Ua hana ʻia anei ka ʻeha o ka wāwae e kahi kīʻaha koko i ālai ʻia? E kamaʻilio kākou e pili ana i ke ʻoki ʻana o ka Peripheral Artery Bypass

Ke ʻeha nei ʻoe i kou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana bipi, ke hele ʻoe? Ke manaʻo nei ʻoe e nalowale ana kou mana ma hope o ka hele ʻana no kahi mamao pōkole, a me he mea lā e emi ana ke hoʻomaha ʻoe? Malia paha e ālai mālie ʻia ana kekahi kīʻaha koko i kou wāwae. Kāhea mākou i kēia ʻano he Peripheral Artery Disease (PAD). I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā i hana ʻia i ka wā e koʻikoʻi ai kēia ʻano a ʻaʻole hiki ke kāohi ʻia me nā lāʻau lapaʻau ʻē aʻe.

He aha ka Peripheral Artery Bypass?

I ka ʻōlelo maʻalahi, ua like ia me ke kūkulu ʻana i kahi ala hele hou e pale aku ai i ke kaʻa nui ma ke alanui. Hōʻiliʻili ka cholesterol a me nā mea momona ʻē aʻe i loko o nā aʻa e lawe ana i ke koko i ko mākou kino, ʻoi aku hoʻi i ko mākou mau wāwae, a hana i kahi "plaque." I ka hala ʻana o ka manawa, hōʻiliʻili kēia plaque a ālai i nā kīʻaha koko. Hoʻonele kēia i nā ʻiʻo i loko o ko mākou mau wāwae i ka oxygen a me nā meaʻai e pono ai lākou.

No laila, ma ke ʻoki ʻana o ka Peripheral Artery Bypass , hana ke kauka lapaʻau i ala hou e kāpae i ke kīʻaha koko i ālai ʻia. Pili kēia i ka hoʻohana ʻana i kahi kīʻaha koko olakino mai kou kino ponoʻī (ʻo ka maʻamau he aa koko mai kou wāwae) a i ʻole kahi graft. Hoʻopili ʻia kēia ma luna a ma lalo o ka wahi i ālai ʻia, e hana ana i ala hou no ke kahe ʻana o ke koko.

ʻO wai ka mea e pono ai kēia ʻoki kino?

ʻAʻole no nā mea āpau me PAD kēia ʻoki kino. E hoʻāʻo mua kāu kauka i nā lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona (e like me ka haʻalele ʻana i ka puhipaka, ka hoʻoikaika kino, a me ka ʻai ʻana i ka meaʻai), a me nā lāʻau lapaʻau ʻē aʻe paha e pili ana i nā ʻoki liʻiliʻi (e like me ka angioplasty a i ʻole stenting).

ʻO ka maʻamau, ʻōlelo ʻia kēia ʻoki kino no ka poʻe i loaʻa ʻole nā ​​​​hopena holomua mai kekahi o kēia mau ʻano hana a ua ālai nui i kahi ʻāpana nui o ko lākou kīʻaha koko.

Aia kekahi mau kumu nui e noʻonoʻo ai i kēia ʻoki kino.

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He aha kāu e hana ai ma mua o ke ʻoki kino?

Ke hoʻoholo ke kauka e hana i kēia ʻoki kino ma luna ou, e hana ʻo ia i kekahi mau hoʻokolohua e nānā i kou olakino holoʻokoʻa.

• Electrocardiogram (EKG): E nānā i ka hana uila o ka puʻuwai.
• ʻO ke Kiʻi Ultrasound: E ʻike pono i kahi i ālai ʻia ai nā kīʻaha koko a pehea kona koʻikoʻi.
• Nā hoʻāʻo koko: E nānā i nā mea e like me ke kō koko, ka cholesterol, a me ka hana o nā puʻupaʻa.
• Hoʻāʻo koʻikoʻi: Hana ʻia kēia hoʻāʻo i kekahi manawa e ʻike ai pehea e hana ai ka puʻuwai i ka wā e hoʻoikaika kino ai.

ʻO ka mea nui loa, inā he mea puhi paka ʻoe, pono ʻoe e hoʻōki loa i ka puhi paka i kekahi mau pule ma mua o kou ʻoki ʻana. Hoʻopaʻa ka puhi paka i kou mau kīʻaha koko a hoʻonui i ka pilikia o nā pilikia ma hope o ke ʻoki ʻana. Pono nō hoʻi ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe o ka pō ma mua o kou ʻoki ʻana a hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau a kāu kauka i ʻōlelo ai iā ʻoe e hoʻōki.

Pehea e hana ʻia ai ke ʻoki kino?

E hāʻawi ʻia ʻoe i ka anesthesia laulā (ka nalowale piha ʻana o ka ʻike) i ʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. A laila, e hana ke kauka ʻoki i nā ʻoki he 4-8 ʻīniha ka lōʻihi ma luna a ma lalo o ke kīʻaha koko i paʻa. Inā e hoʻohana ʻia ana kahi aa koko olakino ma kou wāwae e hana i ka bypass, e hana ʻia kahi ʻoki ʻokoʻa no kēlā.

A laila ua humuhumu pono ʻia ke kāpili ʻana i nā kīʻaha koko olakino ma luna a ma lalo o ka mea i ālai ʻia. Ke hana ʻia ke kahe koko hou, ua pani ʻia ka ʻoki me nā humuhumu a i ʻole nā ​​staples. Hiki i ke kaʻina hana holoʻokoʻa ke hala i ʻelua a ʻeono hola, ma muli o ka paʻakikī o ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, pono ʻoe e noho ma ka haukapila no kahi o 2-5 mau lā. I loko o kēia manawa, e nānā mau nā kauka a me nā kahu maʻi i kou pulse, ke koko, a me ke kuni. ʻO ka mea nui loa, e nānā mau lākou e hōʻoia i ke kahe maikaʻi ʻana o ke koko i ka wāwae i ʻoki ʻia. E hāʻawi lākou iā ʻoe i ka lāʻau ʻeha.

Ma hope o kou hoʻi ʻana i ka home, e kuhikuhi ke kauka i kekahi mau lāʻau lapaʻau nou e hoʻomau i ka lawe ʻana.

• Nā lāʻau lapaʻau ʻano statin (hoʻohaʻahaʻa i ka cholesterol).
• Nā lāʻau lapaʻau e like me Aspirin a i ʻole Clopidogrel (e pale aku i nā ʻaʻa koko i loko o ke kāpili hou).

He mea maʻamau ka nalowale o ka makemake i ka ʻai, ka ʻeha a i ʻole ka mae ʻana o ka ʻiʻo ma nā wahi i ʻoki ʻia ai, kekahi pehu ʻana i nā wāwae, a me ka ʻeha o nā ʻiʻo i ka wā e hele ana i nā pule mua ma hope o ka hoʻi ʻana i ka home. E emi mālie kēia mau mea i ka hala ʻana o ka manawa. Hiki ke hala ma kahi o 6-8 mau pule e ho'ōla piha ai.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino nui a pau, he mau pono kēia a me kekahi mau pilikia.

ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pilikia koʻikoʻi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe ma luna o 70 mau makahiki a me ka poʻe me nā maʻi ʻē aʻe, e like me ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa, i nā pilikia. I kekahi manawa, hiki ke ālai ʻia kahi graft hou ma hope o nā makahiki he nui. Inā hana ʻia kēlā, pono paha e hana hou ʻia ka lāʻau.

Ma hope o kou hoʻi ʻana i ka home, inā loaʻa iā ʻoe ke kuni, manaʻo anu, loaʻa ka wai e like me ka pus e puka mai ana mai kahi ʻoki ʻana, a inā he loli koke ke kala, ke ʻano, a i ʻole ka manaʻo o kou wāwae, e ʻike koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila me ka hoʻokaʻulua ʻole.