Iwi iwi kuʻi - ma hope o ka mālama ʻana
ʻO ka iwi iwi ka iwi lōʻihi a lahilahi ma waena o kou umauma (sternum) a me kou poʻohiwi. Kāhea ʻia ka clavicle. ʻElua ou iwi iwi, hoʻokahi ma kēlā me kēia ʻaoʻao o kou umauma. Kōkua lākou i ka mālama ʻana i kou poʻohiwi i ka laina.
Ua hōʻoia ʻia ʻoe me ka iwi iwi naha. E hāhai i nā kuhikuhi a kāu lawelawe mālama ola i ka pehea e mālama ai i kou iwi haʻihaʻi. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.
Kū pinepine kahi iwi kuʻi a haʻi paha mai:
- Ke hāʻule nei a pae i kou poʻohiwi
- Ke kū nei i kahi hāʻule me kou lima kīkoʻo
- Kaʻa kaʻa, mokokaikala, a kaʻa ʻeha paikikala paha
ʻO ka iwi haʻi haʻi he hōʻeha maʻamau ia i nā keiki ʻōpio a me nā ʻōpio. ʻO kēia no ka mea ʻaʻole paʻakikī kēia mau iwi a hiki i ke oʻo ʻana.
Nā ʻōuli o kahi iwi iwi naha liʻiliʻi:
- ʻEha kahi o ka iwi haʻi
- Ke loaʻa nei kahi manawa paʻakikī i kou poʻohiwi a lima paha, a ʻeha ke neʻe ʻoe iā lākou
- ʻO kahi poʻohiwi e like me ke ʻano sagging
- ʻO ka walaʻau ʻana a i ʻole ke walaʻau ʻana ke hāpai ʻoe i kou lima
- ʻEha, ʻōhū, a ʻōhū paha ma luna o kou iwi iwi
ʻO nā hōʻailona o ka haki koʻikoʻi ʻoi aku:
- Ka manaʻo hōʻemi a i ʻole ke kani ʻana i kou lima a i ʻole nā manamana lima
- ʻO ka iwi e hoʻokuke nei i ka ʻili a i ʻole ka ʻili
ʻO ke ʻano o ka haki āu e hoʻoholo ai i kāu lāʻau. Inā nā iwi:
- Kūlike ʻia (ʻo ia hoʻi ke hui nei nā wili haʻihaʻi), ʻo ka mālama ʻana e komo i kahi maʻa a hoʻomaha i kāu mau hōʻailona. ʻAʻole hoʻohana ʻia nā Casts no nā iwi iwi naha.
- ʻAʻole kaulike (ʻo ia hoʻi ʻaʻole hālāwai nā hopena haki), pono ʻoe i kahi ʻoki.
- Hoʻopōkole iki ʻia a ma waho paha o ke kūlana a kūlike ʻole, pono ʻoe i kahi ʻoki.
Inā loaʻa iā ʻoe kahi iwi iwi naha, pono ʻoe e hāhai me kahi orthopedist (kauka iwi).
ʻO ka hoʻōla o kou iwi iwi i ka:
- Ma hea ka haki o ka iwi (i waenakonu a i ʻole ka hope o ka iwi).
- Inā kūlike nā iwi.
- Kou makahiki. Hoola paha nā keiki ma 3 a 6 mau pule. Pono paha nā mākua a 12 mau pule.
Ke noi nei i kahi pahu hau e hiki ke kōkua i ka hōʻeha i kou ʻeha. E hana i kahi ʻeke hau ma ke kau ʻana i ka hau i loko o kahi ʻeke laka helu zipa a wahī i kahi lole a puni. Mai hoʻokomo pololei i keʻeke o ka hau i kou ʻili. Hiki i kēia ke hōʻeha i kou ʻili.
I ka lā mua o kou ʻeha, kau i ka hau i 20 mau minuke o kēlā me kēia hola ke ala ʻoe. Ma hope o ka lā mua, hau i ka wahi i kēlā me kēia 3 a 4 mau hola no 20 mau minuke i kēlā me kēia manawa. Hana i kēia no 2 lā a ʻoi aku paha.
No ka ʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a i ʻole acetaminophen (Tylenol). Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.
- E kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole ke kahe kūloko i ka wā i hala.
- Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā mea hāʻawi.
- Mai lawe i kēia mau lāʻau no 24 mau hola ma hope o kou ʻeha. Hiki iā lākou ke kumu i ke kahe.
- Mai hāʻawi i ka aspirin i nā keiki.
Kauoha paha kāu mea hāʻawi i kahi lāʻau ʻoi aku ka ikaika inā pono ʻoe iā ia.
I ka mua pono ʻoe e ʻaʻa i kahi maʻa a paʻa paha e like me ka hoʻōla o ka iwi. E mālama kēia:
- Kou iwi iwi ku i ka pololei kulana e hoola
- ʻO ʻoe mai ka neʻe ʻana i kou lima, kahi e ʻeha ai
I ka manawa e hiki ai iā ʻoe ke neʻe i kou lima me ka ʻole o ka ʻeha, hiki iā ʻoe ke hoʻomaka i nā hoʻomaʻamaʻa palupalu ke ʻōlelo mai kāu mea hoʻolako ua maikaʻi. E hoʻonui kēia i ka ikaika a me ka neʻe i kou lima. I kēia manawa, hiki iā ʻoe ke komo i kāu maʻa a paʻa iki paha.
Ke hoʻomaka hou ʻoe i kahi hana ma hope o ka iwi iwi naha, kūkulu mālie. Inā hoʻomaka kou lima, poʻohiwi, a iwi paha e hōʻeha, kū a hoʻomaha.
Kūkā ʻia ka hapa nui o ka poʻe e hōʻalo i nā haʻuki pili i kekahi mau mahina ma hope o ka hoʻōla ʻana o kā lākou iwi iwi.
Mai kau i nā apo ma kou manamana lima a haʻi aku kāu mea lawelawe iā ʻoe palekana ke hana pēlā.
Kāhea i kāu mea lawelawe a i ʻole orthopedist inā he nīnau a hopohopo paha kāu e pili ana i ka hoʻōla o kāu iwi iwi.
E mālama koke a hele i ka lumi pilikia inā:
- Pōpō kou lima a i ʻole he kui a me nā nila e manaʻo ana.
- He ʻeha kou i hele ʻole me ka lāʻau ʻeha.
- ʻIke nā manamana lima, polū, ʻeleʻele, keʻokeʻo.
- He paʻakikī e hoʻoneʻe i nā manamana o kou lima i hoʻopili ʻia.
- ʻIke kino kou poʻohiwi a puka ka iwi i waho o ka ʻili.
Uha haʻi - hope mālama; Clavicle haʻi - ma hope o ka mālama ʻana; Uha haʻi
Andermahr J, Kelepona D, Jupiter JB. Nā haki a me nā dislocations o clavicle. 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 Saunders; 2020: chap 48.
Napela RM, Ufberg JW. Ka mālama ʻana i nā dislocations maʻamau. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts & Hedges 'Nā Kauka Lapaʻau i ka Lapaʻau Pilikia a me ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 49.
- Nā hōʻeha poʻohiwi a me nā maʻi