ʻEha anei kou mau wāwae i kou hele ʻana? He maʻi Peripheral Artery paha ia!

Ke ʻeha nei hoʻi ʻoe a ʻeha paha i kou mau wāwae, ʻoi aku hoʻi i kou mau keiki bipi, ke hele ʻoe, ʻoi aku hoʻi no nā mamao pōkole? Nalo anei ia ma hope o kou noho ʻana no kekahi manawa a hoʻomaha, akā hoʻi hou mai anei ia ke hele ʻoe? Inā pēlā, he mea nui paha kēia iā ʻoe. Kāhea mākou i kēia ʻano ʻo 'Peripheral Artery Disease' , a i ʻole PAD no ka pōkole. E kamaʻilio maʻalahi kākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka 'Maʻi ʻAʻai Peripheral'?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Peripheral Artery kahi kūlana kahi e hōʻiliʻili ai nā waihona momona (plaque) i loko o nā aʻa e lawe ana i ke koko i kou mau wāwae, e hoʻohaiki mālie ana iā lākou. E noʻonoʻo iā ia e like me ka paipu wai e paʻa ana i ka lepo a e hoʻemi mālie ana i ke kahe o ka wai. Ua like ko mākou mau aʻa me nā paipu. He laumania loa lākou ma loko, no laila hiki i ke koko ke kahe mālie me ka ʻole o ka paʻa ʻana.

Eia nō naʻe, i ka wā e kūkulu mālie ai kēia 'plaque' (kahi papa o ka momona a me ka cholesterol) ma nā paia o nā aʻa, e liʻiliʻi ana ka hakahaka i loko o ke aʻa. I ka lāʻau lapaʻau, ua kapa ʻia hoʻi kēia ʻo 'atherosclerosis' . I kekahi manawa, haki ka ʻili paʻakikī o kēia 'plaque', e ʻae ana i nā 'platelets' (kahi ʻano o ke koko e kōkua ana i ke kāpili ʻana o ke koko) e hana, e hoʻohaiki hou ana i ke aʻa.

Ke ālai ʻia kahi aʻa koko, ʻaʻole hiki ke kahe ke koko ma loko. ʻAʻole i loaʻa i nā ʻiʻo i loko o nā wāwae i hoʻolako ʻia e kēlā aʻa koko ka oxygen a me nā meaʻai. Hiki i kēia ke hōʻino i kēlā mau ʻiʻo a make hope loa lākou (gangrene) . ʻO ka mea maʻamau, pili kēia ʻano i nā manamana wāwae a me nā wāwae.

Loaʻa koke i kekahi poʻe ka PAD, aʻo kekahi poʻe e ulu lohi ana. Nui nā kumu ʻē aʻe e hoʻopilikia i kēia, e like me kahi o kou kino i loaʻa ai ka plaque a me kou olakino holoʻokoʻa.

Pehea ka maʻamau o kēia 'maʻi artery peripheral' (PAD)?

ʻOi aku ka maʻi maʻamau o ka PAD ma mua o kou manaʻo. Ua manaʻo ʻia aia ma waena o 8 a me 12 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa e ʻeha nei i kēia maʻi. Eia nō naʻe, i kekahi manawa ua kuhihewa ʻia a ʻaʻole i mālama ʻia. No laila, ʻoi aku paha ka nui o ka helu maoli.

Pehea ka hopena o ka PAD i koʻu kino? He aha nā hōʻailona?

ʻO ka hōʻailona nui a maʻamau o PAD ʻo ia ka claudication . He ʻeha kēia ma nā wāwae (ʻoi aku hoʻi nā keiki bipi) ke hele ʻoe a hoʻoikaika kino paha. Nalo kēia ʻeha ke hoʻomaha ʻoe. Hana ʻia kēia no ka mea ʻaʻole lawa ka oxygen i nā ʻiʻo wāwae.

Akā, ʻaʻole i kaupalena ʻia nā hopena o ka PAD i ka paʻakikī o ka hele wāwae. Hiki iā ia ke hana i nā ʻeha e ho'ōla ʻole ai ma kou mau wāwae a i ʻole nā ​​​​​​wāwae.Piʻi ka pilikia o ka loaʻa ʻana o ka hahau. Inā lilo ka maʻi PAD i mea koʻikoʻi, hiki i kēia mau ʻeha ke lilo i mau wahi o nā ʻiʻo make (gangrene), a pono paha e wehe i ka wāwae a i ʻole ka wāwae (amputation). E noʻonoʻo i ko mākou ʻanakala ʻo Siripala, ʻaʻole hiki iā ia ke hele wāwae i kahi mamao pōkole i ka hale kūʻai, ʻōlelo mau ʻo ia ua ʻeha kona wāwae, hiki ke like me kēia.

He aha nā hōʻailona maʻamau o PAD?

ʻAʻole nā ​​kānaka a pau me ka PAD e loaʻa nā hōʻailona. Ma kahi o 50% paha ʻaʻohe hōʻailona iki. Hana mālie kēia. Hiki ke hoʻomaka nā hōʻailona e ʻike ʻia ke emi ka nui o ke aʻa ma kahi o 60%.

ʻO nā hōʻailona maʻamau:

• ʻEha, ʻūmiʻi, a ʻeha paha ma nā wāwae a i ʻole nā ​​puʻupuʻu (intermittent claudication) e kū mai ana i ka wā e hele ana a piʻi paha i nā alapiʻi. E emi ana kēia me ka hoʻomaha.
• ʻEha nui a wela hoʻi ma nā wāwae a me nā manamana wāwae (ʻeha hoʻomaha ischemic) ʻoiai i ka wā e hoʻomaha ai, ʻoiai i ka wā e moe ana ma kahi moe i ka pō .
• ʻIli anu ma nā wāwae.
• Ke ʻike nei i ka ʻulaʻula a i ʻole nā ​​​​loli kala ʻē aʻe i loko o ka ʻili.
• Nā maʻi ʻili pinepine a me nā ʻiʻo palupalu (ʻoi aku hoʻi ma nā wāwae a i ʻole nā ​​​​wāwae).
• Nā ʻeha e ho'ōla ʻole ana ma nā wāwae a me nā manamana wāwae.

He mea nui: Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻike koke i ke kauka no ka ʻōlelo aʻo. No ka mea, inā ʻike mua ʻia ka PAD, hiki ke hoʻomaka ka lāʻau lapaʻau ma mua o ka hiki ʻana mai o nā pilikia koʻikoʻi e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.

Aia kekahi mau pae o ka PAD?

ʻAe, hoʻohana nā kauka i kekahi mau ʻano hana e hoʻokaʻawale i ka PAD. ʻOi aku ka maʻalahi o ka hoʻokaʻawale ʻana o Fontaine. Eia nā pae:

• Pae I: ʻAʻohe hōʻailona.
• Pae IIa: ʻEha iki o ka wāwae i ka wā hoʻoikaika kino (claudication iki).
• Pae IIb: ʻEha wāwae haʻahaʻa a koʻikoʻi (claudication haʻahaʻa a koʻikoʻi).
• Pae III: ʻEha ma nā wāwae ʻoiai i ka wā hoʻomaha (ʻeha hoʻomaha Ischemic).
• Kahua IV: ʻO nā ʻōpū a i ʻole gangrene.

He aha nā pilikia e hiki ke loaʻa mai ka PAD?

Inā ʻaʻole mālama ʻia, pono paha i ka poʻe me PAD ke ʻoki ʻia kahi wāwae a i ʻole ka wāwae paha (a he kakaikahi ka lima) . He kiʻekiʻe loa kēia pilikia i ka poʻe me ka maʻi diabetes mellitus.

Ma muli o ka pili ʻana o kā mākou ʻōnaehana kahe koko, ʻaʻole i kaupalena ʻia nā hopena o ka PAD i ka lālā i hoʻopilikia ʻia. Hiki i ka poʻe me ka atherosclerosis ma nā aʻa o nā wāwae ke loaʻa i ke kūlana ma kahi ʻē aʻe o ke kino. ʻO ke ʻano kēia, hiki i kekahi me PAD ke loaʻa i ka maʻi artery coronary, ka hōʻeha puʻuwai, ka hahau ʻana, a i ʻole ka hōʻeha ischemic transient (TIA)., ʻo ia hoʻi, ʻoi aku ka kiʻekiʻe o ka pilikia o nā mea e like me ka hahau liʻiliʻi ma mua o ka mea me ka ʻole o ka PAD. Loaʻa i kahi kanaka me ka maʻi puʻuwai ma kahi o 1 i loko o 3 ka manawa e loaʻa ai ka PAD ma ko lākou mau wāwae.

He aha ke kumu nui o ka PAD?

ʻO ke kumu nui ka ulu ʻana o ka atherosclerosis i loko o nā aʻa o nā wāwae (a kākaʻikahi nā lima). E like me nā aʻa o ka puʻuwai, hōʻiliʻili nā waihona momona (plaque) ma nā paia o nā kīʻaha koko, e hoʻohaiki mālie ana i nā aʻa a hiki ke ālai iā lākou.

He aha nā kumu pilikia no ka PAD?

ʻO ka hoʻohana ʻana i ka paka ka mea nui a ikaika loa no ka PAD a me kona mau pilikia. ʻO ka ʻoiaʻiʻo, 80% o ka poʻe me PAD he poʻe puhi paka i kēia manawa a i ʻole ma mua. Hoʻonui ka hoʻohana ʻana i ka paka i ka pilikia o ka loaʻa ʻana o ka PAD ma kahi o 400%. Hiki iā ia ke hoʻopaneʻe i ka hoʻomaka ʻana o nā hōʻailona a hiki i 10 mau makahiki.

Ke hoʻohālikelike ʻia me ka poʻe puhi ʻole, ʻoi aku ka nui o ka poʻe puhipaka a loaʻa iā lākou ka PAD:

• Ka make ʻana mai ka hōʻeha puʻuwai a i ʻole ka hahau ʻana .
• Nā hopena maikaʻi ʻole o ke ʻoki bypass ma nā wāwae.
• Pono e ʻoki i ka lima a i ʻole ka wāwae.

Inā he wahine a he kāne paha ʻoe, aia ʻoe i ka pilikia o ka hoʻomohala ʻana i ka PAD inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia:

• Ka hoʻohana ʻana i nā huahana paka (ʻo kēia ke kumu ikaika loa).
• Loaʻa i ka maʻi diabetes (Diabetes Mellitus).
• ʻOiai he 50 mau makahiki a ʻoi paha.
• He mamo ʻApelika ʻAmelika (ʻoiai ʻaʻole pili loa kēia iā Sri Lanka, he mea maikaʻi ke ʻike).
• Loaʻa kahi moʻolelo pilikino a ʻohana paha o ka maʻi puʻuwai a i ʻole ka maʻi koko.
• Loaʻa ke koko kiʻekiʻe (hypertension).
• Loaʻa ka cholesterol kiʻekiʻe (Hyperlipidemia).
• Ka momona o ka ʻōpū.
• Loaʻa i kahi maʻi koko.
• ʻO ka loaʻa ʻana o ka maʻi puʻupaʻa (hiki i kēia ke lilo i mea pilikia a me ka hopena o ka PAD).

Pehea e ʻike ʻia ai ka PAD? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kou mōʻaukala olakino a me nā kumu pilikia. Hiki ke hana ʻia kekahi mau hoʻokolohua noninvasive e ʻike ai inā he PAD kou a, inā pēlā, pehea kona koʻikoʻi. Hiki i kēia mau hoʻokolohua ke kōkua i ka ʻike ʻana inā he paʻa i loko o kahi kīʻaha koko:

• ʻIkepili kuʻekuʻe wāwae-brachial (ABI): Ke ana kēia i ke kaomi koko ma ka kuʻekuʻe wāwae a me ka lima.
• Ka hoʻopaʻa leo pulse (PVR).
• ʻO ke kani ultrasound o nā kīʻaha koko.

I kekahi manawa, pono paha kahi hoʻāʻo invasive i kapa ʻia ʻo angiogram e ʻike ai i nā ālai ʻana o ke aʻa.

Hiki ke hoʻohuli ʻia ka PAD?

ʻAe, ua hōʻike kekahi mau noiʻi i kēlāHiki i ka hoʻoikaika kino a me ka kaohi ʻana i ka cholesterol a me ke koko ke hoʻohuli i nā hōʻailona o PAD.

Me ka ʻike mua ʻana, nā loli o ke ʻano o ka nohona, a me ka mālama ʻana, hiki ke pale ʻia ka PAD mai ka ʻino ʻana. Inā manaʻo ʻoe ua pilikia ʻoe no ka PAD, a inā paha ua loaʻa iā ʻoe nā hōʻailona, ​​e ʻike i kāu kauka ʻohana, he loea lapaʻau vascular, a i ʻole he kauka cardiologist e hoʻomaka koke i kahi papahana pale a mālama paha.

He aha nā lāʻau lapaʻau no PAD?

Hiki ke mālama ʻia ka PAD me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a me nā kaʻina hana lapaʻau.

ʻElua mau pahuhopu nui o ka mālama ʻana i ka PAD:

1. Hoʻemi i kou pilikia o nā hanana cardiovascular , e like me nā hōʻeha puʻuwai a me nā hahau.

2. E hōʻemi i ka ʻeha i ka wā e hele ana a hoʻomaikaʻi i kou ʻano ola.

Nā loli o ke ʻano o ka nohona

Hoʻomaka ka mālama ʻana i ka PAD me ka hana ʻana i nā hoʻololi i ke ʻano o ka nohona e hōʻemi i kāu mau kumu pilikia. Eia kekahi mau mea hiki iā ʻoe ke hana:

• Ke haʻalele loa nei i nā huahana paka. E nīnau i kāu kauka e pili ana i nā papahana e hiki ke kōkua iā ʻoe e haʻalele i ka puhipaka.
• E ʻai i kahi meaʻai kaulike i kiʻekiʻe i ka fiber a haʻahaʻa i ka cholesterol, ka momona, a me ka sodium. E kaupalena i ka momona i 30% o ka huina o nā calorie i kēlā me kēia lā. ʻAʻole pono e ʻoi aku ka momona paʻa ma mua o 7% o ka huina o nā calorie. E pale i nā meaʻai i hana ʻia me nā momona trans, e like me nā aila mea kanu hydrogenated hapa a me nā aila mea kanu hydrogenated.
• Hoʻoikaika kino. E hoʻomaka i kahi papahana hoʻoikaika kino maʻamau, e like me ka hele wāwae. He lāʻau maikaʻi ka hele wāwae no ka PAD. Hiki i ka poʻe e hele mau ana ke hoʻonui i ka mamao e hiki ai iā lākou ke hele ma mua o ka ʻeha ʻana o ko lākou mau wāwae.
• E mālama i nā maʻi olakino ʻē aʻe e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ka cholesterol kiʻekiʻe.
• E mālama i kou pae kaumaha haʻahaʻa. Hiki i nā mea e like me ka hoʻoikaika kino, ka yoga, a me ka noʻonoʻo ʻana ke kōkua i kēia.
• E hoʻomaʻamaʻa i ka mālama pono ʻana i nā wāwae a me ka ʻili e pale ai i nā maʻi a hōʻemi i ka pilikia o nā pilikia.

Nā lāʻau lapaʻau

ʻO nā lāʻau lapaʻau e like me nā lāʻau antihypertensive , nā lāʻau statin , a me nā lāʻau maʻi diabetes hiki ke kōkua i ka kaohi ʻana i nā kumu pilikia no PAD a hoʻemi i ka pilikia o ka hahau ʻana a me ka hōʻeha puʻuwai.

Hiki i kāu kauka ke kuhikuhi i kahi lāʻau antiplatelet, e like me ka aspirin a i ʻole clopidogrel, e pale aku i nā ʻūpā koko. Hiki iā lākou ke hāʻawi iā ʻoe i kahi lāʻau i kapa ʻia ʻo cilostazol e hoʻonui i ka mamao hiki iā ʻoe ke hele. Kōkua kēia lāʻau i ka poʻe me ka hoʻoikaika kino claudication intermittent no ka manawa lōʻihi ma mua o ka ʻeha ʻana o ko lākou mau wāwae.

Nā papahana hoʻoikaika kino i mālama ʻia

Hiki i kahi papahana hoʻoikaika kino i mālama ʻia e ke kauka ke kōkua i ka hōʻemi ʻana i ka ʻeha o nā wāwae a kōkua iā ʻoe e hele hou aku. ʻO ka maʻamau, pili kēia i ka hele wāwae ʻana ma luna o kahi treadmill ma ka liʻiliʻi he ʻekolu lā o ka pule.

Pono ka poʻe me PAD e hele no 30 a 60 mau minuke i ka lā, ʻoiai ma ka home. ʻO ka ʻōlelo aʻoaʻo maʻamau ka hoʻohana ʻana i ka hoʻomaʻamaʻa "Start/Stop":

• E hele a hiki i ka emi ʻana o ka ʻeha, a laila e kū.
• E kali a pau loa ka ʻeha.
• E hoʻomaka hou e hele wāwae.

Nā lāʻau lapaʻau minimally invasive a ʻokiʻoki paha

No kekahi poʻe, ʻoiai ma hope o nā mahina o ka hoʻoikaika kino a me ka lāʻau lapaʻau, hiki i ka ʻeha o nā wāwae ke koʻikoʻi loa a hiki ke hoʻopilikia i nā hana o kēlā me kēia lā. I nā hihia koʻikoʻi, pono paha e hoʻomaikaʻi i ke kahe koko e hōʻemi i ka ʻeha ʻoiai ke hoʻomaha nei, a i ʻole e kōkua i ka ho'ōla ʻana i kahi ʻeha.

ʻO nā hihia PAD holomua aʻe, kahi e hōʻeha nui ai a me nā palena hele wāwae, pono paha ka lāʻau endovascular (minimally invasive) a i ʻole ke ʻoki ʻana. Hoʻohana pū ʻia kekahi o nā lāʻau like i hoʻohana ʻia no ka maʻi puʻuwai no PAD:

• Angioplasty: Ke hoʻonui nei i kahi aʻa i paʻa ʻia me ka hoʻohana ʻana i kahi mea e like me ka pōpō.
• Ke kau ʻana o ka stent: Ke hoʻokomo ʻana i kahi ʻōmole mesh liʻiliʻi e wehe ai ke aʻa.
• ʻO ke ʻoki ʻoki ʻana i ke aʻa peripheral: Ke hana nei i kahi ala ʻē aʻe no ke kahe koko (e hoʻohana pinepine ana i kahi vein ʻē aʻe i loko o ke kino) e kāpae i ke aʻa i ālai ʻia.
• Atherectomy: Wehe ʻana i ka palaki i waiho ʻia i loko o ke aʻa me ka hoʻohana ʻana i kahi mea hana kūikawā.

Nā pilikia hiki ke loaʻa ma hope o ka mālama ʻana

Inā loaʻa iā ʻoe kekahi o nā pilikia ma hope o kēia mau lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i kāu kauka. He mau hōʻailona paha kēia o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe:

• Ka pehu ʻana, ke kahe ʻana o ke koko, a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai ke catheter.
• ʻEha ka umauma.
• Paʻakikī ka hanu ʻana.
• Kuni a i ʻole ke anu.
• Pōʻaiʻī.
• Ka pehu ʻana o nā wāwae.
• ʻEha ʻōpū.
• Ka wehe ʻana o ka ʻoki ʻoki.

ʻOkoʻa ka lōʻihi o ka hoʻōla ʻana mai ka lāʻau lapaʻau ma muli o ka lāʻau i loaʻa iā ʻoe. Pono paha ʻoe e noho ma ka haukapila no hoʻokahi a ʻoi aku paha mau pō. ʻOiai hiki i kahi atherectomy ke lawe i kekahi mau lā e hoʻōla ai, hiki i kahi angioplasty ke hala ma kahi o hoʻokahi pule. Hiki i kahi peripheral artery bypass graft ke hala ma kahi o 6 a 8 mau pule e hoʻōla piha ai.

Pehea e hōʻemi ai i ka pilikia o ka PAD? (Ka pale ʻana)

Ke ʻike ʻoe he mau kumu pilikia kou no ka PAD, hiki iā ʻoe ke hoʻoikaika e pale aku. ʻO ka ʻōlelo aʻoaʻo like no ka mālama ʻana i kou puʻuwai olakino e pili ana i ka mālama ʻana i ke kahe koko:

• E kāohi i kou kaumaha.
• E ʻai i ka papaʻai haʻahaʻa i ka momona, haʻahaʻa i ke kō, a me ka liʻiliʻi he ʻelima mau lawelawe o nā huaʻai a me nā mea kanu hou i kēlā me kēia lā.
• Mai hoʻohana i nā huahana paka.
• Me ka ʻae ʻia e kāu kauka, e hoʻoikaika kino no 30 mau minuke i ka lā, i ka hapa nui o nā lā o ka pule.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia no ka PAD. E haʻi i kāu kauka e pili ana i nā hōʻailona āu e loaʻa ai, e like me ka ʻeha o ka wāwae, ka nāwaliwali, a i ʻole ka maneʻo.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka PAD?

E like me nā kūlana olakino he nui, ʻoi aku ka maʻalahi o ka mālama ʻana i ka PAD inā ʻike mua ʻia. ʻOkoʻa ka wikiwiki o ka holomua ʻana o ka PAD mai kēlā kanaka a i kēia kanaka. Aia ia i nā mea he nui, me kahi o ka plaque a me kou olakino holoʻokoʻa.

He kūlana ka PAD e loaʻa paha iā ʻoe i kou ola a pau. ʻOiai ʻaʻohe lāʻau lapaʻau no ka PAD, hiki iā ʻoe ke mālama iā ia. Hiki iā ʻoe ke pale aku i ka PAD mai ka ʻino ʻana ma o ka hana ʻana i kēia mau mea:

• ʻAʻole hoʻohana i nā huahana paka.
• Hoʻoikaika kino mau.
• E hōʻemi i ka momona a e ʻai i ka meaʻai olakino.
• Ka mālama ʻana i kāu mau kumu pilikia, e like me ka maʻi diabetes, ka cholesterol kiʻekiʻe, a me ke koko kiʻekiʻe.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī)

He mea nui e mālama pono i kou mau wāwae i mea e pale ai i nā ʻeha e ho'ōla ʻole ai. ʻO ka mālama wāwae no ka poʻe me PAD e komo pū ana me:

• E ʻaʻahu i nā kāmaʻa ʻoluʻolu a kūpono hoʻi.
• E nānā i kou mau wāwae i kēlā me kēia lā no nā pehu, nā ʻoki, nā māwae, nā ʻōpala, a i ʻole nā ​​ʻeha. E nānā pū i ka ʻulaʻula, ka mehana, nā kui wāwae i loko, nā kulina, a me nā calluses. E like me ka mea me ka maʻi diabetes, pono ʻoe e mālama i kou mau wāwae.
• Mai hoʻokaʻulua i ka mālama ʻana i kahi pilikia wāwae a ʻili paha.
• E mālama i kou mau wāwae i ka maʻemaʻe a hoʻomaʻū maikaʻi ʻia (mai hoʻopili i ka moisturizer i kahi ʻeha hāmama).
• Ma hope o ka ʻauʻau ʻana, e ʻoki i kou mau kui ʻoiai e palupalu ana. E ʻoki pololei a waiho i ka faila palahalaha me ka faila kui.

I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi podiatrist , ʻoiai inā he maʻi diabetes kou. Hiki iā ia ke kōkua me nā bunions, bunions, a i ʻole nā ​​pilikia wāwae ʻē aʻe.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i ke kauka ma nā hihia aʻe:

• Inā loaʻa iā ʻoe kahi maʻi ʻino ma kahi ʻeha ma kou wāwae, hiki i ka maʻi ke laha i kou mau ʻiʻo, nā ʻiʻo, ke koko, a me nā iwi. Inā koʻikoʻi ka maʻi, pono paha ʻoe e lawe ʻia i ka haukapila.
• Inā paʻakikī loa ka hele wāwae e hana i nā hana maʻamau.
• Inā he ʻeha kou ma kou mau wāwae ʻoiai ke hoʻomaha nei ʻoe , he hōʻailona kēia o ka lako koko maikaʻi ʻole.

Pilikia:Inā ʻaʻole hiki iā ʻoe ke hoʻopā i kou wāwae, ʻaʻole hiki ke hoʻoneʻe, a i ʻole he ʻokoʻa ke kala o ka ʻili ma luna mai ke koena o kou wāwae, e hele koke i ka lumi pilikia. ʻO ke ʻano kēia ua pau ke kahe koko i kou wāwae me ka ʻole o ka ʻōlelo aʻo.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

• Pono anei au i ka lāʻau lapaʻau e hōʻemi i koʻu pilikia o PAD?
• ʻEhia ka mamao e pono ai iaʻu ke hele i ka wā e hoʻomaka ai au i kahi papahana hele wāwae?
• Pono anei au i ka lāʻau lapaʻau no ka PAD?

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

Hiki iā ʻoe ke hana i nā mea he nui e pale aku ai a hoʻolohi paha i ka holomua o ka maʻi Peripheral Artery, a i ʻole PAD, ma ka hoʻololi ʻana i ke ʻano o ka nohona. E mālama i kāu mau manawa a pau me kāu kauka a me ka loea vascular, a lawe i kāu mau lāʻau lapaʻau a pau e like me ke kauoha. ʻO ka ʻike ʻana i nā hōʻailona hōʻailona o nā pilikia PAD e kōkua iā ʻoe e ʻike i ka wā e ʻimi ai i ke kōkua. E mālama i kou mau wāwae, no ka mea, e lawe lākou iā ʻoe i kahi lōʻihi!

ʻO ka maʻi ʻaʻai peripheral, PAD, ʻeha wāwae, nā ʻaʻa i ālai ʻia, ke kahe koko, ka puhi paka, ka maʻi diabetes, ka cholesterol, ka atherosclerosis, ka claudication