ʻO Colles pululima haʻi - ma hope o ka mālama ʻana

ʻO ka radius ka nui o nā iwi ʻelua ma waena o kou kuʻe lima a me kou lima. ʻO ka haki Colles he haki i ka radius kokoke i ka pūlima. Ua kapa ʻia ka inoa no ke kauka nāna i wehewehe mua iā ia. ʻO ka maʻamau, aia ka haki ma kahi o ka ʻīniha (2.5 centimita) ma lalo kahi e hoʻopili ai ka iwi i ka lima.

ʻO ka haki Colles kahi haʻihaʻi maʻamau e hana pinepine ʻia i nā wahine ma mua o nā kāne. ʻO ka ʻoiaʻiʻo, ʻo ia ka iwi haʻihaʻi maʻamau no nā wahine a hiki i ka makahiki 75.

Hoʻokumu ʻia ka haki lima o Colles e kahi ʻeha ikaika i ka lima. Hiki paha kēia ma muli o:

• Kaʻa ulia kaʻa
• Kāhea i nā haʻuki
• Ke hāʻule nei i ka ski, ke kaʻa paikikala, a i ʻole kekahi hana ʻē aʻe
• Ke hāʻule nei i ka lima kīnā ʻia (ke kumu maʻamau)

ʻO ka loaʻa ʻana o ka osteoporosis kahi pilikia nui no ka haki o nā pulima. Hana ka Osteoporosis i nā iwi palupalu, no laila pono lākou i ka ikaika e uhaʻi. I kekahi manawa ʻo ka pululima haʻihaʻi ka hōʻailona mua o ka iwi lahilahi.

E loaʻa paha iā ʻoe kahi mālamana e kāohi ai i kou lima.

Inā loaʻa iā ʻoe kahi haki liʻiliʻi a neʻe ʻole nā ​​ʻāpana iwi i kahi, e ʻaʻa paha ʻoe i kahi ʻūlū no 3 a 5 mau pule. Pono paha kekahi mau haki iā ʻoe e komo i ka pā no 6 a 8 mau pule paha. Pono paha ʻoe i kahi kiola ʻelua inā hemo loa ka mea mua ke iho i lalo ka pehu.

Inā koʻikoʻi kou haki, pono paha ʻoe e ʻike i kahi kauka kauka (orthopedic surgeon). Hiki i nā mālama ke hoʻopili:

• Ka hoʻohaʻahaʻa pani ʻana, kahi kaʻina e hoʻonohonoho (hoʻoliʻiliʻi) i ka iwi haʻihaʻi me ka ʻoki ʻole
• ʻO ke kaha e hoʻokomo i nā pin a me nā pā e hoʻopaʻa i kou mau iwi ma kahi a i ʻole pani i ka ʻāpana haki me kahi ʻāpana hao

E kōkua i ka ʻeha a me ka pehu.

• E hoʻokiʻekiʻe i kou lima a lima paha ma luna o kou puʻuwai. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka pehu a me ka ʻeha.
• E noi i kahi ʻeke hau i kahi ʻeha.
• E hoʻohana i ka hau no 15 a 20 mau minuke i kēlā me kēia mau hola no nā lā mua i ka iho ʻana o ka ʻōhū.
• I mea e pale ai i ka ʻeha o ka ʻili, wahī i ka ʻeke hau i kahi lole maʻemaʻe ma mua o ka hoʻopili ʻana.

No ka ʻeha, hiki iā ʻoe ke lawe i ka ibuprofen over-the-counter (Advil, Motrin), naproxen (Aleve, Naprosyn), 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 kauka olakino ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi maʻi konohiki, a i ʻole nā ​​maʻi ʻeha o kou ʻōpū a i ʻole nā ​​kahe kūloko i ka wā i hala.
• Mai lawe i nā mea i hōʻike ʻia ma ka ʻōmole.
• MAI hāʻawi i ka aspirin i nā keiki.

No ka ʻehaʻeha loa, pono paha ʻoe i kahi mea hōʻoluʻolu ʻeha kuhikuhi.

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka hoʻokiʻekiʻe ʻana i kou lima a me ka hoʻohana ʻana i ka maʻa.

• Inā he kime kāu, e hāhai i nā ʻōkuhi no kāu hoʻolei a kāu mea hāʻawi i hāʻawi ai iā ʻoe.
• E mālama i kāu mālamana a maloʻo paha.

He mea nui ka hoʻoikaika ʻana i kou manamana lima, kuʻe lima, a me kou poʻohiwi. Hiki ke kōkua iā lākou e hōʻole i kā lākou hana. E kamaʻilio me kāu mea hoʻolako e pili ana i ka nui o ka hoʻoikaika kino e hana a i ka wā hiki iā ʻoe ke hana. ʻO ka maʻamau, makemake ka mea hāʻawi a lāʻau lapaʻau paha iā ʻoe e hoʻomaka i ka neʻe ʻana i kou mau manamana lima i ka wā e hiki ai ma hope o ke kau ʻana o ka splint a i ʻole ka hoʻolei.

Hiki i ka hoʻihoʻi mua ʻana mai ka haʻi lima mai ke 3 a 4 mau mahina a keu. Pono ʻoe i kahi lāʻau hoʻoikaika kino.

Pono ʻoe e hoʻomaka e hana me ka mea hoʻoponopono kino i ka manawa a kāu mea hāʻawi. He paʻakikī paha ka hana a ʻeha hoʻi i kekahi manawa. Akā ʻo ka hana ʻana i nā hana i hāʻawi ʻia iā ʻoe e wikiwiki ai kou ola. Inā he ʻoki ʻoe, hoʻomaka paha ʻoe i ka lāʻau hoʻoikaika kino i mua o ka pale ʻana i ka paʻa o ka lima. Eia naʻe, inā ʻaʻohe ou ʻoki, e hoʻomaka pinepine ʻoe i ka neʻe lima i hope e hōʻole i ka hoʻololi ʻana o ka haki.

Hiki iā ia ke lawe ma kahi o kahi mau mahina a kahi makahiki no kou pulima e hoʻōla piha i kāna hana. He ʻoʻoleʻa a ʻeha hoʻi kekahi poʻe i ko lākou pulima lima no ke koena o ko lākou ola.

Ma hope o ke kau ʻana o kou lima i ka mea hoʻolei a i ʻole splint, e ʻike i kāu mea hāʻawi inā:

• Lohe a paʻa paha kāu kime.
• Ua pehu kou lima a lima paha ma luna a ma lalo paha o kāu mea hoʻolei a i ʻole splint.
• Ke heleleʻi nei kāu mea hoʻolei a hamo a hoʻonāukiuki paha i kou ʻili.
• E hoʻomau a ʻeha a ʻeha paha ka ʻeha a i ʻole ka pehu ʻana.
• He numbness, tingling, a anuanu paha i kou lima a ʻeleʻele paha kou mau manamana lima.
• ʻAʻole hiki iā ʻoe ke neʻe i kou mau manamana lima no ka pehu a ʻeha paha.

Wāwahi radius Distal; Pōlima paʻa

• Colles haki

Kalb RL, Fowler GC. Mālama haʻi. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 178.

Perez EA. Nā ʻāpana o ka poʻohiwi, ka lima, a me ka forearm. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 57.

ʻO Williams DT, ʻo Kim HT. Pālima a me ka forearm. 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 44.

• Nā ʻeha a me nā maʻi o ka lima