Pehea e hana ai i kahi maʻa
ʻO ka maʻa ka mea i hoʻohana ʻia e kākoʻo a hoʻomau (immobilize) i kahi ʻeha o ke kino.
Hiki ke hoʻohana ʻia ka maʻa no nā ʻeha like ʻole. Hoʻohana pinepine ʻia lākou inā loaʻa ʻoe i ka haki (haki) a i ʻole dislocated lima a poʻohiwi paha.
Inā pono kahi ʻeha i kahi mālamalama, hoʻopili i ka mālamala i mua a laila kau i ka maʻa.
E hōʻoia mau i ka ʻili o ke kanaka a me ka lāʻau (kaapuni) ma hope o ka maʻa ʻana o ka ʻāpana kino. E hoʻokuʻu i ka mālamana a me ka wahī inā:
- E maʻalili a ʻāhiwi a uliuli hoʻi ka wahi
- Hoʻomohala ka numbness a me ka tingling i ka ʻāpana ʻeha o ke kino
Kū pinepine nā ʻeha i nā aʻalolo a i ʻole nā kīʻaha koko me ka ʻeha o ka lima. Pono ka mea mālama ola e nānā i ka holo, ka neʻe, a me ka manaʻo i ka wahi ʻeha pinepine.
ʻO ke kumu o kahi mālamalama e pale i ka neʻe ʻana o ka iwi haʻi a haki paha. Hoʻoemi ka Splints i ka ʻeha, a kōkua i ka pale ʻana i ka hōʻino hou ʻana i nā mākala, nā aʻalolo, a me nā kīʻaha koko. Hoʻoemi ka Splinting i ka makaʻu o kahi ʻeha paʻa e lilo i ʻeha hāmama (kahi ʻeha e pili ai ka iwi ma o ka ʻili).
Mālama i nā ʻeha āpau ma mua o ka hoʻopili ʻana i kahi mālamana a i ʻole ka maʻa. Inā hiki iā ʻoe ke ʻike i ka iwi ma ka pūnaewele ʻeha, e kelepona i kāu helu kūloko kūloko (e like me 911) a i ʻole ka haukapila kūloko no ka ʻōlelo aʻo.
Pehea e hana ai i kahi maʻa
- E ʻimi i kahi ʻāpana lole ma kahi o 5 kapuaʻi (1.5 mika) ka laulā ma ke kumu a ma ka liʻiliʻi he 3 kapuaʻi (1 mika) ka lōʻihi ma nā ʻaoʻao. (Inā no ke keiki ka maʻa, hiki iā ʻoe ke hoʻohana i kahi liʻiliʻi.)
- E ʻoki i kahi triangle mai kahi ʻāpana o kēia lole. Inā ʻaʻohe ou ʻokiʻoki mākaukau, pelu i kahi ʻāpana nui o ka lole diagonally i loko o ka triangle.
- E kau i ke kuʻe lima o ke kanaka ma ka piko o luna o ka huinakolu, a me ka pūlima ma waena ma ke kaʻe o ka triangle. E lawe mai i nā helu manuahi ʻelua a puni a i hope o ka poʻohiwi like (a i ʻole ʻē aʻe).
- Hoʻoponopono i ka maʻa i hoʻomaha ai ka lima me ka ʻoluʻolu, me ka lima i ʻoi aku ka kiʻekiʻe ma mua o ka kuʻe lima. E kūlou ke kuʻe lima i ke kihi ʻākau.
- E hoʻopaʻa pū i ka maʻa ma ka ʻaoʻao o ka ʻāʻī a pale i nā knot no ka hōʻoluʻolu.
- Inā kau pololei ka maʻa, pono ka lima o ke kanaka e hoʻomaha hōʻoluʻolu i ko lākou umauma me ka manamana lima i hōʻike ʻia.
Nā ʻōlelo aʻoaʻo ʻē aʻe:
- Inā ʻaʻohe ou mea a ʻūlū paha e hana i kahi maʻa o ka triangle, hiki iā ʻoe ke hana i kekahi e hoʻohana ana i ka palule a i ka pālule.
- Hiki iā ʻoe ke hana i kahi maʻa e hoʻohana ai i ke kāʻei, ke kaula, ke kumu waina, a i ʻole ke kuina.
- Inā e hāmau ka lima ʻeha, e nakinaki i ka maʻa i ke kino me kahi ʻāpana lole ʻē aʻe i wahī ʻia i ka umauma a nakinaki ʻia ma ka ʻaoʻao ʻeha ʻole.
- E nānā pinepine no ka paʻa, a hoʻomaʻamaʻa i ka maʻa e like me ka mea e pono ai.
- Wehe i nā wati lima, nā apo, a me nā mea hoʻonani ʻē aʻe mai ka lima.
Mai hoʻāʻo e hoʻonohonoho hou i kahi ʻeha o ke kino inā ʻaʻole i ʻili ke ʻili a polū paha, a i ʻole ʻaʻa he lāʻau.
E ʻimi i ke kōkua lapaʻau inā he dislocation, haki ka iwi, a he kahe koko nui paha. E kiʻi pū i ke kōkua lapaʻau inā ʻaʻole hiki iā ʻoe ke immobilize loa i ka ʻeha ma ia wahi e ʻoe iho.
ʻO ka palekana ke ala ʻoi loa e hōʻalo ai i nā iwi haʻihaʻi e hopena i ka hāʻule ʻana. ʻO kekahi o nā maʻi e haki ka iwi me ka maʻalahi. E akahele i ke kōkua ʻana i ke kanaka me nā iwi palupalu.
Pono e hōʻalo i nā hana i kānana i nā mākala a i ʻole nā iwi no nā manawa lōʻihi, no ka mea hiki i kēia mau mea ke hoʻonāwaliwali a hāʻule. E hoʻohana i ka mālama ke hele ʻoe ma nā paheʻe a paewaewa paha.
Sling - kuhikuhi
- Kaha poʻohiwi Triangular
- Maʻa ʻūhā
- Ke hana nei i kahi maʻa - moʻo
ʻO Auerbach PS. Nā haki a me nā hemo. I: Auerbach PS, hoʻoponopono. Lapaʻau no nā Waho. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: 67-107.
Kalb RL, Fowler GC. Mālama haʻi. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 178.
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.