He ʻeha ma ka wāwae i hoʻōla ʻole? He ʻeha varicose, ʻo ia hoʻi, he ʻeha varicose. Loaʻa ia i ka pae hope o ka ulu ʻana o ka hemahema venous maʻi lua i nā veins varicose a i ʻole ka hopena o ka phlebitis. ʻOiai ʻaʻole ʻeha loa, pono ia i nā lāʻau lapaʻau kūloko kūpono, me ka mālama ʻana i ka maʻi venous i nīnau ʻia e pale i ka hoʻi hou ʻana.

Definition

ʻO nā veins varicose, i kapa ʻia ʻo varicose ulcers a i ʻole venous ulcers, he hoʻopiʻi ia o nā veins varicose a i ʻole phlebitis e kū mau ana ma hope o ka lōʻihi o ka ulu ʻana.

Hōʻike ia ma ke ʻano he ʻeha ma ka wāwae - ma ke ʻano he kuʻekuʻe wāwae - me ka nalowale o ka ʻili, ʻoi aku ka manawa hoʻōla ma mua o hoʻokahi mahina. Ke waiho ʻole ʻia, hiki ke lilo i superinfected a hoʻomau no nā mahina a i ʻole mau makahiki.

Ho'oka'awale 'ia ka ma'i 'a'ai mai ka ma'i ma'i 'a'e o nā lālā ha'aha'a, e pili mau ana i ke atherosclerosis a i 'ole ka ma'i diabetes.

Nā kumu

Loaʻa ka ʻeha varicose i ka hopena hope o ka ulu ʻana o ka lawa ʻole o ka venous maʻi. ʻAʻole hāʻawi hou nā veins superficial a hohonu paha i ka hoʻihoʻi pololei ʻana i ka puʻuwai a hoʻopaʻa ʻia ke koko.

• I loko o ka poʻe me nā veins varicose, aia ka nalowale o ka elasticity o nā veins a me ka dysfunction o nā valves e hoʻolako ana i ka paia o nā moku, nona kāna kuleana e pale i ka reflux.
• ʻO ka lawa ʻole o ka venous kekahi ma muli o ka hopena o ka phlebitis (venous thrombosis). I kēia hihia, ʻo ka stagnation o ke koko a me ka piʻi ʻana o ke kahe koko e alakaʻi i ka pōʻino hiki ʻole ke hoʻihoʻi ʻia i nā valve.
• ʻOi aku ka kakaikahi, ʻo ka maʻi congenital, ʻaʻole lawa ka pahu hohonu hohonu, ke kuleana no ka lawa ʻole o ka venous.
• ʻIke pinepine ʻia kahi hemahema o ka ʻiʻo o ka pipi.

I nā hihia a pau, ʻo ka stasis (ke koko stagnation) ke kumu o ka hypertension ma nā wāwae a me nā kuʻekuʻe wāwae a me ka leakage o ka wai inflammatory. Hoʻopili ʻia ka ʻeha o ka ʻiʻo me ka loaʻa ʻana o nā toxins a me ka nele o ka meaʻai a me ka hāʻawi oxygen. ʻO ka hopena i ko lākou luku ʻia (necrosis).

PalekanaEND_LINK

ʻO ka hoʻokolohua lapaʻau i hana ʻia e ka phlebologist e hiki ai ke hana i ka maʻi a nānā i ka paʻakikī o ka ʻeha. Hiki ke kiʻi ʻia nā ana a me nā kiʻi o ka ʻeha.

Pono ka ʻike o ka moʻolelo o ka mea maʻi (phlebitis, makahiki o nā veins varicose, etc.). 

Ke ʻimi pū nei ke kauka e hōʻoia ʻaʻole i pili ka pōʻino o ke aʻa i ke kumu o ka ʻeha. Hiki iā ia ke ʻimi i nā hōʻailona pili (e pili ana i ka ʻeha a me ka intermittent claudication), e ʻike i nā pulse arterial a e ana i ke kaomi ma ke kiʻekiʻe o ka kuʻekuʻe wāwae.

Venous echo-doppler 

Hoʻohana ʻia kēia hoʻāʻo kiʻi e nānā i ke kahe koko a nānā i kona wikiwiki. Hoʻohana ʻia ia e ʻike i ke kumu o ka ʻeha varicose. 

Nā hoʻāʻo hou

Hiki i nā hoʻokolohua like ʻole ke hoʻomaʻemaʻe i ka maʻi:

• nā hoʻāʻo koko,
• nā laʻana bacteria,
• biopsies…

Pili ka poʻe

Hoʻonui ka pinepine o ka maʻi venous me ka makahiki. Ma kekahi mau noiʻi ʻana, pili ka ʻeha wāwae (i hoʻopili ʻia he 9 mau manawa mai ka 10 i ka pōʻino venous), pili i ka 1% o ka heluna nui, 3% o nā 65 a me 5% o nā 80s.

Aia kahi maʻi wahine maʻamau o ka maʻi.

Nā mea pilikino

ʻO kēia ka poʻe o ka venous insufficiency:

• hoʻoilina,
• i nā wahine, ke kūlana hormonal,
• kūlana kū lōʻihi,
• hana kino ʻole,
• kaumaha nui,
• puhipaka,
• ʻike pinepine ʻia i ka wela (ʻauʻau wela loa, ka wela ma lalo o ka papahele, etc.)…

Hōʻike ʻia ka lawa ʻole o ka venous e nā ʻano hōʻailona like ʻole: nā wāwae kaumaha, ka edema, ka hele ʻana o nā veins spider (liʻiliʻi purplish venules ma ka ʻili) a i ʻole varicose veins, cramps, etc.

ʻO nā loli o ka ʻili ma mua o ka hoʻokumu ʻana o ka ʻeha varicose:

• ocher dermatitis
• he atrophy keʻokeʻo,
• hypodermatitis (ka ʻeha o nā dermis hohonu),
• varicose eczema (nā ʻāpana ʻulaʻula).

Ka ulu ʻana o ka ʻeha

Noho ka ʻeha varicose ma lalo o ke kuli, maʻamau ma ka kuʻekuʻe wāwae, ma kahi o ka malleolus. Hiki ke ʻike ʻia ma muli o ka ʻakaʻaka nui a i ʻole ka haʻalulu liʻiliʻi.

Māhā ka ʻili a lilo i lua me nā ʻaoʻao ʻokoʻa a ʻulaʻula, i kekahi manawa he mea kupanaha loa ke nānā aku.

Hoʻololi ke ʻano o ka ʻeha ma muli o ka pae o ka hoʻomohala ʻana:

• Hōʻike mua ʻia ka necrosis e kahi kala ʻeleʻele.
• I ka pae fibrous, uhi ʻia ka ʻeha me kahi uhi melemele a hoʻoheheʻe pinepine. He kiʻekiʻe ka pilikia o ka maʻi. He ʻōmaʻomaʻo ko nā ʻeha purulent.
• He paʻakikī ka hana ho'ōla. Loaʻa mua ia i nā ʻōpuʻu ʻiʻo, ma mua o ka hiki ʻana mai o ka epidermis e uhi i ka ʻeha.

Pono e hoʻomaopopo ʻia ʻo ka maʻi maʻi arterial e noho pinepine i ka wāwae, ma nā wahi o ka friction.

eha

ʻAʻole ʻeha loa nā ʻeha varicose. Hōʻike ka ʻeha nui i ka loaʻa ʻana o kahi mea arterial a i ʻole superinfection.

Mālama kūloko

Hana ʻia e kahi kahu hānai, pono e hoʻololi ʻia ka mālama kūloko i ka pae o ka ulu ʻana o ka maʻi maʻi. Pono ka ho'ōla i ka mālama mau (he mau manawa o ka pule) no nā manawa lōʻihi.

Hoʻomaʻemaʻe mua ʻia ka ʻeha, ma ke ʻano maʻamau me ke kopa a me ka wai a i ʻole ka hoʻohana ʻana i kahi solution betadine-type ke loaʻa ka ʻeha. Inā pono, hana ke kahu i kahi ʻōpala, ʻo ia hoʻi ka hoʻomaʻemaʻe hohonu me ka wehe ʻana i nā ʻōpala fibrinous.

Hoʻopau ʻia ka mālama ʻana ma ka haki ʻana o kahi lole kūpono, no ka laʻana:

• ʻaʻahu momona inā maloʻo ka ʻeha,
• nā lole hoʻoheheʻe (hydrocellular, alginates) i ka wā o ka exudation,
• nā lole hemostatic (alginates) inā he kahe ke koko,
• nā lole kālā inā loaʻa ka superinfection.

Ua ho'āʻo ʻia nā ʻaʻahu meli i ka mālama ʻana i nā maʻi ʻeha, akā ʻaʻole maikaʻi.

Hoʻopiʻi (ka hoʻopaʻa ʻana i ka venous)

Pono ka mālama ʻana i ke kumu o ka ʻeha varicose. Hoʻohana ʻia ka elastic compression e hōʻemi i ka edema kūloko a hoʻomaikaʻi i ka hoʻihoʻi venous. Hoʻololi ke kauka i kāna ʻōlelo kuhikuhi e like me ke ʻano o ka ho'ōla ʻana o ka ʻeha, ka hele ʻana a i ʻole ka ʻole o ka edema a me ka hoʻomanawanui o ka mea maʻi.

Aia nā mea like ʻole, pono e hoʻohana ʻia i 24 mau hola i ka lā, a i ʻole mai ka puka ʻana o ka lā a i ka napoʻo ʻana o ka lā:

• ʻO nā bandage multilayer (he mau pūʻulu superimposed) ka mea kūpono loa i ka hoʻomaka ʻana o ka mālama ʻana,
• Hāʻawi pinepine ʻia nā kāʻei elastic maʻalahi a i ʻole nā ​​​​stockings compression elastic ma ke ʻano he hana ʻelua.

Ka mālama ʻana i nā veins varicose

ʻO ka mea maʻamau e pono ai e pale i ka hoʻi hou ʻana, ʻo ka mālama ʻana i nā veins varicose e pili ana, ʻo ia hoʻi, ka sclerotherapy a me ka hōʻoki venous.

ʻO ka hoʻololi

Hiki ke hoʻopili ʻia ka ʻili i loko o ka pastilles a i ʻole mesh ke kūʻē ka maʻi varicose i ka mālama maʻamau no nā mahina ʻoi aku ma mua o 6.

Kākoʻo honua

Hoʻomaopopo ke kauka i ka hoʻopaʻa ʻana i ka lāʻau anti-tetanus. Hiki i ka hoʻokele ke hoʻokomo i nā hana hygieno-dietetic (kaua kūʻē i ke kaumaha nui a i ʻole undernutrition), mālama hoʻomaha ʻeha, hoʻokahe lymphatic i hana ʻia e kahi physiotherapist, etc.

Hoʻokumu ʻia ka pale ʻana i nā ʻeha varicose ma luna o nā loina like me ka lawa ʻole o ka venous.

He kuleana koʻikoʻi nā lula o ka maʻemaʻe o ke ola. Hoʻoikaika ka hana kino i ke kahe koko a pale i ke ʻano o nā veins varicose. Manaʻo mākou e hele ʻoe ma kahi o 30 mau minuke i ka lā, ʻekolu manawa i ka pule. ʻOi aku ka maikaʻi, ʻo nā haʻuki a pau e hana ana i nā keiki bipi (pakeke, hula, a me nā mea ʻē aʻe) e hoʻomaikaʻi i ka hoʻihoʻi venous.

ʻO nā hana ʻē aʻe (moe me ka piʻi ʻana o nā wāwae, pale i ka ʻauʻau wela loa, ka sauna, ka wela ma lalo o ka papahele, ka lōʻihi o ka ʻike ʻana i ka lā a i ʻole nā ​​lole paʻa e pale ai i ke kahe koko, a me nā mea ʻē aʻe). E makaʻala pū i ka huakaʻi ea!

E mālama pū mākou i kā mākou kapikala venous ma ka mālama ʻana i ke kaumaha olakino, ka ʻai ʻana i ka meaʻai kaulike a me ka pale ʻana i ka puhi paka.