Inā ua loaʻa iā ʻoe kahi ʻūpā koko i loko o kahi aa koko hohonu i kou wāwae a lima paha, i ʻike ʻia ʻo Deep Vein Thrombosis (DVT) , loaʻa paha iā ʻoe kekahi mau pilikia e mau ana. Ua like ia me kahi ʻeha e ho'ōla ana, akā hiki iā ia ke waiho i kahi ʻeha liʻiliʻi a i ʻole kekahi ʻeha ʻoluʻolu ʻole. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana e hiki ke loaʻa ka hopena lōʻihi i kekahi poʻe ma hope o ka DVT. ʻO kēia ka mea a nā kauka e kapa nei ʻo Post-Thrombotic Syndrome a i ʻole Postphlebitic Syndrome .
He aha ka Post-Thrombotic Syndrome? I ka pōkole...
E noʻonoʻo he thrombosis aʻa hohonu kou (DVT) ma kou wāwae a lima paha. ʻOiai inā mālama maikaʻi mākou iā ia, i kekahi manawa hiki i ke koko ke hōʻeha i ke aʻa. Ua like ia me kahi mea i paʻa i loko o kahi paipu wai a inā ʻoe e wehe iā ia, e hōʻeha mau ana ia i ka paipu.
Hiki i kēia hōʻino ke hoʻolilo i nā aʻa koko i ko lākou palupalu a ʻaʻole hana pono nā valves e kōkua i ke kahe koko. Hoʻoulu kēia i ke koko e hōʻiliʻili i loko o nā aʻa koko i hōʻino ʻia ma kahi o ka hoʻi ʻana i ka puʻuwai. Ke hōʻiliʻili ke koko ma kēia ʻano, piʻi ke kaomi i loko o nā aʻa koko, e hana ana i nā hōʻailona e like me ka ʻeha a me ka pehu . ʻO kēia ka mea a mākou e kapa nei he hōʻiliʻili o nā hōʻailona (Post-Thrombotic Syndrome). Loaʻa paha i kekahi poʻe nā hōʻailona palupalu loa, akā ʻo kekahi poʻe he koʻikoʻi loa a hiki ʻole iā lākou ke hana i ko lākou ola o kēlā me kēia lā.
Inā ua loaʻa iā ʻoe ka DVT i loko o nā makahiki ʻelua i hala iho nei a ke ʻike nei ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka. Hiki iā lākou ke loiloi i kou kūlana a hoʻomaka i ka lāʻau kūpono e lawe mai iā ʻoe i ka hōʻoluʻolu.
Pehea ka maʻamau o kēia ʻano?
He maʻi maʻamau ka Post-Thrombotic Syndrome i waena o ka poʻe i loaʻa i ka DVT. Hoʻopilikia ia ma waena o 20 a me 50 o kēlā me kēia 100 poʻe i loko o ʻelua mau makahiki o ka hōʻoia ʻana o ka DVT. ʻO ia hoʻi, hoʻopilikia ia i kahi nui o ka poʻe.
Inā loaʻa iā ʻoe ka Post-Thrombotic Syndrome, he mea paʻakikī loa ke hoʻi ʻana o ke koko i loko o kēlā aa koko i hōʻino ʻia i ka puʻuwai. ʻO kēia hōʻuluʻulu ʻana o ke koko ke kumu o nā ʻano pilikia like ʻole.
He aha nā hōʻailona o kēia? Pehea ko mākou manaʻo?
ʻO nā hōʻailona Post-Thrombotic Syndrome (PTS) e pili nui i ka wāwae a i ʻole ka lima kahi i loaʻa ai ka DVT. Hiki iā ʻoe ke ʻike i nā mea e like me:
- ʻEha: ʻEha ma ka wāwae, ʻoiai i ka wā e hele ana a kū paha. I kekahi manawa ua kapa ʻia kēia he claudication .
- ʻEha a ʻeha paha me he mea lā e ʻōwili ʻia ana kahi aʻa koko .
- Ke kaumaha a me ka luhi ma nā lima/wāwae.
- ʻŌhūhū (Pruritus) .
- ʻO ka mae, ke ʻūlū, a me nā manaʻo ʻē (Paresthesia) .
He akahai paha kēia mau hōʻailona no kekahi, a he koʻikoʻi no kekahi.Hiki iā ia ke hoʻopilikia iā ʻoe. E ʻike paha ʻoe e hoʻonui ʻia kēia mau hōʻailona ke kū ʻoe a hele paha no ka manawa lōʻihi, a emi iho ke hoʻomaha ʻoe no kekahi manawa. Hiki nō hoʻi ke hoʻonui ʻia kēia mau ʻeha i ka hopena o ka lā. No kekahi poʻe, hiki ke mau kēia mau hōʻailona, a i ʻole e hele mai a hele aku.
He aha nā hōʻailona waho o ka Post-Thrombotic Syndrome?
ʻO nā hōʻailona nā mea a mākou e manaʻo ai. ʻO nā hōʻailona nā mea a mākou e ʻike ai. E nānā pū kāu kauka i kēia mau hōʻailona.
- Pehu (Edema): Pehu ʻana o ka lima a i ʻole ka wāwae i hoʻopilikia ʻia.
- ʻUlaʻula a hoʻololi paha ke ʻano o ka ʻili .
- Ka mānoanoa o ka ʻili , he manaʻo e like me ka ʻili.
- ʻO ke ʻano o nā veins varicose hou.
- ʻO ke ʻano o nā aʻa kolo liʻiliʻi.
- Inā lilo ke ʻano i mea koʻikoʻi, hiki ke ulu aʻe nā ʻeha ho'ōla ʻole (nā ʻeha venous) .
No ke aha e kū mai ai kēia (Post-Thrombotic Syndrome)? He aha ke kumu?
ʻO ke kumu maʻalahi loa, ʻo ia ka hōʻino ʻia o kou mau aa koko ma muli o ka Deep Vein Thrombosis (DVT) .
Loaʻa i nā aʻa koko hohonu i loko o ko kākou mau wāwae a me nā lima nā kiwikā hoʻokahi ala e ʻae ai i ke koko e kahe wale i hoʻokahi ala. E like me ka puka, hiki iā ia ke wehe wale i hoʻokahi ala. Kōkua kēia mau kiwikā i ke kahe koko i hope i ka puʻuwai. Eia nō naʻe, ke hana ʻia kahi ʻaʻa koko i loko o kahi aʻa koko, hiki i ke ʻaʻa koko ke hōʻino i kēlā mau kiwikā. A laila, ʻaʻole hana pono nā kiwikā.
ʻO ka hopena, hele mālie loa ke koko. Ma kahi o ke kahe pono ʻana i ka puʻuwai, hōʻiliʻili ke koko i loko o nā aa koko. Hoʻonui kēia i ke kaomi i loko o nā paia o nā aa koko, e hana ana i nā hōʻailona i ʻōlelo ʻia ma mua.
ʻO wai ka mea i pilikia nui no kēia maʻi?
Hiki i kekahi mea i loaʻa i ka DVT ke loaʻa i ka Post-Thrombotic Syndrome. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka pilikia inā ua loaʻa hou iā ʻoe ka DVT , ʻoiai ma ka lima a i ʻole ka wāwae hoʻokahi. ʻO ia hoʻi, inā he nui nā ʻūpā koko ma kahi hoʻokahi.
Eia kekahi, ʻoi aku ke kiʻekiʻe o kou pilikia inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o kahi ʻōpū koko ma mua:
- Inā ua pālahalaha aku i kahi ʻāpana nui o ke aʻa koko.
- ʻOi aku ka weliweli o kahi ʻūpā koko ma ka ʻūhā luna a i ʻole ka pelvis (i kapa ʻia he proximal DVT ) ma mua o kahi ʻūpā koko ma ke keiki bipi (i kapa ʻia he distal DVT ). Kiʻekiʻe loa ka pilikia inā hana ʻia ke ʻūpā koko ma ka aʻa iliac a i ʻole ka aʻa femoral maʻamau .
- Inā he ʻūpē koko kou i loko o kahi aʻa koko nui ma kou kino o luna, poʻohiwi, a i ʻole ka umauma o luna (ua kapa ʻia kēia he axillo-subclavian vein thrombosis) .
- Inā he ʻaʻa koko (koe thrombosis) ʻaʻole i hoʻoheheʻe loa ʻia ma hope o ka mālama ʻana.
Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:
- Inā loaʻa iā ʻoe kahi maʻi mua e like me ka chronic venous insufficiency (CVI) .
- NāuInā ʻoi aku kou helu helu nui o ke kino (BMI) ma mua o 30 (ʻo ia hoʻi ka momona).
Pehea e ʻike ai nā kauka i ka Post-Thrombotic Syndrome?
Hoʻomaopopo nā kauka i kēia maʻi ma o ka hoʻokolokolo kino . I loko o kēia hoʻokolokolo, e hana kāu kauka:
- E nīnau e pili ana i kou mōʻaukala lapaʻau (e like me ke ʻano o kou loaʻa ʻana o ka DVT ma mua, he aha nā lāʻau lapaʻau āu i loaʻa ai).
- Nīnau lākou e pili ana i kāu mau hōʻailona a pehea lākou e pili ai i kou ola o kēlā me kēia lā.
- E nānā ʻia kou mau wāwae a me kou mau lima no nā hōʻailona o ka Post-Thrombotic Syndrome (e like me ka pehu ʻana a me nā loli o ka ʻili).
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā loaʻa iā ʻoe ka Post-Thrombotic Syndrome a, inā pēlā, pehea kona koʻikoʻi.
He aha ka unahi Villalta?
Ua lohe paha ʻoe i kāu kauka e kamaʻilio ana e pili ana i ka 'Villalta scale' . He ala maʻamau kēia a nā kauka e hoʻohana ai e ʻike i kēia kūlana a loiloi i kona koʻikoʻi. Ua like ia me kahi papa inoa me kahi helu. Loaʻa iā ia he 5 mau hōʻailona a me 6 mau helu. Hāʻawi ke kauka i kahi helu no kēlā me kēia hōʻailona a me ka hōʻailona:
- 0 mau helu: ʻAʻole ia e ola ana.
- Helu 1: ʻIke iki ʻia.
- Helu 2: Loaʻa iki.
- Helu 3: Maikaʻi ʻole loa.
A laila e hoʻohui ke kauka i kēia mau helu āpau. Inā emi ka huina helu ma mua o 4, ʻaʻohe ou Post-Thrombotic Syndrome. Inā he 5 a ʻoi aku paha kāu mau helu, loaʻa iā ʻoe ke ʻano.
Ua hoʻokaʻawale hou ʻia ke kūlana ma ke ʻano he akahai, kaulike, a koʻikoʻi paha ma muli o kēia mau helu:
- Helu 5 a 9: Kūlana palupalu.
- Nā helu 10 a 14: Kūlana kūpono.
- Inā he mau ʻeha, a i ʻole he helu he 15 a ʻoi aku: he kūlana koʻikoʻi.
E wehewehe kāu kauka i kēia mau hopena iā ʻoe a haʻi iā ʻoe i ke ʻano o ia mau hopena.
Aia kekahi mau hoʻokolohua kūikawā e ʻike ai i kēia maʻi?
ʻAʻohe hoʻāʻo diagnostic kikoʻī e ʻike ai i ka Post-Thrombotic Syndrome. Eia nō naʻe, i kekahi mau hihia, hiki i nā kauka ke kauoha i kahi 'Duplex ultrasound' e ʻike i ke kahe ʻana o ke koko ma o nā aʻa.
He aha nā lāʻau lapaʻau no ka Post-Thrombotic Syndrome?
ʻO ka maʻamau, ʻo ka lāʻau lapaʻau e komo pū me ka hoʻōla ʻana i ke kaomi ʻana, nā hoʻololi ʻana i ke ʻano o ka nohona, a me ka hoʻoikaika kino . Pono paha kekahi poʻe i ke ʻoki kino a i ʻole ka lāʻau lapaʻau no nā ʻeha venous. E hoʻopilikino nā kauka i ka lāʻau lapaʻau i nā pono o kēlā me kēia kanaka. ʻO ka pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ka hōʻemi ʻana i kāu mau hōʻailona a hoʻomaikaʻi i kou ʻano ola.
Hoʻōla hoʻopili
Hiki i kāu kauka ke kuhikuhi i nā kāʻei hoʻopaʻa kūikawā nou.Hiki iā ʻoe ke ʻōlelo e ʻaʻahu iā lākou. ʻO kēia ke ʻano hana maʻamau o ka hoʻōla ʻana i ka hoʻopili ʻana. Pono e ʻaʻahu mau ʻia kēia mau socks (pinepine i kēlā me kēia lā). Hoʻokomo kēia mau socks i ke kaomi ma luna o kou mau ʻiʻo bipi a hoʻomaikaʻi i ke kahe koko i loko o nā aa. ʻOiai paha e paʻa lākou i ka wā e ʻaʻahu ʻia ai, ʻaʻole pono lākou e ʻeha.
Aia nā ʻano socks like ʻole e hāʻawi ana i nā pae like ʻole o ke kaomi ʻana. Na kāu kauka e kuhikuhi i ke ʻano kūpono o nā socks no kāu mau pono.
He lōʻihi paha kou manawa e hoʻomaʻamaʻa ai i ke komo ʻana i kēia mau mea (nā stockings compression). He mea nui e kamaʻilio me kāu kauka e pili ana i ko lākou manaʻo a inā hiki iā ʻoe ke komo pono iā lākou. Hiki i kāu kauka ke hoʻoponopono i ka pae o ke kaomi ma muli o kou manaʻo a me ka nui o ka hōʻoluʻolu e hāʻawi ai nā stockings no kāu mau hōʻailona.
ʻO nā lāʻau ʻē aʻe no ka thrush:
- He mea kōkua hoʻihoʻi venous: No ka laʻana , ʻo ka Venowave® . He mea like kēia me ka pamu āu e ʻaʻahu ai a puni kou ʻāʻī e kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko. Hiki iā ʻoe ke ʻaʻahu iā ia ma ka home a i ʻole ʻoe e hele ana i waho.
- Mea hana hoʻopili pneumatic intermittent (IPC): He lima pneumatic kēia e kau ʻia ma ka wāwae i ka haukapila.
Nā loli o ke ʻano o ka nohona
ʻO ka hana ʻana i nā hoʻololi liʻiliʻi i ke ʻano o ka nohona e hiki ke kōkua nui i ka hōʻemi ʻana i kou mau hōʻailona. Hiki i kāu kauka ke ʻōlelo i nā mea e like me:
- E mālama i kou mau wāwae ma luna o ka pae o kou puʻuwai , inā paha ʻoe e noho ana a moe paha.
- E mālama i ke kaumaha o ke kino olakino .
- E hoʻohana i nā moisturizers e pale ai i ka maloʻo ʻana a i ʻole ka nahā ʻana o ka ʻili.
Hoʻoikaika kino
Hiki i ka hoʻoikaika kino ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko a hōʻemi i nā hōʻailona. No ka laʻana, inā ua hoʻopilikia ka Post-Thrombotic Syndrome i kou mau wāwae, hiki i kāu kauka ke ʻōlelo i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo o kou mau wāwae.
ʻO ia ke kumu he mau puʻupuʻu ikaika kou mau ʻiʻo bipi e hana ana e like me ka "puʻuwai lua." Ke hele ʻoe, kōkua ka ʻūlū ʻana o kou mau ʻiʻo bipi i ka puʻupuʻu koko mai kou mau wāwae a me kou mau wāwae i kou puʻuwai. No laila, ke hoʻoikaika ʻoe i kēlā mau ʻiʻo, loaʻa i kou mau aa ke kōkua e pono ai lākou e lawe pono i ke koko.
Hoʻomaikaʻi ka hoʻoikaika kino i kou maʻalahi a me ke ahonui o ka naʻau. E kamaʻilio mau me kāu kauka ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou. E haʻi aku ʻo ia iā ʻoe i nā hoʻoikaika kino palekana a kūpono i kāu mau pono.
ʻoki kino
I kekahi mau hihia kūikawā, hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino a i ʻole ka mālama ʻana i ka endovenous (no ka laʻana, ka stenting) e hoʻomaikaʻi i ke kahe koko i loko o nā aa. E haʻi aku kāu kauka iā ʻoe inā kūpono ia ʻano mālama iā ʻoe.
Ka mālama ʻana no nā ʻeha venous
Inā lilo ke kūlana i mea koʻikoʻi , hiki ke ulu nā ʻeha venous . He mea nui loa ka mālama pono ʻana i kēia mau ʻeha a me ke akahele. Inā ʻaʻole, hiki ke loaʻa nā pilikia koʻikoʻi, e like me ke oki ʻana o ka ʻili. Hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau mea:
- Nā lāʻau antibiotic.
- Nā kāʻei a i ʻole nā mea hoʻopaʻa e uhi i ka ʻeha.
- Nā kāʻei hoʻopaʻa a i ʻole nā kāʻei paʻa.
- Ka hoʻomaʻemaʻe ʻana i nā ʻeha i kēlā me kēia lā.
- Nā mea ʻaila poni.
- Nā mea hoʻopau ʻeha.
- ʻO ka debridement ka wehe ʻana i nā ʻiʻo make.
- E kuhikuhi i nā loea e kōkua i ka mālama ʻana i nā maʻi maʻi e like me ka maʻi diabetes.
Pehea ka lōʻihi o ke ola ʻana o ka Post-Thrombotic Syndrome?
He maʻi mau ka maʻi post-thrombotic. ʻO ia hoʻi, hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele iā ia, akā ʻaʻole hiki ke ho'ōla ʻia . Hiki i ka lāʻau lapaʻau ke hōʻemi i kāu mau hōʻailona a hoʻomaikaʻi i kou hiki ke hana, launa pū, a leʻaleʻa e like me kou makemake.
Hiki ke pale ʻia ka Post-Thrombotic Syndrome?
ʻAʻole hiki ke pale ʻia ka Post-Thrombotic Syndrome i nā manawa a pau. ʻO kēia no ka mea ʻaʻole hiki ke pale ʻia ka Deep Vein Thrombosis (DVT). Eia nō naʻe, hiki iā ʻoe a me kāu kauka ke hana pū e hōʻemi i kou pilikia:
- E ʻike a hōʻemi i nā kumu pilikia no ka DVT: ʻO ke ala maikaʻi loa e pale aku ai i ka DVT (Post-Thrombotic Syndrome) ʻo ia ke pale aku iā ia mai ka ulu ʻana ma kahi mua. E ho'āʻo e hōʻemi i nā kumu pilikia hiki iā ʻoe ke hoʻololi. No ka laʻana, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka pale ʻana i nā huahana paka, noho hana, a me ka mālama ʻana i ke kaumaha olakino. E haʻi aku kāu kauka iā ʻoe i nā kumu pilikia āu e pono ai e makaʻala a pehea e hoʻomohala ai i kahi hoʻolālā no lākou.
- ʻIke mua a me ka mālama kūpono ʻana o DVT: Inā loaʻa iā ʻoe kahi DVT, hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka hōʻemi ʻana i ka hōʻino ʻana i kou mau aa. Hiki iā ia ke kōkua i ka pale ʻana i nā DVT e hiki mai ana. ʻO kēia no ka mea inā loaʻa iā ʻoe kekahi DVT ʻē aʻe, aia ʻoe i ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi post-thrombotic. Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu. ʻO ka maʻamau, pili kēia i ka lawe ʻana i ka lāʻau anticoagulant no kekahi mau mahina a ʻoi aku paha.
Pehea wau e mālama ai iaʻu iho?
E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka mālama ʻana iā ʻoe iho i kou wā ma ka home. E hahai pono i kēlā mau kuhikuhi, a e nīnau inā ʻaʻole maopopo kekahi mea. Hiki iā ʻoe ke hana i nā mea e like me kēia:
- E lawe i kāu lāʻau lapaʻau e like me ke kauoha .
- ʻOiai e noho ana a moe ana pahaE hoʻomau i kou mau wāwae i luna.
- E pale i ka noho ʻana no ka manawa lōʻihi e like me ka hiki. E hoʻomaha iki e hele a puni a hoʻolōʻihi i kou kino.
- E hoʻohana i ka moisturizer e mālama i ke olakino o kou ʻili .
He mea nui hoʻi e mālama i kou olakino noʻonoʻo . Hiki i ka noho ʻana me ka Post-Thrombotic Syndrome ke hoʻoluhi i ka noʻonoʻo a me ka naʻau. Hiki i ka poʻe me kēia maʻi ke ʻike i ke kaumaha, ka hopohopo, a me ka haʻahaʻa o ka manaʻo ponoʻī. Hopohopo paha lākou no ka loaʻa ʻana o kahi ʻōpū koko ʻē aʻe. Hiki paha iā lākou ke kaumaha no ka mea ʻaʻole hiki iā lākou ke hana hou i nā mea a lākou i hana ai ma muli o kā lākou mau hōʻailona.
Inā ʻoe e ʻike nei i kēia mau manaʻo, hiki i ke kamaʻilio ʻana me ke kākāʻōlelo a i ʻole ka mea hoʻoponopono ke lilo i mea kōkua nui. Hiki iā lākou ke kōkua iā ʻoe e hoʻoponopono i kēia mau manaʻo a loaʻa nā hopena e hoʻohauʻoli ai iā ʻoe.
Āhea wau e ʻike ai i kaʻu kauka?
E hāʻawi kāu kauka iā ʻoe i nā nānā ʻana e nānā i kou kūlana. He mea nui loa ka hele ʻana i kēia mau manawa a pau i hiki i kāu kauka ke hoʻololi i kāu hoʻolālā lapaʻau e like me ka mea e pono ai.
Inā loaʻa iā ʻoe kekahi mau hōʻailona hou a inā loli paha kāu mau hōʻailona , e kāhea koke aku i kāu kauka.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
E kōkua kēia mau nīnau iā ʻoe e aʻo hou e pili ana i kāu hōʻailona:
- Loaʻa maoli anei iaʻu ka Post-Thrombotic Syndrome? Inā pēlā, pehea ke koʻikoʻi?
- He aha nā lāʻau lapaʻau āu e paipai mai ai iaʻu?
- He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?
- He aha nā hoʻomaʻamaʻa kino kūpono iaʻu?
- Pehea lā koʻu manaʻo?
Ke loaʻa iā ʻoe kahi hōʻailona o ka Post-Thrombotic Syndrome, nui paha kāu mau nīnau a me nā makaʻu. Akā, mai hopohopo, aia kāu kauka ma laila e pane i kāu mau nīnau a alakaʻi iā ʻoe ma o ka lāʻau lapaʻau. ʻOiai he mea maʻamau kēia ʻano, he kū hoʻokahi kāu mau pono a me kou hopohopo. E hana pū me kāu kauka e ʻimi i nā kumuwaiwai e kākoʻo i kou olakino kino a me ka noʻonoʻo.
Leka Lawe-Home
ʻO ka Post-Thrombotic Syndrome (PTS) kahi kūlana e hiki ke hana ma hope o kahi DVT a hiki ke hoʻoluhi nui ʻia. Akā hiki ke mālama ʻia .
ʻO ka mea nui loa, ʻo ia ka ʻimi ʻana i ka lāʻau lapaʻau wikiwiki a kūpono inā loaʻa iā ʻoe kahi DVT, e makaʻala i nā hōʻailona ma hope, a e ʻimi i ke aʻo lapaʻau inā pono.
ʻO ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka, ka hana ʻana i nā hoʻololi nohona e pono ai, a ʻoi aku hoʻi ka hoʻohana pono ʻana i nā kāmaʻa hoʻopaʻa hiki ke kōkua iā ʻoe e loaʻa ka nui o ka hōʻoluʻolu. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe e hoʻoponopono i kēia maʻi.
ʻO ka maʻi ma hope o ka Thrombotic, DVT, nā ʻūpā koko, ka maʻi vein, ka ʻeha o ka wāwae, ka pehu ʻana o ka wāwae, nā ʻeha vein
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