ʻO Stasis Dermatitis a me nā Ulcer

Anter

• Nā ʻōuli o stasis dermatitis
• ʻO nā kumu maʻamau o stasis dermatitis
• He aha nā mea pilikia no ka stasis dermatitis?
• I ka manawa e ʻike ai i kāu kauka
• Pehea e ʻike ʻia ai ka stasis dermatitis?
• Pehea e mālama ʻia ai ka stasis dermatitis?
• He aha nā pilikia lōʻihi lōʻihi o nā ʻōuli i hana ʻole ʻia?
• Pehea e pale ai i ka stermat dermatitis?

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka dermatitis stasis?

ʻO Stasis dermatitis ka hoʻā o ka ʻili e hoʻomohala i ka poʻe me ka maikaʻi ʻole o ka holo. Kū pinepine ia i nā wāwae lalo no ka mea ma laila e ʻohiʻohi pinepine ai ke koko.

Ke ʻākoakoa a i ʻole nā ​​loko i nā aa o kou mau wāwae lalo, hoʻonui ka piʻi o ke aa. Hoʻopilikia ke kaomi hoʻonui i kou capillaries, nā kīʻaha koko liʻiliʻi liʻiliʻi loa. ʻAe kēia i nā protein e kulu i loko o kāu mauʻaʻaʻa. Kuhi kēia leakage i kahi kūkulu ʻana o nā hunaola koko, ka wai, a me nā protein, a ʻo ka buildup ke kumu e pehu ai kou mau wāwae. Kapa ʻia kēia ʻōhū ʻo edema peripheral.

ʻO ka poʻe me ka dermatitis stasis ʻike pinepine i nā wāwae pehu a me nā wāwae, nā ʻeha hāmama, a me ka ʻili a me ka ʻulaʻula.

ʻO ke kumumanaʻo hoʻokahi kahi protein i kapa ʻia ʻo fibrinogen ke kuleana no nā loli āu e ʻike ai i kou ʻili. Ke kulu ka fibrinogen i loko o kāu mau pūnaewele, hoʻololi kou kino iā ia i ke ʻano hana o ka protein, i kapa ʻia ʻo fibrin. I kona puka ʻana i waho, hoʻopuni ka fibrin i kāu capillaries, e hana ana i ka mea i ʻike ʻia ʻo nā fibrin cuffs. Hiki i kēia mau pulupulu fibrin ke pale aku i ka oxygen mai ke komo ʻana i kāu mauʻaʻaʻa. A i ka loaʻa ʻole o nā oxygen i kāu mau pūnaewele, hiki iā lākou ke hōʻino a make.

Nā ʻōuli o stasis dermatitis

ʻO nā ʻōuli o stasis dermatitis ka:

• ʻiliʻiliʻili
• ʻūlili
• kāhili ʻana
• ulcer

Hiki iā ʻoe ke ʻike i nā ʻōuli o ka lawa ʻole o ka venous, me:

• pehu wāwae
• ʻeha bipi keiki
• palupalu keiki
• ʻehaʻeha a kaumaha paha i kou mau wāwae iʻoi aku ka hewa i kou kū ʻana

I nā hoʻomaka mua o stasis dermatitis, ʻili lahilahi ka ʻili o kou mau wāwae. ʻEwili pū nō paha kou ʻili, akā e hoʻāʻo ʻaʻole e wili. Hiki i ka ʻalalā ʻana ke haki i ka ʻili a hemo ka wai i waho.

Ma hope o ka manawa, hiki i kēia mau hoʻololi ke lilo i paʻa. Hiki i kou ʻili ke mānoanoa, paʻakikī, a i ʻole ʻeleʻele ʻeleʻele. Kapa ʻia kēia lipodermatosclerosis. He puʻupuʻu paha ke nānā aku.

I nā pae hope loa o stasis dermatitis, wāwahi kou ʻili a loaʻa kahi ulcer, a ʻeha paha. Hana pinepine nā ulcer mai stasis dermatitis ma loko o kou kuʻekuʻe wāwae.

ʻO nā kumu maʻamau o stasis dermatitis

Maikaʻi ka holo ʻana o stasis dermatitis. ʻO ka maʻamau, ʻo ka holo maikaʻi ʻole ka hopena o kahi maʻi mau (lōʻihi) i kapa ʻia ka lawa ʻole o ka venous. Kū ka lawa ʻole Venous ke pilikia kāu mau uaua i ka hoʻouna ʻana i ke koko i kou puʻuwai.

Aia kekahi mau kiwikā o nā ala hoʻokahi i loko o kou mau uaua wāwae e mālama pono i kou koko i ke ala kūpono, kahi e pili ana i kou puʻuwai. I ka poʻe me ka lawa ʻole o ka venous, e nāwaliwali kēia mau valves. ʻAe kēia e kahe i ke koko i nā wāwae a me ka loko i kou mau wāwae ma kahi o ka hoʻomau ʻana e kahe i kāu puʻuwai. ʻO kēia hui ʻana o ke koko ke kumu o stasis dermatitis.

ʻO nā veins varicose a me nā puʻuwai puʻuwai e ʻike pū ʻia nā kumu o ka pehu ʻana o ka wāwae a me ka stasis dermatitis.

ʻO ka hapa nui o nā ʻano kumu e ulu mau ai ka stasis dermatitis i ka poʻe i ko lākou ulu ʻana i ka makahiki. Eia nō naʻe, aia kekahi mau kumu i pili ʻole i ka makahiki, e like me:

• ʻoki kino, e like me ka hoʻohana ʻana i ka aa wāwae no ke kahakaha holo kaʻa
• thrombosis hohonu i kou wāwae
• hōʻeha hōʻeha i kou mau wāwae lalo

He aha nā mea pilikia no ka stasis dermatitis?

Hoʻopilikia ka Stasis dermatitis i ka poʻe me ka maikaʻi ʻole o ka holo. ʻO ka maʻamau i waena o nā mākua ma mua o ka makahiki 50. ʻOi aku paha ka loaʻa o nā wahine ma mua o nā kāne.

Hiki i nā maʻi a me nā kūlana ke hoʻonui i kou makaʻu no ka hoʻomohala ʻana i ka stasis dermatitis, me:

• kahe koko kiʻekiʻe
• hiki ʻole i ka venous (hiki ke paʻakikī kāu mau uaua i ka hoʻouna ʻana i ke koko mai kou mau wāwae i kou puʻuwai)
• nā veins varicose (pehu a hoʻonui ʻia nā veins i ʻike ʻia ma lalo o kou ʻili)
• hōʻemi puʻuwai puʻuwai (hiki ʻole i ka puʻuwai ke paila i ke koko me ka maikaʻi)
• hakuʻala ʻole (hiki ke hiki ʻole i kou puʻupaʻa ke hemo i nā toxins mai kou koko)
• momona
• ʻeha i kou mau wāwae lalo
• hāpai keiki lehulehu
• ka thrombosis hohonu i kou wāwae (kahi koko i loko o kou ʻūhā wāwae)

Hiki i kāu ʻano nohona ke hoʻopili i kāu makaʻu. Hiki paha iā ʻoe i kahi kiʻekiʻe kiʻekiʻe o ka loaʻa ʻana o stasis dermatitis inā ʻoe:

• kaumaha loa
• mai lawa ka hoʻoikaika kino
• noho a kū paha me ka neʻe ʻole no nā wā lōʻihi

I ka manawa e ʻike ai i kāu kauka

E ʻike i kāu kauka inā ʻike ʻoe i ka pehu ʻana o ka wāwae a i ʻole nā ​​ʻōuli o stasis dermatitis, keu hoʻi inā nā ʻōuli:

• ʻeha
• ʻulaʻula
• ʻeha hāmama a ulcer paha
• hoʻoheheʻe like me ka pus

Pehea e ʻike ʻia ai ka stasis dermatitis?

E kuhikuhi pono i ka stermat dermatitis, e nānā pono kāu kauka i ka ʻili ma kou mau wāwae. E kauoha paha kāu kauka i kahi ultrasound Doppler venous. ʻO kēia kahi ho'āʻo noninvasive e hoʻohana i nā nalu kani e nānā i ke kahe o ke koko i kou mau wāwae.

Pehea e mālama ʻia ai ka stasis dermatitis?

Nui nā mea hiki iā ʻoe ke hana ma ka home e kōkua ai i ka mālama ʻana i ka dermatitis stasis:

• Hōʻalo i ke kū a me ka noho ʻana no nā wā lōʻihi.
• E hāpai i kou mau wāwae i ka wā e noho ana.
• E komo i nā stocking compression.
• E ʻaahu i nā kapa ʻaʻano e hōʻeha i kou ʻili.

Kūʻai ma ka pūnaewele no ka stocking compression.

E nīnau i kāu kauka e pili ana i nā ʻano kalima ʻili a me nā hamo hiki ke hoʻohana. Hōʻalo i ka hoʻohana ʻana i nā huahana aʻe:

• lanolin
• calamine a me nā lāʻau ʻono ʻē aʻe e hoʻomaloʻo i kou ʻili
• kumuhana antibiotic topical e like me kahi neomycin, ma muli o nā hopena maʻi ʻaʻa
• benzocaine a me nā lāʻau numbing ʻē aʻe

ʻ telllelo paha kāu kauka iā ʻoe e kau i nā bandages mākū ma kou ʻili a kuhikuhi paha i nā kalika steroid topical a me nā hamo. Kau kauka paha i kāu kauka i nā lāʻau antibiotic inā maʻi ʻia kou ʻili. Paipai ʻia ke ʻoki e hoʻoponopono i nā veins varicose inā lilo lākou i ʻeha.

ʻO ka mālama ʻana i nā kumu e kumu ai ka lawa ʻole o ka venous (e like me ke kiʻekiʻe o ke koko a me ka ʻole o ka puʻuwai congestive) hiki ke kōkua i ka mālama ʻana i kāu dermatitis stasis.

He aha nā pilikia lōʻihi lōʻihi o nā ʻōuli i hana ʻole ʻia?

Inā haʻalele ʻole ʻia ia, hiki i ka dermatitis stasis ke hopena i:

• ulcer wāwae ʻūhā
• osteomyelitis, he maʻi maʻi iwi ia
• kahi maʻi ʻino bacteria, e like me abscesses a i ʻole cellulitis
• scarring paʻa

Pehea e pale ai i ka stermat dermatitis?

ʻO ka stasis dermatitis ka hopena o kahi maʻi maʻi mau, e like me ka puʻuwai puʻuwai kūpikipiki, no laila paʻakikī e pale inā ua maʻi ʻoe.

Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou makaʻu ma ka pale ʻana i ka pehu i kou mau wāwae (ka edema peripheral) nāna e kumu.

Hiki iā ʻoe ke hoʻohaʻahaʻa i kou makaʻu ma o ka hoʻoikaika kino ʻana. ʻO ka hoʻoikaika kino kahi ala maikaʻi loa e hoʻomaikaʻi ai i kou holo a hoʻoliʻiliʻi i kou momona o ke kino. Hiki ke kōkua i ka palena ʻana i ka nui o ka sodium āu e ʻai ai.