Ke nānā ʻoe i kou mau wāwae, ʻike anei ʻoe i kekahi manawa i nā aʻa koko polū a poni paha, a ma kekahi mau wahi ua like nā aʻa koko me he mea lā ua nakinaki ʻia? Manaʻo kekahi poʻe i ka ʻeha, ke kaumaha, a me ka maneʻo i ko lākou mau wāwae ma muli o kēia. ʻOi loa aku i ka wā e ʻaʻahu ai i kahi lole a i ʻole nā pōkole pōkole, hiki i kēia ʻano ke hoʻoluhi iki iā ʻoe. Kāhea mākou i kēia ʻano ma ke ʻano lapaʻau he `(Varicose veins)` a me `(Spider veins)`. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau holomua loa, maʻalahi, a kaulana hoʻi no kēia. ʻO ia ka `Sclerotherapy`.
He aha maoli ka sclerotherapy?
I ka ʻōlelo maʻalahi, ʻo `Sclerotherapy` kahi lāʻau lapaʻau injection no `(Varicose veins)` a me `(Spider veins)` i kou mau wāwae. ʻAʻole kēia he ʻoki kino. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻohana ʻana o kāu kauka i kahi nila lahilahi loa a hoʻokomo i kahi hopena kemika kūikawā i loko o ke aʻa i ʻike ʻia.
E noʻonoʻo i kēia wai e like me ke kāpili. Ke komo i loko o ke aʻa, hoʻonāukiuki iki ia i nā paia o ke aʻa. ʻO ka mea e hana ʻia, ʻo ia ka pipili ʻana o nā paia o ke aʻa, kū ke kahe koko i loko o ke aʻa, a lilo ke aʻa e like me kahi ʻeha a pani ʻia. I ka hala ʻana o ka manawa, omo a wehe kou kino i kēia aʻa i paʻa. A laila mae mālie ke aʻa maikaʻi ʻole. Me ia, nalowale pū ka ʻeha a me ka ʻoluʻolu ʻole i hana ʻia.
Ua like kēia me ke kau ʻana i kahi wai kūikawā i loko o kahi paipu wai kahiko a pono ʻole a hoʻopaʻa iā ia mai loko mai. Ma hope o kekahi manawa, e like me ka pala ʻana o ka paipu, nalowale pū kēia aa koko mai ke kino aku.
No wai kēia lāʻau lapaʻau kūpono? No wai ka mea kūpono ʻole?
He lāʻau palekana ka Sclerotherapy hiki ke hana ʻia e nā poʻe he nui, akā, ʻaʻole no nā kānaka a pau. Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau iā ʻoe. E nānā ʻo ia iā ʻoe ma mua o ka hana ʻana i ka lāʻau.
ʻAʻole hana ʻia kēia lāʻau lapaʻau ma luna o kēia mau kānaka:
- No nā makuahine hāpai: ʻAʻole hiki ke hana ʻia kēia lāʻau lapaʻau inā hāpai ʻoe. Hiki iā ʻoe ke noʻonoʻo hou ma hope o ʻekolu mahina ma hope o ka hānau ʻana.
- No nā makuahine hānai waiū: ʻAʻole kūpono ke hana i kēia i ka wā e hānai waiū ana.
- No nā poʻe me nā maʻi ʻaʻa koko: ʻAʻole hiki ke hana ʻia kēia inā he mau ʻaʻa koko ikaika kou i loko o kou mau aa (active deep vein thrombosis a i ʻole superficial vein thrombosis).
- No ka poʻe e moe ana ma kahi moe: ʻAʻole hana ʻia kēia lāʻau lapaʻau ma luna o kekahi e moe ana ma kahi moe a hiki ʻole ke hele ma kekahi ʻano.
Eia nō naʻe, inā ʻoe e lawe ana i nā lāʻau hoʻomalu hānau, ʻaʻole ia he pilikia , hiki iā ʻoe ke hana i ka 'Sclerotherapy'. Eia kekahi, inā ua loaʻa iā ʻoe kahi ʻūpā koko ma mua, ma muli o ke kumu a me kona koʻikoʻi, hiki paha ke mālama ʻia. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i kēia.
ʻO kekahi mea nui, i kekahi manawa, ʻaʻole hana ʻia kēia lāʻau lapaʻau ma nā aʻa koko e pono ai ke ʻoki bypass i ka wā e hiki mai ana, e like me ke ʻoki bypass graft artery coronary. Eia nō naʻe, inā ua hōʻino loa ke aʻa koko no ka hoʻohana ʻana, ua mālama ʻia.
Nā mea e pono ai ʻoe e ʻike ma mua o ka mālama ʻana a pehea e hoʻomākaukau ai
Aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma kāu ʻaoʻao ma mua o ka hele ʻana no ka mālama ʻana, a me nā lāʻau lapaʻau e pono ai ʻoe e hoʻōki i ka lawe ʻana. He mea nui loa ka hahai pololei ʻana i kēia mau mea no ka holomua o ka mālama ʻana.
| ʻŌlelo aʻoaʻo | ʻIke koʻikoʻi |
|---|---|
| Nā lāʻau lapaʻau e hoʻōki ai | Mai lawe i nā lāʻau ʻeha a me nā lāʻau hoʻokahe koko e like me ka aspirin , ibuprofen (e like me Advil®, Nuprin®), a me nā NSAID ʻē aʻe no 48 mau hola ma mua a ma hope o ka mālama ʻana. Hiki i kēia ke hoʻonui i ke kahe koko. Eia nō naʻe, ua maikaʻi ke lawe i ka paracetamol (Tylenol®, Panadol®) no ka ʻeha. |
| E akahele me nā lāʻau antibiotic. | ʻO nā lāʻau antibiotic e like me (Tetracycline) a i ʻole (Minocycline) hiki ke hoʻololi i ka ʻili inā lawe ʻia 7-10 mau lā ma mua a ma hope paha o ka lāʻau lapaʻau. E haʻi i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau antibiotic ʻē aʻe. |
| E ʻike e pili ana iā Prednisone | Inā ʻoe e lawe ana i kahi lāʻau steroid e like me Prednisone , hiki ke hōʻemi i ka pono o ka lāʻau lapaʻau. No laila, e nīnau i kāu kauka inā hiki iā ʻoe ke hoʻōki i ka lawe ʻana iā ia he 48 mau hola ma mua o kāu lāʻau lapaʻau. |
| Mai hoʻopili i kekahi mea i ka ʻili. | I ka lā o ka mālama ʻana, mai hoʻopili i kekahi lotion, kirīmi, a ʻaila paha i kou mau wāwae. |
| E noʻonoʻo e pili ana i ke kapa. | E lawe mai i nā lole komo pōkole ʻoluʻolu e komo ai i ka wā o ka mālama ʻana. |
| E lawe mai i nā kāmaʻa hoʻopaʻa. | Inā he mau hosiery hoʻopaʻa kou mai kahi lāʻau lapaʻau ma mua, e lawe pū me ʻoe. Hiki i ke kauka ke nānā iā ia e ʻike inā e kūpono ia i kēia manawa. |
ʻO ka mea nui loa: Ma mua o ka hoʻōki ʻana i kekahi lāʻau lapaʻau āu e lawe nei, he mea nui e kamaʻilio me ke kauka nāna i kuhikuhi iā ʻoe a e ʻimi i kāna ʻōlelo aʻo.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Hana ʻia kēia lāʻau lapaʻau ma ke keʻena o ke kauka. ʻAʻole ia e koi nui i ka hoʻomākaukau ʻana a i ʻole ka anesthesia. ʻO ke kaʻina hana holoʻokoʻa he 30 a 45 mau minuke ka lōʻihi.
1. Kūlana: Ma muli o kahi o ke aʻa e mālama ʻia nei, e noi ʻia ʻoe e moe ma luna o kahi moe ma kou ʻaoʻao a i ʻole kou ʻaoʻao.
2. Hoʻomaʻemaʻe ʻili: Hoʻomaʻemaʻe pono ʻia ka ʻili a puni ka wahi i inikini ʻia.
3. Ka ʻIke ʻana i nā Aa: I kekahi manawa, i ka wā e mālama ai i nā aa hohonu, hiki i ke kauka ke hoʻohana i kahi scan ultrasound e ʻike ai i ke aa kikoʻī.
4. Inikini: A laila, e huki ke kauka a i ʻole kekahi mea kōkua i kou ʻili a paʻa a laila, me ka hoʻohana ʻana i kahi nila lahilahi loa, e inikini pono lākou i ka wai kūikawā a i ʻole ka huʻa i loko o ke aʻa.
E ʻike wale ʻoe i kahi ʻano ʻū iki mai ke kui . E ʻike paha ʻoe i kahi ʻano wela iki i ka wā e komo ai ka lāʻau. Ke hoʻokomo ʻia ka lāʻau i loko o kahi aa nui aʻe, e ʻike paha ʻoe i kahi ʻano mae iki i kou wāwae no hoʻokahi a ʻelua paha minuke. He mea maʻamau kēia mau mea a pau, no laila mai hopohopo no ia mea.
ʻO ka helu o nā aa koko i mālama ʻia i hoʻokahi kau ʻana e pili ana i ka nui a me kahi o kou mau aa koko, a me kou olakino holoʻokoʻa.
He aha kaʻu e hana ai ma hope o ka lāʻau lapaʻau?
Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e noi ʻia ʻoe e noho ma kahi moe no kahi o 15 mau minuke. ʻO kēia ke ʻike inā he hopena maʻi i ka lāʻau lapaʻau. Ma hope o kēlā, hiki iā ʻoe ke ala a hoʻokele i ka home ma kāu iho . Hiki iā ʻoe ke hana i kāu mau hana maʻamau. He mea maikaʻi loa ka hele wāwae ʻana , no ka mea, hoʻomaikaʻi ia i ke kahe koko.
Aia kekahi mau kuhikuhi kūikawā e pono ai ʻoe e hahai i loko o nā hola 48 mua ma hope o ka lāʻau lapaʻau.
| Nā mea e pono ai/ʻaʻole e pono ai | Wehewehena |
|---|---|
| Ke komo ʻana i nā stockings compression | Wahi a ke kauka e hoʻomau ʻoe i ke komo ʻana i kēia mau hosiery kākoʻo a i ʻole nā ʻōwili hoʻopaʻa no 3 a 7 mau lā. E kōkua kēia i nā aa i mālama ʻia e hoʻopaʻa a ho'ōla wikiwiki. |
| E pale i nā mea wela | E pale i nā ʻauʻau wela, nā sauna, a me nā whirlpool. He maikaʻi ka ʻauʻau ʻana me ka wai maʻamau, akā e hoʻohaʻahaʻa iki i ka mahana o ka wai. Mai kau i nā ʻōmole wai wela ma nā wahi i inikini ʻia. |
| E pale i ka lā. | E pale i ka hōʻike ʻana i nā wahi i mālama ʻia i ka lā pololei. E pale pū i ka ʻili ʻana i ka lā. |
| Ka maʻemaʻe | E holoi i nā wahi i iniki ʻia me ka wai mehana a me ke kopa palupalu. |
| Nā lāʻau hoʻopau ʻeha | Inā loaʻa iā ʻoe ka ʻeha, e lawe iā Paracetamol. Mai lawe i nā lāʻau lapaʻau e like me Aspirin a i ʻole Ibuprofen. |
He aha nā pōmaikaʻi o ka mālama ʻana me ka Sclerotherapy?
- ʻAʻohe anesthesia i koi ʻia: ʻOiai ʻaʻole kēia he hana ʻoki, ʻaʻole pono ʻoe e anesthetized.
- Ka nui o ka holomua: Loaʻa i nā poʻe he nui nā hopena maikaʻi me kēia. He mea kūpono loa ia no nā `(Varicose veins)` liʻiliʻi a me nā `(Spider veins)`. I hoʻokahi kauMa waena o 50% a me 80% o nā aa koko hiki ke wehe ʻia.
- Nā hopena wikiwiki: E mae nā aʻa kolo liʻiliʻi i loko o 3-6 mau pule. Hiki i nā aʻa nui ke hala i 3-4 mau mahina.
- Nā hopena mau loa: ʻAʻole e ʻike hou ʻia kahi aʻa koko i mālama pono ʻia. Eia nō naʻe, hiki ke ʻike ʻia nā aʻa koko hou. I kēlā hihia, pono e mālama ʻokoʻa ʻia.
- ʻEmi ka ʻeha: ʻO ke komo ʻana i nā kāmaʻa hoʻopaʻa ma hope o ka mālama ʻana hiki ke hōʻemi nui i ka ʻeha. Kōkua nō hoʻi ia i ka kaohi ʻana i ka palapū a me ka pehu.
Aia kekahi mau pilikia a i ʻole nā hopena ʻaoʻao i kēia?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao liʻiliʻi e hiki ke loaʻa. Eia nō naʻe, he mea kākaʻikahi loa nā hopena koʻikoʻi.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao maʻamau, ʻaʻole koʻikoʻi | |
| Paʻakikī/ʻūʻū o ke aʻa | Ke mālama ʻia nā aʻa koko nui, hiki ke manaʻo ʻia he puʻupuʻu a ʻoʻoleʻa no kekahi mau mahina. E nalo mālie ana kēia. |
| ʻUlaʻula | E nalo aku ana ka ʻulaʻula ma kahi i inikini ʻia i loko o kekahi mau lā. |
| Nā kiko ʻeleʻele | Hiki ke ʻike ʻia nā kaha ʻeleʻele a i ʻole nā kiko ma nā wahi i mālama ʻia. Maʻamau e mae kēia mau mea i loko o 3-6 mau mahina. Eia nō naʻe, i loko o kahi pakeneka liʻiliʻi o ka poʻe, ma kahi o 5%, hiki ke noho mau loa kēia mau mea. |
| Nā palapū | Hiki ke loaʻa nā palapū ma kahi i hoʻokomo ʻia. E nalo aku kēia mau mea i loko o kekahi mau pule. |
| Nā hopena alerika | Hiki ke loaʻa kahi hopena alerika i ka lāʻau lapaʻau, akā he mea kākaʻikahi loa ia. Hiki i nā hōʻailona ke komo pū me ka maneʻo a me ka pehu. |
| Nā hōʻailona e hiki pinepine ʻole mai a pono e hōʻike koke ʻia i ke kauka | |
| Pehu ʻana o ka ʻūhā | Inā loaʻa iā ʻoe ka pehu ma kou wahi ʻūhā. |
| Pehu koke ka wāwae | Inā hoʻomaka koke ka wāwae i mālama ʻia e pehu. |
| Nā ʻeha liʻiliʻi | Inā ulu nā ʻeha liʻiliʻi (nā ʻōpū) ma kahi i inikini ʻia. |
| Kaha ʻulaʻula | ʻOi loa aku inā ʻike ʻia nā kaha ʻulaʻula e holo ana i ka ʻōpū. |
Inā loaʻa kekahi mea e like me kēia, pono ʻoe e kāhea koke aku i kāu kauka .
E uhi anei ka ʻinikua i kēia? ʻOi aku ka maikaʻi o ka mālama ʻana i ka laser?
ʻAʻole uhi pinepine nā ʻoihana ʻinikua i nā lāʻau lapaʻau sclerotherapy no nā kumu hoʻonaninani. Eia nō naʻe, inā he mau kumu olakino kou no nā aʻa varicose, e like me ka ʻeha a i ʻole ke kaumaha ma kou mau wāwae, hiki i kekahi mau ʻoihana ʻinikua ke uhi i ka lāʻau. Pono kēia i kahi leka mai kāu kauka. ʻOi aku ka maikaʻi o ke kāhea ʻana i kāu ʻoihana ʻinikua ma mua o ka loaʻa ʻana o ka lāʻau a nīnau e pili ana i kēia.
ʻO ka mālama ʻana i ka laser, a i ʻole ka endovenous thermal ablation, kekahi lāʻau maikaʻi no nā veins varicose. Hiki iā ia ke hana i nā hopena ʻaoʻao. Eia nō naʻe, he paʻakikī ke mālama i nā veins tortuous a wili me ka mālama ʻana i ka laser. Na kāu kauka e hoʻoholo i ka lāʻau maikaʻi loa nāu ma muli o ke kūlana o kou mau veins.
Leka Lawe-Home
- He lāʻau lapaʻau palekana a maikaʻi loa ka Sclerotherapy no nā aʻa varicose a me nā aʻa spider i kou mau wāwae.
- He mea nui e haʻi i kāu kauka e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau a pau āu e lawe nei ma mua o ka mālama ʻana.
- No nā hopena maikaʻi loa, e hahai pono i nā ʻōlelo a kāu kauka ma hope o ka mālama ʻana, ʻoiai ke komo ʻana i nā stocking compression.
- He manawa iki ka lōʻihi e ʻike ai i nā hopena. Mai manaʻo e nani kou mau wāwae i ka pō hoʻokahi. E hoʻomanawanui.
- Inā loaʻa iā ʻoe kahi hopena koʻikoʻi (e like me ka pehu koke a i ʻole ka ʻūlū ʻana), mai hopohopo a e hoʻomaopopo koke i kāu kauka.
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