ʻŌhū

ʻO ka pehu ka hoʻonui ʻana o nā meaola, ka ʻili, a i ʻole nā ​​ʻāpana kino ʻē aʻe. Hoʻokumu ʻia ia e ke kūkulu ʻia ʻana o ka wai i nā aʻa. Hiki i ke kahe keu ke alakaʻi i ka piʻi wikiwiki o ke kaupaona ma kahi o ka manawa pōkole (mau lā a i mau pule).

Hiki ke pehu i ke kino holoʻokoʻa (generalized) a i ʻole ma kahi ʻāpana o ke kino (localized).

ʻO ka pehu liʻiliʻi (edema) o nā wāwae lalo ka mea maʻamau i nā mahina kauwela mahana, keu hoʻi inā kū ke kanaka a hele wāwae paha i ka nui.

ʻO ka pehu nui, a i ʻole ka edema nui (i kapa ʻia ʻo anasarca), he hōʻailona maʻamau ia i ka poʻe maʻi nui. ʻOiai paʻakikī paha ka ʻike ʻana i ka edema, ʻike maopopo ʻia ka nui o ka ʻōhū.

Hōʻike ʻia ʻo Edema ma ke ʻano pitting a i ʻole kū ʻole.

• Haʻalele ka edema i ka niho i ka ʻili ma hope o kou kaomi ʻana i ka wahi me ka manamana lima ma kahi o 5 kekona. E hoʻopiha mālie ka niho niho i loko.
• ʻAʻole haʻalele ka edema non-pitting i kēia ʻano niho ke kaomi ʻana i ka wahi pehu.

Hiki ke hoʻoulu ʻia e kekahi o kēia mau mea:

• ʻO glomerulonephritis huehue (kahi maʻi maʻi ʻōpū)
• ʻO Burns, me ka lā lā
• Maʻi maʻi ʻōniʻoniʻo
• Hewa puʻuwai
• Hewa ke akepaʻa mai cirrhosis
• ʻO ka maʻi Nephrotic (kahi maʻi maʻi maʻi)
• ʻAnoʻai maikaʻi ʻole
• Hapai keiki
• Maʻi thyroid
• ʻO ka albumin liʻiliʻi loa i ke koko (hypoalbuminemia)
• Nui ka paʻakai a paʻakai paha
• Hoʻohana o kekahi mau lāʻau, e like me nā corticosteroids a i ʻole nā ​​lāʻau i hoʻohana ʻia e mālama ai i nā maʻi puʻuwai, ke koko kiʻekiʻe, diabetes

E hāhai i nā ʻōlelo aʻoaʻo a kāu lawelawe mālama ola. Inā loaʻa ka pehu wā lōʻihi, e nīnau i kāu mea hāʻawi e pili ana i nā koho e pale ai i ka ʻānai ʻana o ka ʻili, e like me:

• Pākani paʻa
• Pale huluhulu hipa
• Moena hoʻoliʻiliʻi

E hoʻomau me kāu hana i kēlā me kēia lā. Ke moe i lalo, e hoʻomau i kou mau lima a me kou mau wāwae ma luna o ka pae o kou puʻuwai, inā hiki, no laila hiki i ka wai ke hoʻoheheʻe. MAI hana i kēia inā loaʻa ka hanu. E ʻike ma kahi o kāu mea hāʻawi.

Inā ʻoe e ʻike i kahi ʻōhū i wehewehe ʻole ʻia, e hoʻopili aku i kāu mea hāʻawi.

Koe i nā hanana pilikia (ka puʻuwai puʻuwai a i ʻole ka pulmonary edema), e lawe kāu mea hāʻawi i kāu mōʻaukala olakino a hana i kahi hoʻokolokolo kino. E nīnau ʻia paha ʻoe e pili ana i nā ʻōuli o kou pehu. Hiki i nā nīnau ke hoʻopili i ka wā i hoʻomaka ai ka pehu, inā ma kou kino āpau a i ʻole ma hoʻokahi wahi wale nō, nā mea āu i hoʻāʻo ai ma ka home e kōkua i ka pehu.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Hōʻike koko Albumin
• Nā pae uila electrolyte
• ʻ .lelo Echocardiography
• Electrocardiogram (ECG)
• Nā hoʻāʻo hana hakuʻala
• Nā hoʻāʻo hana ate
• Urinalysis
• Nā kukuna X

Hiki i ka mālama ʻana ke hōʻalo i ka paʻakai a i ʻole ka lawe ʻana i nā wai wai (diuretics). Pono e kiaʻi ʻia kāu lawe ʻana i ka wai a me nā huahana, a kaupaona ʻia ʻoe i kēlā me kēia lā.

Hōʻalo i ka waiʻona inā maʻi ka ate (cirrhosis a i ʻole hepatitis) ke kumu o kēia pilikia. Kākoʻo ʻia ka pālule kākoʻo.

Edema; Anasarca

• Hoʻokomo i ka edema ma ka wāwae

ʻO McGee S. Edema a me ka thrombosis vein hohonu. I: McGee S, hoʻoponopono. ʻImi ʻImi Kino. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 56.

Swartz MH. ʻO ka ʻōnaehana vipher peripheral. I: Swartz MH, ed. Puke aʻo o ʻike kino: Mōʻaukala a me ka hoʻokolokolo. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 15.