Ke nānā ʻoe i kou mau wāwae, ʻike anei ʻoe i nā aa koko polū a poni paha e like me ka wili a me ke kui ʻia e like me nā ilo? ʻEha anei kou mau wāwae ke kū ʻoe a hele paha no ka manawa lōʻihi? Pehu anei kou mau wāwae a kaumaha i ke ahiahi? A laila loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo Varicose Veins , he mea maʻamau i nā poʻe he nui. Makaʻu ka poʻe he nui i ke ʻoki kino no kēia, a ʻaʻole lākou makemake iā ia no ka mea he lōʻihi ka manawa. Akā, mai hopohopo, i kēia manawa aia kahi lāʻau maʻalahi a maikaʻi hoʻi e hiki ke ho'ōla i kēia mau aa koko varicose me ka ʻole o ke ʻoki kino. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Endovenous Thermal Ablation?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā he mea maʻalahi loa ka mea e hana ʻia ma kēia hihia. ʻO ka Endovenous Thermal Ablation kahi hana e hoʻohana ai i ka ikehu wela (nā kukuna laser kūikawā a i ʻole nā nalu lekiō) e sila i ke aʻa pilikia mai loko mai, me ka ʻole o ka hana ʻana i kahi ʻoki nui.
E noʻonoʻo ʻoe he paipu wai kahiko kou i loko o kou hale e kahe ana ka wai. I kēia manawa, ʻoiai ke holo nei kēia paipu ma ka paia, he mea paʻakikī ke wehe loa iā ia. Akā, hoʻohana mākou i kahi ʻano hana kūikawā e pani a sila i ka leaka mai loko mai o ka paipu. ʻO ia ka mea e hana ʻia ma kēia lāʻau lapaʻau. Ma kahi o ka ʻoki ʻana a me ka wehe ʻana i ke aʻa pilikia, sila mākou iā ia mai loko mai. A laila, hana maʻamau ke kahe koko i loko o ke kino ma o nā aʻa olakino a maikaʻi.
No ke aha mākou e pono ai i kēia lāʻau lapaʻau?
Inā he mau aa koko varicose waena a nui paha kou i kou mau wāwae, kūpono paha kēia lāʻau lapaʻau iā ʻoe. E nānā kākou i ke kumu e ulu ai nā aa koko varicose. ʻO nā aa koko i loko o ko kākou kino, ʻoi aku hoʻi i nā wāwae, he mau puka liʻiliʻi e wehe ana i hoʻokahi wale nō ʻaoʻao e kōkua i ka neʻe ʻana o ke koko i luna, ʻo ia hoʻi, i ka puʻuwai. Kāhea mākou i kēia mau valves . Ke nāwaliwali a hōʻino ʻia paha kēia mau valves, kahe hou ke koko i lalo ma kahi o ka piʻi ʻana i luna a hōʻiliʻili i loko o nā aa koko. Ke piha kēia koko, pehu nā aa koko, wili, a ʻike ʻia ma ka ʻili o ka ʻili.
Eia kekahi o nā pilikia i hoʻokumu ʻia e kēia kūlana:
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha wāwae a me ka nausea | ʻOiai hoʻi i ke kū ʻana no ka manawa lōʻihi, i ke ahiahi, ʻeha koʻu mau wāwae a manaʻo wau e luaʻi ana. |
| Ke kaumaha ma nā wāwae | Ua like ke kaumaha o koʻu mau wāwae me he pōhaku ʻelua lā. |
| ʻĀnai | ʻO ka ʻāʻī o ka ʻili a puni nā aa koko. |
| Nā ʻūpā wāwae | ʻEha nui ma nā wāwae, ʻoi aku hoʻi i ka pō, i ka wā e hiamoe ana. |
| Pehu ʻana | Ka pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae i ka hopena o ka lā. |
Hana ʻia kēia lāʻau lapaʻau no kekahi poʻe no nā kumu hoʻonaninani no ka mea he ʻino ke ʻano o ko lākou mau wāwae ma muli o kēia mau aʻa varicose. Ma hope o ka mālama pono ʻana, emi a nalowale nā aʻa i ʻike ʻia, e hāʻawi hou ana i nā wāwae i kahi hiʻohiʻona nani.
Eia kekahi, i kekahi manawa, inā waiho ʻole ʻia nā Varicose Veins me ka mālama ʻole ʻia, hiki iā lākou ke alakaʻi i nā pilikia koʻikoʻi e like me ka deep vein thrombosis (DVT) , nā ʻeha ʻili ʻaʻole e ho'ōla, a i ʻole ke kahe koko mai nā aʻa. I kēlā mau hihia, e paipai maoli kāu kauka i kēia ʻano lāʻau.
He hana ʻoki kino nui anei kēia?
ʻAʻole, ʻaʻole loa. ʻO ka Endovenous Thermal Ablation kahi lāʻau lapaʻau minimally invasive ʻole me ke ʻoki ʻana.
ʻO ke ʻoki ʻana i nā aʻa kuʻuna e pili ana i ka ʻoki ʻana i ka wāwae ma kekahi mau wahi a me ka wehe loa ʻana i ke aʻa pilikia. He mau pule e ho'ōla ai a he ʻeha loa.
Akā ma kēia ʻano hana hou, ʻaʻole i wehe ʻia ke aʻa mai ke kino aku, ua pani wale ʻia mai loko mai. No laila, he kakaikahi loa nā pilikia, a he pōkole loa ka manawa hoʻōla.
He aha ka mea e hana ʻia ma mua a i ka wā o ka mālama ʻana?
Ma mua o ka mālama ʻana...
Pono ʻoe e kamaʻilio me kāu kauka a e hoʻomaopopo iā ia e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā mea hoʻohui). Pono paha ʻoe e lawe i nā lāʻau hoʻokahe koko .ʻO kekahi mau lāʻau lapaʻau, e like me nā lāʻau lapaʻau i kuhikuhi ʻia, pono paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka mālama ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia.
I ka wā o ka mālama ʻana...
ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o kēia lapaʻau. E hana ke kauka i nā mea āpau e hiki ai iā ia ke hōʻoia ʻaʻole ʻoe e ʻeha.
- Anesthesia Kūloko: ʻO kahi wale nō i loaʻa ai ke aʻa e hoʻomānoʻino ʻia.
- Nā lāʻau hoʻomaha: Hāʻawi iā ʻoe i kahi lāʻau hoʻomaha iki e kōkua iā ʻoe e hoʻomaha a ʻaʻole e makaʻu.
A laila eia ke kaʻina hana no ka mālama ʻana:
1. Ke ʻimi nei i ke aʻa: Hoʻohana ke kauka i kahi scan ultrasound e ʻimi ai i kahi kikoʻī o ke aʻa pilikia.
2. He ʻoki liʻiliʻi loa: Hana ʻia kahi ʻoki liʻiliʻi loa (he mau milimita) i loko o ka ʻili, ma lalo o ke kuli a i ʻole a puni ka kuʻekuʻe wāwae.
3. Hoʻokomo ʻia ʻana o ke catheter: Hoʻokomo ʻia kahi catheter , he ʻōmole lahilahi a palupalu, ma o ka ʻoki ʻia a alakaʻi ʻia ma ke aʻa koko i kahi pilikia.
4. Ikehu wela: Hoʻouna ʻia kekahi mea lahilahi e hoʻopuka ana i nā kukuna laser a i ʻole nā nalu lekiō ma o ke catheter, kahi e hoʻomehana ai i ka paia o loko o ke aʻa. ʻO kēia wela ke kumu o ka emi ʻana o ke aʻa a pani ʻia mai loko mai.
5. E kāʻei i ka ʻeha: Hoʻopili ʻia kahi kāʻei i ka ʻoki liʻiliʻi. I ka hapanui o nā hihia, ʻaʻole pono nā humuhumu.
Hana pinepine ʻia kēia ma kahi hoʻonohonoho outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka mālama ʻana.
He aha kaʻu e hana ai ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, hiki paha iā ʻoe ke ʻeha iki, mae wale, a palapū paha ma kahi i mālama ʻia. He mea maʻamau kēia. Hiki ke hoʻomalu ʻia kēia me nā lāʻau ʻeha. Akā e nīnau i kāu kauka a hoʻohana wale i nā lāʻau ʻeha āna e ʻōlelo ai.
E hāʻawi aku kāu kauka iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e hoʻōla koke:
- E ʻaʻahu i nā kāmaʻa paʻa: No ke kōkua ʻana i ke kahe ʻana o ke koko a me ka hōʻemi ʻana i ka pehu ʻana, ua ʻōlelo ʻia e ʻaʻahu i nā kāmaʻa paʻa kūikawā (compression socks) no ka hapa nui o ka lā.
- Hele wāwae: He kōkua nui ka hele mālie ʻana i ka lā a pau i ke kaʻina hana ho'ōla.
- E hoʻokiʻekiʻe i kou mau wāwae: Ke noho ʻoe ma luna o kahi noho, e hoʻokiʻekiʻe i kou mau wāwae me he mea lā he noho ʻē aʻe.
- Nā mea e pale aku ai: E pale i nā loko ʻauʻau a me nā ʻauʻau wela no hoʻokahi a ʻelua paha pule. E pale i ka hoʻoikaika kino no kekahi manawa.
- Huakaʻi mokulele: Manaʻo ke kauka e pale i ka huakaʻi mokulele no ka liʻiliʻi he ʻelua pule.
Ma kahi o hoʻokahi pule ma hope mai, hana hou ke kauka i kahi ultrasound scan e ʻike ai inā ua pani loa ʻia ke aʻa koko i mālama ʻia.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia nā pono a me kekahi mau pōpilikia liʻiliʻi loa.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| ʻEha iki: ʻOi aku ka emi o ka ʻeha ma mua o ke ʻoki kino kuʻuna. | Palapū: Hiki ke palapū ma ka ʻili o ka ʻili ma ka wahi i mālama ʻia. |
| Hoʻōla koke: Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā. | ʻŌhūhū: Hiki i kekahi poʻe ke ʻike i kahi ʻano ʻūlū pōkole ma ka ʻili kokoke i ke aʻa koko i mālama ʻia. |
| Ka liʻiliʻi o ka ʻeha: Ma muli o ka liʻiliʻi loa o ka ʻoki ʻana, ʻaʻohe ʻeha nui. | ʻEha: Hiki ke loaʻa ka ʻeha iki a i ʻole ka ʻoluʻolu ʻole a hiki ke hoʻomalu ʻia me nā painkillers. |
| Nā pilikia liʻiliʻi: Aia ka haʻahaʻa o ka pilikia o nā pilikia ma mua o ke ʻoki ʻana. | Nā ʻūpā koko: He mea laha ʻole kēia, akā he mea nui e makaʻala i kēia. |
| Ka nui o ka holomua: Hāʻawi i nā hopena holomua loa ma ke ʻano o ka hoʻonaninani a me ka hōʻemi ʻana i nā hōʻailona. |
I ka wā e pono ai ʻoe e hele i ka haukapila (ETU) me ka wikiwiki!
ʻOiai he mea kākaʻikahi loa ka loaʻa ʻana o kahi ʻūpā koko ma hope o ka mālama ʻana, he mea nui e makaʻala i kona mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa .
- ʻEha umauma
- Paʻakikī ka hanu ʻana
- Ke ʻū ʻana i ke koko
- Puʻuwai wikiwiki
- He manaʻo o ka wili ʻana a i ʻole ka hoʻonui ʻana i ka ʻeha
- Ka hiolo koke ʻana
- Hoʻololi i ke kala o ka ʻili ma ka wāwae
- Pehu wāwae ʻē aʻe
Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi.
Leka Lawe-Home
- He maʻi maʻamau nā aʻa varicose i hoʻokumu ʻia e nā valves nāwaliwali i loko o nā aʻa. Hiki iā lākou ke hana i ka ʻeha, ka ʻoluʻolu ʻole, a i kekahi manawa nā pilikia koʻikoʻi.
- ʻO ka Endovenous Thermal Ablation kahi ala hou, kūpono loa, ʻaʻohe ʻoki ʻana no ka mālama ʻana i nā aʻa varicose.
- ʻOi aku ka ʻeha o kēia lāʻau lapaʻau ma mua o ke ʻoki kino kuʻuna, he pōkole ka manawa hoʻōla, a he haʻahaʻa loa ka pilikia o nā pilikia.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike i kahi kauka akamai a akamai hoʻi (kauka vascular a loea paha) e kūkākūkā i ka lāʻau kūpono loa nāu.
- Ma hope o ka lāʻau lapaʻau, e makaʻala no nā hōʻailona o ke koko ʻūlū. Inā kānalua ʻoe i kekahi mea, e hele koke i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila.
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