Nā Puʻupuʻu Ankle: Nā kumu, nā ʻōuli, nā hana

Anter

• He aha ke kumu o nā puʻupuʻu wāwae?
• ʻO wai ka makaʻu no nā maʻi puʻupuʻu wāwae?
• He aha nā hōʻailona o ka puʻupuʻu wāwae wāwae?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai?
• He aha nā ʻano lāʻau no ka ulcer ankle?
• Hoʻoikaika kūpilikiʻi
• Nā Lapaʻau
• Mālama ʻeha
• Pehea e hiki ai iaʻu ke pale aku i nā ulcer ankle?

He aha nā puʻupuʻu wāwae wāwae?

ʻO ka ulcer kahi ʻeha hāmama a i ʻole lesion ma ke kino e lohi e hoʻōla a hoʻi mau paha. Loaʻa nā ulcer mai ka haki ʻana o ka ʻili a ʻeha paha. ʻEkolu mau ʻano ulcer:

• venus stasis
• diabetic (neurotrophic)
• arterial

ʻO nā ulcer Venus stasis ka ʻano maʻamau o ka ulcer kino o lalo, ʻo ia hoʻi ma nā kuʻekuʻe wāwae. Wahi a ka Cleveland Clinic, ma waena o 80 a me 90 pākēneka o nā ulia e pili ana i nā wāwae o lalo.

He aha ke kumu o nā puʻupuʻu wāwae?

Kūleʻa pinepine ʻia nā ulcer Venus stasis ma muli o kahi kūlana i kapa ʻia ʻo vent hypertension a i ʻole insufficiency venous mau. ʻAʻole kahe kou koko mai kou mau wāwae lalo i kou puʻuwai e like me ka mea e pono ai. ʻO kēia ke kumu o ke kaomi ʻana i kāu mau uaua. Hiki i ke kaomi hou ke alakaʻi i kahi ulceration ma kou ʻili. Kū kēia mau i ka ma loko o kou mau wāwae, ma luna pono o kou kuʻekuʻe wāwae.

ʻAʻole maopopo maopopo pehea ke kumu o kēia maʻi ʻana i ulcer. Manaʻo nā kauka he kumu ia e hoʻemi i ke kahe o ke koko i nā capillaries o kou mau wāwae. Hoʻopuka kēia i kahi kūkulu ʻana o nā hunaola keʻokeʻo. Hoʻopili ka hōʻiliʻili o nā hunaola keokeo i ka oxygen i kāu aʻa. ʻO ka nele o ka oxygen e hoʻopōʻino a hana i ka ulcer.

ʻO kekahi kumumanaʻo ʻo ka hypertension venous ka mea e kulu ai nā pūnaewele mai kahi ʻē aʻe i ke kino i kou ʻili a hoʻohuli i ka ulu ʻana o ka cellular. Hoʻopilikia kēia hana me ka hoʻoponopono ʻana o nā ʻaʻa i hōʻino ʻia.

ʻO wai ka makaʻu no nā maʻi puʻupuʻu wāwae?

Hiki paha iā ʻoe ke kiʻekiʻe aʻe o ka hoʻomohala ʻana i nā ulcer venous stasis inā loaʻa iā ʻoe a i ʻole:

• ʻōhū wāwae o mua
• he moolelo o ka pehu koko
• ʻalalāʻau varicose
• kahi moʻolelo o nā maʻi hōʻeha

Inā loaʻa iā ʻoe ka moʻolelo ʻohana o ka ulcer, hiki paha iā ʻoe ke hoʻomohala iā lākou. Hiki paha i ka puhihihi ke hāpai i kou makaʻu o ka hoʻomohala ʻana i nā kuʻekuʻe wāwae no ka mea keakea ia i ke kahe o ka oxygen ma o kou kahena koko.

He aha nā hōʻailona o ka puʻupuʻu wāwae wāwae?

ʻAʻole ʻeha mau nā ulcer stasis Venous, akā e ʻā iki a ʻili paha lākou. ʻUlaʻula lākou, me ka ʻili melemele ma luna o lākou. Hiki i kahi ulcer maʻi maʻi ke hoʻokahe i ka wai melemele a ʻōmaʻomaʻo paha. Mahalo paha kou ʻili a wela paha i ka hoʻopā a pehu paha ka wahi e hoʻopuni ana i ka maʻi ʻaʻai. E ʻeha paha kou mau wāwae, a, kaukaʻi ʻia i ka pehu ʻana o kou kuʻekuʻe wāwae, e paʻa paha kou ʻili a hinuhinu.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai?

E hoʻomaka kāu kauka ma ka nīnau ʻana iā ʻoe e pili ana i kāu mōʻaukala a me nā ʻōuli. E mālama pono i kahi moʻolelo o kāu mau hōʻailona āpau no ka mea e kōkua lākou i kāu kauka e hana i kahi hōʻailona kūpono. Inā lōʻihi kou lōʻihi o ka maʻi maʻi, makemake paha kāu kauka e lawe i kahi laʻana kikoʻī e maopopo ʻaʻohe maʻi ʻaʻai. Hiki i nā MRI, CT scans, a me nā radiography ke nānā i ka hohonu o kāu ulcer a inā pili ka iwi. E nānā pū kāu kauka i kāu ulcer no ka maʻi.

He aha nā ʻano lāʻau no ka ulcer ankle?

ʻO ka pahuhopu mua o ka hoʻomaʻamaʻa ulia vasus ke hoʻōla i ka ʻeha, mālama i nā maʻi āpau, a hoʻomaha i ka ʻeha.

Hoʻoikaika kūpilikiʻi

ʻO ka compression therapy ka lapaʻau maʻamau no nā ulcer ankle venous stasis. Kōkua ia me ka pehu ʻana a kōkua i ka wikiwiki i ke kaʻina hana hoʻōla. Hoʻopilikia pū kekahi nā kōkua i ka pale ʻana i nā ulcer hou.

Hiki ke kōkua i nā stocking compression, wraps, a i ʻole ka bandage i hoʻopili ʻia i kou wāwae a hiki i kou kuli. Hiki iā ʻoe a me kāu kauka ke hoʻoholo i ke ʻano compression e hana pono loa iā ʻoe a me kāu ʻano ulcer.

Nā Lapaʻau

Kau kauka paha i kau kauka e like me pentoxifylline a me aspirin inā ʻaʻole maikaʻi ka mālama ʻana i ka compression. Pono paha ʻoe e lawe i nā diuretics no kahi manawa pōkole inā nui kou pehu.

He mea nui e lawe ʻoe i nā lāʻau a pau i kuhikuhi ʻia e like me ke kuhikuhi.

Mālama ʻeha

Nui a hewahewa nā ʻano o nā ʻaukā āu e hoʻohana ai no kahi ulcer, me antimicrobial, collagen, ahupapa, a me nā ʻaihue pani ʻili. Hiki i kāu kauka ke wehewehe i nā mea maikaʻi o kēlā me kēia ʻano a aʻoaʻo iā ʻoe no ka mea kūpono iā ʻoe. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi haukapila e loea i ka mālama ʻana i nā ʻeha. E hoʻomaʻemaʻe i ka wahi ulcer a hoʻololi i ka lole ma ka ulcer e like me ke kauoha e paipai i ka hoʻōla.

E inu mau i nā wai, ʻai i ka papaʻai olakino, a loaʻa ka hoʻomaha kūpono a me ka hoʻoikaika kino. ʻO ke olakino olakino maikaʻi e wikiwiki ai i kāu hana hoʻōla.

Pehea e hiki ai iaʻu ke pale aku i nā ulcer ankle?

ʻO kahi ala e pale ai i ka hoʻomohala ʻana o nā ulcer venous stasis ʻo ia ke hāpai i kou mau wāwae ma luna o kou puʻuwai no ka liʻiliʻi he 30 mau minuke, i mau manawa i kēlā me kēia lā. Palena i ke kū lōʻihi a i ʻole ka noho ʻana. Kōkua kēia i ka hoʻohaʻahaʻa ʻana i ke kaomi a me ka pehu ʻana e hiki ai ke hana i nā ulcer venous stasis. E kōkua pū ia i ke kahe o ke koko.

E hoʻāʻo e hāpai i kou mau wāwae i ka moe i ka pō inā hiki. Eia kekahi, e hoʻāʻo e kaupalena i ka paʻakai i kāu papaʻai a nānā pinepine i kou kaomi koko no nā loli.

I kekahi manawa hiki i ka lilo ʻana o ke kaumaha ke hōʻoluʻolu i kekahi kaomi o kou mau wāwae. E hōʻoia me kāu kauka e ʻike inā manaʻoʻiʻo lākou he kūpono kūpono ka hoʻemi kaumaha ʻana nāu.