Ke nānā ʻoe i kou mau wāwae, ʻike anei ʻoe i nā aa koko polū a poni paha e like me he mea lā ua wili ʻia e like me nā kaula? Hiki paha iā ʻoe ke ʻeha, kaumaha, a me ka maneʻo i kou mau wāwae ke hele ʻoe a kū paha. ʻO kēia kūlana ka mea a mākou e kapa pinepine ai he "varicose veins." ʻOiai he pilikia hoʻonaninani wale nō kēia no kekahi poʻe, no kekahi poʻe he ʻike ʻeha ia e hiki ʻole ai ke hana i nā hana o kēlā me kēia lā. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino e hiki ke hana ʻia ma ke ʻano he hopena i kēia pilikia.
He aha ka hoʻohemo ʻana a me ka ligation o nā vein varicose?
ʻAe, he mea paʻakikī paha kēia mau ʻōlelo, akā e maʻalahi kākou.
Aia nā kiwikā liʻiliʻi i loko o nā aʻa koko o ko kākou kino. Ua like lākou me nā puka e ʻae wale i ka wai e kahe i hoʻokahi ʻaoʻao. ʻO kā lākou hana nui ka hoʻoneʻe ʻana i ke koko mai nā wāwae i luna, i ka puʻuwai. Pale kēia mau kiwikā i ke koko mai ke kahe ʻana i lalo.
Akā, he aha ka mea e hana ʻia ke nāwaliwali a hōʻino ʻia paha kēia mau valves? ʻAʻole kahe pono ke koko, a hoʻomaka e hōʻiliʻili a kū i loko o nā aa. ʻO ia ka manawa e pehu ai nā aa, wili, a ʻike ʻia ma o ka ʻili. Kāhea mākou i kēia he mau aa varicose.
I kēia manawa, e nānā kākou i ka mea e hana ʻia ana i ka wā o ke ʻoki kino:
- Ligation: Pili kēia i ka hoʻōki ʻana i ke kahe o ke koko i ka aa pilikia. I ka ʻōlelo maʻalahi, ua "nakinaki ʻia" a "hoʻopaʻa ʻia" paha ka aa e hoʻōki i ke kahe o ke koko.
- Wehe ʻana: ʻO ka mea aʻe, ua wehe loa ʻia kēia ʻāpana o ke aʻa i nakinaki ʻia, i kēia manawa pono ʻole, mai ke kino mai.
Ma hope o kēia ʻoki kino, e lawe nā aa koko olakino ʻē aʻe i kēia hana a hoʻihoʻi i ke kahe koko. No laila, ʻo ka wehe ʻana i kēia aa koko ʻaʻole ia e hōʻeha i ke kino.
No ke aha ʻoe e pono ai i kēia ʻoki kino?
He nui ka poʻe e hana nei i kēia ʻoki kino no ʻelua mau kumu. ʻO kekahi no nā kumu olakino. ʻO kekahi no nā kumu hoʻonaninani. Hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia ma muli o ka hoʻopaʻa ʻana o nā aʻa.
| Hōʻailona | Wehewehena |
|---|---|
| Ke kaumaha ma nā wāwae | Me he mea lā ua nakinaki ʻia nā pōhaku ʻelua i kou mau wāwae. |
| ʻEha a me ka maneʻo | Ka maneʻo, ka ʻeha, a me ka ʻūlū ʻana o nā ʻiʻo ma nā wahi i nakinaki ʻia ai nā aʻa koko. |
| Pehu ʻana | Ka pehu ʻana ma nā wāwae a me nā kuʻekuʻe wāwae, ʻoiai ma hope o ke kū ʻana no kahi manawa lōʻihi i ke ao. |
| Nā loli ʻili | ʻO ke ʻano o ka ʻili, ka maloʻo, a i kekahi manawa nā ʻeha e ho'ōla ʻole ʻia a puni nā aa koko. |
| helehelena | Nā aa koko polū/poni, wili, e like me ke kaula i ʻike maopopo ʻia ma ka ʻili. |
Eia kekahi, ke paipai nei nā kauka i kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no kekahi maʻi ʻē aʻe. ʻO ia hoʻi ka Chronic Venous Insufficiency (CVI) . Hoʻokumu ʻia kēia e ka hōʻino ʻana i nā valves i ʻōlelo ʻia ma mua. Hiki ke hana pinepine ʻia kēia maʻi e kahi clot koko i loko o nā aa hohonu o nā wāwae, i kapa ʻia ʻo Deep Vein Thrombosis (DVT) .
Pehea e hana ʻia ai ke ʻoki kino
Ma mua o ke ʻoki kino
E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ke ʻano o ka hoʻomākaukau ʻana no ke ʻoki kino. Eia kekahi laʻana, e haʻi aku paha lākou iā ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i kekahi mau hola ma mua o ke ʻoki kino. Hiki iā lākou ke haʻi aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi manawa.
I ka wā o ke ʻoki kino
Hana pinepine ʻia kēia ʻoki kino i loko o kahi kikowaena ʻoki kino i ke ao a i ʻole ke keʻena o ke kauka. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, he mea nui e loaʻa i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke ʻoki kino.
Ma mua o ka hoʻomaka ʻana o ke ʻoki ʻana, e hāʻawi ʻia ʻoe i ka anesthesia i ʻole ʻoe e ʻeha.
- Anesthesia Kūloko: ʻO kēia ka hoʻomāʻū ʻana i ka wahi e hana ʻia ai ke ʻoki kino. E hāʻawi ʻia nō hoʻi iā ʻoe ka lāʻau lapaʻau e hoʻohiamoe iā ʻoe.
- Anesthesia Laulā: Ma kēia, hoʻohiamoe loa ʻia ʻoe.
Ma hope o ka hāʻawi ʻia ʻana o ka anesthesia iā ʻoe, e hana ke kauka ʻoki i kekahi mau ʻoki liʻiliʻi loa ma kou ʻūhā a me kou wāwae haʻahaʻa. A laila, e hoʻohana ʻia ka ʻenehana ultrasound e ʻimi i ke aʻa pololei i nīnau ʻia. A laila e nakinaki ʻia (ligated) ke aʻa a wehe pono ʻia (wehe ʻia). ʻO ka maʻamau, ʻo ke kaʻina hana holoʻokoʻa ma waena o hoʻokahi a ʻekolu hola.
I kekahi mau hihia, hoʻohana nā kauka i nā ʻano hana holomua e like me ka endovenous thermal ablation, kahi e hoʻohana ʻia ai nā kukuna wela a i ʻole nā kukui laser e sila ai i ke aʻa mai loko mai.
Ma hope o ke ʻoki kino
Ma hope o ke ʻoki kino, e mālama ʻia ʻoe i loko o kahi e hoʻōla ai a hiki i ka pau ʻana o nā hopena o ka anesthesia. A laila e ʻae ʻia ʻoe e hoʻi i ka home me nā ʻōlelo aʻoaʻo no ka mālama ʻana iā ʻoe iho.
- E mālama i nā ʻoki i maʻemaʻe a maloʻo.
- E hoʻokiʻekiʻe i ka wāwae i ʻoki ʻia i ka wā hiki.
- E komo i nā kāʻei hoʻopaʻa kūikawā i ʻōlelo ʻia e kāu kauka.
He aha nā pono a me nā pilikia?
E like me nā ʻoki kino āpau, aia nā pilikia a me nā pono. ʻO ka hana ʻana i kēia ʻoki kino e kahi kauka ʻike a akamai hoʻi hiki ke hōʻemi nui i nā pilikia.
| ✅ Nā Pōmaikaʻi | ⚠️ Nā Pōʻino/Nā Pilikia |
|---|---|
| He ʻoki kino kūpono e hāʻawi ana i nā hopena holomua loa. | Hiki ke loaʻa nā maʻi allergies i ka anesthesia. |
| He kūpono nō hoʻi no nā aa koko nui loa a paʻa loa. | Nā maʻi ma nā wahi ʻoki. |
| Ma muli o ka wehe loa ʻia ʻana o ke aʻa koko, ʻaʻohe pilikia o ka puka hou ʻana mai o ke aʻa koko. | Ka pilikia o ke koko i loko o ka wāwae. |
| ʻO ka hiki ke haʻalele i ka haukapila a hoʻi i ka home i ka lā hoʻokahi. | Ka maneʻo a ʻeha paha ma muli o ka hōʻino ʻia ʻana o ke aʻalolo kokoke i ke aʻa koko i wehe ʻia. |
| Hoʻomaha i nā hōʻailona e like me ka ʻeha a me ka pehu. | Ka ʻeha ma nā wahi ʻoki ʻia. |
ʻEhia ka lōʻihi e ho'ōla ai?
ʻO ka maʻamau , ʻelua a ʻehā pule e hoʻōla piha ai. I loko o kēia manawa,
- Hiki iā ʻoe ke ʻai maʻamau.
- ʻOi aku ka maikaʻi o ka noho mamao aku mai ka hoʻoikaika kino a hiki i kou hoʻōla piha ʻana.
- He mea nui loa ka hele wāwae a me ka neʻe ʻana i kou mau wāwae i nā manawa a pau e pale aku ai i ke koko.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, mai hoʻowahāwahā iā lākou. E kāhea koke aku i kāu kauka. Inā pono, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Ke kahe koko mai nā ʻoki.
- Kuni .
- Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana .
- Inā ʻoe e ʻike i ka mehana ke hoʻopā ʻoe i ka ʻili o kou wāwae.
- Inā piʻi ka pehu ma ka wāwae .
ʻO ka mea hope loa, he ʻano hoʻoweliweli a ʻeha hoʻi nā aʻa varicose. He koho lapaʻau kūpono loa ka Vein Stripping and Ligation. Hiki i kēia ʻoki kino ke hōʻoluʻolu i kāu mau hōʻailona e like me ka ʻeha a me ka pehu ʻana, a hoʻihoʻi i ke ʻano o kou mau wāwae. Inā ʻoe e ʻeha nei i kēia pilikia, mai kānalua e kamaʻilio me kāu kauka a hoʻoholo i ke koho lapaʻau i kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka Vein Stripping and Ligation kahi hana ʻoki kino holomua e wehe ai i nā aʻa varicose i nā wāwae.
- Hiki i kēia ke hōʻoluʻolu i nā hōʻailona e like me ka ʻeha, ka pehu, a me ke kaumaha ma nā wāwae.
- Hiki ke hala ma kahi o 2-4 mau pule e ho'ōla piha ai ma hope o ke ʻoki ʻana. He mea nui loa e hahai i nā ʻōlelo a kāu kauka i kēia manawa.
- Inā loaʻa iā ʻoe ke kuni, ka ʻeha nui, ke kahe ʻana o ke koko, a i ʻole ka hoʻonui ʻia ʻana o ka pehu ma hope o ke ʻoki ʻana, e kelepona koke aku i kāu kauka.
- E kamaʻilio me kāu kauka e ʻike i ke ʻano o ka lāʻau lapaʻau kūpono no kou kūlana.
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