I kēia lā, e kūkākūkā kākou i kahi mea nui i kou kino. E noʻonoʻo i kāu ʻōnaehana e like me ka paipu wai i loko o ka hale; loaʻa iā ʻoe kahi pūnaewele paʻakikī o nā "paipu" liʻiliʻi e lawe ana i nā meaʻai a me ka oxygen ma loko o kou kino holoʻokoʻa. Ua kapa ʻia kēia mau mea ʻo kou mau aʻa . ʻO ka maʻalahi, ʻaʻole hiki iā mākou ke ola me ka ʻole o lākou.
He aha nā ʻano like ʻole o nā aʻa?
Aia kekahi mau ʻano ʻokoʻa o nā aʻa? ʻAe, ʻelua mau ʻano nui. ʻO kā lākou kumu like, ʻo ia ka lawe ʻana i ke koko maʻemaʻe a waiwai i ka oxygen mai kou puʻuwai a i kēlā me kēia kihi o kou kino.
ʻO ke ʻano mua, ʻo ia nā aʻa elastic . E noʻonoʻo i kahi wicketkeeper e hopu ana i kahi pōpō cricket wikiwiki; pono lākou e omo i kēlā hopena mua, kiʻekiʻe. Hana like kēia mau aʻa, e loaʻa ana ke koko kiʻekiʻe pololei mai kou puʻuwai ma mua o ka hoʻoili ʻana.
ʻO ke ʻano ʻelua, ʻo ia nā aʻa uaua . E like me kēlā mea pāʻani hoʻokahi a laila e holo ana e lawe i ka pōpō i kahi e pono ai ke hele, hāʻawi kēia mau aʻa i kēlā koko i nā ʻiʻo like ʻole ma loko o kou kino.
I ka pōkole:
- Nā aʻa elastic: He waiwai kēia i nā olonā elastic, e ʻae ana iā lākou e kīkoʻo a hoʻihoʻi 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. Na lākou ke kuleana no ka hāʻawi ʻana i ke koko i nā ʻāpana kino kikoʻī. ʻO nā laʻana e komo pū me ke aʻa femoral (ma kou wāwae), ke aʻa radial (ma kou pulima lima, kahi āu e ʻike ai i kou pulse), a me ke aʻa brachial (ma kou lima luna).
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 wehewehe kākou i nā ʻokoʻa.
Nā aʻa koko
- Lawe lākou i ke koko maʻemaʻe a waiwai i ka oxygen mai kou puʻuwai a i ke koena o ke kino.
- He ikaika a he ʻiʻo ko lākou mau paia no ka mea, pono lākou e kū i ke kaomi koko kiʻekiʻe i kēlā me kēia manawa e paʻi ai kou puʻuwai.
- ʻAʻohe o nā valves o nā aʻa; ua lawa ka ikaika i hana ʻia e kou puʻuwai e hoʻomau i ke koko e neʻe i hoʻokahi ʻaoʻao.
Nā aa koko
- Ma hope o ka hoʻohana ʻana o kāu mau pūnaewele a me nā ʻiʻo i ka oxygen, lawe kēia mau kīʻaha koko i ke koko i pau i ka oxygen (deoxygenated) i kou puʻuwai.
- ʻOi aku ka lahilahi o nā paia o nā aʻa koko ma mua o nā aʻa koko no ka mea he haʻahaʻa loa ke koko i loko o lākou.
- Loaʻa i nā aa koko nā kiwikā e pale ai i ke koko mai ke kahe ʻana i hope.
Pehea e kōkua ai nā ʻaʻa koko i ka hana o kāu mau kino?
ʻO ka hana nui o kou mau aʻa, ʻo ia ke kaʻapuni i ka oxygen a me nā meaʻai. Hoʻopuka kou puʻuwai i kēia koko i piha i ka oxygen i loko o ke aʻa nui loa o ke kino, ʻo ia hoʻi ka aorta . Mai laila mai, lālā ia i loko o nā aʻa liʻiliʻi a liʻiliʻi, e pālahalaha ana ma kou kino e like me ka pūnaewele.
E hoʻomanaʻo, pono kēlā me kēia ʻōkana i loko o kou kino i kēia oxygen a me ka meaʻai e hana ai. ʻO kou mau aʻa nā alaloa e hāʻawi i kēia mau mea pono.
Hoʻolaʻa ʻia kekahi mau aʻa i nā ʻōkana kikoʻī, e like me:
- Nā aʻa coronary: Hoʻolako pololei i ke koko i ka ʻiʻo o ka puʻuwai.
- ʻO nā aʻa Carotid: E lawe i ke koko i kou lolo, maka, a me ka ʻāʻī.
- Nā aʻa Vertebral: Hoʻolako i ka lolo a me ke kaula spinal.
- Nā aʻa Iliac: Hoʻolako i ka ʻāpana pelvic.
- ʻAʻa femoral: Hoʻolako i nā wāwae.
- Nā ʻaʻa subclavian: Hoʻolako i ke poʻo, ka ʻāʻī, a me nā lima.
- ʻO nā aʻa Celiac a me mesenteric: E hoʻolako i kāu ʻōnaehana hoʻoheheʻe.
He mau ʻoiaʻiʻo hoihoi e pili ana i kou mau aʻa!
Aia kekahi mau mea kupaianaha maoli e ʻike ai e pili ana i kou mau aʻa:
- Ua ʻike anei ʻoe e hoʻouna ana kāu ʻōnaehana nerve waena i nā hōʻailona i kou mau aʻa e hoʻopaʻa a hoʻonui paha? Penei ke ʻano o ka hoʻoponopono ʻia ʻana o kou koko . Ma ka hoʻoponopono ʻana i ko lākou anawaena, mālama kou mau aʻa i kou koko i paʻa.
- I kēlā me kēia manawa, aia ma kahi o 10% o kou nui koko holoʻokoʻa i loko o kou mau aʻa.
- ʻO ka mea kupanaha, ʻo ke aʻa pulmonary wale nō ke aʻa e lawe ana i ke koko "lepo" nele i ka oxygen. Lawe ia i ke koko mai ka puʻuwai a i nā māmā e kiʻi pono i ka oxygen hou.
ʻAuhea lākou, pehea ko lākou ʻano, a pehea lākou i kūkulu ʻia ai?
Hoʻomaka nā aʻa ma ka puʻuwai me ka aorta a lālā aʻe e like me nā lālā lāʻau, e hōʻea ana i kēlā me kēia ʻāpana o kou kino.
He ʻano paipu ko lākou, akā, ʻaʻole e like me nā aa koko, he mānoanoa a ʻiʻo ko lākou mau paia e lawelawe i ke kaomi kiʻekiʻe mai ka ventricle hema o ka puʻuwai. He palupalu loa lākou.
No ka nui, ʻo kou aʻa nui loa, ʻo ka aorta, he anawaena ma kahi o 10-25 mm (0.4-0.9 ʻīniha). ʻO nā aʻa ʻē aʻe mai 3-5 mm (0.11-0.19 ʻīniha). ʻO nā aʻa liʻiliʻi loa, i ʻike ʻia ʻo arterioles , hiki ke liʻiliʻi e like me 0.01 a 0.30 mm ke anawaena.
Ua hana ʻia nā aʻa i ʻekolu papa mua:
1. Tunica intima: ʻO ka papa o loko e loaʻa ana nā olonā elastic.
2. Tunica media: ʻO ka papa waena, waiwai i nā ʻiʻo laumania, kahi e hiki ai i ke aʻa ke ʻūmiʻi a hoʻonui paha e like me ka mea e pono ai.
3. Tunica externa: ʻO ka papa waho e pili ana i nā ʻiʻo a puni a mālama i nā aʻalolo e hōʻailona ana i ke aʻa e hoʻoponopono i kona nui.
He aha nā kūlana arterial maʻamau?
ʻO ka mea pōʻino, hiki i nā ʻano maʻi like ʻole ke hoʻopilikia i kou mau aʻa. ʻO kekahi o lākou:
- Atherosclerosis (Arterial Narrowing and Hardening) : Hiki mai kēia ʻano ke hōʻiliʻili nā mea e like me ka momona a me ka cholesterol i loko o nā paia o kou mau aʻa, e hoʻolilo ana iā lākou e ololi a paʻakikī i ka hala ʻana o ka manawa.
- Aneurysm : He ʻāpana nāwaliwali o ka paia o ke aʻa e puʻupuʻu ana e like me ka pōpō. Inā ʻaʻole mālama ʻia, hiki ke haki kēia.
- ʻAʻa koko : He puʻu i hana ʻia i loko o kahi aʻa e ālai ana i ke kahe maʻamau o ke koko.
- Maʻi ʻAʻa Coronary : ʻO ka ulu ʻana o ka atherosclerosis ma loko o nā aʻa e hoʻolako koko i kou puʻuwai.
- ʻO ka maʻi o ke aʻa Carotid : ʻO ka ulu ʻana o ka atherosclerosis i loko o nā aʻa carotid, nona ke kuleana no ka hoʻolako ʻana i ke koko i kou lolo.
- Ke koko kiʻekiʻe
- Kolesterol kiʻekiʻe
- ʻO ka maʻi ʻaʻa Peripheral (PAD) : ʻO ka hāiki ʻana o nā aʻa e hoʻolako koko i kou mau lima a me kou mau wāwae.
- Vasculitis (Lūmū Arterial) : ʻO kahi kūlana kahi e pehu ai a mumū ai nā paia o kou mau aʻa.
He aha nā hōʻailona a i ʻole nā hōʻailona maʻamau o nā maʻi arterial?
I nā hihia he nui, ʻaʻole hōʻike nā kūlana e like me ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe i nā hōʻailona i nā pae mua. Me kou ʻike ʻole ʻana, hiki i kou mau aʻa ke paʻakikī mālie, a hiki i ka plaque (kahi hōʻiliʻili o ka cholesterol a me ka momona) ke hoʻomaka e pani iā lākou. ʻO kēia mau pilikia e paʻakikī ai ke kahe ʻana o ke koko, e alakaʻi ana i nā aʻa e haiki a paʻa loa paha.
ʻO kekahi o nā hōʻailona hōʻailona o nā maʻi arterial:
- ʻEha umauma
- Maʻi hohola
- Hahau
- ʻO ka numbness a i ʻole ka ʻeha ma kou mau lālā
- Pōkole o ka hanu
- ʻEha ʻōpū
- Luhi nui
Mea nui: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he mea nui e ʻimi koke i ke kōkua lapaʻau, no ka mea, hiki iā lākou ke hōʻailona i kahi maʻi koʻikoʻi.
He aha nā hoʻokolohua maʻamau e nānā ai i kou olakino arterial?
Loaʻa i kāu kauka ke komo i kekahi mau hoʻokolohua kiʻi e loiloi i ke kūlana o kou mau aʻa:
- Angiography : He kaʻina hana kahi e hoʻokomo ʻia ai kahi waihoʻoluʻu kūikawā i loko o nā aʻa, a ukali ʻia e kahi scan X-ray.
- CT Scan (Computered Tomography)
- MRI (Kiʻi Hoʻohālikelike Magnetic)
- Echocardiogram : He hoʻokolohua ultrasound e loiloi i ka hana o kou puʻuwai a me nā aʻa e pili ana.
He aha nā lāʻau lapaʻau maʻamau no nā maʻi arterial?
ʻOkoʻa loa nā ʻano lapaʻau no nā maʻi arterial, mai ka lāʻau lapaʻau a hiki i ke ʻoki kino:
- Nā loli o ke ʻano o ka nohona: (E kūkākūkā koke mākou i kēia mau mea)
- Nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol a i ʻole ke koko
- Nā mea hoʻokahe koko
- Nā lāʻau lapaʻau anti-inflammatory, e like me corticosteroids
- ʻAngioplasty : He kaʻina hana kahi e hoʻohana ʻia ai kahi mea like me ka pōpō e hoʻonui i kahi aʻa i haiki ʻia, a ukali pinepine ʻia e ke kau ʻana i kahi stent.
- ʻO ke kāpili ʻana o ke aʻa coronary bypass
- ʻO nā hana ʻokiʻoki bypass no nā aʻa ʻē aʻe i ālai ʻia
- ʻO Carotid endarterectomy : He hana ʻoki e wehe ai i nā waihona momona mai ke aʻa carotid.
Nā hana maʻalahi e mālama i ke olakino o kou mau aʻa
No laila, he aha kāu e hana ai e mālama i ke olakino o kou mau aʻa? ʻO ka ʻoiaʻiʻo, ʻo nā hana āu e hana ai no ke olakino o ka puʻuwai, ʻo ia ka mea e pono ai kou mau aʻa.
Eia kekahi mau hana maʻalahi hiki iā ʻoe ke hana:
- E ʻai i ka meaʻai olakino no ka puʻuwai. E pale i nā meaʻai kiʻekiʻe i nā momona trans a me nā momona saturated. E kālele i nā huaʻai, nā mea kanu, nā lau lau, a me nā meaʻai waiwai i ka fiber.
- E hoʻoikaika kino i nā manawa a pau. E hoʻāʻo no ka liʻiliʻi he 30 mau minuke o ka hana kino i kēlā me kēia lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana.
- E hōʻalo loa i nā huahana paka (nā sikaleka, nā vapes, a pēlā aku).
- E hoʻonohonoho i kāu hiamoe (inā he kanaka makua ʻoe, e hoʻāʻo no ʻehiku a ʻeiwa hola o ka hiamoe maikaʻi i kēlā me kēia pō).
- E hoʻokele pono i ke kaumaha. ʻO nā hana e like me ka noʻonoʻo ʻana, ka yoga, a i ʻole ke komo ʻana i kāu mau hana leʻaleʻa punahele hiki ke hana i kahi ʻokoʻa nui.
- Inā he koko kiʻekiʻe kou, cholesterol kiʻekiʻe, a i ʻole ka maʻi diabetes, e hahai mau i kāu papa hana lapaʻau i kuhikuhi ʻia.
- E mālama i ke kaumaha o ke kino olakino.
- E hōʻemi i kāu inu ʻona.
Manaʻo wale ka poʻe he nui i ko lākou puʻuwai ke noʻonoʻo i ko lākou ʻōnaehana cardiovascular, akā he kuleana koʻikoʻi ko kou mau aʻa. ʻO lākou nā ala e lawe ai i ka oxygen, nā meaʻai, a me nā mea ola ʻē aʻe ma o kou koko. Ke mālama ʻoe i kou mau aʻa, e mālama lākou iā ʻoe!
E hoʻomanaʻo, no ka mea, ʻaʻole hōʻike pinepine ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe i nā hōʻailona, he mea nui nā nānā lapaʻau maʻamau e hōʻoia i kou pae i kahi pae olakino. Inā ʻaʻole, ʻo ka ʻimi ʻana i ke alakaʻi lapaʻau kūpono ke ala maikaʻi loa e noho ai ma ke ala kūpono.
