Ke manaʻo nei ʻoe i kahi ʻeha kaumaha a palupalu i kou mau wāwae ke hele ʻoe no kahi mamao pōkole? A i ʻole ke manaʻo nei ʻoe i kahi ʻeha ʻē i loko o nā aa o kou mau wāwae ke kū wale ʻoe? Manaʻo ka poʻe he nui he luhi maʻamau kēia, kahi mea e hana ʻia me ka ʻelemakule, akā malia paha he ʻeha kēia i hoʻokumu ʻia e kahi pilikia i loko o kāu ʻōnaehana vascular, ʻo ia hoʻi, ke kahe koko. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha ka ʻeha vascular?
I ka ʻōlelo maʻalahi, ʻo kēia ka ʻeha e kū mai ana ma muli o kahi pilikia i loko o ka ʻōnaehana hoʻopuni koko o ko mākou kino, ʻo ia hoʻi, i loko o nā kīʻaha koko (nā aʻa a me nā veins). E noʻonoʻo he pūnaewele o nā paipu wai e holo ana ma ko mākou kino. Lawe kēia mau paipu i ke koko, ka oxygen, a me nā meaʻai i nā wahi a pau o ke kino. I kēia manawa, he aha ka mea e hana ai inā e ālai ʻia kēia mau paipu, e haiki ʻia, a e hōʻino ʻia paha i kekahi wahi? Ua hoʻopilikia ʻia ke kahe o ka wai, ʻeā? Ma ke ʻano like, i ka wā e hōʻino ʻia ai ko mākou mau kīʻaha koko, ua hoʻopilikia ʻia ke kahe o ke koko. Ma muli o kēia ālai ʻana e hoʻomaka ai mākou e manaʻo i kēia ʻano ma ke ʻano he ʻeha.
Hoʻopilikia pinepine kēia ʻeha i nā wāwae haʻahaʻa a me nā kuʻekuʻe wāwae. Eia nō naʻe, hiki iā ia ke hoʻopilikia i nā lima i kekahi manawa. ʻO kekahi huaʻōlelo lapaʻau no kēia ʻano ʻeha wāwae ʻo ia ka vascular claudication . Ma kahi o hoʻokahi i loko o ʻumi mau kānaka me kēia maʻi e ʻike paha i ka ʻeha ma nā lima.
Pehea ke ʻano o kēia ʻeha?
ʻAʻole kēia e like me ka ʻeha hono maʻamau. Nui ka poʻe e ʻike nei i kēia:
- He kaumaha ʻoluʻolu ʻole: Me he mea lā e kau ana ʻelua pōpō hao mai kou mau wāwae.
- ʻŪmiʻi: He ʻeha e like me ke kuʻi ʻana o kekahi mea i loko o nā aʻa koko.
- ʻEha: He ʻeha nui a mau loa.
- Hoʻonui ka ʻeha i ka wā e hele wāwae ai a hoʻoikaika kino paha: Hoʻonui ka ʻeha i ka wā e hele wāwae ana no kahi mamao pōkole a emi iho i ka wā e kū ai no ka manawa pōkole. He hōʻailona koʻikoʻi kēia o kēia maʻi.
ʻO wai ka mea hiki ke ʻike nui i kēia ʻeha?
ʻO ka poʻe me ka maʻi kīʻaha koko ka mea nui loa o ka loaʻa ʻana o kēia ʻeha. Ma keʻano laulā, ʻoi aku ka nui o ka pilikia o ka poʻe ma luna o 50 mau makahiki a me ka poʻe o nā hui ma lalo nei. E nānā kākou iā lākou.
| Pūʻulu Pōpilikia | Wehewehena |
|---|---|
| Nā kānaka puhi paka | ʻO ka puhipaka ka ʻenemi nui loa o nā kīʻaha koko. Hoʻopōʻino nā kemika i loko o nā cigarette i nā paia o nā kīʻaha koko, e hoʻomāmā a paʻakikī ai lākou. |
| ʻO nā kānaka me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe | ʻO kēia mau maʻi ʻelua ke kumu o ka hōʻino ʻana i nā kīʻaha koko. ʻO ka maʻi diabetes i kāohi ʻole ʻia a me ke koko kiʻekiʻe ke kumu o ka nalowale ʻana o nā kīʻaha koko i ko lākou elasticity. |
| Nā kānaka me ka momona | I ka piʻi ʻana o ke kaumaha o ke kino, pono ke ʻōnaehana o nā kīʻaha koko e hāpai i ke kaumaha hou aʻe. Eia kekahi, me ka momona, hiki i nā mea e like me ka cholesterol ke hoʻonui a paʻa i nā kīʻaha koko. |
| ʻO nā kānaka me kekahi o kēia mau maʻi i loko o ko lākou ʻohana | Inā ua loaʻa i kou mau mākua a i ʻole nā hoahānau nā maʻi vascular a i ʻole ka puʻuwai, hiki paha iā ʻoe ke pilikia i ka genetics. |
| ʻO nā kānaka me ke ʻano noho maʻamau, me ka liʻiliʻi o ka hana kino | Inā ʻoe e hana e noho ana ma kahi noho i ka lā a pau a ʻaʻole e hoʻoikaika kino, ʻoi aku ka nui o ka pilikia o ke kahe koko. |
| Nā makuahine hāpai | Hiki ke kū mai kēia mau kūlana no kekahi manawa ma muli o nā loli hormonal i ke kino i ka wā hāpai a me ke kaomi ma luna o nā kīʻaha koko i hoʻokumu ʻia e ka pēpē e ulu ana. |
No ke aha e loaʻa ai kēia ʻano ʻeha? Nā kumu nui
ʻAʻole kēia ʻeha he mea e hana wale ʻia. Aia paha kekahi maʻi olakino ma lalo. ʻO ke kumu nui, ʻo kēia ʻeha ke kumu o ke kaomi ʻia ʻana o ke kīʻaha koko, ka pehu ʻana (kahi ʻano like me ka pehu ʻana), ka ʻūmiʻi ʻia ʻana, a i ʻole ka pani loa ʻia ʻana.
Eia kekahi o nā kumu nui:
- ʻO ke atherosclerosis:ʻO kēia ke kumu maʻamau. Hoʻākoakoa ka cholesterol a me nā momona ʻē aʻe i loko o nā meaʻai a mākou e ʻai ai i loko o nā kīʻaha koko, e like me ka ʻōpala i loko o ka paipu wai, e hoʻohaiki ana i ke kīʻaha koko mai loko mai. Hoʻopilikia kēia i ke kahe koko.
- ʻO ka lawa ʻole o nā aʻa koko mau loa: Loaʻa i nā aʻa koko i loko o ko mākou mau wāwae (nā aʻa koko polū) nā kiwikā liʻiliʻi e pale ai i ke koko mai ke kahe ʻana i luna i ka puʻuwai. Ke nāwaliwali kēia mau kiwikā, hiki i ke koko ke hōʻiliʻili i loko o nā wāwae, e hoʻoulu ai i nā aʻa koko e pehu a lilo i ʻeha.
- ʻO ka thrombosis aʻa hohonu (DVT): He ʻaʻa koko e hana ʻia ana i loko o kahi aʻa nui i loko o ke kino. He kūlana weliweli kēia no ka mea hiki i ke ʻaʻa koko ke haki a noho i loko o nā māmā.
- ʻO ka maʻi ʻaʻa peripheral (PAD): Hoʻokumu ʻia kēia e ka haiki ʻana o nā aʻa e lawe ana i ke koko i nā lima a me nā wāwae (atherosclerosis). Hiki i kēia ke hōʻeha i ka wā e hele ana. ʻO kēia no ka mea e pono ai ke koko hou aku i nā ʻiʻo i ka wā e hoʻoikaika kino ai, akā ʻaʻole hiki i nā aʻa haiki ke hoʻolako iā ia.
- ʻO ka hanana ʻo Raynaud: ʻO kēia ka wā e ʻūlū koke ai nā kīʻaha koko liʻiliʻi e lawe ana i ke koko i nā manamana lima a me nā manamana wāwae i ka wā e hōʻike ʻia ai ke anu a i ʻole ke kaumaha. ʻO kēia ke kumu o ka lilo ʻana o nā manamana lima i keʻokeʻo, uliuli, a laila ʻulaʻula, e hōʻeha ai a me ka mae.
- ʻO nā aʻa Varicose: ʻO nā aʻa pehu, wili, a me nā aʻa puʻupuʻu i nā wāwae, i ʻike maopopo ʻia ma luna o ka ʻili. He hopena nō hoʻi kēia o ke ʻano 'Chronic venous insufficiency'.
He aha nā hōʻailona ʻē aʻe ma waho aʻe o ka ʻeha?
Inā he maʻi kīʻaha koko kou, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe e like me kēia me ka ʻeha. He mea nui e hoʻolohe i kēia mau mea.
E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike i kāu kauka i ka wā hikiwawe loa no ka ʻōlelo aʻo.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Nā lima a i ʻole nā wāwae anu | ʻAʻole lawa ke koko mehana e kahe ana i kēlā mau wahi. |
| Nā loli kala i nā manamana lima (keʻokeʻo, polū, ʻulaʻula) | ʻOi loa aku hoʻi i nā kūlana e like me ka `Raynaud's phenomenon`, i ka wā e emi koke ai ke kahe koko a laila hoʻihoʻi ʻia, hiki ke ʻike ʻia kēlā mau loli kala. |
| Manaʻo mae a ʻāwili paha | Hiki mai kēia mau manaʻo ke hoʻonele ʻia nā aʻalolo i ka oxygen a me nā meaʻai e pono ai lākou ma muli o ke kahe ʻana o ke koko. |
| Pehu (Edema) | Ke hiki ʻole i nā aʻa koko ke hoʻihoʻi i ke koko i ka puʻuwai, kahe ke wai mai nā aʻa koko i loko o nā ʻiʻo a puni, e hoʻoulu ai i nā wāwae a me nā kuʻekuʻe wāwae e pehu. |
| Nāwaliwali | Ke loaʻa ʻole i nā ʻiʻo ka nui o ke koko e pono ai, nāwaliwali kā lākou hana. |
| Nā ʻeha ho'ōla ʻole (ʻoi aku hoʻi ma nā wāwae) | He mea nui ka lako koko maikaʻi no ka ho'ōla ʻana o kahi ʻeha. Ke emi ke kahe ʻana o ke koko, hiki i kahi ʻoki liʻiliʻi ke lilo i ʻeha nui a koʻikoʻi. Kiʻekiʻe loa kēia pilikia i ka poʻe me ka maʻi diabetes. |
Pehea e ʻike ai ke kauka i kēia?
Ke haʻi aku ʻoe i kāu kauka e pili ana i kēia mau hōʻailona, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i kahi nīnau kikoʻī. Nā mea e like me ka wā e hoʻomaka ai ka ʻeha, pehea ka lōʻihi o kona hele ʻana, a me ke kumu e nalo ai. A laila, e hana lākou i kahi hoʻokolokolo kino.
Ma kēia hoʻāʻo,
- E nānā inā ua loli ke ʻano o ka ʻili, nā ʻeha, a i ʻole nā ʻōpū ma nā wāwae a i ʻole nā lima.
- Nānā mākou e ʻike inā nāwaliwali ka pulse a ʻaʻole paha ma nā wahi e like me nā kuʻekuʻe wāwae a me nā pulima lima.
- E nānā inā he pehu.
Ma hope o kēia mau hoʻokolohua mua, hiki ke hana ʻia kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka maʻi a loaʻa ke kumu pololei.
- Arteriogram: Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o nā kīʻaha koko, a lawe ʻia kekahi mau kiʻi X-ray. ʻAe kēia i ka X-ray e hōʻike maopopo i ke kahe o ke koko ma o nā kīʻaha koko a inā he mea paʻa.
- ʻO ke kani ʻana o ka ultrasound Doppler:He scan ʻeha ʻole kēia. Hoʻohana ia i nā nalu kani e ana i ka wikiwiki a me ke kuhikuhi o ke kahe koko i loko o nā kīʻaha koko. Hiki iā ia ke ʻike maʻalahi i nā mea i ālai ʻia.
- ʻO Magnetic Resonance Angiogram (MRA): He ʻāpana kēia o kahi scan MRI. Hoʻohana ia i nā magnet a me nā nalu lekiō e hana i nā kiʻi kikoʻī o nā kīʻaha koko. Hiki ke hoʻohana ʻia kahi kala no kēia.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu o kou mau hōʻailona. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Eia kekahi o nā ʻano lapaʻau nui:
1. Nā lāʻau lapaʻau: Hiki i nā lāʻau lapaʻau e like me nā lāʻau hoʻohaʻahaʻa koko, nā lāʻau hoʻohaʻahaʻa cholesterol, a me nā lāʻau hoʻokahe koko ke kōkua i ka kaohi ʻana i ke kumu o ka maʻi a hoʻēmi i ka ʻeha.
2. Angioplasty: He hana ʻoi aku ka liʻiliʻi o kēia ma mua o ke ʻoki kino. Hoʻokomo ʻia kahi paipu lahilahi loa (catheter) i loko o kahi aʻa i paʻa ʻia ma o ka wāwae a i ʻole ka lima, a hoʻopiha ʻia kahi pōpō liʻiliʻi ma ka hopena e hoʻonui i ka paʻa. A laila kau ʻia kahi stent , kahi paipu mesh liʻiliʻi, ma ia wahi e pale ai i ke aʻa mai ka paʻa hou ʻana.
3. ʻO ke ʻoki ʻana ma o ka bypass: Hana ʻia kēia inā ua paʻa loa ke aʻa. E like me ke alanui i paʻa ʻia, lawe ke kauka lapaʻau i kahi ʻāpana o ke kīʻaha koko olakino mai kahi ʻāpana ʻē aʻe o kou kino (maʻamau mai kou wāwae a umauma paha) a hana i kahi ala hou no ke kahe ʻana o ke koko a puni ka wahi i paʻa ʻia.
Pehea e mālama ai a pale aku i ka ʻeha ma ka home?
Me ka lāʻau lapaʻau, he mea nui loa nā loli i kou nohona i ka mālama ʻana i kēia ʻeha.
- E hoʻoikaika kino mau: E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino aerobic, e like me ka hele wāwae a i ʻole ke kaʻa paikikala, i hoʻokahi pule. E hoʻomaikaʻi kēia i ke kahe koko.
- Mai noho mālie: Inā he hana kāu e koi ai iā ʻoe e noho no ka manawa lōʻihi, e ala aʻe ma ka liʻiliʻi hoʻokahi manawa i ka hola a hele wāwae iki, e hohola ana i kou kino.
- E ʻaʻahu i nā kāmaʻa hoʻopaʻa: Inā ʻoe e kū ana no ka manawa lōʻihi a i ʻole e hele ana i kahi mamao loa, ʻo ke komo ʻana i kēia mau kāmaʻa kūikawā e kau mālie i ke kaomi ma luna o nā aa koko i kou mau wāwae a pale i ke koko mai ka hōʻiliʻili ʻana. E noi i kāu kauka no ka ʻōlelo aʻo no kēia.
- E ʻai i ka meaʻai olakino: E ʻai i nā meaʻai momona i nā huaʻai, nā mea kanu, nā legume, a me nā palaoa piha. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
- E hoʻōki loa i ka puhipaka: ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana.
- E kāohi i nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ka cholesterol, e hahai i nā ʻōlelo a kāu kauka a kāohi pono iā lākou.
E aʻo iki kākou e pili ana i ka Vasculitis.
ʻO ka Vasculitis kahi mumū o nā kīʻaha koko, kahi kūlana e hoʻoulu ai i ka mumū. ʻO kēia kekahi o nā kumu hiki ke hōʻeha i nā kīʻaha koko. Hiki i kekahi ʻano Vasculitis ke hōʻeha i ka ʻāʻī a me ka umauma. Me kēia,
- Ka hoʻololi ʻana o ke kala o nā lālā
- Pōʻino
- Hoʻonui ʻia ke koko
- Ka hana nui
- ʻEha poʻo
- Hiki ke ʻike ʻia nā hōʻailona e like me ka hemahema o ka ʻike.
He maʻi nō hoʻi kēia e pono e ʻike pono ʻia a mālama ʻia e ke kauka.
Leka Lawe-Home
- Mai hoʻokuʻu i ka ʻeha, ke kaumaha, a me ke kani ʻana o kou mau wāwae, ʻoiai i ka wā e hele ana, me he luhi maʻamau lā.
- He hōʻailona paha kēia o kahi pilikia me kāu ʻōnaehana hoʻopuni koko.
- ʻO ka puhipaka, ka maʻi diabetes, ke kolamu kiʻekiʻe, a me ke koko kiʻekiʻe nā kumu nui o kēia maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu ʻana o ka wāwae, ka ʻili ʻana o ke kala, ka mae ʻana o ka ʻili, a i ʻole nā ʻeha e ho'ōla ʻole ʻia, e makaʻala loa.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻōla ponoʻī, akā e ʻike pono i kāu kauka no kahi hōʻoia kūpono a me ka hoʻolālā lapaʻau. Me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki iā ʻoe ke hoʻokele maikaʻi i kēia kūlana a noho olakino.
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