He mau ʻeha kou ma kou mau wāwae i hoʻōla ʻole ʻia? E aʻo kākou e pili ana i kēia 'Vascular Ulcer'!

Ua ʻike anei ʻoe i kekahi manawa e ʻike ʻia nā ʻeha ma kou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana ʻūhā a i ʻole ka kuʻekuʻe wāwae, a lōʻihi ka manawa e ho'ōla ai? Ua ʻike paha ʻoe i kēia. ʻAʻole kēia he mau ʻeha maʻamau. Kāhea mākou i kēia mau 'Vascular Ulcers', ʻo ia hoʻi ma ka ʻōlelo Sinhala ʻo 'vein ulcers '. I ka ʻōlelo maʻalahi, he mau ʻeha kēia e kū mai ana ma ka ʻili ma muli o ke kahe koko maikaʻi ʻole i loko o ko mākou kino. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, no ka mea, he mea kēia e hiki ke hoʻopilikia i nā poʻe he nui.

He aha nā ʻeha vascular?

I ka ʻōlelo maʻalahi, ʻo nā ʻeha venous he mau ʻeha e kū mai ana ma ko kākou ʻili. Akā, ʻaʻole kēia he mau ʻeha wale nō. Hoʻokumu ʻia lākou e nā pilikia me ke kahe koko i loko o ko kākou kino, ʻo ia hoʻi, ka ʻōnaehana hoʻopuni koko. ʻO ka hapa pinepine, ʻike ʻia kēia mau ʻeha ma ko kākou mau lālā, ʻoiai nā wāwae haʻahaʻa a me nā wāwae. Akā hiki nō hoʻi iā lākou ke kū mai ma nā wahi ʻē aʻe. He lōʻihi ka manawa e ho'ōla ai kēia mau ʻeha, a i kekahi manawa pono paha nā lāʻau lapaʻau kūikawā e like me ke ʻoki ʻana.

ʻElua kumu nui e loaʻa ai kēia mau ʻeha venous.

1. ʻO kekahi ka hoʻonāwaliwali ʻana o ke kahe koko i loko o ko kākou mau aʻa . ʻO nā aʻa kahi e loaʻa ai i ke kino nā meaʻai a me ka oxygen e pono ai. No laila, ke pilikia kēia mau mea, hana ʻia nā ʻeha.

2. ʻO kekahi kumu ʻē aʻe, ʻo ia ke kahe koko maikaʻi ʻole i loko o ko kākou mau aa . Ma o nā aa e lawe ʻia ai ke koko, me nā huahana ʻōpala i loko o ke kino, i ka puʻuwai. Inā he pilikia me kēia mau mea, loaʻa nā ʻeha.

ʻO ka mea maʻamau o kēia mau mea he mau ʻeha e kū mai ana i loko o nā aa koko, a mākou e kapa nei he mau ʻeha venous .

Pehea ka maʻamau o kēia mau ʻeha?

ʻO kaʻoiaʻiʻo, ʻoi aku ka maʻamau o kēia mau ʻeha venous ma mua o kou manaʻo, ʻoiai ke ulu aʻe ʻoe. Ma ka awelika, ma kahi o 1% o nā pākeke e loaʻa paha kēia maʻi. Ma waena o ka poʻe ma luna o 65, hiki i kēia pakeneka ma waena o 3% a me 5%. No laila, ʻaʻole kēia he mea e lawe māmā ʻia.

Pehea ka hopena o kēia mau ʻeha venous i ko mākou kino?

Hiki i kēia mau ʻeha ke loaʻa nā hopena maikaʻi ʻole i kou ola. E noʻonoʻo wale...

• ʻO ka hoʻonui ʻia o ka pilikia o nā maʻi: Ua like ko mākou ʻili me ka pale e pale ai iā mākou mai nā germs. No laila, ʻo kahi ʻeha e like me kēia he haki ia i loko o kēlā pale, e ʻae ana i nā germs e komo maʻalahi i ke kino.
• Sepsis: Inā ʻaʻole mālama pono ʻia kahi maʻi, hiki iā ia ke laha ma ke kino a alakaʻi i kahi maʻi weliweli loa i kapa ʻia ʻo sepsis . ʻO kēia ka manawa e pane nui ai kā mākou ʻōnaehana pale i kahi maʻi nui a hoʻomaka e hōʻino i nā ʻāpana like ʻole o ke kino.
• Gangrene: Ma muli paha o ka maʻi a i ʻole ka nele o ke kahe koko i ka ʻeha, hoʻomaka nā ʻāpana a puni ka ʻeha e make. Hiki i kēia ke alakaʻi i kahi maʻi i kapa ʻia ʻo gangrene . Inā ʻaʻole mālama ʻia, hiki iā ia ke laha a hiki i ka make.
• ʻEha a me ka paʻakikī i ka hele wāwae:Hiki i kēia mau ʻeha venous ke ʻeha loa. Ma muli o ka wahi o ka ʻeha, ʻaʻole paha ʻoe e hiki ke hana, hiamoe, a hana paha i nā hana o kēlā me kēia lā. ʻOiai ʻo ka hana kino e hoʻomaikaʻi i ke kahe koko, inā ʻaʻole hiki iā ʻoe ke hele ma muli o kahi ʻeha ʻeha, hiki i ka ʻeha ke lilo i mea ʻino.

He mea nui loa: Mai hoʻowahāwahā i kēia mau ʻeha no ka mea he mea liʻiliʻi lākou. He mea nui loa e ʻimi koke i ke kōkua lapaʻau.

He aha nā hōʻailona?

ʻO nā hōʻailona o kahi ʻōpū venous e pili ana i ke kumu, a i kekahi manawa he nui nā kumu i ka manawa hoʻokahi.

Nā Hōʻailona o nā ʻUlu Venous / ʻUlu Stasis

Hoʻomaʻamaʻa pinepine ʻia kēia mau hōʻailona ma mua o ka ulu ʻana o nā ʻeha venous:

• Ke ʻulaʻula nei ka ʻiʻo ma nā wāwae a pehu.
• Mānoanoa ka ʻili, paʻakikī, a lilo i ʻeleʻele (ʻulaʻula, poni, a ʻeleʻele paha).
• Hiki paha ke loaʻa ka maneʻo a me ka ʻāʻī ma ka ʻāpana i hoʻopilikia ʻia (kapa mākou i kēia 'stasis dermatitis' ).
• ʻO nā veins Varicose kahi hōʻailona maʻamau o ka hoʻomohala ʻana i nā pilikia vein.

ʻO nā ʻeha stasis maʻamau he mau ʻano penei:

• Hoʻokomo pinepine ʻia nā ʻeha a puni ka kuʻekuʻe wāwae.
• ʻAʻole hohonu nā ʻeha a hiki ke uhi ʻia me kahi ʻulaʻula a melemele.
• He ʻano ʻē ke ʻano o nā ʻeha, me nā kihi ʻokoʻa.
• Hiki ke ʻālohilohi ka ʻili a puni ka ʻeha a ʻike ʻia aku hoʻi he kīkoʻo.
• E ʻoi aku paha ka mehana o kēlā wahi ma mua o nā wahi ʻē aʻe.
• He ʻeha nā ʻeha a hiki ke hoʻokahe i ka wai, e like me ke koko a i ʻole ka wai. Inā loaʻa ka maʻi, hiki ke loaʻa iā lākou kahi ʻala pilau a me ka pus.

Nā Hōʻailona o nā ʻUlu ʻAʻai

Hiki ke ʻike ʻia kēia mau hōʻailona ma mua o ka ulu ʻana o nā ʻeha arterial:

• Lilo ka ʻili a puni ka ʻeha i ʻālohilohi a maloʻo. Hiki ke ʻike ʻia he paʻa a palupalu.
• ʻIke ʻia ka hāʻule ʻana o ka lauoho ma ka lima/wāwae i hoʻopilikia ʻia a kokoke paha i ka ʻeha ma muli o ke kahe koko maikaʻi ʻole.
• Hiki ke kaupalena ʻia ke kahe o ke koko ke moe ʻoe i lalo a i ʻole e hāpai i kou mau wāwae. Hiki i kēia ke hoʻomāʻeleʻele a anuanu kou mau wāwae. Hiki ke ʻeha kou mau wāwae ke hāpai ʻoe i kou mau wāwae a moe paha. (Hiki ke hoʻomaha ʻia kēia ʻeha ma ka waiho ʻana i kou mau wāwae e kau i lalo. Hiki ke ʻulaʻula kou mau wāwae i ka hoʻi ʻana o ke kahe o ke koko i ka maʻamau.)

ʻO ka maʻamau, loaʻa nā hōʻailona o nā ʻeha arterial:

• Hoʻomaka nā ʻeha e hana ma nā ʻāpana o ke kino mamao loa mai ka puʻuwai, ʻoi aku hoʻi ma nā manamana wāwae a ma waena o nā manamana wāwae.
• ʻEleʻele ke ʻano o nā ʻeha (ʻoi aku ka ʻulaʻula, melemele, hina, ʻeleʻele).
• Ua hohonu nā ʻeha, i kekahi manawa e hōʻike ana i nā ʻiʻo a i ʻole nā ​​​​​​ʻūlū.
• Me he mea lā ua hoʻokuke ʻia i waho nā kihi a puni ka ʻeha.
• ʻAʻole paha e kahe ke koko o nā ʻeha, a ʻaʻohe paha eha.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻOi aku ka maʻamau o nā ʻōpū venous i nā poʻe ʻelemakule a i ʻole ka poʻe me kekahi mau pilikia olakino, ʻoiai ka poʻe me nā pilikia puʻuwai a me ke kahe koko. ʻO nā kūlana e pili ana i kēia:

• Maʻi diabetes (Diabetes Mellitus)
• Momona
• Nā Maʻi Vascular Peripheral - ʻo ia hoʻi, ka Maʻi Artery Peripheral (PAD) a i ʻole ka Maʻi Venous Peripheral (PVD)
• Maʻi cardiovascular
• Ke koko kiʻekiʻe (Hypertension)
• Ka puhipaka a me ka hoʻohana ʻana i nā huahana paka

ʻOiai me ka ʻole o ka maʻi, hiki ke ulu nā ʻeha venous inā ua ālai ʻia ke kahe koko no nā kumu ʻē aʻe. Eia kekahi laʻana:

• Nā ʻeha: ʻO nā haki, nā kuni, a me nā ʻeha ʻiʻo e hōʻino i nā kīʻaha koko kokoke a hoʻoulu i nā pilikia me ke kahe koko.
• Ke kū ʻana no ka manawa lōʻihi: ʻO ka poʻe e kū ana no ka manawa lōʻihi me ka neʻe ʻole (e like me nā mea kūʻai kālā, nā limahana hale bakena, nā limahana hōkele) hiki ke hoʻomohala i ka hōʻiliʻili koko i loko o nā aʻa o ko lākou mau wāwae. Ke hana pono ʻole nā ​​​​kīwaha i loko o nā aʻa, ʻaʻole kahe pono ke koko i ka puʻuwai. Hoʻokomo kēia i ke kaomi nui ma luna o nā aʻa a hoʻonui iā lākou, e hana ana i nā 'Varicose Veins'. A laila kahe ka wai mai nā aʻa i loko o nā ʻiʻo a puni, e hoʻoulu ai iā lākou e pehu. ʻO kēia wai, me ke koko a me nā protein, hiki ke hana i nā kiko ʻeleʻele ma nā wāwae, ʻoi aku hoʻi ma loko o ka ʻāpana groin. Hiki i kēia ke ʻānai, a hiki i ka ʻili ke maloʻo a māwae. Hiki i nā bacteria ke komo i loko o kēia mau māwae a hana i kahi maʻi ʻili i kapa ʻia ʻo 'Cellulitis' a i ʻole kahi ʻeha e pili ana i nā aʻa.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana kēia ʻano ʻeha, aia paha ʻoe i ka pilikia o ka loaʻa ʻana iā lākou.

No ke aha e loaʻa ai kēia ʻano ʻeha? He aha nā kumu?

Hiki ke hoʻokaʻawale ʻia nā ʻeha venous e like me ko lākou mau kumu kumu. Eia nō naʻe, hiki i kahi ʻeha hoʻokahi ke loaʻa nā kumu he nui. ʻO kahi laʻana maikaʻi o kēia ka ulu ʻana o nā ʻeha venous ma muli o ka maʻi diabetes.

• Nā ʻUlu Stasis: Hoʻokumu ʻia kēia e nā pilikia me nā aʻa koko. ʻO ka hapa nui o nā ʻulu venous e hāʻule i loko o kēia māhele. ʻOi aku ka maʻamau o lākou i nā wāwae a me nā wāwae i kou wā ʻelemakule. Hana ʻia kēia i ka wā e hana pono ʻole ai nā valves i loko o nā aʻa koko i loko o nā wāwae i kā lākou hana. ʻO ke ʻano kēia, ʻaʻole hiki ke hoʻōki ʻia ke koko e pono e piʻi i luna i ka puʻuwai mai ke kahe ʻana i lalo ma muli o ke kaumaha. ʻO ka hopena, hōʻiliʻili nui ke koko i loko o nā wāwae a me nā wāwae, e kau ana i ke kaomi hou aʻe ma luna o nā kīʻaha koko. Hiki i kēia kaomi ke hoʻokahe i ka wai i loko o nā aʻa koko a pahū. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i nā ʻulu.
• Nā ʻUlu ʻAʻa: Ua kapa ʻia kēia mau mea ʻo 'Ischemic Ulcers' . Hoʻokumu ʻia lākou e ka nele o ke kahe koko i ka wahi i hoʻopilikia ʻia. Kāhea mākou i kēia ʻo 'Ischemia'.Ua kapa ʻia hoʻi ia. Ma muli o ka nele o ke kahe koko, hoʻomaka mālie ka ʻāpana o ke kino i hoʻopilikia ʻia (pinepine he lima a wāwae paha) e make.

Pehea ʻoe e ʻike ai i kēia? Pehea e ʻike ai nā kauka i kēia?

Hiki i ke kauka ke ʻike koke i kahi ʻōpū venous ma ka nānā ʻana iā ia. E nānā pono ʻo ia i ka ʻeha, e pā paha i ka ʻāpana a puni, a e nānā ana i kekahi mau hōʻailona kūikawā.

Eia nō naʻe, pono nō hoʻi ke kauka e ʻike i ke kumu o ka ʻeha. E kōkua pū ka ʻike i loaʻa i ka wā o ka nānā ʻana i ka ʻeha i kēia. Eia nō naʻe, e kauoha ʻia kekahi mau hoʻokolohua e hoʻomaopopo i ke kumu pololei. ʻO kēia no ka mea he nui nā kumu e hoʻopilikia ai i nā ʻeha venous, a hiki ke pili kēia mau kumu kekahi i kekahi.

He aha nā hoʻokolohua e hana ʻia nei?

Hiki i kāu kauka a loea paha ke hana i kēia mau hoʻokolohua:

• Ana ʻana o ke koko: E ana ke kauka i ke koko ma kou lima. E ana pū ʻo ia i ke koko ma kou mau wāwae e ʻike inā he ʻokoʻa ma waena o nā mea ʻelua. Ua kapa ʻia kēia hoʻāʻo ʻo ka hoʻāʻo Ankle-Brachial Index (ABI) .
• Ke hoʻolohe nei i kou puʻuwai a me ka nānā ʻana i kou pulse: Ma ka hoʻolohe ʻana i kou puʻuwai a me ka hanu ʻana, hiki i kāu kauka ke nānā i nā hōʻike o ka maʻi puʻuwai ma lalo e hiki ke kōkua i nā ʻeha venous. Hiki iā lākou ke manaʻo i nā pulses (peripheral pulses) ma kou mau wāwae haʻahaʻa a me nā wāwae. ʻO ka ikaika o kēia mau pulses - a i ʻole inā ʻaʻohe pulse i ʻike ʻia - hiki ke kōkua i kāu kauka e hana i kahi hōʻoia paʻa.
• Ka hoʻāʻo koko: Hiki i nā hoʻāʻo koko ke kōkua i kāu kauka e hana i kahi hōʻailona a hoʻoholo pehea e mālama ai i kou ʻeha. ʻO kahi hoʻāʻo kikoʻī ʻo ia ka hoʻāʻo hemoglobin A1C . Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi diabetes kou, a inā pēlā, pehea kona koʻikoʻi.
• Kiʻi: Hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e nānā ʻaʻole wale i ka ʻeha akā i ke kahe koko a puni ia. Hiki iā lākou ke kauoha i nā hoʻokolohua kiʻi o nā aʻa nui a me nā veins ma nā wahi ʻē aʻe o ke kino, no ka mea hiki i kēia mau mea ke hōʻike i nā pilikia e pili ana i kahi ʻeha vascular. Hiki i kēia mau hoʻokolohua ke komo pū me nā X-ray, MRI, CT scans , a me nā ultrasounds .

Hiki ke ho'ōla ʻia kēia mau ʻeha? He aha nā lāʻau lapaʻau?

I ka hapanui o nā hihia, hiki ke ho'ōla ʻia kahi ʻōpū venous. Eia nō naʻe, ʻo ka likelika o ka ho'ōla ʻana o ka ʻeha e pili ana i kona koʻikoʻi. No laila, ʻo ka mālama koke ʻana i nā ʻōpū venous he mea nui loa ia no ka hopena maikaʻi.

He mea nui hoʻi e hoʻoponopono i ka pilikia kumu i hoʻokumu ai i ka ʻeha. E mālama kāu kauka i ka ʻeha a e ʻōlelo i nā lāʻau lapaʻau no kekahi mau pilikia olakino āu e loaʻa ai. ʻO kekahi o kāna mau ʻōlelo aʻoaʻo e pili ana i ka hoʻololi ʻana i kou nohona. Hiki i kēia mau hoʻololi ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o kahi ʻeha ʻē aʻe a hoʻomaikaʻi i kou ʻano ola holoʻokoʻa.

Nā ʻano lapaʻau

Hoʻohana ʻia nā ʻano lāʻau like ʻole ma muli o ke koʻikoʻi o nā ʻōpū venous a me ke kumu o lākou.

Nā lāʻau lapaʻau

• Nā lāʻau antibiotic: Hiki i kēia ke mālama i nā maʻi a, i kekahi mau hihia (e like me ma hope o ke ʻoki ʻana), hāʻawi ʻia hoʻi e pale aku i ka maʻi.
• Nā gels a me nā poni topical: Kōkua kēia i ka wehe ʻana i nā ʻiʻo make a i ʻole ka maʻi, hoʻomaikaʻi i ke kahe koko i ka wahi i hoʻopilikia ʻia, pale i ka maʻi, a kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha.
• Nā lāʻau lapaʻau e mālama ai i ka pilikia kumu: ʻO nā mea e like me ke kaohi ʻana i kou koko a me ka cholesterol, ka haʻalele ʻana i ka puhipaka, a me ke kaohi ʻana i kāu mau pae kō koko hiki ke kōkua i ka ho'ōla ʻana o nā ʻeha.
• Nā lāʻau hoʻopau ʻeha a i ʻole nā ​​lāʻau hoʻomāʻū: Hiki ke ʻeha nā ʻōpū venous a me kekahi o kā lākou mau lāʻau lapaʻau. He mea maʻamau ka hoʻohana ʻana i nā lāʻau hoʻopau ʻeha a i ʻole nā ​​lāʻau hoʻomāʻū i ka wā o ka mālama ʻana.

Nā kāʻei a me nā mea hoʻopaʻa

Hoʻohana pinepine ʻia nā kāʻei a me nā ʻano mea like ʻole e hiki ai ke hoʻohana ʻia e mālama i nā ʻeha venous. Pono e hoʻohana wale ʻia kēia mau mea e like me ke kuhikuhi a kāu kauka. Inā hoʻohana hewa ʻia, hiki i kahi ʻeha venous ke lilo i mea ʻino aʻe ma kahi o ka maikaʻi.

• Kāʻei ʻana: ʻO ka uhi ʻana i ka ʻeha me kahi kāʻei pale e hiki ke kōkua i ka pale ʻana i ka maʻi. Loaʻa paha i kekahi mau kāʻei nā lāʻau lapaʻau, hiki ke kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha.
• Nā lole hoʻopaʻa: ʻO kēia nā socks, stockings, a me nā mea ʻē aʻe. Hoʻopili lākou i ke kaomi i ka wāwae holoʻokoʻa, e kōkua ana i ka palena a i ʻole ka hoʻōki ʻana i ka pehu. Hoʻohana pinepine ʻia lākou no nā ʻeha venous. Kōkua lākou i ka pale ʻana i ke koko mai ka hōʻiliʻili ʻana i nā wāwae a me nā wāwae.
• Nā kāmaʻa kūikawā, nā socks a i ʻole nā ​​​​​​mea hana orthotic: Nui nā ʻeha venous, ʻoi aku hoʻi nā ʻeha maʻi diabetes, i hana ʻia e ka friction maʻalahi a me ke kaomi. ʻO ka maʻamau, ke manaʻo ʻoe i ka ʻeha, hoʻololi ʻoe i ke ala āu e hele ai a hōʻemi i ka hōʻino i ka wahi i hoʻopilikia ʻia. Eia naʻe, ʻaʻole kēia ka hihia me nā ʻeha maʻi diabetes. Hoʻokumu pinepine ʻia lākou e ka nalowale piha a hapa paha o ka ʻike i nā wāwae.

Nā ʻano hana holomua

Hiki ke hoʻohana ʻia kēia mau lāʻau lapaʻau holomua no nā ʻeha nui, a i ʻole nā ​​​​ʻeha venous e lōʻihi ka manawa e ho'ōla ai.

• Revascularization: Hiki i nā ālai ʻana i loko o nā kīʻaha koko koʻikoʻi ke hana i nā ʻōpū venous. Hoʻāʻo nā lāʻau lapaʻau Revascularization e wehe i kēia mau ālai ʻana, ho'ōla i nā ʻōpū e kū nei, a pale i ka hoʻokumu ʻana o nā ʻōpū hou.
• ʻOki kino: Hiki ke hana ʻia ke ʻoki kino no nā ʻeha i loaʻa i ka maʻi a i ʻole ka nui a paʻakikī ke ho'ōla. Hiki i ke kauka ʻoki kino ke hana i ke ʻoki kino e wehe i nā ʻiʻo make a i ʻole ka maʻi mai kahi ʻeha hohonu ( 'Debridement' ), e maʻalahi ai ka ho'ōla ʻana o ka ʻeha. Hiki i kēia ke komo pū me:Hiki ke hoʻohana ʻia nā kāpili ʻili a me nā ʻano hana hoʻoponopono ʻē aʻe. (Eia nō naʻe, i nā hihia o ka gangrene koʻikoʻi loa a i ʻole ka hōʻino nui ʻana o nā venous, i kekahi manawa pono ke ʻoki ʻana i kahi ʻāpana o ka wāwae a i ʻole ka wāwae. Hana ʻia kēia e hoʻopakele i nā ola a pale i nā pilikia koʻikoʻi. ʻO ka mea pōʻino, ʻo ka poʻe me ka maʻi diabetes he 30 mau manawa ka nui o ka loaʻa ʻana o ka gangrene ma ko lākou mau wāwae ma mua o ka heluna kanaka maʻamau.)
• ʻO ka hele wāwae i kuhikuhi ʻia: ʻO ka hana kino, ʻoiai ke hana ʻia me ka ʻōlelo aʻoaʻo lapaʻau, kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko a pale i ka hoʻokumu ʻana o nā ʻeha venous hou.
• ʻO ka lāʻau lapaʻau oxygen Hyperbaric: ʻO ka pae oxygen maʻamau a puni mākou he 21%. Ma ka 'Hyperbaric oxygen therapy', ua hoʻokomo ʻia ʻoe i loko o kahi keʻena me ka 100% o ka oxygen a me ka hoʻonui ʻia o ke kaomi lewa. Ma lalo o kēia mau kūlana, hiki i nā ʻeha, ʻoiai nā ʻeha venous, ke ho'ōla wikiwiki.
• Debridement: ʻO nā ʻiʻo make a maʻi i loko a puni kahi ʻeha hohonu hiki ke hoʻopaneʻe i ka ho'ōla ʻana a alakaʻi i nā pilikia weliweli e like me ka gangrene. ʻO ka Debridement e pili ana i ka wehe ʻana i kēia ʻiʻo make a maʻi paha, e waiho ana i nā ʻiʻo olakino wale nō.

Pehea e mālama ai i nā hōʻailona a hōʻemi i ka pilikia?

Inā ʻoe i ka pilikia o ka loaʻa ʻana o kahi ʻōpū venous, aia kekahi mau mea hiki iā ʻoe ke hana e pale i kou olakino a pale i ka ulu ʻana o kahi ʻōpū. He mea nui loa kēia inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole kekahi maʻi ʻē aʻe e hōʻemi ana i ka ʻike ma kou mau wāwae.

• E nānā iā ʻoe iho: E nānā i kou mau wāwae i kēlā me kēia lā. E makaʻala pono i waena o nā manamana wāwae, a puni nā kuʻekuʻe wāwae, a ma nā kapuwaʻi o nā wāwae.
• E pale i kou mau wāwae: E pale i kou mau wāwae mai nā ʻeha ma ke komo ʻana i nā kāmaʻa a me nā socks kūpono.
• E kiʻi i ka mālama wāwae kūpono: Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e ʻike pinepine i kahi podiatrist e nānā i kou mau wāwae no nā hōʻailona o nā ʻōpū. E aʻo aku ʻo ia iā ʻoe i ke ala maikaʻi loa e mālama ai i kou mau wāwae.
• Kaohi i nā kūlana olakino ma lalo: ʻO ka mālama ʻana i nā mea e like me kou koko koko, ka cholesterol, ke kō koko, a me ke kaumaha e hiki ke kōkua i ka pale ʻana i nā ʻeha.

Inā loaʻa iā ʻoe kahi ʻōpū venous, e alakaʻi kāu kauka iā ʻoe i ke ʻano o ka mālama ʻana. E aʻo pinepine ʻo ia iā ʻoe i kēia mau mea:

• E mālama i ka ʻeha maʻemaʻe: E hoʻohana i nā kāʻei a hoʻololi iā lākou e like me ke kuhikuhi a ke kauka.
• E hoʻomaha e like me ka ʻōlelo aʻo: Inā he ʻōpū venous kou, e haʻi aku kāu kauka iā ʻoe e mālama i kou mau wāwae i luna e pale aku i ka pehu ʻana.
• E lawe pono i kāu mau lāʻau lapaʻau: E lawe i kāu mau lāʻau lapaʻau, ʻoiai nā lāʻau antibiotic, ke koko, ka maʻi diabetes, a me nā lāʻau cholesterol kiʻekiʻe, i ka manawa kūpono.

He aha kāu e manaʻo ai i kou wā e ola ana me kēia ʻeha?

Inā loaʻa iā ʻoe kahi ʻōpū venous, a i ʻole ua loaʻa mua iā ʻoe kekahi, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kekahi. ʻO ka mālama ʻana i kou olakino ke ala maikaʻi loa e hoʻopaneʻe ai i ka ulu ʻana o kahi ʻōpū hou. Inā mālama ʻoe i kou olakino, ʻoi aku ka nui o kou ola ʻana ma ke ʻano holoʻokoʻa a me nā pilikia olakino liʻiliʻi.

Ma ka ʻaoʻao ʻē aʻe, inā ʻaʻole ʻoe e mālama i kou olakino, ʻoi aku ka nui o ka ʻino o ka maʻi ʻaʻai venous - a me kou olakino holoʻokoʻa. I nā hihia ʻino loa, inā ʻoe e hoʻowahāwahā i ka maʻi ʻaʻai a me kou olakino, hiki iā ia ke alakaʻi i ka ʻoki ʻana, a me ka make.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i kāu kauka ʻohana ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā kino piha ʻana. He mea nui kēia e ʻike i nā pilikia olakino, me nā mea e hiki ke alakaʻi i nā ʻeha vascular, ʻoiai inā ʻaʻole lākou e hōʻike i nā hōʻailona.

Eia kekahi, e kamaʻilio me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā ʻoi aku ka lōʻihi o ka ho'ōla ʻana o kahi ʻeha ma kou wāwae a wāwae paha ma mua o ka mea i manaʻo ʻia.
• Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he pilikia kou me ke kahe koko i kou mau wāwae (ʻoi aku ka pehu ʻana, ka ʻeha, ke kala ʻana o ke kala, a i ʻole ka ʻeha e loli ana ma muli o ke ʻano o kou paʻa ʻana i kou wāwae).
• Inā he ʻeha kou ma kou mau wāwae, e hoʻomaikaʻi ia me ka hoʻomaha.

Āhea ʻoe e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe kahi ʻeha venous, lilo ia i maʻi a loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e hele i ka lumi pilikia:

• Inā lilo ka ʻili a puni ka wahi i ʻeleʻele a ʻeleʻele paha, ʻoi aku hoʻi ma nā manamana lima.
• Inā he kuni kou a he anu paha a ke haʻalulu nei.
• Inā he ʻala ʻino e puka mai ana mai ka ʻeha venous.
• Inā ʻoi aku ka nui o ke kahe ʻana o ka wai a i ʻole ke koko mai ka ʻeha venous ma mua o ka maʻamau, ʻoiai inā he ao a melemele paha ka wai e puka mai ana.
• Inā pehu ka ʻeha a me ka ʻāpana a puni, ʻulaʻula, a mehana ke pā aku.

I ka hōʻuluʻulu manaʻo, ka leka lawe home:

ʻO nā ʻōpū koko he hōʻailona maʻamau ia o kahi maʻi olakino maʻi. ʻOiai he koʻikoʻi kēia mau kūlana, hiki ke mālama ʻia a hiki iā ʻoe ke hauʻoli i kou ola. Mai makaʻu a hopohopo paha.

Hiki i kāu kauka ke alakaʻi iā ʻoe, hāʻawi iā ʻoe i nā kumuwaiwai e pono ai, a hāʻawi i ke kākoʻo ʻē aʻe. E kōkua kēia mau mea a pau iā ʻoe e pale i nā maʻi maʻi mai ke komo ʻana i kou ola a ola i ke ola āu e makemake ai. He mea nui e ʻimi mua i ka ʻōlelo aʻoaʻo lapaʻau. E mālama i kou mau wāwae, e mālama i kou olakino.

ʻEha aa koko, nā pilikia kahe koko, nā ʻeha wāwae, nā ʻeha aa koko, nā ʻeha aʻa, nā ʻeha maʻi diabetes, nā ʻeha ho'ōla ʻole