Ua ʻike anei ʻoe i kou kū ʻana no ka manawa lōʻihi a i kou wā ʻelemakule, lilo kou mau wāwae i polū a ʻike ʻia he nakinaki? He pehu, ʻāʻī, a kaumaha nā wāwae o kekahi poʻe. ʻO kēia ka mea a mākou e kapa wale nei he maʻi venous. Mai makaʻu ke lohe ʻoe i kēia inoa. He maʻi maʻamau loa kēia. I kēia lā, e kamaʻilio mākou e pili ana i kēia a me kona mālama ʻana ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka maʻi Venous?
ʻAe, e nānā mua kākou i kēia. Loaʻa iā kākou ʻelua ʻano o nā kīʻaha koko i loko o ko kākou kino. ʻO kekahi nā aʻa koko, e lawe ana i ke koko maʻemaʻe mai ka puʻuwai a puni ke kino. ʻO kekahi nā aʻa koko, e lawe ana i ke koko lepo i ka puʻuwai.
E noʻonoʻo i kēia mau aa koko me he mau ala hoʻokahi ala . He mau puka liʻiliʻi ko kēia mau ala e pale ai i ke koko mai ke kahe ʻana i hope. Kāhea mākou iā lākou he mau valves. Wehe kēia mau puka i ka wā e piʻi ai ke koko, a laila pani hou lākou e pale i ke koko mai ke kahe ʻana i hope.
I kēia manawa, ʻo ka maʻi venous ka wā e hewa ai kēlā kaʻina hana. ʻOi loa aku i kahi kūlana i kapa ʻia ʻo ka venous insufficiency, ʻaʻole hana pono kēlā mau puka liʻiliʻi aʻu i ʻōlelo ai, ʻo nā valves. Ke pani pono ʻole lākou, hoʻomaka ke koko e kahe i hope ma kahi o luna, a i ʻole e kū mālie. ʻO ia ka manawa e kū mai ai nā pilikia.
Nā ʻano maʻamau o nā maʻi venous
I ka wā e pili ana i ka maʻi venous, ʻaʻole hoʻokahi wale nō ʻano, akā he nui nā kūlana ma lalo ona.
- Nā ʻūpā koko: ʻO ke kūkulu ʻia ʻana o kahi ʻūpā koko i loko o kahi aa koko.
- Ka Lapaʻau ʻAʻa Mau Loa (CVI): He kūlana kahi e nāwaliwali ai nā kiwikā o nā aʻa koko o nā wāwae a ʻaʻole kahe pono ke koko i ka puʻuwai.
- ʻO ka Thrombosis Vein Deep (DVT): He ʻūpā koko e hana ʻia ana i loko o kahi aʻa nui a hohonu i loko o ke kino. He kūlana weliweli iki kēia.
- ʻO ka Pulmonary Embolism: He ʻūpā koko, e like me ka DVT, e hemo ana mai kahi aa koko a noho i loko o kahi aa koko i loko o nā māmā. He pilikia kēia.
- ʻO ka thrombophlebitis superficial: Ka mumū o kahi aʻa koko ma lalo o ka ʻili me kahi ʻaʻa koko.
- ʻO nā aʻa varicose a me nā spider veins: ʻO nā aʻa e ʻike ʻia he pehu, palahalaha, a me ka uliuli/poni, i ʻike ʻia ma o ka ʻili.
He aha ke ʻano o nā kauka e mālama nei i kēia ʻano maʻi?
Inā loaʻa iā ʻoe kahi pilikia e like me kēia, e mālama ʻia ʻoe e ke kauka i loaʻa ka ʻike loea ma kēia wahi. ʻElua ʻano loea nui.
1. Kauka lapaʻau koko:Hoʻomaopopo kēia mau kauka a kuhikuhi i nā lāʻau lapaʻau no nā maʻi aa koko. Hiki iā lākou ke hana i nā kaʻina hana minimally invasive.
2. Kauka lapaʻau vascular: Hoʻomaopopo a mālama pū kēia mau kauka i nā maʻi. Eia nō naʻe, loaʻa iā lākou ke aʻo kūikawā e hana i ke ʻoki kino inā pono.
Ke ʻike mua ʻoe i kāu kauka ʻohana (GP), e loiloi ʻo ia i kou kūlana a kuhikuhi iā ʻoe i kahi loea e like me kēia inā pono.
He aha nā lāʻau lapaʻau ʻoki ʻole?
ʻAʻole pono nā ʻoki kino a pau i nā aʻa varicose. I nā hihia he nui, hiki ke mālama ʻia me nā lāʻau lapaʻau maʻalahi a ʻaʻole ʻoki kino. I kekahi manawa hoʻohana ʻia kēia mau mea me nā lāʻau lapaʻau ʻē aʻe.
- Anticoagulation: Ua kapa ʻia kēia mau mea he mau mea hoʻomāmā koko. Pale kēia mau lāʻau lapaʻau i ka hoʻokumu ʻana o nā ʻōpū koko a pale i nā ʻōpū koko e ulu nui ana. He mea nui loa kēia no nā kūlana e like me DVT.
- Nā kāmaʻa hoʻopaʻa: ʻAʻole like kēia me nā kāmaʻa maʻamau. Hoʻopili kēia mau kāmaʻa i ke kaomi i nā wāwae. Me he mea lā e ʻomi ana kekahi iā lākou. Kōkua kēia kaomi i ke koko i loko o nā wāwae e neʻe i luna, i ka puʻuwai, ma kahi o ka kū ʻana.
- Nā Hoʻololi o ke ʻAno o ka Noho ʻAna: ʻOiai nā hoʻololi liʻiliʻi i kāu mau hana maʻamau i kēlā me kēia lā hiki ke hana i kahi ʻokoʻa nui.
- Ke hana nei i kekahi mau hoʻoikaika kino, e like me ka hele wāwae .
- I kou noho ʻana, e hāpai i kou mau wāwae e like me ka noho .
- Ke kāohi nei i ke kaumaha o ke kino .
- Sclerotherapy: He lāʻau lapaʻau kēia no nā aʻa varicose. Hoʻokomo ʻia kahi hopena kūikawā i loko o ke aʻa pilikia. ʻO kēia hopena ke kumu o ka pehu ʻana o ke aʻa, ka mumū, a me ka hana ʻole. Hoʻōki ke kahe ʻana o ke koko ma o kēlā aʻa a hoʻomaka ke koko e kahe ma o nā aʻa olakino. I ka hala ʻana o ka manawa, omo ke kino i ke aʻa hana ʻole.
Ka mālama ʻana me ka hoʻohana ʻana i kahi catheter
He ʻōmole lahilahi a palupalu hoʻi ka catheter. Ma kēia lāʻau lapaʻau, hana ke kauka i kahi ʻoki liʻiliʻi loa i ka ʻili a hoʻokomo i kēia ʻōmole lahilahi i loko o ke aʻa. ʻO ka pōmaikaʻi o kēia mau ʻano hana, ʻaʻohe ʻoki nui, no laila ʻoi aku ka pōkole o ka manawa ho'ōla a ʻoi aku ka haʻahaʻa o ka pilikia o nā pilikia.
| Ke ʻano lapaʻau (Kaʻina hana) | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| ʻO ke angioplasty | Hoʻopiha ʻia kahi pōpō liʻiliʻi ma ka hopena o ke catheter i loko o ke aʻa i paʻa. Wehe kēia i ke aʻa i paʻa a hoʻihoʻi i ke kahe koko. I kekahi manawa ua kau ʻia kahi ʻōmole mesh liʻiliʻi i kapa ʻia he stent i loko e pale aku ai mai ka paʻa hou ʻana. |
| ʻO ka lāʻau lapaʻau thrombolytic i kuhikuhi ʻia e ka catheter | Hoʻokomo ʻia kahi lāʻau lapaʻau e hiki ke hoʻoheheʻe i ke koko ʻūlū ma o ke catheter i kahi o ke koko ʻūlū. Hoʻopā pololei kēia lāʻau lapaʻau i ke koko ʻūlū, e hoʻoheheʻe ai i loko o kekahi mau hola a i ʻole mau lā. |
| ʻO ka hoʻopau wela endovenous | Ua kapa ʻia kēia he lāʻau lapaʻau laser. Maanei, hoʻohana ʻia nā kukuna laser a i ʻole ka ikehu wela e puhi i ke aʻa pilikia mai loko mai a hoʻolilo iā ia i mea hana ʻole. A laila, pau ke kahe ʻana o ke koko ma o kēlā aʻa, a hana nā aʻa maikaʻi i ka hana. |
| Kānana Vena cava | He kānana kēia e like me ka umbrella liʻiliʻi. Hoʻokomo ʻia i loko o ke aʻa koko nui loa i loko o ko kākou kino, ʻo ia hoʻi ʻo Vena Cava. Hoʻōki kēia kānana i nā ʻōpū koko i hana ʻia ma nā wāwae mai ka haki ʻana a me ka hele ʻana i ka puʻuwai a i ʻole nā māmā. Ua like ia me ka ʻupena e hopu ai i ka lepo. Hiki ke waiho ʻia no kekahi manawa a mau loa paha. |
Lapaʻau ma o ke ʻoki kino
I kekahi mau hihia, pono ke ʻoki kino.
Āhea e pono ai ke ʻoki kino?
- Inā ʻaʻole i hāʻawi nā lāʻau lapaʻau maʻalahi ʻē aʻe i nā hopena holomua.
- Inā ke hoʻopilikia nei kou maʻi venous i kāu mau hana o kēlā me kēia lā a hiki i kahi hiki ʻole iā ʻoe ke hana i kekahi mea.
- Inā ʻoe i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i kahi kūlana weliweli e like me DVT a i ʻole ka pulmonary embolism.
Nā ʻano hana nui
- Ligation a me ka wehe ʻana i ke aʻa: Hoʻopau ʻia nā aʻa Varicose ma ke ʻoki ʻana ma ke nakinaki ʻana i ke aʻa a wehe loa aku.
- ʻO ke ʻoki kino SEPS (ʻO ke ʻoki kino Endoscopic Subfascial):He ʻoki kino paʻakikī iki kēia. Hana ʻia ia ma luna o ka poʻe i loaʻa nā ʻeha venous i ko lākou mau wāwae i ho'ōla ʻole ʻia ma muli o nā aʻa koko i hōʻino ʻia. Hoʻokiʻoki ʻia nā aʻa koko i hōʻino ʻia a hoʻihoʻi ʻia ke kahe koko i nā aʻa koko olakino.
- ʻO ke ʻoki ʻana ma o ka bypass: Ua like ia me ke kūkulu ʻana i kahi bypass e kāpae i kahi mea i paʻa i loko o kahi aa. Inā he mea i paʻa i loko o kahi aa e pale ana i ke kahe ʻana o ke koko, e hana kāu kauka i kahi ala hou no ke kahe ʻana o ke koko a puni ka mea i paʻa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi ʻāpana o kou aa ponoʻī a i ʻole kahi paipu hana.
Hiki ke ho'ōla loa ʻia kēia mau maʻi?
He nīnau kēia a ka poʻe he nui e nīnau ai. I kekahi mau hihia, ʻae. No ka laʻana, inā he aʻa varicose kou, ʻo ka wehe ʻana i kēlā aʻa e hoʻoponopono loa i ka pilikia. Eia naʻe, ʻaʻole ia e pale i kahi aʻa varicose hou mai ka hoʻokumu ʻana ma kahi ʻē aʻe.
Akā, ʻaʻole hiki ke ho'ōla piha ʻia nā maʻi venous āpau. I kekahi manawa ʻo ka pahuhopu o ka mālama ʻana, ʻo ia ke kāohi i nā hōʻailona a pale i nā pilikia weliweli, e like me nā ʻōpū koko i loko o nā māmā.
Eia kekahi laʻana, ke kāohi nei kahi kānana vena cava i nā ʻōpū koko mai ka hele ʻana i nā māmā, akā ʻaʻole ia e wehe i nā ʻōpū koko e kū nei. Ke kāohi nei nā mea hoʻokahe koko i nā ʻōpū koko hou mai ka hoʻokumu ʻana, akā ʻaʻole lākou e hoʻoheheʻe i nā mea e kū nei. No laila e ʻokoʻa ka pahuhopu o ka mālama ʻana ma muli o kou kūlana.
He aha nā pono a me nā pilikia o ka mālama ʻana?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia mau lāʻau nā pono a me kekahi mau pilikia.
ʻO ka pōmaikaʻi nui ka pale ʻana mai nā pilikia e hoʻoweliweli ana i ke ola. Hāʻawi pū ia i ka hōʻoluʻolu mai nā hōʻailona e hiki ke hoʻopilikia i ke ola o kēlā me kēia lā, e like me:
- ʻEha ʻōpū a i ʻole ke kua
- Nā aa koko pehu
- Ke kaumaha a me ka ʻeha ma nā wāwae
- ʻEha a ʻeha paha e ho'ōla ʻole ana
- Pehu ʻana
Ma ke kamaʻilio ʻana e pili ana i nā pilikia, hiki i nā lāʻau hoʻokahe koko ke hoʻoulu i ke kahe koko i makemake ʻole ʻia. Aia kahi manawa liʻiliʻi o ka maʻi mai nā ʻoki kino a me nā kaʻina hana ʻē aʻe.
Akā ʻo ka mea nui , i ka hapanui o nā hihia, ʻoi aku ka nui o nā pono o ka mālama ʻana ma mua o nā pilikia liʻiliʻi. E wehewehe kāu kauka iā ʻoe i ka lāʻau lapaʻau maikaʻi loa a palekana hoʻi nou ma muli o kou kūlana olakino.
Ka manawa ho'ōla a me ka wā e ʻike ai i ke kauka
Ma hope o ka mālama ʻana me ka hoʻohana ʻana i kahi catheter, hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, inā ua hana ʻia ʻoe i ke ʻoki kino nui, hiki ke hala i ʻelua pule a ʻoi aku paha e hoʻōla piha ai.
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka mālama ʻana a i ʻole ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| - ʻEha umauma | - ʻEha poʻo |
| - Ke kahe mau ʻana o ke koko a i ʻole kekahi wai ʻē aʻe mai ka ʻeha ʻoki | - Ka luaʻi a i ʻole ka luaʻi ʻana |
| - Kuni | - ʻEha a pehu paha a puni ka ʻeha (edema) |
| - Ka ʻeha o nā lima a i ʻole nā wāwae | ʻUlaʻula a mehana paha a puni ka ʻeha |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe.
Leka Lawe-Home
- ʻO ka maʻi venous kahi kūlana e kū mai ana i ka wā e hana pono ʻole ai nā valves (nā puka) i loko o nā aa koko, e hoʻoulu ai i ke koko e kū a kahe i hope.
- ʻO nā aʻa varicose, ka pehu ʻana o nā wāwae, a me ke kaumaha ma nā wāwae nā hōʻailona maʻamau o kēia maʻi.
- Nui nā ʻano lapaʻau like ʻole no kēia, me nā lāʻau lapaʻau, nā socks kūikawā, nā hoʻololi ʻana i ke ʻano o ka nohona, ka catheter therapy, a me ke ʻoki ʻana.
- Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau e kūpono loa i kou kūlana.
- Inā ʻike ʻoe i nā hōʻailona ʻē ma hope o ka mālama ʻana, e like me ka ʻeha o ka umauma, ke kuni, a i ʻole ke kahe ʻana o ke koko mai kahi ʻeha, e kelepona koke aku i kāu kauka.
- Mai makaʻu, me nā lāʻau lapaʻau holomua o kēia wā, hiki i nā poʻe he nui ke kaohi i kēia mau kūlana a ola i nā ola piha a hana.
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