Pehea lā ko kākou makaʻu inā e ʻōwili koke kākou i ka wā e pāʻani ana, e iho ana i lalo i ke alapiʻi, a i ʻole i loko o kahi ulia liʻiliʻi, a laila e ʻeha koke ana a pehu i ko kākou wāwae? ʻO ka hapa nui, he wāwae haki kēia. Akā, noʻonoʻo wale nā kānaka a pau i ka iwi nui ma ka wāwae (ka fibula). Akā, aia kekahi mea ma ʻō aku o kēlā. I kēia lā, ke kamaʻilio nei kākou e pili ana i ka haki ʻana o ka fibula, he iwi lahilahi ma ko kākou wāwae. ʻOiai he mea maʻamau kēia, he mea nui loa iā ʻoe ke ʻike pono i ke ʻano o ia mea.
ʻO ka mea mua, e nānā kākou, he aha kēia fibula?
I ka ʻōlelo maʻalahi, aia ʻelua iwi i loko o kou wāwae mai lalo o ke kuli a i ka kuʻekuʻe wāwae. ʻO kekahi ka tibia, ka mea i ʻike ʻia e nā mea a pau. ʻO kēia ka iwi ikaika a mānoanoa. ʻO kekahi ka iwi lahilahi a lōʻihi e holo like ana me kēia, ma waho o ka wāwae. ʻO ia ka mea a mākou e kapa nei he fibula .
E noʻonoʻo i kēia iwi fibula ma ke ʻano he kia kākoʻo i loko o kahi hale. ʻOiai ʻaʻole ia e kākoʻo pololei i ke kaumaha o ko mākou kino (kākoʻo wale ia i 10% o ke kaumaha o ko mākou kino), hāʻawi ia i ke kūpaʻa i ko mākou wāwae, kōkua i ka mālama ʻana i ka hui kuʻekuʻe wāwae ma kahi , a hāʻawi i ke kākoʻo nui no nā ʻiʻo, nā aʻalolo, a me nā ligaments i loko o ka wāwae. No laila, ʻoiai he lahilahi kēia iwi, he ʻāpana koʻikoʻi ia o ko mākou hiki ke kū, hele, holo, a lele pono.
No laila he aha ka Fibular Fracture?
Maʻalahi loa. ʻO ka haki, ka māwae, a i ʻole ka haki ʻana o kēia iwi i kapa ʻia ʻo fibula ka mea a mākou e kapa nei he Fibular Fracture . Aia kekahi mau kumu nui e hiki ai ke hana ʻia kēia:
- Kuʻekuʻe wāwae: Hiki i kēia iwi ke haki ke ʻōwili koke ke kuʻekuʻe wāwae i loko a i waho paha. He mea maʻamau kēia i ka wā haʻuki.
- Pā pololei: Hiki ke hana ʻia kahi pā pololei i ka iwi e kahi mea e like me kahi ulia kaʻa, kahi hakakā, a i ʻole kahi mea kaumaha e hāʻule ana ma ka wāwae.
- Hāʻule: Hiki ke hana ʻia kēia inā hāʻule ʻoe mai kahi kiʻekiʻe a paheʻe paha a hāʻule i ka wā e hele maʻamau ana.
- Kaumaha: ʻO nā mea pāʻani e holo a lele mau ana, a me ka poʻe e hāpai ana i nā mea kaumaha, hiki ke loaʻa i nā haki koʻikoʻi ma muli o ke kaumaha lōʻihi ma ka iwi.
- Ka nāwaliwali o nā iwi: I ko kākou ʻelemakule ʻana, ʻoiai me nā kūlana e like me ka osteoporosis, e nāwaliwali ana ko kākou mau iwi. Hoʻonui kēia i ka pilikia o ka haki ʻana o ka iwi ʻoiai me ka hāʻule iki ʻana.
Aia kekahi mau ʻano like ʻole o kēia mau haki?
ʻAe, hoʻokaʻawale nā kauka i kēia mau haki ma muli o kahi i loaʻa ai, pehea lākou i haki ai, a pehea ko lākou koʻikoʻi. No ka hāʻawi ʻana iā ʻoe i kahi manaʻo iki, e nānā kākou i kekahi o nā ʻano nui.
| ʻAno haki | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka haki ʻaoʻao o Malleolus | ʻO kēia ke ʻano maʻamau. He haki ia o ka iwi ma ke kua o kou kuʻekuʻe wāwae (ka ʻaoʻao haʻahaʻa o ka fibula). |
| Ka haki ʻana o ke poʻo fibular | He haki o ka ʻaoʻao o luna o ka fibula, kokoke i ke kuli. He mea maʻamau ʻole kēia. |
| Ka haki ʻana o ka avulsion | Ke huki ʻia kahi ligament a i ʻole ke aʻalolo, e hemo kahi ʻāpana iwi i hoʻopaʻa ʻia ai. |
| Ka haki ʻana o ke kaumaha | Nā māwae liʻiliʻi ma ka iwi i hana ʻia e ka hoʻoikaika nui ʻana. ʻO ka mea maʻamau i nā mea pāʻani. |
| Haʻihaʻi ʻōwili | He haki ʻōwili o ka iwi ma muli o ka wili ʻana o ka wāwae. |
| Haʻihaʻi Hāmama (Huihui) | He ʻoi aku ka koʻikoʻi o kēia. Ke puka mai nei ka iwi haki ma o ka ʻili. Hoʻokumu kēia i kahi ʻeha nui. |
Pehea e ʻike ai inā he Fibular Fracture koʻu? He aha nā hōʻailona?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona ma hope o kahi ulia, he mea kūpono loa ia he Fibular Fracture.
- ʻEha nui: ʻEha nui ma kahi i haki ai. E ʻoi aku ka ʻeha ke hoʻoneʻe iki ʻoe i kou wāwae.
- Ka pehu ʻana a me ka ʻeha:Ma hope koke iho o ka ulia, e hoʻomaka ana ka ʻāpana e pehu nui, a malia paha e lilo i ʻano polū/poni.
- ʻOluʻolu: ʻOiai ke kaomi ʻoe i ka ʻāpana haki me kou manamana lima, e hōʻeha nui ia.
- ʻAʻole hiki ke hele: ʻAʻole hiki i ka mea maʻi ke hāpai i ke kaumaha ma ka wāwae. ʻAʻole hiki ke hoʻomanawanui i ka ʻeha i ka wā e hoʻāʻo ai e hele.
- ʻAno ʻole: I kekahi manawa, ʻike ʻia ka wāwae he ʻano ʻole, kīkoʻo ʻia, a i ʻole he puʻupuʻu ʻē.
- ʻO ka maneʻo a i ʻole ke anu: Inā ʻoi aku ka maneʻo a i ʻole ke anu o kou mau manamana wāwae ma mua o ka wāwae ʻē aʻe, hiki ke hōʻike ʻia he hōʻino ʻia ke kahe koko a i ʻole nā aʻalolo.
- He leo haki iwi: Lohe kekahi poʻe i kahi leo "nahā" ke haki ka iwi.
He mea nui: I kekahi manawa hiki iā ʻoe ke hele me ka Fibular Fracture. ʻO kēia no ka mea ʻo ka tibia ka iwi kaumaha nui i loko o kou kino. No laila, mai manaʻo wale, "Hiki iaʻu ke hele, i ʻole e haki ka iwi." Inā loaʻa iā ʻoe ka ʻeha a i ʻole ka pehu ʻana, e ʻike pono i ke kauka.
I ka manawa hea e pono ai ʻoe e hele i ka haukapila me ka wikiwiki?
Inā loaʻa iā ʻoe kekahi kānalua iki paha he Fibular Fracture kou, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā ua haki ka iwi ma loko o ka ʻili (Open Fracture).
- Inā ua kikoo maopopo ʻia ka wāwae a ua loli ke ʻano.
- Inā he kahe koko nui.
- Inā he mae, keʻokeʻo, a polū paha kou mau manamana wāwae.
- Inā he ʻeha hiki ʻole ke hoʻomanawanui.
- Inā ua hana ʻia kēia ʻeha ma muli o kahi ulia nui (e laʻa, kahi ulia kaʻa).
I ke kūlana e like me kēia, ʻoi aku ka palekana o ke kāhea ʻana i kahi lawelawe ambulance (1990).
E ke kauka, pehea ʻoe e hōʻoia ai he haki kēia?
Ke hele ʻoe i ka haukapila, e nīnau mua ke kauka iā ʻoe e pili ana i ke ʻano o ka ulia a laila e nānā i kou wāwae. E nānā pono ʻo ia no ka pehu ʻana, nā ʻeha, a me nā loli o ke ʻano.
A laila, no ka hōʻoia ʻana i kēia, hana nui ʻia kahi X-ray . Hiki i ka X-ray ke ʻike maopopo inā ua haki ka iwi, ma hea i haki ai, a inā ua neʻe ʻia nā ʻāpana iwi.
I kekahi mau haki paʻakikī, ʻoiai nā mea kokoke i nā hono, hiki i ke kauka ke kauoha i kahi CT scan a i ʻole MRI scan inā makemake ʻo ia i ka ʻike hou aku.Hiki ke kauoha ʻia nā hoʻokolohua. Hiki i kēia ke nānā i nā hōʻino i nā iwi a me nā ʻiʻo palupalu a puni.
Pehea e mālama ʻia ai? Pehea ka lōʻihi e hoʻōla ai?
ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano, ka wahi, a me ke koʻikoʻi o kou haki.
- Nā Haʻihaʻi ʻAʻole i Hoʻoneʻe ʻia: ʻO ka haki ʻaʻole i hoʻoneʻe ʻia, ʻo ia kekahi o nā ʻāpana iwi i hoʻoneʻe ʻole ʻia a ʻaʻole pono ke ʻoki kino. Hiki i ke kauka ke hoʻoholo e kau i kahi ʻōpala , splint , a i ʻole kāmaʻa hele wāwae ma ka wāwae e paʻa ai. Hiki iā ia ke paipai i ka hoʻohana ʻana i nā crutches e kōkua iā ʻoe e neʻe me ka ʻole o ke kaumaha ma luna.
- Nā Haʻihaʻi i Hoʻoneʻe ʻia/Paʻakikī: Inā ʻaʻole i kūpono nā ʻāpana iwi, a inā pili ka haki i ka hui kuʻekuʻe wāwae, pono paha ke ʻoki kino . Pili kēia i ka hoʻoneʻe ʻana i nā ʻāpana iwi i ko lākou wahi a me ka hoʻohana ʻana i nā papa a me nā wili e hoʻopaʻa iā lākou i ko lākou wahi.
- Nā lāʻau hoʻopau ʻeha: Na kāu kauka e kuhikuhi iā ʻoe i nā lāʻau lapaʻau e pono ai e kāohi i ka ʻeha.
ʻOkoʻa ka manawa ho'ōla mai kēlā kanaka a kēia kanaka. Eia nō naʻe, maʻamau ma kahi o 6-8 mau pule no ka ho'ōla pono ʻana o ka iwi. I loko o kēia manawa, he mea nui loa ka hoʻomaha e like me ka ʻōlelo a kāu kauka, ʻaʻole e kau i ke kaumaha ma kou wāwae, a hele i nā keʻena lapaʻau i ka manawa kūpono.
Ma hope o ka ho'ōla ʻana o ka iwi, nāwaliwali paha nā ʻiʻo wāwae a paʻakikī paha nā hono. No laila, e kuhikuhi ke kauka iā ʻoe i ka hoʻōla kino . Ma ka hoʻoikaika kino ma lalo o ke aʻo a ke kauka hoʻōla kino, hiki iā ʻoe ke hoʻōla koke a hoʻi i nā hana maʻamau.
Leka Lawe-Home
- ʻO ka haki fibular ka haki ʻana o ka iwi lahilahi o waho o ka wāwae ma lalo o ke kuli. He mea maʻamau kēia ma mua o kou manaʻo.
- ʻO nā ʻeha, nā hāʻule ʻana, a me nā ulia haʻuki ke kumu nui o kēia.
- ʻO ka ʻeha nui, ka pehu ʻana, a me ka paʻakikī i ka hele wāwae nā hōʻailona nui. Mai manaʻo "no ka hiki iā ʻoe ke hele wāwae, ʻo ia hoʻi, ʻaʻole i haki kou iwi."
- Inā ua haki ka iwi ma loko o ka ʻili, ua loli ke ʻano o ka wāwae, a ua mae paha nā manamana lima, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Aia ke ʻano o ka mālama ʻana i ke ʻano o ka haki. He mea nui ka hahai pono ʻana i nā ʻōlelo a ke kauka no ka hoʻōla wikiwiki ʻana.
- Ma hope o ka hoʻōla ʻana, he mea nui loa ia e hoʻoikaika i ka wāwae ma o ka hoʻoikaika kino.











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