Haki ka lima - ma hope o ka mālama ʻana
ʻO nā iwi ʻelima i kou lima e hoʻopili i kou lima i kou manamana nui a me nā manamana lima i kapa ʻia nā iwi metacarpal.
He haki kou (haki) i hoʻokahi a ʻoi paha o kēia mau iwi. Kapa ʻia kēia he hakina lima (a metacarpal) paha. Pono kekahi mau haʻihaʻi lima i ke kau ʻana i ka splint a i ʻole ke kime. Pono e hoʻoponopono i kekahi me ke kahakaha.
Aia paha kou haki i kekahi o nā ʻāpana aʻe ma kou lima:
- Ma kou knuckle
- Ma lalo pono o kou knuckle (i kapa ʻia i kekahi manawa he haʻihaʻi o ka boxer)
- I ka ʻau a i ʻole ka ʻāpana waena o ka iwi
- I ke kumu o ka iwi, kokoke i kou lima
- ʻO kahi haʻihaʻi i neʻe ʻia (ʻo kēia ka ʻāpana o ka iwi ʻaʻole i kona kūlana maʻamau)
Inā loaʻa iā ʻoe kahi haki maikaʻi ʻole, e hāʻawi ʻia ʻoe i ke kauka iwi (orthopedic surgeon). Pono ʻoe i kahi ʻoki e hoʻokomo i nā pin a me nā pā e hoʻoponopono i ka haki.
E ʻaʻe paha ʻoe i kahi mālamana. E uhi ka splint i kekahi o kou manamana lima a me nā ʻaoʻao ʻelua o kou lima a me kou lima. E haʻi aku kāu mea mālama ola iā ʻoe i ka lōʻihi e pono ai ʻoe e ʻaʻa i ka splint. ʻO ka maʻamau, ʻo ia ma kahi o 3 mau pule.
Hoola maikaʻi ka hapa nui o nā haki. Ma hope o ka hoʻōla, ʻano ʻokoʻa paha kāu knuckle a i ʻole neʻe paha kou manamana lima i kahi ʻokoʻa ke pani ʻoe i kou lima.
Pono kekahi mau haʻi i ke ʻoki. E kuhikuhi ʻia ʻoe i kahi kauka lāʻau orthopedic inā:
- Haki a hoʻoneʻe ʻia kāu mau iwi metacarpal mai kahi
- ʻAʻole kū pololei nā manamana lima
- ʻO kou haki kokoke e hele i loko o ka ʻili
- Ua hele kou haʻi i ka ʻili
- Ua ʻeha a ʻeha paha kou ʻeha
Loaʻa paha iā ʻoe ka ʻeha a me ka pehu ʻana no 1 a 2 mau pule paha. E hoʻemi i kēia:
- E noi i kahi ʻeke hau i kahi ʻeha o kou lima. I mea e pale ai i ka ʻeha o ka ʻili mai ke anuanu o ka hau, wahī i ka ʻeke hau i kahi lole maʻemaʻe ma mua o ka hoʻopili ʻana.
- E hāpai i kou lima i luna o kou puʻuwai.
No ka ʻeha, hiki iā ʻoe ke lawe i ka ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), aspirin, a i ʻole acetaminophen (Tylenol). Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha me ka ʻole o ka lāʻau.
- 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 hāʻawi i ka aspirin i nā keiki.
E hāhai i nā ʻōkuhi a kāu mea hāʻawi e pili ana i ke kau ʻana i kāu splint. E haʻi aku kāu mea hāʻawi iā ʻoe ke hiki:
- E hoʻomaka i ka neʻe ʻana i kou mau manamana lima i ka wā e kau ana i kāu kinikini
- Wehe i kāu kinikini e ʻauʻau ai ʻauʻau paha
- Wehe i kāu splint a hoʻohana i kou lima
E mālama i kāu mālamana a maloʻo paha. ʻO kahi laʻana, ke ʻauʻau ʻoe, wahī i ka māʻama a i ʻole hoʻolei i loko o kahi ʻeke ea.
E loaʻa paha iā ʻoe kahi hōʻike loiloi 1 a 3 mau pule ma hope o kou ʻeha. No nā haʻihaʻi koʻikoʻi, pono paha ʻoe i ka lāʻau hoʻoikaika kino ma hope o ka hemo ʻana o kāu splint a i ʻole mea hoʻolei.
Hiki iā ʻoe ke hoʻi maʻa mau i ka hana a i nā hana haʻuki e pili ana i 8 a 12 mau pule ma hope o ka haki. E haʻi aku kāu mea hoʻolako a mea hoʻoponopono paha iā ʻoe.
Kāhea i kāu mea hāʻawi inā ʻo kou lima:
- ʻIghtmiʻi a ʻeha hoʻi
- ʻAlalā a i ʻole puʻupaʻa
- ʻUlaʻula, ʻōhū, a i ʻole he ʻeha hāmama
- Paʻa e wehe a pani ma hope o ka hemo ʻana o kāu splint a i ʻole mea hoʻolei
Kāhea pū i kāu mea hāʻawi inā hāʻule kāu mea hoʻolei a hoʻokau paha i kou ʻili.
ʻO ka haki o Boxer - ma hope o ka mālama ʻana; ʻO ka haki Metacarpal - mālama ma hope
Lā CS. Nā hakina o nā metacarpals a me nā phalanges. I: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, hua. ʻO keʻoki lima lima ʻōmaʻomaʻo o Green. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 7.
ʻO Ruchelsman DE, ʻo Bindra RR. Nā hakina a me nā dislocations o ka lima. 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 40.
- Nā hōʻeha lima a me nā maʻi ʻole