ʻO ke ʻoki ʻana i kou mau kīʻaha koko? E kamaʻilio kākou e pili ana i ke ʻoki ʻana i nā kīʻaha koko!

E noʻonoʻo i ka pūnaewele o nā kīʻaha koko ma loko o ko kākou kino e like me nā alanui ma ke kūlanakauhale. Ma kēia mau alanui e hele ai ke koko mai ko kākou puʻuwai a i kēlā me kēia kihi o ko kākou kino. No laila he aha ka mea e hana ai inā he ālai ʻia, he haki, he haki, a i ʻole kekahi pilikia ʻē aʻe ma kēia mau alanui? Hoʻopilikia ʻia ke kaʻa holoʻokoʻa, ʻeā? Pēlā nō, i ka wā e pilikia ai ko kākou mau kīʻaha koko, kāhea wale mākou i nā ʻoki kūikawā i hana ʻia e mālama iā ia '(ʻOki Vascular)'.

I ka ʻōlelo maʻalahi, he aha ke ʻano o ke 'Vascular Surgery'?

ʻO ke ʻoki kino koko kahi huaʻōlelo laulā no nā ʻoki kino a me nā lāʻau lapaʻau e pili ana i nā kīʻaha koko (nā aʻa, nā veins, a me nā capillaries) i loko o ko mākou kino. ʻO kēia pūnaewele o nā kīʻaha koko e lawe i ke koko mai ko mākou puʻuwai i nā ʻōpū a me nā ʻiʻo ʻē aʻe a pau o ke kino, a hoʻihoʻi i ke koko i ka puʻuwai.

Hiki ke hōʻino ʻia kēia mau kīʻaha koko e nā ʻano maʻi like ʻole. I kekahi manawa hiki ke mālama ʻia kēia mau kūlana me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe i ke ʻoki ʻana e pale aku i ka pilikia mai ka ʻoi aku ka ʻino.

ʻO kēia mau ʻoki kino e pili nui ana i:

• Ke hoʻoponopono ʻana i nā pōʻino i nā kīʻaha koko.
• Ka hōʻemi ʻana i ka pilikia o nā pilikia koʻikoʻi e hiki ke kū mai ma muli o kēia mau kūlana.
• Ke hana ʻana i ke komo ʻana i nā kīʻaha koko e hoʻomaʻamaʻa i nā lāʻau lapaʻau e like me ka dialysis no nā maʻi puʻupaʻa.

I loko o nā kūlana hea e pono ai ke ʻoki ʻana i ke koko (Vascular Surgery)?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā kūlana ma lalo nei, pono paha ʻoe i ke ʻoki ʻana i nā kīʻaha koko. ʻO ka hoʻoholo maikaʻi loa e pili ana i kēia na kāu kauka e hana.

Pono paha kēia mau ʻoki kino no nā maʻi ʻē aʻe e like me kēia. E nānā pono kāu kauka i kou kūlana a hoʻoholo inā pono ke ʻoki kino me ka lāʻau lapaʻau.

He aha nā ʻano hana ʻoki kino nui?

Nui nā ʻano hana ʻoki kino like ʻole e mālama ai i nā pilikia kīʻaha koko. ʻO ke ʻano o ke ʻoki kino āu e pono ai e pili ana i kou kūlana. E kamaʻilio kākou e pili ana i kekahi o nā ʻano nui.

1. Hoʻoponopono ʻana i ka Aneurysm Aortic

Inā nāwaliwali ke kīʻaha koko nui loa i loko o ko kākou kino (ka aorta) a pehu e like me ka pōpō, pono e hoʻoponopono ʻia ma mua o ka pahū ʻana. ʻO kēia ke ʻoki kino e hana ʻia no ia mea.

• ʻO ke ʻoki ʻana i ka Aneurysm Hāmama: Pili kēia i ka hana ʻana i kahi ʻoki ma ka umauma a i ʻole ka ʻōpū, e wehe ana i ke kīʻaha koko i hōʻino ʻia, a hoʻololi iā ia me kahi ʻōmole hana (graft).
• Hoʻoponopono ʻana i ka Endovascular Aneurysm (EVAR): ʻOi aku ka liʻiliʻi o ke ʻoki kino ma kēia. Hana ʻia kahi lua liʻiliʻi i loko o ka ʻili, hoʻokomo ʻia kahi paipu uea i kapa ʻia he stent graft ma o ka lua, a kahe ke koko ma o ka paipu hou.
• Hoʻoponopono ʻana i ka Thoracic Endovascular Aneurysm (TEVAR): Ua like kēia me ka `(EVAR)`, akā hana ʻia no nā aneurysms i loko o ka aorta ma ka ʻāpana umauma.

2. Lapaʻau no ka maʻi ʻaʻai Peripheral (PAD)

ʻO ka PAD kahi kūlana kahi e hōʻiliʻili ai ka palaki i loko o nā aʻa e lawe ana i ke koko i nā wāwae a me nā lima. Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha ma nā wāwae i ka wā e hele ai.

• ʻO ka Angioplasty a me ka Stenting:Ma kēia, ua hoʻokomo ʻia kahi pōpō liʻiliʻi i loko o ke kīʻaha koko i paʻa a hoʻopiha ʻia e hoʻonui i ke kīʻaha. A laila, ua kau ʻia kahi ʻupena uea liʻiliʻi "stent" i loko e pale aku ai i ka paʻa hou ʻana. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi paipu wai i paʻa a me ke kau ʻana i kahi ʻōmole liʻiliʻi i loko e pale aku ai i ka paʻa hou ʻana.
• Atherectomy: Pili kēia i ka hoʻohana ʻana i kahi pahi liʻiliʻi ma ka hopena o kahi catheter (kahi ʻōmole lahilahi) e ʻoki ai i nā waihona momona i kūkulu ʻia ma nā paia o nā kīʻaha koko.
• ʻO ke ʻoki ʻana i ke alahaka peripheral artery: Pili kēia i ka wehe ʻana i kahi kīʻaha koko i paʻa a me ka hana ʻana i ala hou no ke kahe ʻana o ke koko. Pili kēia i ka hoʻohana ʻana i kekahi kīʻaha koko olakino ʻē aʻe mai loko mai o ke kino a i ʻole kahi ʻōmole hana. Ua like ia me ke kūkulu ʻana i kahi alahaka e alahaka i ke kaʻa ma ke alanui.

3. Lapaʻau no nā pilikia o ke aʻa Carotid (ʻāʻī ʻaʻa)

ʻO ka maʻi ʻaʻa Carotid kahi maʻi kahi e hōʻiliʻili ai nā waihona momona i loko o nā aʻa nui ma ka ʻāʻī e hoʻolako ana i ke koko i ko mākou lolo. Hiki i kēia ke alakaʻi i nā maʻi weliweli e like me ka hahau ʻana.

• ʻO Carotid Angioplasty a me Stenting: E ​​like me ka mea i ʻōlelo ʻia ma mua, ua hoʻonui ʻia kēia aʻa me kahi balloon a me kahi stent.
• Carotid Endarterectomy: Ma kēia, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī, wehe ʻia ke aʻa, wehe ʻia ka papa momona i loko, a humuhumu hou ʻia ke aʻa.

4. Lapaʻau no nā maʻi vena

Hoʻihoʻi ʻia ke koko lepo i loko o ko kākou kino i ka puʻuwai ma o nā aʻa koko. Loaʻa i nā aʻa koko, ʻoi aku hoʻi ma nā wāwae, nā kiwikā e kōkua i ka pamu ʻana i ke koko i luna. Ke nāwaliwali kēia mau kiwikā, hōʻiliʻili ke koko i loko o nā wāwae, e hana ana i nā kūlana e like me nā "Varicose veins".

• Ke Kau ʻana o ka Kānana Vena Cava: No nā poʻe me nā kūlana e like me ka deep vein thrombosis (DVT), ua kau ʻia kahi kānana liʻiliʻi i loko o kahi aa koko nui e pale aku i nā ʻōpū koko mai ka hele ʻana i ka puʻuwai a i ʻole nā ​​māmā.
• Hoʻopaʻa a me ka wehe ʻana i nā aʻa koko maʻi (varicose veins): Ma kēia, ʻoki ʻia a wehe ʻia nā aʻa koko maʻi (varicose veins).
• ʻO ka Endovenous Thermal Ablation: Me ka hoʻohana ʻana i nā kukuna laser a i ʻole nā ​​​​hawewe lekiō kiʻekiʻe, ua hoʻopau ʻia ke aʻa koko maʻi mai loko mai a pani ʻia me ka ʻole o ka hana ʻana i kahi ʻoki nui.
• Sclerotherapy: ʻO kēia ka hoʻokomo ʻana i kahi hopena kemika e pani ai i nā veins varicose liʻiliʻi a me nā veins spider.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

E nānā pono kāu kauka iā ʻoe ma mua o ke ʻoki ʻana.

• Mōʻaukala lapaʻau: E kamaʻilio e pili ana i kāu mau hōʻailona, ​​​​nā maʻi ma mua, nā lāʻau lapaʻau āu e lawe ai, a me nā maʻi allergies āu e loaʻa ai.
• Nā hoʻāʻo:E kauoha ʻia nā hoʻokolohua like ʻole e pono ai no ke ʻoki kino. No ka laʻana, nā hoʻokolohua e like me `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)`.
• ʻO kāu hoʻomākaukau: Aia kekahi mau mea hiki iā ʻoe ke hana ma mua o ke ʻoki ʻana.
• E nīnau ke kauka inā pono ʻoe e hoʻōki i ka lawe ʻana i kekahi o nā lāʻau lapaʻau āu e lawe mau ai.
• E noi ʻia ʻoe e hoʻōki i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua o ke ʻoki ʻana.
• Inā ʻoe e puhipaka, ua aʻo ʻia ʻoe e haʻalele. He mea nui loa e hahai pololei i kēia mau kuhikuhi.

ʻElua mau ʻano hana ʻoki: Open a me Endovascular

Hana ʻia ka hapa nui o nā ʻokiʻoki koko ma nā ʻano nui ʻelua. E wehewehe kāu kauka i ke ʻano hana e hana ʻia nei ma luna ou.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A he aha nā pilikia?

ʻOkoʻa loa ka mea e hana ʻia ma hope o ke ʻoki ʻana ma muli o ke ʻano o ke ʻoki ʻana āu i hana ai. Pono paha kekahi mau ʻoki nui i kekahi mau lā ma ka ʻāpana mālama koʻikoʻi (ICU). Eia nō naʻe, ma hope o kahi kaʻina hana liʻiliʻi e like me ka sclerotherapy, hiki paha iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

E like me nā ʻoki kino āpau, loaʻa i kēia mau ʻoki kino kekahi mau pilikia.

• Nā maʻi ʻaleka i ka anesthesia a i ʻole nā ​​​​mea i hoʻohana ʻia.
• Ke kahe ʻana o ke koko.
• Nā ʻūpā koko.
• Ka maʻi ʻana.
• Ka pōʻino o ke aʻalolo.
• Hōʻeha puʻuwai a i ʻole ka hahau.

Hiki ke piʻi aʻe kēia pilikia ma muli o ke koʻikoʻi o kou maʻi, kou mau makahiki, a me nā kūlana olakino ʻē aʻe āu e loaʻa nei, e like me ka maʻi diabetes. E kamaʻilio ākea me kāu kauka e pili ana i kēia.

Pono wau e ʻike koke i ke kauka!

Inā loaʻa iā ʻoe kekahi mau hōʻailona o kahi pilikia i kou wā e hoʻōla ana mai ke ʻoki ʻana, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka. E makaʻala pono i nā hōʻailona ma lalo nei.

He hana lapaʻau koʻikoʻi loa ke ʻoki ʻana i nā ala koko e hiki ke hoʻōla i ko kākou ola a hoʻomaikaʻi i ko kākou ʻano ola. Mai makaʻu e nīnau i kāu kauka e pili ana i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi.