Ke pilikia nei ʻoe me kou mau kīʻaha koko? E kamaʻilio kākou e pili ana i ka maʻi vascular!

Ua noʻonoʻo paha ʻoe i ke koʻikoʻi o kēia ʻōnaehana vascular ma ko kākou kino holoʻokoʻa? Ua like ia me nā alanui, lawe kēia mau kīʻaha koko i ke koko i nā wahi a pau o ko kākou kino. No laila, inā he pilikia i loko o kēia ʻōnaehana vascular, ʻo ia hoʻi, ma nā alanui e kahe ai ke koko, a laila kapa wale mākou iā ia he "Maʻi Vascular" . ʻAʻole kēia he maʻi hoʻokahi, akā he nui nā ʻano maʻi like ʻole e pili ana i kēia.

He aha ka ʻōnaehana kaapuni? E hoʻomaopopo maʻalahi kākou!

E noʻonoʻo, aia i loko o ko kākou kino kahi ʻōnaehana e like me kahi pūnaewele nui o nā alanui. ʻO kēia ka mea a kākou e kapa nei he ʻōnaehana hoʻopuni koko . ʻO nā ʻāpana nui o kēia, ʻo ia nā kīʻaha koko. ʻEkolu ʻano o kēia mau kīʻaha koko:

1. Nā ʻaʻa koko: ʻO kēia nā aʻa koko nui e lawe ana i ke koko maʻemaʻe a piha i ka oxygen mai ka puʻuwai a i nā ʻōpū a me nā ʻiʻo ʻē aʻe. E like me nā paipu nui e lawe ana i ka wai mai ka pahu wai i nā hale.

2. Nā aʻa koko: ʻO kēia nā aʻa koko e lawe ana i ke koko i hoʻohana ʻia, nele i ka oxygen i ka puʻuwai mai nā wahi a pau o ke kino. Ua like lākou me nā paipu e hōʻiliʻili i ka wai i hoʻohana ʻia.

3. Nā Capillaries: ʻO kēia nā kīʻaha koko liʻiliʻi loa i loko o ko kākou kino, ʻo ka nui o ka lauoho . Lawe kēia mau aa koko liʻiliʻi i ka oxygen a me nā meaʻai mai nā aʻa koko i nā pūnaewele o ko kākou kino, a hōʻiliʻili i nā huahana ʻōpala mai nā pūnaewele a hāʻawi iā lākou i nā pūnaewele. Ua like lākou me nā ala liʻiliʻi e hoʻopili ana i nā alanui nui i nā hale liʻiliʻi.

No laila, inā he pilikia me kekahi o kēia mau ʻōkana ʻekolu - nā aʻa, nā veins, a me nā capillaries - a i ʻole me ke koko ponoʻī, ka mea e hoʻopilikia ai i ke kahe koko, he maʻi paha ia o ka ʻōnaehana kīʻaha koko, ʻo ia hoʻi, he "maʻi vascular".

He aha nā ʻano o nā maʻi vascular?

Hiki i kēia huaʻōlelo `(Maʻi Vascular)` ke loaʻa i nā ʻano he nui. Hoʻopilikia kekahi i nā aʻa wale nō, ʻo kekahi i nā veins wale nō. I kekahi manawa hiki ke loaʻa kēia mau maʻi ma nā wahi kikoʻī o ke kino wale nō. E nānā kākou i kekahi o nā ʻano nui.

1. Ka maʻi ʻaʻai peripheral (PAD)

ʻO ka mea e hana ʻia ma kēia, ʻo ia hoʻi, e like me nā aʻa coronary, ʻo nā aʻa ʻē aʻe ma waho o ka puʻuwai (ʻoi aku hoʻi nā aʻa e lawe ana i ke koko i nā wāwae) e paʻa ʻia me ka momona a me ka cholesterol (ua kapa ʻia kēia ʻo "Atherosclerosis"). I ka hala ʻana o ka manawa, hoʻonui ʻia kēia paʻa a emi iho ke kahe o ke koko. A laila, no ka mea ʻaʻole kahe pono ke koko, hiki ke hōʻino ʻia nā ʻiʻo "Ischemia".

Aia kekahi mau ʻano o ka "Peripheral Artery Disease":

• ʻO ka maʻi ʻaʻa peripheral o nā wāwae: ʻO kēia ka manawa e emi ai ke kahe o ke koko i nā wāwae. I kekahi manawa, inā pau loa ke kahe ʻana o ke koko, hiki i nā ʻiʻo ma ia wahi ke make (Gangrene) a pono paha e ʻoki ʻia ka wāwae. E noʻonoʻo e like me ka make ʻana o nā lāʻau i ka wā e paʻa ai ka paipu wai o ka māla i ka lepo a pau ke kahe ʻana o ka wai.
• ʻO ka maʻi Ischemic Intestinal: He kūlana i hoʻokumu ʻia e ka poloka ʻana o nā kīʻaha koko e hoʻolako ana i nā ʻōpū.
• Ka Maʻi ʻAʻa Renal: Ka paʻa ʻana o nā aʻa e lawe ana i ke koko i nā puʻupaʻa. Hiki i kēia ke alakaʻi i ke koko kiʻekiʻe a me ka hāʻule ʻana o nā puʻupaʻa.
• ʻO ka Popliteal Entrapment Syndrome: He ʻano kakaikahi kēia, ʻoiai hoʻi i nā ʻōpio haʻuki, kahi e hiki ai ke hoʻopaʻa ʻia ke aʻa popliteal, aia ma hope o ke kuli, e nā ʻiʻo a me nā tendon ma ia wahi, e pale ana i ke kahe ʻana o ke koko.
• ʻO ka hanana ʻo Raynaud: Ke kau ʻia i ke anu a i ʻole ma lalo o ke kaumaha, e ʻūmi koke nā aʻa liʻiliʻi ma nā manamana lima a me nā manamana wāwae. Hiki i nā manamana lima ke lilo i keʻokeʻo, uliuli, a laila ʻulaʻula.
• ʻO ka maʻi Buerger: Hoʻopilikia nui kēia i nā aʻa liʻiliʻi a me waena, nā aʻa koko, a me nā aʻalolo i nā lima a me nā wāwae. ʻAʻole ʻike ʻia ke kumu pololei, akā ua pili ia i ka hoʻohana ʻana i ka paka (puhi paka, nau paka) . Aia kekahi mau hihia kahi e emi ai ke kahe koko i nā lima a me nā wāwae, e hana ana i ka "Ischemia", ka make ʻana o nā ʻiʻo ma nā manamana lima a me nā manamana wāwae, a me ka "Gangrene".

2. Nā pilikia o ke aʻa Carotid

Aia ʻelua mau aʻa nui ma nā ʻaoʻao ʻelua o ko kākou ʻāʻī e lawe ana i ke koko i ka lolo. Ua kapa ʻia kēia mau mea he "Carotid Arteries". Inā he mau pilikia me kēia, hiki ke lilo i mea weliweli loa.

• ʻO ka maʻi Carotid Artery: He poloka a i ʻole ka haiki ʻana o ke aʻa e hoʻolako ana i ke koko i ka lolo. Hiki i kēia ke hana i kahi hoʻouka kaua ischemic transient (TIA) a i ʻole ka hahau ʻana .
• ʻO ka Carotid Artery Dissection: He haehae i loko o ka paia o ke aʻa, e hoʻokahe ai ke koko.
• Nā puʻupuʻu kino carotid: Nā puʻupuʻu e hana ʻia ana i loko o ke aʻalolo e hoʻopuni ana i ke aʻa carotid.
• ʻO Carotid Artery Aneurysm: He nāwaliwali o ka paia o ke aʻa e puʻupuʻu ana e like me ka pōpō. Hiki i kēia ke pahū.

3. Maʻi ʻaʻa koko

He mau kīʻaha koko palupalu nā aʻa koko me nā kiwikā i loko e ʻae ai i ke koko e kahe i hoʻokahi wale nō ʻaoʻao. Ke hoʻopaʻa mākou i ko mākou mau ʻiʻo, wehe kēia mau kiwikā a kahe ke koko i luna. Ke hoʻomaha mākou i ko mākou mau ʻiʻo, pani nā kiwikā a oki ke koko e kahe hou i lalo.

Akā inā ua hōʻino ʻia kēia mau kiwikā, ʻaʻole lākou e pani pono . A laila hoʻomaka ke koko e kahe i nā ʻaoʻao ʻelua. Ke hoʻomaha nā ʻiʻo, ʻaʻole hiki i nā kiwikā i loko o nā aʻa koko i hōʻino ʻia ke paʻa i ke koko. ʻO kēia ke kumu o ka piha ʻana o nā aʻa koko i ke koko, pehu, a me he mea lā ua nakinaki ʻia. Hiki ke loaʻa nā hōʻailona e like me ke kaumaha ma nā wāwae, ka ʻeha, ka pehu, ke kani ʻana, a me ka maneʻo. Hiki nō hoʻi ke hana ʻia nā ʻūpā koko.

• ʻO nā aʻa Varicose: Nā aʻa pehu, poni, wili e ʻike ʻia ma lalo o ka ʻili. Hana ʻia kēia e ka hōʻino ʻia ʻana o nā valves i loko o nā aʻa. Ua ʻike paha ʻoe i kēia pilikia i nā poʻe he nui.
• Nā ʻaʻa koko: Nā kaha liʻiliʻi ʻulaʻula a poni paha e ʻike ʻia ma nā kuli, nā kuʻekuʻe wāwae, a me nā ʻūhā. Hoʻokumu ʻia kēia e nā capillaries pehu.
• ʻO ka maʻi Klippel-Trenaunay (KTS): He maʻi maʻi koko hānau laha ʻole kēia.
• ʻO ka maʻi May-Thurner (MTS): Hoʻopaʻa ke aʻa iliac ʻākau i ka aʻa iliac hema, e hoʻonui ana i ka pilikia o ka deep vein thrombosis (DVT) ma ka wāwae hema.
• ʻO ka Thoracic Outlet Syndrome (TOS): He hui o nā hōʻailona i hoʻokumu ʻia e ke kaomi, ka ʻeha, a i ʻole ka huhū o nā aʻalolo a me/a i ʻole nā ​​​​kīʻaha koko (nā aʻa a me nā veins) ma ka ʻāʻī haʻahaʻa, ka armpit, a me ka umauma luna.
• Ka Lapaʻau ʻAʻa Mau Loa (CVI): He kūlana kahi e hana pono ʻole ai nā paia a me/a i ʻole nā ​​​​kiwikā o nā aʻa koko i nā wāwae, e paʻakikī ai ke hoʻi ʻana o ke koko i ka puʻuwai.

4. Nā ʻūpā koko

ʻO nā ʻūpā koko ke lilo kekahi mea i loko o ko kākou koko i mea e mānoanoa iki ai ko kākou koko a like me ka jelly. Inā hana ʻia kahi ʻūpā koko (thrombus) i loko o kahi kīʻaha koko, hiki iā ia ke haki a hele pū me ke koko, e hana ana i ka deep vein thrombosis (DVT), pulmonary embolism (Pulmonary Embolism), ka hōʻeha puʻuwai, a i ʻole ka hahau .

Inā hoʻokumu ʻia nā ʻūpā koko i loko o nā aʻa, hoʻonui lākou i ka pilikia o ka hahau ʻana, ka hōʻeha puʻuwai, ka ʻeha nui o nā wāwae, ka paʻakikī i ka hele wāwae, a me ka nalowale paha o kahi lālā.

• Nā kūlana Hypercoagulable / Nā maʻi ʻaʻa koko: ʻOi aku ka wikiwiki o ke koko o kekahi poʻe ma mua o ka maʻamau. Hiki i kēia ke lilo i genetic (hoʻoilina) a i ʻole hiki ke ulu ma hope o ke ola. Hoʻonui kēia i ka pilikia o ke koko i loko o nā aʻa a me nā veins. Hiki ke hana ʻia kēia e ka nui o nā mea i loko o ke koko e kōkua ai i ke koko, e like me `(Fibrinogen)`, `(Factor 8)`, `(Prothrombin)`, a i ʻole ka emi ʻana o nā protein kūlohelohe e pale ai i ke koko, e like me `(Antithrombin)`, `(Protein C)`, `(Protein S)`.
• ʻO ka Deep Vein Thrombosis (DVT): Hoʻokumu ʻia kahi ʻōpū koko i loko o kahi aʻa koko hohonu i loko o ke kino.
• ʻO ka Pulmonary Embolism: ʻO kahi ʻūpā koko e hana ʻia i loko o kahi aʻa koko e haki a noho i loko o kahi aʻa koko i loko o nā māmā. He kūlana weliweli loa kēia.
• ʻO ka thrombosis aʻa koko Axillo-subclavian (Paget-Schroetter Syndrome): He ʻano kīʻaha koko i maʻamau i nā mea pāʻani ʻōpio a hoʻokūkū. Hoʻonui ʻia ka pilikia o nā ʻūpā koko ke hoʻopaʻa ka clavicle, ka iwi ʻaoʻao mua, a i ʻole nā ​​ʻiʻo e hoʻopuni ana i ka axilla a i ʻole ka aʻa subclavian.
• ʻO ka Thrombophlebitis Superficial: Hoʻokumu ʻia kahi ʻaʻa koko i loko o kahi aa koko ma lalo pono o ka ʻili a ke kumu o ka pehu ʻana.

5. ʻAneurysm Aortic

ʻO ka aneurysm ka hoʻonāwaliwali ʻana o ka paia o ke kīʻaha koko, e hoʻoulu ai iā ia e puʻupuʻu e like me ka pōpō. ʻOiai hiki ke hana i loko o kekahi kīʻaha koko, ʻike pinepine ʻia ia ma ka aorta, ke kīʻaha koko nui e alakaʻi ana mai ka puʻuwai mai.

• ʻO ka Thoracic Aortic Aneurysm: He puʻupuʻu i loko o ka aorta ma ka ʻāpana umauma.
• ʻO ka Aneurysm Aortic ʻōpū: He puʻupuʻu i loko o ka aorta ma ka ʻōpū.

He mea nui: Inā haki kahi aneurysm, hiki ke hoʻoweliweli i ke ola, no laila he mea nui loa ka makaʻala i kēia.

6. Fibromuscular Dysplasia (FMD)

He kūlana kākaʻikahi nō hoʻi kēia. Ma kēia kūlana, ulu kūpono ʻole nā ​​​​​​pūnaewele i loko o nā paia o nā aʻa waena a me nā aʻa nui. Hiki i kēia ke hoʻololi i ke ʻano o nā aʻa, e hāʻawi ana iā lākou i kahi ʻano beaded, a hoʻohaiki i nā aʻa. Hiki i kēia ke alakaʻi i nā pilikia e like me nā aneurysms a me ka dissection arterial.

7. Lymphedema

ʻO ka ʻōnaehana lymphatic kahi pūnaewele o nā kīʻaha lymph a me nā lymph node e kōkua i ka ʻōnaehana pale o ko mākou kino. Mālama kēia ʻōnaehana i ko mākou kino mai nā mea ʻē. ʻO ka Lymphedema ka wā e hōʻino ʻia ai kēia mau kīʻaha lymph a i ʻole nā ​​​​node, e hōʻiliʻili ana i kahi hoʻokahi a pehu.

• Lymphedema Mua: Kākaʻikahi. Hānau ʻia kekahi poʻe me ka ʻole o kekahi mau lymph node a i ʻole me nā ʻano ʻē i loko o lākou.
• ʻO ka Lymphedema Lua: Hana ʻia kēia ke loaʻa kahi ālai ʻia a i ʻole kahi pale ʻana i loko o ka ʻōnaehana lymphatic. Hiki ke hana ʻia kēia e nā mea e like me ka maʻi, ke kanesa, ke ʻoki kino, ka ʻiʻo ʻeha, ka ʻeha, DVT, a me ka radiation therapy.

8. ʻO ka maʻi ʻaʻai

He mumū kēia o nā kīʻaha koko, ʻo ia hoʻi ke pehu nei lākou. Hiki ke hana ʻia kēia e kahi lāʻau lapaʻau, kahi maʻi, a i ʻole i kekahi manawa ʻaʻole hiki ke loaʻa ke kumu. Hoʻopaʻakikī kēia i ke kahe ʻana o ke koko ma o nā kīʻaha koko. I kekahi manawa hiki ke pili pū me nā kūlana rheumatological a i ʻole nā ​​​​maʻi pili. Hiki i ka Vasculitis ke hana i kahi aneurysm.

ʻO wai ka mea i hoʻopilikia nui ʻia e nā maʻi vascular?

Hoʻoilina kekahi poʻe i nā pilikia o ke kīʻaha koko mai ko lākou mau mākua ma o nā genes. I ia mau hihia, no ka laʻana, nā kūlana peʻa koko, pono lākou e noho me kēia mau pilikia mai ka wā ʻōpiopio.

Eia nō naʻe, nui nā maʻi vascular i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka momona a me ka cholesterol (plaque) i loko o nā aʻa i ka hala ʻana o ka manawa. No ka laʻana, ʻo ka maʻi Peripheral Artery a i ʻole ka maʻi Carotid Artery. ʻO Atherosclerosis, ka mānoanoa o nā paia o ke aʻa, hiki ke hoʻomaka i ka wā ʻōpio a hiki ke hana i nā pilikia i ka wā waena a ma hope paha.

Pehea ka maʻamau o kēia mau maʻi ma Sri Lanka?

Ua lilo kēia mau maʻi aʻa koko i mea maʻamau i Sri Lanka. ʻOi loa akuHoʻonui hou ʻia kēia pilikia e nā kumu e like me nā ʻano ʻai maikaʻi ʻole, ka piʻi ʻana o ka maʻi diabetes mellitus, ka nele o ka hoʻoikaika kino, a me ka puhipaka . ʻO nā kūlana i kapa ʻia ʻo "Peripheral Artery Disease (PAD)" a me "Carotid Artery Disease" he mea maʻamau.

He aha nā hōʻailona o ka maʻi o ke kīʻaha koko?

ʻOkoʻa kēia ma muli o ke ʻano o ka maʻi. E nānā kākou i nā hōʻailona o kekahi mau ʻano maʻi nui.

Nā hōʻailona o ka maʻi artery peripheral (PAD):

• Nā aʻa koko i paʻa i nā wāwae: ʻEha a ʻoʻoleʻa paha i nā wāwae i ka wā e hana ana a i ʻole e hele ana, kahi e emi iho ma hope o ka hoʻomaha pōkole. ʻO ke kala ʻana o ka ʻili, nā ʻeha ʻaʻole e ho'ōla ʻia, a me ka luhi o nā wāwae.
• ʻO ka ischemia ʻōpū: ʻEha nui o ka ʻōpū, nausea, luaʻi, diarrhea, nalowale o ka makemake, a me ka pohō kaumaha.
• ʻO ka maʻi o ke aʻa renal: Ke koko kiʻekiʻe i kāohi ʻole ʻia (Hypertension), ka hāʻule ʻana o ka puʻuwai congestive, a me nā hana ʻino o ka hana puʻupaʻa.
• ʻO ka maʻi pahele Popliteal: ka numbness, ke kani ʻana, ka nalowale o ka ʻike, a me ka discoloration i ka wāwae a me ka wāwae.
• ʻO ka hanana ʻo Raynaud: e huli ana nā manamana lima a me nā manamana wāwae i ka ʻulaʻula, polū, a keʻokeʻo paha, me he mea lā e ʻūlū ana, a me ka mae ʻole.
• ʻO ka maʻi Buerger: ʻEha ma nā lima, nā wāwae, a me nā manamana lima ʻoiai ke hoʻomaha nei. Hiki ke polū a mae paha nā manamana lima.

Nā hōʻailona o nā pilikia e pili ana i ke aʻa nui ma ka ʻāʻī (Carotid Artery):

• ʻO ka maʻi ʻaʻa Carotid: ʻO ka pinepine, ʻaʻole ʻike ʻia nā hōʻailona a hiki i ka wā e loaʻa ai kahi hahau a i ʻole TIA . ʻO nā hōʻailona o ka hahau ʻana: ka paʻakikī o ka ʻike ʻana a i ʻole ka ʻōlelo ʻana, ka huikau, a me nā pilikia hoʻomanaʻo.
• ʻO ka ʻoki ʻana o ke aʻa Carotid: ʻEha poʻo, ʻeha ʻāʻī, ʻeha maka a helehelena paha.
• Nā puʻupuʻu kino Carotid: Puʻuwai wikiwiki, ke koko kiʻekiʻe, ka hou ʻana, ka ʻeha poʻo.
• ʻAneurysm o ke aʻa Carotid: Hiki ke loaʻa ka hahau ʻana a i ʻole ka hoʻouka kaua ischemic transient (TIA).

Nā hōʻailona o ka maʻi Venous:

• ʻO nā veins Varicose a me nā veins spider: ka pehu ʻana, ka ʻeha, a me ke ʻano o nā veins polū a ʻulaʻula paha i nā wāwae.
• ʻO ka maʻi Klippel-Trenaunay (KTS): ʻEha a kaumaha paha ma ka wāwae a i ʻole ka lima.
• ʻO ka maʻi May-Turner (MTS): ka pehu ʻana o ka wāwae, ka ʻeha i ke kaomi ʻia, ka ʻili ʻulaʻula a ʻili ʻole paha.
• ʻO ka Thoracic Outlet Syndrome (TOS): ʻEha ma ka ʻāʻī, ka lima, a me ka poʻohiwi, ka mae ʻana o ka lima a i ʻole nā ​​​​manamana lima.
• Ka lawa ʻole o venous mau loa (CVI): ʻO nā ʻeha wāwae, ke kaumaha a i ʻole nā ​​​​ʻeha ma nā wāwae, ka pehu ʻana.

Nā Hōʻailona o nā ʻAʻa Koko:

• Nā kūlana koko paʻa: hiki ke loaʻa ka `(DVT)` a i ʻole ka `(Pulmonary Embolism`).
• ʻO ka thrombosis vein hohonu (DVT): ʻeha wāwae, pehu, mehana, ʻulaʻula o ka ʻili.
• ʻO ka Pulmonary Embolism: Ke ʻū ʻana i ke koko, ʻeha ka umauma, paʻakikī ka hanu ʻana. He pilikia kēia!
• ʻO ka thrombosis vein Axillo-subclavian: ka pehu ʻana, ke kaumaha a i ʻole ka ʻeha ma ka lima a i ʻole nā ​​​​manamana lima, ka ʻulaʻula o ka ʻili.
• ʻO ka mumū o nā aʻa koko ma luna o ka ʻili ma muli o ke koko: ka pehu ʻana, ka ʻeha, ka mehana, a me ka ʻulaʻula o ka ʻili a puni ke aʻa koko.

Nā hōʻailona o ka aneurysm aortic:

• ʻAneurysm o ke aʻa thoracic: ʻeha o ka umauma, ka wikiwiki o ka puʻuwai, ka paʻakikī i ke ale ʻana, ka pehu ʻana o ka ʻāʻī.
• ʻAneurysm aortic ʻōpū: ʻEha ʻōpū a i ʻole ke kua, poniuniu, nausea a me ka luaʻi ʻana, (inā haki ka aneurysm) ka puʻuwai wikiwiki. He pilikia nō hoʻi kēia!

Nā hōʻailona o ka fibromuscular dysplasia (FMD):

ʻEha ka ʻāʻī, nā loli o ka ʻike, ke koko kiʻekiʻe, ka poniuniu, ka lohe ʻana i ke kani "kani" i loko o nā pepeiao, a i ʻole ka lohe ʻana i ka puʻuwai o ka naʻau.

Nā hōʻailona o ka Lymphedema:

ʻO ka pehu ʻana o nā lima a i ʻole nā ​​​​wāwae, ʻoi aku hoʻi.

Nā hōʻailona o ka maʻi vasculitis:

Manaʻo ʻino, kuni, pehu.

He aha nā kumu o nā maʻi vascular?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kekahi mau pilikia kīʻaha koko, akā aia kekahi mau kumu maʻamau:

• Kolesterol kiʻekiʻe
• Ke koko kiʻekiʻe
• ʻO ka puhipaka a i ʻole ka hoʻohana ʻana i nā huahana paka (ʻo kēia ka ʻenemi nui loa!)
• Maʻi diabetes (Diabetes Mellitus)
• Nā genes i hoʻoilina ʻia mai nā mākua mai
• Kekahi mau lāʻau lapaʻau
• Nā ʻeha
• Nā maʻi
• Nā ʻūpā koko

Pehea e ʻike ʻia ai ka maʻi vascular?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka . E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​inā paha ua loaʻa i kekahi o kou ʻohana kēia mau maʻi, a e hana i kahi hoʻokolokolo kino. Hiki ke kōkua iā ʻoe ke wehe i kou mau kāmaʻa a me nā socks a hōʻike i ke kauka i kou mau wāwae.

Ma muli o ke ʻano o ka maʻi vascular a ke kauka e manaʻo ai, hiki iā ia ke kauoha i nā hoʻokolohua koko a me nā scan kūikawā (kiʻi).

He aha nā hoʻokolohua diagnostics?

I loko o nā maʻi vascular he nui, aia nā clots a i ʻole nā ​​​​​​mea e ālai ana i loko o nā kīʻaha koko. No laila, no ka ʻike pono ʻana i kēia mau mea, hoʻohana ʻia nā ʻano hana "(Imaging)" e hiki ai ke nānā i loko o nā kīʻaha koko.

• ʻO Vascular Ultrasound: Hoʻohana kēia i nā nalu kani e hana i nā kiʻi o nā kīʻaha koko. Hiki iā ia ke nānā i ke kahe koko a inā he mau mea e ālai ana.
• ʻO ka Angiography Catheter: Hoʻokomo ʻia kahi ʻōmole liʻiliʻi (catheter) ma o kahi kīʻaha koko, hoʻokomo ʻia kahi wai kūikawā, a lawe ʻia nā kiʻi X-ray. ʻO kēia ka mea e ʻike maopopo ai i loko o ke kīʻaha koko.
• CT Angiography: Hoʻohana kahi CT scan i kahi wai kūikawā e lawe i nā kiʻi ʻekolu-dimensional o nā kīʻaha koko.
• MR Angiography: Hoʻohana ʻia kahi scan MRI e kiʻi i nā kiʻi kikoʻī o nā kīʻaha koko.

Pehea e mālama ʻia ai nā maʻi o ke koko?

ʻAʻohe lāʻau hoʻokahi no kēia. ʻOkoʻa ka lāʻau lapaʻau ma muli o ke ʻano o ka maʻi. I kekahi manawa, hiki i nā loli o ke ʻano o ka nohona e like me ke hoʻololi ʻana i ka meaʻai olakino a me ka hoʻoikaika kino ke hāʻawi i ka hōʻoluʻolu nui. Pono kekahi mau maʻi i ka lāʻau lapaʻau, aʻo kekahi e pono ai nā hana ʻoki kino.

E nānā iki kākou i nā lāʻau lapaʻau no kekahi mau maʻi nui:

Lapaʻau no ka maʻi ʻaʻai peripheral (PAD):

• Nā aʻa koko i paʻa i nā wāwae: ʻai, hoʻoikaika kino, lāʻau lapaʻau, ʻoki kino.
• ʻO ka ischemia ʻōpū: Nā lāʻau hoʻopau ʻeha, nā lāʻau hoʻopau clot, wehe ʻoki ʻana i ke clot. No nā maʻi maʻi, hiki ke hana ʻia ka angioplasty, stenting, a i ʻole ke ʻoki bypass.
• Maʻi ʻaʻa puʻupaʻa: ʻAi paʻakai haʻahaʻa, olakino no ka puʻuwai. Lāʻau koko kiʻekiʻe, `(Statins)` (nā lāʻau hoʻohaʻahaʻa cholesterol).
• ʻO ka maʻi pahele popliteal: ʻO ke ʻoki kino e hoʻokuʻu i ka `(Popliteal Artery)`.
• ʻO ka hanana ʻo Raynaud: E mālama i kou mau lima a me kou mau wāwae i ka mahana. E lawe i nā lāʻau lapaʻau "(Dilated)" e kōkua ai i ka wehe ʻana o nā kīʻaha koko.
• ʻO ka maʻi Buerger: He mea nui e hoʻōki loa i ka puhipaka. E mālama i kou mau lima a me kou mau wāwae i ka mahana. E lawe i nā vasodilator.

Ka lāʻau lapaʻau no nā pilikia e pili ana i ke aʻa nui ma ka ʻāʻī (Carotid Artery):

• Maʻi ʻaʻa Carotid: He ʻai olakino. Nā lāʻau hoʻokahe koko a me nā lāʻau hoʻohaʻahaʻa cholesterol. Carotid endarterectomy e wehe i ka plaque. Angioplasty a me ka stenting e mālama i ka wehe ʻana o ke aʻa.
• ʻO ka ʻoki ʻana i nā aʻa Carotid: `(Antiplatelets)` (nā lāʻau lapaʻau e pale ai i ka hōʻiliʻili ʻana o nā platelet koko), `(Anticoagulants)` (nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko), `(Stenting)`.
• Nā puʻupuʻu kino Carotid: Wehe ʻana i ka puʻupuʻu me ke ʻoki kino.
• ʻAneurysm o ke aʻa Carotid: Nā lāʻau antihypertensive, nā lāʻau hoʻohaʻahaʻa cholesterol, nā lāʻau hoʻopaʻa koko. ʻO ke ʻoki ʻana o ke koko ma o ka bypass a i ʻole ka stent.

Lapaʻau no ka maʻi Venous:

• ʻO nā aʻa koko a me nā aʻa kolo: Wehe ʻana me ka hoʻohana ʻana i ka wela, ka wai paʻakai, a i ʻole ka laser.
• ʻO ka maʻi ʻo Klippel-Trenaunay (KTS): ʻO ka lāʻau lapaʻau like me ka venous thromboembolism.
• ʻO ka maʻi May-Turner (MTS): ʻO ka lāʻau lapaʻau like me ka `(DVT)`.
• ʻO ka Thoracic Outlet Syndrome (TOS): Hoʻōla kino, lāʻau lapaʻau.
• ʻO ka lawa ʻole o nā venous mau loa (CVI): Nā neʻe wāwae pinepine, ke komo ʻana i nā stocking compression. Ka mālama ʻana i nā aa me ka wai paʻakai, laser, a i ʻole ka ʻoki ʻana.

Lapaʻau no nā ʻūpā koko:

• ʻO ke ʻano o ka mālama ʻana i nā maʻi ʻaʻa koko: `(DVT)` a me `(Pulmonary Embolism)` ua like nō ia.
• ʻO ka thrombosis aʻa hohonu (DVT): Ke kiʻekiʻe ʻana o nā wāwae. Nā lāʻau hoʻokahe koko a me nā lāʻau ʻeha.
• ʻO ka Pulmonary Embolism: Nā lāʻau hoʻokahe koko a me nā thrombolytics (nā mea hoʻoheheʻe i ke koko). ʻO ke ʻoki kino e wehe i ke koko.
• ʻO ka thrombosis aʻa axillo-subclavian: `(Thrombolytics)`, nā lāʻau hoʻomāmā koko. Wehe ʻana i ke koko.
• ʻO ka thrombosis aʻa koko ma luna: E hoʻokiʻekiʻe i ka lima/wāwae i hoʻopilikia ʻia ma luna o ka puʻuwai. E kau i ka wela. E komo i nā kāmaʻa kākoʻo. Wehe ʻana i ke aʻa koko ma ke ʻoki ʻana.

Lapaʻau no ka Aortic Aneurysm:

• ʻAneurysm Thoracic: ʻO ke ʻoki kino e hoʻokomo i kahi kāpili lole a i ʻole stent. Hiki i kēia ke lilo i ʻoki kino nui ma muli o ka wahi a me ke ʻano hana ʻoki kino.
• ʻAneurysm aortic ʻōpū: ʻO ke ʻoki kino e hoʻokomo i kahi graft. ʻO ka hoʻoponopono ʻana o Endovascular kahi hana i emi iki ka invasive.

Lapaʻau no ka dysplasia fibromuscular (FMD):

Nā lāʻau hoʻokahe koko, nā lāʻau ʻeha. `(Angioplasty)`. ʻO ke ʻoki kino e pale ai i ka pahū ʻana o ke aʻa.

Lapaʻau no ka Lymphedema:

E hoʻokiʻekiʻe i ka lima/wāwae i hoʻopilikia ʻia ma luna o ka pae o kou puʻuwai ʻoiai e moe ana no kahi o 45 mau minuke ʻelua i ka lā. E ʻaʻahu i kahi pale lima hoʻopaʻa. E hoʻohana i ka lima/wāwae i hoʻopilikia ʻia no nā hana o kēlā me kēia lā. Inā ʻōlelo kāu kauka, e hele i kahi keʻena lapaʻau lymphedema kūikawā.

Lapaʻau no ka Vasculitis:

Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā steroids.

He aha nā pilikia/nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kekahi lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, akā pono ke lawe ʻia nā pono. I ka hapa nui o ka manawa, e nalowale nā ​​​​hopena ʻaoʻao i loko o kekahi mau lā. Inā ʻaʻole, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe.

I ka noʻonoʻo ʻana i kahi hana a i ʻole ke ʻoki kino, e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono. ʻO ka mea e pono ai no kou hoalauna, ʻaʻole paha e pono iā ʻoe.

He aha kaʻu e hana ai e pale aku i nā maʻi vascular?

ʻAʻole hiki iā ʻoe ke hoʻololi i nā mea e like me kou makahiki, ka mōʻaukala ʻohana, a i ʻole nā ​​​​genes. Akā hiki iā ʻoe ke hana i kēia mau mea:

• E kāohi i kāu maʻi diabetes, ka cholesterol kiʻekiʻe, a me ke koko kiʻekiʻe .
• Hoʻoikaika kino mau. He mea maikaʻi nō hoʻi ka hele wāwae ʻana no 30 mau minuke ma ka liʻiliʻi i ka lā.
• E ʻai i nā meaʻai olakino. E hōʻemi i ka ʻaila, ke kō, a me ka paʻakai. E ʻai i nā huaʻai, nā mea kanu, a me nā meaʻai waiwai i ka fiber.
• Inā pono ʻoe e noho a kū paha no nā hola i ka manawa, e neʻe iki a hele a puni ma ka liʻiliʻi hoʻokahi i ka hola .
• E mālama i ke kaumaha olakino.
• E hōʻemi i ke kaumaha.
• E hōʻalo loa i nā huahana paka. He mea pono kēia e hana.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi maʻi kīʻaha koko (Vasculopathy)?

Hiki i ka maʻi arterial ke lilo i pilikia no ke ola holoʻokoʻa. Ke ʻike kāu kauka he mau waihona momona kou i loko o kou mau aʻa, e haʻi aku ʻo ia iā ʻoe e hana i kekahi mau hoʻololi i ke ʻano o ka nohona. Pono ʻoe e hoʻomau i ka hana ʻana i nā mea e like me ka hoʻoikaika kino, pale i ka puhi paka, a me nā koho meaʻai olakino. Pono paha ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e hōʻemi i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau.

Ka nānā ʻana o kēia kūlana

I loko o nā maʻi vascular he nui, ʻo ka wikiwiki o ka ʻike ʻana o ke kauka i ka pilikia , ʻoi aku ka maikaʻi o ka nānā ʻana. He nui nā pilikia vascular e lilo i mea paʻakikī ke mālama ʻia i ka wā e ʻoi aku ka ʻino. ʻO kekahi mau kūlana vascular, e like me `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` a me `(Pulmonary Embolism)`, hiki ke hoʻoweliweli i ke ola.

Pehea e hiki ai iaʻu ke mālama iaʻu iho?

Ma waho aʻe o nā mea i luna, pono ʻoe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka a hele no nā hoʻokolohua lapaʻau i nā lā i hoʻonohonoho ʻia.

Āhea wau e ʻike ai i ke kauka?

Inā he loli i ke kūlana o kou mau kīʻaha koko, a inā paha he pilikia kou me kahi lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, e ʻike koke i kāu kauka.

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

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona , ​​e kāhea koke i ka 911 (1990 ma Sri Lanka) :

• Ka huikau a i ʻole ka poniuniu
• Ka paʻakikī o ka ʻōlelo ʻana (kūlou)
• Ke kūlou ʻana o kekahi ʻaoʻao o ka maka
• ʻEha nui o ka umauma
• ʻEha nui o ka ʻōpū
• Ka nalowale o ka ʻike
• Ka nāwaliwali i ka lima a i ʻole ka wāwae

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

• He aha ka lāʻau lapaʻau maikaʻi loa no koʻu kūlana kikoʻī?
• Aia kekahi mea ʻē aʻe e pono iaʻu e hana e mālama ai i ke kūlana o koʻu mau kīʻaha koko?
• Aia kekahi mau pilikia olakino ʻē aʻe e pono iaʻu e ʻike me kēia pilikia kīʻaha koko?

ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana no kou koko koko, ʻo ia ke makaʻala . Mai hōʻole i nā nānā lapaʻau a i ʻole nā ​​lāʻau lapaʻau. ʻOiai kekahi mau pilikia koko koko e holo ana i loko o nā ʻohana, ʻo ka kaʻana like ʻana i kāu ʻike olakino me kou ʻohana e hiki ke kōkua iā lākou e pale a makaʻala i ke koko koko. ʻOiai ʻo ke koko kiʻekiʻe a me ka cholesterol he mau mea pilikia no ke koko koko, e noi i kou ʻohana e nānā pū iā lākou.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻAe, no laila ke manaʻo nei au ua ʻoi aku kou ʻike i nā maʻi vascular a mākou i kamaʻilio ai i kēia lā. E hoʻomanaʻo, ʻaʻole kēia mau mea e lawe māmā ʻia . Eia nō naʻe, inā ʻike mua ʻoe iā lākou, mālama pono iā lākou, a hoʻololi i ke ʻano o ka nohona, hiki iā ʻoe ke ola maikaʻi me kēia mau maʻi. ʻO ka ʻai olakino, ka hoʻoikaika kino mau , a me ka pale ʻana i ka puhipaka.Hiki i nā mea maʻalahi e like me kēia ke hana i kahi ʻokoʻa nui. Inā he kānalua a he mau hōʻailona paha kāu, mai kānalua e ʻimi i ke aʻo lapaʻau. E noho olakino!

ʻO ka maʻi o ke koko, nā aʻa koko, nā aʻa koko, nā ʻūpā koko, ka hahau ʻana, ka cholesterol