Ua hele anei ʻoe i ke kauka a ua nānā ʻia kou koko me kahi cuff? He mea pono kēlā, ʻeā? A i ʻole ua ʻike anei ʻoe i ke kauka e kau ana i kona mau manamana lima ma luna pono o kou kuʻekuʻe e nānā i kou pulse? Hana ʻia kēlā mau mea ʻelua e kahi kīʻaha koko koʻikoʻi loa i loko o ko kākou lima. ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia kīʻaha koko ʻo ke 'brachial artery '.
I ka ʻōlelo maʻalahi, he aha ka Brachial Artery?
He mea maʻalahi loa ia. ʻO ke aʻa brachial ke kīʻaha koko nui e hoʻomaka ana ma lalo pono o kou poʻohiwi, hele ma kou kuʻekuʻe lima, a lawe i ke koko oxygenated i kou lima. E like me ka paipu wai nui e lawe ana i ka wai mai kahi pahu wai i kou hale, ʻo kēia kīʻaha koko ke koko ola o ko mākou lima holoʻokoʻa.
Hoʻomaka ia ma kahi kokoke i ka poʻohiwi, holo i lalo ma loko o kou lima luna, a hoʻopau ma ke kuʻekuʻe o kou kuʻekuʻe. A laila māhele ia i ʻelua mau lālā liʻiliʻi a holo i lalo o kou lae.
E noʻonoʻo i kēia kīʻaha koko ma ke ala nui i loko o ko kākou lima. Hoʻolako ia i kēlā me kēia kihi a me nā ʻāpana o ka lima me nā meaʻai a me ka oxygen e pono ai.
He aha ka hana a kēia aʻa brachial? No ke aha he mea nui?
ʻO ka hana nui o kēia kīʻaha koko a me kona mau lālā, ʻo ia ke hoʻolako i ke koko maʻemaʻe i nā ʻāpana o luna o ko kākou mau lima. ʻO ia hoʻi:
- ʻIʻo biceps: ʻO ke ʻiʻo e piʻi aʻe i luna ke kūlou kākou i ko kākou lima.
- ʻIʻo Brachialis: ʻO ka ʻiʻo ma lalo o nā biceps.
- ʻIʻo Triceps: ʻO ke ʻiʻo ma ke kua o ka lima.
- Hono kuʻekuʻe: Ko mākou kuʻekuʻe.
Pono nā iwi, nā ʻiʻo, nā aʻalolo, a me ka ʻili i loko o ko kākou mau lima i ka oxygen a me nā meaʻai e hana a ho'ōla i ka wā e ʻeha ai. Loaʻa iā lākou kēia mau mea mai ke koko. No laila, hoʻolaha ke aʻa brachial i ke koko maʻemaʻe a waiwai i ka oxygen mai ka puʻuwai i kēia mau wahi a pau.
Pehea e hoʻohana ʻia ai kēia no nā hoʻokolohua a me nā lāʻau lapaʻau?
He mea nui loa kēia kīʻaha koko i nā kauka.
1. Nānā ʻana i ke Kaomi Koko: E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kuʻi lima i kau ʻia ma kou lima e ʻomi i ke aʻa brachial. Penei ke ana ʻia ʻana o kou kaomi koko.
2. Kekahi mau ʻoki kino a me nā hoʻokolohua (Nā Kaʻina Hana Hana):I kekahi manawa, i ka wā e mālama ai i nā pilikia me nā kīʻaha koko o ka puʻuwai (e laʻa me nā ʻūpā koko, nā kīʻaha koko i ālai ʻia), hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) ma o kēia aʻa brachial a alakaʻi ʻia a kokoke i ka puʻuwai, me ka ʻole o ka hana ʻoki kino nui. He ʻano hana kūpono loa kēia no ka mea maʻi.
3. Hoʻāʻo Ankle-Brachial Index (ABI): He hoʻāʻo maʻalahi loa kēia. Hoʻohālikelike ia i ke kaomi koko i ana ʻia ma ke aʻa brachial ma kou lima me ke kaomi koko i ana ʻia kokoke i kou kuʻekuʻe wāwae. Inā ua emi kou kahe koko i kou mau wāwae, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo Peripheral Artery Disease (PAD) . Hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana iā ia.
Pehea e hana ʻia ai ke aʻa brachial?
E like me nā aʻa ʻē aʻe a pau, ua hana ʻia ke aʻa brachial i ʻekolu papa nui. E nānā kākou i ko lākou ʻano.
| Inoa papa (Papa) | Kāna Hana |
|---|---|
| ʻO ka ʻōpū pili o ka ʻōpū | ʻO kēia ka papa o loko a laumania loa. Mālama kēia i ke koko mai ka pehu ʻana a me ke kahe mālie ʻana. Kōkua ia i ka hoʻomalu ʻana i ke koko a pale i nā mea ʻawahia mai ke komo ʻana i ke koko. |
| Pāpāho | ʻO kēia ka papa waena o nā ʻiʻo. Kōkua kēia papa i ke kīʻaha koko e ʻuʻuku a hoʻonui, no laila e kaohi ana i ke kahe o ke koko i hoʻokahi ʻaoʻao. |
| ʻAvetikia | ʻO kēia ka papa pale waho loa. Hāʻawi ia i ka ikaika a me ke ʻano no ke kīʻaha koko. Kōkua pū nā kīʻaha koko maikaʻi i loko o kēia papa i ka hāʻawi ʻana i ka oxygen a me nā meaʻai i nā ʻāpana i loko o ke kīʻaha koko a e hoʻoneʻe i nā huahana ʻōpala. |
He aha nā lālā nui e lālā mai ana mai kēia?
Hoʻomaka kekahi mau lālā liʻiliʻi e like me ka paipu mai ke aʻa nui, ʻo ke aʻa brachial.
- ʻO ke aʻa brachial hohonu:ʻO kēia ka lālā mua a koʻikoʻi loa. Hoʻolako ia i ke koko i ka iwi nui ma ko kākou lima (humerus), nā ʻiʻo o ka poʻohiwi, a me ka ʻiʻo triceps.
- ʻO ke aʻa collateral ulnar kiʻekiʻe: ʻO ka lālā ʻelua. Hoʻolako kēia i ke koko i nā triceps a me nā ʻāpana o ke kuʻekuʻe lima.
- ʻO ke aʻa collateral ulnar haʻahaʻa: ʻO ke kolu o ka lālā. Hoʻolako kēia i ke koko i nā ʻiʻo biceps a me brachialis.
ʻO ka hope loa, kokoke i ke kuʻekuʻe, ua māhele ʻia ke aʻa brachial i ʻelua mau lālā nui , ʻo nā aʻa radial a me nā aʻa ulnar . Lawe kēia mau mea ʻelua i ke koko i ko mākou lima mua, ka pulima lima, ka lima, a me nā manamana lima.
He aha nā kūlana e hiki ke hoʻopilikia i ke aʻa brachial?
Ma muli o ka loaʻa ʻana o kēia kīʻaha koko ma kahi ʻili loa, ʻo ia hoʻi, kokoke i ka ʻili, hiki ke maʻalahi i kekahi mau pōpilikia a me nā kūlana olakino.
1. ʻEha: E noʻonoʻo, inā haki ʻoe i kahi iwi ma kou lima (haki lima) mai kahi ulia kaʻa a i ʻole ka hāʻule ʻana, a inā ʻoki hohonu ʻoe i kou lima me kahi mea ʻoi (laceration), nui ka manawa e hōʻino ʻia ai kēia aʻa brachial. Inā hana ʻia kēlā, hiki ke hoʻokahe nui i ke koko.
2. Compartment Syndrome: He ʻano koʻikoʻi kēia. ʻO kahi ʻeha koʻikoʻi i ka lima, ke ʻoki ʻana, a i ʻole ke kahe koko i loko e hiki ke hoʻoulu i ka pehu nui a puni nā ʻiʻo o ka lima. ʻO kēia pehu ke kumu o ka ʻūlū ʻana o nā kīʻaha koko, e ʻoki ana i ke kahe koko i nā ʻiʻo a make ai lākou. He ʻano kēia e pono ai ka mālama koke. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i kahi ʻano i kapa ʻia ʻo Volkmann Ischemic Contracture , kahi e paʻakikī ai ka lima a me nā manamana lima a kīnā mau loa.
3. Aneurysms: ʻO ka aneurysm ka hoʻonāwaliwali ʻana o ka paia o ke kīʻaha koko, e hoʻoulu ai iā ia e pehu e like me ka pōpō. ʻAʻole pinepine kēia ʻano maʻi i loko o ke aʻa brachial. ʻO ka hapa pinepine, ua hana ʻia e kahi ulia. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia e nā mea e like me nā waihona momona i loko o nā kīʻaha koko ( atherosclerosis ), nā maʻi genetic, a me nā maʻi puʻuwai.
4. Ka Maʻi ʻAʻa Lima: ʻO ka hapa pinepine, loaʻa ka PAD ma nā wāwae. Eia nō naʻe, hiki ke loaʻa pū kekahi ma nā lima. Hoʻokumu ʻia kēia e kahi ʻūpā koko e hana ʻia ma kahi ʻē aʻe o ke kino (ma ka puʻuwai) e haki ana a paʻa i loko o kahi kīʻaha koko ma ka lima.
Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu aʻa brachial?
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana no ka mālama ʻana ʻaʻole wale i kou aʻa brachial, akā, i ke olakino o ka ʻōnaehana vascular o kou kino holoʻokoʻa.
- E ʻai i ka ʻai maikaʻi a kaulike. E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō i ka hiki.
- E hoʻoikaika kino mau. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā, he mea nui ia.
- Iā ʻoeInā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol , e hahai i nā ʻōlelo a kāu kauka a lawe i kāu lāʻau lapaʻau i ka manawa kūpono.
- Inā ʻoe e puhipaka, e hoʻōki koke. He mea koʻikoʻi loa ka pōʻino o ka puhipaka i nā kīʻaha koko.
- E kaupalena i ka inu ʻana i ka waiʻona.
Āhea ʻoe e ʻike koke ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, he hōʻailona paha ia o kahi ʻūpā koko ma kou lima. Pono ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila .
Inā paha he hoʻokahi a ʻelua paha o kēia mau hōʻailona kāu, mai hoʻowahāwahā iā lākou. He mea nui ka manawa ma ʻaneʻi.
| Nā hōʻailona pilikia e makaʻala ai | |
|---|---|
| 🖐️ | Ka mehana kūpono ʻole i ka pā ʻana ma kekahi mau wahi o ka lima. |
| 🎨 | Ka loli ʻana o ke kala o ka ʻili ma ka lima (ke keʻokeʻo, ka ʻulaʻula, a i ʻole ka uliuli) . |
| 💪 | ʻEha nā ʻiʻo ma ka lima o luna a i ʻole lalo. |
| lima pehu | ʻOi aku ka pehu o kekahi lima ma mua o kekahi . |
| 🔵 | Ka ʻulaʻula a polū paha o nā poho lima a i ʻole nā manamana lima a i kekahi manawa nā ʻeha ʻeha (nā ʻōpū). |
Inā loaʻa iā ʻoe kekahi ʻeha, mae, a i ʻole kekahi mea ʻē aʻe ma kou lima, mai makaʻu e kamaʻilio me kāu kauka ʻohana e pili ana i ia mea.
Leka Lawe-Home
- ʻO ke aʻa Brachial ke kīʻaha koko nui e holo ana mai ko mākou poʻohiwi a i ko mākou kuʻekuʻe lima, e hoʻolako ana i ke koko i ka lima holoʻokoʻa.
- He mea nui loa kēia kīʻaha koko i ka wā e nānā ai mākou i ke koko a ma kekahi mau hoʻokolohua lapaʻau.
- No ka mea aia ia ma luna o ka ʻili, hiki ke hōʻino maʻalahi ʻia i nā pōpilikia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka pehu koke ʻana, ke kala ʻana o ke kala, a i ʻole ka ʻeha nui ma kou lima, e ʻimi koke i ke kōkua lapaʻau no ka mea he pilikia paha ia no ke kīʻaha koko.
- Ma ka hahai ʻana i kahi nohona olakino, hiki iā ʻoe ke mālama i kāu ʻōnaehana hoʻopuni koko holoʻokoʻa, me kou aʻa brachial.
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