Ke hemo ʻana o ka veins varicose

ʻO ka wehe ʻana i ka veins he ʻoki ia e wehe ai i nā veins varicose i nā wāwae.

Pehu, wili, a hoʻonui ʻia nā veins i hiki iā ʻoe ke ʻike ma lalo o ka ʻili. ʻUlaʻula a ʻulaʻula paha i ke kala. Kū pinepine lākou i nā wāwae akā hiki ke hana i nā ʻāpana ʻē aʻe o ke kino.

ʻO ka maʻamau, nā valves i loko o kou mau aa e mālama i kou koko e kahe ana i ka puʻuwai, no laila ʻaʻole hōʻiliʻili ke koko i hoʻokahi wahi. Ua hōʻino a nalowale paha nā mākū i nā veins varicose. ʻO kēia ke kumu e hoʻopiha ai nā uaua i ke koko, ke kū nei ʻoe.

Hoʻohana ʻia ka hemo ʻana e wehe a hoʻopaʻa ai paha i kahi aa nui ma ka wāwae i kapa ʻia ʻo ka vena saphenous superficial. Kōkua kēia i ka mālama ʻana i nā veins varicose.

ʻO ka wehe ʻana o Vein ma kahi o 1 a 1 1/2 mau hola. E loaʻa paha iā ʻoe:

• General anesthesia, kahi e hiamoe ai ʻoe a hiki ʻole ke ʻeha.
• Spest anesthesia, ka mea e hoʻonāwaliwali ai ka hapa haʻahaʻa o kou kino. Loaʻa paha iā ʻoe ka lāʻau e kōkua ai iā ʻoe e hoʻomaha.

Ma ke ʻoki kino:

• E ʻokiʻoki kāu kaukipoki i ʻelua a i ʻole 3 mau ʻoki liʻiliʻi i kou wāwae.
• Aia nā ʻoki kokoke i ka piko, waena, a me lalo o kou aa kino ʻino. Hoʻokahi i kāu ʻūlū. E hele aku ana ka mea ʻē aʻe i lalo i lalo i kou wāwae, i loko o kāu keiki bipi a i ʻole kuʻekuʻe wāwae.
• A laila e kaulaʻi kāu mea kauka i kahi kaula uila lahilahi a maʻalahi hoʻi i loko o ke aa ma o kou aʻa a alakaʻi i ka uea ma o ke aa i kahi ʻoki ʻē aʻe i lalo o kou wāwae.
• Hoʻopili ʻia ka uea i ke aa a huki ʻia i loko o ka ʻoki haʻahaʻa, kahi e huki ai i ke aa me ia.
• Inā loaʻa iā ʻoe nā veins ʻino ʻē aʻe kokoke i ka ʻili o kou ʻili, e ʻokiʻoki paha kāu mea kauka iā lākou e hōʻoki iā lākou a hoʻopaʻa ʻia paha. Kāhea ʻia kēia ʻo ambleb phlebectomy.
• E pani ka mea hana ʻoki i nā ʻoki me nā humuhumu.
• E komo ʻoe i nā bandages a me nā stocking compression ma kou wāwae ma hope o ke kaʻina hana.

Hiki i ka mea hāʻawi ke koi aku i ka wehe ʻana o ke aʻa no:

• ʻO nā veins varicose e kumu i nā pilikia me ke kahe o ke koko
• Ka ʻeha o ka wāwae a me ke kaumaha
• Hoʻololi ka ʻili a i ʻole nā ​​ʻeha i hoʻokumu ʻia e ke kaomi nui i nā aa
• Hoʻopili ke koko a huʻi paha i nā veins
• Ke hoʻomaikaʻi nei i ka helehelena o kou wāwae
• ʻAʻole hiki ke mālama i nā veins varicose me nā kaʻina hana hou

I kēia lā, kākaʻikahi ka hana a nā kauka i ka wehe ʻana i nā ʻōpala no ka mea aia he mau ala hou ʻole ʻole no ka mālama ʻana i nā veins varicose e koi ʻole ai i ka anesthesia ākea a hana ʻia me ka noho ʻole o ka haukapila i ka pō. ʻOi aku ka ʻeha o kēia mau mālama ʻana, loaʻa nā hopena maikaʻi aʻe, a loaʻa ka manawa hoʻōla wikiwiki loa.

ʻOi aku ka palekana o ka hemo ʻana. E nīnau i kāu mea hāʻawi e pili ana i nā pilikia e kū mai.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, kahe koko
• Maʻi kīnā

ʻO nā pilikia mai ka hemo ʻana o ka uaua i loko:

• ʻEha a scarring paha
• ʻEha ʻeha
• Hoʻi o varicose veins ma ka manawa

E haʻi mau i kāu mea hāʻawi:

• Inā ʻoe a hāpai paha
• He aha nā lāʻau āu e lawe nei, e like me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau
• Inā inu ʻoe ma mua o 1 a 2 mau mea inu ʻona i ka lā

I nā lā ma mua o kou ʻoki kino:

• Nonoi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nā koko lahilahi e like me warfarin (Coumadin), a me nā lāʻau ʻē aʻe.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 8 mau hola ma mua o ke kahakaha ʻana.
• E lawe i kāu mau lāʻau i kuhikuhi ʻia me kahi wai liʻiliʻi.

Hoʻopili ʻia kou mau wāwae me nā bandages e kāohi ai i ka pehu ʻana a me ke kahe ʻana o ka wai no 3 a 5 mau lā ma hope o ke kaha ʻana Pono paha ʻoe e hoʻopaʻa iā lākou i wahī ʻia i mau pule.

ʻO ke kahe ʻana o ke aniani ʻoki kino e hoʻoliʻiliʻi i ka ʻeha a hoʻomaikaʻi i ke ʻano o kou wāwae. Kākaʻikahi wale ka wehe ʻana o ke aʻa i nā scars. Hiki i ka ʻōhū wāwae ʻino ke hiki. E ʻaʻa mau i nā paina compression.

ʻO ka wehe ʻana i ka veins me ka ligation; ʻO ka wehe ʻana o ka veins me ka avulsion; Ke wehe ʻana o Vein me ka hoʻopau ʻana; ʻO ka ligation vein a me ka hemo ʻana; ʻOki kino; Ka lawa ʻole o ka maʻi Venus - wehe ʻana i ka uaua; Reflux Venous - wehe aʻa i ke aʻa; Ulcer Venous - veins

• Mālama ʻeha ʻeha - wehe
• Nā veins varicose - he aha e nīnau aku ai i kāu kauka

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

ʻO Iafrati MD, O'Donnell TF. ʻO nā veins varicose: ka lāʻau lapaʻau. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 154.

Maleti O, Lugli M, Perrin MR. ʻO ke kuleana o ke kaha ʻana i ka mālama ʻana i nā veins varicose. I: Goldman MP, Weiss RA, eds. Sclerotherapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 10.