Clavicle fracture i loko o ke keiki. Nōhie neonatal eha

Nā palapū i hanau i loa, he pono ole, nae, kauka e ho'āʻo e pale aku ia lakou. 'Aʻole i mau wāhine i ka hana hele pono, mai i mau hele i ka hua e like me ka mea i kākauʻia i loko o ka puke no ka obstetricians - nui unpredictable minute. Ia mea ke kumu o ka hihia o ka hewa, mea pōmaikaʻi, ka mea, ua holo nōhie,ʻaʻoleʻoi aku ko lākou kaumaha a me ka mai i koi lōʻihi-makahiki lapaau a me ka hoʻopulapula.

Genera me ka wahi o ka Hawaii o ka fetus

ia e ike i kou kamaiki hapai wahine e he nui e kali, akā, i ka mea ia manawa makau o ka manawa. Kēia mea,ʻaʻole kahaha ko oukou naau, i haawiia pehea scary, a ola ka mea, ua lono, i ka nahunahu hanau. Naʻe, i kekahi mau wāhine loa poina lākou, akā, no hoi i mea ole wale kā lākou mau keiki, e hele ma keia pilikia ala, hui pu ia me ka ho'āʻo nui i ka wa a me ka nui o hilinaʻi nui ma luna o ka hana o ka malihini - kauka.

Maoli, ina oe e manao e pili ana ma ka nahunahu hanau keiki i ia e hoʻolako 'ia ma ka loa traumatic kulana home' ole. ʻaneʻane 40 pule noho i ke keiki i loko o ka mehana opu, lohe ae la i ka pepehi ana o ka naau o kona makuwahine, ai iho la, ha a me ka noho hoopakele ia o ka neoneo ma ka piko - ma pōkole, ua ma loa hōʻoluʻolu ana. Akā, e ka mea kahiko hale literally pushes ia mawaho, kipaku mai iho. A i mea e ike i ke ao hou, ia mea e pono ke hele ma ka puali ololi. Ma keia aoao o ka pēpē hoʻoneʻe i nā iwi o ka puniu wale no, a aole nae oia i haawi i ka weliweli hana a he leo no kona makuwahine. Ma mau, keia ala hiki apuepue ke kapa maikai, aole nae ia i hapai ia i ke ano. 'Aʻole surprisingly, oia i ke ukali ma acee? Iuo oeiia o lesions.

Nōhie neonatal eha

Ma naʻe o ke kaʻina maoli, pinepine i kekahi mea,ʻaʻole loa e like me ka mea pono. Mea pōmaikaʻi, i ka ulu ana o ka laau lapaau i mea e hiki ai i ka i kōkua i nā wāhine inā loaʻa nō kekahi pilikia. Akā, hilinaʻi nui loa ma luna o kauka e hiki ole - ka mea, i ole akua, akā, me ka hou makuwahine e hele pono a me ka iho, i aeʻalo ana i ke kuleana ma luna o 'Oihana.

I ka manaʻo o ka trauma i hanau i ka pēpē ka loaʻa o ka papa inoa o ka hiki Hawaii, a nō kaʻilihune o kekahi pathologies kekahi i hāpai keiki paha ma ka olelo hooholo o ia. Mau nā:

• hypoxia;
• cerebrovascular ulia;
• poino i na moku a me nā aʻalolo;
• fractures, fractures, iwi pohupani hale;
• ruptures o nāʻiʻo;
• hematoma o ka mea na nā loko;
• hemorrhage.

A pau i kēia kani loa scary, o ka oi aku ia oe i manao ia ia mea i ke kanaka mea uuku, e noi nui noonoo, a hiki i ka maʻamau moku'āina. Mea pōmaikaʻi, he kaumaha hanau mā o nā pēpē i mai i hoʻomaka ai loa pinepine. Akā, no ke aha la ka mea, hiki i nā mea a pau? He nui nā pāʻoihana.

kumu

Elue no ka loaa ana i kekahi nā palapū i hānau hiki ke kau. Iwaena o lakou ka poe hana pela pathology o ka hāpai keiki, e like me ka nui o ka fetus a me ka discrepancy o ka hānau Canal,'āno'ē hōʻike, kaula hihia, pololei ole kulana o ka poo ha awina i loko o ka pelvis. Eia hou, na kumu hiki ke wahiʻoi aku ko lākou kiʻekiʻe a haahaa ana o ka pele e hānau ai, stimulation, hewa kulana a me ka makuwahine o ka hana.

I kekahi manawa, kekahi hapa o ke kuleana no hoi ke moe me na kauka i ka hoʻohana 'ia antiquated a me ka pilikia kāu kiʻina hana e like me holo pōʻalo a forceps e hānau ai. Cephalic i ole conducive i ka malama ana i ka pēpē ka ola, akā, e e maikai, ka mea e apuepue e hana me ka mea ma luna o ka pono. A me ke ano nui e olelo ana, i kekahi haiahū kūmau mai ke kūmau i hāpai keiki, a hānau hiki i like nā palapū. Mea pōmaikaʻi, ka mea, IeAUPIIe, IAa IO i akaka koke, ka wā nānā akula au i neonatologist, a 'o ia hoʻi i ka mea ana hiki e lawe koke.

Ua pono, ua e hiki ai ka makuahine ole i ka ae like i hiki mai ai i kona bebe? Mua o nā mea a pau - e hele aku ma luna o nā papa no ka hapai keiki o na wahine, a aʻo pehea e hohola aku ka hana a ke kumu i mea ai nui, e hoolohe i na kauka a me obstetricians. A, o ka papa, e ole hoole i ka caesarean pauku, ina mea e Kiʻi kauka - ka mea, hiki ke kōkua i loaʻa i ka hailona o ka pilikia.

collarbone fracture

A keiki i hanau hele mai kekahi manawa i ka wa a ke poo o ia mai, a me nā poʻohiwi nae. A 'aneʻi, mai ka obstetrician koi kūikawā pololei a me ka palupalu. Inā e hoʻomaka e huki i ke poo nui loa aku ia a pale aku hoi i ka kuapo uuku a puni ka iho (axis), e hiki eaaei hanaʻino i ka palupalu iwi. hiki 'ana a me ka e hoonaukiuki aku keia poino i breech hoʻokali kūpono' puʻe. I mea, heʻia clavicle i loko o ke keiki - o kekahi o ka loa, he pono ole ka hanau ana mā. E like me nā ikepili, ka mea, ua loaa ia ma ka 11-12 kao keiki mai ka 1000.ʻano pinepine, ka mea, ua hoi pu ma nā nā palapū: paresis a me lōlō o nāʻaoʻao, rupture o sternocleidomastoid Muscle, fractures o nā iwi.

lapaʻau '

I loko nō o ka mea i hiki ole i keia ino, e hōʻike i ka loiloi mua nana, ka mea, ua ana i kekahi i loko o ka mau hora mua paha lā. Ka manaʻo e loaʻa i kekahi fracture o ka clavicle i loko o ke keiki ke lawe mai i ke kēia mau hiʻona:

• mahuahua restlessness kao keiki, ilihune ikaika loa ka makemake, ae hoolohi kaumaha ka uku;
• hōʻemi iki nani i loko o ka uha mua āpana;
• asymmetrical pā;
• uncharacteristic kulana o ke poo;
• elevation o kekahi lima ma luna o ka mea'ē aʻe;
• dangling i kekahi o kona mau lima.

Hōʻoia mai lākou Ua ulu maila kauka ke hoʻohana 'ana i ka X-Ray keia hookolokolo ana, i mea e olelo aku unequivocally, ina paha he mea kekahi fracture, a ina paha ka mea, ua huikau. Pinepine, e hiki ke loaʻa mai me ke kōkua o ke palpation, akā, ma keia hihia he mea kekahi kamepiula dislodge'ōpala hoʻi, a exacerbate i ka poino. A mamua o ka mea ia ia ka loa, he pono ole, ka mea hiki ole ke noonoo nonsense fractured clavicle i loko o ke keiki.

lapaʻau

Nā keiki, ka oi aku o ka loa opiopio, na iwi ulu pu laua, e koke, no ka mea, ua nō pahee. A me ka hapanui o na fractures, aole ia i kauoha i kekahiʻano o kūikawā ana, koe wale no i ka mahuahua noonoo ana i ka hana o ke keiki, ao ka hoʻohanaʻana a me ka hoʻololi moena. Ma pohihihi keia hoopii, e pono immobilization, oa lālā immobilization hoʻohana kūikawā bandages a me ka papale hainaka. Eia hoi, ina oe anei e ole laki, oe e pono i ka hana, i ka wā a e houluulu mai lakou i na apana a pau, akā, me ka pahiki o keia mea negligible, no ka mea, he mea pohihihi keia i ka piha fracture o ka clavicle i loko o ke keiki. I ka hopena o keia poino, akā, e aho no ka nele o ia mea, a me ka ka manaʻolana 'ia no kona hoolaia, mea pōmaikaʻi, aneane manawa oluolu. Nolaila, mai hopohopo mua o ka manawa.

ka manaʻolana 'ia

uncomplicated fracture lapaʻau nui, aole e pū kekahi pilikia - no e pili ana i ka pule a hiki i ka paena o ka hewa, he ai-i kapaia o ka palaoa, a ho'ōla ia iho i loko o ka iwi'aʻaʻa, pau ka wa e noho kaʻina. Inā he ua he pohupani hale o ke koena ai, a me ka mea hou trauma e olelo e pili ana i ka ka manaʻolana 'ia o ka pilikia - i loko o kēlā me kēia hihia ka mea, mau, pela no oe e hoolohe i na koi ana o ka hele kauka.

waiwai

Clavicle fracture i loko o ka neonate ana, aole i i ia mea he leo, no ka hiki iki ia ma ka ka hoʻoneʻe o na lala. Eia naʻe, e holoholo ana o ka iwi i poino loa seriously, IeAUPIIe, IAa IO piha ka hoʻoneʻe ua hoihoi hou ia i loko o ka pule a elua. Kekahi mea hoʻonani mā pili me ka poino, i haʻalele loa koke. Ma ke kuhi manaʻo, ua hiki ke olelo aku i ka mau, o ka fracture o ka clavicle i loko o ke keiki e ole i kekahi ka hoʻopuka 'ole i loko o ka wā e hiki mai.