He kanaka ʻōpio anei ʻoe e makemake nui ana i nā haʻuki a he akamai hoʻi i ka holo a me ka lele ʻana? Akā ma hope o ka hoʻomaka ʻana e holo, ke ʻike nei ʻoe i kahi ʻeha ʻē, ke kaumaha, a i ʻole ka mae ʻana ma ka wāwae lalo (ʻāpana bipi) ma hope o kahi mamao pōkole? Nalo ia ma hope o kahi hoʻomaha pōkole, akā hoʻi hou mai ka ʻeha like ke hoʻomaka hou ʻoe e holo? ʻAʻole paha kēia he ʻeha ʻiʻo wale nō. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi kakaikahi i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻopilikia nui i ka poʻe ʻōpio e pāʻani ana i nā haʻuki.
I ka ʻōlelo maʻalahi, he aha ka Popliteal Artery Entrapment Syndrome (PAES)?
He mea paʻakikī paha ke kani ʻana, akā he maʻalahi loa ke kaʻina hana. He maʻi laha ʻole ka PAES e hoʻopilikia ana i nā kīʻaha koko i loko o ko kākou mau wāwae. Hana ʻia ia i ka wā e ālai ʻia ai ke aʻa nui e holo ana ma hope o ko kākou mau kuli, ʻo ia hoʻi ke aʻa popliteal, e kahi ʻiʻo kokoke (ka ʻiʻo gastrocnemius).
E like me ke hehi ʻana o kekahi ma luna o kahi paipu wai, lohi ke kahe ʻana o ka wai. Ke holo a lele paha kākou, hoʻopaʻa kēia ʻiʻo i ko kākou mau kīʻaha koko. A laila, emi iki ke kahe ʻana o ke koko i ka wāwae lalo. Ma muli o kēia emi ʻana o ke kahe ʻana o ke koko, ʻaʻole loaʻa i nā ʻiʻo ka oxygen e pono ai, a hōʻiliʻili nā mea e like me ka waikawa lactic, kahi e hoʻoulu ai i nā hōʻailona e like me ka ʻeha, ke kaumaha, ka luhi, a me ka mae ʻana o ka wāwae.
ʻO ka mea maikaʻi loa, ʻo ia ka nalo ʻana o kēia mau hōʻailona i loko o ʻekolu a ʻelima mau minuke o ka hoʻōki ʻana i ka hoʻoikaika kino. Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ke kūlana ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Hiki i ka ʻeha ke lapalapa ma hope o ka holo pōkole wale nō, a hiki ke lōʻihi ka manawa e nalo ai.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻO ka PAES ka mea maʻamau i nā ʻōpio haʻuki ma waena o 15 a me 25 mau makahiki. ʻOi aku ka nui o ka pilikia o ka poʻe e pāʻani ana i nā haʻuki e pili ana i ka holo. Eia kekahi laʻana:
- Nā ʻĀlapa (Aha Holoholona a me ke Kahua)
- Holo ʻĀina
- Pōpeku
- Lacrosse
- Hockey kahua
He mea kākaʻikahi loa kēia ʻano maʻi. Ua manaʻo ʻia e hoʻopilikia ana i ka emi ma mua o 1% o ka heluna kanaka. No laila, i ka hapa nui o ka manawa, ke loaʻa iā mākou kēia ʻano ʻeha, manaʻo mākou he ʻeha wale nō ia o nā ʻiʻo.
Aia kekahi kūlana ʻē aʻe e like me PAES?
ʻAe. Aia kekahi ʻano i loaʻa nā hōʻailona like loa me kēia, akā ʻoi aku ka maʻamau ma mua o PAES. Ua kapa ʻia ʻo ia ʻo Chronic Exertional Compartment Syndrome (CECS) . He ʻeha nō hoʻi kēia i hoʻokumu ʻia e ka piʻi ʻana o ke kaomi maʻamau i loko o nā ʻiʻo wāwae i ka wā hoʻoikaika kino. I kekahi manawa hiki i ke kanaka ke loaʻa iā PAES a me CECS i ka manawa like.
Hiki i ke kauka ke hoʻokaʻawale ma waena o nā mea ʻelua ma ka hana ʻana i nā hoʻokolohua. Ma PAES, nānā lākou e ʻike inā e emi ana ke koko i loko o ka wāwae me ka hoʻoikaika kino. Ma CECS, ana lākou i ke kaomi i loko o nā ʻiʻo wāwae ma mua a ma hope o ka hoʻoikaika kino.
He aha nā hōʻailona o PAES?
Hiki paha iā ʻoe ke ʻike i kēia mau hōʻailona ma kou ʻūhā a/a i ʻole nā wāwae i ka wā e hoʻoikaika kino ana. Nalo pinepine kēia mau mea i loko o kekahi mau minuke ma hope o kou hoʻōki ʻana i ka hoʻoikaika kino.
| Hōʻailona | Pehea kona manaʻo |
|---|---|
| Nā ʻeha a me nā ʻeha | Hiki ke manaʻo ʻia ua like ia me kahi ʻeha ʻoi e puka mai ana mai loko mai. |
| Luhi | Ua luhi loa koʻu mau wāwae a make ola ʻole. |
| Kaumaha | Ua kaumaha loa koʻu wāwae e hāpai ai. |
| ʻŌwili ʻiʻo | I ka manawa koke, ua paʻa a ua nakinaki ʻia koʻu mau wāwae. |
| Māʻule | Aia paha ke kani ʻana ma nā wāwae a me nā kapuwaʻi. |
| Ka mumū | Manaʻo kekahi poʻe i kahi ʻano wela e like me ke ʻā ʻana o ko lākou wāwae mai loko mai. |
He aha nā kumu o PAES?
ʻElua kumu nui e ālai ʻia ai kēia kīʻaha koko.
1. Hoʻopili anatomika
ʻO kēia ke ʻano koʻikoʻi loa. He maʻi hānau ʻia .Ua ālai ʻia kekahi kīʻaha koko ma muli o kahi loli i ke ʻano o ke kau ʻana o kahi tendon a i ʻole ka ʻiʻo ma hope o kou kuli. ʻOi aku ka maʻamau o kēia i nā kāne. Hiki ke hana wale ʻia ma hoʻokahi wāwae. Ke ālai ʻia ke kīʻaha koko ma kēia ʻano no ka manawa lōʻihi, hiki ke hōʻino ʻia.
- Hiki ke hana ʻia kahi ʻōpū i loko o ke kīʻaha koko.
- Hiki ke hoʻokumu ʻia kahi ʻūpā koko a paʻa.
- I ka hala ʻana o ka manawa, hiki ke pani loa ʻia ke kīʻaha koko.
2. Hoʻopili hana a i ʻole Physiologic
I kēia hihia, aia nā mea āpau mai kou mau ʻiʻo a i kou mau kīʻaha koko i kahi kūlana maʻamau mai ka hānau ʻana. Akā ma muli o ke ʻano o ka hana ʻana o kou mau ʻiʻo, ʻoiai ke kaomi ʻoe i kou wāwae i lalo ('plantar flexion'), kaomi nā ʻiʻo ma luna o nā kīʻaha koko. ʻOi aku ka maʻamau o kēia ʻano i nā wahine, a hiki ke loaʻa i nā wāwae ʻelua i ka manawa like. I kēia ʻano, ʻaʻohe maʻamau o ka hōʻino mau ʻana i nā kīʻaha koko.
Pehea e ʻike pono ai i kēia maʻi?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kahi loea vascular . Na ia e nānā iā ʻoe.
- ʻO ka mea mua, nānā lākou e ʻike inā hāʻule kāu pulse ke hoʻomaha ʻoe.
- A laila, nānā lākou e ʻike inā he loli i ka helu pulse ke kaomi ʻia kou wāwae i luna a i lalo e kūʻē i kekahi kūʻē.
Hiki i ke kanaka me PAES ke ʻike maikaʻi i ko lākou pulse i ka wā e hoʻomaha ai, akā hiki ke emi a nalo paha ko lākou pulse i ka wā e hoʻoikaika kino ai lākou a i ʻole e kau i ke kaomi ma ko lākou mau wāwae.
He aha nā hoʻokolohua e hana ʻia e hōʻoia i ka maʻi?
Ma hope o ka hoʻokolokolo kino ʻana, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona. Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o ke kahe koko ma kou mau wāwae.
| Hoʻāʻo | ʻO ka mea e hana wale ʻia |
|---|---|
| ʻO ka helu kuʻekuʻe wāwae-brachial me ka hoʻoikaika kino | E ana ʻia kou koko ma kou mau lima a me kou mau wāwae ma mua a ma hope o ka hoʻoikaika kino. Inā loaʻa iā ʻoe ka PAES, e haʻahaʻa loa kou koko ma kou mau wāwae ma mua o ke kaomi o kou lima ma hope o ka hoʻoikaika kino. |
| ʻO ke kani ultrasound pālua | He scan kēia e hoʻohana ana i nā nalu kani. Hiki iā ia ke ʻike inā ua ālai ʻia ke kīʻaha koko a me ka mea e hana ʻia i ke kahe koko ke paʻa ʻia kou wāwae i lalo a paʻa ma ke ʻano maʻamau. |
| ʻO ka angiography tomography i helu ʻia (CTA) | Hana ʻia kahi CT scan ma ke komo ʻana i kahi mea kūikawā (`dye`) i loko o ke kino. Hiki nō hoʻi iā ʻoe ke ʻike i kahi kikoʻī o ke kīʻaha koko i paʻa ʻia ma ke ʻano he kiʻi 3D. |
| ʻO ka angiography resonance magnetic (MRA) | Hoʻohana kahi scan MRI i kahi kahua magnetic. Hiki i kēia ke ʻike maopopo i ke kūlana o nā kīʻaha koko a me nā ʻiʻo. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻoki kino ka lāʻau lapaʻau maikaʻi loa a kūleʻa loa no PAES.
Mai hopohopo, he hana ʻoki kino kēia e lawe pinepine ʻia ma kahi o hoʻokahi hola a hana ʻia ma lalo o ka anesthesia laulā. Wehe ke kauka ʻoki kino i kahi ʻāpana liʻiliʻi o ka ʻiʻo e ālai ana i ke kīʻaha koko. ʻAe kēia i ke kīʻaha koko e hana manuahi, a hoʻi ke kahe koko i ka wāwae i ka maʻamau.
Inā ua hōʻino ʻia a ālai ʻia ke kīʻaha koko ma muli o ke ʻano anatomical o ka ālai ʻana, pono paha i ke kauka lapaʻau ke wehe i ka ālai ʻana a hana paha i kahi ʻoki bypass me ka hoʻohana ʻana i kahi ʻāpana kīʻaha koko hou ma o ia mea.
ʻAʻohe lāʻau lapaʻau ʻē aʻe me ke ʻoki ʻole ʻana?
Aia kekahi lāʻau lapaʻau ʻoki ʻole no ka poʻe me ka sciatica hana. ʻO kēia nā inikini Botulinum toxin A (Botox®). Ma kēia, me ke kōkua o kahi scan, ua hoʻokomo ʻia kēia lāʻau lapaʻau i loko o ka ʻiʻo e hoʻopaʻa ana i ke kīʻaha koko. Hoʻopaʻa kēia i ka ʻiʻo no kekahi manawa a hoʻoulu iā ia e ʻūlū. Eia naʻe, mau ka hopena no kahi o 3-6 mau mahina. I kekahi manawa, inā ʻūlū mau ka ʻiʻo, ʻaʻole hoʻi mai nā hōʻailona. Eia naʻe, ʻoi aku ka liʻiliʻi o ka holomua o kēia lāʻau lapaʻau ma mua o ke ʻoki ʻana.
Ma muli o ka hāʻawi ʻana o ke ʻoki kino i nā hopena holomua ma mua o 90% o nā hihia, ʻo ia ka mea a nā kauka e ʻōlelo pinepine ai.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?
Hiki ke hala ma kahi o ʻehā a ʻeono mahina e hoʻōla piha ai ma hope o ke ʻoki ʻana a hoʻomaka hou i ka pāʻani haʻuki.
- Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no hoʻokahi pō.
- I loko o nā pule ʻelua mua, pono e komo pū ka lāʻau physiotherapy me nā hoʻomaʻamaʻa wāwae a me ka hoʻoikaika kino.
- Ma hope o ʻelua pule, hiki iā ʻoe ke hoʻomaka i nā hoʻomaʻamaʻa e hoʻoikaika ai i nā wāwae.
He mea nui loa no ka ho'ōla koke ʻana e hahai pono ʻoe i nā ʻōlelo aʻo a kāu kauka a me ka mea hoʻoponopono kino.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Ke ʻike ʻoe i kāu kauka, mai poina e nīnau i kēia mau nīnau.
- He PAES anatomical a functional paha kaʻu?
- Ke paipai nei ʻoe i ke ʻoki kino no koʻu maʻi? No ke aha mai?
- E hiki anei iaʻu ke pāʻani hou i kaʻu haʻuki ma ke ʻano like ma hope o ke ʻoki kino?
Inā he ʻōpio ʻoe, mai hoʻowahāwahā wale i ka ʻeha o ka wāwae. Nui nā kumu. ʻO ka loaʻa koke ʻana o kahi hōʻailona pololei e hiki ke kōkua iā ʻoe e loaʻa koke ka lāʻau lapaʻau.
Leka Lawe-Home
- Inā he ʻōpio ʻoe a loaʻa iā ʻoe ka ʻeha mau o ka wāwae, ke kaumaha, a i ʻole ka ʻeha ʻana i ka wā e hoʻoikaika kino ana, mai hoʻowahāwahā iā ia.
- He maʻi kakaikahi ka Popliteal Artery Entrapment Syndrome (PAES), akā hiki ke mālama ʻia.
- He mea nui loa ka ʻike ʻana i kahi loea vascular no ka loaʻa ʻana o kahi hōʻoia pololei.
- I nā manawa he nui, hiki i ke ʻoki kino ke ho'ōla loa i kēia maʻi, e ʻae ana i nā mea pāʻani e hoʻi hou i kā lākou mau hana haʻuki.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo