He mea maʻamau loa ka anu ʻana o ko kākou mau lima i ka lā anuanu, a i ʻole i ka wā e noho ana kākou i loko o ke keʻena me ka ea hoʻomehana maikaʻi. ʻO ia hoʻi, ua noho ʻoe i kahi anuanu, ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā ʻike ʻoe e anuanu mau ana kou mau lima ʻoiai ʻoe i kahi mehana, a ʻaʻohe kumu ʻē aʻe, hiki ke hoʻāʻo nei ia e haʻi mai iā mākou i kekahi mea.
No ke aha e anu ai ko kākou mau lima?
I ka ʻōlelo maʻalahi, he ʻano pale kēia o ko kākou kino. Ke hoʻopilikia ʻia kākou e ke anu, hoʻāʻo ko kākou kino e mālama i ka wela i loko o ko kākou mau ʻōkana nui, koʻikoʻi, e like me ka puʻuwai a me nā māmā. ʻO kekahi ala e hana ai ko kākou kino i kēia, ʻo ia ka hōʻemi ʻana i ke kahe koko i nā ʻōkana mamao, e like me nā lima a me nā wāwae. Hoʻopili ʻia nā kīʻaha koko i loko o nā lima, e hōʻemi ana i ke kahe koko. No ka mea, he mea lawe wela ke koko, ke emi ke kahe koko, e anu nā lima.
Eia nō naʻe, i kekahi manawa hiki i kēia mau kīʻaha koko ke ʻūlū koke me ka ʻole o ke anu. Ua kapa nā kauka i kēia ʻano he "vasospasm". I nā manawa e like me kēia, hiki iā ʻoe ke manaʻo i ke anu i kou mau lima ʻoiai ʻoe i loko o kahi mehana. Inā hana pinepine kēia, hiki iā ia ke hōʻino i nā ʻiʻo i kou mau lima a hiki ke hana i nā ʻeha ʻili. He ʻano laha ʻole kēia.
No laila, inā anu mau kou mau lima, a inā manaʻo lākou ua lōʻihi ka manawa e hoʻomehana hou ai i ka wā e anu ai, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
Ke hele pū nei kēia mau hōʻailona me nā lima anu?
ʻO nā lima anu wale nō ʻaʻohe mea e hopohopo ai. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, he mea nui e ʻimi i ke kōkua lapaʻau.
| Hōʻailona | Pehea kou manaʻo/ʻano |
|---|---|
| Nā ʻeha a i ʻole nā ʻōpū (Ulcers) | Nā ʻeha ʻeha a ʻaʻole hoʻōla ma nā manamana lima a i ʻole nā lima. |
| ʻEha | ʻEha nui e kū mai ana me nā lima anu. |
| ʻUʻumi | Ka maneʻo a i ʻole ke ʻano ʻūlū ma nā lima a i ʻole nā manamana lima. |
| Nā loli ʻili | ʻIli paʻa, mānoanoa, a i ʻole ua loli ke kala (e.g., e lilo ana i keʻokeʻo, polū, poni). |
| Nā wāwae anu | Ma waho aʻe o nā lima, anuanu pinepine nā wāwae a me nā manamana wāwae. |
He aha nā kumu e anuanu mau ai nā lima?
ʻO ke kumu nui ka pane maʻamau o ke kino i ka mahana o ke kaiapuni. Eia nō naʻe, hiki i kekahi mau kūlana olakino ke hana i nā lima anu ma ke ʻano he hōʻailona.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka maʻi Raynaud | ʻO kēia ka manawa e ʻūmiʻi koke ai nā kīʻaha koko ma nā manamana lima a me nā manamana wāwae. Hiki ke hana ʻia kēia ke loaʻa iā ʻoe ke anu a i ʻole ke kaumaha. Lilo nā manamana lima i keʻokeʻo a polū paha, a laila lilo i ʻulaʻula a ʻeha ke hoʻi hou ke kahe koko. |
| ʻO ka hypothyroidism | Ke hana ʻole ka ʻōpū thyroid i nā hormones lawa, lohi ka metabolism o ke kino. Hiki i kēia ke hoʻopilikia i ke kino holoʻokoʻa a hoʻoanuanu iā ʻoe ʻoiai ʻoe ma kahi mehana. |
| ʻO ka maʻi ʻaʻai peripheral (PAD) | ʻO kēia ka wā e hōʻiliʻili ai nā waihona momona (plaque) i loko o nā aʻa, e ālai ana i ke kahe koko i nā lima a me nā wāwae. Hiki i kēia ke hana i nā lima a me nā wāwae anuanu. Hiki i kēia ke lilo i maʻi koʻikoʻi inā ʻaʻole mālama ʻia. |
| Lupus | He maʻi autoimmune kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale o ke kino i kona mau hunaola ponoʻī. Hiki i kēia ke hoʻoulu i ka pehu a me ka mumū ma ke kino holoʻokoʻa. Aia pū kekahi pilikia o kēia mau maʻi i ka loaʻa ʻana o ka maʻi Raynaud. |
| ʻO ka ʻeha koko | He maʻi autoimmune nō hoʻi kēia. I loko o kēia, lilo ka ʻili ma nā lima a me nā manamana lima i mānoanoa a ʻoʻoleʻa. Loaʻa pinepine i kēia mau maʻi ka maʻi Raynaud. |
Pehea e mālama ʻia ai kēia?
ʻO ka maʻamau, mālama ke kauka i ke kūlana kumu e hoʻoulu ai i kou mau lima anu, ʻaʻole wale ke kumu . E ʻokoʻa nā koho lapaʻau ma muli o kou kumu.
He aha nā mea hiki ke hana ma ka home?
ʻOiai ʻoe e kamaʻilio ana me kāu kauka, aia kekahi mau mea hiki iā ʻoe ke hana iā ʻoe iho e hoʻomau i ke kahe koko:
- E pale iā ʻoe iho mai ke anu: E hōʻemi i ka manawa āu e noho ai ma nā wahi anu (nā lumi ea hoʻoluʻu, kokoke i nā pahu hau). E ʻaʻahu i nā mīkina lima/mīkini lima i ka wā e hele ai i waho.
- E hoʻokele i ke kaumaha: Hiki i ke kaumaha ke hoʻopili i nā kīʻaha koko. Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka hoʻoikaika kino ke kōkua.
- E pale loa i ka puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko a hoʻopilikia i ke kahe o ke koko.
- E kaupalena i ka caffeine a me ka waiʻona: Hiki i ke kofe, ke kī, a me ka waiʻona ke hoʻopili i nā kīʻaha koko.
- E mālama i kou ʻili: E hoʻohana i kahi moisturizer maikaʻi e pale ai i kou mau lima mai ka maloʻo ʻana.
Lapaʻau lapaʻau
Inā loaʻa iā ʻoe kahi maʻi olakino, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau no ia. Hiki i kekahi mau lāʻau koko kiʻekiʻe ke kōkua i ka hoʻonui ʻana i nā kīʻaha koko a hoʻonui i ke kahe koko i kou mau lima. Eia kekahi laʻana:
- Nā mea pale i ke kahawai kalipuna
- Nā mea pale Alpha
- Nā mea hoʻopaʻa ACE (ACE)
He mea nui: He mau lāʻau lapaʻau kēia e pono e lawe ʻia ma ke ʻōlelo aʻo a ke kauka. Mai hoʻohana iā lākou ma kou manaʻo ponoʻī.
I ka manawa kākaʻikahi loa, pono paha kekahi poʻe i nā inikini a i ʻole ke ʻoki ʻana i ke aʻalolo. E wehewehe kāu kauka i kēia iā ʻoe.
He hōʻailona anei nā lima anu no ka maʻi puʻuwai a i ʻole ka anemia?
ʻAʻole pinepine nā lima anu he hōʻailona pololei o ka maʻi puʻuwai a i ʻole ka anemia. Eia nō naʻe, hoʻopilikia kēia mau kūlana ʻelua i ke kahe koko i loko o ke kino, a hiki ke hoʻopilikia pololei ʻole i nā kīʻaha koko ma nā lima.
Inā kānalua ʻoe i ka maʻi puʻuwai a i ʻole ka anemia, pono ʻoe e hoʻolohe i nā hōʻailona ʻē aʻe ma mua o nā lima anu.
- Paʻakikī ka hanu ʻana
- Luhi pinepine
- Pōʻino
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) .
ʻO ka mea hope loa, ʻo nā lima anu he hōʻailona maʻalahi ia e anu ana kou kino. Akā inā hana pinepine ia, me ke kumu ʻole, a hopohopo ʻoe no ia mea, he kumu maikaʻi kēlā e kamaʻilio ai me ke kauka.
Leka Lawe-Home
- He mea maʻamau ka loaʻa ʻana o nā lima anu i nā wahi anuanu. Akā inā anuanu mau kou mau lima ʻoiai ma nā wahi mehana, he hōʻailona paha ia o kahi pilikia.
- Inā ʻike ʻoe i nā hōʻailona e like me nā lima anu, ka ʻeha, ka mae ʻole, ka ʻili ʻana o ka ʻili, a i ʻole nā ʻeha e ho'ōla ʻole ʻia, e ʻimi koke i ke kōkua lapaʻau.
- ʻO ka maʻi Raynaud, nā pilikia thyroid, a me nā kūlana olakino ʻē aʻe e hiki ke hana i nā lima anu.
- Inā he mau hopohopo kou e pili ana i kahi loli i kou kino, he mea naʻauao mau ke kamaʻilio me kāu kauka, ma mua o ka manaʻo ʻana, "He mea liʻiliʻi wale nō kēia."
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi i kuhikuhi ʻia ai nā papa Pitavastatin (Livalo)?
ʻO kēia ka hanauna hou loa o nā lāʻau 'High Cholesterol/Hyperlipidemia' (Statin)! Hoʻemi ia i ka 'cholesterol maikaʻi ʻole (LDL)' a pale i nā hōʻeha puʻuwai/hahau. ʻO ka pōmaikaʻi nui o kēia, ʻaʻole ia e wāwahi ʻia e nā mīkini wāwahi lāʻau (CYP450) i loko o ke akepaʻa, no laila ʻaʻole ia e launa pū/ʻona me nā lāʻau ʻē aʻe āu e lawe nei (Drug Interactions).
💬 Pehea e hoʻoheheʻe ai kēia pila kolesterol hou (Pitavastatin) i ka kolesterol maikaʻi ʻole ke komo i loko o ko kākou kino?
ʻO ka mīkini nui e hana ana i ka cholesterol i loko o ke akepaʻa o ko kākou kino ua kapa ʻia ʻo 'HMG-CoA Reductase'. I ka hiki ʻana mai o kēia pila i ko kākou akepaʻa, ua ālai ʻia/pani ʻia a laka ʻia kēlā mīkini 100% (Inhibition). Ke pio ka mīkini, ʻaʻohe lipids hou e hana ʻia. A laila, ʻaʻohe koho ʻē aʻe o ke akepaʻa akā e hoʻonui i ka helu o nā mea loaʻa LDL no ka cholesterol maikaʻi ʻole/LDL i loko o ko kākou koko a omo a luku iā ia.
💬 He aha nā pōʻino a me nā hopena ʻaoʻao weliweli loa e makaʻala ai i ka wā e lawe ai i kēia pila cholesterol (Pitavastatin)?
ʻOiai inā ʻaʻole ia e launa pū me nā lāʻau lapaʻau ʻē aʻe, ʻo ka pōʻino nui loa ʻo ia ka 'Myopathy/Rhabdomyolysis'! Inā loaʻa iā ʻoe ka ʻeha wāwae/ʻiʻo hiki ʻole ke hoʻomanawanui, nāwaliwali, a me ka mimi ʻeleʻele/Myoglobinuria, e haʻi koke aku i kāu kauka, a i ʻole e make paha ʻoe i ka hāʻule ʻana o ka puʻupaʻa. Eia kekahi, ua pāpā ʻia kēia no nā 'makuahine hāpai' a me ka poʻe me ka 'maʻi akepaʻa'!
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