Ua ʻike kākou a pau e kahe ana ke koko ma o ko kākou kino. Ma waho aʻe o nā aʻa e lawe ana i ke koko maʻemaʻe a waiwai i ka oxygen mai ka puʻuwai a i nā ʻāpana a pau o ke kino, aia kekahi pūnaewele o nā aʻa i kapa ʻia he mau aʻa e lawe ana i ke koko i hoʻohana ʻia a pau ka oxygen i ka puʻuwai. I kēia lā, ke kamaʻilio nei kākou e pili ana i kahi aʻa nui e hana ana i kahi hana koʻikoʻi, ʻo ia ka mea e holo ana ma o ko kākou pelvis. ʻO ia ka mea a kākou e kapa nei ʻo ka External Iliac Vein.
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He aha ka maʻalahi o ka vein iliac o waho?
I ka ʻōlelo maʻalahi, ʻo ka External Iliac Vein kahi kīʻaha koko nui i loko o kou pelvis. ʻO kou pelvis ka ʻano iwi e hoʻopili ai i kou kino haʻahaʻa a me nā wāwae.
ʻO ka hana nui o kēia aʻa koko, ʻo ia ke lawe i ke koko nele i ka oxygen mai nā ʻāpana haʻahaʻa o kou kino, ʻoi aku hoʻi kou mau wāwae, i ka puʻuwai. Ua like ia me ka hoʻonui ʻia ʻana o ka "Femoral Vein", he aʻa koko nui i loko o kou ʻūhā. ʻO ke ʻano kēia, hele ke koko nele i ka oxygen mai kou mau wāwae ma o kēia "Femoral Vein" a hui pū me ka "External Iliac Vein" e hele i luna.
He aha ke koko i hoʻokahe ʻia ka oxygen?
Ua hana ʻia kā mākou ʻōnaehana kaapuni me nā aʻa e lawe ana i ke koko i piha i ka oxygen a me nā meaʻai i nā ʻōpū a me nā ʻiʻo a pau o ke kino. Ma hope o ka hoʻohana ʻana o ke kino i kēia oxygen, hoʻihoʻi ʻia ke koko i koe (ke koko i nele i ka oxygen) i ka puʻuwai e nā aʻa koko. A laila, hoʻopuka ka puʻuwai i ke koko i nā māmā kahi i loaʻa hou ai ka oxygen. Kapa kekahi poʻe i kēia koko i nele i ka oxygen he "koko polū," akā he ʻulaʻula hohonu ia.
Pehea e hana ai kēia aa koko i loko o kā mākou ʻōnaehana hoʻopuni koko?
E noʻonoʻo e like me nā kahawai liʻiliʻi e hui pū ana e hana i muliwai nui. Ua like kēia (External Iliac Vein) me ia.
Loaʻa iā kākou ʻelua "Nā aʻa Iliac Waho" ma ka ʻaoʻao ʻākau a me ka ʻaoʻao hema o ko kākou kino. Hoʻohui ʻia kēlā me kēia e kekahi aʻa koko ʻē aʻe e lawe ana i ke koko mai nā ʻōpū i loko o ko kākou pelvis (no ka laʻana, nā puʻupuʻu, nā ʻōpū wahine, a me nā ʻūhā o loko). Kapa mākou ia he "ʻAʻa Iliac Kūloko".
No laila, hui pū ka ʻaʻa Iliac Waho a me ka ʻaʻa Iliac Kūloko e hana i kahi aʻa nui i kapa ʻia ʻo (Common Iliac Vein). ʻO nā (Common Iliac Vein) ʻelua i hana ʻia ma kēia ʻano, ma ka ʻaoʻao ʻākau a me ka hema, e hui pū kokoke i ka vertebra ʻelima o ko kākou iwi kuamoʻo e hana i ka (Inferior Vena Cava) , ʻo ia ka ʻaʻa nui loa i loko o ko kākou kino. ʻO kēlā (Inferior Vena Cava) ka mea e hōʻiliʻili i ke koko nele i ka oxygen mai ka ʻaoʻao haʻahaʻa o ke kino a lawe iā ia i ka puʻuwai.
I ka hōʻuluʻulu manaʻo, kahe ke koko mai nā wāwae mai ka Femoral Vein' a i ka External Iliac Vein', mai laila aku a i ka Common Iliac Vein', a ma hope loa i ka Inferior Vena Cava', he aʻa nui, ma mua o ka hoʻi ʻana i ka puʻuwai.
He aha nā kūlana olakino e hiki ke hoʻopilikia i kēia aa koko?
Hiki i kēia "(External Iliac Vein)" a me nā aa koko e pili ana iā ia ke hana i kekahi mau pilikia olakino. He koʻikoʻi loa kekahi o kēia mau mea. No laila, he mea nui loa ka makaʻala i kēia.
| Kūlana | He wehewehe wale nō |
|---|---|
| ʻO ka Thrombosis Vein Hohonu (DVT) | ʻO kēia ka manawa e hana ʻia ai kahi ʻūpā koko i loko o kahi aʻa koko hohonu i loko o ko mākou kino, ʻoi aku hoʻi ma nā wāwae. Hiki i kēia ʻūpā koko ke ālai i ke kahe o ke koko ma o ka aʻa koko. Hiki ke loaʻa nā hōʻailona e like me ka pehu a me ka ʻeha ma ka wāwae. |
| ʻO ka Embolism Pulmonary | ʻO kēia kekahi o nā hopena weliweli loa o ka DVT. Hiki i kahi ʻāpana o ke koko i hana ʻia ma ka wāwae ke haki a hele pū me ke koko i kahi aa koko i loko o nā māmā . Hiki i kēia ke pilikia i ka hanu ʻana, ʻeha ka umauma, a me ka make. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia. |
| Ka lawa ʻole o nā vena mau loa (CVI) | He mau kiwikā liʻiliʻi ko nā aʻa koko olakino e pale ai i ke koko mai ke kahe ʻana i hope. Ke hōʻino ʻia kēia mau kiwikā, hoʻomaka ke koko e kahe hou i lalo me ka umekaumaha. Hiki i kēia ke hoʻoulu i ke koko e hōʻiliʻili i loko o nā wāwae, e hoʻoulu ai i ka pehu, ka ʻeha, a me ke kala ʻole o ke kala . |
| ʻO ka maʻi Mei-Thurner | He kūlana kākaʻikahi kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻopaʻa ʻana o ke aʻa Iliac ʻākau i ka aʻa Iliac hema. Ke ālai nei kēia hoʻopaʻa ʻana i ke kahe o ke koko mai ka wāwae hema, e hoʻonui ana i ka pilikia o ka pehu ʻana o ka wāwae hema a me ka DVT . |
No laila pehea mākou e mālama ai i kēia mau aa koko i ke olakino?
Aia kekahi mau mea maʻalahi hiki iā ʻoe ke hana e mālama i ka ʻōnaehana venous o kou kino holoʻokoʻa, me kou mau aʻa Iliac External, a hoʻemi i ka pilikia o nā ʻaʻa koko.
- Mai noho ma ke kūlana hoʻokahi no ka lōʻihi loa: ʻO ka noho ʻana a i ʻole ke kū ʻana no ka lōʻihi loa e hoʻonui ai i ka pilikia o ka hōʻiliʻili ʻana o ke koko a me ke kāpili ʻana. Inā hiki, e ala aʻe ma ka liʻiliʻi hoʻokahi manawa i ka hola a hele wāwae iki , e hoʻoneʻe ana i kou mau wāwae.
- Hoʻoikaika kino: E hoʻāʻo e hana kino i ka hapa nui o nā lā o ka pule. He mea maikaʻi nā hoʻoikaika kino e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana no ke kahe koko.
- ʻAi olakino no ka puʻuwai: E ʻai i ka ʻai kaulike haʻahaʻa i ka momona a me ka cholesterol, a kiʻekiʻe i nā huaʻai a me nā mea kanu. He mea nui loa nō hoʻi ka mālama ʻana i ke kaumaha olakino.
- E pale i ka puhipaka: ʻO ka puhipaka ka pōʻino nui loa hiki iā ʻoe ke hana i kou mau kīʻaha koko. Inā ʻoe e puhipaka, e kiʻi i ke kōkua e haʻalele i kēia lā.
- E kāohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol kiʻekiʻe, e kāohi pono iā lākou e like me nā kuhikuhi a kāu kauka.
- Nā Kāʻei Hoʻopaʻa: No kekahi poʻe, ʻoi aku ka poʻe i ʻoi aku ka nui o ka pilikia o DVT, hiki i kāu kauka ke ʻōlelo aku e ʻaʻahu i nā kāʻei kūikawā i kapa ʻia ʻo nā kāʻei hoʻopaʻa. Kōkua kēia i ka pale ʻana i ke koko mai ka hōʻiliʻili ʻana i loko o kou mau wāwae.
He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka?
Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka. Pono paha kekahi mau hōʻailona i ka mālama koke ʻana.
- ʻEha nui i ka umauma, poʻohiwi, kua, a i ʻole ka ʻāwae e kū mai ana me ke kumu ʻole.
- Ke ʻū ʻana i ke koko.
- Paʻakikī ke hele wāwae, ʻeha nā wāwae i ka wā e hele ana a hiamoe paha.
- Ka poʻo hina a i ʻole ke poʻo māmā.
- Ka pehu ʻana o nā wāwae (edema) a i ʻole ke kala ʻana o ka ʻili (polū/poni).
- Ka hou nui koke.
- Piʻi ka helu o ka puʻuwai.
- Nā ʻeha ho'ōla ʻole ma ka wāwae a i ʻole ka wāwae.
- ʻIli keʻokeʻo, anu, a polū paha.
- Ka paʻakikī koke o ka hanu ʻana.
He mea nui loa e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila , ʻoiai inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, a me ke kunu ʻana i ke koko.
Leka Lawe-Home
- ʻO ka aʻa iliac waho kahi kīʻaha koko nui e lawe ana i ke koko nele i ka oxygen mai ko mākou mau wāwae a me ke pelvis i ka puʻuwai.
- Hiki i nā ʻūpā koko (DVT) e hana ʻia ana i loko o kēia mau aa koko ke lilo i mea weliweli loa. Hiki i kahi ʻāpana o ia mea ke paʻa i loko o nā māmā (pulmonary embolism) a hiki ke hoʻoweliweli i ke ola.
- Hiki i kahi nohona olakino (hoʻoikaika kino maikaʻi, ʻai kaulike, a me ka pale ʻana i ka puhipaka) ke pale i ke olakino o kēia mau aa koko.
- ʻO ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka pehu koke a me ka ʻeha ma ka wāwae, he mau hōʻailona ia e pono ai ke kōkua koke ʻia e ke kauka.
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