Ua nānā paha ʻoe i kou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana ʻūhā a i ʻole ka kuʻekuʻe wāwae, a ʻike ʻoe he mau aa koko polū a poni paha ma lalo o ka ʻili? I kekahi manawa hiki ke hele pū ʻia kēia me ka ʻeha iki, ke kaumaha, a i ʻole ka maneʻo ma nā wāwae. ʻO ia ka mea a mākou e kapa nei he mau aa koko varicose. No ka hapa nui o ka poʻe, ʻaʻole kēia he pilikia koʻikoʻi, akā i kekahi manawa hiki ke hana i nā pilikia liʻiliʻi. No laila e ʻike hou kākou e pili ana i kēia lā.
He aha kēia mau aʻa koko? (Varicose Veins)
I ka ʻōlelo maʻalahi, ua pehu nā aʻa koko varicose, hoʻonui ʻia, a i kekahi manawa ua wili ʻia nā kīʻaha koko ma lalo o kou ʻili. Ua like lākou me nā kaula liʻiliʻi. ʻIke pinepine ʻia lākou he uliuli a poni paha, ʻoiai ma nā wāwae, nā kapuaʻi wāwae, a me nā kuʻekuʻe wāwae. Hiki i kekahi poʻe ke ʻeha a me ka maneʻo.
Ua ʻike paha ʻoe he mau laina ʻulaʻula a poni liʻiliʻi loa kēia mau aʻa nui e like me ka nananana a puni lākou. Kāhea mākou iā lākou he "Aʻa Nanana" . He ʻoi aku ka liʻiliʻi o lākou ma mua o kēia mau aʻa varicose nui.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Auē, he mea ʻino kēia mau mea, hoʻoluhi lākou iaʻu.' He ʻoiaʻiʻo kēlā. No nā kānaka he nui, ʻo ka pilikia ke ʻano. Akā no ka hapa nui o nā kānaka, ʻaʻole kēia he maʻi koʻikoʻi . Eia naʻe, he mea kakaikahi loa, inā he koʻikoʻi iki kēia maʻi, hiki ke loaʻa kekahi mau pilikia olakino, e like me ke koko ʻana. Akā, mai hopohopo, ʻo ka hapa nui o ka manawa hiki ke hoʻemi ʻia kēia mau hōʻailona ma ka home. Inā ʻoi aku ka koʻikoʻi o ke ʻano, pono ʻoe e ʻike i ke kauka no ka mālama ʻana, malia paha me nā inikini, ka mālama laser a i ʻole ke ʻoki ʻana. ʻO ka ʻoiaʻiʻo, he mea maʻamau kēia mau aʻa varicose.
Loaʻa iā ʻoe kēia mau hōʻailona?
ʻO ka hōʻailona nui o nā aʻa varicose ʻo ia nā aʻa polū a poni paha e ʻike ʻia ma lalo o ka ʻili. Ma waho aʻe o kēlā, aia paha kekahi mau hōʻailona ʻē aʻe:
- Nā aʻa koko: ʻO kēia nā hōʻailona maʻamau. ʻIke ʻia lākou he mau aʻa koko wili, pehu, a wili ma lalo o ka ʻili. ʻO ka hapa nui o lākou ma nā wāwae, nā kuʻekuʻe wāwae, a me nā lima. I kekahi manawa hiki iā lākou ke hana i loko o nā puʻupuʻu. Hiki paha iā ʻoe ke ʻike i nā laina ʻulaʻula liʻiliʻi a polū paha (i kapa ʻia ʻo "Spider Veins") a puni kēia mau aʻa koko.
- Kaumaha ma nā wāwae: ʻOi loa ma hope o ka hoʻoikaika kino, hiki i nā ʻiʻo o nā wāwae ke manaʻo he luhi loa a kaumaha. Me he mea lā e huki ʻia ana.
- Maniʻi: E manaʻo paha ʻoe i kahi manaʻo maniʻi a puni ka wahi i loaʻa ai kou mau aʻa varicose.
- ʻEha: Hiki iā ʻoe ke manaʻo i ka ʻeha, ka ʻeha, a i ʻole ka mae ʻana o kou mau wāwae, ʻoiai ma hope o nā kuli. Hiki i kekahi poʻe ke ʻeha i nā ʻiʻo.
- Pehu: Hiki i kou mau wāwae, nā kuʻekuʻe wāwae, a me nā wāwae ke pehu. I kekahi manawa manaʻo paha lākou e like me ke kuʻi ʻana a i ʻole ke kuʻi ʻana.
- Ka hoʻololi ʻili a me nā ʻeha:Inā ʻaʻole i mālama pono ʻia, hiki i nā aʻa varicose ke hoʻololi i ka ʻili, e like me kahi ʻulaʻula ʻeleʻele. I nā hihia koʻikoʻi, hiki iā lākou ke ulu i nā ʻeha ʻili i kapa ʻia ʻo nā ʻeha venous.
Ma hea kahi e ulu nui ai kēia mau mea?
Hoʻomohala pinepine ʻia nā aʻa varicose ma ke kino haʻahaʻa. Loaʻa pinepine lākou ma nā ʻūhā, nā kuʻekuʻe wāwae, a me nā wāwae. Hiki iā lākou ke ulu ma ka ʻāpana pelvic, ʻoi aku hoʻi i nā wahine i loaʻa nā keiki. Ua kapa ʻia kēia he pelvic congestion syndrome. Ua lohe paha ʻoe i nā hemorrhoids. He ʻano aʻa varicose maoli lākou e ulu ana ma ka rectum.
No ke aha e kū mai ai nā aʻa varicose?
ʻAe, e nānā kākou i ke kumu o ka hoʻokumu ʻia ʻana o kēia mau aa koko. I ka ʻōlelo maʻalahi, hana ʻia kēia ke nāwaliwali nā paia o kou mau aa koko. E noʻonoʻo e pili ana iā ia, i ka wā e piʻi ai ke koko i loko o nā aa koko, hoʻomaka nā aa koko e nui aʻe ma muli o kēlā mau paia nāwaliwali. Ke kīkoʻo nā aa koko e like me kēia, ʻaʻole hana pono nā valves e kōkua i ke kahe ʻana o ke koko i hoʻokahi ʻaoʻao i loko o nā aa koko. A laila ʻaʻole neʻe pono ke koko a kū, a i ʻole e hoʻi i hope. ʻO ia ke kumu e pehu ai nā aa koko, puʻupuʻu, a wili.
Aia kekahi mau kumu e nāwaliwali ai nā paia a me nā kiwikā o nā aa koko:
- Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, e like me nā mea he nui i ke kino, nāwaliwali hoʻi ko kākou mau aʻalolo.
- Ke kū ʻana no ka wā lōʻihi: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe e hana ana i nā hana e pono ai ke kū no ka wā lōʻihi.
- Ka Hopena o nā Hormones: Hiki i nā loli i nā hormones i ke kino ke hoʻonāwaliwali i nā paia o nā aa koko.
- Kaumaha keu: Ke piʻi aʻe ke kaumaha o ke kino, kau ʻia ke kaomi hou ma luna o nā aa koko.
ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau mea? (Nā kumu pilikia)
Hiki ke ulu nā aa koko varicose i loko o kekahi. Eia nō naʻe, hoʻonui kekahi mau kumu i ka pilikia. E nānā kākou i ke ʻano o lākou:
- Makahiki: I ko kākou ʻelemakule ʻana, ʻaʻole hana maikaʻi nā paia a me nā kiwikā o nā aa koko e like me ka wā ma mua. E emi ana ka elasticity o nā aa koko a lilo lākou i mea ʻoʻoleʻa iki.
- Nā Hormone: ʻOi aku ka pilikia o nā wahine ma muli o nā loli nui o nā pae hormone i ka wā hāpai, nā lāʻau hoʻomalu hānau, a me ka menopause. Hiki i kēia mau hormones wahine ke hoʻolilo i nā paia o nā aʻa koko i mea palupalu.
- Moʻolelo ʻohana: Hiki ke hoʻoilina kēia. Inā loaʻa i kekahi o kou ʻohana kēia maʻi, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- ʻAno Noho: Hiki i ke kū ʻana a i ʻole ka noho ʻana no ka manawa lōʻihi ke hōʻemi i ke kahe koko. No ka laʻana, ʻo ka poʻe e hana ana i nā hana e like me nā kumu, nā mea kūʻai hale, a me nā kiaʻi palekana ke pilikia paha.
- Ola kino holoʻokoʻa: Hiki i kekahi mau maʻi ʻē aʻe ke hoʻonui i ke kaomi i loko o nā aʻa koko.
- Puhipaka: ʻOi aku ka nui o ka poʻe e hoʻohana ana i nā huahana paka i ka loaʻa ʻana o nā veins varicose.
- Kaumaha keu: Ke piʻi aʻe ke kaumaha o ke kino, kau ʻia ke kaomi ma luna o nā kīʻaha koko.
Hiki ke lilo i mea weliweli kēia? He aha nā pilikia?
ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pilikia nui mai nā aʻa varicose. Eia nō naʻe, no kekahi poʻe, inā ʻaʻole mālama ʻia, hiki iā lākou ke hana i nā ʻeha (nā ʻeha hāmama), ke kahe ʻana o ke koko, ka mumū, a me ka hoʻololi ʻana o ka ʻili. Hiki i nā aʻa varicose koʻikoʻi ke hōʻailona o kahi maʻi i kapa ʻia ʻo "Chronic Venous Insufficiency (CVI)". ʻO kēia ka manawa e emi ai ka hiki o kou mau aʻa ke pamu i ke koko i kou puʻuwai me ke kūpono.
He mea nui: Inā loaʻa iā ʻoe nā aʻa varicose, aia ʻoe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o nā clots koko. No laila, he mea nui loa e haʻi i kāu kauka e pili ana i kēia. A laila hiki iā ia ke nānā iā ʻoe a nānā iā ʻoe no nā maʻi clotting koko.
ʻO kekahi o nā pilikia nui e hiki ke kū mai ma kēia ʻano:
- ʻO ka thrombophlebitis superficial: Hiki ke hana ʻia kēia ʻano ke hana ʻia kahi clot koko i loko o kahi aʻa varicose. ʻOiai he ʻeha ia, ʻaʻole ia he mea weliweli. Hiki ke mālama ʻia.
- ʻO ka Deep Vein Thrombosis (DVT): ʻO ka poʻe me nā aʻa varicose e loaʻa ana i ka pilikia nui o ka loaʻa ʻana o kahi ʻaʻa koko i loko o kahi aʻa hohonu i ke kino, i kapa ʻia ʻo DVT. He kūlana koʻikoʻi kēia.
- ʻO ka Pulmonary Embolism (PE): Inā hana ʻia kahi ʻūpā koko i loko o ke kino (pinepine mai ka deep vein thrombosis (DVT)) a hele i nā māmā, hiki iā ia ke hana i kahi kūlana hoʻoweliweli ola i kapa ʻia ʻo pulmonary embolism. Pono kēia i ka mālama koke ʻia.
Pehea e ʻike ai ke kauka i kēia?
He mea maʻalahi ke ʻike ʻia nā aʻa Varicose no ka mea aia lākou ma kahi kokoke loa i ka ʻili. Hiki i ke kauka ke ʻike i kēia kūlana i ka wā o ka hoʻokolokolo kino maʻamau. E hoʻopā ʻo ia i kou mau aʻa, e nānā iā ʻoe i kou noho ʻana a kū ʻana, a e nīnau e pili ana i kāu mau hōʻailona a inā paha he maʻi kēia i loko o kou ʻohana.
ʻAʻole pono kēia i nā hoʻokolohua kūikawā. Eia nō naʻe, inā makemake ʻoe e ʻike i nā kiʻi kikoʻī o kou mau aa koko a nānā paha i nā pilikia, hiki i kāu kauka ke kauoha i kahi ultrasound. He hoʻāʻo palekana a ʻeha ʻole kēia. Hoʻohana ia i nā nalu kani e kiʻi i nā kiʻi o loko o kou kino. Hiki i kahi ultrasound ke nānā i nā ʻōpū koko a ʻike inā e hana pono ana kāu mau valves vein.
He aha nā lāʻau lapaʻau?
ʻOiai ʻaʻohe lāʻau lapaʻau no nā aʻa varicose, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e ʻoluʻolu a hōʻemi i ka ʻoluʻolu ʻole. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kāu lāʻau lapaʻau.
ʻO kekahi o nā ʻano lapaʻau nui:
- Kiʻekiʻe: I kekahi mau manawa i ka lā, e hoʻokiʻekiʻe i kou mau wāwae ma luna o ka pae pūhaka. Hoʻomaikaʻi kēia i ke kahe koko a hoʻēmi i ke kaomi ma nā aa koko.
- Nā kūpeʻe wāwae elastic: He ʻano kūpeʻe kākoʻo kēia. Ke ʻaʻahu ʻia, ʻūlū lākou i nā aʻa koko, e hōʻemi ana i ka ʻeha. Hoʻōki kēia ʻūlū i nā aʻa koko mai ka ʻō aku a kōkua pū i ke kahe koko.
- Lapaʻau ʻana i ka inikini `(Sclerotherapy)`:I kēia, hoʻokomo ke kauka i kahi wai i loko o kou aʻa. Hoʻopili kēia wai i nā paia o nā aʻa. I ka hala ʻana o ka manawa, lilo ke aʻa i ʻōpala a mae wale.
- Lapaʻau Laser: Ma kēia kaʻina hana, i kapa ʻia ʻo endovenous thermal ablation, hoʻohana ke kauka i kahi catheter (kahi ʻōmole lōʻihi a lahilahi) a me kahi kukuna laser e sila i ke aʻa i hōʻino ʻia. He kaʻina hana minimally invasive kēia.
- Ambulatory phlebectomy: Ma kēia, hana ke kauka i kekahi mau ʻoki liʻiliʻi ma ka ʻili kokoke i ke aʻa varicose. A laila, nakinaki ʻia kahi ʻāpana o ke aʻa a wehe ʻia ma ka ʻāpana.
- ʻO ke ʻoki ʻana i nā aʻa: Ma kēia kaʻina hana, i ʻike ʻia hoʻi he ligation a me ka stripping, nakinaki ke kauka lapaʻau i ka aʻa i hoʻopilikia ʻia (ligation) e pale i ke koko mai ka hōʻiliʻili ʻana. Hiki ke wehe ʻia (wehe ʻia) ka aʻa e pale ai i ka hoʻi hou ʻana o nā aʻa varicose.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
Hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao liʻiliʻi i kekahi manawa, akā ʻo ka hapa nui o lākou he mea liʻiliʻi a e hoʻomaikaʻi ʻia i loko o kekahi mau lā.
- ʻEha
- Ke kahe ʻana o ke koko
- Nā ʻōpala
- Ka ʻā ʻana o ka ʻili (kākaʻikahi loa)
- ʻO ka mae wale (kākaʻikahi loa)
- Nā maʻi
- Ka hōʻino ʻana o ke aʻalolo (kākaʻikahi loa)
- ʻO ka thrombosis vein hohonu (DVT) (kahi ʻōpū koko i loko o kahi vein hohonu, kākaʻikahi loa)
- ʻUlaʻula a ʻeha paha ma kahi i hoʻokomo ʻia no kekahi mau lā
- ʻO ka ʻili ʻana o ka ʻili ma kahi o ke kui ʻana o ka nila no kekahi mau mahina
- Ke manaʻo nei i nā puʻupuʻu a i ʻole ka ʻoʻoleʻa no kekahi mau mahina
- Hahau (kākaʻikahi loa)
Hiki iaʻu ke hoʻi mai ma hope o ka lāʻau lapaʻau?
ʻOiai inā holomua ka lāʻau lapaʻau, hiki i nā aʻa varicose ke hoʻi hou mai. ʻOi aku ka nui o ka manawa e hoʻi hou mai ai lākou i nā wahine hāpai ma hope o ka lāʻau lapaʻau. Eia kekahi, inā ʻoe he momona loa (BMI ma luna o 30), a inā he nohona noho mālie kou, ʻoi aku ka nui o ka manawa e hoʻi hou mai ai lākou.
He aha kā mākou e manaʻo ai i ko mākou noho ʻana me kēia maʻi? E nalo aku anei kēia mau mea?
ʻAʻole maʻamau ka weliweli o nā aʻa Varicose a ʻaʻole ia e hoʻoulu i nā pilikia olakino lōʻihi. ʻO ka pilikia no nā kānaka he nui ke ʻano o ko lākou helehelena. ʻOiai hiki ke hōʻoluʻolu ʻole, ʻaʻole pinepine nā pilikia nui.
I ka hapanui o nā hihia, ʻo nā aʻa varicose e ulu ana i ka wā hāpai e nalo wale lākou i loko o ʻelua a ʻekolu mau pule ma hope o ka hānau ʻana. Eia nō naʻe, no kekahi poʻe, hiki iā lākou ke ʻike hou ʻia, ʻoiai me ka mālama ʻia.
Hiki ke pale ʻia nā aʻa varicose?
ʻAʻole paha ʻoe e hiki ke pale loa i nā aʻa varicose. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o lākou ma ke ola ʻana i kahi nohona ola kino a olakino. Hāʻawi nā kauka i nā ʻōlelo aʻoaʻo like no ka pale ʻana a me ka mālama ʻana:
- Mai kū no ka manawa lōʻihi: E mālama i ke kahe koko maikaʻi, e hoʻomaha mau, e hele wāwae, a e hoʻolōʻihi i kou kino. He mea nui loa kēia inā koi kāu hana i ke kū ʻana.
- E mālama i kou mau wāwae i luna:ʻO ka mālama ʻana i kou mau wāwae ma luna o ka pae o ka pūhaka e kōkua i ke kahe o ke koko i ka puʻuwai.
- E mālama i ke kaumaha olakino: ʻO ka hōʻemi ʻana i ke kaumaha keu e hōʻemi i ke kaomi i loko o kou mau kīʻaha koko.
- E pale i ka puhipaka: Hōʻino ka puhipaka i nā kīʻaha koko, hōʻemi i ke kahe koko, a hoʻoulu i nā maʻi ʻē aʻe he nui.
- E noho hana: E hoʻomaikaʻi i ke kahe koko, e neʻe mau, a mai noho ma kahi hoʻokahi no ka manawa lōʻihi.
- E hoʻohana i nā kāmaʻa hoʻopaʻa: Kōkua kēia mau kāmaʻa kākoʻo a me nā kāmaʻa wāwae i ka hoʻopaʻa ʻana i nā aʻa koko a hoʻomaikaʻi i ke kahe koko. Hiki i kēia ke kōkua i ka pale ʻana i ka ʻino ʻana o nā aʻa koko varicose.
- E ʻaʻahu i nā lole kūpono: E hōʻoia ʻaʻole paʻa kou kāʻei, i ʻole e kaupalena i ke kahe ʻana o ke koko.
Pehea ʻoe e mālama ai iā ʻoe iho?
Aia kekahi mau ala e hiki ai iā ʻoe ke mālama iā ʻoe iho:
- E pale i ka noho ʻana a i ʻole ke kū ʻana no ka manawa lōʻihi.
- E hana i ka hana kino maʻamau .
- E hoʻomau i kou mau wāwae i luna.
- E mālama i ke kaumaha olakino nou.
- E pale i nā huahana paka.
Āhea ʻoe e ʻike ai i ke kauka? He aha kāu e hana ai i ka wā pilikia?
ʻOiai ʻaʻole weliweli nā aʻa varicose, he manaʻo maikaʻi ke ʻike i ke kauka no ka nānā ʻana. Inā hopohopo ʻoe e pili ana i ke ʻano o kou mau aʻa varicose a inā paha e hoʻoluhi nei lākou iā ʻoe, hiki i ka lāʻau lapaʻau ke kōkua.
E ʻike koke i ke kauka, ʻoiai inā loaʻa iā ʻoe nā hōʻailona penei:
- Inā kahe ke koko mai nā aa koko mai.
- Inā ua loli ke kala o ka ʻili .
- Inā ʻeha, ʻulaʻula, a mehana paha nā wahi i loaʻa ai nā aa koko ke pā aku .
- Inā pehu .
Inā loaʻa koke iā ʻoe ke kahe koko nui mai kahi aʻa varicose, e kāhea koke i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me:
- Pono anei au i ka lāʻau lapaʻau?
- He aha ke ʻano lapaʻau kūpono loa iaʻu?
- Hiki iaʻu ke loaʻa ka lāʻau lapaʻau ma kou keʻena?
- He aha ka lāʻau lapaʻau kūpono loa?
No laila, he aha ka mea nui loa a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?
Hiki i nā aa Varicose ke paʻakikī iā ʻoe ke komo i nā pōkole a hiki ke ʻoluʻolu ʻole. Akā ʻo ka nūhou maikaʻi, ʻaʻole ka hapa nui o ka poʻe e loaʻa i nā pilikia koʻikoʻi mai ke ʻano. Inā hoʻopilikia nā aa varicose iā ʻoe, aia nā mea maʻalahi hiki iā ʻoe ke hana ma ka home. A i ʻole, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā koho lapaʻau like ʻole.
ʻO ka mea nui e hoʻomanaʻo ai, hiki i nā aʻa varicose ke hoʻi hou ma hope o ka mālama ʻia ʻana.No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ke koho lapaʻau maikaʻi loa nāu. Hiki i ke ola kino olakino ke kōkua iā ʻoe e hoʻokele i kēia maʻi. Mai hopohopo, ʻaʻole ʻoe hoʻokahi, he maʻi maʻamau loa kēia!
ʻO nā aʻa Varicose, nā aʻa varicose, nā aʻa varicose i nā wāwae, nā aʻa varicose, nā ʻōpū koko, nā aʻa spider











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