He mea puhi paka ʻoe? A i ʻole hoʻohana ʻoe i ka paka? Loaʻa pinepine iā ʻoe ka ʻeha a me ka mae ʻole ma nā wēlau o kou mau manamana lima, nā manamana wāwae, a me nā manamana wāwae? Huli a polū a mae wale paha kou mau manamana lima i kekahi manawa? Mai hoʻowahāwahā i kēia mau mea. ʻO kēia paha ka hoʻomaka ʻana o kahi maʻi koʻikoʻi i kapa ʻia ʻo 'ka maʻi Buerger', he mea kūikawā ia i nā mea puhi paka. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka maʻi ʻo Buerger?
I ka ʻōlelo maʻalahi, he maʻi laha ʻole ka maʻi Buerger e hoʻopilikia ana i nā kīʻaha koko (nā kīʻaha koko) i loko o kou mau lima a me kou mau wāwae. ʻO nā kīʻaha koko liʻiliʻi a me waena e alakaʻi ana i kou mau manamana lima nā mea i hoʻopilikia nui ʻia.
Aia kekahi inoa lapaʻau ʻē aʻe no kēia, ʻo ia hoʻi ʻo `(Thromboangiitis Obliterans)` . Me he mea lā he paʻakikī iki ka inoa, ʻeā? E hoʻomaopopo maʻalahi kākou.
- ʻO ke ʻano o "Thrombo" he ʻūpā koko.
- ʻO ka 'Angiitis' e pili ana i ka mumū, a i ʻole ka pehu ʻana, o nā kīʻaha koko.
- ʻO ke ʻano o "Obliterans" kahi mea i ālai ʻia, a nalowale loa.
No laila, i ka ʻōlelo maʻalahi, he maʻi kēia kahi e pehu ai nā kīʻaha koko, hana ʻia nā ʻūpā koko i loko o lākou, a ālai loa ʻia ke kahe o ke koko .
E noʻonoʻo i kahi paipu wai i paʻa i ka ʻōpala a me ka lepo. ʻO ia ka mea e hana ʻia i ko kākou mau kīʻaha koko i kēia maʻi. Ke hoʻopilikia ʻia ke kahe ʻana o ke koko ma o nā kīʻaha koko, ʻaʻole loaʻa i nā ʻiʻo a hiki i ka mamao o nā manamana lima ka oxygen a me nā meaʻai e pono ai lākou. Hoʻoulu kēia i ka ʻeha nui i ka wā mua, a laila hoʻomaka nā ʻiʻo e make.
ʻOi aku ka maʻamau o kēia maʻi ma nā ʻāina e like me Sri Lanka kahi i kiʻekiʻe ai ka hoʻohana ʻana i ka paka. Eia nō naʻe, ʻo ka nūhou maikaʻi, me ka emi ʻana o ka nui o ka poʻe puhi paka, ua emi nui hoʻi ka nui o nā hihia o kēia maʻi.
He aha nā hōʻailona o kēia maʻi? Pehea ʻoe e ʻike ai?
ʻAʻole ʻike koke ʻia nā hōʻailona o ka maʻi Buerger. Hoʻomohala mālie lākou i ka hala ʻana o ka manawa. Aia nā hōʻailona e ʻike mua ʻia, a me nā hōʻailona e ʻike ʻia i ka wā e holomua ai ka maʻi.
| ʻAno hiʻohiʻona | Wehewehena |
|---|---|
| Nā hōʻailona mua |
|
| Nā hōʻailona e ulu ana i ka hala ʻana o ka manawa |
|
ʻO ka mea nui loa, hoʻomaka kēia mau hōʻailona ma nā manamana lima a laila pālahalaha mālie i luna, ʻo ia hoʻi, ma nā lima a me nā wāwae.
No ke aha e loaʻa ai kēia maʻi? ʻO wai ka mea i ʻoi aku ka pilikia?
ʻAʻole maopopo i nā kānaka ʻepekema ke kumu pololei o ka maʻi Buerger, akā ʻo ka loulou ikaika loa a maopopo loa i loaʻa a hiki i kēia manawa, ʻo ia ka hoʻohana ʻana i ka paka .
Manaʻo nā kānaka ʻepekema he mea hōʻino ka kemika i loko o ka paka i ka uhi o nā kīʻaha koko a hoʻoulu i ka mumū. ʻO kēia ke kumu o ka pehu ʻana o nā kīʻaha koko a ālai ʻia e nā ʻūpā koko. Manaʻo kekahi poʻe ʻepekema he kumu hoʻoilina paha ia a he maʻi autoimmune paha.
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o kēia maʻi:
- Ka hoʻohana ʻana i ka paka: ʻO ka puhi ʻana i nā mea e like me nā cigarettes, beedis, cigars, a me ka nau ʻana i ka paka ke kumu nui o ka pilikia. Hiki ke pili pū ka hoʻohana ʻana i ka cannabis.
- Ke hana ʻana i kāu mau cigarette ponoʻī: ʻOi aku ka nui o ka pilikia o ka poʻe e hoʻohana ana i nā cigarette ʻōwili-i kāu iho.
- Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.
- Makahiki:ʻIke pinepine ʻia kēia maʻi i nā poʻe ʻōpio a me nā poʻe waena ma waena o 20 a me 45 mau makahiki.
He aha nā pilikia e hiki mai ana mai ka maʻi ʻo Buerger?
Inā ʻaʻole i kāohi pono ʻia kēia maʻi, ʻo ia hoʻi, inā hoʻomau ka hoʻohana ʻana i ka paka, hiki ke loaʻa nā pilikia koʻikoʻi. Eia nō naʻe, ʻike pinepine ʻole ʻia kēia mau mea i ka hapa nui o nā hihia.
- ʻOki ʻia ke poʻo: ʻO kēia ka pilikia maʻamau. Ke loaʻa ka gangrene, pono e wehe ʻia nā ʻiʻo make ma ke ʻoki ʻana. A i ʻole, hiki i ka maʻi ke laha ma ke kino holoʻokoʻa.
- Hahau
- Maʻi hohola
- Hoʻouka ischemic manawa pōkole
- Nā pilikia me nā kīʻaha koko i loko o nā ʻōpū.
- Nā pilikia e pili ana i ka ʻōnaehana nerve.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka. E nīnau ʻo ia iā ʻoe i nā nīnau, e nānā iā ʻoe, a e hoʻāʻo e hoʻoholo inā ʻo ia ka maʻi.
ʻO ka maʻamau, he mea kōkua kēia mau mea i ka hana ʻana i kahi hōʻoia:
1. Kou mōʻaukala olakino: E nīnau ʻia ʻoe e pili ana i nā mea e like me ka puhipaka ʻana, pehea ka lōʻihi o kou puhipaka ʻana, a me ka nui o nā cigarette āu e puhipaka ai i ka lā.
2. Hoʻokolokolo kino: E nānā ʻia kou pulse. I ka maʻi Buerger, nāwaliwali paha nā pulse distal (e.g., ma nā wāwae a me nā lima).
3. Nā hoʻāʻo kūikawā no nā kīʻaha koko:
- ʻO ke kiʻi Ultrasound: Hiki i kēia ke nānā i nā ʻōpū koko i loko o nā kīʻaha koko.
- ʻO ka Ankle-Brachial Index (ABI): Ke ana kēia i ke koko ma kou wāwae a me kou lima a hoʻohālikelike i nā waiwai ʻelua. Inā ʻoi aku ka haʻahaʻa o ke koko ma kou wāwae ma mua o kou lima, ʻo ia hoʻi, ʻaʻole nui ke kahe o ke koko i kou wāwae.
- Angiogram: ʻO kēia ka hoʻāʻo maikaʻi loa e nānā i nā mea e ālai ʻia ai i loko o kou mau kīʻaha koko. Ma kēia, ua hoʻokomo ʻia kahi kala kūikawā i loko o kekahi o kou mau kīʻaha koko a ua hana ʻia kahi scan X-ray a i ʻole CT/MRI. Hiki i ke kauka ke ʻike maopopo i kahi a me ka nui o ka mea e ālai ʻia ai.
He aha ka lāʻau lapaʻau maikaʻi loa no kēia?
E hoʻomanaʻo i kēia. ʻAʻohe lāʻau lapaʻau no ka maʻi Buerger i kēia manawa. Akā ʻo ke ala maikaʻi loa a hoʻokahi wale nō e pale aku ai i ka maʻi mai ka ʻino ʻana a me ka kāohi ʻana i nā hōʻailona , ʻo ia ka hoʻōki koke ʻana a me ka hoʻohana ʻana i ka paka a me ka nikotine, me ka puhipaka.
ʻO kēia ka lāʻau lapaʻau nui a helu ʻekahi no kēia maʻi. ʻOiai inā ʻoe e puhi i hoʻokahi cigarette i ka lā a i ʻole e kau i kahi ʻāpana nicotine, ʻaʻole e maikaʻi ka maʻi, e lilo wale nō ia i mea ʻino.
He nui nā maʻi e ʻike i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona ke oki lākou i ka puhipaka. Hoʻomaka kekahi e hoʻomaha.
Ma waho aʻe o ka haʻalele ʻana i ka puhipaka, hiki i kāu kauka ke ʻōlelo pū i nā lāʻau ʻē aʻe e kōkua i ka kaohi ʻana i kāu mau hōʻailona.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā lāʻau lapaʻau |
|
| Nā lāʻau lapaʻau ʻē aʻe |
|
He aha kaʻu e pono ai e makaʻala i koʻu wā e ola ana me kēia maʻi?
Inā loaʻa iā ʻoe ka maʻi Buerger, pono ʻoe e hana i kekahi mau hoʻololi liʻiliʻi i kou nohona.
- E pale loa i ka paka: ʻO kēia ka mea nui loa. He mau koho maikaʻi nō hoʻi nā ʻāpana nikotine a me ka mariuana. Inā makemake ʻoe i ke kōkua e haʻalele i ka puhipaka, e kamaʻilio me kāu kauka e pili ana i ia mea.
- E pale iā ʻoe iho mai ke anu:Hiki i ke anuanu ke hoʻopili hou aku i nā kīʻaha koko, no laila e ʻaʻahu i nā kāmaʻa wāwae a me nā mikina lima i nā lā anuanu.
- E pale i nā ʻeha i kou mau lima a me kou mau wāwae: ʻOiai he ʻeha liʻiliʻi hiki ke lōʻihi ka manawa e ho'ōla ai, no laila e makaʻala i ke kau ʻana i nā kāmaʻa a me ka hana ʻana.
- E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka.
- E makaʻala i ka wā e lawe ai i nā lāʻau lapaʻau ʻē aʻe: Hiki i kekahi mau lāʻau lapaʻau (e laʻa me kekahi mau lāʻau anu) ke hoʻopaʻa i nā kīʻaha koko. No laila e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
E hoʻomanaʻo, ma kahi o 50% o ka poʻe e hoʻomau i ka puhipaka, a i ʻole hoʻokahi o kēlā me kēia ʻelua, e pono ai ke ʻoki ʻia ko lākou manamana lima a manamana wāwae paha (amputation). Akā, ʻo ka mea kupanaha, ʻaʻole pono ka poʻe i haʻalele i ka puhipaka e hana i ia ʻano ʻoki kino.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, ʻoiai inā he puhipaka ʻoe, e ʻike koke i ke kauka. Inā e ʻoi aku ka ʻino o kāu mau hōʻailona a i ʻole e ʻike ʻia nā hōʻailona hou, e haʻi i kāu kauka.
Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU)?
Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana a i ʻole ka hōʻeha puʻuwai (e like me ka ʻeha koke o ka umauma, ka paʻakikī o ka ʻōlelo ʻana, ka nalowale o ka ʻike ma kekahi ʻaoʻao o ke kino), e hele koke i ka keʻena pilikia o ka haukapila (ETU). Eia kekahi, inā he ʻeha ma kou mau manamana lima e hōʻeha nui ana, ka pehu ʻana, a i ʻole kahi ʻala pilau, he hōʻailona paha ia o kahi maʻi koʻikoʻi. I ia mau hihia, e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- ʻO ka maʻi ʻo Buerger kahi maʻi o nā kīʻaha koko e pili pono ana i ka hoʻohana ʻana i ka paka.
- ʻO ka lāʻau lapaʻau maikaʻi loa a helu ʻekahi no kēia maʻi, ʻo ia ka hoʻōki loa ʻana i nā huahana paka a me ka nikotine āpau, me nā cigarettes, bidis, cigars, paka nau, a me nā ʻāpana nicotine.
- Inā he mea puhi paka ʻoe, mai lawe māmā i nā hōʻailona e like me ka ʻeha, ka mae ʻana, ke kala ʻana o ke kala, a me nā ʻeha ʻaʻole e ho'ōla ʻia ma kou mau lālā, ʻoiai hoʻi ma nā manamana lima.
- Inā ʻike mua ʻoe i ka maʻi a hoʻōki i ka puhipaka, hiki iā ʻoe ke pale loa i nā pilikia koʻikoʻi e like me ke oki ʻana o ka ʻiʻo.
- Inā he kānalua kou e pili ana i kēia a i ʻole makemake ʻoe i ke kākoʻo i ka haʻalele ʻana i ka puhipaka, e kamaʻilio ākea me kāu kauka.
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