ʻEha anei kou mau wāwae i kou hele ʻana? Nalo anei ia ke kū ʻoe? E kamaʻilio kākou e pili ana i ka Intermittent Claudication!

Ke ʻeha nui nei ʻoe i kou mau wāwae, ʻoiai kou mau keiki bipi, me he mea lā e ʻūlū ana a ʻōwili paha i kou hele ʻana no kahi mamao pōkole? Akā, e nalowale loa anei ka ʻeha ke kū ʻoe a hoʻomaha no kekahi manawa? Inā he ʻike maʻa mau kēia iā ʻoe, a laila he mea nui loa kēia kumuhana a mākou e kūkākūkā nei i kēia lā iā ʻoe. ʻO kēia kūlana ka mea a mākou e kapa nei he "Intermittent Claudication" ma ka ʻepekema lapaʻau.

I ka ʻōlelo maʻalahi, he aha ka Intermittent Claudication?

ʻAʻole kēia he maʻi maoli, akā he hōʻailona ia o kahi maʻi. I ka ʻōlelo maʻalahi, he ʻeha ia āu e ʻike ai i kou mau ʻiʻo ke hana ʻoe, e like me ke hele ʻana. Akā nalo kēia ʻeha ke hoʻomaha ʻoe. I kekahi manawa ua koʻikoʻi loa kēia ʻeha a pono ʻoe e hoʻōki i ka hele ʻana.

ʻO kēia no ka mea he pilikia ko kou kino me ke kahe koko . Ke hele ʻoe, pono nā ʻiʻo o kou mau wāwae i ka oxygen ma mua o ka maʻamau. Akā i ka wā ʻaʻole lawa ke koko (a me ka oxygen) o kēlā mau ʻiʻo ma o nā kīʻaha koko, hoʻomaka ʻoe e ʻeha. Ke kū ʻoe a hoʻomaha, emi ka oxygen e pono ai nā ʻiʻo, no laila aia ke koko liʻiliʻi a lākou e loaʻa ai. No laila e nalowale ana ka ʻeha.

Pehea ke ʻano o kēia ʻeha?

Manaʻo ka poʻe he nui i kēia me he ʻeha ʻoi a palupalu. Me he mea lā e huki ʻia ana a ʻūmiʻi ʻia ana paha kahi ʻiʻo. Ua kapa pū kekahi poʻe iā ia he "lio Charley." ʻO ka nui o kou hoʻoikaika kino a hele wāwae paha, ʻoi aku ka nui o ka ʻeha. I kekahi mau hihia, hiki i nā aʻalolo ke manaʻo he mae wale i nā wāwae ma muli o ke kahe koko maikaʻi ʻole.

No ke aha lā kēia e hana nei? He aha ke kumu nui?

ʻO ke kumu nui o kēia hōʻailona he ʻano i kapa ʻia ʻo Peripheral Artery Disease (PAD) . E noʻonoʻo i nā kīʻaha koko i loko o ko kākou kino e like me nā paipu wai. I ka hala ʻana o ka manawa, hōʻiliʻili ka ʻōpala a me ka lepo i loko o kahi paipu wai a paʻa nā lua i loko o ka paipu, pēlā nō hoʻi, hōʻiliʻili nā momona a me ka cholesterol i loko o ko kākou mau kīʻaha koko (arteries) a hana i ka mea i kapa ʻia ʻo "plaque". Kāhea mākou i kēia ʻo `(Atherosclerosis)`.

Ke hoʻohaiki ʻia nā kīʻaha koko e nā platelets, e emi ana ka nui o ke koko e kahe ana ma o lākou. He ʻoiaʻiʻo loa kēia i ka wā e hoʻohaiki ʻia ai nā aʻa koko e hoʻolako ana i ke koko i nā wāwae ma kēia ʻano, ʻo ia hoʻi ka PAD. Hoʻoulu kēia i ka ʻeha ke loaʻa ʻole i kou mau wāwae ka oxygen i ka wā e hoʻoikaika kino ana ʻoe, e like me ka wā e hele wāwae ana.

He aha nā hoʻokolohua a ke kauka e hana ai e ʻike ai i kēia?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia,Pono ʻoe e ʻike i ke kauka. Hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole e ʻike ai i ke kumu pololei o kēia ʻeha.

Pehea e mālama ʻia ai kēia maʻi?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻomaikaʻi ʻana i ke kahe koko i nā wāwae. ʻOiai ʻaʻole hiki i kēia mau lāʻau ke ho'ōla piha i ka maʻi, hiki iā lākou ke kāohi i nā hōʻailona a hoʻomaʻalahi i ke ola. Hiki ke hoʻokaʻawale ʻia nā ʻano mālama i ʻekolu mau māhele nui.

1. Nā loli o ke ʻano o ka nohona

Hiki iā ʻoe ke hana i kēia mau mea iā ʻoe iho.

• Ka hele wāwae mau:E hele wāwae no ka liʻiliʻi he 30 mau minuke i ka lā, 3 mau lā o ka pule. E hoʻōki i ka wā e ʻeha ai ʻoe, e hoʻomaha, a hele hou. E kōkua kēia i ke kūkulu ʻana i nā kīʻaha koko hou i kou mau wāwae.
• Ka mālama ʻana i ke kaumaha olakino: Hiki i kēia ʻano ke lilo i mea ʻino aʻe i ka piʻi ʻana o ke kaumaha o ke kino.
• ʻAi olakino: E ʻai i nā meaʻai e kōkua ai i ka kaohi ʻana i nā mea e like me ka maʻi diabetes, ka cholesterol kiʻekiʻe, a me ke koko kiʻekiʻe.
• Ka haʻalele loa ʻana i ka puhipaka a me ka hoʻohana ʻana i ka paka: He mea ʻino loa kēia i nā kīʻaha koko.
• Ka hoʻokele koʻikoʻi: Hoʻopilikia pololei ke olakino noʻonoʻo i ke olakino o ka puʻuwai a me ka ʻōnaehana kahe koko.

2. Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau hoʻokahe koko: Pale kēia i nā pilikia koʻikoʻi e like me ke kūkulu ʻana o nā ʻōpū koko a me ka pale koke ʻana i nā kīʻaha koko.
• Statins: Hoʻohaʻahaʻa kēia i nā pae cholesterol a kāohi i ka hoʻokumu ʻia ʻana o ka plaque i loko o nā kīʻaha koko.
• Nā lāʻau lapaʻau koko: Hoʻonui kēia i nā kīʻaha koko a hoʻomaʻamaʻa i ke kahe koko.
• Lāʻau lapaʻau maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui loa ia e kaohi pono iā ia.

3. ʻO ke ʻoki kino a i ʻole nā ​​​​kaʻina hana ʻē aʻe

Inā loli ke ʻano o ka nohona a ʻaʻole hiki i nā lāʻau lapaʻau ke kāohi i ke kūlana, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino a i ʻole kekahi hana ʻē aʻe.

• Angioplasty: Hoʻokomo ʻia kahi mea like me ka pōpō i loko o kahi kīʻaha koko i haiki ʻia a hoʻopiha ʻia e hoʻonui i ka kīʻaha.
• Ke kau ʻana o ka stent: Ma hope o ka angioplasty, ua kau ʻia kahi mea like me ka mesh (stent) i loko o ke kīʻaha koko e pale aku ai i ka hoʻohaiki hou ʻana.
• ʻO ke ʻoki ʻoki bypass: Hana ʻia kahi ala hou me ka hoʻohana ʻana i kahi kīʻaha koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino, e like me ka hana ʻana i kahi ala hou no ke kahe ʻana o ke koko a puni kahi mea i ālai ʻia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike mua ʻoe he "Intermittent Claudication" kou, e makaʻala pono i nā hōʻailona ma lalo nei. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) .

• Inā ʻoe e manaʻo i ke anu nui a i ʻole ka mae ʻana o ka wāwae.
• Inā lōʻihi ka manawa e ho'ōla ai i nā ʻeha ma nā wāwae, a inā paha e ulu ana nā ʻeha hou (nā ʻōpū).
• Inā he mau hōʻailona o ka maʻi (pehu ʻana, ʻulaʻula, ʻeha, mehana) a puni kahi ʻeha.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana me ka ʻeha o ka wāwae.
• Inā ʻeha kou wāwae ʻoiai ke hoʻomaha nei ʻoe.
• Inā loaʻa iā ʻoe ka ʻeha koke a koʻikoʻi paha a inā paha e neʻe ka ʻeha mai kahi maʻamau i kahi ʻē aʻe.

Hiki i kēia kūlana ke hoʻolilo i ka hele wāwae a me nā hana o kēlā me kēia lā i mea paʻakikī. Eia nō naʻe, me ka ʻike mua ʻana a me ka mālama kūpono, hiki ke pale ʻia mai ka lilo ʻana i mea koʻikoʻi a hiki iā ʻoe ke ola i kahi ola maʻamau.