Hoʻoponopono i nā manamana lima a i ʻole nā ​​manamana wāwae

ʻO ka hoʻoponopono ʻana o nā manamana lima a ʻo nā ʻūmū pūnaewele paha ke keʻoki e hoʻoponopono i ka webbing o nā manamana wāwae, nā manamana, a ʻelua paha. ʻO ka manamana waena a me nā manamana lima a i ʻole ka manamana ʻelua a ʻekolu hoʻi e hoʻopili pinepine ʻia. ʻO ka hapanui pinepine hana ʻia kēia kaha ke ke keiki ma waena o 6 mau mahina a me 2 mau makahiki.

Hana ʻia ke kaha ma ke ʻano aʻe:

• Hāʻawi ʻia ka anesthesia laulā. ʻO kēia ka hiamoe o kāu keiki a ʻaʻole ʻeha kona ʻeha. A i ʻole hāʻawi ʻia ka anesthesia āpana (spinal and epidural) i ka lima a me ka lima. Hoʻohana pinepine ʻia ka anesthesia ākea no nā keiki ʻōpio no ka mea ʻoi aku ka maikaʻi o ka mālama ʻana iā lākou ke hiamoe lākou.
• Kaha ka mea hoʻopuka i nā wahi o ka ʻili e pono ai ka hoʻoponopono.
• ʻOkiʻoki ʻia ka ʻili i loko o nā pale, a ʻokiʻoki ʻia nā mea palupalu e hoʻokaʻawale i nā manamana a i ʻole nā ​​manamana wāwae.
• Humuhumu ʻia nā pale i ke kūlana. Inā pono, lawe ʻia ka ʻili (graft) mai nā wahi ʻē aʻe o ke kino e uhi i nā wahi e nalo ana ka ʻili.
• Hoʻopili ʻia ka lima a me ka wāwae paha me ka wahī nui a i ʻole ke kī ʻana i hiki ʻole ke neʻe. ʻAe kēia i ka hoʻōla.

ʻO ka pūnaewele maʻalahi o nā manamana lima a me nā manamana wāwae wale nō ka ʻili a me nā mea palupalu ʻē aʻe. ʻOi aku ka paʻakikī o ke kaha ʻana inā pili ia i nā iwi i hoʻopili ʻia, nā ʻalolo, nā kīʻaha koko, a me nā uaua. Pono paha e hoʻoponopono hou i kēia mau hale i mea e neʻe ai nā helu.

Kūkā ʻia kēia ʻoki kino inā pilikia ka webbing i nā helehelena, a i ʻole i ka hoʻohana ʻana a i ʻole ka neʻe ʻana o nā manamana lima a me nā manamana wāwae.

Nā pōpilikia no ka anesthesia a me ke kahakaha ma nā ʻano āpau:

• Pilikia i ka hanu ʻana
• Nā hopena i nā lāʻau
• Kahe ʻana o ke koko, ʻaʻa koko, a maʻi paha

ʻO nā pilikia ʻē aʻe e pili ana i kēia ʻoki pū me kēia:

• Poino mai ka loaʻa ʻole o ke koko i ka lima a me ka wāwae
• Ka nalowale ʻana o nā hāpau ʻili
• ʻOʻoleʻa o nā manamana lima a me nā manamana wāwae
• Nā ʻeha i nā kīʻaha koko, nā ʻāʻī, a i ʻole nā ​​iwi i nā manamana lima

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kēia:

• Fiva
• Pākuʻi ʻia nā manamana lima, numb, a i ʻole loaʻa i kahi kani bluish
• ʻEha nui
• ʻŌhū

E haʻi i ke kaukipō o kāu keiki i nā lāʻau a kāu keiki e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

• E noi i kāu kauka i nā kauka āu e hāʻawi mau ai i kāu keiki i ka lā o ke ʻoki.
• E hoʻomaopopo koke i ke kauka ke loaʻa i kāu keiki kahi anuanu, flu, wela, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe ma mua o ke ʻoki.

I ka lā o ke kaha:

• E noi ʻia paha ʻoe ʻaʻole e hāʻawi i kāu keiki i kekahi mea e ʻai ai a inu ai 6 a 12 mau hola ma mua o ke kaʻina hana.
• E hāʻawi i kāu keiki i nā lāʻau a ke kauka i haʻi aku ai iā ʻoe e hāʻawi me kahi wahi wai liʻiliʻi.
• E hōʻea pono i ka haukapila i ka manawa kūpono.

Pono ka noho haukapila o 1 a 2 mau lā.

I kekahi manawa hoʻonui ka mea hoʻolei ma waho o nā manamana lima a me nā manamana wāwae e pale ai i kahi i hoʻoponopono ʻia mai ka ʻeha. ʻO nā kamaliʻi liʻiliʻi i hoʻoponopono i ka manamana pūnaewele i pono ka hoʻolei e piʻi i luna o ka kuʻe lima.

Ma hope o ka hele ʻana o kāu keiki i ka hale, e kāhea i ke kaukipō inā ʻike ʻoe i kēia:

• Fiva
• Pākuʻi ʻia nā manamana lima, numb, a i ʻole loaʻa i kahi tinge bluish
• ʻEha ʻeha (hiki i kāu keiki fussy a uē mau paha)
• ʻŌhū

Kūleʻa pinepine ka hoʻoponopono. Ke hoʻokaʻawale nā ​​manamana lima i hoʻokahi manamana lima, ʻaʻole hiki ke hana ʻia i ʻelua mau kui kuʻi maʻamau. E nānā aku kekahi kui i mea maʻamau ma mua o kekahi. Pono kekahi mau keiki i kahi ʻoki ʻelua inā paʻakikī ka webbing.

ʻAʻole e nānā a hana like paha nā manamana lima i hoʻokaʻawale ʻia.

Hoʻoponopono manamana lima pūnaewele; Hoʻoponopono hou i ka wāwae o ka pūnaewele. Hoʻoponopono Syndactyly; Hoʻokuʻu Syndactyly

• Ma mua a ma hope o ka hoʻoponopono ʻana o ka manamana pūnaewele
• Syndactyly
• Hoʻoponopono i nā manamana pūnaewele - pūnaewele

Kay SP, McCombe DB, Kozin SH. Nā deformities o ka lima a me nā manamana lima. 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 36.

Mauck BM, Jobe MT. ʻO nā anomalies congenital o ka lima. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 79.