Ke manaʻo nei ʻoe i kekahi manawa ua mae kou mau lima a me kou mau wāwae, a i ʻole ke anu nei kou mau manamana lima a me kou mau manamana wāwae? Ke manaʻo nei ʻoe i ka ʻeha ma kou mau wāwae me he mea lā e ʻūlū ana kou mau ʻiʻo i kou hele ʻana? Hoʻowahāwahā pinepine mākou i kēia mau mea me he mea maʻamau wale nō. Eia naʻe, he hōʻailona paha kēia ua nāwaliwali iki kou kahe koko, a i ʻole ke kahe koko. ʻAʻole kēia he maʻi i loko ona iho, akā he hōʻailona paha ia o kekahi maʻi ʻē aʻe. No laila, e kamaʻilio pololei kākou e pili ana i kēia i kēia lā.
He aha ke ʻano o ka holo ʻana o ke koko maikaʻi ʻole?
E noʻonoʻo ʻoe ua like ko kākou kino me ke kūlanakauhale nui. Loaʻa i kēlā me kēia hale ma kēia kūlanakauhale (ʻo ia hoʻi, kēlā me kēia cell i loko o ko kākou kino) kahi pūnaewele o nā alanui e lawe ana i nā mea pono e like me ka meaʻai, ka wai, a me ka oxygen. ʻO kēia mau alanui ko kākou mau kīʻaha koko. ʻO nā kaʻa e lawe ana i kēia mau mea pono ma kēia mau alanui, ʻo ia ko kākou koko. ʻO ke kikowaena nui, a i ʻole ka mīkini, o kēia ʻōnaehana halihali holoʻokoʻa, ʻo ia ko kākou puʻuwai.
No laila, ke olakino ka puʻuwai, nā kīʻaha koko (nā aʻa, nā aʻa koko), hana ʻia kēia lawelawe halihali me ka ʻole o ke keakea. Loaʻa i kēlā me kēia cell i loko o ke kino ka oxygen a me nā meaʻai e pono ai i ka manawa kūpono, a lawe ʻia nā huahana ʻōpala i hana ʻia i loko o nā cell.
ʻO ke kahe koko maikaʻi ʻole ke ʻano he mea keʻakeʻa, pale ʻia, a pilikia paha ma kekahi wahi o kēia ʻōnaehana halihali. E like me ka lāʻau e hāʻule ana ma ke alanui, e hoʻopilikia ana i ke kaʻa. ʻO kēia mea keʻakeʻa e pale aku i ke koko mai ka neʻe pono ʻana. ʻOi loa aku i nā wahi mamao loa mai ka puʻuwai, ʻo ia hoʻi, nā wēlau o ko kākou mau manamana lima a me nā manamana wāwae, ua emi loa ke kahe ʻana o ke koko.
ʻO ka pilikia nui me kēia, ʻaʻole loaʻa i kā mākou mau cell ka nui kūpono o ka oxygen. Ke nele lākou i ka oxygen, ʻaʻole hiki i nā cell ke hana pono i kā lākou hana. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona e ʻike ʻia.
He aha nā hōʻailona o ke kahe koko maikaʻi ʻole?
Ke emi iho ke kahe o ke koko i loko o ke kino, hiki ke ʻike ʻia nā ʻano hōʻailona like ʻole. Hoʻopilikia pinepine kēia i nā ʻāpana o ke kino, e like me nā lima, nā wāwae, a me nā manamana lima. E nānā kākou i kēia mau hōʻailona.
| Hōʻailona | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka maneʻo a i ʻole ka manaʻo "electric shock" i nā lālā | Ua kapa ʻia kēia he manaʻo "pine a me nā nila". Hiki ke loaʻa kēia manaʻo ke emi ka lako koko i nā aʻalolo. |
| Anuanu mau nā lima a me nā wāwae. | Kōkua pū ke kahe koko i ka mālama ʻana i ka mahana o ke kino. Ke emi ke kahe koko, e anuanu nā lima a me nā wāwae ma mua o nā ʻāpana ʻē aʻe o ke kino. |
| ʻEha ʻiʻo i ka wā e hele ai | Ke hele au no kahi mamao pōkole, manaʻo koʻu mau ʻiʻo wāwae e haehae ʻia a ʻeha. Hoʻomaha kēia ʻeha ke noho au no kekahi manawa. Hana ʻia kēia no ka mea ʻaʻole i loaʻa i kēlā mau ʻiʻo ka oxygen e pono ai. |
| ʻOle ke kala ʻili | I kekahi manawa e lilo paha ka ʻili i keʻokeʻo a polū paha ma muli o ke koko haʻahaʻa i ka oxygen. |
| Pehu wāwae | Ke maikaʻi ʻole ke kahe koko, ʻaʻole hiki i ka wai i loko o ke kino ke kahe pono a hiki ke hōʻiliʻili ma nā wahi e like me nā wāwae a hoʻoulu i ka pehu. |
| Nā ʻaʻa Varicose | Inā ʻike ʻia nā aa koko ma kou mau wāwae he polū/poni a nakinaki ʻia, he pilikia paha ia me ke kahe ʻana o ke koko. |
| ʻEha umauma | Inā he pilikia me nā aʻa e hoʻolako ana i ke koko i ka puʻuwai, hiki iā ʻoe ke ʻeha i ka umauma. He hōʻailona koʻikoʻi kēia. |
He aha nā kumu nui o ke kahe koko maikaʻi ʻole?
ʻAʻohe kumu hoʻokahi no kēia maʻi, akā he nui nā kumu e hiki ke kōkua i ia mea. ʻO ka mea maʻamau, ʻo ka poʻe ma luna o 40 mau makahiki, ka poʻe me ke kaumaha o ke kino, ka poʻe me ka maʻi diabetes, a me ka poʻe i hoʻoikaika kino ʻole i lawa ka pilikia. E nānā kākou i nā kumu nui.
| Kumu | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Atherosclerosis | I ka ʻōlelo maʻalahi, hōʻiliʻili ka cholesterol a me ka momona i loko o nā kīʻaha koko, e ālai ana i ke kahe ʻana o ke koko. E like me ka hōʻiliʻili ʻana o ka lepo i loko o kahi paipu wai, e hōʻemi ana i ke kahe ʻana o ka wai. |
| Maʻi diabetes (Diabetes Mellitus) | Ke noho kiʻekiʻe nā pae kō koko no ka manawa lōʻihi, hōʻino ia i nā kīʻaha koko, kahi e keakea ai i ke kahe koko. |
| Ke koko kiʻekiʻe | Ke kahe ke koko ma o nā aa koko i ke kaomi kiʻekiʻe, e hōʻino ʻia a nāwaliwali nā paia o nā aa koko, a laila e keʻakeʻa ai i ke kahe o ke koko. |
| Puhipaka | Hoʻopōʻino pololei nā kemika i loko o nā cigarette i nā kīʻaha koko, e hoʻonui nui ana i ka pilikia o ka atherosclerosis. |
| Momona | I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū ka pilikia o nā maʻi he nui e hoʻopilikia ai i ke kahe koko, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol. |
| ʻO ka Thrombosis Vein Hohonu (DVT) | Hana ʻia kēia ke hana ʻia kahi ʻūpā koko i loko o kahi aʻa koko hohonu i ka wāwae. Hiki i kēia ke ālai koke i ke kahe koko i ka wāwae. |
| ʻO ka Embolism Pulmonary | He kūlana koʻikoʻi loa kēia a he wikiwiki hoʻi.ʻO ka DVT ka wā e haki ai kahi ʻāpana o ke koko i hana ʻia ma ka wāwae a paʻa i loko o kahi aʻa koko i loko o nā māmā. |
| ʻO ka maʻi ʻaʻai peripheral (PAD) | He hopena nō hoʻi kēia o ka atherosclerosis. He kumu nui ia o ka ʻeha o nā wāwae i ka wā e hele ana, ʻoiai ma muli o ka haiki ʻana o nā aʻa e hoʻolako ana i ke koko i nā wāwae. |
| Ka maʻi o Raynaud | I nā kānaka me kēia maʻi, i ka wā e hōʻike ʻia ai i ke anu a i ʻole ke kaumaha, e ʻūmiʻi koke nā aʻa koko e hoʻolako ana i ke koko i nā manamana lima a me nā manamana wāwae. A laila e mae nā manamana lima, polū, a hoʻomaka e mae. |
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E hana ʻo ia i kekahi mau hana e ʻike ai i ke kūlana.
1. Hoʻokolokolo kino: E nānā ke kauka i kou mau lima a me kou mau wāwae. E nānā ʻo ia i ka pehu ʻana, nā loli o ke kala o ka ʻili, a me nā ʻeha. E nānā pū ʻo ia i ka pulse ma kou mau lima a me kou mau wāwae.
2. Ke nīnau ʻana iā ʻoe i nā kikoʻī: E nīnau ʻia ʻoe i nā nīnau he nui, e like me kou mau hōʻailona, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, inā he mau maʻi ʻē aʻe kou e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, inā ʻoe e puhipaka ana, a inā paha he maʻi kēia i loko o kou ʻohana.
3. Nā hoʻokolohua kūikawā: Inā pono, hiki i ke kauka ke paipai i kekahi mau hoʻokolohua e like me kēia e ʻike ai i ke kumu pololei.
- ʻO Doppler Ultrasound: Hiki i kēia ke nānā i ka wikiwiki o ke kahe ʻana o ke koko i loko o nā kīʻaha koko a inā he ālai ʻana.
- Hoʻāʻo Ankle-Brachial Index (ABI): Ke ana a hoʻohālikelike nei kēia i ke kaomi koko ma kou wāwae a me kou lima. Inā haʻahaʻa loa ke kaomi ma kou wāwae ma mua o kou lima, ʻo ia hoʻi, ʻaʻole lawa ke kahe o ke koko i kou wāwae.
- Angiography a i ʻole CT Scan: Lawe kēia mau hoʻokolohua i nā kiʻi maopopo o nā kīʻaha koko a hiki ke kuhikuhi i kahi a me ka nui o ka poloka.
- Nā hoʻāʻo koko: Kōkua kēia i ka ʻike ʻana i nā mea e like me nā pae kolesterol, nā pae kō, a inā he mau pilikia koko.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o kou kahe koko maikaʻi ʻole. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe. Hiki ke hoʻokaʻawale ʻia kēia mau mea i ʻekolu mau ʻāpana nui.
1. Nā loli o ke ʻano o ka nohona
ʻO kēia ka mea nui loa a me ka mea mua e hana ai. ʻOiai inā ʻoe e hoʻohana i ka lāʻau lapaʻau, inā ʻaʻole ʻoe e hana i kēia mau hoʻololi, e liʻiliʻi nā hopena.
- Inā ʻoe e puhipaka ana, e hoʻōki koke.
- Ke hoʻomaʻamaʻa ʻana i ka ʻai olakino (emi ka ʻaila, ka paʻakai, ke kō, ʻoi aku ka nui o nā mea kanu a me nā huaʻai).
- He mea maikaʻi loa ka hoʻoikaika kino mau (ʻoiai kekahi mea maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā).
- Ke kāohi nei i ke kaumaha o ke kino.
- Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e kaohi pono iā lākou.
2. Ka mālama ʻana me ka lāʻau lapaʻau
Ma muli o kou kūlana, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:
- Nā Statins: Hoʻemi kēia i ke kiʻekiʻe o ka cholesterol maikaʻi ʻole i loko o ke koko a pale iā ia mai ka waiho ʻana i loko o nā kīʻaha koko.
- Nā lāʻau antiplatelet: ʻO nā lāʻau e like me ka aspirin e hōʻemi i ka pilikia o nā ʻūpā koko.
- Nā lāʻau hoʻokahe koko: ʻO nā lāʻau lapaʻau e like me Warfarin e pale aku i ke kūkulu ʻana o nā ʻūpā koko. Hāʻawi kūikawā ʻia kēia mau mea no nā kūlana e like me DVT.
- Nā lāʻau lapaʻau koko.
3. ʻO ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe
I kekahi mau hihia, inā koʻikoʻi ka paʻa ʻana o nā kīʻaha koko a ʻaʻole hiki ke kāohi ʻia me ka lāʻau lapaʻau wale nō, pono e hoʻohana i nā lāʻau lapaʻau e like me kēia.
- ʻAngioplasty: He kaʻina hana e hoʻokomo ʻia ai kahi mea like me ka pōpō i loko o kahi kīʻaha koko i paʻa a hoʻopiha ʻia e hoʻonui i ke kīʻaha koko. I kekahi manawa hoʻokomo ʻia kahi mea liʻiliʻi e like me ka ʻupena i kapa ʻia he stent e pale aku i ke kīʻaha koko mai ka paʻa hou ʻana.
- ʻO ke ʻoki ʻoki ala: Ke kāpae ʻana i ke kīʻaha koko i paʻa a hana i kahi ala hou me ka hoʻohana ʻana i kahi ʻāpana aa koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino.
- Ka wehe ʻana i nā thrombus i kōkua ʻia e ka catheter: Inā paʻa kahi ʻōpū koko nui, e wehe ʻia me kahi mea kūikawā.
Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?
He mea nui loa kēia. ʻOiai he maʻamau kekahi mau hōʻailona, hōʻike kekahi i kahi pilikia. No laila e ʻike pono i ka ʻokoʻa.
| I ka manawa hea e ʻimi ai i ke aʻo lapaʻau | |
|---|---|
| E ʻike i ke kauka inā loaʻa iā ʻoe kēia mau hōʻailona: | |
| - | Inā ʻoe e hoʻomohala i nā hōʻailona hou. |
| - | Inā ʻaʻole hōʻoluʻolu ka lāʻau lapaʻau o kēia manawa i nā hōʻailona. |
| - | Inā hoʻomaka koke ʻoe e pehu, ʻulaʻula, a ʻeha paha i kahi wāwae (hiki i kēia ke hōʻailona o DVT). |
| He mau pilikia kēia! E hele koke i ka ETU (Emergency Treatment Unit)! | |
| - | ʻEha koke ka umauma , paʻakikī ka hanu ʻana. |
| - | Inā e nalowale ana kou mau manaʻo a pau ma kou mau wāwae. |
| - | Inā ʻike ʻoe i ka ʻeha nui a i ʻole ka mae ʻana o kou mau wāwae ʻoiai ʻoe e kū wale ana me ka ʻole o ka hana ʻana i kekahi hoʻoikaika kino. |
Leka Lawe-Home
- ʻAʻole maʻi ka holo ʻana o ke koko maikaʻi ʻole, he hōʻailona ia o kahi maʻi ʻē aʻe.
- Mai hoʻowahāwahā i nā mea e like me ka mae ʻole o kou mau lima a me kou mau wāwae, ke anu, a i ʻole ka ʻeha o kou mau wāwae i kou hele ʻana. E kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻO ka mea maikaʻi loa a koʻikoʻi loa e hana ai e kāohi i kēia maʻi, ʻo ia ke lilo i mea ola olakino . He mea nui ka hoʻōki ʻana i ka puhipaka, ka hoʻoikaika kino, a me ka hahai ʻana i ka ʻai maikaʻi.
- Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, ʻo ka mālama ʻana iā lākou e kōkua nui i ka mālama ʻana i ke kahe koko maikaʻi.
- ʻO ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nalowale o ka manaʻo ma ka wāwae he mau pilikia ia. I kēlā mau hihia, e hele koke i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU).
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