Ua lohe paha ʻoe i kahi 'Kauka Vascular'? Malia paha ʻae, ʻaʻole paha. Akā he kumuhana koʻikoʻi loa kēia, no ka mea, pili kēia mau kauka i ka ʻōnaehana koʻikoʻi loa i loko o ko mākou kino. I ka ʻōlelo maʻalahi, he mau kauka loea kēia i nā kīʻaha koko i loko o ko mākou kino, ʻo ia hoʻi, ka ʻōnaehana vascular . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, ʻeā?
No laila, ʻo wai kēia 'Kauka Vascular'?
He maʻalahi loa. ʻO ke 'Kauka Vascular' he kauka nāna e mālama a mālama i kāu ʻōnaehana vascular , ʻo ia hoʻi kou mau kīʻaha koko. ʻEkolu mau ʻāpana nui o kāu ʻōnaehana vascular. ʻO lākou kēia:
- Nā ʻaʻa koko: ʻO kēia nā kīʻaha koko e lawe ana i ke koko i piha i ka oxygen a me nā meaʻai mai kou puʻuwai a i kēlā me kēia ʻiʻo a me nā cell i loko o kou kino. Ua like lākou me ka ʻōnaehana lako wai nui no ke kūlanakauhale.
- Nā aʻa koko: Ma hope o ka loaʻa ʻana o nā meaʻai a me ka oxygen i loko o kou mau cell, lawe kēia mau aʻa koko i nā ʻōpala i koe, ʻoiai ke kalapona ʻokikene, i ka puʻuwai. Ua like ia me kahi ʻōnaehana ʻauwai e hōʻiliʻili ana i ka wai i hoʻohana ʻia.
- Nā Capillaries: He mau kīʻaha koko liʻiliʻi loa kēia. ʻO kēia nā mea e hoʻopili ai i nā aʻa a me nā veins. Ua like lākou me nā paipu liʻiliʻi e hoʻokaʻawale ana i ka wai mai nā paipu nui i nā home.
No laila, ʻo ka mālama ʻana i kēia ʻōnaehana holoʻokoʻa he mea nui ia i ko kākou ola. Hiki i ke kauka vascular ke kōkua iā ʻoe e hoʻokele i nā hopena lōʻihi o kēia ʻōnaehana. Hiki iā lākou ke mālama a hana pū me kāu mau kauka ʻē aʻe inā loaʻa iā ʻoe kahi pilikia kikoʻī.
E noʻonoʻo, ke pālahalaha nei kēia ma ko mākou kino. Ua like ke kaʻina hana hoʻopōʻaiapuni me kahi pūnaewele o nā alanui e holo ana ma waena o kahi ʻāina. Inā maikaʻi ke kūlana o kēlā mau alanui, e holo pono nā mea āpau. A pēlā nō hoʻi nā kīʻaha koko!
He aha ka hana a ke 'Kauka Vascular'?
ʻO ke kauka vascular ke kālele nui nei i ka pale ʻana, ka nānā ʻana, a me ka mālama ʻana i nā maʻi o kou mau kīʻaha koko, ʻo ia hoʻi nā aʻa a me nā veins. E like me kā mākou i ʻōlelo ai ma mua, pono kēlā me kēia cell a me nā ʻiʻo i loko o ko mākou kino i ka lako mau o ka oxygen a me nā meaʻai. No laila, he mea nui loa nā kīʻaha koko olakino.
Ua ʻike anei ʻoe ma nā ʻāina e like me ʻAmelika, kōkua kēia mau 'Kauka Vascular' i kekahi mau maʻi i maʻamau i waena o nā kānaka, a i kekahi manawa hiki ke make? Eia kekahi mau laʻana:
- ʻO ka maʻi ʻaʻa peripheral (`(ʻO ka maʻi ʻaʻai Peripheral (PAD): He ʻano kēia kahi e ʻūmiʻi ai a paʻa paha nā ʻaʻa e lawe ana i ke koko i nā lālā. Ma kahi o 8.5 miliona mau ʻAmelika e loaʻa ana i kēia maʻi!
- ʻO nā Aneurysms Aortic a i ʻole Dissections: ʻO kēia ka wā e nāwaliwali ai ka aorta, ke aʻa nui loa i loko o ko mākou kino, a puʻupuʻu (aneurysm) a i ʻole he haehae i kona paia (dissection). He mea weliweli loa kēia. I ka makahiki 2019 wale nō, ua make ma kahi o 10,000 mau kānaka ma ʻAmelika Hui Pū ʻIa mai kēia.
- Hahau: Hiki mai kēia ʻano ke ālai ʻia a pohā paha kekahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo. Ua manaʻo ʻia he 800,000 mau kānaka ma ʻAmelika Hui Pū ʻIa e loaʻa ana i ka hahau i kēlā me kēia makahiki.
Aia kēia mau kauka loea ma laila e mālama i nā maʻi koʻikoʻi e like me kēia.
He aha nā lāʻau lapaʻau i loaʻa mai kahi 'Kauka Vascular'?
ʻO ke ʻano o ka lāʻau lapaʻau a ke kauka vascular e hāʻawi ai iā ʻoe ma muli o kou kūlana. ʻO ka maʻamau, e hāʻawi lākou i kēia mau lāʻau lapaʻau:
- Nā Hoʻololi ʻana i ke ʻano o ka nohona: Nā ʻōlelo aʻoaʻo no ka nui o ka hoʻoikaika kino āu e hana ai a me nā mea āu e ʻai ai. I kekahi manawa hiki i nā hoʻololi liʻiliʻi ke hana i kahi ʻokoʻa nui.
- Lāʻau lapaʻau: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko , nā pae cholesterol, a pale aku paha i nā ʻaʻa koko.
- Nā Kaʻina Hana Lapaʻau: Aia nā ʻano hana lapaʻau like ʻole e hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko. He maʻalahi loa kekahi o lākou a ʻaʻole pili i ke ʻoki kino nui.
- ʻOki: Hiki i kēia mau kauka ke hana i nā ʻokiʻoki nui e pale aku i ka hahau ʻana a i ʻole e hoʻōki i ka aneurysm aortic mai ka haki ʻana.
I ka manawa hea e ʻike ai ʻoe i ke kauka vascular?
Inā loaʻa iā ʻoe nā kumu pilikia ma lalo nei, ʻoi aku ka nui o kou loaʻa ʻana i nā maʻi vascular, no laila he manaʻo maikaʻi e ʻike i ke kauka vascular:
- Inā loaʻa iā ʻoe ka maʻi diabetes (`(Diabetes Mellitus)`) .
- Inā he koko kiʻekiʻe kou.
- Inā ʻoe e hoʻohana i nā huahana paka (e like me nā cigarettes, beedis) .
Eia kekahi, he mea naʻauao ke ʻike i ke kauka vascular inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
- Inā ʻeha kou umauma i ka wā e hoʻoikaika kino ana.
- Inā loaʻa iā ʻoe ka ʻeha, ka ʻūlū, a i ʻole ka pehu ʻana i kou mau wāwae (ʻoi aku hoʻi i ka wā e hele ana).
E like me ke kū ʻana o kahi mea i loko o ka ʻōnaehana wai o kou home, e pau ka lako wai, pēlā nō ka mea e hana ʻia inā he pilikia me ko kākou mau kīʻaha koko. No laila, he mea nui loa ka makaʻala i ia mau hōʻailona.
I kekahi manawa, ke noho ʻoe ma ka haukapila, hiki i ke kauka vascular ke hele mai e kōkua iā ʻoe ma muli o kahi pilikia vascular i mālama ʻole ʻia. Loaʻa i kēia mau kauka ka ʻike loea e hana i nā mea āpau mai nā kaʻina hana liʻiliʻi loa, minimally invasive a hiki i nā ʻokiʻoki paʻakikī loa. Ma hope o ke kula lapaʻau, pono ʻoe e hele i ʻelima a ʻehiku mau makahiki o ke aʻo kūikawā e lilo i kauka vascular.
He aha nā kūlana olakino e mālama ai ke kauka vascular a kōkua paha e pale aku?
Hoʻoponopono nā Kauka Vascular i nā pilikia he nui, me:
- ʻO ka aneurysm (e like me ka puʻupuʻu) ma ka paia o ke aʻa
- Ka mumū ʻana o nā kīʻaha koko - `(Vasculitis)`
- Ka hōʻiliʻili ʻana o ka momona (cholesterol) i loko o nā aʻa - `(Atherosclerosis)` (ʻO kēia ke kumu pinepine o ka paʻa ʻana o nā kīʻaha koko)
- He ʻūpā koko i loko o kahi aʻa koko ma ka wāwae - `(Deep Vein Thrombosis - DVT)`
- Ka hāiki ʻana a i ʻole ka paʻa ʻana o nā aʻa koko ma nā wāwae - `(Peripheral Artery Disease - PAD)`
- ʻO ka Pulmonary Embolism (hiki ke lilo i hopena weliweli o DVT)
- Ka hāiki ʻana o nā kīʻaha koko ma nā lima a me nā wāwae ma muli o ke anu - `(ka maʻi ʻo Raynaud)` (Ua ʻike paha ʻoe i nā manamana lima o kekahi poʻe e polū ana i ke anu, ʻeā? Ma muli paha o kēia)
- Ka pale ʻana a i ʻole ka hāiki ʻana o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai - `(Coronary Artery Disease)` (ʻO kēia ke kumu nui o nā hōʻeha puʻuwai)
- Nā ʻaʻa Varicose
- Ka pale ʻana a i ʻole ka haiki ʻana o kahi aʻa (ma ka ʻāʻī) e hoʻolako ana i ke koko i ka lolo - `(Carotid Artery Disease)` (He kumu kēia o ka maʻi lolo)
- Ka haki koke ʻana o ke kahe koko i ka lolo - `(Stroke)`
- Ke hoʻomākaukau ʻana i kahi kīʻaha koko no ka dialysis ma hope o ka hāʻule ʻana o ka puʻupaʻa.
- He haehae ma ka papa o loko o ka aorta (aorta) - (Aortic Dissection)
E nānā i ka nui o nā mea a kēia mau kauka e kōkua ai!
He aha nā hoʻokolohua a ke kauka vascular e hana ai?
Hiki i ke kauka vascular ke kauoha i nā hoʻokolohua e like me kēia e nānā i ke olakino o kou mau kīʻaha koko:
- Catheter Angiogram: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma o kahi kīʻaha koko a lawe ʻia kahi X-ray me ka hoʻohana ʻana i kahi dye kūikawā.
- CT Angiogram (`(Computed Tomography Angiogram - CT Angiogram)`): Hoʻohana ʻia kahi mīkini scan CT e lawe i nā kiʻi kikoʻī o nā kīʻaha koko.
- ʻO M.R. Angiogram (`(Angiogram Resonance Magnetic - MR Angiogram)`):Hoʻohana ʻia ka scanner MRI e kiʻi i nā kiʻi o nā kīʻaha koko.
- ʻO Vascular Ultrasound: He hoʻāʻo maʻalahi kēia a ʻeha ʻole e hoʻohana ana i nā nalu kani e nānā i ke kahe o ke koko i loko o nā kīʻaha koko.
- Venogram: He hoʻāʻo X-ray e nānā i ke kahe koko i loko o nā aʻa koko.
- ʻŌlelo Kuhikuhi Kuʻekuʻe-Brachial (ABI): Ana i ke kaomi koko ma ka wāwae a me ka lima e ʻike ai pehea e kaʻapuni ai ke koko ma nā wāwae.
ʻO kēia mau hoʻokolohua ka mea e kōkua i ke kauka e hoʻomaopopo pono i kou pilikia.
He kanaka hoʻokahi anei ke 'Kauka Vascular' a me ke 'Cardiologist'?
ʻAe, ua like kēia mau mea ʻelua. ʻO ke 'cardiologist' he kauka loea i ka puʻuwai. Hoʻōla ʻo ia i nā maʻi e pili ana i ka puʻuwai.
Hoʻōla ke kauka vascular i nā kīʻaha koko ma ke kino holoʻokoʻa. Hoʻokomo pū kēia i nā kīʻaha koko nui e like me ka aorta. Eia naʻe, ʻaʻole mālama pololei ke kauka vascular i ka puʻuwai ponoʻī.
Eia nō naʻe, i kekahi manawa hiki ke hui pū ʻia kēia mau mea ʻelua e mālama iā ʻoe, no ka mea, ʻelua mau ʻōnaehana pili loa ka puʻuwai a me nā kīʻaha koko.
Pono ʻoe i kahi kuhikuhi e ʻike ai i ke kauka vascular?
Hiki ke loli kēia ma muli o kāu hoʻolālā ʻinikua. I kekahi manawa pono paha ʻoe i kahi kuhikuhi mai kāu kauka ʻohana (Primary Care Provider) e ʻike i ke kauka vascular. Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi vascular, hiki i kāu kauka ʻohana ke kuhikuhi iā ʻoe i ke kauka vascular.
He aha kāu e manaʻo ai i kou wā e kipa aku ai i ke kauka vascular?
Ke hele ʻoe e ʻike i ke kauka vascular, e hana mua ʻo ia i kahi hoʻokolokolo kino iā ʻoe. A laila e kamaʻilio ʻo ia me ʻoe e pili ana i kāu mau hōʻailona. Mai poina e haʻi i ke kauka i nā mea āpau āu e manaʻo ai, nā mea āpau e pili ana i kēia.
Eia kekahi, e nīnau ke kauka e pili ana i kou mōʻaukala lapaʻau i hala a me ka mōʻaukala ʻohana, ʻoiai hiki i kekahi mau pilikia vascular ke holo i loko o nā ʻohana.
Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko a i ʻole nā hoʻāʻo kiʻi ʻē aʻe e kōkua i ka hoʻoholo ʻana i ke kumu pololei o kou pilikia. E kōkua nā hopena o kēia mau hoʻāʻo i ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa no kou kūlana.
E hoʻomanaʻo, mai makaʻu i kekahi mea ke hele ʻoe e ʻike i ke kauka. E nīnau i nā nīnau a pau āu e noʻonoʻo nei. Aia ke kauka ma laila e kōkua iā ʻoe.
Ma hea e hana ai nā kauka vascular?
Hana nā Kauka Vascular i nā haukapila a me nā keʻena hana pilikino, a me nā kikowaena olakino e loea i kahi ʻāpana o ka lāʻau lapaʻau vascular, e like me nā maʻi vein.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia.
ʻO ke kauka vascular he kauka loea i ka mālama ʻana i kou mau aʻa a me nā veins, a i ʻole nā kīʻaha koko. Hiki iā lākou ke kōkua me nā pilikia like ʻole e hoʻopilikia i kou mau kīʻaha koko. Hiki i kāu kauka ʻohana ke kuhikuhi i kahi kauka vascular e hiki ke kōkua me kāu pilikia kikoʻī.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a kāu kauka vascular a me ka hoʻolālā lapaʻau. A laila wale nō e hiki ai iā ʻoe ke loaʻa ka hoʻōla maikaʻi loa. ʻOiai hiki i kekahi mau pilikia vascular ke lōʻihi ka manawa, ʻo kāu kauka vascular paha kāu mea lawelawe mālama ola lōʻihi. No laila, he mea nui loa ka mālama ʻana i kahi pilina maikaʻi me ia.
No laila, inā ʻoe a i ʻole kekahi āu i ʻike ai he pilikia kēia, mai makaʻu e ʻike i ke Kauka Vascular. He hoʻopukapuka kālā nui ia i kou ola!
Kauka loea vascular, kauka vascular, maʻi arteriovenous, nā kīʻaha koko, hahau ʻana, maʻi arterial peripheral, olakino puʻuwai











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