He mau ʻeha kou ma kou mau wāwae e ola ʻole ai? E aʻo kākou i nā mea āpau e pili ana i nā ʻeha wāwae!

Ke loaʻa iā kākou kahi ʻeha liʻiliʻi ma ko kākou wāwae, manaʻo mākou a pau e ho'ōla ʻia i loko o kekahi mau lā. Akā i kekahi manawa, hiki i kēia mau ʻeha ke hala i nā hebedoma, a i ʻole nā ​​mahina, e ho'ōla ai, e waiho ana iā ʻoe i ka pilikia. Pēlā mākou e kamaʻilio ai e pili ana i nā ʻeha hoʻonāukiuki e hana ʻia ma ko kākou mau wāwae, kahi e lōʻihi ai ka manawa e ho'ōla ai. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia mau mea ʻo (Leg Ulcers).

He aha kēia mau ʻeha wāwae e ho'ōla ʻole ai?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha wāwae he ʻeha i hoʻōla ʻole ʻia no ʻelua pule ʻoiai ua mālama ʻia . Loaʻa pinepine kēia mau ʻeha ma kahi ma waena o kou kuʻekuʻe wāwae a me kou kuli.

Hoʻopuka pinepine kēia mau ʻeha i kahi mea e like me ke wai (hiki paha he pus) . Inā ʻaʻole mālama pono ʻia, hiki i kēia mau ʻeha ke nui aʻe. No ka laʻana, inā he ʻeha kou wāwae a ʻaʻole ia e ho'ōla ma hope o ʻekolu mahina o ka mālama ʻana, manaʻo mākou he maʻi mau loa ia.

Wahi a nā helu helu mai kekahi mau ʻāina holomua o ka honua, ma kahi o 1% o nā pākeke e ʻeha nei i kēia maʻi. He mea maʻamau kēia pilikia i waena o ka poʻe ma luna o 65 mau makahiki. Ma kahi o 4% o lākou e loaʻa paha nā ʻeha ʻaʻole e ho'ōla ʻia ma ko lākou mau wāwae. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

No ke aha e loaʻa ai nā ʻeha wāwae?

Nui nā kumu e ulu ai nā ʻeha wāwae. E nānā kākou i nā mea nui.

1. Nā pilikia o ke aʻa (Chronic Venous Insufficiency)

ʻO kēia ke kumu nui o ka loaʻa ʻana o nā ʻeha wāwae. He mau kiwikā liʻiliʻi ko loko o nā aʻa koko i loko o ko kākou mau wāwae. Ua like kēia me nā puka. ʻO kā lākou hana ke kāohi i ke koko mai ke kahe ʻana i luna, i ka puʻuwai, a hoʻi i lalo. Akā i ka wā e hana pono ʻole ai kēia mau kiwikā, hiki i ke koko ke piʻi aʻe a hōʻiliʻili i loko o nā wāwae haʻahaʻa .

E noʻonoʻo e like me kahi kiwikā haki i loko o kahi paipu wai, e hoʻoulu ana i ka wai e hōʻiliʻili ma kahi hoʻokahi. Ke hōʻiliʻili ke koko e like me kēia, piʻi ke kaomi i loko o nā aʻa koko ma nā wāwae. A laila, hiki i nā kīʻaha koko liʻiliʻi loa i loko o ka ʻili ke pohā. Hoʻoulu kēia i ka mumū, ka ʻāʻī, ka maloʻo o ka ʻili, a ma hope e māwae ka ʻili a hana ʻia nā ʻeha.

2. Maʻi diabetes Mellitus)

Ua ʻike ʻoe he maʻi ka maʻi diabetes ((Diabetes Mellitus)) e hiki ke hoʻoulu i nā pilikia he nui. Ma muli o ke kiʻekiʻe mau o ke kō koko o ke kanaka me ka maʻi diabetes, hōʻiliʻili nā waihona momona i loko o nā kīʻaha koko, e pani ana iā lākou . E like me ka hōʻiliʻili ʻana o ka ʻōpala i loko o kahi paipu wai kahiko.

Ke ālai ʻia nā aʻa koko e like me kēia, emi iho ka nui o ke koko e kahe ana i nā wāwae. No laila, hiki ke hōʻino ʻia nā aʻalolo . Kāhea mākou i kēia ʻo (Diabetic Neuropathy). Ke hoʻonāwaliwali ʻia nā aʻalolo e like me kēia, ʻaʻole paha ʻoe e ʻike i kahi ʻeha liʻiliʻi a ʻoki paha i kou wāwae. I kekahi manawa, ʻoiai kahi ʻoki liʻiliʻi i paʻa i kou kāmaʻa ʻaʻole paha e ʻike ʻia a hiki i ka lilo ʻana i ʻeha nui. Eia kekahi, lohi loa ka ho'ōla ʻana o nā ʻeha ma muli o ka maʻi diabetes .

3. Ka maʻi ʻaʻai peripheral (PAD)

Ma kēia kūlana, hana ʻia kekahi mea like me ka maʻi diabetes. Hoʻokumu ʻia nā waihona momona (atherosclerosis) i loko o nā aʻa e lawe ana i ke koko i nā lālā o ko mākou kino, e pani mālie ana i kēlā mau aʻa. I ka pololei, ua ālai ʻia nā aʻa nui e lawe ana i ke koko i ko mākou mau wāwae .

He aha ka mea e hana ʻia? ʻAʻole lawa ke koko i nā wāwae. No laila, ʻaʻole lawa ka oxygen a me nā meaʻai. Ke hana ʻia kēia, ʻoiai he ʻeha liʻiliʻi e lōʻihi ka manawa e ho'ōla ai. ʻOi aku ka nui o ka poʻe me ka maʻi diabetes e loaʻa i kēia maʻi (PAD) .

4. Ke koko kiʻekiʻe / Hypertension

ʻO ke koko kiʻekiʻe (hypertension) he ʻenemi malū nō hoʻi. Inā ʻaʻole ia e kāohi pono ʻia, hiki iā ia ke hana i kahi ʻeha ʻeha loa (Martorell ulcer) ma ka wāwae haʻahaʻa, ʻoi aku hoʻi ma ke kuʻekuʻe wāwae. ʻO ke koko kiʻekiʻe ke kumu o ka ālai ʻana o nā kīʻaha koko liʻiliʻi (capillaries) i loko o ka ʻili, e ʻoki ana i ke kahe koko i ka ʻili. A laila make nā ʻili ʻili a ʻike ʻia he ʻeha.

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ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā ʻeha wāwae?

ʻOi aku ka nui o ka loaʻa ʻana o kēia mau ʻeha wāwae i kekahi poʻe ma mua o kekahi. E nānā kākou iā lākou:

• No nā wāhine: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne.
• Ke kaumaha o ke kino: Hiki ke hoʻonui ʻia kēia pilikia e ka momona a i ʻole ka piʻi ʻana o ke kaumaha i ka wā hāpai.
• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana nā pilikia aʻa (e.g., varicose veins), hiki iā ʻoe ke loaʻa i kēia maʻi.
• Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka rheumatoid arthritis.
• ʻOki kino: No ka poʻe i hana ʻia i ke ʻoki pani ʻūhā a i ʻole ke ʻoki pani kuli.
• Nā ʻeha a me nā ulia: Nā ʻeha koʻikoʻi e like me nā iwi haki.
• Ka nele o ka hana kino: No ka poʻe e noho ana ma kahi hoʻokahi no ka lōʻihi loa, ʻaʻole hele wāwae, a loaʻa i nā maʻi e like me ka maʻi lolo.
• Puhipaka: Hiki i ka puhipaka ke hōʻino i nā kīʻaha koko a hoʻopilikia i ke kahe o ke koko.
• Nā pilikia aʻa koko ʻē aʻe: No ka poʻe me nā kūlana e like me nā aʻa varicose, vasculitis, a me ka venous thromboembolism.

He aha nā hōʻailona o ka ʻeha wāwae?

Ke loaʻa iā ʻoe kahi ʻeha wāwae, pehea ʻoe e ʻike ai? Eia kekahi o nā hōʻailona nui:

• ʻEha ʻaʻole e ho'ōla: ʻO kēia ka hōʻailona nui. Inā ʻaʻole e ho'ōla ka ʻeha ma hope o ʻelua pule o ka mālama ʻana, he (Leg Ulcer) paha ia.
• ʻAno o ka ʻeha: Hiki ke ʻulaʻula, poni, ʻeleʻele, a melemele paha ka ʻeha. I kekahi manawa, hiki ke hui pū ʻia kekahi o kēia mau kala. Hiki i ka ʻeha ke hoʻopuka i ka wai a i ʻole kekahi mea e like me ka pus .
• Nā loli o ka ʻili:
• Hiki i ka ʻili a puni ka ʻeha ke maloʻo, unahi, a me ka maneʻo .
• Hiki ke ʻike ʻia nā mea e like me nā puʻupuʻu paʻakikī ma ka ʻili, a i ʻole e paʻa paha ka ʻili.
• Hiki ke loli ke kala o ka ʻili a ʻike ʻia he ʻulaʻula, polū, a poni paha, e like me kahi palapū .
• ʻEha: Hiki iā ʻoe ke ʻeha i nā wāwae, ʻoiai ma hope o ke kū ʻana no ka manawa lōʻihi .
• Ka pehu ʻana: Hiki ke ʻike ʻia ka pehu ʻana (edema) ma nā wāwae haʻahaʻa.

Pehea e ʻike ai i nā maʻi ʻeha o ka wāwae?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. ʻO ka maʻamau, e nānā ke kauka loea vascular i kēia mau ʻeha. E nānā pono ʻo ia i kou ʻili a me ka ʻeha.

Eia kekahi, hiki iā ʻoe ke hana i nā hoʻokolohua e like me kēia:

• Hoʻāʻo helu kuʻekuʻe wāwae-brachial: Hoʻohana kēia i ka ʻenehana ultrasound e ana i ke koko a me ke kahe o ke koko ma nā wāwae.
• Biopsy: Lawe ʻia kahi laʻana o nā ʻili a me ka wai mai ka ʻeha a nānā ʻia ma lalo o kahi microscope e nānā i nā maʻi a i ʻole nā ​​​​maʻi ʻili ʻē aʻe.

Pehea e mālama ai i nā ʻeha o ka wāwae?

Hiki ke paʻakikī iki ka ho'ōla ʻana i nā ʻeha wāwae. I kekahi manawa , ʻoiai me ka mālama ʻana, hiki i nā ʻeha ke mau no nā mahina a i ʻole nā ​​makahiki . Akā, mai hopohopo, hiki ke ho'ōla ʻia inā mālama pono ʻia.

Aia nā koho lapaʻau i nā mea e like me ke ʻano o ka ʻeha a me kona kumu. ʻO nā pahuhopu nui a ke kauka:

1. Ke ho'ōla nei i ka ʻeha.

2. Hoʻemi i ka pehu.

3. Ke pale ʻana i ka ʻeha mai ka hoʻi hou ʻana mai i ka wā e ho'ōla ana.

Eia kekahi o nā ʻano lapaʻau nui:

• Lapaʻau hoʻopaʻa: No ke kōkua ʻana i ka hoʻomaikaʻi ʻana i ke kahe koko ma nā wāwae, hoʻohana ʻia nā ʻano stockings kūikawā (compression stockings) a i ʻole nā ​​​​bandage. Hoʻopili kēia i ke kaomi i ka wāwae, e kōkua ana i ka hoʻokuke ʻana i ke koko i luna.
• Ke kiʻekiʻe ʻana o ka wāwae: ʻO ka mālama ʻana i kou mau wāwae i luna o kou puʻuwai no hoʻokahi hola i ka lā, no ka liʻiliʻi o ʻeono lā, e kōkua i ke kahe ʻana o ke koko i ka puʻuwai.
• Ka mālama ʻana i nā ʻeha: He mea nui loa kēia.
• Ke wehe nei ke kauka i ka ʻili make mai kahi ʻeha ((debridement)).
• Ke hoʻohana nei i nā antiseptic topical e pale aku i ka maʻi maʻi.
• E hoʻololi pinepine i ke kāʻei ma ka ʻeha.
• Nā lāʻau lapaʻau:
• Inā he maʻi i loko o ka ʻeha, hiki ke hāʻawi ʻia nā antibiotics.
• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau (vasodilators) e kōkua i ka hoʻonui ʻana i nā kīʻaha koko a hoʻomaikaʻi i ke kahe koko.
• Lapaʻau oxygen Hyperbaric ((Lapaʻau oxygen Hyperbaric)):He ʻano lapaʻau kūikawā kēia. Noho ʻoe i loko o kahi keʻena hyperbaric a hanu i ka oxygen maʻemaʻe. Hoʻonui kēia i ka nui o ka oxygen i loko o ke koko, kahi e wikiwiki ai ka ho'ōla ʻana o ka ʻeha.
• Lapaʻau no nā aʻa koko: Inā loaʻa iā ʻoe nā pilikia e like me nā aʻa koko varicose, hiki iā ʻoe ke hana i nā lāʻau lapaʻau e like me ka sclerotherapy (ke komo ʻana i ka lāʻau lapaʻau i loko o nā aʻa koko) a i ʻole ka endovascular ablation (ka hoʻomehana ʻana i nā aʻa koko mai loko a me ka sila ʻana iā lākou).
• ʻOki: I kekahi manawa pono paha ke ʻoki ʻana e wehe, hoʻoponopono, pani, a kāpae paha i kahi aʻa i hōʻino ʻia.
• Nā kāpili ʻili: Inā ʻoi aku ka nui o ka ʻeha ma mua o 4 ʻīniha, a inā ʻaʻole e ho'ōla ʻia nā lāʻau ʻē aʻe, hiki ke lawe ʻia ka ʻili mai kahi ʻāpana ʻē aʻe o ke kino a hoʻopili ʻia ma luna o ka ʻeha.

Pehea e pale aku ai i nā ʻeha wāwae?

Inā paha e ho'ōla ʻia kahi ʻeha wāwae, he mea hiki loa ke hoʻi hou mai . No laila, he mea nui loa ka mālama ʻana i kēia mau mea:

• Ke noho ʻoe a hiamoe paha, e hoʻomaʻamaʻa i ka mālama ʻana i kou mau wāwae i luna ma mua o kou puʻuwai . Hiki iā ʻoe ke kau i kahi mea e like me ka uluna liʻiliʻi ma lalo o kou mau wāwae.
• E mālama i ke kaumaha olakino . E hana i ka nui o ka hana kino . He mea maikaʻi nō hoʻi ka hele wāwae iki i kēlā me kēia lā.
• Inā loaʻa iā ʻoe nā maʻi e hoʻopilikia ai i ke kahe koko, e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a i ʻole ka maʻi Raynaud, e kaohi pono iā lākou . E hahai pono i nā ʻōlelo a kāu kauka.
• Inā he mea puhi paka ʻoe, e hoʻōki loa . Hiki iā ʻoe ke ʻimi i ke kōkua mai ke kauka no kēia.
• I mea e pale ai i ka maloʻo ʻana o ka ʻili, e hoʻohana i nā mea hoʻomaʻemaʻe palupalu . E kau i kahi lotion hoʻomaʻū ma hope o ka ʻauʻau ʻana.
• E ʻaʻahu i nā kāmaʻa hoʻopaʻa a i ʻole nā ​​​​bandage no ka liʻiliʻi he hola i ka lā. E hoʻomaikaʻi kēia i ke kahe koko i kou mau wāwae. E noi i kāu kauka e koho i ka mea kūpono iā ʻoe.

He aha nā pilikia e hiki mai ana mai nā ʻeha wāwae?

Inā hoʻomau nā ʻeha ʻaʻole e ho'ōla, hiki iā lākou ke hoʻoulu i nā pilikia hou aʻe.

• ʻO ka maʻi iwi (Osteomyelitis): Hiki i ka ʻeha ke komo hohonu a hoʻoulu i kahi maʻi i loko o nā iwi. Inā lilo kēia i mea koʻikoʻi, hiki nō hoʻi ke alakaʻi i ka ʻoki ʻana.
• Cellulitis: He maʻi bacteria koʻikoʻi o ka ʻili a me nā ʻiʻo ma lalo o ka ʻili. Hiki i ka ʻāpana a puni ka ʻeha ke lilo i ʻulaʻula, pehu, a mehana.
• Sepsis: Inā hiki i ka maʻi i ke koko, hiki ke hoʻoweliweli i ke ola.
• Nā maʻi ʻili: Hiki i kekahi ʻano maʻi ʻili (squamous cell carcinoma) ke ulu i kekahi manawa mai nā ʻeha lōʻihi ʻole e ho'ōla ʻia.

He aha ka manaʻolana no kekahi me ka ʻeha o ka wāwae?

Hiki i nā ʻeha wāwae ke alakaʻi i ke kīnā i kekahi manawa. Hiki i kēia mau ʻeha ke paʻakikī i ka hele wāwae, ka hana, a me ke ola maʻamau. Hiki iā lākou ke koi i nā kipa pinepine i nā kauka, nā keʻena ʻeha, a me ka hoʻokipa ʻana i ka haukapila.

Āhea wau e ʻike ai i ke kauka?

Inā he ʻeha kou ma kou wāwae ʻaʻole e ho'ōla a ke ʻike nei ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka :

• Kuni a i ʻole ke anu.
• Inā he ʻeha nui e pili ana i ka ʻeha e pale ai iā ʻoe mai ka hiamoe ʻana a i ʻole ka hana ʻana i nā hana o kēlā me kēia lā .
• Nā hōʻailona e hōʻike ana ua maʻi ka ʻeha: ʻulaʻula a puni ka ʻeha, ka mehana, ka pehu ʻana, a me kahi kahe ʻala ʻino mai ka ʻeha.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• "E ke kauka, no ke aha i loaʻa ai kēia ʻeha ma koʻu wāwae?"
• "He aha ka lāʻau lapaʻau maikaʻi loa e hiki iaʻu ke loaʻa?"
• "He aha nā hoʻololi e hiki iaʻu ke hana e ho'ōla ai i kēia ʻeha a pale aku iā ia mai ka hana hou ʻana?"
• "He aha nā hōʻailona kikoʻī e pono iaʻu e hopohopo no nā pilikia?"

He ʻeha nā ʻeha wāwae, he mea ʻoluʻolu ʻole, a he lōʻihi ka manawa e ho'ōla ai. No laila, pono ka mālama ʻeha kūikawā e pale aku i ka maʻi a kōkua i ka ho'ōla ʻana o ka ʻeha.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, e like me kā mākou i kūkākūkā ai, ʻaʻole hiki ke maʻalahi ka mālama ʻana i kahi ʻeha wāwae e ho'ōla ʻole ʻia ((Leg Ulcer)). Akā, mai hopohopo. Inā loaʻa iā ʻoe kēia pilikia, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka kūpono, e ʻike i ke kumu pololei, a hoʻomaka i ka lāʻau kūpono.

ʻO ka hahai pono ʻana i nā ʻōlelo a kāu kauka, ka mālama pono ʻana i kou ʻeha, ka haʻalele ʻana i ka puhipaka inā ʻoe e puhipaka ana, ka kaohi ʻana i kou kaumaha, a me ka mālama ʻana i nā maʻi like ʻole e like me ka maʻi diabetes hiki ke kōkua nui iā ʻoe e mālama i kēia maʻi. E hoʻomanaʻo, hiki i kēia mau ʻeha ke hoʻi hou mai ma hope o ko lākou ho'ōla ʻana, no laila he mea nui e hoʻomau i ka hahai ʻana i nā ʻōlelo a kāu kauka. Ke makemake nei iā ʻoe e ho'ōla koke!

ʻEha wāwae , maʻi kō, koko kiʻekiʻe, pilikia aa koko, ho'ōla ʻeha, maʻi ʻili