Loaʻa iā ʻoe nā aʻa varicose i kou mau wāwae? E kamaʻilio kākou e pili ana i nā maʻi venous a me ka mālama ʻana

Loaʻa iā ʻoe kekahi mau aa koko polū a poni paha ma kou mau wāwae? A i ʻole pehu mau kou mau wāwae a kaumaha? ʻOiai he mau pilikia maʻamau kēia no nā poʻe he nui, i kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi maʻi e pili ana i nā kīʻaha koko i loko o ko mākou kino, ʻoiai nā aa koko. No laila i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia maʻi venous, a i ʻole `(Venous Disease)`, a he aha nā lāʻau lapaʻau no ia mea. Mai makaʻu, he mea nui loa ka ʻike i kēia.

I ka ʻōlelo maʻalahi, he aha ka maʻi venous?

E noʻonoʻo, aia kahi pūnaewele o nā kīʻaha koko ma loko o ko kākou kino. Kāhea mākou i kēia mau kīʻaha he mau kīʻaha koko. ʻO kēia mau mea, ʻo nā kīʻaha e lawe ana i ke koko mai ke kino a i ka puʻuwai, ʻo ia nā aa koko. I loko o kahi aa koko olakino, aia nā ʻāpana liʻiliʻi e like me ka puka, i kapa ʻia he mau valves. Hoʻokahi wale nō ala e wehe ai kēia mau mea. No laila, ke kahe mau nei ke koko i ka puʻuwai a ʻaʻole hoʻi e hoʻi mai.

Eia nō naʻe, i ke kūlana e like me ka 'Venous Insufficiency', ʻaʻole hana pono kēia mau valves. ʻO ka mea e hana ʻia, ʻaʻole neʻe ke koko i mua, akā kū mālie ma kahi hoʻokahi, a kahe paha i hope. ʻO kēia ka mea a mākou e kapa pinepine ai he maʻi venous. ʻO ka mālama ʻana i kēia e hoʻihoʻi i ke kahe koko a hōʻemi i ka pilikia o nā pilikia.

Nā ʻano maʻamau o nā maʻi venous

• Nā ʻAʻa Koko: ʻO ke kūkulu ʻia ʻana o nā ʻaʻa koko i loko o nā aʻa koko.
• Ka lawa ʻole o ke koko mau loa (CVI): Ke kū nei ke koko ma muli o ka nāwaliwali lōʻihi o nā kiwikā o nā aʻa koko.
• ʻO ka Thrombosis Vein Deep (DVT): He ʻūpā koko i loko o nā aa koko hohonu o ke kino (maʻamau i nā wāwae). He ʻano ʻoi aku ka weliweli o kēia.
• ʻO ka Pulmonary Embolism: He ʻūpā koko e haki ana mai kahi DVT a hele i nā māmā. He kūlana koʻikoʻi a weliweli loa kēia.
• ʻO ka thrombophlebitis superficial: Hoʻokumu ʻia kahi ʻaʻa koko i loko o nā aʻa ma lalo o ka ʻili, e pehu ai ke aʻa, lilo i ʻulaʻula, a lilo i ʻeha.
• ʻO nā aʻa Varicose a me nā aʻa spider: Nā aʻa pehu, wili ʻia e ʻike ʻia ma luna o ka ʻili. He nui ka poʻe e kapa nei i kēia mau "aʻa spider."

He aha nā lāʻau lapaʻau me ke ʻoki ʻole ʻana?

ʻO ka hapa nui, e hoʻāʻo mua ke kauka e kāohi i ke kūlana me ka ʻole o ke ʻoki ʻana. Hiki ke hoʻohana wale ʻia kēia lāʻau lapaʻau a i ʻole e hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.

Nā lāʻau lapaʻau hou e hoʻohana ana i nā catheters

Ma kēia mau ʻano hana, hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili a hoʻokomo i kahi catheter , he ʻōmole lahilahi loa, i loko o ke aʻa. ʻOiai ʻaʻole pono kēia mau ʻoki nui, ʻoi aku ka pōkole o ka manawa ho'ōla a emi mai nā pilikia.

• Angioplasty: Hoʻokomo ʻia kahi catheter i loko o kahi aʻa i paʻa ʻia a hoʻopiha ʻia kahi pōpō liʻiliʻi ma ka hopena e hoʻonui i ke aʻa mai loko mai. ʻAe kēia i ke koko e kahe maʻalahi. I kekahi manawa, kau ʻia kahi stent , kahi ʻōmole mesh liʻiliʻi, i loko o ke aʻa e pale aku ai i kona emi hou ʻana.

• ʻO ka lāʻau thrombolytic i kuhikuhi ʻia e ka catheter: Hoʻokomo ʻia kahi catheter i loko o kahi i loaʻa ai kahi clot koko a hoʻokomo pololei ʻia nā thrombolytics i loko. Hoʻoheheʻe kēia i ke clot i loko o kekahi mau hola a i ʻole mau lā.

• ʻO ka hoʻopau wela endovenous: Ua kapa ʻia kēia he laser therapy. Hoʻohana ʻia kahi catheter e hoʻouna i ka mālamalama laser a i ʻole ka ikehu wela i loko o kahi aʻa koko e hana pono ʻole ana, "e sila ana" i ka aʻa koko mai loko mai. A laila emi ka aʻa koko a hoʻomaka ke koko e kahe ma o nā aʻa koko olakino.

• Kānana Vena cava:He kānana liʻiliʻi kēia i ke ʻano e like me ka umbrella. Hoʻokomo ʻia ia i loko o ke aʻa nui i loko o ko kākou ʻōpū (vena cava). Hoʻohana ʻia ia e pale aku i nā ʻūpā koko i hana ʻia ma nā wāwae mai ka hele ʻana i ka lolo a i ʻole nā ​​māmā.

I nā hihia hea e pono ai ke ʻoki kino?

ʻO ka maʻamau, ʻōlelo ʻia ke ʻoki ʻana inā ʻaʻole i holo pono nā lāʻau lapaʻau maʻalahi ʻē aʻe, a inā paʻakikī ke kūlana.

Aia kekahi mau ʻano nui o ke ʻoki kino:

• Ligation a me ka wehe ʻana i ka ʻili: Pili kēia i ke kāʻei ʻana i ka aʻa varicose pilikia a me ka wehe ʻana. I kekahi manawa hana ʻia kēia ʻoki ma o nā ʻoki liʻiliʻi me ka hoʻohana ʻana i kahi mea hana e like me ka endoscope.
• SEPS (ʻoki ʻoki endoscopic subfascial): Hana ʻia kēia ʻoki no ka poʻe i hōʻino ʻia nā aa koko ma nā wāwae haʻahaʻa a loaʻa nā ʻeha ʻaʻole e ho'ōla (nā ʻeha venous).
• ʻO ke ala hele ʻoki: E like me ke kūkulu ʻana i kahi ala hele e hala i kahi alanui paʻa, pili kēia i ka hana ʻana i kahi ala hou a puni kahi kīʻaha koko i paʻa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi ʻāpana o kou aʻa ponoʻī a i ʻole kahi paipu hana (graft).

He aha nā pōmaikaʻi a me nā pilikia o kēia mau lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā pilikia a me nā pono. No ka laʻana, hiki i nā lāʻau hoʻokahe koko ke hoʻoulu i ke kahe koko i kekahi manawa. Aia kahi pilikia liʻiliʻi o ka maʻi i ka wā o ke ʻoki ʻana.

Eia nō naʻe, i ka hapanui o nā hihia, ʻoi aku ka nui o nā pono o kēia mau lāʻau lapaʻau ma mua o nā pilikia. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i nā pilikia e hoʻoweliweli i ke ola e like me ka pulmonary embolism. Hiki iā lākou ke hāʻawi i ka hōʻoluʻolu mai nā hōʻailona e like me ka pehu ʻana o ka wāwae, ka ʻeha, ka maneʻo, a me nā aʻa varicose. E wehewehe kāu kauka iā ʻoe i ka lāʻau lapaʻau maikaʻi loa no kou kūlana.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ka mālama ʻia ʻana no kahi maʻi venous (catheter a ʻokiʻoki paha), e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻEha umauma
• Ke kahe mau nei ke koko a i ʻole nā ​​​​wai ʻē aʻe mai nā ʻoki
• kuni
• ʻEha poʻo
• Ka luaʻi a i ʻole ka luaʻi
• ʻEha nui a pehu paha a puni ka ʻoki ʻia
• Ka mae ʻana o nā lālā
• ʻUlaʻula a mehana paha a puni ka ʻoki ʻia