E noʻonoʻo ua ʻōwili koke ʻoe i kou kuʻekuʻe wāwae i kou iho ʻana i lalo o kahi alapiʻi, e pāʻani ana i nā haʻuki, a i ʻole e hele ana ma ke alanui. Me kēlā, ua manaʻo ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui a ʻaʻole hiki ke kau i kou wāwae i lalo. ʻO ka mea koʻikoʻi loa e hiki ke hana i kahi manawa e like me kēia, ʻo ia ka haki ʻana o ke kuʻekuʻe wāwae. Eia nō naʻe, ʻoi aku ka paʻakikī o ka 'Trimalleolar Fracture' a pono e nānā hou aku. No laila i kēia lā, e kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia Trimalleolar Fracture?
He mea paʻakikī paha kēia inoa, akā he maʻalahi loa ke ʻano. ʻO ke ʻano o Trimalleolar ʻo 'ʻekolu'. ʻO ke ʻano kēia, ua haki nā iwi nui ʻekolu e hana ana i kou kuʻekuʻe wāwae i ka manawa like.
Hoʻokumu ʻia ko kākou mau kuʻekuʻe wāwae ma ka hui ʻana o nā wēlau o nā iwi ʻelua ma ka wāwae lalo. E nānā kākou i ke ʻano o lākou.
- Tibia: ʻO kēia ka iwi nui a ikaika i kou wāwae haʻahaʻa. Ma kona ʻaoʻao haʻahaʻa, he ʻelua mau ʻāpana e hana ana i ka hui kuʻekuʻe wāwae.
- Medial Malleolus: ʻO kēia ka puʻu iwi hiki iā ʻoe ke manaʻo ma loko o kou kuʻekuʻe wāwae.
- Posterior Malleolus: ʻO kēia ka ʻāpana ma ke kua o ka iwi kuʻekuʻe wāwae.
- Fibula: ʻO kēia ka iwi lahilahi e holo like ana me ka fibula, ma ka ʻaoʻao ʻaoʻao.
- Lateral Malleolus: ʻO kēia ka puʻu iwi ma waho o kou kuʻekuʻe wāwae hiki iā ʻoe ke paʻa me kou lima.
No laila, i loko o kahi `Trimalleolar Fracture`, ua haki kēia mau ʻāpana ʻekolu - ʻo ka medial malleolus, ka lateral malleolus, a me ka posterior malleolus. Ua like ia me kahi kiʻikuhi e kākoʻo ana i ka wāwae e haki ana ma nā ʻaoʻao ʻekolu i ka manawa hoʻokahi.
He ʻeha koʻikoʻi anei kēia?
ʻAe, he ʻeha koʻikoʻi a paʻakikī kēia ma mua o ka ʻeha kuʻekuʻe wāwae maʻalahi. Akā, mai hopohopo, inā mālama pono ʻia, hiki ke ho'ōla loa ʻia. Aia kekahi mau kumu e hiki ai i kēia ke koʻikoʻi:
- Pono paha ke ʻoki ʻana: I ka manawa pinepine, pono ke ʻoki ʻana e hoʻoponopono i kēia ʻano haki.
- Ka manawa ho'ōla: No ka mea, pono e ho'ōla ʻia nā iwi ʻekolu, ʻaʻole paha ʻoe e hiki ke kau i kou wāwae i lalo no kekahi mau mahina. ʻO ia hoʻi, he paʻakikī ke hana i nā hana o kēlā me kēia lā, hele i ka hana, a hoʻokele.
- Ka hōʻino ʻana i nā ʻiʻo a puni: Ke haki ka iwi, hiki ke hōʻino ʻia nā ligaments a me nā tendons a puni, hiki ke hoʻolōʻihi i ka manawa ho'ōla.
- Ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai: Loaʻa ka manawa kūpono e loaʻa ai ka maʻi ʻaʻai ma kēlā hui kuʻekuʻe wāwae i ka wā e hiki mai ana.
- ʻOkoʻa: ʻOiai ma hope o ka ho'ōla piha ʻana, hiki i kekahi poʻe ke loaʻa kahi ʻokoʻa iki i ka wā e hele ai no kekahi manawa.
He aha ke kumu o kēia ʻano haʻihaʻi?
Aia kekahi mau kumu nui no kēia kūlana. E nānā kākou i ke ʻano o lākou.
| Kumu | Wehewehena |
|---|---|
| Nā hāʻule | Hiki ke loaʻa ma muli o ke kuʻia ʻana, ka paheʻe ʻana, a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe. |
| Nā ulia kaʻa | Ka hopena nui i ka kuʻekuʻe wāwae i ka wā o nā ulia kaʻa a mokokaikala paha. |
| Nā ulia haʻuki | I ka wā e loli koke ai ke ala a i ʻole ka hāʻule ʻana i nā haʻuki e like me ka pôpeku, ka rugby, a me ka basketball. |
| ʻŌwili kuʻekuʻe wāwae | Ke kulou koke ʻana a i ʻole ka wili ʻana i ka kuʻekuʻe wāwae i loko a i waho paha. |
He aha ka ʻokoʻa ma waena o nā haki Trimalleolar a me Bimalleolar?
Ua lohe paha ʻoe i ka ʻōlelo `Bimalleolar Fracture`. He maʻalahi ka ʻokoʻa ma waena o nā mea ʻelua.
- ʻO ka haki Bimalleolar: Ma kēia, ʻo nā iwi ʻelua wale nō ma nā ʻaoʻao ʻelua o ke kuʻekuʻe wāwae (ka 'medial' a me ka 'lateral malleolus') i haki.
- ʻO ka haki ʻekolu: Ma kēia hihia, me nā hono ʻelua, ua haki pū ka ʻaoʻao hope o ka iwi kuʻekuʻe wāwae (ka `posterior malleolus`). ʻO ke ʻano kēia he ʻekolu mau haki.
He aha nā hōʻailona?
Ke hiki mai kahi haʻihaʻi e like me kēia, hoʻomaka koke ʻoe e ʻike i kēia mau hōʻailona.
- ʻEha koke hiki ʻole ke hoʻomanawanui.
- ʻAʻole hiki ke kau i ka wāwae i lalo a hele paha ma luna o kēlā wāwae.
- Ka pehu ʻana ma kahi kuʻekuʻe wāwae (paha he pehu nui).
- He ʻano polū, palapū a puni ka kuʻekuʻe wāwae.
- I kekahi manawa hiki iā ʻoe ke ʻike i ka deformation a hiki i kahi e ʻike ʻia ai nā ʻāpana o ka iwi.
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau, me ka hoʻoneʻe ʻole ʻana i kou wāwae. Inā hiki, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Pehea lā e mālama ai ke kauka i kēia?
Ke hele ʻoe i ka haukapila, e hāʻawi mua ke kauka iā ʻoe i ka lāʻau ʻeha. A laila, e lawe ʻo ia i kahi X-ray e hōʻoia i ka haki a ʻike i kona koʻikoʻi. Pono paha ʻoe i kahi CT scan a i ʻole MRI scan e loaʻa ai kahi kiʻi maopopo.
ʻO ka mālama ʻana no kēia ʻano haki he pinepine ia e koi ʻia ai ke ʻoki kino. Ua kapa ʻia kēia kaʻina hana ʻo Open Reduction Internal Fixation (ORIF).
He aha ke ʻano o ke ʻoki kino ORIF?
ʻO ke ʻano kēia:
1. Hoʻemi Hāmama: ʻOki ke kauka lapaʻau i ka ʻili, hōʻike i nā ʻāpana iwi haki, a hoʻonohonoho hou iā lākou i ko lākou mau wahi kūpono.
2. Hoʻopaʻa Kūloko: Hoʻopaʻa ʻia nā ʻāpana iwi i loko me ka hoʻohana ʻana i nā papa metala, nā wili, a i ʻole nā uea e pale aku ai iā lākou mai ka neʻe hou ʻana.
Ma hope o kēia ʻoki kino, pono ʻoe e kau i kahi ʻōpeʻa a i ʻole kahi mea pale kūikawā ma kou wāwae a hiki i ka wā e hoʻōla ai ka iwi.
Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo
ʻO kēia ka manawa paʻakikī loa no nā kānaka he nui, no ka mea, pono ia i ke ahonui a me ka manawa.
Āhea e hiki ai iaʻu ke hele ma hope o ke ʻoki kino?
ʻO ka maʻamau, ʻaʻole e ʻae kāu kauka iā ʻoe e kau i ke kaumaha ma kou wāwae i ʻeha a i ʻole e kau iā ia ma ka honua no ka liʻiliʻi he 6 mau pule ma hope o ke ʻoki ʻana. He mea pono kēia no ka ho'ōla ʻana o nā iwi. Ma hope o kēlā, hiki iā ʻoe ke hoʻomaka mālie e hele me ke kaumaha ma kou wāwae me ke kōkua o kahi physiotherapist.
E hiki anei iaʻu ke hoʻi i ka hana?
Hoʻololi kēia ma muli o ka hana āu e hana ai.
- Pono ʻoe e hoʻokiʻekiʻe mau i kou wāwae, ma ka liʻiliʻi no nā pule ʻelua mua ma hope o ke ʻoki ʻana.
- He mea paʻakikī paha ka hele wāwae no kahi o 6 mau pule, no laila he pilikia paha ka hele ʻana i ke keʻena a mai laila mai.
- Ma muli o kou lawe ʻana i nā lāʻau ʻeha, hiki i kekahi manawa ke paʻakikī ke kau i ka manaʻo ma ka hana.
No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hoʻomaka i ka hoʻoikaika kino i ka manawa kūpono iā ʻoe.
Āhea ʻoe e hiki ai ke hoʻokele?
Hiki i kēia ke hala i kekahi mau mahina . ʻAʻole hiki iā ʻoe ke hoʻokele i ka wā e kau ana ke kāpili. ʻOiai ma hope o ka wehe ʻia ʻana, pono ʻoe e kali a hiki i kou loaʻa hou ʻana o ka ikaika a me ka mana o kou kuʻekuʻe wāwae. Inā ʻoe e hoʻokele wikiwiki loa, ʻoi aku ka nui o ka loaʻa ʻana o kahi ulia ʻē aʻe.
I ka wā e pono ai ʻoe e ʻike koke i ke kauka
I kou wā e ho'ōla ai, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā manaʻo ʻoe he kuni a he anu paha.
- Inā e kahe ana kahi wai e like me ka pus mai ka ʻeha ʻoki.
- Inā ʻulaʻula ka ʻāpana a puni ka ʻeha, pehu, a ʻeha loa ke hoʻopā aku.
- Inā manaʻo ʻoe ua hāʻule hou ʻoe a ua ʻeha kou wāwae.
Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi, no laila he mea nui loa e ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- He maʻi koʻikoʻi ka Trimalleolar Fracture kahi e haki ai ʻekolu mau iwi o ke kuʻekuʻe wāwae.
- ʻO kēia ke koi pinepine i kahi ʻoki ORIF ma ke ʻano he lāʻau lapaʻau.
- He mau mahina ka lōʻihi e ho'ōla ai, a i loko o ia manawa he mea nui loa ke ahonui a hahai i nā kuhikuhi a ke kauka.
- He ʻāpana koʻikoʻi ka physiotherapy o ke kaʻina hana ho'ōla. Mai hōʻalo iā ia.
- Inā manaʻo ʻoe i ke kaumaha a hopohopo paha i kou wā e hoʻōla ai, e kamaʻilio pū me kāu kauka e pili ana i kēlā. He mea maʻamau ia, a hiki iā ʻoe ke loaʻa ke kōkua no ia mea.
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