Aia kekahi mau waihona momona i loko o kou mau kīʻaha koko? E kamaʻilio kākou e pili ana i ka atheroma!

I kēia lā, e kamaʻilio mākou e pili ana i kahi mea nui i nā poʻe he nui, akā ʻaʻole paha i ʻike maopopo ʻia. Ua lohe anei ʻoe i ka 'Atheroma' a i ʻole nā ​​waihona momona i loko o nā kīʻaha koko ? He mea kēia e hopohopo ai, no ka mea, hiki iā ia ke hoʻopilikia i ke olakino o ko mākou puʻuwai a me ke kahe koko ma ke kino holoʻokoʻa. No laila, e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka atheroma?

I ka ʻōlelo maʻalahi, he mea momona ka atheroma e hōʻiliʻili ana i loko o ko kākou mau kīʻaha koko, ʻoiai ko kākou mau aʻa koko, i ka hala ʻana o ka manawa. Ua like ia me ka lepo e hōʻiliʻili ana i loko o kahi paipu wai i ka hala ʻana o ka manawa. Ua kapa kekahi poʻe i kēia he 'atherosclerotic plaque', a i ʻole 'plaque' wale nō. No laila, hōʻiliʻili kēia 'plaque' ma nā paia o loko o nā aʻa koko, e hoʻohaiki mālie ana i ke ala no ke koko.

Aia kekahi mau kumu e pōʻino ai kēia atheroma:

• ʻO ka mea mua, e ulu mālie kēia mau mea a lawe i kahi ākea i loko o ke aʻa. A laila , emi ka wahi no ke koko e neʻe ai. E like me ke kaʻa ma ke alanui.
• ʻO ka lua, i kekahi manawa hiki i kēia mau waihona ke pohā koke. Ke hana ʻia kēlā, hiki ke hana ʻia kahi ʻūpā koko ma laila. Hiki i kēia ʻūpā koko ke ālai loa i ke kahe koko ma laila, a i ʻole hiki ke haki a ālai i kahi kīʻaha koko ma nā wahi ʻē aʻe o ke kino.

E noʻonoʻo, he aha ka mea e hana ʻia inā e ālai ʻia kahi aʻa e hoʻolako ana i ke koko i ka puʻuwai e like me kēia? ʻO ia ka manawa e loaʻa ai kahi hōʻeha puʻuwai. Pēlā nō, inā e ālai ʻia kahi aʻa e hoʻolako ana i ke koko i ka lolo , hiki ke loaʻa kahi kūlana i kapa ʻia he stroke. No laila, he mea nui loa ka makaʻala i kēia mau atheroma a hoʻēmi i ka pilikia o ka loaʻa ʻana o lākou.

He aha ka mea i hana ʻia ai kēia atheroma?

ʻO kēia mau waihona, i kapa ʻia ʻo atheroma, ua hoʻokumu ʻia e ka hōʻiliʻili ʻana o nā mea like ʻole e kaʻapuni ana i loko o ko kākou koko. ʻO lākou ka mea nui:

• Nā ʻano o nā pūnaewele i loko o ke koko.
• Kalipuna . ʻO kēia kalipuna ke kumu e lilo ai ka atheroma i mea paʻakikī a ʻāʻī. Ua kapa ʻia kēia ʻo "hardening of the arteries" a i ʻole "hardening of the arteries."
• ʻO ka cholesterol a me nā momona ʻē aʻe. ʻO kēia nā mea nui.
• Nā pūnaewele mumū .
• Nā ʻano protein like ʻole.

Hoʻokumu kēia mau mea a pau i kahi waihona weliweli ma ka paia o ke aʻa.

He aha ka Aortic Atheroma?

ʻO ka aortic atheroma kahi maʻi kahi e hōʻiliʻili ai ka atheroma i loko o ko kākou aʻa nui, ʻo ia hoʻi ka aorta. ʻO ka aorta ke kīʻaha koko nui loa i loko o ko kākou kino. Hoʻomaka ia ma ka puʻuwai a holo i lalo ma ka umauma a hiki i ka ʻōpū. Ke hoʻokumu ʻia ka atheroma i loko o kēia kīʻaha koko koʻikoʻi, hiki iā ia ke hana i nā ʻano pilikia like ʻole.Hiki ke loaʻa nā pilikia . Eia kekahi laʻana:

• ʻO ka aneurysm aorta
• Maʻi hohola
• Hahau

He mea like kēia me ke kanesa?

ʻAʻole, ʻaʻole ʻo atheroma he maʻi kanesa. He waihona momona wale nō ia e hana ʻia ana i loko o ko kākou mau kīʻaha koko. I kekahi manawa hiki ke kani like nā huaʻōlelo lapaʻau, no laila hiki ke huikau. No ka laʻana, ua like ka huaʻōlelo 'atheroma' me nā huaʻōlelo e like me 'carcinoma' (he ʻano maʻi kanesa), no laila manaʻo paha kekahi he maʻi kanesa nō hoʻi kēia. Akā, ʻaʻohe pilina like. Pili loa kēia i ko kākou ʻōnaehana kīʻaha koko a me ke olakino o ka puʻuwai.

No ke aha i hana ʻia ai kēia atheroma?

ʻO ke kumu nui o ka atheroma ka hōʻino ʻia ʻana o ka uhi o loko o ko kākou mau aʻa (i kapa ʻia ʻo ka endothelium). Ke noiʻi nei nā kānaka ʻepekema i nā kumu he nui no kēia hōʻino. Akā hoʻokahi mea i maopopo: ke hōʻino ʻia kēia endothelium, ma laila e hoʻomaka ai ka atheroma e hana. A laila, i ka hala ʻana o ka manawa, e ulu mālie ana ia.

Aia kekahi mau kumu pilikia e kōkua ai i ka ulu ʻana o ka atheroma:

• Nā maʻi e hoʻoulu ai i ka mumū: No ka laʻana, nā maʻi e like me ka rheumatoid arthritis.
• Diabetes Mellitus: ʻOi aku ke kiʻekiʻe o kēia pilikia i ka poʻe me ka maʻi diabetes.
• ʻAi pono ʻole: ʻO ka ʻai nui ʻana i ka meaʻai kiʻekiʻe i ka momona saturated, trans fat, a me ka cholesterol.
• Ke koko kiʻekiʻe.
• Kolesterol kiʻekiʻe.
• Nā pae triglyceride kiʻekiʻe.
• Ka ʻelemakule: Piʻi ka pilikia ma hope o 45 mau makahiki no nā kāne a ma hope o 55 mau makahiki no nā wahine.
• Ka puhipaka a me ka hoʻohana ʻana i ka paka: He kumu pilikia nui loa kēia.

ʻOiai hiki ke hoʻokumu ʻia ka atheroma i loko o kekahi aʻa i loko o ko mākou kino, ʻoi aku ka nui o ka hana ʻia ʻana ma nā wahi lālā, a i ʻole kahi e māhele ai kekahi aʻa i ʻelua (bifurcations).

E noʻonoʻo i kā mākou ʻōnaehana kaʻapuni e like me kahi pūnaewele o nā alanui. ʻO ka maʻamau, loaʻa ka paʻa ʻana o ke kaʻa ma nā kihi o nā alanui, kahi e hui ai nā alanui, ma mua o nā alanui pololei. Pēlā nō, ʻoi aku ka nui o nā waihona momona i loko o ko mākou mau aʻa ma kahi e hui ai a māhele ʻia ai nā aʻa. Ke hoʻāʻo nei nā kānaka ʻepekema e ʻike i ke kumu o kēia.

He aha ka ʻokoʻa ma waena o ka atherosclerotic a me ka atherosclerosis?

Me he mea paʻakikī iki paha kēia, akā i ka maʻalahi:

ʻO Atheroma ka mea momona. ʻO Atherosclerosis ka maʻi i hoʻokumu ʻia e ka waiho ʻana o kēlā mea i loko o nā aʻa.

I mea e wehewehe hou aku ai, ʻo ka atheroma ka mea momona e pani ai i kou mau aʻa. Hōʻiliʻili ia i ka hala ʻana o ka manawa a hoʻoulu i nā pilikia like ʻole. ʻO kēia hōʻiliʻili ʻana o ka atheroma (a i ʻole ka plaque) ka hōʻailona nui o kahi maʻi i kapa ʻia ʻo atherosclerosis. Inā loaʻa iā ʻoe ka atherosclerosis, ʻo ia hoʻi he hōʻiliʻili kēia plaque i loko o kou mau aʻa. Hiki i kēia plaque ke ulu mālie i nā makahiki he nui, me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona .

Hiki ke hoʻomaka kēia hōʻiliʻili ʻana o ka palaki i kou mau makahiki iwakālua a kanakolu paha, a laila hoʻomau i kou ola a pau. Hoʻopili ʻia ia e kā mākou ʻai, ke ʻano o ka nohona, a me nā kumu genetic. Akā i kekahi poʻe, ʻoi aku ka wikiwiki o kēia kaʻina hana ma mua o nā poʻe ʻē aʻe. A hiki i kekahi poʻe ke loaʻa nā pilikia i ka wā mua o ke ola. ʻO ke kumu nui o kēia ma muli o nā kumu pilikia e like me ka puhipaka a i ʻole ka mōʻaukala ʻohana o ka maʻi puʻuwai i ka wā ʻōpiopio.

Hiki i ka Atherosclerosis ke hōʻemi i ke kahe koko i nā ʻāpana like ʻole o ke kino. I ka ulu ʻana o ka atheroma, lawe ia i kahi ākea i loko o nā aʻa. I ka hala ʻana o ka manawa, hiki i kēia hōʻiliʻili ʻana o ka plaque ke alakaʻi i nā kūlana e like me:

• ʻO ka maʻi occlusive Aortoiliac (ka pale ʻana o nā aʻa e hoʻolako ana i ke koko i ka ʻōpū a me nā wāwae)
• ʻO ka maʻi o ke aʻa Carotid (ka pale ʻana o nā aʻa e hoʻolako i ke koko i ka lolo)
• ʻO ka maʻi ʻaʻa coronary (ka pale ʻana o nā aʻa e hoʻolako koko i ka puʻuwai)
• ʻO ka ischemia Mesenteric (hoʻemi ʻia ke kahe koko i nā ʻōpū)
• ʻO ka maʻi artery peripheral (ka pale ʻana o nā aʻa i nā lima a me nā wāwae)
• ʻO ka maʻi o ke aʻa Renal (ka pale ʻana o nā aʻa e hoʻolako i ke koko i nā puʻupaʻa)
• ʻO ka maʻi o ke aʻa Vertebral (ka pale ʻana o nā aʻa e pili ana me ka iwi kuamoʻo)

Pehea ʻoe e ʻike ai inā he atheroma kou? He aha nā hōʻailona?

He mea paʻakikī pinepine ke ʻike inā he hōʻiliʻili plaque kou i loko o kou mau aʻa, no ka mea , ʻaʻohe paha he mau hōʻailona i nā pae mua. ʻO ka ʻoiaʻiʻo, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona a hiki i ka wā e ālai ʻia ai kou mau aʻa ma ka liʻiliʻi he 70% . ʻO nā hōʻailona āu e loaʻa ai e pili ana i nā aʻa i ālai ʻia.

• Inā ua ālai ʻia nā aʻa e hoʻolako ana i ke koko i ka puʻuwai (nā aʻa coronary): Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka ʻoluʻolu ʻole i ka wā e hana ai ʻoe a emi iho ia i ka wā e hoʻomaha ai ʻoe ('Stable angina`).
• Inā ua ālai ʻia nā aʻa e hoʻolako koko ai i nā pūhaka a me nā wāwae (nā aʻa iliac a i ʻole femoral): Loaʻa ka ʻeha ma nā wāwae i ka wā o ka hana, e like me ka hele wāwae, a hoʻomaha ʻia i ka wā e hoʻomaha ai (`Claudication`).
• Inā paʻa nā aʻa e hoʻolako koko ai i ka lolo (nā aʻa carotid): Hiki ke loaʻa ka hahau ʻana.
• Inā ua ālai ʻia nā aʻa e hoʻolako ana i ke koko i nā ʻōpū (nā aʻa mesenteric): ʻEha ʻōpū ma hope o ka ʻai ʻana (i kapa ʻia hoʻi ʻo 'Postprandial cramps' a i ʻole 'abdominal angina').
• Inā paʻa nā aʻa e hoʻolako koko ai i nā puʻupaʻa (nā aʻa renal): Hiki ke loaʻa ke koko kiʻekiʻe lua a me ka emi ʻana o ka hana a nā puʻupaʻa.

No ka mea hiki ke ulu atheroma me ka ʻole o nā hōʻailona, ​​​​he mea nui e ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no ka nānā ʻana. E kūkākūkā kāu kauka i kāu mau kumu pilikia, kou mōʻaukala ʻohana o ka maʻi puʻuwai, a, inā pono, e kauoha i nā hoʻokolohua e nānā i kou puʻuwai a me nā kīʻaha koko.

Hiki ke hoʻopau loa ʻia kēia atheroma ke hana ʻia?

ʻO kaʻoiaʻiʻo, i ka manawa e hana ʻia ai ka atheroma , ʻaʻole hiki ke hoʻohuli loa iā ia. ʻO ia hoʻi, he paʻakikī ke hoʻoheheʻe loa a wehe aku.

Akā, mai hopohopo! Nui nā mea hiki iā ʻoe ke hana e hoʻolohi i ka holomua o ka atherosclerosis.

He kuleana nui nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau i kuhikuhi ʻia i kēia. Inā ua ʻike ʻia ʻoe me ka atherosclerosis, he mea nui e kamaʻilio me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo no ka mālama ʻana i kēia maʻi.

No laila he aha ka mea e hiki ke hana ʻia e kāohi a hōʻemi i ke kūkulu ʻia ʻana o ka atheroma?

Ma keʻano laulā, kōkua kēia mau mea i ka kaohi ʻana i ka hōʻiliʻili ʻana o ka atheroma i loko o nā aʻa:

• E hoʻōki i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka. ʻO ka hoʻohana ʻana i ka paka kekahi o nā kumu nui o ka pilikia no nā maʻi cardiovascular. E noi i kāu kauka no ke kōkua e hoʻōki.
• E hoʻohana i ka ʻai olakino no ka puʻuwai. E pale i nā meaʻai kiʻekiʻe i ka momona momona (e like me nā ʻiʻo momona, nā huahana waiū momona kiʻekiʻe). E hoʻopau i nā meaʻai i loaʻa ka momona trans (meaʻai wikiwiki, nā meaʻai i hoʻopaʻa ʻia). E kaupalena i ke kō, ka paʻakai, a me nā kalapona i hoʻomaʻemaʻe ʻia (e like me ka berena).
• Hoʻoikaika kino. E hoʻāʻo e loaʻa ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino ikaika i kēlā me kēia pule. Hiki i kēia ke hele wāwae no 30 mau minuke i ka lā, 5 mau lā o ka pule. A i ʻole hiki iā ʻoe ke hana i kahi hana ʻē aʻe āu e hauʻoli ai (e like me ke kaʻa paikikala a ʻauʻau paha). He mea nui e nīnau i kāu kauka ma mua o ka hoʻomaka ʻana i kahi hoʻolālā hoʻoikaika kino hou.
• E lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻana. Hiki i nā lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā kumu pilikia no ka atherosclerosis (e like me ke koko kiʻekiʻe a me ka cholesterol). E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao. Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
• E hele i kahi nānā olakino ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. E loiloi kāu kauka i kou pilikia no ka atherosclerosis a me nā maʻi cardiovascular ʻē aʻe. E hōʻoia e hele i nā manawa o kāu kauka i ka manawa kūpono, a e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

No laila, inā ʻoe e kapa aku iā ia he atheroma a i ʻole plaque, ʻaʻole maikaʻi kēia mea momona e hōʻiliʻili ana i loko o kou mau aʻa no kou olakino. Akā, ʻaʻole ʻoe hoʻokahi i kāu hakakā ʻana me ka atherosclerosis. E kamaʻilio me kāu kauka e pili ana i nā ala e hoʻolohi ai i ka hōʻiliʻili ʻana o kēia plaque i loko o kou mau aʻa.ʻO nā hoʻololi ʻana i ke ʻano o ka nohona e like me ka haʻalele ʻana i ka puhipaka a me ka ʻai ʻana i kahi meaʻai olakino e kōkua i ka pale ʻana i kou mau aʻa koko no nā makahiki e hiki mai ana. E hoʻomanaʻo, ʻo ka puʻuwai olakino ke kī i kahi ola olakino! No laila e mālama i kou puʻuwai.

ʻAtheroma , Atherosclerosis, Cholesterol, Maʻi puʻuwai, Paʻa ʻana o ke aʻa koko, Hōʻeha puʻuwai, Hahau