He ʻeha lohi kou ma kou wāwae e ho'ōla ana? E aʻo kākou e pili ana i kēia Venous Ulcer!

Loaʻa iā ʻoe kahi ʻeha ma kou wāwae, ʻoi aku hoʻi a puni kou kuʻekuʻe wāwae, e lōʻihi ka manawa e ho'ōla ai, i kekahi manawa he mau mahina? A i ʻole he ʻili paha ka ʻili ma kahi o ka ʻeha, ua ʻeleʻele a paʻakikī? I kekahi manawa ʻaʻole kēia he ʻeha maʻamau, akā he mea e hopohopo ai. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi ka `(Venous Ulcer)` a i ʻole ka venous ulcer (kahi ulcer e ulu ana ma kahi vein). E ʻike pono kākou i ke ʻano o kēia, no ke aha e hana ʻia ai, a pehea e hiki ai iā mākou ke makaʻala e pili ana iā ia.

He aha ka maʻi ʻeha Venous?

I ka ʻōlelo maʻalahi, ʻo ka "Venous Ulcer" he ʻeha e ulu ana ma kou mau wāwae, ʻoi aku hoʻi ma luna o nā kuʻekuʻe wāwae, a lōʻihi ka manawa e ho'ōla ai ma mua o kahi ʻeha maʻamau . ʻO kēia ma muli o nā pilikia me nā aa koko i loko o ko mākou kino, nā ʻano kīʻaha koko e lawe ana i ke koko i ka puʻuwai, a me kekahi mau pilikia me ke kahe koko.

E noʻonoʻo e pili ana i ia mea, ʻo ka maʻamau ke loaʻa iā ʻoe kahi ʻeha, e ola ia i loko o kekahi mau lā, hoʻokahi a ʻelua paha pule. Akā, ʻaʻole like kēia ʻano "Venous Ulcer" me ia. I kekahi manawa hiki ke hoʻomau no nā mahina. I nā hihia koʻikoʻi, ʻaʻole paha lākou e ola loa. No laila he mea nui loa ia iā kākou e makaʻala i kēia.

Pehea e ulu ai kēia Venous Ulcer?

He mea pohihihi iki kēia. Lawe nā aa koko i loko o ko kākou mau wāwae i ke koko i hoʻohana ʻia, nele i ka oxygen i ka puʻuwai. E noʻonoʻo e like me ka muliwai e lawe ana i ka wai i luna o ka puʻu. No laila, no ke kōkua ʻana i kēia koko e kahe hou i luna, i ka puʻuwai, aia nā kiwikā liʻiliʻi i loko o kēia mau aa koko. Ua like kēia mau kiwikā me nā puka, pale lākou i ke koko mai ke kahe hou ʻana i lalo ke piʻi aʻe.

Eia nō naʻe, i kekahi poʻe, ʻaʻole paha e hana pono kēia mau kiwikā, a i ʻole ma muli o nā pilikia ʻē aʻe me nā aa koko, ʻaʻole kahe pono ke koko a hoʻomaka e hōʻiliʻili ma nā ʻāpana haʻahaʻa o nā wāwae. Ke hōʻiliʻili ke koko e like me kēia, piʻi aʻe ke kaomi i loko o ke aa koko. ʻO kēia kaomi i hoʻonui ʻia e hōʻino i ka ʻili a puni, a mālie ka ʻeha, a i ʻole "ulcer". Ua like ia me kahi pehu i piha i ka wai, kahi e hōʻino ai ke kaomi i loko i ka paia.

He aha nā kumu nui o nā ʻeha venous?

ʻO kekahi o nā kumu nui e hoʻopilikia nei i kēia kūlana, ʻo ia ke kūlana i kapa ʻia ʻo 'Chronic Venous Insufficiency' . I ka ʻōlelo maʻalahi, ʻo ka mea e hana ʻia ma kēia, ʻo ia ka nāwaliwali o nā valves i loko o nā aa aʻu i ʻōlelo ai ma mua a ʻaʻole hana pono, kahi e keakea ai i ke kahe ʻana o ke koko i ka puʻuwai. He pilikia kēia i hala no kekahi manawa.

Eia kekahi, aia kekahi mau kumu ʻē aʻe:

• Ke koko kiʻekiʻe (Hypertension): Ke kiʻekiʻe ke kaomi no ka manawa lōʻihi, hiki iā ia ke hōʻino i nā paia o ko mākou mau kīʻaha koko.
• Ka Pale ʻana o ke Aʻa: I kekahi manawa hiki ke pale ʻia kahi aʻa ma muli o nā mea e like me nā ʻūpā koko. Hoʻopilikia pū kēia i ke kahe o ke koko.
• ʻO ka reflux venous:Ke nāwaliwali a hōʻino ʻia paha kēia mau kiwikā, hoʻomaka ke koko e kahe i lalo ma kahi o luna. He kumu nui nō hoʻi kēia o nā ʻōpū.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā ʻeha venous?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• ʻO ka Deep Vein Thrombosis (DVT): Inā hana ʻia kahi ʻōpū koko i loko o nā aʻa nui o ka wāwae, hiki ke ulu aʻe nā ʻeha e like me kēia ma hope.
• Loaʻa kahi moʻolelo ʻohana o ka maʻi venous: Aia paha he mana genetic.
• Momona: Ke piʻi aʻe ke kaumaha o ke kino, ʻoi aku ke kaomi ma luna o nā aʻa koko ma nā wāwae.
• Ka ʻelemakule ʻana: I kou wā ʻelemakule, hiki i nā valves i loko o kou mau aa ke hoʻonāwaliwali.
• Nā kūlana e like me ka maʻi lolo: Ua emi ke kahe ʻana o ke koko no ka mea ʻaʻole hiki i nā wāwae ke neʻe.
• Nā ʻeha wāwae ma mua: Inā ua hōʻino ʻia nā aʻa koko, e like me kahi ulia nui.
• ʻAʻohe hoʻoikaika kino, nohona noho wale: ʻO ka poʻe e noho ana i ka lā a pau a hele ʻole, he maikaʻi ʻole ke kahe koko.
• Puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko.
• ʻO kekahi mau ʻoki kino: Eia kekahi laʻana, ma hope o ke pani ʻana i ke kuli.
• ʻO nā aʻa Varicose a me nā aʻa Spider: He mau hōʻailona kēia o nā pilikia aʻa.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia, he mea maikaʻi e makaʻala iki aʻe e pili ana i nā loli i kou mau wāwae.

Inā he ʻōpū ʻaʻai koko kou, pehea kona ʻano? Pehea kona manaʻo?

ʻIke pinepine ʻia kēia mau ʻeha ma ke ʻano he mau ʻeha pāpaʻu, ʻano ʻē, a pālahalaha . Hiki ke mānoanoa ka ʻili a puni ka ʻeha a loaʻa kahi kala ʻeleʻele .

Eia kekahi, hiki ke ʻike ʻia nā hōʻailona like ʻole:

• He ʻeha palupalu a ʻehaʻeha: ʻO kahi i loaʻa ai ka ʻeha e like paha me ka ʻeha palupalu a ʻehaʻeha.
• ʻAla ʻino: He ʻala ʻino paha ka ʻeha, ʻoiai inā he maʻi.
• Maniʻo: Hiki ke maniʻo iki ka ʻāpana a puni ka ʻeha.
• Ka pus a i ʻole kekahi wai ʻē aʻe e kahe ana mai ka ʻeha: Hiki ke ʻike ʻia ka pus melemele a ʻōmaʻomaʻo paha.
• Edema: Hiki ke pehu nā kuʻekuʻe wāwae a me nā wāwae haʻahaʻa.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ma mua o ka manaʻo he ʻeha maʻamau wale nō ia.

Pehea e ʻike ai ke kauka i kahi maʻi ʻōpū venous?

ʻO ka maʻamau, ke nānā ke kauka i kou wāwae, hiki iā lākou ke ʻike inā he ʻōpū venous ia ma ke ʻano o ka ʻeha. Eia kekahi, kou mōʻaukala olakinoE nīnau e pili ana i kou mōʻaukala olakino. ʻO ia hoʻi ke nīnau ʻana e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei (e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe), inā paha he pilikia kēia i loko o kou ʻohana, a me nā lāʻau lapaʻau āu e lawe nei. Hiki i kēia ʻike ke kōkua iā ʻoe e hoʻomaopopo i ke kumu o ka ʻeha.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hiki i kāu kauka ke ʻōlelo aku i kekahi mau hoʻokolohua e hoʻoholo ai i ke koʻikoʻi o ka ʻeha a me ka nui o ka pilikia o ke kahe koko. Pono nō hoʻi e hana hou ʻia kēia mau hoʻokolohua i kēlā me kēia manawa e nānā i ka pono o kāu lāʻau lapaʻau.

ʻO kekahi o nā hoʻokolohua nui i hana ʻia:

• Hoʻāʻo Ankle-Brachial Index (ABI): Ke ana kēia i ke kaomi koko ma kou mau lima a me kou mau wāwae. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo o ke kahe koko i kou mau wāwae.
• Haʻawina Doppler: Ua like kēia me kahi scan ultrasound. Hiki iā ia ke nānā i ke kahe ʻana o ke koko i loko o nā aa koko, inā he mea e ālai ana, a inā paha e hana pono ana nā valves.
• Nā hoʻokolohua kiʻi ʻē aʻe: I kekahi manawa, hiki ke hana ʻia kekahi mea e like me ka CT scan e nānā i ka hōʻino ʻia o nā aa koko a me ke ʻano o ka hana ʻana o nā valves.

No ke aha he mea nui loa ka mālama ʻana i nā ʻeha venous?

ʻO kēia ka mea nui loa. ʻAʻole nā ​​ʻeha venous kahi ʻano ʻeha e ho'ōla ponoʻī. Inā ʻaʻole ʻoe e mālama iā lākou, hiki i ke kūlana ke ʻoi aku ka ʻino.

Inā ʻaʻole mālama ʻia, hiki i nā ʻiʻo a puni ka ʻeha ke hōʻino mau loa. Hiki i kēia hōʻino ke laha a alakaʻi i nā maʻi weliweli. ʻO kekahi mau maʻi, e like me ka gangrene (make ʻana o nā ʻiʻo) , hiki ke koʻikoʻi a hiki ke hoʻoweliweli i ke ola a alakaʻi paha i ka nalowale ʻana o kahi lālā.

I nā hihia koʻikoʻi loa, inā ʻaʻole hiki ke kāohi ʻia ka maʻi, pono paha ke wehe ʻoki ʻana i ka lālā i hoʻopilikia ʻia (amputation) . No laila, ʻo ka ʻimi ʻana i ka lāʻau lapaʻau mai ke kauka i ʻike i ka ho'ōla ʻana i ka ʻeha i ka wā hikiwawe loa hiki ke hōʻemi nui i kēia pilikia.

He aha nā lāʻau lapaʻau no nā ʻeha venous?

ʻO ka lāʻau lapaʻau maikaʻi loa nāu e hilinaʻi ʻia ma nā mea e like me ka wahi o ka ʻeha a me kona koʻikoʻi. ʻO ka maʻamau, ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, pono ʻoe e ʻike i kāu kauka no nā manawa hoʻopaʻa maʻamau e hōʻoia i ka hana ʻana.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā lāʻau ʻalopika: E kāohi i ka maʻi i loko o ka ʻeha inā loaʻa.
• Nā kāʻei hoʻopaʻa a i ʻole nā ​​​​kāʻei paʻa: Hoʻopili kēia i ke kaomi o waho i nā aa koko ma nā wāwae, e kōkua ana i ke kahe koko i ka puʻuwai. He lāʻau lapaʻau koʻikoʻi loa kēia.
• Nā ʻAila Hana Antiseptic: E pale i ka ʻeha mai nā germs.
• Nā lāʻau hoʻopau ʻeha: E kāohi i ka ʻeha inā he ʻeha.
• Ka hoʻomaʻemaʻe ʻana i ka ʻeha a me ka wehe ʻana i nā ʻiʻo make (Debridement):E hoʻomaʻemaʻe ke kauka a wehe i kekahi ʻili make a me ka pehu mai ka ʻeha. E kōkua kēia i ka ho'ōla wikiwiki ʻana o ka ʻeha.
• Ke kuhikuhi ʻana i nā loea e mālama i nā maʻi mau ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, he mea nui e kaohi pono iā lākou i hiki ai i nā ʻeha ke ho'ōla.
• Nā kāʻei kūikawā a me nā ʻaʻahu: Kōkua kēia i ka uhi ʻana i ka ʻeha, kaohi i ka makū, a hana i kahi ʻano e kūpono ai i ka ho'ōla ʻana.
• E holoi i ka ʻeha i kēlā me kēia lā: He mea nui kēia e mālama i ka ʻeha maʻemaʻe ma ka home a wehe i ka bacteria. Akā, pono e hana ʻia kēia e like me ka ʻōlelo a ke kauka.

Aia kekahi mau lāʻau lapaʻau kūikawā ʻē aʻe?

Inā loaʻa iā ʻoe kahi ʻeha venous koʻikoʻi loa i ho'ōla ʻole ʻia me nā lāʻau maʻamau, pono paha ʻoe i nā lāʻau kūikawā e like me:

• Lapaʻau Growth Factor: Ma kēia, hoʻokomo ʻia nā mea kūikawā i loko o ka ʻeha e huki ai i nā pūnaewele e kōkua i ka ho'ōla ʻana o ka ʻeha.
• ʻO ka Hyperbaric Oxygen Therapy: Ma kēia, hoʻokomo ʻia ka mea maʻi i loko o kahi keʻena i hoʻopaʻa kūikawā ʻia a hana ʻia e hanu i ka oxygen maʻemaʻe. Hoʻonui kēia i ka wikiwiki o ka ho'ōla ʻana o ka ʻeha.
• Lapaʻau Lymphedema: Hoʻomohala kekahi poʻe i ka pehu ma muli o ka hōʻiliʻili ʻana o ka wai lymph. Hoʻōla ʻia lākou me nā ʻano lomilomi kūikawā, nā ʻano mālama ʻili, a me nā kāʻei.
• Hoʻopili ʻIli: Inā nui ka ʻeha, lawe ʻia ka ʻili olakino mai kahi ʻē aʻe o ke kino a hoʻoili ʻia i kahi o ka ʻeha.
• Lapaʻau Kelepona Kumu: Hoʻohana ʻia nā kelepona kumu i lawe ʻia mai ka iwi iwi e hana i nā ʻiʻo olakino e kōkua ai i ka ho'ōla ʻana i nā ʻeha.
• Lapaʻau no nā maʻi venous: No nā pilikia hōʻuluʻulu koko, nā lāʻau lapaʻau e pili pono ana i nā aʻa koko e hoʻomaikaʻi i ke kahe koko (e like me ke ʻoki kino, ka mālama laser).

Hiki ke pale ʻia nā ʻōpū Venous?

ʻAe, aia kekahi mau mea hiki iā mākou ke hana e pale aku i kēia maʻi i kekahi ʻano. Inā ua loaʻa iā ʻoe kahi ʻōpū venous ma mua a ua ho'ōla ʻia, he mea nui hoʻi kēia mau mea e pale aku ai i ka hoʻi hou ʻana mai.

• Ka mālama ʻana i nā maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi e hoʻopilikia ai i ke olakino o nā kīʻaha koko, e like me ke koko kiʻekiʻe a me ka maʻi diabetes, e mālama pono iā lākou a hoʻokele maikaʻi ʻia.
• E mālama i ke kaumaha olakino: Inā kaumaha ʻoe, e hoʻēmi i ke kaumaha.
• E hōʻalo i ka puhipaka: Inā he mea puhipaka ʻoe, e hoʻōki.
• Ke lawe nei i nā lāʻau hoʻokahe koko (anticoagulants): Inā ua kuhikuhi kāu kauka iā lākou, e lawe iā lākou e like me ke kuhikuhi ʻana.
• Hoʻoikaika kino mau: Hoʻomaikaʻi nā hoʻomaʻamaʻa maʻalahi e like me ka hele wāwae i ke kahe koko ma nā wāwae.
• Mai noho lōʻihi ma kahi hoʻokahi: E neʻe a hele a puni i nā manawa hiki. E hoʻokiʻekiʻe iki i kou mau wāwae ʻoiai ʻoe e noho ana.
• Ke komo ʻana i nā stockings compression:Inā ʻōlelo ʻia e ke kauka, ʻo ke komo ʻana i kēia mau mea e hāʻawi i ke kākoʻo i nā aa koko, ʻoi aku hoʻi no ka poʻe e hana kū ana i ka lā a pau.

He aha ke kūlana no kekahi me ka maʻi ʻōpū venous?

Me ka mālama maikaʻi ʻana, hiki i ka hapa nui o ka poʻe me nā ʻōpū venous ke ho'ōla piha. Eia nō naʻe, i ka wā e loaʻa ai iā ʻoe kahi ʻōpū venous, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe i hoʻokahi i ka wā e hiki mai ana. Hoʻi pinepine lākou ma kahi like me ka ʻōpū ma mua. No laila he mea nui e hoʻomau i ka hahai ʻana i nā hana pale.

Pehea ke ola o kēlā me kēia lā me kahi ʻōpū venous?

ʻOiai ʻoe e loaʻa ana i ka lāʻau lapaʻau, hiki iā ʻoe ke hana i nā mea e kōkua ai i ka ho'ōla wikiwiki ʻana o ka ʻeha:

• ʻAi olakino: Ke loaʻa iā ʻoe ka meaʻai maikaʻi, e hoʻonui ʻia ai ka hiki ke ho'ōla maoli o kou kino.
• Ka mālama ʻana i ka ʻeha a me ka ʻili a puni: E hahai i nā ʻōlelo a kāu kauka.
• Ke hoʻokiʻekiʻe nei i kou mau wāwae i kēlā me kēia manawa i ka wā e noho ana: Hoʻemi kēia i ka hōʻiliʻili koko.
• Ke komo ʻana i ka hoʻoikaika kino māmā: Hiki i nā mea e like me ka hele wāwae ke hoʻomaikaʻi i ke kahe koko, akā me ka ʻole o ka hōʻino ʻana i ka ʻeha.
• Ke hoʻohana pololei nei i nā stocking compression: Inā ua kuhikuhi kāu kauka iā lākou, e kau iā lākou e like me ke kuhikuhi ʻana.

Nā mea pōkole e hoʻomanaʻo ai

ʻAe, e hoʻomanaʻo kākou i kekahi o nā mea nui loa mai nā mea a mākou i kamaʻilio ai:

• ʻO nā ʻeha venous he mau ʻeha lohi e ho'ōla ana e ulu ana ma nā wāwae ma muli o nā pilikia me nā aa koko.
• ʻAʻole e ho'ōla ʻia kēia mau mea iā lākou iho , no laila he mea nui e ʻimi i ka mālama ʻana mai ke kauka.
• Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā maʻi koʻikoʻi e like me ka maʻi, ka gangrene, a me ka amputation .
• ʻO ka mālama ʻana e pili ana i ka hoʻomaʻemaʻe ʻana i ka ʻeha, ke kau ʻana i nā kāʻei hoʻopili, a me nā lāʻau lapaʻau.
• ʻOiai inā e ho'ōla ʻia, hiki iā ia ke hoʻi hou mai, no laila he mea nui e hahai i nā ʻano pale.
• Hiki ke mālama maikaʻi ʻia kēia kūlana ma ka hahai ʻana i kahi nohona olakino a me ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka.

Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai kahi pilikia e like me kēia, e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. Hiki iā ia ke pale aku i nā pilikia he nui.

ʻUlu ʻaʻa koko , ʻUlu wāwae, ʻEha ʻAʻole Hoʻōla, Kaʻapuni Koko, ʻUlu wāwae, Nā pilikia aʻa koko