Stasis dermatitis a me nā ulcer

ʻO Stasis dermatitis kahi hoʻololi i ka ʻili i hopena i ka hui ʻana o ke koko i nā uaua o ka ʻūhā haʻahaʻa. ʻO nā ulcer kahi ʻeha ākea e hiki ke hopena ʻia mai nā dermatitis stasis i hana ʻole ʻia.

ʻO ka lawa ʻole o Venous kahi manawa lōʻihi (mau) kahi e loaʻa ai nā pilikia i nā uaua i ka hoʻouna ʻana i ke koko mai nā wāwae a hoʻi i ka puʻuwai. Loaʻa paha kēia i nā valves i hōʻino ʻia i nā uaua.

ʻO kekahi poʻe me ka lawa ʻole o ka venous hoʻomōhala stasis dermatitis. ʻO nā loko wai i nā uaua o ka wāwae lalo. Hoʻopuka ke koko a me nā huna koko mai nā aʻa i loko o ka ʻili a me nā mea ʻē aʻe. Hiki i kēia ke alakaʻi i ka makaʻu a me ka mumū e hoʻonui i ka hoʻololi o ka ʻili. E haki paha ka ʻili a hana i nā ʻeha hāmama.

Loaʻa paha iā ʻoe nā ʻōuli o ka lawa ʻole o ka venous e like me:

• ʻEha ʻeha a kaumaha paha i ka wāwae
• ʻEha e ʻoi aku ka maikaʻi ke kū ʻoe a hele wāwae paha
• ʻO ka pehu i ka wāwae

I ka mua, hiki i ka ʻili o nā kuʻekuʻe wāwae a me nā wāwae lalo ke nānā i ka lahilahi a i ʻole ke ʻano o ka mākala. E hele mālie ʻoe i nā kala brown i ka ʻili.

E huhū paha ka ʻili a haki paha inā ʻūlū ʻoe iā ia. Ua lilo i ʻulaʻula a i pehu paha, i ʻā ʻia, a i ʻole uē.

Ma hope o ka holo ʻana o ka manawa, lilo kekahi mau hoʻololi i ka ʻili i paʻa mau:

• Ka mānoanoa a me ka paʻakikī o ka ʻili ma nā wāwae a me nā kuʻekuʻe wāwae (lipodermatosclerosis)
• ʻO kahi hiʻohiʻona a puʻupuʻu o ka ʻili
• Huliʻeleʻele ka ʻili

Hiki ke ulu ka ʻeha ʻili (ulcer) (i kapa ʻia he ulcer venous a i ʻole stasis ulcer). Hoʻokumu pinepine kēia i ka loko o ka kuʻekuʻe wāwae.

Hoʻokumu nui ʻia ka hōʻailona ma ke ʻano o ka ʻili. E kauoha paha kāu mea mālama ola i nā hoʻokolohua e nānā i ke kahe o ke koko i kou mau wāwae.

Hiki i ka dermatitis stasis ke pili pū i nā pilikia puʻuwai a i ʻole nā ​​kūlana ʻē aʻe e hoʻoulu ai i ka wāwae. Pono paha kāu mea lawelawe e nānā i kou olakino laulā a kauoha i nā hoʻokolohua hou aʻe.

Hōʻike paha kāu mea hāʻawi i ka mea aʻe e hoʻokele i ka lawa ʻole o ka venous i kumu i ka stasis dermatitis:

• E hoʻohana i nā stocking ʻekena a i ʻole ka compression e hoʻemi i ka pehu
• Hōʻalo i ke kū a i ʻole ka noho ʻana no nā wā lōʻihi
• E mālama i kou wāwae i ka wā e noho ʻoe
• E hoʻāʻo i ka hemo ʻana o ka lāʻau varicose a i ʻole nā ​​kaʻina hana ʻē aʻe

Hiki i kekahi mau mālama mālama ʻili ke hoʻonui i ka pilikia. E kamaʻilio me kāu mea hāʻawi ma mua o ka hoʻohana ʻana i nā hamo, nā kalima, a me nā hamo antibiotic.

Nā mea e hōʻalo ai:

• ʻO nā antibiotic kumuhana, e like me neomycin
• ʻO nā lotiona maloʻo, e like me ka calamine
• Lanolin
• ʻO Benzocaine a me nā huahana ʻē aʻe i manaʻo e hoʻopau i ka ʻili

Nā hana i manaʻo ʻia e hāʻawi ʻia e kāu mea lawelawe:

• Unna kīpaku (compressive wet dressing, hoʻohana wale ʻia ke aʻo ʻia)
• ʻO nā kalima steroid topical a mea hamo paha
• Nā lāʻau antibiotic waha
• ʻAiʻai maikaʻi

ʻO Stasis dermatitis kahi manawa lōʻihi (lōʻihi). Pili ka hoʻōla i ke kūleʻa maikaʻi ʻana o ke kumu, nā kumu e hopena ai ka ulcer, a me ka pale ʻana i nā pilikia.

Nā pilikia o nā uls stasis:

• Nā maʻi ʻili bacteria
• Ka maʻi ʻana o ka iwi
• Mīkini paʻa paʻa
• Kanesa maʻi ʻaʻai (squamous cell carcinoma)

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i ka wāwae o ka wāwae a i ʻole nā ​​hōʻailona o stasis dermatitis.

Nānā i nā hōʻailona o ka maʻi e like me:

• ʻO ke kahe e like me ka pā
• Open ʻehaʻeha (ulcer)
• ʻEha
• ʻUlaʻula

I mea e pale ai i kēia ʻano, kaohi i nā kumu o ka pehu ʻana o ka wāwae, ka kuʻekuʻe wāwae, a me ka wāwae (edema peripheral).

Ulcer Venus stasis; Ulcer - venous; Ulcer Venous; Ka lawa ʻole o Venous - stasis dermatitis; ʻO Vein - dermatitis stasis

• Dermatitis - stasis ma ka wāwae

Baxi O, Yeranosian M, Lin A, Munoz M, Lin S. Hoʻokele orthotic o nā wāwae neuropathic a me nā dysvascular. I: Webster JB, Murphy DP, nā huahana. Nā Atlas o nā Orthoses a me nā Pūnaewele Kōkua. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 26.

Fitzpatrick JE, High WA, Kyle WL. Nā maʻi ʻili nehrototic a me ulcerative. I: Fitzpatrick JE, High WA, Kyle WL, eds. ʻO Dermatology Care Urgent: Diagnosis. Piladelapia, PA: Elsevier; 2018: chap 14.

ʻO Marks JG, ʻo Miller JJ. Ulcer. I: Marks JG, Miller JJ, eds. ʻO ka nānā ʻana iā Lookbill a me Marks o Dermatology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 19.

ʻO Marston W. Venous ulcer. I: Almeida JI, ed. Nā Atlas o ke Kahakaha Venous Endovascular. ʻElua ed. Piladelapia, PA: Elsevier; 2019: chap 20.