E aʻo kākou e pili ana i ke ʻoki ʻana i nā kīʻaha koko (Endovascular Surgery), kahi ʻano hana no ka mālama ʻana i nā kīʻaha koko me ka ʻole o ka hana ʻana i kahi ʻoki nui?

Ua haʻi aku anei kekahi kauka iā ʻoe, i kekahi o kou ʻohana a i ʻole iā ʻoe iho, he "kīʻaha koko i paʻa" kou a i ʻole "ua pehu ke kīʻaha koko e like me ka pōpō"? He mea maʻamau ka makaʻu nui ke lohe mākou i kekahi mea e like me ia. Manaʻo ka poʻe he nui he mea e like me kēia e pono ai kahi hana nui, kahi ʻoki nui, a me ka manawa hoʻōla lōʻihi. Akā ua ʻike anei ʻoe me ka holomua o ka ʻepekema lapaʻau, aia i kēia manawa kahi ala e mālama ai i kēia mau pilikia me ka ʻole o kahi ʻoki nui, ma o kahi lua liʻiliʻi loa. I kēia lā e kamaʻilio mākou e pili ana i kēlā ʻano lapaʻau kupaianaha, ʻo ia hoʻi ka 'endovascular surgery'.

He aha ke ʻoki kino endovascular?

I ka ʻōlelo maʻalahi, ʻo ke ʻoki endovascular kahi ʻano hana no ka mālama ʻana i nā maʻi e hoʻopilikia ana i ka ʻōnaehana vascular i loko o ko mākou kino me ka ʻole o ka hana ʻana i nā ʻoki nui. E noʻonoʻo i kahi paipu wai i paʻa i loko o kou hale. No ka hoʻoponopono ʻana, hoʻokomo ʻoe i kahi uea liʻiliʻi i loko o ka paipu a wehe i ka mea i paʻa me ka ʻole o ka haki ʻana i ka paia.

ʻO ke ʻano o ka inoa "Endo" ʻo ia hoʻi "i loko." ʻO ke ʻano o "Vascular" ʻo ia hoʻi "pili i nā kīʻaha koko." No laila, i ka wā e hui pū ʻia ai kēia mau mea ʻelua, ʻo "Endovascular" ʻo ia hoʻi "ka mālama ʻana i loko o nā kīʻaha koko." Ma kēia, hoʻokomo nā kauka ʻoki i kahi ʻōmole lahilahi a palupalu (catheter) i loko o kahi kīʻaha koko a laila e hele ma waena o ia mea e hoʻoponopono i ka pilikia i loko o ke kīʻaha koko. Hiki i kēia kaʻina hana 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 kino kuʻuna a me kēia ʻano hana hou?

ʻOiai ʻo nā ʻano hana ʻelua e mālama ai i nā kīʻaha koko, aia kahi ʻokoʻa nui i ke ʻano o ke kauka e hoʻokokoke aku ai i ke kīʻaha koko. No ka hoʻomaopopo ʻana i kēia ʻokoʻa, e nānā i ka papa ma lalo.

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

Hoʻohana ʻia ke ʻoki endovascular e mālama i nā ʻano maʻi like ʻole e pili ana i ka puʻuwai a me nā kīʻaha koko. ʻO kekahi o lākou:

• Aneurysm: He hoʻonāwaliwali kēia o ka paia o ke kīʻaha koko, e hoʻoulu ai iā ia e puʻupuʻu i waho e like me ka pōpō. Hiki i kēia mau mea ke hana 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. He mea weliweli kēia no ka mea inā haki kēia aneurysm, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko.
• Atherosclerosis: Ua lohe paha ʻoe i kēia. I ka ʻōlelo maʻalahi, ʻo ia ka hōʻiliʻili ʻana o ka cholesterol a me ka momona i loko o nā kīʻaha koko, e hana ana i kahi papa o "plaque." ʻO kēia ke kumu e emi ai nā kīʻaha koko a ālai i ke kahe koko. ʻO kēia ke kumu nui o nā maʻi e like me nā hōʻeha puʻuwai a me nā hahau.
• Ka maʻi o ke aʻa Carotid:ʻO nā aʻa carotid nā kīʻaha koko nui ʻelua ma nā ʻaoʻao ʻelua o ko kākou ʻāʻī e lawe ana i ke koko i ka lolo. Ke ālai ʻia kēia mau aʻa, piʻi nui ka pilikia o ka hahau ʻana.
• ʻO ka Thrombosis Vein Deep (DVT): He ʻūpā koko kēia e hana ʻia ana i loko o nā aʻa koko hohonu o ke kino, ʻoi aku hoʻi ma nā wāwae. ʻO ka pōʻino ma ʻaneʻi, inā haki kēia ʻūpā koko a paʻa i loko o kahi kīʻaha koko i loko o nā māmā (Pulmonary Embolism), hiki ke hoʻoweliweli i ke ola.
• ʻO ka maʻi ʻaʻa Peripheral (PAD): He kūlana i hoʻokumu ʻia e ka haiki ʻana o nā ʻaʻa e hoʻolako ana i ke koko i nā lālā, ʻoi aku hoʻi nā wāwae. ʻO ka hōʻailona nui ka ʻeha ma nā wāwae i ka wā e hele ana no nā mamao pōkole.

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

Inā ʻōlelo ʻia ʻoe e hana i kēia ʻano ʻoki kino, e kamaʻilio mua kāu kauka me ʻoe e pili ana i kou kūlana a me kou mōʻaukala olakino. A laila e hana ʻo ia i kahi hoʻokolohua kino a kauoha i kekahi mau hoʻokolohua e hoʻomaopopo maikaʻi i ka pilikia. Eia kekahi laʻana:

• ʻO ke kiʻi Ultrasound: No ka ʻike ʻana i ke kahe ʻana o ke koko i loko o nā kīʻaha koko a me kahi o ka mea i paʻa ai.
• Angiography: Hoʻokomo ʻia kahi kala kūikawā i loko o nā kīʻaha koko a lawe ʻia kahi X-ray e kiʻi i kahi palapala ʻāina maopopo o nā kīʻaha koko.
• CT scan a i ʻole MRI scan: E kiʻi i nā kiʻi ʻekolu-dimensional (3D) kikoʻī o nā kīʻaha koko a me nā ʻiʻo a puni.
• ECG a me Echocardiogram: E nānā i ka hana o ka puʻuwai.

Ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua, e hoʻolālā ke kime lapaʻau i ka lāʻau kūpono loa nāu.

He aha nā ʻano lapaʻau nui i hoʻohana ʻia ma kēia ʻano?

Aia kekahi mau ʻano lapaʻau endovascular. Ma muli o kou kūlana, e koho ʻoe i hoʻokahi a ʻoi aku paha o kēia mau mea.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? E makaʻala i kēia mau hōʻailona!

ʻO kekahi o nā pono nui o kēia ʻoki kino, ʻo ia ka hoʻōla wikiwiki ʻana. Ma muli o ka paʻakikī o ke ʻoki kino, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi (outpatient) a noho paha i ka haukapila no hoʻokahi a ʻelua paha lā. Hiki i ka hapa nui o ka poʻe ke hoʻi hou i kā lākou hana o kēlā me kēia lā ma hope o hoʻokahi mahina. Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no kēia.

He mea nui loa ka hele ʻana i nā manawa hoʻopaʻa a pau me kāu kauka ma hope o ke ʻoki ʻana. Eia kekahi, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻEha nui ma ka ʻōpū, ka umauma, ke kua, a i ʻole ka ʻūhā
• Ke kahe ʻana o ke koko mai ka wahi ʻoki kino
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