi mau lā. He mea maʻamau kēia. Ke hoʻohana mālie ʻoe i ka lima/wāwae, e nalowale ana ka ʻoʻoleʻa . Hiki i ke kauka ke kuhikuhi i kekahi mau hoʻoikaika kino. Ma hope o ka ho'ōla ʻana, ʻae, hiki i kāu keiki liʻiliʻi ke hoʻi i ka pāʻani, ka holo ʻana, ka lele ʻana, a me ka hana ʻana i kā lākou mau hana maʻamau! ʻAʻole loaʻa kēia i nā hopena lōʻihi.

Nā mea hiki iā ʻoe ke hana i ka wā e mālama ana i kāu keiki liʻiliʻi ma ka home

ʻO ka mea nui loa hiki iā ʻoe ke hana i kēia manawa, ʻo ia ke hahai pono i nā ʻōlelo a kāu kauka. Eia kekahi, e makaʻala i kēia mau mea:

• Ka mālama ʻana i kahi `Cast` a i ʻole `Splint`:
• Mai hoʻokuʻu i ka ʻōpala e pulu . E uhi pono iā ia me kahi ʻeke palaki i ka wā e ʻauʻau ai i ʻole e komo ka wai. Inā pulu, hiki iā ia ke hoʻopilikia i ka ʻili a hoʻonāwaliwali i ka ʻōpala.
• Mai hoʻokomo i kekahi mea i loko o ke kinikini (e like me nā peni, nā penikala, nā mea pāʻani). Mai kahakaha iā ia. ʻO ka hana ʻana pēlā e hōʻino ai i ka ʻili a hiki ke hoʻoulu i kahi maʻi.
• Inā wehe ʻia ke kāpili, haki, a i ʻole he ʻala maikaʻi ʻole , e haʻi koke aku i kāu kauka .
• Inā polū nā manamana lima a i ʻole nā ​​manamana wāwae ma ka lima/wāwae i hoʻolei ʻia, a maeʻele, ʻūlū, a ʻeha nui paha , pono ʻoe e hoʻomaopopo koke i kāu kauka . He mau hōʻailona paha kēia ua paʻa loa ke kāʻei.
• Ka hoʻomalu ʻeha: E hāʻawi i nā lāʻau hoʻomaha ʻeha e like me ke kauoha a ke kauka.
• Hoʻemi i ka pehu:I nā lā mua, inā ʻōlelo mai kāu kauka, e hoʻokiʻekiʻe iki i kou lima/wāwae (e.g. ma luna o ka uluna). E kōkua kēia i ka hōʻemi ʻana i ka pehu.
• E hōʻoluʻolu i ke keiki: E hōʻoluʻolu i ka mea liʻiliʻi. E hāʻawi iā ia i nā mea e heluhelu ai, e kaha kiʻi ai, a pēlā aku i ʻole ʻo ia e luuluu.
• Nā hoʻokolohua lapaʻau : E hōʻoia e lawe i kāu keiki i nā manawa i koho ʻia e ke kauka. He mea nui loa kēia mau manawa e wehe i ke kāpili a ʻike pehea e hele ai ka ho'ōla ʻana.

E hoʻoulu anei kēia i nā pilikia lōʻihi? Aia kekahi mea e makaʻu ai?

ʻAʻole, ʻaʻohe pilikia lōʻihi ma hope o ka haki ʻana o ka Buckle. Ke ho'ōla pono ka iwi, hiki i ke keiki ke hoʻi hou i kā lākou hana maʻamau. ʻAʻole ia e hoʻopilikia i ka ulu ʻana o ka iwi a i ʻole ka ikaika o ka lima/wāwae. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke loaʻa nā pilikia i kekahi manawa inā ʻaʻole mālama pono ʻia ka haki a i ʻole inā ʻaʻole i hahai pono ʻia nā kuhikuhi a ke kauka. ʻO ia ke kumu he mea nui e hana pololei i nā mea mai ka hoʻomaka ʻana.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi a me kahi kiʻi maopopo i loko o kou manaʻo no ka "Buckle Fracture" a i ʻole "Torus Fracture" a mākou i kamaʻilio ai.

• ʻO ka haki ʻana o ke kūpeʻe lima (buckle fracture) he ʻeha liʻiliʻi ia i nā iwi palupalu o nā keiki ʻōpio, kahi i pepeke ʻia ai/māhele ʻia ai ka iwi ma kekahi ʻaoʻao me ka ʻole o ka haki loa.
• Inā loaʻa i kāu keiki kekahi mau hōʻailona o ka ʻeha, ka pehu ʻana, ka paʻakikī ke hoʻohana i ko lākou lima/wāwae ma muli o ka hāʻule ʻana, a i ʻole ka ʻeha i ka wā e hoʻopā ʻia ai, mai hoʻowahāwahā iā ia a e hōʻike pono i ke kauka .
• E hōʻoia pono kahi X-ray i ke ʻano o kēia.
• ʻO ka maʻamau, ʻo ke kau ʻana i kahi splint a i ʻole ka cast no kekahi mau pule ka mea lapaʻau. Maikaʻi loa a wikiwiki hoʻi ka ho'ōla ʻana.
• Mai hopohopo, mai hopohopo , he maʻi maʻamau kēia i nā keiki liʻiliʻi a hoʻōla maikaʻi ia. ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke aʻo lapaʻau a hahai pono iā ia. A laila e hoʻōla koke kāu keiki liʻiliʻi a hoʻomaka hou e holo a pāʻani!

Inā he mau nīnau hou aku kāu, mai kānalua e nīnau i ke kauka. Aia lākou ma laila e kōkua iā ʻoe a me kāu keiki liʻiliʻi.

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