Ke manaʻo nei ʻoe ua emi ke kahe o ke koko i loko o kou lima? E kamaʻilio kākou e pili ana i kēia (Subclavian Artery Stenosis)!

Ke luhi nei ʻoe i kekahi manawa, ʻeha, a mae paha ke hoʻohana ʻoe i kou lima a hāpai paha i kahi mea kaumaha? A i ʻole ke anuanu nei kekahi lima ma mua o kekahi? He mau hōʻailona paha kēia ua emi ke kīʻaha koko nui e hoʻolako ana i ke koko i kou lima. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, i kapa ʻia ʻo `(Subclavian Artery Stenosis)`.

He aha ka "(Subclavian Artery Stenosis)"? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo `(Subclavian Artery Stenosis)` he ʻano haiki, ʻo ia hoʻi, he ʻano e like me ka paʻa ʻana, o kahi kīʻaha koko nui (kapa mākou iā ia ʻo `(Subclavian Artery)`) e hoʻolako ana i ke koko i kou lima. E noʻonoʻo me he mea lā ua hōʻiliʻili ʻia ka lepo i loko o kahi paipu wai a haiki mālie ia. A laila emi ka wikiwiki o ka wai, ʻeā? Pēlā nō ia me kēia. ʻO ka hapa nui o ka manawa, hana ʻia kēia haiki ke waiho ʻia nā mea momona (kapa mākou i kēia `(plaque)`) i loko o kēia kīʻaha koko. Akā hiki ke loaʻa nā kumu ʻē aʻe. Ua like ia me kahi `(speed bump)` ma ke alanui, kahi e hoʻolohi iki ai i ke kahe ʻana o ke koko.

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo Peripheral Artery Disease (PAD), kahi e hoʻohaiki ai i nā kīʻaha koko ma nā wāwae. ʻO kēia ʻano, ka mea e kū nei i loko o nā kīʻaha koko ma ka lima, ua kapa ʻia ʻo Subclavian Artery Stenosis.

He nui ka poʻe i loaʻa i kēia maʻi akā ʻaʻole hōʻike i kekahi mau hōʻailona. ʻO ia no ka mea hana maikaʻi loa ke koena o nā kīʻaha koko o ko mākou kino. Inā paʻa kekahi kīʻaha koko, hoʻāʻo nā kīʻaha koko ʻē aʻe e hoʻopiha i ka hakahaka. ʻO ia hoʻi, hoʻāʻo lākou e hoʻolako i ke koko e pono ai ka lima.

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ʻano `(Subclavian Artery Stenosis)` i loko o ke aʻa e hoʻolako ana i ke koko i ka lima hema . No ka mea, ua māhele pololei ʻia ka `(Subclavian Artery)` ma ka hema mai ka `(Aorta)`, ke kīʻaha koko nui loa e puka mai ana mai ko kākou puʻuwai. No laila, ʻoi aku ka nui o ka pilikia me ia. ʻO ka mea ma ka ʻākau mai kahi kīʻaha koko ʻē aʻe. Akā, he mea kākaʻikahi loa, ʻike ʻia kēia ʻano ma nā lima hema a me nā lima ʻākau.

Pehea ka maʻamau o kēia ʻano?

Inā ʻoe e nānā i nā helu helu ma kahi ʻāina e like me ʻAmelika, maʻamau ma waena o 2% a me 7% i loaʻa i kēia maʻi. Eia nō naʻe, i waena o ka poʻe i loaʻa mua i ka "Peripheral Vascular Disease" (ka haiki ʻana o nā kīʻaha koko), ʻo kēia helu ma kahi o 19%. Ua ʻōlelo ʻia hoʻi he mea maʻamau kēia maʻi i waena o nā wahine .

He aha nā hōʻailona o ka `(Subclavian Artery Stenosis)`?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole e ʻike nā kānaka a pau i nā hōʻailona. Akā inā loaʻa, penei paha lākou:

• ʻEha nā ʻiʻo i ka wā e hoʻohana ai i ka lima i hoʻopilikia ʻia. E noʻonoʻo i ka wā e hāpai ai ʻoe i kahi mea kaumaha a hana paha i kahi mea me kou lima, ʻūlū nā ʻiʻo o kou lima a manaʻo e like me lākou e ʻeha ana.
• ʻEha a ʻoʻoleʻa paha ma ka lima i ka wā e hoʻohana ai i ka lima i hoʻopilikia ʻia.
• Ka mae ʻana a i ʻole ka nalowale ʻana o ka manaʻo ma ka lima i hoʻopilikia ʻia (kapa mākou i kēia he "Paresthesia"). Me he mea lā e mae wale ana ka lima.
• Pōʻino - He mea laha ʻole kēia.
• Ka mae ʻana - He mea kākaʻikahi loa kēia.
• Vertigo - He manaʻo kēia o ka wili ʻana a puni ʻoe. He mea kākaʻikahi nō hoʻi kēia.

ʻAʻole hōʻike ka nui o ka poʻe i nā hōʻailona no ka mea ua hoʻolako ʻia ke koko i ka lima e nā kīʻaha koko ʻē aʻe. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ma hope o ka emi ʻana o ke kīʻaha koko ma kahi o 50% . I kekahi manawa, hiki i kahi kūlana i kapa ʻia ʻo "Steal Syndrome" ke hana i nā hōʻailona ʻē aʻe. E kamaʻilio mākou e pili ana i kēlā ma hope.

He aha nā kumu o ka `(Subclavian Artery Stenosis)`?

ʻO ke kumu nui o kēia maʻi ʻo ia ka "Atherosclerosis". ʻO ia hoʻi, ua waiho ʻia nā momona (e like me ka cholesterol) i loko o nā kīʻaha koko, e hoʻohaiki mālie ana i ke kīʻaha koko. E like me ka ulu ʻana o ka limu i loko o kahi paipu wai. ʻO kēia ke kumu maʻamau.

Ma waho aʻe o kēlā, hiki ke loaʻa kekahi mau kumu ʻē aʻe:

• Vasculitis: ʻO kahi maʻi mumū e kū mai ana i loko o nā kīʻaha koko.
• Pāhawewe: Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau no kekahi mea e like me ke kanesa ma ka umauma.
• ʻO ka Thoracic Outlet Syndrome: Ka ʻūmiʻi ʻana o nā kīʻaha koko a me nā aʻalolo e holo ana mai ka umauma luna a i ka ʻāʻī a me ka lima.
• (ʻO ka Arteritis o Takayasu): He maʻi mumū e hoʻopilikia ai i nā kīʻaha koko nui, ʻoi aku hoʻi i nā wahine ʻōpio.
• ʻO Fibromuscular Dysplasia: Ka hāiki ʻana o nā kīʻaha koko ma muli o ka ulu ʻana o nā ʻiʻo a me nā ʻiʻo pili i loko o nā paia o nā kīʻaha koko.
• ʻO Neurofibromatosis: ʻO kahi maʻi genetic e hoʻoulu ai i nā ʻōpū e hana i loko o ka ʻōnaehana nerve.

He aha nā kumu pilikia no kēia? ʻO wai ka mea e pono e makaʻala?

ʻOi aku ka nui o ka hiki i kekahi poʻe ke loaʻa i ka "(Subclavian Artery Stenosis)". E nānā inā pili kēia mau mea pilikia iā ʻoe:

• Ma waena o 50-60 mau makahiki.
• Loaʻa ke koko kiʻekiʻe (Hypertension). ʻO kēia ka mea a mākou e kapa nei he "ke koko kiʻekiʻe".
• Loaʻa i ka maʻi diabetes (Diabetes Mellitus / Diabetes). Ua kapa ʻia hoʻi ʻo ia he "maʻi kō", ʻeā?
• Hoʻonui ʻia nā pae cholesterol koko.
• ʻAi ʻana i nā meaʻai kiʻekiʻe i ka momona saturated a me ka momona trans (e like me ka pata, margarine, nā mea momona, ka meaʻai wikiwiki)
• Ka hoʻohana ʻana i nā huahana paka (e like me ka puhipaka, ka nau ʻana i ka betel nat).
• Noho lōʻihi ma kahi hoʻokahi a ʻaʻole hoʻoikaika kino.
• ʻO ka helu nui o ke kino (BMI) ma mua o 25, ʻo ia hoʻi, ua kaumaha ʻoe no kou kiʻekiʻe.
• Loaʻa i ka maʻi ʻaʻai peripheral (PAD).
• Loaʻa i ke kūlana (Takayasu's Arteritis).

He aha nā pilikia e hiki mai ana o ka `(Subclavian Artery Stenosis)`?

Inā ʻaʻole mālama pono ʻia kēia kūlana a i ʻole ʻaʻole i kāohi ʻia, hiki ke loaʻa kekahi mau pilikia.

• (Subclavian Steal Syndrome):He kūlana kūikawā kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, no ka mea ua emi ke kahe o ke koko i nā lima, ua "huki malū" ʻia kekahi o ke koko e hele ana i ka lolo i nā lima i ka wā e hana pū ana me lākou. A laila emi ka nui o ke koko e hele ana i ka lolo, hiki ke hana i nā mea e like me ka poniuniu a me nā maka polū.
• ʻO ka Coronary Steal Syndrome: Ua like kēia me ka mea mua, akā ma aneʻi ua hoʻohuli ʻia kekahi o ke koko e hele ana i ka puʻuwai i ka lima. He mea kākaʻikahi loa kēia, ʻoiai hoʻi i ka poʻe i hana ʻia i ke ʻoki bypass.
• ʻO kahi ʻāpana palaki momona i paʻa i loko o ke kīʻaha koko e haki a paʻa i loko o kahi kīʻaha koko liʻiliʻi kokoke i nā manamana lima. Hiki i kēia ke ʻoki i ke kahe koko i nā manamana lima, e lilo ai lākou i ʻeha a ʻōpū.
• Hoʻemi ʻia ke kahe o ke koko i ka puʻuwai, ka lolo, a i ʻole nā ​​​​lima.
• (TIA - Transient Ischemic Attack): Ua like kēia me ka liʻiliʻi `(stroke)`. ʻO nā hōʻailona e like me ke emi ʻana o ke kahe koko i ka lolo no ka manawa pōkole, ka hiki ʻole ke ʻōlelo, a me ka nalowale ʻana o nā lālā e hele mai a hele. Eia nō naʻe, hiki i kēia ke lilo i mea mua i kahi `(stroke)` nui.

Pehea e ʻike ai nā kauka i kēia maʻi (Subclavian Artery Stenosis)?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ke ʻike ʻoe i ke kauka, e nānā mua ʻo ia iā ʻoe. Ua kapa ʻia kēia he "hoʻokolohua kino".

• Ma laila, e nānā lākou i kou pulse a me ke koko .
• Malia paha ke nānā nei ʻoe e ʻike inā ʻoi aku ke anu o kekahi lima ma mua o kekahi.
• E nānā e ʻike inā he mau ʻeha ma nā lima ʻelua, a inā ʻaʻole lākou e ho'ōla ana (ʻoi aku ka lōʻihi o ka ho'ōla ʻana o nā ʻeha ma muli o ke kahe koko maikaʻi ʻole).
• Hiki iā ʻoe ke nānā e ʻike inā nāwaliwali ka pulse ma kekahi lima.

ʻO ka mea kūikawā, ʻaʻole e like me ka nānā maʻamau, e ana ke kauka i kou koko ma nā lima ʻelua . Hana ʻia kēia e hoʻohālikelike i ke kaomi ma nā lima ʻelua. Inā ʻoi aku ke kiʻekiʻe o ke kaomi systolic (ka helu kiʻekiʻe) ma kekahi lima ma kahi o 10-15 millimeters (mmHg) ma mua o ka lima ʻē aʻe, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo Subclavian Artery Stenosis. ʻOi aku ke kiʻekiʻe o ke kaomi ma ka lima e loaʻa ana ke koko mai kahi kīʻaha koko olakino.

Eia kekahi, inā lohe kāu kauka i kahi kani "swoosh" (i kapa ʻia he "bruit") ke hoʻolohe lākou i kou mau kīʻaha koko i kou ʻāʻī me kahi stethoscope, hiki i kēia ke hōʻailona o ka hāʻule ʻana o nā kīʻaha koko.

I kekahi manawa pinepine, hiki i ka poʻe i loaʻa i kēia kūlana ma muli o nā kumu ʻē aʻe ke hōʻike i nā hōʻailona e pili ana i kēlā mau maʻi pili.

He aha nā hoʻokolohua hou aʻe e hana ʻia nei e hōʻoia?

Inā kānalua kāu kauka he Subclavian Artery Stenosis kou, e kauoha mua paha ʻo ia i kahi ultrasound. Hiki i kēia ke nānā i ka wikiwiki o ke kahe ʻana o ke koko a me ke kūlana o nā kīʻaha koko.

Eia kekahi, hiki ke hana i nā hoʻokolohua aʻe e nānā i nā kīʻaha koko:

• (CT Angiogram - Computed Tomography Angiogram): He ʻano kūikawā kēia o ka CT scan. Hoʻokomo ʻia kekahi ʻano dye e ʻike maopopo i nā kīʻaha koko.
• (MRA - Magnetic Resonance Angiogram): Ua like kēia me kahi MRI scan, akā ua kūikawā ʻia no ka nānā ʻana i nā kīʻaha koko.
• ʻO ka Angiogram Kuʻuna (Invasive):Ma kēia, ua hoʻokomo ʻia kahi ʻōmole liʻiliʻi ma o kahi kīʻaha koko, ua hoʻokomo ʻia kahi kala, a ua lawe ʻia kahi "(X-ray)". I kekahi manawa hoʻohana ʻia kahi ʻano hana i kapa ʻia ʻo "(Digital Subtraction)". Wehe kēia i nā mea e like me ka iwi a ʻae wale i nā kīʻaha koko e ʻike maopopo ʻia.

He aha nā lāʻau lapaʻau no ka `(Subclavian Artery Stenosis)`?

Aia ka lāʻau lapaʻau i ka loaʻa ʻana o nā hōʻailona a me ke koʻikoʻi o ke kūlana.

Pono paha nā kānaka me nā hōʻailona i ka mālama ʻana e like me kēia:

• (Aspirin): Hoʻēmi i ke kāpili ʻana o ke koko a kōkua i ka hoʻomāmā ʻana i ke koko.
• Nā lāʻau hoʻohaʻahaʻa kolesterol: E hōʻemi i ka nui o ka momona e hōʻiliʻili ana i loko o nā kīʻaha koko.
• Lāʻau lapaʻau no ke koko kiʻekiʻe .
• Inā ʻo ke kumu ʻo ia ka (Vasculitis) a laila pono ka lāʻau lapaʻau.
• Angioplasty: Ma kēia, hoʻokomo ʻia kahi mea liʻiliʻi e like me ka pōpō i loko o ke kīʻaha koko i paʻa a hoʻopiha ʻia e hoʻonui i ke kīʻaha koko. I ka manawa pinepine, hoʻokomo ʻia kahi stent (kahi mea liʻiliʻi e like me ka ʻupena) e pale aku ai i ka haiki hou ʻana.
• ʻO ke ʻoki ʻana me ka ʻoki ʻana: He hana kakaikahi loa kēia. Pili ia i ke kāpae ʻana i ke kīʻaha koko i ālai ʻia a hana i kahi ala hou me ka hoʻohana ʻana i kekahi kīʻaha koko ʻē aʻe (hiki ke lawe ʻia mai ka wāwae) a i ʻole kekahi ala hana.

ʻOiai inā ʻaʻohe ou hōʻailona, ​​e ʻimi ana kāu kauka i nā waihona momona i loko o kou mau kīʻaha koko (atherosclerosis). Hiki i kēia kūlana ke hoʻopilikia i nā kīʻaha koko ma nā wahi āpau o ke kino a hiki ke alakaʻi i ka "stroke" a i ʻole ka "hōʻeha puʻuwai." No laila, e haʻi aku paha kāu kauka iā ʻoe:

• E hana kino no ka liʻiliʻi he 30 mau minuke i ka lā, i ka hapa nui o nā lā o ka pule. (E like me ka hele wāwae, ka holo ʻana, ka hoʻoikaika kino ʻana)
• E mālama i ke kaumaha olakino nou.
• E hōʻalo loa i nā huahana paka.
• E ʻai i ka papaʻai haʻahaʻa i nā momona saturated a me nā momona trans (e ʻai hou aku i nā mea kanu, nā huaʻai, nā legumes, a me ka fiber).

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kekahi lāʻau lapaʻau ke hana i nā hopena ʻaoʻao liʻiliʻi. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hoʻopilikia a mau loa i ka wā e lawe ana i kāu lāʻau lapaʻau, e kamaʻilio me kāu kauka.

I kekahi manawa, hiki i nā ʻoki kino a i ʻole nā ​​​​kaʻina hana e like me ka "Angioplasty" ke hana i nā pilikia e like me kēia:

• Ke kahe ʻana o ke koko.
• Ka hōʻino ʻana i kahi kīʻaha koko.
• Nā ʻūpā koko.
• ʻAʻole i hoʻonui pono ka stent i hoʻokomo ʻia a i ʻole ʻaʻole i ke kūlana kūpono.
• Pau ka stent i hoʻokomo ʻia.
• Ua ālai hou ʻia ke kīʻaha koko.
• I ka manawa pinepine ʻole, hiki ke loaʻa kahi hahau ma hope o ka angioplasty a i ʻole ke ʻoki ʻana.

Pehea ka lōʻihi e ho'ōla ai mai kēia mau lāʻau lapaʻau?

Ma hope o ka Angioplasty, pono ʻoe e hoʻomaha no hoʻokahi lā. E hiki iā ʻoe ke kalaiwa a hele i ka hana i loko o hoʻokahi pule. Eia nō naʻe, ʻoi aku ka lōʻihi o ka hoʻōla ʻana o kahi Bypass Surgery. E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia ma muli o kou kūlana.

He aha ka mea e hiki mai ana inā loaʻa iaʻu ka `(Subclavian Artery Stenosis)`? He aha ka wā e hiki mai ana?

Inā loaʻa iā ʻoe nā hōʻailona, ​​hiki i ka lāʻau lapaʻau ke hele lōʻihi i ka wehe ʻana i kou mau kīʻaha koko a me ka hōʻoluʻolu ʻana i kāu mau hōʻailona. Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole pono paha ka lāʻau lapaʻau.

Akā inā he mau hōʻailona kou a ʻaʻole paha, ʻo ka Subclavian Artery Stenosis he hōʻailona ia mai kou kino . ʻO ka hapa nui, ua hana ʻia e Atherosclerosis (nā waihona momona i loko o nā kīʻaha koko). Inā paʻa kekahi kīʻaha koko, hiki iā ia ke hana i nā kīʻaha koko ʻē aʻe e paʻa. ʻO ia ke kumu e haʻi aku ai kāu kauka iā ʻoe e kāohi i kāu mau kumu pilikia no ka maʻi cardiovascular .

ʻO kēia kekahi:

• Inā ʻoe e hoʻohana i ka paka, e hoʻōki loa ia.
• Ke kāohi nei i ke koko kiʻekiʻe.
• Ke kāohi ʻana i ka cholesterol kiʻekiʻe.
• Ke kāohi ʻana a i ʻole ka pale ʻana i ka maʻi diabetes.

ʻOi aku ka maikaʻi o ka Angioplasty ma mua o 95% i ka hōʻoluʻolu ʻana i nā hōʻailona. ʻElima mau makahiki ma hope o ka angioplasty, ma kahi o 90% o nā kīʻaha koko i paʻa mua ʻia e waiho mau ana. Hiki i ke ʻoki hāmama ke hāʻawi i nā hopena mau loa.

Inā ua ālai loa ʻia kou kīʻaha koko, ʻaʻole paha e kūpono iki nā hopena.

Hiki ke pale ʻia ka Subclavian Artery Stenosis?

ʻAe, i ka hapanui o nā hihia, hiki ke pale ʻia nā waihona momona i loko o nā kīʻaha koko (atherosclerosis) e hoʻoulu ai i kēia. ʻO ka mea wale nō āu e hana ai, ʻo ia ke hana i kekahi mau hoʻololi i kou nohona.

• Ke hana kino ʻana.
• Ma hope o kahi papaʻai olakino (emi ka ʻaila, ke kō, ka paʻakai, ʻoi aku ka nui o nā mea kanu a me nā huaʻai)
• E pale i ka puhipaka.
• Ka mālama ʻana i ke kaumaha olakino.

He mea nui nō hoʻi e mālama pono i nā kūlana olakino āu i loaʻa mua ai, e like me:

• Kolesterol kiʻekiʻe.
• Ke koko kiʻekiʻe (Hypertension).
• Ka maʻi diabetes.

Pehea wau e mālama ai iaʻu iho?

ʻO nā hoʻololi liʻiliʻi o ke ʻano o ka nohona hiki iā ʻoe ke hana e pale aku i ka Subclavian Artery Stenosis e kōkua iā ʻoe ma hope o ka mālama ʻana. Hiki i nā ʻano olakino ke kōkua i ka pale ʻana i kēia maʻi mai ka hoʻi hou ʻana. Inā hoʻokomo ke kauka i kahi stent i loko o kou aʻa, pono paha ʻoe e hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau e like me ka aspirin a me ka clopidogrel e pale aku ai i ka pani hou ʻana.

Āhea wau e ʻike ai i ke kauka?

Ma hope o ka lāʻau lapaʻau, e noi ʻia ʻoe e ʻike i kāu kauka ma kahi o kēlā me kēia ʻeono mahina no nā makahiki ʻelua mua. A laila ma kahi o hoʻokahi manawa i ka makahiki. Hiki ke loli kēia ma muli o kou kūlana a me kahi e mālama ʻia ai ʻoe. No laila, e hahai pono i nā ʻōlelo a kāu kauka.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Hiki i nā kānaka me ka Subclavian Artery Stenosis ke loaʻa nā waihona momona i loko o nā kīʻaha koko ʻē aʻe o ke kino. Hoʻokomo pū kēia i nā aʻa e hoʻolako i ke koko i kou puʻuwai (nā aʻa coronary). Inā paʻa kēia mau aʻa, hiki iā ʻoe ke loaʻa i ka hōʻeha puʻuwai. Inā loaʻa iā ʻoe nā hōʻailona o ka hōʻeha puʻuwai , e ʻimi koke i ke kōkua lapaʻau.

Hiki i nā hōʻailona o ka hōʻeha puʻuwai ke komo pū me:

• ʻEha a ʻeha paha ka umauma (hiki i kēia ʻeha ke pālahalaha i ka lima, ka ʻāʻī, a i ʻole ka ʻāʻī).
• Paʻakikī ka hanu ʻana.
• Pōʻino, manaʻo māmā ke poʻo.
• Manaʻo e kuʻi wikiwiki ana kou puʻuwai.
• ʻŌpū ʻeha, nausea, luaʻi.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pono anei au i ka lāʻau lapaʻau?
• He aha ka lāʻau lapaʻau maikaʻi loa no koʻu maʻi?
• ʻEhia o kēia ʻano lapaʻau āu e hana ai ma kou haukapila/keʻena lapaʻau i kēlā me kēia makahiki?
• Hiki iā ʻoe ke kuhikuhi mai iaʻu i kahi mea hiki ke kōkua iaʻu e hoʻomohala i nā ʻano olakino puʻuwai? (e.g., he meaʻai meaʻai)

He mea weliweli anei ka `(Subclavian Artery Stenosis)`?

ʻAe, hiki i kēia ke lilo i mea weliweli, ʻoiai inā he kumu ia o kahi kūlana i kapa ʻia ʻo "Steal Syndrome", ʻo ia hoʻi, ʻaʻole nui ke koko e hoʻoneʻe ʻia ana i ka lolo a i ʻole ka puʻuwai, a ma kahi o ia mea, ke hoʻohuli ʻia nei i nā lima. ʻO ka mea maikaʻi loa āu e hiki ai ke hana e pale aku i kēia mau pilikia, ʻo ia ke hahai i ka ʻōlelo aʻo a kāu kauka no ka ʻai olakino a me ka hoʻomaʻamaʻa kino.

Ke ʻike ʻoe he Subclavian Artery Stenosis kou, ʻo ia paha ka manawa mua āu i lohe ai e pili ana i kēlā kīʻaha koko. Akā, e noʻonoʻo i kēia he leka mai kou kino mai: Loaʻa iā ʻoe ʻo Atherosclerosis. Inā aia i loko o kekahi kīʻaha koko, hiki nō hoʻi i loko o kekahi. No laila, e hana i nā hana i kēia manawa e mālama i kou puʻuwai a me nā kīʻaha koko i ke olakino.

ʻO ka mea hope loa, leka lawe i ka home

ʻAe, i kēia manawa ua ʻoi aku kou maopopo i ka mea a mākou i kamaʻilio ai, "(Subclavian Artery Stenosis)". Mai hopohopo , inā ʻike mua ʻia a mālama pono ʻia, hiki iā ʻoe ke maikaʻi.

ʻO ka mea nui, pili pinepine kēia i ko kākou nohona. ʻO ia hoʻi ka ʻai ʻana i kahi meaʻai olakino, ka hoʻoikaika kino mau , ka pale ʻana i ka puhipaka, a me ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol .

• Inā loaʻa pinepine iā ʻoe ka ʻeha, ka mae ʻole, a i ʻole ka luhi i kou mau lima, mai hoʻowahāwahā iā ia a e ʻimi i ke kōkua lapaʻau.
• E hahai pono i ka lāʻau a me nā kuhikuhi a ke kauka.
• ʻAʻole kēia he pilikia lima wale nō, akā he hōʻailona ia e pono ai ʻoe e makaʻala i ke olakino holoʻokoʻa o kou puʻuwai.

E hoʻolohe i kou kino a e ho'āʻo e noho olakino!

ʻO ka Stenosis o ke Artery Subclavian, ʻEha lima, Māmā lima, ʻŌwiliwili o nā kīʻaha koko, Angioplasty, Stent, Atherosclerosis