Ke ʻike nei ʻoe i ka ʻeha nui ma kou mau wāwae, ʻoiai ke hele ʻoe no kahi mamao pōkole? Ke emi nei ka ʻeha ma hope o kekahi manawa a laila hoʻi mai ke hele ʻoe? A i ʻole ke ʻike nei ʻoe i ka mae ʻana o kou mau wāwae, a i ʻole ka lohi o ka ho'ōla ʻana ma hope o kahi ʻeha? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā ʻia. Hiki ke hana ʻia kēia mau mea e ka emi mālie ʻana o nā kīʻaha koko i kou mau wāwae. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau i kapa ʻia ʻo 'Leg Revascularization'.
He aha ka Revascularization o nā Wāwae?
I ka ʻōlelo maʻalahi, ʻo kēia ke wehe ʻana i kekahi mea i paʻa a i ʻole ka mea i paʻa i loko o nā kīʻaha koko (nā aʻa) i loko o kou mau wāwae a ʻae i ke koko e kahe pono hou. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi paipu wai i paʻa a ʻae i ka wai e kahe hou.
ʻO ke kumu nui o kēia kūlana he kūlana i kapa ʻia ʻo ka maʻi artery peripheral , a i ʻole "Peripheral Artery Disease (PAD)". ʻO kēia ka wā e hōʻiliʻili ai nā mea momona e like me ka cholesterol i loko o nā kīʻaha koko, e hoʻohaiki mālie ana i ke kahe o ke koko. No ka mālama ʻana i kēia, hiki i nā kauka ke hoʻohana i nā kaʻina hana endovascular a me ke ʻoki kino hāmama.
He aha kēia mau lāʻau lapaʻau?
ʻOkoʻa paha ke ʻano lapaʻau a kāu kauka e koho ai ma muli o kou kūlana. Aia kekahi mau ʻano hana nui i hoʻohana ʻia.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| ʻO ke angioplasty | Hoʻokomo ʻia kahi pōpō liʻiliʻi i loko o ke kīʻaha koko i paʻa a hoʻopiha ʻia. A laila kaomi ka papa momona i paʻa i ka paia o ke kīʻaha koko, e hoʻonui hou ana i ke ala kahe koko. |
| Ke kau ʻana i kahi stent (Stent) | ʻO ka mea i hana ʻia ma kēia, ʻo ke kau ʻana i kahi ʻōmole metala liʻiliʻi e like me ka ʻupena i loko o ke aʻa ma hope o ka angioplasty e pale aku i ka hiolo hou ʻana o ke aʻa. |
| ʻO ke kāpae ʻana i ka hana ʻana o ka atherectomy | I loko o kēia, ua hoʻokomo ʻia kahi hāmeʻa me ka pahi a i ʻole ke kukuna laser ma o kahi ʻōmole liʻiliʻi a ʻānai ʻia ka papa momona (plaque) i kūkulu ʻia i loko o ke aʻa. |
| ʻO ke ʻoki ʻana ma o ka ʻoki ʻana | Ke hana nei i ala hou no ke kahe ʻana o ke koko a puni kahi aa koko i paʻa. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi aa koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole kahi ʻōmole hana (graft). |
| Hoʻopau ʻia ka endarterectomy | Ua like kēia me kahi atherectomy, akā ʻo ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke ʻoki ʻana i ka ʻili, wehe i ke kīʻaha koko i paʻa, a wehe ʻia ma ke ʻoki ʻana i ka papa momona i loko. |
ʻO wai ka mea e pono ai kēia lāʻau lapaʻau?
ʻAʻole pono nā kānaka a pau me ka PAD i ke ʻoki kino. I nā wā mua, hiki ke mālama ʻia nā hōʻailona ma ka haʻalele ʻana i ka puhipaka, ka lawe ʻana i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai, a me ka hele wāwae i kēlā me kēia lā .
Eia nō naʻe, inā koʻikoʻi loa nā hōʻailona, ʻo ia hoʻi, he ʻeha kou wāwae ʻoiai ʻoe e kū ana, a inā he mau ʻeha kou ma kou wāwae i hoʻōla ʻole ʻia, kapa mākou i kēlā ʻano ʻo `(Critical Limb Ischemia)`. I ia hihia, pono maoli ke ʻoki ʻana a i ʻole ka lāʻau i ʻōlelo ʻia ma luna. Inā ʻaʻole i hana ʻia, e oki loa paha ke kahe o ke koko i ka wāwae, a pono paha e wehe ʻia ka wāwae.
ʻO ka mea nui loa, ʻo ia ke ʻike ʻana i ke kauka e ʻike i ke kumu pololei, ma mua o ka manaʻo ʻana he pilikia kua wale nō ka ʻeha o ka wāwae.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
E kūkākūkā kāu kauka me ʻoe i ke koho lapaʻau maikaʻi loa nāu. E hilinaʻi kēia i nā kumu he nui, me ke koʻikoʻi o kou kūlana, kahi o ka paʻa ʻana, a me nā kūlana olakino ʻē aʻe āu e loaʻa ai.
Ma mua o ka mālama ʻana, e nānā ke kauka iā ʻoe, e nīnau e pili ana i kou mōʻaukala olakino, a kauoha i kekahi mau hoʻokolohua.
- Nā hoʻāʻo koko (nā hoʻāʻo lab)
- ʻO ke kiʻi ʻana o ka ultrasound `(Ultrasound)`
- Hoʻāʻo ECG (Electrocardiogram)
- ʻO ka angiogram CT `(ʻO ka angiogram tomography i helu ʻia (CT)`
- ʻO ka angiogram MR `(Angiogram resonance Magnetic)`
- ʻAngiogram
E aʻo ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka lāʻau lapaʻau, pinepine ma hope o ke aumoe. Eia kekahi,He mea nui loa ka haʻalele ʻana i ka hoʻohana ʻana i ka paka no nā hopena holomua. Ma muli o ka ʻōlelo aʻo a kāu kauka, pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi manawa. Mai hana i kekahi o kēia me ka ʻole o ka ʻōlelo aʻo a kāu kauka.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau a pehea ka lōʻihi e hoʻōla ai?
Ma hope o ka mālama ʻana, pono ʻoe e moe ma kahi moe no kekahi mau hola. E nānā nā limahana o ka haukapila iā ʻoe a hāʻawi iā ʻoe i nā lāʻau lapaʻau e pono ai. Hiki iā lākou ke hana hou i nā scan āu i hana ai ma mua e ʻike inā ua paʻa hou kou mau aa koko.
ʻOkoʻa ka manawa hoʻōla ma muli o ka lāʻau i loaʻa iā ʻoe:
- ʻO Angioplasty a i ʻole atherectomy: Ma hope o kahi kaʻina hana liʻiliʻi e like me kēia, noho mau ʻoe i ka haukapila no kahi o hoʻokahi lā a hiki ke ho'ōla piha i loko o hoʻokahi pule.
- ʻO ke ʻoki ʻana ma o ka bypass: ʻOiai he ʻoki nui kēia, pono ʻoe e noho i ka haukapila no kekahi mau lā. Hiki ke hala ma kahi o 6 a 8 mau pule e hoʻōla piha ai.
Nā kumu pilikia a me ka wā e ʻike koke ai i ke kauka
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia. Eia kekahi laʻana, aia kahi manawa liʻiliʻi o ke kahe ʻana o ke koko, ka maʻi, nā ʻūpā koko, a me nā pilikia puʻuwai. Akā hiki ke hoʻomalu pinepine ʻia kēia mau mea. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e kāhea koke i kāu kauka:
- Lilo ka ʻeha ma ke kahua o ke ʻoki i ka maʻi a pehu paha.
- Ke kahe mau nei ke koko.
- ʻUlaʻula, pehu, a ʻeha nui paha ma kahi o ka ʻeha.
- Kuni a i ʻole ke anu.
- ʻEha ka umauma.
- ʻO ka maneʻo a paʻakikī paha e hoʻoneʻe i ka wāwae i mālama ʻia.
ʻO ka pōmaikaʻi nui o kēia mau lāʻau lapaʻau, ʻo ia ka nalowale ʻana o ka ʻeha o kou wāwae, e hoʻomaikaʻi ʻia kou ʻano ola, a e hoʻopakele ʻia ʻoe mai ka pilikia weliweli o ka nalowale ʻana o kahi wāwae.
Leka Lawe-Home
- ʻO ka ʻeha i ka wā e hele ana, ka mae ʻana o ka ʻōpū, a me nā ʻeha ʻaʻole e ho'ōla ʻia ma kou mau wāwae he mau hōʻailona ia o ka maʻi peripheral arterial (PAD). Mai hoʻowahāwahā i kēia mau mea.
- ʻO ka Leg Revascularization kahi lāʻau lapaʻau e wehe hou ai i nā kīʻaha koko i ālai ʻia a hoʻihoʻi i ke kahe koko i ka wāwae.
- I mea e mālama ai i nā hopena lōʻihi ma hope o ka mālama ʻana, he mea nui e hoʻōki loa i ka puhipaka, kaohi i ka cholesterol, a me ka hoʻoikaika kino i kēlā me kēia lā .
- E ʻoluʻolu e nīnau i kāu kauka e pili ana i ka lāʻau lapaʻau kūpono loa iā ʻoe a me kona mau pilikia. Mai kānalua e nīnau i kekahi mau nīnau.
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