Mālama ka iwi ʻeha

Hiki ke hana ʻia kahi contusion rib, i kapa ʻia ka iwi ʻeha, ma hope o ka hāʻule ʻana a i ʻole puhi i kāu wahi umauma. Hana ʻia kahi palapū ke haki nā kīʻaha koko liʻiliʻi a hoʻokahe i kā lākou mea i loko o ka mea palupalu ma lalo o ka ʻili. Kuhi kēia i ka ʻili e lilo i kala.

ʻO nā kumu maʻamau o nā iwi ʻaoʻao i pākī ʻia nā ulia kaʻa, nā ʻeha haʻuki, a i ʻole nā ​​hāʻule. Hiki ke hoʻolōʻihi ʻia ka ʻeha kaumaha a lōʻihi paha i nā iwi ʻaoʻao.

• ʻO ka ʻehaʻeha o ka iwi ʻaoʻao ma muli o ka blunt force hiki ke kumu i ke kahe ʻana o ka toto a me ka ʻeha o nā mea ma lalo o ka ʻili.
• Kaukaʻi ʻia i ka ikaika o ka hahau, loaʻa paha iā ʻoe nā mea ʻeha ʻē aʻe, e like me nā iwi ʻaoʻao a haki paha i nā akemāmā, ke ake, nā ʻāʻī a me nā puʻupaʻa. ʻOi aku paha kēia i nā ulia kaʻa a hāʻule paha mai kahi kiʻekiʻe loa.

ʻO nā ʻōuli nui ka ʻeha, ka pehu ʻana, a me ka hoʻoliʻiliʻi o ka ʻili.

• Hiki i ka ʻili ma luna o ka ʻeha ke uliuli, poni, a melemele paha.
• Palupalu a ʻeha hoʻi kahi ʻeha.
• ʻIke paha ʻoe i ka ʻeha ʻelua i kou neʻe ʻana a i ka wā e hoʻomaha ai.
• ʻO ka hanu ʻana, ka ʻū ʻana, ka ʻakaʻaka ʻana, a me ka honi ʻana ke kumu a hoʻonui i ka ʻeha.

Hoʻihoʻi ʻia nā iwi ʻeha i ke ʻano like me nā iwi ʻaoʻao i haki, akā ʻoi ka liʻiliʻi o ka manawa o ka palapū ma mua o ka haki o ka iwi ʻaoʻao.

• He 4 a 6 mau pule paha ka lōʻihi o ka hoʻōla.
• Pono paha kahi X-ray, MRI, a CT scan paha e hōʻoia i ka hōʻoia ʻana a hōʻole i nā hōʻeha koʻikoʻi, e like me ka haʻi o ka iwi ʻaoʻao a i ʻole ʻino i nā mea o loko.
• ʻAʻohe ou kāʻei a i ʻole kahi kaula e hoʻopuni ai i kou umauma no ka mea e mālama kēia i kou mau iwi ʻaoʻao mai ka wā e hanu ai a i ʻole ka puʻu. Hiki i kēia ke alakaʻi i kahi maʻi maʻi (pneumonia).

Eia kekahi mau ala e kōkua ai e hōʻoluʻolu i ka ʻeha a me ka hōʻoluʻolu ke hōʻola ʻoe.

ICING

Kōkua ka Icing i ka hoʻoliʻiliʻi ma ka hoʻoliʻiliʻi ʻana i ke kahe o ke koko ma ia wahi. Hoʻomaʻomaʻo pū kekahi i ka wahi a kōkua i ka hōʻoluʻolu i ka ʻeha.

• E noi i kahi ʻeke hau i kahi ʻeha no 20 mau minuke, 2 a 3 mau manawa i kēlā me kēia lā no ka mea mua a i ʻelua mau lā.
• Hoʻopili i ka ʻeke hau i kahi lole ma mua o ka hoʻopili ʻana i kahi i ʻeha.

NA LAAU PAINI

Inā ʻaʻole koʻikoʻi kou ʻeha, hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn) no ka ʻehaʻeha. Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.

• E kamaʻilio me kāu mea hāʻawi ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, nā maʻi ate, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole nā ​​kahe kūloko i ka wā i hala.
• Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā ​​mea hāʻawi.

Acetaminophen (Tylenol) hiki ke hoʻohana pū ʻia no ka ʻeha e ka hapa nui o ka poʻe.

• Mai lawe i kēia lāʻau inā loaʻa ʻoe i ka maʻi ate a hoʻēmi paha i ka hana ate.
• Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā ​​mea hāʻawi.

Inā koʻikoʻi kou ʻeha, pono paha ʻoe i nā lāʻau ʻehaʻeha a me nā lāʻau lapaʻau (narcotics) e mālama i kou ʻeha i ka wā e hoʻōla ai kou ʻeha.

• E lawe i kēia mau lāʻau i ka manawa i kuhikuhi ʻia e kāu mea hāʻawi.
• Mai inu i ka ʻalekohola, hoʻokele, a hana i nā mīkini kaumaha ke lawe nei ʻoe i kēia mau lāʻau.
• I mea e pale ʻole ai i ka constipated, inu i nā wai hou aʻe, ʻai i nā meaʻai fiber kiʻekiʻe, a hoʻohana i nā palupalu noho.
• I mea e hōʻalo ai i ka nausea a i ʻole ka luaʻi, e hoʻāʻo e lawe i kāu lāʻau ʻeha me ka meaʻai.

E haʻi i kāu mea hoʻolako e pili ana i nā lāʻau ʻē aʻe āu e lawe nei ma ke ʻano he launa lāʻau.

NA HANA HANA

I ka ʻehaʻeha ke hanu ʻoe hiki iā ʻoe ke lawe i nā hanu pāpaʻu. Inā lawe ʻoe i nā hanu pāpaʻu no ka lōʻihi loa, hiki iā ia ke waiho iā ʻoe i ka makaʻu no ka maʻi ponia. I mea e pale aku ai i nā pilikia, hiki i kāu mea hāʻawi ke paipai i nā hoʻoikaika hanu hohonu.

• Hana mālie i ka hanu hohonu a me nā hana hāmaha akahai i kēlā me kēia 2 hola, e kāpae aku i ka mucous mai kou mau māmā a pale i ka hāʻule ʻana o ka ʻāpana hapa. Hoʻokomo paha kāu mea hāʻawi iā ʻoe i kahi mea kūikawā e ana i ka nui o ka ea āu e neʻe ai me kēlā me kēia hanu (spirometer).
• E 10 mau hanu hohonu i kēlā me kēia hola, ʻoiai ʻoe e ala ala i nā pō mua.
• ʻO ka paʻa ʻana i ka uluna a i ʻole ka pale e kūʻē i kou iwi ʻeha i hōʻeha ʻia ka hanu hohonu. Pono ʻoe e inu i kāu lāʻau ʻeha ma mua.
• E haʻi paha kāu mea lawelawe iā ʻoe e hoʻohana i kahi hāmeʻa i kapa ʻia he spirometer e kōkua ai i nā hana hanu.

OLELO HOOLAHA

• Mai hoʻomaha i kahi moe i ka lā holoʻokoʻa. Hiki i kēia ke hoʻoulu i ka wai i kāu mau māmā.
• Mai puhi a hoʻohana paha i nā huahana paka.
• E hoʻāʻo e hiamoe i kahi kūlana semi-kū ʻoluʻolu no nā pō mua. Hiki iā ʻoe ke hana i kēia ma ke kau ʻana i kekahi mau uluna ma lalo o kou ʻāʻī a me kou kua i luna. E kōkua kēia kūlana iā ʻoe e hanu hou me ka ʻoluʻolu.
• Hoʻomaka e hiamoe ma kāu ʻaoʻao i hoʻopili ʻole ʻia ma hope o nā lā mua o ka hōʻeha. E kōkua kēia i ka hanu ʻana.
• Hōʻalo i nā hana ikaika e like me ka hāpai kaumaha, kaomi ʻana, a me ka huki ʻana, a i ʻole nā ​​neʻe e hōʻeha i ka ʻeha.
• E akahele i ka wā o nā hana a pale i ka paʻi ʻana i ka wahi ʻeha.
• Hiki paha iā ʻoe ke hoʻomaka lohi i kāu hana maʻamau o kēlā me kēia lā (ma hope o ke kamaʻilio ʻana me kāu kauka olakino), ke emi nei kou ʻeha a hoʻōla kou ʻeha.

E kāhea koke ʻoe i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻEha ʻaʻole ʻae i ka hanu hohonu ʻana a i ʻole ka puʻu ʻana me ka hoʻohana ʻana i nā mea hōʻemi ʻeha
• Fiva
• Cough a i ʻole ka hoʻonui ʻana i ka mucus e ʻūlū ʻoe
• ʻApu ʻana i ke koko
• Pokole o ka hanu
• Nā hopena o ka lāʻau ʻeha e like me ka nausea, ka luaʻi, a i ʻole ka constipation, a i ʻole nā ​​hopena maʻi e like me ka huehue o ka ʻili, ka pehu ʻana o ka helehelena, a i ʻole ka paʻakikī e hanu

Mālama iā ʻoe iho i ka iwi ʻaoʻaoʻeha; ʻEhaʻeha Rib; Nā iwi ʻiwi i ʻeha; Contusion Rib

• ʻO ka anatomy ribs a me ka lung

Eiff MP, Hatch R. Rib mau haki. I: Eiff MP, Hatch R, hoʻoponopono. Hoʻolaha hakina no ka mālama mua ʻana, hoʻopuka hou ʻia. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2018: chap 18.

Mekia NM. CT i ka musculoskeletal trauma. I: Webb WR, Brant WE, ʻo Major NM, nā ʻaoʻao. Nā Kumumua o ke Kino CT. 5th lā. St Louis, MO: Elsevier; 2020: chap 19.

Raja AS. Hōʻeha Thoracic. 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 38.

ʻO Yeh DD, Lee J. Trauma a me nā ʻeha i hōʻeha ʻia. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 76.