Ua ʻike anei ʻoe e pili ana i nā kīʻaha koko "kope" kupaianaha i loko o ko kākou kino? (Collateral Circulation) E kamaʻilio kākou!

I kēia lā, e kamaʻilio ana kākou e pili ana i kahi mea kupaianaha a koʻikoʻi hoʻi i ko kākou kino . E noʻonoʻo, inā pani koke ke alanui nui āu e hele nei, pehea ka waiwai o ka loaʻa ʻana o nā alanui ʻaoʻao liʻiliʻi ʻē aʻe e hele ai. Pēlā nō, i loko o ko kākou kino, inā ua ālai ʻia a hōʻino ʻia paha kahi kīʻaha koko nui (kīʻaha koko), aia kekahi ʻōnaehana kīʻaha koko "ʻē aʻe" a "kākoʻo" paha e hiki ke hoʻohana ʻia. ʻO kēia ka mea i kapa ʻia ʻo (Collateral Circulation) i ka lāʻau lapaʻau . I ka ʻōlelo maʻalahi, ua like kēia me kahi ʻōnaehana "bypass" kūlohelohe i loko o ko kākou kino ponoʻī.

No laila, he aha kēia ʻōnaehana kīʻaha koko ʻē aʻe (kaʻapuni koʻikoʻi)?

I ka ʻōlelo maʻalahi, ʻo ke kahe koko collateral he ʻōnaehana kīʻaha koko keu a "kope" paha i loko o kou kino. ʻO kēia nā kīʻaha koko e kōkua i ka hoʻohuli ʻana i ke koko inā paʻa a hōʻino ʻia paha kahi kīʻaha koko nui, e like me ke aʻa a i ʻole ka aʻa koko, no kekahi kumu. Ua like kēia me ke ʻano o ka wā e pani ʻia ai ke alanui nui ma ke kūlanakauhale, hele nā ​​​​kaʻa i nā alanui ʻaoʻao. Ma ka loaʻa ʻana o ke koko ma o kēia mau ala ʻē aʻe, hiki i nā ʻōpū koʻikoʻi ke hoʻomau i ka loaʻa ʻana o ka oxygen a me nā meaʻai a lākou e pono ai.

He ʻano pale kupaianaha maoli kēia i loko o ko kākou kino. E noʻonoʻo i ka mea e hiki mai ana inā ua ālai koke ʻia kahi kīʻaha koko nui me ka ʻole o kēia mau ala ʻē aʻe!

Pehea e hana ai kēia kaʻapuni kolateral? He mea kupaianaha ia, ʻeā?

ʻAe, he mea kupaianaha maoli nō ia. Hana kēia ʻōnaehana (Collateral Circulation ) ma nā ʻano he nui.

• Nā kīʻaha koko liʻiliʻi i loaʻa mua: Loaʻa iā mākou kahi pūnaewele o nā kīʻaha koko liʻiliʻi a lahilahi loa e pili ana i kā mākou mau kīʻaha koko nui. Ma lalo o nā kūlana maʻamau, ʻaʻole hana nui kēia mau mea, e like me nā alanui liʻiliʻi i hoʻohana ʻole ʻia. Eia naʻe, ke hoʻopilikia ʻia ke kahe ʻana o ke koko i kahi kīʻaha koko nui, ʻike ke kino i kēia. A laila, hoʻonui mālie kēia mau kīʻaha koko "moe", wehe, a hoʻomaka e lawe i ke koko hou aku.

• Hoʻokumu ʻia ʻana o nā kīʻaha koko hou (Angiogenesis): I kekahi manawa, ke ālai mālie ʻia kahi kīʻaha koko nui, ʻike ko mākou kino i kēia. Ke loaʻa iā ia kahi hōʻailona "ʻaʻole lawa ke koko e kahe ana ma ʻaneʻi," hoʻomaka ke kino e hana i nā kīʻaha koko hou a liʻiliʻi. Ua kapa ʻia kēia kaʻina hana he angiogenesis . Kōkua kēia mau kīʻaha koko hou i ka lawe ʻana i ke koko a puni ka wahi i ālai ʻia.

• Ka hopena o ka hoʻoikaika kino: Ua ʻike anei ʻoe e hiki i ka hoʻoikaika kino aerobic maʻamau , e like me ka holo ʻana a i ʻole ka hele wikiwiki ʻana, ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko i kēia mau kīʻaha koko hou?Hoʻoulu i ka angiogenesis. ʻO ke ʻano kēia, hiki i ka hoʻoikaika kino ke hoʻoikaika i kēia ʻōnaehana "kope".

No laila, penei ke ʻano o ko mākou kino e hoʻāʻo ai e kū i nā hoʻopilikia ʻana i ke kahe koko .

Pehea ka maʻamau o kēia ala koko ʻē aʻe (kaʻapuni koko koʻikoʻi)? Loaʻa i nā kānaka a pau?

Ua hānau ʻia mākou a pau me kekahi pae o ke kahe koko collateral . Eia nō naʻe, ʻokoʻa ka nui, ka helu, a me ka pono o kēia mau kīʻaha koko keu mai kēlā kanaka a kēia kanaka. Loaʻa i kekahi poʻe kēia ʻōnaehana i hoʻomohala maikaʻi ʻia, aʻo kekahi poʻe ʻaʻole i hoʻomohala nui ʻia. He ʻokoʻa ia mai kēlā kanaka a i kēia kanaka.

ʻEkolu mau ʻano nui o kēia mau kīʻaha koko ʻē aʻe:

• Nā Arteri: ʻO kēia nā kīʻaha koko nui e lawe ana i ke koko momona i ka oxygen mai ka puʻuwai a i ke koena o ke kino .
• Nā Capillaries: He mau kīʻaha koko liʻiliʻi loa kēia. Ua hohola ʻia lākou e like me ka ʻupena. Hāʻawi lākou i ka oxygen a me nā meaʻai i nā ʻāpana a hōʻiliʻili i nā huahana ʻōpala e like me ke kalapona ʻokikene.
• Nā aʻa koko: ʻO kēia nā kīʻaha koko e lawe ana i ke koko nele i ka oxygen , waiwai i ke kalapona ʻokikene i ka puʻuwai mai nā wahi like ʻole o ke kino.

No laila, hiki i nā ʻano kīʻaha koko ʻekolu, nā aʻa, nā veins, a me nā capillaries, ke hana ma ke ʻano he mau ala hoʻolako koko ʻē aʻe.

I loko o ke aha nā kūlana olakino e koʻikoʻi ai kēia kahe koko?

Hiki ke hoʻāla ʻia kēia ʻōnaehana (Collateral Circulation) a kōkua i nā ʻano maʻi like ʻole e kāohi ana i ke kahe koko, ʻo ia hoʻi, e hōʻemi i ke kahe o ke koko ma o nā kīʻaha koko. Eia kekahi mau laʻana:

• Atherosclerosis : ʻO kēia ka wā e hōʻiliʻili ai ka momona a me ka cholesterol i loko o nā paia o ke aʻa, e hoʻohaiki ana i ke aʻa, e ālai ana i ke kahe koko.
• Maʻi ʻAʻa Coronary: Hoʻokumu ʻia nā hōʻeha puʻuwai e kēia ālai ʻana o nā ʻaʻa coronary e hoʻolako koko i ka puʻuwai.
• Hahau Ischemic: Hana ʻia kēia kūlana ke ālai ʻia kahi aʻa e hoʻolako ana i ke koko i ka lolo a i ʻole ke kūkulu ʻia ʻana o kahi clot.
• ʻO ka maʻi ʻaʻa Peripheral (PAD): Hoʻokumu ʻia kēia maʻi e ka haiki ʻana o nā aʻa e hoʻolako ana i ke koko, ʻoi aku hoʻi i nā wāwae. ʻO kahi hōʻailona o kēia, ʻo ia ka ʻeha ma nā wāwae i ka wā e hele ai.

Akā eia kekahi mea nui e hoʻomanaʻo! Hoʻopilikia mau ʻia kēia ʻōnaehana (Collateral Circulation) e ka emi ʻana o ka lako koko (Ischemia) i hoʻokumu ʻia e kēia mau kūlana.ʻAʻole hiki ke pale loa ʻia. No ka mea, ma mua o ka pani piha ʻia ʻana o ke kīʻaha koko nui, pono e ulu wikiwiki kēia mau kahawai ʻē aʻe a hiki ke lawe i ke koko lawa. No laila, inā loaʻa iā ʻoe kēlā mau kūlana, ʻoiai inā he lako koko ʻē aʻe maikaʻi kāu, pono ʻoe e ʻimi i ka lāʻau lapaʻau. He kōkua wale nō kēia, ʻaʻole he hopena piha.

Pehea ka lōʻihi o ke kaʻina hana o kēia kaʻapuni collateral?

Ke hoʻāla ʻia kēia ʻōnaehana (kalapuni collateral) , e hoʻonui mālie kēlā mau kīʻaha koko liʻiliʻi a hoʻomaka e lawe i ke koko hou aku. Hiki i kēia mau kīʻaha koko ʻē aʻe i hoʻonui ʻia ke hāʻawi i kahi lako koko maʻamau no nā mahina, a i ʻole he mau makahiki paha.

Eia nō naʻe, i ka hala ʻana o ka manawa, ʻoiai hoʻi i ko kākou ʻelemakule ʻana, hiki i kēia mau kīʻaha koko ʻē aʻe ke emi mālie, a hoʻomaka paha e liʻiliʻi. Ua kapa ʻia kēia kaʻina hana he rarefaction . He mea maʻamau kēia ʻano i ka poʻe me ka maʻi cardiovascular . Ke emi kēia mau kīʻaha koko ʻē aʻe, e emi ana ko lākou pono. A laila, inā e ālai hou ʻia kahi kīʻaha koko nui, ʻoi aku ka nui o nā hōʻailona e kū mai.

Ma nā ʻāpana hea o ke kino e loaʻa pinepine ai kēia mau kīʻaha koko ʻē aʻe (kaʻapuni koko koʻikoʻi)?

Hiki ke loaʻa kēia mau ʻōnaehana hoʻopololei koko ʻē aʻe ma nā ʻāpana like ʻole o ko kākou kino. Eia kekahi laʻana:

• ʻōpū
• Nā mea kaua
• lolo
• Nā wāwae a me nā wāwae
• I loko o ka puʻuwai (Heart)
• Nā māmā

ʻO kaʻoiaʻiʻo, ʻo kēia (Collateral Circulation) kahi hoʻolālā a ke kino e hoʻohana ai e lanakila ai i kahi keʻakeʻa i ke kahe ʻana o ke koko. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole kēia he ʻano hana hiki ke pale loa i ka pōʻino i hoʻokumu ʻia e nā kūlana e like me ka hahau ʻana a me nā maʻi e like me (PAD) . ʻAʻole hiki iā ia ke pale loa i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana mai ka hanana ʻana. Eia nō naʻe, i kekahi mau hihia, hiki ke lilo i mea pono loa, a hiki ke kōkua i ka hoʻopakele ʻana i ke ola.

He aha nā manaʻolana no kēia i ka wā e hiki mai ana?

Ke hoʻomau nei nā kānaka noiʻi lapaʻau i ke aʻo ʻana i kēia (kaʻapuni ʻana o ke koko) me ka hoihoi nui. ʻO ka mea nui, ke hana ʻia nei ka noiʻi inā hiki ke hana a hoʻohana ʻia nā aʻa koko artificial. Inā holomua kēlā mea, hiki ke hoʻonui hou aku i ka hiki maoli o ke kino ke kū i nā maʻi like ʻole e hoʻopilikia i ke kaʻapuni koko. He manaʻolana nui kēlā.

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia? (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo kākou i kekahi o nā mea nui a kākou i kamaʻilio ai (Collateral Circulation) :

• ʻO ke Collateral Circulation kahi ʻōnaehana kīʻaha koko "kope" maoli i loko o ko mākou kino.Inā paʻa kahi kīʻaha koko nui, hele mai kēia mau mea e hoʻopakele.
• He ʻano pale kēia o ke kino. I kekahi manawa hiki ke lilo i mea pono loa a hoʻopakele ola paha.
• Kōkua ka hoʻoikaika kino mau i ka ulu ʻana o kēia mau kīʻaha koko ʻē aʻe.
• Eia naʻe, ʻaʻole kēia he hopena piha no nā maʻi. Inā loaʻa iā ʻoe kahi maʻi e like me (Atherosclerosis) , (Coronary Artery Disease) , (Stroke Risk), a i ʻole (PAD) , pono ʻoe e ʻimi i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau.
• Hiki ke emi iho ka pono o kēia mau ala ʻē aʻe me ka makahiki a i ʻole kekahi mau kūlana olakino.
• ʻO ka mālama ʻana i kahi nohona olakino , ʻoiai ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai a me ka hoʻoikaika kino ʻana, kōkua ia i ka mālama ʻana i kēia ʻōnaehana ʻē aʻe, a me ka ʻōnaehana hoʻopuni koko holoʻokoʻa.

No laila, he mea kupaianaha maoli ko kākou mau kino, ʻeā? He mea kupaianaha ke ʻano o ko lākou hoʻolālā ʻana i nā ʻōnaehana paʻakikī e pale aku iā lākou iho. Akā, ʻoiai e kōkua ana i kēlā mau ʻano pale kūlohelohe, he mea nui hoʻi e mālama kākou i ko kākou olakino.

Nā kīʻaha koko ʻē aʻe , nā ala koko hou aʻe, Collateral Circulation, ke kahe koko, maʻi puʻuwai, arterial occlusion, Angiogenesis