Ua ālai ʻia kekahi mau 'kīʻaha koko' i loko o kou kino? E aʻo kākou e pili ana i (Stenosis) a me (Stricture) ma ke ʻano maʻalahi!

Ke manaʻo nei ʻoe i kekahi manawa he pōkole ka hanu ke piʻi ʻoe i nā alapiʻi? A i ʻole ke manaʻo nei ʻoe i kahi ʻeha ʻē ma kou wāwae ma hope o ke kū ʻana no kekahi manawa? A i ʻole ke manaʻo nei ʻoe e like me ʻoe e ʻū ana i ka wā e moni ai ʻoe i ka meaʻai? I kekahi manawa hiki ke hana ʻia kēia mau mea e ka haiki ʻana o nā ala koʻikoʻi, nā kahawai a i ʻole nā ​​'tubes' i loko o ke kino. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau 'narrowings', ʻo ia ka mea a nā kauka e kapa nei i kēia ʻano (Stenosis) a me (Stricture) . Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.

He aha nā (Stenosis) a me nā (Stricture)?

I ka ʻōlelo maʻalahi, ʻo nā huaʻōlelo ʻelua (Stenosis) a me (Stricture) e pili ana i ka haiki ʻana a i ʻole ka paʻa ʻana o kahi kahawai, alahele, a i ʻole kahi lua liʻiliʻi i loko o kou kino. E noʻonoʻo inā paʻa kahi ʻāpana lepo i loko o kahi paipu wai, e paʻakikī i ka wai ke kahe ma loko, ʻeā? He mea like kēia. Ma muli o kēia, ʻaʻole hiki i nā mea e pono ai ke hele ma kēlā alahele (no ka laʻana, ke koko, ka meaʻai, ka hanu, ka mimi, a me nā mea ʻē aʻe) ke kahe pono.

I ka manawa pinepine, hoʻohana like ʻia kēia mau huaʻōlelo ʻelua. ʻO ia hoʻi, he mau kaʻina hana kēia ʻaʻole pono e hana ʻia a hiki ke hōʻeha iā ʻoe. Pono kēia mau kūlana i ka mālama ʻana , ʻoiai inā loaʻa iā ʻoe nā hōʻailona. No laila he mea nui iā ʻoe e makaʻala i kēia i ka wā e hoʻoholo ai e pili ana i kou olakino.

(Stenosis) a me (Stricture) - Aia kekahi ʻokoʻa?

ʻO kaʻoiaʻiʻo, ʻoiai ʻo ke ʻano nui o nā huaʻōlelo ʻelua ka "hoʻohaiki ʻana", hoʻohana pinepine nā kauka i kēia mau huaʻōlelo i kekahi manawa ma ke ʻano ʻokoʻa no nā ʻāpana like ʻole o ke kino.

Hoʻohana pinepine ʻia ka huaʻōlelo stenosis :

• Ka hoʻohaiki ʻana o nā kīʻaha koko (nā aʻa). No ka laʻana, nā aʻa carotid i loko o kou ʻāʻī (nā aʻa e lawe i ke koko i kou lolo) a i ʻole nā ​​aʻa renal e lawe i ke koko i kou mau puʻupaʻa.
• Ka hāiki ʻana o nā kiwikā o ka puʻuwai . Eia kekahi laʻana, ka kiwikā aortic a i ʻole ka kiwikā mitral.
• Ka hāiki ʻana o kekahi mau ʻāpana o ka ʻōnaehana hanu , e like me kou ʻōpū hanu (trachea) a i ʻole kou pahu leo ​​(larynx).

I kekahi manawa hiki i kēia stenosis ke liʻiliʻi loa, me ka ʻole o nā hōʻailona. Akā hiki i kahi mea liʻiliʻi ke ulu nui aʻe i ka hala ʻana o ka manawa, hoʻoulu i nā hōʻailona, ​​a alakaʻi paha i nā kūlana weliweli. No ka laʻana, inā e haiki loa kahi kīʻaha koko e lawe ana i ke koko i kou lolo, hiki iā ʻoe ke loaʻa i ka "Stroke".

ʻO ka huaʻōlelo stricture ka mea i hoʻohana pinepine ʻia e pili ana i nā haʻiki e like me:

• Nā ʻāpana o ka ʻōnaehana hoʻoheheʻe . Eia kekahi laʻana, kou esophagus, nā ʻōpū, a i ʻole nā ​​​​​​auwai bile.
• Nā ʻāpana o ka ʻōnaehana mimi . Eia kekahi laʻana, ka urethra a i ʻole ka ʻāʻī o ka ʻōpū mimi.
• Nā ʻāpana o ka ʻōnaehana hānau . No ka laʻana, ka vagina (`(Vagina)`) a i ʻole ka cervix (`(Cervix)`).

Ma hea e hiki ai kēia mau ʻūmiʻi? (Nā ʻAno o Stenoses a me Strictures)

Hiki i kēia ʻano ʻōniʻoniʻo ke ʻike ʻia ma nā wahi he nui o kou kino. E nānā kākou i kekahi o nā wahi nui i hoʻopilikia ʻia e kēia.

Nā kiwikā puʻuwai a me nā kīʻaha koko (ʻōnaehana kahe koko)

Ua like nā kiwikā o kou puʻuwai me nā "puka." Hāmama a pani kēia mau puka e ʻae i ke koko e kahe ma nā keʻena o kou puʻuwai. Ua like nā kīʻaha koko me nā "paipu" e lawe ana i ke koko waiwai i ka oxygen ma loko o kou kino. Inā e haiki kēia mau mea, hiki ke loaʻa nā pilikia koʻikoʻi.

Eia kekahi mau laʻana:

• ʻO ka stenosis valve aortic: He ʻoki kēia o ka valve nui e lawe ana i ke koko mai ka puʻuwai a i ke kino. Hiki i kēia ke hōʻino i ka puʻuwai.
• ʻO ka stenosis o ke aʻa Carotid: Hana ʻia kēia e ka ʻūlū ʻana o ke aʻa nui ma kou ʻāʻī e lawe ana i ke koko i kou lolo. Hoʻomohala ka hapa nui o ka poʻe i nā hōʻailona ma hope o ka hoʻouka kaua ischemic transient (TIA) a i ʻole kahi hahau nui. E noʻonoʻo i kahi hoaaloha e nalowale koke ana kā lākou ʻōlelo a nalowale ke kaohi o ko lākou mau lālā. Hiki paha kēia ke ʻano.
• (Maʻi ʻaʻai coronary): ʻOiai ʻaʻole i ʻōlelo ʻia ka inoa o kēia maʻi (Stenosis), ʻo ia ka mea e hana ʻia. ʻO nā aʻa e hoʻolako ana i ke koko i ka puʻuwai (`(Coronary arteries)`) e lilo i mea haiki e nā mea momona (`(Plaque)`). Inā haiki loa lākou, hiki ke loaʻa kahi `(Heart attack)`.
• ʻO ka stenosis valve mitral: Ka hoʻohaiki ʻana o ka valve e lawe ana i ke koko mai ka lumi hema o luna o ka puʻuwai i ke keʻena hema o lalo.
• ʻO ka stenosis o ke aʻa pulmonary: He kūlana kēia e kū mai ana i nā pēpē ʻōpio a me nā keiki. Hoʻokahi a ʻoi aku paha o nā aʻa e lawe ana i ke koko mai ka puʻuwai a i nā māmā e lilo i mea haiki.
• ʻO ka stenosis o ke aʻa renal: Ka haiki ʻana o nā aʻa e hoʻolako koko ai i nā puʻupaʻa. ʻOiai ʻaʻohe hōʻailona i ka wā mua, i ka holomua ʻana o ke kūlana, hiki ke emi iho ka hana o nā puʻupaʻa.
• ʻO ka stenosis o ke aʻa subclavian: He ʻūmiʻi ʻana o kahi aʻa e hoʻolako ana i ke koko i kou lima. ʻOiai ʻo ia ka mea maʻamau e pili ana i ka lima hema, ʻike ʻia nā hōʻailona (e like me ke kani ʻana, ka ʻūmiʻi ʻana) ma ka lima hema.

iwi kuamoʻo

ʻO kou iwi kuamoʻo ka ʻāpana o kou kino e hāʻawi iā ʻoe i ka ikaika a kōkua iā ʻoe e neʻe. Hana ʻia ia me 33 mau iwi liʻiliʻi (Vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. Ke hoʻonohonoho ʻia kēia mau iwi, aia kahi kahawai liʻiliʻi e holo ana ma o lākou. Ua kapa ʻia kēia ʻo ke Alanui Spinal. Holo kou kaula iwi kuamoʻo ma o kēia kahawai.

E like me ka neʻe ʻana o ka waʻa ma ke kahawai, neʻe pū ke kaula iwi kuamoʻo ma kēia `(Spinal canal).` E like me ka pono o ke kahawai e ākea no ka waʻa e hele ai, pono nō hoʻi ke kaula iwi kuamoʻo i kahi ākea i loko o kēia kahawai.

Inā hāiki kēia `(Spinal canal)` ma nā wahi āpau, hiki iā ia ke kaomi i nā aʻalolo i loko o ke kaula spinal, e hana ana i nā hōʻailona e like me ka ʻeha a me ka mae ʻana. ʻO kēia ka mea a nā kauka e kapa nei he `(Spinal stenosis) `. ʻOiai hiki ke loaʻa ma nā wahi āpau o ka iwi kuamoʻo, ʻo ka hapa nui o ia mea e pili ana i kou kua haʻahaʻa (`(Lumbar spine)`) a me ka ʻāʻī (`(Cervical spine)`).

ʻO ka stenosis foraminal kekahi ʻano o ka stenosis spinal. ʻO kēia kahi e haiki ai nā lua e puka ai nā aʻalolo mai ke kaula spinal.

ʻŌnaehana hanu

ʻO kou mau ala ea nā alahele a kou kino e hoʻohana ai e hanu i loko a i waho. He mea nui ka wehe ʻana iā lākou no kou hanu ʻana.

ʻO ka stenosis tracheal ka haiki ʻana o kou ʻōpū makani nui (trachea). Hoʻokumu ʻia kēia e ka ʻiʻo ʻeha e hana ʻia ana i loko o ka ʻōpū makani. Hiki ke lilo pinepine ia i hopena ʻaoʻao o ka intubation.

ʻO ka stenosis subglottic ka haiki ʻana o ka ʻaoʻao haʻahaʻa o ka larynx. ʻAʻole ia he mea maʻamau e like me ka stenosis tracheal. I kekahi manawa hiki ke hana ʻia e ka intubation a i ʻole ka maʻi, akā i ka hapa nui o nā hihia ʻaʻole hiki ke loaʻa ke kumu.

ʻŌnaehana hoʻoheheʻe

ʻO ka ʻōnaehana hoʻoheheʻe kahi e hoʻoheheʻe ai ʻoe i ka meaʻai āu e ʻai ai a omo i nā meaola mai ia mea. ʻO ia hoʻi kahi e hana ai a hoʻokuʻu aku ai i nā ʻōpala (feces).

Hiki ke loaʻa nā haiki ma nā wahi like ʻole o kēia ʻōnaehana:

• ʻO ke koʻikoʻi o ka esophagus: Ka hāiki ʻana o ka esophagus. ʻO ka pinepine, ʻo ka reflux acid mau ke kumu nui o kēia.
• ʻO ke koʻikoʻi o ka ʻōpū: He ʻoki ʻana o kahi ʻāpana o ka ʻōpū liʻiliʻi (`(ʻōpū liʻiliʻi)`) a i ʻole ka ʻōpū nui (`(Koloni)`). Ua kapa ʻia hoʻi kēia ʻo `(Koloni koʻikoʻi)` a i ʻole `(Koloni koʻikoʻi)`. ʻOi aku ka kiʻekiʻe o kēia pilikia i nā poʻe me nā maʻi e like me `(maʻi Crohn)` ma muli o ka mumū mau o ka ʻōpū. Hiki i kēia ke alakaʻi i `(ʻōpū paʻa)`.
• Stenosis anal: Ka hāiki ʻana o ke kahawai anal. Hiki ke hana pinepine ʻia kēia ma muli o ka ʻiʻo ʻeha ma hope o ke ʻoki anal (e like me ka anoplasty).
• ʻO ke koʻikoʻi o ka biliary: He ʻūmiʻi a i ʻole ka paʻa ʻana o nā ʻauwai bile e lawe ana i ka bile (kahi wai e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai) mai ke akepaʻa a i ka ʻōpū liʻiliʻi. ʻO ke kanesa pancreatic a me ke kanesa o ka ʻauwai bile nā ​​kumu nui o kēia.

Nā ʻōnaehana mimi a me ka hānau hou ʻana

I kekahi manawa, hiki i nā ʻāpana o kou ala mimi a i ʻole ka ʻōnaehana hānau keiki ke lilo i mea haiki. Hiki i kēia ke lilo i hopena ʻaoʻao o kekahi mau lāʻau lapaʻau, nā ʻoki kino, a i ʻole ma muli o ka ʻeha a i ʻole ka maʻi. Hiki ke ʻokoʻa kēia mau kūlana ma muli o ke kāne.

ʻO kekahi mau laʻana:

• ʻO ka ʻūmiʻi ʻāʻī o ka ʻōpū mimi: He ʻūmiʻi ʻana o ka ʻāʻī kahi e puka ai ka mimi mai ka ʻōpū mimi (`(Bladder)`) i loko o ka urethra (`(Urethra)`). Hiki ke hana kēia i nā kāne ma hope o ke ʻoki ʻana i ka prostate (`(Prostate surgery)`).
• ʻO ke koʻikoʻi o ka urethra: Ka haiki ʻana o ka urethra. Hoʻopilikia nui kēia i nā kāne. ʻO ka posterior urethral stenosis ka haiki ʻana o ka ʻaoʻao o luna o ka urethra.
• ʻO ka stenosis vaginal: Ka hāiki ʻana o ke kahawai vaginal. Hiki i kēia ke hana i nā wahine ma ke ʻano he hopena ʻaoʻao o ka radiation therapy i ka ʻāpana pelvic.

He aha nā hōʻailona o kēia mau ʻōʻiliʻili ʻana?

No laila, he aha nā hōʻailona o ka hāiki ʻana ma kēia mau wahi? ʻOiaʻiʻo, ʻo iaAia wale nō ia ma kahi o ke kino e kū pono ana ka ʻūmiʻi. I kekahi manawa ʻaʻohe hōʻailona iki. Akā, aia kekahi mau hōʻailona maʻamau e ʻike ʻia. Eia kekahi laʻana:

• Inā ua hāiki ka valve o ka puʻuwai: paʻakikī ka hanu ʻana, ʻeha ka umauma, nāwaliwali.
• Inā hāiki ke kahawai o ke kuamoʻo: ʻeha ke kua a me ka wāwae, ka ʻeha o ka naʻau, ka paʻakikī ke hele.
• Inā ua haiki ke ala ea: ʻUhaʻuha, pōkole o ka hanu.
• Inā hāiki ka esophagus: paʻakikī i ka ale ʻana i ka meaʻai, paʻa ka meaʻai.
• Inā ua haiki ka urethra: paʻakikī ke mimi, nāwaliwali ke kahe o ka mimi.

No ke aha e kū ai kēia mau ʻūmiʻi? He aha nā kumu?

Aia kekahi mau kumu e kū ai ia mau kūlana.

• Ka hōʻiliʻili ʻana o ka plaque i loko o nā kīʻaha koko (ka pale ʻana o nā kīʻaha koko ma muli o nā waihona o ka momona a me ka cholesterol).
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a me nā ʻoki kino .
• Ka maʻi ʻana.
• Nā ʻeha (ʻEha a i ʻole trauma).
• Nā maʻi ʻē aʻe, ʻoi aku hoʻi nā mea e hoʻoulu ai i ka mumū mau loa (e like me ka maʻi o Crohn).
• Me nā loli i ke kino i ko kākou wā ʻelemakule .
• I kekahi manawa, ʻaʻole hiki iā ʻoe ke loaʻa i ke kumu.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi ke kauka i kēia mau ʻūmiʻi. Hana pinepine ʻia kēia ma nā ʻano penei:

• E nānā lākou iā ʻoe a nīnau pono iā ʻoe e pili ana i kāu mau hōʻailona .
• Hana ʻia nā hoʻāʻo koko a me/a i ʻole mimi .
• Hana ʻia nā hoʻokolohua kiʻi kūikawā e nānā i loko o ke kino . Hiki i kēia ke komo pū me kahi scan ultrasound, kahi MRI (Magnetic Resonance Imaging), a i ʻole kahi scan CT (Computed Tomography scan).
• I kekahi manawa, hana ʻia kahi endoscopy, kahi e hoʻokomo ʻia ai kahi ʻōmole liʻiliʻi (scope) i hoʻolako ʻia me ke kāmela i loko o ke kino . ʻAe kēia i kahi ʻike pololei o loko o ke kino.

Inā ʻaʻohe ou hōʻailona, ​​​​hiki ke ʻike ʻia he mea i loaʻa i ka wā o kahi hoʻokolohua i hana ʻia no kekahi kumu ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia mau ʻūmiʻi. Hiki ke ʻokoʻa nā koho lapaʻau ma muli o kou kūlana. E kamaʻilio kāu kauka me ʻoe e pili ana i ka lāʻau lapaʻau maikaʻi loa nāu. Ma keʻano laulā, ʻo nā lāʻau lapaʻau:

• Nā lāʻau lapaʻau waha.
• Nā inikini (e like me ka ``(Nā inikini steroid)``).
• Hoʻōla kino.
• Nā kaʻina hana kūikawā a me nā ʻoki kino.

ʻO ke ʻoki kino a me nā kaʻina hana kūikawā e hana pinepine i nā mea penei:

• Ke hoʻohana nei i kahi mea e like me ka pōpō e hoʻonui i kahi ākea i haiki.(No ka laʻana, ʻo Angioplasty, kahi i hana ʻia ke ālai ʻia nā kīʻaha koko).
• Hoʻokomo ʻia kahi mea liʻiliʻi e like me ka ʻupena i kapa ʻia he stent e pale aku i ka pani ʻana mai ka hana hou ʻana. Ua like kēia me ke kau ʻana i kahi ʻōmole liʻiliʻi ʻē aʻe i loko o ka ʻōmole i pani ʻia.
• Ke wehe ʻana i ka `(Plaque)` i ālai ʻia (nā mea e like me ka ʻaila) (`(Endarterectomy)`).
• Ke wehe ʻana i nā ʻiʻo palapū.
• Ke kūkulu hou ʻana a i ʻole ke pani ʻana i nā ʻāpana i hōʻino ʻia.

ʻO ka hapa nui o ka manawa, hana ʻia kēia mau ʻokiʻoki me ka hoʻohana ʻana i nā "ʻano hana minimally invasive". ʻO ia hoʻi, hana ʻia lākou ma o nā ʻoki liʻiliʻi, me ka ʻole o nā ʻoki nui. E haʻi aku kāu hui lapaʻau iā ʻoe e pili ana i kēia.

He aha kāu e manaʻo ai ma hope o ka lāʻau lapaʻau?

He mea nui e hoʻomanaʻo i kēia mau mea:

• Hiki ke lōʻihi ka lāʻau lapaʻau. Pono paha ʻoe e ʻike i kāu kauka i nā manawa he nui. No ka laʻana, hiki ke hana ʻia ka dilation no nā strictures esophageal i nā manawa he nui i ka pule.
• Hiki ke hoʻi hou kēia ʻano ma hope o ka mālama ʻana. No ka laʻana, hiki i kahi kīʻaha koko i hoʻonui ʻia ke hāiki hou (`(Restenosis)`). Inā hana ʻia kēia, pono e hana hou ʻia ka mālama ʻana.
• He mea nui loa nā hahai ʻana. E nānā ke kauka i kou kūlana, e nānā i kou ho'ōla ʻana ma hope o ka lāʻau lapaʻau, a e nānā no nā pilikia hou.
• Pono paha ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pili ana i kāu ʻai a me kāu mau hana. I kekahi manawa e haʻi aku paha lākou iā ʻoe e hoʻomaha iki, i kekahi manawa e haʻi aku paha lākou iā ʻoe e neʻe iki aʻe.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

E hōʻoia e hele i ka manawa i hāʻawi ʻia e kāu kauka. E nīnau inā he mea āu e kānalua nei. Inā loaʻa kekahi o kēia mau mea, e kāhea koke aku i kāu kauka :

• Inā ʻike ʻia nā hōʻailona hou, a i ʻole e hoʻonui ʻia nā mea e kū nei.
• Inā ʻaʻole i like ka lāʻau lapaʻau me ka lawe ʻana mai i ka hōʻoluʻolu i manaʻo ʻia.
• Inā he mau pilikia ma hope o ke ʻoki ʻana, e like me ke kuni, nā loli ma kahi i ʻoki ʻia (loli ke kala, kahe ʻana o ka pus, pehu).

ʻOiai inā kapa ke kauka iā ia he stenosis, manaʻo paha ʻoe e like me ʻoe e hanu ana ke hāpai ʻoe i kekahi mau lole a piʻi i nā alapiʻi. A i ʻole e manaʻo paha ʻoe i ka ʻeha e hele ana i lalo o kou wāwae ma hope o ke kū ʻana no kekahi manawa. Hiki i kēia haiki o nā aʻa i loko o kou kino ke hana mālie a mālie, a hiki i kekahi lā e ʻike ai ʻoe ʻaʻole kēia mau hōʻailona he mea hoʻonāukiuki iki wale nō.

Inā loaʻa iā ʻoe nā hōʻailona ʻē a i ʻole manaʻo ʻoe he hewa kekahi mea, he mea nui loa ia e ʻimi i ke kōkua lapaʻau.

E kamaʻilio kāu kauka me ʻoe, e hana i nā hoʻokolohua inā pono, a e kōkua iā ʻoe e loaʻa ka lāʻau lapaʻau āu e pono ai. A laila wale nō e hiki ai iā ʻoe ke hoʻōla koke.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

No laila, ʻo ka mea hope loa aʻu e ʻōlelo aku ai, mai makaʻu ʻoe ke lohe ʻoe i nā huaʻōlelo "stenosis" a i ʻole "stricture." Ke kuhikuhi nei kēia mau mea a pau i ka haiki ʻana o kahi alahele i loko o kou kino.

• Hiki ke mālama pinepine ʻia a ho'ōla ʻia kēia mau maʻi.
• Inā loaʻa iā ʻoe nā hōʻailona, ​​mai hoʻowahāwahā iā lākou. ʻOiai inā he mea liʻiliʻi lākou, hiki iā lākou ke hoʻomaka i kahi pilikia nui aʻe.
• E hahai pono i nā ʻōlelo a kāu kauka. Inā ʻoe e hana i nā mea a ke kauka e ʻōlelo ai iā ʻoe, e ola koke ʻoe a hiki ke ola i kahi ola maʻamau.
• E mālama i kou kino. E makaʻala i nā loli āu e ʻike ai.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka. ʻO ia ke kanaka maikaʻi loa e kōkua iā ʻoe.

ʻO ka Stenosis, ka stricture, ka haiki ʻana, ka poloka, nā kīʻaha koko, nā valves puʻuwai, ka iwi kuamoʻo, nā ala ea, ke kahawai ʻai, (Stenosis), (Stricture), (Aortic stenosis), (Carotid artery stenosis), (Spinal stenosis), (Angioplasty), (Stent)