Ma ke ʻano he makuahine, pehea kou makaʻu i ka wā e hoʻomaka koke ai kāu keiki kolohe e uē no ka ʻeha o kona lima a wāwae paha ma hope o ka pāʻani ʻana? Inā hāʻule iki ʻo ia a i ʻole e pā ʻia i kahi wahi, he mea maʻamau ke hopohopo, "ʻAuē, ʻaʻole au i ʻike inā ua loaʻa kekahi mea koʻikoʻi i kaʻu keiki." I kēia lā e kamaʻilio mākou e pili ana i ka haki iwi maʻamau i nā keiki ʻōpio, akā inā ʻike pono ʻia ʻoe, hiki ke ho'ōla koke. Kāhea mākou i kēia he "Greenstick Fracture". He mea ʻē paha ke kani ʻana o ka inoa, akā e kamaʻilio maʻalahi kākou e pili ana.
He aha ka haki ʻōmaʻomaʻo?
I ka ʻōlelo maʻalahi, ʻo ka "Greenstick Fracture" he iwi i loko o ke keiki (kapa mākou he iwi)
ʻaʻole i haki loa i ʻelua, akā puka wale mai ma kekahi ʻaoʻao. Ua like ia me ka wā e lawe ai ʻoe i kahi lāʻau maka a i ʻole kahi lāʻau lāʻau maka a hoʻāʻo e kulou iā ia, puka mai kekahi ʻaoʻao, akā ʻaʻole i haki loa kekahi ʻaoʻao, ʻeā? Pēlā nō ia. ʻO ia ke kumu i kapa ʻia ai he "greenstick." E noʻonoʻo e pāʻani ana kāu keiki ma ke kahua pāʻani a hāʻule koke ko lākou lima. A laila, kau ʻia kahi kaomi liʻiliʻi ma luna o ka iwi ma ko lākou lima. I loko o kahi pākeke, hiki i ka iwi ke haki loa i ʻelua. Akā, ʻokoʻa iki nā iwi o nā keiki liʻiliʻi.
No ke aha e hana nui ai kēia i nā keiki ʻōpio?
ʻO kēia kūlana, i kapa ʻia ʻo "Greenstick Fracture,"
ʻike pinepine ʻia i nā keiki ma lalo o 10 makahiki. Aia kekahi kumu kūikawā no kēia. ʻO ia hoʻi,
ʻoi aku ka palupalu a me ka palupalu o nā iwi o nā keiki liʻiliʻi ma mua o nā iwi o nā pākeke.
ʻO ke ʻano o nā iwi o nā keiki
Ua like ka iwi o ke keiki me ka lālā lāʻau e ulu hou ana. Kūlou iki ia, akā ʻaʻole ia e haki, no ka mea, ʻoi aku ka nui o ka makū, ʻo ia hoʻi, ʻoi aku ka ola. ʻOi aku ka mānoanoa a me ka ikaika o ka membrane lahilahi (periosteum) e hoʻopuni ana i nā iwi o nā keiki ma mua o ko ka poʻe mākua. No laila, ke kau ʻia kahi iwi ma lalo o ke kaomi, ma kahi o ka haki loa ʻana, kūlou a pohā paha kēia periosteum, ka mea e kōkua ai i ka hoʻopaʻa ʻana i ka iwi, ma kekahi ʻaoʻao.
I ka pololei, ʻoi aku ka nui o ka protein i kapa ʻia ʻo "collagen" i loko o nā iwi o nā keiki a ʻoi aku ka liʻiliʻi o nā "mineral . " ʻO ia ke kumu i loaʻa ai iā lākou kēia palupalu .
ʻOkoʻa me nā iwi makua
ʻĀnō, ʻaʻole like nā iwi makua me ia. Ua ulu lākou i ka hala ʻana o ka manawa, ua waiho maikaʻi ʻia me nā minelala e like me ka calcium, a he ikaika, akā ua maloʻo iki. E like me ka lāʻau lāʻau i maloʻo maikaʻi ʻia. Inā ʻoe e hoʻāʻo e kulou iā ia, e haki ia i ʻelua, ʻaʻole e haki wale ma kekahi ʻaoʻao e like me ka lāʻau maka. Pēlā nō, inā ʻeha kahi kanaka makua, ʻoi aku ka nui o ka haki ʻana o ka iwi (he "haʻi piha"). Akā ma muli o kēia palupalu kūikawā o nā iwi o nā keiki liʻiliʻi, e kulou wale a haki paha ka iwi ma kekahi ʻaoʻao. Hiki ke paʻa mau ka ʻaoʻao ʻē aʻe.
Pehea lā e hiki ai ke hana i kēia mea? He aha nā kumu maʻamau?
He ʻeleu loa nā keiki ʻōpio. Holo lākou, lele, piʻi i nā lāʻau, a pāʻani. No laila, he mea maʻamau iā lākou ke hāʻule iki a me nā ʻeha i ka wā e hana ana i kēia mau mea. ʻO ke kumu nui o ka "Greenstick Fracture" he
hāʻule . E noʻonoʻo e like me kēia:
- Hāʻule kāu keiki liʻiliʻi i ka wā e pāʻani ana me ka lima i kīkoʻo ʻia. ʻO kēia ke kumu nui o ka "Greenstick Fracture " ma ka pulima a i ʻole ka lima mua.
- I kekahi manawa hiki ke hana ʻia e ka hahau pololei ʻana i ka lima a i ʻole ka wāwae mai kahi mea pāʻani a i ʻole kekahi mea ʻē aʻe.
- Nā ulia pōpilikia liʻiliʻi e kū mai ana i ka wā e pāʻani ana i nā haʻuki, e like me ka pāʻani pôpeku a i ʻole ke holo paikikala.
I kēia ʻano ulia, ua hoʻokau koke ʻia ka iwi i kahi ikaika kūlou a i ʻole ka ikaika wili. ʻOiai ʻaʻole lawa ka ikaika e haki loa ai ka iwi, ua lawa ia e hoʻopā ai ma kekahi ʻaoʻao, e like me ka lāʻau maka.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai iā lākou?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea lā wau e ʻike pono ai inā he "Greenstick Fracture" ko kaʻu pēpē?" Eia kekahi mau hōʻailona e makaʻala ai:
- ʻEha nui: Inā hoʻomau ka pēpē i ka uē a ke ʻeha nei, a hōʻole hoʻi e hoʻopā i kahi i loaʻa ai ka ulia, e like me ka lima a i ʻole ka wāwae, he hōʻailona nui ia.
- Pehu: Hiki ke pehu ka ʻāpana i ʻeha a ʻulaʻula paha .
- Ka hoʻokaʻulua ʻole e hoʻohana i nā lālā: No ka laʻana, ma ke ʻano o ka lima, hiki i ka mea maʻi ke hoʻokaʻulua e hopu a hāpai paha i kekahi mea me ko lākou lima. Ma ke ʻano o ka wāwae, hiki i ka mea maʻi ke ʻoʻopa a hiki ʻole paha ke hele me ka hoʻāʻo ʻole e hele a hāpai paha i ke kaumaha.
- ʻAno ʻē: I kekahi manawa, ʻike ʻia paha ka iwi haki ma ka lima a i ʻole ka wāwae he ʻano kūlou iki a ʻano ʻē paha . Eia naʻe, ʻaʻole nā haki greenstick āpau i loaʻa kēia ʻano nui. I kekahi manawa he pehu liʻiliʻi a me ka ʻeha wale nō.
- ʻEha ke hoʻopā ʻia: ʻEha loa paha ka wahi i hana ʻia ai ka ulia a ʻaʻole hiki iā ʻoe ke hoʻopā aku.
ʻO ka mea nui loa: Inā hāʻule ke keiki a hoʻomau i ka hoʻopiʻi ʻana i ka ʻeha, ka pehu ʻana, a i ʻole ka nalowale o ka hoʻohana ʻana o ka lālā i hoʻopilikia ʻia, mai hoʻowahāwahā iā ia he ʻeha liʻiliʻi wale nō. ʻOi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.
Āhea wau e ʻike ai i ke kauka?
Inā ua loaʻa i kāu keiki liʻiliʻi kahi ulia a ke hōʻike nei i hoʻokahi a ʻoi aku paha o nā hōʻailona aʻu i ʻōlelo ai ma mua,
e ʻike koke i ke kauka. ʻOi loa aku:
- Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau hola.
- Inā e ʻoi aku ka ʻino o ka pehu.
- Inā ʻike ʻoe i kekahi mau loli i ke ʻano o kou mau lima a i ʻole kou mau wāwae.
- Inā ʻaʻole makemake ka pēpē e neʻe a hoʻohana paha i ko lākou mau lima/wāwae.
I nā manawa e like me kēia, he mea nui e ʻike koke i ke kauka ma mua o ka hoʻopili wale ʻana i ka ʻaila ma ka home a kali. No ka mea, inā ʻaʻole mālama pono ʻia, aia kahi manawa kūpono e hewa ai ka iwi a haki hou paha me ka maʻalahi.
Pehea e ʻike pono ai nā kauka i kēia?
Ke hele ʻoe i ke kauka, ʻo ka mea mua a lākou e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i ka ulia. A laila nānā lākou i ke pēpē. Nānā lākou i ka ʻeha, ka pehu, a me nā loli o ke ʻano. A laila,
kauoha pinepine lākou i kahi X-ray e ʻike pono i ka mea i hana ʻia i ka iwi. ʻO ka X-ray wale nō ke ala e ʻike ai inā ua haki ka iwi, kūlou, a haki paha, a inā he haki greenstick. Hiki i ka X-ray ke hōʻike maopopo i ka iwi, e like me ka lāʻau maka, me kekahi ʻaoʻao i haki a me kekahi ʻaoʻao i kūlou.
He aha ka lāʻau lapaʻau? E hoʻomaikaʻi koke anei?
Inā ua ʻike ʻia ʻoe me ka "Greenstick Fracture", mai hopohopo.
He mau maʻi hiki ke mālama ʻia kēia, a he mea maʻamau ia i nā keiki ʻōpio. Ma ke ʻano he lāʻau lapaʻau, e kau pinepine ke kauka i kahi splint ma ka iwi haʻihaʻi e kōkua iā ia e hoʻonohonoho pono a pale iā ia mai ka neʻe hou ʻana.
Nā ʻano lapaʻau laulā
- ʻO ka Plaster of Paris (POP) cast: Hana pinepine ʻia kēia. Hoʻokomo ʻia kahi cast piha ma ka lima a i ʻole ka wāwae e hoʻopaʻa i ka iwi. Pono e waiho ʻia kēia ma kahi no kekahi mau pule. ʻO ka maʻamau, e hala ana ma kahi o 4-6 mau pule.
- ʻŌpala: I kekahi manawa, ʻoiai inā nui ka pehu ʻana, hiki ke hoʻohana mua ʻia kahi ʻōpala (kahi mea ʻaʻole paʻa e like me ka mea i hoʻolei ʻia a he kākoʻo ma kekahi ʻaoʻao wale nō), a laila hiki ke hoʻopili ʻia kahi ʻōpala ma hope o ka emi ʻana o ka pehu. A i ʻole, inā ʻaʻole koʻikoʻi loa ka haki, hiki ke waiho ʻia ka ʻōpala no ka manawa lōʻihi.
ʻOiai ke kau ʻia nei kēia ʻōpeʻa a i ʻole ka ʻāpana palai, hoʻomaka ka iwi e ho'ōla mai loko mai.
He aha kāu e hana ai no ka ʻeha?
E kuhikuhi ke kauka i kahi lāʻau hoʻopau ʻeha no ka pēpē e hōʻemi i ka ʻeha. ʻO ka maʻamau, hāʻawi ʻia kekahi mea e like me ka "Paracetamol". Pono e hāʻawi pololei ʻia e like me ka ʻōlelo a ke kauka, a i ka manawa kūpono. Aia paha kekahi ʻeha a me ka ʻoluʻolu ʻole i nā lā mua ma hope o ke kau ʻia ʻana o ka mea hoʻolei. I kēlā mau manawa, ʻo ka mālama ʻana i ka lima a i ʻole ka wāwae i hoʻokiʻekiʻe iki ʻia hiki ke hōʻemi i ka ʻeha.
Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo
ʻO ka maʻamau
, ma kahi o 4 a 6 mau pule no ka ho'ōla ʻana o kahi "Greenstick Fracture". Eia nō naʻe, hiki ke ʻokoʻa iki kēia mai kēlā pēpē a i kēia pēpē, ma muli o ke ʻano o ka haki. E haʻi aku ke kauka iā ʻoe i ka manawa e wehe ai i ke kāpili. ʻOiai e kau ana ke kāpili, e makaʻala 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 palaki a i ʻole kekahi mea pale wai. ʻO ka hoʻomaʻū ʻana hiki ke hoʻopilikia i ka ʻili a hoʻonāwaliwali i ke kinikini.
- Mai hoʻokomo i kekahi mea i loko o ke kāpili: I kekahi manawa, i ka wā e kahakaha ai, hoʻāʻo nā keiki ʻōpio e hoʻokomo i nā mea e like me nā lula a me nā peni i loko o ke kāpili. Mai hana i kēlā. Hiki iā ia ke hōʻeha i ka ʻili a me nā maʻi.
- E nānā i ka ʻili a puni ke kāpili: E nānā mau i nā kihi o ke kāpili no ka ʻulaʻula, nā ʻeha, a i ʻole nā pehu. Inā ʻike ʻoe i kekahi o kēia mau mea, e haʻi i kāu kauka .
- E nānā i ke kala a me ka mahana o nā manamana lima: E nānā e ʻike inā he uliuli, he keʻokeʻo, he mae, a he anu loa paha nā manamana lima i ʻike ʻia ma o ke kāpili ma kou lima a wāwae paha. Inā pēlā, ʻo ia hoʻi ua paʻa loa ke kāpili a ke kāohi nei paha i ke kahe koko. Pono ʻoe e hoʻomaopopo koke i kāu kauka .
ʻOiai ma hope o ka wehe ʻia ʻana o ke kāpili, pono ʻoe e akahele iki a hiki i ka wā e ʻōlelo ai ke kauka iā ʻoe. ʻAʻole maikaʻi ka holo ʻana, ka lele ʻana, a i ʻole ka hāpai ʻana i nā mea kaumaha i ka manawa koke. Pono ʻoe e hoʻomaʻamaʻa hou i nā hana maʻamau. I kekahi manawa e ʻōlelo ʻia ʻoe e hana i kekahi mau hoʻoikaika kino liʻiliʻi e hoʻihoʻi i ka neʻe ʻana o kou mau lima a i ʻole kou mau wāwae.
Hiki paha i kēia ke kumu i nā pilikia ʻē aʻe?
ʻO ka maʻamau, mālama pono ʻia ka "Greenstick Fracture" a me ka wikiwiki,
a ʻaʻohe pilikia lōʻihi. Hoʻōla loa ka iwi, a hiki i ke keiki ke holo a pāʻani e like me ma mua. Eia naʻe, inā ʻaʻole mālama pono ʻia, a inā ʻaʻole i hahai pono ʻia nā kuhikuhi a ke kauka, i kekahi manawa hiki ke loaʻa kekahi mau pilikia liʻiliʻi. Eia kekahi laʻana:
- Malunion: Inā ʻaʻole i hoʻopaʻa pono ʻia ka iwi me kahi mea i hoʻolei ʻia a i ʻole ka splint, hiki i ka iwi ke kū ʻole iki. Hiki i kēia ke hoʻopilikia i ka hana o ka lima a i ʻole ka wāwae.
- Refracture: Inā wehe ʻia ka ʻōpala ma mua o kona ho'ōla pono ʻana a hana hou ʻia ka ʻeha like, ʻoi aku ka nui o ka haki ʻana o ka iwi.
- I kekahi manawa, he mea kākaʻikahi loa, hiki ke loaʻa kahi hopena liʻiliʻi ma ka ulu ʻana o ka iwi ('growth plate injury'), ʻoiai inā loaʻa ka haki ma kahi kokoke i kekahi o nā wēlau ulu o ka iwi (growth plate). Eia naʻe, he mea kākaʻikahi loa kēia ma ke ʻano o ka "Greenstick Fracture".
ʻO ia ke kumu he mea nui e ʻike i ke kauka a loaʻa ka lāʻau lapaʻau e like me ka ʻōlelo aʻoaʻo, ʻoiai inā he ulia liʻiliʻi ia.
Pehea ʻoe e pale ai i kāu pēpē mai kēia ʻano ʻeha?
Aia kekahi ʻōlelo e ʻōlelo ana "ʻo ka pale ʻana ka lāʻau lapaʻau maikaʻi loa." No laila, aia kekahi mau mea hiki iā kākou ke hana e pale aku i kā kākou poʻe liʻiliʻi mai ia ʻano `(Greenstick Fracture)` i ka hiki:
- E hoʻopaʻa i kou wahi noho: E kau i nā ʻili pahee (kāpeti, moena) ma nā wahi e holo ai a lele ai nā keiki liʻiliʻi. Mai waiho i nā mea e like me nā mea pāʻani e waiho ana ma ka papahele. Hiki iā lākou ke hihia i loko o lākou a hāʻule.
- E akahele i ka wā e pāʻani ana: E makaʻala iā lākou, ʻoiai ke pāʻani nei ma nā kahua pāʻani a me nā ʻili piʻi. E akahele ma nā wahi i loaʻa ai ka pilikia o ka hāʻule ʻana.
- Nā lako palekana: E paipai i kāu keiki e hoʻohana i nā mahiole, nā pale kuli, a me nā pale kuʻekuʻe i ka wā e pāʻani ana i nā haʻuki e like me ke kaʻa paikikala a me ka heʻe hau.
- ʻAi kaulike : E hāʻawi i kāu keiki i nā meaʻai i loaʻa ka calcium a me ka wikamina D (waiū, yogurt, tīhi, mea kanu ʻōmaʻomaʻo, iʻa) e hoʻoikaika i nā iwi. Kōkua kēia i ka mālama ʻana i nā iwi i ke olakino.
- Pehea e hāʻule pololei ai (Nā pane pale): He mea paʻakikī iki kēia, akā ke ʻae ʻia nā keiki e pāʻani ikaika mai ka wā ʻōpiopio, e maʻa iki lākou i ka kaohi ʻana i ko lākou kino ma ke kau pono ʻana i ko lākou mau lima a me nā wāwae i ka wā e hāʻule ai lākou, e pale ana i nā ulia nui.
ʻAʻole paha e hiki ke pale aku i nā ulia i ka 100% o ka manawa, no ka mea, he kolohe loa nā keiki ʻōpio. Eia nō naʻe, hiki iā mākou ke hōʻemi nui i ka pilikia.
Nā mea e hoʻomanaʻo ai i ka hōʻuluʻulu manaʻo
ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe i kēia manawa ka "Greenstick Fracture" a mākou i kamaʻilio ai i kēia lā. ʻO ka mea hope loa, e hoʻomanaʻo kākou iā kākou iho i nā mea nui loa:
- ʻO ka ``(Greenstick Fracture)`` he ʻano ia i nā keiki ʻōpio kahi e haki ai ka iwi ma kekahi ʻaoʻao a ʻaʻole e haki loa. E like me ka greenstick.
- He mea maʻamau kēia i nā keiki ma lalo o 10 mau makahiki, no ka mea, he palupalu a he palupalu ko lākou mau iwi.
- ʻO ka hāʻule ʻana ke kumu nui.
- ʻO nā hōʻailona nui ka ʻeha, ka pehu, a me ka makemake ʻole e hoʻohana i ka lima/wāwae.
- Inā kānalua, e ʻike koke i ke kauka. ʻO ka X-ray wale nō ke ala e hōʻoia ai.
- Hoʻokomo ʻia ka lāʻau lapaʻau i kahi ʻōpala a i ʻole ka splint. Hoʻōla ia ma kahi o 4-6 mau pule.
- He mea nui loa ka hahai pono ʻana i nā ʻōlelo a kāu kauka no ka hoʻōla koke ʻana a me ka pale ʻana i nā pilikia.
E hoʻomanaʻo, inā loaʻa kekahi mea e like me kēia i kāu keiki liʻiliʻi, mai hopohopo. He maʻi hiki ke mālama ʻia kēia. Me kou aloha, mālama, a me nā ʻōlelo aʻoaʻo a ke kauka, e pāʻani hou ana kāu keiki i ka manawa ʻole!
Inā he mau nīnau ʻē aʻe kāu, mai hilahila e nīnau i kāu kauka ʻohana. Ua mākaukau mau lākou e kōkua iā ʻoe.
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