Ulcer ischemic - mālama pono iā ʻoe iho

Hiki i nā ulcer Ischemic (nā hōʻeha) ke loaʻa ke kahe o ke koko maikaʻi ʻole i kou mau wāwae. ʻO ke kumu ʻo Ischemic ka hoʻemi ʻia o ke kahe o ke koko i kahi o ke kino. Maikaʻi ke kahe o ke koko e make ai nā hunaola a hōʻino hoʻi i nā meaola. ʻO ka hapanui o nā ulcer ischemic e hana i nā wāwae a me nā wāwae. Hiki ke lohi i kēia ʻano ʻeha ke hoʻōla.

ʻO nā aʻa paʻa (atherosclerosis) nā kumu maʻamau o nā ulcer ischemic.

• Pale nā ​​aʻa paʻa i ka lako o ke koko mai ke kahe ʻana i nā wāwae. ʻO kēia ka loaʻa ʻole o nā meaola i kou mau wāwae i ka nui o ka momona a me ka oxygen.
• ʻO ka nele o nā meaola e make ai nā hunaola, e hōʻino ana i ka nāʻaʻa.
• ʻO nā mea i hōʻino ʻole ʻaʻole lawa ke kahe o ke koko e mālama mālie hoʻi.

ʻO nā kūlana i wela ai ka ʻili a kūkulu ʻia ka wai i nā wāwae hiki ke kumu i nā ulcer ischemic.

ʻO ka poʻe me ke kahe maikaʻi ʻole o ke koko e loaʻa pū ka ʻino nerve a i ʻole nā ​​ulcer wāwae mai ka maʻi kō. Hoʻoikaika ka hōʻino ʻana o ke aʻa i ka wahi o ka kāmaʻa e ʻānai a hana i kahi ʻeha. I ka manawa e loaʻa ai kahi ʻeha, hoʻokahe ke kahe o ke koko maikaʻi i ka ʻeha e hoʻōla.

ʻO nā ʻōuli o nā ulcer ischemic pū kekahi:

• ʻIke paha nā ʻeha ma nā wāwae, nā kuʻekuʻe wāwae, nā manamana wāwae, a ma waena o nā manamana wāwae.
• ʻUlaʻula ʻulaʻula, melemele, hina, a ʻeleʻele ʻeha.
• ʻO nā kihi i hāpai ʻia a puni ka ʻeha (nānā ʻia i kuʻi ʻia).
• ʻAʻohe kahe koko.
• ʻEha hohonu e hōʻike ai nā olonā ma o.
• ʻEha ʻeha paha ʻeha.
• ʻIli ʻia ka ʻili ma ka wāwae, paʻa, maloʻo, a lauoho ʻole.
• Kau ʻia ka wāwae i lalo ma ka ʻaoʻao o kahi moe a noho paha e ʻulaʻula ka wāwae.
• Ke hāpai ʻoe i ka wāwae, hele a mae a ʻoluʻolu ke hoʻopā.
• ʻEhaʻeha i ka wāwae a i ʻole ka wāwae, pinepine i ka pō. Hele paha ka ʻeha ke kau ka wāwae i lalo.

ʻO kēlā me kēia me ka maikaʻi ʻole o ka holo ʻana e makaʻu ia no nā ʻeha ischemic. ʻO nā kūlana ʻē aʻe i hiki ke hōʻeha i nā ʻeha ischemic me:

• Nā maʻi e hoʻonā ai i ka mumū, e like me ka lupus
• Piʻi koko kiʻekiʻe
• Nā pae kolesterol kiʻekiʻe
• Maʻi maʻi ʻōniʻoniʻo
• ʻO ka paʻa ʻana o nā kīʻaha lymph, kahi e hoʻokumu ai i ka wai i nā wāwae
• Puhipaka

E mālama i kahi ulcer ischemic, pono e hoʻihoʻi i ke kahe o ke koko i kou mau wāwae. Pono ʻoe e ʻai i ka lāʻau. I kekahi mau hihia, pono ʻoe i ke ʻoki.

E hōʻike kāu mea mālama ola iā ʻoe pehea e mālama ai i kou ʻeha. ʻO nā ʻōkuhi kumu:

• E mālama mau i ka ʻeha a hoʻopaʻa ʻia i mea e pale aku ai i ka maʻi.
• E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e pono ai e hoʻololi i ka lole.
• E mālama i ka ʻaʻahu a me ka ʻili a puni i maloʻo. E hoʻāʻo e kiʻi ʻole i nā kikoʻī olakino a puni ka ʻeha i pulu. Hiki i kēia ke palupalu i ke kino olakino, e hoʻonui ana i ka ʻeha.
• Ma mua o ka hoʻopili ʻana i kahi lole, e hoʻomaʻemaʻe pono i ka ʻeha e like me nā ʻōlelo aʻoaʻo a kāu mea hāʻawi.
• Hiki paha iā ʻoe ke hoʻololi i kou ʻaʻahu ponoʻī, a i ʻole hiki i nā lālā o ka ʻohana ke kōkua. E kōkua pū paha kahi kahu hānai iā ʻoe.

Inā pilikia ʻoe i nā maʻi maʻi ischemic, lawe i kēia mau hana i mea e pale ai i nā pilikia.

• E hōʻoia i kou mau wāwae a me kou mau wāwae i kēlā me kēia lā. E hōʻoia i nā piko a me lalo, nā kuʻekuʻe wāwae, nā kuʻekuʻe wāwae, a ma waena o kou manamana wāwae. E nānā i nā hoʻololi i ke kala a me nā ʻulaʻula a ʻeha paha.
• E komo i nā kāmaʻa e kūpono pono a ʻaʻole ʻānai a kau i ke kaomi i kou mau wāwae. E komo i nā kākini i kūpono. Hiki i nā kākini nui loa ke ʻākoakoa i kou mau kāmaʻa a kumu i ka ʻānai ʻana a i ʻole ka ʻili, kahi e ʻeha ai.
• E hoʻāʻo ʻaʻole e noho a kū lōʻihi paha i kahi kūlana.
• Palekana i kou mau wāwae mai ke anuanu.
• Mai hele wāwae wāwae. Palekana i kou wāwae mai ka ʻeha.
• Mai hoʻokomo i nā stocking compression a i ʻole nā ​​wahī ke ʻōlelo ʻole ʻia e kāu mea hāʻawi. Hoʻopili paha kēia i ke kahe o ke koko.
• Mai pulu i kou wāwae i ka wai wela.

Hiki i nā loli nohona ke kōkua i ka pale ʻana i nā ulcer ischemic. Inā loaʻa iā ʻoe kahi ʻeha, hiki i kēia mau ʻanuʻu ke hoʻomaikaʻi i ke kahe o ke koko a kōkua i ka hoʻōla.

• E haʻalele i ka puhi pua ʻana. Hiki i ke puhipaka ke alakaʻi i nā aʻa paʻa.
• Inā loaʻa ʻoe i ka maʻi diabetes, e mālama i kāu pae kō kō i lalo o ka kaohi. E kōkua kēia iā ʻoe e hoʻōla wikiwiki.
• Hoʻomaʻamaʻa e like me ka hiki. Hiki ke kōkua i ka noho mau ʻana me ke kahe o ke koko.
• ʻAi i nā meaʻai olakino a hiamoe nui i ka pō.
• Lilo i ke kaupaona inā ʻoi nui ʻoe.
• Hoʻoponopono i kāu kiʻekiʻe o ke koko a me nā kiʻekiʻe kolesterol.

Kāhea i kāu mea hāʻawi inā loaʻa nā hōʻailona o ka maʻi, e like me:

• ʻO kaʻulaʻula, hoʻonui i ka mahanahana, a i ʻole ka pehu ʻana a puni ka ʻeha
• ʻO ke kahawai hou aku ma mua o a i ʻole ke kahawai i melemele a ʻohuʻohu paha
• Kahena
• ʻAʻala
• Fiva a i ʻole haʻalulu
• Hoʻonui i ka ʻeha

Ulcer Arterial - mālama pono iā ʻoe iho; Mālama pono iā ʻoe iho i ka lawa ʻole o ka Arterial; Nā hōʻeha Ischemic - mālama pono iā ʻoe iho; Maʻi maʻi peripheral artery - ulcer; Maʻi maʻi vaskular peripheral - ulcer; PVD - ulcer; PAD - ulcer

ʻO Hafner A, Sprecher E. Ulcer. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 105.

Leong M, Murphy KD, Phillips LG. Hoola ʻeha. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 6.

ʻO Smith SF, Duell DJ, Martin BC, Aebersold M, ʻo Gonzalez L. Mālama maikaʻi a me nā ʻaukā. I: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Nu Ioka, NY: Pearson; 2017: chap 25.

• Nā hōʻeha wāwae a me nā maʻi ʻole
• ʻO ka maʻi Arterial Peripheral
• Nā Kūlana ʻili