I kēia lā, e kamaʻilio ana kākou e pili ana i kahi mea nui loa i loko o ko kākou kino. E like me nā paipu e lawe mai ana i ka wai i loko o ka hale, he ʻōnaehana o nā 'paipu' liʻiliʻi kā kākou e lawe ana i nā meaʻai a me ka oxygen ma o ko kākou kino. ʻO kēia nā mea a kākou e kapa nei he mau aʻa, a i ʻole `(Arteries)` ma ka ʻōlelo Pelekania. Inā ʻaʻohe o kēia mau mea, ʻaʻole hiki iā kākou ke ola.
He aha nā ʻano o nā aʻa koko i laila?
ʻAe, e nānā kākou inā he mau ʻano o kēia mau aʻa. ʻAe, ʻelua ʻano nui. ʻO ka hana a kēia mau mea ʻelua, ʻo ia ka lawe ʻana i ke koko maʻemaʻe a me ka oxygen mai ka puʻuwai a i nā ʻāpana ʻē aʻe o ke kino. ʻO ke ʻano mua, ʻo ia
nā 'Elastic arteries' . E noʻonoʻo wale iā ia e like me ka wā e paʻi ai kekahi i ka pōpō me ka wikiwiki loa i ka wā e pāʻani ana i ka cricket, pono i ka mea nāna e hopu iā ia ke kū i kēlā wikiwiki, loaʻa mua i kēia mau aʻa ke koko e hele mai ana mai ka puʻuwai ma lalo o ke kaomi kiʻekiʻe. A laila wale nō lākou e hoʻoili i kēia koko i nā aʻa ʻē aʻe. ʻO ka lua o ke ʻano, ʻo ia
nā 'Muscular arteries' . E like me ke kanaka nāna e hopu i ka pōpō a holo i kahi i makemake ʻia, lawe kēia mau aʻa i ke koko i nā ʻiʻo like ʻole o ke kino. Ma ka ʻōlelo maʻalahi:
- Nā aʻa elastic : He nui nā olonā elastic i loko o kēia mau mea. He palupalu lākou e like me ke kaula laholio. Aia lākou ma kahi kokoke loa i ka puʻuwai. ʻO nā hiʻohiʻona e komo pū me ka aorta a me ke aʻa pulmonary.
- Nā aʻa ʻiʻo : Loaʻa i kēia mau mea nā olonā ʻiʻo laumania. ʻO kēia nā mea e hoʻolaha i ke koko i nā ʻāpana like ʻole o ke kino. ʻO nā laʻana e komo pū me ke aʻa femoral (ma ka wāwae), ke aʻa radial (ma ka lima, kokoke i ka pulima, kahi a mākou e ʻike ai i ko mākou pulse), a me ke aʻa brachial (ma ka poʻohiwi).
He aha ka ʻokoʻa ma waena o nā arteries a me nā veins?
He nui ka poʻe e huikau ana i nā aʻa a me nā veins. E nānā kākou i ka ʻokoʻa ma waena
o nā mea ʻelua.
- ʻO kēia nā mea e lawe i ke koko maʻemaʻe a waiwai i ka oxygen mai ka puʻuwai a hoʻolaha iā ia ma ke kino holoʻokoʻa.
- He ikaika loa ko lākou mau paia a he ʻiʻo hoʻi no ka mea, pono lākou e kū i ke kaomi koko kiʻekiʻe e komo mai ana i kēlā me kēia manawa e kuʻi ai ka puʻuwai.
- ʻAʻohe kiwikā i loko o nā aʻa, no ka mea, hoʻokahi wale nō ʻaoʻao e kahe ana ke koko ma muli o ke kaomi o ke koko e puka mai ana mai ka puʻuwai mai.
Nā aʻa koko (Kāhea mākou iā lākou he mau aʻa koko)
- ʻO kēia ke kuleana no ka hoʻihoʻi ʻana i ke koko i pau i ka oxygen (haumia) i koe ma hope o ka hoʻohana ʻana o nā ʻāpana a me nā ʻiʻo o ke kino i ka oxygen. Kāhea pū mākou i kēia he "koko deoxygenated".
- ʻOi aku ka lahilahi o nā paia o nā aʻa koko ma mua o nā paia o nā aʻa koko no ka mea, ʻaʻole ikaika ke koko i loko o lākou e like me nā aʻa koko.
- Aia nā kiwikā i loko o nā aa koko. Hoʻōki kēia mau kiwikā i ke koko mai ke kahe ʻana i hope.
He aha ka mea e hana ʻia i nā aʻa? Pehea lākou e kōkua ai i nā ʻōpū ʻē aʻe?
ʻO ka hana nui o nā aʻa ka lawe ʻana i ke koko i piha i ka oxygen a me nā meaʻai i loko o ke kino. Hoʻopuka kou puʻuwai i kēia koko i piha i ka oxygen i loko o ke aʻa nui loa o ke kino, ʻo ia hoʻi
ʻO ka aorta. Mai laila mai, māhele ʻia kēia aorta i nā aʻa liʻiliʻi, a laila e pālahalaha ana ma ke kino e like me kahi pūnaewele. E noʻonoʻo wale, he mea nui kēia oxygen a me ka meaʻai no kēlā me kēia ʻōkana i loko o ko kākou kino e hana. Hāʻawi nā aʻa i kēia mau mea i kēlā me kēia ʻōkana. Ma ke ʻano kūikawā, hāʻawi kekahi mau aʻa i ke koko i nā ʻōkana kikoʻī. Eia kekahi mau laʻana:- Nā aʻa coronary : ʻO kēia nā aʻa e hoʻolako i ke koko i ka puʻuwai ponoʻī.
- ʻO nā aʻa Carotid : Lawe kēia i ke koko i ka lolo, ke poʻo, ka maka, a me ka ʻāʻī.
- Nā aʻa Vertebral : I ka lolo a me ke kaula spinal.
- Nā aʻa Iliac : I ka ʻāpana ʻūhā.
- ʻAʻa femoral : I nā wāwae.
- Nā aʻa subclavian : I ke poʻo, ka ʻāʻī, a me nā lima.
- ʻO nā aʻa Celiac (`(Celiac arteries)`) a me nā aʻa mesenteric (`(mesenteric arteries)`) : I kā mākou ʻōnaehana hoʻoheheʻe.
ʻO kekahi mau ʻoiaʻiʻo hoihoi e pili ana i nā aʻa koko āu i ʻike ʻole ai!
Aia kekahi mau mea kupanaha ʻē aʻe e pili ana i nā aʻa koko.- Ua ʻike anei ʻoe e loaʻa ana i nā aʻa nā leka mai ko kākou ʻōnaehana nerve waena e 'hoʻopaʻa' a 'wehe' paha? ʻO kēia ka mea e kāohi ana i ko kākou koko , a i ʻole ka wikiwiki o ke kahe ʻana o ke koko i loko o nā aʻa. He kuleana nui ko nā aʻa i ka mālama ʻana i ko kākou koko i paʻa. Hoʻomalu pū lākou i ka nui o ke koko e kahe ana ma o lākou. Hana lākou ma ka hoʻopaʻa ʻana a me ka hoʻomaha ʻana i nā ʻiʻo i loko o nā paia o ke aʻa.
- I kēlā me kēia manawa , ma kahi o 10% o ka nui o ke koko i loko o kou kino aia i loko o kou mau aʻa.
- ʻO ka mea kupaianaha, ʻo ke aʻa pulmonary wale nō ke aʻa e lawe ana i ke koko nele i ka oxygen, a i ʻole ke koko 'lepo'. Lawe kēia aʻa i ke koko mai ka puʻuwai a i nā māmā, kahi e lawe ai i ka oxygen.
Aia ma hea kahi aʻa? Pehea kona ʻano? Pehea kona nui? He aha ka mea i hana ʻia ai?
Hoʻomaka nā aʻa me ka aorta, ʻo ia ke aʻa nui e lawe ana i ke koko mai ka puʻuwai. Mai laila mai, lālā nā aʻa i loko o nā kahawai liʻiliʻi, e like me nā lālā o kahi lāʻau, a pālahalaha a puni ke kino. Ua like nā aʻa me nā paipu . Akā, he mau paia mānoanoa ko lākou a he mau ʻiʻo ikaika aʻe ma mua o nā aʻa. ʻO kēia no ka mea pono lākou e kū i ke kaomi o ke koko e hoʻopuka wikiwiki ʻia e ka ventricle hema o ka puʻuwai. E noʻonoʻo iā ia e like me kahi ʻōnaehana hoʻomehana i kekahi mau hale e puhi ana i ka wela ma o nā paipu, akā he palupalu kēia mau aʻa. Ma ke ʻano o ka nui, ʻo kou aʻa nui loa, ʻo ka aorta, he 10 a 25 millimeters (0.4 a 0.9 iniha) ke anawaena.Hiki i nā aʻa ʻē aʻe ke anawaena ma kahi o 3 a 5 millimeters (0.11 a 0.19 iniha). ʻO nā aʻa liʻiliʻi loa, i kapa ʻia ʻo arterioles, hiki ke liʻiliʻi e like me 0.30 a 0.01 millimeters ke anawaena. I kēia manawa, e nānā kākou i nā papa i hana ʻia ai nā aʻa. ʻEkolu mau papa nui: 1. ʻO ka papa o loko (Tunica intima) : He papa kēia o nā ʻiʻo i loaʻa nā olonā elastic. 2. ʻO ka papa waena (Tunica media) : ʻO kēia kahi i loaʻa ai ka hapa nui o nā ʻiʻo laumania. ʻO kēia ka mea e ʻae ai i nā aʻa e hoʻopili a hoʻonui paha e like me ka mea e pono ai. 3. ʻO ka papa o waho (Tunica externa) : ʻO kēia kahi e pili ai nā ʻiʻo ʻē aʻe. ʻOiai nā aʻalolo e hoʻouna i nā leka i nā aʻa e ʻaelike a hoʻonui ua pili pū ʻia i kēia papa. He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i nā aʻa?
ʻO ka mea pōʻino, aia nā maʻi like ʻole e hiki ke hōʻino i ko kākou mau aʻa. ʻO kekahi o kēia mau mea:- Atherosclerosis : ʻO kēia ka wā e hōʻiliʻili ai nā mea e like me ka momona a me ka cholesterol i loko o nā paia o ke aʻa, e hoʻolilo ana i nā aʻa i mea haiki.
- Aneurysm : He ʻāpana nāwaliwali o ke aʻa e puʻupuʻu ana e like me ka pōpō. Hiki nō hoʻi ke pahū.
- ʻAʻa koko : Hoʻokumu ʻia kahi ʻaʻa koko i loko o kahi aʻa, e ālai ana i ke kahe koko.
- ʻO ka maʻi aʻa coronary : Atherosclerosis o nā aʻa e hoʻolako koko i ka puʻuwai.
- ʻO ka maʻi o ke aʻa Carotid : Atherosclerosis o nā aʻa carotid e hoʻolako koko i ka lolo.
- Ke koko kiʻekiʻe (`(Ke koko kiʻekiʻe)`)
- Kolesterol kiʻekiʻe (`( Kolesterol kiʻekiʻe)`)
- ʻO ka maʻi aʻa peripheral (PAD) : Ka haiki ʻana o nā aʻa e hoʻolako koko ai i nā lālā.
- Vasculitis : Ka pehu ʻana a me ka mumū ʻana o nā paia o ke aʻa.
He aha nā hōʻailona a i ʻole nā hōʻailona maʻamau o nā maʻi arterial?
ʻAʻole hōʻike nā ʻano maʻi he nui, e like me ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe, i nā pae mua. Me kou ʻike ʻole, hiki i kou mau aʻa ke paʻakikī mālie a paʻa i ka cholesterol a me nā waihona momona (plaque). Hiki i kēia mau pilikia ke paʻakikī i ke kahe ʻana o ke koko ma o kou mau aʻa, e hoʻohāiki ai a paʻa loa paha. Eia kekahi mau hōʻailona o nā maʻi e pili ana i ke aʻa:- ʻEha umauma (`(ʻEha umauma)`)
- Maʻi hohola
- Hahau
- ʻO ka maneʻo a i ʻole ka ʻeha ma nā lālā
- Pōkole o ka hanu
- ʻEha ʻōpū
- Luhi nui/māluhiluhi (`(Luhi)`)
Mea nui: He mea nui loa e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kēia mau hōʻailona, no ka mea, hiki i kēia ke lilo i mau maʻi koʻikoʻi.
He aha nā hoʻokolohua maʻamau i hana ʻia e nānā i ke olakino o nā aʻa koko?
Aia nā hoʻokolohua kiʻi like ʻole e kōkua i nā kauka e ʻike i ke kūlana o kou mau aʻa.- Angiography : Ma kēia, ua hoʻokomo ʻia kahi kala kūikawā i loko o nā aʻa a hana ʻia kahi hoʻokolokolo X-ray.
- ʻO ke kiʻi CT (`(CT scan / tomography i helu ʻia)`)
- ʻIke MRI (`(MRI / Magnetic resonance imaging)`)
- Echocardiogram (`(Echocardiogram)`) : He hoʻāʻo ultrasound e nānā i ka hana o ka puʻuwai a me nā aʻa.
He aha nā lāʻau lapaʻau maʻamau no nā maʻi arterial?
Nui nā lāʻau lapaʻau no nā maʻi e hoʻopilikia ana i nā aʻa koko, mai ka lāʻau lapaʻau a hiki i ke ʻoki kino.- Nā loli o ke ʻano o ka nohona: (E kamaʻilio mākou e pili ana i kēia ma hope)
- Nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol a i ʻole ke koko
- Nā mea hoʻokahe koko
- Nā lāʻau lapaʻau e hōʻemi i ka mumū, no ka laʻana corticosteroids
- Angioplasty : He kaʻina hana e hoʻonui ai i kahi aʻa i haiki me ka hoʻohana ʻana i kahi mea like me ka baluna. I kekahi manawa hoʻokomo ʻia kahi stent.
- ʻO ke kāpili ʻana o ke aʻa coronary (`(Coronary artery bypass grafting)`)
- ʻO ke ʻoki ʻana i ka alahaka no nā aʻa ʻē aʻe i ālai ʻia
- ʻO Carotid endarterectomy : He ʻoki kino e wehe ai i nā waihona momona i loko o ke aʻa carotid.
Nā mea maʻalahi hiki iā mākou ke hana e mālama i ke olakino o ko mākou mau aʻa
ʻAe, he aha kā mākou e hana ai e mālama i ke olakino o kēlā mau aʻa makamae a mākou i kamaʻilio ai? ʻOiaʻiʻo, ʻo nā mea like āu e hana ai e mālama i ke olakino o kou puʻuwai he mea maikaʻi nō hoʻi ia no kou mau aʻa. Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana:- E ʻai i ka meaʻai olakino. E hōʻalo i nā meaʻai i loaʻa nā momona trans a me nā momona saturated. E ʻai i nā huaʻai, nā mea kanu, nā palaoa piha, a me ka fiber.
- 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 pale loa i ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes a me nā beedis).
- (Inā he kanaka makua ʻoe) E hiamoe maikaʻi ma waena o ʻehiku a me ʻeiwa hola i kēlā me kēia pō.
- E hoʻokele pono i ke kaumaha.Hiki i nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ke komo ʻana i kahi hana leʻaleʻa punahele ke kōkua.
- Inā loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, a me ka maʻi diabetes, e mālama pono iā lākou.
- E mālama i ke kaumaha o ke kino olakino.
- Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia.
Ke noʻonoʻo ka hapa nui o ka poʻe i ka ʻōnaehana cardiovascular, manaʻo wale lākou i ka puʻuwai. Akā, he kuleana koʻikoʻi ko nā aʻa. ʻO lākou ka mea e lawe i ka oxygen, nā meaʻai, a me nā mea nui ʻē aʻe i kou kino ma o kou koko. Ke mālama ʻoe i kou mau aʻa, e mālama lākou iā ʻoe!
E hoʻomanaʻo, ʻaʻole paha e hōʻike ʻia kekahi mau hōʻailona i ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe i nā pae mua, no laila he mea nui e loaʻa nā nānā lapaʻau maʻamau e hōʻoia i ko lākou pae maʻamau. A i ʻole, e kiʻi i ka lāʻau e pono ai no lākou.
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