Osteomyelitis - hoʻokuʻu

ʻO ʻoe a ʻo kāu keiki paha he osteomyelitis. ʻO kēia ka maʻi o ka iwi i hoʻokumu ʻia e nā maʻi bacteria a i ʻole nā mikrobia ʻē aʻe. Ua hoʻomaka paha ka maʻi i kekahi ʻāpana o ke kino a hohola i ka iwi.
Ma ka home, e hāhai i nā ʻōlelo a ka mea mālama ola e pili ana i ka mālama pilikino ʻana a pehea e mālama ai i ka maʻi. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.
Inā ʻo ʻoe a ʻo kāu keiki paha i ka haukapila, ua lawe paha ke kaukipō i kekahi maʻi maʻi mai kou mau iwi a i hoʻopau ʻia i kahi abscess.
Na ke kauka e kuhikuhi i nā lāʻau (antibiotic) nāu a me kāu keiki e lawe ai ma ka home e luku i ka maʻi i loko o ka iwi. I ka manawa mua, e hāʻawi ʻia nā antibiotic i loko o kahi aa i ka lima, ka umauma, a me ka ʻāʻī (IV). I kekahi manawa, hiki i ke kauka ke hoʻololi i ka lāʻau i nā lāʻau antibiotic.
ʻOiai ʻo ʻoe a ʻo kāu keiki paha me nā lāʻau ʻaloʻolika, kauoha paha ka mea hāʻawi i nā hoʻokolohua koko e nānā no nā hōʻailona o ka ʻawahia mai ka lāʻau.
Pono e lawe i ka lāʻau no 3 a 6 mau pule. I kekahi manawa, pono paha e lawe no kekahi mau mahina hou aku.
Inā loaʻa ʻoe a ʻo kāu keiki paha i nā lāʻau ʻaloʻolika ma o ke aa i ka lima, ka umauma, a me ka ʻāʻī.
- Hele paha kahi kahu i kou home e hōʻike iā ʻoe pehea, a i ʻole hāʻawi iā ʻoe i kāu keiki i ka lāʻau.
- Pono ʻoe e aʻo pehea e mālama ai i ka catheter i hoʻokomo ʻia i loko o ka aa.
- Pono paha ʻoe a me kāu keiki e hele i ke keʻena o ke kauka a i ʻole kahi keʻena kūikawā e loaʻa ai ka lāʻau.
Inā pono e mālama ʻia ka lāʻau i ka home, e mālama pono e like me ke ala a kāu mea hāʻawi.
Pono ʻoe e aʻo pehea e mālama ai i kahi kahi maʻemaʻe a maloʻo ka IV. Pono ʻoe e nānā no nā hōʻailona o ka maʻi (e like me ka ʻulaʻula, ka pehu ʻana, ke kuni, a me ke anuanu).
E ʻike pono i ka hāʻawi ʻana iā ʻoe iho i ka lāʻau i ka manawa kūpono. Mai hōʻoki i nā lāʻau ʻalopika ʻoiai ʻoe a ʻo kāu keiki paha e hoʻomaka i ka maikaʻi. Inā ʻaʻole lawe ʻia nā lāʻau āpau, a i ʻole lawe ʻia i ka manawa kūpono ʻole, e ʻoi aku ka paʻakikī o ka mālama ʻana i nā g germ. E hoʻi paha ka maʻi.
Inā ua ʻoki ʻia ʻoe a ʻo kāu keiki paha ma ka iwi, pono e hoʻokomo i kahi palapū, paʻa, a i ʻole ka maʻa e pale ai i ka iwi. E haʻi aku kāu mea lawelawe iā ʻoe inā hiki iā ʻoe a ʻo kāu keiki paha ke hele wāwae i ka wāwae a hoʻohana paha i ka lima. E hāhai i ka mea a kāu mea lawelawe i ʻōlelo ai iā ʻoe a i ʻole hiki ʻole i kāu keiki ke hana. Inā hana nui ʻoe ma mua o ka hala ʻana o ka maʻi, ʻeha paha kou iwi.
Inā loaʻa ʻoe a ʻo kāu keiki paha i ka maʻi diabetes, he mea nui ia e mālama i kāu kō a i ʻole a kāu keiki i ke kō.
Ke hoʻopau ʻia nā lāʻau antibiotic IV, he mea nui ka hemo ʻana o ka catheter IV.
Kāhea i kāu mea hāʻawi inā:
- Loaʻa ʻoe i kāu keiki i kahi kuni o 100.5 ° F (38.0 ° C), a ʻoi aku ke kiʻekiʻe, a i ʻole he haʻalulu.
- Ke luhi nei a maʻi paha ʻoe a ʻo kāu keiki paha.
- ʻO ka ʻāpana ma luna o ka iwi ka ʻulaʻula a ʻoi aku ka pehu.
- Loaʻa iā ʻoe a ʻo kāu keiki paha ka maʻi maʻi ʻili hou a i ʻole e ulu nui ana.
- He ʻeha hou aʻe kāu a ʻo kāu keiki paha a puni ka iwi kahi e waiho ai ka maʻi, a i ʻole ʻaʻole hiki iā ʻoe a me kāu keiki ke kau i ke kaumaha ma ka wāwae a wāwae paha a hoʻohana paha i kou lima a lima paha.
Pākuʻi iwi - hoʻokuʻu
Osteomyelitis
ʻO Dabov GD. Osteomyelitis. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 21.
Tande AJ, Steckelberg JM, Osmon DR, Berbari EF. Osteomyelitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 104.
- Osteomyelitis
- Hoʻoponopono ka haki wahine - hoʻokuʻu
- Haki haʻi - hoʻokuʻu
- Nā maʻi maʻi iwi