Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha, ke kani ʻana, a i ʻole ka manaʻo o ka mae wale ʻana i kou mau wāwae ke hele ʻoe? Hoʻomaka anei kou mau wāwae e ʻeha ma hope o ka hele ʻana no kahi mamao pōkole, a emi iho ka ʻeha ma hope o kou kū mālie ʻana no kekahi manawa? A laila ʻo kekahi o nā kumu nui o kēia, ʻo ia paha ua paʻa nā aʻa e lawe ana i ke koko i kou mau wāwae i ka momona. Kāhea mākou i kēia ʻano he Peripheral Artery Disease, a i ʻole PAD no ka pōkole. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau kūikawā a holomua loa e hoʻomaʻemaʻe i kēia mau aʻa i paʻa a hoʻihoʻi i ke kahe koko. Ua kapa ʻia ʻo Atherectomy.
I ka ʻōlelo maʻalahi, he aha ka Atherectomy?
E like me ka paipu wai i loko o ko mākou hale e paʻa ana i ka lepo a me ka popo i ka hala ʻana o ka manawa, hiki i nā mea momona e like me ka cholesterol ke hōʻiliʻili i loko o nā aʻa o ko mākou kino i ka hala ʻana o ka manawa. Kāhea mākou i kēia papa momona e hōʻiliʻili ana i ka 'plaque' . Mānoanoa mālie kēia papa o ka plaque a hoʻemi i ka hakahaka i loko o ke aʻa. I ka pololei, hoʻohaiki ia i ke aʻa. I ka lāʻau lapaʻau, kapa mākou i kēia kaʻina hana ʻo Atherosclerosis . No laila, ʻo PAD ke ʻano o Atherosclerosis e hoʻopilikia ai i nā aʻa i loko o nā lālā, ʻoi aku hoʻi nā wāwae.
ʻO ka Atherectomy kahi hana kahi e hoʻokomo ʻia ai kahi paipu lahilahi loa (catheter) i loko o kahi aʻa i paʻa ʻia, a me ka hoʻohana ʻana i kahi pahi liʻiliʻi a i ʻole ke kukuna laser ma ka hopena o ka paipu, ʻoki ʻia a ʻānai ʻia ka palaki paʻakikī. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi ʻāpana lepo liʻiliʻi i hoʻopaʻa ʻia i loko o kahi paipu me kahi mea hana kūikawā.
Ma hope o ka hana ʻana i kēia, ua wehe ʻia ke ālai ʻana i loko o ke aʻa, a hiki ke kahe manuahi ke koko. I kekahi manawa, ma hope o ka wehe ʻana i kēia papa momona, hiki i nā kauka ke hana i kahi angioplasty e wehe ai ke aʻa, ma ke kau ʻana i kahi baluna a i ʻole kahi stent .
He aha nā ʻano nui o ka mālama ʻana i ka atherectomy?
Aia kekahi mau ʻano nui o ka mālama ʻana i ka atherectomy, ma muli o ka mea hana i hoʻohana ʻia e wehe i kēia papa plaque. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe ma muli o nā mea e like me ke ʻano o ka paʻa ʻana i loko o kou aʻa a me ke ʻano o ka papa plaque.
| Inoa o ke ʻano lapaʻau (ʻAno o Atherectomy) | Pehea e hana ai |
|---|---|
| ʻO ka Atherectomy Excisional | Hoʻopili kēia i ka ʻoki ʻana a me ka wehe ʻana i ka papa plaque ma kekahi ʻaoʻao me kahi mea ʻoiʻoi. |
| ʻO ke kāpae ʻana o ka laser | E like me ka inoa e hōʻike nei, hoʻohana kēia i kahi kukuna laser ikehu kiʻekiʻe e hoʻoheheʻe, hoʻoheheʻe, a wehe i ka papa plaque. |
| ʻO ka hoʻopau ʻana i ka orbital | Ua like kēia me ka wehe ʻana i ka ʻōpala me ka pepa one. Hoʻohana ʻia kahi mea me kahi wēlau daimana e wili ana i ka wikiwiki kiʻekiʻe e kahakaha a wili i ka papa plaque. |
| ʻO ka Atherectomy Rotational | I kēia hihia, hoʻohana ʻia kahi hāmeʻa me kekahi mau pahi liʻiliʻi e wili ana i ka wikiwiki kiʻekiʻe e ʻoki, wāwahi, a wehe i ka papa plaque. |
He aha kaʻu e hana ai ma mua o kēia lāʻau lapaʻau?
Ma mua o ka hoʻoholo ʻana o kāu kauka e hana i kēia lāʻau lapaʻau, e kauoha ʻo ia i kekahi mau hoʻokolohua e ʻike ai i ka nui o ke ālai ʻia ʻana o kou mau aa koko a me ko lākou wahi.
- Angiography: ʻO kēia ke komo ʻana i kahi kala kūikawā i loko o kou mau kīʻaha koko a lawe i nā kiʻi X-ray o ke koko e kahe ana ma o lākou. Hiki iā ʻoe ke ʻike maopopo i nā mea āpau e ālai ʻia ana.
- ʻO Vascular Ultrasound: Ua like kēia me kahi scan maʻamau. Hoʻohana ia i nā nalu kani e ana i ka wikiwiki o ke kahe koko i loko o nā aa koko a ʻike i nā mea i ālai ʻia.
Ma muli o nā hopena o kēia mau hoʻokolohua, e hoʻoholo kāu kauka inā kūpono ʻoe no Atherectomy. A laila e hāʻawi ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ka hoʻomākaukau ʻana no ka lāʻau lapaʻau.
- ʻAi a me ka Mea Inu: Hiki ke noi ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka mālama ʻana.
- Nā lāʻau lapaʻau: He mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā lāʻau hoʻokahe koko (anticoagulants) a i ʻole aspirin. E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā.
Ke hele ʻoe i ka haukapila i ka lā o kou mālama ʻana, e hāʻawi ʻia ʻoe i kahi lole haukapila a e hoʻokomo ʻia kahi ʻōmole lahilahi i loko o kahi aa koko ma kou lima e hāʻawi iā ʻoe i ka anesthesia. Mai hopohopo, ua hana ʻia kēia mau mea a pau i ʻole ʻoe e manaʻo i kekahi ʻoluʻolu ʻole a ʻeha paha.
Pehea ka hana o ka lāʻau lapaʻau?
ʻAe, e nānā kākou pehea e hana maoli ʻia ai kēia lāʻau lapaʻau. ʻAʻole kēia he ʻoki kino nui, no laila ʻaʻole ia e hana i kahi ʻoki nui i kou kino.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomāʻū a me kahi mea hoʻomaha e hoʻomāʻona iki iā ʻoe. No laila, ʻaʻole ʻoe e ʻeha, akā e ʻike ʻoe.
2. A laila, e hana ke kauka i kahi ʻoki liʻiliʻi ma kou ʻili e hoʻokomo i kahi ʻōmole lahilahi (catheter) i loko o kekahi o kou mau aa koko (maʻamau ma kou ʻūhā a i ʻole ka pulima lima).
3. A laila, alakaʻi pono ʻia ka ʻōmole ma o ke aʻa koko, ma lalo o ke alakaʻi ʻana a X-ray, a hoʻouna ʻia i kahi i hōʻiliʻili ʻia ai ka plaque a ua ālai ʻia.
4. ʻO ka hope loa, hoʻāla ʻia ka hāmeʻa kūikawā (pahi, laser, a i ʻole ka wēlau wili) ma ka hopena o ka paipu, ʻoki ʻia ka papa plaque, ʻānai ʻia, a wehe ʻia nā ʻāpana ma o ka paipu.
Pono paha e hana ʻia kēia i nā manawa he nui a hiki i ka hoʻihoʻi piha ʻana o ke kahe o ke koko. ʻO ka maʻamau, ʻelua hola ka lōʻihi o ke kaʻina hana holoʻokoʻa.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka hoʻopau pono ʻana o ka mālama ʻana, pono ʻoe e moe ma kahi moe no kekahi mau hola (ʻo ka maʻamau he 4-6 mau hola) e pale aku i ke kahe ʻana o ke koko mai kahi i hoʻokomo ʻia ai ke catheter. I loko o kēia manawa, e nānā mau nā kahu maʻi i kou koko, ka pulse, a me ka helu o ka puʻuwai.
ʻO ka hapa nui o ka manawa, hana ʻia kēia ma ke ʻano he kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi. Eia nō naʻe, i kekahi manawa, ma muli o kou kūlana, pono paha ʻoe e noho i ka haukapila no hoʻokahi lā.
Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, ʻoiai he ʻokoʻa ka manawa hoʻōla o kēlā me kēia kanaka, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ka manawa kūpono e hoʻomaka hou ai i kāu mau hana.
Nā pono a me nā pilikia o ka mālama ʻana i ka atherectomy
E like me nā hana lapaʻau a pau, he mau pono ko ka atherectomy a me kekahi mau pilikia liʻiliʻi loa. He mea nui e makaʻala i kēia mau mea.
| Nā Pōmaikaʻi | Nā Pōʻino/Nā Pilikia |
|---|---|
| Hāʻawi koke i ka hōʻoluʻolu mai nā hōʻailona PAD (e like me ka ʻeha o ka wāwae). | Ke ʻoki ʻoe i ka palaki, hiki i kahi ʻāpana liʻiliʻi ke haki a paʻa i loko o kekahi aʻa liʻiliʻi i mua ou. |
| ʻAʻole kēia he ʻoki kino nui. He lua liʻiliʻi wale nō i hana ʻia ma ka ʻili. (Minimally invasive) | I kekahi manawa hiki i ka hāmeʻa ke hōʻino i ke kīʻaha koko, e hana ana i kahi lua. |
| ʻO ka maʻamau, he manawa pōkole ka lōʻihi o ka mālama ʻana, ma kahi o ʻelua hola. | Hiki ke kū mai ke kahe koko a i ʻole ka maʻi ma kahi i hoʻokomo ʻia ai ka ʻōmole. |
| Hiki iā ʻoe ke hoʻōla koke a hoʻi i ke ola maʻamau. | Aia kekahi manawa kūpono e waiho hou ʻia ai ka plaque ma kahi hoʻokahi. |
Akā, pono ʻoe e hoʻomanaʻo he mea kakaikahi loa kēia mau pilikia. He akamai loa nā kauka akamai i ka pale ʻana i kēia mau kūlana mai ka hanana ʻana a me ka hoʻokele ʻana iā lākou inā loaʻa.
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ka mālama ʻana, he mea nui e makaʻala i nā loli i kou kino. Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kamaʻilio me kāu kauka me ka hoʻokaʻulua ʻole .
| Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka. |
|---|
| - ʻEha nui a hiki ʻole ke hoʻomanawanui ma ka ʻāpana ʻūhā a i ʻole ka wāwae i mālama ʻia. |
| - Pehu wāwae (Edema) . |
| - ʻUlaʻula a i ʻole kahi manaʻo mehana ma ka wahi i mālama ʻia. |
| - ʻOi aku ke anu a i ʻole ka helu o ka wāwae i mālama ʻia ma mua o ka wāwae ʻē aʻe. |
He ala kūpono a palekana hoʻi ka Atherectomy e mālama ai i ka Peripheral Artery Disease (PAD). Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu e ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Mahalo i nā lāʻau lapaʻau hou e like me kēia, ua hiki iā mākou ke hoʻoponopono pono i kēia mau maʻi.
Leka Lawe-Home
- He hana maʻalahi ka Atherectomy, kahi e ʻeli ai a wehe i nā waihona momona (plaque) i hoʻopaʻa ʻia i loko o nā aʻa ma muli o ka PAD.
- ʻOiai ʻaʻole kēia he hana ʻoki kino nui, hiki iā ʻoe ke hoʻōla koke a hoʻi i ke ola maʻamau.
- E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi, akā he mea kakaikahi loa ia a hiki ke mālama ʻia e nā kauka akamai.
- Inā loaʻa iā ʻoe ka ʻeha maʻamau, ka pehu ʻana, ka ʻulaʻula, a i ʻole ke kani ʻana o kou wāwae ma hope o ka mālama ʻana, e kāhea koke aku i kāu kauka .
- He mea nui loa kou nohona, e like me ka ʻai a me ka hoʻoikaika kino, no ka holomua o kēia lāʻau a no ka pale ʻana i ka hoʻi hou ʻana.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo