Nā kikowaena mālama maʻi

Anter

• Debridement
• ʻO Hyperbaric Oxygen Therapy
• Nā Hana ʻē aʻe

ʻO kahi keʻena mālama ʻeha, a ʻo kahi keʻena lapaʻau, kahi wahi olakino no ka mālama ʻana i nā ʻeha i hōʻola ʻole. Loaʻa paha iā ʻoe kahi ʻeha hōʻola ʻole inā:

• ʻAʻole i hoʻomaka e hoʻōla i 2 mau pule
• ʻAʻole ʻo ia i hoʻōla piha i 6 mau pule

ʻO nā ʻano ʻeha maʻamau ʻole e hōʻola ʻia e:

• ʻEha puʻe
• ʻEha ʻeha
• ʻEha nā kukuna
• ʻO nā ulcer wāwae ma muli o ka maʻi diabetes, kahe o ke kahe o ke koko, ka maʻi iwi maha (osteomyelitis), a me nā wāwae pehu

ʻAʻole hiki ke hōʻola maikaʻi kahi mau ʻeha ma muli o:

• Diabetes
• Hoʻolālā maikaʻi ʻole
• Poino nerve
• Maʻi maʻi iwi
• ʻO ka hana ʻole a me ke kaʻa ʻole
• ʻŌnaehana pale nawaliwali
• ʻAnoʻai maikaʻi ʻole
• Hoʻohana nui loa i ka waiʻona
• Puhipaka

Ma kahi o ka hōʻeha ʻana i nā ʻeha hiki ʻole ke hala i mau mahina e hoʻōla ai. ʻAʻole hoʻōla loa kekahi mau ʻeha.

Ke hele ʻoe i kahi keʻena hōʻeha, e hana pū ʻoe me kahi hui o nā lawelawe olakino i hoʻomaʻamaʻa ʻia i ka mālama ʻeha. Pākuʻi paha kāu hui:

• Nā kauka nāna e kiaʻi i kāu mālama
• Nā kahu hānai nāna e hoʻomaʻemaʻe a ʻaʻahu i kou ʻeha a aʻo iā ʻoe pehea e mālama ai ia mea ma ka home
• Nā mea hoʻoponopono kino e kōkua me ka mālama ʻana i ka ʻeha a hana pū me ʻoe e kōkua iā ʻoe e noho paʻa paʻa

E mālama pū kāu poʻe lawelawe i kāu kauka mālama mua i kāu lā holomua a me kāu lāʻau.

ʻO kāu hui mālama ʻeha e:

• Nānā a ana i kou ʻeha
• E hōʻoia i ke kahe o ke koko ma kahi e pili ana i ka ʻeha
• E hoʻoholo i ke kumu e hoʻōla ʻole ai
• E hana i kahi hoʻolālā mālama

Nā pahuhopu lapaʻau e:

• Ke hoʻōla nei i ka ʻeha
• Kāohi i ka ʻeha mai ka hele a maikaʻi ʻole a maʻi paha
• Kāohi i ka nalowale o nā lālā
• Kāohi i nā hōʻeha hou mai ka hanana ʻana a i ʻole nā ​​ʻeha kahiko mai ka hoʻi ʻana
• Kōkua iā ʻoe e noho paʻa paʻa paʻa

I mea e mālama ai i kou ʻeha, hoʻomaʻemaʻe kāu mea hāʻawi i ka ʻeha a hoʻopili i ka lole. Loaʻa paha iā ʻoe kekahi ʻano ʻano lāʻau e kōkua iā ia e hoʻōla.

Debridement

ʻO Debridement ke kaʻina hana o ka hemo ʻana i ka ʻili make a me ka ʻaʻa. Pono e hemo kēia kolo e kōkua i kou ʻeha e hoʻōla. Nui a hewahewa nā ala e hana ai i kēia. Pono paha ʻoe e loaʻa i ka anesthesia āpau (hiamoe a ʻaʻohe ʻeha) no ka ʻōpala o kahi ʻeha nui.

Hoʻohana ka debridement ʻoki kino i kahi scalpel, ʻoki, a i ʻole nā ​​mea ʻoi ʻē aʻe. Ma ke kaʻina hana, e kauka kāu kauka:

• E hoʻomaʻemaʻe i ka ʻili a puni ka ʻeha
• E ʻimi i ka ʻeha e ʻike i kona hohonu
• ʻOkiʻoki i ka mea make
• E hoʻomaʻemaʻe i ka ʻeha

ʻOi aku ka nui a hohonu paha o kou ʻeha ma hope o ka ʻōpala. E ʻulaʻula a ʻulaʻula paha ka wahi a e like me ka ʻiʻo hou.

Nā ala ʻē aʻe e lawe aku ai i nā mea make a i ʻole maʻi paha i:

• Noho a waiho paha i kou lālā i kahi ʻauʻau ʻauʻau.
• E hoʻohana i kahi syringe e holoi i nā mea make.
• Noi i nā kapa pulu-i-maloʻo i kahi. Hoʻopili ʻia kahi kapa pulu i ka ʻeha a ʻae ʻia e hoʻomaloʻo. Ke hoʻomaloʻo, omo ia i kekahi o nā mea make. Pulu hou ke kapa a huki mālie ʻia me nā mea make.
• E kau i nā kemikū kūikawā, i kapa ʻia nā enzyme, ma kou ʻeha. Hoʻopau kēia mau mea make mai ka ʻeha.

Ma hope o ka maʻemaʻe o ka ʻeha, e hoʻopili kāu kauka i kahi lole e mālama i ka ʻeha i momona, kahi e hāpai ai i ka hoʻōla, a kōkua i ka pale ʻana i ka maʻi. Nui a hewahewa nā ʻano lole, me:

• Nā Gels
• Pāpale
• Gauze
• Nā kiʻi ʻoniʻoni

Hiki i kāu mea hoʻolako ke hoʻohana i hoʻokahi a i ʻole mau ʻano o nā lole ke hoʻōla kou ʻeha.

ʻO Hyperbaric Oxygen Therapy

Kaukaʻi ʻia i ke ʻano o ka ʻeha, hiki i kāu kauka ke koi aku i ka hyperbaric oxygen therapy. He mea nui ka oxygen no ka hoʻōla.

I kēia wā o ka mālama ʻana, noho ʻoe i loko o kahi keʻena kūikawā. ʻO ke kaomi o ka lewa i loko o ke keʻena ma kahi o ʻelua a me ka hapa manawa i ʻoi aku ma mua o ke kaomi maʻamau i ka lewa. Kōkua kēia kaomi i kou koko e lawe i ka oxygen i nā ʻōpū a me nā ʻaʻa i kou kino. Hiki i ka Hyperbaric oxygen therapy ke kōkua i kekahi mau hōʻeha e hoʻōla wikiwiki.

Nā Hana ʻē aʻe

Koi paha kāu mau mea lawelawe i nā ʻano lapaʻau ʻē aʻe, e like me:

• Pākuʻi kaomi- nā kāʻei paʻa paʻa a wahī paha e hoʻomaikaʻi i ke kahe o ke koko a kōkua me ka hoʻōla.
• Ultrasound - me ka hoʻohana ʻana i nā nalu kani e kōkua i ka hoʻōla.
• ʻIli hoʻopunipuni - he "ʻili hoʻopunipuni" e uhi ana i ka ʻeha no nā lā i kahi manawa e hoʻōla ai.
• Hoʻomaʻamaʻa kaomi maikaʻi ʻole - e huki ana i ka ea mai kahi lole paʻa, e hana ana i kahi hakahaka. Hoʻomaikaʻi ke kaomi maikaʻi ʻole i ke kahe o ke koko a huki i ka nui o ka wai.
• Ke kumu olakino ulu - nā mea i hana ʻia e ke kino e kōkua i ka ulu ʻana o nā ʻeha hōʻeha.

E loaʻa iā ʻoe ka lāʻau lapaʻau ma ke kikowaena hōʻeha i kēlā me kēia pule a i ʻole pinepine, e hilinaʻi ana i kāu papa hoʻolālā.

E hāʻawi nā mea hāʻawi iā ʻoe i nā ʻōkuhi no ka mālama ʻana i kou ʻeha ma ka home ma waena o nā kipa. Aia i kāu mau pono, loaʻa iā ʻoe ke kōkua me:

• ʻO ka ʻai olakino, no laila loaʻa iā ʻoe nā meaola e pono ai e hoʻōla
• Mālama diabetes
• Hoʻomaha puhipaka
• Ka mālama ʻeha
• Hoʻoikaika kino

Pono ʻoe e kāhea i kāu kauka inā ʻike ʻoe i nā hōʻailona o ka maʻi, e like me:

• ʻUlaʻula
• ʻŌhū
• Pākuʻi a hoʻokahe paha i ka ʻeha
• ʻEha e māhuahua ai
• Fiva
• ʻO Chills

Ulcer puʻe - hale mālama ʻeha; Decubitus ulcer - kahi mālama mālama ʻeha; Ulcer diabetic - mālama mālama ʻeha; ʻEha ʻoki kino - kikowaena ʻeha; Ulcer ischemic - kikowaena ʻeha

de Leon J, Bohn GA, DiDomenico L, et al. Nā kikowaena mālama maʻi: ka noʻonoʻo loiloi a me nā hoʻolālā mālama no nā ʻeha. ʻEha. 2016; 28 (10): S1-S23. PMID: 28682298 pubmed.ncbi.nlm.nih.gov/28682298/.

Marston WA. Mālama ʻeha. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 115.

• Nā Pono Ola
• ʻEha a me nā ʻeha