He aha nā ʻ(Arterioles)`? Aia lākou ma hea?
ʻAe, e nānā mua kākou i ke ʻano o kēia mau `(Arterioles)` (i kapa ʻia ʻo `arterioles'). Ua ʻike ʻoe e kahe ana ke koko mai ko kākou puʻuwai a i ke kino ma o nā kīʻaha koko nui, ʻo ia hoʻi, nā aʻa. Ua māhele ʻia kēlā mau aʻa nui i nā kahawai koko liʻiliʻi a maikaʻi, ʻaʻole i mānoanoa e like me ka lauoho. Ua kapa ʻia lākou he `(Arterioles).` E like me nā alanui ʻaoʻao liʻiliʻi e māhele ana mai kahi alanui nui. ʻO kēia mau `(Arterioles)` nā kahawai koko liʻiliʻi a maikaʻi loa e lawe ana i ke koko i nā `(Capillaries)`. E noʻonoʻo, ua like kēia mau `(Capillaries)` me nā kikowaena hoʻololi. ʻO ia kahi e loaʻa ai i nā ʻiʻo a me nā ʻōkana o ko kākou kino ka oxygen a me nā meaʻai e pono ai lākou mai ke koko, a hoʻihoʻi ʻia nā huahana ʻōpala i loko o kēlā mau ʻiʻo i ke koko. No ke kōkua ʻana i kēia hoʻololi ʻana, ua pili pū nā aʻa liʻiliʻi loa, i kapa ʻia ʻo venules (ʻo ia nā mea e lawe ana i ke koko i ka puʻuwai), i kēia mau capillaries. No laila, ma hea kēia mau arterioles? ʻOiaʻiʻo, ma nā wahi āpau o ko kākou kino! No ka mea, pono kēlā me kēia cell a me nā ʻiʻo i loko o ko kākou kino i ka oxygen a me nā meaʻai. No laila, ua hohola ʻia kēia mau kahawai liʻiliʻi ma ke kino holoʻokoʻa e like me kahi pūnaewele. I ka ʻōlelo maʻalahi, ʻo ke anawaena o nā arterioles ma kahi o 100 a 7 micrometers. ʻO ia hoʻi, he waiwai liʻiliʻi loa ia, ma kahi o 0.30 a 0.01 millimeters. ʻO ka mānoanoa o ka paia ma kahi o 0.02 millimeters. ʻOiai he liʻiliʻi, nui loa kā lākou hana.He aha ka hana nui a kēia mau '(Arterioles)' liʻiliʻi?
ʻOi aku ka nui o ka hana a kēia mau `(Arterioles)` liʻiliʻi ma mua o kou manaʻo. ʻO ka mea nui, ʻo ia ke kāohi i ke kahe koko a me ke kaomi koko ma loko o ko kākou kino. E noʻonoʻo wale, hana kēia mau `(Arterioles)` i 80% o ke kū'ē ʻana e kū mai ana i ka wā e kahe ai ke koko ma o ka ʻōnaehana kīʻaha koko o ko kākou kino! I nā huaʻōlelo ʻē aʻe, hoʻokele a kāohi kēia mau kahawai liʻiliʻi i ka wikiwiki a me ka ikaika o ko kākou koko e neʻe ai ma loko o ke kino, a me ka nui o ke koko e hele ana i ko kākou mau ʻiʻo i kēlā me kēia manawa. Ua ʻike anei ʻoe pehea e hana ai kēia? Loaʻa i nā paia o nā `(Arterioles)` nā ʻiʻo. Hiki i kēia mau ʻiʻo ke ʻūlū (hoʻopaʻa) a hoʻonui (hoʻonui). E like me ke kaomi ʻana i kahi paipu wai e hoʻololi i ka wikiwiki o ka wai.- Hiki i kēia mau "(Arterioles)" ke kū i ke kaomi o ke koko e hele mai ana mai ka puʻuwai mai.
- Hiki iā lākou ke ʻomi (hoʻopaʻa) i ke koko i kona hele ʻana mai ka puʻuwai a i nā ʻāpana ʻē aʻe o ke kino. Penei ke ʻano e mālama ʻia ai ke koko koko mau a paʻa.
Pehea e kōkua ai nā ʻōpū o ke kino i ko kākou mau kino ʻē aʻe?
E like me kaʻu i ʻōlelo ai ma mua, aia nā `(Arterioles)` ma ke kino holoʻokoʻa, no laila kōkua lākou i kēlā me kēia ʻōkana o ko mākou kino. Eia kekahi mau laʻana:- I loko o ko kākou ʻili: Hoʻopili kekahi o nā `(Arterioles)` a kōkua i ka mālama ʻana i ke koko i loko o ke kino. A laila, emi iki ko kākou anu, a noho mehana ke kino. Eia kekahi, i ka wā e hoʻonui ai (dilate) nā `(Arterioles)` i loko o ka ʻili, hoʻonui lākou i ke kahe o ke koko i ka ʻili a me nā lālā. A laila, hoʻokuʻu ʻia ka wela mai ke kino mai, a manaʻo mākou he anuanu.
- Nā puʻupaʻa : Ua pili ka glomerulus (kahi kīʻaha koko liʻiliʻi e kānana i ke koko) i loko o nā puʻupaʻa i kahi pūnaewele o nā kīʻaha koko i kapa ʻia ʻo afferent arterioles. Hiki i kēia mau mea ke hoʻonui, e ʻae ana i ka kānana ʻana o ke koko hou aku. Lawe pū nā efferent arterioles i ke koko mai ka glomerulus.
- Nā Māmā : Ke loaʻa ʻole i nā māmā ka lawa o ka oxygen , e ʻūlū nā arterioles ma laila. ʻO kēia ke kumu e hoʻohuli ʻia ai ke koko mai nā wahi me nā pae oxygen haʻahaʻa a kuhikuhi ʻia i nā wahi o nā māmā me nā pae oxygen kiʻekiʻe.
- Lolo: Hiki i nā arterioles i loko o ka lolo ke hoʻonui, e hoʻonui ana i ka nui o ke koko e kahe ana i ka lolo. ʻAe kēia i ka lolo e loaʻa ka oxygen a me nā meaʻai maikaʻi aʻe.
ʻO kekahi mau ʻoiaʻiʻo kupanaha e pili ana i nā ʻōpū o ka naʻau (Arterioles)!
Aia kekahi mau ʻoiaʻiʻo kupanaha loa e pili ana i kēia mau "Arterioles" liʻiliʻi.ʻO kekahi, ʻo kēlā me kēia cell ʻiʻo laumania i loko o kahi arteriole he neuron ponoʻī, a i ʻole cell nerve paha. ʻO ka maʻamau, hui pū kekahi mau cell nerve e hoʻouna i nā hōʻailona i kahi puʻu o nā cell muscle. Akā ma ʻaneʻi, loaʻa pololei i kēlā me kēia cell muscle kahi leka!ʻO ke ʻano o kēia, inā loaʻa i kā mākou ʻōnaehana nerve kahi hōʻailona e hoʻonui a hoʻemi paha i ke anawaena o kahi `(Arteriole)`, hiki iā ia ke hana pēlā me ka wikiwiki a me ka pololei loa. Kōkua kēia i ka hoʻomalu ʻana i ke koko a me ka nui o ke kahe koko me ka pololei loa. ʻO kekahi mea kupaianaha, inā e hoʻemi ʻia ke anawaena o kahi `(Arteriole)` i ka hapalua, ʻo ia hoʻi, inā pelu ʻia i ka hapalua, e emi ana ka nui o ke koko e kahe ana ma o ia mea i hoʻokahi ʻumikumamāono (1/16)! ʻO ke ʻano o kēia , ʻoiai kahi loli liʻiliʻi o ke anawaena he hopena nui ia i ka nui o ke kahe koko.
He aha nā mea i hana ʻia ai nā ʻūpā (Arterioles)?
ʻAʻole wale nā Arterioles he mau paipu. He mau kahawai palupalu lākou, he mau paia mānoanoa i hana ʻia me nā ʻiʻo. ʻO ia ke kumu e hiki ai iā lākou ke mālama i ke koko a kāohi i ka nui o ke koko e kahe ana ma o lākou. ʻOi aku ko lākou ʻiʻo ma mua o nā aa koko. ʻO kēia no ka mea pono lākou e ʻaelike a hoʻonui i ka maikaʻi e kū i ke koko kiʻekiʻe a ka puʻuwai e pamu ai a e kāohi i ke kahe o ke koko. ʻEkolu mau papa nui o nā Arterioles: 1. Tunica intima: ʻO kēia ka papa o loko loa. Hana ʻia ia me nā pūnaewele epithelial. Kamaʻilio kēia papa me ka papa ʻiʻo ma waena. 2. Tunica media: ʻO kēia ka papa waena. Loaʻa iā ia nā pūnaewele ʻiʻo laumania a me nā ʻiʻo elastic. ʻOki a hoʻonui nā arterioles ma muli o kēia papa. 3. Tunica adventitia: ʻO kēia ka papa o waho loa. Hana ʻia ia me nā ʻiʻo hoʻohui, nā olonā collagen, a me nā hopena nerve.He aha nā maʻi maʻamau e hoʻopilikia ai i nā ʻūpā o ke kino?
He mau kīʻaha koko nō hoʻi nā arterioles. No laila, hiki i nā kūlana e hoʻopilikia i kā mākou ʻōnaehana cardiovascular ke hoʻopilikia i nā arterioles. Eia kekahi mau kūlana:- Ke koko kiʻekiʻe : ʻO ke koko kiʻekiʻe mau e hōʻino i nā arterioles.
- Puhipaka : Hoʻopōʻino ka puhipaka i ka ʻili o loko o nā kīʻaha koko a hōʻemi i ko lākou palupalu.
- ʻO ke kolesterol kiʻekiʻe: Ke piʻi aʻe nā pae kolesterol i loko o ke koko, hiki iā ia ke hōʻiliʻili i loko o nā aʻa, e hoʻohaiki ana i nā kīʻaha koko. Ua kapa ʻia kēia he atherosclerosis.
- Ka Maʻi Puʻuwai Pale Mau Loa ( COPD ): Hiki i kēia maʻi ke hoʻopilikia i nā arterioles i loko o nā māmā.
- Maʻi ʻōpū mumū
- ʻO ke koko paʻa (Thrombosis)
- ʻO ka ʻāʻī o ke kino
- ʻO ka fibrosis cystic
- Vasculitis: ʻO ke ʻano kēia o ka pehu ʻana a me ka mumū o nā paia o ke koko.
- ʻO Arteriolosclerosis: Nā waihona protein i loko o nā paia o nā kīʻaha koko, ʻoi aku hoʻi i loko o nā arterioles o nā puʻupaʻa.
- Nā hahau liʻiliʻi:Hiki ke hana ʻia e ka paʻa ʻana o kahi "Arteriole" a i ʻole "Aneurysms" (ka pahū ʻana o ke kīʻaha koko).
- ʻO ka microangiopathy e pili ana i ka maʻi diabetes: Hoʻopilikia ka maʻi diabetes i nā arterioles, kahi i nele i ka oxygen.
ʻO ka mea nui loa, ke hōʻino ʻia nā paia o nā arterioles, ʻaʻole hiki iā lākou ke ʻūlū a hoʻonui pono paha. He hopena nui kēia i ke koko a me ke kahe o ke koko.
He aha nā hōʻailona maʻamau o nā maʻi e pili ana i nā `(Arterioles)`?
ʻO kekahi o nā hōʻailona o nā maʻi e hoʻopilikia i nā arterioles e komo pū paha:Vasculitis (ka mumū o nā kīʻaha koko)
- Ka emi ʻana o ke kaumaha
- kuni
- Manaʻo pinepine i ka luhi
- Nā ʻōpala ʻili, e like me nā ʻōpala a me nā palapū
`(COPD)` (Maʻi ʻŌpū Mau Loa)
- Paʻakikī ka hanu ʻana
- Hanu ʻana
- ʻŪ pinepine
Nā ʻūpā koko
- Ka pilikia o ka hanu ʻana (inā aia ke koko i loko o nā māmā a i ʻole ka puʻuwai)
- ʻEha ka umauma (inā he koko i loko o ka puʻuwai)
- Ka paʻakikī o ka ʻōlelo ʻana (inā he koko i loko o ka lolo)
- ʻO ka pehu ʻana i nā wāwae (hoʻomaka ka hapa nui o nā ʻōpū koko i loko o nā aʻa o nā wāwae)
Maʻi ʻōpū mumū
- ʻEha ʻōpū
- Ke kahe koko (me ka ʻōpala)
- Ka maʻi pākī
- Ka luaʻi a me ka luaʻi
Nā ʻano hana no ka nānā ʻana i ke olakino o `(Arterioles)`
Hiki i kāu kauka ke hoʻohana i nā ʻano hana kiʻi like ʻole e nānā i ke olakino o kāu mau arterioles. ʻO kekahi o kēia mau mea:- CT angiogram: Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o nā kīʻaha koko, me nā arterioles.
- MR angiogram: He ʻano hana kēia no ka nānā ʻana i nā kīʻaha koko me ka hoʻohana ʻana i nā nalu magnetic.
- ʻO ke kani ʻana o ka Doppler: Hiki i kēia ke ʻike i ka wikiwiki a me ke ʻano o ke kahe ʻana o ke koko ma o nā kīʻaha koko.
He aha nā lāʻau lapaʻau no nā ʻArterioles?
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua i kāu ʻōnaehana cardiovascular - me kāu mau arterioles - e hana maikaʻi aʻe.- Nā lāʻau antihypertensive.
- Lāʻau hoʻohaʻahaʻa kolesterol.
- Nā lāʻau lapaʻau e hōʻemi ai i ka mumū (no nā kūlana e like me "Vasculitis", no ka laʻana).
- He mea nui ka haʻalele ʻana i ka puhipaka a he hana pale aku hoʻi.
Nā Manaʻo No Ke Ola Kino no kahi ʻŌnaehana Arteriolar Olakino
Hiki iā ʻoe ke mālama i kou mau `(Arterioles)` olakino ma o ka hahai ʻana i kēia mau hana maʻalahi:- E hōʻemi i ka nui o ka paʻakai āu e ʻai ai.
- E hōʻemi i nā meaʻai me ka momona kiʻekiʻe.(Nā mea e like me ka ʻaila, nā meaʻai palai, nā ʻiʻo momona)
- Hoʻoikaika kino mau. He mea maikaʻi nō hoʻi ka hele wāwae ʻana no 30 mau minuke ma ka liʻiliʻi i ka lā.
- Mai hoʻohana i nā huahana paka. E hoʻōki loa i ka puhipaka.
- E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, i kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia mau ʻāpana liʻiliʻi, ʻike ʻole ʻia i ko mākou kino. ʻO lākou ka poʻe e hoʻokele i ke kahe koko a me ke kaomi koko i loko o ko mākou kino. ʻAʻole paha mākou e noʻonoʻo nui e pili ana iā lākou, akā hana mālie lākou i kahi lawelawe nui.Ke ʻai ʻoe i ke olakino, hoʻoikaika kino mau, a ola i kahi nohona maikaʻi, hiki iā ʻoe ke mālama i kāu ʻōnaehana cardiovascular holoʻokoʻa, me kēia mau "Arterioles".ʻAʻole paha e hōʻike kekahi mau maʻi cardiovascular i kekahi mau hōʻailona i nā pae mua. No laila, he mea nui loa ka loaʻa ʻana o nā nānā lapaʻau maʻamau. A laila, inā he pilikia, hiki ke ʻike ʻia ma mua o ka lilo ʻana i pilikia nui. E mālama i kāu `(Arterioles)`, e mālama pono lākou iā ʻoe!
ʻO nā arterioles, nā kīʻaha koko, ke koko, ke olakino o ka puʻuwai, ke kahe koko, nā ʻano olakino, ka hana kino











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