Ua noʻonoʻo paha ʻoe pehea e loaʻa ai i kou mau lima, ʻāʻī, a me ke poʻo ka ikehu e pono ai lākou e hana, ʻo ia hoʻi, ke koko maʻemaʻe a me ka oxygen? I kēia lā e kamaʻilio mākou e pili ana i ʻelua mau kīʻaha koko kūikawā e hoʻoikaika ana i ka ʻaoʻao o luna o ko mākou kino, e hana ana e like me ka ʻōnaehana hoʻolako wai nui no ke kūlanakauhale. Kāhea mākou i kēia mau mea ʻo Subclavian Arteries. ʻOiai ke kani iki nei ka inoa, he maʻalahi loa a he mea nui kā lākou hana.
I ka ʻōlelo maʻalahi, he aha ka mana subclavian?
E noʻonoʻo i kou puʻuwai e like me ke kahua pamu nui. Lawe kēia kahua pamu i ke koko oxygenated i nā ʻāpana āpau o kou kino ma o kahi ʻōnaehana nui o nā paipu. ʻElua o nā paipu nui i loko o kēlā ʻōnaehana ʻo ia nā aʻa subclavian. Aia kēia mau mea ma lalo pono o kou mau iwi collar. Hoʻokahi ma ka ʻaoʻao ʻākau, ʻo kekahi ma ka hema.
ʻO kā lākou hana nui ka lawe ʻana i ke koko momona i ka oxygen mai kou puʻuwai a i kou ʻāʻī, poʻo, a me nā lima . I mea e pololei ai, hana kēia mau aʻa i ʻekolu ʻāpana:
- ʻĀpana mua: Hoʻolako kēia ʻāpana i ke koko i ka 'circle of Willis', kahi ʻōnaehana kīʻaha koko nui e hoʻolako i ke koko i kou umauma, ka ʻōpū thyroid, a me ka lolo.
- Māhele ʻElua: E pamu kēia i ke koko i nā ʻāpana koʻikoʻi o ka ʻāʻī.
- Māhele 3: ʻO kēia ka ʻāpana mamao loa. Hoʻolako ia i ke koko i kou mau lima, me nā ʻiʻo i loko o kou biceps a me triceps, a me kou mau poʻohiwi.
Aia ma hea kēia mau luakini a he aha ko lākou mau lālā?
E like me kā mākou i ʻōlelo ai ma mua, aia kēia mau ʻiʻo ʻelua ma lalo o nā iwi ʻāʻī. Eia nō naʻe, ʻokoʻa iki nā wahi hoʻomaka o kēia mau ʻiʻo ʻelua.
- ʻO ke Artery Subclavian ʻākau: Hoʻomaka kēia ma kou aʻa brachiocephalic.
- ʻO ke Artery Subclavian Hema: Hoʻomaka pololei kēia mai ke ā aortic.
Hele kēia mau aʻa ʻelua i waho mai ke kikowaena o kou kino, e hele kokoke ana i kou iwi ʻaoʻao mua, kahi e lilo ai lākou i mau aʻa axillary. Ma ke ala, lālā kēia mau aʻa nui i nā lālā koʻikoʻi ʻē aʻe.
| Inoa Lālā | Hana |
|---|---|
| Nā aʻa vertebral | Hoʻolako i ke koko i nā ʻāpana o ka lolo a me ke kumu o ka lolo. |
| Nā aʻa thoracic kūloko | Hoʻolako ia i ke koko i ka pericardium, ka iwi umauma, ka diaphragm, a me nā ʻāpana o ka paia umauma. (Hoʻohana nā kauka i kēia aʻa no nā grafts bypass artery coronary.) |
| Nā aʻa scapular dorsal | Lawe ia i ke koko i nā ʻiʻo ma ke kua i luna e kākoʻo ana i nā lima a me nā poʻohiwi. |
| ʻO ke kumu o ka thyrocervical | Holo ia ma nā ʻaoʻao o ka ʻāʻī a hoʻolako i ke koko i ka ʻāʻī a me nā poʻohiwi. |
| ʻO ke kumu o ka costocervical | Aia ma nā ʻaoʻao ʻelua o ka ʻāʻī, hoʻouna lākou i ke koko i nā lima, ka ʻāʻī, a me ke poʻo. |
He aha nā kūlana olakino e hiki ke hoʻopilikia i kēia ʻano?
E like me nā kīʻaha koko ʻē aʻe i loko o ko kākou kino, hiki ke hoʻopilikia ʻia ke aʻa subclavian e nā maʻi like ʻole. E nānā kākou i kekahi o lākou i kēia manawa. He mea nui loa ka makaʻala i kēia mau mea, no ka mea, inā ʻike mua ʻia lākou, ʻoi aku ka maʻalahi o ka mālama ʻana.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, mai nānā wale i ka pūnaewele a hoʻoholo he maʻi kou, akā e ʻike pono i ke kauka a e ʻimi i ka ʻōlelo aʻo.
| Kūlana olakino | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia? |
|---|---|
| Atherosclerosis | ʻO kēia ke kūlana a kākou e ʻike nei he 'nā waihona momona i loko o nā kīʻaha koko'. Hiki i ka cholesterol a me ka momona (plaque) ke hōʻiliʻili a ālai i loko o nā aʻa. Hoʻopilikia kēia i ke kahe koko. |
| ʻO ka maʻi puka ʻōpū | Hana ʻia kēia ke emi ka ʻaʻa (stenosis) ma muli o nā ʻiʻo, nā iwi, a i ʻole nā ʻiʻo ʻē aʻe e hoʻopuni ana i ke aʻa. Hoʻemi kēia i ka nui o ke koko e kahe ana i ka lima. |
| ʻO ka maʻi arteritis o Takayasu | He maʻi laha ʻole kēia i kapa ʻia ʻo vasculitis. I kēia maʻi, pehu a mumū ke aʻa subclavian. Hiki i kēia ke hōʻemi i ka nui o ka oxygen e hiki ana i ke poʻo, ka ʻāʻī, a me nā lima. |
| ʻO ka maʻi ʻaihue subclavian | ʻO ka mea e hana ʻia ma kēia hihia, ʻo ka hāiki ʻana o ke aʻa e hoʻoulu ai i kekahi o ke koko e pono e hele i ka lolo e "huki malū" ʻia i ka ʻaoʻao o ka lima ke hana ʻoe i ka hana lima. Hoʻemi kēia i ka nui o ke koko e hele ana i ka lolo, hiki ke alakaʻi i nā mea e like me ka poniuniu. |
Nā hōʻailona maʻamau o kēia ʻano pilikia
I kēia manawa, e nānā kākou i kekahi o nā hōʻailona maʻamau āu e ʻike ai inā loaʻa iā ʻoe kēia maʻi. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona i nā manawa a pau, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
- Nā loli o ke koko ma nā lima ʻelua: Hōʻike ka BP ma kekahi lima i kahi haʻahaʻa loa ma mua o kekahi.
- Ka loli ʻana o ke kala o ka lima a i ʻole nā manamana lima: Hiki ke lilo i keʻokeʻo a polū paha.
- ʻO ka mae, ka ʻeha, a i ʻole ka nāwaliwali o ka lima: Manaʻo ka lima he mae, he mae, a he ʻeha paha.
- Ka pehu ʻana o ka lima.
- ʻIke i ke anu: Manaʻo e anu koke kou mau lima ma mua o nā mea ʻē aʻe.
- Pōniuniu: Pōniuniu, ʻoiai ke hana nei i ka hana lima.
- Kuni.
- Ka mae ʻana.
Pehea e nānā ai ke kauka i kēia kūlana?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe i nā nīnau a nānā iā ʻoe. A laila, inā pono, hiki iā ia ke kuhikuhi iā ʻoe no kekahi o kēia mau hoʻokolohua.
- Ke ana ʻana i ke kaomi koko ma nā lima ʻelua.
- ʻO ke scan ultrasound vascular: Hiki ke hoʻohana ʻia kēia e ʻike i ke kahe ʻana o ke koko i loko o nā kīʻaha koko a inā he mau mea e ālai ana.
- He kiʻi X-ray o ka umauma.
- Hoʻāʻo CT scan a i ʻole MRI scan (Magnetic resonance imaging - MRI).
- Angiogram: ʻAʻole hana pinepine ʻia kēia. Ma kēia, hoʻokomo ʻia kahi kala kūikawā i loko o ke kino a lawe ʻia kahi X-ray e hana i kahi palapala ʻāina o nā kīʻaha koko.
He aha nā lāʻau lapaʻau?
ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau kūpono no nā ʻano maʻi he nui. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa no kou ʻano. ʻO ka pahuhopu nui ka wehe hou ʻana i ke aʻa i haiki a paʻa paha a hoʻihoʻi i ke kahe koko.
No ka maʻi atherosclerosis:
- ʻAspirin a me nā lāʻau hoʻohaʻahaʻa cholesterol.
- Angioplasty: Hoʻokomo ʻia kahi mea e like me ka pōpō i loko o ke aʻa e kaomi i ka papa momona i ka paia, e wehe hou ana i ke aʻa. I kekahi manawa hiki ke kau ʻia kahi stent e mālama i ka wehe ʻana o ke aʻa.
- ʻO ke ʻoki ʻana ma o ka bypass: He ʻoki ʻana e hana ai i kahi ala hou no ke kahe ʻana o ke koko a puni kahi aʻa i paʻa.
No ka maʻi puka thoracic:
- Hoʻōla kino.
- Nā lāʻau hoʻopau ʻeha (NSAID).
- Nā lāʻau hoʻoheheʻe koko (Thrombolytics).
- Nā lāʻau anticoagulant.
- He ʻoki kino e wehe ai i ke kumu o ke ālai ʻana.
No ka arteritis o Takayasu:
- Nā lāʻau anti-inflammatory e like me corticosteroids.
- Nā lāʻau lapaʻau immunosuppressive.
- ʻO ka angioplasty a i ʻole ke ʻoki ʻana e wehe i ka poloka.
Nā mea hiki iā mākou ke hana e mālama i kēia kaulike olakino
ʻO nā mea like āu e hana ai e mālama i ke olakino o kou ʻōnaehana cardiovascular, ʻo ia nā mea like āu e hana ai e mālama i ke olakino o kou aʻa subclavian. He mau mea maʻalahi loa kēia e hiki ke hoʻokomo ʻia i loko o kou ola o kēlā me kēia lā.
- E kāohi i kou koko a me nā pae cholesterol. E hahai i nā ʻōlelo a kāu kauka a me nā lāʻau lapaʻau e like me ke kauoha.
- E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka (puhi paka).
- E hoʻoikaika kino mau. ʻOiai ka hele wāwae wale no 30 mau minuke i ka lā, he mea nui ia.
- E mālama i ke kaumaha o ke kino olakino.
- E ʻai i ka meaʻai kaulike.E ʻai i nā huaʻai, nā mea kanu, a me nā palaoa piha. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
Leka Lawe-Home
- He kīʻaha koko koʻikoʻi loa ke aʻa subclavian e hoʻolako ana i ke koko i ko mākou kino o luna, ʻoiai nā lima, ka ʻāʻī, a me ka lolo.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka lima, ka ʻeha, ka dizziness, a i ʻole nā loli o ke koko i loko o kou mau lima.
- Aia kekahi mau kūlana olakino e hiki ke hoʻopilikia i kēia hiki, akā ʻo ka hapa nui o lākou he mau lāʻau lapaʻau kūpono.
- Hiki i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) ke pale i kēia aʻa a me ka ʻōnaehana cardiovascular holoʻokoʻa.
- Inā he kānalua a nīnau paha kāu, mai makaʻu e kamaʻilio me kāu kauka ʻohana e pili ana i ia mea.
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