Aia kekahi mau waihona momona i loko o kou kīʻaha koko nui? E aʻo kākou e pili ana i ka Atherosclerosis o ka Aorta!

Ua lohe anei ʻoe i ke kīʻaha koko nui loa a koʻikoʻi loa i loko o ko kākou kino? ʻO ia ka aorta . Ua like ia me ka ʻōnaehana paipu nui e hoʻokaʻawale ana i ka wai mai ko kākou pahu wai i ka hale holoʻokoʻa. ʻO ia ka mea e lawe ana i ke koko maʻemaʻe mai ka puʻuwai a i ke kino holoʻokoʻa. No laila, hiki i kekahi kīʻaha koko koʻikoʻi ke loaʻa nā pilikia i kekahi manawa. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, ʻo ia ka waiho ʻana o ka momona i loko o ka aorta a i ʻole `(Atherosclerosis of Aorta)`.

He aha ke ʻano o ka Atherosclerosis o Aorta?

I ka ʻōlelo maʻalahi, ʻo ka mea e hana ʻia ana, ʻo ia ka hōʻiliʻili ʻana o ka momona a me ka cholesterol i loko o ke kīʻaha koko nui loa i loko o ko kākou kino, ʻo ia hoʻi ka aorta , e like me ka ʻōpala e hana ana i kahi papa ma loko o kahi paipu wai kahiko. Kāhea mākou i kēia mea pipili he 'plaque' . ʻAʻole kēia e hana koke ʻia. ʻOiaʻiʻo, hiki iā mākou ke hoʻomaka e kūkulu mālie i kēia 'plaque' mai ko mākou wā ʻōpiopio, akā e kūkulu wale ia i ko mākou wā ʻelemakule a hoʻomaka e hoʻoulu i nā pilikia.

E noʻonoʻo, ʻo kēia aorta he aa koko i ʻoi aku ma mua o hoʻokahi kapuaʻi ka lōʻihi, e hoʻolōʻihi ana mai ka puʻuwai ma o ka ʻōpū a i ke pelvis. Hiki i kēia 'plaque' ke hana ma nā wahi āpau o ka aorta. Eia naʻe, ʻo ka hapa nui o kēia kūlana e hoʻopilikia nui i ka ʻāpana o ka aorta e holo ana ma o ka ʻōpū, ʻo ia hoʻi, ka 'Abdominal Aorta'.

ʻO kekahi mea ʻē aʻe, inā he palaki ko ke kanaka e like me kēia ma ko lākou aorta, aia kahi manawa kūpono e loaʻa pū kekahi iā lākou ka palaki ma nā kīʻaha koko ʻē aʻe i loko o ko lākou kino, no ka laʻana , ma nā aʻa coronary e hoʻolako koko i ka puʻuwai, a i ʻole ma nā aʻa carotid e hoʻolako koko i ka lolo. No ka mea, he maʻi ʻōnaehana kēia (Atherosclerosis) e hoʻopilikia ana i ke kino holoʻokoʻa . ʻO ia hoʻi, inā he pilikia ma kekahi wahi, hiki ke loaʻa nā pilikia ma nā wahi ʻē aʻe.

Pehea ka hopena o kēia kūlana i ko mākou kino?

Ke hōʻiliʻili ka palaki i loko o ka aorta, ālai ia i ke kahe koko nui i ke kino. Ua ʻike anei ʻoe he nui nā kīʻaha koko liʻiliʻi e lālā ana mai kēia aorta a lawe i ke koko momona i ka oxygen i nā ʻāpana āpau o ke kino? No laila, ke ālai ka palaki i ke kahe koko i loko o ka aorta, hiki iā ia ke hana i ka nele o ke koko momona i ka oxygen i nā ʻano kino like ʻole a me nā ʻiʻo i loko o ke kino (ischemia).

Manaʻo paha ʻoe e ulu a ulu kēia 'plaque' a hiki i ka wā e ālai loa ai i ke kīʻaha koko. ʻOiaʻiʻo, hiki ke hana ʻia kēia ma kekahi mau kīʻaha koko liʻiliʻi. Eia nō naʻe, no ka mea, he kīʻaha ākea loa ka aorta, ʻoiai me ka plaque i waiho ʻia ma kona mau paia, aia nō kahi e kahe ai ke koko.

Eia naʻe, ʻo ka pilikia nui a weliweli loa ma ʻaneʻi, ʻo ia ka haki ʻana o kahi ʻāpana o kēia 'plaque' a paʻa i kahi ʻē aʻe. ʻO ia ka mea a mākou e kapa nei he 'embolus' i ka lāʻau lapaʻau.

I ka ʻōlelo maʻalahi, ua like ka hōʻiliʻili ʻana o ka plaque me ka hōʻiliʻili ʻana o ka lepo i loko o kahi paipu ma lalo o kahi poho holoi. Akā, he mea paʻa koke ka embolus. Ua like ia me ka mea inā ʻoe e palaki ana i kou mau niho a hāʻule hewa kahi ʻōmole toothpaste i loko o ka poho holoi, e paʻa ia i loko o ka paipu a hoʻōki i ke kahe ʻana o ka wai.

Hiki i ka plaque i loko o ka aorta ke hana i ʻelua ʻano emboli:

• Thromboembolism: Hana ʻia kēia ke hana ʻia kahi ʻaʻa koko ma luna o ka plaque. A laila haki kēia ʻaʻa koko a hele pū me ke koko.
• Atheroembolism: Hana ʻia kēia i ka wā e haki ai ka plaque a haki kekahi ʻāpana o ia mea a hele pū me ke koko. ʻAʻole kēia i maʻamau ma mua o ke koko i ʻōlelo ʻia ma mua.

Eia nō naʻe, ma nā hihia ʻelua, ke neʻe nei kahi mea i pono ʻole i loko o nā kīʻaha koko. ʻO ia ka pilikia nui o nā waihona momona i loko o ka aorta. Aia ka hopena i ke kino ma kahi e paʻa ai kēia 'embolus'. ʻOiai ʻaʻole kahe ke koko ma mua o kēlā wahi paʻa, ʻaʻole lawa ka oxygen i nā ʻōpū a me nā ʻiʻo ma ia wahi a hoʻomaka koke e hōʻino ʻia (ischemia).

Pehea ke koʻikoʻi o kēia kūlana?

Inā haki kahi embolus, i hoʻokumu ʻia e kahi waihona momona i loko o ka aorta, a noho ma kahi ʻē aʻe o ke kino, hiki iā ia ke lilo i mea pilikia olakino e hoʻoweliweli ana i ke ola , no ka mea, e ālai loa ana i ke kahe o ke koko i kēlā wahi.

Hoʻokomo kēia kūlana iā ʻoe i kahi pilikia kiʻekiʻe o ka loaʻa ʻana o nā pilikia e like me kēia:

• ʻO ka colitis ischemic acute: ʻO kēia ke ʻano e ālai ʻia ai ke kahe o ke koko i ke kolona , ​​e hana ana i nā hōʻailona e like me ka ʻeha o ka ʻōpū a me nā ʻōpala koko.
• ʻO ka ischemia lālā koʻikoʻi: Hana pinepine kēia ma nā wāwae. Lilo koke ka wāwae i ka maneʻo, keʻokeʻo, a ʻeha.
• ʻO ka infarction myocardial : Ka pale ʻana o kahi aʻa e lawe ana i ke koko i ka puʻuwai.
• ʻO ka infarction Renal: Hiki i kēia ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa.
• ʻO ka infarction splenic.
• Hahau a i ʻole ka Hoʻouka Ischemic Kuikilana (TIA): He ālai ʻana o kahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo.

Eia kekahi, hoʻonāwaliwali ka hōʻiliʻili ʻana o ka plaque i loko o ka aorta i ka paia o ke aʻa, e hoʻonui ana i ka pilikia o ka loaʻa ʻana o kahi aneurysm aortic . Inā pahū koke a haki paha kēlā aneurysm, hiki ke make, no laila he mea nui e ʻimi koke i ke kōkua lapaʻau.

Iā wai kēia e hana nei?

Hiki ke loaʻa kēia maʻi i kapa ʻia ʻo "Atherosclerosis of the Aorta" i kekahi . He maʻi maʻamau ia. Hoʻonui ka pilikia o ka loaʻa ʻana o kēia i kou wā ʻelemakule.

He aha nā hōʻailona?

No nā kānaka he nui, hiki ke noho kēia 'plaque' i loko o ka aorta no nā makahiki me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona . ʻOiaʻiʻo, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona, ​​​​akā ʻike wale ʻia nā hōʻailona ke hele kekahi o kēlā mau 'embolus' me ke koko a paʻa i kahi ʻē aʻe o ke kino. A laila hilinaʻi nā hōʻailona āu e ʻike ai ma kahi i paʻa ai ka 'embolus', a me ka ʻāpana o ke kino i nele i ka oxygen.

Hiki i kahi 'embolus' ke hana i nā ʻano pilikia olakino like ʻole, kēlā me kēia me nā hōʻailona kikoʻī.

ʻO ka mea nui loa, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i ka 1990 a i ʻole e hele i ka haukapila kokoke loa.

Nā hōʻailona o ka hōʻeha puʻuwai

• Aia mau ka manaʻo o ka makaʻu, ka manaʻo "e hana ʻia ana kekahi mea ʻino i kēia manawa."
• ʻEha ka umauma , ʻūmiʻi, paʻa, a i ʻole ke kaomi.
• Ke wili nei koʻu poʻo, ke poniuniu nei au, me he mea lā e nalowale ana koʻu ʻike.
• ʻO nā palpitations o ka puʻuwai kahi manaʻo maʻamau ʻole o ka helu ʻana o ka puʻuwai.
• Ke hiki mai nei ka luaʻi, ke hiki mai nei ka luaʻi.
• ʻEha a ʻoluʻolu ʻole paha ma ka poʻohiwi, ka lima, ka ʻāʻī, a i ʻole ka ʻauwae.
• Ke hou nei.
• Hiki i nā wāhine ke ʻike i nā hōʻailona e like me ka luhi nui a me ka paʻakikī o ka hanu ʻana.

Nā hōʻailona o ka hahau ʻana

• Ke wili nei koʻu poʻo, ke nalowale nei ke kaulike o koʻu kino.
• I ka wā e ʻōlelo ai, ua huikau nā huaʻōlelo, lilo ia i mea paʻakikī ke hōʻike aku i kou manaʻo, a lilo ia i mea paʻakikī ke hoʻomaopopo i ka mea a haʻi e ʻōlelo nei.
• Ka mae koke ʻana a nāwaliwali paha ma ka maka, nā lima, a i ʻole nā ​​wāwae. Hiki ke hana pinepine ʻia kēia ma kekahi ʻaoʻao o ke kino.
• I ka manawa koke, loaʻa iaʻu kahi ʻeha nui i ke poʻo.
• Lilo ka ʻike i mea pōwehiwehi a paʻakikī paha ke ʻike i kekahi a i ʻole nā ​​maka ʻelua.
• Lilo i mea paʻakikī ke hele wāwae.

Nā hōʻailona o ka ischemia limb acute

• Anuanu ka lima a i ʻole ka wāwae i hoʻopilikia ʻia ke pā aku.
• Ua make paha ka ʻiʻo ma ia wahi a ua lilo i ʻeleʻele (Gangrene).
• Hoʻololi ke kala o ka ʻili, a ʻike ʻia ke ʻano o nā kaha ʻulaʻula, poni, a me ka ʻeleʻele (ʻili mottled).
• Ua like ia me ka mae a me ke ʻāʻī.
• He keʻokeʻo a polū paha ka ʻili.
• He nāwaliwali a ʻaʻohe paha ka pulse ma ka lima a i ʻole ka wāwae i hoʻopilikia ʻia.

Nā hōʻailona o ke kahe koko i nā ʻōpū o ka ʻōpū

• Koko i loko o ka ʻōpala.
• Ka maʻi pākī.
• Ka luaʻi.
• ʻEha ka ʻōpū a i ʻole ka ʻeha nui ke hoʻopā ʻia.

Nā hōʻailona o ka aneurysm aortic ʻōpū (AAA)

ʻO nā waihona momona i loko o ka aorta e pili ana me kahi kūlana i kapa ʻia ʻo Abdominal Aortic Aneurysms (AAA). ʻO ke ʻano kēia, ʻaʻole nā ​​waihona momona ponoʻī e hoʻoulu i kahi AAA, akā ua like nā mea pilikia no nā kūlana ʻelua, no laila hiki iā lākou ke hana pū. ʻAʻole hōʻike ka nui o ka poʻe i kekahi mau hōʻailona a hiki i ka wā e pahū ai kahi AAA. Eia nō naʻe, inā ʻike mua ʻia nā hōʻailona, ​​​​hiki iā lākou ke komo pū:

• ʻEha mau ma ke kua, ka wāwae, a i ʻole ka ʻōpū.
• Ke ʻike nei au i kahi mea e ʻū ana i loko o kuʻu ʻōpū, me he mea lā e kuʻi ana kuʻu puʻuwai.

Eia nā hōʻailona o ka pahū ʻana o ka `(AAA)` (inā ʻike ʻoe i kēia mau mea, e hele koke i ka haukapila!):

• Ua anu a ua hou koʻu kino.
• Ke wili nei kuʻu poʻo, manaʻo wau e nalowale ana koʻu ʻike.
• Ke wikiwiki nei ka puʻuwai.
• Ka luaʻi a me ka luaʻi.
• He paʻakikī ke hanu.
• ʻEha koke ka ʻōpū nui, ʻeha ke kua i lalo, a i ʻole ka ʻeha o ka wāwae.

He aha nā kumu o kēia kūlana?

Hoʻomaka nā waihona momona i loko o ka aorta me ka hōʻino ʻana i ka uhi palupalu i loko o ke aʻa (endothelium). ʻAʻole hiki mai kēia hōʻino i ka pō hoʻokahi, akā i loko o kekahi mau makahiki.

Hiki i kekahi mau kūlana a me nā ʻano maʻamau ke hōʻino i kēia `(Endothelium)` a hoʻonui i ka pilikia o ka hoʻomohala ʻana i `(Atherosclerosis).` ʻO nā mea e like me kēia:

• Ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe (e.g. vaping, nau paka).
• Hoʻonui ʻia ka nui o ka cholesterol i loko o ke koko (Hyperlipidemia).
• Ke koko kiʻekiʻe (Hypertension).
• Ke kiʻekiʻe o ke kō koko (Hyperglycemia), ʻoi aku hoʻi i nā poʻe me ka maʻi diabetes.
• ʻO kekahi mau maʻi autoimmune a me nā kūlana mumū , ʻoiai nā mea e hoʻopilikia ana i nā kīʻaha koko nui, e like me ka vasculitis kīʻaha koko nui.

Pehea e hana ʻia ai ka hōʻailona?

Hoʻohana nā kauka i nā hoʻokolohua kiʻi like ʻole e hoʻoholo pono ai inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo aortic atherosclerosis, pehea ka laha ʻana, a pehea kona koʻikoʻi. ʻO nā mea nui:

• CT scan (Computered tomography - CT scan)
• MRI scan (kiʻi resonance magnetic - MRI)
• ʻO ka echocardiogram transesophageal (kahi e hoʻokomo ʻia ai kahi kāmela liʻiliʻi ma o ka esophagus e nānā i ka puʻuwai a me ka aorta).

ʻAe kēia mau hoʻokolohua i ke kauka e ʻike maopopo i ke kūlana o ka aorta.

He aha nā lāʻau lapaʻau?

I ka mālama ʻana i nā waihona momona i loko o ka aorta, nānā nā kauka i ʻelua mau mea nui:

• E hōʻemi i ka pilikia o nā pilikia (e like me ka hōʻeha puʻuwai, ka hahau) e kū mai ana mai kēia maʻi.
• E kāohi a hoʻōki paha i ka holomua o ka maʻi.

Hiki i nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua iā ʻoe e hoʻokō i kēia mau pahuhopu ʻelua. Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• Nā lāʻau anticoagulants a i ʻole nā ​​​​lāʻau Antiplatelet : Hoʻemi kēia i ka pilikia o ka hoʻomohala ʻana i kahi embolus.
• Lāʻau antihypertensive .
• Nā lāʻau lapaʻau e kaohi ai i nā pae cholesterol (e.g. statins) .

He mea nui loa hoʻi nā hoʻololi ʻana i ke ʻano o ka nohona. Hiki i kāu kauka ke haʻi aku iā ʻoe e hana i nā mea e like me:

• E hōʻalo i nā meaʻai kiʻekiʻe i ka momona saturated a me ka cholesterol.
• E hōʻalo i nā meaʻai a me nā mea inu kiʻekiʻe i ke kō.
• E ʻeleu hou aku, e hoʻoikaika kino i kēlā me kēia lā.
• E hōʻemi i ka nui o ka paʻakai i hoʻohui ʻia i ka meaʻai.
• Inā ʻoe e puhipaka, e hoʻōki loa ia. E hoʻōki hoʻi i ka hoʻohana ʻana i nā huahana paka.

Inā ua loaʻa iā ʻoe nā pilikia mai ka aortic atherosclerosis, e mālama pū kāu kauka i kēlā mau kūlana. ʻOkoʻa nā koho lapaʻau ma muli o kahi a me pehea i hana ʻia ai ka pōʻino. Hiki iā lākou ke komo pū me nā lāʻau lapaʻau, nā kaʻina hana minimally invasive, ke ʻoki kino nui, a me ka amputation a i ʻole dialysis inā e hāʻule ana kou mau puʻupaʻa. E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau maikaʻi loa iā ʻoe a no ke aha ʻoe e pono ai iā lākou.

Pehea e hiki ai ke hoʻēmi ʻia ka pilikia o kēia maʻi?

ʻAʻole paha hiki ke pale loa i ka atherosclerosis i nā manawa a pau. Eia nō naʻe, ʻo ka hahai ʻana i nā ʻanuʻu ma lalo nei e hiki ke kōkua iā ʻoe e hoʻolohi i ka holomua o ka maʻi a hōʻemi i kou pilikia o ka loaʻa ʻana o nā pilikia weliweli.

• E pale i ka puhipaka a me nā huahana paka āpau. Hoʻokomo pū kēia i ka vaping a me ka nau ʻana i ka paka.
• E ʻai i ka meaʻai olakino no ka puʻuwai. E koho i nā meaʻai haʻahaʻa i ka momona momona a me ka cholesterol. E ʻai hou aku i nā huaʻai, nā mea kanu, nā legumes, a me nā nati.
• E mālama i ke kaumaha olakino. E nīnau i kāu kauka i ke ʻano o ke kaumaha olakino no kou kiʻekiʻe.
• E noho mau i ka hana. E hoʻohui i kekahi mau hoʻoikaika kino i hoʻolālā ʻia i kou lā. Eia kekahi, e hoʻāʻo e hana i nā mea e hoʻoneʻe ai i kou kino i kou wā e hana ana i kāu mau hana o kēlā me kēia lā.
• E kāohi i kou koko, ka cholesterol, a me nā pae kō koko. E kamaʻilio me kāu kauka e pili ana i nā loli o ke ʻano o ka nohona e hiki ke kōkua. Eia kekahi, e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka, i ka manawa kūpono.
• E ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no kahi nānā piha. Mai poina i nā manawa lapaʻau ʻē aʻe a me nā hoʻokolohua hahai.

Inā loaʻa iaʻu kēia maʻi, pehea lā ka wā e hiki mai ana?

ʻAʻole like kēia i ka hopena o kēlā me kēia kanaka. Aia kāu wānana (`(Prognosis)`) ma luna o kekahi mau kumu:

• ʻO ke koʻikoʻi o ka hōʻiliʻili ʻana o ka plaque. Inā ʻoi aku ka nui o ka plaque i loko o kou aorta ma mua o 4 millimeters, ʻoi aku kou pilikia o ka loaʻa ʻana o kahi embolus. Inā emi ka plaque ma mua o 1 millimeter, ua manaʻo ʻia he ʻano "mālie" a ʻoi aku ka haʻahaʻa o ka pilikia o nā pilikia. E kamaʻilio me kāu kauka e pili ana i ke koʻikoʻi o kāu hōʻiliʻili ʻana o ka plaque i loko o kou aorta a pehea e hoʻopilikia ai iā ʻoe.
• Inā paha aia ka palaki i loko o nā kīʻaha koko ʻē aʻe. Inā aia ka palaki i loko o nā kīʻaha koko ʻē aʻe i loko o kou kino, hoʻonui ia i kou pilikia o nā pilikia e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.
• Kou olakino holoʻokoʻa. Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ke koko kiʻekiʻe, a inā he mea hoʻohana paka ʻoe, ʻoi aku ka nui o kou pilikia o nā pilikia.

E kamaʻilio me kāu kauka e pili ana i kou kūlana a pehea e mālama pono ai.

Hiki ke ho'ōla loa ʻia nā waihona momona i loko o ka aorta?

ʻO ka mea pōʻino, ʻaʻole hiki ke ho'ōla loa ʻia a hoʻohuli ʻia paha kēia ʻano maʻi, i kapa ʻia ʻo "Atherosclerosis of the Aorta". ʻO ia hoʻi, ʻaʻole hiki ke wehe loa ʻia ka palaki i kūkulu mua ʻia. Eia nō naʻe, ʻo ka nūhou maikaʻi, me nā hoʻololi ʻana i ke ʻano o ka nohona a me nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, hiki iā ʻoe ke kāohi pono iā ia, e pale i ka maʻi mai ka ʻino ʻana, e hōʻemi i ka pilikia o nā pilikia, a e ola i ke ola maʻamau.

Pehea e hiki ai iaʻu ke mālama iaʻu iho i kēia kūlana?

Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo atherosclerosis, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe, e like me ka maʻi coronary artery. No laila, he mea nui e hana i nā mea āpau e hiki ai iā ʻoe ke mālama i kou puʻuwai a me nā kīʻaha koko e olakino. E hahai pono i kēia mau ʻōlelo aʻoaʻo:

• ʻAi ʻai.
• Hoʻoikaika kino.
• Nā loli o ke ʻano o ka nohona (e laʻa, ka haʻalele ʻana i ka puhipaka).
• Nā lāʻau lapaʻau i kuhikuhi ʻia.

Āhea wau e ʻike ai i ke kauka?

E ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki no kahi nānā piha. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hele pinepine mai a i ʻole inā pono ʻoe e ʻike i kahi loea, e like me ke kauka puʻuwai.

Inā loaʻa iā ʻoe nā hōʻailona hou, inā loli kāu mau hōʻailona, ​​a inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka i kēlā me kēia manawa. Inā loaʻa iā ʻoe nā hōʻailona o kahi pilikia olakino, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Āhea ʻoe e ʻimi ai i ke kōkua lapaʻau ulia pōpilikia?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke iā 1990 a i ʻole e hele i ka haukapila kokoke loa:

• ʻO ka Aneurysm Aortic ʻōpū (AAA) (ʻoi aku ka pohā o nā hōʻailona).
• ʻO ka ischemia lālā koʻikoʻi.
• Nā hōʻailona o ka hōʻeha puʻuwai .
• Nā hōʻailona o ka hahau ʻana .
• ʻO ka aneurysm aortic thoracic (inā he mau hōʻailona o ka haki ʻana).
• Nā hōʻailona o ka hoʻouka kaua ischemic transient (TIA).

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

E kamaʻilio me kāu kauka e pili ana i kou kūlana, nā mea e hiki ke hana ʻia, a me nā mea hiki iā ʻoe ke hana. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• "Pehea ke koʻikoʻi o koʻu kūlana?"
• "He aha kaʻu e hana ai e pale aku ai i kēia mai ka lilo ʻana i mea ʻino?"
• "He aha nā hoʻololi koʻikoʻi e pono ai iaʻu e hana i koʻu nohona?"
• "He aha nā lāʻau lapaʻau e pono iaʻu ke lawe? He mau hopena ʻaoʻao anei ko lākou?"

Inā ʻoe e hana nei i ke ʻoki puʻuwai a i ʻole kahi hana e pili ana i kahi catheter, e kamaʻilio me kāu kauka e pili ana i nā pilikia o nā pilikia. Hiki i nā waihona momona i loko o ka aorta ke hoʻonui i ka pilikia o nā pilikia i ka wā o kekahi mau ʻoki puʻuwai a me nā kīʻaha koko. E nīnau e pili ana i kāu mau pilikia a me nā mea hiki i kāu hui lapaʻau ke hana e hōʻemi iā lākou.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ʻo kēia hōʻiliʻili momona i loko o ka aorta, a i ʻole `(Atherosclerosis of Aorta)`, he kūlana ia e pono ai ka nānā ʻana a hiki ke lilo i mea weliweli i kekahi manawa. Eia naʻe, mai hopohopo koke ma hope o ka lohe ʻana e pili ana i ia mea. ʻO ka mea nui loa, ʻo ia ka makaʻala iā ia a hana i nā hana e pono ai.

Ma ke kamaʻilio ʻana me kāu kauka, e hahai ana i kāna ʻōlelo aʻo, a me ka hana ʻana i nā hoʻololi liʻiliʻi a olakino hoʻi i ke ʻano o ka nohona, hiki iā ʻoe ke kāohi i kou kūlana, pale i nā pilikia koʻikoʻi, a ola i kahi ola olakino a hauʻoli. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou kino, ka mālama ʻana i nā hōʻailona hou, a me ka ʻimi ʻana i ka ʻōlelo aʻoaʻo a me ka mālama ʻana i ke olakino. ʻAʻole ʻoe hoʻokahi, a aia nā kauka a me nā limahana olakino e kōkua iā ʻoe ma kēia huakaʻi.

ʻAtherosclerosis , Aorta, Aorta, Nā waihona momona, Maʻi puʻuwai, Nā kīʻaha koko, Cholesterol, Ke koko kiʻekiʻe, Stroke, Embolus