I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kīʻaha koko nui koʻikoʻi loa i loaʻa iā kākou a pau i loko o ko kākou mau wāwae, ʻoi aku hoʻi ma ka ʻūhā. ʻAʻole paha ʻoe i lohe i kēia inoa, akā, ʻo ka lawelawe a kēia aa koko e hāʻawi ai i ke kahe koko i loko o ko kākou kino, ʻaʻole ia he mea ʻole. Kapa mākou iā ia ʻo ka aa koko femoral, a i ʻole ma ka ʻōlelo Pelekania, (Femoral Vein). E like me ke alanui nui ma ke kūlanakauhale, ʻo kēia aa koko ke ala nui e lawe ai i ke koko i hoʻohana ʻia mai nā ʻāpana haʻahaʻa o ka wāwae i ka puʻuwai.
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I ka ʻōlelo maʻalahi, he aha nā aa koko?
E noʻonoʻo he kūlanakauhale nui ko kākou kino. Aia kahi ʻōnaehana hoʻolaha nui e hāʻawi ana i nā waiwai e pono ai (oxygen, nā meaʻai) i kēlā me kēia hale (ʻo ia hoʻi, ko kākou mau cell, nā ʻiʻo) ma kēia kūlanakauhale. ʻO kēia ʻōnaehana ko kākou ʻōnaehana hoʻopuni koko.
Ma kēia, kapa mākou i ka ʻōnaehana o nā paipu e lawe ana i ke koko maʻemaʻe i piha i ka oxygen mai ke kikowaena nui i kapa ʻia ʻo ka puʻuwai ʻo 'Arteries' . Ua like lākou me nā kalaka e lawe ana i nā waiwai. Ma hope o ka hele ʻana o kēia mau kalaka a hāʻawi i nā waiwai i nā wahi āpau, pono kekahi ʻōnaehana o nā paipu e hōʻiliʻili i nā mea pono ʻole e hōʻiliʻili ana ma ia mau wahi, ʻo ia hoʻi, ke koko kahiko i piha i nā huahana ʻōpala e like me ke kalapona ʻokikene. Kapa mākou i ka ʻōnaehana o nā paipu e hana ana i kēlā hana ʻo 'Veins' . Lawe kēia mau aa i ke koko me ka liʻiliʻi o ka oxygen a me nā huahana ʻōpala i ka ʻaoʻao ʻākau o ka puʻuwai e hoʻomaʻemaʻe ʻia. No laila, he aa koʻikoʻi loa kēia 'Femoral Vein' i ko mākou wāwae.
He aha ka hana nui a ka aʻa femoral?
I ka ʻōlelo maʻalahi, ʻo ka hana nui o ka Femoral Vein ʻo ia ka hōʻiliʻili ʻana i ke koko deoxygenated a pau e hōʻiliʻili ana mai nā ʻāpana haʻahaʻa o kou wāwae, ʻo ia hoʻi nā wāwae, nā kuʻekuʻe wāwae, a me nā ʻāpana ma lalo o nā kuli, a hoʻouna i luna, ʻo ia hoʻi, i nā aa nui i loko o kou ʻōpū. Mai laila mai, hele mālie kēlā koko i luna a hiki i ka puʻuwai.
E noʻonoʻo e like me nā kahawai liʻiliʻi he nui e hui pū ana e hana i kahi muliwai nui. Hoʻokumu ʻia kēia 'Femoral Vein' nui e nā aʻa liʻiliʻi he nui ma ka wāwae haʻahaʻa e hui pū ana. A laila pili ia i kekahi aʻa nui ʻē aʻe. He hana hoʻomau kēia, e pololei.
Pehea e pili ai ke koko i kēia?
Ua pili ka Femoral Vein i kekahi mau aa koko liʻiliʻi a nui. E like me nā alanui ʻaoʻao e hui pū ana me ke alanui nui. Kāhea mākou i kēia mau tributaries.
| Ka inoa o ka aa koko | He wehewehe maʻalahi |
|---|---|
| ʻAʻa Popliteal | Aia kēia ma hope o ke kuli. Hoʻokumu ʻia kēia aa koko e ke koko e puka mai ana mai nā ʻaoʻao haʻahaʻa o ka wāwae, a ʻo ia ka mea e piʻi aʻe a lilo i ka Femoral Vein. |
| ʻAʻa Femoral Hohonu | He aa koko kēia i loaʻa ma ka hohonu o ka ʻūhā. Hoʻohui pū ia i ka Femoral Vein. ʻO kahi e hui ai kēia mau mea ʻelua ua kapa ʻia ʻo Common Femoral Vein. |
| ʻO ke aʻa Saphenous Nui | ʻO kēia ke aʻa koko lōʻihi loa o ko mākou kino. Hoʻomaka ia ma loko o ka wāwae, holo i luna o ka wāwae, a hui pū me ka Femoral Vein ma ka ʻūhā. |
| Nā ʻaʻa Femoral Circumflex Lateral a me Medial | He mau aa koko liʻiliʻi ʻē aʻe kēia e hōʻiliʻili i ke koko mai nā ʻiʻo a me nā ʻiʻo o ka ʻūhā a lawe mai i ke aa koko femoral. |
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Check Availability →No ke aha he mea nui ka ʻaʻa femoral i nā kauka?
ʻAʻole wale kēia aa koko he mea nui no ke kahe koko o ko kākou koko, akā, no nā kauka hoʻi i kekahi mau lāʻau lapaʻau a me nā ʻano hana diagnostic.
E noʻonoʻo i kēia me he puka huna i ka puʻuwai. No ka mea hiki ke hiki maʻalahi i ka puʻuwai ma o kēia aa koko, hoʻohana nā kauka iā ia e mālama i kekahi mau maʻi puʻuwai.
Eia kekahi laʻana, i ka wā e pono ai ke hana i kekahi mau hoʻokolohua ma ka puʻuwai, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter i loko o ke kino ma o kēia Femoral Vein a alakaʻi ʻia ma nā kīʻaha koko i ka puʻuwai. Hoʻohana pinepine ʻia kēia ʻano hana i nā kaʻina hana mālama puʻuwai paʻakikī e like me (Right heart catheterization) a me (cardiac ablation).
Kahi a me ke ʻano o ka vein femoral
Aia kēia aʻa koko ma kou ʻūhā. Hoʻomaka ia ma ka pae o ke kuli, piʻi i luna o ka ʻūhā, a laila hele ma waena o ka ʻūhā a i loko o ka ʻōpū. ʻAʻole ia hoʻokahi. Ma ka ʻaoʻao like me ia, ʻo ia hoʻi, kokoke loa iā ia, he aʻa koko i kapa ʻia ʻo ke aʻa femoral, kahi e lawe ai i ke koko maʻemaʻe.
Ua like anei nā aa koko femoral o kēlā me kēia kanaka?
No ka hapa nui, ʻae, akā aia paha he mau ʻokoʻa iki. ʻO ka mea nui loa, aia nā kiwikā i loko o kēia aa koko.ʻO ka mea i loaʻa. Ua like kēia mau kiwikā me nā puka e wehe wale ana i hoʻokahi ala. Ke kū mākou, pale ka umekaumaha i ke koko mai ke kahe ʻana i lalo a kōkua iā ia e kahe i luna.
Eia naʻe, ʻaʻole like ka nui o nā kiwikā o nā kānaka a pau i loko o ko lākou mau aa koko. He ʻokoʻa paha ka helu o kekahi poʻe ma ko lākou wāwae hema ma mua o ko lākou wāwae ʻākau. He mea maʻamau kēlā.
ʻOkoʻa ka lōʻihi o kēia aa koko ma muli o kou kiʻekiʻe. Hiki i ke anawaena (diameter) ke ʻano maʻamau mai 6 millimeters (ka nui o ka mea holoi penikala) a i kahi 11 millimeters (ka nui o ka pī).
Nā kūlana maʻamau e pili ana i ka vein femoral
ʻOi aku ka nui o ka pilikia o nā aʻa koko i loko o ko kākou mau wāwae, ʻoiai nā aʻa koko nui e like me ka Femoral Vein. He kiʻekiʻe loa kēia pilikia no ka poʻe e kū lōʻihi ana (e like me nā kumu, nā kiaʻi palekana, nā limahana hale kūʻai). ʻO kēia no ka mea, pono e hana ikaika nā aʻa koko e pamu i ke koko i luna e kūʻē i ke koʻikoʻi i ka wā e kū ana.
Ke hana pono ʻole kēlā mau kiwikā, ʻaʻole hiki i ke koko ke hoʻōki i ke kahe ʻana i lalo. A laila hoʻomaka ke koko e hōʻiliʻili i loko o nā wāwae. Hiki i kēia ke hana i nā ʻano maʻi like ʻole.
| Kūlana olakino | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Ka lawa ʻole o ka venous mau loa | Ma muli o ka nāwaliwali o nā kiwikā i loko o nā aa koko, ʻaʻole hiki ke kahe pono ke koko a hōʻiliʻili i loko o nā wāwae. Hiki i kēia ke hana i ka pehu ʻana o nā wāwae, ka ʻeha, a me nā loli o ke kala o ka ʻili. |
| ʻO ka Thrombosis Vein Hohonu o ka Femoral Vein (DVT) | He kūlana weliweli kēia. ʻO ka mea e hana ʻia ma kēia, ʻo ia ke kūkulu ʻia ʻana o kahi ʻaʻa koko i loko o kahi aʻa koko. Inā haki kēia ʻaʻa koko a hele pū me ke koko a paʻa i loko o nā māmā, hiki ke hoʻoweliweli i ke ola. |
He aha nā hōʻailona o kēia ʻano pilikia?
Inā ʻaʻole hana pono kāu vein femoral, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:
- Ke manaʻo nei i ka ʻeha nui a i ʻole ke kuʻi ʻana ma nā wāwae.
- Ka pehu ʻana o nā wāwae, ʻoi aku hoʻi ma ka ʻāpana kuʻekuʻe wāwae.
- ʻIli maloʻo, maneʻo, a i ʻole ke ʻano o ka ʻili e lilo ana i ʻeleʻele/ʻeleʻele.
- Nā ʻeha ʻaʻole e ho'ōla ma nā wāwae.
- Hoʻokumu ʻia nā aʻa Varicose e nā aʻa pua.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i kāu kauka . ʻO ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā mua hiki ke pale i nā maʻi koʻikoʻi.
Pehea e nānā ai ke kauka inā olakino kēia aa koko?
Ma muli o kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi iā ʻoe no nā hoʻokolohua like ʻole e nānā i ke kūlana o kēia aa koko.
- Venous Duplex Ultrasound: ʻO kēia ka hoʻāʻo maʻamau. Ua like ia me ka nānā ʻana i nā pēpē. ʻAʻohe ʻeha. Hiki iā ia ke ʻike maopopo i ke kahe ʻana o ke koko i loko o ke aʻa, inā he mau ʻūpā koko, a inā paha e hana pono ana nā valves.
- CT Scan a i ʻole MRI Scan: I kekahi mau hihia, kōkua kēia mau hoʻokolohua e loaʻa kahi kiʻi maopopo o ke aʻa koko a me nā ʻiʻo a puni.
- Venogram: Pili kēia i ka hoʻokomo ʻana i kahi waihoʻoluʻu kūikawā i loko o kahi aa koko a lawe i kahi moʻo o nā kukuna X e ʻike ai inā he ālai ʻana i ke kahe koko.
He aha nā lāʻau lapaʻau?
Ke ʻike ʻia ka pilikia, e kuhikuhi ke kauka i ka lāʻau kūpono. Inā ua hana ʻia nā ʻūpā koko, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e hoʻoheheʻe iā lākou a pale i ka hana ʻana o nā mea hou.
- Nā lāʻau anticoagulants: He mau lāʻau lapaʻau kēia e pale ai i ke kāpili ʻana o ke koko. Pono pinepine kēia e lawe ʻia no ka manawa lōʻihi.
- Nā lāʻau thrombolytic: Hoʻohana ʻia kēia mau mea e hoʻoheheʻe i nā ʻōpū koko nui i hana mua ʻia. Hāʻawi pinepine ʻia kēia mau mea ma kahi haukapila, ma lalo o ka nānā pono ʻana o ke kauka.
He aha kā mākou e hana ai e mālama i ke olakino o ko mākou mau aa koko?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, he nui nā mea maʻalahi hiki iā mākou ke hana e mālama i ke olakino o kā mākou ʻōnaehana venous.
- He ʻai olakino: He mea maikaʻi loa ka ʻai ʻana i ka ʻaila, ka paʻakai, a me ke kō e emi iho ai, a ʻoi aku ka nui o nā mea kanu, nā huaʻai, a me nā mea kanu.
- Hoʻoikaika kino mau: ʻO nā hoʻomaʻamaʻa e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana e hoʻoulu i nā ʻiʻo o kou mau wāwae a kōkua i ka pamu ʻana i ke koko i luna.
- Ke kaohi ʻana i ke koko kiʻekiʻe: Inā he koko kiʻekiʻe kou, e lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka a kaohi iā ia.
- Inu wai nui: ʻO ka inu ʻana ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā e kōkua nui i ke kahe koko.
- E pale i ka puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko a hoʻonui i ka pilikia o nā ʻūpā koko. No laila, inā ʻoe e puhipaka, e hoʻāʻo e haʻalele.
- Mai noho ma ke kūlana hoʻokahi no ka lōʻihi loa: Inā koi kāu hana iā ʻoe e kū a noho paha, e hele wāwae pōkole a hoʻololi i nā kūlana ma ka liʻiliʻi i hoʻokahi manawa i ka hola.
Hiki iā ʻoe ke kūkākūkā i kēia mau mea me kāu kauka a hoʻomohala i kahi nohona kūpono iā ʻoe.
Leka Lawe-Home
- Ua like ke aʻa koko femoral me ke alaloa nui e lawe ana i ke koko mai ko mākou mau wāwae a i ka puʻuwai.
- Inā loaʻa iā ʻoe nā ʻeha wāwae mau, ka pehu ʻana, a i ʻole ke kala ʻana o ka ʻili, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o ka pilikia o nā aʻa koko.
- He ʻūpā koko weliweli ka Deep Vein Thrombosis (DVT) hiki ke hana ʻia i loko o kēia aa koko. He mea nui e makaʻala i kēia.
- ʻO ka ʻai maikaʻi, ka hoʻoikaika kino mau, a me ke ʻano ola kino olakino e hiki ke mālama i kou mau aa koko.
- Inā he kānalua a he mau hōʻailona paha kāu, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
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