Inā he keiki kolohe kāu ma ka home, he mea maʻamau ia no lākou ke hāʻule ma ʻaneʻi a ma ʻaneʻi a loaʻa nā ʻeha liʻiliʻi. Akā i kekahi manawa, ʻoiai ka hāʻule liʻiliʻi hiki ke hana i nā pōʻino hou aʻe ma mua o kou manaʻo. ʻOi loa aku hoʻi i ka wā e pili ana i nā iwi o nā keiki liʻiliʻi, ʻokoʻa iki ko lākou mau iwi mai ko nā mākua. I kēia lā, e kamaʻilio mākou e pili ana i ka haki ʻana o ka iwi i hiki ke hana i kēlā mau keiki liʻiliʻi.
He aha kēia "Greenstick Fracture"?
I ka ʻōlelo maʻalahi, ʻo ka "Greenstick Fracture" he ʻano haki i maʻamau i nā keiki ʻōpio. E noʻonoʻo e lawe ana i kahi lālā mai kahi lāʻau hou, pulu iki a kulou iā ia. He aha ka mea e hana ʻia? Ma kahi o ka haki loa ʻana i ʻelua, ua haki iki ia ma kekahi ʻaoʻao a pili mau i kekahi ʻaoʻao? Hiki paha ke kau ʻia e like me ke kaula. ʻO ia ke ʻano o ka "Greenstick Fracture". ʻO kēia ka inoa i hāʻawi ʻia i kahi haki kahi i haki ʻole ai ka iwi i ʻelua, akā he māwae liʻiliʻi a māwae paha ma kekahi ʻaoʻao. Ua kapa ʻia ʻo ia he "Greenstick Fracture" no ka mea ua like ia me ka "lālā ʻōmaʻomaʻo" e haki ana.
No ke aha e hana nui ai kēia i nā keiki ʻōpio?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha e hiki ai kēia i nā keiki a ʻaʻole i nā pākeke?" ʻO ke kumu , ʻaʻole paʻakikī a palupalu nā iwi o nā keiki, ʻoiai ka poʻe ma lalo o 10 makahiki, e like me ko nā pākeke. He palupalu iki a ʻoi aku ka palupalu o lākou, e like me kēlā lālā hou aʻu i ʻōlelo ai ma mua. Ma ke ʻano lapaʻau, ʻoi aku ka nui o nā "Collagen" i ko lākou mau iwi a emi iho nā "Minerals" i loko. No laila, i ka wā e kū mai ai kahi hopena, e like me ka hāʻule ʻana, ʻoi aku ka nui o ka haki ʻana o ka iwi ma kekahi ʻaoʻao ma mua o ka haki loa ʻana i ʻelua. I ke kanaka makua, hiki i kahi hāʻule ʻana e like me kēlā ke kumu o ka haki loa ʻana o ka iwi, ma ke ʻano ʻē. Akā, ʻo kēia "Greenstick Fracture" ke kumu o kēia palupalu kūikawā i nā iwi o nā keiki.
Pehea e hiki ai kēia `(Greenstick Fracture)`? He aha nā kumu?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē kuʻu akua, pehea lā e hiki ai kēia i kaʻu keiki?" ʻAʻole pono ia he ulia nui. ʻOiai nā mea liʻiliʻi e like me ka holo a puni a me ka pāʻani hiki ke hana i kēia maʻi. ʻO nā kumu maʻamau:
- Ka hāʻule ʻana i ka wā e pāʻani ana : ʻO ka hapa pinepine, hāʻule nā keiki ma ka lima i kīkoʻo ʻia, ma ka pulima a i ʻole ka lima mua. Hiki ke hana ʻia kēia mai kahi sofa, kahi moe, a i ʻole mai kahi mea pāʻani a i ʻole nā lako pāʻani.
- Nā ʻeha i ka wāwae : Inā kūlou ʻoe a hāʻule i ka wā e holo ana a pāʻani ana paha, hiki iā ʻoe ke loaʻa i kahi Greenstick Fracture ma nā iwi o ka wāwae lalo (Tibia, Fibula).
- Hāʻule ʻana mai kahi paikikala : Hiki ke ʻike ʻia kēia ʻano i nā keiki makua e hāʻule ana i ka wā e holo ana i kahi paikikala.
- Nā ʻeha haʻukiHiki ke hōʻeha ʻia kēia ʻano ʻeha inā paʻi ʻia ʻoe e kahi pōpō i ka wā e pāʻani ana i nā haʻuki kula, no ka laʻana, cricket, a inā loaʻa iā ʻoe kahi ulia i ka wā o kekahi haʻuki ʻē aʻe.
- Pā pololei : Inā pa pololei kekahi mea paʻakikī i ka lima a i ʻole ka wāwae, hiki iā ia ke hana i kēia ʻano pahū.
ʻO ka mea nui loa, ʻike pinepine ʻia kēia ma nā iwi lima (`(Iwi Forearm - Radius, Ulna)`) a me nā iwi wāwae haʻahaʻa (`(Iwi wāwae haʻahaʻa - Tibia, Fibula)`). Eia kekahi, hiki ke ʻike ʻia kēlā mau haki ma ka iwi ʻāʻī (`(Clavicle a i ʻole Collarbone)`).
He aha nā hōʻailona o ka `(Greenstick Fracture)`? Pehea ʻoe e ʻike ai?
ʻAe, e nānā kākou pehea e ʻike ai i kahi ʻeha e like me kēia. ʻOiai he ʻōpiopio nā keiki, ʻaʻole lākou i ʻike maoli i ka mea e hana nei. No laila, ʻo ʻoe ka mea pono e makaʻala i kēia mau hōʻailona.
- ʻEha nui : Inā uē ke keiki a ʻeha paha ke hoʻopā ʻia ka ʻāpana i ʻeha a i ʻole ke neʻe ʻia ka lima/wāwae, he hōʻailona nui kēlā.
- Pehu : Hiki ke pehu loa ka ʻāpana i ʻeha. Hiki ke pehu koke, a i ʻole e lōʻihi paha.
- ʻUlaʻula a ʻulaʻula paha : I kekahi manawa hiki ke lilo i polū a ʻulaʻula paha, e like me kahi palapū.
- Ka hoʻokaʻulua ʻana e hoʻohana i ka lima/wāwae : Inā hoʻokaʻulua ke keiki e hoʻohana i ka lima/wāwae , e like me ka ʻole o ka hōʻea ʻana i kahi mea me kēlā lima, ʻaʻole e hāpai i kahi mea pāʻani, a i ʻole ke kau ʻole ʻana i kēlā wāwae i lalo, he hōʻailona koʻikoʻi nō hoʻi kēlā.
- ʻAno kū ʻole a kūlou paha (`(Deformity)`) : I kekahi manawa ʻike ʻia kahi kūlou iki a kūlou maoli ʻole paha i ka lima a i ʻole ka wāwae. Eia naʻe, ʻaʻole maopopo mau kēia. I ka `(Greenstick Fracture)`, ʻaʻohe pinepine he kūlou nui.
- ʻO ka ʻōlelo ʻana ua lohe ʻoe i kahi kani 'kadas' : I kekahi manawa hiki iā ʻoe ke lohe i kahi leo liʻiliʻi ke hāʻule ʻoe, akā ʻaʻole hana nā kānaka a pau pēlā, no laila ʻaʻole hiki iā ʻoe ke manaʻoʻiʻo.
He mea nui: I kekahi manawa, ʻaʻole paha e like me ke koʻikoʻi kēia mau hōʻailona. ʻOiai inā e uē iki ana kāu pēpē a me he mea lā ua emi ka ʻeha, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka inā he mau hopohopo kāu. Mai hoʻowahāwahā iā ia no ka mea he pilikia liʻiliʻi wale nō ia.
Pehea e hōʻoia ai ke kauka i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i ke ʻano o ka ʻeha, he aha nā hōʻailona, a pehea ke ʻano o ke keiki. A laila, e nānā pono lākou i ke keiki. E ʻike lākou i ka ʻeha, e ʻimi ana i kekahi pehu a ʻeha paha.
A laila, no ka hōʻoia pono ʻana inā he haki kēia, ʻo ka mea nui loa ka hana ʻana i kahi hoʻāʻo "(X-ray)".ʻO ka `(X-ray)` wale nō ke ala e ʻike pono ai inā he haki i loko o ka iwi, he aha ke ʻano o ka haki ʻana, he `(Greenstick Fracture)`, a i ʻole he haki piha. E like me kaʻu i ʻōlelo ai, ʻoi aku ka nui o ka hōʻike ʻana o ka `(X-ray)` i kahi māwae liʻiliʻi ma kekahi ʻaoʻao o ka iwi, ʻoiai ʻo kekahi ʻaoʻao e palekana ana.
He aha ka lāʻau lapaʻau a nā kauka e hāʻawi ai no ka "Greenstick Fracture"?
ʻAe, inā hōʻoia ka X-ray he Greenstick Fracture ia, e hoʻomaka ke kauka i ka lāʻau lapaʻau. ʻO ka mea nui, ʻo ia ke hoʻonohonoho pono i ka iwi haʻihaʻi, hoʻihoʻi iā ia i kona kūlana mua, a ʻae iā ia e ho'ōla. Ua kapa ʻia kēia he immobilization.
- Ke kau ʻana i kahi ʻoki : ʻO ka hapa pinepine, hoʻohana ʻia ka "Plaster of Paris cast" a i ʻole ka "Fiberglass cast". Hoʻopaʻa kēia ʻoki i ka lima/wāwae i ʻeha i hiki ʻole ke neʻe. ʻAe kēia i ka iwi e ho'ōla manuahi a kūpono. ʻO ka maʻamau, he 4 a 6 mau pule ka lōʻihi o kēia ʻoki. Hoʻoholo ʻia kēia e ke kauka, ma muli o ke ʻano o ka haki, a me ka makahiki o ke keiki.
- ʻŌwiliwili : I kekahi mau hihia, hiki ke hoʻohana mua ʻia kahi "ʻōwiliwili" a hiki i ka emi iki ʻana o ka pehu, a laila hiki ke hoʻopili ʻia kahi mea hoʻoheheʻe ma hope o kekahi mau lā. Ua like ka "ʻōwiliwili" me kahi mea hoʻoheheʻe, akā ua paʻa wale nō ia ma kekahi ʻaoʻao a hiki ke hoʻoponopono ʻia me nā kaula "Velcro" ma kekahi ʻaoʻao.
- Nā lāʻau hoʻopau ʻeha : No ka hōʻemi ʻana i ka ʻeha a kāu keiki e ʻike nei, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau hoʻopau ʻeha e like me Paracetamol (Panadol).
- Nā manawa hoʻopaʻa : ʻOiai ke kau ʻia nei ke kinikini, a ma hope o ka wehe ʻia ʻana o ke kinikini, pono ʻoe e hele i ke kauka i nā manawa a pau āu e makemake ai. Hiki iā ia ke lawe i kahi X-ray ʻē aʻe e nānā inā e ho'ōla pono ana ka iwi a ua kūlike.
He aha nā mea e noʻonoʻo ai i ka mālama ʻana i kahi keiki ma ka home? (ʻOiai e kau ana i kahi kāʻei)
Ma hope o kou hoʻi ʻana i ka home mai ke kāpili ʻana, he kuleana nui kou e mālama i kāu keiki liʻiliʻi. E mālama i kēia mau mea:
- Mai hoʻomaʻū i ke kinikini : I ka ʻauʻau ʻana a i ʻole ka hana ʻana i kekahi mea e pili ana i ka wai, e uhi pono i ke kinikini me kahi ʻeke plastik a i ʻole kekahi mea pale wai. ʻO ka pulu ʻana hiki ke hoʻonāwaliwali i ke kinikini a hoʻoulu i nā pilikia ʻili (ʻili huhū) a i ʻole maʻi).
- Mai hoʻokomo i kekahi mea i loko o ke kinikini : I kekahi manawa ke loaʻa ka maneʻo, hoʻāʻo nā keiki liʻiliʻi e hoʻokomo i nā mea e like me nā peni, nā penikala, a me nā ʻāpana lāʻau i loko o ke kinikini. Mai ʻae iā lākou e hana pēlā. Hiki i kēia ke hōʻino i ka ʻili a hana i kahi `(Maʻi)`. Inā he maneʻo, e haʻi i ke kauka , e haʻi aku ʻo ia iā ʻoe i kahi hopena (hiki paha iā ʻoe ke kau i kahi `(Hair dryer)` ma ka `(Cool setting)` a noi iā lākou e paʻa i kahi kahawai o ka ea).
- E makaʻala i ka pehu ʻana a me ka mae ʻana : E nānā mau e ʻike inā ua pehu nā manamana lima ma ka lima/wāwae i hoʻopili ʻia ai ke kāpili, e polū ana, a inā paha he mae ke keiki.E nānā pū e ʻike inā anu a keʻokeʻo paha kou mau manamana lima. Inā pēlā, paʻa loa paha ke kāpili a i ʻole e kāohi ana paha i ke kahe ʻana o ke koko. Inā hana ʻia kēia , e ʻike koke i ke kauka.
- E hoʻokiʻekiʻe i ka lima/wāwae : I nā lā mua, e hoʻokiʻekiʻe i ka lima/wāwae i ʻeha, i ka hiki, me kahi uluna, ma luna iki o ka pae o ka puʻuwai. E kōkua kēia i ka hōʻemi ʻana i ka pehu.
- E nānā e ʻike inā ʻo nā kihi o ka ʻili i hoʻolei ʻia e hōʻeha ai : Hiki i nā kihi o ka ʻili i kekahi manawa ke kaomi i ka ʻili a hōʻeha. Inā hana kēia, e haʻi i kāu kauka .
- E nānā i kahi ʻala ʻino : Inā he ʻala ʻino e puka mai ana mai loko mai o ke kāpili, he hōʻailona paha ia o kahi maʻi. Inā pēlā, e haʻi i kāu kauka .
E ola loa anei kēia? E lilo hou anei ia i pilikia?
ʻO kēia ka nīnau nui loa a nā mākua he nui e nīnau ai a e noʻonoʻo nei. ʻAe, ʻo ka "Greenstick Fracture" he ʻeha e ho'ōla maikaʻi ʻia a me ka ʻole o nā pilikia nui. Ulu a ho'ōla koke nā iwi o nā keiki liʻiliʻi. Inā ʻoe e mālama pono iā lākou e like me ka ʻōlelo a ke kauka, a inā ʻoe e mālama pono iā lākou i ka wā e kau ana i ke kāpili, e ikaika ka iwi e like me ma mua.
Ma hope o ka wehe ʻia ʻana o ke kāpili, hiki i ka lima/wāwae ke paʻakikī iki i ka wā mua (`(Stiffness)`) a paʻakikī ke neʻe. He mea maʻamau kēia. Ma hope o kekahi mau lā, e haʻi aku paha ke kauka iā ʻoe e hana i kekahi mau hoʻoikaika kino mālie (`(Gentle exercises)`). Ma hope o kēlā, hiki i ke keiki ke pāʻani, holo, a lele hou e like me ka mea maʻamau.
Eia nō naʻe, inā ʻaʻole i mālama pono ʻia, a inā ʻaʻole i hoʻopili pono ʻia ke kāpili, i kekahi manawa hiki i ka iwi ke lilo i malunion. ʻO ke ʻano kēia e hiki i ka iwi ke ho'ōla hewa. No laila, he mea nui loa ka hahai pololei ʻana i nā kuhikuhi a ke kauka. Eia nō naʻe, he mea kakaikahi loa nā pilikia e like me kēia i ka hihia o ka haki ʻana o ka greenstick.
Aia kekahi mea hiki iā kākou ke hana e pale aku ai i ia mau pōpilikia?
He paʻakikī ke pale aku i nā ulia pōpilikia 100%. He mea maʻamau no nā keiki liʻiliʻi ke hāʻule a loaʻa nā ʻeha liʻiliʻi i ka wā e pāʻani ana a wili paha. Akā hiki iā mākou ke noʻonoʻo iki e pili ana i ko lākou palekana a hoʻāʻo e hōʻemi i nā ulia pōpilikia.
- He wahi pāʻani palekana : E hōʻoia ʻaʻohe mea ʻoi a i ʻole nā ʻili pahee ma nā wahi e pāʻani ai nā keiki. He mea maikaʻi inā hiki iā ʻoe ke kau i kahi mea e like me ka "Moena palupalu" ma lalo o ka papahele pāʻani.
- Nānā : E makaʻala mau i nā keiki ʻōpio, ʻoiai ke piʻi nei lākou i nā wahi kiʻekiʻe, e holo ana, e lele ana, a e pāʻani ana paha.
- Nā mea pale i nā haʻuki : Inā pāʻani kāu keiki i nā haʻuki, e paipai iā lākou e hoʻohana i nā mea pale kūpono, e like me nā mahiole, nā pale kuli, nā pale kuʻekuʻe, a me nā pale lima.
- Ka mālama ʻana i ke kaiapuni homeInā he keiki liʻiliʻi kāu, hiki iā ʻoe ke hōʻemi i nā ulia ma ke kau ʻana i nā ala moe a puni ka moena, nā puka palekana ma nā alapiʻi, a me nā pale puka makani ma nā puka makani.
Inā paha e ʻeha koke ke keiki, pono anei iā ia ke ʻike i ke kauka?
I kekahi manawa, ke loaʻa iā mākou kahi palapū liʻiliʻi a i ʻole ka ʻeha, lawe wale mākou i kekahi lāʻau lapaʻau ma ka home a waiho wale. Eia nō naʻe, inā ʻo nā hōʻailona aʻu i ʻōlelo ai ma mua, ʻo ia hoʻi , inā hoʻomau ke keiki i ka uē ma hope o ka hāʻule ʻana, inā ʻeha ʻo ia a ʻaʻole hiki ke hoʻoneʻe i ka lima a i ʻole ka wāwae, inā he pehu a palupalu paha ma kahi i hōʻeha ʻia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. Mai kali. No ka mea, aia paha kekahi mea ʻoi aku ka koʻikoʻi e hana nei ma loko ma mua o ka mea i ʻike ʻia ma waho. Inā loaʻa koke iā ʻoe ka lāʻau lapaʻau, hiki iā ʻoe ke ho'ōla koke a pale i nā pilikia e kū mai ana ma hope.
Hōʻuluʻulu Manaʻo no ka Leka Lawe-Home
No laila, ʻo ka "Greenstick Fracture" he ʻeha iwi i maʻamau i nā keiki ʻōpio, e like me kahi lālā hou e haki ana ma kekahi ʻaoʻao wale nō. Inā mālama pono ʻia kēia, e ola loa ia, ʻaʻohe mea e hopohopo ai. Inā loaʻa i kāu keiki liʻiliʻi kēia ʻano ʻeha, mai hopohopo. E ʻike koke i ke kauka a mālama iā ia e like me kāna i ʻōlelo ai. E mālama pono i kāu keiki i ka wā e kau ana ke kāpili. ʻAʻole mamao loa ka lā e holo a pāʻani hou ai kāu keiki. ʻO ka mea nui loa, ʻo kou nānā ʻana, ke ahonui, a me ka hahai pono ʻana i nā ʻōlelo a ke kauka.
ʻO ka haki ʻōmaʻomaʻo, nā haki kamaliʻi, ka haki iwi, ka haki ʻōmaʻomaʻo, ke olakino o ke keiki, ka ho'ōla ʻana o ka iwi, nā ulia pōpilikia i nā keiki ʻōpio











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