Ulcer Venous - mālama pono iā ʻoe iho

Hiki i nā ulcer Venous (wehe i nā maʻi ʻeha) ke hana ʻole nā ​​uaua i kou mau wāwae e hoʻokuʻi hou i ke koko i kou puʻuwai e like me ka mea e pono ai. Kūleʻa ke koko i nā veins, kūkulu i ke kaomi. Inā mālama ʻole ʻia, hoʻonui i ka kaomi a me ka nui o ka wai i ka wahi i loli ʻia hiki ke hana i kahi ʻeha hāmama e hana.

Loaʻa ka hapanui o nā ulcer venous ma ka wāwae, ma luna aʻe o ka kuʻekuʻe wāwae. Hiki ke lohi i kēia ʻano ʻeha ke hoʻōla.

ʻO ke kumu o ka ulcer venous kahi kiʻekiʻe i nā veins o ka wāwae lalo. Loaʻa i nā veins nā ala hoʻokahi e mālama i ke kahe o ke koko i kou puʻuwai. Ke nāwaliwali paha kēia mau valves a hele a makaʻu nā uaua a paʻa paha, hiki i ke koko ke kahe i hope a me ka loko i kou mau wāwae. Kapa ʻia kēia ka lawa ʻole o ka venous. ʻO kēia ke alakaʻi i ke kaomi kiʻekiʻe i nā uaua o ka wāwae o lalo. ʻO ka hoʻonui ʻana o ka kaomi a me ke kūkulu ʻana o ka wai e pale i nā meaola a me oxygen mai ke kiʻi ʻana i nā pūnaewele. ʻO ka nele o nā meaola e make ai nā hunaola, e hōʻino ana i ke kino, a hiki i kahi ʻeha ke hana.

Ke loko o ke koko i loko o nā uaua o ka wāwae lalo, ua puka ka wai a me nā huna koko i loko o ka ʻili a me nā mea ʻē aʻe. Hiki i kēia ke kumu i ka ʻili, ʻili lahilahi a alakaʻi i nā hoʻololi o ka ʻili i kapa ʻia ʻo stasis dermatitis. ʻO kēia kahi hōʻailona mua o ka lawa ʻole o ka venous.

ʻO nā hōʻailona ʻē aʻe e pili pū me:

• Hoʻonui ka wāwae, kaumaha, a cramping
• ʻUlaʻula ʻulaʻula, poni, ʻeleʻele, ʻili ʻoʻoleʻa (he hōʻailona kēia e hui pū ana ke koko)
• Kāwili a ʻūlili

ʻO nā ʻōuli a me nā ʻōuli o nā ulcer venous:

• ʻEha pāpaʻu me kahi kumu ʻulaʻula, i kekahi manawa uhi ʻia e nā kiko melemele
• Nā palena palena ʻole
• ʻĀlohilohi paha ka ʻili e hoʻopuni ana, paʻa, mahana a wela paha, a ua hoʻoliʻiliʻi
• ʻEha wāwae
• Inā hele a maʻi ka ʻeha, loaʻa paha i kahi ʻino maikaʻi ʻole a ninini paha ka nū mai ka ʻeha

Nā kumuhana kūpilikiʻi no nā ulcer venous:

• ʻO nā veins varicose
• ʻO ka mōʻaukala o ke kahe o ke koko i nā wāwae (thrombosis hohonu)
• ʻO ka paʻa ʻana o nā kīʻaha lymph, kahi e hoʻokumu ai i ka wai i nā wāwae
• ʻO nā makahiki, ʻo ka wahine, a lōʻihi paha
• ʻO ka mōʻaukala ʻohana no ka lawa ʻole o ka venous
• Ka momona
• Hapai keiki
• Puhipaka
• Noho a kū paha no nā kau lōʻihi (maʻa mau no ka hana)
• ʻO ka haki o kahi iwi lōʻihi i ka wāwae a i ʻole nā ​​ʻeha koʻikoʻi ʻē aʻe, e like me ka puhi ʻana a i ʻole ka hōʻino ʻana i nā mākala

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.
• Palekana i ka ʻili a puni ka ʻeha ma ka mālama ʻana iā ia me ka maʻemaʻe.
• E komo ʻoe i kahi stocking compression a i ʻole nā ​​bandages ma luna o ka lole. E hōʻike kāu mea hāʻawi iā ʻoe pehea e hoʻopili ai i nā bandages.

No ke kōkua ʻana i kahi ulcer venous, pono e hoʻomaha ʻia ke kaomi kiʻekiʻe i nā uaua o ka wāwae.

• E hoʻokomo i nā stocking compression a i ʻole nā ​​bandages i kēlā me kēia lā e like me ke kuhikuhi. Kōkua lākou i ka pale ʻana i ke koko mai ka hui ʻana, hōʻemi i ka pehu, kōkua me ka hoʻōla, a hoʻemi i ka ʻeha.
• E kau i kou mau wāwae ma luna o kou puʻuwai e like me ka hiki. ʻO kahi laʻana, hiki iā ʻoe ke moe i lalo me kou mau wāwae i kākoʻo ʻia i nā uluna.
• Hele wāwae a hoʻoikaika kino paha i kēlā me kēia lā. ʻO ka hana ke kōkua i ka hoʻomaikaʻi i ke kahe o ke koko.
• E lawe i nā lāʻau e like me ke kuhikuhi e kōkua ai i ka hoʻōla.

Inā ʻaʻole maikaʻi ke ola o ka maʻi ulcer, hiki i kāu mea hāʻawi ke koi i kekahi mau kaʻina hana a i ʻole ke ʻoki ʻana e hoʻomaikaʻi i ke kahe o ke koko ma o kou mau uaua.

Inā makaʻu ʻoe no ka ulcer venous, e lawe i nā ʻanuʻu i helu ʻia ma luna aʻe ma lalo o Wound Care. Eia kekahi, e nānā i kou mau wāwae a me kou mau wāwae i kēlā me kēia lā: nā piko a me lalo, nā kuʻekuʻe wāwae, a me nā kuʻekuʻe wāwae. E nānā i nā māwae a me nā hoʻololi i ke kala o ka ʻili.

Hiki i nā loli nohona ke pale aku i nā ulcer venous. Hiki i nā ana aʻe ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe o ke koko a kōkua i ka hoʻōla.

• E haʻalele i ka puhi pua ʻana. Maikaʻi ʻole ka puhipaka i kou mau kīʻaha koko.
• 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. Kōkua ka noho mau ʻana i 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 wāwae Venous - mālama iā ʻoe iho; Ulcer insufficiency ulia - mālama pono iā ʻoe iho; Ulia wāwae Stasis - mālama iā ʻoe iho; Nā veins varicose - ulcer venous - mālama pono iā ia iho; Stasis dermatitis - ulcer venous

Papu FG. Ulcer Venous. I: Ferri FF, hoʻoponopono. ʻO Ferri's Clinical Advisor 2019. Piladelapia, PA: Elsevier; 2019: 1443-1444.

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
• Nā maʻi Vascular