He aha kēia mau aa koko polū i loko o ko kākou kino? E aʻo kākou e pili ana i nā aa koko ma ke ʻano maʻalahi!

Ua noʻonoʻo paha ʻoe i ke ʻano o kēlā mau aa koko polū ma lalo o kou ʻili a me kā lākou hana? I kekahi manawa hiki iā ʻoe ke ʻike iā lākou ke nānā ʻoe i kou mau lima a i ʻole kou mau wāwae, ʻeā? ʻO kēlā mau aa koko nā mea a mākou e kamaʻilio ai i kēia lā. He ʻāpana koʻikoʻi loa lākou o kā mākou ʻōnaehana hoʻopololei koko, he mea nui ia no ke kahe ʻana o ke koko. ʻO ka ʻoiaʻiʻo, 75% o ke koko i loko o kou kino aia i loko o kēia mau aa koko. ʻAʻole anei he mea kupaianaha kēlā?

No laila he aha kēia mau aa koko?

I ka ʻōlelo maʻalahi, ʻo nā aʻa koko he ʻano aʻa koko e holo ana ma kou kino. ʻO kā lākou hana nui ka hōʻiliʻili ʻana i ke koko nele i ka oxygen mai nā wahi like ʻole o ke kino a hoʻihoʻi iā ia i ka puʻuwai. E noʻonoʻo e pili ana i ia mea, hoʻohana nā ʻāpana o ko mākou kino i ka oxygen e hana. Ke hoʻohana ʻia kēlā, pono e hoʻihoʻi ʻia ke koko nele i ka oxygen i koe i ka puʻuwai e hoʻomaʻemaʻe ʻia. ʻO ia ka hana a nā aʻa koko. ʻO kēia mau aʻa koko, me nā aʻa koko ʻē aʻe a me ka puʻuwai, e ʻae i ko mākou koko e kahe ma ko mākou kino.

He aha ke ʻano o ke koko e kahe ana i loko o nā aa? He ʻokoʻa anei ia mai nā aʻa?

ʻAe, he ʻokoʻa nui ma ʻaneʻi. ʻO nā aʻa koko ke koko nui i loaʻa ka oxygen . ʻO ia hoʻi, ke koko e lawe ana i ka oxygen mai ka puʻuwai a i ke koena o ke kino. Eia naʻe, ʻo nā aʻa koko, e like me kaʻu i ʻōlelo ai ma mua, e lawe ana i ke koko i emi iho ka oxygen . Eia naʻe, hoʻokahi ʻokoʻa i kēia, he hihia kūikawā ia. A ʻo ia hoʻi nā aʻa koko pulmonary . Aia kēia mau mea ma waena o kou puʻuwai a me kou mau māmā. Lawe mai kēia mau aʻa koko pulmonary ʻehā i ke koko i loaʻa ka oxygen i hōʻiliʻili ʻia i loko o nā māmā i ka puʻuwai. A laila hoʻihoʻi ka puʻuwai i kēlā koko i ke koena o ke kino. Maopopo iā ʻoe?

He aha kēia mau aa koko (Venules)?

He mau kīʻaha koko liʻiliʻi a lahilahi hoʻi nā venule. Ua like lākou me nā ala liʻiliʻi e pili ana i ko kākou mau aʻa nui. Hoʻopili kēia mau aʻa i ke koko e hele mai ana mai nā capillaries maikaʻi loa i loko o ko kākou kino i nā aʻa nui. Aia i loko o nā capillaries e hāʻawi ʻia ai ka oxygen i ko kākou mau cell a hoʻohui ʻia nā huahana ʻōpala a me ke kalapona dioxide i ke koko. ʻO kēlā koko me ka oxygen liʻiliʻi a me nā huahana ʻōpala e hele mai ana ma o nā aʻa i nā aʻa, a mai laila aku e hoʻi ai i ka puʻuwai. ʻOiai ʻoi aku ka laulā o kēia mau aʻa ma mua o nā capillaries, ʻoi aku ka lahilahi o lākou ma mua o nā aʻa. Ua ʻōlelo ʻia he 16 mau manawa ka liʻiliʻi o lākou ma mua o ka aʻa maʻamau.

He aha ka mea e hana maoli ai i nā aa koko?

ʻElua mau kumu nui o nā aa koko: 1. E hōʻiliʻili i ke koko i nele i ka oxygen mai ke kino holoʻokoʻa a hoʻihoʻi i ka puʻuwai. 2. E lawe i ke koko i loaʻa ka oxygen mai nā māmā i ka puʻuwai. (ʻO nā aa koko pulmonary wale nō ka mea e hana i kēia, e hoʻomanaʻo?) No laila, pili ka hana o kēlā me kēia aa koko i kona wahi i loko o ke kino. ʻO ka pūnaewele paʻakikī o kēia mau aa koko āpau i kapa ʻia ʻo ka ʻōnaehana venous .

He aha kēia ʻōnaehana venous?

ʻO ka ʻōnaehana venous ka pūnaewele o nā veins i loko o kou kino, a pehea lākou e pili ai i nā kīʻaha koko a me nā ʻōpū ʻē aʻe. Ua māhele ʻia i ʻelua mau kaapuni nui: 1. Kaapuni ʻōnaehana 2. Kaapuni Pulmonary E noʻonoʻo e like me ke kahua heihei. Pono kahi kaʻa heihei e hele i kahi kaapuni piha. Akā, ʻaʻole hiki ke hoʻomau i ka holo ʻana me ka ʻole o ka hoʻopiha hou ʻana a me ka hana ʻana i ka mālama liʻiliʻi. Pēlā ka hana a ko mākou koko. Pono nō hoʻi e hoʻopiha hou ʻia ke koko me ka oxygen a lawe ʻia mai nā huahana ʻōpala e like me ke kalapona ʻokikene. I kēia manawa e nānā kākou pehea e hana ai kēia. ʻO ka mea mua, e nānā kākou i ke kaapuni ʻōnaehana . ʻO kēia ke kaapuni nui e hele ana ma ke ala a pau o kou kino, mai kou mau lima a i kou mau wāwae. 1. Haʻalele ke koko maʻemaʻe, i hoʻopiha maikaʻi ʻia me ka oxygen mai ka puʻuwai a hele i loko o nā aʻa. 2. Māhele nā ​​aʻa i nā kahawai liʻiliʻi, i kapa ʻia ʻo arterioles, a ma hope i loko o nā capillaries. 3. I loko o nā capillaries, hāʻawi ke koko i ka oxygen i nā ʻiʻo o ke kino, a hoʻoneʻe i nā huahana ʻōpala a me ke kalapona ʻokikene mai laila mai. 4. I kēia manawa, haʻahaʻa ke koko i ka oxygen a kiʻekiʻe i nā huahana ʻōpala. No laila pono e "hoʻopiha hou ʻia". 5. Hōʻiliʻili kēia koko i loko o nā venule, a mai laila aku e hele ai i nā aa koko. 6. Lawe mai nā aa koko i kēia koko deoxygenated i ka puʻuwai. Komo kēia koko i ka puʻuwai ma o ʻelua mau aa koko nui. ʻO lākou ka vena cava kiʻekiʻe a me ka vena cava haʻahaʻa . ʻAe, i kēia manawa ua hiki ke koko i ka puʻuwai, ua pau ke kaapuni o ke kino. A laila pono mākou e neʻe i ke kaapuni pulmonary . 1. Ma kēia kaapuni, hele ke koko nele i ka oxygen i komo i ka puʻuwai i nā māmā. 2. I loko o nā māmā, hoʻopiha hou ʻia ke koko i ka oxygen (e like me ka hoʻopiha hou ʻia ʻana). 3. Hoʻi ke koko maʻemaʻe a waiwai i ka oxygen i ka puʻuwai ma o nā aa koko pulmonary . (ʻO kēia wale nō ka manawa e lawe ai nā aa koko i ke koko waiwai i ka oxygen!) 4. A laila hoʻihoʻi ka puʻuwai i kēia koko maʻemaʻe i loko o ke kaapuni systemic, e hoʻomaka ana i kahi pōʻaiapuni hou. ʻAʻole anei he ʻano hana kupaianaha? Hana mau kēia mau mea a pau, me ka ʻole o ka pau ʻana, i loko o ko mākou kino.

Pehea ke ʻano o nā aʻa koko? No ke aha lākou i ʻike ʻia ai he polū?

He pūnaewele o nā kīʻaha koko kou mau aa koko e holo ana ma kou kino. Ua pālahalaha lākou e like me ke kaula uila i loko o kahi kamepiula, a i ʻole e like me nā lālā o kahi lāʻau i luna. I loko o kou mau wāwae, ua like lākou me ʻelua mau lālā nui e lālā ana i nā lālā liʻiliʻi he nui. Manaʻo ka poʻe he polū nā aa koko no ka mea he polū ko lākou ʻano ma lalo o ko mākou ʻili. Akā, ʻaʻole ia he ʻoiaʻiʻo. Pēlā wale nō ka ʻike ʻana o ko mākou mau maka iā lākou.

ʻUlaʻula ʻeleʻele ke koko i loko o nā aʻa. He ʻeleʻele iki ia ma mua o ke koko i loko o nā aʻa, no ka mea, ʻoi aku ka liʻiliʻi o ka oxygen i loko o ke koko i loko o nā aʻa. ʻO ke kumu e like ai me ka uliuli ma lalo o ko kākou ʻili, no ke ʻano o ka omo ʻana o ko kākou ʻili i ka mālamalama. He ʻulaʻula mau ke koko, i loko o nā aʻa a me nā aʻa.

He aha nā mea i hana ʻia ai nā aa koko?

Ua hana ʻia kēlā me kēia aa i ʻekolu papa nui o nā ʻiʻo:

• ʻO Tunica adventitia: ʻO kēia ka papa waho loa. Hāʻawi ia i ke aʻa i kona ʻano a me kona ʻano.
• ʻO Tunica media: ʻO kēia ka papa waena. Loaʻa iā ia nā hunaola ʻiʻo laumania. Kōkua kēia papa i ka hoʻonui ʻana a me ka ʻaelike ʻana o ke aʻa koko i ke kahe ʻana o ke koko.
• ʻO Tunica intima: ʻO kēia ka papa o loko a laumania. Loaʻa iā ia kahi ʻano cell kūikawā i kapa ʻia ʻo nā cell endothelial . ʻAe kēia mau cell i ke koko e kahe ma o ke kīʻaha me ke keʻakeʻa ʻole.

ʻEkolu papa ko nā aʻa, akā ʻokoʻa nā aʻa koko mai nā aʻa koko ma kekahi mau ʻano.

• Nā kiwikā ala hoʻokahi: ʻO kekahi mau aa koko, ʻoiai nā mea ma nā wāwae, he mau kiwikā e ʻae i ke koko e kahe i hoʻokahi ala wale nō . Mālama kēia mau kiwikā i ke koko e kahe ana ma kahi laina pololei i ka puʻuwai a pale iā ia mai ke kahe ʻana i hope. Ke hōʻino ʻia kēia mau kiwikā, hiki i ke koko ke kahe i hope, e hana ana i nā kūlana e like me nā aa koko varicose .
• Mānoanoa o nā paia: ʻOi aku ka lahilahi o nā paia o nā aʻa koko ma mua o nā paia o nā aʻa koko, a ʻoi aku ka liʻiliʻi o ko lākou ʻiʻo. ʻO kēia no ka mea ʻoi aku ka haʻahaʻa o ke kaomi o ke koko i loko o nā aʻa koko ma mua o nā aʻa koko i loko. No laila, ʻaʻole pono lākou e mānoanoa e kū i kēlā kaomi.

He aha nā ʻano nui o nā aa?

ʻEkolu ʻano aa koko e kōkua ai i kā mākou ʻōnaehana kaapuni e hana pono: 1. Nā aa koko hohonu: Aia kēia mau mea i loko o ko mākou mau ʻiʻo a ma ko mākou mau iwi. Hana kēia mau aa koko hohonu i ka hana koʻikoʻi o ka hoʻihoʻi ʻana i ke koko nele i ka oxygen i ka puʻuwai. Ma kahi o 90% o ke koko e hele ana i ka puʻuwai, ʻoi aku hoʻi mai kou mau wāwae, e hele ana ma o kēia mau aa koko hohonu. Loaʻa i kēia mau valves aʻu i ʻōlelo ai ma mua e ʻae wale i ke koko e kahe i hoʻokahi ʻaoʻao. 2. Nā aa koko ma luna: ʻOi aku ka liʻiliʻi o kēia mau mea ma mua o nā aa koko hohonu. E like me nā aa koko hohonu, loaʻa iā lākou nā valves. Akā, ʻaʻole lākou i hoʻopuni ʻia e nā ʻiʻo e like me nā aa koko hohonu. Akā, aia lākou ma lalo pono o ka ʻili. ʻO ia ke kumu e hiki ai iā ʻoe ke ʻike maʻalahi iā lākou. ʻO kēia nā aa koko polū āu e ʻike ai ma lalo o ka ʻili o kou mau lima a me nā wāwae. Hōʻiliʻili kēia mau aa koko ma luna o ke koko mai nā ʻiʻo kokoke loa i ka ʻili a hoʻouna iā ia i nā aa koko hohonu (ma o nā aa koko hoʻohui kūikawā). Akā, kahe mālie kēia koko, no ka mea, ʻaʻole ia e loaʻa i kekahi kaomi mai nā ʻiʻo a puni. ʻO ka aa koko nui loa i loko o ko mākou kino he aa koko ma luna. Ua kapa ʻia ʻo ia ʻo ka aa koko saphenous nui . Holo ia mai kou kuʻekuʻe wāwae a i kou ʻūhā ma kēlā me kēia wāwae. 3. Nā aʻa koko perforating: I kekahi manawa ua kapa ʻia kēia mau aʻa koko perforating. He mau aʻa koko pōkole loa kēia. Lawe lākou i ke koko mai nā aʻa koko superficial a hoʻopili iā ia i nā aʻa koko hohonu. Loaʻa i kēia mau aʻa koko perforating nā valves. Ke ʻūlū kou mau ʻiʻo bipi, pani ʻia kēia mau valves. A laila pau ke kahe ʻana o ke koko mai nā aʻa koko hohonu i loko o nā aʻa koko superficial.

Pehea ke kahe ʻana o ke koko ma o nā aa koko? ʻAʻole anei lawa ka puʻuwai e pamu ana?

ʻOiai ke puʻuwai e pamu i ke koko, hele ia i loko o nā aʻa. No ka hoʻihoʻi ʻana i ke koko i loko o nā aʻa i ka puʻuwai, pono ke kōkua o kahi ikaika o waho.

• Pehea ʻoe e hanu ai: Ke hanu ʻoe, hoʻonui ʻia kou mau māmā a neʻe kou diaphragm i luna a i lalo. Hoʻokumu kēia i kahi ikaika omo e kōkua i ka hoʻokuke ʻana i ke koko nele i ka oxygen i loko o kou mau aa koko i kou puʻuwai.
• Ka neʻe ʻana o nā ʻiʻo: ʻOi loa aku nā ʻiʻo o kou mau wāwae! Ua ʻike anei ʻoe e kōkua ana nā ʻiʻo o kou mau wāwae i ka pamu ʻana i ke koko e kūʻē i ka umekaumaha, ʻo ia ke kumu i kapa ʻia ai nā ʻiʻo o kou mau wāwae ʻo kou "puʻuwai lua."

He aha kēia "puʻuwai lua"?

ʻAʻole paha ʻoe e ʻike, akā ʻo nā ʻiʻo o kou wāwae haʻahaʻa, ʻo ia hoʻi nā ʻiʻo o kou ʻūhā, hana e like me nā pamu ikaika. Hoʻokuke lākou i nā aa koko hohonu o kou wāwae haʻahaʻa. Hoʻomaka kēia "puʻuwai lua" (puʻuwai peripheral) i ka hana i kēlā me kēia manawa āu e hele ai.

• Ke kau ʻoe i kou wāwae ma ka honua, kau ke kaumaha o kou kino i ke kaomi ma luna o nā aa koko hohonu ma kou mau wāwae haʻahaʻa. A laila e hoʻokuke ʻia ke koko i loko o kēlā mau aa koko i luna a i ka ʻāpana groin.
• A laila, ke hāpai ʻoe i kou mau kuʻekuʻe wāwae , ʻūlū nā ʻiʻo o kou bipi keiki, e ʻūmiʻi ana i nā aʻa koko hohonu ma laila. A laila neʻe ke koko i luna, i nā ʻūhā.

ʻO kēia ʻōnaehana kupaianaha ka mea e ʻae ai i ke koko i loko o kou mau wāwae e kūʻē i ka umekaumaha a hoʻi i kou puʻuwai.

ʻAʻole e like me ka puʻuwai i loko o kou umauma, hoʻomaka wale kēia puʻuwai lua e pamu ke neʻe kou mau wāwae. A ʻokoʻa ka wikiwiki o kāna pamu ʻana ma muli o ka wikiwiki o kou neʻe ʻana i kou mau wāwae. Ke holo ʻoe, ʻoi aku ka wikiwiki o ka pamu ʻana o kou mau ʻiʻo i ke koko ma mua o kou hele ʻana.

Eia nō naʻe, ʻo kēia puʻuwai lua ka mea e ʻae ai i kou koko e kaʻapuni i loko o kou kino, e hōʻoiaʻiʻo ana e hoʻomau ka loaʻa ʻana o ka oxygen a me nā meaʻai i kāu mau ʻōkana a me nā ʻiʻo, e ʻae ana iā lākou e hana pono.

He aha nā maʻi maʻamau e pili ana i nā veins?

Aia kekahi mau maʻi e hiki ke loaʻa ke hana pono ʻole nā ​​aʻa koko. ʻO kekahi o kēia mau mea:

• ʻO ka thrombophlebitis ma luna : ʻO kēia ka wā e hana ʻia ai kahi clot koko i loko o kahi aa koko ma lalo pono o ka ʻili. ʻAʻole hele pinepine kēia clot koko i nā māmā. Eia nō naʻe, hiki ke hana inā hele ka clot i kahi aa koko hohonu.
• ʻO ka Deep Vein Thrombosis ( DVT ): He kūlana koʻikoʻi kēia.ʻO ka DVT ka hoʻokumu ʻia ʻana o nā ʻōpū koko (thrombi) i loko o nā aʻa hohonu. ʻO ka hapa nui o kēia hana ʻia ma nā wāwae a i ʻole pelvis. Inā haki kēia ʻōpū koko mai ka aʻa a hele pū me ke koko i nā māmā, hiki iā ia ke hana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo pulmonary embolism .
• ʻO nā aʻa Varicose: He mau aʻa kēia e like me ka pehu a me ka wili. ʻOiai ʻaʻole paha lākou e hōʻino nui, hiki iā lākou ke alakaʻi i nā pilikia koʻikoʻi, e like me nā ʻūpā koko.
• ʻO ka lawa ʻole o nā venous mau loa: Ke hōʻino ʻia nā valves i kou mau wāwae e mālama ana i ke kahe ʻana o ke koko i hoʻokahi ʻaoʻao, ʻaʻole hiki iā lākou ke pamu i ke koko i kou puʻuwai me ke kūpono. Hoʻokumu pinepine ʻia kēia e ka DVT.

He aha nā hōʻailona e hōʻike ana i kahi pilikia me nā veins?

Hiki ke ʻokoʻa nā hōʻailona ma muli o kou kūlana. ʻO nā hōʻailona maʻamau:

• ʻO ka pehu ʻana (edema) o nā wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi, ʻoiai ma hope o ke kū ʻana no ka manawa lōʻihi.
• ʻEha a palupalu paha ke hoʻopā ʻia.
• Manaʻo luhi , ʻeha, a me ka maneʻo o nā wāwae.
• Ua like ka ʻili ma nā wāwae me kahi ʻāpana ʻili.
• ʻIli maloʻo a ʻōniʻoniʻo ma nā wāwae a i ʻole nā ​​kapuwaʻi, a i ʻole ka maneʻo.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​a inā ʻike ʻoe i kekahi mau aa koko poni a pehu paha i loaʻa ʻole iā ʻoe ma mua, e ʻike koke i ke kauka. Hiki ke mālama pono ʻia nā maʻi aa koko he nui inā loaʻa koke. He mea nui loa ia e hopu i kahi maʻi e like me DVT ma mua o ka lilo ʻana i pulmonary embolism.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o nā veins?

E kūkākūkā kāu kauka i kou mōʻaukala olakino a hana i kahi hoʻokolohua kino. Hiki iā lākou ke kauoha i kahi ultrasound Doppler a me nā hoʻokolohua koko e nānā i nā kūlana e like me DVT.

He aha nā lāʻau lapaʻau no nā pilikia vein?

ʻO ke kumu nui o ka mālama ʻana no nā maʻi venous ka hōʻemi ʻana i ka pilikia o nā clots koko, ka hoʻoheheʻe ʻana i nā clots koko e kū nei, a me ka hōʻemi ʻana i nā hōʻailona.

• Nā lāʻau lapaʻau anticoagulant: Hoʻohana pinepine ʻia kēia mau mea e mālama i ka DVT a pale i ka pulmonary embolism. ʻO nā laʻana e komo pū me ka warfarin, rivaroxaban, a me apixaban. E hoʻāʻo mau kāu kauka i kou koko e ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau a hoʻoponopono i ka nui e like me ia. Hoʻemi ʻia ka nui i ka wā hiki ke hōʻemi i ka pilikia o ke kahe ʻana o ke koko.
• Nā lāʻau hoʻoheheʻe ʻaʻa koko: ʻAʻole hoʻohana mau ʻia kēia mau mea. ʻOi aku ka maikaʻi o lākou inā hāʻawi ʻia i loko o 48 mau hola o ka hoʻokumu ʻia ʻana o ke koko.
• Nā kaʻina hana ʻoki kino :ʻAʻole hana pinepine ʻia kēia mau mea, akā no ka poʻe hiki ʻole ke lawe i nā lāʻau hoʻokahe koko, he koho maikaʻi paha ka hoʻokomo ʻana i kahi kānana vena cava .

Aia kekahi mau mea hiki iā ʻoe ke hana ma ka home. Hiki i kāu kauka ke haʻi aku iā ʻoe e ʻaʻahu i nā kāmaʻa compression . Kōkua kēia i ka hoʻomaikaʻi ʻana i ke kahe koko i kou mau wāwae. Hāʻawi nā ʻano kāmaʻa like ʻole i nā nui like ʻole o ke kaomi. Hiki i kāu kauka ke kōkua iā ʻoe e koho i ka pālua kūpono nāu. ʻO ka Compression therapy kahi ʻano lapaʻau i ʻoi aku ma mua o 2,000 mau makahiki!

He aha kaʻu e hana ai e mālama i ke olakino o koʻu mau aa koko?

Nui nā mea hiki iā ʻoe ke hana e mālama i ke olakino o kou mau aa koko. Inā loaʻa iā ʻoe nā pilikia aa koko a i ʻole he mau kumu pilikia kou, he mea nui e hana i kēia mau mea:

• Mai noho ma kahi kūlana hoʻokahi no ka lōʻihi loa. Inā ʻoe e noho no ka hapa nui o ka lā, e ala a hele a puni no ʻelua a ʻekolu mau minuke i kēlā me kēia hola. Ke noho ʻoe, e hoʻokiʻekiʻe i kou mau wāwae a kulou i kou mau kuʻekuʻe wāwae. ʻO ka nui o kou neʻe ʻana i kou mau wāwae, ʻo ka nui o kou mau ʻiʻo e hoʻonui i nā aa koko a hoʻihoʻi i ke koko i kou puʻuwai.
• E mālama i ka hoʻomaʻemaʻe maikaʻi o kou mau wāwae e pale aku i nā maʻi. ʻO ke ʻano kēia e mālama i kou mau wāwae i ka maʻemaʻe a me ka maloʻo. Hiki iā ʻoe ke hoʻohana i kahi moisturizer e pale aku i ka nahā a me ke kahe ʻana o ke koko.
• E kamaʻilio me kāu kauka e hoʻoholo inā kūpono nā lāʻau hoʻokahe koko iā ʻoe. Eia kekahi, e haʻi i kāu kauka inā he mau loli i kāu mau hōʻailona.

ʻOiai inā ʻaʻohe ou pilikia aa koko, hiki iā ʻoe ke hana i kēia mau mea maʻalahi i kēlā me kēia lā e mālama i ke olakino o kou mau aa koko:

• E ala aʻe a neʻe a puni i ka hiki i ka lā a pau, a e hoʻomau i kou kino i ka neʻe ʻana. E hoʻomaikaʻi kēia i ke kahe koko.
• E hele wāwae (ma ka liʻiliʻi he ʻelima mau lā o ka pule, no ka liʻiliʻi he 30 mau minuke).
• E ʻai i ka meaʻai olakino no ka puʻuwai, a e hiki iā ʻoe ke mālama i ke kaumaha olakino.
• Ke hele nei i kahi mamao loa ma ke kaʻa a mokulele paha, e ala aʻe ma hope o kekahi manawa, e hele a puni, a e hoʻolōʻihi i kou kino.
• Inā ʻike ʻoe i kekahi mau hōʻailona o ka pilikia aa, ʻoiai inā he mea liʻiliʻi ia, e ʻike koke i ke kauka. ʻO ka ʻike mua ʻana i nā pilikia e hiki ke kōkua i ka pale ʻana iā lākou mai ka lilo ʻana i mea koʻikoʻi.

Leka Lawe-Home

ʻAʻole pinepine mākou e noʻonoʻo i ka paʻakikī o ka hana a ko mākou mau puʻuwai a me nā kīʻaha koko ke noho wale mākou, ʻeā? I mea e noho ikaika ai ʻoe, pono e hoʻomau ka hana ʻana o kāu ʻōnaehana hoʻohele koko. No laila he mea nui e mālama i kou kino ma ke ʻano e kōkua ai i ke kahe ʻana o kou koko me ka maikaʻi a me ka maikaʻi.

He ʻāpana koʻikoʻi a koʻikoʻi loa nā aa koko o kāu ʻōnaehana kahe koko. Me ka puʻuwai, nā aʻa, a me nā capillaries, hana nā aa koko i kēlā me kēia lā e lawe i kou koko ma loko o kou kino.

Ke hele ʻoe i kahi huakaʻi lōʻihi, mai poina e ala aʻe a neʻe a puni i ka hiki. ʻOiai ke hāpai wale ʻana i kou mau wāwae a me ke kulou ʻana i kou mau kuʻekuʻe wāwae hiki ke kōkua i nā aa koko i kou mau wāwae e hoʻihoʻi i ke koko i kou puʻuwai. Inā manaʻo ʻoe he pilikia kou i loko o ke aa koko, e ʻike koke i ke kauka a kūkākūkā i kāu mau hōʻailona. He nui nā pilikia aa koko e hiki ke mālama ʻia inā ʻike mua ʻia!