I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kīʻaha koko koʻikoʻi loa i loko o ko mākou kino āu i lohe ʻole ai, akā ua kapa ʻia ʻo ia ʻo 'External Iliac Vein'. Aia ia ma loko o ko mākou pelvis, ʻo ia hoʻi, ma kahi o ka ʻūhā (pelvis). E nānā kākou i ke ʻano o ia mea, ka mea e hana ʻia iā ia, a me nā mea hiki iā mākou ke hana e mālama ai i kona olakino.
He aha nā aʻa iliac o waho?
I ka ʻōlelo maʻalahi, ʻo nā aʻa Iliac waho he mau kīʻaha koko nui i loaʻa i kou wahi pelvic. E noʻonoʻo iā lākou he mau aʻa koko e kōkua i ka lawe ʻana i ke koko i hoʻohana ʻia, nele i ka oxygen mai kou kino haʻahaʻa, ʻo ia hoʻi kou mau wāwae, i kou puʻuwai.
ʻO kēia nā hoʻonui ʻana o nā 'Femoral Veins', nā kīʻaha koko nui i loko o kou mau ʻūhā. ʻO ke ʻano kēia, hele mai ke koko nele i ka oxygen mai kou mau wāwae ma o kēia mau 'Femoral Veins' a hui pū me nā 'External Iliac Veins' i kona hele ʻana i luna i kou puʻuwai. Ua maopopo iā ʻoe?
He like anei nā ʻōpū iliac kūloko?
ʻAe, ma waho aʻe o nā `External Iliac Veins`, aia kekahi ʻōnaehana o nā aʻa i kapa ʻia ʻo `Internal Iliac Veins`. Hana like kēia mau mea ʻelua. Eia naʻe, ʻohi nui nā `Internal Iliac Veins` i ke koko nele i ka oxygen mai nā ʻōpū i loko o kou lua pelvic. ʻO ia hoʻi:
- Mai kou mau puʻupuʻu mai.
- Mai nā ʻōpū o waho.
- Ma ka ʻaoʻao o loko o nā ʻūhā.
- a me ka wahi ma waena o ka anus a me nā ʻōpū (ʻO Perineum).
No laila, ua hui pū kēia mau ʻaʻa Iliac o waho a me loko e hōʻiliʻili i ke koko nele i ka oxygen ma ka ʻāpana pelvic a me nā wāwae a hana i ala e hoʻouna aku ai i ka puʻuwai.
No laila he aha ka mea e hana me ka vein iliac waho?
He ʻāpana koʻikoʻi loa kēia mau ʻaʻa Iliac o waho o ka ʻōnaehana hoʻohele koko o ko kākou kino. ʻO kā lākou hana nui ka lawe ʻana i ke koko i nele i ka oxygen i ka puʻuwai. No hea mai kēia koko?
- Mai ke alo o kou ʻōpū a me kekahi o nā ʻōkana i loko o kou ʻōpū.
- Mai nā wāwae haʻahaʻa (ma lalo o ke kuli).
- Mai ka ʻāpana piko a me nā ʻōpū hānau.
ʻO ke koko nele i ka oxygen e hōʻiliʻili ana mai kēia mau wahi a pau e hele ana i ka ʻaoʻao ʻākau o ka puʻuwai ma o nā 'External Iliac Veins'.
ʻO ke koko haʻahaʻa oxygen paha kāu i manaʻo ai? ʻO ia anei ke ʻano o "ke koko polū"?
Ua lohe paha ʻoe i kekahi manawa e kapa ana ka poʻe iā ia he "koko polū" a i ʻole "koko nele i ka oxygen." ʻAʻole polū maoli ko mākou koko. Akā eia ke ʻano:
Ua hana ʻia kā mākou ʻōnaehana hoʻohele koko me nā aʻa, nā veins, a me nā kīʻaha koko liʻiliʻi ʻē aʻe. ʻO ka hapa nui o ka manawa, ʻo nā aʻa ke lawe i ke "koko maikaʻi" (koko ʻulaʻula), piha i ka oxygen a me nā meaʻai, ma ke kino holoʻokoʻa. ʻO kēia oxygen ka mea e pono ai kēlā me kēia cell a me nā ʻiʻo i loko o ko mākou kino e ola a hana.
No laila, ma hope o ka hoʻohana ʻana o nā ʻāpana o ke kino i kēia oxygen, e emi ana ka pae oxygen i loko o kēlā koko. ʻO ke koko nele i ka oxygen ka mea e hoʻi i ka puʻuwai ma o nā aʻa koko.Hoʻihoʻi ka puʻuwai i ke koko i nā māmā (ma o nā aʻa pulmonary) e kiʻi i ka oxygen hou. ʻO kēia koko deoxygenated i kekahi manawa ua kapa ʻia ʻo "koko polū" a i ʻole "koko ʻilihune oxygen." ʻO kēia paha ma muli o ke kala e hāʻawi ai ma lalo o ka ʻili i kona hele ʻana ma o nā aʻa koko.
Pehea e pili ai kēia mau aa Iliac i ka ʻōnaehana hoʻopuni koko?
He nīnau koʻikoʻi loa. Ma nā ʻaoʻao ʻākau a me hema o kou kino, aia kahi ʻauʻau ʻIliac o waho a me kahi ʻauʻau ʻIliac o loko. ʻOiai aia kēia mau mea ma kahi mamao iki aku mai ka puʻuwai, ua kapa ʻia lākou he mau ʻaʻa koko peripheral. Ma ka ʻaoʻao like me kēia mau ʻauʻau ʻIliac, aia nā ʻauʻau ʻIliac e lawe ana i ke koko i hoʻopiha ʻia me ka oxygen i lalo.
I kēia manawa, e nānā, ma ka ʻaoʻao haʻahaʻa loa o kou iwi kuamoʻo, kahi e hui ai ka sacrum me ka pelvis, ma ka hui Sacroiliac (SI), e hui pū kēia mau aʻa Iliac o waho a me loko e hana i nā aʻa iliac maʻamau ʻākau a hema .
A laila, ma kahi iki aʻe i luna, ma kahi o ka ʻelima o ka vertebra o kou iwi kuamoʻo, hui pū kēia mau aʻa Iliac maʻamau ʻākau a me hema e hana i ke aʻa nui loa i loko o ko mākou kino, ʻo ia ka Inferior Vena Cava. ʻO kēlā Inferior Vena Cava ka mea e lawe ana i ke koko nele i ka oxygen mai ke kino haʻahaʻa a i ka atrium ʻākau o ka puʻuwai. ʻAʻole anei he mīkini kupaianaha?
ʻAuhea ka loaʻa ʻana o nā aʻa iliac o waho?
Aia kēia mau ʻaʻa Iliac o waho i loko o kou pelvis. E like me ka mea i ʻōlelo ʻia ma mua, he hoʻonui ʻia lākou o nā ʻaʻa Femoral i loko o kou mau ʻūhā. I mea e pololei ai:
- Hoʻomaka kēia ma lalo o kou piko, ma hope o ʻelua mau ʻāpana o nā ʻiʻo i kapa ʻia ʻo Inguinal Ligaments ma kou ʻāpana groin. Hoʻopili kēia ligament i kou mau ʻiʻo ʻōpū i kou pelvis.
- A laila hele kēia mau aa koko i luna e like me nā Iliac Arteries, e lawe ana i ke koko i hoʻopiha ʻia me ka oxygen i nā wāwae, ka ʻāpana pelvic, a me nā ʻōpū hānau.
- Holo ia ma ka ʻaoʻao o luna o kou pelvis (pelvic brim) a i ka sacrum.
- Ma kēia huakaʻi, hele ka mimi ma o nā ʻōmole e lawe i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi ('ureters') a me nā vas deferens i nā kāne a i ʻole nā ovaries i nā wahine.
- ʻO ka hope loa, hui pū nā ʻAla Iliac Kūloko e hana i nā ʻAla Iliac Maʻamau, a ʻo ia hoʻi ka mea e hana ai i ka ʻVena Cava Haʻahaʻa.
Aia kekahi mau aa koko liʻiliʻi ʻē aʻe e hōʻiliʻili i ke koko mai nā aa koko iliac o waho?
ʻAe, hōʻiliʻili kekahi mau aa koko liʻiliʻi ʻē aʻe i ke koko deoxygenated i loko o nā 'External Iliac Veins'. Eia kekahi mau laʻana:
- ʻO ka aʻa epigastric haʻahaʻa : Hōʻiliʻili kēia i ke koko mai nā ʻiʻo ʻōpū mua ma luna o ka ligament inguinal.
- ʻO ka ʻaʻa Iliac Circumflex Deep : Hele kēia ma o ka ʻAʻa Iliac External a hōʻiliʻili i ke koko mai ka ʻAʻa Iliac External.
- ʻO ke aʻa pubic : Hōʻiliʻili i ke koko mai ka ʻāpana piko.
He aha nā kūlana e hiki ke hoʻopilikia i nā veins iliac o waho?
ʻO ka mea pōʻino, aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i kēia mau aa koko koʻikoʻi. E makaʻala pū kākou i kēlā.
1. ʻO ka Thrombosis Vein Hohonu (DVT)
He kūlana kēia i lohe ʻia e ka poʻe he nui, a hiki ke lilo i mea koʻikoʻi iki. ʻO ka 'Deep Vein Thrombosis' a i ʻole 'DVT' ka wā e hana ʻia ai kekahi a ʻoi aku paha nā ʻōpū koko i loko o kahi aa hohonu i kou mau wāwae. Hiki i kēia ʻōpū koko ('thrombus') ke ālai piha a hapa paha i ke kahe o ke koko ma o ka aa.
He mea nui: ʻAʻole paha e hoʻoweliweli koke ʻia ke ola o kahi ʻūpā koko (`Trombus`) ma ka wāwae. Eia nō naʻe, pono e mālama koke ʻia e hoʻoheheʻe i ke ʻūpā koko. A i ʻole, hiki ke hemo a lilo i `Embolus` e hele ana ma ke kahe koko.
2. Nā ʻūpā koko e hele ana i nā māmā (Pulmonary Embolism)
Hiki i kēia ke lilo i hopena weliweli loa o kahi 'DVT'. Inā haki kahi ʻūpā koko 'DVT' i hana ʻia ma ka wāwae, hele i luna i ke kahe koko, a paʻa i loko o nā aʻa e lawe ana i ke koko i nā māmā ('Pulmonary Arteries'), ua kapa ʻia kēlā ʻo 'Pulmonary Embolism'.
He kūlana weliweli loa kēia. No ka mea, emi iho ka nui o ke koko a me ka oxygen e hiki ana i nā māmā, a piʻi aʻe ke kaomi i loko o nā aʻa pulmonary. Hiki i kēia ke hōʻino i ka puʻuwai a me nā māmā. He pilikia kēia e pono ai ke kōkua koke ʻia e ke kauka.
3. Ka lawa ʻole o nā aʻa mau loa (CVI)
He mau kiwikā liʻiliʻi ko loko o nā aʻa koko wāwae olakino. Kōkua kēia i ke koko nele i ka oxygen e hoʻi i ka puʻuwai, ʻo ia ka ʻaoʻao o luna o ke kino, ma kahi o ke kahe ʻana i lalo. Eia naʻe, inā ua hōʻino ʻia kēia mau kiwikā, hoʻomaka ke koko e kahe i lalo. Hiki i kēia ke hoʻoulu i ke koko e hōʻiliʻili ma nā wāwae haʻahaʻa, e hoʻoulu ai i ka pehu, ke kaumaha, a me ka ʻeha. Ua kapa ʻia kēia ʻo 'Chronic Venous Insufficiency (CVI). ʻO ka 'DVT', ke koko kiʻekiʻe, nā puʻupuʻu pelvic, a me nā malformations vascular hiki ke hana i ka 'CVI'.
4. ʻO ka maʻi Mei-Thurner
Ua kapa ʻia hoʻi kēia ʻo `Iliac Vein Compression Syndrome`. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka hoʻopili ʻia ʻana o ka `Iliac Artery` ʻākau (artery) a me ka `Iliac Vein` hema (vein) i ke kuamoʻo. Ke kaomi ʻia kēia, ʻaʻole hiki ke kahe pono ke koko ma o kēlā aa koko i ka puʻuwai. Hiki i ke koko ke hōʻiliʻili ma kahi hoʻokahi a hoʻoulu i ka pehu ʻana o nā wāwae, a i kekahi manawa hiki ke loaʻa pū ka `DVT`.
Pehea e mālama ai i ke olakino o koʻu mau veins iliac waho?
ʻO ka mea pōmaikaʻi, aia kekahi mau mea hiki iā mākou ke hana e mālama i kēia mau aa koko koʻikoʻi a hōʻemi i ka pilikia o nā ʻūpā koko.- Mai noho ma ke kūlana hoʻokahi no ka lōʻihi loa. E hōʻemi i ke kū ʻana a me ka noho ʻana no ka lōʻihi loa. Hoʻonui kēia i ka pilikia o ke koko. E ala a hele a puni a neʻe a puni ma ka liʻiliʻi hoʻokahi manawa i ka hola inā hiki. E ho'āʻo e hana kino i ka hapa nui o nā lā o ka pule.
- E ʻai i ka meaʻai olakino no ka puʻuwai. E ʻai i nā meaʻai momona haʻahaʻa i ka momona a me ka cholesterol. E mālama i ke kaumaha olakino.
- E hoʻokele i ke kaumaha. E hoʻomaha i kou noʻonoʻo me nā mea e like me ka noʻonoʻo ʻana a i ʻole ka hele wāwae ʻana me kahi hoaaloha.
- E kāohi i nā maʻi e hōʻino ana i nā kīʻaha koko. Inā loaʻa iā ʻoe nā maʻi e like me ka 'Diabetes Mellitus', ke koko kiʻekiʻe, a me nā pae cholesterol kiʻekiʻe, e kāohi pono iā lākou e like me ke aʻo ʻana a ke kauka.
- E hoʻōki loa i ka puhipaka a me nā huahana paka. ʻO ka hoʻohana ʻana i ka paka e hōʻino i nā aʻa a me nā aʻa koko.
- E ʻaʻahu i nā kāmaʻa hoʻopaʻa inā ʻōlelo kāu kauka. Kōkua kēia i ka pale ʻana i ke koko mai ka hōʻiliʻili ʻana i loko o kou mau wāwae a me ka hana ʻana i nā ʻūpā koko.
Āhea ʻoe e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona i helu ʻia ma lalo nei, e ʻoluʻolu e ʻike koke i ke kauka. I kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi maʻi koʻikoʻi.
- ʻEha nui a wehewehe ʻole ʻia ma ka umauma, poʻohiwi, kua, a i ʻole ka ʻauwae.
- Inā ʻoe e ʻū ana i ke koko .
- Inā pilikia ʻoe i ka hele ʻana, a inā ʻeha ʻoe i ka wā e hele ana a hiamoe paha.
- Inā ʻike ʻoe i ka dizziness a i ʻole ka nāwaliwali (syncope).
- Inā he pehu ('Edema') a i ʻole ke kala ʻana o nā wāwae.
- Inā ʻoe e hou nui.
- Inā wikiwiki ka puʻuwai.
- Inā he mau ʻeha e ho'ōla ʻole ana ma kou mau wāwae a mau wāwae paha.
- Inā lilo ka ʻili i keʻokeʻo, anu, a lilo i kala polū.
- Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka wheezing.
Leka Lawe-Home
ʻO nā ʻaʻa Iliac o waho he ʻōnaehana o nā aʻa e lawe ana i ke koko nele i ka oxygen mai nā ʻāpana haʻahaʻa o ko mākou kino i ka puʻuwai. Hoʻohui lākou me nā ʻaʻa Femoral a me nā ʻaʻa Iliac o loko e hana i ka ʻaʻa Inferior Vena Cava, ʻo ia ke aʻa nui loa o ko mākou kino.
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ʻO nā ʻūpā koko i loko o nā aʻa koko hohonu o nā wāwae (DVT) a me kēlā mau ʻūpā e hele ana i nā māmā (Pulmonary Embolism) hiki ke alakaʻi i nā kūlana weliweli. No laila, he mea nui loa ia no kou olakino e ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e pili ana i nā aʻa koko. ʻO ka hahai ʻana i kahi nohona olakino hiki ke pale i kēia ʻōnaehana venous.
E hoʻomanaʻo, he mea nui e mālama i kou kino a e makaʻala i nā hōʻailona. ʻO ka ʻike i kou olakino ke ala maikaʻi loa e ola ai i kahi ola olakino.
ʻAʻa Iliac Waho, ʻAʻa Iliac Kūloko, Pelvis, Nā Aʻa, Kaʻapuni Koko, DVT, Pulmonary Embolism, Nā ʻAʻa Koko, Pehu ʻana o ka Wāwae, Maʻi Aʻa











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