Ke kaumaha mau nei kou mau wāwae? ʻEha anei lākou? Malia paha he Chronic Venous Insufficiency (CVI) kēia!

Ke manaʻo nei ʻoe i kekahi manawa ua kaumaha kou mau wāwae e like me ka pōhaku? Ke ʻeha nui nei ʻoe ke kū a hele paha? Ua pehu a ʻeleʻele paha kou mau wāwae ma kekahi mau wahi? ʻAʻole kēia he mau mea wale nō. ʻO ke kumu o kēia, ʻo ia paha ka hana pono ʻole o nā aʻa koko i loko o kou mau wāwae, ʻo ia hoʻi nā aʻa koko e lawe ana i ke koko lepo i ka puʻuwai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia maʻi, ʻo ia hoʻi ka Chronic Venous Insufficiency (CVI) . Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.

He aha ka CVI? I ka ʻōlelo maʻalahi...

ʻO ka maʻi venous insufficiency mau loa, a i ʻole CVI, he maʻi ia o nā aʻa koko i loko o kou mau wāwae i hana ʻia e ka hōʻino ʻia ʻana o nā aʻa koko. E noʻonoʻo e pili ana iā ia, ʻo nā aʻa koko i loko o ko kākou mau wāwae nā mea e lawe i ke koko i hoʻohana ʻia i ka puʻuwai. Aia i loko o kēia mau aʻa koko nā kiwikā liʻiliʻi, e like me nā puka. ʻAe wale kēia i ke koko e kahe i hoʻokahi ʻaoʻao, ʻo ia hoʻi, i luna, i ka puʻuwai. I ka CVI, ua hōʻino ʻia kēia mau kiwikā. A laila hoʻomaka ke koko e hōʻiliʻili i loko o nā wāwae ma kahi o ke kahe pono ʻana i luna. Hoʻonui kēia i ke kaomi i loko o nā aʻa koko.

Hiki ke hana ʻia ʻo CVI e ka hōʻino ʻana i kekahi o nā aʻa koko i kou mau wāwae. ʻO kēia mau mea:

• ʻAʻa koko hohonu: ʻO kēia nā aʻa koko nui e holo hohonu ana i loko o kou kino, ma waena o kou mau ʻiʻo.
• Nā aʻa koko ma luna: ʻO kēia nā aʻa koko e kokoke ana i ka ʻili, ma lalo pono o ka ʻili.
• Nā aʻa koko perforating: ʻO kēia nā aʻa koko liʻiliʻi e like me ke alahaka e hoʻopili ana i nā aʻa koko hohonu a me nā aʻa koko superficial.

ʻOiai hiki i ka CVI ke hoʻokumu mua i nā hōʻailona liʻiliʻi wale nō, i ka hala ʻana o ka manawa hiki i kēia ʻano ke hoʻopilikia i kou ola o kēlā me kēia lā a hoʻoulu i nā pilikia koʻikoʻi.

He aha ka ʻokoʻa ma waena o ka CVI a me ka post-thrombotic syndrome?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, he ʻelua mau mea like ʻole kēia CVI a i ʻole 'post-thrombotic syndrome'? ʻO ka ʻoiaʻiʻo, ʻo kēia mau mea ʻelua e pili ana i ka pilikia like o nā aʻa koko i hōʻino ʻia i nā wāwae. Eia nō naʻe, ʻo ka 'post-thrombotic syndrome' e pili ana i ka CVI i hoʻokumu ʻia e kahi ʻaʻa koko i loko o kahi aʻa koko hohonu (Deep Vein Thrombosis - DVT). ʻO ke ʻano o 'Post-thrombotic' ma hope o ka hana ʻana o kahi ʻaʻa koko (i kapa ʻia hoʻi he 'thrombus'). Ma hope o ka haki ʻana o kēia ʻaʻa koko, hiki ke hōʻino ʻia nā aʻa koko ma ia wahi a hiki ke waiho ʻia nā ʻiʻo ʻeha.

Hoʻomaka ka maʻi post-thrombotic ma waena o 20% a me 50% o ka poʻe i loaʻa ka DVT, maʻamau i loko o hoʻokahi a ʻelua paha makahiki.

Pehea ka maʻamau o CVI?

He mea maʻamau loa ka maʻi venous. No ka laʻana, hoʻopilikia nā aʻa varicose i kahi o hoʻokahi i loko o ʻekolu mau pākeke. I kēlā me kēia makahiki, ma kahi o hoʻokahi i loko o 50 mau kānaka me nā aʻa varicose e loaʻa iā CVI.

ʻO ka maʻamau, ʻike pinepine ʻia ka CVI i ka poʻe ma luna o 50 mau makahiki. Hoʻonui kēia pilikia me ka makahiki.

Ma keʻano holoʻokoʻa, hoʻopilikia ka CVI ma kahi o hoʻokahi i loko o 20 mau mākua.

He aha ka mea e hana ʻia i ke kino me CVI?

Hoʻolohi ka maʻi venous insufficiency (CVI) i ke kahe o ke koko mai kou mau wāwae a i kou puʻuwai. Inā ʻaʻole mālama ʻia, hiki i ka CVI ke hoʻonui i ke kaomi i loko o kou mau aa wāwae a hiki i nā kīʻaha koko liʻiliʻi loa (capillaries) i loko o kou kino ke pohā. Ke hana ʻia kēia, lilo ka ʻili ma ia wahi i ʻulaʻula-ʻeleʻele, a hiki ke maʻalahi ke ʻeha ʻia e kahi ʻoki liʻiliʻi a i ʻole ka ʻeha.

Hiki i kēia mau capillaries pohā ke hana i nā mea aʻe:

• Ka mumū o nā ʻiʻo ma ia wahi.
• Ka hōʻino ʻana o nā ʻiʻo .
• Nā ʻeha stasis venous . He mau ʻeha kēia e kū mai ana ma ka ʻili o ka ʻili a lōʻihi ka manawa e ho'ōla ai.

ʻAʻole e ho'ōla maʻalahi kēia mau ʻeha venous a hiki ke lilo i maʻi. Inā pālahalaha ka maʻi i nā ʻiʻo a puni, ua kapa ʻia ʻo ia he cellulitis . Hiki ke lilo i mea weliweli inā ʻaʻole e mālama koke ʻia.

He aha nā hōʻailona o ka maʻi CVI?

ʻO nā hōʻailona o ka lawa ʻole o ka venous mau loa (CVI) e komo pū paha:

• Manaʻo o ka ʻeha a luhi paha i nā wāwae: Manaʻo kaumaha a me ka ʻeha i nā wāwae, me he mea lā ua luhi ʻoe i ka lā a pau a ʻaʻole hiki ke hoʻoneʻe iā lākou.
• Ke kuni, ka maneʻo, a i ʻole ke ʻano "pine a me nā nila" ma nā wāwae.
• ʻO ka ʻūlū o nā wāwae i ka pō.
• ʻOle ke kala o ka ʻili: ʻIke ʻia he ʻulaʻula-ʻeleʻele.
• Ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae (Edema): Hiki ke ʻike ʻia kēia ma hope o ke kū ʻana no ka manawa lōʻihi a i ʻole i ka hopena o ka lā. Ua like ia me kou mau wāwae e pehu ana ma hope o ka iho ʻana mai kahi kaʻa piha.
• ʻIli maloʻo, ʻōhūhū, a maneʻo paha ma nā wāwae.
• Manaʻo o ka piha a me ke kaumaha ma nā wāwae.
• He ʻāʻī a ʻili ke nānā aku o ka ʻili ma nā wāwae.
• Nā ʻōpū: Loaʻa pinepine kēia mau mea a puni nā kuʻekuʻe wāwae. Inā ʻeha loa kēia mau ʻōpū, hiki ke loaʻa i ka maʻi.
• ʻO nā aʻa Varicose: ʻO nā aʻa e puʻupuʻu a ʻike ʻia he wili ma luna o ka ʻili o ka ʻili.

Inā loaʻa iā ʻoe ka edema koʻikoʻi ma kou ʻāpana groin, hiki ke hana ʻia nā ʻiʻo scar. Hoʻoulu kēia ʻiʻo scar i ka wai e hōʻiliʻili i loko o kou ʻiʻo. Hiki i kou groin ke lilo i mea nui a paʻa i ka pā ʻana. Ke hana ʻia kēia, ʻoi aku ka nui o ka haki ʻana o kou ʻili.

ʻAʻole pono ʻoe e loaʻa i kēia mau hōʻailona āpau i ka manawa hoʻokahi. Hoʻokahi a ʻelua paha āu e loaʻa ai. E hilinaʻi ʻia kāu mau hōʻailona i ka holomua o kou maʻi.

He aha nā pae o CVI?

Ua hoʻokaʻawale ʻia ka maʻi venous i nā pae 0 a 6. ʻO ka "maʻi Venous" kahi huaʻōlelo maʻamau no nā pilikia he nui e hiki ke kū i loko o kou mau aa, me CVI. Ua hoʻokaʻawale ʻia kēia mau pae ma muli o ka mea a ke kauka e ʻike ai (nā hōʻailona lapaʻau) ke nānā ʻo ia i kou mau wāwae.

Eia nā pae o nā maʻi venous:

• Pae 0: ʻAʻohe hōʻailona ʻike ʻia, akā hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka ʻeha o ka wāwae a me ka luhi.
• Pae 1: Hiki ke ʻike ʻia nā kīʻaha koko i ʻike ʻia, nā aʻa koko, a me nā aʻa koko.
• Kahua 2: ʻOi aku ka laulā o nā aʻa Varicose ma mua o 3 milimita.
• Pae 3: Aia ka pehu (edema), akā ʻaʻohe loli o ka ʻili.
• Pae 4: Aia nā loli i ke kala a me/a i ʻole ke ʻano o ka ʻili.
• Pae 5: Aia kahi ʻeha i ho'ōla ʻia.
• Pae 6: Aia kahi ʻeha ikaika (ʻaʻole i ho'ōla ʻia).

E haʻi aku kāu kauka iā ʻoe he maʻi venous insufficiency (CVI) kou inā ʻoe ma ke kahua 3 a ʻoi aku paha. ʻO ke ʻano kēia, ʻoiai he mau aʻa varicose kou, ʻaʻole ia he manaʻo he CVI kou. Akā, he hōʻailona nā aʻa varicose o kahi pilikia me ke kahe koko, a hiki iā lākou ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. No laila, inā ʻike ʻoe i kahi aʻa varicose hou, he mea nui e haʻi i kāu kauka e pili ana i ia mea.

He aha nā kumu o ka maʻi CVI?

ʻO ka maʻi venous insufficiency (CVI) ke hana ʻole nā ​​​​kīwae i loko o kou mau aʻa wāwae. E like me kaʻu i ʻōlelo ai ma mua, kōkua kēia mau kīwae i ka hoʻomau ʻana i ke kahe ʻana o ke koko i hoʻokahi ʻaoʻao (i ka puʻuwai). Inā hōʻino ʻia kekahi o kēia mau kīwae, ʻaʻole ia e pani pono. Hoʻopilikia ka umekaumaha i ke koko e kahe i luna. Akā, hoʻomaka ke koko e kahe i hope. Ua kapa ʻia kēia he venous reflux .

ʻO nā kumu e hana pono ʻole ai nā valves hiki ke lilo i congenital, mua, a lua paha.

• Nā kumu hānau: ʻO kēia nā kīnā i loko o nā aʻa koko i kou mau wāwae i hānau ʻia me ʻoe. No ka laʻana, hānau ʻia kekahi poʻe me ka ʻole o nā valves i loko o ko lākou mau aʻa koko.
• Nā kumu nui: ʻO kēia nā loli i ke ʻano o ka hana ʻana o nā aʻa koko i kou mau wāwae e pale ai iā lākou mai ka hana pono ʻana. No ka laʻana, ʻoi aku ka laulā o kekahi o kou mau aʻa koko a ʻaʻole paha e pani piha kona valve.
• Nā kumu lua: ʻO kēia nā hōʻino i nā aʻa koko i kou mau wāwae i hoʻokumu ʻia e nā maʻi ʻē aʻe. ʻO ka Deep Vein Thrombosis (DVT) ke kumu nui. Ma hope o ka haki ʻana o ke koko (thrombus), noho mau ka ʻiʻo ʻeha ma ia wahi, e hōʻino ana i nā valves.

He aha ke kumu nui o ka CVI?

ʻO ka thrombosis vein hohonu (DVT) ke kumu nui o ka insufficiency venous mau loa (CVI). Hōʻino kēia ʻaʻa koko i nā valves i loko o kou mau aʻa wāwae. ʻOi aku ka nui o ka pilikia o ka poʻe me ka mōʻaukala o DVT i ka hoʻomohala ʻana i ka CVI.

Pehea e loaʻa ai iaʻu ke kauka no CVI?

Hoʻomaopopo ʻia ka maʻi venous insufficiency (CVI) ma o ka hoʻokolokolo kino a me ka ultrasound. I ka wā o ka hoʻokolokolo kino, e hana ke kauka:

• E nānā pono ʻia kou mau wāwae:E nānā ke kauka i nā hōʻailona o CVI, e like me nā ʻeha a me ka hoʻololi ʻana o ka ʻili.
• ʻO ke kani ultrasound vascular: He hoʻāʻo ʻeha ʻole kēia e hoʻohana ana i nā nalu kani e kiʻi i nā kiʻi o kou mau aa koko. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i nā ʻāpana o kou mau aa koko i hōʻino ʻia.

E nānā pū ke kauka i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona. Hiki i kēia ke komo pū me nā hoʻokolohua ʻē aʻe, e like me ka MRI.

He nui ka poʻe me CVI i loaʻa i kahi maʻi i kapa ʻia ʻo Peripheral Artery Disease (PAD) . No laila, e nīnau paha kāu kauka i nā nīnau a hana i nā hoʻokolohua e ʻike ai inā he PAD kou. Inā loaʻa iā ʻoe ʻo CVI a me PAD, e aʻo aku kāu kauka iā ʻoe i nā koho lapaʻau a me nā hana palekana e lawe ai i ka wā e hoʻohana ai i ka lāʻau hoʻopaʻa .

He aha nā lāʻau lapaʻau no CVI?

ʻO nā hoʻololi ʻana i ke ʻano o ka nohona a me ka hoʻōla ʻana i ke kaomi ʻana nā lāʻau lapaʻau nui no ka lawa ʻole o ka venous (CVI). Inā ʻaʻole lawa kēia mau mea, hiki i kāu kauka ke ʻōlelo aku i kahi kaʻina hana a i ʻole ke ʻoki kino. ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ka holomua o kou kūlana a me nā kūlana olakino ʻē aʻe āu. E hoʻopili kāu kauka i kāu hoʻolālā lapaʻau i kāu mau pono.

ʻO nā pahuhopu o ka lāʻau lapaʻau:

• Kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko i loko o kou mau aa.
• Kōkua i ka ho'ōla ʻana i nā ʻeha a hoʻemi i ko lākou hoʻi hou ʻana.
• Ka hoʻomaikaʻi ʻana i ke ʻano o kou ʻili.
• Hoʻemi i ka ʻeha a me ka pehu.

Nā loli o ke ʻano o ka nohona

ʻO ka maʻamau, ʻōlelo nā kauka i nā hoʻololi ʻana i ke ʻano o ka nohona ma ke ʻano he laina mua o ka lāʻau no CVI. ʻO kēia mau mea:

• Ke kiʻekiʻe ʻana o kou mau wāwae: ʻO ka hoʻokiʻekiʻe ʻana i kou mau wāwae ma luna o ka pae o kou puʻuwai hiki ke kōkua i ka hōʻemi ʻana i ke kaomi i loko o nā aa koko i kou mau wāwae. Hiki i kāu kauka ke haʻi aku iā ʻoe e hana i kēia ma ka liʻiliʻi he ʻekolu manawa i ka lā no 30 mau minuke a ʻoi aku paha.
• Hoʻoikaika Kino: Hiki i ka hele wāwae a me nā hoʻoikaika kino ʻē aʻe ke hoʻomaikaʻi i ke kahe koko i loko o nā aʻa o kou mau wāwae. I kēlā me kēia manawa āu e hele ai i kahi kapuaʻi, ʻūlū kou mau ʻiʻo bipi a kōkua i nā aʻa e hoʻihoʻi i ke koko i kou puʻuwai. Ua kapa ʻia kēia "pamu ʻiʻo bipi" ʻo kou "puʻuwai lua." ʻO ia ka mea e hoʻoneʻe i ke koko i luna o kou mau wāwae e kūʻē i ka umekaumaha, he mea nui loa ia no ke kahe koko. No laila, ʻo ka hoʻoikaika ʻana i kou mau ʻiʻo bipi hiki ke hoʻomaikaʻi i ke kahe koko. Hiki i kāu kauka ke ʻōlelo aku i nā hoʻoikaika kino e hohola a kulou i kou mau wāwae a me nā kuʻekuʻe wāwae.
• Hoʻokele kaumaha: ʻO ka momona nui hiki ke kau i ke kaomi ma kou mau aa koko a hōʻino i kou mau valves. E nīnau i kāu kauka i ke kaumaha olakino nou. E hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā olakino a hiki ke hoʻokele ʻia e hiki ai i kēlā kaumaha.

Hoʻōla hoʻopili

Hoʻomaopopo pinepine nā kauka i ka lāʻau hoʻopaʻa e mālama ai i ka CVI. Kōkua ka lāʻau hoʻopaʻa i ka hōʻemi ʻana i ka pehu a me ka ʻoluʻolu ʻole i kou mau wāwae.

Aia nā ʻano kāmaʻa hoʻopaʻa a me nā socks like ʻole. ʻOi aku ka paʻa o kekahi ma mua o nā mea ʻē aʻe. Pono nā kāmaʻa paʻa loa i ke kauka. ʻO kekahi mau kāmaʻa he "graduated," ʻo ia hoʻi, hoʻonui lākou i ka paʻa ma ke kuʻekuʻe wāwae a emi iho ka paʻa i kou neʻe ʻana i luna o ka wāwae. He mea nui e hahai i nā ʻōlelo a kāu kauka e pili ana i ke ʻano o ka hoʻopaʻa ʻana āu e pono ai a me ka wā e hoʻohana ai.

He nui ka poʻe me CVI e paʻakikī ana i ke komo ʻana i nā stockings compression no ka manawa lōʻihi. Akā he mea nui loa ka lāʻau hoʻopaʻa ʻana e mālama pono i kou mau aa a hōʻemi i kāu mau hōʻailona. Inā pilikia ʻoe me ka lāʻau hoʻopaʻa ʻana, e kamaʻilio me kāu kauka. Pono paha ʻoe i kahi ʻano stocking ʻokoʻa. A i ʻole, hiki i kāu kauka ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e hiki ai ke maʻalahi iki i kāu hoʻolālā lapaʻau.

Inā ʻaʻole kōkua nā socks, e kuhikuhi paha kāu kauka i kahi ʻano hana i kapa ʻia ʻo intermittent pneumatic compression (IPC) . Ua like nā mea IPC me nā lima inflatable āu e ʻaʻahu ai ma kou mau wāwae. Kōkua kēia i ka mālama ʻana i ke koko e kahe ana ma kou mau aa.

Pono ka poʻe me ka maʻi arterial peripheral (PAD) e makaʻala loa i ka lāʻau hoʻopili. Ma muli o ke koʻikoʻi o kāu PAD, hiki i kāu kauka ke haʻi aku iā ʻoe ʻaʻole e hoʻohana iki. E hahai pono i nā ʻōlelo a kāu kauka.

Nā lāʻau lapaʻau

ʻO nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka CVI:

• Nā lāʻau lapaʻau antibiotic: E mālama i nā maʻi ʻili a i ʻole nā ​​​​ʻeha i hoʻokumu ʻia e CVI. ʻAʻole mālama kēia mau lāʻau i ka maʻi kumu.
• Nā Anticoagulants (nā mea hoʻokahe koko): E mālama i nā ʻōpū koko a pale i nā ʻōpū koko e hiki mai ana.
• Kāmaʻa Unna : He kāʻei paʻa loa kēia kāʻei i hana ʻia me nā papa he nui o ke kaomi a me kahi ʻaʻahu ʻeha i loaʻa ka gel zinc oxide.

Lapaʻau ʻoki ʻole

ʻO nā lāʻau lapaʻau ʻoki ʻole no CVI e komo pū me:

• Sclerotherapy: Hoʻokomo kāu kauka i kahi huʻa a wai paha i loko o kou mau aʻa kolo a i ʻole nā ​​aʻa varicose. ʻO kēia ke kumu e emi ai a nalowale ai ke aʻa.
• ʻO ka hoʻopau wela endovenous: Kuhi kēia ʻano hana i nā aʻa nui. Hoʻohana ia i nā kukuna laser a i ʻole nā ​​​​hawewe lekiō kiʻekiʻe e hana i ka wela nui. Hoʻopaʻa kēia wela i ka aʻa maʻi, akā no ka mea aia ia i loko o ke kino, he kakaikahi loa ke kahe koko a i ʻole ka ʻeha.

Lapaʻau ʻoki kino

ʻO nā koho ʻokiʻoki no CVI:

• Hoʻopaʻa a me ka wehe ʻana:Hana pinepine ʻia kēia mau kaʻina hana ʻelua. I ka hoʻopaʻa ʻana o nā aʻa, ʻoki a nakinaki ke kauka i nā aʻa pilikia. ʻO ka wehe ʻana i kahi aʻa nui ma o ʻelua mau ʻoki liʻiliʻi.
• ʻO ka microincision/ambulatory phlebectomy: He hana minimally invasive kēia. Hoʻopili ia i nā veins varicose ma luna pono o ka ʻili o ka ʻili. Hana ke kauka i nā ʻoki liʻiliʻi a i ʻole nā ​​​​​​punctures i loko o kou mau veins me kahi nila. A laila, hoʻohana ʻia kahi lou phlebectomy e wehe i nā veins pilikia.
• ʻO ke ʻoki ʻana i ka Endoscopic Perforator Subfascial (SEPS): He hana hoʻopilikia iki kēia. Hoʻolālā ia i nā aa perforating ma luna o kou kuʻekuʻe wāwae. Hoʻohana ke kauka i kahi clip e pani i nā aa i hōʻino ʻia i ʻole e kahe ke koko. Kōkua ʻo SEPS i nā ʻeha e ho'ōla a kōkua pū kekahi i ka pale ʻana iā lākou mai ka hana hou ʻana.
• ʻO ke kāʻei ʻana o nā aʻa: Ua like kēia me ke ʻoki ʻana o ka puʻuwai, akā hana ʻia ma kahi ʻokoʻa. Lawe kāu kauka i kahi aʻa olakino mai kahi ʻāpana ʻē aʻe o kou kino a hoʻohana iā ia e hana i kahi ala hou no ke kahe ʻana o ke koko a puni ka aʻa i hōʻino ʻia. Hoʻohana wale nā ​​​​kauka i kēia kaʻina hana i nā hihia koʻikoʻi loa, ke hāʻule nā ​​​​lāʻau lapaʻau ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka CVI?

Inā he mau kumu pilikia kou no CVI, ʻoi aku ka nui o kou loaʻa ʻana i ka maʻi ma mua o nā poʻe ʻē aʻe. ʻO nā kumu pilikia:

• Loaʻa ka moʻolelo o ka deep vein thrombosis (DVT) (ʻo ia ka mea nui loa).
• Nā aʻa varicose a i ʻole ka mōʻaukala ʻohana o nā aʻa varicose.
• Ka momona.
• Ka hāpai ʻana.
• ʻAʻole lawa ka hana kino.
• Ka puhipaka a me ka hoʻohana ʻana i ka paka.
• Ke noho ʻana a kū ʻana paha no ka manawa lōʻihi (e like me nā kumu, nā limahana hale kūʻai, nā kiaʻi palekana, a pēlā aku).
• Ke hiamoe nei ma ka noho a i ʻole ka noho lima.
• ʻO ka maʻi May-Thurner.
• ʻOiai he wahine.
• ʻOiai ma luna o 50 mau makahiki.

Hiki ke pale ʻia ka CVI?

I kekahi manawa, ʻaʻole hiki ke pale ʻia ka CVI. Akā, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka CVI a me nā pilikia vascular ʻē aʻe ma ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona. ʻO kēia mau mea:

• E pale i ka puhipaka a me ka hoʻohana ʻana i ka paka.
• E pale i ke komo ʻana i nā lole paʻa, ʻo ia hoʻi ke komo ʻana i nā kāʻei a i ʻole nā ​​kāʻei paʻa.
• Mai noho a kū paha no ka manawa lōʻihi. E ala a neʻe a puni i nā manawa he nui e like me ka hiki.
• E ʻai i ka meaʻai olakino no ka puʻuwai. ʻO kēia ka hōʻemi ʻana i kāu ʻai paʻakai (sodium).
• E hoʻoikaika kino i nā manawa a pau .
• E mālama i ke kaumaha olakino.

Inā ua loaʻa iā ʻoe ka DVT, hiki i kāu kauka ke kuhikuhi i nā lāʻau hoʻokahe koko (anticoagulants).

He aha ka mea e hiki mai ana i kahi kanaka me CVI?

ʻAʻole maʻamau ka CVI i mea hoʻoweliweli i ke ola a i ʻole ka hoʻoweliweli i ke ola. Eia nō naʻe, he maʻi holomua ia e hiki ai ke hoʻoulu i ka ʻoluʻolu ʻole, ka ʻeha, a me ka emi ʻana o ka leʻaleʻa o ke ola. Hiki i ka lāʻau lapaʻau ke kōkua i ka kaohi ʻana i kāu mau hōʻailona a hoʻomaikaʻi i kou ʻano ola.

He paʻakikī ke ho'ōla ʻia nā ʻeha venous a hiki ke hoʻi hou mai me ka mālama ʻia. He mea nui loa e hele i nā manawa a pau o kāu kauka a hahai pololei i nā kuhikuhi a kāu kauka.

Hiki ke ho'ōla loa ʻia ka CVI?

ʻAʻole hiki i nā lāʻau lapaʻau ke hoʻohuli i ka pōʻino i kou mau kīʻaha aa. Akā hiki iā ʻoe ke hōʻemi i kāu mau hōʻailona a ola i kahi ola maikaʻi aʻe. Hiki i kekahi mau kaʻina hana a me nā ʻoki kino ke kuhikuhi a wehe i nā aa i hōʻino ʻia i ʻole e kahe ke koko ma o lākou.

Eia kekahi, ʻaʻole hiki ke ho'ōla piha ʻia ka maʻi venous insufficiency (CVI). Akā hiki iā ʻoe ke hoʻokele i ke kūlana me nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau ʻē aʻe i ʻōlelo ʻia e kāu kauka.

Pehea e mālama ai kekahi me CVI iā lākou iho?

E haʻi aku kāu kauka iā ʻoe pehea e mālama ai i ka CVI ma ka home. Eia kekahi mau ʻōlelo aʻoaʻo laulā:

• Mai kū a noho paha no ka manawa lōʻihi. I nā holo kaʻa lōʻihi a i ʻole nā ​​holo mokulele, e kulou a hoʻolōʻihi i kou mau wāwae, nā wāwae, a me nā kuʻekuʻe wāwae ma kahi o 10 mau manawa i kēlā me kēia 30 mau minuke. Kōkua kēia i ke kahe ʻana o ke koko ma o nā aa koko i kou mau wāwae. Inā pono ʻoe e kū no ka manawa lōʻihi, e hoʻomaha pinepine a noho i lalo me kou mau wāwae i hoʻokiʻekiʻe ʻia.
• E nānā i kou ʻili. E nānā i kou ʻili i kēlā me kēia manawa āu e ʻauʻau ai. Inā ʻike ʻoe i kekahi mau loli, e like me nā ʻeha hou, e kāhea i kāu kauka.
• E hoʻokiʻekiʻe i kou mau wāwae. I kou noho ʻana a i ʻole kou moe ʻana, e mālama i kou mau wāwae ma luna o ka pae o kou puʻuwai.
• E hoʻoikaika kino i nā manawa a pau . He mea maikaʻi loa ka hele wāwae no nā aa koko ma kou mau wāwae.
• E kāohi i kou kaumaha. E mālama i kahi kaumaha olakino nou. E kamaʻilio me kāu kauka e pili ana i kēlā kaumaha.
• E mālama i ka maʻemaʻe o ka ʻili. E holoi i kou ʻili i kēlā me kēia lā a kau i ka moisturizer. E nīnau i kāu kauka i ka moisturizer maikaʻi loa no kou ʻili. ʻO ka mālama ʻana i kou ʻili i ka hoʻomaʻū ʻia e hiki ke kōkua i ka pale ʻana iā ia mai ka maloʻo ʻana, ka nahā ʻana, a me ka lilo ʻana i maʻi. Hiki i kāu kauka ke ʻōlelo aku i nā kirīmi e hōʻemi i ka maneʻo, pale i kou ʻili, a pale aku paha i nā maʻi fungal.
• E komo i nā stockings compression inā ʻōlelo kāu kauka iā lākou. ʻO kēia kekahi o nā ala maikaʻi loa e mālama ai i ka CVI. Aia nā ʻano like ʻole, no laila e hahai i nā kuhikuhi a kāu kauka no ke ʻano kūpono loa iā ʻoe. Eia kekahi, e nīnau i kāu kauka pehea e holoi ai a mālama ai i kāu mau stockings.

Āhea wau e ʻike ai i ke kauka?

Inā he mau kumu pilikia kou no ka maʻi venous insufficiency (CVI), e ʻike i kāu kauka. Hiki i kāu kauka ke loiloi i kāu mau kumu pilikia a kōkua iā ʻoe e hōʻemi iā lākou.

Inā loaʻa iā ʻoe ka CVI, e hele i nā manawa a pau o kāu kauka a e hahai i nā ʻōlelo a ke kauka e pili ana i ka wā e hoʻi mai ai.

E kāhea aku i ke kauka i kēia manawa:

• Inā he mau nīnau kāu e pili ana i kou kūlana.
• Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole e loli ana kāu mau hōʻailona.
• Inā ʻaʻole paʻa pono kāu mau kāmaʻa hoʻopaʻa, ʻaʻole pono e ʻāwili a ʻūmiʻi paha. ʻO nā kāmaʻa elastic i paʻa ʻole hiki ke hoʻonui i kou kūlana, no ka mea hiki iā lākou ke kaupalena i ke kahe koko ma o ka wahi ʻāwili.

I ka manawa hea e hele ai i ka mālama ulia pōpilikia

Inā loaʻa iā ʻoe nā hōʻailona o ka embolism pulmonary, e kelepona koke i kāu helu ulia pōpilikia kūloko. He pilikia hoʻoweliweli ola kēia o ka deep vein thrombosis (DVT). Pono ia i ka mālama koke ʻana i ke kauka.

He aha nā nīnau āu e nīnau ai i ke kauka?

Nui nā mea e aʻo ai e pili ana i ka chronic venous insufficiency (CVI). Mai kānalua e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. Hiki paha iā ʻoe ke nīnau i kēia mau nīnau:

• I loko o ke kahua hea o ka lawa ʻole o ka venous insufficiency (CVI) aʻu e noho nei?
• Pehea e mālama ai i ka CVI ma ka home?
• Pehea e hiki ai iā ʻoe ke kōkua iaʻu e hoʻomau i ka hoʻohana ʻana i ka compression therapy?
• Pono anei au i kahi hana a i ʻole ke ʻoki kino?
• He aha kaʻu e hana ai e pale aku i ka lilo ʻana o koʻu maʻi CVI i mea ʻino?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻOi aku ka nui o nā pilikia o nā aa ma mua o kahi pilikia hoʻonaninani. ʻOi aku ka ʻino o ka maʻi venous insufficiency (CVI) i ka hala ʻana o ka manawa, a hiki iā ia ke loaʻa ka hopena nui i kou ola maikaʻi.

Inā ua ʻeha ʻoe i nā aʻa varicose no kekahi manawa, e huhū paha ʻoe a makemake e nalo koke aku. ʻO ka mea pōmaikaʻi, he nui nā mea hiki iā ʻoe ke hana iā ʻoe iho e hoʻokele i kāu mau hōʻailona a noho olakino. Akā he mea nui e pili i ka hoʻolālā. E kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e mālama i kahi hoʻolālā lapaʻau i kēlā me kēia lā a hana i ka lāʻau hoʻopaʻa i kahi mea hiki iā ʻoe ke hana. ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua.

ʻO ka lawa ʻole o nā aʻa koko mau loa, CVI, pehu wāwae, nā aʻa varicose, maʻi aʻa, ʻeha wāwae, DVT