Ka lawa ʻole o Venous

ʻO ka lawa ʻole o Venous kahi kūlana i loaʻa i nā veins ke pilikia i ka hoʻouna ʻana i ke koko mai nā wāwae a hoʻi i ka puʻuwai.

ʻO ka maʻamau, nā valves i kou mau uaua wāwae hohonu e hoʻomau i ke koko e neʻe i mua i ka puʻuwai. Me ka lawa ʻole o ka venous wā lōʻihi (mau), nāwaliwali nā pā aʻa a hōʻino ʻia nā kiwikā. ʻO kēia ke kumu e noho piha ai nā uaua i ke koko, keu hoʻi ke kū ʻoe.

ʻO ka lawa ʻole o ka maʻi venous kahi manawa lōʻihi. ʻO ka mea maʻamau ma muli o nā malvesing (incompetent) valves i nā uaua. Hiki ke hana ʻia ma ke ʻano he hopena koko i hala i nā wāwae.

ʻO nā kumu pilikia no ka lawa ʻole o ka venous:

• Makahiki
• Mōʻaukala ʻohana o kēia ʻano
• Ka wahine wahine (pili i nā pae o ka hormone progesterone)
• ʻO ka mōʻaukala o ka thrombosis hohonu i nā wāwae
• Ka momona
• Hapai keiki
• Noho a kū paha i nā wā lōʻihi
• Kiʻekiʻena kiʻekiʻe

ʻO ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe e like me:

• ʻEhaʻeha, kaumaha, a cramping paha i nā wāwae
• Kāwili a ʻūlili
• ʻEha e ʻoi aku ka maikaʻi ke kū aʻe
• ʻOi aku ka maikaʻi o ka ʻeha ke hāpai aʻe nā wāwae

Hoʻololi ka ʻili i nā wāwae me:

• ʻO ka pehu ʻana o nā wāwae
• ʻIli huhū a naha paha inā ʻūlū ʻoe iā ia
• ʻUlaʻula a pehu paha, ʻāpala, a i ʻole ʻili uē (stasis dermatitis)
• ʻO nā veins varicose ma ka ʻili
• Ka mānoanoa a me ka paʻakikī o ka ʻili ma nā wāwae a me nā kuʻekuʻe wāwae (lipodermatosclerosis)
• ʻO ka hōʻeha a palu paha e lohi e hoʻōla i nā wāwae a i ʻole nā ​​kuʻekuʻe wāwae

E hana ana kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. Hana pinepine ʻia ka diagnostical ma muli o ke ʻano o nā veins wāwae ke kū nei ʻoe a noho paha me nā wāwae e kau ana.

E kauoha ʻia kahi hōʻike ultrasound duplex o kou wāwae e:

• E nānā pehea e kahe ai ke koko i nā veins
• Hoʻopau i nā pilikia ʻē aʻe me nā wāwae, e like me ke kōkuʻu koko

E ʻōlelo paha kāu mea lawelawe e lawe ʻoe i kēia mau hana pilikino pilikino e kōkua ai i ka mālama ʻana i ka lawa ʻole o ka venous.

• Mai noho a kū paha i nā wā lōʻihi. ʻO ka neʻe ʻana o kou mau wāwae ke kōkua iki i ke kahe o ke koko.
• Mālama i nā ʻeha inā loaʻa ʻoe i nā ʻeha hāmama a i ʻole nā ​​maʻi.
• Lilo i ke kaupaona inā ʻoi nui ʻoe.
• Hoʻomaʻamaʻa pinepine.

Hiki iā ʻoe ke komo i nā stocking compression e hoʻomaikaʻi ai i ke kahe o ke koko i kou mau wāwae. Kaomi kuʻi mālie i nā wāwae e neʻe i ke koko i kou mau wāwae. Kōkua kēia i ka pale ʻana i ka pehu ʻana o ka wāwae a, i ka mea liʻiliʻi, kahe koko.

Ke hoʻololi hou ʻia ka ʻili holomua, kāu mea hāʻawi:

• Pono e wehewehe i nā ʻili mālama ʻili e hiki ke kōkua, a ʻo wai ka mea e hoʻonui i ka pilikia
• Paipai paha i kekahi mau lāʻau a lāʻau paha i kōkua

E ʻōlelo paha kāu mea hāʻawi i nā lāʻau hōʻino hou inā loaʻa iā ʻoe:

• ʻO ka ʻeha o ka wāwae, ka mea e hoʻonā a luhi paha i kou mau wāwae
• ʻO nā ʻeha ʻili i hoʻokumu ʻia e ke kahe o ke koko i loko o nā uaua ʻaʻole hoʻōla a hoʻi hou paha
• Ka mānoanoa a me ka paʻakikī o ka ʻili ma nā wāwae a me nā kuʻekuʻe wāwae (lipodermatosclerosis)

Nā koho o nā kaʻina hana:

• Sclerotherapy - Hoʻokomo ʻia ka wai paʻakai (saline) a i ʻole kahi hopena kemika i loko o ka aa koko. Paʻakiki ka uaua a laila nalo.
• Phlebectomy - Hana ʻia nā ʻoki liʻiliʻi (ʻokiʻoki) i ka wāwae e kokoke ana i ka uaua i hōʻino ʻia. Wehe ʻia ke aʻa ma o kekahi o nā ʻokiʻoki.
• Nā hana i hiki ke hana ʻia i ke keʻena o kahi mea hoʻolako a i ʻole ke keʻena maʻi, e like me ka hoʻohana ʻana i kahi laser a i ʻole radiofrequency.
• Ke hemo ʻana o ka veins varic - hoʻohana ʻia e wehe a hoʻopaʻa i kahi aa nui i ka wāwae i kapa ʻia ka vena saphenous superficial.

ʻOi aku ka maikaʻi ʻole o ka lawa ʻole o ka venous i ka manawa. Eia nō naʻe, hiki ke mālama ʻia inā hoʻomaka ka lāʻau i nā wā mua. Ma ka mālama ʻana iā ʻoe iho, hiki iā ʻoe ke hōʻoluʻolu a pale i ke ʻano mai ʻino loa. Malia paha e pono ʻoe i nā kaʻina olakino e mālama i ke ʻano.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe nā veins varicose a ʻeha lākou.
• E hōʻeha a maikaʻi ʻole paha kāu kūlana me ka mālama pilikino, e like me ke kau ʻana i nā stocking compression a i ʻole ka hōʻalo ʻana i ke kū lōʻihi.
• Hoʻonui iki ʻoe i ka ʻeha o ka wāwae a i ʻole ka pehu ʻana, ke kuni, ka ʻula o ka wāwae, a me nā ʻeha wāwae.

Stasis venous maha; Maʻi maʻi ʻino loa; Ulcer wāwae - lawa ʻole o ka venous; Nā veins varicose - lawa ʻole o ka venous

• Puʻuwai - ʻike mua
• Ka lawa ʻole o Venous

ʻO Dalsing MC, ʻo Maleti O. Ka lawa ʻole o ka venous venes: hana hou ʻana o ka pahu hohonu. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 159.

Freischlag JA, Heller JA. Maʻi Venous. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 64.

ʻO Pascarella L, Shortell CK. Nā maʻi venous maʻamau: ka hoʻokele nonoperative. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 157.