ʻO ke kaohi ka kumu o ka mālama ʻana no ka maʻi venous. He hoihoi ia mai nā ʻōuli mua.

Hana ʻia nā stocking compression lapaʻau i kahi lole olakino elastis e hoʻouka i nā wāwae, i ka hoʻomaha a i ʻole ka hana, i mea e ʻae ai i ke kahe o ke koko: ma o ka kaohi ʻana i ka nui o nā veins, hoʻomaikaʻi ʻia ka hoʻi ʻana o ke koko i ka puʻuwai. ʻOi aku ke kiʻekiʻe o ke kaomi ma ka pae o ka kuʻekuʻe wāwae a laila e emi mālie i ka piko o ka wāwae.

Kōkua pū kēia kaomi e hōʻemi i ke kahe o ka capillary - ke koko ma waho o nā kīʻaha koko - i nā aʻa a paipai i ke kahe ʻana o ka lymphatic - ka holo ʻana o ka lymph i ka pūnaewele lymphatic - ka wai interstitial - wai i waena o nā capillaries a me nā hunaola.

ʻO "stocking compression" ke ʻano o nā kākini - kū ma lalo o ke kuli -, kiʻekiʻe o ka ʻūhā - kū i ke aʻa o ka ʻūhā - a i ʻole nā ​​paʻa paʻa. ʻAʻohe hōʻike i ka ʻokoʻa ma waena o nā ʻano sock. ʻAʻohe hopena compression o ka pantyhose pantyhose. I ka loaʻa ʻole o kahi hōʻailona olakino kikoʻī, e koho ʻia ka koho ma ke ʻano o nā stockings ʻoluʻolu loa e komo. He ʻōlelo aʻoaʻo nui e hemo iā lākou i ka pō.

ʻLelo Aʻo: mai hoʻohoka i ka "compression" a me ka "paio". Inelastic nā pēpili hoʻopili - a liʻiliʻi paha - a kau lākou i ka liʻiliʻi loa i ka ʻili a me nā aʻa o lalo i ka wā hoʻomaha. Ma ka ʻaoʻao ʻē aʻe, i ka wā o ke kuʻi ʻana o nā mākala, kūʻē ʻē lākou i ka hoʻonui ʻana o ka nui o ka lālā o lalo i kēlā me kēia kuʻikuʻi e pili ana i ka hele wāwae.

ʻAe ke kaomi lāʻau lapaʻau:

• E hōʻoluʻolu a pale i nā hōʻailona venous: ʻeha, pehu a me ke kaumaha i nā wāwae;
• E pale a hōʻemi paha i ka edema wāwae;
• E pale a mālama i nā pilikia o ka ʻili e pili ana i ka lawa ʻole o ka venous;
• E kōkua i ka hoʻōla ʻana i kahi ulcer;
• E pale a mālama paha i ka phlebitis a i ʻole thrombosis venous: ke kōkō ʻana o ke koko i kahi aa koko.

Paipai ʻia nā stocking compression i nā hihia aʻe:

• Nā veins varicose (3 millimeter);
• Ma hope o sclerotherapy - kahi hana ablative endovenous i manaʻo ʻia e hemo i nā veins varicose a me nā moku varicose (nā kīʻaha koko e hāʻawi ana i nā veins varicose) ma nā lālā haʻahaʻa - a i ʻole ke ʻoki no nā veins varicose;
• Edema maʻi;
• Pigmentation - ʻeleʻele ʻeleʻele i ka ʻili - a i ʻole eczema venous;
• Lipodermatosclerosis: kūpilikiʻi kūpilikiʻi kūloko a me ka fibrosis o ka ʻili a me nā ʻāpana subcutaneus o ka ʻūhā haʻahaʻa;
• Venod hypodermitis;
• White atrophy: superficial ulcer aia i loko o nā wāwae;
• He ulcer i hoʻōla ʻia;
• He ulcer hāmama.

Koi ʻia nā hoʻohana ʻē aʻe e ka phlebologist.

Eia hou, ʻaʻohe pono o ka edema āpau a me nā kumu kumu ʻē aʻe - cardiac, renal, thyroid… - a i ʻole ke ʻano o ka lawe ʻana i kahi lāʻau.

ʻO nā stocking compression he mea lapaʻau a ʻaʻole pono e lāʻau ʻia iā ʻoe iho. Kau ʻia lākou e hiki ke hoʻololi ʻia i ke ʻano o ka maʻi venous, kona kahua o ka hoʻomohala ʻana a me ka morphology o ka mea maʻi.

E hōʻike ʻia kā lākou hōʻike e ka phlebologist ma hope o kahi hoʻokolohua hoʻokolohua a me kahi ultrasound Doppler.

He mea nui loa ke koho ʻana i ka ikaika compressive. Hana ʻia ia e ka phlebologist i kēlā me kēia hihia. Hoʻokaʻawale ʻia nā huahana kōmike lāʻau i ʻehā mau papa kaomi, mai ka nāwaliwali a i ka ikaika loa:

• Papa 1 = 10-15 mau millimeter o ka mercury (mmHg);
• Papa 2 = 15-20 mmHg;
• Papa 3 = 20-36 mmHg;
• Papa 4 = ʻoi aku ma mua o 36 mmHg.

ʻAʻole kūpono paha kahi waihona compression i hoʻokomo pono ʻole ʻia, akā loaʻa paha nā hopena maikaʻi ʻole i ke kahe o ke koko a me ka maikaʻi o ke ola.

Ke kuhikuhi ʻana iā lākou e ka phlebologist a i ʻole ka haʻalele ʻana iā lākou mai ka kauka lāʻau, he mea nui e nānā:

• Ua lawe ʻia nā ana o nā wāwae ma nā kiko like ʻole: ka nui o nā kāmaʻa, ke anapuni kuʻekuʻe wāwae, ke anapuni bipi, ka palena kiʻekiʻe o luna e wehewehe i ka nui kūpono o ka lalo;
• Hōʻike ʻia nā ʻano hana hāʻawi, kūpono a komo hoʻi e kēlā me kēia mea kuleana (phlebologist, kahu hānai, kauka lāʻau, a pēlā aku.).

ʻO nā contraindications paʻa loa no ka kaohi ʻana i ke olakino:

• ʻO ka maʻi obliterating arterial - hōʻino ālai ʻia i nā aʻa - o nā lālā lalo (PADI) me kahi papa kuhikuhi pressure systolic ma lalo o 0,6;
• Microangiopathy diabetic holomua (no ka hoʻoliʻiliʻi ʻoi aku ma mua o 30 mmHg);
• Phlegmatia cœrulea dolens - phlebitis polū ʻeha me ka kaohi arterial;
• Septic thrombosis.

Pono hou ka nānā hou ʻana i ka lākiō pono / pono i ka hanana o:

• ʻO PADI me kahi papa kuhikuhi kaomi systolic ma waena o 0,6 a me 0,9;
• ʻO neuropathy ākea mua;
• Hoʻopiʻi a i ʻole eczematized dermatosis;
• ʻO ka hoʻomanawanui ʻole i nā olonā i hoʻohana ʻia.

Hāʻawi ka hoʻopiʻi ʻana i nā stockings i ka uku hou ʻia e ka Health Insurance. Ma muli o ka hoʻohana maʻamau a me ka holoi holoi ʻana i nā stockings compression, hiki i ka Health Insurance ke uhi i kēia mau huahana a hiki i ka lōʻihi o ʻewalu mau pālua i kēlā me kēia makahiki - mai kēia lā a hiki i kēia lā - ma ke kau ʻana o ke kauka.

Aia nā mana he nui a ʻokoʻa nā kumukūʻai ma waena o € 20 a me € 80 kaukaʻi i ka papa - ʻoi aku ka ikaika o ke kaomi ʻana i ke kumu kūʻai kiʻekiʻe -, o ke ʻano - nā palapu, nā stocking a i nā kākini -, o nā mea…