Ua ālai ʻia kou mau kīʻaha koko ma kou mau wāwae? E aʻo kākou e pili ana i ke ʻoki ʻana i ka Vascular Bypass ma ke ʻano maʻalahi.

Ke ʻike nei hoʻi ʻoe i ka ʻeha nui ma kou mau wāwae, ʻoiai ke hele wāwae ʻoe no kahi mamao pōkole? Ke emi nei ka ʻeha ke noho ʻoe no kekahi manawa a laila hele hou? A i ʻole ke ʻike nei ʻoe i ka mae ʻana o kou mau wāwae, ke anu o kou mau wāwae, a i ʻole ka manaʻo e lōʻihi ka manawa e ho'ōla ai kahi ʻeha liʻiliʻi? He mau hōʻailona paha kēia o kekahi paʻa ʻana i loko o ka ʻōnaehana kīʻaha koko o kou kino, ʻoiai ma nā aʻa e lawe ana i ke koko i kou mau wāwae. I kēia lā, e kamaʻilio mākou e pili ana i kahi hopena hoʻololi ola i ia mau hihia, he ʻoki 'bypass'.

ʻO ka mea mua, e nānā kākou he aha ka maʻi vascular.

I ka ʻōlelo maʻalahi, he pilikia kēia me ka ʻōnaehana kīʻaha koko i loko o ko mākou kino. Loaʻa i ko mākou kino kahi pūnaewele o nā aʻa koko e lawe ana i ke koko i kēlā me kēia kihi. E like me ka ʻōnaehana paipu e lawe mai ana i ka wai i ko mākou hale. ʻElua ʻano o nā aʻa koko. ʻO nā aʻa koko e lawe ana i ke koko maʻemaʻe (me ka oxygen a me nā meaʻai) mai ka puʻuwai a i ke koena o ke kino ua kapa ʻia he mau ʻaʻa koko . ʻO nā aʻa koko e lawe ana i ke koko haumia mai ke kino a hoʻi i ka puʻuwai ua kapa ʻia he mau ʻaʻa koko .

Ma ke ʻano i kapa ʻia ʻo 'Vascular Disease', hōʻiliʻili nā mea e like me ka ʻaila a me ka cholesterol i loko o nā paia o kēia mau aʻa, e like me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai, a emi mālie ke kahe o ke koko. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo 'Peripheral Artery Disease' (PAD) . Ke emi ke kahe o ke koko e like me kēia, ʻaʻole loaʻa i nā ʻōpū mamao loa mai ka puʻuwai, ʻoiai nā wāwae, ka oxygen a me nā meaʻai e pono ai. ʻO ia ke kumu e ʻike ʻia ai nā hōʻailona e like me ka ʻeha a me ka mae ʻole i ka wā e hele ai.

No laila he aha ke ʻoki bypass?

ʻAe, i kēia manawa ua maopopo iā ʻoe ke ʻano o ke aʻa paʻa. ʻO ke ʻano o 'Bypass' ke hana ʻana i kahi ala ʻē aʻe no kēia aʻa paʻa.

E noʻonoʻo he nui ke kaʻa ma ke Alanui ʻo Colombo-City, a ʻaʻole hiki i nā kaʻa ke neʻe. He aha ka hana a ke aupuni? Kūkulu lākou i alaloa wikiwiki hou e kāpae i kēlā kaʻa, ʻeā? Ma ke ʻano like, hoʻohana ke kauka lapaʻau i kahi kīʻaha koko hou a i ʻole kahi ʻōmole hana e kāpae i kahi kīʻaha koko i ālai ʻia, e hana ana i ala hou no ke kahe ʻana o ke koko me ka ʻole o ke keʻakeʻa.

Ua kapa mākou i kēia alanui i kūkulu hou ʻia he 'graft' . Hoʻohana ʻia kēia 'graft' penei:

1. He aa koko mai kahi ʻāpana ʻē aʻe o kou kino: ʻO ka aa koko maʻamau i hoʻohana ʻia ʻo ia ka aa koko saphenous, aia ma lalo o ka ʻili o ka wāwae. I kekahi manawa, hiki ke hoʻohana ʻia kahi aa koko ma ka lima. ʻO kēia ke koho maikaʻi loa.

2. He paipu i hana ʻia me ka mea synthetic:I nā hihia kahi hiki ʻole ke komo i kahi aa koko mai kou kino aku, ʻoiai inā he nui loa ke aʻa koko e kāpae ʻia (no ka laʻana, ka aorta i loko o kou ʻōpū), hoʻohana ʻia kahi ʻōmole hana e like me kēia.

ʻO ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka hoʻihoʻi ʻana i ke kahe koko i nā wāwae, hoʻomaha i ka ʻeha, ho'ōla i nā ʻeha, a, i ka hihia ʻino loa, hoʻopakele iā ʻoe mai ka pilikia o ka ʻoki ʻia ʻana.

He aha nā ʻano nui o ke ʻoki bypass?

Aia kekahi mau ʻano o ke ʻoki ʻana ma o ka bypass. Ua kapa ʻia kēia mau mea ma muli o kahi i pili ai ke kīʻaha koko i ālai ʻia a me ke aʻa hou. E nānā kākou i kekahi o nā ʻano maʻamau i hana ʻia ma ko kākou ʻāina.

He aha nā hoʻokolohua e pono e hana ʻia ma mua o ke ʻoki ʻana?

ʻAe, ʻoiaʻiʻo nō. E hana kāu kauka i kekahi mau hoʻokolohua ma mua o ka hoʻolālā ʻana i ke ʻoki kino. E kōkua kēia iā lākou e hoʻoholo pono i kahi a me ka nui o ke kīʻaha koko i ālai ʻia.

• ʻIkepili Kuʻekuʻe Kuʻekuʻe-Brachial (ABI):He hoʻāʻo maʻalahi loa kēia. Ana lākou i kou koko ma kou kuʻekuʻe wāwae a me kou lima (brachial) a hoʻohālikelike i nā waiwai ʻelua. Inā haʻahaʻa loa ke kaomi ma kou wāwae ma mua o ke kaomi ma kou lima, ʻo ia hoʻi aia kekahi mea e ālai ana i ke kahe koko i kou wāwae.
• ʻO Vascular Ultrasound: He scan ʻeha ʻole kēia, like me ka mea i hana ʻia i ka wā e loaʻa ai kāu pēpē. Hiki iā ia ke ʻike maopopo i ke ʻano o ka neʻe ʻana o ke koko ma o nā kīʻaha koko, inā he mau ʻūpā koko, a me kahi i ālai ʻia ai.
• Nā hoʻokolohua ʻē aʻe: I kekahi manawa e hoʻoholo paha kāu kauka e nānā i kou kūlana puʻuwai. ʻO kēia no ka mea he nui ka poʻe i loaʻa nā pilikia me nā kīʻaha koko i ko lākou mau wāwae e loaʻa paha nā pilikia me nā kīʻaha koko i loko o ko lākou puʻuwai.

He aha ka mea e hana ʻia i ka lā o ke ʻoki kino?

Hana ʻia kēia ʻoki kino ma kahi haukapila, ma kahi lumi hana. ʻAʻohe ou mea e makaʻu ai. E mālama pono nā kauka a me nā kahu maʻi iā ʻoe.

1. Anesthesia: ʻO ka mea mua, e nānā ke kauka anesthesiologist iā ʻoe a hāʻawi iā ʻoe i ka lāʻau lapaʻau e pono ai e hoʻomoe iā ʻoe i ka hiamoe nui i ka wā o ke ʻoki ʻana. Ua kapa ʻia kēia ʻo 'General Anesthesia' .

2. ʻOki ʻana: Ma hope o kou hiamoe ʻana, hana ke kauka ʻoki i kekahi mau ʻoki liʻiliʻi ma kou ʻili e komo ai i nā kīʻaha koko e nīnau ʻia nei. ʻO kahi a me ka nui o kēia mau ʻoki e pili ana i ke ʻano o ka bypass āu e hana nei.

3. Ke hoʻohui ʻana i ka bypass: A laila, lawe ke kauka i ka 'graft' i koho ʻia (ʻo kou aʻa ponoʻī a i ʻole kahi paipu hana) a hoʻohui iā ia i ke aʻa olakino ma luna a ma lalo o ka mea i ālai ʻia me ka hoʻohana ʻana i nā humuhumu lahilahi loa.

4. Ke pani ʻana i nā ʻoki: Ma hope o ka hana ʻia ʻana o ke ala hou, nānā ʻia ke kahe o ke koko a pani hou ʻia nā ʻoki i hana ʻia ma ka ʻili me nā humuhumu.

Hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma waena o ʻelua a ʻeono hola , ma muli o ka paʻakikī o ke ʻoki bypass āu e hana nei.

Aia kekahi mau pilikia i kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia e hiki ke loaʻa. Eia nō naʻe, hiki ke hoʻemi ʻia kēia mau pilikia ma lalo o ka nānā ʻana o kahi hui lapaʻau akamai. ʻOi aku ka kiʻekiʻe o ka pilikia o nā pilikia, ʻoi aku hoʻi i ka poʻe me nā kūlana olakino e like me ka maʻi puʻuwai, ka maʻi puʻupaʻa, a me/a i ʻole ka maʻi diabetes.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka manawa hoʻōla?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kekahi mau lā. I loko o kēia manawa:

• E hāʻawi ʻia iā ʻoe nā lāʻau hoʻomaha ʻeha.
• E hāʻawi ʻia nā anticoagulants e pale aku i nā ʻaʻa koko i loko o ke kāpili hou.
• E hoʻomaʻemaʻe nā kahu maʻi a mālama pono i kou mau ʻeha.

ʻO ka mea nui loa, ʻo ia ke ala aʻe mai kahi moe a hoʻomaka e hele wāwae i ka hikiwawe loa. He mea paʻakikī iki paha kēia i ka wā mua, akā he mea nui e hele mālie, e like me ka ʻōlelo a kāu kauka a me kahi physiotherapist. E hoʻomaikaʻi kēia i ke kahe koko a kōkua iā ʻoe e hoʻōla wikiwiki.

ʻOiai ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻi mālie i kāu hana maʻamau. Pono paha ʻoe e hoʻōki i ka hāpai ʻana i nā mea kaumaha a me ka hana ʻana i nā hana ikaika no kekahi manawa.

I mea e ola ai ke kāpili no ka manawa lōʻihi, pono ʻoe e hoʻololi i kou nohona.

• Inā ʻoe e puhipaka, e hoʻōki i kēia lā: ʻO ka puhipaka ke kumu nui o ka hāʻule ʻana o ka hoʻopili ʻana.
• E kāohi i ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol: E lawe i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka i ka manawa kūpono.
• E ʻai i ka meaʻai olakino: e hōʻemi i ka ʻaila, ka paʻakai, a me ke kō. E ʻai hou aku i nā mea kanu, nā huaʻai, a me nā greens.
• E hoʻoikaika kino e like me ke kuhikuhi a kāu kauka: ʻOiai ka hoʻoikaika kino maʻalahi e like me ka hele wāwae i kēlā me kēia lā he mea maikaʻi loa ia.
• E hele i nā keʻena lapaʻau i ka manawa kūpono: E hālāwai me kāu kauka ʻoki a nānā pinepine i ke kūlana o ke kāpili.

Āhea wau e ʻike hou ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka.

Inā loaʻa iā ʻoe ka ʻeha koke o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha koke o ka wāwae me ke anu a keʻokeʻo hoʻi, e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.