ʻO ke kilokilo e hāʻawi ana i ke ola i ko mākou mau wāwae! Nā mea āpau e pili ana i ka Femoral Artery

Ua noʻonoʻo paha ʻoe pehea e loaʻa ai i kou mau wāwae ka ikaika a me ke ola nui ke piʻi ʻoe i kahi alapiʻi a i ʻole e hele wāwae lōʻihi me kāu ʻīlio? I kēia lā e kamaʻilio mākou e pili ana i kahi kīʻaha koko koʻikoʻi e kōkua iā mākou e holo, lele, a hula, a hāʻawi i ke ola i ko mākou kino haʻahaʻa, ʻoiai ko mākou mau wāwae. ʻO ia ka Femoral Artery , a i ʻole ma Sinhala , ke aʻa nui o ka ʻūhā . Ua like kēia me kahi paipu nui e hoʻolako i ka wahie i ko mākou mau wāwae.

He aha ka hana a kēia mea i kapa ʻia ʻo ke aʻa femoral?

I ka ʻōlelo maʻalahi, ʻo kou aʻa femoral a me nā lālā liʻiliʻi e lālā ana mai ia mea e hoʻolako i ke koko i kou kino haʻahaʻa, mai kou ʻōpū haʻahaʻa a i kou mau manamana wāwae. E noʻonoʻo wale, pono nā ʻiʻo a me nā ʻiʻo āpau i loko o ko mākou kino i ka oxygen a me nā meaʻai e hana ai. E like me kā mākou mau kaʻa e pono ai ka ʻaila a me ka diesel. ʻO kēlā koko waiwai nui i ka oxygen, maʻemaʻe, piha i nā meaʻai, lawe ʻia mai ka puʻuwai a puni ke kino e nā aʻa, a i ʻole nā ​​aʻa. No laila, hana pū kēia aʻa femoral i kēlā lawelawe, ʻoi aku hoʻi no ko mākou mau wāwae.

Holo kokoke loa kēia aʻa femoral, a i ʻole e like me kekahi aʻa nui ʻē aʻe. Kāhea mākou iā ia ʻo ke aʻa femoral . ʻO ke aʻa he aʻa e lawe ana i ke koko lepo, ʻo ia hoʻi, ke koko i hoʻohana ʻia, nele i ka oxygen i ka puʻuwai. No laila, hana pū kēia mau mea ʻelua, ʻo ke aʻa femoral a me ke aʻa femoral , e like me nā hoahānau e mālama i ke kahe koko kūpono i loko o ko mākou mau wāwae.

Aia i hea ke aʻa femoral?

ʻAe, i kēia manawa e nānā kākou i kahi kūpono o kēia aʻa femoral i loko o ko kākou kino. Ma ke poʻo o kou ʻūhā, ma lalo pono o ka ʻūhā, kahi e pau ai kou ʻōpū a hoʻomaka ai kou mau wāwae, aia kahi liʻiliʻi o ka huinahā. I ka lāʻau lapaʻau, kapa mākou iā ia ʻo 'femoral triangle' . ʻO ia kahi e hoʻomaka ai kēia aʻa femoral. E hoʻomaka ana mai laila mai, hele pololei ia i lalo o ka ʻūhā a hoʻopau ma hope o ke kuli. Kokoke i ke kuli, lilo kēia aʻa femoral i inoa ʻē aʻe, ʻo ia hoʻi ka 'popliteal artery' a iho i lalo.

He aha nā ʻāpana nui o ke aʻa femoral?

ʻOiai he ʻōmole lōʻihi hoʻokahi ke aʻa femoral, he nui nā ʻāpana nui a me nā lālā e lālā ana mai o lākou aku, e like me nā lālā e lālā ana mai ke kumu o kahi lāʻau nui.

ʻO ke aʻa Femoral maʻamau

ʻO kēia ka ʻāpana mua o ke aʻa femoral. Hoʻomaka ia ma ke ʻano he hoʻonui ʻana o ka 'External Iliac Artery' i loko o ko kākou pelvis . He nui nā lālā liʻiliʻi e māhele ana mai kēia ʻāpana a hoʻolako i ke koko i ka paia ʻōpū haʻahaʻa, ka ʻāpana groin, a me nā ʻiʻo a puni. No ka laʻana,He mau lālā kona i kapa ʻia ʻo ka Superficial Circumflex Artery, ka Superficial External Pudendal Artery , a me ka Superficial Inferior Epigastric Artery .

ʻO ke aʻa Femoral hohonu

He aʻa kēia e lālā ana mai ke aʻa femoral maʻamau i ʻōlelo ʻia ma luna aʻe a hele hohonu iki. ʻO kekahi inoa no kēia ʻo ke aʻa femoris profunda . E lālā pū ana hoʻi ia i nā lālā ʻē aʻe, e like me ke aʻa circumflex medial a me ke aʻa circumflex lateral . Hoʻolako kēia aʻa femoral hohonu i ke koko i ko kākou femur, ka ʻūhā, nā puʻupuʻu, a me nā ʻiʻo hohonu o ka ʻūhā.

ʻO ke aʻa Femoral Superficial

ʻO kēia ka ʻāpana e iho ana ma hope o ke aʻa femoral maʻamau. ʻOiai ke ʻōlelo nei ka inoa "surficial", aia maoli ia ma kahi hohonu iki. Hoʻolako ia i ke koko i nā ʻāpana haʻahaʻa o ka wāwae, ʻo ia hoʻi, nā ʻiʻo ma ke alo o ka ʻūhā a me kahi ʻāpana o ke kuli.

ʻEhia ka nui o ke aʻa femoral?

ʻO ke Kumu Femoral maʻamau, ka mea i ʻōlelo ʻia ma mua, he ʻehā kenimika ka lōʻihi (ma kahi o hoʻokahi ʻīniha a me ka hapa). A laila, iho nā ʻāpana hohonu a me nā ʻāpana ma luna o ka wāwae i lalo. Hiki ke ʻokoʻa ke anawaena, a i ʻole ka mānoanoa, o kēia kumu mai kēlā kanaka a kēia kanaka. He ʻokoʻa iki ia me nā mea e like me ke kāne, ke kaumaha, ke kiʻekiʻe, a me ka lāhui. Akā, ʻo ka maʻamau, ma waena o 7 a me 8 millimeters (ma kahi o ka hapahā o ka ʻīniha) ka mānoanoa.

ʻO ke anawaena nui o ke aʻa femoral maʻamau e lilo ia i mea pono i kekahi mau kaʻina hana lapaʻau, ʻoi aku hoʻi nā kaʻina hana endovascular . Hiki i ke kauka lapaʻau ke hoʻokomo i kahi ʻōmole lahilahi a palupalu, i kapa ʻia he catheter , ma o ke aʻa femoral e hiki ai i nā kīʻaha koko ʻē aʻe i loko o ke kino, ʻoi aku hoʻi nā mea kokoke i ka puʻuwai.

He aha nā papa o ka paia o ke aʻa femoral?

E like me nā aʻa ʻē aʻe a pau i loko o ko mākou kino, ua hana ʻia ka paia o ke aʻa femoral i ʻekolu papa nui:

• ʻO Tunica intima: ʻO kēia ka papa o loko loa. ʻO kēia ka mea e kōkua ai i ke kahe mālie o ke koko me ka ʻole o ka paʻa ʻana. Kōkua pū ia i ka hoʻomalu ʻana i ke koko , pale i ke kāpili ʻana o ke koko, a pale i ka hōʻiliʻili ʻana o nā mea ʻawahia i loko o ke koko.
• Media: ʻO kēia ka papa waena. He palupalu iki ia. No laila, kōkua ia i ke koko e kahe i hoʻokahi ʻaoʻao. ʻO kēia papa i kapa ʻia ʻo media e kōkua i nā kīʻaha koko e ʻuʻuku a hoʻonui e like me ka mea e pono ai.
• ʻAvetikia:ʻO kēia ka papa waho loa. Hāʻawi ia i nā kīʻaha koko i ko lākou ʻano a me ka ikaika. Loaʻa i kēia papa nā kīʻaha koko liʻiliʻi, e hoʻolako ana i nā paia o ke aʻa femoral me ka oxygen a me nā meaʻai.

He aha nā kūlana maʻamau e hoʻopilikia ai i ke aʻa femoral?

ʻO ka mea pōʻino, hiki i ko mākou aʻa femoral ke loaʻa i nā maʻi like ʻole. ʻO nā mea nui:

• ʻO ka maʻi ʻaʻai Peripheral (PAD): ʻO kēia ke ʻano maʻamau e hoʻopilikia ana i ke aʻa femoral. Hoʻokumu ʻia ia e ka hōʻiliʻili ʻana o nā waihona momona (i kapa ʻia hoʻi he atheroma plaques) i loko o nā paia o ke aʻa, kahi e hoʻohaiki ai i ke aʻa.
• Nā ʻūpē koko: Hiki i kahi ʻūpē koko ke hana i loko o kahi aʻa a paʻa.
• Aneurysms : ʻO kēia ka wā e nāwaliwali ai ka paia o ke kīʻaha koko a puʻupuʻu e like me ka pōpō. Hiki i kēia ke pahū, he mea weliweli loa ia.

He aha nā ʻano maʻamau o kēia mau kūlana?

Inā he pilikia me kou aʻa femoral, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• ʻEha a me ka luhi ma nā wāwae, ʻoiai nā keiki bipi, i ka wā e hele ana. Hoʻomaha iki kēia ma hope o kahi hoʻomaha pōkole.
• Pehu ka wāwae, a i ʻole e like me he mea lā he kaomi i loko o ka wāwae.
• ʻO nā ʻeha ma nā wāwae, ʻoi aku hoʻi nā wāwae, he lōʻihi ka manawa e ho'ōla ai.
• Hoʻololi ke kala o ka ʻili ma ka wāwae (lilo i ke keʻokeʻo, me he mea lā e polū ana).
• Manuʻa nā wāwae, a i ʻole ke anuanu nei nā wāwae.

Mea nui: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻike i ke kauka. He mea nui loa ka mālama ʻana i kēia mau mea ma mua o ko lākou lilo ʻana i mea koʻikoʻi.

Nā hoʻokolohua maʻamau e nānā i ke olakino o ke aʻa femoral

Ma waho aʻe o ke kauka e nānā iā ʻoe, hiki ke hana ʻia nā hoʻokolohua aʻe e hoʻoholo ai i ke kūlana pololei o ke aʻa femoral:

• ʻIkepili kuʻekuʻe wāwae-brachial (ABI): Ke ana kēia i ke koko ma ka wāwae a me ka lima.
• Ka hoʻopaʻa ʻana o ka nui o ke koko: Ke ana i ka nui o ke koko e kahe ana ma ka wāwae.
• ʻO ke kani ʻana o ka Doppler ultrasound: He scan kēia e hiki ke nānā i ke ʻano o ke kahe ʻana o ke koko i loko o nā kīʻaha koko a inā he mau mea e ālai ana.
• CT angiogram (Computed Tomography Angiogram): He scan kūikawā nō hoʻi kēia. Hiki iā ia ke kiʻi i nā kiʻi kikoʻī o nā kīʻaha koko.
• MRA (Magnetic Resonance Angiogram): He scan kēia e hoʻohana ana i nā nalu magnetic.
• Hoʻāʻo D-dimer: Hana ʻia kēia hoʻāʻo koko inā he kānalua no nā ʻōpū koko.

He aha nā lāʻau lapaʻau no ke aʻa femoral?

ʻOkoʻa nā koho lapaʻau ma muli o ka pilikia me ke aʻa femoral. ʻO kekahi mau lāʻau lapaʻau maʻamau:

• Nā lāʻau lapaʻau: Nā lāʻau lapaʻau no ke koko kiʻekiʻe ( nā lāʻau antihypertensive ), nā lāʻau hoʻokahe koko , a me nā lāʻau hoʻohaʻahaʻa cholesterol.
• Hana kino: E hoʻoikaika kino e like me ke kuhikuhi a ke kauka.
• Angioplasty: Pili kēia i ke kau ʻana i kahi pōpō liʻiliʻi i loko o ke aʻa i paʻa a hoʻopiha iā ia e hoʻonui i ke aʻa. I kekahi manawa hoʻokomo ʻia kahi ʻano liʻiliʻi e like me ka mesh i kapa ʻia he stent e pale aku ai i ka paʻa hou ʻana.
• ʻO ke ʻoki ʻoki ʻana i ke aʻa peripheral: He ʻoki ʻana e hana ai i kahi ala hou no ke kahe ʻana o ke koko a puni kahi aʻa i paʻa.
• Wehe ʻana i kahi ʻūpā koko a i ʻole nā ​​waihona momona (plaque) ma ke ʻoki ʻana.
• Inā he aneurysm, hoʻoponopono ʻia ma ke ʻoki ʻana.

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu aʻa femoral?

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana." ʻO ia hoʻi, ʻoi aku ka maikaʻi o ka pale ʻana i kahi maʻi ma mua o ka mālama ʻana ma hope o kona hiki ʻana mai. No laila, eia kekahi mau mea hiki iā ʻoe ke hana e mālama ʻaʻole wale i ke aʻa femoral, akā i nā kīʻaha koko ʻē aʻe a pau o ko mākou kino:

• ʻAi olakino: E ʻai i ka ʻai haʻahaʻa i ka paʻakai, ka cholesterol, a me ka momona paʻa, a kiʻekiʻe i nā huaʻai a me nā mea kanu.
• Hoʻoikaika kino mau: E hana i kekahi mea e like me ka hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
• E kāohi i kou koko: Inā he koko kiʻekiʻe kou, e lawe pono i kāu lāʻau lapaʻau a e hahai i nā ʻōlelo a kāu kauka.
• E hōʻalo i ka hoʻohana ʻana i nā huahana paka: He mea ʻino loa ka puhipaka i nā kīʻaha koko.
• E hōʻemi i ka inu ʻona: E noho mamao mai ka waiʻona i ka hiki.
• E mālama i nā pae kō koko olakino: Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono iā ia.
• E mālama i ke kaumaha o ke kino olakino.

He aha ka mea e hana ʻia inā ua ālai loa ʻia ke aʻa femoral?

He pilikia olakino ka paʻa koke ʻana o ke aʻa femoral. Inā hana ʻia kēia, pono ʻoe e hele koke i ka haukapila. Hiki i nā hōʻailona ke komo pū me:

• Ua mae koʻu mau wāwae, ʻaʻole hiki iaʻu ke hoʻoneʻe iā lākou.
• Ke ʻūlū nei koʻu mau wāwae.
• He ʻeha nui koʻu mau wāwae, ʻaʻole hiki ke hoʻomanawanui.
• Ua anu koke ka wāwae e like me ka hau.
• Ua mae koke ka ʻili o ka wāwae a i ʻole ua uliuli.

I ka hala ʻana o ka manawa, i ka wā e emi mālie ai ke aʻa, hiki iā ʻoe ke ʻike i ka ʻeha a me ka luhi i ka wā e hele ana, hiki ke manaʻo e like me kou lauoho e hāʻule ana. I kekahi mau hihia koʻikoʻi, inā ua ālai ʻia kahi aʻa e hoʻolako ana i ke koko i ka wāwae no ka manawa lōʻihi, hiki i nā ʻiʻo ke make i ka nele o ka oxygen. Inā hana kēlā, pono paha ʻoe e ʻoki ʻia kou mau manamana wāwae, nā wāwae, a i ʻole kou wāwae holoʻokoʻa ( amputation) . ʻO ia ke kumu he mea nui loa ka makaʻala i kēia.

He aha ka mea e hana ʻia inā ʻoki ʻia a hōʻino ʻia paha ke aʻa femoral?

He aʻa nui ke aʻa femoral, no laila inā ʻeha a ʻoki ʻia paha, hiki ke kahe nui ke koko. He pilikia olakino nō hoʻi kēia. Inā loaʻa koke ka lāʻau lapaʻau, hiki i nā kauka ke hoʻoponopono i ke aʻa femoral a hoʻōla i ka wāwae. Eia nō naʻe, inā ʻoki ʻia ke kahe koko i ka wāwae, make ke kino me ka ʻole o ka oxygen, a hiki ke nalowale ka wāwae, a hiki i ke kahe nui ʻana ke hoʻoweliweli i ke ola.

He aha ke ʻano o ka ʻeha o ke aʻa femoral?

Ke ālai ʻia ke aʻa femoral, ʻaʻole lawa ka oxygen i nā ʻiʻo a puni, kahi e hōʻeha ai. I ka wā e ālai mālie ʻia ai ke aʻa, ʻike mua ʻia ka ʻeha i ka wā o ka hoʻoikaika kino (e like me ka hele wāwae). Ma hope mai, hiki nō hoʻi ke ʻeha ke hāpai ʻia ka wāwae i ka pō. Eia nō naʻe, inā ālai koke ʻia ke aʻa, ʻoi aku ka ʻino o ka ʻeha. Hiki i kēia ʻeha ke like me ke ʻūlū ʻana o kekahi i loko o ka wāwae, a i ʻole me he mea lā e huki ʻia ana ka lauoho. Hiki nō hoʻi ke hele pū me ka mae ʻole, ka mae, a me ka paʻakikī i ka neʻe ʻana i ka wāwae.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

ʻAʻole paha mākou e noʻonoʻo nui e pili ana i ke aʻa femoral i ko mākou ola o kēlā me kēia lā, akā inā ʻeha kou wāwae i kou hele ʻana, ma muli paha ia o kahi pilikia me kou aʻa femoral. Inā paʻa kēia kīʻaha koko nui, e emi ana ka nui o ke koko e hiki ana i kou mau wāwae.

Akā, aia ka nūhou maikaʻi! Ma ke kāohi ʻana i kou koko koko, ka noho ʻana i ka hana, ka ʻai ʻana i ka meaʻai momona, ka mālama ʻana i ke kaumaha olakino, ke kāohi ʻana i kou maʻi diabetes, a me ka haʻalele ʻana i ka puhipaka, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o nā pilikia o ke aʻa femoral. Aia kou olakino i kou mau lima! No laila, e noʻonoʻo e pili ana i kou mau wāwae. Hāpai lākou iā ʻoe i nā wahi a pau!

ʻAʻa femoral , aʻa femoral, nā kīʻaha koko, ʻeha wāwae, PAD, nā ʻūpā koko, olakino