ʻO nā ʻeha pū pū - ma hope o ka mālama ʻana
Hoʻokumu ʻia kahi ʻeha pū ke kī ʻia kahi poka a i ʻole kahi papahana ʻē aʻe i loko a i ʻole ma o ke kino. Hiki i nā hōʻeha pū kī ke hana i kahi ʻeha koʻikoʻi, e like me:
- Kahe nui ke koko
- Poino i nāʻaʻaʻa a me nā lālā
- Iwi haʻi
- Nā maʻi hōʻeha
- Pālolo
ʻO ka nui o nā pohō e pili ana i kahi o ka ʻeha a me ka wikiwiki a me ke ʻano o ka pōkā. ʻO nā ʻeha pū i ke poʻo a i ʻole ke kino (kōkoʻa) e hoʻonui hou i ka hōʻino. Pili nā ʻeha wikiwiki me ka haki me ka hoʻonui ʻia o ka maʻi.
Inā ʻeha ka ʻeha, ua ʻoki ʻia ʻoe i:
- Uoki ke kahe ʻana
- E hoʻomaʻemaʻe i ka ʻeha
- E ʻike a hemo i nā ʻāpana pōkā
- E ʻike a hemo i nā ʻāpana o ka iwi haʻi a haki paha
- E kau i nā kahawai a i ʻole nā paipu no nā wai a ke kino
- Wehe i nā ʻāpana o, a i ʻole, nā ʻola
ʻO nā ʻeha pū e hele ma waena o ke kino me ka ʻole o ke kī ʻana i nā mea nui, nā kīʻaha koko, a i ʻole ka iwi e hōʻemi i ka hōʻino.
Loaʻa paha iā ʻoe nā ʻāpana pōkā i koe i kou kino. ʻAʻole hiki ke hemo pinepine i kēia mau mea me ka ʻole o ka hōʻino hou ʻana. E hana ana nā ʻili scar a puni i kēia mau ʻāpana i koe, kahi e hōʻeha ai i ka ʻeha mau a i ʻole ka hōʻoluʻolu ʻē aʻe.
Loaʻa paha iā ʻoe kahi ʻeha hāmama a i ʻole kahi ʻeha pani ʻia, kaukaʻi ʻia i kāu ʻeha. E haʻi aku kāu mea mālama ola iā ʻoe pehea e hoʻololi ai i kou ʻaʻahu a mālama i kou ʻeha. E hoʻomanaʻo i kēia mau ʻōlelo aʻoaʻo:
- E mālama i ka lole a me kahi e puni iā ia e hoʻomaʻemaʻe a maloʻo.
- Lawe i nā lāʻau ʻaloʻalo a i ʻole nā mea ʻehaʻeha e like me ke kuhikuhi. Hiki ke hōʻeha ʻia nā ʻeha pū pū no ka mea hiki ke huki ʻia nā mea a me nā ʻōpala i loko o ka ʻeha me ka poka.
- E hoʻāʻo e hoʻokiʻekiʻe i ka ʻeha no laila aia ma luna o kou puʻuwai. Kōkua kēia i ka hoʻoliʻiliʻi. Pono paha ʻoe e hana i kēia ke noho a moe paha i lalo. Hiki iā ʻoe ke hoʻohana i nā uluna e hoʻoholomua i kahi.
- Inā ʻōlelo mai kāu mea hoʻolako ua maikaʻi, hiki iā ʻoe ke hoʻohana i kahi ʻeke hau ma ke kāʻei e kōkua ai me ka pehu. E nīnau i ka manawa hea ʻoe e hoʻopili ai i ka hau. E mālama pono i ka mea hoʻāhu maloʻo.
Hiki i kāu mea hāʻawi ke hoʻololi i kou ʻaʻahu no ʻoe i ka manawa mua. Ke loaʻa iā ʻoe ka maikaʻi e hoʻololi iā ʻoe iho:
- E hāhai i nā ʻōkuhi pehea e hoʻomaʻemaʻe a hoʻomaloʻo ai i ka ʻeha.
- E nānā pono e holoi i kou mau lima ma hope o ka hemo ʻana i kahi lole kahiko a ma mua o ka hoʻomaʻemaʻe ʻana i ka ʻeha.
- E holoi hou i kou mau lima ma hope o ka hoʻomaʻemaʻe i ka ʻeha a kau i ka lole hou.
- Mai hoʻohana i nā mea hoʻomaʻemaʻe ʻili, ʻalekohola, peroxide, iodine, a i ʻole nā kopa me nā kemikona antibacterial ma ka ʻeha ke ʻole e haʻi ʻia e kāu mea lawelawe. Hiki i kēia mau mea ke hōʻino i ka ʻeha o ka ʻeha a hoʻolohi i kou hoʻōla.
- Mai kau i kahi lotion, holika, a lāʻau lapaʻau paha a i ʻole kou ʻeha me ka noi ʻole ʻana i kāu mea hāʻawi.
Inā loaʻa nā kuʻi ʻole hiki ʻole ke hoʻoheheʻe ʻia a i ʻole nā staples, e lawe aku kāu mea lawelawe iā lākou ma waena o 3 a 21 mau lā. Mai huki i kāu mau humuhumu a hoʻāʻo e wehe iā lākou ma kāu iho.
E hoʻomaopopo ka mea hāʻawi iā ʻoe inā maikaʻi ke ʻauʻau ma hope o kou hoʻi ʻana mai i ka home. Pono paha ʻoe e ʻauʻau i ka ʻōpala no kekahi mau lā a hiki i ka hōʻeha ʻana o kou ʻeha e ʻauʻau. E noʻonoʻo:
- ʻOi aku ka ua ma mua o ka ʻauʻau no ka mea ʻaʻole pulu ka ʻeha i ka wai. ʻO ka pulu ʻana i kou ʻeha ke kumu iā ia e wehe hou.
- Wehe i ke kapa komo ma mua o ka ʻauʻau ʻana ke ʻole e haʻi ʻē aʻe. Kūpono ʻole kekahi mau ʻaʻahu. A i ʻole, ʻōlelo paha kāu mea hāʻawi i ka uhi ʻana i ka ʻeha me kahi ʻeke ea e maloʻo mau ai.
- Inā hāʻawi ka mea hāʻawi iā ʻoe i ka OK, holoi mālie i kou ʻeha me ka wai ke ʻauʻau ʻoe. Mai hamo a ʻānai i ka ʻeha.
- E hoʻomaloʻo mālie i ka wahi a puni kou ʻeha me kahi kāwele maʻemaʻe. E hoʻomaloʻo i ka ea ʻeha.
ʻO ka kī ʻia ʻana e ka pū he traumatic ia. Hiki paha iā ʻoe ke haʻalulu, makaʻu no kou palekana, kaumaha, a huhū paha ma ke ʻano he hopena. He mau manaʻo maʻamau maʻamau kēia no kekahi i hala i kahi hanana traumatic. ʻAʻole kēia mau manaʻo i hōʻailona o ka nāwaliwali. E ʻike paha ʻoe i nā ʻōuli ʻē aʻe, e like me:
- Hopohopo
- Moemoeā a pilikia paha e hiamoe ana
- Ke noʻonoʻo nei e pili ana i ka hanana i nā manawa he nui
- Huhū a huhū wale paha
- ʻAʻohe o ka ikaika a me ka makemake ʻole
- Kaumaha a haʻalele ʻia
Pono ʻoe e mālama iā ʻoe iho a hoʻōla i ka naʻau a me ke kino. Inā huhū ʻoe i kēia mau manaʻo, a i ʻole ʻoi aku ma mua o 3 mau pule, e kāhea i kāu mea hāʻawi. Inā mau kēia mau hōʻailona, he mau hōʻailona paha lākou o ka maʻi hope post-traumatic, a i ʻole PTSD. Aia kekahi mau hōʻailona i hiki ke kōkua iā ʻoe e hōʻoluʻolu.
Kāhea i kāu mea hāʻawi inā:
- Piʻi maikaʻi ʻole ka ʻeha a hoʻomaikaʻi ʻole paha ma hope o ka lawe ʻana i nā mea hōʻemi ʻeha.
- Loaʻa iā ʻoe ke kahe koko e kū ʻole ma hope o 10 mau minuke me ke kaomi akahai.
- Hele a wehe kou kapa komo ma mua o ka ʻōlelo a kāu mea hoʻolako he maikaʻi ia e hemo.
Pono ʻoe e kāhea i kāu kauka inā ʻike ʻoe i nā hōʻailona o kahi maʻi, e like me:
- Hoʻonui i ka hoʻokahe ʻana mai ka ʻeha
- Lilo ka auwai i mānoanoa, ʻeleʻele, ʻōmaʻomaʻo, a melemele, a ʻaʻala maikaʻi ʻole (pus)
- Aia kou mahana ma luna o 100 ° F (37.8 ° C) a ʻoi aku paha i ʻoi aku ma mua o 4 mau hola
- ʻIke ʻia nā ʻulaʻula e alakaʻi i kahi ʻeha
ʻO Simon BC, Hern HG. Nā loina hoʻokele eha. 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 52.
Zych GA, Kalandiak SP, Owens PW, ʻoluʻolu ʻo R. Gunshot i nā ʻeha a me nā ʻeha i hōʻeha ʻia. 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 20.
- ʻEha a me nā ʻeha