Ka hōʻemi paʻa ʻana o kahi iwi haʻi

ʻO ka hoʻohaʻahaʻa pani ʻia kahi hana e hoʻonohonoho (hoʻoliʻiliʻi) i ka iwi haʻihaʻi me ka ʻoki ʻole ʻana o ka ʻili. Hoʻokomo ʻia ka iwi haʻihaʻi i kahi e ʻae ai ia e ulu pū. ʻOi aku ka maikaʻi ke hana ʻia ke hiki ke hana ma hope koke o ka haki o ka iwi.

Hiki ke hana i kahi hoʻohaʻahaʻa pani ʻia e kahi kaukō lapaʻau orthopedic (kauka iwi), ke kauka lumi pilikia, a i ʻole kahi mea mālama maʻi mua i ʻike i ka hana ʻana i kēia kaʻina hana.

Hiki i kahi hōʻemi paʻa paʻa ke:

• Wehe i ka hoʻohaʻahaʻa ma ka ʻili a hoʻemi i ka pehu
• E hoʻomaikaʻi i nā manawa e hana maʻamau ai kou lālā a hiki iā ʻoe ke hoʻohana maʻamau iā ia ke hoʻōla
• E hōʻemi i ka ʻeha
• Kōkua i kou iwi e hoʻōla wikiwiki a ikaika i ka wā e hoʻōla ai
• E hoʻohaʻahaʻa i ka makaʻu o kahi maʻi i ka iwi

E kamaʻilio pū kāu mea mālama ola me ʻoe e pili ana i nā makaʻala o ka hoʻoliʻiliʻi paʻa. ʻO kekahi:

• E hōʻeha paha nā aʻalolo, nā kīʻaha koko, a me nā mea palupalu ʻē aʻe kokoke i kou iwi.
• Hiki i kahi ʻūlū koko ke hana, a hiki ke hele i kou mau māmā a i ʻole kekahi ʻāpana o kou kino.
• Hiki iā ʻoe ke hōʻeha i ka lāʻau ʻeha i loaʻa iā ʻoe.
• Aia paha he mau haki hou e kū me ka hōʻemi.
• Inā ʻaʻole holo ka hōʻemi, pono ʻoe i ke ʻoki kino.

ʻOi aku kou makaʻu i kekahi o kēia mau pilikia inā ʻoe:

• Puhi
• Lawe i nā steroid (e like me ka cortisone), nā lāʻau kaohi hānau, a i ʻole nā ​​hormones ʻē aʻe (e like me ka insulin)
• He ʻelemakule
• Loaʻa i nā kūlana olakino ʻē aʻe e like me ka maʻi kō a me ka hypothyroidism

ʻO ke kaʻina hana he ʻeha mau. E loaʻa iā ʻoe ka lāʻau e ālai i ka ʻeha i ke kaʻina hana. Loaʻa paha iā ʻoe:

• Kahi anesthetic kūloko a i ʻole poloka nerve e numb i ka wahi (hāʻawi mau ʻia ma ke ʻano he pū)
• ʻO kahi mea hoʻonanea e hoʻomaha ai ʻoe akā ʻaʻole hiamoe (hāʻawi pinepine ʻia ma o ka IV, a i ʻole laina laina intravenous)
• General anesthesia e hiamoe ai ʻoe i ke kaʻina hana

Ma hope o kou loaʻa ʻana i ka lāʻau ʻeha, e hoʻonoho kāu mea hāʻawi i ka iwi ma kahi kūpono ma ke kaomi ʻana a huki ʻana paha i ka iwi. Kapa ʻia kēia traction.

Ma hope o ka hoʻonoho ʻia ʻana o ka iwi:

• He x-ray kāu e hōʻoia ai i ka iwi i kahi kūpono.
• E hoʻokau ʻia kahi kolo a i ʻole ʻoki i kāu lālā e mālama i ka iwi i kahi kūpono a pale iā ia ke hoʻōla.

Inā ʻaʻohe ou mau ʻeha a mau pilikia ʻē aʻe, hiki iā ʻoe ke hoʻi i ka home i kekahi mau hola ma hope o ke kaʻina hana.

Aia a ʻōlelo aʻoaʻo aʻe kāu mea lawelawe, mai:

• E kau i nā apo ma kou manamana lima a i ʻole nā ​​manamana wāwae ma luna o kou lima ʻeha a ʻūhā paha
• Hāpai i ke kaumaha ma ka wāwae i hōʻeha a lima paha

Ka hoʻohaʻahaʻa haki - pani ʻia

Waddell JP, Wardlaw D, Stevenson IM, McMillian TE, et al. ʻO ka mālama ʻana i ka haʻi haʻi. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 7.

ʻO Whittle AP. Nā loina laulā o ka mālama ʻana i ka haʻi. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 53.

• Poʻohiwi hoʻoneʻe
• Nā haki