Ke ʻeha nei kou mau wāwae i ka wā e hele ana? (Claudication)

E noʻonoʻo ʻoe e hele ana ma ke alanui no kahi mamao pōkole. I ka manawa koke, manaʻo ʻoe i kahi ʻeha ʻoi a hou i kou mau wāwae, ʻoi aku hoʻi i kou mau keiki bipi. Pono ʻoe e kū ma kahi hiki ʻole iā ʻoe ke hoʻomanawanui hou. ʻO ka mea kupanaha, ke kū ʻoe no kekahi mau minuke, e emi mālie ana ka ʻeha. Ke hoʻomaka hou ʻoe e hele, e ʻike hou ʻia ka ʻeha ma hope o ka hele ʻana i kahi mamao pōkole. Ua loaʻa anei iā ʻoe kēia ʻike? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano, ʻo ia hoʻi, ka claudication.

He aha ka Claudication?

I ka ʻōlelo maʻalahi, ʻaʻole he maʻi ka claudication, he hōʻailona ia . E like me ke kuni ʻaʻole he maʻi, he hōʻailona ia o kahi maʻi. He kūlana ia kahi e ʻike ai ʻoe i ka ʻeha o nā ʻiʻo ke hana ʻoe, e like me ka hele wāwae, a nalowale ka ʻeha ke hoʻomaha ʻoe. ʻO ka hapa nui o kēia ʻeha ma nā wāwae.

E noʻonoʻo i kēia ʻano. Ke hana mākou, ke hele mākou, pono ko mākou mau ʻiʻo i ka oxygen ma mua o ka maʻamau. Lawe ʻia kēia oxygen i nā ʻiʻo e ke koko. No laila, he aha ka mea e hana ai inā e ālai ʻia a i ʻole e haiki nā kīʻaha koko e lawe ana i ke koko i nā wāwae no kekahi kumu? Ke hele mākou, ʻaʻole hiki i ke koko ke hāʻawi i ka oxygen keu e pono ai nā ʻiʻo. ʻO ia ka manawa e ʻeha ai nā ʻiʻo a hāʻawi iā ʻoe i kahi hōʻailona "ʻAʻole lawa kaʻu oxygen." Ke kū ʻoe a hoʻomaha, ʻaʻole pono nā ʻiʻo i ka nui o ka oxygen. No laila, loaʻa iā lākou ka nui o ke koko e kahe ana iā lākou. A laila nalowale ka ʻeha.

‍ Peripheral Artery Disease (PAD) . , . ‍ Atherosclerosis , (`Cholesterol`) ‍ cứng .

He aha nā hōʻailona o ka claudication?

ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona i ka wā mua, akā ʻo ka poʻe i loaʻa nā hōʻailona e ʻike pinepine i kēia mau hōʻailona ma ko lākou mau wāwae.

ʻO wai ka mea i pilikia nui no kēia maʻi?

Aia kekahi mau kumu pilikia no ka claudication. Inā loaʻa iā ʻoe kēia mau mea, pono ʻoe e akahele iki.

• Puhipaka: ʻO kēia ke kumu pilikia nui a koʻikoʻi loa . Hoʻopōʻino ka puhipaka i nā kīʻaha koko a hoʻonui i ka wikiwiki o ko lākou ālai ʻia ʻana.
• Maʻi diabetes: ʻOi aku ka nui o ka poʻe me ka maʻi diabetes i ka hōʻino ʻia ʻana o nā kīʻaha koko.
• Kolesterol Kiʻekiʻe: Ke piʻi ka pae o ka cholesterol i loko o ke koko, waiho ia ma nā paia o nā aʻa a pani iā ​​lākou.
• Ke koko kiʻekiʻe: Hoʻopilikia ke koko kiʻekiʻe i nā kīʻaha koko a hoʻonui i ka pilikia o ka atherosclerosis.
• Maʻi Puʻupaʻa: Hiki i ka emi ʻana o ka hana puʻupaʻa ke hoʻopilikia i kēia.
• Makahiki: ʻO ke ʻano kūlohelohe no ka atherosclerosis e ulu aʻe me ka makahiki.
• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana nā maʻi e like me ka maʻi puʻuwai a i ʻole PAD, ʻoi aku kou pilikia.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka. E nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona me ka kikoʻī. A laila e nānā ʻo ia i kou mau wāwae.

• Ua loli anei ke kala o nā wāwae?
• He mau ʻeha kou e lōʻihi ai ka manawa e ho'ōla ai?
• Ua hāʻule anei ka lauoho ma kou mau wāwae?
• Hiki iā ʻoe ke manaʻo i ka pulse ma kou mau wāwae a me kou mau wāwae?

Ma hope o ka nānā ʻana i nā mea e like me kēia, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ke kūlana a hoʻoholo i kona koʻikoʻi.

He aha nā lāʻau lapaʻau no kēia?

Aia kekahi mau lāʻau lapaʻau e loaʻa ana no ka mālama ʻana i kēia kūlana, e hoʻomaka me nā mea maʻalahi hiki iā ʻoe ke hana iā ʻoe iho.

1. Nā loli o ke ʻano o ka nohona (ʻo kēia ka mea nui loa!)

ʻO kēia ka lāʻau lapaʻau maikaʻi loa no ka claudication. E kōkua kēia mau mea iā ʻoe ma mua o ka lāʻau a kāu kauka e hāʻawi ai iā ʻoe.

• Ke haʻalele ʻana i ka puhipaka: Inā he mea puhipaka ʻoe, pono ʻoe e haʻalele i kēia lā, i kēia manawa . ʻO ia ke kōkua nui loa hiki iā ʻoe ke hana nou iho.
• Ke hele wāwae nei:"ʻEha ia i koʻu hele ʻana, no laila ʻaʻole pono iaʻu e hele hou?" e noʻonoʻo paha ʻoe. Akā, ua hewa kēlā. ʻO ka hoʻoikaika kino maikaʻi loa no kēia, ʻo ia ka hele wāwae. E haʻi aku ke kauka iā ʻoe e hele wāwae i 3-5 mau lā o ka pule, no kahi o 50 mau minuke i ka lā. E hoʻōki i ka wā e hoʻomaka ai ka ʻeha, a hele hou i ka wā e emi ai ka ʻeha. Ma hope koke iho, e ʻike ʻoe e piʻi aʻe ana ka mamao hiki iā ʻoe ke hele me ka ʻeha ʻole.
• Nā meaʻai olakino no ka puʻuwai: E ʻai i ka ʻai haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, a nui i nā huaʻai a me nā mea kanu.

2. Nā lāʻau lapaʻau

Me nā loli o ke ʻano o ka nohona, hiki i kāu kauka ke kuhikuhi iā ʻoe i nā lāʻau lapaʻau e like me kēia.

• Nā lāʻau hoʻohaʻahaʻa koko (e like me nā mea hoʻopaʻa ACE)
• Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g., 'Statins')
• Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Aspirin, Clopidogrel)
• Nā lāʻau lapaʻau e wehe ai i nā kīʻaha koko a hoʻomaikaʻi i ke kahe ʻana o ke koko (e.g., 'Cilostazol')

3. Nā ʻAno Hana Kūikawā (Nā Kaʻina Hana)

Inā koʻikoʻi ke kūlana a paʻakikī ke kaohi me ka lāʻau lapaʻau, hiki i ke kauka ke hoʻohana i kēia ʻano lāʻau.

• Angioplasty: Pili kēia i ke kau ʻana i kahi pōpō liʻiliʻi i loko o ke kīʻaha koko i paʻa a hoʻopiha iā ia e wehe i ka mea i paʻa.
• Ke kau ʻana o ka stent: Ma hope o ka wehe ʻana o ke aʻa i loko o ke aʻa e ka angioplasty, hoʻokomo ʻia kahi ʻōmole liʻiliʻi e like me ka mesh (he `stent`) e pale aku ai i ka pani hou ʻia ʻana.
• ʻO ke ʻoki ʻoki ʻana: Inā koʻikoʻi ka paʻa ʻana, hana ʻia kahi kīʻaha koko hou ma ka hoʻohana ʻana i kahi ʻāpana aʻa koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole kahi aʻa koko hana e kāpae i ka wahi i paʻa. Hana ʻia kēia i nā hihia koʻikoʻi loa.

Aia kekahi mau mea ʻē aʻe e hopohopo ai ma waho aʻe o ka claudication?

ʻAe. Aia kekahi mau kūlana ʻē aʻe e hoʻoulu ai i ka ʻeha o ka wāwae i hiki ke loaʻa nā hōʻailona like me ka claudication, akā hiki ke ʻoi aku ka koʻikoʻi. No laila, ʻaʻole pono e hoʻowahāwahā ʻia ka ʻeha o ka wāwae.

• ʻO ka Thrombosis Vein Deep (DVT): ʻO kēia ka wā e hana ʻia ai kahi ʻaʻa koko i loko o kahi aʻa koko hohonu i ka wāwae. Inā haki kēia ʻaʻa koko a noho i loko o kahi aʻa koko i loko o nā māmā, hiki ke lilo i mea pilikia e hoʻoweliweli ai i ke ola . Ua kapa ʻia ʻo ia he 'Pulmonary Embolism'. No laila, inā loaʻa koke iā ʻoe ka pehu, ka ʻulaʻula, a me ka ʻeha ma kou wāwae, pono ʻoe e ʻike i ke kauka a i ʻole e hele i kahi ETU (Emergency Treatment Unit) koke.

• ʻO ka Chronic Compartment Syndrome: ʻO kēia ka wā e hōʻiliʻili ai ke kaomi i loko o kahi ʻāpana a puni kahi ʻiʻo, e kāohi ana i ke kahe ʻana o ke koko. Hiki i kēia ke hōʻeha i ka wā e hoʻoikaika kino ai.

No laila, pono ʻoe e waiho i ke kauka e hoʻoholo pono i ke ʻano o kou maʻi.