Ke ʻike nei hoʻi ʻoe i ka ʻeha nui ma kou mau wāwae, ʻoiai ke hele wāwae ʻoe no kahi mamao pōkole? Ke emi nei ka ʻeha ke kū ʻoe no kekahi manawa, a laila hoʻi hou ke hoʻomaka hou ʻoe e hele? A i ʻole ua manaʻo paha ʻoe he lōʻihi ka manawa e ho'ōla ai kahi ʻeha liʻiliʻi ma kou wāwae? Ma muli paha kēia o ka hana ʻana o nā waihona momona i loko o nā aʻa (nā aʻa) e lawe ana i ke koko i kou mau wāwae, e hoʻolilo ana iā lākou i mea haiki, a ʻaʻole lawa ke koko a me ka oxygen i kou mau wāwae. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau e mālama ai i kēia maʻi a hoʻihoʻi i ke kahe koko maikaʻi i kou mau wāwae.
He aha ka Revascularization o nā Wāwae?
I ka ʻōlelo maʻalahi, ʻo ia ka mea e hana ai inā he ʻūlū a piha paha nā kīʻaha koko i loko o kou mau wāwae, a hoʻoponopono ia iā lākou a ʻae i ke koko e kahe pono hou. E noʻonoʻo i kahi paipu wai i paʻa i ka lepo a ʻaʻole e kahe pono. Ua like ia me ka hoʻomaʻemaʻe ʻana i ka paipu a hoʻihoʻi hou i ke kahe pono. Hiki i nā kauka ke hana i kēia ma o ke ʻoki kino ākea a i ʻole ma o nā ʻano minimally invasive.
He aha kēia mau lāʻau lapaʻau?
Aia kekahi mau ʻano hana e hoʻihoʻi i ke kahe koko i kou mau wāwae. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe ma muli o nā mea e like me ke koʻikoʻi o kou kūlana a me kahi o ke aʻa i paʻa. E nānā kākou i nā ʻano hana nui.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ke angioplasty | Hoʻokomo ʻia kahi uea liʻiliʻi me ka piko o ka pōpō ma loko o ke kīʻaha koko a hoʻopiha ʻia ka pōpō ma kahi o ka paʻa ʻana, e hoʻonui ana i ke kīʻaha. Ua like ia me ke kūkulu ʻana i alanui mai loko mai o kahi paipu paʻa. |
| Nā Stents | Ma hope o ka hoʻonui ʻia ʻana o ke aʻa me ka angioplasty, ua hoʻokomo ʻia kahi paipu metala liʻiliʻi, e like me ka ʻupena, i loko e pale aku ai i kona ʻūmiʻi hou ʻana. |
| ʻO ke kāpae ʻana i ka hana ʻana o ka atherectomy | Ke ʻoki ʻana i nā waihona momona (plaque) i kūkulu ʻia ma nā paia o nā kīʻaha koko me kahi pahi liʻiliʻi a i ʻole kahi kukuna laser. |
| ʻO ke ʻoki ʻana ma o ka ʻoki ʻana | Ua like ia me ke kūkulu ʻana i alanui hou (flyover) e kāpae i kahi alanui paʻahana. Ke hana nei i ala hou no ke koko e kāpae i kahi aʻa i paʻa, me ka hoʻohana ʻana i kahi aʻa koko ʻē aʻe a i ʻole kahi paipu hana mai loko mai o ke kino. |
| Hoʻopau ʻia ka endarterectomy | He hana ʻoki kino kēia. ʻOki pololei ʻia ke kīʻaha koko i paʻa ʻia, wehe ʻia ka papa momona i loko, a humuhumu hou ʻia ke aʻa koko. |
ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?
ʻO ka mea nui e pono ai kēia lāʻau lapaʻau no ka poʻe me ke ʻano i kapa ʻia ʻo Peripheral Artery Disease (PAD) , ʻo ia ka wā e hōʻiliʻili ai nā waihona momona i loko o nā aʻa e lawe ana i ke koko mai ka puʻuwai a i nā wāwae, e hoʻolilo ana iā lākou i ololi a ālai i ke kahe ʻana o ke koko.
Akā, ʻaʻole pono nā kānaka a pau me ka PAD i kēia mau ʻoki kino. ʻO nā hana mua e kāohi ai i kēia maʻi, ʻo ia ka hoʻōki ʻana i ka puhipaka, lawe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, a hana i nā hoʻoikaika kino hele wāwae.
Akā inā koʻikoʻi loa nā hōʻailona, ʻo ia hoʻi , he ʻeha nui kou ma kou mau wāwae ʻoiai ʻaʻole ʻoe e hana ana i kekahi mea , a inā ʻaʻole e ho'ōla nā ʻeha ma kou mau wāwae (ua kapa ʻia kēia ʻo 'Critical Limb Ischemia'), a laila ʻoi aku ka nui o ka manawa e pono ai ke ʻoki ʻana.
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
E nānā pono kāu kauka i kou kūlana a kūkākūkā me ʻoe i ke koho lapaʻau maikaʻi loa nāu. Ma mua o ka hoʻohana ʻana i ke ʻoki kino, e hoʻāʻo lākou e hana i kahi kaʻina hana minimally invasive i ka wā hiki.
Ma mua o ka mālama ʻana, e nānā kāu kauka iā ʻoe, e nīnau e pili ana i kou kūlana olakino, a kauoha i kekahi mau hoʻokolohua e pono ai.
- Nā hoʻāʻo koko (nā hoʻāʻo lab)
- ʻO ke kiʻi ʻana o ka ultrasound
- He hoʻāʻo e nānā i ka hana o ka puʻuwai (Electrocardiogram - EKG)
- ʻO ka angiogram CT (angiogram tomography i helu ʻia)
- MR angiogram (Angiogram resonance Magnetic)
- Hoʻāʻo koʻikoʻi
- ʻAngiogram
Hiki i kēia mau hoʻokolohua ke ʻike pono i kahi i ālai ʻia ai kou mau kīʻaha koko a pehea ka ʻino.
Kahi mea hou aʻe,
- E aʻo ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana mai ke aumoe o ka pō ma mua o ka lāʻau lapaʻau.
- Inā he mea puhi paka ʻoe, he mea nui loa ka haʻalele loa ʻana no nā hopena maikaʻi.
- E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi manawa . Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- E aʻo ʻia nō hoʻi ʻoe i ke ʻano o ka holoi ʻana i kou kino ma ke ʻano kūikawā i ka pō ma mua o ka mālama ʻana.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka mālama ʻana, pono ʻoe e moe ma kahi moe no kekahi mau hola. E nānā mau ʻia kou kūlana a e hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e pono ai. A laila e hana ke kauka i kekahi mau hoʻokolohua hou aʻe e ʻike ai inā ua holomua ka mālama ʻana a inā ua paʻa hou ke kīʻaha koko.
- Kuhikuhi kuʻekuʻe wāwae-brachial
- ʻO ke kiʻi ʻana o ka ultrasound
- ʻO ka angiogram CT a i ʻole MR
ʻEhia ka lōʻihi e ho'ōla ai?
E loli kēia ma muli o ka lāʻau i loaʻa iā ʻoe.
- Inā ua loaʻa iā ʻoe ka angioplasty a i ʻole ka atherectomy , pono ʻoe e noho i ka haukapila i ka pō. Hiki ke hala ma kahi o hoʻokahi pule e hoʻōla piha ai.
- Inā loaʻa iā ʻoe ke ʻoki bypass , pono ʻoe e noho i ka haukapila no ʻelua a ʻelima mau lā. Hiki ke hala i ʻeono a ʻewalu pule e hoʻōla piha ai.
Pehea ka maikaʻi o ka lāʻau lapaʻau? Pehea e mālama ai i nā hopena lōʻihi?
He kūpono loa kēia mau lāʻau lapaʻau. Hiki iā lākou ke hōʻemi i ka ʻeha o nā wāwae, hoʻomaikaʻi i ke ʻano o ke ola, a pale aku i ka ʻoki ʻana i nā hihia koʻikoʻi.
Akā, ʻo ka holomua lōʻihi o ka lāʻau lapaʻau e pili ana iā ʻoe. He mea nui e hoʻololi i kou nohona ma hope o ka lāʻau lapaʻau.
- Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO kēia ka mea nui loa.
- Inā ua kuhikuhi kāu kauka i nā lāʻau hoʻohaʻahaʻa cholesterol, e lawe iā lākou e like me ke kauoha.
- Inā ua kuhikuhi ʻia ʻoe i nā lāʻau lapaʻau pale puʻuwai (e like me ka aspirin), e lawe pono iā lākou e like me ke kauoha.
- E hele wāwae i kēlā me kēia lā. ʻO ka hele wāwae ka hoʻoikaika kino maikaʻi loa no kēia maʻi.
Aia kekahi mau pilikia a me nā pilikia me kēia mau lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e pili ana. Mai makaʻu iā lākou, akā he mea nui e makaʻala.
- Nā kūlana e like me ka maʻi puʻuwai
- Ke kahe ʻana o ke koko
- Ka maʻi o ka ʻeha ʻoki
- Ke kāpili ʻana o ke koko
- ʻO ka maʻi o ke aʻa a i ʻole ka paipu i hoʻohana ʻia i ka wā o ke ʻoki bypass
- Ka hoʻi hou ʻana o nā hōʻailona
- Ka pōʻino o nā puʻupaʻa
- Ka hōʻino ʻana i kahi kīʻaha koko
- Make (he mea kākaʻikahi loa kēia)
E wehewehe pono ana kāu kauka i kēia mau pilikia iā ʻoe.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka.
E hāʻawi ʻia ʻoe i ka nānā ʻana i nā lā ma hope o ka lāʻau lapaʻau. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e kāhea koke i kāu kauka me ka kali ʻole i ka hiki ʻana mai o kēlā lā.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| 🌡️ Kuni a i ʻole ke anu | 🩸 Ke kahe koko a i ʻole ka lua mai ka ʻoki |
| 🩹 ʻUlaʻula, pehu, mehana, a i ʻole ka ʻeha nui a puni ka ʻeha | ❤️ ʻEha umauma |
| 🦵 Ka ʻeha a paʻakikī paha i ka hoʻoneʻe ʻana i ka wāwae i mālama ʻia | wāwae_puhi: Hoʻonui ʻia ka pehu ʻana o ka wāwae |
ʻO ka maʻi ʻaʻai peripheral (PAD) kahi kūlana e hoʻoulu ai i nā hōʻailona ʻoluʻolu ʻole e hoʻopilikia i kou ola o kēlā me kēia lā. Akā me kēia mau lāʻau lapaʻau, hiki iā ʻoe ke ola hou a ola i kahi ola hauʻoli. E kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa nāu. Mai makaʻu e nīnau i nā nīnau e pili ana i ka lāʻau lapaʻau a me nā mea e hana ʻia ma hope. E kōkua nō hoʻi ia iā ʻoe e ʻoluʻolu.
Leka Lawe-Home
- Mai hoʻowahāwahā i ka ʻeha o ka wāwae i ka wā e hele ana no ka mea he mea maʻamau ia. He hōʻailona paha ia o kahi kīʻaha koko i paʻa. E ʻike koke i ke kauka.
- He maʻi hiki ke mālama ʻia ka maʻi peripheral arterial (PAD), a he lāʻau lapaʻau kūpono loa ka revascularization wāwae.
- Aia ka holomua lōʻihi o kāu lāʻau lapaʻau ma kou mau lima. He mea nui e hoʻōki i ka puhipaka, ʻai i ka meaʻai olakino, hoʻoikaika kino, a lawe i nā lāʻau lapaʻau a kāu kauka e kuhikuhi pololei ai.
- E nīnau i kāu kauka i nā nīnau āu e pili ana i kāu lāʻau lapaʻau a i ʻole ke kūlana. Mai makaʻu, ʻo ka maopopo he ʻāpana ia o ka lāʻau lapaʻau.
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