Ua ʻike paha ʻoe ua pehu iki kou mau kuʻekuʻe wāwae a me kou mau wāwae ma hope o ke kū ʻana no ka manawa lōʻihi, ma hope o ka paʻa ʻana ma luna o kahi kaʻa, a i ʻole ma hope o ka hele wāwae ʻana i ka lā a pau, ke hoʻi mai ʻoe i ka home. He mea maʻamau kēia a ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā hoʻomau kēia pehu ʻana, a i ʻole inā ʻike ʻia nā hōʻailona ʻē aʻe i ka manawa like, he hōʻailona paha ia o kahi pilikia olakino koʻikoʻi i loko o ko mākou kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke kumu o nā wāwae pehu a me ka wā e pono ai mākou e ʻike i ke kauka.
Nā kumu maʻamau a koʻikoʻi o ka pehu ʻana
E nānā kākou i ke kumu o kēia kūlana. He mea maʻamau kekahi o lākou, akā pono kekahi o lākou e makaʻala loa.
ʻO ka hāpai ʻana a me ka pehu ʻana
He mea maʻamau loa ka pehu ʻana o nā kuʻekuʻe wāwae a me nā wāwae o ka makuahine i ka wā hāpai . ʻO kēia ma muli o ka wai keu i loko o ke kino a me ke kaomi o ka uterus e ulu ana ma nā aʻa koko ma nā wāwae.
Eia nō naʻe, inā piʻi koke kēia pehu ʻana, a hele pū ʻia me nā hōʻailona e like me ke poʻo ʻeha nui, nā loli o ka ʻike, ka ʻeha o ka ʻōpū o luna, ka nausea a me ka luaʻi ʻana , a me ka emi ʻana o ka mimi ʻana , he hōʻailona paha ia o kahi maʻi weliweli i kapa ʻia ʻo preeclampsia . Hōʻike ʻia kēia maʻi e ke koko kiʻekiʻe a me ka protein i loko o ka mimi ma hope o 20 mau pule o ka hāpai ʻana.
Inā he makuahine hāpai ʻoe a loaʻa koke iā ʻoe kahi pehu nui e like me kēia me nā hōʻailona ʻē aʻe, e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila .
He ulia i ka wāwae a i ʻole ka kuʻekuʻe wāwae
Hiki ke pehu ma muli o kahi ʻeha i ka wāwae a i ʻole ka kuʻekuʻe wāwae. ʻO ka mea maʻamau ka kuʻekuʻe wāwae i haki. Hana ʻia kēia i ka wā e kīkoʻo ʻia ai nā ligaments e hoʻopaʻa ana i ka hui kuʻekuʻe wāwae ma mua o ko lākou palena ke hehi hewa ʻoe ma luna o lākou.
E hōʻemi i ka pehu i hoʻokumu ʻia e kahi ulia e like me kēia:
- Hoʻomaha: E pale i ka hele ʻana ma ka wāwae i ʻeha .
- E hoʻopili i ka hau: E ʻōwili i kahi ʻeke hau i loko o ke kāwele a kau ma luna o ka wahi i ʻeha no 15-20 mau minuke.
- E hoʻopili i ka hoʻopili ʻana: E kau i kahi kāʻei hoʻopili e kāohi i ka pehu ʻana.
- E hoʻomau: E kau i kou wāwae ma luna o ka noho a i ʻole ka uluna.
Inā koʻikoʻi ka pehu a me ka ʻeha, a inā ʻaʻole kōkua kēia mau lāʻau lapaʻau ma ka home, e ʻike pono i ke kauka .
ʻO Lymphedema (kahi pilikia me ka ʻōnaehana lymphatic)
He hōʻiliʻili ʻana kēia o ka wai lymphatic i loko o nā ʻiʻo o ko kākou kino. Hiki ke loaʻa kēia ʻano ke pilikia nā kīʻaha lymph o ko kākou kino, ʻaʻole lākou i hānau ʻia mai ka wā hānau, a i ʻole ma hope o ka wehe ʻia ʻana o nā lymph nodes i ka wā o ke ʻoki ʻana i ka maʻi kanesa. He wai waiwai i ka protein ka Lymph. Hele ia ma o kahi pūnaewele o nā kīʻaha koko ma loko o ko kākou kino a kānana ʻia ma o nā lymph nodes. Ma laila, kānana ia a luku i nā mea makemake ʻole ʻia e like me ka bacteria.
Akā inā e hoʻopau ʻia kēia neʻe ʻana, hiki i ka wai ke hōʻiliʻili ma kahi hoʻokahi a hoʻoulu i ka pehu. Inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha, alakaʻi i ka maʻi, a hoʻoulu i nā deformities. Inā loaʻa kēia pehu i loko o kekahi i loaʻa i ka radiation therapy a i ʻole ke ʻoki ʻana no ka maʻi kanesa, e ʻike koke i ke kauka .
Nā maʻi koʻikoʻi e pono ai ke ʻike
I kekahi manawa, hiki ke hūnā ʻia kahi maʻi koʻikoʻi ma hope o kēia pehu ʻana.
Ka lawa ʻole o ke kino
ʻO ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae he hōʻailona mua ia o kahi maʻi i kapa ʻia ʻo venous insufficiency. ʻO kēia ka wā e nāwaliwali ai nā aʻa koko e lawe ana i ke koko mai nā wāwae a i ka puʻuwai. Loaʻa i nā aʻa koko nā valves e ʻae i ke koko e kahe i hoʻokahi ala wale nō. Ke nāwaliwali a hōʻino ʻia paha kēia mau valves, e kahe hou ke koko i lalo a hōʻiliʻili ka wai i loko o nā ʻiʻo o nā wāwae, ʻoiai nā kuʻekuʻe wāwae a me nā wāwae. Inā hoʻomau kēia ʻano, hiki iā ia ke alakaʻi i nā loli o ka ʻili, nā ʻeha ʻaʻole e ho'ōla (nā ʻeha ʻili), a me nā maʻi. Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike i ke kauka.
Nā maʻi
Hiki i ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae ke lilo i hōʻailona o ka maʻi. He ʻoiaʻiʻo loa kēia no ka poʻe me ka neuropathy diabetic, hiki ke hōʻino i nā aʻalolo. No ka mea, hōʻemi ka hōʻino ʻana o nā aʻalolo i ka hiki ke ʻike i ka ʻeha, hiki i kahi pehu liʻiliʻi a ʻeha paha ma ka wāwae ke ulu koke i kahi maʻi nui aʻe.
Inā loaʻa iā ʻoe ka maʻi diabetes, e nānā pinepine i kou mau wāwae no nā pehu a i ʻole nā ʻeha . Inā ʻike ʻoe i kahi ʻāpana pehu a i ʻole kahi pehu e like me ka maʻi, e ʻike koke i ke kauka.
ʻO ke koko i loko o nā kīʻaha koko
Ke hana ʻia nā ʻūpā koko i loko o nā aʻa koko o nā wāwae, e ālai lākou i ke kahe ʻana o ke koko mai nā wāwae a i ka puʻuwai. ʻO ka hopena, pehu nā wāwae a me nā kuʻekuʻe wāwae. Hiki i kēia mau ʻūpā koko ke hana ʻia i loko o nā aʻa koko ma lalo pono o ka ʻili (ma luna) a i ʻole i loko o nā aʻa koko hohonu i loko o ke kino (hohonu). Ke hana ʻia nā ʻūpā koko i loko o nā aʻa koko hohonu, kapa mākou iā lākou he Deep Vein Thrombosis (DVT) .
Inā haki kēia mau ʻūpā koko hohonu a paʻa i loko o ka puʻuwai a i ʻole nā māmā, hiki ke hoʻoweliweli i ke ola .
Inā hoʻokahi wale nō wāwae e pehu ana, me ka ʻeha, kahi kuni iki, a me ka loli paha o ke kala o ka wāwae pehu, e ʻike koke i ke kauka a i ʻole e hele i ka keʻena pilikia o ka haukapila (ETU). Pono paha ʻoe e mālama ʻia me nā lāʻau hoʻomāmā koko.
Maʻi puʻuwai, akepaʻa, a i ʻole ka puʻupaʻa
I kekahi manawa, hiki i ka pehu ʻana o ka wāwae ke hōʻailona o kahi pilikia nui, e like me ka maʻi puʻuwai, ka maʻi akepaʻa, a i ʻole ka maʻi puʻupaʻa.
- Maʻi Puʻuwai: Inā hāʻule ka ʻaoʻao ʻākau o ka puʻuwai (hemahema puʻuwai ʻākau), ʻaʻole hiki ke hoʻopuka pono ʻia ke koko, e hōʻiliʻili ai ka wai a me ka paʻakai i loko o ke kino. Hiki i kēia ke hoʻoulu i ka pehu ʻana o nā kuʻekuʻe wāwae, ʻoiai i ke ahiahi.
- Maʻi Puʻupaʻa: Ke hana pono ʻole nā puʻupaʻa, ʻaʻole hiki iā lākou ke hoʻoneʻe i ka wai keu a me nā mea ʻino mai ke kino. Hōʻiliʻili kēia wai i loko o ke kino a hoʻoulu i ka pehu.
- Maʻi ʻAke: ʻO ka Albumin, kahi protein i hana ʻia e ke ake, pale i ke koko mai ke kahe ʻana mai loko mai o nā kīʻaha koko i loko o nā ʻiʻo a puni. Ke hōʻemi ka maʻi ake i ka hana ʻana o kēia protein, kahe ka wai a hoʻoulu i ka pehu. Ma muli o ke koʻikoʻi, hiki i kēia wai ke hōʻiliʻili pinepine i nā wāwae a me nā kuʻekuʻe wāwae, akā hiki nō hoʻi ke hōʻiliʻili i loko o ka ʻōpū a i ʻole ka umauma.
Inā hele pū kou pehu me nā hōʻailona e like me ka luhi nui, ka nalowale o ka makemake, a me ka piʻi ʻana o ke kaumaha , e ʻike koke i ke kauka. Inā pilikia ʻoe i ka hanu ʻana, ka ʻeha o ka umauma, a i ʻole ka ʻūlū ʻana , e hele koke i ka Emergency Department (ETU) o ka haukapila .
Hiki paha i nā lāʻau lapaʻau āu e lawe nei ke kumu?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke hoʻoulu i ka pehu ʻana i nā wāwae a me nā kuʻekuʻe wāwae ma ke ʻano he hopena ʻaoʻao. E nānā e ʻike inā ʻoe e lawe ana i kekahi o kēia mau lāʻau lapaʻau.
| Māhele Lāʻau Lapaʻau | Nā kikoʻī a me nā laʻana |
|---|---|
| Nā hormones | ʻO ka Estrogen ( nā lāʻau hoʻomalu hānau, ka lāʻau hoʻololi hormone) a me ka testosterone . |
| Nā mea pale i ke kahawai kalipuna | He ʻano lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ke koko kiʻekiʻe. Eia kekahi laʻana: Nifedipine, Amlodipine, Diltiazem. |
| Nā steroid | ʻO nā Corticosteroids a me nā steroid anabolic ʻē aʻe, e like me Prednisolone. |
| Nā lāʻau hoʻēmi kaumaha | ʻO nā lāʻau Tricyclic (e.g. Amitriptyline) a me nā mea hoʻopaʻa MAO. |
| Nā lāʻau anti-inflammatory non-steroidal (NSAIDs) | nā lāʻau hoʻomaha ʻeha e like me Ibuprofen a me Diclofenac. |
| Nā lāʻau lapaʻau no ka maʻi diabetes | Hiki i kekahi mau lāʻau lapaʻau maʻi diabetes ke hoʻoulu i ka pehu. |
Inā kānalua ʻoe ua hoʻokumu ʻia kou pehu e ka lāʻau lapaʻau āu e lawe nei, e kamaʻilio me kāu kauka e pili ana i ia mea . Mai hoʻōki i ka lawe ʻana i kahi lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka. I kekahi manawa, hiki ke ʻae ʻia kahi pehu liʻiliʻi i ka hoʻohālikelike ʻana i nā pono o ka lāʻau lapaʻau. Eia nō naʻe, inā koʻikoʻi ka pehu, hiki i kāu kauka ke hoʻoholo e hoʻololi i ka lāʻau lapaʻau a hoʻololi paha i ka nui.
Leka Lawe-Home
- He mea maʻamau ka pehu iki ʻana mai ke kū ʻana a i ʻole ka hele ʻana no ka manawa lōʻihi, akā e makaʻala inā hoʻomau.
- Inā hele pū ka pehu me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ke poʻo ʻeha, a i ʻole ka huikau, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Inā pehu kekahi wāwae, ʻeha, a loaʻa ke kuni, he hōʻailona paha ia o kahi ʻūpā koko (DVT). E ʻimi koke i ke kōkua lapaʻau.
- Inā loaʻa iā ʻoe ka pehu koke a koʻikoʻi paha i ka wā hāpai, mai hoʻowahāwahā iā ia. E hoʻomaopopo koke i kāu kauka.
- Inā kānalua ʻoe ua pili kou pehu ʻana i ka lāʻau lapaʻau āu e lawe nei, mai hoʻōki i ka lawe ʻana iā ʻoe iho. E kamaʻilio mua me kāu kauka.
Pehu wāwae, Pehu kuʻekuʻe wāwae, Pehu kuʻekuʻe wāwae, ʻAʻohe lawa o ke aʻa, Lymphedema, Thrombosis aʻa hohonu, Preeclampsia
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo