Ua haki anei kou iwi? E aʻo kākou e pili ana i ka (Comminuted Fracture) ma nā ʻōlelo maʻalahi!

Aia kekahi mau manawa i ko kākou ola e pono ai kākou e kū i nā ulia a me nā hāʻule. I kekahi manawa hiki iā kākou ke pakele me kahi ʻōpala liʻiliʻi, akā i kekahi manawa hiki iā kākou ke haki i ka lima a i ʻole ka wāwae. Ke ʻōlelo kākou ua haki nā iwi, haki wale kekahi o lākou ma kahi hoʻokahi, akā aia kekahi mau haki kahi e haki ai ka iwi i nā ʻāpana he nui, me he mea lā ua kuʻi ʻia. ʻO ia ka mea a kākou e kapa aku ai he `(Comminuted Fracture)` no ia ʻano haki iwi koʻikoʻi. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo `(Comminuted Fracture)` me ka kikoʻī iki aʻe , i hiki iā ʻoe ke hoʻomaopopo.

He aha ka `(Comminuted Fracture)`?

I ka ʻōlelo maʻalahi, ʻo ka `(Comminuted Fracture)` ʻo ia ka wā e haki ai kekahi o kou mau iwi (ʻo ia hoʻi ka iwi) i ʻekolu a ʻoi aku paha mau ʻāpana . E noʻonoʻo i kēia ʻano: ke hāʻule ʻoe i kahi pā, i kekahi manawa e haki ia i ʻelua, akā i kekahi manawa e haki ia i puʻu o nā ʻāpana liʻiliʻi. ʻO ia ka mea like. I loko o kahi haki maʻalahi, hiki i ka iwi ke haki i ʻelua. Akā i loko o kahi `(Comminuted Fracture)`, e haki ka iwi i mau ʻāpana, i kekahi manawa i pauka. Pono ʻoe e hoʻomaopopo he ʻoi aku ka koʻikoʻi o kēia ma mua o ka haki maʻamau . No ka mea, i ka wā e haki ai i puʻu o nā ʻāpana, ʻoi aku ka paʻakikī o ka hoʻihoʻi ʻana iā lākou i kahi kūpono.

No ke aha e hana ʻia ai kahi "Comminuted Fracture"? He aha nā kumu?

I mea e haki ai ka iwi e like me kēia i puʻu ʻāpana, pono ia he hopena ikaika loa, he nui ka pōʻino . He mea kākaʻikahi loa kēia e hana ʻia mai kahi hāʻule liʻiliʻi wale nō. Eia kekahi mau mea e hiki ai ke kumu:

• Nā ulia kaʻa koʻikoʻi: Hiki ke hana kēia mai kahi ulia ma waena o nā kaʻa e like me nā kaʻa a me nā mokokaikala a i ʻole mai nā ulia koʻikoʻi ʻē aʻe.
• Ka hāʻule ʻana mai kahi kiʻekiʻe loa: Inā hāʻule ʻoe mai kahi kiʻekiʻe loa, e like me ka lāʻau a hale paha.
• Nā ʻeha haʻuki koʻikoʻi: Hiki ke hana i kekahi mau haʻuki wikiwiki a paʻakikī hoʻi (e like me ka rugby).
• Nā ʻeha koʻikoʻi e like me nā ʻeha pū: I nā hihia e like me kēia, hiki ke hana ʻia kahi "Comminuted Fracture" no ka mea he nui ka ikaika i hoʻopili ʻia i ka iwi.

Akā, aia kekahi mea ʻē aʻe. I ka wā e ʻelemakule ai nā kānaka, nāwaliwali ko lākou mau iwi, a mākou e kapa nei hoʻi he `(Osteoporosis)`. No kekahi kanaka me nā iwi nāwaliwali, aia kahi manawa kūpono e hiki ai i kahi hāʻule liʻiliʻi, kahi mea ʻaʻole e hōʻeha nui i ke kanaka maʻamau, ke hopena i kahi `(Comminuted Fracture)`. Akā ʻo ka mea i ʻike pinepine ʻia ʻo ia nā mea i hana ʻia ma muli o nā hopena nui a mākou i kamaʻilio ai ma mua.

He aha nā hōʻailona o ka `(Comminuted Fracture)`? Pehea ʻoe i ʻike ai?

Hiki iā ʻoe ke noʻonoʻo i ke ʻeha o ka wā e haki ai ka iwi i nā ʻāpana he nui. Eia kekahi o nā hōʻailona nui:

• ʻEha nui: ʻO ka mea nui, ʻeha nui. Hiki i ka ʻeha ke koʻikoʻi loa a hiki ʻole iā ʻoe ke hoʻopā aku.
• Pehu wikiwiki a me ka palapū: E hoʻomaka koke ka wahi o ka ʻeha e pehu, a hiki ke ʻike ʻia he polū/poni.
• Ke ʻano kīnā: ʻO ke ʻano kēia, inā he lima a he wāwae paha, e loli paha kona ʻano a hiki ke ʻike ʻia he kīkoʻo.
• ʻAʻole hiki ke hoʻoneʻe i ka lālā: ʻO kēia ka hopena i ka hiki ʻole ke hoʻohana a hoʻoneʻe paha i ka lima a i ʻole ka wāwae i ʻeha.
• I kekahi manawa hiki i kahi ʻāpana iwi haki ke puka mai ma o ka ʻili: He mea weliweli iki kēia. Kāhea pū mākou i kēia he "Open Comminuted Fracture". Inā hana ʻia kēia, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi.
• Ka lohe ʻana a i ʻole ka manaʻo ʻana i kahi leo "crackling" i ka manawa o ka ulia: (`(Crepitus)`) Hiki i kekahi poʻe ke lohe a manaʻo paha i kahi leo o nā iwi e kuʻi ana kekahi i kekahi.
• ʻO ka neʻe ʻana maʻamau ʻole ke hoʻopā ʻia ka ʻāpana i hoʻopilikia ʻia: ('Neʻe ʻana maʻamau ʻole') Manaʻo paha ia e kūlou ana ka lima/wāwae ma kahi wahi ʻaʻole ia he hono maʻamau.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

Pehea e hiki ai i ke kauka ke ʻike pololei i ka "Comminuted Fracture"?

Ke hele ʻoe i ka haukapila me kahi ʻeha e like me kēia, e nīnau mua ke kauka iā ʻoe i ka mea i hana ʻia iā ʻoe, e nānā i ka wahi, a laila e hana i nā hoʻokolohua aʻe e hoʻoholo ai inā he "haʻi palupalu" ka haki a pehea ke koʻikoʻi:

• X-ray: ʻO kēia ka hoʻāʻo maʻamau. Hiki i kahi X-ray ke hōʻike maopopo i ke ʻano o ka haki ʻana o ka iwi, ehia mau ʻāpana i haki ai, a ehia mau ʻāpana i hoʻopuehu ʻia a puni.
• CT scan (Computed Tomography scan - CT scan): I kekahi manawa, ʻoiai inā kokoke ka haki i kahi hui (e.g. kuli, kuʻekuʻe), a inā makemake ʻoe e ʻike i nā kikoʻī hou aku e pili ana i nā ʻāpana iwi, hiki i kāu kauka ke kauoha i kahi CT scan. Hiki i kēia ke hana i kahi kiʻi ʻekolu-dimensional (`3D`) o nā iwi, hiki ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana.
• ʻIke Hoʻohālikelike Magnetic (MRI): ʻAʻole hoʻohana pinepine ʻia kahi MRI e hōʻoia i kahi haki i ʻoki ʻia. Eia nō naʻe, pono paha kahi MRI e ʻike inā he pōʻino i nā ʻiʻo palupalu (e like me nā ʻiʻo, nā tendon, nā aʻalolo, a me nā kīʻaha koko) e hoʻopuni ana i ka haki.

Ma hope wale nō o kēia mau hoʻokolohua e hoʻoholo ai ke kauka i kou pilikia a me ke ʻano o ka lāʻau e pono ai.

Pehea ʻoe e mālama ai i kahi `(Comminuted Fracture)`? Pehea ka lōʻihi e ho'ōla ai?

Ua ʻōlelo mua mākou he haki paʻakikī iki ka "Comminuted Fracture". Ke haki ka iwi i nā ʻāpana he nui, pono e hoʻihoʻi ʻia nā ʻāpana a hoʻopaʻa ʻia i kahi ʻano e neʻe ʻole ai. A i ʻole, ʻaʻole e kūpono ka iwi.

No laila, i ka hapanui o ka manawa, pono ke ʻoki kino no ka "Comminuted Fracture".

ʻO ke ʻoki ʻana, ʻo ia ka hoʻoneʻe ʻana i nā ʻāpana iwi haki i ko lākou kūlana mua e like me ka hiki a laila e hoʻihoʻi hou iā lākou. Aia nā ʻano hana like ʻole no kēia:

• Hoʻemi Hāmama a me ka Hoʻopaʻa Kūloko (ORIF): ʻO kēia ke kaʻina hana ʻokiʻoki i hoʻohana pinepine ʻia.
• ʻO ke ʻano o ka "Open Reduction": ʻOki ke kauka i ka ʻili, hele i ka iwi haʻihaʻi, a laila hoʻoponopono lima i nā ʻāpana iwi.
• ʻO ke ʻano o ka 'Hoʻopaʻa Kūloko': Ke kaʻina hana o ka hoʻopaʻa ʻana i nā ʻāpana iwi i hoʻomākaukau ʻia ma ke komo ʻana i nā papa metala kūikawā, nā wili, nā koʻokoʻo a i ʻole nā ​​​​kui mai loko mai. Hana ʻia kēia mau mea me nā metala kūikawā i hoʻolālā ʻia e kūpono i ke kino.
• Hoʻopaʻa Waho: I kekahi mau haki ʻokiʻoki koʻikoʻi loa, ʻoiai inā he haki hāmama a i ʻole i ka wā e pehu nui ai ka ʻeha, ʻaʻole hiki ke hana koke i kahi ʻoki ORIF. I ia mau hihia, hoʻohana ʻia kahi mea i kapa ʻia he fixator waho.
• ʻO kēia ke komo ʻana i kekahi mau pine metala (`pins` a i ʻole `screws`) ma o ka ʻili ma luna a ma lalo o kahi haki i loko o ka iwi, a hoʻopili iā lākou i kahi kiʻikuhi (`frame`) ma waho o ke kino. Kōkua kēia i ka mālama ʻana i nā ʻāpana iwi ma kahi me ka ʻole o ka neʻe ʻana. Ke ola iki ka ʻeha a emi iho ka pehu, hiki ke hana ʻia kahi ʻoki `(ORIF)` ma hope. I kekahi manawa, hiki ke hoʻohana ʻia kēia `(External Fixator)` a hiki i ka wā e ola ai ka iwi.

Lapaʻau me ke ʻoki ʻole ʻana:

He mea kākaʻikahi loa ka mālama ʻana i kahi `(Comminuted Fracture)` me ke ʻoki ʻole ʻana. No ka mea, ua hoʻopuehu ʻia nā ʻāpana iwi ma nā wahi he nui, ʻaʻole lākou e kūpono pono me kahi `(Plaster Cast)` a i ʻole `Splint` wale nō. Eia naʻe, he mea kākaʻikahi loa , inā ʻaʻole mamao loa nā ʻāpana iwi, hiki i ke kauka ke hoʻāʻo e hoʻōla iā lākou me ke ʻoki ʻole ʻana ma ke kau ʻana i kahi plaster cast. Eia naʻe, ʻaʻole holomua kēia.

Ka hoʻomalu ʻeha:

No ka mea he ʻeha maoli kēia, e hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha kūpono.

Ka manawa e ho'ōla ai:

ʻOkoʻa ka manawa e ola ai kahi "Comminuted Fracture" mai kēlā me kēia kanaka a ma muli o ke ʻano o ka haki. ʻOi aku ka lōʻihi ma mua o ka haki maʻamau.

• Hiki ke hala kekahi mau mahina (ʻo ia hoʻi he 3-6 mahina a ʻoi aku paha) no ka hui pū ʻana o nā ʻāpana iwi a lilo i ikaika.
• ʻOiai ma hope o kēlā, inā makemake ʻoe e hoʻohana hou i ka lima/wāwae i hoʻopilikia ʻia, pono ʻoe e hana i kahi papa hana i kapa ʻia ʻo physiotherapy . Hiki i kēia ke hala i kekahi mau mahina.

No laila, hiki ke hala a hiki i hoʻokahi makahiki e ho'ōla piha ai. No laila he mea nui e hoʻomanawanui a lawe i ka lāʻau lapaʻau.

He aha nā pilikia e hiki mai ana o kahi "Comminuted Fracture"?

E like me nā ʻeha a pau, hiki i ka "Comminuted Fracture" ke loaʻa kekahi mau pilikia. He mea maikaʻi hoʻi e ʻike i kēia mau mea:

• Maʻi:ʻOi loa aku hoʻi i ka hihia o ka "Open Fracture" (i ka wā e hou ʻia ai ka ʻili a hōʻike ʻia ka iwi) a i ʻole ma hope o ke ʻoki ʻana, hiki i nā germs ke komo i loko o ka ʻeha a hoʻoulu i ka maʻi.
• Ka hōʻino ʻana o ke aʻalolo a i ʻole ke kīʻaha koko: Ke haki ka iwi, hiki i nā ʻāpana iwi ʻoi ke hōʻino i nā aʻalolo kokoke a i ʻole nā ​​kīʻaha koko.
• ʻO ka Compartment Syndrome: He kūlana koʻikoʻi kēia. ʻO ka pehu ʻana o nā ʻiʻo a puni ka ʻeha e hiki ai ke hoʻonui i ke kaomi i loko o nā compartments, e ʻoki ana i ke kahe koko. He kūlana kēia e pono ai ka mālama ʻana i ka pilikia. ʻO nā hōʻailona e komo pū me ka ʻeha nui, ka pehu ʻana, a me ka maneʻo ʻole o nā lima/wāwae.
• Malunion a i ʻole Nonunion: I kekahi manawa hiki i nā ʻāpana iwi ke hui pono ʻole (e like me ka splint). A i ʻole hiki iā lākou ke noho pū no ka manawa lōʻihi. Inā hana ʻia kēlā, pono paha ʻoe e hana hou i kahi ʻoki kino.
• I ka hala ʻana o ka manawa, ʻeha hui (Arthritis): ʻOi loa inā loaʻa kahi haki i loko o kahi hui, i ka hala ʻana o ka manawa, hiki i kēlā hui ke loaʻa i ka arthritis, ʻo ia hoʻi, ka ʻeha hui.
• ʻEha mau loa: Hiki i kekahi poʻe ke hoʻomau i ka ʻeha ma hope o ka ho'ōla ʻana o ka ʻeha.
• ʻOʻoleʻa a me ka nalowale o ka hana ma ka lima/wāwae: Hiki i ka lima/wāwae i ʻeha ke lilo i ʻoʻoleʻa a hiki ʻole ke kūlou a pololei paha e like me ma mua. ʻO kēia kahi e lilo ai ka physiotherapy i mea nui loa.

ʻAʻole hiki i nā kānaka a pau ke hana i kēia mau mea, akā, he mea nui e hoʻomaopopo he hiki ke hana ʻia a e hahai pono i nā ʻōlelo a ke kauka.

He aha kāu e hana ai e ho'ōla koke ma hope o kahi `(Comminuted Fracture)`?

Inā loaʻa iā ʻoe kahi "Comminuted Fracture" a ke mālama ʻia nei ʻoe, e mālama i kēia mau mea e kōkua iā ʻoe e hoʻōla koke:

• E hahai pono i nā ʻōlelo a ke kauka: ʻO ia ka mea nui loa. E hana pololei i nā mea āpau, e like me ke ʻano o ka lawe ʻana i kāu lāʻau lapaʻau, pehea e mālama ai i kou ʻeha, ka nui o ka hoʻomaha āu e pono ai, a me ka manawa e hoʻomaka hou ai ʻoe e hele wāwae.
• E lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia i ka manawa kūpono: E lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia, e like me nā lāʻau ʻeha a me nā lāʻau antibiotic (e pale aku i nā maʻi), e like me ke kuhikuhi ʻana.
• He mea nui ka hoʻomaha: He mea nui loa ka hoʻomaha ʻana i ka lima/wāwae i hoʻopilikia ʻia a hiki i ka wā e ho'ōla ai ka iwi. Mai hana i kekahi hāpai kaumaha, holo a lele paha a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
• E hoʻokiʻekiʻe i ka ʻāpana i hoʻopilikia ʻia e hōʻemi i ka pehu: Inā he lima/wāwae, ʻo ka mālama ʻana i luna me kahi uluna e hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
• E hōʻoia e hana i ka physiotherapy: Inā ʻōlelo kāu kauka, e hele pinepine i nā hālāwai physiotherapy. E hana pū i nā hoʻomaʻamaʻa ma ka home. E kōkua kēia iā ʻoe e hoʻihoʻi i ka ikaika a me ka maʻalahi o kou lima/wāwae.
• E ʻai i ka meaʻai momona a maikaʻi hoʻi:E ʻai hou aku i nā meaʻai waiwai i ka calcium a me ka wikamina D (e like me ka waiū, yogurt, tīhi, nā mea kanu ʻōmaʻomaʻo, a me ka iʻa), nā mea e kōkua ai i ka ho'ōla ʻana o ka iwi. He mea nui nō hoʻi nā meaʻai waiwai i ka protein.
• Inā ʻoe e puhipaka, e haʻalele: Hoʻopaneʻe nui ka puhipaka i ka ho'ōla ʻana o ka iwi. No laila, inā he mea puhipaka ʻoe, he kōkua nui ka haʻalele ʻana i kēia manawa iā ʻoe.
• Mai hōʻalo i nā hoʻokolohua lapaʻau: E hele i ke kauka i nā lā āna e ʻōlelo ai iā ʻoe e hoʻi mai e nānā i kou kūlana.

Hiki ke pale ʻia kahi "Comminuted Fracture"?

ʻO nā ulia ka mea e hana ʻia i ka wā a mākou e manaʻo ʻole ai. Eia nō naʻe, ʻo ka hahai ʻana i kekahi mau hana palekana hiki ke hōʻemi i ka pilikia o nā ʻeha koʻikoʻi.

• Ma hope o nā kaʻina hana palekana:
• E kau mau i nā kāʻei palekana i ka wā e holo ai i loko o nā kaʻa.
• E ʻaʻahu i ka mahiole o ke kūlana kūpono i ka wā e holo ai i ka mokokaikala a paikikala paha.
• E hahai i nā lako a me nā kaʻina hana palekana ma ka wahi hana, ʻoiai ma nā wahi weliweli e like me ke kūkulu ʻana.
• I ka wā e pāʻani ai i nā haʻuki, e hoʻohana i nā lako palekana (e like me nā pale, nā padding) kūpono no ka haʻuki.
• Ke pale ʻana i ka hāʻule ʻana (ʻoi aku hoʻi no ka poʻe ʻelemakule):
• E makaʻala i nā pilikia paheʻe a hāʻule paha i loko o kou home (e laʻa, nā lumi ʻauʻau, nā alapiʻi). Inā pono, e hoʻokomo i nā pale lima a me nā moena paheʻe ʻole.
• E hōʻoia i ka mālamalama maikaʻi i ka pō.
• Inā pilikia ʻoe i ka hele wāwae, e hoʻohana i kahi koʻokoʻo hele wāwae a mea hele wāwae paha e like me ke kuhikuhi a kāu kauka.
• Ka mālama ʻana i nā iwi ikaika:
• E ʻai i ka meaʻai kaulike i waiwai i ka calcium a me ka wikamina D.
• E hoʻoikaika kino mau (e hoʻoikaika ka hoʻoikaika kino ʻana i nā iwi).
• Inā loaʻa iā ʻoe kahi maʻi e like me ka osteoporosis, e mālama pono ʻia.

ʻO ka noʻonoʻo ʻana i kēia mau mea e kōkua iā mākou e pale iā mākou iho mai nā ʻeha koʻikoʻi e like me `(Comminuted Fracture)`.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka `(Comminuted Fracture)` i kēia lā. Eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• He kūlana koʻikoʻi ka "Comminuted Fracture" kahi e haki ai ka iwi i nā ʻāpana he nui.
• ʻO ka maʻamau, hana ʻia kēia e kahi hopena ikaika loa (e like me kahi ulia nui, ka hāʻule ʻana mai kahi kiʻekiʻe).
• Inā loaʻa iā ʻoe kahi ʻeha e like me kēia , he mea nui e ʻimi koke i ke kōkua lapaʻau.
• I ka manawa pinepine, pono ke ʻoki ʻana i kēia ʻano e hoʻoponopono pono ai i nā ʻāpana iwi.
• He lōʻihi ka manawa e ho'ōla ai, a he ʻāpana koʻikoʻi loa ka physiotherapy i ke kaʻina hana ho'ōla.
• Inā ʻoe e hahai pono i nā ʻōlelo a ke kauka a mālama iā ʻoe iho me ke ahonui, hiki iā ʻoe ke hoʻōla maikaʻi.

Mai makaʻu, akā e mālama mau i kou palekana. No ka mea, e like me ka ʻōlelo, "ʻOi aku ka maikaʻi o ka mālama ʻana ma mua o ka hoʻōla." Manaʻolana wau he mea pono kēia ʻike nou!

Haʻihaʻi i ʻoki ʻia, iwi haki, iwi i kuʻi ʻia, ʻoki kino, ho'ōla iwi, lāʻau lapaʻau kino, ulia pōpilikia, mālama iwi