He aa koko koʻikoʻi kou ma hope o kou kuli? (Popliteal Aneurysm) E kamaʻilio kākou e pili ana!

Ua ʻike anei ʻoe he puʻupuʻu e like me ka pōpō ma ke kua o kou kuli, kahi e kūlou ai ke kuli? Ua manaʻo paha ʻoe i kahi ʻeha iki, he kaumaha, a he puʻupuʻu paha ma kou lima. I ka hapa nui o ka manawa, manaʻo paha ʻoe ʻaʻole kēia he mea koʻikoʻi, akā i kekahi mau hihia, hiki i kēia ke lilo i kūlana i kapa ʻia ʻo Popliteal Aneurysm . Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā.

He aha ka aneurysm popliteal?

I ka ʻōlelo maʻalahi, ʻo ka aneurysm popliteal he puʻupuʻu i loko o ke kīʻaha koko nui ma hope o kou kuli, ʻo ia hoʻi ke aʻa popliteal . Ua like ia me kahi paipu wai e pohā ana i kekahi manawa. Hiki ke hana ia ma nā wāwae ʻelua i kekahi poʻe.

Ke pehu ka aa koko e like me kēia, hiki ke kū mai nā pilikia. Pehea ʻoe i ʻike ai?

• Hiki i kēlā wahi pehu ke poha .
• Hiki ke hoʻokumu ʻia kahi ʻūpā koko (thrombose) ma laila, a hiki i kahi ʻāpana o ia mea ke haki a hoʻopili i kahi aa koko ma ka wāwae lalo.
• A i ʻole e ālai ʻia paha ke aʻa holoʻokoʻa.

Inā hana ʻia kekahi mea e like me kēia, i kekahi manawa hiki ke loaʻa kahi pōʻino nui i ka wāwae, hiki i kekahi poʻe ke nalowale ko lākou wāwae, a i ʻole e pilikia paha ko lākou ola. No laila, he mea nui loa ka makaʻala i kēia.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maʻamau loa nā aneurysms popliteal. Ma ke ʻano helu, loaʻa lākou ma kahi o hoʻokahi i loko o 100,000 wahine. I waena o nā kāne, ʻoi aku ka kiʻekiʻe o ka helu, ma kahi o 7 i loko o 100,000.

Eia nō naʻe, ʻoiai ʻaʻole ia he mea maʻamau loa, i ka hoʻohālikelike ʻia me nā aneurysms ʻē aʻe i loko o ke kino, ʻo ia ka lua o ka aneurysm maʻamau ma hope o ka aneurysm aortic abdominal . ʻO ka mea kupanaha, aia kahi pilina ma waena o nā mea ʻelua. Ma kahi o ka hapalua o ka poʻe me ka popliteal aneurysm hiki ke loaʻa kahi aneurysm i loko o ka aorta abdominal. No laila, inā ʻike ke kauka i kekahi o kēia mau mea ʻelua, he mea nui loa ia e nānā i kekahi.

He aha nā hōʻailona o kēia?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka poʻe me ka popliteal aneurysm i kekahi mau hōʻailona . ʻO ia ka mea e hopohopo iki ai. Eia nō naʻe, inā ʻike ʻia nā hōʻailona, ​​​​hiki ke hoʻoweliweli i ke ola.

E noʻonoʻo, he aha ka mea e hiki mai ana inā pohā koke kēlā aa koko pehu?

• Aia paha he ʻeha nui ma hope o ke kuli.
• E pehu paha kēlā wahi.
• Hiki ke ʻike ʻia nā wahi e like me ka palapū .

A i ʻole, he aha nā hōʻailona e kū mai inā ua hoʻokumu ʻia kahi ʻūpā koko i loko o kēlā aa koko, ua haki kekahi ʻāpana o ia mea, a ua pau ke kahe ʻana o ke koko i lalo o ka wāwae (embolized a thrombose paha)?

• ʻEha wāwae.
• Manaʻo e like me ka mae ʻana o kou wāwae.
• Ke anu nei nā wāwae.
• Ke nāwaliwali nei nā ʻiʻo wāwae.
• ʻIli wāwaeLilo ia i ke keʻokeʻo.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau , no ka mea, hiki i kēia ke alakaʻi i kahi maʻi koʻikoʻi e hiki ke hoʻopilikia i ke kahe koko i nā wāwae.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka aneurysm popliteal, akā manaʻo lākou aia kekahi mau mea e hiki ke kōkua i ia:

• Ka mumū: Pili kēia i kekahi pehu a i ʻole ka maʻi e kū mai ana i loko o nā paia o ke aʻa.
• Atherosclerosis: ʻO kēia ka wā e hōʻiliʻili ai nā mea e like me ka cholesterol i loko o nā kīʻaha koko, e hoʻomānoanoa ai i nā paia o nā aʻa. Hiki i kēia ke hoʻolilo i nā aʻa i mea palupalu a nāwaliwali.
• Ka paʻa ʻana o ke aʻa popliteal: I kekahi poʻe, hiki ke hoʻopaʻa ʻia kēia kīʻaha koko nui e nā ʻiʻo a i ʻole nā ​​​​ʻiʻo ʻē aʻe ma hope o ke kuli. I ka hala ʻana o ka manawa, hiki i kēia paʻa ke hōʻino i ke kīʻaha a hana i kahi aneurysm.
• ʻEha Traumatic: Hiki ke hana ʻia kēia ʻano ma muli o kahi ʻeha nui i ke kuli a i ʻole ka ʻāina a puni.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia (Popliteal Aneurysm).

• Inā ua loaʻa i kekahi o kou ʻohana nā aneurysms e like me kēia: Inā ua loaʻa i kou makuahine, makuakāne, a i ʻole nā ​​​​hoahānau nā aneurysms e like me kēia, aia nō hoʻi ʻoe i kahi pilikia iki.
• No ka poʻe keʻokeʻo: Ua hōʻike ʻia e ka noiʻi ʻana he mea maʻamau kēia ʻano i waena o ka poʻe keʻokeʻo.
• No nā kānaka ma luna o 50 mau makahiki: Piʻi aʻe kēia pilikia i ka nāwaliwali ʻana o nā aʻa me ka ʻelemakule.
• No nā kāne: E like me kā mākou i ʻōlelo ai ma mua, ʻoi aku ka maʻamau o kēia i waena o nā kāne.
• ʻO ka poʻe me nā maʻi pili i nā ʻiʻo: ʻO ka poʻe me nā maʻi e hoʻoulu ai i ka nāwaliwali ma nā ʻāpana o ke kino e hoʻopili ana i nā ʻiʻo, ʻoi aku ka nui o ka pilikia.
• No ka poʻe e hoʻohana ana i nā huahana paka: Hoʻopilikia nui ka puhipaka i nā kīʻaha koko. ʻO ia kekahi kumu nui o kēia.
• No ka poʻe me ka atherosclerosis: He kumu nui kēia e hoʻonāwaliwali ai i nā aʻa.

He aha nā pilikia e hiki ai i kēia ke hana?

Inā loaʻa iā ʻoe kahi aneurysm popliteal, aia kekahi mau pilikia e hiki ke kū mai. E like me kā mākou i kamaʻilio ai ma mua iki:

• Ke ālai ʻana o ke kahe koko i ka wāwae: Inā hana ʻia kahi ʻūpā koko i loko o kahi aʻa koko a haki kahi ʻāpana a ālai i kahi aʻa koko ma ka wāwae lalo, hiki iā ia ke ʻoki loa i ke kahe koko i ka wāwae. He mea weliweli loa kēia.
• Ka haki ʻana o ka aneurysm: He pilikia nō hoʻi kēia.
• ʻO ke kaomi ʻana o ke aʻa popliteal: Hiki i ke aʻa pehu ke ʻomi i ke aʻa e holo kokoke ana a lawe i ke koko lepo i luna o ka wāwae.
• Ka hoʻopili ʻana o ke aʻalolo:Eia kekahi, ʻo ke kaomi ʻana o nā aʻalolo e holo ana ma ia wahi hiki ke hoʻoulu i ka ʻeha a me ka ʻeha ma nā wāwae.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Hiki i kekahi manawa ke paʻakikī iki ka ʻike ʻana i kahi aneurysm popliteal, ʻoiai ʻo nā kūlana e like me ka deep vein thrombosis (DVT) a me ka Baker's cyst , kahi ʻeke piha wai ma hope o ke kuli, hiki ke hana i nā hōʻailona like. No laila, e kāpae mua ke kauka i kēlā mau kūlana.

No ka ʻike ʻana i ke kūlana, e nānā pono kāu kauka i ka ʻāpana ma hope o kou kuli. Hiki paha iā ʻoe ke hoʻopā a ʻike paha i ke aʻa koko pehu. Hiki paha iā ʻoe ke manaʻo e kuʻi ana me kou puʻuwai.

Hiki i kāu kauka ke wehewehe i kou aneurysm ma ke ʻano he 'fusiform' (ʻo ia hoʻi, e pehu a puni ka moku holoʻokoʻa e like me ka balloon) a i ʻole 'saccular' (ʻo ia hoʻi, e pehu ma kekahi ʻaoʻao o ka moku).

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Hiki i ke kauka ke kauoha i nā hoʻokolohua like ʻole e ʻike pololei i ka maʻi a lawe i nā ana e pono ai e hoʻolālā i ka lāʻau lapaʻau.

• ʻO ke ultrasound Duplex: ʻO kēia ka hoʻāʻo maʻamau, maʻalahi, ʻaʻohe ʻeha. Hiki iā ia ke nānā i ka nui o nā aʻa koko a me ke ʻano o ke kahe ʻana o ke koko.
• ʻO ka Computed Tomography Angiography (CTA): He hoʻāʻo kēia e hoʻohana ana i nā kukuna X a me kahi kala kūikawā (ʻano hoʻohālikelike). Hiki iā ia ke hana i nā kiʻi kikoʻī o nā kīʻaha koko.
• ʻO Magnetic Resonance Angiography (MRA): Hoʻohana kēia i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi o nā kīʻaha koko. Loaʻa iā ia kekahi mau pono ma mua o CTA.
• ʻO ka Digital Subtraction Angiography: He hoʻāʻo paʻakikī iki kēia. Hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o kahi aa, hoʻokomo ʻia kahi dye, a lawe ʻia nā kiʻi X-ray. Hana pinepine ʻia kēia i ka wā e hoʻolālā ai i ke ʻoki kino.

Inā ʻike kāu kauka iā ʻoe me kahi aneurysm popliteal, e nānā paha lākou i kou wāwae ʻē aʻe a me kou ʻōpū e ʻike inā he mau aneurysms ma laila. No ka mea, e like me kā mākou i ʻōlelo ai ma mua, he nui ka poʻe me kēia maʻi i loaʻa nā aneurysms ma ko lākou wāwae ʻē aʻe a me ke aʻa nui ma ko lākou ʻōpū. Inā he mau aneurysms ʻē aʻe, pono e nānā ʻia lākou me nā scan ultrasound i ko lākou ola a pau.

I ka manawa hea e mālama ʻia ai kēia?

ʻOkoʻa ke ʻano o ka mālama ʻana no ka aneurysm popliteal ma muli o kou kūlana. ʻO ka maʻamau, ʻo ke anawaena o ka aneurysm he 2 kenimika (cm).Inā nui aʻe ia ma mua o kēlā (ma kahi o hoʻokahi ʻīniha), ʻoi aku ka nui o ka pilikia o ka pahū ʻana. ʻO kēia ma kahi o ʻelua ka nui o ke anawaena o kahi aa koko maʻamau. Inā he ʻūpā koko kou i loko o kou aneurysm, hiki i kāu kauka ke hoʻoholo e mālama iā ia ʻoiai inā ʻoi aku ka liʻiliʻi ma mua o kēlā, ma muli o ka pilikia e haki kahi ʻāpana o ia mea a ālai i ke kahe koko i kou wāwae.

Inā ʻoi aku ka liʻiliʻi o kou popliteal aneurysm ma mua o 2 kenimika, a ʻaʻohe ou hōʻailona, ​​​​e nānā mau kāu kauka iā ia e ʻike inā e nui ana.

Pono anei au i ke ʻoki kino?

Inā loaʻa iā ʻoe nā hōʻailona ma muli o ka popliteal aneurysm, a/a inā ʻoi aku ka nui ma mua o 2 kenimika (ʻoiai inā ʻaʻohe hōʻailona), e ʻōlelo paha kāu kauka i ke ʻoki kino ('popliteal aneurysm repair') ma ke ʻano he lāʻau lapaʻau.

He aha nā lāʻau lapaʻau?

ʻElua mau ʻano lapaʻau nui.

1. ʻOki wehe:

Ma kēia kaʻina hana, nakinaki ke kauka i nā aa koko ma luna a ma lalo o ka aneurysm, e hoʻololi ana i ke ala o ke kahe koko. Hoʻohana pinepine kēia i kahi graft vein mai kahi ʻāpana ʻē aʻe o kou kino. ʻO ke ʻano kēia, ua hana ʻia kahi ala hou mai ka aa koko ma luna o ka aneurysm a i ka aa koko ma lalo o ka aneurysm. A laila nakinaki ʻia ka aneurysm a ālai ʻia ('ligated').

2. Ke ʻano hana endovascular:

He hana hou kēia. Hoʻohana kūikawā ʻia ia no ka poʻe me nā maʻi maʻi ʻē aʻe i ʻoi aku ka nui o ka pilikia o nā pilikia mai ke ʻoki kino hāmama. Ma kēia hana, hana ʻia kahi lua liʻiliʻi ma ka wāwae o luna, hoʻokomo ʻia kahi uea ma loko, a hoʻokomo ʻia kahi mea hao metala (stent graft) ma luna o ka aneurysm. Ke hele ka stent graft ma waena o ka aneurysm, kahe pololei ke koko mai luna a i lalo o ka aneurysm. No ka mea, ʻaʻohe kahe koko pololei i ka aneurysm, emi mālie ia, paʻa, a lilo i mea hana ʻole.

Pehea e mālama ai i ka wā pilikia:

Inā he ʻūpā koko kou ma kou wāwae, ka mea e ālai ana i ke kahe koko i kou wāwae, ʻokoʻa iki ka lāʻau lapaʻau. I kēlā mau hihia, hiki i kāu kauka ke hāʻawi mua iā ʻoe i kahi mea hoʻokahe koko, e like me ka heparin, ma o kahi IV. A laila, hiki ke hana ʻia kahi angiogram e hoʻihoʻi i ke kahe koko i ka wāwae a me ka wāwae i hoʻopilikia ʻia. I kekahi mau hihia, hiki iā lākou ke hāʻawi iā ʻoe i nā mea hoʻokahe koko (thrombolytics) e hoʻoheheʻe i ke ʻūpā, a i ʻole e hoʻāʻo paha lākou e wehe i kahi ʻāpana o ke ʻūpā me ka hoʻohana ʻana i nā mea hana kūikawā (nā mea hoʻowali).

Hiki i nā lāʻau lapaʻau ke hoʻoulu i nā pilikia?

E like me nā hana ʻoki kino a pau, hiki ke loaʻa kekahi mau pilikia i ka wā o ka mālama ʻana i ka Popliteal Aneurysm.

• ʻO ke koko paʻa ma ka wāwae (embolism).
• ʻOki ʻana i ka wāwae:ʻAʻole hana pinepine ʻia kēia, aia wale nō ke ʻaʻohe koho ʻē aʻe.
• Ke haki nei nā stent, neʻe ʻana mai ko lākou wahi aku, a i ʻole e noho hāmama ʻole ana.
• Ke ālai ʻana o ke kāpili ʻana ma o ke alahaka ʻē aʻe.
• ʻEha o ke aʻalolo.
• ʻO ka thrombosis aʻa hohonu.

E wehewehe pono ke kauka i kēia mau mea iā ʻoe ma mua o ke ʻoki ʻana.

ʻEhia ka lōʻihi e ho'ōla ai?

Ma hope o ke ʻoki kino hāmama, pono ʻoe e noho ma ka haukapila no ʻelua a ʻekolu paha lā. Ma hope o kahi hoʻokokoke endovascular, ʻoi aku ka pōkole o ka manawa hoʻōla. Eia nō naʻe, e lōʻihi ka manawa e hoʻōla piha ai. He mea nui loa e hahai i nā ʻōlelo aʻoaʻo a kāu kauka i loko o ia manawa.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

ʻOiai inā ʻaʻohe ou hōʻailona o ka popliteal aneurysm i kēia manawa, hiki iā ʻoe ke loaʻa nā hōʻailona i ka wā e hiki mai ana. A hiki ke loaʻa nā pilikia.

He mea kākaʻikahi loa ka aneurysm popliteal. ʻO ka mea maʻamau, ʻo ia ka haki ʻana o kahi ʻōpū koko a ālai i kahi aʻa koko i kou wāwae. Inā loaʻa iā ʻoe ke ʻoki endovascular, ʻoi aku ka liʻiliʻi o nā pilikia e pili ana i ka ʻeha ma mua o ke ʻoki hāmama. Eia nō naʻe, ʻaʻole paha e lōʻihi ke kaʻina hana ho'ōla e like me ke ʻoki hāmama.

He aha ka manaʻo? (Manaʻo/Wānana)

Inā hoʻoponopono ʻia kahi aneurysm popliteal ma mua o ka ʻike ʻia ʻana o nā hōʻailona, ​​ʻoi aku ka maikaʻi o kāu prognosis. Ua ʻike ʻia ka noiʻi he 80% o ka poʻe i loaʻa i kahi graft bypass e hana maikaʻi ana ko lākou kīʻaha koko hou i ʻelima mau makahiki ma hope.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona ma muli o ka aneurysm, ʻoi aku paha ka liʻiliʻi o kou nānā ʻana.

Ua ʻike ʻia ma kekahi noiʻi he hapalua wale nō o ka poʻe i hana ʻia ke ʻoki no ka haki ʻana o ka popliteal aneurysm i ola i hoʻokahi makahiki ma hope. Eia kekahi, ma kahi o 15% o ka poʻe i loaʻa ke koko i loko o kahi popliteal aneurysm i ʻoki ʻia ko lākou wāwae.

Mai hopohopo i kēia mau helu helu. He ʻike laulā wale nō kēia. Hiki ke loli kēia mau mea ma muli o kou kūlana, ke ʻano o ka mālama ʻana iā ʻoe, a pehea ʻoe e mālama ai iā ʻoe iho. No laila, e kamaʻilio me kāu kauka a loaʻa ka ʻike e pili ana i kou kūlana.

Pehea e hiki ai ke hoʻēmi ʻia kēia pilikia?

Manaʻo nā kauka ʻo ke kumu nui o ka popliteal aneurysm ʻo ia ka atherosclerosis . No laila, inā hiki iā ʻoe ke kāohi i kēlā kūlana, hiki iā ʻoe ke hōʻemi i kēia pilikia.

• E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka. ʻO kēia ka mea nui loa.
• E mālama i kāu mau helu cholesterol ma ke ʻano maʻamau.
• Inā he koko kiʻekiʻe kou, e kaohi pono iā ia.
• E ʻai i nā meaʻai olakino no ka puʻuwai haʻahaʻa i ka momona momona.
• E hoʻoikaika kino ma ka liʻiliʻi he 150 mau minuke i ka pule.

Pehea wau e mālama ai iaʻu iho?

Inā he mea hoʻohana paka ʻoe, e pōmaikaʻi nui kou olakino i ka haʻalele ʻana. Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e hana i nā hana e kāohi ai iā lākou:

• ʻO ke kolamu kiʻekiʻe (Hyperlipidemia)
• Ke koko kiʻekiʻe (Hypertension)
• Maʻi diabetes

Ma hope o ke ʻoki ʻana, e ʻōlelo paha kāu kauka iā ʻoe e lawe i nā antiplatelets, e like me ka aspirin, e hōʻemi i ka pilikia o ke kūkulu ʻia ʻana o nā clots koko i loko o kāu bypass. E hōʻoia e mālama i kāu mau manawa i kau ʻia e ke kauka. Pono ʻoe e loaʻa nā nānā maʻamau e hōʻoia i ka hana pono ʻana o kāu bypass. He mea nui kēia ma hope o ke ʻoki ʻana a i ka wā e nānā ʻia ai ka aneurysm a hiki i ka hoʻoholo ʻia ʻana o ke ʻoki ʻana.

Āhea wau e ʻike ai i ke kauka?

Ma hope o ka hoʻoponopono ʻana i ka aneurysm popliteal, pono ʻoe e loaʻa i nā nānā ultrasound maʻamau e hōʻoia i ka hana pono ʻana o kāu bypass. He mea nui e loaʻa kēia mau nānā i ka mahina mua, ke kolu o ka mahina, ke ono o ka mahina, a hoʻokahi makahiki ma hope o ke ʻoki ʻana, a laila i kēlā me kēia makahiki no kekahi mau makahiki ma hope.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā manaʻo ʻoe ua haki kou Popliteal Aneurysm a ua lilo paha kahi ʻūpā koko i embolized , e hele koke i ka Emergency Department (ETU) . Eia nā hōʻailona e hiki ke kū mai:

• Ka pehu ʻana ma hope o ke kuli a i ʻole ma ka wāwae.
• ʻIke ʻia nā wahi e like me ka palapū .
• ʻEha nui.
• Ka mae ʻana o ka wāwae.
• Nā wāwae anu .
• Ka paʻakikī o ka hoʻoneʻe ʻana i ka wāwae i hoʻopilikia ʻia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke ʻike ʻoe he Popliteal Aneurysm kou, he mea maʻamau ka nui o nā nīnau ma kou manaʻo. Hiki iā ʻoe ke nīnau i kāu kauka e like me:

• "E ke kauka, pehea ka nui o kaʻu (Popliteal Aneurysm)?"
• "Pono maoli anei au i ke ʻoki kino?"
• "He aha ke ʻano hana ʻoki kino i kūpono loa i koʻu kūlana?"
• "He aneurysm popliteal koʻu ma hope o koʻu kuli ʻē aʻe?"
• "He aneurysm aortic ʻōpū koʻu?"

He mea maʻamau ke kaumaha iki ʻoe ke ʻike ʻoe he popliteal aneurysm kou. E kamaʻilio me kāu kauka e pili ana i ka manawa kūpono loa e mālama ai i kou aneurysm a me ka mea maikaʻi loa iā ʻoe.Hiki iā ʻoe ke hoʻomaikaʻi i kou olakino ma ka pale ʻana i nā huahana paka a me ke kāohi ʻana i kou koko a me nā pae cholesterol. Inā makemake ʻoe i ke kōkua me kēia, e nīnau i kāu kauka.

Kekahi mau mea aʻu e manaʻo nei he mea nui iā ʻoe (Leka Lawe-Home)

ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai i kēia lā (Popliteal Aneurysm). Eia kekahi o nā mea nui e hoʻomanaʻo:

• ʻO ka aneurysm popliteal ka pehu ʻana o ke kīʻaha koko nui ma hope o ke kuli.
• ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona. Eia nō naʻe, inā ʻike ʻia nā hōʻailona (e like me ka ʻeha ma hope o ke kuli, ka pehu ʻana, ka mae ʻana o ka wāwae, a i ʻole ke anu) , e ʻike koke i ke kauka.
• Hiki i nā mea e like me ka puhipaka, ka cholesterol kiʻekiʻe, a me ke koko kiʻekiʻe ke hoʻopilikia i kēia.
• Aia nā lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana iā lākou.
• Hiki ke hoʻemi ʻia kēia pilikia ma ka noho ʻana i kahi nohona olakino .

ʻAʻole ia he mea e makaʻu ai, akā he mea e hopohopo ai. E makaʻala i kou kino. Inā ʻike ʻoe i kekahi mea ʻē, mai hoʻokaʻulua e ʻike i ke kauka. E noho olakino!

ʻO ka aneurysm popliteal, nā aʻa varicose ma hope o ke kuli, nā aʻa varicose, ʻeha kuli, nā ʻōpū koko ma ka wāwae, ke ʻoki ʻana o nā aʻa, atherosclerosis