Ua noʻonoʻo paha ʻoe pehea e kahe ai ke koko ma loko o kou kino a pehea e mālama ai i ke koko mau? Loaʻa iā mākou kahi ʻano kīʻaha koko i loko o ko mākou kino he ʻano liʻiliʻi loa ia a aneane ʻike ʻole ʻia e ka maka ʻōlohelohe, akā ikaika loa. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia mau koa liʻiliʻi, ʻo nā Arterioles.
I ka ʻōlelo maʻalahi, he aha kēia mau arterioles?
He mau kīʻaha koko liʻiliʻi a lahilahi hoʻi nā arterioles. Ua like lākou me nā lālā e lālā ana mai nā kīʻaha koko nui o ko kākou kino, ʻo ia hoʻi nā aʻa. E noʻonoʻo iā lākou he mau alanui ʻaoʻao liʻiliʻi e lālā ana mai ke alanui nui a alakaʻi i nā hale. ʻO kēia mau arterioles ka mea e lawe i ke koko mai ka puʻuwai a i nā ʻiʻo a me nā ʻōkana o ko kākou kino.
Hoʻopili kēia mau arterioles i nā kīʻaha koko liʻiliʻi. Kāhea mākou iā lākou he mau capillaries. He mau kīʻaha koko lahilahi loa nā capillaries, e like me nā kaula o ka pūnaewele nananana. Maanei kahi e hana ʻia ai nā mea nui loa. Ua like lākou me ke kikowaena hoʻololi. Hāʻawi ke koko i ka oxygen a me nā meaʻai i nā ʻiʻo, a lawe nā ʻiʻo i nā huahana ʻōpala e like me ke kalapona dioxide i loko o ke koko. Ma hope o kēia hoʻololi ʻana, hoʻopili nā veins liʻiliʻi (venules) i kēia mau capillaries e lawe i ke koko i hoʻopiha ʻia me ka ʻōpala i ka puʻuwai.
No laila, he mea nui loa nā arterioles ma waena o nā aʻa a me nā capillaries.
He aha ka hana nui a kēia mau arterioles liʻiliʻi?
ʻOiai he liʻiliʻi kēia mau mea, he kuleana koʻikoʻi ko lākou i ke kaohi ʻana i ke kahe o ke koko a me ke kaomi koko i loko o ko mākou kino.
- Ke kaohi ʻana i ke koko a me ke kahe ʻana o ke koko: 80% o ke kūʻē ʻana i ke kahe koko i loko o ko kākou kino e kāohi ʻia e kēia mau arterioles. I ka ʻōlelo maʻalahi, hoʻoholo kēia mau kīʻaha koko liʻiliʻi i ka wikiwiki, ka paʻakikī, a me ka nui o ke koko e hoʻopuka ʻia i kēlā me kēia ʻōkana. Hana ʻia kēia ma ka hoʻopaʻa ʻana a me ka hoʻomaha ʻana i nā ʻiʻo i loko o ko lākou mau paia. Ua like ia me ke kaomi ʻana i kahi paipu wai e kaohi i ke kahe ʻana o ka wai. Penei e mālama ʻia ai ko kākou koko i kahi pae paʻa.
- Kōkua me ka hoʻololi ʻana: E like me ka mea i ʻōlelo ʻia ma mua, hana nā aʻa ma ke ʻano he "middleman" ma waena o nā aʻa nui a me nā capillaries liʻiliʻi loa, e hana ana ma ke ʻano he alahaka no ka hoʻololi ʻana o ka oxygen, nā meaʻai, a me nā huahana ʻōpala.
Pehea e kōkua ai nā arterioles i nā ʻōpū ʻē aʻe?
Loaʻa nā arterioles ma loko o ko kākou kino, e kōkua ana i ka aneane o kēlā me kēia ʻōkana. Eia kekahi mau laʻana.
| ʻOkana | Pehea e kōkua ai nā Arterioles |
|---|---|
| ʻIli | Ke anuanu mākou, ʻūmiʻi kēia mau kīʻaha koko a mālama i ke koko i loko o ke kino. Hoʻomehana kēia i ke kino. Ke wela mākou, hoʻonui lākou a hoʻouna i ke koko hou aku i ka ʻili, e hoʻokuʻu ana i ka wela mai ke kino. |
| nā puʻupaʻa | ʻElua ʻano arterioles e lawe mai i ke koko a lawe aku ia mai nā puʻupaʻa, ʻo ia hoʻi ka glomerulus. Hoʻonui a hoʻopaʻa kēia mau mea, e kaohi ana i ka wikiwiki o ke kānana ʻia ʻana o ke koko e nā puʻupaʻa. |
| Nā māmā | Hoʻopili kēia mau arterioles e hōʻemi i ke kahe koko i nā wahi o nā māmā i haʻahaʻa i ka oxygen a hoʻouna i ke koko i nā wahi me nā pae oxygen kiʻekiʻe. Kōkua kēia i ka hoʻonui ʻana i ka nui o ka oxygen i komo i loko o ke koko. |
| lolo | Ke pono ka lolo i ke koko hou aku, e hoʻonui ʻia nā arterioles, e ʻae ana i ke koko hou aku e kahe. |
He aha nā maʻi e hoʻopilikia ai i nā arterioles?
ʻOiai he mau kīʻaha koko nā arterioles, hiki i kekahi maʻi e hoʻopilikia i ka puʻuwai a me ke kaʻapuni ke hoʻopilikia iā lākou.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ke koko kiʻekiʻe (Hypertension) | Ke koko kiʻekiʻe no ka manawa lōʻihi. |
| Puhipaka | Hoʻopōʻino nā kemika i loko o ka uahi i nā kīʻaha koko. |
| Kolesterol kiʻekiʻe | Ka waiho ʻana o ka momona i loko o nā kīʻaha koko. |
| Atherosclerosis | Lilo nā paia o nā kīʻaha koko i mānoanoa a paʻakikī. |
| ʻO ka maʻi ʻaʻai | Ka pehu ʻana/ka mumū ʻana o nā paia o nā kīʻaha koko. |
| ʻO ke koko paʻa (Thrombosis) | Nā ʻūpā koko i loko o nā kīʻaha koko. |
| Maʻi diabetes | Hiki i ke kiʻekiʻe o ke kō ke hōʻino i nā kīʻaha koko liʻiliʻi. |
Hoʻopilikia kēia mau kūlana i nā paia o nā arterioles, e hiki ʻole ai iā lākou ke ʻūlū a hoʻonui pono paha. Hoʻopilikia kēia i ke koko a me ke kahe o ke koko.
Pehea ʻoe e ʻike ai inā he pilikia? - Nā hōʻailona
ʻOkoʻa nā hōʻailona o nā maʻi e hoʻopilikia ana i nā arterioles ma muli o ka maʻi. Eia kekahi mau laʻana maʻamau.
| Kūlana | Nā hōʻailona i ʻike ʻia |
|---|---|
| ʻO Vasculitis (ka pehu ʻana o nā kīʻaha koko) | ʻO ka emi ʻana o ke kaumaha, ke kuni, ka luhi, nā ʻōhūhū ʻili a me nā palapū. |
| Nā ʻūpā koko | Inā aia i loko o nā māmā, he paʻakikī ka hanu ʻana, inā aia i loko o ka puʻuwai, he ʻeha umauma ia, inā aia i loko o ka lolo, he paʻakikī ke ʻōlelo ʻana, inā aia i loko o nā wāwae, he pehu ia ma nā wāwae. |
| COPD (maʻi māmā) | Paʻakikī ka hanu ʻana, ka hanu ʻana, ka ʻū pinepine ʻana. |
Ka mālama ʻana a me nā ala e noho olakino ai
E hāʻawi kāu kauka i ka lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo e mālama i ke olakino o kāu ʻōnaehana cardiovascular holoʻokoʻa, me kou mau arterioles.
| Nā Lapaʻau Lapaʻau | Nā mea hiki iā ʻoe ke hana iā ʻoe iho (Nā Hoʻololi ʻana i ke ʻano o ka nohona) |
|---|---|
| Nā lāʻau antihypertensive. | Ka hōʻemi ʻana i ka paʻakai mai ka meaʻai. |
| Nā lāʻau hoʻohaʻahaʻa kolesterol. | Ka hōʻemi ʻana i nā meaʻai me ka momona kiʻekiʻe (nā ʻaila, nā meaʻai palai, nā ʻiʻo momona). |
| Nā lāʻau lapaʻau anti-inflammatory no nā kūlana e like me ka vasculitis. | Hoʻoikaika kino mau. |
| Ke aʻo ʻana e haʻalele i ka puhipaka. | E hōʻalo loa i nā huahana paka. |
| Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe. |
ʻAʻole paha mākou e noʻonoʻo nui e pili ana i kēia mau arterioles liʻiliʻi a hana nui i ko mākou ola o kēlā me kēia lā, akā he mea nui lākou no ka hoʻoponopono ʻana i ke kahe koko a me ke koko. Hiki i ka ʻai olakino a me ka hoʻoikaika kino mau ke kōkua i ka mālama ʻana i kāu ʻōnaehana cardiovascular holoʻokoʻa i ke ʻano maikaʻi loa. ʻOiai ʻaʻole hōʻike kekahi o kēia mau maʻi i nā hōʻailona i nā pae mua, he mea nui e ʻike i kāu kauka no nā nānā mau . Ma kēia ala, hiki iā ʻoe ke hopu i kahi pilikia liʻiliʻi ma mua o ka lilo ʻana i mea nui.
Leka Lawe-Home
- ʻO nā arterioles kahi ʻano kīʻaha koko liʻiliʻi loa akā ikaika loa e kaohi ana i ke koko a me ke kahe o ke koko i loko o ko mākou kino.
- ʻO nā ʻano nohona e like me ka meaʻai āu e ʻai ai, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka he hopena nui ia i ke olakino o kēia mau kīʻaha koko liʻiliʻi.
- ʻOiai ʻaʻole hōʻike kekahi mau maʻi i nā hōʻailona i nā wā mua, he mea nui loa ka hana ʻana i nā hoʻokolohua lapaʻau maʻamau.
- Inā he mau hopohopo a kānalua paha kāu e pili ana i kou olakino, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
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