Ua ʻike anei ʻoe he polū a poni paha nā aa koko o kekahi poʻe ma ko lākou mau wāwae, ʻoi aku hoʻi ma ka ʻāpana groin? Malia paha ua kū ʻoe i ka lā a pau a i ke ahiahi ua pehu kou mau wāwae, kaumaha, a ʻeha. Manaʻo ka hapa nui o mākou he mau mea maʻamau kēia, akā ma hope o kēia aia kahi moʻolelo e pili ana i kahi ʻōnaehana aa koko koʻikoʻi i loko o ko mākou kino. ʻO ke kanaka nui ma kēlā moʻolelo ʻo ia ka "Saphenous Vein". I kēia lā ke kamaʻilio nei mākou e pili ana i kēia, ʻo ia ka aa koko lōʻihi loa i loko o ko mākou kino.
I ka ʻōlelo maʻalahi, he aha ka Saphenous Vein?
ʻAe, e ʻōlelo kākou penei. ʻO nā aʻa koko saphenous nā kīʻaha koko e kōkua i ka lawe ʻana i ke koko mai kou mau wāwae a i luna i kou puʻuwai. He mau alanui liʻiliʻi wale nō kēia e alakaʻi ana mai ko mākou mau wāwae a i ko mākou mau puʻuwai. Loaʻa iā mākou ʻelua ʻano o nā aʻa koko saphenous i kēlā me kēia o ko mākou mau wāwae.
1. ʻO ke aʻa Saphenous Nui: ʻIke ʻia hoʻi ʻo ke aʻa Saphenous Loa, ʻo ia ka aʻa lōʻihi loa o ko mākou kino holoʻokoʻa . E noʻonoʻo, holo ia mai kou wāwae a hiki i luna o kou wāwae, a hiki i ka piko o kou ʻūhā.
2. ʻO ke aʻa Saphenous liʻiliʻi: Hoʻomaka kēia aʻa ma ka wāwae, holo i luna o ke kua o ka wāwae, ma ke kuamoʻo, a hoʻopau ma hope o ke kuli.
Hana maikaʻi kēia mau aa koko ʻelua i ka lawe ʻana i ke koko mai ko mākou mau wāwae i ka puʻuwai.
He aha maoli ka hana a kēia ʻōnaehana vascular?
ʻO kou aʻa saphenous, e like me nā aʻa ʻē aʻe he nui i loko o ko mākou kino, lawe i ke koko "lepo" i nele i ka oxygen i ka puʻuwai. Hōʻiliʻili nā aʻa saphenous i ke koko mai nā aʻa liʻiliʻi he nui i loko o ko mākou mau wāwae a me nā wāwae. A laila lawe nā aʻa saphenous i kēia koko i nā aʻa nui ma nā wāwae o luna. Mai laila mai, hele ke koko i luna aʻe o ka wāwae, a laila hui pū me kekahi o nā aʻa nui i loko o ko mākou kino , ʻo ia ka Inferior Vena Cava, kahi e hele pololei ai i ka puʻuwai.
ʻO kēia kaʻina holoʻokoʻa he ʻāpana ia o kā mākou ʻōnaehana kaʻapuni. E noʻonoʻo iā ia e like me kahi pūnaewele o nā alanui ma ke kūlanakauhale. ʻO ke koko nā kaʻa e holo ana ma kēia mau alanui. He hana mau ko kēia mau kaʻa. ʻO ia hoʻi ka lawe ʻana i ka oxygen a me nā meaʻai i kēlā me kēia cell a me nā ʻiʻo i loko o ko mākou kino. Hana ʻia kēia me ka ʻole o ka hoʻōki no hoʻokahi minute.
No ke aha lā e pono ai kēia koko e hoʻi i ka puʻuwai? ʻO ke kumu, i kēlā me kēia manawa e paʻi ai ka puʻuwai, hoʻoneʻe ka puʻuwai i kēia koko nele i ka oxygen i nā māmā. Aia i loko o nā māmā e hoʻopiha hou ʻia ai kēia koko i ka oxygen a hoʻoneʻe ʻia ke kalapona ʻokikene i makemake ʻole ʻia.
Hoʻi ke koko "maʻemaʻe", waiwai i ka oxygen, i ka puʻuwai. A laila e pamu ka puʻuwai i kēlā koko ma ke kino holoʻokoʻa. Ma hope o ke kaʻapuni ʻana ma ke kino a me ka hāʻawi ʻana i ka oxygen, hoʻi ke koko deoxygenated i nā aa koko a hoʻomaka i kāna huakaʻi hoʻi i ka puʻuwai. Hoʻomau kēia pōʻaiapuni me ka pau ʻole.
He ʻoiaʻiʻo anei ka hoʻohana ʻia ʻana o kēia aa koko no ke ʻoki bypass puʻuwai?
ʻAe, he ʻoiaʻiʻo kēlā moʻolelo. I kekahi manawa lawe nā kauka ʻoki i kahi ʻāpana o kou aʻa saphenous a hoʻohana iā ia ma ke ʻano he "graft" ma kahi ʻē aʻe o kou kino. He ʻoiaʻiʻo loa kēia i ka wā o ke ʻoki ʻana o ka coronary artery bypass grafting (CABG) .
I ka ʻōlelo maʻalahi, ke ālai ʻia nā aʻa coronary o ke kanaka, ka mea e hoʻolako ana i ke koko i ko lākou puʻuwai, e nā waihona momona, ʻaʻole loaʻa i ka ʻiʻo o ka puʻuwai ke koko e pono ai. He kūlana weliweli loa kēia. ʻO ke ʻoki ʻana o CABG e pili ana i ka hana ʻana i kahi ala hou no ke kahe ʻana o ke koko a puni ka mea i ālai ʻia. Ua like ia me ke kūkulu ʻana i kahi bypass e ālai i kahi alanui paʻahana.
No ka hana ʻana i kēia ala hou, pono nā kauka ʻoki i kahi kīʻaha koko maikaʻi. I kēlā manawa, lawe lākou i kahi aa koko mai kahi ʻāpana ʻē aʻe o ko mākou kino. ʻO ka aa koko maʻamau i hoʻohana ʻia no kēia, ʻo ia ka aa koko saphenous ma ka wāwae. No ka mea, ʻaʻole e nui ka hopena o ka wehe ʻana i kēia aa koko i ke kahe koko ma ka wāwae. No ka mea, he ʻōnaehana ʻē aʻe ko mākou o nā aa koko hohonu i loko o ko mākou mau wāwae e hana i kēlā hana.
Aia ma hea kēia aa a pehea i hana ʻia ai?
ʻO nā aʻa koko saphenous he mau aʻa koko ma luna o ka ʻili e kū ana ma luna o ko kākou ʻili, ʻaʻole hohonu loa. ʻO ia ke kumu e ʻike ʻia ai lākou i kekahi manawa he puʻupuʻu.
Ua hana ʻia nā paia o kēia mau aa koko i ʻekolu mau papa membrane nui:
- ʻO Tunica adventitia: ʻO kēia ka papa waho loa. Hāʻawi ia i ka ikaika a me ke ʻano o ke aʻa.
- ʻO Tunica media: Ka papa waena. Loaʻa iā ia nā hunaola ʻiʻo laumania. Kōkua kēia papa i ke aʻa e hoʻonui a hoʻopaʻa ma muli o ka nui o ke koko e kahe ana.
- ʻO Tunica intima: ʻO ka papa o loko loa. ʻAe kona mau ʻāpana laumania i ke koko e kahe maʻalahi me ke keʻakeʻa ʻole.
ʻO kekahi hiʻohiʻona koʻikoʻi loa o kēia mau aa koko, ʻo ia nā kiwikā ala hoʻokahi . E noʻonoʻo iā lākou he mau puka liʻiliʻi. Hoʻokahi wale nō ala e wehe ai kēia mau puka, ʻo ia hoʻi i luna. Ke kahe ke koko mai nā wāwae e kūʻē i ke koʻikoʻi, pani ʻia kēia mau kiwikā, e pale ana i ke koko mai ke kahe ʻana i lalo. ʻO ka maʻamau, he 10 a 12 o kēia mau kiwikā ma ka Great Saphenous Vein.
Nā kūlana maʻamau e pili ana i ka vein saphenous
Hiki i nā ʻano maʻi like ʻole ke hoʻopilikia i ka hana o nā aʻa koko i ko mākou mau wāwae. Hiki i kēia ke hoʻopilikia i nā aʻa koko saphenous.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā ʻaʻa Varicose | He ʻano kēia i kamaʻāina i ka nui o kākou. Pehu nā aa koko, wili, a ʻike ʻia he uliuli/poni ma ka ʻili. ʻOiai he mea ʻino ʻole kēia, hiki i kekahi manawa ke hana i nā pilikia e like me nā ʻeha ʻili. |
| Ka lawa ʻole o ka venous mau loa | Hiki mai kēia kūlana i ka wā e nāwaliwali ai nā valves i loko o nā aa koko ma nā wāwae, a mākou i kamaʻilio ai ma mua. A laila, ʻaʻole e kahe pono ke koko a hui pū i loko o nā wāwae. Hoʻoulu kēia i ka pehu a me ka ʻeha ma nā wāwae. |
| ʻO ka Thrombophlebitis ma luna o ka ʻili | ʻO kēia ka wā e hana ʻia ai kahi ʻūpā koko i loko o kahi aa koko ma lalo o ka ʻili. Hiki i kēia ke hana i ka ʻāpana e lilo i ʻulaʻula, mehana, a ʻeha. |
Pehea ʻoe e ʻike ai inā he pilikia me kēia aa koko? (Nā hōʻailona)
Inā he pilikia kou me kou aʻa saphenous a i ʻole kekahi aʻa ʻē aʻe i kou wāwae, hiki iā ʻoe ke ʻike i kēia mau hōʻailona. He mea nui e makaʻala i kēia mau mea.
| Hōʻailona | ʻO ia hoʻi... |
|---|---|
| Ka pehu ʻana o nā wāwae, nā kuʻekuʻe wāwae, a i ʻole nā wāwae (Edema) | ʻOi loa aku inā pehu kou mau wāwae i ka hopena o ka lā ma hope o ke kū ʻana no ka manawa lōʻihi. Inā paʻa kou mau kāmaʻa. |
| ʻEha a palupalu paha ke kaomi ʻia | ʻEha wale a ʻeha paha nā wāwae, ʻoiai ma kahi e ʻike ʻia ai nā aʻa koko, ke kaomi ʻia me ka manamana lima. |
| Ke kaumaha, ka luhi, a i ʻole ka ʻeha o nā wāwae | Manaʻo nui i ka luhi a me ke kaumaha ma kou mau wāwae me ke kumu ʻole. Hiki i kekahi poʻe ke ʻeha i nā wāwae e hoʻāla iā lākou i ka pō. |
| Nā loli ʻili | ʻO ka maloʻo, ʻili, maneʻo o ka ʻili ma nā wāwae, a i ʻole ka loli ʻana o ka ʻili he mau hōʻailona ia o ke kahe koko maikaʻi ʻole. |
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
Aia ke ʻano o ka mālama ʻana i kou kūlana. ʻAʻole e loaʻa i nā kānaka a pau ka mālama like. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Eia kekahi mau lāʻau lapaʻau i hoʻohana pinepine ʻia:
- Nā hoʻololi ʻana i ke ʻano o ka nohona: ʻO kēia ka hana mua. Hoʻokomo pū kēia me ke kū ʻana no ka manawa lōʻihi, ka hoʻēmi ʻana i ka noho ʻana, ka hoʻokiʻekiʻe ʻana i kou mau wāwae ma luna o ka noho, ka hoʻemi ʻana i ke kaumaha, a me ke komo ʻana i nā kāmaʻa hoʻopaʻa e like me ke kauoha a kāu kauka.
- Sclerotherapy: Hoʻokomo pololei ʻia kahi wai kūikawā a huʻa paha i loko o ke aʻa, e hoʻemi ana a nalo i ka hala ʻana o ka manawa.
- ʻO ka Endovenous Thermal Ablation: Hoʻohana kēia i nā kukuna laser a i ʻole nā nalu lekiō e hoʻomehana a hoʻopaʻa i ka vein i hōʻino ʻia mai loko.
- ʻOki kino (Vein Ligation and Stripping): Hoʻopaʻa ʻia ke aʻa koko i hōʻino ʻia a wehe loa ʻia ma o ke ʻoki kino.
- Nā lāʻau hoʻokahe koko: Inā ua hana ʻia kahi ʻōpū koko i loko o kahi aʻa, hiki i kāu kauka ke kuhikuhi i kēia mau lāʻau lapaʻau e hoʻoheheʻe iā ia a pale i nā ʻōpū hou aʻe mai ke kūkulu ʻana.
No laila pehea mākou e mālama ai i kēia mau aa koko i ke olakino?
Nui nā hana maʻalahi hiki iā ʻoe ke hana i kēlā me kēia lā e mālama i ke olakino o kou mau aa koko.
- E pale loa i nā huahana paka. Hiki i ka puhipaka ke hōʻino nui i kou mau kīʻaha koko.
- E noho hana e like me ka hiki.Mai noho ma ke kūlana hoʻokahi no ka lōʻihi loa. Inā ʻoe e hana ana ma ke keʻena, e ala a hele a puni ma ka liʻiliʻi hoʻokahi manawa i ka hola.
- E mālama i ke kaumaha olakino. E hahai i kahi papaʻai olakino no ka puʻuwai.
- E hele wāwae no 30 mau minuke ma ka liʻiliʻi, ma ka liʻiliʻi he ʻelima mau lā o ka pule. He hoʻomaʻamaʻa kino maikaʻi loa kēia no ke olakino o kou mau aa koko.
- Inā pono ʻoe e noho no ka manawa lōʻihi (e.g., ma kahi huakaʻi lōʻihi), e hoʻomaha iki a hoʻolōʻihi i kou mau wāwae. Inā ʻaʻole hiki iā ʻoe ke kū i luna, e noho i lalo a ʻōwili i kou mau kuʻekuʻe wāwae i luna a i lalo.
Kekahi mau nīnau i nīnau pinepine ʻia
He aʻa varicose anei ka aʻa saphenous?
ʻAʻole. Hiki i kou aʻa saphenous ke olakino a ʻaʻohe pilikia. ʻO ka aʻa varicose kahi aʻa i pehu, hōʻino ʻia, a hana pono ʻole. Eia nō naʻe, ua hōʻike ʻia e ka noiʻi i ka wā e loaʻa ai i kekahi nā aʻa varicose, hoʻopilikia pinepine ia i nā aʻa saphenous. No ka mea aia lākou ma ka ʻili o ka ʻili, ʻike maʻalahi ʻia lākou ke pehu a wili ʻia.
Hiki ke ola me ka ʻole o ka vein saphenous?
ʻAe, hiki nō. No ka mea, he ʻōnaehana nui ʻē aʻe kou o nā aʻa koko (nā aʻa koko hohonu) e lawe ana i ke koko mai kou mau wāwae. ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o ke koko o nā aʻa koko hohonu ma mua o nā aʻa koko ma luna. No laila, inā ʻoe e wehe i ka aʻa koko saphenous, hiki i nā aʻa koko ʻē aʻe ke lawe i kēlā hana.
He aa koko hohonu anei kēia?
ʻAʻole. He mau aʻa koko ʻilikai nā aʻa Saphenous Nui a me ka aʻa Saphenous Liʻiliʻi. Hōʻiliʻili lāua i ke koko mai kahi kokoke i ka ʻili a lawe iā ia i nā aʻa koko hohonu.
Hoʻopoina pinepine mākou i ka paʻakikī o ka hana ʻana o ko mākou mau kīʻaha koko. ʻAʻole mākou e noʻonoʻo iā lākou a hiki i ka wā e kū mai ai kahi pilikia. ʻOiai he mea maʻamau nā aʻa varicose, hiki iā lākou ke lilo i mea koʻikoʻi inā waiho ʻole ʻia. No laila, he mea nui loa e ʻike i kāu kauka i ka wā e ʻike ai ʻoe i kekahi pehu, ʻeha, a i ʻole nā loli i kou mau wāwae.
Leka Lawe-Home
- ʻO ka aa saphenous ka aa maloʻo lōʻihi loa a koʻikoʻi loa i ke kino, e holo ana mai ke kumu o kou wāwae a i luna.
- ʻO nā aa Varicose kahi pilikia maʻamau e hiki ke pili pū me kēia mau aa.
- ʻO ka pehu ʻana o ka wāwae, ka ʻeha, a me ke kala ʻana o ka ʻili he mau hōʻailona ia o ka pilikia o nā aʻa koko. Mai hoʻowahāwahā i kēia mau mea.
- ʻO ka mālama ʻana i ke kaumaha olakino, ka hoʻoikaika kino, a me ka pale ʻana i ka puhipaka he mea nui ia no ke olakino o kou mau aa koko.
- Inā he mau pilikia a hopohopo paha kāu e pili ana i nā aa koko i kou mau wāwae, e ʻike koke i ke kauka.
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