Trombophlebitis superficial
ʻO Thrombophlebitis kahi pehu a pehu paha ma muli o ke koko koko. Superficial pili i nā aa ma lalo pono o ka ʻili.
Hiki ke hana i kēia ʻano ma hope o ka hōʻeha ʻana i ka aa. Hiki paha ia ma hope o ka hāʻawi ʻia ʻana o nā lāʻau i loko o kou veins. Inā loaʻa ʻoe i kahi makaʻu kiʻekiʻe no nā kahe o ke koko, hiki iā ʻoe ke hoʻomohala iā lākou no ka kumu ʻole.
Nā pilikia no ka thrombophlebitis:
- Ka maʻi ʻaʻai a i ʻole maʻi ate
- Trombosis aa hohonu
- Nā maʻi e pili ana i ka hoʻonui ʻia ʻana o ke kāpili ʻana o ke koko (hiki ke ili ʻia)
- Maʻi kīnā
- Hapai keiki
- Noho a noho mālie paha no kahi wā lōʻihi
- Hoʻohana o nā lāʻau kaohi hānau
- Pehu, wili, a hoʻonui ʻia nā veins (varicose veins)
Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:
- ʻUlaʻula ʻula, pehu, palupalu, a ʻeha paha ma ke aʻa ma lalo pono o ka ʻili
- ʻOhana o ia wahi
- ʻEha ʻeha
- Hoʻopaʻa o ke aa
Kuhi kāu mea mālama ola i kēia ʻano ma muli o ke ʻano o ka wahi i hoʻopilikia ʻia. ʻO nā loiloi pinepine o ka lāʻau ikiʻai, ke kaomi koko, ka mahana, ka ʻili, a me ke kahe o ke koko e pono ai.
Kōkua ka ultrasound o nā kīʻaha koko i ke ʻano.
Inā loaʻa nā hōʻailona o ka maʻi, e hana ʻia ka ʻili a i ʻole nā moʻomeheu koko.
I mea e hōʻemi ai i ka hōʻoluʻolu a me ka pehu ʻana, e ʻōlelo paha kāu mea hāʻawi iā ʻoe:
- E komo i nā stockings kākoʻo, inā pili kou wāwae.
- E mālama i ka wāwae i hoʻopili ʻia a i ʻole ka lima i hāpai ʻia ma luna o ka pae o ka puʻuwai.
- E noi i kahi kaomi mahana i kahi.
Inā he pepelu a he laina IV paha kāu, e hemo paha ia inā ʻo ia ke kumu o ka thrombophlebitis.
Kapa ʻia nā lāʻau i kapa ʻia ʻo NSAIDs, e like me ka ibuprofen, e hōʻemi i ka ʻeha a me ka pehu.
Inā loaʻa nā ʻōpala i nā aa hohonu, hiki i kāu mea hāʻawi ke kuhikuhi i nā lāʻau e lahilahi i kou koko. Kapa ʻia kēia mau lāʻau lapaʻau he anticoagulants. Kau ʻia nā antibiotic inā loaʻa ʻoe i kahi maʻi.
Wehe ʻoki (phlebectomy), hemo ʻana, a i ʻole sclerotherapy o ka aʻa i hoʻopilikia ʻia e pono ai. Mālama kēia i nā veins varicose nui a i ʻole e pale aku i ka thrombophlebitis i ka poʻe kūlana kiʻekiʻe.
ʻO kēia kahi manawa pōkole pinepine ʻole i hoʻokumu i nā pilikia. Hele pinepine nā ʻōuli ma 1 a 2 mau pule. Hiki ke noho ka paʻakikī o ka aa no ka mea ʻoi aku ka lōʻihi.
Kūleʻa ka pilikia. Hiki i nā pilikia ke komo pū me kēia:
- Nā maʻi (cellulitis)
- Trombosis aa hohonu
Kāhea i kahi manawa me kāu mea lawelawe inā hoʻomohala ʻoe i nā ʻōuli o kēia ʻano.
E kāhea aku inā loaʻa iā ʻoe ka maʻi a hōʻeha kāu mau hōʻailona a mai maikaʻi ʻole paha me ka lāʻau.
I ka haukapila, hiki ke pale ʻia nā ʻōhū a pehu paha e:
- Hoʻololi pinepine ka kahu hānai i kahi o kāu laina IV a hemo iā ia inā ulu ka ʻū, ʻulaʻula, a ʻeha paha ka ʻeha
- Ke hele wāwae a me ka hana mau i ka wā hiki ma hope o ke kaha ʻana a i ka wā o kahi maʻi lōʻihi
Ke hiki, pale i ka mālama ʻana i kou mau wāwae a me kou mau lima no nā wā lōʻihi. E neʻe pinepine i kou mau wāwae a e holoholo paha i ka wā o nā huakaʻi mokulele a i ʻole nā huakaʻi kaʻa. E hoʻāʻo e pale i ka noho a moe ʻana i lalo no nā wā lōʻihi me ke kū ʻole a neʻe.
Thrombophlebitis - ma luna wale nō
- Trombophlebitis superficial
- Trombophlebitis superficial
Cardella JA, Amankwah KS. ʻO ka thromboembolism Venous: ka pale ʻana, ka hōʻailona, a me ka mālama ʻana. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 1072-1082.
ʻO Wasan S. Superficial thrombophlebitis a me kāna hoʻokele. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 150.