ʻO kahi pilikia i loaʻa i nā kānaka he nui, ʻoi aku hoʻi nā wāhine, ʻo ia ke ʻano o nā aʻa koko polū a poni paha ma ko lākou mau wāwae. No kekahi poʻe, ua like kēia me nā aʻa koko kolo liʻiliʻi, a no kekahi poʻe, he mau aʻa koko nui a ʻeha ( Varicose Veins ). ʻAʻole wale kēia e hoʻolilo i nā wāwae i mea ʻino, akā i kekahi manawa hoʻi e hoʻoulu ai i ka ʻoluʻolu ʻole e like me ka ʻeha a me ke kaumaha. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūpono a maʻalahi hoʻi no kēia.
He aha ka Sclerotherapy?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau maikaʻi loa ʻo Sclerotherapy no nā veins varicose a me nā veins spider i kou mau wāwae.
Eia ka mea e hana ʻia: Hoʻohana kāu kauka i kahi nila lahilahi loa e hoʻokomo pololei i kahi hopena kemika kūikawā i loko o ke aʻa varicose. Hoʻonāukiuki kēia lāʻau lapaʻau i ka paia o loko o ke aʻa. A laila pili pū nā paia, e hana ana i kahi ʻeha i loko o ke aʻa, e pani loa ana i ke aʻa. Ke pani ʻia ke aʻa, e pau ke kahe ʻana o ke koko ma loko. I ka hala ʻana o ka manawa, e omo ke kino i ke aʻa i paʻa. I ka hopena, nalowale ke aʻa, a ʻoi aku ka maikaʻi o kou wāwae.
No wai kēia lāʻau lapaʻau maikaʻi loa, a no wai ka mea kūpono ʻole?
ʻOiai kūpono kēia lāʻau lapaʻau no nā poʻe he nui me nā aʻa varicose a i ʻole nā aʻa spider veins, ʻaʻole kūpono ia no nā mea āpau. Ma mua o kou loaʻa ʻana o kēia lāʻau lapaʻau, pono ʻoe e hālāwai me kahi loea vascular a i ʻole ke kauka ʻoki kino e hoʻoholo ai inā kūpono ʻoe no kēia lāʻau lapaʻau.
ʻAʻole hiki iā ʻoe ke hana i ka Sclerotherapy inā loaʻa iā ʻoe nā pilikia ma lalo nei:
| Kūlana | Wehewehena |
|---|---|
| Loaʻa kahi ʻōpū koko ikaika | ʻAʻole hiki ke hana i kēia inā he ʻaʻa koko kou i loko o kahi aʻa koko hohonu (Deep Vein Thrombosis) a i ʻole kahi aʻa koko superficial (Superficial Vein Thrombosis) i loko o kou kino. |
| Hāpai keiki | ʻAʻole hana ʻia kēia i ka wā hāpai. Pono ʻoe e kali ma ka liʻiliʻi he ʻekolu mahina ma hope o ka hānau ʻana o ke pēpē. |
| ʻO ka lilo ʻana i makuahine hānai | ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau i ka wā hānai. |
| Ke hoʻopaʻa ʻia nei ma kahi moe | ʻAʻole kūpono kēia lāʻau lapaʻau no kekahi kanaka hiki ʻole ke ala aʻe i kahi moe no kekahi kumu. |
Akā inā ʻoe e lawe ana i nā lāʻau hoʻomalu hānau , hiki iā ʻoe ke loaʻa iā Sclerotherapy. Eia kekahi, inā ua loaʻa iā ʻoe kahi ʻūpā koko ma mua, hiki paha iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma muli o ke kumu a me ke koʻikoʻi. Hoʻoholo ʻia kēia e kāu kauka.
ʻO ka mea nui loa, mai manaʻo i nā hopena koke a kilokilo mai kēia lāʻau lapaʻau. He manawa iki ka ʻike ʻana i nā hopena. ʻO ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea a me ka loaʻa ʻana o kahi ʻike maopopo e kōkua i ka pale ʻana i ka hoka.
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o kāu mālama ʻana. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
- ʻO kekahi mau lāʻau antibiotic (Nā lāʻau lapaʻau antibiotics ): ʻO nā lāʻau lapaʻau e like me Tetracycline lāua ʻo Minocycline i lawe ʻia i 7-10 mau lā ma mua a ma hope paha o ka mālama ʻana hiki ke hoʻololi i ka ʻili. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
- Nā lāʻau hoʻopau ʻeha: Mai lawe i nā lāʻau anti-inflammatory non-steroidal (NSAID) e like me ka aspirin a me ka ibuprofen no 48 mau hola ma mua a ma hope paha o ka mālama ʻana. Hiki i kēia ke hoʻonui i ke kahe koko. He maikaʻi ka Acetaminophen (Panadol®) no ka hoʻopau ʻana i ka ʻeha.
- Prednisolone: ʻO ka lawe ʻana i kēia lāʻau lapaʻau e hōʻemi paha i ka pono o ka wai i hoʻohana ʻia no ka sclerotherapy. E nīnau i ke kauka nāna i kuhikuhi iā ʻoe i ka Prednisolone inā hiki iā ʻoe ke hoʻōki i ka lawe ʻana iā ia he 48 mau hola ma mua o ka mālama ʻana.
Nā ʻōlelo aʻoaʻo ʻē aʻe:
- Mai hoʻopili i kekahi ʻano lotion i kou mau wāwae ma mua a ma hope paha o ka mālama ʻana.
- E lawe mai i nā lole komo pōkole e ʻaʻahu ai i ka wā o ka mālama ʻana.
- Inā he mau hosiery compression/support stockings kāu āu i hoʻohana ai no nā lāʻau lapaʻau ma mua, e lawe pū mai me ʻoe. A laila hiki i ke kauka ke ʻike inā e kūpono lākou i kēia manawa.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻAʻole pono kēia i ka anesthesia . ʻO ke kaʻina hana holoʻokoʻa ma kahi o 30-45 mau minuke.
1. ʻO ka mea mua, e hoʻomaʻemaʻe pono kāu kauka i ka wahi e mālama ʻia ai.
2. I kekahi manawa, hiki ke hoʻohana ʻia kahi scan ultrasound e ʻike pololei i ke aʻa koko, ma ke scan ʻana a me ka māka ʻana iā ia.
3. A laila, huki ʻia kou ʻili a paʻa a hoʻokomo ʻia kahi wai kūikawā a huʻa paha i loko o ke aʻa me kahi nila lahilahi loa.
4. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki ke kuʻi ka nila i ka ʻili a me kahi ʻeha iki i ka wā e komo ai ka lāʻau lapaʻau. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki no hoʻokahi a ʻelua paha minuke ke hou ʻia nā aʻa nui.
ʻO ka helu o nā aa koko i mālama ʻia i hoʻokahi kau e hoʻoholo ʻia e ka nui, ka wahi, a me ke olakino holoʻokoʻa o kou mau aa koko.
He aha kaʻu e hana ai a mālama ai ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻokele i ka home. Hiki iā ʻoe ke hana i kāu mau hana maʻamau. He mea maikaʻi loa ka hele wāwae .
Eia nō naʻe, e makaʻala i kēia mau mea no nā hola 48 e hiki mai ana:
- Mai lawe i nā mea hoʻomaha ʻeha e like me Aspirin a i ʻole Ibuprofen. Inā pono, e lawe iā Panadol.
- Mai ʻauʻau wela, sauna, a i ʻole whirlpools. He mea maikaʻi ke ʻauʻau me ka wai mehana.
- E holoi i ka wahi i ini ʻia me ke kopa akahai a me ka wai mehana.
- Mai hoʻopili i nā ʻūpā wela i nā wahi i mālama ʻia.
- E pale i ka hoʻopili pololei ʻana i ka lā (me ka ʻili ʻana i ka lā a me nā moena ʻili ʻana).
ʻO ka mea nui loa, ʻo ia ke komo ʻana i nā kūpeʻe hoʻopaʻa a i ʻole nā kāʻei i kuhikuhi ʻia e kāu kauka no 3 a 7 mau lā. E kōkua kēia i ka hoʻonui ʻia ʻana o nā aʻa koko i mālama ʻia, kahi e kōkua ai i ka mālama ʻana e holomua.
Aia kekahi mau pilikia a me nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau a pau, hiki i ka Sclerotherapy ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. Eia nō naʻe, he mea kakaikahi loa nā pilikia koʻikoʻi.
| ʻUlaʻula ma kahi i hoʻokomo ʻia | E nalo aku ana ia i loko o kekahi mau lā. |
| ʻEha | Hiki iā ia ke mau i kekahi mau lā a i ʻole kekahi mau pule. |
| Nā kiko ʻeleʻele a i ʻole nā kaha | ʻO ka maʻamau, nalo ia i loko o 3-6 mau mahina, akā hiki ke mau loa ma kahi o 5% o nā hihia. |
| Ka pehu ʻana a i ʻole ka mānoanoa o nā aa | I ka mālama ʻana i nā aʻa nui, hiki ke mau kēia no kekahi mau mahina. |
| Nā hopena alerika | Hiki ke ʻānai a me ka pehu ʻana, akā ʻaʻole pinepine ia he mea koʻikoʻi. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Hoʻopilikia kokoke loa (ETU). | |
ʻOi aku ka kiʻekiʻe o ka holomua o ka lāʻau lapaʻau ma kahi o 50% a 80%. Ma kahi o 10% o nā hihia, ʻaʻole paha e holomua ka lāʻau lapaʻau. Inā hana ʻia kēlā, hiki i kāu kauka ke kuhikuhi i kahi hopena ʻokoʻa a i ʻole kekahi ʻano hana ʻē aʻe, e like me ka laser therapy.
Leka Lawe-Home
- He lāʻau lapaʻau palekana a maikaʻi loa ka Sclerotherapy no nā aʻa varicose a me nā aʻa spider i nā wāwae.
- No ka ʻike ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, e ʻoluʻolu e kūkākūkā me ke kauka kūpono.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka mālama ʻana, ʻoiai e pili ana i ke komo ʻana i nā kāʻei hoʻopaʻa a me ka hoʻōki ʻana i kekahi mau lāʻau lapaʻau.
- Hiki ke hala i kekahi mau mahina e ʻike i nā hopena, no laila e hoʻomanawanui.
- Inā loaʻa kekahi mau hōʻailona koʻikoʻi a ʻokoʻa hoʻi (e like me ka pehu koke ʻana) ma hope o ka lāʻau lapaʻau, e ʻimi koke i ke kōkua lapaʻau.
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