He mau aa koko paʻa ko kou mau wāwae? E aʻo kākou e pili ana i ka PAD a me ka Atherectomy!

Ke ʻeha nei ʻoe a ʻeha paha i kou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana groin, ke hele ʻoe? Ke piʻi nei kēia ʻeha ke hele iki ʻoe a emi iho ke kū mālie ʻoe? Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​hiki ke hoʻopilikia ʻia ʻoe e kēia ʻano. Mai hopohopo, he ʻano kēia e hoʻopilikia nei i nā poʻe he nui. I kēia lā, e kamaʻilio kākou e pili ana i ke kumu o kēia a me kahi ʻano lapaʻau hou i kapa ʻia ʻo Atherectomy.

He aha ka PAD? No ke aha e paʻa ai nā aa koko?

I ka ʻōlelo maʻalahi, ʻo PAD ke kū nei no ka Peripheral Artery Disease . Ma ka ʻōlelo Sinhala, he ālai ʻia ia o nā kīʻaha koko (arteries) e lawe ana i ke koko i nā ʻōpū mamao e like me nā lālā o ko kākou kino. E noʻonoʻo i ka hala ʻana o ka manawa, ua paʻa nā mea e like me ka ʻōpala a me ka lepo i loko o kahi paipu wai. Ma ke ʻano like, hiki ke waiho ʻia ka "plaque" i loko o ko kākou mau kīʻaha koko. ʻO kēia plaque kahi papa i hana ʻia e ka hōʻiliʻili ʻana o nā mea e like me ka cholesterol, ka momona, a me ka calcium. I ka lāʻau lapaʻau, kapa mākou i kēia (Atherosclerosis) .

I ka emi mālie ʻana o ke kīʻaha koko ma muli o kēia ālai ʻana, emi iho ka nui o ke koko e hele ana ma ia mea. Ke hoʻoikaika kino ʻoe a hele wāwae paha, pono nā ʻiʻo o kou mau wāwae i ke koko hou aku, ʻo ia hoʻi ka nui o ka oxygen. Akā no ka mea ua ālai ʻia nā aʻa koko, ʻaʻole lākou e loaʻa i ka nui o ke koko e pono ai. ʻO ia ka manawa e hiki mai ai ka ʻeha a me ka mae ʻole.

He aha ka lāʻau i kapa ʻia ʻo atherectomy?

ʻO ka Atherectomy kahi lāʻau lapaʻau kūikawā e wehe ai a hoʻomaʻemaʻe paha i ka plaque i kūkulu ʻia i loko o kahi kīʻaha koko i paʻa. ʻAʻole kēia he ʻoki kino nui. Pili ia i ka hoʻokomo ʻana i kahi paipu lahilahi loa (catheter) ma o kekahi o kou mau kīʻaha koko a alakaʻi iā ia i kahi i paʻa ai. Ma ka hopena o kēia paipu he pahi lahilahi loa a ʻoi paha a i ʻole kahi mea e hoʻopuka ai i ka mālamalama laser.

ʻOki a ʻokiʻoki kēia mea hana i ka palaki paʻakikī. I kekahi manawa, pili paha kēia lāʻau i kahi angioplasty balloon e wehe hou aku i ke aʻa a i ʻole kahi stent e pale aku ai i ka pani hou ʻana. E wehewehe kikoʻī kāu kauka i kēia iā ʻoe.

Ehia mau ʻano o ka atherectomy?

ʻAe, hoʻohana nā kauka i nā ʻano hana atherectomy like ʻole ma muli o ke ʻano a me kahi o ka paʻa ʻana i loko o ke kīʻaha koko. Aia kekahi mau ʻano nui.

He aha kaʻu e hana ai ma mua o kēia lāʻau lapaʻau?

Ma mua o kou hana ʻana i kēia lāʻau lapaʻau, e kauoha ana kāu kauka i kekahi mau hoʻokolohua e ʻike pono ai i ke ʻano o ka paʻa ʻana o kou mau kīʻaha koko.

• Angiography: He hoʻāʻo kahi e hoʻokomo ʻia ai kahi kala kūikawā i loko o nā veins a lawe ʻia kahi X-ray e hana i kahi palapala ʻāina o nā veins.
• ʻO Vascular Ultrasound: He scan e hoʻohana ana i nā nalu kani e nānā i ke kahe o ke koko i loko o nā aa koko a e ʻike i nā ālai ʻana.

ʻO ka lā ma mua o kāu lāʻau lapaʻau, e loaʻa iā ʻoe kekahi mau ʻōlelo kūikawā.

• Ua hiki i ka manawa e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana.
• E pili ana i ka lawe ʻana a i ʻole ke hoʻōki ʻana i nā lāʻau lapaʻau āu e lawe nei, ʻoiai hoʻi nā anticoagulants .

He mea nui loa e hahai i kēia mau mea a pau e like me ka ʻōlelo a kāu kauka.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Ke hele ʻoe i ka haukapila, e hāʻawi ʻia ʻoe i kahi lole kūikawā e ʻaʻahu ai. A laila, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻomāʻū iā ʻoe i ʻole ʻoe e ʻeha i ka wā o ka mālama ʻana. Hana pinepine ʻia kēia i kou wā e ʻike ana, akā me kahi hoʻomaha iki.

1. E hana ke kauka i kahi lua liʻiliʻi i loko o kahi kīʻaha koko ma kou ʻūhā a lima paha a hoʻokomo i kahi ʻōmole lahilahi (catheter) ma loko.

2. A laila, ʻoiai e nānā ana i kahi pale X-ray, alakaʻi pono ʻia ka ʻōmole i kahi o ke aʻa i paʻa.

3. Ke hiki ʻoe i kahi e ālai ʻia ai, e hoʻāla i ka hāmeʻa (pahi a laser paha) ma ka hopena o ka ʻōmole a e ʻeli a ʻokiʻoki paha i ka papa melemele.

4. Hiki ke hana hou ʻia kēia kaʻina hana i nā manawa he nui a hiki i ka wā e ʻole ai ke keʻakeʻa i ke kahe koko.

ʻO ka maʻamau, ʻelua hola ka lōʻihi o kēia kaʻina hana holoʻokoʻa.

He aha ka mea e manaʻo ai ma hope o ka mālama ʻana?

Ma hope o ka mālama ʻana, pono ʻoe e moe pālahalaha ma kahi moe no kekahi mau hola (ma kahi o 6 mau hola paha) 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 ana nā kahu maʻi i kou koko a me kou pulse.

I ka hapanui o nā hihia, he lāʻau lapaʻau kēia e hiki ai iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. Eia nō naʻe, pono paha kekahi poʻe e noho i ka haukapila no hoʻokahi lā. Aia ia i kou kūlana. E hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, ʻoi aku ka maikaʻi o ke noi ʻana i kāu kauka no ka ʻōlelo aʻo.

He aha nā pono o kēia?

ʻO ka pōmaikaʻi nui o ka atherectomy, hiki ke hana ʻia ma o kahi ʻoki liʻiliʻi, ma mua o kahi ʻoki nui . ʻO ka hopena, ʻoi aku ka pōkole o ka manawa hoʻōla, emi ka ʻeha, a emi ka ʻeha.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

E like me nā lāʻau lapaʻau āpau, aia paha kekahi mau pilikia.

• Ke ʻānai ʻia ka papa melemele, hiki i kahi ʻāpana liʻiliʻi ke haki a paʻa i loko o kekahi aʻa liʻiliʻi ʻē aʻe ma ke alo.
• I kekahi manawa pinepine ʻole, hiki i ka mea ʻokiʻoki ke hōʻino i ka paia o ke aʻa koko, e hana ana i kahi ʻōpala a i ʻole kahi puka.

Akā, ʻaʻole pinepine kēia mau mea. Lawe nā kauka akamai i nā hana āpau e pono ai e hōʻemi i kēia mau pilikia.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

Ke hoʻi ʻoe i ka home ma hope o ka mālama ʻana, pono ʻoe e kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kekahi o kāu mau hōʻailona. E makaʻala loa i kēia mau mea:

• ʻEha nui ma ka ʻūhā a i ʻole ka wāwae i mālama ʻia.
• Pehu wāwae (Edema) .
• ʻUlaʻula a i ʻole ka manaʻo o ka mehana ma ka wahi i mālama ʻia.
• Ke anu a mae paha ka wāwae i mālama ʻia.

Inā ʻoe e manaʻo i kekahi mea e like me kēia, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.