Kauka Lapaʻau Aʻa - E ʻike pono kākou!

Ke hele nei kekahi kanaka makua o kou ʻohana, malia paha kou makuahine, kou makuakāne, a kupuna wahine paha, kupuna kāne paha, i kahi mamao iki a noho i lalo no kekahi manawa, me ka ʻōlelo ʻana, "Auē, ke ʻeha nei koʻu mau wāwae, manaʻo wau e pupule ana au"? A i ʻole he mau aa koko polū a poni paha kou ma kou mau wāwae? Hiki ke hana ʻia kēia mau mea e kekahi mau pilikia me ka ʻōnaehana aʻa koko i loko o ko kākou kino. No laila, aia nā kauka e mālama pono ana i nā maʻi e pili ana i nā aʻa koko. ʻO ia nā loea a mākou e kapa nei he Kauka Vascular . I kēia lā, e kamaʻilio kākou e pili ana i ke Kauka Vascular, he aha nā maʻi āna e mālama ai, a inā pono ʻoe e ʻike i kēlā kauka.

I ka ʻōlelo maʻalahi, ʻo wai kēia Kauka Vascular?

ʻO ke kauka vascular he kauka loea i nā maʻi e pili ana i nā kīʻaha koko, ka ʻōnaehana o nā kīʻaha koko i loko o ko kākou kino. Ua hoʻomaʻamaʻa ʻia kēia mau kauka e pale aku, ʻike, a mālama i nā maʻi o kēia mau kīʻaha koko.

E noʻonoʻo he kūlanakauhale nui ko kākou kino. A laila, ua like kēia ʻōnaehana kīʻaha koko me ka pūnaewele o nā alanui ma ia kūlanakauhale. Ua like kekahi me nā alaloa nui, ʻo kekahi me nā alanui kauhale liʻiliʻi. Ma o kēia mau alanui e lawe ʻia ai nā "waiwai" i kapa ʻia ʻo ka oxygen a me ka meaʻai i kēlā me kēia ʻāpana a me nā ʻiʻo o ke kino, a hoʻihoʻi ʻia mai nā "ʻōpala" (nā mea e like me ke kalapona ʻokikene) i hana ʻia ma laila. No laila, inā he ālai ʻia, he haki, a he haki paha ma kekahi wahi o kēia mau alanui, e hoʻopilikia ʻia ke kūlanakauhale holoʻokoʻa, a inā he pilikia me nā kīʻaha koko i loko o ko kākou kino, e hoʻopilikia ia i ke kino holoʻokoʻa.

ʻO ke "ʻenekinia" nāna e mālama pono i ka "ʻōnaehana alanui" he Kauka Vascular ia.

Pehea e hana ai ko kākou ʻōnaehana vascular?

ʻEkolu mau ʻāpana nui o kēia ʻōnaehana:

1. Nā aʻa 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 ʻāpana a pau o ke kino. Ua like ia me ka ʻōnaehana hoʻolako wai nui ma ke kūlanakauhale.

2. Nā aʻa koko: ʻO kēia nā aʻa koko e lawe ana i ke koko i hoʻohana ʻia, nele i ka oxygen, a me ke koko i hoʻopiha ʻia i ka ʻōpala i ka puʻuwai mai nā wahi a pau o ke kino. Ua like ia me kahi ʻōnaehana hoʻokahe wai e wehe ana i ka wai i hoʻohana ʻia.

3. Nā Capillaries: He mau kīʻaha koko liʻiliʻi a lahilahi kēia. Hoʻohui lākou i nā aʻa a me nā veins. ʻO lākou kahi e hoʻololi ʻia ai ka oxygen a me nā meaʻai ma waena o nā cell o ke kino a kahi e hōʻiliʻili ʻia ai nā huahana ʻōpala.

Ke nānā nei ke kauka vascular i kēia ʻōnaehana holoʻokoʻa.

He aha ke ʻano o nā maʻi a kēia mau kauka e mālama ai?

He ākea loa ka laulā o nā maʻi a ke Kauka Vascular e mālama ai. He mea maʻamau kekahi, aʻo kekahi hiki ke ʻoi aku ka koʻikoʻi. E nānā kākou i ka papa ma lalo nei.

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

Ke noʻonoʻo nei paha ʻoe, "Pono anei au e ʻike i ke kauka e like me kēia?" ʻO ka maʻamau, e kuhikuhi kāu kauka ʻohana (GP) iā ʻoe i kahi loea e like me kēia. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona a i ʻole nā ​​​​​​mea pilikia, he mea nui e hoʻolohe i kēia.

• ʻEha wāwae a ʻeha hope paha i ka wā e hele ana: Inā ʻeha ʻoe i kou mau wāwae, ʻoi aku hoʻi ma nā puʻupuʻu, ke hele ʻoe no kahi mamao pōkole a emi iho ma hope o ke kū ʻana no kekahi manawa, he hōʻailona paha ia o ka PAD .
• Pehu wāwae: Inā pehu kekahi a i ʻole nā ​​wāwae ʻelua, ʻoiai inā ʻulaʻula hoʻokahi wāwae a pehu me kahi manaʻo mahana, he hōʻailona paha ia o kahi ʻōpū koko (DVT) .
• ʻEha ʻaʻole e ho'ōla: Inā lōʻihi ka manawa e ho'ōla ai i nā ʻeha ma nā wāwae, ʻoiai ma nā wāwae a me nā manamana wāwae, he hōʻailona paha ia ʻaʻole lawa ke koko i kēlā wahi.
• Ka ʻokoʻa ʻana o ke kala a i ʻole ke anu ʻana o nā wāwae: Inā ʻoi aku ke anu o nā wāwae ma mua o ke koena o ke kino, a inā paha e polū a keʻokeʻo paha ka ʻili o nā wāwae.
• ʻO nā aʻa koko ʻano ʻē: Inā he mau aʻa koko polū/poni kou i kou mau wāwae e like me he mea lā ua nakinaki ʻia a ke kumu nei i ka ʻeha a me ke kaumaha ma kou mau wāwae.
• ʻEha nui koke o ka ʻōpū a i ʻole ka umauma: He hōʻailona paha kēia o ka haki ʻana o ka aneurysm . He pilikia koʻikoʻi loa kēia a pono ʻoe e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).

Nā kānaka me nā kumu pilikia:

Inā loaʻa iā ʻoe ka maʻi diabetes, ke koko kiʻekiʻe, he mea puhi paka, a i ʻole he moʻolelo ʻohana kou no kēia ʻano maʻi kīʻaha koko, ʻoi aku kou pilikia ma mua o nā poʻe ʻē aʻe. No laila he mea nui ka loaʻa ʻana o nā nānā lapaʻau maʻamau.

He aha ka ʻokoʻa ma waena o kahi Cardiologist a me kahi Kauka Vascular?

He mea kēia e huikau ai nā kānaka he nui.

• He kauka loea ka cardiologist i loea i ka puʻuwai . Mālama ʻo ia i ka hana o ka puʻuwai, nā pilikia o ka puʻuwai, nā hōʻeha puʻuwai, a me nā maʻi valve puʻuwai.
• ʻO ke kauka vascular he kauka e kālele ana i ka ʻōnaehana kīʻaha koko i ke koena o ke kino , koe wale nō ka puʻuwai. ʻO ia hoʻi nā mea āpau mai nā wāwae, nā lima, ka ʻōpū, ka ʻāʻī, a hiki i nā aʻa koko e hoʻolako ana i ke koko i ka lolo.

Akā hana pinepine kēia mau mea ʻelua. No ka mea, ʻelua mau ʻōnaehana i hoʻopili ʻia ka puʻuwai a me nā kīʻaha koko. No ka laʻana, nānā ke Kauka Cardiology i nā ālai ʻana i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai (Coronary Arteries), ʻoiai ke Kauka Vascular e nānā i nā ālai ʻana i loko o nā aʻa ma nā wāwae.

He aha kāu e manaʻo ai ke hele ʻoe e ʻike i ke kauka?

Ke kuhikuhi ʻia ʻoe i ke kauka vascular, e nīnau mua ʻo ia iā ʻoe i kahi nīnau kikoʻī e pili ana i kāu mau hōʻailona.

• He aha kou pilikia?
• I ka manawa hea i hoʻomaka ai?
• I ka manawa hea e piʻi ai? Pehea e emi ai?

A laila, e nīnau lākou e pili ana i kou mōʻaukala olakino a me kou ʻohana. He mea nui loa e nīnau e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei (ka maʻi diabetes, ke koko kiʻekiʻe), nā lāʻau lapaʻau āu e lawe nei, inā ʻoe e puhipaka ana, a inā paha he maʻi kēia i loko o kou ʻohana.

A laila, e nānā ke kauka iā ʻoe ma ke kino.

• Nānā lākou i nā pulse i kou mau wāwae a me kou mau lima.
• Nānā ʻia ke kala, ka mahana, a me ka pehu ʻana o nā wāwae.
• Ana ʻia ke kaomi koko.

He aha nā hoʻokolohua e hana ʻia?

No ka ʻike pololei ʻana i ka maʻi, hiki i kāu kauka ke noi iā ʻoe e hana i kekahi mau hoʻokolohua.

• ʻO ke Ultrasound Vascular (Doppler Scan): ʻO kēia ka hoʻāʻo maʻamau. Ua like ia me ke scan no ka wahine hāpai. ʻAʻohe ʻeha. Hiki iā ia ke ʻike maopopo i ke kahe ʻana o ke koko i loko o kou mau aʻa, a inā he poloka a i ʻole ke koko i hoʻopaʻa ʻia.
• ʻŌlelo Kuhikuhi Kuʻekuʻe-Brachial (ABI): He hoʻāʻo maʻalahi loa kēia. Ana lākou i ke koko ma kou lima a me kou kuʻekuʻe wāwae a hoʻohālikelike i nā mea ʻelua. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo inā ua emi ke kahe koko i kou mau wāwae.
• Angiogram (CT/MR/Catheter): He hoʻāʻo paʻakikī iki kēia. Hoʻokomo ʻia kahi kala hoʻohālikelike i loko o nā kīʻaha koko, a hoʻohana ʻia nā kiʻi X-ray, CT, a i ʻole MRI e hana i nā kiʻi maopopo o nā kīʻaha koko. Hiki i kēia ke kōkua i ke kuhikuhi ʻana i kahi kikoʻī o ka mea i paʻa ai.

Ma muli o nā hopena o kēia mau hoʻokolohua, e hoʻoholo kāu kauka i ka lāʻau lapaʻau āu e pono ai. Hiki ke lilo i lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona, a i kekahi manawa he ʻoki kino liʻiliʻi a nui paha.