Ua noʻonoʻo paha ʻoe pehea e loaʻa ai i kou mau wāwae ka ikehu e pono ai lākou ke piʻi ʻoe i nā alapiʻi, e holo ana ma hope o kahi kaʻa, a i ʻole e hele wale ana a puni ka pā hale? Pono e hoʻolako mau ʻia nā ʻiʻo o ko mākou mau wāwae a mākou e hoʻohana ai e holo, lele, a hele wāwae me ka oxygen a me nā meaʻai. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi kīʻaha koko koʻikoʻi loa e kōkua ana i kēia mau mea āpau, a hāʻawi i ke ola i ko mākou mau wāwae. ʻO ia ke aʻa femoral, a i ʻole e like me ka mea i kapa ʻia ma ka ʻōlelo Pelekania, ʻo ke aʻa femoral .
No laila he aha ka hana o ke aʻa femoral?
I ka ʻōlelo maʻalahi, ʻo ke aʻa femoral kekahi o nā kīʻaha koko nui i loko o ko kākou kino. Ua like ia me kahi paipu nui e lawe ana i ka wai mai kahi pamu wai i kahi māla. ʻO kāna hana nui ka lawe ʻana i ke koko maʻemaʻe a me ka oxygen mai ko kākou puʻuwai a i ka ʻōpū lalo a i lalo i ka lōʻihi holoʻokoʻa o ko kākou mau wāwae. E like me nā ʻiʻo a pau i loko o ko kākou kino, pono pū nā ʻiʻo o ko kākou mau wāwae i ka oxygen a me nā meaʻai e hana ai. No laila, ua hoʻokō ʻia kēlā pono e ke koko e kahe ana ma o kēia aʻa femoral.
Ua lohe ʻoe i ʻelua ʻano kīʻaha koko: ʻO nā ʻaʻa koko a me nā aʻa koko. Lawe nā ʻaʻa koko i ke koko maʻemaʻe mai ka puʻuwai a i ke koena o ke kino. Lawe nā ʻaʻa koko i ke koko deoxygenated i ka puʻuwai. Ma ka ʻaoʻao like o kēia ʻaʻa koko femoral, a kokoke paha iā ia, ʻo ia ka ʻaʻa koko femoral . Lawe ia i ke koko lepo mai nā wāwae a hoʻi i luna i ka puʻuwai.
Aia ma hea kēia kīʻaha koko?
Aia ke aʻa femoral ma ke poʻo o kou ʻūhā, kokoke i kou ʻūhā. I ka pololei, hoʻomaka ia ma kahi kokoke i ka ʻūhā, kahi e pau ai kou ʻōpū a hoʻomaka kou mau wāwae. Mai laila mai, holo pololei kēia aʻa koko i lalo o kou ʻūhā a pau ma hope o kou kuli. Ma hope o kou kuli, lālā ia i loko o kekahi aʻa ʻē aʻe, i kapa ʻia ʻo ka "Popliteal Artery".
He aha nā ʻāpana nui o ke aʻa femoral?
ʻAʻole hoʻomau kēia kīʻaha koko nui i hoʻokahi ʻaoʻao. Māhele ia i kekahi mau ʻāpana nui a me nā lālā.
- ʻO ke aʻa Femoral maʻamau: ʻO kēia ka ʻāpana mua. Mai kēia mai, e lālā nā lālā liʻiliʻi e hoʻolako i ke koko i nā ʻiʻo o ka paia ʻōpū, ka ʻūhā, a me ka ʻāina a puni.
- ʻO ke aʻa Femoral hohonu: He lālā nui kēia e lālā ana mai ke aʻa femoral maʻamau. Hoʻolako ia i ke koko i ka iwi ʻūhā (femur), ka ʻūhā, nā puʻupuʻu, a me nā ʻiʻo hohonu o ka ʻūhā o loko.
- ʻO ke aʻa Femoral Superficial: He hoʻonui kēia o ke aʻa femoral maʻamau e holo ana i lalo. Hoʻolako ia i ke koko i nā ʻiʻo ma ke alo o ka ʻūhā a me kahi ʻāpana o ke kuli.
Pehea ka nui o kēia? He aha ka pono o kēia i nā kauka?
ʻO ka maʻamau, ʻo ke aʻa femoral maʻamau he 4 kenimika (ma kahi o 1.5 ʻīniha) ka lōʻihi. Akā, ʻokoʻa kona anawaena, a i ʻole ka mānoanoa, mai kēlā kanaka a kēia kanaka ma muli o ke kāne, ke kaumaha, ke kiʻekiʻe, a me ka lāhui. ʻO ka maʻamau, he 7-8 millimeters ia.
Ma muli o kona nui o ke anawaena, he mea pono loa ia no nā kauka i kekahi mau kaʻina hana lapaʻau. No ka laʻana, i ka wā e mālama ai i nā kīʻaha koko o ka puʻuwai, e like me ka wā o nā hoʻokolohua e like me ka angiogram , hiki i ke kauka ke hoʻokomo i kahi ʻōmole lahilahi (catheter) ma o kēia aʻa femoral i loko o ke kino a hoʻokokoke mai i ka puʻuwai. Ua kapa ʻia kēia he `(Endovascular procedures)`. No laila, he ala maikaʻi kēia e hiki ai i nā kīʻaha koko ʻē aʻe i loko o ke kino.
Nā kūlana maʻamau e pili ana i ke aʻa femoral
E like me nā kīʻaha koko ʻē aʻe, hiki ke hoʻopilikia ʻia ke aʻa femoral e nā ʻano maʻi like ʻole. E nānā kākou i nā mea maʻamau.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻO ka maʻi ʻaʻai peripheral (PAD) | ʻO kēia ka maʻi maʻamau e hoʻopilikia ana i ke aʻa femoral. Maanei kahi e waiho ai nā mea e like me ka cholesterol i loko o nā kīʻaha koko, e ālai ana i ke kahe koko. |
| Nā ʻūpā koko | Hiki i kahi ʻūpā koko ke hana i loko o kahi kīʻaha koko a paʻa. Hiki i kēia ke hoʻōki loa i ke kahe ʻana o ke koko. |
| Nā Aneurysms | Lilo ka paia o ke kīʻaha koko i nāwaliwali a pehu aʻe e like me ka pōpō. Hiki i kēia ke pahū. |
He aha nā hōʻailona o kēia mau maʻi?
Inā he pilikia me kou aʻa femoral, hiki ke ʻike ʻia nā hōʻailona ma lalo nei. Pono ʻoe e makaʻala i kēia mau mea.
- I ka wā e hele wāwae ana, ʻoiai ma ka wikiwiki a i ʻole ke piʻi ʻana i ke alapiʻiʻEha, ʻoʻoleʻa, ʻeha, a luhi paha i nā ʻiʻo o nā wāwae. Hoʻomaha kēia ʻeha ma hope o kahi manawa pōkole o ka hoʻomaha.
- Ke manaʻo nei i ka pehu ʻana a i ʻole ke kaomi ʻana i ka wāwae.
- Inā loaʻa iā ʻoe kahi ʻeha ma kou wāwae a i ʻole kou wāwae paha, e lōʻihi ka manawa e ho'ōla ai.
- Ka ʻili ʻole (ʻoi aku hoʻi ma nā wāwae).
- Ke ʻūlū ʻana o ka wāwae a i ʻole ka nalowale ʻana o ka ʻike ma ka wāwae.
Pilikia! Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau!
ʻO ka paʻa koke ʻana o ke aʻa femoral he pilikia olakino ia e pono ai ka mālama koke ʻana. Hana ʻia kēia ke paʻa kahi mea e like me ke koko.
Inā ʻike koke ʻoe i kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila . ʻO ka lohi o ka mālama ʻana hiki ke alakaʻi i ka hōʻeha nui i ka wāwae, a malia paha e pono ai ke ʻoki ʻia.
- ʻEha nui ma ka wāwae.
- Manaʻo o ka maneʻo o ka wāwae (Paralysis).
- ʻUʻumiʻumi i nā wāwae.
- Anuanu koke o nā wāwae.
- Lilo ka ʻili ma nā wāwae i keʻokeʻo loa a polū paha.
Eia kekahi, inā ʻoki ʻia ke aʻa femoral i kahi ulia, e kahe nui ke koko. He pilikia hoʻoweliweli nō hoʻi kēlā. I kēlā hihia, he mea nui hoʻi e hele koke i ka ETU .
Pehea lā e mālama ai i kēia kīʻaha koko makamae i ke olakino?
ʻO ka mea pōmaikaʻi, ma ka hoʻololi ʻana i ko kākou nohona, hiki iā kākou ke mālama i ke olakino o ke aʻa femoral, a me nā kīʻaha koko ʻē aʻe a pau o ke kino.
- E mālama i ka ʻai maikaʻi: E ʻai i ka ʻai haʻahaʻa i ka paʻakai, ka cholesterol, a me nā momona paʻa, a waiwai hoʻi i nā mea kanu a me nā huaʻai.
- E hoʻoikaika kino mau: E hana i nā hoʻoikaika kino maʻalahi e like me ka hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
- E kāohi i kou koko: Inā he koko kiʻekiʻe kou, e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai.
- E pale loa i ka puhipaka: ʻO ka puhipaka ka mea hōʻino nui loa i nā kīʻaha koko.
- E kaupalena i ka inu ʻana i ka waiʻona.
- Kaohi i ka maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e kaohi pono i kou pae kō koko.
- E mālama i ke kaumaha olakino.
Inā loaʻa iā ʻoe ka ʻeha ma kou mau wāwae, ka paʻakikī i ka hele wāwae, a i ʻole kekahi mau hōʻailona ʻē aʻe, mai hoʻokuʻu wale iā ia me he "mea e hana ʻia me ka ʻelemakule." E hōʻoia e ʻike i kāu kauka a kamaʻilio e pili ana i ia mea. E hana ʻo ia i nā hoʻokolohua e pono ai, e ʻike pono i kou pilikia, a e kuhikuhi i ka lāʻau e pono ai.
Leka Lawe-Home
- ʻO ke aʻa femoral ke kīʻaha koko nui e hoʻolako i ka oxygen a me nā meaʻai i kou mau wāwae.
- ʻO ka ʻeha ma kou mau wāwae i ka wā e hele ana he hōʻailona paha ia o ka maʻi peripheral artery (PAD). Mai hoʻowahāwahā iā ia.
- ʻO kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) hiki ke mālama i ke olakino o kou mau aʻa.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha wāwae koke a koʻikoʻi, ka mae ʻana o ka ʻōpū, ke anu, a i ʻole ka mae wale, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Inā he mau hopohopo kāu e pili ana i ke olakino o kou mau wāwae, e kūkākūkā me kāu kauka ʻohana no ka ʻōlelo aʻo.











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