Ua ʻike anei ʻoe i ke 'Iliac Artery' e hāʻawi ana i ke ola i ko kākou mau wāwae?

Ua noʻonoʻo paha ʻoe pehea e loaʻa ai ke koko i kou mau wāwae a me kou mau ʻūhā, ʻo ia hoʻi ke ola? Ke hele mākou, holo, a kū wale nō hoʻi, lawe ʻia ka ikehu a me ka oxygen e pono ai no kēia mau mea a pau e ke koko. No laila, aia kahi ʻōnaehana nui o nā kīʻaha koko e hoʻolako mau ana i ke koko i ka ʻaoʻao haʻahaʻa o ko mākou kino. E kamaʻilio mākou e pili ana i kēia lā. Ua kapa ʻia kēia mau mea ʻo 'Iliac Artery' a i ʻole ke aʻa pelvic i ka ʻepekema lapaʻau.

I ka ʻōlelo maʻalahi, he aha kēia 'Iliac Artery'?

ʻO ke 'iliac artery' ka pūnaewele nui o nā kīʻaha koko e hoʻolako i ke koko i ka ʻaoʻao haʻahaʻa o ko mākou kino, ʻo ia hoʻi, nā wāwae, nā pūhaka, ka ʻāpana pelvic, a me ka ʻōnaehana hānau. E noʻonoʻo i ke kīʻaha koko nui loa i loko o ko mākou kino, ʻo ka aorta, e hoʻomaka ana mai ka puʻuwai, e like me ka paipu nui mai kahi pahu wai nui. Ke hiki kēia paipu nui i ka ʻōpū, kokoke i ka piko, māhele ʻia i ʻelua mau lālā nui. ʻO kēlā mau lālā ʻelua ka mea a mākou e kapa nei he 'iliac arteries'.

No kēia mau mea i kahi māhele i kapa ʻia ʻo nā aʻa peripheral . ʻO ka huaʻōlelo 'peripheral' e pili ana i nā aʻa e hoʻolako i ke koko i nā ʻāpana o ke kino e mamao iki aku ana mai ka puʻuwai. No laila, he mea nui kēia mau aʻa iliac no ke olakino o ko kākou mau wāwae.

He aha nā hana nui o kēia ʻōnaehana vascular?

Ma ke ʻano he ʻāpana koʻikoʻi loa o ka ʻōnaehana hoʻopuni koko o ko mākou kino holoʻokoʻa, aia kekahi mau wahi i hoʻolako nui ʻia me ke koko e ka aʻa iliac.

• Nā lālā haʻahaʻa: Hoʻokomo pū kēia me kou mau wāwae, nā wāwae, nā pūhaka, nā puʻupuʻu, a me nā ʻūhā. Hāʻawi kēia mau kīʻaha koko i ka oxygen a me nā meaʻai e pono ai kou mau ʻiʻo i kou wā e hele ai, holo ai, a hoʻoikaika kino paha.
• Nā ʻiʻo o ka ʻōpū a me ke kua: Loaʻa i kekahi o nā ʻiʻo i loko o ko kākou ʻōpū a me ke kua ke koko mai nā lālā o kēia ʻōnaehana vascular.
• ʻŌnaehana hānau: Kōkua pū kēia i ka hoʻolako ʻana i ke koko e pono ai no ka hana olakino o ka ʻōnaehana hānau o nā wahine a me nā kāne.
• ʻO nā kino ʻē aʻe ma ka ʻāpana pelvic: Hāʻawi pū ka aʻa iliac i ka hoʻolako ʻana i ke koko i nā kino e like me ko mākou ʻōpū mimi, nā ʻōpū, ke akepaʻa, a me ka pancreas.

I ka ʻōlelo maʻalahi, ʻo ke olakino o ko mākou kino ma lalo o ka pūhaka e hilinaʻi nui ʻia ana i ke olakino o kēia mau aʻa iliac.

Pehea e lālā ai ke aʻa 'iliac' i loko o ke kino

E like me kā mākou i ʻōlelo ai ma mua, ua māhele ʻia ka aorta ʻōpū i ʻelua mau lālā nui. Ua kapa ʻia kēia mau mea ʻo ke aʻa iliac maʻamau ʻākau a me ke aʻa iliac maʻamau hema .

ʻO kēia mau aʻa iliac maʻamau ʻelua, e hele ana ma kahi o hoʻokahi ʻīniha i lalo, e māhele ana i ʻelua mau lālā nui. E like me ka māhele ʻana o kahi lālā nui mai kahi kumu lāʻau i ʻelua mau lālā liʻiliʻi. ʻO kēia mau lālā ʻelua:

1. ʻO ke aʻa Iliac waho

2. ʻO ke aʻa Iliac kūloko

Hoʻokaʻawale kēlā me kēia o kēia mau aʻa i nā lālā liʻiliʻi e lawe i ke koko i nā ʻōkana a me nā ʻiʻo pili. E nānā kākou i kēia me nā kikoʻī hou aku.

He aha nā maʻi e hoʻopilikia ai i nā aʻa iliac?

E like me nā kīʻaha koko ʻē aʻe i loko o ko kākou kino, hiki ke hoʻopilikia ʻia nā aʻa iliac e nā ʻano maʻi like ʻole. He mea maʻamau loa kekahi o kēia, a he mea kakaikahi loa kekahi.

• ʻO ke atherosclerosis:ʻO kēia ka pilikia maʻamau. I ka ʻōlelo maʻalahi, ua paʻa nā paia o nā kīʻaha koko i ka momona, ka cholesterol, a me nā mea ʻē aʻe (i kapa ʻia he plaque), kahi e hoʻohaiki a hoʻopaʻakikī ai i nā aʻa. Ua like ia me ka ʻōpala e kūkulu ana i loko o kahi paipu wai, e ālai ana i ke kahe o ke koko.

• ʻO ka maʻi ʻaʻai Peripheral (PAD): Hoʻemi ka Atherosclerosis o nā ʻaʻa iliac i ke kahe koko i nā wāwae a me nā wāwae. ʻO ka hōʻailona nui ka ʻeha nui ma nā wāwae, ʻoi aku hoʻi ma ka ʻāpana groin, i ka wā e hele ana no kahi mamao pōkole . Hoʻomaha kēia ʻeha ma hope o ka hoʻomaha pōkole. Inā ʻaʻole mālama ʻia, hiki i kēia kūlana ke alakaʻi i ka hahau ʻana, ka hōʻeha puʻuwai, a i kekahi mau hihia, hiki ke ʻoki ʻia nā wāwae .

• ʻO ka stenosis o ke aʻa iliac: I kekahi poʻe, hiki i nā paia o nā aʻa iliac ke lilo i ʻoʻoleʻa a haiki ma muli o kahi maʻi laha ʻole i kapa ʻia ʻo Fibromuscular Dysplasia (FMD). ʻOi aku ka maʻalahi o kēia mau aʻa e haki (dissections) a nāwaliwali a puʻupuʻu paha (aneurysms).

• ʻO ka maʻi May-Thurner: He ʻano maʻi laha ʻole kēia. Ma kēia ʻano, ua ʻomi ʻia ke aʻa iliac maʻamau ma ka ʻaoʻao ʻākau a me ke aʻa iliac maʻamau ma ka ʻaoʻao hema (kahi kīʻaha koko e hoʻihoʻi i ke koko i ka puʻuwai) i ke kuamoʻo. Hoʻopilikia kēia kaomi i ke kahe ʻana o ke koko ma o nā aʻa o ka wāwae hema, e hoʻonui ana i ka pilikia o nā ʻōpū koko (Deep Vein Thrombosis - DVT) .

No laila pehea mākou e pale ai i kēia mau kīʻaha koko koʻikoʻi?

ʻO ka mea pōmaikaʻi, ʻo ka hana ʻana i kekahi mau hoʻololi maʻalahi i ko mākou nohona e hiki ke kōkua i ka pale ʻana i ke olakino o ko mākou mau aʻa iliac a hoʻemi i ka pilikia o ka hoʻomohala ʻana i nā kūlana e like me PAD.

• E hana ikaika i nā lā he nui o ka pule: ʻOiai ka hoʻoikaika kino maʻalahi e like me ka hele wāwae no 30 mau minuke i kēlā me kēia lā hiki ke hana i kahi ʻokoʻa nui. Hoʻomaikaʻi ka hoʻoikaika kino i ke kahe koko.
• E hahai i kahi papaʻai olakino no ka puʻuwai: E hōʻemi i nā meaʻai kiʻekiʻe i ka momona, ka cholesterol, a me ka paʻakai. E hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa piha i kāu papaʻai.
• E pale loa i ka puhipaka: ʻO ka puhipaka kekahi o nā ʻenemi nui loa o kēia mau kīʻaha koko. Hoʻopōʻino ia i nā paia o ke aʻa a hoʻolalelale i ke kūlana o ka "Atherosclerosis". Inā hiki iā ʻoe ke hoʻōki i ka puhipaka i kēia lā, ʻo ia ka makana nui loa hiki iā ʻoe ke hāʻawi iā ʻoe iho.
• E mālama i ke kaumaha olakino: ʻO ka momona nui e kau i ke kaumaha pono ʻole ma ka puʻuwai a me nā kīʻaha koko.
• E hoʻokele i ke kaumaha: ʻO nā mea e like me ka yoga, ka noʻonoʻo ʻana, a me ke kamaʻilio ʻana me kahi hoaaloha hiki ke kōkua i ka hōʻemi ʻana i ke kaumaha.
• E kāohi i nā kūlana olakino ʻē aʻe:Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol kiʻekiʻe, he mea nui e kaohi pono iā lākou e like me ka ʻōlelo aʻoaʻo a ke kauka.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa e ʻike koke i kāu kauka no ka ʻōlelo aʻo.

• ʻEha i ka wā e hele ana: ʻEha a ʻeha paha ma nā wāwae, nā ʻūhā, a i ʻole nā ​​puʻupuʻu, ʻoiai i ka wā e hele ana no nā mamao pōkole.
• Paʻakikī ke hele wāwae: Inā paʻakikī iā ʻoe ke hele wāwae ma muli o ka nāwaliwali a i ʻole ka mae ʻana o kou mau wāwae.
• Nā ʻeha ʻaʻole e ho'ōla: Inā lohi ka ho'ōla ʻana o nā ʻeha ma nā wāwae a i ʻole nā ​​wāwae a ʻaʻole paha e ho'ōla iki.
• ʻEha hoʻi i ka wā e hoʻomaha ai: Ke ʻoi aʻe ka ʻino o ke kūlana, hiki iā ʻoe ke ʻeha i ka wāwae ʻoiai e hiamoe ana i ka pō.

Hiki i kāu kauka ke ana i ke ʻano o ke kahe ʻana o kou koko i kou mau wāwae me kekahi mau hoʻāʻo maʻalahi a ʻeha ʻole (e like me ka Ankle-Brachial Index - ABI) e kōkua i ka hana ʻana i kahi hōʻoia pololei a kuhikuhi i ka lāʻau kūpono nāu. No laila, mai hoʻowahāwahā i kāu mau hōʻailona.