E aʻo kākou e pili ana i ke ʻano hana hou (Endovascular Surgery) e ho'ōla ai i nā kīʻaha koko me ka ʻole o kahi ʻoki nui?

Ke lohe ʻoe i ka huaʻōlelo "ʻoki kino" a i ʻole "hana ʻoki," hopohopo iki ʻoe? He mea maʻamau ka noʻonoʻo ʻana i kahi ʻoki nui, kekahi mau lā ma ka haukapila, a me kahi manawa lōʻihi o ka ʻeha. Akā i kēia lā, ua holomua nui ka lāʻau lapaʻau. Ma kahi o ka hana ʻana i nā ʻoki nui e like me ka wā ma mua, aia i kēia manawa ka ʻenehana e hiki ai iā mākou ke komo i loko o ke kino ma o kahi lua liʻiliʻi a mālama i nā maʻi koʻikoʻi. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, he ala kupaianaha e mālama ai i nā kīʻaha koko i loko o ko mākou kino.

He aha ke ʻoki kino endovascular?

I ka ʻōlelo maʻalahi, ʻo ke ʻoki endovascular kahi hana e mālama ai i nā kīʻaha koko i loko o ko mākou kino mai loko mai me ka ʻole o ka hana ʻana i nā ʻoki nui. E noʻonoʻo i kahi paipu wai i loko o kou hale i ālai ʻia. Ma kahi o ka uhaki ʻana i ka paia a me ka hoʻoponopono ʻana i ka paipu, ua like kēia me ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela ma o kahi lua liʻiliʻi a wehe i ka mea ālai.

Ma kēia kaʻina hana, hoʻohana nā kauka i kahi nila liʻiliʻi e hana i kahi lua i loko o ke kīʻaha koko a hoʻokomo i nā ʻōmole lahilahi a palupalu i kapa ʻia he catheters ma loko. A laila, me ka hoʻohana ʻana i nā ʻenehana e like me nā kukuna X, alakaʻi ʻia kēia mau ʻōmole i kahi kikoʻī o ka maʻi, ʻo ia hoʻi, kahi i ālai ʻia ai ke kīʻaha koko, pehu, a hōʻino ʻia paha. A laila, hoʻouna ʻia nā lako e pono ai ma o ia mea e hoʻōla ai i ka maʻi. Hiki i kēia ke hoʻihoʻi i ke kahe koko i ka lolo, ka puʻuwai, nā lālā, a me nā māmā.

He aha ka ʻokoʻa ma waena o ke ʻoki endovascular a me ke ʻoki hāmama?

Hoʻōla kēia mau ʻano ʻelua i nā kīʻaha koko. Akā, ʻokoʻa loa ke ʻano o kā lākou hoʻokokoke ʻana. No ka hoʻomaopopo ʻana i kēia ʻokoʻa, e nānā i ka papa ma lalo.

He aha nā kūlana i mālama ʻia me kēia ʻano hana?

Hoʻohana ʻia nā kaʻina hana endovascular e mālama i nā ʻano maʻi like ʻole o ke kīʻaha koko a me nā maʻi cardiovascular. ʻO kekahi o nā kūlana nui:

• Aneurysm: ʻO kēia ka wā e nāwaliwali ai ka paia o ke kīʻaha koko a puʻupuʻu i waho e like me ka pōpō. Hiki ke hana kēia i loko o ka aneurysm aortic abdominal a i ʻole ka aneurysm aortic thoracic, a me nā kīʻaha koko ʻē aʻe i loko o ke kino. Inā haki kēia, hiki ke hoʻoweliweli i ke ola.
• Atherosclerosis: ʻO kēia ka wā e hōʻiliʻili ai nā mea momona, e like me ka cholesterol, i loaʻa i ka meaʻai a mākou e ʻai ai, ma nā paia o nā kīʻaha koko, e hoʻohaiki mālie ana i ke ala no ke koko. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai. Ke pale nei kēia i ke kahe koko.
• Maʻi ʻaʻa Carotid: ʻO nā ʻaʻa carotid nā kīʻaha koko nui ʻelua i loko o ko kākou ʻāʻī e lawe ana i ke koko i ka lolo. Ke ālai ʻia lākou e nā waihona momona, piʻi nui ka pilikia o ka hahau ʻana.
• ʻO ka thrombosis aʻa hohonu (DVT): ʻO kēia ka wā e hana ʻia ai kahi ʻaʻa koko i loko o nā aʻa koko i loko o ke kino. ʻO ka mea weliweli loa inā haki kēia ʻaʻa koko a hele i loko o ke kahe koko a paʻa i loko o nā māmā (Pulmonary Embolism), hiki ke make.
• ʻO ka maʻi ʻaʻai peripheral (PAD):Hana ʻia kēia i ka wā e ālai ʻia ai nā aʻa koko e lawe ana i ke koko i nā lima a i nā wāwae hoʻi. Hoʻopilikia kēia i nā pilikia e like me ka ʻeha ma nā wāwae i ka wā e hele ana a me nā ʻeha i hoʻōla ʻole ʻia.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o kou hana ʻana i kēia ʻano ʻoki kino, e kamaʻilio pono kāu kauka me ʻoe e pili ana i kou mōʻaukala olakino a me kou olakino o kēia manawa. A laila e hana ʻo ia i kahi hoʻokolokolo kino a, inā pono, e kauoha i nā hoʻokolohua aʻe:

• ʻO ke nānā ʻana o Ultrasound: Hoʻohana i nā nalu kani e nānā i ke kahe o ke koko i loko o nā kīʻaha koko a ʻike inā he mau mea e ālai ana.
• Angiography: Hoʻokomo ʻia kahi kala kūikawā i loko o nā kīʻaha koko a lawe ʻia nā kiʻi X-ray. Hiki i kēia ke hōʻike maopopo i ke ʻano o ka haiki o nā kīʻaha koko a me ko lākou wahi.
• CT scan a me MRI scan: Hiki i kēia mau mea ke hana i nā kiʻi ʻekolu-dimensional kikoʻī loa o nā kīʻaha koko a me nā ʻiʻo a puni.
• ECG a me Echocardiogram: Hoʻohana ʻia kēia mau mea e nānā i ka hana o ka puʻuwai.
• ʻO ka helu kuʻekuʻe wāwae-brachial (ABI): He hoʻāʻo maʻalahi e ana a hoʻohālikelike i ke kaomi koko ma nā wāwae a me nā lima e hoʻoholo ai inā ua emi ke kahe o ke koko i nā wāwae.

He aha nā ʻano o ke ʻoki endovascular i loaʻa?

Ma muli o kou kūlana, hiki i kāu kauka ke hoʻohana i nā ʻano lapaʻau endovascular like ʻole. E nānā kākou i kekahi o lākou.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?

E like me nā lāʻau lapaʻau āpau, loaʻa i kēia lāʻau nā pono a me nā pilikia.

Nā Pōmaikaʻi

ʻO ka pōmaikaʻi nui o ke ʻano endovascular ka hoʻōla wikiwiki ʻana . ʻOiai ʻaʻohe ʻoki nui, ua emi ka pōʻino o ke kino. No laila, pono ʻoe e noho ma ka haukapila no ka manawa liʻiliʻi, emi ka ʻeha, a hiki iā ʻoe ke hoʻi koke i ke ola maʻamau.

Nā Pōʻino/Nā Pilikia

ʻOiai he palekana loa kēia ʻoki kino, hiki ke loaʻa nā pilikia liʻiliʻi.

• Ke kahe ʻana o ke koko mai kahi i hoʻokomo ʻia ai ka catheter.
• Ka hōʻino ʻana i nā kīʻaha koko i ka wā o ka mālama ʻana.
• Ka ʻoki ʻana o ka paia o ke kīʻaha koko.
• Hoʻokumu ʻia ʻana o kahi ʻaʻa koko hou (Thrombosis) ma kahi i mālama ʻia.
• I kekahi manawa, hiki ke loaʻa nā hopena i nā puʻupaʻa (ma muli o ke ʻano o ka waihoʻoluʻu i hoʻohana ʻia).

He haʻahaʻa loa ka pilikia o ia mau mea, a ua mākaukau mau kahi hui lapaʻau akamai e hoʻoponopono i ia kūlana inā kū mai.

Āhea wau e ʻike koke ai i ke kauka ma hope o ke ʻoki ʻana?

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki kino, pono ʻoe e mālama pono i kou kino. ʻO ka maʻamau, hiki iā ʻoe ke hoʻi i kāu mau hana o kēlā me kēia lā ma hope o hoʻokahi mahina. Eia nō naʻe, he mea nui e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo. Eia kekahi, pono ʻoe e hele no nā hoʻokolohua hahai ma ka lā i hoʻonohonoho ʻia.

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​mai hoʻokaʻulua a e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.