ʻO nā ʻoki a me nā ʻeha kuʻi
ʻO kahi ʻoki kahi haki a wehe paha i ka ʻili. Kapa ʻia ia he laceration. Hiki i kahi ʻoki ke hohonu, laumania, a i ʻole jagged. Ma kahi kokoke paha i ka ʻili o ka ʻili, a hohonu paha. Hiki i kahi ʻoki hohonu ke hoʻopili i nā olonā, nā mākala, nā ligament, nā aʻalolo, nā kīʻaha koko, a me ka iwi.
ʻO ka puncture kahi ʻeha i hana ʻia e kahi mea kiko e like me ke kui, pahi a i ʻole ka niho ʻoi. ʻIke pinepine ʻia nā ʻeha kuʻi ma ka ʻili, akā hiki ke hoʻolōʻihi ʻia i nā papa o nā kiko hohonu.
ʻO nā hōʻailona me:
- Kahena
- Nā pilikia me ka hana (neʻe) a i ʻole ke ʻano (numbness, tingling) ma lalo o ka pūnaewele ʻeha
- ʻEha
Hiki ke lele i ka maʻi me kekahi mau ʻoki a me nā ʻeha kuʻi. ʻO ka mea aʻe e lilo i maʻi.
- Nahu
- Paukū
- E hōʻeha i nā ʻeha
- ʻO nā ʻeha lepo
- ʻEha ma nā wāwae
- ʻO nā hōʻeha e mālama koke ʻole ʻia
Inā kahe nui ka ʻeha, e kāhea i kāu helu pilikia kūloko, e like me 911.
Hiki ke mālama ʻia nā ʻoki liʻiliʻi a me nā ʻeha pū ma ka home. Hiki i ke kōkua mua ke kōkua i ka pale ʻana i ka maʻi a no laila wikiwiki i ka hoʻōla a hoʻoliʻiliʻi i ka nui o ka scarring.
E hana i kēia mau kaʻina hana:
NO KEKAHI MAKAHIKI
- E holoi i kou mau lima me ke kopa a i ʻole ka hoʻomaʻemaʻe antibacterial e pale ai i ka maʻi.
- A laila, holoi pono i ka ʻoki me ke kopa liʻiliʻi a me ka wai.
- E hoʻohana i ke kaomi pololei e hōʻoki i ke kahe.
- E noi i ka hamo antibacterial a me ka bandage maʻemaʻe e pili ʻole i ka ʻeha.
NO NA KAHI PUKAHI
- E holoi i kou mau lima me ke kopa a i ʻole ka hoʻomaʻemaʻe antibacterial e pale ai i ka maʻi.
- E holoi i ka puncture no 5 mau minuke ma lalo o ka wai e holo ana. A laila holoi me ke kopa.
- Nānā (akā ʻaʻole e kīpaku) no nā mea o loko o ka ʻeha. Inā loaʻa, mai hemo iā lākou. E hele i kāu kikowaena kūloko a i ʻole kikowaena mālama koʻikoʻi.
- Inā ʻaʻole hiki iā ʻoe ke ʻike i kekahi mea i loko o ka ʻeha, akā kahi ʻāpana o ka mea i hana i ka ʻeha e nalowale ana, e ʻimi pū i ka lāʻau.
- Pili i ka hamo antibacterial a me ka bandage maʻemaʻe e pili ʻole i ka ʻeha.
- Mai manaʻo e hoʻomaʻemaʻe kahi ʻeha liʻiliʻi no ka mea ʻaʻole hiki iā ʻoe ke ʻike i ka lepo a i ʻole nā ʻōpala i loko. Holoi mau iā ia.
- MAI hanu i kahi ʻeha hāmama.
- Mai hoʻāʻo e hoʻomaʻemaʻe i kahi ʻeha nui, keu hoʻi ma hope o ke kahe ʻana o ke kahe.
- Mai wehe i kahi mea lōʻihi a paʻa loa paha. E ʻimi i ka lāʻau.
- MAI kīkuʻi a ʻohiʻohi ʻōpala paha mai kahi ʻeha. E ʻimi i ka lāʻau.
- KAUAHI e hoʻihoʻi i nā ʻāpana o ke kino i loko. Uhi iā lākou me nā mea maʻemaʻe a hiki i ka hōʻea ʻana o ke kōkua lapaʻau
Kāhea iā 911 a i ʻole kāu helu pilikia kūloko inā:
- Kūleʻa ke kahe a ʻaʻole hiki ke hoʻokū ʻia (e laʻa me 10 mau minuke kaomi).
- ʻAʻole hiki i ke kanaka ke manaʻo i ka wahi i hōʻeha ʻia, a i ʻole ʻaʻole holo pono ia.
- Ua hōʻeha nui ʻia ke kanaka.
Kāhea koke i kāu kahu mālama ola inā:
- Nui a hohonu ka ʻeha, ʻoiai inā ʻaʻole koʻikoʻi ke kahe.
- ʻOi aku ka ʻeha ma mua o ka hapahā ʻīniha (.64 kenimika) hohonu, ma ka maka, a i ʻole hiki i ka iwi. Pono paha e humuhumu.
- Ua nahu ʻia ke kanaka e kekahi kanaka a holoholona paha.
- Hoʻokumu ʻia kahi ʻoki a puncture paha e kahi iʻa iʻa a i ʻole mea popo.
- Hele wāwae ʻoe i ke kui a i ʻole mea like like.
- Paʻa kahi mea a ʻōpala paha. Mai wehe iā ʻoe iho.
- Hōʻike ka ʻeha i nā hōʻailona o ka maʻi e like me ka mehana a me ka ʻulaʻula ma ia wahi, kahi ʻeha a ʻehaʻeha paha, ke kuni, ka pehu ʻana, kahi ʻulaʻula e hele ana mai ka ʻeha, a i ʻole ka hoʻoiho wai e like me ka pus.
- ʻAʻole ʻoe i kī ʻia i kahi tetanus i loko o 10 mau makahiki i hala.
E mālama i nā pahi, nā ʻūpā, nā mea ʻoi, nā mea kaua, a me nā mea nāwaliwali mai kahi hiki aku o nā keiki. Ke lawa a ʻelemakule nā keiki, e aʻo iā lākou pehea e hoʻohana palekana ai i nā pahi, nā ʻūpā, a me nā pono hana ʻē aʻe.
E ʻike pono ʻo ʻoe a me kāu keiki i kēia lā no nā lāʻau āpau. Paipai ʻia kahi lāʻau lapaʻau tetanus i kēlā me kēia makahiki he 10.
ʻEha - ʻoki a poka paha; ʻEha hāmama; Laceration; ʻEha ʻaukā
- Pahu kōkua mua
- Laceration me ka ʻeha puncture
- Nā humuhumu
- Nahu nahesa
- ʻOki liʻiliʻi - kōkua mua
Lammers RL, Aldy KN. Nā loina o ka mālama ʻana i ka ʻeha. 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 34.
ʻO Simon BC, Hern HG. Nā loina hoʻokele eha. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier Saunders; 2018: chap 52.