Ua ʻike anei ʻoe i kēlā puʻupuʻu liʻiliʻi ma hope o kou kuli? ʻAʻole mākou e noʻonoʻo nui i ia mea i ko mākou ola o kēlā me kēia lā, akā aia kekahi kīʻaha koko ma laila e pono ai no ke olakino o ko mākou mau wāwae, e hana ana e like me ke alaloa nui. ʻO ia ke ala nui e lawe ai i ka ikehu a me nā meaʻai e pono ai no kēia mau mea āpau ke hele mākou, holo, a kūlou i ko mākou mau wāwae. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka Popliteal Artery.
He aha ke ʻano o ke aʻa Popliteal?
I ka ʻōlelo maʻalahi, he kīʻaha koko nui kēia e holo ana ma ke kua o kou kuli. Loaʻa iā ʻoe ʻelua mau aʻa koko e like me kēia ma kēlā me kēia o kou mau wāwae. E like me ka paipu wai nui no ke kūlanakauhale, lawe kēia aʻa koko i ke koko maʻemaʻe a waiwai i ka oxygen i kou kuli, ka wāwae haʻahaʻa, a me ka wāwae.
He mau lālā liʻiliʻi ko kēia aʻa e lālā ana mai ia mea. Ma o kēia pūnaewele o nā lālā e loaʻa ai i nā ʻāpana haʻahaʻa o kou mau wāwae ka lako koko e pono ai. E noʻonoʻo, ʻo kēia aʻa ke alanui nui, a ʻo nā alanui ʻaoʻao e lālā ana mai ia mea e alakaʻi ana i nā kauhale e pili ana. Pēlā nō kēia.
Eia kekahi o nā wahi nui e hoʻolako ai kēia aʻa koko i ke koko:
- Nā ʻiʻo hamstring haʻahaʻa
- Iwi ʻūhā lalo
- Kuli
- Iwi ʻūhā luna
- Nā ʻiʻo bipi
Eia kekahi, e hoʻohana kāu kauka i kēia aʻa e nānā i ke kahe koko i loko o kou wāwae. ʻO ia hoʻi, he kiko pulse kēia. E hoʻopā ke kauka ma hope o kou kuli e ʻike inā ke holo maikaʻi nei ke koko i kou wāwae.
ʻAuhea maoli kēia i loko o ko kākou kino?
Aia kēia ma hope pono o kou kuli. Hoʻomaka ia ma ke ʻano he hoʻonui ʻana o ke aʻa femoral superficial ma ka ʻūhā. ʻO kahi e hoʻomaka ai ua kapa ʻia ʻo ke kahawai adductor.
Mai laila mai, hele kēia aʻa i lalo ma o ka hakahaka palupalu a hakahaka ma hope o ke kuli (ka popliteal fossa). ʻO kēia hakahaka palupalu kahi e hele ai nā kīʻaha koko koʻikoʻi a me nā aʻalolo.
Hoʻopau kēia aʻa koko ma lalo pono o ke kuli, ma ka piko o ka ʻūhā, ma hope o ka hala ʻana ma ka ʻāpana groin. Ma laila, māhele ʻia i ʻelua mau lālā nui.
- ʻO ke aʻa tibial mua
- ʻO ke kumu Tibioperoneal (ma hope aku e māhele ʻia i ʻelua mau lālā hou aʻe, ke aʻa tibial posterior a me ke aʻa peroneal)
ʻO kēia mau lālā ka mea e lawe i ke koko i nā kuʻekuʻe wāwae a me nā wāwae. ʻO ia hoʻi, loaʻa iā lākou āpau ke koko mai ke aʻa popliteal, ke kanaka nui o kā mākou moʻolelo.
Nā lālā ʻē aʻe o ke aʻa popliteal
Ma mua o ka māhele ʻana i ʻelua lālā nui, māhele ʻia kēia aʻa i kekahi mau lālā liʻiliʻi e hoʻolako i ke koko i ka ʻāpana a puni ke kuli. ʻO kēia nā mea e hoʻolako i ke ami kuli a me nā ʻiʻo a puni.
| Inoa Lālā |
|---|
| ʻO ke aʻa genicular lateral kiʻekiʻe |
| ʻO ke aʻa genicular medial kiʻekiʻe |
| ʻO ke aʻa waena o ke aʻa |
| ʻAla sural |
| ʻO ke aʻa genicular lateral haʻahaʻa |
| ʻO ke aʻa genicular medial haʻahaʻa |
He aha ka mea e hana ʻia inā ua hōʻino ʻia kēia kīʻaha koko?
Hiki ke ālai ʻia ke kahe koko i loko o ke aʻa popliteal ma muli o nā kumu like ʻole, e like me nā ulia a i ʻole ka hōʻiliʻili ʻana o ka plaque i loko o nā kīʻaha koko. Inā hana ʻia kēia, ʻaʻole e loaʻa i kou mau wāwae ka oxygen a me nā meaʻai e pono ai. He maʻi koʻikoʻi kēia. Inā ʻaʻole mālama pono ʻia, hiki iā ʻoe ke nalowale i kahi wāwae i kekahi manawa.
E nānā kākou i kekahi o nā maʻi e hoʻopilikia ana i kēia aʻa ma lalo nei.
| Kūlana olakino | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| ʻO ka maʻi ʻaʻai peripheral (PAD) | Hōʻiliʻili nā waihona momona (plaque) i loko o nā aʻa koko ma nā wāwae, e ālai ana i nā aʻa koko. ʻO kēia ke kumu o ka ʻeha ma nā wāwae i ka wā e hele wāwae ai a i ʻole e hoʻoikaika kino ana. |
| ʻO ka maʻi pahele ʻana o ke aʻa Popliteal | Ua hoʻohaiki ʻia nā aʻa e nā ʻiʻo a puni lākou, ka mea e kaupalena ai i ke kahe ʻana o ke koko. He kūlana kēia e kū pinepine ana i nā mea pāʻani ʻōpio. Hiki ke mālama ʻia me ke ʻoki kino. |
| ʻO ka Aneurysm Popliteal | He puʻupuʻu e like me ka pōpō i loko o ke aʻa. Hiki i kēia ke hana i nā ʻūpā koko. Inā lilo kēia i mea nui a i ʻole e hōʻike i nā hōʻailona, pono paha ke ʻoki ʻana. |
| Maʻi Cystic Adventitial | Hoʻokumu ʻia kahi cyst piha i ka wai i loko o ka paia o ke aʻa. Hoʻopilikia pū kēia i ke kahe ʻana o ke koko. Hiki iā ʻoe ke ʻeha e hōʻiliʻili i ka lauoho i ka wā e hele ana. Hiki ke mālama ʻia kēia me ke ʻoki kino. |
| Ke kahe koko | I loko o kahi ulia koʻikoʻi i ke kuli, hiki i kēia aʻa ke pahū a kahe ke koko. Loaʻa kēia ʻano ma kahi o 1 i loko o 5 mau kānaka e hemo ko lākou kuli. He pilikia kēia. Pono ke ʻoki koke ʻana e hana i kahi ala hou (bypass) a puni ke aʻa i hōʻino ʻia. |
He aha nā hōʻailona e pono ai iaʻu e ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi e ʻike koke i kāu kauka no ka ʻōlelo aʻo.
- Nā ʻeha ho'ōla ʻole ma ka wāwae a i ʻole ka wāwae.
- ʻEha a paʻakikī paha ka hele wāwae.
- Pehu wāwae me ke kumu ʻole.
- Ka loli ʻana o ka mahana a i ʻole ke kala o ka wāwae (e.g., ʻoi aku ke anuanu o kekahi wāwae ma mua o kekahi, e lilo ana i ke keʻokeʻo, a i ʻole e lilo ana i polū).
- ʻEha ka wāwae ʻoiai ʻoe e hoʻomaha ana a ʻaʻohe hana.
Pehea lā e mālama ai i ke olakino o kēia aʻa koko?
ʻO nā mea like a mākou e hana ai e mālama i ke olakino o nā kīʻaha koko o ko mākou kino holoʻokoʻa he mea maikaʻi nō hoʻi ia no ke aʻa popliteal. E hoʻāʻo e hoʻokomo i kēia mau ʻano i kou ola.
- Inā ʻoe e puhipaka, e hoʻōki koke. Pēlā nō hoʻi no ka hoʻohana ʻana i nā huahana paka.
- E hoʻoikaika kino i nā lā he nui i ka pule.
- E ʻai i ka meaʻai olakino no ka puʻuwai . ʻO ia hoʻi ka ʻai ʻana i nā meaʻai haʻahaʻa i ka cholesterol, ka momona, a me ka paʻakai.
- E mālama i kou kaumaha olakino .
- ʻO ka maʻi diabetes, ke kolamu kiʻekiʻe, ke koko kiʻekiʻeInā loaʻa iā ʻoe nā maʻi e like me kēia, e kāohi pono iā lākou.
He aha ka ʻokoʻa ma waena o ke aʻa popliteal a me ka aʻa popliteal?
ʻOiai ʻo kēia mau mea ʻelua he mau kīʻaha koko e holo ana ma hope o ke kuli, he ʻokoʻa loa kā lāua hana. Ua like ia me ke alahele i waho a me ke alahele i loko ma ke alanui.
ʻO ke aʻa popliteal: Lawe kēia i ke koko maʻemaʻe a waiwai i ka oxygen mai ka puʻuwai a i nā ʻiʻo o nā wāwae, e like me ka paipu e lawe ana i ka wai maʻemaʻe mai kahi pahu wai i kahi hale.
ʻAla Popliteal: Lawe kēia i ke koko neoneo i hoʻopau ʻia i ka oxygen i hoʻohana ʻia i loko o nā ʻiʻo i ka puʻuwai. Ua like ia me ka paipu hoʻokahe e lawe ana i ka wai i hoʻohana ʻia mai kahi home mai.
E kulou iki i kou wāwae a e ʻike i kahi palupalu ma hope o kou kuli. ʻO ia kahi o kou aʻa popliteal. ʻAʻole ʻike ʻia ma luna o ka ʻili e like me ke aʻa koko, akā hana nui ia no ke olakino o kou wāwae mai laila mai.
Inā loaʻa iā ʻoe kahi maʻi e pili ana i kēia aʻa, e wehewehe kāu kauka i ka lāʻau lapaʻau a me nā mea e manaʻo ai. E nīnau iā ia i nā nīnau āu e loaʻa ai. Eia kekahi, e hoʻomaopopo i kāu kauka inā he mau loli hou i kāu mau hōʻailona.
Leka Lawe-Home
- ʻO ke aʻa popliteal kahi kīʻaha koko nui e pono ai no ke olakino o kou kuli, ka wāwae haʻahaʻa, a me ka wāwae.
- ʻO nā mea e like me ka ʻeha o ka wāwae i ka wā e hele ai, ka pehu ʻana o ka wāwae, a me nā ʻeha i ho'ōla ʻole ʻia he mau hōʻailona ia o kahi pilikia me kēia aʻa.
- ʻO ka pale ʻana i ka puhipaka, ka hoʻoikaika kino, a me ka ʻai ʻana i ka meaʻai olakino nā ala maikaʻi loa e pale ai i kēia aʻa.
- Inā manaʻo ʻoe i kekahi mea ʻē i kou mau wāwae, mai hopohopo a e ʻike i kāu kauka.
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