E noʻonoʻo ʻoe aia kahi kaʻa nui ma ke alanui nui āu e hele mau ai, a ua ālai loa ke alanui. He aha kāu e hana ai? ʻO ka hapa nui o ka manawa, nīnau mākou i kahi mea i ʻike maikaʻi i ka ʻāina a nānā paha iā Google Maps, a lawe i kahi alanui ʻaoʻao liʻiliʻi e hiki ai i kā mākou wahi i manaʻo ʻia me ka ʻole o ka paʻa ʻana, ʻeā? ʻO ka mea kupanaha, ʻo ia ka mea e hana nei i loko o ko mākou kino. Inā ua ālai ʻia kahi kīʻaha koko nui i loko o ko mākou kino, ʻo ia hoʻi, he kīʻaha koko, no kekahi kumu, hana ke kino i kahi ʻōnaehana o nā 'alanui ʻaoʻao' a mākou e kamaʻilio ai ma kēia ʻatikala i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hoʻolaha collateral?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā he mea maʻalahi loa ia. ʻO ke kaʻina hana ʻo Collateral Circulation , i ka wā e ālai ʻia ai a hōʻino ʻia paha kahi kīʻaha koko nui (kahi aʻa a i ʻole vein) i loko o ko kākou kino, ua hana ʻia kahi ʻōnaehana ʻē aʻe a i ʻole "kākoʻo" o nā kīʻaha koko e lawe i ke koko.
I ka ʻōlelo maʻalahi, ʻo kēia ka ʻōnaehana 'bypass' kūlohelohe o ko mākou kino. E like me kaʻu i ʻōlelo ai ma mua, ke ālai ʻia ke alanui nui, ʻimi mākou i nā alanui ʻaoʻao, hana pū ke kino i nā alanui ʻaoʻao hou no ke kahe ʻana o ke koko. He ʻano pale kupaianaha kēia i loko o ko mākou kino.
Pehea e hana ai kēia ʻōnaehana bypass kūlohelohe?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "No laila ua hana koke ʻia kēia mau alanui ʻaoʻao?" ʻOiaʻiʻo, hiki ke hana ʻia kēia ma nā ʻano ʻelua.
1. Ka hoʻonui ʻia ʻana o nā kīʻaha koko liʻiliʻi e kū nei: Loaʻa i ko mākou kino kahi pūnaewele o nā kīʻaha koko liʻiliʻi loa, i hoʻohana ʻole ʻia e pili ana i kā mākou mau kīʻaha koko nui. Ke hoʻomaka ka paʻa ʻana o kahi kīʻaha koko nui, ʻike ke kino i kēia kūlana. A laila, ma muli o nā hōʻailona mai ka lolo a me nā ʻōnaehana like ʻole i loko o ke kino, hoʻomaka mālie kēlā mau kīʻaha koko liʻiliʻi e hoʻonui a hoʻonui. A laila, hoʻomaka ke koko i hiki ʻole ke hele ma o ke kīʻaha koko nui e hele ma kēia mau alanui ʻaoʻao i hoʻonui hou ʻia.
2. Ka hoʻokumu ʻia ʻana o nā kīʻaha koko hou: I kekahi manawa, ʻoiai ke ālai mālie ʻia kahi kīʻaha koko nui, hoʻomaka ke kino e hana i nā kīʻaha koko hou. I ka lāʻau lapaʻau, kapa mākou i kēia kaʻina hana ʻo angiogenesis . Hoʻomaopopo ke kino ua emi ka nui o ke koko e hele ana i kahi ʻōkana. I kēlā manawa, hoʻokuʻu kēlā ʻōkana iā ia iho i nā hōʻailona kemika, e ʻōlelo ana, "ʻAʻole lawa ko mākou koko, e hana i nā alanui hou." No laila, ua hoʻokumu ʻia kēia mau kīʻaha koko hou.
ʻO ka mea nui, ua ʻike ʻia e ka noiʻi ʻana he mea maikaʻi ka hoʻoikaika kino aerobic mau , e like me ka holo ʻana, ka hele wikiwiki ʻana, a me ka ʻauʻau ʻana, no ka hoʻokumu ʻia ʻana o nā kīʻaha koko hou. No laila, he mea maikaʻi loa ka hoʻoikaika kino no ka puʻuwai.
Loaʻa i kēlā me kēia kanaka kēia mau kīʻaha koko keu i loko o ko lākou kino?
ʻAe, ua hānau ʻia mākou a pau me kekahi ʻōnaehana kīʻaha koko. Eia nō naʻe , hiki ke ʻokoʻa ka nui o kēia mau kīʻaha koko i loko o ke kino o kēlā me kēia kanaka a me ko lākou nui mai kēlā kanaka a i kēia kanaka . Aia ia i nā kumu he nui, me nā genetics a me ke ʻano o ka nohona.
Hiki i kēia mau kīʻaha koko keu ke pili i ʻekolu mau ʻano nui.
| ʻAno kīʻaha koko | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā aʻa koko | ʻO kēia nā kīʻaha nui e lawe ana i ke koko momona i ka oxygen mai ka puʻuwai a i ke koena o ke kino. |
| Nā aa koko | ʻO kēia nā kīʻaha koko e lawe mai i ke koko i hoʻohana ʻia (ke koko deoxygenated) mai nā ʻāpana o ke kino i ka puʻuwai. |
| Nā Capillaries | ʻO kēia nā kīʻaha koko liʻiliʻi loa a palupalu loa. Hoʻololi ʻia ka oxygen a me nā meaʻai mai ke koko i nā ʻāpana ma o kēia mau mea. |
I loko o nā ʻano maʻi hea he mea nui kēia kahe koko collateral?
Hiki i kēia ʻōnaehana bypass kūlohelohe ke kōkua iā mākou me kekahi kūlana e ālai ana i nā kīʻaha koko. He mea nui loa kēia no ka poʻe me kēia mau kūlana:
- Atherosclerosis: ʻO kēia ka paʻakikī o nā aʻa ma muli o ka hōʻiliʻili ʻana o ka momona a me ka cholesterol i loko o nā paia o nā aʻa. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai. I ka wā e ālai mālie ʻia ai ke aʻa, loaʻa i ke kino ka manawa e hana ai i nā aʻa collateral.
- Maʻi ʻAʻa Coronary: Ke ālai ʻia ʻana o nā ʻaʻa e hoʻolako koko i ka puʻuwai. ʻO kēia ke kumu nui o nā hōʻeha puʻuwai. ʻOiai inā loaʻa i kahi kanaka me kahi ʻōnaehana collateral maikaʻi ka hōʻeha puʻuwai, hiki ke hoʻemi ʻia ka pōʻino i hana ʻia i kekahi ʻano.
- Hahau Ischemic: He hahau i hana ʻia e kahi poloka i loko o kahi aʻa e hoʻolako ana i ke koko i ka lolo.
- ʻO ka maʻi ʻaʻa Peripheral (PAD): Ka hāiki ʻana o nā ʻaʻa e hoʻolako ana i ke koko, ʻoi aku hoʻi i nā wāwae. Hiki i kēia ke hōʻeha i nā wāwae i ka wā e hele ana.
Akā eia kekahi mea nui loa e pono ai kākou a pau e hoʻomaopopo. ʻAʻole kēia kahe koko he mea kilokilo a he lāʻau lapaʻau paha . He ʻano pale wale nō ia o ke kino.
ʻAʻole hiki i kēia mau kīʻaha koko keu ke pale loa i ka ischemia , a i ʻole ka emi ʻana o ke kahe koko i kahi ʻōkana, i hoʻokumu ʻia e kēia mau kūlana. I kekahi manawa, inā ua ālai koke ʻia ke kīʻaha koko nui, ʻaʻole hiki i ka ʻōnaehana kīʻaha koko keu ke hoʻolako koke i ke koko.
No laila, inā loaʻa iā ʻoe kekahi ʻano maʻi e like me kēia, pono ʻoe e ʻike i kāu kauka a loaʻa ka lāʻau lapaʻau kūpono , ma mua o ka hilinaʻi wale ʻana i kēia ʻōnaehana kūlohelohe. ʻO kēia paha ka ʻokoʻa ma waena o ke ola a me ka make.
Pehea ka lōʻihi o ke ola ʻana o kēia ʻōnaehana vascular keu?
Ke hoʻokumu ʻia ke kaʻapuni collateral, hiki i kēlā mau kīʻaha koko keu i hoʻonui ʻia ke kōkua i ka mālama ʻana i ke kahe koko maʻamau i loko o ke kino no nā mahina, a me nā makahiki.
Eia nō naʻe, i ko kākou ʻelemakule ʻana, e emi mālie ana kēia mau kīʻaha koko keu, a i ʻole e hoʻomaka ana e emi i ka nui. Kāhea mākou i kēia he rarefaction . Hiki ke hana koke ʻia kēia ʻano ma ka poʻe me ka maʻi cardiovascular. Ke emi nā kīʻaha koko keu ma kēia ʻano, e emi ana ko lākou hiki ke kōkua inā e ālai ʻia kahi kīʻaha koko nui hou. ʻO ia ke kumu i ʻōlelo ʻia ai e mālama pono kākou i ko kākou olakino i ko kākou ʻelemakule ʻana a loaʻa i nā maʻi ʻē aʻe.
Ma nā ʻāpana hea o ke kino i loaʻa ai kēia ʻōnaehana?
Aia kēia ʻōnaehana hoʻopololei koko ma nā wahi like ʻole o ko kākou kino. Hiki ke ʻike ʻia kēia ʻōnaehana pale ma nā wahi āpau i loaʻa ai ka pilikia o ke ālai ʻana o nā kīʻaha koko.
| ʻĀpana kino | Koʻikoʻi |
|---|---|
| Puʻuwai | Kōkua i ka hōʻemi ʻana i ka pōʻino o ka puʻuwai i ka wā o ka hōʻeha puʻuwai. |
| lolo | Kōkua ia i kekahi ʻano e pale aku i ka make ʻana o nā hunaola lolo i ka wā o ka hahau ʻana. |
| Nā wāwae a me nā wāwae | Kōkua i ka hōʻemi ʻana i ka ʻeha i ka wā e hele ai i ka poʻe me ka maʻi peripheral artery (PAD). |
| Nā lima | Inā paʻa nā aʻa e hoʻolako ana i ke koko i nā lima, kōkua ia i ka mālama ʻana i ka hana lima. |
| ʻŌpū a me nā māmā | Hana pū kēia ʻōnaehana i ka hanana o ke ālai ʻia ʻana o nā kīʻaha koko nui e hoʻopili ana i kēia mau ʻōkana. |
I ka pōkole, he hiki kupaianaha ke kahe koko collateral i loaʻa i ko kākou kino e hakakā ai i kahi kīʻaha koko i ālai ʻia. ʻAʻole ia he ala lapuwale e pale loa ai i ka pōʻino e hiki mai ana mai ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. Akā i kekahi mau hihia, hiki iā ia ke lilo i mea hana waiwai nui e hoʻōla ai i ke ola.
Ke noiʻi nei nā kānaka noiʻi lapaʻau i ka hiki ke hana i nā kīʻaha koko collateral artificial a hoʻoili iā lākou i loko o nā maʻi. Inā holomua, hiki i kēia noiʻi ke hāʻawi i ka hōʻoluʻolu nui i nā poʻe he nui e ʻeha nei i nā maʻi vascular i ka wā e hiki mai ana.
Leka Lawe-Home
- ʻO ke kaʻapuni koʻikoʻi ka ʻōnaehana kīʻaha koko 'bypass' maoli a i ʻole 'backup' o ko mākou kino.
- ʻO kāna hana ka hāʻawi ʻana i nā ala ʻē aʻe no ke kahe ʻana o ke koko ke ālai ʻia kahi kīʻaha koko nui.
- Hoʻoikaika ka hoʻoikaika kino aerobic mau i ka hoʻomohala ʻana o kēia ʻōnaehana bypass kūlohelohe.
- ʻOiai he ʻano pale pono loa kēia, e hoʻomanaʻo ʻaʻole ia he hopena hope loa a lāʻau lapaʻau paha no nā maʻi e like me ka maʻi puʻuwai a me ka hahau ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona o kahi kīʻaha koko i ālai ʻia, e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha ma kou mau wāwae i ka wā e hele ana, e ʻike koke i kāu kauka . E hilinaʻi i nā ʻōnaehana kūlohelohe a pale i ka hoʻopaneʻe ʻana i ka mālama ʻana.
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