Ua ʻike anei ʻoe e pili ana i kēia aʻa koko koʻikoʻi loa ma ka ʻūhā? (Femoral Vein)

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.

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`.

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.

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.

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.

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.