Ua noʻonoʻo paha ʻoe pehea e pamu ai ko kākou puʻuwai i ke koko ma loko o ko kākou kino? ʻAʻole e pamu mau ka puʻuwai i ke koko, kū ia no kekahi manawa a laila pamu hou. ʻOiai i kēlā manawa, aia kekahi ʻano kīʻaha koko kūikawā e kōkua ana i ka hoʻomau ʻana i ke kahe ʻana o ke koko i ka ʻaoʻao like. Kāhea mākou iā lākou he 'elastic arteries'. Loaʻa iā lākou ko lākou inoa no ka mea ua kīkoʻo a ʻūlū lākou e like me ke kaula laholio.
He aha kēia mau 'Elastic Arteries'?
I ka ʻōlelo maʻalahi, ʻo nā 'elastic arteries' he mau kīʻaha koko nui i palupalu loa, ʻo ia hoʻi ke kūlou maʻalahi a kīkoʻo. Hoʻopuka koke kou puʻuwai i ke koko. Puka koke mai ka nui o ke koko, a ukali ʻia e kahi hoʻomaha pōkole. Akā, pono nā ʻāpana o ko kākou kino i ke kahe mau o ke koko. Kōkua kēia mau kīʻaha elastic i ke kū ʻana i ke kaomi o ke koko e puka mai ana mai ka puʻuwai e kuʻi ana a mālama i ke kahe mālie o ke koko. E noʻonoʻo i ka wā e hoʻohuli ai ʻoe i kahi piula wai, kahe koke ka wai. Pēlā ke kahe ʻana o ke koko mai ka puʻuwai mai. Hana kēia mau kīʻaha elastic e like me ka 'shock absorber' , e hōʻemi ana i kēlā kaomi a hoʻouna i ke koko i nā kīʻaha koko liʻiliʻi ʻē aʻe.
He aha nā laʻana o nā aʻa elastic? Aia ma hea lākou?
ʻAe, he aha kēia mau aʻa elastic? ʻO ka aorta , ʻo ia ke aʻa koko nui loa i loko o ko kākou kino, he aʻa elastic nui ia. Ua like ia me kahi paipu wai nui. Eia kekahi, ʻo nā aʻa pulmonary , e lawe ana i ke koko i nā māmā, no kēia ʻano pū kekahi.
I kēia manawa, e nānā kākou i kahi o kēia mau mea. Aia kēia mau aʻa elastic ma kahi kokoke loa i ka puʻuwai .
- Hoʻomaka ka aorta ma luna o ka puʻuwai a holo ma hope a ma lalo. Hoʻopili ʻia ia i ka ʻaoʻao hema o ka puʻuwai e kahi valve i kapa ʻia ʻo ka aortic valve. ʻO kēia valve kahi e komo ai ke koko maʻemaʻe a waiwai i ka oxygen i loko o ka aorta a hoʻomaka e hele a puni ke kino.
- Hoʻokaʻawale nā aʻa elastic ʻē aʻe mai kēia aorta, e like me nā alanui liʻiliʻi e hoʻokaʻawale ana mai kahi alanui nui. Aia kēia mau mea ma ka ʻaoʻao o luna o kou umauma:
- ʻAʻa Brachiocephalic: Hoʻomaka kēia ma ke kāʻei aortic.
- ʻO nā aʻa subclavian (ʻākau a me ka hema): Aia kēia mau mea kokoke i kou mau iwi collarbone.
- ʻO nā aʻa carotid maʻamau (ʻākau a me hema): ʻO kēia nā kīʻaha koko nui ma nā ʻaoʻao ʻelua o ka ʻāʻī.
- Nā aʻa iliac maʻamau (ʻākau a me hema): Hoʻokaʻawale kēia mau lālā mai ka ʻaoʻao haʻahaʻa o ka aorta, ʻo ia hoʻi, mai ka ʻāpana ʻōpū.
- Aia nā ʻAʻa Pulmonary ma luna pono o ka puʻuwai. Hoʻopili ʻia lākou i ka puʻuwai e kahi valve i kapa ʻia ʻo ka valve pulmonary ma ka ʻaoʻao ʻākau o ka puʻuwai. ʻO kēia kahi e hoʻouna ʻia ai ke koko nele i ka oxygen i nā māmā, kahi e hoʻopiha ʻia ai me ka oxygen.
He aha ka lawelawe a nā ʻaʻa elastic e hāʻawi ai i ko mākou kino?
No laila, he aha ka hana a kēia aʻa elastic? He mea nui lākou i ko kākou ola . Hana maikaʻi kēia mau aʻa elastic i ka lawe ʻana i ka oxygen a me nā meaʻai i kēlā me kēia cell i loko o ko kākou kino. E noʻonoʻo, hoʻopuka ka puʻuwai i ka nui o ke koko ma ke kaomi kiʻekiʻe. Pono kēia mau aʻa elastic e kū i kēlā kaomi kiʻekiʻe a me ka nui o ke koko .
I ka ʻōlelo maʻalahi, ua like kēia me nā paipu wai nui e lawe mai ana i ka wai i kou kauhale. Mai kēlā mau paipu nui, ua māhele ʻia ka wai i mau paipu liʻiliʻi e lawe mai ana i ka wai i kou mau hale. Pēlā nō, lawe kēia mau aʻa elastic i ke koko a māhele iā ia i nā aʻa liʻiliʻi ʻē aʻe (nā aʻa muscular). Mai kēlā mau aʻa liʻiliʻi, hele ke koko i nā kīʻaha koko liʻiliʻi (capillaries) kahi e loaʻa ai i nā cell ka oxygen.
He mea nui e hoʻomanaʻo ʻoiai ʻo nā aʻa ʻē aʻe a pau i loko o ko kākou kino e lawe ana i ke koko i hoʻopiha ʻia me ka oxygen, ʻo nā Pulmonary Arteries wale nō ke lawe i ke koko i nele i ka oxygen . ʻO kā lākou hana wale nō ka lawe ʻana i kēlā koko i nele i ka oxygen i nā māmā, kahi e hoʻopiha hou ʻia ai me ka oxygen, a laila hoʻi i ka puʻuwai.
Pehea e hana ʻia ai nā aʻa elastic? He aha ko lākou helehelena a me ka nui?
I kēia manawa, e nānā kākou i nā mea i loko o kēia mau aʻa koko elastic a pehea lākou i hana ʻia ai. E like me nā kīʻaha koko ʻē aʻe, he ʻekolu papa nui ko nā aʻa koko elastic.
- ʻO ka papa waho loa ('Adventitia'): Maanei kahi e loaʻa ai ka ikaika a me ke ʻano o ke aʻa.
- ʻO Tunica Media: ʻO kēia ka ʻāpana kūikawā loa. Loaʻa i kēia papa nā ʻiʻo elastic a me nā ʻiʻo muscular . Eia nō naʻe, i loko o nā aʻa elastic, ʻoi aku ka nui o nā ʻiʻo elastic o kēia papa waena ma mua o nā ʻiʻo muscular . ʻO ia ke kumu i kapa ʻia ai ʻo 'elastic'. ʻO kēia mau olonā elastic ka mea e ʻae ai i ke aʻa e kīkoʻo a ʻaelike maikaʻi.
- ʻO ka papa o loko loa (Tunica Intima): He laumania loa kēia. Ua hoʻolālā ʻia kēia papa e ʻae i ke koko e kahe maʻalahi me ka ʻole o ke keʻakeʻa.
Aia i loko o kēia mau aʻa loloa kahi protein i kapa ʻia ʻo collagen a me nā olonā ʻiʻo liʻiliʻi. ʻO kēia nā mea e kōkua ai i nā paia o ke aʻa e noho ikaika a palupalu.
Pehea lā ke ʻano o kēia mau mea?
Ua like nā aʻa elastic me nā ʻōmole nui a ʻano poepoe. He hakahaka lākou ma waenakonu, a ma laila ke kahe ʻana o ke koko. Akā, he ʻokoʻa iki ka aorta. Ua wehewehe ʻia e like me ke kō nui me nā wāwae ʻelua.
Pehea ka nui?
ʻO ke aʻa elastic nui loa i loko o ko kākou kino, ʻo ka aorta, he anawaena kūloko ma kahi o 2.5 kenimika (ʻaneʻane hoʻokahi ʻīniha). ʻO ka mānoanoa o ka paia o ka aorta ma kahi o 2 milimita. E noʻonoʻo i ka ikaika o ia mea!
He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i nā aʻa elastic?
ʻO ka mea kaumaha, hiki i kēia mau aʻa elastic koʻikoʻi ke loaʻa nā maʻi like ʻole. E nānā kākou i ke ʻano o lākou:
- Aneurysm: ʻO kēia ka wā e nāwaliwali ai ka paia o ke aʻa a puʻupuʻu e like me ka pōpō. He mea weliweli loa kēia no ka mea hiki ke pahū.
- Dissection: Hana ʻia kēia i ka wā e haehae ai nā papa o ka paia o ke aʻa mai loko mai, e hoʻoheheʻe ana i ke koko ma waena o kēlā mau papa.
- Nā pilikia valve: Ka leaka a i ʻole ka ʻoʻoleʻa i loko o ka valve aortic a i ʻole ka valve pulmonary.
- Nā maʻi puʻuwai hānau: ʻO kēia nā maʻi puʻuwai i loaʻa i ka wā hānau. I kekahi manawa hiki i kēia ke hoʻopilikia i ka aorta a i ʻole nā aʻa pulmonary.
- Vasculitis: ʻO kēia ka mumū o nā kīʻaha koko.
- Ke koko kiʻekiʻe: He pilikia kēia i loaʻa i nā poʻe he nui. Hiki i ke koko kiʻekiʻe ke hōʻino i nā aʻa.
- Atherosclerosis: ʻO kēia ka wā e hōʻiliʻili ai nā momona e like me ka cholesterol i loko o nā paia o ke aʻa, e lilo ai lākou i mea haiki. He mea keakea nui kēia i ke kahe koko.
- Nā ʻūpē koko: Inā hana ʻia nā ʻūpē koko i loko o kahi aʻa, hiki ke oki loa ke kahe o ke koko.
- Ka hāʻule ʻana o ka puʻuwai: Ke nāwaliwali ka puʻuwai, hoʻopilikia pū ia i kēia mau aʻa.
No laila he aha nā hōʻailona o kēia maʻi?
Hiki i kēia mau maʻi ke hōʻike me nā hōʻailona like ʻole. ʻAʻole e ʻike like nā kānaka a pau iā lākou. Eia naʻe, eia kekahi mau hōʻailona maʻamau:
- Ka wikiwiki o ka puʻuwai
- Manaʻo poniuniu (Lightness)
- ʻEha poʻo
- Manaʻo luhi i nā manawa a pau (Fatigue)
- ʻEha umauma
- Nā palpitations o ka puʻuwai
- Pōkole o ka hanu
- ʻO nā ʻeha wāwae i ka wā e hele ana
Pehea e nānā ai nā kauka i ke olakino o kēia mau aʻa elastic?
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka. Hiki iā ia ke hana i nā hoʻokolohua like ʻole e nānā i ke kūlana o kou mau aʻa elastic.
- Nā hoʻāʻo koko: E nānā i nā mea e like me nā pae cholesterol a me nā pae kō.
- Angiogram: Ma kēia, ua hoʻokomo ʻia kahi kala kūikawā i loko o nā kīʻaha koko a ua lawe ʻia kahi X-ray e ʻike inā he mea paʻa a i ʻole kahi paʻa ma nā wahi āpau o nā kīʻaha koko.
- MRI (Magnetic Resonance Imaging): Hoʻohana i nā kahua magnetic a me nā nalu lekiō e kiʻi i nā kiʻi kikoʻī o loko o ke kino.
- 'CT Scan' (CT - Computed Tomography): Ua like kēia me ka ʻenehana 'X-ray', akā ua lawe ʻia nā kiʻi mai nā kihi like ʻole a hui pū ʻia ma kahi kamepiula e hana i kahi kiʻi maopopo.
- Ultrasound:Loaʻa nā kiʻi o nā kīʻaha koko me ka hoʻohana ʻana i nā nalu kani.
- Echocardiogram: He hoʻāʻo ultrasound kēia o ka puʻuwai. Hiki iā ia ke nānā i ka hana o ka puʻuwai a me ke kūlana o nā valves.
- X-ray o ka umauma: E ʻike i ka nui a me ke ʻano o ka puʻuwai a me nā māmā.
- 'EKG - Electrocardiogram': Hoʻāʻo i ka hana uila o ka puʻuwai.
- Catheterization Cardiac: Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) ma o kahi kīʻaha koko i loko o ka puʻuwai e ana i ke kaomi a, inā pono, hana ʻia kahi angiogram.
He aha nā lāʻau lapaʻau no ia mau maʻi?
ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau no ka hapa nui o kēia mau maʻi e hoʻopilikia ana i nā aʻa elastic. ʻOkoʻa ia ma muli o ke ʻano a me ke koʻikoʻi o ka maʻi. ʻElua mau ʻano lapaʻau nui:
- Nā lāʻau lapaʻau: Kuhi nā kauka i nā lāʻau lapaʻau no nā mea e like me ke koko kiʻekiʻe, hoʻohaʻahaʻa i ka cholesterol, pale ʻana i nā ʻōpū koko, a me ka hōʻemi ʻana i ka ʻeha.
- ʻOki kino: I kekahi mau hihia, no ka laʻana inā ua ulu nui kahi aneurysm a ua paʻa loa paha kahi aʻa, pono paha ke ʻoki kino. Hiki i kēia ke pili i ka wehe ʻana i ka ʻāpana i hōʻino ʻia a me ka hoʻokomo ʻana i kahi paipu hana (kahi graft) a i ʻole ke hoʻokomo ʻana i kahi stent e hoʻonui i ka wahi i paʻa.
He aha kekahi mau mea maʻalahi e hiki ai iā kākou ke hana e mālama i ke olakino o ko kākou mau aʻa lolo?
ʻO kēia ka ʻāpana koʻikoʻi loa. ʻAʻole anei ʻoi aku ka maikaʻi o ka pale ʻana i kahi maʻi ma mua o ka hiki ʻana mai ma mua o ka ʻeha ʻana ma hope o ka hiki ʻana mai? No laila, ʻo nā ʻano maikaʻi no ko kākou puʻuwai a me nā kīʻaha koko he mea maikaʻi nō hoʻi ia no kēia mau aʻa elastic.
- E ʻai i ka ʻai haʻahaʻa momona a haʻahaʻa paʻakai: E hōʻemi i kāu ʻai ʻana i nā mea ʻaila, palai, a me nā mea ʻono i ka hiki. E ʻai hou aku i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa holoʻokoʻa.
- E hoʻoikaika kino mau: E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā.
- E kāohi i ke koko kiʻekiʻe: Inā he koko kiʻekiʻe kou, e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai a ola i kou ola e like me ke kuhikuhi ʻana.
- Kaohi i ka cholesterol kiʻekiʻe: Pili pū kēia i ka ʻai a, inā pono, ka lāʻau lapaʻau.
- E pale loa i ka puhipaka: He mea ʻino loa ka puhipaka i nā kīʻaha koko.
- E hoʻokele i ke kaumaha: ʻAʻole maikaʻi ke kaumaha nui no ke kino. E hoʻomaha i kou noʻonoʻo me nā mea e like me ka yoga a me ka noʻonoʻo ʻana.
He aha ka ʻokoʻa nui ma waena o nā 'elastic arteries' a me nā 'muscular arteries'?
Ua kamaʻilio iki mākou e pili ana i kēia ma mua. ʻO nā ʻaʻa elastic nā ʻaʻa nui kokoke loa i ka puʻuwai. Loaʻa iā lākou ka ʻiʻo elastic loa ma ko lākou papa waena (ka tunica media). ʻO ia ke kumu e hiki ai iā lākou ke kīkoʻo maikaʻi loa.
ʻO nā aʻa Muscular he mau aʻa liʻiliʻi e lālā ana mai nā aʻa elastic. ʻO ko lākou papa waena he ʻiʻo ʻiʻo ka hapa nui.Ma o ka hoʻopaʻa ʻana a me ka hoʻomaha ʻana i kēia mau ʻiʻo e kāohi ʻia ai ka nui o ke koko e kahe ana i nā ʻāpana like ʻole o ke kino. I ka ʻōlelo maʻalahi, kākoʻo nā aʻa elastic i ke koko, ʻoiai ke kōkua nei nā aʻa muscular i ka hoʻolaha ʻana i ke koko.
No laila, he aha ka leka hope loa e lawe ai i ka home?
No laila, i kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia mau 'Elastic Arteries' i ko mākou kino. ʻAʻole liʻiliʻi ka lawelawe a lākou e hana ai, e halihali ana i ke kaomi o ke koko e hele mai ana mai ka puʻuwai a hoʻouna i kēlā koko, me ka oxygen, i kēlā me kēia cell o ke kino.
No laila, ʻo ka mālama pono ʻana i kou mau aʻa elastic he mea hoʻopukapuka kālā nui ia āu e hana ai i kou olakino holoʻokoʻa.
Inā ʻoe e mālama iā lākou i ke olakino, e loaʻa i kou kino ke koko e pono ai me ka ʻole o nā pilikia. ʻO ia hoʻi, hiki iā ʻoe ke noho olakino a hauʻoli. No laila, e mālama kākou a pau i ko kākou mau kīʻaha koko, ʻeā?
ʻO nā aʻa elastic, nā aʻa elastic, puʻuwai, nā kīʻaha koko, aorta, nā aʻa pulmonary, ke koko, ke olakino, nā maʻi aʻa











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