Ua ʻike anei ʻoe e pili ana i kēia kīʻaha koko ma hope o ke kuli (Popliteal Artery)? Pehea kona hopena i nā pilikia o nā wāwae!

I kēia lā, e kamaʻilio kākou e pili ana i kahi ʻāpana o ko kākou mau wāwae he mea nui loa ia no ko lākou olakino, akā hoʻokahi a kākou e hoʻopoina pinepine ai. He kīʻaha koko ia i kapa ʻia ʻo Popliteal Artery . ʻAʻole paha ʻoe i lohe i ia mea. Akā, he mea nui ia no ka lako koko kūpono i kou wāwae haʻahaʻa, ma hope o kou kuli. No laila, e nānā kākou i ke ʻano o ia mea, nā pilikia e hiki ai ke hana, a pehea e mālama ai i kona olakino.

He aha ke Alanui Popliteal? Aia lākou ma hea?

I ka ʻōlelo maʻalahi, ʻo ke Popliteal Artery kahi kīʻaha koko nui i loko o kou mau wāwae. I ka pololei, he lālā ia o ke kīʻaha koko nui i loko o kou ʻūhā i kapa ʻia ʻo Femoral Artery . Hoʻomaka ia ma waenakonu o kou ʻūhā, a laila hele ma hope o kou kuli, a lawe i ke koko i kou wāwae haʻahaʻa. Hiki iā ʻoe a i ʻole ke kauka ke manaʻo i ka Popliteal Pulse ma ke kau ʻana i kou lima ma hope pono o kou kuli.

Loaʻa i ko mākou mau wāwae ʻelua, ʻo ia hoʻi ka wāwae ʻākau a me ka wāwae hema, kēia aʻa popliteal.

E māhele hou aku anei kēia aʻa koko?

ʻAe, ma lalo o ke aʻa kuli, māhele ʻia ke aʻa popliteal i nā lālā liʻiliʻi. ʻO nā mea nui, ʻo ia ke aʻa tibial mua a me ke kumu tibioperoneal (i kekahi manawa i kapa ʻia ʻo ke kumu tibiofibular ). ʻO ke kumu tibioperoneal ka mea e lawe i ke koko i ke kua o kou shin a me ka iwi liʻiliʻi ma waho o kou wāwae (ka fibula).

Hoʻomaka kēia mau kīʻaha koko liʻiliʻi ma kēia ʻano, a i ka hopena e hui pū lākou e hāʻawi i ke koko piha i kou mau wāwae. E noʻonoʻo iā ia e like me kahi lāʻau e hoʻomaka ana mai ke aʻa e lawe i ka wai i nā lau.

He aha ke koʻikoʻi o ke aʻa popliteal?

He ʻāpana koʻikoʻi loa ka Popliteal Artery o ka ʻōnaehana kaʻapuni o ko kākou kino. Hāʻule ia ma lalo o ka māhele o nā aʻa peripheral . ʻO ia hoʻi, nā aʻa e lawe ana i ke koko mai ka puʻuwai a i nā ʻāpana o ke kino i mamao loa.

ʻO ke koko ka mea nui e hoʻolako ʻia e ka Popliteal Artery:

• ʻO ka iwi liʻiliʻi ma ke kua o kou wāwae (`Fibula`).
• ʻO ka lua ma hope o ke ami kuli a me ke poʻo kuli (`Popliteal Fossa`).
• I nā ʻiʻo a me nā aʻalolo ma ka wāwae lalo.
• Ka iwi nui ma loko o ka wāwae (`Tibia`).
• Eia kekahi, no nā kuʻekuʻe wāwae a me nā wāwae.

No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o ke Arterial Popliteal i ka hana olakino o ko mākou mau wāwae. Inā he pilikia me kēia, hiki ke emi ke kahe o ke koko i nā wāwae.

He aha nā maʻi e hoʻopilikia ai i kēia mau aʻa?

ʻO ka mea pōʻino, hiki ke hoʻopilikia ʻia ka Popliteal Artery e nā ʻano maʻi like ʻole. E nānā kākou i ke ʻano o lākou:

• ʻO ka maʻi Cystic Adventitial: He ʻano kēia e hana ʻia ai kahi cyst i loko o ka paia o ke aʻa popliteal. Hoʻohaiki kēia i ke kahe koko a hōʻemi i ke kahe koko. I ka hala ʻana o ka manawa, hiki i ke aʻa ke lilo i haiki (Popliteal Artery Stenosis). ʻOi aku ka maʻamau o kēia i nā kāne . Hiki iā ʻoe ke ʻeha ma ka wāwae haʻahaʻa, ʻoiai ke hele wāwae a hoʻoikaika kino paha. Hoʻonui mālie kēia ʻeha. Kāhea mākou i kēia hōʻailona ʻo Intermittent Claudication .

• ʻO ka Popliteal Artery Aneurysm: ʻO ka aneurysm kahi ʻāpana nāwaliwali o ka paia o ke aʻa e puʻupuʻu ana e like me ka pōpō. Hoʻonāwaliwali kēia puʻupuʻu i ka paia o ke aʻa a ʻoi aku ka pahū. Inā ulu kahi aneurysm i loko o ke aʻa popliteal, hiki ke hana ʻia kahi ʻūpā koko i loko. Inā ālai loa ke ʻūpā i ke kahe ʻana o ke koko, pono paha e ʻoki ʻia ka wāwae haʻahaʻa inā ʻaʻole ʻike ʻia a mālama ʻia i ka manawa. ʻO ka Popliteal Artery Aneurysm ka lua o ke ʻano maʻamau o ka aneurysm ma hope o ka Abdominal Aortic Aneurysms. Loaʻa pinepine kēia ʻano i nā kāne.

• ʻO ka Popliteal Artery Entrapment Syndrome (PAES): ʻO kēia ka wā e ʻomi ai nā ʻiʻo a me nā tendons ma ka ʻāpana kuli i ke aʻa popliteal. Hoʻoulu kēia i ka ʻeha ʻiʻo a me nā ʻūpā ma ka ʻāpana kuli i ka wā o ka hana kino, e like me ka hele wāwae. Ua kapa ʻia kēia he intermittent claudication . ʻIke pinepine ʻia kēia ʻano, i kapa ʻia ʻo PAES, i nā mea pāʻani, ʻoi aku hoʻi i nā mea pāʻani kāne ma lalo o 30 makahiki. E noʻonoʻo e like me ke ʻomi ʻana i kahi paipu wai a hoʻōki i ke kahe ʻana.

• ʻO ka maʻi Popliteal Artery Atherosclerotic: ʻO kēia ka mea a ka poʻe he nui i lohe ai. Hoʻokumu ʻia ia e nā waihona momona (plaque) a me nā clots koko e hana ana i loko o nā aʻa, e hoʻohaiki ana a ālai ana iā lākou (occlusions). Hiki i kēia ke alakaʻi i ka emi ʻana o ke kahe koko, gangrene (make ʻana o nā ʻiʻo), a me ka hoʻonui ʻia o ka pilikia o ka ʻoki ʻana. E like me nā maʻi arterial peripheral occlusive ʻē aʻe, ʻoi aku ka nui o ka ulu ʻana i nā mea puhi paka, nā maʻi diabetes, nā poʻe ma luna o 65 mau makahiki, a me ka poʻe me ka cholesterol kiʻekiʻe.

• ʻO ke kahe koko o Popliteal Artery: He ʻeha koʻikoʻi i ke kuli, no ka laʻanaMa muli o kekahi mea e like me ka dislocation o ke kuli, hiki i ke aʻa popliteal ke poha a kahe ke koko.

• ʻO ka Cyst Popliteal a i ʻole ka Cyst Baker: He ʻano maʻamau loa kēia. Hiki ke ʻike maʻalahi ʻia me ka ultrasound . He cyst piha wai kēia e hana ʻia ma hope o ke kuli. Hiki i kēia ke hōʻeha a me ka pehu. Hiki iā ia ke paʻakikī ke kūlou a hoʻoneʻe i ke kuli. ʻO ke kumu o kēia Cyst Baker ka hopena ma ka hui kuli, inā paha ma muli o ka arthritis a i ʻole ka hōʻino ʻana i ka meniscus . ʻOiai aia kēia cyst ma hope o ke kuli, ʻaʻole ia e hoʻopilikia i ka hana o ke aʻa popliteal.

He aha nā kumu a me nā pilikia no ka maʻi Popliteal Artery?

Aia kekahi mau kumu pilikia e hiki ke kōkua i ka ulu ʻana o kēia mau maʻi e pili ana i ke aʻa popliteal. ʻO lākou kēia:

• Loaʻa i ka maʻi ʻaʻa coronary .
• ʻO ka maʻi diabetes (Diabetes Mellitus).
• Ke koko kiʻekiʻe.
• Kolesterol kiʻekiʻe.
• ʻOiai he kāne (ʻoi aku ka maʻamau o kekahi mau kūlana i nā kāne).
• Ka momona.
• Ka puhipaka ʻana a i ʻole ka hoʻohana ʻana i nā huahana paka.

Inā loaʻa kēia mau mea, ʻoi aku ka maikaʻi o ke akahele iki, ʻeā?

He aha nā hōʻailona? Pehea mākou e ʻike ai iā lākou?

I ka hapanui o nā hihia o ka maʻi popliteal artery, ʻo ka hōʻailona nui ka ʻeha a i ʻole ke kaumaha ma nā wāwae, ʻoiai i ka wā e hele ana a i ʻole e hana ana i nā hana kino ʻē aʻe . Nalo kēia ʻeha, ka ʻūlū, a me ke kaumaha me ka hoʻomaha. Kāhea nā kauka i kēia ʻano he intermittent claudication .

Ma waho aʻe o kēlā, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻO ka pehu ʻana (edema) ma ka wāwae lalo.
• Nā ʻeha ʻaʻole e ho'ōla ʻia ma nā wāwae (Foot Ulcers).
• ʻEha ma ka ʻāpana kuli, ma hope o ke kuli (Popliteal Fossa) a i ʻole ma ka wāwae.
• ʻO ka mae a i ʻole ke anu o nā wāwae.
• Ka loli ʻana o ke kala o ka ʻili ma ka wāwae.

Inā loaʻa iā ʻoe kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.

Pehea e ʻike ʻia ai kēia maʻi? He aha ke ʻano o nā hoʻokolohua a nā kauka e hana ai?

Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Eia kekahi, hiki ke hana ʻia nā hoʻokolohua aʻe e hoʻoholo ai inā he mau kūlana kou e pili ana i ke aʻa popliteal:

• Nā Hoʻopaʻa Leo Pulse (PVR): Hoʻohana kēia i kahi mea nānā koko a me kahi mea i kapa ʻia ʻo Doppler e kiʻi i kahi manaʻo o ka nui o ke koko e kahe ana i kou mau wāwae.Ua helu ʻia kahi waiwai Ankle-Brachial Index (ABI).
• ʻO Vascular Ultrasound: Hiki i kēia ke nānā i ke kahe ʻana o ke koko i loko o kou mau wāwae. Ua like ia me ke scan i hana ʻia no nā makuahine hāpai, akā pili kēia i nā kīʻaha koko.
• Angiogram: Aia kekahi mau ʻano o kēia. No ka laʻana, hiki iā ʻoe ke loaʻa i kahi Magnetic Resonance Angiogram (MRA) a i ʻole kahi CT Angiogram (CTA) . Nānā kēia i nā wahi i emi ai ke kahe koko ma kou mau wāwae.
• Catheter Angiography: He hoʻāʻo paʻakikī iki kēia. Hana ʻia ia ma ke komo ʻana i kahi catheter i loko o ke kino. Hana pinepine ʻia ia ma hope o ka hana ʻia ʻana o nā hoʻāʻo ʻē aʻe a pono ka ʻike hou aku.

He aha nā lāʻau lapaʻau no kēia mau maʻi?

ʻOkoʻa ka lāʻau lapaʻau no ka maʻi popliteal artery ma muli o ke kūlana. ʻO nā lāʻau lapaʻau nui:

• Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, hoʻohaʻahaʻa i ka cholesterol, a pale i nā ʻūpā koko.
• ʻO ka Catheter Angioplasty a me ka Stenting: Pili kēia i ka hoʻopiha ʻana i kahi aʻa i paʻa ʻia me kahi mea like me ka balloon a laila hoʻokomo i kahi stent ( kahi mea like me ka mesh) e pale aku ai i ka paʻa hou ʻana.
• Ke Kāpili ʻana ma o ke alahele ʻana i ke aʻa koko i paʻa ʻia: Ke hana ʻana i ala hou no ke kahe ʻana o ke koko ma ke kāpae ʻana i ke aʻa koko i paʻa ʻia a me ka hoʻohui ʻana i kahi ʻāpana koko hou (he `kāpili`). Ua like ia me ke hele ʻana i kahi ala ʻokoʻa ke paʻa ke alanui.
• ʻO ke ʻoki kino: I kekahi manawa, pono ke ʻoki kino e wehe i nā cysts i ʻōlelo ʻia ma luna, a i ʻole e hoʻokuʻu i nā ʻiʻo a i ʻole nā ​​​​​​tendon e kaomi ana ma ke aʻa popliteal.

Pehea e mālama ai i ke olakino o ko kākou Popliteal Artery? Nā ʻano pale

"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, eia kekahi mau mea hiki iā ʻoe ke hana e mālama ʻaʻole wale i kou aʻa popliteal, akā i kou ʻōnaehana holoʻokoʻa holoʻokoʻa:

• Inā ʻoe e puhipaka, e hoʻōki loa. Pēlā nō hoʻi no ka hoʻohana ʻana i nā huahana paka.
• E hoʻoikaika kino i nā lā he nui o ka pule. He mea maikaʻi nō hoʻi ke hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
• E ʻai i ka meaʻai olakino no ka puʻuwai a haʻahaʻa i ka cholesterol, ka momona, a me ka paʻakai. E ʻai hou aku i nā mea kanu, nā huaʻai, a me nā palaoa piha.
• E mālama i ke kaumaha olakino.
• Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke kolamu kiʻekiʻe, a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou. E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono.

Āhea ʻoe e ʻimi ai i ke kōkua lapaʻau? He aha nā hōʻailona e pono ai ke kuhikuhi iā ʻoe e ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e ʻoluʻolu e nīnau i ke kauka no ka ʻōlelo aʻo:

• Nā ʻeha ho'ōla ʻole ma ka wāwae a i ʻole ka wāwae.
• Inā ʻoe e ʻeha i ka wā e hele ai, a inā paʻakikī ke hele a hoʻoneʻe paha i kou wāwae.
• Inā pehu kou mau wāwae me ke kumu ʻole.
• Inā he loli i ka mahana a i ʻole ke kala o ka wāwae (no ka laʻana, ʻike ʻia kekahi wāwae he anuanu ma mua o kekahi, a i ʻole he keʻokeʻo).
• Inā loaʻa iā ʻoe ka ʻeha o ka wāwae ʻoiai ʻoe e hoʻomaha ana.

Inā he kānalua kou e pili ana i kēia mau mea, mai hoʻowahāwahā iā lākou. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka wā mua e hiki ke kōkua iā ʻoe e kāohi i ke kūlana ma mua o ka lilo ʻana i pilikia nui aʻe.

Leka Lawe-Home

ʻAe, i kēia manawa ua maopopo iā ʻoe ke ʻano o ke Arterial Popliteal a mākou i kamaʻilio ai i kēia lā. He mau kīʻaha koko koʻikoʻi kēia e holo ana mai ko mākou ʻūhā, hele ma hope o ke kuli, a hoʻolako i ke koko i nā ʻāpana haʻahaʻa o ka wāwae.

Hiki i ka maʻi ʻaʻa popliteal ke hoʻoulu i nā pilikia me ke kahe koko, e like me ka claudication intermittent (ʻeha e loaʻa i ka wā e hele ai ʻoe a hoʻomaha ʻia e ka hoʻomaha). I kekahi mau hihia koʻikoʻi, hiki iā ia ke alakaʻi i ka nalowale o ka wāwae.

No laila, he mea nui loa ka hahai ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka hoʻōki ʻana i ka puhipaka) a kāohi i nā kumu pilikia . Inā loaʻa iā ʻoe kekahi mau hōʻailona, ​​​​mai kānalua e ʻimi i ke aʻo lapaʻau. A laila, hiki ke hana ʻia nā hoʻokolohua e pono ai a hiki ke hoʻomaka ʻia ka lāʻau kūpono.

ʻO ke aʻa Popliteal, ke aʻa Popliteal, ke aʻa ma hope o ke kuli, ke kahe koko o ka wāwae, ka ʻeha o ka wāwae, ka Claudication Intermittent, ka Aneurysm o ke aʻa Popliteal