ʻO wai kēia Kauka Lapaʻau Alanui? E kamaʻilio maʻalahi kākou e pili ana i kēia!

Ua lohe paha ʻoe i kahi ' kauka vascular '? E ʻike paha ʻoe he mea ʻē iki ka inoa, a ʻaʻole paha ʻoe i ʻike nui i ko lākou ʻano. Akā, he hui kēia o nā kauka loea e pāʻani ana i kahi kuleana koʻikoʻi i ka hoʻōla ʻana i nā maʻi e pili ana i ka ʻōnaehana kīʻaha koko i loko o ko mākou kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i ko lākou ʻano, he aha kā lākou hana, a he aha ka mea e hana ʻia inā hālāwai ʻoe me ia kauka, me ka maʻalahi loa.

ʻO wai kēia kauka lapaʻau koko?

I ka ʻōlelo maʻalahi, he kauka lapaʻau vascular kahi kauka nāna e ʻike a mālama i nā maʻi e pili ana i nā kīʻaha koko i loko o kou kino, koe wale nō nā kīʻaha koko i loko o kou puʻuwai a me kou lolo. E noʻonoʻo wale, he pūnaewele ko ko mākou kino o nā kīʻaha koko he 60,000 mile ka lōʻihi, a i ʻole 96,000 kilomita ka lōʻihi! ʻO kēia mau mea me nā aʻa - nā kīʻaha e lawe ana i ke koko mai ka puʻuwai a i ke koena o ke kino, nā aʻa koko - nā kīʻaha e lawe ana i ke koko mai ke kino i ka puʻuwai, a me nā kīʻaha lymphatic - nā kīʻaha e lawe ana i ka wai lymph, e kōkua ana i ka ʻōnaehana pale o ke kino.

No laila, ʻo kēia mau kauka ʻoki koko nā loea i ʻike hohonu e pili ana i kēia mau kīʻaha koko āpau, pehea lākou e hana ai, a me nā maʻi e hiki ke loaʻa i loko o lākou. Inā he pilikia me kou mau kīʻaha koko, hiki i kēia poʻe ke kōkua iā ʻoe e hoʻokele iā ia a mālama iā ʻoe i ke olakino.

Hiki paha iā ʻoe ke hālāwai me kekahi o kēia mau kauka ma ko lākou keʻena, a i ʻole ma ka haukapila, a inā paha e pono ʻoe e hana i ke ʻoki kino. He akamai loa kēia poʻe i ka hoʻoponopono ʻana i nā pilikia olakino koʻikoʻi a me ka hana ʻana me ke anatomy paʻakikī. ʻO kaʻoiaʻiʻo, ua kapa ʻia lākou i kekahi manawa ʻo "ke kauka ʻoki kino." ʻO ke ʻano kēia inā loaʻa iā ʻoe kahi kahe koko i manaʻo ʻole ʻia a i ʻole kahi paʻa ʻana o ke kīʻaha koko i ka wā o nā ʻoki kino ʻē aʻe, ʻo kēia mau kauka ʻoki kino vascular ka poʻe e hele mai e hoʻopakele.

He aha ka hana a kēia mau kauka?

ʻAe, he aha ka hana a ke kauka lapaʻau koko? E nānā kākou.

Hoʻōla kēia poʻe i nā poʻe me nā maʻi e hoʻopilikia ana i nā kīʻaha koko ʻē aʻe, ʻaʻole wale kou puʻuwai a lolo paha.

• E loiloi lākou i kou pilikia o ka hoʻomohala ʻana i nā pilikia kīʻaha koko .
• Ke ʻike ʻana i nā maʻi.
• A laila e hana ʻia kahi hoʻolālā lapaʻau e kūpono iā ʻoe.

Hiki i kēia hoʻolālā lapaʻau ke komo pū me nā lāʻau lapaʻau a me nā loli i kāu mau hana o kēlā me kēia lā - no ka laʻana, ka hoʻoikaika kino a me ka makaʻala i kāu mea e ʻai ai a inu ai.

I kekahi manawa hiki i kēia mau kauka ke kōkua i ka hoʻopakele ʻana i kou lālā , i kekahi manawa kou ola . Hiki iā lākou ke pale i nā kūlana e like me ka hahau ʻana , hoʻōki i ka haki ʻana o ka aneurysm , a hōʻoluʻolu i ka ʻeha i hoʻokumu ʻia e nā aʻa i ālai ʻia.

Eia kekahi, hana ʻia nā ʻano hana like ʻole a me nā ʻoki kino e mālama ai i nā maʻi kīʻaha koko. ʻO kēia mau mea e komo pū me nā lāʻau lapaʻau minimally invasive , e like me nā mea e hoʻohana ana i kahi catheter, ma o nā ʻoki liʻiliʻi, a me nā ʻoki kino paʻakikī, e pili ana i nā ʻoki nui. I kekahi manawa, hana pū lākou i nā lāʻau lapaʻau hybrid e hoʻohui i nā pono o nā ʻano ʻelua.

ʻO ka mea nui loa, e ʻike kahi kauka lapaʻau vascular iā ʻoe ma ke ʻano he kanaka a hāʻawi iā ʻoe i ke kākoʻo lōʻihi . ʻO kēia no ka mea he mau maʻi vascular pinepine nā maʻi lōʻihi e pono ai ka mālama ʻana no nā makahiki. He nui ka poʻe me nā pilikia vascular i loaʻa nā pilikia olakino ʻē aʻe. No laila, hiki i kā lākou mau hoʻolālā lapaʻau ke lilo i mea paʻakikī iki. I ia mau hihia, hana pū nā kauka lapaʻau vascular me nā loea ʻē aʻe e hoʻonohonoho i kāu mālama.

He aha ke ʻano o nā maʻi a kēia poʻe e mālama ai?

I kēia manawa, e nānā kākou i nā maʻi nui a nā kauka ʻoki koko e mālama ai. Hiki ke lōʻihi iki kēia papa inoa, no ka mea, mālama lākou i nā ʻano maʻi like ʻole:

• Aortic aneurysms - He puʻupuʻu kēia ma ka paia o kou aorta.
• ʻO Atherosclerosis - ʻO kēia ke ʻano maʻamau o ka atherosclerosis. ʻO kēia ka wā e hōʻiliʻili ai nā waihona momona i loko o nā aʻa, e hoʻohaiki ana i nā kīʻaha koko.
• Nā maʻi Autoimmune o nā kīʻaha koko - nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale i nā ʻāpana ponoʻī o ke kino.
• Nā ʻūpā koko - Hiki ke hana kēia mau mea i loko o nā aʻa a i ʻole nā ​​​​aʻa koko.
• ʻO ka maʻi ʻaʻa Carotid - He pale ʻana kēia a i ʻole ka ʻūlū ʻana o kahi aʻa nui ma ka ʻāʻī e hoʻolako ana i ke koko i ka lolo.
• ʻO ka maʻi Cerebrovascular - nā maʻi e pili ana i nā kīʻaha koko e hoʻolako i ke koko i ka lolo.
• ʻO ka ischemia mau loa e hoʻoweliweli ana i nā lālā he maʻi hoʻoweliweli i ke ola i loaʻa i ka hemahema o ke kahe koko i kahi lālā.
• ʻO ka lawa ʻole o nā venous mau loa i hoʻokumu ʻia e ka hōʻino ʻana i nā aʻa koko i nā wāwae.
• ʻO ka thrombosis aʻa hohonu (DVT) .
• Dialysis(Dialysis) Hoʻomākaukau a me ka mālama ʻana i ke komo ʻana - He mea pono kēia no ka poʻe me ka hāʻule ʻana o nā puʻupaʻa.
• Nā ʻeha wāwae e pili ana i ka maʻi diabetes .
• Endoleak (kahe koko mai kahi kūpono ʻole) ma hope o ka mālama ʻana me ka minimally invasive no kahi aneurysm.
• ʻO ke kūlana i hoʻokumu ʻia e ke kaomi ʻana o kahi aʻa i loko o ka ʻōpū (Median arcuate ligament syndrome - MALS) .
• Hoʻemi ʻia ke kahe koko i nā ʻōpū (Mesenteric ischemia) .
• ʻO ke kaomi ʻana o nā aʻa koko o ka ʻōpū (Nutcracker syndrome) .
• Ka ʻomi ʻana o nā kīʻaha koko a me nā aʻalolo ma ka ʻāʻī a me nā lima (Thoracic outlet syndrome) .
• Ka hāiki ʻana o nā aʻa koko ma nā wāwae (Peripheral artery disease - PAD) .
• Nā aneurysms o ke aʻa peripheral a me nā venous .
• ʻO ka maʻi paʻa ʻana o ke aʻa popliteal .
• Ka hoʻopili ʻana o kahi aʻa koko i loko o ke pelvis (May-Thurner syndrome) .
• Hahau - I kekahi manawa, hana ʻia kēia e kahi ālai ʻana i loko o kahi kīʻaha koko.
• ʻO ka thrombosis venous superficial .
• Nā aa koko varicose .

Ke nānā ʻoe i kēia papa inoa, hiki iā ʻoe ke ʻike i ka laulā o nā maʻi a kēia mau kauka e mālama ai. Hoʻokumu ʻia kēia mau maʻi a pau e kekahi pilikia me ka ʻōnaehana kīʻaha koko.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka maʻi?

Hoʻohana nā kauka ʻoki koko a me kā lākou mau hui i nā ʻano hoʻokolohua like ʻole e ʻike ai i nā pilikia o ke kīʻaha koko. Eia kekahi o lākou:

• Kuhikuhi kuʻekuʻe wāwae/brachial (ABI) - He hoʻāʻo maʻalahi kēia e hoʻohālikelike ana i ka nui o ke kahe o ke koko i nā wāwae me ke kaomi koko ma ka lima.
• X-ray o ka umauma - He mea nui paha kēia i kekahi mau pilikia o ke kīʻaha koko.
• CT angiogram - He scan CT kūikawā kēia e hiki ke lawe i nā kiʻi kikoʻī, ʻekolu-dimensional (3D) o nā kīʻaha koko.
• ʻO ka angiogram resonance magnetic (MRA) - He ʻano scan ʻē aʻe kēia e nānā ai i nā kīʻaha koko. Hoʻohana ia i kahi mīkini MRI.
• ʻO ke ultrasound vascular / Doppler ultrasound - Hoʻohana kēia i nā nalu kani e nānā i ke kahe o ke koko i loko o nā kīʻaha koko a e ʻike inā he mau mea e ālai ana i nā kīʻaha koko. He hoʻāʻo palekana a ʻeha ʻole kēia.

Kōkua kēia mau hoʻokolohua i nā kauka e ʻike pono i ka pilikia maoli me kou mau kīʻaha koko.

He aha ke ʻano o nā ʻoki kino/lāʻau lapaʻau a kēia poʻe e hana ai?

Loaʻa i nā kauka ʻoki koko ke hiki ke hana i nā ʻano lapaʻau like ʻole a me nā ʻoki kino. Hana lākou i kēia mau mea a pau ma muli o kou kūlana, e koho ana i ke ʻano hana kūpono loa iā ʻoe. Eia kekahi o lākou:

• ʻO ke ʻoki kino no nā aneurysms arterial(ʻoki ʻana o ka aneurysm) - Hiki i kēia ke lilo i mau ʻoki ʻana hāmama kuʻuna.
• ʻAngioplasty - He hana e wehe ai i ka plaque a i ʻole nā ​​​​​​paʻa koko i loko o kahi aʻa a i ʻole vein a wehe i ke kīʻaha koko ma ka hoʻopiha ʻana i kahi baluna. I kekahi manawa, hoʻokomo ʻia kahi stent , kahi ʻōmole mesh liʻiliʻi, e mālama i ka kīʻaha e wehe.
• Atherectomy - Hoʻopau liʻiliʻi ʻia o nā waihona momona (plaque) mai nā kīʻaha koko.
• Endarterectomy - ʻO kekahi ʻano hana ʻokiʻoki e wehe ai i nā waihona momona mai nā kīʻaha koko (e.g., carotid endarterectomy).
• Hoʻoponopono Endovascular o nā aneurysms aortic ʻōpū, thoracic a me thoracoabdominal (EVAR, TEVAR) - He lāʻau lapaʻau kēia e pili ana i ke komo ʻana i kahi catheter ma o kahi ʻoki liʻiliʻi ma ka ʻūhā a hele ma waena o kahi paipu, me ka ʻole o ka hana ʻana i kahi ʻoki nui.
• ʻO ke ʻoki ʻoki ʻana no nā mea e ālai ʻia ai nā aʻa nui a me nā aʻa i loko o nā lālā - ke kāpae ʻana i ka mea e ālai ʻia ai a hana i kahi ala hou me ka hoʻohana ʻana i kahi ʻāpana aa koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole kahi paipu hana.
• ʻO ke ʻoki ʻana i ka pahele popliteal .
• Ke kau ʻana o ka stent i loko o nā kīʻaha koko.
• Ke kau ʻana o ke kānana Vena cava - He kānana liʻiliʻi i kau ʻia i loko o ke aʻa nui e pale aku i nā ʻūpē koko i hana ʻia ma nā wāwae mai ka hele ʻana i ka puʻuwai a i ʻole nā ​​māmā.
• ʻO ka hoʻoponopono hou ʻana o ke aʻa transcarotid (TCAR) e hoʻomaikaʻi i ke kahe koko i loko o nā aʻa ma ka ʻāʻī.
• ʻO ke ʻoki puka thoracic e hoʻoponopono ai i ke kaomi ʻana o nā kīʻaha koko a me nā aʻalolo ma ka ʻāʻī a me nā lima.
• Ka hoʻomākaukau ʻana a me ka mālama ʻana i nā ala komo (e like me ka fistula, graft) no ka dialysis .
• ʻO ka Thrombectomy ka wehe ʻana i nā clots koko mai nā aʻa a i ʻole nā ​​​​uaua koko.
• Ke hāʻawi ʻana i nā lāʻau lapaʻau e hoʻoheheʻe i nā ʻōpū koko (Thrombolytic therapy - clot busters) .
• ʻO ke ʻoki kino hāmama e hoʻoponopono i ka median arcuate ligament syndrome .
• ʻO ke ʻoki wehe e hoʻoponopono i kahi disc herniated (Nutcracker syndrome) .
• ʻO ka ablation endovascular o nā veins lawa ʻole - He lāʻau lapaʻau kēia no nā veins nāwaliwali a leaky i nā wāwae me ka hoʻohana ʻana i nā lasers a i ʻole nā ​​​​nalu radiofrequency.

No ke aha ʻoe e kuhikuhi ʻia ai i kahi kauka lapaʻau vascular?

Hiki i kāu mea mālama ola mua ke kuhikuhi iā ʻoe i kahi kauka ʻoki koko inā loaʻa iā ʻoe kahi maʻi e hana pono ʻole ai kou mau kīʻaha koko. E noʻonoʻo e pili ana i ia mea, lawe nā kīʻaha koko olakino i ke koko i nā ʻāpana āpau o kou kino. No laila, inā ua hōʻino ʻia kekahi kīʻaha koko, hiki iā ia ke hoʻopilikia i ke kino holoʻokoʻa. ʻO ia ke kumu he kuleana koʻikoʻi ko nā kauka ʻoki koko i ka ʻike ʻana i ka mea hewa a me ka hoʻoponopono ʻana.

ʻO ka maʻamau, hālāwai mua ke kanaka me kahi kauka ʻoki koko ke pono lākou i kēia ʻano mālama kūikawā. Eia nō naʻe, i kekahi manawa, e like me kahi pilikia olakino, hiki iā ʻoe ke hālāwai me kekahi me ka manaʻo ʻole.

Hiki ke hoʻoweliweli iki ʻia ka huaʻōlelo 'kauka'. ʻAʻole ʻike ka hapa nui o ka poʻe i ke ʻano o ke kauka vascular a hiki i ka wā e pono ai lākou i hoʻokahi. Akā ʻo ka ʻoiaʻiʻo, ʻoi aku ka nui o kēia mau kauka ma mua o ka hana ʻana i ke ʻoki kino. Hoʻōla lākou i nā pilikia like ʻole me nā lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona, a me nā kaʻina hana minimally invasive.

Eia nō naʻe, inā hana ʻoe i ke ʻoki kino, pono ʻoe e hoʻomau i ka ʻike ʻana i kēia kauka e nānā i kou kūlana ma hope. A laila, hiki iā ʻoe a me ke kauka ke hana pū e nānā i nā pilikia hou e kū mai ana.

Inā ua kuhikuhi kāu kauka iā ʻoe i kahi kauka lapaʻau vascular, nui paha kāu mau nīnau. 'No ke aha e pono ai iaʻu e ʻike i kēia kauka?', 'He aha ka mea e hiki mai ana?', 'Pono anei au i ke ʻoki kino?' E hoʻomanaʻo ʻoiai no ka mea mālama nā kauka lapaʻau vascular i nā ʻano maʻi like ʻole a he nui nā koho lapaʻau like ʻole, ʻaʻole paha ʻoe e pono i ke ʻoki kino. Eia nō naʻe, inā pono ke ʻoki kino, e wehewehe kāu kauka i ke kumu a me ka mea e hana ʻia. E kūkākūkā i nā nīnau a i ʻole nā ​​hopohopo āu e loaʻa ai me lākou. Ma kēlā ala, hiki iā ʻoe ke loaʻa ka mālama kūpono iā ʻoe, mai ka ʻike ʻana a hiki i ka hoʻōla ʻana.

E hoʻomanaʻo pōkole.

ʻAe, e hoʻomanaʻo pōkole kākou i kekahi mau mea nui no ʻoukou mai nā mea a kākou i kamaʻilio ai:

• He loea ke kauka ʻoki koko e mālama i nā maʻi o nā kīʻaha koko āpau koe wale nō kou puʻuwai a me kou lolo.
• ʻAʻole hana wale kēia poʻe i ke ʻoki kino. Hoʻohana lākou i nā mea he nui e like me ka lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona, a me nā lāʻau lapaʻau liʻiliʻi.
• Inā manaʻo ʻoe he pilikia koʻikoʻi kou i ke kīʻaha koko , a inā kuhikuhi kāu kauka iā ʻoe i kekahi loea, mai hopohopo.
• E aʻo e pili ana i kou kūlana a me ka lāʻau lapaʻau. He mea nui loa ia e kamaʻilio ākea me kāu kauka.
• He mea nui loa ke olakino o nā kīʻaha koko no ke olakino o ko mākou kino holoʻokoʻa , no laila he mea kūpono ke mālama pono ʻia.

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou ʻike i nā kauka lapaʻau koko. Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka!

Kauka Lapaʻau Vascular, Nā Maʻi Vascular, Nā ʻAʻa, Nā Aa, Keʻena Hana, Ke Kaʻapuni Koko