Ua hele anei ʻoe i kahi haukapila? A i ʻole ua kipa aku ʻoe i kahi mea i hana ʻia i ke ʻoki? A laila ua ʻike paha ʻoe i kekahi mau maʻi me nā lima lima ʻē ma ko lākou mau wāwae e hoʻopū a hoʻohaʻahaʻa pinepine. Manaʻo ka poʻe he mīkini kēia e lomilomi i nā wāwae. ʻOiai aia kekahi ʻoiaʻiʻo i kēlā, he mea nui loa ia a hoʻopakele ola. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia mea i kapa ʻia ʻo Intermittent Pneumatic Compression (IPC).
I ka ʻōlelo maʻalahi, he aha kēia mīkini IPC?
ʻO ka Intermittent Pneumatic Compression, a i ʻole IPC no ka pōkole, he mea hana ia i hoʻohana ʻia e pale aku i nā ʻūpā koko i kou mau wāwae, ʻoi aku hoʻi i nā keiki bipi . Loaʻa iā ia ʻelua mau ʻūpā plastik. Hoʻokomo ʻia kēia mau ʻūpā ma kou mau wāwae a hoʻopili ʻia i kahi mīkini liʻiliʻi. A laila hoʻopiha ka mīkini a hoʻohaʻahaʻa i nā ʻūpā i nā manawa maʻamau.
ʻO kekahi inoa no kēia ʻo Sequential Compression Device, a i ʻole SCD . No laila, ke ʻōlelo ke kauka a kahu maʻi paha iā IPC a i ʻole SCD, ke kuhikuhi nei lākou i ka hāmeʻa like.
I ka manawa hea e hoʻohana ʻia ai kēia hāmeʻa?
Hoʻohana pinepine ʻia kēia mea hana IPC i kou wā e mālama ʻia ana ma ka haukapila, ʻoiai ke paʻakikī iā ʻoe ke neʻe a hele wāwae paha. Hoʻopili ʻia ia i kou mau wāwae i kou wā e hoʻomaha ana ma kahi moe no ka manawa lōʻihi a i ʻole e noho ana ma kahi noho.
Hoʻohana pinepine ʻia kēia mea hana i nā haukapila no ka poʻe e hoʻōla ana mai nā kūlana e like me:
- Ma hope o ke ʻoki kino nui
- Ma hope o kahi kūlana e like me ka hahau ʻana
- Ma hope o kahi maʻi nui
No ke aha he mea nui kēia i kēia manawa?
E noʻonoʻo e pili ana i ia mea, ke hele a hana mākou i ka lā a pau, ke hana nei nā ʻiʻo o ko mākou mau wāwae. Hana kēia mau ʻiʻo e like me ka pamu, e hoʻokuke ana i ke koko i loko o ko mākou mau wāwae i luna, i ka puʻuwai.
Akā he aha ka mea e hana ai ke moe ʻoe ma kahi moe no nā lā, ma hope o kahi ʻoki kino a i ʻole kahi maʻi? ʻAʻole hana nā ʻiʻo o kou mau wāwae. A laila lohi ke kahe ʻana o ke koko i kou mau wāwae. Ke hōʻiliʻili ke koko ma kahi hoʻokahi e like me kēia, piʻi nui ka pilikia o nā ʻūpā koko.
ʻO kēia ʻūpā koko i loko o nā aʻa hohonu o nā wāwae i kapa ʻia ma ke ʻano lapaʻau ʻo Deep Vein Thrombosis (DVT) . ʻO kēia ka mea nui a ka mīkini IPC e hoʻāʻo nei e pale aku.
Pehea ka weliweli o ka DVT?
He mea weliweli ka DVT no ka mea hiki i ke koko ke haki, hele ma waena o kahi kīʻaha koko, a paʻa i loko o kou mau māmā . Ua kapa ʻia kēia he Pulmonary Embolism (PE).He kūlana weliweli loa kēia. Hiki i kēia ke hoʻopilikia koke i ka hanu ʻana a hiki ke hoʻoweliweli i ke ola.
No laila hiki iā ʻoe ke ʻike ʻaʻole kēia mīkini IPC he mea hana wale nō e hāʻawi ai i ka lomilomi, akā he mea hoʻōla ola e kōkua ai i ka pale ʻana i nā kūlana weliweli e like me DVT a me PE.
Hoʻohana ʻia kēia mea hana e pale aku i nā ʻūpā koko i kekahi poʻe e pono ai ka hoʻomaha moe i ka wā hāpai. Hoʻohana ʻia kekahi manawa ma ke ʻano he lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo lymphedema , kahi e hoʻoulu ai i ka pehu ʻana o nā wāwae.
Pehea maoli ka hana a kēia mīkini?
He maʻalahi loa ke ʻano o kāna hana. Hoʻopiha ʻia nā lima lima i hoʻopaʻa ʻia i kou mau wāwae me ka ea no 20 a 60 kekona me ka hoʻohana ʻana i ka pamu. A laila e ʻomi mālie nā lima lima i kou mau wāwae. A laila e hoʻēmi ʻia ka ea, a hoʻokuʻu ʻia ke kaomi. Ke hoʻomau nei kēia.
Inā ʻoe e wehewehe i kou manaʻo, e like me ia me kekahi e ʻomi mālie ana i kou mau wāwae a huki iā lākou .
Ke ʻomi ʻia kēia, e hoʻokuke ʻia ke koko i loko o nā aʻa o nā wāwae i luna, i ka puʻuwai. Ke hoʻomaha hou ke kuʻi lima, e kahe ana ke koko hou, waiwai i ka oxygen i lalo i nā wāwae. Ua like kēia kaʻina hana me ka hana a nā ʻiʻo wāwae i kou hele ʻana. Pale kēia i ke koko mai ka hōʻuluʻulu ʻana a me ke kahe maikaʻi ʻana, kahi e pale ai i ka hoʻokumu ʻana o nā ʻūpā koko.
He aha nā pōmaikaʻi a me nā pōʻino o ka hoʻohana ʻana i ka IPC?
E like me nā mea lapaʻau āpau, he mau pono a me nā hemahema kēia. E nānā kākou iā lākou.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā ʻOluʻolu ʻole |
|---|---|
| Hoʻemi nui i ka pilikia o ka hoʻomohala ʻana i nā ʻōpū koko weliweli (DVT). | Ma muli o ko lākou uhi ʻia ʻana, e wela a hou paha kou mau wāwae. |
| ʻOiai ʻaʻole kēia he lāʻau lapaʻau , ʻaʻohe hopena ʻaoʻao. | He mea ʻoluʻolu ʻole paha ia. He mea paʻakikī paha ke hoʻokuʻu i kou mau wāwae. |
| He ala palekana loa ia no ka poʻe hiki ʻole ke lawe i nā anticoagulants a i ʻole ka poʻe i pilikia nui i ke kahe ʻana o ke koko. | He manawa iki ka wehe ʻana i kēia no nā mea e like me ke ala ʻana mai kahi moe a i ʻole ka hele ʻana i ka lua. |
| Kōkua ia i ka hoʻopakele ʻana i nā ola ma ka hōʻemi ʻana i nā ʻaʻa koko, kahi kumu nui o nā make hiki ke pale ʻia ma nā haukapila. | Hiki i kekahi poʻe ke ʻike i ka ʻulaʻula, ka maneʻo, a i ʻole ka haki ʻana o ka ʻili. |
| He mea kākaʻikahi loa, hiki ke hōʻeha ʻia ke kaomi ma muli o ke kaomi ʻana ma luna o ke aʻalolo a i ʻole ka ʻili. |
ʻO ka mea nui loa: ʻOiai paha he mea ʻē iki kēia mīkini IPC iā ʻoe, ʻaʻole loa ia e hōʻeha iā ʻoe. Inā ʻoe e ʻeha, mai manaʻo he mea maʻamau ia. E haʻi koke aku i kāu kauka a kahu maʻi paha.
I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?
He mea nui loa ia e makaʻala i kou mau wāwae i ka wā e hoʻohana ana i ka hāmeʻa IPC. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i ke kauka a i ʻole ke kahu maʻi.
| Hiʻohiʻona e hoʻolohe ai | He aha ka mea e hiki ke hana? |
|---|---|
| Ua pehu kekahi o kou mau wāwae, ʻulaʻula, a i ʻole ua wela aʻe ma mua o kekahi. | He hōʻailona paha kēia o kahi DVT (blood clot) . |
| ʻEha nui ma ka wāwae. | Malia paha no ka mea ʻaʻole i hoʻokomo pono ʻia ka hāmeʻa a i ʻole aia kekahi pilikia ʻē aʻe. |
| Ke ʻike ʻana i nā ʻeha ʻili, ka ʻili ʻana , a i ʻole nā pehu ma lalo o ka lima lima. | Hiki paha ke huhū ka ʻili. |
| Ka pōkole koke o ka hanu a i ʻole ka ʻeha o ka umauma. | Hiki i kēia ke lilo i hōʻailona weliweli loa o ka Pulmonary Embolism (PE) . E hōʻike koke aku. |
He aha hou aʻe kaʻu e hana ai?
- E hana i nā hoʻoikaika kino maʻalahi: Ke moe ʻoe, inā hiki, e kīkoʻo i kou mau manamana wāwae i mua (i ka lihi o ka moena) a laila e huki iā lākou i hope i kou alo ma kahi o hoʻokahi hola. ʻO kēia neʻe liʻiliʻi hoʻi e kōkua i ke kahe koko.
- Hele wāwae: Ke ʻae aku kāu kauka iā ʻoe e ala a hele, mai palaualelo. ʻO ka hele wāwae pōkole a puni ka lumi mālama a i ʻole ma ke alaloa ʻehā a ʻelima paha manawa i ka lā kekahi o nā ala maikaʻi loa e pale aku ai i nā ʻūpā koko.
- Wehe i ka wā e hele ana: Mai poina e wehe i kēia mau kāmaʻa wāwae ma mua o kou hele ʻana. Inā ʻoe e hele me lākou, ʻoi aku ka nui o kou hihia a hāʻule. Inā makemake ʻoe i ke kōkua i ka wehe ʻana iā lākou, e noi i kahi kahu maʻi.
Aia kekahi mau lāʻau lapaʻau ʻē aʻe?
ʻAe. Hiki i kāu kauka ke kuhikuhi i nā anticoagulants (e.g., nā pila a i ʻole nā inikini) me ka hāmeʻa IPC. Hana maikaʻi kēia mau lāʻau lapaʻau e pale aku i nā ʻōpū koko ma mua o ka hāmeʻa IPC. Eia nō naʻe, hiki iā lākou ke loaʻa nā hopena ʻaoʻao, e like me ka hoʻonui ʻia o ka pilikia o ke kahe ʻana o ke koko. Ma muli o kou kūlana, e hoʻoholo kāu kauka inā e hoʻohana pū i nā ʻano ʻelua a i ʻole hoʻokahi wale nō.
Leka Lawe-Home
- He mea koʻikoʻi loa ka IPC a i ʻole SCD i hoʻohana ʻia no ka pale ʻana i nā ʻōpū koko (DVT) i loko o nā wāwae ma hope o ke ʻoki ʻana. ʻAʻole ia he mīkini lomilomi wale nō.
- ʻO kēia ka mea e pono ai ke moe ʻoe ma kahi moe a ʻaʻole hiki ke neʻe nui.
- Mālama kēia hāmeʻa iā ʻoe mai nā kūlana weliweli a hoʻoweliweli i ke ola e like me DVT a me Pulmonary Embolism (PE).
- ʻAʻole ʻoe e ʻeha i ka wā e hoʻohana ai i kēia. Inā ʻoe e ʻeha a ʻike paha i ka pehu ʻana, ka ʻulaʻula, a i ʻole ka ʻeha ma kou wāwae, e hoʻomaopopo koke i ke limahana lapaʻau.
- Wahi a ke kauka, ʻo ke ala ʻana a me ka hele wāwae i ka wā hikiwawe loa ke ala kūlohelohe maikaʻi loa e pale aku ai i ke kāpili ʻana o ke koko.
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