Ua pehu kou mau wāwae? Ua ʻike ʻia kou mau aa koko? E aʻo kākou e pili ana i nā maʻi venous ma nā ʻōlelo maʻalahi.

Ua manaʻo paha ʻoe ua luhi kou mau wāwae, kaumaha, a pehu ma hope o kahi lā lōʻihi ma ka hana? A i ʻole ʻike ʻoe i nā aa koko polū a poni paha i kou mau wāwae? Hiki ke hele pū kēia mau hōʻailona me ka maneʻo a me ka ʻeha i kou mau wāwae. ʻOiai paha ʻoe e manaʻo he mau hōʻailona maʻamau kēia o ka luhi, i kekahi manawa hiki ke lilo i mau hōʻailona o kahi pilikia me nā aa koko i loko o kou kino. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka maʻi venous, no ke aha e hana ʻia ai, a me nā mea āu e pono ai e ʻike e pili ana i ia mea.

I ka ʻōlelo maʻalahi, he aha ka maʻi venous?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ke kahe ʻana o ke koko i loko o ko kākou kino. ʻElua ʻano o nā kīʻaha koko i loko o ko kākou kino: nā aʻa a me nā veins .

• Nā Aʻa: Lawe nā Aʻa i ke koko waiwai i ka oxygen, maʻemaʻe mai ka puʻuwai i nā ʻāpana āpau o ke kino.
• Nā aʻa koko: ʻO ka hana a nā aʻa koko, ʻo ia ka hoʻihoʻi ʻana i ke koko i hoʻohana ʻia, i pau ka oxygen, a me ke koko haumia i ka puʻuwai mai nā wahi like ʻole o ke kino.

E noʻonoʻo i nā aa koko e like me nā alanui liʻiliʻi e ʻae wale i ke koko e kahe i hoʻokahi ʻaoʻao. Aia i loko o kēia mau alanui he mau kiwikā liʻiliʻi. E like me nā puka e wehe wale ana i hoʻokahi ʻaoʻao. Ke hele a neʻe paha kākou, e ʻūlū ko kākou mau ʻiʻo. A laila e wehe kēia mau kiwikā a hoʻokuke i ke koko i luna, ʻo ia hoʻi, i ka puʻuwai. Ke hoʻomaha kākou, ʻo ia hoʻi, ke hoʻomaha nā ʻiʻo, e pani kēia mau kiwikā. A laila e pau ke kahe ʻana o ke koko i lalo.

ʻO ka maʻi venous kekahi ʻano e hoʻopilikia ai i kēia kaʻina hana. Inā ua hōʻino ʻia kēia mau aʻa koko a i ʻole kēlā mau valves a mākou i ʻōlelo ai, ʻaʻole lākou e pani pono. A laila hoʻomaka ke koko e kahe i hope a kū paha ma kahi hoʻokahi. Ma laila e hoʻomaka ai nā pilikia.

He aha nā ʻano o nā maʻi venous?

Aia kekahi mau ʻano maʻi aa koko. Aia ma lalo iho kekahi o nā ʻano maʻamau a mākou e ʻike ai a pono e makaʻala.

He aha nā hōʻailona maʻamau o kēia mau maʻi?

ʻOiai ke ʻokoʻa iki nā hōʻailona o ka maʻi venous, hiki ke ʻike ʻia kēia mau hōʻailona maʻamau ma nā wāwae a me nā lima.

• ʻEha, ʻūmiʻi, a ʻoluʻolu ʻole paha: He ʻeha paʻakikī ke wehewehe e puka mai ana mai loko mai o nā wāwae.
• Kaumaha ma nā wāwae: He manaʻo me he mea lā e kau ana kekahi mea kaumaha mai nā wāwae mai.
• Pehu: Pehu a puni nā kuʻekuʻe wāwae a me nā wāwae lalo, ʻoi aku hoʻi i ke ahiahi ma hope o ka hana o kahi lā a ma hope paha o ke kū/noho ʻana no ka manawa lōʻihi.
• ʻĀʻī a wela paha: He manaʻo o ka ʻāʻī a wela paha ma luna o ka ʻili kahi o nā aʻa koko.
• Nā aa koko ʻike ʻia: ʻIke ʻia nā aa koko polū a poni i wili ʻia a nakinaki ʻia ma ka ʻili o ka ʻili.
• Nā loli o ka ʻili: Ka ʻeleʻele o ka ʻili ma nā wāwae, ka ʻili maloʻo, a me ka ʻili unahi.
• Nā ʻeha ʻaʻole e ho'ōla: Nā ʻeha, ʻoiai nā mea ma ka ʻāpana kuʻekuʻe wāwae.

He aha nā kumu pilikia no ka hoʻomohala ʻana o nā maʻi venous?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia mau maʻi. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe no lākou. E nānā kākou i ke ʻano o lākou.

• Hoʻoilina: Inā loaʻa i kou makuahine, makuakāne, a i ʻole kekahi hoahānau pili nā maʻi e like me nā aʻa varicose, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
• Makahiki: I ko kākou ʻelemakule ʻana, e emi maoli ana ka ikaika o nā paia a me nā kiwikā o ko kākou mau aa koko.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia mau maʻi i nā wahine, ʻoiai ma muli o nā loli hormonal i ka wā hāpai a ma hope o ka menopause.
• Hāpai keiki: I ka wā hāpai keiki, piʻi ka nui o ke koko i loko o ke kino. Eia kekahi, hoʻokau ka pēpē e ulu ana i ke kaomi ma luna o nā aa koko i loko o ka ʻōpū. Hiki i kēia ke paʻakikī i ke kahe ʻana o ke koko mai nā wāwae a i ka puʻuwai, e alakaʻi ana i nā kūlana e like me nā aa koko varicose.
• Kaumaha Loa/Momona: Ke kaumaha nui ʻoe, ʻoi aku ke kaomi ma nā aʻa koko i kou mau wāwae. ʻOi aku ke kiʻekiʻe o kou pilikia inā ʻoi aku kou Body Mass Index (BMI) ma mua o 30.
• Noho ma ke kūlana hoʻokahi no ka lōʻihi loa: ʻO ka poʻe e kū ana (e like me nā kumu, nā kiaʻi palekana) a noho paha (e like me nā limahana keʻena, nā hoʻokele) no ka lōʻihi loa, hiki ke loaʻa i ke kahe koko maikaʻi ʻole ma ko lākou mau wāwae.
• Ka hoʻohana ʻana i ka paka: Hiki i ka puhi paka ke hōʻino i nā kīʻaha koko a hoʻopilikia i ke kahe koko.
• ʻO kekahi mau lāʻau hormonal: ʻO ka lawe ʻana i nā pila hoʻomalu hānau a i ʻole nā ​​​​lāʻau hormonal ʻē aʻe hiki ke hoʻonui i ka pilikia.

Pehea e hana ʻia ai ka hōʻoia a me ka mālama ʻana?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino ʻohana. A laila e nānā ʻo ia i kou mau wāwae. Inā pono, hiki iā ia ke kuhikuhi iā ʻoe no kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• ʻO ke kiʻi ʻana o ka Ultrasound: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia, ʻaʻohe ʻeha. Hiki iā ia ke ʻike maopopo i ke kahe ʻana o ke koko i loko o nā aʻa koko, inā paha e hana ana nā valves, a inā paha he mau ʻūpā koko.
• Nā hoʻokolohua ʻē aʻe: I kekahi mau hihia kūikawā, hiki ke kuhikuhi ʻia nā hoʻokolohua e like me CT scan , MRI scan , a i ʻole angiogram .

Aia nā koho lapaʻau i ke ʻano o ka maʻi āu e loaʻa ai a me kona koʻikoʻi. ʻAʻole hāʻawi ʻia nā lāʻau lapaʻau like i nā kānaka a pau.

Nā loli o ke ʻano o ka nohona

ʻO kēia ka hana mua a koʻikoʻi loa.

• Hoʻoikaika Kino: ʻO nā hoʻoikaika kino o kēlā me kēia lā e like me ka hele wāwae a me ka ʻauʻau ʻana e hoʻoulu i nā ʻiʻo o nā wāwae a kōkua i ke kahe koko.
• Kaohi kaumaha: Hiki i ka hōʻemi kaumaha ke hōʻemi i ke kaomi ma kou mau aa koko.
• Ke pale nei i ke kū ʻana ma ke kūlana like: Inā ʻoe e hana ana me ka noho ʻana i lalo, e ala a hele a puni ma ka liʻiliʻi hoʻokahi manawa i ka hola. Inā ʻoe e hana ana me ke kū ʻana, e noho i lalo i kekahi manawa e hoʻomaha i kou mau wāwae.
• E hoʻokiʻekiʻe i kou mau wāwae: Ke noho ʻoe ma luna o kahi noho, e kau i kou mau wāwae ma luna o kekahi noho ʻē aʻe inā hiki. Ke hiamoe ʻoe, e kau i kahi uluna ma lalo o kou mau wāwae.
• ʻAi olakino: E hōʻemi i nā meaʻai kiʻekiʻe i ka paʻakai a me ka ʻaila a ʻai i nā mea kanu a me nā huaʻai.

Lapaʻau lapaʻau

• Nā Kāʻei Hoʻopaʻa: He mau kāʻei paʻa i hoʻolālā kūikawā ʻia kēia e kūpono i nā wāwae. ʻO ke kau ʻana iā lākou e kau i ke kaomi ma luna o nā aa koko mai waho, e kōkua ana i ke koko e neʻe i luna. E ʻōlelo aku kāu kauka i ka nui kūpono a me ke paʻa nou.
• Nā lāʻau lapaʻau: Inā ua hana ʻia nā ʻūpā koko, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me nā anticoagulants e hoʻoheheʻe iā lākou a pale paha i nā mea hou mai ke kūkulu ʻana.
• Nā kaʻina hana kūikawā a me nā ʻoki kino: I kekahi mau hihia koʻikoʻi, pono paha ka mālama ʻana i ka laser, sclerotherapy (ke komo ʻana i kahi lāʻau lapaʻau i loko o nā aʻa), a i ʻole ke ʻoki kino e wehe i nā aʻa i hōʻino ʻia.

I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?

ʻO ka maʻamau, hiki ke mālama mālie ʻia nā maʻi venous. Eia nō naʻe, i kekahi mau hihia, pono ʻoe e ʻimi koke i ke aʻo lapaʻau. ʻOi aku hoʻi, inā manaʻo ʻoe he DVT kou a i ʻole ke ʻike nei ʻoe i nā hōʻailona o ka embolism pulmonary , pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila .

Nā hiʻohiʻona e pono ai ka nānā koke ʻana:

• Ka paʻakikī koke o ka hanu ʻana.
• ʻEha ka umauma.
• Nā palpitations o ka puʻuwai.
• ʻUmi ʻana me ke kumu ʻole (malia paha he koko iki).
• ʻO ke kala ʻulaʻula o ka ʻili.

Hōʻike kēia mau hōʻailona ua hele kahi ʻūpā koko i nā māmā. He kūlana koʻikoʻi loa kēia.