Ka wāwae, ka wāwae, a me ka kuʻekuʻe wāwae

ʻO ka pehu ʻole o nā wāwae a me nā kuʻekuʻe wāwae kahi pilikia maʻamau, keu hoʻi i waena o ka poʻe kahiko.

ʻO ke kūpaʻa maʻamau o ka wai i nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae ke kumu i ka pehu. Kapa ʻia kēia wai kahe a me ka ʻōhū i ka edema.

Hiki i ka pehu ʻole ʻole ke hoʻopili i nā wāwae ʻelua a komo pū paha i nā keiki bipi a i ʻole nā ​​ʻūhā. Hoʻomaopopo ka hopena o ka umekaumaha i ka pehu ma ka ʻaoʻao haʻahaʻa o ke kino.

ʻO ka wāwae, ka wāwae, a me nā kuʻekuʻe wāwae ka mea maʻamau i ke kanaka pū kekahi:

• He keu kaona
• Loaʻa kona koko i ka wāwae
• ʻElemakule
• Loaʻa i ka maʻi maʻi wāwae
• Loaʻa nā veins i nā wāwae i hiki ʻole ke paipū pono i ke koko i ka puʻuwai (i kapa ʻia ka lawa ʻole o ka venous)

ʻO ka ʻeha a i ʻole ke ʻoki kino e pili ana i ka wāwae, ka kuʻekuʻe wāwae, a i ʻole ka wāwae hiki ke hana i ka pehu. Hoʻopili pū paha ka pehu ma hope o ke kīkō pelvic, keu hoʻi no ka maʻi ʻaʻai.

ʻO nā lele lele mokulele a i ʻole nā ​​holo kaʻa, a me ke kū no nā wā lōʻihi, alakaʻi pinepine i kekahi pehu i nā wāwae a me nā kuʻekuʻe wāwae.

Hiki ke kūhū i nā wahine e lawe i ka estrogen, a i ʻole ma nā ʻāpana o ke kaʻe menstrual. Loaʻa ka hapanui o nā wahine i ka wā hāpai. ʻO ka ʻōhū ʻoi aku ka nui i ka wā o ka hāpai ʻana he hōʻailona paha ia o ka preeclampsia, kahi ʻano koʻikoʻi e komo pū me ke kiʻekiʻe o ke koko.

ʻO nā wāwae pehu paha he hōʻailona ia o ka puʻuwai puʻuwai, maikaʻi ʻole o ke kōkō, a me ke kō ʻole o ke ake. I kēia mau kūlana, nui loa ka wai i ke kino.

Hiki i kekahi mau lāʻau ke hoʻohuli i kou mau wāwae. ʻO kekahi o kēia mau mea:

• ʻO nā Antidepressants, me nā mea hoʻokipa MAO a me nā tricyclics
• ʻO nā lāʻau lapaʻau kaomi koko i kapa ʻia he blockers channel calcium
• ʻO nā hormonone, e like me ka estrogen (i nā kaohi kaohi hānau a i ʻole ka hoʻoliʻiliʻi hormone) a me ka testosterone
• ʻO Steroids

ʻO kekahi mau ʻōlelo aʻoaʻo e kōkua ai i ka hōʻemi ʻana i ka pehu.

• E kau i kou mau wāwae i nā uluna e hoʻokiʻe iā lākou ma luna o kou puʻuwai ʻoiai e moe ana i lalo.
• E hoʻoikaika i kou mau wāwae. Kōkua kēia i ka pauma wai i kou mau wāwae a hoʻi i kou puʻuwai.
• E hāhai i ka papa paʻakai haʻahaʻa, i hoʻoliʻiliʻi ai i ke kūkulu ʻia ʻana o ka wai.
• E komo i nā stockings kākoʻo (kūʻai ʻia ma nā hale kūʻai lāʻau lapaʻau a me nā hale kūʻai lako lapaʻau).
• Ke hele huakaʻi, hoʻomaha pinepine e kū i luna a neʻe.
• Hōʻalo i ka hoʻokomo ʻana i ka lole paʻa a i ʻole nā ​​garter a puni kou mau ʻūhā.
• Lilo i ke kaumaha inā pono ʻoe.

Mai hōʻoki i ka lawe ʻana i nā lāʻau āu e manaʻo ai e hoʻoulu ana me ka ʻole o ke kamaʻilio mua ʻana i kāu kauka.

Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā:

• Manaʻo ʻoe i ka liʻiliʻi o ka hanu.
• He ʻeha kou umauma, keu hoʻi inā manaʻo ʻia e kaomi a paʻa paha.

Kāhea koke i kāu mea hāʻawi inā:

• He maʻi puʻuwai kou a i ʻole he maʻi puʻuwai a ʻoi aku ka maikaʻi o ka ʻōhū.
• He mōʻaukala ate kou i kēia manawa a ʻānō hoʻi ka pehu ʻana i kou mau wāwae a ʻōpū paha.
• ʻO kou wāwae a pehu paha he ʻulaʻula a hoʻomehana paha i ka pā.
• He kuni kou.
• Hāpai ʻoe a ʻoi aku kāu mau mea ma mua o ka pehu wale a i ʻole hoʻonui pinepine i ka pehu.

Kāhea pū kekahi i kāu mea nāna e mālama inā ʻaʻole kōkua a mālama ʻole paha i ka ʻōhū.

E lawe kāu mea hāʻawi i ka mōʻaukala olakino a e nānā pono i ke kino, me ka nānā nui ʻana i kou puʻuwai, nā mumū, ʻōpū, nā lymph nodes, nā wāwae, a me nā wāwae.

E nīnau ana kāu mea hāʻawi i nā nīnau e like me:

• He aha nā ʻāpana o ke kino e pehu? ʻO kou mau wāwae, wāwae, wāwae? Ma luna o ke kuli a i lalo paha?
• He pehu kou i nā manawa āpau a i ʻole ʻoi aku ka maikaʻi ma kakahiaka a ahiahi paha?
• He aha ka mea e hoʻomaikaʻi ai i kou pehu?
• He aha ka mea e hoʻonui ai i kou pehu?
• E ʻoi aku ka maikaʻi o ka ʻōhū ke hāpai aʻe ʻoe i kou mau wāwae?
• Ua loaʻa ʻoe i ke koko koko i kou mau wāwae a me kou mau māmā?
• Ua loaʻa iā ʻoe nā veins varicose?
• He aha nā hōʻailona ʻē aʻe āu?

ʻO nā hoʻokolohua diagnostics e hana ʻia ana paha:

• Nā hoʻāʻo koko, e like me CBC a i ʻole kemika koko
• Pākuʻi x a i ʻole hope loa x-ray
• Doppler ultrasound ninaninau i kou wāwae uaua
• ECG
• Urinalysis

E kau ana kāu lāʻau i ke kumu o ka pehu. Kauoha paha kāu mea hāʻawi i nā diuretics e hōʻemi i ka pehu, akā hiki i kēia mau mea ke loaʻa i nā hopena ʻaoʻao. ʻO ka mālama ʻana i ka home no ka pehu ʻana o ka wāwae e pili ʻole ana i kahi ʻano olakino koʻikoʻi e hoʻāʻo ʻia ma mua o ka hoʻōla lāʻau.

ʻO ka pehu ʻana o nā kuʻekuʻe wāwae - nā wāwae - nā wāwae; ʻŌiwi wāwae; Pehu ka wāwae; Pahu ka wāwae; Edema - peripheral; ʻO ka edema peripheral

• Huʻi wāwae
• Edema wāwae ʻūlū

ʻO Goldman L. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi maʻi maʻi maʻi hiki. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 51.

Mea kūʻai aku RH, Symons AB. ʻO ka pehu ʻana o nā wāwae. I: Kūʻai RH, Symons AB, eds. ʻIʻike ʻokoʻa o nā hoʻopiʻi maʻamau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 31.

Trayes KP, Studdiford JS, pickle S, Tully AS. Edema: ʻike a me ka hoʻokele. He Kauka Lapaʻau. 2013; 88 (2): 102-110. PMID: 23939641 pubmed.ncbi.nlm.nih.gov/23939641/.