Lawe ʻia nā lako paʻa - palena
Hoʻohana nā mea lapaʻau i nā lako pono e like me nā pin, nā pā, a i nā ʻāwili paha e kōkua ai e hoʻoponopono i ka iwi haki, nā iwi i haehae ʻia, a i ʻole e hoʻoponopono i kahi mea ʻino ma ka iwi. ʻO ka pinepine, pili kēia i nā iwi o nā wāwae, nā lima, a me nā kuamoʻo.
Ma hope, inā loaʻa iā ʻoe ka ʻeha a i ʻole nā pilikia ʻē aʻe e pili ana i nā lakohana, loaʻa paha iā ʻoe kahi ʻokiʻoki e wehe i nā lakohana. Kapa ʻia kēia he ʻoki hoʻohemo lako pono.
No ke kaʻina hana, hāʻawi ʻia ʻoe i ka lāʻau e hōʻino i ka wahi (anesthesia kūloko) ʻoiai ʻoe e ala ala. A i ʻole hiamoe ʻoe no laila ʻaʻole ʻoe e ʻike i kekahi mea i ka wā o ke ʻoki (anesthesia āpau).
E mālama nā mea nānā i kāu kaomi koko, ka helu o ka puʻuwai, a me ka hanu i ka wā o ke ʻoki.
I ka wā o ke kahakaha ʻana,
- E wehe i ka ʻoki ākea a hoʻohana i nā ʻokiʻoki hou a lōʻihi paha e hemo ai i nā lakohana
- Wehe i nā ʻili makaʻu i hana ʻia ma luna o nā lako pono
- Wehe i nā lako kahiko. I kekahi manawa, hoʻokomo ʻia paha nā lakohana hou i kona wahi.
Aia i ke kumu o ke ʻoki, loaʻa paha iā ʻoe nā kaʻina hana ʻē aʻe i ka manawa like. Hiki i kāu kauka lāʻau ke hoʻopau i nā ʻaʻa maʻi ke pono. Inā ʻaʻole i ola nā iwi, hiki ke hana i nā kaʻina hana hou aʻe, e like me ka hoʻopili ʻana o ka iwi.
E pani kāu kaukipō i ka ʻokiʻoki me nā humuhumu, nā staples, a i ʻole ka limu kūikawā. E uhi ʻia me kahi kaula e kōkua ai i ka pale ʻana i ka maʻi.
Nui nā kumu e wehe ʻia ai nā lako paʻa:
- ʻEha mai nā lako paʻa
- Maʻi kīnā
- ʻO ka hopena āpau i nā lakohana
- I mea e pale ai i nā pilikia me ka ulu ʻana o ka iwi i ka poʻe ʻōpio
- Poino nerve
- Lako paʻa
- Iwi i hoʻōla ʻole a hui pono
- He ʻōpio ʻoe a ke ulu nei nō kou mau iwi
Nā pōpilikia no nā kaʻina hana e koi ai i ka sedation:
- Nā hopena i ka lāʻau
- Nā pilikia hanu
Nā pilikia no kekahi ʻano o ke ʻoki ʻana:
- Kahena
- Pūʻulu koko
- Maʻi kīnā
Nā pilikia no ka ʻoki ʻana i nā lako paʻa:
- Maʻi kīnā
- Haki hou o ka iwi
- Poino nerve
Ma mua o ke kahakaha ʻana, loaʻa paha iā ʻoe nā kukuna x o ka lako pono. Hiki paha iā ʻoe ke hōʻoia i ke koko a i ʻole ka mimi.
E haʻi mau i kāu mea mālama ola i nā lāʻau, nā mea hoʻopili, a i ʻole nā mea kanu āu e ʻai ai.
- E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i kekahi lāʻau i mua o kou ʻoki ʻana.
- E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.
- Inā puhi ʻoe, hoʻāʻo e kū. Hiki i ka puhihihi ke hoʻolohi i ka hoʻōla.
- E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 12 mau hola ma mua o ke kaha ʻana.
Pono ʻoe e hoʻokele iā haʻi iā ʻoe ma hope o ka ʻoki ʻana.
Pono ʻoe e mālama i ka maʻemaʻe a me ka maloʻo. E hāʻawi kāu mea hāʻawi iā ʻoe i nā ʻōkuhi e pili ana i ka mālama ʻeha.
E noi i kāu mea lawelawe ke palekana i ka kau ʻana i ke kaupaona a hoʻohana paha i kou lālā. Pehea ka lōʻihi o ke ola ʻana e pili ana inā ua loaʻa iā ʻoe nā kaʻina hana ʻē aʻe, e like me ka hoʻopili ʻana o ka iwi. E noi i kāu mea nāna e hāʻawi i ka lōʻihi o ka hana ʻana e hiki ai iā ʻoe ke hoʻomaka hou i kāu hana maʻamau.
ʻOi ka hapa nui o ka poʻe i ka ʻeha a ʻoi aku ka maikaʻi o ka hana ma hope o ka hemo ʻana o nā lako paʻa.
Baratz ME. Nā maʻi o ka axis forearm. 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 21.
Kwon JY, Gitajn IL, Richter M. Nā hōʻeha wāwae. 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 67.
ʻO Rudloff MI. Nā ʻāpana o ka ʻaoʻao haʻahaʻa In: Azar FM, Beaty JH, eds. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 54.