Ua mānoanoa kou mau kīʻaha koko? E ʻike pono kākou i ke ʻano o ka arteriosclerosis!

Ua manaʻo paha ʻoe ua like nā kīʻaha koko (nā aʻa) i loko o ko kākou kino me nā paipu? ʻO kēia nā mea e lawe ana i ke koko maʻemaʻe a waiwai i ka oxygen mai ko kākou puʻuwai a i ke kino holoʻokoʻa. No laila, ʻaʻole wale kēia mau kīʻaha koko he mau paipu, he palupalu lākou, e like me kahi paipu laholio hou. Akā i kekahi manawa, hoʻomaka kēia mau kīʻaha koko e paʻakikī a mānoanoa. ʻO ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he ( Arteriosclerosis ) a i ʻole "ka mānoanoa o nā paia aʻa" a i ʻole "ka paʻakikī o nā aʻa". He moʻolelo koʻikoʻi kēia, no ka mea, hiki mai kēia iā mākou, me ka ʻike ʻole.

He aha ka (Arteriosclerosis)? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo "Arteriosclerosis" ka wā e mānoanoa mālie ai nā paia o kou mau aʻa koko, nā kīʻaha koko nui e lawe ana i ke koko, nalowale ko lākou elasticity, a lilo i paʻakikī. E noʻonoʻo e pili ana i ia mea, pehea ka maʻalahi o ke kūlou ʻana o kahi paipu wai hou? Akā i ka wā e ʻelemakule ai a hōʻike ʻia i ka lā a me ka ua, nalowale kona elasticity, a inā ʻoe e hoʻāʻo e kūlou, hiki iā ia ke haki, ʻeā? ʻO ia ka mea e hana ʻia i ko kākou mau aʻa koko.

He ʻōnaehana koʻikoʻi loa kēia mau aʻa. I kēlā me kēia manawa e paʻi ai ko kākou puʻuwai, lawe ʻia ke koko maʻemaʻe a waiwai i ka oxygen ma ke kino holoʻokoʻa, i kēlā me kēia ʻōkana a me nā ʻiʻo, ma o kēia mau aʻa. No laila, i ka wā e paʻakikī ai kēia mau aʻa, hiki ke keakea ʻia ke kahe o ke koko. A laila hiki ke hoʻopilikia ʻia kā kākou ʻōnaehana holoʻokoʻa .

ʻAʻole e ulu kēia maʻi i kapa ʻia ʻo (Arteriosclerosis) i hoʻokahi a ʻelua paha lā. Hoʻomaka mālie ia i nā makahiki he nui. ʻO ka mea weliweli loa, hiki ke lilo i asymptomatic i nā pae mua. ʻAʻole paha ʻoe e manaʻo i kekahi mea no ka manawa lōʻihi, a laila e ʻike wale ʻoe i ka wā e kū mai ai nā pilikia ʻē aʻe ma muli o ka paʻakikī o nā aʻa. Hoʻonui nui kēia i kou pilikia o ka loaʻa ʻana o nā maʻi cardiovascular, ʻo ia hoʻi, nā maʻi e pili ana i ka puʻuwai a me nā kīʻaha koko.

He nui ka poʻe e huikau i nā huaʻōlelo (Arteriosclerosis) a me (Atherosclerosis) a hoʻohana iā lāua ma ke ʻano he hoʻokahi. Eia nō naʻe, aia kahi ʻokoʻa iki ma waena o nā mea ʻelua.

• ʻO Arteriosclerosis ka mānoanoa a me ka paʻakikī o nā paia o ke aʻa ma muli o kekahi kumu .
• ʻO Atherosclerosis kahi kūlana kahi e hōʻiliʻili ai ka hōʻiliʻili ʻana o ka plaque i loko o nā paia o nā aʻa, e hoʻopaʻakikī ai iā lākou. He ʻano arteriosclerosis kikoʻī kēia. ʻO kēia paha ka huaʻōlelo āu i lohe pinepine ai.

E nānā pono kākou i nā ʻano arteriosclerosis ʻē aʻe a pehea lākou e hoʻopilikia ai i ko mākou kino.

He aha nā ʻano nui o ka (Arteriosclerosis)?

ʻEkolu mau ʻano nui o ka arteriosclerosis:

1. Atherosclerosis (Atherosclerosis)

ʻO kēia ke ʻano maʻamau a mākou i kamaʻilio ai ma mua. ʻO Atherosclerosis ka hōʻiliʻili mālie ʻana o nā waihona momona (plaque a i ʻole atheroma) i loko o nā paia o kou mau aʻa waena a me nā aʻa nui. E noʻonoʻo e like me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai. Kāhea mākou i kēia papa momona he "plaque".

Eia kekahi o nā aʻa i hoʻopilikia nui ʻia:

• ʻO ka Aorta - ʻO ke aʻa nui loa o ko mākou kino.
• ʻO nā aʻa coronary - nā aʻa e hoʻolako koko i ka puʻuwai.
• ʻO nā aʻa Carotid - nā aʻa nui e hoʻolako koko i ka lolo.
• Nā aʻa femoral
• Nā aʻa Iliac

Ua waiho ʻia kēia (plaque) i loko o ka papa o loko o ka paia o ke aʻa (tunica intima). I nā pae mua, ʻaʻole kēia e hoʻoulu i nā pilikia a i ʻole nā ​​hōʻailona. Akā i ka ulu mālie ʻana o kēia papa momona, ua emi ke alahele koko (lumen) i loko o ke aʻa. A laila ua emi ka hakahaka no ke kahe ʻana o ke koko. Eia kekahi, aia kahi pilikia o ka hoʻokumu ʻia ʻana o nā ʻōpū koko ma luna o kēia (plaque). Hiki i kēia mau ʻōpū koko ke ālai loa i ke aʻa. Inā hana ʻia kēia, hiki ke loaʻa nā pilikia e like me ka hōʻeha puʻuwai a i ʻole ka hahau .

2. ʻO ke Arteriosclerosis (Arteriolosclerosis)

ʻOiai ʻo ka (Atherosclerosis) e hoʻopilikia i nā aʻa waena a me nā aʻa nui, ʻo (Arteriolosclerosis) e hoʻopilikia i nā aʻa liʻiliʻi. Kāhea mākou i kēia mau aʻa liʻiliʻi ʻo (arterioles). ʻO kēia nā mea e hana ma ke ʻano he loulou ma waena o nā aʻa nui a me nā capillaries liʻiliʻi ʻoi aku ka liʻiliʻi. He kuleana koʻikoʻi kēia mau (arterioles) i ka hoʻomalu ʻana i ko mākou koko ( blood pressure ).

ʻO Arteriolosclerosis ka mānoanoa o nā paia o kēia mau aʻa liʻiliʻi (arterioles). Hiki i kēia ke hoʻopilikia i nā aʻa liʻiliʻi i loko o ko kākou mau puʻupaʻa a me ka lolo. Ke mānoanoa kēia mau paia, ʻaʻole hiki iā lākou ke hana pono. A laila, ʻaʻole lawa ke koko i nā ʻōpū, a hiki ke loaʻa nā pilikia like ʻole.

3. ʻO ka sclerosis calcific medial Mönckeberg (ʻO ka sclerosis calcific medial Mönckeberg)

ʻO kekahi inoa no kēia ʻo "medial arterial calcification." ʻO kēia ka waiho ʻana o ka calcium ma ka papa waena o ka paia arterial "tunica media."Ke hōʻiliʻili ʻia nā waihona calcium ma kēia papa waena, lilo ka paia o ke aʻa i mea paʻakikī . ʻIke pinepine ʻia kēia i nā poʻe ma luna o 50 mau makahiki. Eia nō naʻe, hiki ke ulu mua i nā poʻe me kekahi mau maʻi maʻi (no ka laʻana, ka maʻi puʻupaʻa maʻi).

Hoʻopilikia kēia ʻano i ke kahe koko a hoʻonui i ka pilikia o nā pilikia cardiovascular.

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He aha nā hōʻailona o ka '(Arteriosclerosis)'?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona a hiki i ka wā e ulu ai nā pilikia ma muli o ka "Arteriosclerosis." ʻOiai inā loaʻa nā hōʻailona, ​​​​​​ʻokoʻa loa lākou ma muli o ke ʻano o ka pilikia a me kahi i hoʻopilikia ʻia ai. ʻO kekahi mau hōʻailona maʻamau:

• Ke ʻano o ka wela a ʻeha paha i nā wāwae, ʻoi aku hoʻi nā wāwae, ʻoiai i ka wā e hoʻomaha ai.
• Ka loli ʻana o ke alapine (frequency) o ka mimi ʻana.
• ʻEha a ʻoluʻolu ʻole paha ka umauma.
• Pōʻaiʻī.
• ʻIli maloʻo, maneʻo , a ʻānai paha.
• Manaʻo luhi loa (Fatigue).
• Nā palpitations o ka puʻuwai.
• ʻEha nā wāwae i ka wā e hele ai (ʻeha nā wāwae i ka wā e hele ai no kahi mamao pōkole, a emi iho ia ke kū ʻoe) - ua kapa ʻia kēia ʻo "intermittent claudication".
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Pōkole o ka hanu.
• ʻŌlelo ʻino a paʻakikī paha ke haʻi ʻana i nā manaʻo.
• Nā ʻeha wāwae (lōʻihi ka manawa e ho'ōla ai).
• Pehu (edema).
• Ka nalowale ʻana o ka ʻike ma kekahi maka.
• Ka nāwaliwali ma kekahi ʻaoʻao o ke kino.

He mea nui: Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai, ka hahau ʻana, ka hoʻouka kaua ischemic transient (TIA) (e like me ka mini-stroke), ka pulmonary embolism (PE) (ka paʻa ʻana o ke koko i loko o nā māmā), a i ʻole ka ischemia mesenteric acute (ka paʻa ʻana o ke kīʻaha koko e hoʻolako ana i ke koko i nā ʻōpū), pono ʻoe e kāhea koke i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko.

He aha nā kumu o ka (Arteriosclerosis)? He aha nā kumu pilikia?

Hoʻokumu ʻia ka Arteriosclerosis e nā loli i loko o ka paia o ke aʻa. Hana mua ʻia kēia mau loli ma ka pae cellular, liʻiliʻi loa a hiki ʻole iā mākou ke ʻike iā lākou. No ka laʻana, ʻo ka hōʻino ʻana i ka uhi o loko o ke aʻa (endothelium) ke kumu o ka atherosclerosis.

ʻO ka hapa nui o kēia mau loli e hana ʻia i ko kākou wā ʻelemakule. ʻAʻole hiki iā kākou ke hoʻōki i nā pilikia e hele mai me ka ʻelemakule. ʻO ia ke kumu he mea nui e makaʻala i nā kumu pilikia ʻē aʻe e hiki ai iā kākou ke kaohi a hoʻokele iā lākou. Hiki i ka hoʻololi ʻana i ke ʻano o ka nohona ke kōkua nui i kēia.

ʻO nā kumu nui o ka pilikia no ka paʻakikī ʻana o nā aʻa:

• Maʻi puʻupaʻa mau loa.
• Ke koko kiʻekiʻe.
• Kiʻekiʻe o ka cholesterol i loko o ke koko.
• Ke piʻi nei ka makahiki.
• Ka nele i ka hoʻoikaika kino.
• ʻO ka maʻi metabolic.
• Ka hoʻohana ʻana i ka paka (puhi paka, cigaka, nau ʻana i ka gum, a pēlā aku).
• ʻO ka maʻi diabetes mellitus ʻano 2.

E kamaʻilio me kāu kauka e ʻike i nā kumu pilikia āu e loaʻa ai. No ka laʻana, inā he mau maʻi olakino kou e like me kēia, ʻo ka mālama ʻana iā lākou me nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau lapaʻau e hiki ke kōkua nui i ka mālama ʻana i ke olakino o kou mau aʻa.

He aha nā hopena o ka (Arteriosclerosis)? (Nā pilikia)

Hoʻopilikia ka Arteriosclerosis i ke kahe maʻamau o ke koko i loko o ko mākou kino. Ke paʻakikī nā aʻa, ua pilikia ka lako o ka oxygen a me nā meaʻai i nā ʻōpū a me nā ʻiʻo. No laila, ʻo ka paʻakikī o nā aʻa hiki ke alakaʻi i nā pilikia like ʻole, no ka laʻana:

• ʻO nā aneurysms (ka pehu ʻana o nā aʻa).
• ʻO ka maʻi o ke aʻa Carotid.
• ʻO ka maʻi ʻaʻa coronary (CAD).
• ʻO ka ischemia limb koʻikoʻi kahi maʻi koʻikoʻi i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i nā lālā.
• Maʻi hohola.
• Ka hāʻule ʻana o nā puʻupaʻa.
• Hoʻemi ʻia ke kahe koko i nā ʻōpū (Mesenteric ischemia).
• ʻO ka maʻi ʻaʻai peripheral (PAD)
• ʻO ka embolism pulmonary.
• ʻO ka stenosis o ke aʻa renal.
• Hahau.
• ʻO ke koko paʻa (Thrombosis).
• Nā hōʻailona o ka hoʻouka kaua ischemic transient (TIA).

I kekahi manawa, hiki i kekahi kanaka ke loaʻa ma mua o hoʻokahi ʻano arteriosclerosis, a ʻo kā lākou hopena i hui pū ʻia e hiki ke hoʻopilikia i nā pilikia ma mua o ka maʻamau.

Eia kekahi laʻana, hōʻike kekahi mau noiʻi inā loaʻa i kekahi kanaka me ka (medial arterial calcification) (nā waihona calcium ma ka papa waena o ka paia o ke aʻa) he (atherosclerosis) (nā waihona momona), hiki ke hoʻolalelale ʻia ke kaʻina hana o ka hoʻohaiki ʻana i nā aʻa. ʻO kēia no ka mea, ma ke ʻano maʻamau, i ka wā e hōʻiliʻili ai nā waihona momona ma ka papa o loko o ka paia o ke aʻa (intima), e hoʻonui ʻia ka paia o ke aʻa i waho, e ʻae ana i ke koko e kahe. Eia naʻe, inā paʻakikī ka papa waena (media) e nā waihona calcium, ʻaʻole hiki i ka paia o ke aʻa ke hoʻonui i waho. No laila, ʻo nā waihona momona ma ka papa o loko e hoʻohaiki pololei i ka (lumen) e hiki ai ke kahe ke koko.

Pehea e ʻike ʻia ai ka ʻike ʻana o ka (Arteriosclerosis)?

Hoʻoponopono nā kauka i kēia kūlana ma o:

• Ua hana ʻia kahi hoʻokolokolo kino .
• E nīnau i nā nīnau e pili ana i kou mōʻaukala olakino ʻohana, kou nohona, a me nā hōʻailona .
• Ua mālama ʻia nā hoʻokolohua like ʻole.

Nā hoʻāʻo e ʻike ai i ka (Arteriosclerosis)

Hiki i kāu kauka ke kauoha i nā hoʻokolohua like ʻole e nānā i ke olakino o kou mau kīʻaha koko, ke kahe koko, a me ka hana o ka puʻuwai. ʻO kekahi o lākou:

• ʻO ka ultrasound ʻōpū.
• Angiography - Hoʻokomo ʻia kahi kala i loko o nā aʻa ma o ka hoʻokomo ʻana i kahi X-ray i loko o ke koko.
• ʻO ka helu kuʻekuʻe wāwae-brachial (ABI) - ke ana i ka nui o ke kahe o ke koko i nā wāwae.
• ʻO ke kani ʻana o ka carotid.
• X-ray umauma.
• ʻO ke kiʻi CT (Computered tomography (CT) scan).
• Echocardiogram - echo) - kahi hoʻokolokolo ultrasound o ka puʻuwai.
• Hoʻāʻo E.C.G. (Electrocardiogram – EKG/ECG) – Ke ana i ka hana uila o ka puʻuwai.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino - Hoʻāʻo kēia i ka hana o ka puʻuwai i ka wā o ka hoʻoikaika kino.

He aha nā lāʻau lapaʻau no ka (Arteriosclerosis)?

ʻO nā lāʻau lapaʻau no ka (Arteriosclerosis) e komo pū me:

• Nā hoʻololi ʻana i ke ʻano o ka nohona (e.g., ka hoʻoikaika kino, ka ʻai ʻana i ka meaʻai olakino, ka hoʻōki ʻana i ka hoʻohana ʻana i ka paka).
• Nā lāʻau lapaʻau .
• Nā kaʻina hana lapaʻau a i ʻole nā ​​​​ʻoki kino .

E hoʻopilikino kāu kauka i kāu hoʻolālā lapaʻau i kāu mau pono. E hana lākou i kahi hoʻolālā e hoʻomaikaʻi i kou kahe koko, e hōʻemi i kou pilikia o nā pilikia, a hoʻokele i kāu mau hōʻailona. E kamaʻilio me kāu kauka e ʻike i ka mea maikaʻi loa iā ʻoe.

Hiki ke pale ʻia ka Arteriosclerosis?

ʻAʻole hiki ke pale ʻia ka paʻakikī o nā aʻa koko i nā manawa a pau. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• E hōʻalo i ka hoʻohana ʻana i ka paka a pau (puhi paka, vaping, nau ʻana i ka gum, a pēlā aku).
• E ʻai i ka meaʻai olakino no ka puʻuwai (e.g. ʻAi Mediterranean).
• E hoʻoikaika kino ma ka liʻiliʻi he ʻelima mau lā o ka pule, no ka liʻiliʻi he 30 mau minuke i ka lā.
• E mālama i ke kaumaha olakino nou.
• E mālama pono i nā kūlana olakino ma lalo (e like me ka maʻi diabetes a me ke koko kiʻekiʻe).

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka (Arteriosclerosis)?

Hiki i ka Arteriosclerosis ke hoʻoulu i nā pilikia e hoʻoweliweli i ke ola. Eia nō naʻe, inā ʻike ʻia a mālama ʻia i ka wā mua, hiki iā ʻoe ke kāohi i ke kūlana a ola i kahi ola lōʻihi a olakino. E kamaʻilio me kāu kauka e aʻo hou e pili ana i ka mea e manaʻo ai. ʻIke maikaʻi lākou iā ʻoe a me kāu mōʻaukala lapaʻau.

Āhea wau e ʻike ai i kaʻu kauka?

E ʻike i kāu kauka no kahi hoʻokolohua kino makahiki. Eia kekahi, mai poina e hele i nā hoʻokolohua hahai a kāu kauka e ʻōlelo ai.

E kelepona i kāu kauka i kēlā me kēia manawa inā:

• Inā loaʻa iā ʻoe nā hōʻailona hou a inā paha e loli kāu mau hōʻailona.
• Inā he mau nīnau kāu e pili ana i kāu hoʻolālā lapaʻau.
• Inā hoʻoulu ka lāʻau i nā hopena ʻaoʻao.

ʻAʻohe pūnāwai o ka ʻōpio o ko kākou mau aʻa. ʻElemakule lākou e like me ke koena o ko kākou kino. ʻO ia hoʻi, i ka hala ʻana o ka manawa, lilo mālie ko kākou mau aʻa i ʻoi aku ka paʻakikī a me ka palupalu ʻole. Hiki i kekahi mau mea pilikia ke hoʻolalelale i kēia kaʻina hana.

ʻO ka nūhou maikaʻi, hiki i nā kauka ke ʻike i nā mea āu e pilikia ai. E nīnau iā lākou e pili ana i ke olakino o kou mau aʻa, nā mea e makaʻala ai, a me nā mea hiki iā ʻoe ke hana e pale aku i nā pilikia. Hiki iā lākou ke ʻōlelo i nā hoʻololi o ke ʻano o ka nohona a i ʻole nā ​​​​lāʻau lapaʻau e hiki ke kōkua i ka mālama ʻana i kou mau aʻa i ke olakino no ka lōʻihi e hiki ai.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea a mākou i kamaʻilio ai e pono ai ʻoe e hoʻomanaʻo:

• ʻO Arteriosclerosis ka mānoanoa a me ka paʻakikī o nā paia o ke aʻa. Hana mau kēia i nā manawa a pau.
• ʻO Atherosclerosis kekahi o nā ʻano nui o kēia maʻi, kahi e hōʻiliʻili ai nā waihona momona i loko o nā aʻa.
• I ka manawa pinepine, ʻaʻohe hōʻailona i nā pae mua, no laila he mea nui ka nānā kino mau ʻana i ke kauka.
• ʻO ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, ka maʻi diabetes, ka puhipaka, a me ka nele i ka hoʻoikaika kino nā kumu nui o ka pilikia.
• Hiki i kēia ke hana i nā pilikia koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau.
• Eia nō naʻe, hiki ke kāohi ʻia kēia kūlana a hoʻemi ʻia ka pilikia ma ka hoʻololi ʻana i ke ʻano o ka nohona, ka lawe ʻana i ka lāʻau lapaʻau inā pono, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau .

No laila, e mālama pono i ke olakino o kou puʻuwai a me nā kīʻaha koko. E hana i kahi ʻanuʻu i ke ola olakino i kēia lā!