ʻO ka veins varicose - lapaʻau noninvasive
Pehu, ʻalalā, aʻa ʻehaʻeha i hoʻopihapiha ʻia me ke koko i nā veins varicose.
Hoʻokumu pinepine nā veins varicose i nā wāwae. Pili pinepine lākou a polū i ke kala.
- 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, keu hoʻi ke kū ʻoe.
Hiki ke hana i nā mālama ʻana aʻe no nā veins varicose i kahi keʻena mālama ola a i ʻole kahi keʻena lapaʻau. E loaʻa iā ʻoe kahi anesthesia kūloko e ʻōpala i kou wāwae. E ala ʻoe, akā ʻaʻole ʻoe e ʻeha.
Sclerotherapy ʻoi aku ka maikaʻi no nā veins spider. ʻO kēia nā veins varicose liʻiliʻi.
- Hoʻokomo ʻia ka wai paʻakai (saline) a i ʻole kahi hopena kemika i loko o ka aa koko.
- E paʻakikī ka aa a nalowale.
Lapaʻau kukuna hiki ke hoʻohana ʻia ma ka ʻili o ka ʻili. ʻO nā pohā liʻiliʻi o ke kukui e nalo i nā veins liʻiliʻi.
Phlebectomy mālama i nā veins varicose o luna. Hana ʻia nā ʻoki liʻiliʻi loa ma kahi o ke aa kino i hōʻino ʻia. A laila wehe ʻia ke aa. Hoʻohana kekahi hana i kahi kukui ma lalo o ka ʻili e alakaʻi i ka mālama ʻana.
Hana ʻia kēia me nā kaʻina hana ʻē aʻe, e like me ka hoʻopau ʻana.
Hoʻomaha hoʻohana i ka wela ikaika e mālama i ka aa. ʻElua ʻano hana. Hoʻohana kekahi i ka ikehu radiofrequency a hoʻohana ka mea ʻē i ka ikehu laser. Ma kēia mau kaʻina hana:
- E hoʻokuʻi kāu kauka i ka veins varicose.
- E kauka kāu kauka i kahi paipu hikiwawe (catheter) ma o ka aa koko.
- E hoʻouna ka catheter i ka wela nui i ke aa koko. E pani ka wela a luku i ke aa a e nalo ke aʻa i ka manawa.
Loaʻa paha iā ʻoe ka lāʻau lapaʻau e hana ai:
- ʻO nā veins varicose e kumu i nā pilikia me ke kahe o ke koko
- ʻEha wāwae a me ke ʻano kaumaha
- Hoʻololi ka ʻili a i ʻole nā ʻeha ʻeha i hoʻokumu ʻia e ka nui o ke kaomi ma nā aa
- Hoʻopili ke koko a huʻi paha i nā veins
- ʻO ka helehelena maikaʻi ʻole o ka wāwae
Palekana kēia mau ʻano lāʻau. E nīnau i kāu mea hāʻawi e pili ana i nā pilikia kikoʻī i loaʻa iā ʻoe.
ʻO nā pilikia no kekahi anesthesia a me nā ʻoki kino:
- Nā hopena āpau i nā lāʻau
- Nā pilikia hanu
- Kahe ʻana o ka maʻi, bruising, a i ʻole ka maʻi
ʻO nā pilikia o ka lāʻau varicose vein therapy:
- Huʻi koko
- Poino nerve
- ʻAʻole hiki ke hoʻopau i ke aʻa
- Wehe ʻia o ke aʻa i mālama ʻia
- Hoʻonāukiuki kino
- ʻEha a scarring paha
- Hoʻi o ka veins varicose i ka manawa
E haʻi mau i kāu mea hāʻawi:
- Inā ʻoe a hāpai paha.
- E pili ana i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopihapiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.
Pono paha ʻoe e hōʻoki i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
Hoʻopili ʻia kou mau wāwae me nā bandages e kāohi ai i ka pehu a me ke kahe ʻana no 2 a 3 mau lā ma hope o kāu lapaʻau.
Hiki iā ʻoe ke hoʻomaka i nā hana maʻamau ma waena o 1 a 2 mau lā ma hope o ka mālama ʻana. Pono ʻoe e komo i nā stocking compression i ka lā no 1 pule ma hope o ka mālama ʻana.
E nānā ʻia paha kou wāwae me ka hoʻohana ʻana i ke ultrasound i kekahi mau lā ma hope o ka mālama ʻana e hōʻoia i ka hoʻopaʻa ʻana o ka aa.
ʻO kēia mau hoʻoponopono e hōʻemi i ka ʻeha a hoʻomaikaʻi i ka helehelena o ka wāwae. ʻO ka hapa nui o ka manawa, hana lākou i ka scarring, bruising a i ʻole ka pehu ʻana.
ʻO ke kau ʻana i nā stocking compression e kōkua i ka pale ʻana i ka pilikia mai ka hoʻi ʻana.
Sclerotherapy; Hoʻomaʻamaʻa laser - varicose veins; Hoʻokiwikā i ke aniani Radiofrequency; Hoʻohaʻahaʻa pumehana endovenous; Phlebectomy hoʻokele; ʻO ka phlebotomy mana Transilluminated; Hoʻokiʻoki laser endovenous; Hoʻoikaika varicose vein
- Nā veins varicose - he aha e nīnau aku ai i kāu kauka
Freischlag JA, Heller JA. Maʻi Venous. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 64.
ʻO Goldman MP, Guex J-J. ʻO ka hana o ka sclerotherapy. I: Goldman MP, Weiss RA, eds. Sclerotherapy. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 7.
ʻO Goldman MP, Weiss RA. Phlebology a me ka mālama ʻana i nā veins wāwae. I: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 155.