Ua lohe paha ʻoe i kahi "Luna Kauka Vascular"? Malia paha ua ʻōlelo aku kekahi kauka i kekahi o kou ʻohana a i ʻole nā hoaaloha e ʻike i kekahi. Ke lohe mākou i ka huaʻōlelo "Luna Kauka," makaʻu iki mākou, ʻeā? "Auē, pono anei au e hana i kahi ʻoki?" Manaʻo mākou. Akā, ʻaʻole wale kahi Luna Kauka Vascular he kanaka e hana ana i ke ʻoki kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia loea a me nā lawelawe āu e loaʻa ai mai iā ia.
I ka ʻōlelo maʻalahi, ʻo wai kēia Kauka Lapaʻau Vascular?
He loea ke kauka ʻoki koko e nānā a mālama i nā pilikia e pili ana i nā kīʻaha koko i loko o ko kākou kino. Akā, aia kekahi mea kūikawā ma ʻaneʻi. ʻO ia hoʻi, he ʻike kūikawā ko kēia mau kauka e pili ana i nā kīʻaha koko ma nā wahi āpau o ke kino koe wale nō nā kīʻaha koko ma ka puʻuwai a me ka lolo .
E noʻonoʻo e like ko kākou kino me kahi pūnaewele o nā alanui liʻiliʻi. ʻO ke koko e lawe ana i ka oxygen a me nā meaʻai e pono ai ko kākou kino e hele ma kēia mau alanui. ʻO kēia mau alanui ka mea a kākou e kapa nei he mau kīʻaha koko. I mea e pololei ai, hoʻokomo pū lākou i nā aʻa, nā veins, a me nā kīʻaha lymphatic. Ua ʻike anei ʻoe he kokoke i 100,000 kilomita o kēia mau kīʻaha koko i loko o ko kākou kino?
No laila, ʻo ke Kauka Lapaʻau Vascular kekahi kanaka i loaʻa ka ʻike hohonu i kekahi pilikia e kū mai ana ma nā wahi āpau o kēia ʻōnaehana nui. Loaʻa iā ia ka ʻike maikaʻi i ke ʻano o ka hana ʻana o kahi kīʻaha koko, nā maʻi e hiki ke loaʻa i loko, nā ālai ʻana, nā ʻūpā, a me nā pehu ʻana.
I kekahi manawa ua kapa ʻia kēia mau loea he "nā kauka ʻokiʻoki." ʻO kēia no ka mea inā loaʻa kahi pilikia o ke kīʻaha koko, e like me ke kahe koko i manaʻo ʻole ʻia, i ka wā o ke kaʻina hana ʻoki ʻē aʻe, ʻo ke kauka ʻokiʻoki vascular ka mea e hele mai no ke kōkua a me ka ʻōlelo aʻo.
He aha nā lawelawe āu e loaʻa ai mai kahi kauka lapaʻau vascular?
ʻOiai lākou e ʻōlelo nei he "kauka lapaʻau," ʻaʻole hana wale kēia mau kauka i nā ʻoki kino. Kōkua lākou iā ʻoe ma nā ʻano he nui.
- ʻIkepili: Ma muli o kāu mau hōʻailona, hiki iā mākou ke hoʻoholo pono i ke ʻano o ka pilikia o ke kīʻaha koko āu.
- Hoʻolālā lapaʻau: Ke hana ʻia ka hōʻailona, e hoʻomohala ʻia kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe. ʻAʻole pono kēia e pili mau i ke ʻoki kino. Hiki paha ke hoʻomaka me nā lāʻau lapaʻau, nā hoʻololi ʻana i ka meaʻai, a me ka hoʻoikaika kino .
- ʻO ke ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe: Inā pono, hana ʻia ke ʻoki kino. Nui nā ʻano like ʻole. ʻO kekahi he mau lāʻau lapaʻau minimally invasive i hana ʻia me ka liʻiliʻi loa, me ka ʻole o nā ʻoki. ʻO kekahi he ʻoi aku ka paʻakikī, nā ʻoki kino hāmama.
- Mālama lōʻihi:ʻO nā maʻi vascular he mau mea pinepine ia e pono ai ke mālama ʻia i kahi manawa lōʻihi. No laila, ʻo ke Kauka Lapaʻau Vascular kekahi kanaka e kūkulu i kahi pilina lōʻihi me ʻoe, e nānā mau ana i kou kūlana, a hāʻawi i nā ʻōlelo aʻoaʻo e pono ai. Ua like ia me kāu kauka ʻohana, he loea aloha e nānā pono ana i kou olakino.
Nā kūlana maʻamau i mālama ʻia e ke Kauka Lapaʻau Vascular
Aia kekahi mau kūlana olakino a kēia poʻe loea e mālama ai. E hoʻomaopopo wale kākou i kekahi o lākou mai ka papa ma lalo nei.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā Aneurysms Aortic | Lilo ka paia o ke aʻa nui o ke kino (ka aorta) i nāwaliwali a puʻupuʻu e like me ka pōpō. Hiki i kēia ke pahū. |
| Atherosclerosis | Hōʻiliʻili ka cholesterol a me nā mea ʻē aʻe i loko o nā kīʻaha koko (plaque), e pani ana i nā aʻa. ʻO kēia ke kumu o nā pilikia he nui. |
| ʻO ka Thrombosis Vein Hohonu (DVT) | Hiki i nā ʻūpā koko, ʻoiai ma nā aʻa koko hohonu o nā wāwae, ke lilo i mea weliweli inā e haki lākou a hele i nā māmā. |
| Maʻi ʻAʻa Carotid | Ka paʻa ʻana o ke aʻa nui e lawe ana i ke koko mai nā ʻaoʻao ʻelua o ka ʻāʻī a i ka lolo. Hiki i kēia ke hana i ka hahau ʻana. |
| ʻO ka maʻi ʻaʻai peripheral (PAD) | Ka paʻa ʻana o nā aʻa koko e lawe ana i ke koko i nā wāwae. ʻO kekahi o nā hōʻailona nui ka ʻeha ma nā wāwae i ka wā e hele ai. |
| Nā ʻaʻa Varicose | He ʻano e pehu ai nā aʻa koko o nā wāwae a ʻike ʻia he polū a poni paha ma luna o ka ʻili. |
| Loaʻa ʻana o ka Dialysis | Ke hoʻolako nei i nā pilina aa kūikawā ma o ke ʻoki ʻana e hoʻomaʻemaʻe i ke koko (dialysis) no nā maʻi me ka hāʻule ʻana o nā puʻupaʻa. |
| Nā ʻeha wāwae e pili ana i ka maʻi diabetes | Hoʻemi ka maʻi diabetes i ke kahe o ke koko i nā wāwae, e alakaʻi ai i nā ʻeha ʻaʻole e ho'ōla. |
He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka maʻi?
No ka hoʻoholo pono ʻana i ka pilikia āu e loaʻa nei, hoʻohana ke kauka vascular i nā hoʻokolohua like ʻole. Ua lohe paha ʻoe i kekahi o kēia mau mea.
| Hoʻāʻo | He aha kāu e hana ai me kēia? |
|---|---|
| ʻO ke kani ʻana o ke koko | Ua ʻike mākou i ke scan (ultrasound). Hiki ke hoʻohana ʻia kēia e ʻike i ke kahe ʻana o ke koko i loko o nā kīʻaha koko, a inā he poloka a i ʻole clot paha. |
| ʻIkuhi Kuʻekuʻe Kuʻekuʻe-Brachial (ABI) | Hoʻohālikelike ʻia ke kaomi koko ma kou lima a me kou kuʻekuʻe wāwae. He hoʻāʻo maʻalahi kēia e ʻike ai inā nele ke kahe koko i kou mau wāwae. |
| ʻO ke kauka CT Angiogram | Hana ʻia kahi scan CT ma ke komo ʻana i kahi kala kūikawā i loko o kahi aa koko. ʻAe kēia i nā kiʻi ʻekolu-dimensional (3D) o nā kīʻaha koko. |
| ʻO ka Angiogram Resonance Magnetic (MRA) | Ua like kēia me ka CT Angiogram, akā hoʻohana i kahi kahua magnetic. Hiki iā ia ke hana i nā kiʻi ʻoi aku ka maopopo ma mua o ka CT. |
Nā ʻoki kino a me nā lāʻau lapaʻau i hana ʻia e kahi Kauka Vascular
E like me kā mākou i ʻōlelo ai ma mua, nui nā koho lapaʻau. Koho ke kauka i hoʻokahi ma muli o ka mea e pono ai.
Nā Kaʻina Hana Minimally Invasive
ʻAʻole pili kēia mau kaʻina hana i nā ʻoki nui. Hana ʻia ka hapa nui o nā kaʻina hana ma o nā ʻōmole liʻiliʻi (catheters) i hoʻokomo ʻia e like me ka nila.
- ʻO Angioplasty a me Stenting: Hoʻokomo ʻia kahi mea liʻiliʻi e like me ka pōpō i loko o kahi kīʻaha koko i paʻa a hoʻopiha ʻia e hoʻonui i ke kīʻaha koko. I kekahi manawa hoʻokomo ʻia kahi mea liʻiliʻi e like me ka mesh (stent) i loko o ke kīʻaha koko e pale aku ai i ka paʻa hou ʻana.
- Atherectomy: Ua ʻānai ʻia ka papa kolesterol i paʻa ʻia (plaque) me kahi mea liʻiliʻi.
- Lapaʻau Thrombolytic: Hoʻokomo pololei ʻia kahi lāʻau lapaʻau e hiki ke hoʻoheheʻe i kahi ʻaʻa koko i loko o kahi o ke ʻaʻa.
Nā ʻoki kino hāmama
I kekahi mau hihia, ʻoiai i nā pilikia nui, pono paha ke ʻoki kino hāmama.
- ʻO ke ʻoki ʻoki ʻana: Hana ʻia kahi ala hou no ke kahe ʻana o ke koko ma o kahi aʻa i paʻa ʻia ma ke kāpae ʻana iā ia. Pili kēia i ka hoʻohana ʻana i kahi ʻāpana aʻa i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole kahi aʻa hana.
- Endarterectomy: Ua wehe pololei ʻia ke aʻa, ua wehe lima ʻia ka plaque cholesterol i loko, a ua humuhumu ʻia ke aʻa. Hana pinepine ʻia kēia no ke aʻa carotid ma ka ʻāʻī.
- Hoʻoponopono ʻana i ka Aneurysm: Wehe ʻia ka ʻāpana puʻupuʻu o ke aʻa a hoʻololi ʻia me kahi aʻa hana (graft).
No ke aha ʻoe e kuhikuhi ʻia ai i kahi Kauka Lapaʻau Vascular?
Inā manaʻo kāu mea mālama mua, ma hope o ka nānā ʻana i kāu mau hōʻailona, he pilikia kēia e pono e ʻike ʻia e kahi loea vascular, e kuhikuhi ʻo ia iā ʻoe i kahi kauka hana vascular.
E hoʻomanaʻo, ʻo ka hoʻouna ʻia ʻana i kahi Kauka Lapaʻau Vascular ʻaʻole ia he manaʻo e pono ʻoe e hana ʻia ke ʻoki kino. ʻO ia hoʻi, pono ʻoe i kahi manaʻo loea a me ka lāʻau lapaʻau no kou kūlana.
ʻO ka mea mua, e kamaʻilio pono ke kauka iā ʻoe, e nīnau iā ʻoe e pili ana i kou mau hopohopo a me kou mau makaʻu, a laila e hana i nā hoʻokolohua e pono ai a kūkākūkā i ka lāʻau lapaʻau maikaʻi loa nāu. No laila, mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- He loea ke kauka ʻoki koko e mālama i nā maʻi e pili ana i nā kīʻaha koko āpau (nā aʻa, nā veins) i loko o ke kino, koe wale nō nā mea o ka puʻuwai a me ka lolo.
- Mai makaʻu i ka huaʻōlelo "kauka lapaʻau." Hana lākou i nā mea he nui ma waho aʻe o ke ʻoki ʻana, e like me nā lāʻau lapaʻau, nā loli o ke ʻano o ka nohona, a me nā lāʻau lapaʻau minimally invasive.
- Inā loaʻa iā ʻoe kahi kuhikuhi i kahi Kauka Lapaʻau Vascular, ʻo ia hoʻi, pono ʻoe i ka mālama kūikawā, ʻaʻole pono ke ʻoki kino.
- Ma muli o ka lōʻihi o ka nui o nā maʻi vascular, ʻo kāu Kauka Lapaʻau Vascular paha he hoa lōʻihi i kāu huakaʻi olakino.
- Mai kānalua e nīnau i kāu kauka. He mea nui e hoʻoponopono i nā hopohopo āpau āu e pili ana i kou kūlana a me nā koho lapaʻau.
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