ʻO ka wāwae wāwae - mālama ma hope

He haki ka wāwae wāwae i ka 1 a ʻoi aku o nā iwi kuʻekuʻe wāwae. Hiki i kēia mau haʻihaʻi ke:

• E hoʻokaʻawale (haki wale ʻia ka iwi, ʻaʻole ma nā ala āpau)
• E piha (haki ka iwi a ma nā ʻāpana 2)
• Hana ʻia ma nā ʻaoʻao ʻelua a ʻelua paha o ka kuʻekuʻe wāwae
• Hana ʻia kahi i ʻeha a haehae ʻia ai ka ligament

Pono paha kekahi mau wāwae wāwae i ke ʻoki ʻana inā:

• ʻO nā wēlau o ka iwi i waho o ka laina me kekahi.
• Hoʻonui ʻia ka haki i loko o ka ami ankle (intra-articular fracture).
• Haehae ʻia nā tendon a i ʻole nā ​​ligament (nāʻaʻaʻa e paʻa nā mākala a me nā iwi).
• Manaʻo kāu mea hāʻawi i kou mau iwi ʻaʻole e hoʻōla kūpono me ka ʻole o ke kahakaha.
• Manaʻo kāu mea hāʻawi hiki i ke kīpoki ke ʻae i ka hoʻōla wikiwiki a me ka hilinaʻi hoʻi.
• I nā keiki, pili ka haki i ka ʻāpana o ka iwi kuʻekuʻe kahi e ulu nei ka iwi.

Ke pono ʻia ke ʻoki, koi paha ia i nā kui hao, nā ʻāpana, a i ʻole nā ​​pā e hoʻopaʻa i nā iwi i ka wā e hoʻōla ai ka haki. Kūmau paha a paʻa paha nā lakohana.

E kiʻi ʻia ʻoe i kahi kauka orthopedic (iwi). A hiki i kēlā kipa:

• Pono ʻoe e mālama i kāu kime a i ʻole ʻoki i nā manawa āpau a hāpai i kou wāwae i ka hiki.
• Mai kau i kahi kaupaona ma kou kuʻekuʻe wāwae i hōʻeha ʻia a hoʻāʻo e hele wāwae ma luna.

Me ka hana ʻole, e hoʻokau ʻia kou kuʻekuʻe wāwae i ka mea hoʻolei a i ʻole splint no 4 a 8 mau pule. ʻO ka lōʻihi o ka manawa e kau ai ʻoe i ka mea hoʻolei a i ʻole splint e pili ana i ke ʻano o ka haki i loaʻa iā ʻoe.

Hiki ke hoʻololi i kāu mea hoʻolei a i ʻole splint ma mua o hoʻokahi manawa, i ka iho ʻana o kou pehu. I ka hapanui o nā hihia, ʻaʻole ʻoe e ʻae ʻia e lawe i ke kaupaona ma kou kuʻekuʻe wāwae i ʻeha i ka mua.

I kekahi manawa, e hoʻohana ʻoe i kahi kīpē hele wāwae kūikawā ke holo ka hoʻōla.

Pono ʻoe e aʻo:

• Pehea e hoʻohana ai i nā koʻokoʻo
• Pehea e mālama ai i kāu kime a i ʻole splint

E hoʻemi i kaʻeha a me ka pehu:

• Noho me kou wāwae e hoʻokiʻekiʻe aʻe ma mua o kou kuli ma ka liʻiliʻi 4 mau manawa i ka lā
• E noi i kahi pahu hau i 20 mau minuke o kēlā me kēia hola, ala ʻoe, no nā lā 2 mua
• Ma hope o 2 mau lā, e hoʻohana i ka pahu hau no 10 a 20 mau minuke, 3 manawa i ka lā e pono ai

No ka ʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin, a me nā mea ʻē aʻe) a i ʻole naproxen (Aleve, Naprosyn, a me nā mea ʻē aʻe). Hiki iā ʻoe ke kūʻai i kēia mau lāʻau me ka ʻole o ka lāʻau.

E hoʻomanaʻo i:

• Mai hoʻohana i kēia mau lāʻau no 24 mau hola ma hope o kou ʻeha. Hiki iā lākou ke hoʻonui i ka makaʻu o ke kahe.
• 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 ka mea i koi ʻia ma ka ʻōmole a ʻoi paha ma mua o ka aʻoaʻo a kāu mea lawelawe e lawe ai.
• ʻAʻole hāʻawi i ka aspirin i nā keiki.
• E hōʻoia me kāu mea hoʻolako e pili ana i ka lawe ʻana i nā lāʻau anti-inflammatory e like me Ibuprofen a i ʻole Naprosyn ma hope o ka haki. I kekahi manawa, ʻaʻole lākou e makemake iā ʻoe e lawe i nā lāʻau i hiki ke hoʻopili i ka hoʻōla.

ʻO Acetaminophen (Tylenol a me nā mea ʻē aʻe) kahi lāʻau ʻeha e palekana no ka hapa nui o ka poʻe. Inā loaʻa ʻoe i ka maʻi hepa, e nīnau i kāu mea hāʻawi inā palekana kēia lāʻau iā ʻoe.

Pono ʻoe i nā lāʻau ʻehaʻeha (opioids a i ʻole narcotics) e mālama i kou ʻeha ma mua o ka kaohi.

E haʻi aku kāu mea hāʻawi iā ʻoe inā maikaʻi ke kau ʻana i kekahi kaumaha ma kou kuʻekuʻe wāwae i ʻeha. ʻO ka hapa nui o ka manawa, ma ka liʻiliʻi 6 a 10 mau pule. Ke kau nei i ke kaupaona ma kou kuʻekuʻe wāwae ma hope koke paha o ka hoʻōla maikaʻi ʻole o nā iwi.

Pono paha ʻoe e hoʻololi i kāu mau hana ma ka hana inā koi kāu hana i ka hele wāwae, kū ʻana, a i ka piʻi piʻi ʻana paha i ke alapiʻi.

Ma kahi kiko, e hoʻoneʻe ʻia ʻoe i kahi mea hana kaumaha a i ʻole splint. ʻAe kēia e hoʻomaka i ka hele wāwae. Ke hoʻomaka hou ʻoe e hele wāwae:

• E nāwaliwali paha ka liʻiliʻi o kou mau mākala a ʻoi aku ka liʻiliʻi, a paʻakikī kou wāwae.
• E hoʻomaka ʻoe i ke aʻo ʻana i nā hana e kōkua ai iā ʻoe e kūkulu hou i kou ikaika.
• E kuhikuhi ʻia ʻoe i kahi mea hoʻoponopono kino e kōkua me kēia hana.

Pono ʻoe i ka ikaika piha i kou puʻupuʻu bipi keiki a me ke ʻano o ka hoʻoneʻe i kou kuʻekuʻe wāwae ma mua o ka hoʻi ʻana i nā haʻuki a i ʻole nā ​​hana hana.

E hana paha kāu mea lawelawe i nā lā x ma hope o kou ʻeha e ʻike pehea e hoʻōla nei kou kuʻekuʻe wāwae.

E hōʻike ka mea hāʻawi iā ʻoe ke hiki iā ʻoe ke hoʻi i nā hana maʻamau a me nā haʻuki. Pono ka hapa nui o ka poʻe ma kahi o 6 a 10 mau pule e hoʻōla piha.

Kāhea i kāu mea hāʻawi inā:

• Ua hōʻino ʻia kāu mea hoʻolei a kīʻaha paha.
• Lohe a paʻa paʻa paha kāu mea hoʻolei a kīʻaha paha.
• He ʻeha nui kou.
• Pehu kou wāwae a wāwae paha ma luna a i ʻole ma lalo o kāu kīkō a i ʻole splint.
• He numbness, tingling, a anuanu paha i kou wāwae, a ʻeleʻele paha kou manamana wāwae.
• ʻAʻole hiki iā ʻoe ke neʻe i kou manamana wāwae.
• Ua hoʻonui ʻoe i ka pehu ma kāu bipi keiki a me kou wāwae.
• Loaʻa ka hanu a paʻakikī paha i ka hanu ʻana.

Kāhea pū i kāu mea hāʻawi inā he nīnau kāu e pili ana i kou ʻeha a i kou ola ʻana.

Haki malleolar; Tri-malleolar; Bi-malleolar; Haki ākea mamao; Ka haki o ka fibula mamao; Haki ʻo Malleolus; Haki pilon

ʻO McGarvey WC, Greaser MC. Nā wāwae a me nā wāwae wāwae a me nā dislocations. I: Porter DA, Schon LC, hoʻoponopono. ʻO Baxter's The Foot and Ankle in Sport. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2021: chap 6.

Rose NGW, Green Green. Kuʻekuʻe wāwae a me ka wāwae. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 51.

ʻO Rudloff MI. Nā hakina o ka palena haʻahaʻa. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 54.

• Nā hōʻeha kuʻekuʻe wāwae a me nā maʻi