Ke nānā ʻoe i kou mau wāwae, ʻike anei ʻoe i nā aa koko polū a poni paha ma lalo o ka ʻili, i wili ʻia a nakinaki ʻia e like me nā ilo? I kekahi manawa hiki i kēia ke hana i kou mau wāwae e kaumaha, ʻeha, a ʻānai paha, ʻeā? He mea maʻamau kēia ʻano i waena o ka hapa nui o kākou. No laila ke noʻonoʻo nei paha ʻoe i ka mea hiki ke hana ʻia e pili ana i kēia, a inā pono ʻoe i ke ʻoki kino. Mai hopohopo, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau hou e hāʻawi ana i kahi hopena i kēia pilikia me ka ʻole o ke ʻoki kino, maʻalahi loa.
No laila he aha ka Endovenous Thermal Ablation?
He inoa lōʻihi a ʻano ʻē paha kēia, akā he mea maʻalahi loa ia. I ka ʻōlelo maʻalahi, he lāʻau lapaʻau hou ia no nā aʻa varicose, he minimally invasive . I kekahi manawa ua kapa ʻia ʻo ia he endovenous laser a i ʻole radiofrequency.
E noʻonoʻo he lua ko kahi paipu wai i loko o kou hale a ke liki nei. Ma kahi o ke pani ʻana, sila mākou i ka lua me kahi ʻano gum kūikawā. Ma kēia lāʻau lapaʻau, hoʻohana kāu kauka i kahi mea hana kūikawā a me ka wela mai nā kukuna laser a i ʻole nā nalu lekiō e sila i ke aʻa pilikia mai loko mai .
He aha ka mea e hana ʻia ke pani ʻia kekahi aʻa koko e like me kēia? He mea kupaianaha ko kākou kino. Hoʻohuli hou ia i ke kahe koko i hele ma o kēlā aʻa koko i nā aʻa koko olakino kokoke. Ma hope o kekahi manawa, emi ka aʻa koko i hoʻopaʻa ʻia a komo ʻia e ke kino. ʻO ka hopena, nalowale nā aʻa koko pehu a ʻino ma kou mau wāwae, a nani ke ʻano o kou mau wāwae.
No ke aha mākou e pono ai i kēia lāʻau lapaʻau?
Inā he mau aa varicose waena a nui paha kou i kou mau wāwae, kūpono paha kēia lāʻau lapaʻau iā ʻoe. ʻO ka mea mua, e nānā kākou i nā hōʻailona maʻamau o kēia maʻi.
| Nā Hōʻailona Maʻamau o nā Veins Varicose | |
|---|---|
| Nā ʻeha a me nā ʻeha | ʻEha mau a me nā ʻehaʻeha ma nā wāwae. |
| Ke kaumaha ma nā wāwae | Ua like ke kaumaha o nā wāwae me he pōhaku ʻelua lā. |
| ʻĀnai | ʻIli maneʻo a puni kahi i nakinaki ʻia ai nā aʻa koko. |
| Nā ʻūpā wāwae | Ka pulu ʻana i ka moena, ʻoi aku hoʻi i ka pō. |
| Pehu ʻana | Ka pehu ʻana o nā wāwae a me ka ʻāpana kuʻekuʻe wāwae. |
I ka ʻōlelo maʻalahi, he mau ʻāpana liʻiliʻi ko ko kākou mau aa koko e like me ka puka e ʻae wale ana i ke koko e kahe i hoʻokahi ʻaoʻao. Kāhea mākou i kēia mau valves. Ke nāwaliwali a hōʻino ʻia paha kēia mau mea, hiki i ke koko ke kahe i hope ma kahi o ka hele ʻana i ka puʻuwai a hōʻiliʻili i loko o nā aa koko. Penei ke ʻano o ka hōʻiliʻili ʻana o ke koko i loko o nā aa koko, e hoʻoulu ai iā lākou e pehu, wili, a ʻike ʻia ma luna o ka ʻili.
Hana kekahi poʻe i kēia lāʻau lapaʻau no nā kumu hoʻonaninani, e like me ka hoʻopau ʻana i ke ʻano o ka pehu ʻana o ka wāwae. Eia kekahi, hiki i nā aʻa varicose lōʻihi ke alakaʻi i nā pilikia koʻikoʻi e like me ka deep vein thrombosis (DVT) , nā ʻeha ʻaʻole e ho'ōla (nā ʻeha ʻili), a i ʻole ke kahe ʻana o ke koko mai nā aʻa. No laila, hiki i ke kauka ke ʻōlelo i kēia lāʻau lapaʻau.
Pehea e hana ʻia ai kēia lāʻau lapaʻau?
Hana pinepine ʻia kēia lāʻau e ke kauka ʻoki koko. ʻAʻole kēia he hana nui, no laila ʻaʻohe pono e noho i ka haukapila.
Ma mua o ka mālama ʻana
E nīnau kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei. Hiki ke noi ʻia kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko ) e hoʻōki i kekahi mau lā ma mua o ka mālama ʻana.
I ka wā o ka mālama ʻana
Mai makaʻu, ke hana nei ʻoe i nā mea e pono ai ʻoe e hana i ʻole ʻoe e ʻeha.
- Hoʻohana ʻia ka anesthesia kūloko e hoʻomānoino i ka ʻāpana a puni ke aʻa e mālama ʻia nei.
- Hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau hoʻomaha e hoʻomālielie iā ʻoe.
A laila, hahai ke kauka i kēia mau hana:
1. E kuhikuhi ʻia kahi scan ultrasound i ke aʻa me ka pilikia.
2. Hana ʻia kahi ʻoki liʻiliʻi loa ma ka wāwae, ma lalo o ke kuli a kokoke paha i ka kuʻekuʻe wāwae.
3. Ma o kēlā ʻoki ʻana, ua hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) i loko o ke aʻa.
4. Ma o kēia ʻōmole, hoʻouna ʻia kahi mea hana maikaʻi loa e hoʻopuka ana i nā nalu laser a i ʻole nā lekiō i ka ʻāpana pilikia o ke aʻa koko.
5. ʻO ka wela e hoʻokuʻu ai e hoʻopaʻa mau a pani i ke aʻa koko mai loko..
6. ʻO ka hope loa, ua kau ʻia kahi kāʻei ma ka ʻoki liʻiliʻi. ʻO ka hapa nui o ka manawa, ʻaʻole pono nā humuhumu.
Hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
ʻOi aku ka maikaʻi o kēia ʻano hana ma mua o ke ʻoki kino kuʻuna?
ʻOiaʻiʻo, ʻae. ʻO ke ʻano hana kahiko (Vein Stripping Surgery) e pili ana i ka ʻoki ʻana i kekahi mau wahi ma ka wāwae a me ka huki ʻana i ke aʻa. He mau pule e ho'ōla ai ma hope, a he ʻeha loa ia. Akā, he nui nā pono o kēia ʻano hana hou.
ʻAʻole ʻoki a wehe ka Endovenous Thermal Ablation i ke aʻa, akā hoʻopaʻa wale ia mai loko mai. No laila, he pōkole loa ka manawa hoʻōla a he liʻiliʻi nā pilikia.
| Pōmaikaʻi | Wehewehena |
|---|---|
| ʻEmi ka ʻeha | ʻOi aku ka emi o ka ʻeha ma mua o ke ʻoki kino. |
| Nā pilikia liʻiliʻi | Haʻahaʻa nā pilikia o ke kahe ʻana o ke koko a me ka maʻi. |
| ʻO ka ʻeha liʻiliʻi loa | ʻOiai ʻaʻohe ʻoki nui, ʻaʻohe ʻeha nui i koe. |
| Hoʻōla wikiwiki | Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o kekahi mau lā. |
He aha kā mākou e makaʻala ai ma hope o ka mālama ʻana?
Ma hope o ka lāʻau lapaʻau, pono ʻoe i kekahi e kōkua iā ʻoe e hoʻi i ka home. E mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home.
- He mea pono ke komo i nā kāmaʻa hoʻopaʻa kūikawā i kauoha ʻia e ke kauka.
- E hoʻokiʻekiʻe i kou mau wāwae i nā manawa āpau e hiki ai.
- He mea maikaʻi loa ka hele wāwae pinepine i ke ao no ke kahe ʻana o ke koko.
- E pale i ka hoʻoikaika kino a me ka hāpai ʻana i nā mea kaumaha a hiki i ka wā e ʻae hou ai kāu kauka iā ʻoe.
- Mai hoʻohana i nā loko ʻauʻau a i ʻole nā ʻauʻau wela.
- E pale i ka holo ʻana ma ka mokulele no ʻelua pule.
Ma kahi o hoʻokahi pule ma hope mai, e hana hou kāu kauka i kahi ultrasound scan e ʻike ai inā ua holomua ka lāʻau a inā ua hoʻopaʻa pono ʻia ke aʻa.
Nā hopena ʻaoʻao a me ka wā e ʻimi koke ai i ke kōkua lapaʻau
He lāʻau lapaʻau palekana loa kēia. Eia nō naʻe, aia paha kekahi mau hopena ʻaoʻao liʻiliʻi. Eia kekahi laʻana, aia paha kekahi mau palapū, ʻūlū, a ʻeha paha ma kahi i mālama ʻia no kekahi mau pule. ʻO ka maʻamau, e hoʻopau wale kēia mau mea.
Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, he hōʻailona paha ia o ka deep vein thrombosis (DVT). No laila, mai hoʻonele i ka manawa a hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| E nānā! Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka ETU! | |
|---|---|
| ʻEha umauma | Paʻakikī ka hanu ʻana |
| Ke ʻū ʻana i ke koko | Nā palpitations o ka puʻuwai |
| ʻEha nui ka wāwae, ka pehu ʻana, ka ʻulaʻula | Pōʻino a i ʻole ka nawaliwali |
Leka Lawe-Home
- ʻO ka Endovenous Thermal Ablation kahi ala hou, palekana, a me ka pono no ka mālama ʻana i nā veins varicose me ka ʻole o ke ʻoki ʻana.
- ʻO ka hopena, ʻoi aku ka liʻiliʻi o ka ʻeha, ka ʻeha, a me ka manawa ho'ōla, e hiki ai iā ʻoe ke hoʻi koke i kou ola maʻamau.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu a hilahila paha, akā e ʻike i ke kauka akamai a kamaʻilio me ia.
- Ma hope o ka lāʻau lapaʻau, inā kū mai nā hōʻailona hōʻike e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana, he mea nui loa ia e kuhikuhi koke i kahi Emergency Treatment Unit (ETU).
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