E noʻonoʻo i kou kino e like me ke kūlanakauhale nui a paʻahana. A laila, pono i kēlā me kēia hale, kēlā me kēia hale kūʻai, kēlā me kēia hale hana ma ia kūlanakauhale kahi ʻōnaehana alanui maikaʻi e lawe i nā waiwai a lākou e pono ai, a e wehe i nā ʻōpala e hōʻiliʻili ana ma laila, ʻeā? Pēlā ke ʻano o nā kīʻaha koko i loko o ko kākou kino. ʻO kēia nā alaloa nui e lawe ana i ka oxygen a me nā meaʻai i kēlā me kēia cell i loko o ko kākou kino, a lawe pū lākou i nā huahana ʻōpala pono ʻole. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau kīʻaha koko kupaianaha.
He aha maoli nā kīʻaha koko?
I ka ʻōlelo maʻalahi, he pūnaewele o nā ʻōmole liʻiliʻi (nā kahawai) nā kīʻaha koko e lawe ana i ke koko ma kou kino. Ua like ia me kahi kaapuni pani ʻia, e hoʻomaka ana ma kou puʻuwai, e hele ana ma kou kino, a e hoʻopau hou ana i kou puʻuwai. ʻO kou puʻuwai a me kēia ʻōnaehana o nā kīʻaha koko e hana pū ana i ka ʻōnaehana hoʻopuni koko .
Hiki iā ʻoe ke noʻonoʻo inā e hohola ʻia nā kīʻaha koko a pau o kou kino i kahi lālani, e like paha lākou me 60,000 mile ka lōʻihi, a ʻoi aku paha ma mua o 96,500 kilomita ? ʻO ia hoʻi, he pūnaewele kou o nā kīʻaha koko i loko o kou kino i lōʻihi e hiki ai ke hele a puni ka honua ma mua o ʻelua manawa! ʻAʻole anei he mea kupaianaha kēlā?
ʻO nā ʻano nui o nā kīʻaha koko a me kā lākou hana
ʻEkolu mau mea nui i loko o kēia ʻōnaehana vascular. ʻO ia nā aʻa, nā veins, a me nā capillaries. Akā aia kekahi mau mea kōkua liʻiliʻi ʻē aʻe i loko o kēia hui. E hoʻomaopopo pono kākou iā lākou a pau mai kēia papa.
| ʻAno kīʻaha koko | He aha ka mea nui āu e hana ai? |
|---|---|
| Nā aʻa koko | ʻO kēia nā ʻōmole nui e lawe i ke koko i piha i ka oxygen mai ka puʻuwai a i ke koena o ke kino. He mau kīʻaha koko ikaika loa kēia, me nā paia ʻiʻo. ʻO kēia no ka mea pono lākou e hiki ke kū i ke kaomi nui e hele mai me ka puʻuwai e kuʻi ana. |
| Nā ʻAteriole | Ua like kēia me nā lālā liʻiliʻi e lālā ana mai nā aʻa nui. Hiki iā lākou ke nui a liʻiliʻi (hoʻonui a hoʻopaʻa). Penei lākou e kōkua ai i ka hoʻomalu ʻana i ke koko i loko o ko mākou kino. |
| Nā Capillaries | ʻO kēia nā kīʻaha koko lahilahi a liʻiliʻi loa i loko o ko kākou kino. Lahilahi e like me ka lauoho. ʻO kēia nā alahaka liʻiliʻi e hoʻopili ai i nā aʻa a me nā veins. Ma muli o ka lahilahi o ko lākou mau paia, hiki iā lākou ke lawe maʻalahi i ka oxygen a me nā meaʻai mai ke koko i nā cell, a hoʻoneʻe i ke kalapona dioxide a me nā huahana ʻōpala mai nā cell i loko o ke koko. |
| Nā Venules | He mau kahawai liʻiliʻi kēia e lawe ana i ke koko i hōʻiliʻili i nā ʻōpala mai nā capillaries i nā aa koko nui. |
| Nā aa koko | ʻO kēia nā kīʻaha koko e lawe ana i ke koko nele i ka oxygen a me nā ʻōpala mai ke kino holoʻokoʻa i ka puʻuwai. A laila hoʻouna ka puʻuwai i kēia koko i nā māmā e hoʻopiha hou ʻia me ka oxygen. |
Aia ma hea kēia mau kīʻaha koko i loko o ke kino?
Ua pālahalaha nā kīʻaha koko ma nā wahi a pau o ko kākou kino. Ua hiki lākou i kēlā me kēia ʻōkana a me kēlā me kēia ʻiʻo, mai ke poʻo a hiki i nā wēlau o ko kākou mau manamana wāwae.
Akā, pono kākou e ʻike e pili ana i ʻelua o nā kīʻaha koko koʻikoʻi loa.
1. Aorta: ʻO kēia ke aʻa nui loa a koʻikoʻi loa i loko o ko kākou kino. ʻO ke koko waiwai i ka oxygen mai ka puʻuwai e hele mua i loko o kēia aorta. Ua like ia me ke alaloa nui loa. Holo ia i lalo ma ka umauma a me ka ʻōpū, a laila māhele ʻia i ʻelua kokoke i ka pelvis e hoʻolako i ke koko i nā wāwae.
2. Vena Cava: ʻO kēia ke aʻa koko nui loa i loko o ko kākou kino. He ʻelua ona ʻāpana. Lawe ka Vena Cava Superior i ke koko mai ke poʻo, ka ʻāʻī, nā lima, a me ka umauma luna a i ka puʻuwai. Lawe ka Vena Cava Inferior i ke koko mai nā wāwae, nā wāwae, ka ʻōpū, a me ke pelvis a i ka puʻuwai.
Ke hele ʻoe e hāʻawi koko, a i ʻole e hana i kahi hoʻāʻo koko, aia kahi aa koko e nānā polū ana ma loko o kou lima, he aa koko ia. ʻOiai he ʻulaʻula maoli ke koko, he polū wale nō ke ʻike ʻia ma lalo o ka ʻili.
Pehea e hana ʻia ai kahi kīʻaha koko?
ʻO ka maʻamau, ʻekolu papa nui o ke kīʻaha koko. E noʻonoʻo e like me ka paipu wai, hiki iā ia ke loaʻa kekahi mau papa, ʻeā?
- Papa o loko loa (Tunica Intima):ʻO kēia ka papa o loko loa o nā ʻiʻo e kahe ai ke koko. Kōkua ia i ka hoʻomalu ʻana i ke koko, pale i nā ʻūpā koko, a pale i ke komo ʻana o nā mea ʻawahia i loko o ke koko. ʻAe kēia i ke koko e kahe mālie.
- ʻO ka papa waena (Media): Loaʻa i kēia nā olonā elastic. ʻAe kēia i nā kīʻaha koko e hoʻonui a ʻūlū i ke kahe ʻana o ke koko ma o lākou. Kōkua pū kēia papa i ka mālama ʻana i ke koko e kahe ana i hoʻokahi ʻaoʻao.
- ʻO ka papa waho loa (Adventitia): ʻO kēia ka uhi waho loa e hāʻawi ana i ka ikaika a me ke ʻano i ke kīʻaha koko. Loaʻa iā ia nā aʻalolo a me nā kīʻaha koko liʻiliʻi ʻē aʻe. Hāʻawi pū lākou i nā paia o ke kīʻaha koko me ka oxygen a me nā meaʻai.
Nā maʻi maʻamau a me nā kūlana e pili ana i nā kīʻaha koko
Hiki i ko kākou ʻōnaehana hoʻopuni koko koʻikoʻi ke loaʻa i nā maʻi a me nā pilikia like ʻole. Eia kekahi o lākou:
- Aneurysm: He wahi nāwaliwali kēia i loko o ke aʻa e puʻupuʻu ana e like me ka pōpō. Hiki ke hana ma nā wahi a pau o ke kino. ʻO ka mea weliweli loa, inā pahū, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko o ke kino a hiki ke hoʻoweliweli i ke ola.
- Atherosclerosis: He pilikia kēia i loaʻa i nā kānaka he nui. Hōʻiliʻili ka cholesterol, ka momona, a me nā mea ʻē aʻe i loko o nā paia o ke aʻa (kapa mākou i kēia 'plaque'), e hoʻohaiki ana i ka hakahaka i loko o ke aʻa. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai a pani iā ia. Hiki i kēia ke alakaʻi i nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau.
- Nā ʻūpā koko: ʻO ke kūkulu ʻia ʻana o nā ʻūpā koko i loko o nā kīʻaha koko. Hiki i kēia mau ʻūpā ke ālai loa i ke kahe koko. Hiki i kēia ke alakaʻi i nā kūlana e like me ka deep vein thrombosis (DVT), pulmonary embolism, a me ka maʻi lolo.
- Ke koko kiʻekiʻe: ʻO ke kaomi i hoʻokau ʻia e ke koko ma luna o nā paia o nā aʻa koko he kiʻekiʻe mau. Ua like ia me ka mea pepehi leo ʻole, no ka mea, pinepine ia e hōʻino i nā kīʻaha koko me ka ʻole o ka hōʻike ʻana i nā hōʻailona.
- ʻO nā aʻa Varicose: He kūlana kahi e wili ai nā aʻa, ʻoi aku hoʻi ma nā wāwae, e pehu ai, a ʻike ʻia ma o ka ʻili. Hana ʻia kēia kūlana i ka wā e nāwaliwali ai nā valves i loko o nā aʻa a ʻaʻole hiki ke pale i ke koko mai ke kahe ʻana i hope.
- Vasculitis: ʻO ka mumū o nā kīʻaha koko, kahi e pehu ai nā paia o nā kīʻaha koko, mānoanoa, a ʻūlū, e ālai ana i ke kahe koko.
Pehea ʻoe e ʻike ai he pilikia? - Nā Hōʻailona
Hiki ke ʻokoʻa loa nā hōʻailona o nā pilikia o ke kīʻaha koko. I kekahi manawa, i ke kūlana e like me ka aneurysm, ʻaʻohe paha he mau hōʻailona a hiki i ka lilo ʻana i pilikia nui. Eia nō naʻe, ma ke ʻano laulā, he mea nui e makaʻala i nā hōʻailona ma lalo nei.
| Nā hōʻailona e kamaʻilio me kāu kauka e pili ana | |
|---|---|
| ʻOle ke kala ʻili | ʻOi loa aku hoʻi i ka lawe ʻana i kahi waihoʻoluʻu polū. |
| Anuanu a ʻeha paha i nā lālā | Ke anu mau a i ʻole ke ʻāʻī ʻana ma nā wāwae, nā kapuaʻi, a me nā lima. |
| Paʻakikī i ka hoʻoikaika kino | Ke manaʻo nei i ka ʻeha a me ka luhi ma nā wāwae i ka wā e hele iki ana a i ʻole e piʻi ana i ke alapiʻi. |
| Luhi me ke kumu ʻole | Ka luhi mau. |
| ʻEha | ʻEha ma ka umauma, ka ʻōpū, nā lima, a i ʻole nā wāwae. |
| Nā hōʻailona e pono ai ke kōkua koke ʻana o ke kauka (e hele i ka ETU!) | |
| Ka huikau koke | Ke paʻakikī i ka ʻōlelo ʻana a me ka hoʻomaopopo ʻana i ka ʻōlelo a haʻi. |
| Ka nawaliwali a ka ʻeha paha ma kekahi ʻaoʻao o ke kino | Ka nalowale koke ʻana o ka ʻike ma kekahi ʻaoʻao o ka maka, ka lima, a i ʻole ka wāwae (he hōʻailona paha ia o ka maʻi lolo). |
| Ka nalowale koke o ka ʻike | Ka nalowale koke ʻana a i ʻole ka pohihihi ʻana o ka ʻike ma kekahi a i ʻole nā maka ʻelua. |
| Nā pilikia me ka hele wāwae a i ʻole ke kaulike | Pōʻeleʻele koke, paʻakikī ke hele wāwae. |
| ʻEha nui | ʻEha koke a hiki ʻole ke hoʻomanawanui ma ka umauma, ke kua o luna, nā lima, a i ʻole nā wāwae. |
| Paʻakikī nui ka hanu ʻana | Ka paʻakikī koke a i ʻole ka piʻi ʻana o ka hanu ʻana. |
| Ka pehu ʻana o nā lima a i ʻole nā wāwae (Edema) | ʻO ka pehu koke, ka ʻulaʻula, a me ka ʻeha ma ka lima a i ʻole ka wāwae (he hōʻailona paha ia o ke koko i hoʻopili ʻia). |
He aha kā mākou e hana ai e mālama i kahi ʻōnaehana vascular olakino?
ʻO ka mea pōmaikaʻi, he nui nā mea hiki iā kākou ke hana e mālama i ko kākou mau kīʻaha koko i ke olakino. He mau mea maʻalahi kēia hiki iā ʻoe ke hoʻohui i kou nohona.- ʻAi maikaʻi: E hoʻomau i ka ʻai haʻahaʻa i ka paʻakai, ka cholesterol, a me nā momona paʻa, a kiʻekiʻe i nā huaʻai, nā mea kanu, nā legumes, a me nā palaoa holoʻokoʻa.
- Hoʻoikaika Kino: E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino i kēlā me kēia pule (30 mau minuke i ka lā, 5 mau lā o ka pule) e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana.
- Ka mālama pono ʻana: Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e hahai pololei i nā ʻōlelo a kāu kauka. E lawe i kāu mau lāʻau lapaʻau i ka manawa kūpono.
- E pale i ka puhipaka: ʻO ka puhipaka ka mea hoʻoweliweli nui loa i kou mau kīʻaha koko. No laila, inā ʻoe e puhipaka, e hoʻōki i kēia lā, a i ʻole mai hoʻomaka.
- E kaupalena i ka waiʻona: Inā inu ʻoe i ka waiʻona, e kaupalena nui loa.
Leka Lawe-Home
- He ʻōnaehana koʻikoʻi kou mau kīʻaha koko o nā ala e lawe ai i ke ola i kēlā me kēia cell i loko o kou kino.
- ʻO nā ʻano nui ʻekolu o nā kīʻaha koko—nā aʻa, nā veins, a me nā capillaries—he mau hana like ʻole akā pili.
- ʻO nā kūlana e like me ka atherosclerosis, nā ʻūlū koko, a me ke koko kiʻekiʻe hiki ke hōʻino nui i kou mau kīʻaha koko.
- E makaʻala mau i nā hōʻailona e like me ka ʻeha koke o ka umauma, ka nāwaliwali ma kekahi ʻaoʻao o ke kino, a me ka paʻakikī o ka ʻōlelo ʻana. Inā loaʻa kēia ʻano mea, e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- ʻO nā hoʻololi maʻalahi o ke ʻano o ka nohona, e like me ka ʻai olakino, ka hoʻoikaika kino mau , a me ka pale ʻana i ka puhipaka, hiki ke kōkua i ka mālama ʻana i kou ʻōnaehana vascular i ke olakino no ka manawa lōʻihi.
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