Ua lohe ka nui o nā makuahine, ʻoiai i ka wā hāpai, i nā aʻa varicose i ko lākou mau wāwae. He mea maʻamau loa ia. Akā ua ʻike anei ʻoe hiki ke loaʻa kahi ʻano like ma kahi a puni kou vagina (vulva)? ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he `( Vulvar Varicosities )`. ʻOiai he nui ka poʻe e hilahila iki e kamaʻilio e pili ana i ia mea, he ʻano maʻamau kēia e hoʻopilikia i nā wahine he nui, ʻoiai ma hope o ko lākou hāpai mua ʻana. No laila, mai hopohopo, e kamaʻilio maopopo mākou e pili ana i nā mea āpau i kēia lā.
No ke aha e hana ai kēia i ka wā hāpai?
Nui nā loli i kou kino i ka wā hāpai. No laila, me kēlā mau loli, piʻi pū ka manawa kūpono o kēia maʻi. I ka ʻōlelo maʻalahi, i ka wā ʻaʻole hiki i nā aʻa koko ma kou ʻōpū haʻahaʻa ke kahe pono i ke koko, hōʻiliʻili ke koko ma kahi hoʻokahi a pehu nā aʻa koko a wili. Aia kekahi mau kumu nui no kēia.
- Hoʻonui ʻia ke kahe koko i ka pelvis: I ka wā hāpai, piʻi nui ka nui o ke koko o kou kino e hānai i ka pēpē e ulu ana. Ke kahe nei hoʻi kēia koko keu i kou wahi pelvic. Akā i ka wā e pilikia ai nā aa palupalu ma laila i ka mālama ʻana i kēia koko keu, hōʻiliʻili ke koko i loko o kēlā mau aa, e hoʻoulu ai iā lākou e pehu a paʻa.
- Nā loli hormonal: ʻO nā loli hormonal i loko o kou kino i kēia manawa, ʻoiai ka piʻi ʻana o ka hormone progesterone , hiki ke hana i nā paia o kou mau aa koko e palupalu a kīkoʻo. Hiki i kēia ke hōʻemi i ko lākou hiki ke lawe i ke koko me ka maikaʻi, e hoʻonui ai a wili.
- ʻUterus i hoʻonui ʻia: Ke ulu nei kāu pēpē, ulu pū kou ʻōpū. Hoʻokau kēia kaumaha i ke kaomi ma luna o nā kīʻaha koko nui (nā aa koko) ma kou wahi pelvic. Hiki i kēia ke hoʻopilikia i ke koko e hoʻi ana mai kou kino haʻahaʻa i kou puʻuwai. ʻO ka hopena, piha nā aa koko i loko o kou ʻōpū me ke koko a hoʻomaka e pehu.
ʻO ka mea nui loa, hiki i kēia kūlana ke alakaʻi i kahi pilikia o nā ʻūpā koko (Venous Thromboembolism - VTE). ʻO ia ke kumu he mea nui e makaʻala i kēia.
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi?
I nā manawa he nui, ʻaʻole ʻike nā wāhine he maʻi ko lākou. No ka mea, i kekahi manawa ʻaʻole lākou e ʻeha a ʻoluʻolu ʻole paha. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona ma lalo nei. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| Nā aa koko pehu/wili | Ke ʻike ʻia nei nā aa koko a puni ka vagina (labia majora/minora) e pehu ana a he ʻano polū a hiʻipiʻi hoʻi ko lākou. |
| ʻEha a i ʻole ke kaomi | Ke kaumaha, ka piha, a i ʻole ka ʻeha ʻūlū ma ka ʻāpana vaginal. |
| Paʻakikī ke kū ʻana | Hoʻonui ʻia ka ʻeha a i ʻole ka ʻoluʻolu ʻole i ke kū ʻana a i ʻole ka hele wāwae ʻana no ka manawa lōʻihi. |
| ʻĀnai | ʻO ka maneʻo ma ka wahi i hoʻopilikia ʻia. |
| ʻEha i ka wā o ka moekolohe | Hiki i kekahi mau wahine ke loaʻa ka ʻeha i ka wā o ka moekolohe. |
| Nā hiʻohiʻona ʻē aʻe | Hiki ke hana ʻia nā mea e like me ka hoʻolei ʻana a me ka huli ʻana i ka pō a me ka pono e mimi pinepine. |
Pehea e mālama ʻia ai kēia?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, e nalo wale kēia maʻi i loko o 6 a 8 mau pule ma hope o ka hānau ʻana, me ka ʻole o kekahi lāʻau lapaʻau. No laila, i ka wā hāpai, ke kau nei mākou i ka hapa nui o ko mākou manaʻo ma ka hoʻokele ʻana i nā hōʻailona a me ka hoʻēmi ʻana i ka ʻoluʻolu ʻole āu e manaʻo ai.
Nā mea maʻalahi hiki iā ʻoe ke hana ma ka home
E ho'āʻo i kēia mau mea e hōʻemi i kou pilikia:
- E hoʻololi pinepine i kou kūlana : Mai noho i ke kūlana like (kū a noho paha) no ka manawa lōʻihi. E hoʻololi i kou kūlana ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia hapalua hola.
- E hoʻokiʻekiʻe i kou mau ʻūhā:I kou moe ʻana, e kau i kahi uluna ma lalo o kou mau pūhaka e hoʻokiʻekiʻe iki iā lākou. Kōkua kēia i ke kahe koko.
- ʻUmi anu: E kau i kahi ʻeke hau i wahī ʻia i kahi lole maʻemaʻe ma kahi o ka ʻeha a me ka pehu no kahi o 10-15 mau minuke. E hana i kēia i nā manawa he nui i ka lā.
- Nā lole kākoʻo kūikawā: Aia nā lole kākoʻo kūikawā i hoʻolālā kūikawā ʻia no kēia kūlana. Hāʻawi kēia i ke kākoʻo i ka wahi i hoʻopilikia ʻia, e hōʻemi ana i ka ʻeha . E noi i kāu kauka no ka ʻōlelo aʻo no kēia.
- E ʻaʻahu i nā lole palupalu: E pale i ke komo ʻana i nā lole paʻa a puni ka ʻūhā a i ʻole ka pūhaka.
He aha inā ʻaʻole e maikaʻi kēia ma hope o ka hānau ʻana o ke pēpē?
I ka manawa kākaʻikahi loa, ʻaʻole paha e ho'ōla ʻia ka ʻūpā o ke aʻa i kekahi mau mahina ma hope o ka hānau ʻana. Inā hana ʻia kēia, hiki i kāu kauka ke ʻōlelo i kēia mau lāʻau lapaʻau:
- Sclerotherapy : Hoʻokomo ʻia kahi wai kūikawā i loko o ke aʻa, e hoʻemi ana, pani ʻia, a nalo loa i ka hala ʻana o ka manawa.
- Phlebectomy: Wehe ʻana i nā aʻa koko i hoʻopilikia ʻia ma o kahi ʻoki liʻiliʻi loa ma ka ʻili.
- ʻO ka Embolization Transcatheter: He kaʻina hana e hoʻokomo ʻia ai kahi lāʻau lapaʻau a mea hana paha i loko o kahi aa koko ma o kahi catheter e hoʻōki i ke kahe koko i kēlā wahi.
Āhea wau e ʻike ai i ke kauka?
He mea nui loa ia e hoʻomaopopo i kāu kauka e pili ana i nā pilikia olakino āu e loaʻa ai i ka wā hāpai. He ʻoiaʻiʻo nō hoʻi kēia no kēia ʻano. Mai hilahila a makaʻu paha e kamaʻilio e pili ana. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.
- Inā he ʻulaʻula ʻeleʻele nā aa koko a wela ke pā.
- Inā e ʻoi aku ka ʻino o ka ʻeha a me ka pehu i kēlā me kēia lā.
- Inā he kānalua no ke koko koko.
- Inā he koko e kahe ana mai ia wahi.
E hana kāu kauka i kahi hoʻokolokolo kino a, inā pono, e kuhikuhi iā ʻoe no kahi mea e like me ka ultrasound scan e ʻike pololei i ke kūlana.
Leka Lawe-Home
- He maʻi maʻamau nā varicosities Vulvar i hiki ke loaʻa i ka wā hāpai. No laila, mai makaʻu a hilahila paha.
- I ka manawa pinepine, hoʻopau ʻia kēia ʻano i loko o kekahi mau pule ma hope o ka hānau ʻana me ka ʻole o ka lāʻau lapaʻau .
- I ka wā hāpai, e hōʻemi i ka ʻoluʻolu ʻole me nā hana maʻalahi e like me ka hoʻololi ʻana i nā kūlana, ke kau ʻana i nā ʻūpā anu, a me ka hoʻohana ʻana i nā lole kākoʻo.Hiki.
- Inā he kānalua kou, ʻeha, a i ʻole kekahi ʻano ʻoluʻolu ʻole e pili ana i kēia, e kamaʻilio pono me kāu kauka e pili ana.
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