Holo ke ākea peripheral - wāwae - hoʻokuʻu

Hana ʻia ke kīʻaha bypass peripheral artery e hoʻohuli hou i ka hāʻawi koko a puni kahi aʻa i ālai ʻia i ka wāwae. Ua hana ʻoe i kēia ʻoki kino no ka mea ke ālai nei nā waihona momona i kou aʻa i ke kahe o ke koko. ʻO kēia ke kumu o ka ʻeha a me ke kaumaha i kou wāwae i paʻakikī i ka hele wāwae. ʻ tellslelo kēia ʻatikala iā ʻoe pehea e mālama ai iā ʻoe iho ma hope o ka haʻalele ʻana i ka haukapila.

Loaʻa iā ʻoe kahi kīʻaha byipher peripheral artery e hele hou ai i ka hāʻawi koko a puni kahi aʻa i ālai ʻia i kekahi o kou mau wāwae.

Ua hana kāu mea lapaʻau i kahi ʻokiʻoki (ʻoki) ma luna o ka wahi kahi i ālai ʻia ai ke aʻa. Aia paha kēia i kou wāwae a i ʻole ka ʻūlū, a i ʻole ka ʻaoʻao haʻahaʻa o kou ʻōpū. Hoʻokomo ʻia nā mea paʻa ma luna o ke aʻa ma nā hopena o ka ʻāpana i ālai ʻia. Ua humuhumu ʻia kahi ʻōmole kūikawā i kapa ʻia he graft i loko o ke aʻa e pani i ka ʻāpana i ālai ʻia.

Ua noho paha ʻoe i ke keʻena mālama maʻi (ICU) no 1 a 3 mau lā ma hope o ke kaha ʻana. Ma hope o kēlā, ua noho ʻoe i kahi lumi hōkele maʻamau.

ʻEhaʻeha paha kāu ʻokiʻoki no kekahi mau lā. Hiki iā ʻoe ke hele wāwae i kēia manawa me ka ʻole o ka hoʻomaha. ʻO ka hoʻōla piha ʻana mai ke ʻoki ʻana he 6 a 8 mau pule paha.

Hele wāwae ma kahi o 3 a 4 mau manawa i ka lā. E hoʻonui mālie i kou hele wāwae i kēlā me kēia manawa.

Ke hoʻomaha nei ʻoe, e hāpai i kou wāwae i luna o ka pae o kou puʻuwai e pale ai i ka ʻōhū o ka wāwae.

• E moe i lalo a waiho i kahi uluna ma lalo o ka ʻaoʻao haʻahaʻa o kou wāwae.
• Mai noho ma mua o 1 mau hola i ka manawa ke hele mua ʻoe i ka home. Inā hiki iā ʻoe, e hāpai i kou mau wāwae a me kou mau wāwae ke noho ʻoe. E hoʻokau iā lākou ma luna o kahi noho ʻē aʻe a i kahi noho.

E hoʻonui hou ʻoe i ka wāwae ma hope o ka hele wāwae ʻana a noho paha. Inā nui kou pehu, hana paha ʻoe i ka hele wāwae ʻana a i ʻole noho ʻana, a i ʻole ka ʻai ʻana i ka paʻakai i kāu papaʻai.

Ke piʻi ʻoe i nā ʻanuʻu, e hoʻohana mua i kou wāwae maikaʻi ke piʻi ʻoe. E hoʻohana i kou wāwae i hana ʻoki mua ke hele ʻoe i lalo. Hoʻomaha ma hope o ka lawe ʻana i kekahi mau kapuwai.

E haʻi aku kāu mea mālama ola iā ʻoe ke hoʻokele. Hiki iā ʻoe ke hele i nā huakaʻi pōkole ma ke ʻano he mākaʻi, akā e hoʻāʻo e noho i ka noho hope me kou wāwae i hāpai ʻia i ka noho.

Inā ua hoʻoneʻe ʻia kāu staples, loaʻa iā ʻoe ʻo Steri-Strips (ʻāpana liʻiliʻi o ka lepe) ma o kou ʻokiʻoki. E ʻaahu i nā kapa komo ʻole e ʻumeʻume i kāu ʻokiʻoki.

Hiki iā ʻoe ke ʻauʻau a hoʻomaʻū i ka ʻokiʻoki, ke ʻōlelo mai kāu kauka hiki iā ʻoe. Mai pulu, ʻānai, a kuʻi pololei paha ka ʻauʻau ma luna o lākou. Inā he Steri-Strips kāu, e wili a hina lākou iā lākou iho ma hope o hoʻokahi pule.

MAI palu i loko o ka pahu ʻauʻau, pahu wai wela, a ʻauʻau ʻau. E noi i kāu mea hāʻawi ke hiki iā ʻoe ke hoʻomaka e hana hou i kēia mau hana.

E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e hoʻololi ai i kou ʻaʻahu (bandage) a ke hoʻopau paha ʻoe i ka hoʻohana ʻana i hoʻokahi. E hoʻomaloʻo i kou ʻeha. Inā hele kou lūlū i kou ʻūlū, e mālama i kahi pale maloʻo maloʻo ma luna o ia mea e maloʻo ai.

• E hoʻomaʻemaʻe i kou incision me ke kopa a me ka wai i kēlā me kēia lā ke ʻōlelo ʻia e kāu mea lawelawe hiki iā ʻoe. E nānā pono no nā loli. Pākuʻi maloʻo maloʻo.
• Mai hoʻokomo i kahi wai lotion, holika, a lāʻau lāʻau paha i kou ʻeha me ka noi ʻole ʻana inā maikaʻi ia.

ʻAʻole hiki i ke kīʻaha Bypass ke hōʻola i ke kumu o ka paʻa ʻana i kāu aʻa. E hāiki hou paha kou mau aʻa.

• ʻAi i kahi papaʻai olakino puʻuwai, hoʻoikaika kino, hoʻōki i ka paka (inā puhi ʻoe), a hoʻēmi i kou kaumaha. ʻO ka hana ʻana i kēia mau mea e kōkua i ka hoʻohaʻahaʻa ʻana i kou manawa o ka loaʻa ʻana o kahi aʻa i ālai ʻia.
• Hāʻawi paha kāu mea mālama ola iā ʻoe i ka lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol.
• Inā ʻoe e lawe i nā lāʻau no ke koko kiʻekiʻe a diabetes paha, e lawe iā lākou e like me kāu i ʻōlelo ʻia ai e lawe.
• E noi paha kāu mea lawelawe iā ʻoe e ʻai i ka aspirin a i ka lāʻau i kapa ʻia ʻo clopidogrel (Plavix) ke hoʻi ʻoe i ka home. Mālama kēia mau lāʻau i kou koko mai ka hana ʻana i nā clots i loko o kou aʻa. Mai hōʻoki i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻole ʻole me kāu mea hāʻawi.

Kāhea i kāu kahu mālama ola inā:

• ʻO kou wāwae i hana i ke kahakaha e hoʻololi i ke kala a i ʻole ʻoluʻolu e hoʻopā, pale, a i ʻole numb
• Loaʻa iā ʻoe ka ʻeha o ka umauma, luʻuluʻu, nā pilikia e noʻonoʻo pono ana, a i ʻole ka pōkole o ka hanu e hele ʻole ke hoʻomaha ʻoe
• Ke ʻeha nei ʻoe i ke koko a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha
• He haʻalulu kāu
• Loaʻa ʻoe i ke kuni ma luna o 101 ° F (38.3 ° C)
• ʻEha a ʻōpū paha kou ʻōpū
• Ke huki nei nā kaʻe o kāu ʻokiʻoki
• Aia nā ʻōuli o ka maʻi a puni ka ʻoki e like me ka ʻulaʻula, ʻeha, mehana, luawai, a i ʻole ka hoʻokuʻu ʻōmaʻomaʻo
• Hoʻopulu ʻia ka bandage i ke koko
• Pehu kou mau wāwae

Hōʻalo Aortobifemoral - hoʻokuʻu; Femoropopliteal - hoʻokuʻu; Popliteal wahine - hoʻokuʻu; Holo aorta-bifemoral - hoʻokuʻu; Holo a Axillo-bifemoral - hoʻokuʻu; Ilio-bifemoral bypass - hoʻokuʻu

Bonaca MP, Creager MA. Nā maʻi o ke aʻa peripheral. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 64.

Fakhry F, Spronk S, van der Laan L, et al. Hoʻomaʻamaʻa hope loa Endotherapy a me ka hoʻolālā i hoʻomalu ʻia no ka maʻi ākea ākea a me ka claudication intermittent: kahi hoʻokolohua hoʻokolohua kaulike ʻole. JAMA. 2015; 314 (18): 1936-1944. PMID: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465.

Gerhard-Herman MD, Gornik HL, Barrett C, et al. 2016 AHA / ACC alakaʻi ma luna o ka hoʻokele o nā mea maʻi me ka maʻi o ke ākea o ka ʻaoʻao ʻoi loa: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kuhikuhi kuhikuhi Clinical. Kaapuni. 2017; 135: e686-e725. PMID: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332.

Kinlay S, Bhatt DL. Hoʻomaʻamaʻa i ka maʻi non voronary vascular obstructive maʻi. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 66.

• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea
• Holo ke ākea peripheral - wāwae
• ʻO ka maʻi peripheral artery - nā wāwae
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko

• ʻO ka maʻi Arterial Peripheral