Hoʻoneʻe

ʻO kahi dislocation kahi hoʻokaʻawale o nā iwi ʻelua kahi e hui ai lākou ma kahi hui. ʻO kahi ami kahi kahi e hoʻopili ai nā iwi ʻelua, e ʻae ai i ka neʻe.

ʻO kahi hui dislocated kahi hui kahi o nā iwi i nā kūlana maʻamau.

He paʻakikī paha e haʻi i kahi hui dislocated mai ka iwi haʻi. ʻO nā pilikia ʻelua e pono ai ka lapaʻau mua.

Hiki ke mālama ʻia ka hapa nui o nā dislocations i ke keʻena o ke kauka a i ʻole ke keʻena pilikia. Hāʻawi ʻia ʻoe i ka lāʻau e hiamoe ai a hōʻino ai i ka wahi. I kekahi manawa, pono ka anesthesia ākea e hoʻokomo iā ʻoe i kahi hiamoe nui.

Ke mālama mua ʻia, ʻaʻole ka hapa nui o nā dislocations e hōʻeha mau loa.

Makemake ʻoe e:

• ʻO nā ʻeha i nā aʻa puni e lawe i 6 a 12 mau pule e hoʻōla. I kekahi manawa, ʻoki e hoʻoponopono i kahi ligament e waimaka ke wehe ʻia ka hono.
• ʻO nā ʻeha i nā aʻalolo a me nā kīʻaha koko e hopena i nā pilikia lōʻihi a lōʻihi paha.

I ka manawa i hoʻoneʻe ʻia ai kahi hui, ʻoi aku paha ka hanana hou. Ma hope o ka mālama ʻia ʻana i ke keʻena pōpilikia, pono ʻoe e hāhai me kahi kaukō lapaʻau orthopedic (kahi iwi a me ke kauka hui).

Hoʻokumu pinepine ʻia nā dislocations e kahi hopena hikiwawe i ka ami. Hana ʻia kēia ma hope o ka hahau, hāʻule, a i ʻole nā ​​trauma ʻē aʻe.

ʻO kahi hui dislocated paha:

• Hele pū me ka helu a i ʻole ke kani ʻana i ka ami a i ʻole ma ʻō aku o ia
• ʻEha loa, keu hoʻi e hoʻāʻo e hoʻohana i ka ami a kau i ke kaumaha ma luna
• Palena ʻia i ka neʻe
• Pehu a pulu paha
• ʻIke ʻia ma waho o kahi, discolored, a i ʻole misshapen

ʻO ka kuʻe lima o Nursemaid, a i ʻole kuʻekuʻe i huki ʻia, kahi dislocation hapa i maʻa mau i nā kamaliʻi liʻiliʻi. ʻO ka hōʻailona nui ka ʻeha a makemake ʻole ke keiki e hoʻohana i ka lima. Hiki ke mālama maʻalahi ʻia kēia dislocation i ke keʻena o ke kauka.

Nā hana kōkua mua e lawe:

1. Kāhea iā 911 a i ʻole ka helu kūloko kūloko ma mua o kou hoʻomaka ʻana e mālama i kekahi mea i loaʻa i ka dislocation, keu hoʻi inā ʻo ka pōpilikia i hōʻeha i ka ʻeha e hoʻoweliweli paha i ke ola.
2. Inā loaʻa ka hōʻeha koʻikoʻi i ke kanaka, e nānā i ko lākou ala ea, ka hanu ʻana, a me ka holo ʻana. Inā pono, e hoʻomaka i ka CPR, a i ʻole ka kahe ʻana o ke kahe.
3. Mai hoʻoneʻe i ke kanaka inā manaʻo ʻoe ua ʻeha ko lākou poʻo, kua, a wāwae paha. E mālama i ke kanaka me ka mālie a me ka malie.
4. Inā haki ka ʻili, hana i nā hana e pale ai i ka maʻi. Mai puhi i ka ʻeha. E holoi mālie i kahi me ka wai maʻemaʻe e hoʻoneʻe i kekahi lepo āu e ʻike ai, akā ʻaʻole e ʻānai a hoʻowalewale paha. Uhi i ka wahi me nā lole sterile ma mua o ka immobilizing ʻana i ka ami ʻeha. Mai hoʻāʻo e hoʻihoʻi i ka iwi i kahi inā ʻaʻole ʻoe he loea i ka iwi.
5. E noi i kahi mālamana a i ʻole ka maʻa i ka ami ʻeha i ke kūlana āu i loaʻa ai. Mai hoʻoneʻe i ka ami. Hoʻoiho hoʻi i ka wahi ma luna a ma lalo o ka wahi ʻeha.
6. E nānā i ke kahe o ke koko a puni ka ʻeha ma ke kaomi paʻa ʻana i ka ʻili ma kahi i loli ʻia. E keʻokeʻo keʻokeʻo, a laila loaʻa hou ke kala i loko o kekona kekona ma hope o kou kū ʻana e kaomi iā ia. I mea e hōʻemi ai i ka makaʻu ʻana i ka maʻi, mai hana i kēia ʻanuʻu inā ua haki ka ʻili.
7. E noi i nā pūʻolo hau e hōʻoluʻolu i ka ʻeha a me ka pehu, akā mai kau pololei i ka hau i ka ʻili. E wahī i ka hau i ka lole maʻemaʻe.
8. Hana i nā hana e pale ai i ka haʻalulu. Inā ʻaʻole he poʻo, ka wāwae, a me ka ʻeha o ke kua, e hoʻomoe i ka mea i hoʻomāinoino ʻia, e hoʻokiʻekiʻe i ko lākou mau wāwae ma kahi o 12 ʻīniha (30 kenimika), a uhi i ke kanaka me kahi kapa a ʻahuʻula paha.

• Mai hoʻoneʻe i ke kanaka ke ʻole ka immobilized piha o ka ʻeha.
• Mai hoʻoneʻe i kahi kanaka me kahi pūhaka ʻeha, pelvis, a i ʻole ka wāwae kiʻekiʻe ke ʻole he kūpono. Inā ʻo ʻoe wale nō ka mea hoʻopakele a pono e neʻe ke kanaka, kauō iā lākou e ko lākou lole.
• Mai hoʻāʻo e hoʻopololei i kahi iwi misshapen a i ʻole hoʻohui a i ʻole hoʻāʻo e hoʻololi i kona kūlana.
• Mai hoʻāʻo i kahi iwi misshapen a hui paha no ka nalo ʻana o ka hana.
• Mai hāʻawi i ka mea i ka waha ma ka waha.

Kāhea koke iā 911 a i ʻole ka helu kūloko kūloko inā loaʻa kekahi i kekahi o kēia mau mea:

• ʻO kahi iwi e hele ana i loko o ka ʻili
• Kahi dislocation i ʻike ʻia a kānalua ʻia paha
• ʻĀpana ma lalo o ka ami ʻeha i pale, anuanu, ʻōpae, a polū paha
• Kahe nui ke koko
• Nā hōʻailona o ka maʻi, e like me ka mehana a me ka ʻulaʻula ma ka pūnaewele i hōʻeha ʻia, pus, a i ʻole ke kuni

E kōkua i ka pale ʻana i nā ʻeha i nā keiki:

• E hana i kahi palekana a puni kou home.
• Kōkua e pale i ka hāʻule ʻana ma ke kau ʻana i nā puka i nā alapiʻi a me ka paʻa ʻana o nā puka aniani a paʻa.
• E nānā pono i nā keiki i nā manawa āpau. ʻAʻohe mea pani no ka nānā pono ʻana, no ke ʻano palekana o ke kaiapuni a i ʻole ke kūlana.
• E aʻo i nā keiki pehea e palekana ai a nānā iā lākou iho.

E kōkua i ka pale ʻana i nā dislocations i nā mākua:

• I mea e hāʻule ʻole ai, mai kū i luna o nā noho, nā pāpale, a me nā mea kūpaʻa ʻē aʻe.
• Hoʻopau i nā kapeta hoʻolei, keu hoʻi a puni ka poʻe mākua.
• E ʻaʻahu i nā mea pale ke komo i nā haʻuki pili.

No nā pae makahiki a pau:

• Mālama i kahi kini kōkua kōkua mua loa.
• Wehe i nā kaula uila mai ka papahele.
• E hoʻohana i nā kūpeʻe lima ma nā alapiʻi.
• E hoʻohana i nā moena nonskid ma ka lalo o nā bathtubs a mai hoʻohana i nā aila ʻauʻau.

Hoʻokaʻawale hui

• ʻEha poʻo Radial
• Holo ka hakahaka
• Huina poʻohiwi

Klimke A, Furin M, Overberger R. Immobilization o Prehospital. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 46.

Mascioli AA. Nā dislocations huikau. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 60.

Napela RM, Ufberg JW. Ka mālama ʻana i nā dislocations maʻamau. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 49.