Inā e pāʻani ana kāu keiki kolohe a hoʻomaka koke e uē, e paʻa ana i ka lima a i ʻole ka wāwae, he mea weliweli ia, ʻeā? ʻOiai he mea maʻamau nā ulia no nā keiki liʻiliʻi, i kekahi manawa hiki ke lilo i iwi haki, a i ʻole he 'haʻihaʻi'. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano kūikawā o ka haki iwi i maʻamau i waena o nā keiki ʻōpio. Ua kapa ʻia kēia he 'Greenstick Fracture' . He mea ʻē paha ke kani ʻana o ka inoa, akā e wehewehe maʻalahi kākou.
He aha ka 'Greenstick Fracture'? He mea maʻalahi loa ia!
Ua puka mai ka inoa ʻo 'greenstick' mai kahi hoʻohālikelike nani loa. E noʻonoʻo ʻoe e lawe ana i kahi lālā lāʻau hou a ʻōpiopio a hoʻāʻo e uhaʻi iā ia. Ua haki koke anei ka lālā i ʻelua? ʻAʻole, ʻeā? Ua kūlou ia ma kekahi ʻaoʻao, me nā laina a me nā ʻāpana liʻiliʻi e puka mai ana, akā ʻaʻole haki iki kekahi ʻaoʻao, ʻeā? Pēlā i haki ai kēia 'greenstick'.
I ka ʻōlelo maʻalahi, ʻo ka 'greenstick fracture' kahi kūlana i haki ai ka iwi o ke keiki ma kekahi ʻaoʻao, akā ʻaʻole ma kekahi. E like me ka lāʻau maka, ʻaʻole i haki loa ka iwi i ʻelua. Kūlou iki ia, a he haki liʻiliʻi ma kekahi ʻaoʻao. He ʻokoʻa iki kēia mai nā haki i nā pākeke.
No ke aha e hana nui ai kēia i nā keiki ʻōpio?
I kēia manawa, e noʻonoʻo paha ʻoe, "No ke aha e hiki ai kēia i nā keiki a ʻaʻole i nā pākeke?" ʻO ke kumu, ʻo nā iwi o nā keiki ʻōpio, ʻoiai ka poʻe ma lalo o 10 makahiki, ʻaʻole ikaika a oʻo e like me nā iwi o nā pākeke.
E noʻonoʻo i kēia ʻano: ua like nā iwi o nā keiki liʻiliʻi me kēlā mau lālā lāʻau maka palupalu a mākou i kamaʻilio ai ma mua. He nui ko lākou mau pūnaewele e ulu mau nei, a he nui nō hoʻi ka protein i kapa ʻia ʻo collagen. ʻO kēia ka mea e palupalu iki ai a ʻoi aku ka maʻalahi. ʻO ia hoʻi, hiki iā lākou ke kūlou maʻalahi. No laila, ke hoʻopili ʻia kahi ikaika, ʻoi aku ka nui o ka iwi e kūlou ma kekahi ʻaoʻao a haki, ma mua o ka haki loa ʻana i ʻelua.
Eia kekahi, ʻo ka membrane lahilahi i kapa ʻia ʻo ka periosteum e hoʻopuni ana i nā iwi o nā keiki he mānoanoa iki a ʻoi aku ka ikaika ma mua o ko nā pākeke. He ʻāpana koʻikoʻi kēia membrane o ka iwi e hoʻolako ana i ke koko i ka iwi a hana i nā hunaola iwi hou. Kōkua pū kēia ikaika i ka iwi e haki ma kekahi ʻaoʻao, ma mua o ka haki loa ʻana.
ʻOi aku ka oʻo, ka mānoanoa, a me ke ʻano o ka lālā maloʻo nā iwi o nā mākua a me nā keiki ʻōpio iki. No laila, inā e hoʻopili ʻia kahi ikaika i kahi iwi e like me ia, ʻoi aku ka nui o ka haki ʻana i ʻelua.
Pehea e hiki ai kēia haki ʻana o ka 'greenstick'? He aha nā kumu maʻamau?
He palena ʻole nā keiki liʻiliʻi i kā lākou hana kolohe. Holo lākou, lele, piʻi i nā lāʻau, a pāʻani. No laila, ʻaʻole ia he mea maʻamau ka loaʻa ʻana o nā pōpilikia liʻiliʻi i nā manawa e like me kēia. ʻO ke kumu nui o nā haki 'greenstick' ʻo ia ka hāʻule ʻana .
- Ka hāʻule ʻana mai kahi moena, noho, a sofa paha i ka wā e pāʻani ana.
- Ka hāʻule ʻana mai nā lako pāʻani (paheʻe, ʻūlū).
- Ka nalowale ʻana o ke kaulike a me ka hāʻule ʻana i ka wā e holo ana a lele paha.
- Ka lima i kīkoʻo ʻia - Hiki i kēia ke hōʻino i nā iwi ma ka pulima lima .
Ma waho aʻe o kēia mau hihia, aia paha nā kumu ʻē aʻe:
- Nā ulia haʻuki: Hana ʻia nā kuʻi a me nā hāʻule ʻana i ka wā e pāʻani ai nā keiki ʻōpio i nā haʻuki e like me ka pôpeku, cricket, a me ka netball.
- Pā pololei: Inā paʻi ikaika kekahi mea iā ʻoe ma kou lima a i ʻole kou wāwae.
- I kekahi manawa, hiki i ka ʻeha a i ʻole ke ʻūmiʻi i ka lima a i ʻole ka wāwae ke hana i kēia ʻano haki.
ʻO ka hapa pinepine, loaʻa kēia mau haki ma nā iwi lima (radius a me ulna) a me nā iwi wāwae haʻahaʻa (tibia a me fibula) . Eia nō naʻe, hiki ke loaʻa i kekahi manawa ma nā wahi e like me ka clavicle a i ʻole ka iwi collarbone.
Pehea e ʻike ai inā he haki 'greenstick' ko kaʻu keiki? He aha nā hōʻailona?
Ma ke ʻano he makua, inā ʻike ʻoe i kekahi mau loli i kāu keiki, he mea nui e hoʻolohe. ʻO nā hōʻailona o ka haki 'greenstick':
- ʻEha: ʻO kēia ka hōʻailona nui. Hiki i ke keiki ke uē i ka ʻeha ke hoʻopā ʻia, ʻomi ʻia, a hoʻoneʻe ʻia paha ka ʻāpana i ʻeha.
- Pehu: Aia paha he pehu a puni kahi i haki ai.
- ʻEha a ʻulaʻula paha: I kekahi manawa e ʻike paha ʻoe i kahi ʻeha a ʻulaʻula paha ma ka ʻili.
- Ka hoʻokaʻulua ʻana e hoʻohana i ka lima/wāwae: Hiki i ke keiki ke hoʻokaʻulua e hana i ka hana, pāʻani, a i ʻole e hāpai i nā mea kaumaha me kēlā lima a wāwae paha ma muli o ka ʻeha.
- ʻAno ʻē: I kekahi mau haki 'greenstick', hiki ke loli iki ke ʻano o ka lima a i ʻole ka wāwae, me he mea lā ua kīkoʻo ʻia. Eia naʻe, ʻaʻole kēia he loli nui i nā manawa a pau. I kekahi manawa hiki ke lilo i loli maalea loa.
He mea nui: I kekahi manawa, ʻaʻole paha e koʻikoʻi loa nā hōʻailona o ka haki ʻana o ka ʻiʻo 'greenstick'. Hiki i ke keiki ke ʻeha iki akā hiki nō ke hoʻomau i ka pāʻani. No laila, inā ʻōhumu kāu keiki i ka ʻeha ma hope o kahi ulia, a inā he kānalua kāu, pono ʻoe e ʻimi i ke kōkua lapaʻau.
Pehea e ʻike pololei ai ke kauka i kahi 'greenstick fracture'?
Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua āna 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 ke keiki.
- Nānā lākou i kahi o ka ʻeha, ka pehu ʻana, a me ka palapū.
- Ke nānā nei lākou inā hiki iā lākou ke hoʻoneʻe i ko lākou mau lima/wāwae a me ka mamao e hiki ai iā lākou ke hoʻoneʻe iā lākou.
- I kekahi manawa nānā lākou e ʻike inā he pōʻino i nā aʻalolo a i ʻole nā kīʻaha koko.
Ma hope o kēia hoʻokolokolo mua ʻana, inā he kānalua no ka haki ʻana, e kauoha maoli ke kauka i kahi X-ray.ʻŌlelo ia e hana ia. ʻO ka 'X-ray' wale nō ke ala e ʻike pono ai inā he haki i loko o ka iwi, ke ʻano o ka haki, a me ka nui o ka pōʻino i hana ʻia. ʻIke maopopo ʻia ka haki 'greenstick' ma kahi 'X-ray' i ka wā e kūlou ana ka iwi a kūlou ma kekahi ʻaoʻao.
He aha ka lāʻau lapaʻau no kēia? E ola koke anei ke keiki?
Inā ua hōʻoia ʻia kahi haki 'greenstick', ʻo ka pahuhopu nui o ka mālama ʻana, ʻo ia ke hoʻonohonoho pono i ka iwi haʻihaʻi a hāʻawi i ka paʻa pono e hiki ai ke ho'ōla e like me ma mua.
Hoʻohana pinepine ʻia kēia no:
- Ke kau ʻana i kahi Plaster of Paris Cast: ʻO kēia ka mea a mākou e ʻike ai he "kau ʻana i kahi plaster cast ma kou lima/wāwae." Hoʻopaʻa kēia i ka iwi haʻihaʻi a kōkua i nā iwi ʻelua e ho'ōla pono. Hoʻopaʻa pinepine ʻia kēia cast no 4 a 6 mau pule . Hoʻoholo ʻia kēia e ke kauka.
- ʻŌpala Lapaʻau: I kekahi manawa, ʻoiai inā nui ka pehu ʻana, hiki ke hoʻohana mua ʻia kahi ʻōpala lapaʻau, a laila hiki ke hoʻopili ʻia kahi mea hoʻoheheʻe ma hope o ka emi ʻana o ka pehu. ʻO ka ʻōpala lapaʻau he kākoʻo ia ʻaʻole i hoʻopaʻa piha ʻia e like me ka mea hoʻoheheʻe, akā kōkua ia e mālama i ka iwi ma kahi.
Me kēia lāʻau lapaʻau, e kuhikuhi ke kauka i nā lāʻau ʻeha e like me Paracetamol a i ʻole Ibuprofen e hōʻemi i ka ʻeha e ʻike nei kāu keiki. Mai hāʻawi i kāu keiki i nā lāʻau ʻeha ʻē aʻe me ka ʻole o ke aʻo ʻana a kāu kauka.
ʻO ka nūhou maikaʻi, ʻoi aku ka wikiwiki o ka ho'ōla ʻana o nā iwi o nā keiki ma mua o ka poʻe mākua! Hoʻopuka ko lākou kino i nā hunaola hou i ka wikiwiki. No laila, me ka mālama kūpono, ho'ōla loa ka haki 'greenstick', a hiki i ke keiki ke holo, lele, a pāʻani hou.
He aha nā mea e pono ai ʻoe e noʻonoʻo i ka wā e mālama ai i kahi keiki liʻiliʻi ma ka home?
Ma hope o kou lawe ʻana mai i kāu keiki i ka home me kahi ʻōmole, he mea nui loa kou nānā ʻana.
- Mai hoʻokuʻu i ke kāpili e pulu: E uhi i ke kāpili me kahi ʻeke palaki a i ʻole kekahi mea pale wai i ka wā e ʻauʻau ai a holoi paha i kou mau lālā. ʻO ka pulu ʻana hiki ke hoʻopilikia i ka ʻili a hoʻonāwaliwali i ke kāpili.
- Mai hoʻokomo i kekahi mea i loko o ke kāpili: I kekahi manawa hoʻāʻo nā keiki e hoʻokomo i nā mea e like me nā penikala a i ʻole nā lāʻau i loko o ke kāpili ke loaʻa iā lākou ka maneʻo. Hiki i kēia ke hōʻino i ka ʻili a hoʻoulu i nā maʻi. E hoʻomaopopo i kāu keiki ʻaʻole kēia ka hihia.
- E hōʻemi i ka pehu: No nā lā mua, e hoʻokiʻekiʻe i ka lima/wāwae i ʻeha me kahi uluna i ka hiki. E hōʻemi kēia i ka pehu.
- E nānā pono i nā mea hana keaka:
- Inā paʻa loa ke ʻano o ka hoʻolei (inā polū nā manamana lima, ʻūlū, a pehu paha).
- Inā paha he palupalu loa ke ʻano o ka hoʻolei ʻana.
- Inā he ʻala maikaʻi ʻole e puka mai ana mai ka mea hoʻolei.
- Inā hoʻopiʻi mau ke keiki no ka ʻeha a i ʻole he kuni kona i ka wā e hoʻokomo ʻia ai ke kāpili.
Inā ʻike ʻoe i kekahi mea e like me kēia, e ʻike koke i ke kauka.
- E nānā i ke ʻano o ka ʻili: E nānā inā he ʻulaʻula a me nā pehu a puni nā kihi o ke kinikini.
Hiki i kēia ke hoʻoulu i nā pilikia ʻē aʻe? He mea anei ia e hopohopo ai?
I ka hapa nui o ka manawa, ho'ōla loa nā haki 'greenstick' me ka ʻole o nā pilikia. ʻAʻole lākou e hoʻopilikia i ka ulu ʻana o ka iwi o ke keiki a i ʻole ka hoʻohana ʻana o ka lālā i ka wā e hiki mai ana.
Eia nō naʻe, aia kekahi mau pilikia e hiki ke loaʻa pinepine ʻole. He mea maikaʻi ke ʻike i kēlā mau mea, akā , mai makaʻu nui iā lākou.
- Re-fracture: Inā hana ke keiki i ka hana ikaika loa ma hope o ka wehe ʻia ʻana o ke kāpili, ma mua o ka ikaika piha ʻana o ka iwi, aia kahi manawa liʻiliʻi e hana hou ʻia ai ka haki. No laila, e like me ka ʻōlelo a ke kauka, he mea nui e hoʻi mālie i nā hana maʻamau.
- ʻEha o ka Papa Ulu: Inā loaʻa ka haki ma kahi kokoke i kahi hono, kokoke i ka papa ulu o ka iwi, aia paha kahi hopena liʻiliʻi ma kēia papa ulu. E nānā nā kauka i kēia a e lawe paha i kahi X-ray inā pono.
- ʻO ka Compartment Syndrome: He kūlana kakaikahi akā koʻikoʻi kēia e pono ai ka nānā koke ʻana . Hana ʻia kēia i ka wā e hoʻoulu ai ka ʻeha i ke kaomi e kūkulu i loko o nā ʻiʻo e hoʻopuni ana i ka iwi, e hoʻopilikia ana i ke kahe koko a me nā aʻalolo. Inā ʻike ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui, ka mae ʻole, ka mae, a i ʻole ka ʻeha e paʻakikī ai ka hoʻoneʻe ʻana i kou lima/wāwae, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. Eia naʻe, ʻike pinepine ʻia kēia i nā haki 'greenstick'.
Mālama pinepine nā kauka i kēia mau mea a pau, no laila ʻaʻole pono ʻoe e hopohopo.
He aha kā kākou e hana ai e pale aku i ia mau pōpilikia?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. ʻOiai ʻaʻole hiki iā mākou ke hoʻōki loa i nā ulia pōpilikia i nā keiki ʻōpio, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi iā lākou:
- Ka nānā ʻana a nā mākua i ka wā e pāʻani ana nā keiki: E makaʻala loa i ka wā e pāʻani ana nā keiki ʻōpio ma nā kahua pāʻani a i ʻole nā wahi kiʻekiʻe.
- E mālama i kou wahi noho: E makaʻala i nā papahele pahee, e hōʻoia ʻaʻohe lako paʻa ʻole e hiki i nā keiki ke piʻi i luna, a e hoʻokomo i nā ʻupena palekana ma nā puka makani.
- Nā lako palekana i nā haʻuki: Inā pāʻani kāu keiki i nā haʻuki, e paipai iā lākou e hoʻohana i nā lako palekana (nā mahiole, nā pads) kūpono no kēlā haʻuki.
- Nā wahi pāʻani palekana: E koho i nā ʻili palupalu a palekana (e like me ka mauʻu, nā moena laholio) no nā keiki e pāʻani ai.
- ʻAi no nā iwi olakino: I mea e ikaika ai nā iwi o kāu keiki, e hāʻawi iā lākou i nā meaʻai waiwai i ka calcium a me ka wikamina D (waiū, yogurt, tīhi, nā mea kanu ʻōmaʻomaʻo, iʻa). Inā pono, e hāʻawi i nā mea hoʻohui meaʻai e like me ke kuhikuhi a kāu kauka.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
E ʻike koke i ke kauka inā:
- Inā ʻeha nui ke keiki, pehu, a i ʻole kahi loli o ke ʻano o ka lima/wāwae ma hope o kahi ulia.
- Inā ʻaʻole makemake ke keiki e hoʻohana i kēlā lima/wāwae a i ʻole ʻaʻole hiki ke hoʻoneʻe iā ia.
- Inā, i ka wā e kau ana i ka ʻaʻahu hoʻoheheʻe, e polū nā manamana lima ma lalo o ke ʻaʻahu hoʻoheheʻe, e keʻokeʻo, e pehu nui, e ʻūlū, a i ʻole e anuanu loa .
- Inā ʻala ʻino ke kāpili a i ʻole he kuni ke keiki .
- Inā haki a wehe paha ke koʻokoʻo.
Leka Lawe-Home
ʻOiai ʻo ka 'Greenstick Fracture' he mea maʻamau i waena o nā kamaliʻi ʻōpio, inā ʻike pono ʻia ʻoe e pili ana i ia mea, hiki iā ʻoe ke hana me ka makaʻu ʻole.
E hoʻomanaʻo:
* ʻO ka haki 'greenstick' he iwi i nā keiki i kūlou ʻia ma kekahi ʻaoʻao a pē ʻia. ʻAʻole ia e haki loa i ʻelua.
* He mea maʻamau kēia i nā keiki ma lalo o 10 mau makahiki, no ka mea, he palupalu a palupalu ko lākou mau iwi.
* ʻO ka hāʻule ʻana ke kumu nui.
* ʻO ka ʻeha, ka pehu, a me ka makemake ʻole e hoʻohana i ka lima/wāwae nā hōʻailona nui.
* ʻO ke ala wale nō e ʻike pono ai ʻo ia me kahi X-ray.
* ʻO ka lāʻau nui e mālama ai, ʻo ia ka hoʻopaʻa ʻana me ka plaster cast.
* Ho'ōla koke nā iwi o nā keiki.
* He mea nui loa ka hahai pono ʻana i nā ʻōlelo a ke kauka.
Inā loaʻa kekahi mea e like me kēia i kāu keiki, mai hopohopo, a e ʻimi koke i ke kōkua lapaʻau. Me ka mālama kūpono, e ola koke kāu keiki a hoʻi hou i kā lākou mau hana maʻamau!
Nā haki keiki, haki Greenstick, Greenstick Fracture, Nā ulia pōpilikia o nā keiki, Ola kino o nā iwi, Ola kino o nā keiki, Lāʻau lapaʻau iwi











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