Ua noho paha ʻoe i loko o kahi moena haukapila ma hope o kahi ʻoki ʻana a ʻike i kahi kahu maʻi e komo mai ana a kau i kahi lima ʻē ma kou wāwae a hoʻopili iā ia i kahi mīkini liʻiliʻi? Ma hope o kekahi manawa, hoʻopiha ka lima me ka ea, hoʻopaʻa iki i kou wāwae, a laila hoʻokuʻu hou ʻia ka ea. Me he mea lā e lomilomi mālie ana kekahi i kou wāwae. No nā poʻe he nui, he ʻike ʻē loa kēia. No laila, he aha kēia e hana nei? No ke aha e hana ʻia ai kēia ma ka haukapila? I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Intermittent Pneumatic Compression (IPC)?
I ka ʻōlelo maʻalahi, ʻo kēia ka inoa lapaʻau no ke kaʻina hana a mākou i kamaʻilio ai ma luna. ʻO ka Intermittent Pneumatic Compression (IPC) kahi mea hana e like me ka lima hoʻoulu. Hoʻokomo pinepine ʻia kēia mau mea ma kou mau keiki bipi, ʻo ia hoʻi, ka ʻāpana o kou wāwae ma lalo o ke kuli. I kekahi manawa ua kapa ʻia kēia he Sequential Compression Device (SCD) .
ʻO ke kumu nui o kēia hāmeʻa, ʻo ia ke pale ʻana i ke kūkulu ʻia ʻana o nā ʻūpā koko i loko o kou mau wāwae. Pehea lā e hana ai i kēlā? Hoʻopiha a hoʻohaʻahaʻa pinepine kahi mīkini liʻiliʻi i hoʻopili ʻia i kēia lima lima. Ma kēia ʻano, i ka wā e paʻa ai a hoʻomaha ai ka wāwae, hoʻomaikaʻi ʻia ke kahe koko i loko o nā aa koko o nā wāwae.
Ma nā kūlana hea e hoʻohana ʻia ai kēia mau mea hana IPC?
Hoʻohana pinepine ʻia kēia mea hana i ka wā e mālama ʻia ai ʻoe ma ka haukapila, ʻoiai inā ʻaʻole hiki iā ʻoe ke neʻe nui. Hoʻokomo ʻia ia i kou wā e hoʻomaha ana ma kahi moe a i ʻole e noho ana ma kahi noho.
Hoʻohana pinepine ʻia kēia:
- Ma hope o ke ʻoki kino nui: Hiki ke paʻakikī ke hele no kekahi mau lā ma hope o ke ʻoki kino.
- Ma hope o ka hahau ʻana: Loaʻa i nā poʻe maʻi hahau ka paʻakikī o ka neʻe ʻana.
- Ma muli o kahi maʻi koʻikoʻi: No nā maʻi e pono e noho ma kahi moe no kekahi mau lā ma muli o kahi maʻi.
E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. Ke noho mākou ma kahi hoʻokahi no ka manawa lōʻihi, lohi kēia kahe koko. A laila, hiki i ke koko ke hōʻiliʻili ma kekahi mau wahi a hana i kahi clot liʻiliʻi. Kāhea mākou i kēia Deep Vein Thrombosis (DVT) .
Hoʻomaka pinepine kēia ʻano DVT i loko o nā aʻa hohonu o ka ʻūhā a i ʻole ka ʻūhā. Hiki i kēia ke lilo i mea weliweli loa. No ka mea, inā haki ke koko mai laila mai, hele pū me ke koko a paʻa i loko o kahi aʻa i loko o nā māmā, kapa mākou ia he Pulmonary Embolism (PE) . Hiki i kēia ke hana i nā pilikia hanu nui, a i kekahi manawa make koke. No laila, pale ka hāmeʻa IPC i kēia ʻano DVT weliweli mai ka hanana ʻana.
Eia kekahi, hoʻohana ʻia kēia ʻano hana e pale aku i nā ʻūpā koko i nā makuahine ʻaʻole e neʻe nui i ka wā hāpai a ma hope o ka hānau ʻana ma ka haukapila. Eia kekahi, hoʻohana ʻia kēia mau mea hana IPC ma ke ʻano he lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo Lymphedema (pehu ʻana o ka ʻōnaehana lymphatic).
Pehea e hana ai kēia? He aha nā pono a me nā pilikia?
E like me kā mākou i ʻōlelo ai ma mua, hoʻopiha kēia lima lima me ka ea ma kahi o hoʻokahi manawa i ka minuke a hoʻopaʻa i ka wāwae, a laila hoʻokuʻu ʻia ka ea a wehe ka wāwae.
- Ke kaomi ʻia ka wāwae: Hoʻokuke ʻia ke koko ma nā wāwae i ka puʻuwai.
- Ke hoʻomaha ka wāwae: Kahe ke koko hou i waiwai i ka oxygen i loko o nā aʻa o nā wāwae.
Kōkua pū kēia kaʻina hana i ka hoʻokuʻu ʻana i nā mea kūlohelohe mai ke kino e pale ai i nā ʻūpā koko. ʻO ka pōmaikaʻi nui o kēia , ʻo ia ka hāʻawi ʻana iā mākou i nā pono like o ka hele wāwae me ka ʻole o nā lāʻau lapaʻau . He mea waiwai nui kēia, he mea hoʻōla ola, ʻoiai no ka poʻe hiki ʻole ke lawe i nā lāʻau hoʻomāmā koko (anticoagulants) a i ʻole ka poʻe i pilikia mai ia mau mea.
Akā e like me nā mea āpau, hiki ke loaʻa nā pilikia liʻiliʻi a me nā pilikia kakaikahi loa.
| Ka pilikia a i ʻole ka pōʻino | He wehewehe maʻalahi |
|---|---|
| Mehana i nā wāwae | Ma muli o ke kau ʻana o ka lima lima, e wela iki paha kou mau wāwae a hou. |
| Paʻakikī ke neʻe ʻana | He mea paʻakikī iki ke neʻe a puni ma kahi moe i ke komo ʻana i kēia. |
| Ke wehe ʻana i ka lole i ka wā e ala ai mai kahi moe | Hiki ke lilo i mea hoʻonāukiuki iki no ka mea pono ʻoe e wehe i kēia i kēlā me kēia manawa āu e ala ai mai kahi moe, e like me ka hele ʻana i ka lua. |
| Nā pilikia ʻili | I kekahi manawa, inā ʻaʻole maʻa ka ʻili i ka lima lima, hiki ke lilo i ʻulaʻula, maneʻo, a i ʻole e hōʻeha iki ʻia. |
| Ka hōʻino ʻana o ke aʻalolo a i ʻole nā ʻeha kaomi | He mea kākaʻikahi loa kēia, akā hiki ke hana inā hoʻohana hewa ʻia a hoʻohana nui ʻia paha. |
ʻO ka mea nui loa, ʻoiai paha he mea ʻē iki kēia mea hana, ʻaʻole ia e hōʻeha . Inā ʻoe e ʻeha i kou wāwae, ʻaʻole ia he mea maʻamau. E haʻi koke aku i kāu kauka a kahu maʻi paha.
I ka manawa hea e pono ai iaʻu ke haʻi aku i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e hoʻohana ana i ka hāmeʻa IPC, he mea nui e hoʻomaopopo koke i ke kauka a kahu maʻi paha.
- ʻO ka pehu koke, ka mehana, a i ʻole ka ʻeha ma ka wāwae: He mau hōʻailona paha kēia o kahi DVT.
- ʻUlaʻula, ʻeha, a mumū paha o ka ʻili kahi i kau ʻia ai ka lima lima: Pono ʻoe e nānā no ka hōʻino ʻia o ka ʻili.
- Ka pōkole koke o ka hanu: Hiki i kēia ke lilo i hōʻailona weliweli o ka Pulmonary Embolism (PE), no laila e ʻimi koke i ke kōkua lapaʻau.
- Inā ʻaʻole e hana pono ana ka mīkini: ʻO ia hoʻi, inā ʻaʻole ia e hoʻopiha ʻia, ʻaʻole ia e hana. No laila e hoʻomaopopo i nā limahana.
He aha kaʻu e hana ai e maʻalahi ai kēia?
ʻOiai ʻoe e moe ana, e kuhikuhi a kulou i kou kuʻekuʻe wāwae i nā manawa he nui i ka lā. ʻO ia hoʻi, e kuhikuhi i kou mau manamana wāwae i ka papahele, a laila e huki i kou maka iā ʻoe. Kōkua kēia hoʻomaʻamaʻa maʻalahi i ke kahe koko.
Eia kekahi, i ka manawa e ʻae ai ke kauka, ʻo ka hele wāwae pōkole a puni ka lumi mālama i ʻehā a ʻelima paha manawa i ka lā ke ala maikaʻi loa a maʻalahi hoʻi e pale aku ai i nā ʻūpā koko. Akā e hoʻomanaʻo, ma mua o ka hele wāwae ʻana, e wehe pono i kēia lima lima IPC. Inā ʻoe e hele me ia, aia kahi manawa kūpono e hihia ai a hāʻule. Inā pilikia ʻoe i ka wehe ʻana, e noi i ke kahu maʻi no ke kōkua.
Leka Lawe-Home
- ʻO ka Intermittent Pneumatic Compression (IPC) kahi ala palekana e pale ai i ka hoʻokumu ʻia ʻana o nā ʻōpū koko weliweli (DVT) i nā wāwae ke hiki ʻole iā ʻoe ke hele ma hope o ke ʻoki ʻana a i ʻole ma muli o ka maʻi.
- E pili ana kēia i ka ʻomi mālie ʻana i kou mau wāwae e hoʻomaikaʻi i ke kahe koko. ʻAʻole pono e ʻeha, pono e like me ka lomilomi.
- Inā ʻike ʻoe i ka ʻeha o ka wāwae, ka pehu ʻana, ke kuni, a i ʻole ka paʻakikī o ka hanu ʻana, e hōʻike koke aku.E haʻi i ke kauka a i ʻole ke kahu maʻi.
- Ma mua o kou hele ʻana, e wehe pono i kēia mea hana e pale aku ai i ka hāʻule ʻana. E noi i ke kōkua.
- I ka manawa e ʻae ai kāu kauka iā ʻoe, e hele wāwae e like me kou hiki. ʻO ia ke ala kūlohelohe maikaʻi loa e pale aku ai i nā ʻūpā koko.
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