ʻAʻole mākou a pau i ʻike nui e pili ana i ko mākou kino, ʻoiai nā mea i loko, ʻeā? Akā, aia kekahi mau mea, ʻoiai he mea liʻiliʻi, he mea nui loa ia no ko mākou kino. I kēia lā, e kamaʻilio mākou e pili ana i kahi kīʻaha koko koʻikoʻi loa i loko o kou ʻōpū, a i ʻole ka ʻōpū. Kāhea mākou i kēia ʻo `(Inferior Epigastric Artery)`. ʻAʻole paha ʻoe i lohe i kēia inoa ma mua, akā, he waiwai nui ka lawelawe āna e hāʻawi ai iā ʻoe.
No laila, he aha kēia `(Inferior Epigastric Artery)`?
I ka ʻōlelo maʻalahi, ʻo kēia `(Inferior Epigastric Artery)` he
kīʻaha koko i loko o kou ʻōpū, ʻo ia hoʻi kou ʻōpū. Ua like ia me ka paipu wai, akā lawe ia i
ke koko maʻemaʻe a oxygenated . ʻO kēia kekahi o nā ʻaʻa epigastric nui ʻekolu i loko o kou ʻōpū. ʻO "Epigastric" ʻo ia hoʻi ma waenakonu o kou ʻōpū. ʻO nā ʻaʻa ʻelua ʻē aʻe ʻo ia ka `(Superior Epigastric Artery)` (aia kēia ma luna) a me ka `(Superior Epigastric Artery)` (ʻoi aku ka kokoke o kēia i ka ʻili). E noʻonoʻo e pili ana iā ia, he mau ʻiʻo kou i loko o kou ʻōpū, kapa mākou iā lākou he "abs", no laila he mea nui loa kēia kīʻaha no ka hoʻolako ʻana i ke koko iā lākou. ʻOi aku ka nui, ʻo kēia `(Inferior Epigastric Artery)` a me ka `(Superior Epigastric Artery)` me he mea lā e hui pū ana ma kahi kokoke i kou pihi ʻōpū. ʻO kēia `(Inferior Epigastric Artery)` e lālā ana i nā lālā liʻiliʻi. Hoʻolako kēia mau lālā i ke koko i nā ʻiʻo i loko o kou ʻōpū, kou ʻili, a me nā ʻiʻo ma kou wahi pelvic (ka ʻāpana ma lalo o kou ʻōpū, kokoke i kou ʻūhā). ʻO ke ʻano kēia, he kuleana nui kēia mau aa liʻiliʻi i ka mālama ʻana i ke kahe ʻana o ke koko ma kou kino holoʻokoʻa.
No laila, he aha ka mea e hana nei me kēia `(Inferior Epigastric Artery)`?
E like me nā aʻa ʻē aʻe, ʻo ka hana nui o ka Inferior Epigastric Artery ka lawe ʻana i
ke koko waiwai i ka oxygen i ke koena o kou kino. He ʻāpana ia o kahi pūnaewele nui o nā kīʻaha koko i loko o kou ʻōpū a me kou pelvis. Hoʻolako kēia pūnaewele i ke koko i nā ʻāpana waena o kou kino. Pono kou mau ʻiʻo a me nā ʻiʻo ʻē aʻe i ka oxygen a me nā meaʻai mai kēia koko e hana. E noʻonoʻo e pili ana iā ia, ke ʻakaʻaka ʻoe, hele wāwae, a hāpai paha i nā mea kaumaha, hoʻohana ʻia nā ʻiʻo o kou ʻōpū no kēia mau mea āpau, ʻeā? He mea nui loa ke koko e hele mai ana mai kēia aʻa e hāʻawi iā lākou i ka ikehu.
Aia ma hea kēia `(Inferior Epigastric Artery)`? Ma hea e hoʻomaka ai?
Hoʻomaka ka Inferior Epigastric Artery ma kou
ʻāpana groin . Piʻo ia i luna a i kou puʻupuʻu. Māhele ia mai kou External Iliac Artery. Aia kēia lālā ma luna pono a ma hope o kou Inguinal Ligament. ʻO ka Inguinal Ligament kahi ligament e like me ke kāʻei ma kou ʻāpana groin e hoʻopili ana i kou
mau ʻiʻo ʻōpū oblique i kou pelvis. ʻO ka ʻōlelo pololei, aia ia i loko o kou kino, no laila ʻaʻole ʻike ʻia mai waho.
Loaʻa iā kākou ʻelua `(Inferior Epigastric Artery)` i loko o ko kākou kino?
ʻAe, maikaʻi nō hoʻi kēlā e ʻike. I loko o kou kino
Aia kekahi ʻaoʻao Inferior Epigastric Artery ma kēlā me kēia ʻaoʻao, ʻo ia hoʻi, ma nā ʻaoʻao hema a me ʻākau. Hoʻomaka ka mea ma ka ʻaoʻao hema mai ka External Iliac Artery hema, a hoʻomaka ka mea ma ka ʻaoʻao ʻākau mai ka External Iliac Artery ʻākau. Pehea ka nui o kēia aa koko?
Hiki ke ʻokoʻa loa ka lōʻihi o kēia `(Inferior Epigastric Artery)` mai kēlā kanaka a kēia kanaka . ʻAʻole wale ia, akā ʻo ka mea ma kekahi ʻaoʻao o kou kino e ʻoi aku ka lōʻihi ma mua o kekahi. ʻO ka maʻamau, hiki i kona lōʻihi ke loaʻa mai 3.5 kenimika a i kahi o 7 kenimika . ʻO 3.5 kenimika ka lōʻihi o ka hui mua o kou manamana nui. No laila, ʻoiai ʻaʻole paha kēia e like me he aʻa nui loa, maikaʻi loa ka lawelawe āna e hāʻawi ai i ke kino. He aha nā wahi i hoʻolako ʻia me ke koko e ka `(Inferior Epigastric Artery)`?
Hoʻolako nui kēia aʻa koko i:- I nā ʻiʻo i loko o kou ʻōpū (nā ʻiʻo ʻōpū).
- I ka ʻili o ka ʻōpū.
- Hoʻolako pū ia i ke koko i kekahi mau ʻāpana o ka ʻōnaehana hānau kāne .
He aha nā lālā o ka `(Inferior Epigastric Artery)`?
Hāʻawi kēia aʻa nui (Inferior Epigastric Artery) i nā lālā liʻiliʻi he nui. Hoʻolako kēlā me kēia o lākou i ke koko i nā wahi kikoʻī. E nānā kākou i kēlā mau lālā nui:- Nā lālā Anastomotic: ʻO ke ʻano o "Anastomotic" ua pili. Hoʻohui kēia mau lālā i nā kīʻaha koko ʻē aʻe (nā aʻa intercostal) i loko o ka umauma ma waena o nā iwi ʻaoʻao e kōkua i ke kahe ʻana o ke koko. E like me nā alanui ʻelua e hui pū ana e hana i alanui nui aʻe, hana pū kēia mau kīʻaha koko.
- ʻO ke aʻa Cremasteric : He lālā kēia i mea nui loa no nā kāne. Hoʻolako ia i ke koko i ka ʻiʻo cremaster a me nā ʻiʻo e pili ana i nā testicles i nā kāne.
- ʻO nā lālā ʻili: ʻO ke ʻano o "ʻili" e pili ana i ka ʻili. Hoʻolako kēia mau lālā i ke koko i ka ʻili ma ke alo o ka ʻōpū.
- `Nā lālā ʻiʻo`: E like me ka inoa e hōʻike nei, ʻo ia nā lālā e hele i nā ʻiʻo. Hoʻolako kēia mau lālā i ke koko i nā ʻiʻo like ʻole i loko o ka ʻōpū (`(Nā ʻiʻo ʻōpū)`), ʻo ia hoʻi kou "ʻōpū". ʻAʻole wale ia, aia kahi membrane pale lahilahi a puni nā ʻōpū i loko o ko kākou ʻōpū, i kapa ʻia ʻo `(Peritoneum)`. Hoʻolako pū kēia mau lālā i ke koko i ka papa o loko o kēlā `(Peritoneum)`.
- ʻO ka lālā pubic (lālā e pili ana i ka iwi pelvic): Holo kēia lālā ma hope o ka ʻaoʻao mua o ko kākou iwi pelvic (`(Pubic Bone)`) a pili i kahi lālā o kekahi kīʻaha koko ʻē aʻe ma laila (kahi lālā o ka `(Obturator Artery)`).
E nānā i ka nui o nā wahi e lawelawe ai kēia '(Inferior Epigastric Artery)' liʻiliʻi! He aha nā maʻi a i ʻole nā pilikia e hoʻopilikia ai i ka `(Inferior Epigastric Artery)`?
ʻO ka maʻamau, hana kēia aʻa i loko o ke kanaka olakino me ka ʻole o nā pilikia. Eia nō naʻe, i ka wā o kekahi mau lāʻau lapaʻau, e like me ke ʻoki ʻana, aia kahi manawa liʻiliʻi e hōʻino ʻia ai kēia `(Inferior Epigastric Artery)` . ʻAʻole kēia he mea i manaʻo ʻia, akā he pilikia paha ia. Eia kekahi mau hihia:- Ka pani ʻana o nā ʻoki ʻana o ka ʻōpū .
- Nā ʻoki Laparoscopic . He mau ʻoki kēia i hana ʻia ma o nā ʻoki liʻiliʻi me kahi kāmela i hoʻokomo ʻia.
- I ka wā e hana ai i ka `Paracentesis`. He lāʻau lapaʻau kēia kahi e piha ai ka ʻōpū i ka wai, a lawe ʻia kēlā wai me kahi syringe.
- Ke hoʻokomo ʻia kahi `peritoneal dialysis catheter` . He ʻano dialysis kēia i hana ʻia no kekahi poʻe nona nā puʻupaʻa ʻaʻole hana pono. ʻO ke catheter kahi paipu i hoʻokomo ʻia i loko o ka ʻōpū.
- Ke hoʻokomo ʻia kahi ʻōmole hoʻokahe ma hope o ke ʻoki ʻana ('Surgical drain insertion').
Inā ua hōʻino ʻia kekahi aʻa koko i kēia manawa, hiki ke kahe ke koko . He mea kākaʻikahi loa, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo "pseudoaneurysm" . ʻO kēia ka wā e kahe ai kahi koko liʻiliʻi mai kahi wahi nāwaliwali liʻiliʻi i loko o ka paia o ke kīʻaha koko, e hana ana i kahi puʻupuʻu liʻiliʻi ma waho o ke aʻa koko, akā ua hoʻopuni ʻia e nā ʻiʻo. ʻAʻole ia he "aneurysm" maoli (ʻo ia hoʻi he puʻupuʻu i loko o ka paia o ke aʻa koko), akā ua kapa ʻia ʻo ia he "pseudoaneurysm" no ka mea ua like ia me kekahi. ʻO "Pseudo" ʻo ia hoʻi "hoʻopunipuni". Akā, mai hopohopo! E hana kāu kauka i nā hana e pono ai e pale aku i kēia mau pilikia. No ka laʻana, hiki iā ʻoe ke loaʻa i kahi scan ultrasound ma mua o ke ʻoki ʻana e ʻike ai pehea ke kau ʻana o ke aʻa i loko o kou kino. He mea nui loa kēia no ka poʻe me nā loli liʻiliʻi i ko lākou ʻano kūloko, ka poʻe me nā ʻeha mai nā ʻoki mua, a i ʻole ka poʻe momona e hōʻemi i nā pilikia.
Pehea e mālama ai i ko kākou `(Inferior Epigastric Artery)` olakino? (He mea maikaʻi kēia no nā kīʻaha koko i loko o ko kākou kino holoʻokoʻa!)
I mea e mālama pono ai ʻaʻole i kēia `(Inferior Epigastric Artery)` wale nō, akā, i kēlā me kēia kīʻaha koko i loko o kou kino, ʻoi aku ka maikaʻi o ka hahai ʻana i kahi nohona olakino no ka puʻuwai . A laila wale nō e kaʻapuni ai ke koko waiwai i ka oxygen ma loko o kou kino, e ʻae ana i kāu mau ʻōkana a me nā ʻiʻo e hana maikaʻi loa. No laila, he aha kēia mau ʻano olakino no ka puʻuwai?- E hoʻōki i ka puhipaka a me ka hoʻohana ʻana i nā ʻano paka āpau. ʻO kēia ka mea mua a me ka mea nui loa.
- E ʻai i ka meaʻai olakino no ka puʻuwai. ʻO ia hoʻi ka ʻai ʻana i nā meaʻai haʻahaʻa i ka momona saturated, trans fat, sodium, a me ke kō. E hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, nā nati, a me nā iʻa i kāu papaʻai.
- E hoʻoikaika kino mau. E hoʻāʻo e loaʻa ma ka liʻiliʻi he 150 mau minuke i ka pule (ʻo ia hoʻi he 30 mau minuke i ka lā, 5 mau lā o ka pule) o ka hoʻoikaika kino ikaika. He mau koho maikaʻi ka hele wāwae, ke kaʻa paikikala, a i ʻole ka ʻauʻau ʻana.
- E ʻimi i nā ala e hoʻokele ai i ke kaumaha i kou ola o kēlā me kēia lā. Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ke komo ʻana i kahi hana leʻaleʻa ke kōkua.
- E hiamoe maikaʻi ma waena o 7 a me 9 mau hola i kēlā me kēia pō.
- Inā loaʻa iā ʻoe nā kūlana e hoʻoweliweli ai i ka maʻi puʻuwai, e like me ke koko kiʻekiʻe , ka cholesterol kiʻekiʻe , a i ʻole ka maʻi diabetes , e kaohi pono iā lākou.
- Inā he mau lāʻau lapaʻau i kauoha ʻia e kāu kauka, e lawe iā lākou i ka manawa kūpono a ma ke ʻano i kuhikuhi ʻia.
- E ʻike i kāu kauka no ka nānā ʻana i kēlā me kēia makahiki. Eia kekahi, inā pono ʻoe e hele no nā nānā ʻana, mai poina iā lākou.
Ke hana ʻoe i kēia mau mea, ʻaʻole wale nō kou `(Inferior Epigastric Artery)`, akā, ʻo nā kīʻaha koko ʻē aʻe a pau o kou kino holoʻokoʻa e hauʻoli! ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻO kou `(Inferior Epigastric Artery)` kekahi ʻāpana koʻikoʻi o ka ʻōnaehana hoʻopuni koko o kou kino. Me ka ʻike ʻole ʻia e kākou, i kēlā me kēia kekona, ke hana ikaika nei ko kākou mau aʻa e hāʻawi i ke kino i ka oxygen a me nā meaʻai e pono ai. No laila, no ke kōkua ʻana i kēlā mau aʻa e hana maikaʻi, ʻo ka mea maikaʻi loa hiki iā kākou ke hana, ʻo ia ke ola i kahi nohona olakino no ka puʻuwai. Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia, a inā makemake ʻoe i ke kōkua e hoʻololi i kou nohona, mai hilahila e kamaʻilio me kāu kauka. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo āu e pono ai.
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