Ua hāʻule anei kāu keiki? Ke uē nei ʻo ia no ka mea ua ʻeha kona lima a i ʻole kona wāwae? E kamaʻilio kākou e pili ana i kēia Buckle Fracture! (Buckle Fracture i nā keiki)

He mea maʻamau loa i nā keiki ke hāʻule a loaʻa i nā ulia liʻiliʻi i ka wā e pāʻani ana. Akā i kekahi manawa, ma hope o ka hāʻule ʻana, hoʻomau ke keiki i ka uē no ka mea ʻeha ka lima a i ʻole ka wāwae, a pehu ka ʻāpana. ʻO ka mea mua e hiki mai ana i ko mākou manaʻo, ʻo ia ka makaʻu i ka "Auē, ua haki ka iwi iaʻu." Akā, ʻaʻole ia e lilo i haki koʻikoʻi kahi e haki loa ai ka iwi i ʻelua. ʻOiai ʻaʻole ikaika nā iwi o nā keiki e like me ko nā mākua, he ʻano haki ko lākou iho, ʻokoʻa iki. ʻO kekahi o ia mau haki ua kapa ʻia he haki buckle .

I ka ʻōlelo maʻalahi, he aha ka Buckle Fracture?

E noʻonoʻo, inā ʻoe e lawe i kahi lula plastik liʻiliʻi a ʻomi iā ia mai nā ʻaoʻao ʻelua, e kūlou iki ia i waenakonu, e like me ka puʻupuʻu? Me ka haki ʻole loa? ʻO ia ka mea e hana ʻia i ka iwi o ke keiki. ʻO ka haki buckle ʻaʻole ia he iwi e haki loa i ʻelua. He haki piha ʻole kēia. ʻO ka maʻamau, ke hāʻule ke keiki, e like me ka wā e paʻi ai lākou i ka lepo me ko lākou lima, ke hoʻopili koke ʻia kahi ikaika nui i ka lōʻihi o ka iwi, hoʻokomo iki ʻia kekahi ʻaoʻao o ka iwi i loko a hoʻokuʻu iki ʻia kekahi ʻaoʻao i waho. E like me ka buckle. Ke nānā ʻoe iā ia ma kahi X-ray, ua like kēia me kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu i loko o ka iwi.

ʻO kēia ke ʻano maʻamau i nā iwi o nā keiki, no ka mea, ke ulu mau nei ko lākou mau iwi a palupalu iki. Ua paʻakikī loa nā iwi o nā pākeke, no laila inā hāʻule lākou, e haki pinepine lākou.

ʻIke pinepine ʻia nā haki ʻana e like me kēia:

• Radius: ʻO ka iwi ma ka ʻaoʻao manamana wāwae nui o ka lima.
• ʻUlna: Ka iwi ʻē aʻe ma ka lima poʻohiwi.
• Humerus: ʻO ka iwi mai ka poʻohiwi a i ke kuʻekuʻe.
• Tibia: ʻO ka iwi ʻūhā mai ke kuli a i ka kuʻekuʻe wāwae.
• Fibula: Ka iwi ʻūhā.
• Femur: Ka iwi ma ka ʻūhā.

ʻO kēia haki ʻana o ke kuʻekuʻe lima ma kahi o hoʻokahi i loko o ʻehā mau haki i nā keiki, ʻo ia hoʻi he kūlana maʻamau loa ia.

Pehea e ʻike ai inā he haki ka buckle o kaʻu keiki?

Inā hōʻike kāu keiki i kēia mau hōʻailona ma hope o ka hāʻule ʻana, pono ʻoe e hopohopo.

• ʻEha: Uē ke keiki i ka ʻeha ke hoʻopā ʻia a hoʻoneʻe ʻia paha ka ʻāpana i ʻeha.
• Pehu: Ua pehu paha ka ʻāpana i ʻeha.
• Palapū: E ʻike paha ʻoe i kekahi mau palapū polū/poni ma ia wahi.
• Hoʻohana ʻole: Hōʻole ke keiki e hoʻohana i kēlā lima a i ʻole kēlā wāwae. Eia kekahi laʻana, hōʻole lākou e paʻa i kahi mea pāʻani ma ko lākou lima, a i ʻole ʻōlelo lākou ʻaʻole hiki iā lākou ke hele.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i ke kauka.ʻO ia ka mea maikaʻi loa e hana ai. E nānā ke kauka i ke keiki a kauoha pinepine i kahi X-ray. ʻO ka maʻamau, hiki i nā kiʻi X-ray i lawe ʻia mai nā kihi ʻelua ke hoʻoholo maopopo inā he haki buckle kēia.

He aha ka ʻokoʻa ma waena o ka haki buckle a me ka haki greenstick?

ʻOiai he mau haki kīnā ʻole maʻamau nā mea ʻelua i nā keiki, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua. E nānā i ka papa ma lalo nei e hoʻomaopopo i kēia.

Pehea e mālama ʻia ai ka haki ʻana o ke kuʻekuʻe?

E ʻoluʻolu nui ʻoe ke lohe ʻoe i kēia. ʻAʻole pono ka haki ʻana o ka buckle i kahi hoʻolei piha. ʻAʻole koi iki ʻia ke ʻoki ʻana.

I ka manawa pinepine, ʻōlelo nā kauka e ʻaʻahu i kahi splint , kahi kākoʻo hiki ke wehe ʻia i hoʻopaʻa ʻia i ka lima a i ʻole ka wāwae.

• ʻO ka maʻamau, pono ʻoe e hoʻohana i kēia no 2-3 mau pule.
• Pono e waiho ʻia kēia ma luna o ka wā e hiamoe ana ke keiki. Eia nō naʻe, hiki iā ʻoe ke wehe pono iā ia i ka wā e holoi ai i nā lima a ʻauʻau paha.
• ʻOiai e kau ana ke kāʻei lima, e paipai i kāu keiki e hoʻohana i ko lākou lima me ka ʻeha ʻole. ʻO ka hana ʻana i nā mea e like me ke kaha kiʻi ʻana, ka hoʻoluʻu ʻana, a me ka ʻai ʻana e pale aku i ka ʻoʻoleʻa ʻana o nā hono lima.

E kuhikuhi ke kauka i nā mea hoʻomaha ʻeha no ka ʻeha a me ka pehu. Eia kekahi, ʻo ka mālama ʻana i ka lima a i ʻole ka wāwae i hoʻokiʻekiʻe iki ʻia e hiki ke kōkua i ka hōʻemi ʻana i ka pehu.

Ma hope o ka wehe ʻia ʻana o ke kāʻei, e paipai i kāu keiki e hoʻohana i ko lākou mau lima a me nā wāwae ma ke ʻano maʻamau. Hiki ke hoʻomaka koke ʻia nā hana palekana, e like me ka ʻauʻau ʻana.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia kēia maʻi?

ʻAʻole ia he manaʻo maikaʻi ke noʻonoʻo, "ʻAʻole kēia he mea nui, e hoʻomaikaʻi wale nō ia" a ʻaʻole e ʻimi i ka lāʻau lapaʻau.

Inā ʻaʻole mālama pono ʻia, hiki i nā pilikia lōʻihi ke kū mai:

• ʻAʻole hui hou ka iwi. Me ke kākoʻo kūpono ʻole, ʻaʻole paha e kūpono nā ʻāpana haʻihaʻi.
• Malunion: He iwi i ho'ōla pono ʻole ʻia (misalignment). Hiki i kēia ke hoʻopilikia i ka hana o ka lima a i ʻole ka wāwae.
• ʻEha lōʻihi: Inā ʻaʻole mālama pono ʻia, hiki i ke keiki ke hoʻomau i ka ʻeha a me ka pehu.

E nānā ke kauka i kēia e hoʻoholo ai inā he haki buckle a i ʻole he haki piha kahi i neʻe ʻia ai nā iwi ʻelua. Inā he haki i neʻe ʻia, pono e hoʻemi ʻia ka iwi ma mua o ke kau ʻia ʻana o kahi splint.

Nā hiʻohiʻona weliweli e makaʻala ai!

I kekahi manawa, hiki i kēia ke ʻoi aku ka koʻikoʻi ma mua o ka haki ʻana o ka buckle. Inā hōʻike kāu keiki i kekahi o nā hōʻailona ma lalo nei ma hope o ka hāʻule ʻana, e lawe koke iā lākou i ka keʻena pilikia o ka haukapila kokoke loa (ETU). Mai kali a wehe ʻia kahi keʻena lapaʻau maʻamau.

ʻO ka mea hope loa, ʻoiai ke kani weliweli nei ka inoa ʻo 'Buckle Fracture', he maʻi maʻamau kēia i nā keiki, a me ka mālama pono ʻana, hoʻōla koke a piha. ʻAʻole kēia e hoʻopilikia nui i ka hiki o ke keiki ke hele i ke kula a hana paha i nā hana o kēlā me kēia lā. ʻO ka mea nui loa, ʻaʻole e hopohopo inā loaʻa kahi ulia, a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau kūpono.