E aʻo kākou e pili ana i ke ʻoki kino koko ma ke ala maʻalahi.

Ua like ko kākou kino me ke kūlanakauhale hana nui. Loaʻa i kēia kūlanakauhale kahi ʻōnaehana alanui e lawe ana i nā mea pono, e like me ka oxygen a me nā meaʻai, i kēlā me kēia ʻāpana. ʻO kēia mau alanui ka mea a mākou e kapa nei he "nā kīʻaha koko" a i ʻole "nā kīʻaha koko." I kekahi manawa ua hōʻino ʻia kēia mau alanui, ua ālai ʻia, a ua nāwaliwali a kokoke i ka pohā. ʻO ia ka manawa e pono ai ke kōkua loea e hoʻoponopono i kēia mau alanui. I ka lāʻau lapaʻau, ʻo ke kahua e pili ana i kēia hana ua kapa ʻia ʻo Vascular Surgery.

I ka ʻōlelo maʻalahi, he aha ke ʻoki ʻana o ka vascular?

ʻAʻole ʻo ke ʻoki ʻana o ke koko he ʻoki kino hoʻokahi. He huaʻōlelo laulā ia no nā ʻano ʻoki kino like ʻole a me nā lāʻau lapaʻau e pili ana i nā kīʻaha koko i loko o ko mākou kino, ʻo ia hoʻi nā aʻa (nā kīʻaha koko e lawe ana i ke koko mai ka puʻuwai), nā aʻa koko (nā kīʻaha koko e hoʻihoʻi ana i ke koko mai ke kino i ka puʻuwai), a me nā capillaries (nā kīʻaha koko lahilahi loa) .

I kekahi manawa hiki ke mālama ʻia kēia mau kūlana me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau, akā i kekahi mau hihia, pono ke ʻoki ʻana e pale ai i ka ʻino ʻana o ke kūlana.

ʻEkolu mau pahuhopu nui o ke ʻoki ʻana i nā kīʻaha koko:

• Ke hoʻoponopono ʻana i nā pōʻino i nā kīʻaha koko.
• Ka hōʻemi ʻana i ka pilikia o nā pilikia weliweli i hoʻokumu ʻia e kēia mau maʻi.
• Ke hoʻomākaukau ʻana i nā ala komo vascular no nā lāʻau lapaʻau e like me ka dialysis no nā maʻi puʻupaʻa.

He aha nā kūlana e pono ai ke ʻoki ʻana i nā kīʻaha koko?

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. Ua lohe paha ʻoe i kekahi o kēia mau mea.

• Aortic aneurysm: Hoʻonāwaliwali ʻia ke aʻa nui loa i loko o ko mākou kino (aorta) a puʻupuʻu e like me ka pōpō.
• Nā ʻūpā koko: Nā ʻūpā koko, ʻoi aku hoʻi ma nā aa koko hohonu o nā wāwae (Deep Vein Thrombosis - DVT).
• ʻO ka maʻi o ke aʻa Carotid: ʻO nā waihona momona e ālai i nā aʻa i ka ʻāʻī e hoʻolako i ke koko i ka lolo.
• ʻO nā aʻa Varicose: Nā aʻa koko polū, pehu i nā wāwae e kū mai ana ma luna o ka ʻili.
• ʻO ka maʻi aʻa peripheral (PAD): He ālai ʻana o nā aʻa e hoʻolako ana i ke koko i nā lima a me nā wāwae ma muli o nā waihona momona.
• ʻO ka stenosis o ke aʻa renal.
• E hoʻokumu i kahi ala komo no ka dialysis.

E nānā ke kauka vascular i kou kūlana a hoʻoholo i ke ʻano o ka lāʻau lapaʻau kūpono loa iā ʻoe.

He aha nā ʻano nui o ke ʻoki kino vascular?

Nui nā ʻano ʻoki kino like ʻole i hoʻohana ʻia e mālama i nā kūlana olakino like ʻole. E nānā kākou i kekahi o nā ʻoki kino i hana pinepine ʻia.

ʻO ke ʻoki kino ʻana o ka aneurysm aorta

Inā nui loa ka aneurysm, a inā paha he pilikia o ka haki ʻana, hana ʻia ke ʻoki kino.

• ʻO ke ʻoki ʻana i ka aneurysm hāmama: Hana ʻia kahi ʻoki ma ka umauma a i ʻole ka ʻōpū, wehe ʻia ka ʻāpana i hōʻino ʻia o ke aʻa, a hoʻokomo ʻia kahi ʻōmole hana (graft) ma kona wahi.
• Hoʻoponopono ʻana i ka Endovascular Aneurysm (EVAR): He ʻoki kino kēia e hana ʻia ma o kahi ʻoki liʻiliʻi. Hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) ma o ka ʻūhā, kahi e hoʻokomo ʻia ai kahi paipu hana like me ke kiʻi hao (stent graft) i loko o ka wahi e pehu ana, e hoʻoikaika ana i ke aʻa mai loko mai.

Lapaʻau no ka maʻi ʻaʻai Peripheral (PAD)

Hoʻohana ʻia kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka claudication intermittent (ʻeha e like me ka neʻe ʻana o ka wā e hele ai) ma muli o nā aʻa koko i hāiki ʻia i kou mau wāwae, a inā ʻaʻole i ho'ōla ʻia kou mau ʻeha.

• ʻAngioplasty a me ka stenting: Hoʻokomo ʻia kahi catheter i loko o ke aʻa i paʻa ʻia, hoʻopiha ʻia, a hoʻonui ʻia ka mea i paʻa. A laila hoʻokomo ʻia kahi mea like me ka mesh (stent) e pale aku i ka hana hou ʻana o ka mea i paʻa.
• ʻO ke ʻoki ʻana i ke aʻa peripheral: E like me ka wā e ālai ʻia ai ke alanui, hana ʻia kahi ala hou e ālai i ke kīʻaha koko i ālai ʻia. Hana ʻia kēia me ka hoʻohana ʻana i kahi aʻa koko olakino ʻē aʻe a i ʻole kahi ʻōmole hana mai loko mai o ke kino.

Nā ʻoki no nā pilikia me nā ʻaʻa carotid

ʻO kēia pani ʻana o ke aʻa he kumu nui ia no ka hahau ʻana.

• ʻO ka endarterectomy Carotid: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāʻī, wehe ʻia ke aʻa, a ʻoki ʻia ka papa momona (plaque) i kūkulu ʻia i loko.
• ʻO ka angioplasty Carotid a me ka stenting: E ​​like me ka mea i ʻōlelo ʻia ma mua, hoʻohana ʻia kahi balloon a me kahi stent e hoʻonui i ke aʻa i paʻa.

Ka mālama ʻana no nā maʻi e pili ana i nā veins

Ke nāwaliwali nā kiwikā o nā aʻa koko o nā wāwae, hōʻiliʻili ke koko i loko o nā wāwae ma kahi o ka hoʻi ʻana i ka puʻuwai. ʻO kēia ke kumu o ka pehu ʻana, ka ʻeha, a me nā aʻa koko varicose.

• ʻO ka hoʻopaʻa ʻana a me ka wehe ʻana i nā aʻa: He lāʻau maʻamau no nā aʻa varicose. Ma kēia kaʻina hana, hoʻopau loa ʻia ke aʻa maʻi ma ke ʻoki ʻana.
• ʻO ka hoʻopau wela endovenous: Me ka ʻole o kahi ʻoki nui, hoʻohana ʻia kahi laser a i ʻole nā ​​​​hawewe lekiō kiʻekiʻe e puhi a hoʻopaʻa i ka aʻa maʻi mai loko mai. A laila hoʻōki kēia i ke kahe koko ma o ka aʻa.
• Sclerotherapy: He lāʻau lapaʻau no nā aʻa varicose liʻiliʻi a me nā aʻa spider. Hoʻokomo ʻia kahi hopena kemika i loko o ke aʻa a pani ʻia.

He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e hana kāu kauka i kahi hoʻokolokolo piha iā ʻoe, e hana i nā hoʻokolohua koko e pono ai, nā scan (e like me ka Doppler ultrasound, CT angiogram), a hāʻawi iā ʻoe i nā kuhikuhi no nā mea e pono ai ʻoe e hana e hoʻomākaukau ai no ke ʻoki ʻana.

• Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau hoʻokahe koko ).
• E noi ʻia ʻoe e hoʻokē ʻai mai ka pō ma mua o ke ʻoki kino.
• Inā ʻoe e puhipaka, he mea nui loa e hoʻōki loa i kekahi mau pule ma mua o ke ʻoki ʻana.

ʻElua ʻano nui o ke ʻoki kino. Na kāu kauka e koho i ke ʻano hana kūpono iā ʻoe.

ʻO ka manawa hoʻōla ma hope o ke ʻoki kino e pili ana i ke ʻano o ke ʻoki kino i hana ʻia. Pono paha kekahi mau ʻoki kino nui i kekahi mau lā ma ka ʻāpana mālama koʻikoʻi (ICU). 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.

He aha nā pōmaikaʻi a me nā pilikia o kēia mau ʻoki kino?

Nā pono nui:

• ʻO kekahi o kēia mau mea he mau hana hoʻōla ola .
• Hoʻomaikaʻi nui ia i kou ʻano ola (e like me ka hiki ke hele me ka ʻeha ʻole).
• Hiki ke pale ʻia nā pilikia weliweli e like me ka hahau ʻana a me ka hōʻeha puʻuwai .

Nā pilikia hiki ke loaʻa:

• Ka maʻi alerika i ka anesthesia a i ʻole nā ​​​​​​wai hoʻoluʻu i hoʻohana ʻia.
• Ke kahe ʻana o ke koko.
• Nā ʻūpā koko.
• Nā maʻi ma kahi i hana ʻia ai ke ʻoki.
• Ka pōʻino o ke aʻalolo.

Hiki ke ʻokoʻa ka pilikia ma muli o nā kumu e like me kou makahiki, ke alo o nā maʻi ʻē aʻe (maʻi diabetes, maʻi puʻupaʻa), a pēlā aku. E kūkākūkā pono kāu kauka i kēia mau mea āpau me ʻoe ma mua o ke ʻoki ʻana.

Āhea ʻoe e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kou wā e hoʻōla ai ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) ma ka haukapila kokoke loa.

• Ke kahe koko a i ʻole ka pus mai ka ʻeha ʻoki, ka ʻulaʻula a me ka pehu, a me ka ʻeha nui.
• Kuni.
• Ka maneʻo a ʻeha nui paha a pehu paha i nā lima a i ʻole nā ​​wāwae.
• ʻEha nui ma ka umauma, ka ʻōpū, a i ʻole ke kua.
• Ke ʻū ʻana i ke koko a i ʻole ka huʻa ʻōmaʻomaʻo/melemele.
• Paʻakikī i ka ʻike ʻana a i ʻole ka ʻōlelo ʻana.