E aʻo kākou e pili ana i nā aʻa hohonu i loko o kou mau wāwae. - He aha ke ʻano o ka Posterior Tibial Vein?

Ua noʻonoʻo paha ʻoe pehea e hana ai kēia pūnaewele o nā kīʻaha koko i loko o ko kākou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana groin? E noʻonoʻo paha ʻoe no ke aha i kekahi manawa e pehu ai ko kākou mau wāwae a ʻike ʻia ko kākou mau aa koko. ʻO kahi ʻāpana koʻikoʻi loa o ia mea ʻo ia ka Posterior Tibial Vein. E kamaʻilio kākou e pili ana i kēia i kēia lā ma ke ʻano maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia aʻa koko tibial hope?

I ka ʻōlelo maʻalahi, ʻo kou mau aʻa tibial posterior he ʻano aʻa koko i loko o kou mau wāwae haʻahaʻa, a i ʻole nā ​​​​shins. ʻO kā lākou hana nui ka hōʻiliʻili ʻana i ke koko mai kou mau shins, nā kuʻekuʻe wāwae, a me nā wāwae a hoʻihoʻi iā ia i kou puʻuwai . Loaʻa iā ʻoe hoʻokahi aʻa tibial posterior i kēlā me kēia o kou mau wāwae ʻākau a me hema.

E nānā, he ʻāpana koʻikoʻi loa nā aʻa koko i loko o ko kākou kino o ka ʻōnaehana hoʻohele koko. ʻO lākou nā mea e hoʻihoʻi mai i ke koko i hoʻohana ʻia, nele i ka oxygen i ka puʻuwai mai nā ʻāpana like ʻole o ke kino. E noʻonoʻo iā ia e like me kahi ʻōnaehana e wehe ana i ka wai kahiko mai ko kākou kino a kōkua iā kākou e loaʻa i kahi wai hou.

I ka pōkole, penei ke ʻano o ke kahe ʻana o ke koko:

• ʻO ke koko e haʻalele ana i ka puʻuwai e lawe i ka oxygen i kēlā me kēia ʻiʻo a me nā ʻōkana o ke kino. Ma laila, hāʻawi ia i ka oxygen a lawe i ke kalapona ʻokikene, he huahana ʻōpala.
• A laila, lawe mai kou mau aa koko i kēia koko nele i ka oxygen, waiwai i ke kalapona ʻokikene i kou puʻuwai.
• Hoʻouna ka puʻuwai i kēia koko i nā māmā. Hoʻopau nā māmā i ke kalapona ʻokikene mai ke koko a hoʻohui i ka oxygen hou i loko. (ʻO kēia ka mea e hana ʻia ke hanu mākou i loko a i waho.)
• ʻO ka mea hope loa, hele hou ke koko maʻemaʻe i piha i ka oxygen ma o kou mau aʻa i ke koena o kou kino.

Ola kino kākou no ka mea ke hoʻomau nei kēia pōʻaiapuni.

He aa koko hohonu anei ka Posterior Tibial Vein?

ʻAe, pololei kēlā. ʻO kou mau aʻa tibial hope he ʻano aʻa bipi hohonu . ʻO ke ʻano o ka "Hohonu" ʻaʻole lākou i ʻike ʻia ma ka ʻili o ka ʻili, akā aia ma loko o nā ʻiʻo o ka wāwae, kokoke i nā iwi.

He aha nā ʻano aa koko hohonu ʻē aʻe i loko o nā wāwae?

Ma lalo o ke kuli, ma ka wāwae lalo, aia ʻekolu ʻano nui o nā aʻa hohonu. Aia kēia mau aʻa ʻekolu a kokoke like kekahi me kekahi. Hōʻiliʻili nā mea ʻekolu i ke koko mai nā ʻāpana o kou ʻūhā, nā kuʻekuʻe wāwae, a me nā kapuwaʻi o kou mau wāwae.

• Nā aʻa koko Tibial mua : Hōʻiliʻili kēia i ke koko mai luna o kou shin (ka "dorsum" e like me ka kapa ʻana o nā kauka). Aia lākou ma waho o kou shin.
• Nā aʻa koko Tibial hope : ʻO kēia nā aʻa koko a mākou e kamaʻilio nei. Hōʻiliʻili lākou i ke koko mai loko mai o ka wāwae haʻahaʻa. Aia lākou ma ka ʻaoʻao o loko o nā shins.
• ʻO nā aʻa koko Peroneal Tibial: Hōʻiliʻili kēia i ke koko mai ka ʻaoʻao waho o ke kapuwaʻi (ka mea a nā kauka i kapa ai ʻo "Lateral Aspect"). Aia lākou ma waenakonu o nā shins.

E noʻonoʻo i kēia mau aa koko ʻekolu e like me ʻekolu mau alanui liʻiliʻi i loko o ka wāwae, e hōʻiliʻili ana kēlā me kēia i ke koko mai kona wahi a hui pū me ke alanui nui (e alakaʻi ana i ka puʻuwai).

He aha ka hana a ka Posterior Tibial Vein?

ʻO ka hana nui a maʻalahi hoʻi o kēia, ʻo ia ka hōʻiliʻili ʻana i ke koko mai kou mau wāwae haʻahaʻa a hoʻihoʻi i kou puʻuwai . Ua like ia me kahi lawelawe hōʻiliʻili ʻōpala. Hōʻiliʻili ʻia ke koko i hoʻohana ʻia a hoʻouna ʻia e hoʻomaʻemaʻe ʻia.

Aia i hea kēia mau aʻa koko tibial hope?

Hoʻomaka kou mau aa tibial hope ma kou hui kuʻekuʻe wāwae . Mai laila mai, holo lākou i luna o loko o kou shin. Hoʻopau lākou ma lalo pono o kou kuli.

Ke hiki mai ka ʻiʻo popliteus, aia i loko o ka hui kuli a kōkua i ka hoʻopaʻa ʻana i ke kuli, i kahi e hui ai kēia mau aa tibial hope me nā aa tibial mua i ʻōlelo ʻia ma luna. A laila, hui kēia mau aa ʻelua e hana i kahi aa nui i kapa ʻia ʻo ka aa popliteal . A laila hele kēia aa popliteal i luna a hui pū me ka aa femoral ma ka ʻūhā.

He aha nā kūlana maʻamau e hoʻopilikia ai i nā aʻa koko tibial posterior?

ʻO ka mea pōʻino, i kekahi manawa hiki i kēia mau aa koko koʻikoʻi ke loaʻa i nā pilikia like ʻole. Eia kekahi o nā kūlana e hiki ai ke kumu iā lākou:

• Nā ʻAʻa Koko : ʻO kēia ka manawa e mānoanoa ai ke koko, hana i kahi ʻaʻa koko, a ālai i ke kahe ʻana o ke koko. Hiki i kēia ke lilo i mea weliweli loa.
• Ka lawa ʻole o ke aʻa koko mau loa : ʻO kēia ka wā e hana pono ʻole ai nā valves i loko o nā aʻa koko ma nā wāwae, e paʻakikī ai ke koko e hoʻi i ka puʻuwai. Hiki i kēia ke hana i ke koko e hōʻiliʻili ma nā wāwae haʻahaʻa, e hoʻoulu ai i ka pehu a me ka ʻeha.
• ʻO ka Thrombosis Vein Deep (DVT) : ʻO kēia ka wā e hana ʻia ai kahi clot koko i loko o kahi vein hohonu, e like me ka posterior tibial vein. ʻO ka DVT kahi kūlana e pono ai ka mālama ulia pōpilikia.
• ʻO nā aʻa Varicose : ʻO kēia nā aʻa wili, puʻupuʻu, polū a kekahi poʻe e ʻike ai i ko lākou mau wāwae. Hoʻokumu ʻia kēia kūlana e ka nāwaliwali o nā paia aʻa a i ʻole ka hōʻino ʻana i nā valves.

Mea nui: Inā loaʻa iā ʻoe ka pehu koke, ka ʻulaʻula, ka mehana, a me ka ʻeha ma kou wāwae, he hōʻailona paha ia o ka DVT. Inā hana ʻia kēia, pono ʻoe e ʻike koke i ke kauka.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o nā aʻa koko tibial posterior?

Inā manaʻo kāu kauka he pilikia me kēia mau aa koko, hiki iā lākou ke hana i kekahi mau hoʻokolohua kūikawā.

• ʻO ka Ultrasound DuplexHoʻohana kēia i nā nalu ultrasound alapine kiʻekiʻe e nānā i ke kahe ʻana o ke koko ma o nā aʻa koko a me nā aʻa i kou mau wāwae. He hoʻāʻo maʻalahi a ʻeha ʻole kēia.
• Venogram : Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi mea kūikawā (mea hoʻohālikelike) i loko o kekahi o kou mau aa koko. A laila, lawe lākou i nā kukuna X e ʻike pehea e holo ai ke koko i loko o nā aa koko. Hiki i kēia ke hōʻike maopopo i nā mea e like me nā poloka i loko o nā aa koko.

He aha nā lāʻau lapaʻau no kēia mau kūlana e hoʻopilikia ai i nā aa?

ʻO ka nūhou maikaʻi, aia i kēia manawa he nui nā lāʻau lapaʻau maikaʻi no kēia mau kūlana. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa e pili ana i kou kūlana.

• Nā Kākini Hoʻopaʻa : He ʻano kūikawā kēia o nā kākini e kau ana i ke kaomi i nā wāwae a hoʻomaikaʻi i ke kahe koko.
• Nā lāʻau lapaʻau : Hiki i ke kauka ke kuhikuhi i nā lāʻau hoʻokahe koko (anticoagulants), nā mea e pale ai i ke koko mai ka hoʻopili ʻana. A i ʻole e kuhikuhi paha lākou i nā diuretics, nā mea e wehe ai i ke kahe nui mai ke kino.
• Ambulatory Phlebectomy : Ma kēia kaʻina hana, hoʻomānoʻo ke kauka i kahi ʻāpana o ka wāwae a wehe i nā veins varicose me kahi nila liʻiliʻi.
• ʻO ka lāʻau lapaʻau Thrombolytic i kuhikuhi ʻia e ka catheter : Ma kēia, hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi (catheter) i loko o kahi aa koko a hoʻokomo i kahi lāʻau lapaʻau e hoʻoheheʻe i ke koko.
• Lapaʻau Laser : Hoʻohana kēia i ka mālamalama laser e sila ai i kahi aʻa i hōʻino ʻia.
• Sclerotherapy : Ma kēia lāʻau lapaʻau, hoʻokomo ke kauka i kahi kemika i loko o ke aʻa i hōʻino ʻia. A laila emi ka aʻa a heheʻe, ʻaʻole hiki ke lawe i ke koko.
• ʻOki kino : I kekahi mau hihia, pono paha e wehe ʻia a hoʻoponopono ʻia paha nā aʻa koko i hōʻino ʻia. Ma kekahi ʻano ʻē aʻe, hiki ke hoʻohana ʻia kahi bypass e hoʻololi i ke koko a puni ka aʻa koko i hōʻino ʻia, a i ʻole hiki ke hoʻohana ʻia kahi aʻa koko olakino mai kahi ʻāpana ʻē aʻe o ke kino ma ke ʻano he graft.

He aha kekahi mau ʻōlelo aʻoaʻo no ke ola kino maʻalahi e mālama ai i ke olakino o nā aʻa koko tibial posterior?

Aia kekahi mau mea maʻalahi hiki iā kākou ke hana e mālama i ke olakino o nā aʻa koko i loko o ko kākou mau wāwae a me ke kaʻa holoʻokoʻa. He mea maikaʻi inā e hoʻolilo kākou i kēia i mea maʻamau.

• Mai keʻa ʻana i kou mau wāwae i ka wā e noho ana . Hiki i kēia ke hoʻopilikia i ke kahe o ke koko.
• E hoʻokiʻekiʻe i kou mau wāwae . ʻO nā mea e like me ke kau ʻana i kou mau wāwae ma luna o kahi noho liʻiliʻi i ka wā e noho ana ma kahi noho, a me ka waiho ʻana i kahi uluna ma lalo o kou mau wāwae i ka wā hiamoe hiki ke kōkua i ke kahe ʻana o ke koko i ka puʻuwai.
• E hoʻoikaika kino i nā manawa a pau . ʻO nā hoʻomaʻamaʻa e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana e hoʻoulu ai i nā ʻiʻo o kou mau wāwae a hoʻomaikaʻi i ke kahe ʻana o ke koko.
• E hoʻohana i nā kāmaʻa hoʻopaʻa inā kū ʻoe a noho paha no ka manawa lōʻihi . He mea kōkua nui kēia inā koi kāu hana iā ʻoe e kū no ka manawa lōʻihi.

Leka Lawe-Home

ʻO kou mau aʻa tibial hope nā aʻa hohonu i loko o kou mau wāwae haʻahaʻa . Hōʻiliʻili lākou i ke koko mai kou mau wāwae a me kou mau wāwae a hoʻihoʻi i kou puʻuwai. Hiki i kekahi mau kūlana olakino ke hoʻopilikia i ke kahe ʻana o ke koko ma o kēia mau aʻa. Akā, mai hopohopo. Inā loaʻa iā ʻoe kahi kūlana e hoʻopilikia ai i kou kahe koko, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau maʻalahi a ʻeha ʻole e like me ke komo ʻana i nā stocking compression. ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i kekahi pehu ʻē, ʻeha, a i ʻole nā ​​aʻa e pehu ana i kou mau wāwae. Ma kēia ʻano, hiki ke ʻike koke ʻia a mālama ʻia kekahi mau pilikia.

ʻO ke aʻa Tibial hope, nā aʻa o ka wāwae, nā aʻa hohonu, ke kaʻa ʻana o ke koko, nā ʻūpā koko, nā aʻa Varicose, DVT