ʻO ka maʻi peripheral artery o nā wāwae - mālama pono iā ʻoe iho

ʻO ka maʻi o ke aʻa ākea (PAD) kahi hoʻopili o nā kīʻaha koko e lawe i ke koko i nā wāwae a me nā wāwae. Hiki iā ia ke hana i ke kūkulu ʻia ʻana o ka kolesterol a me nā mea momona ʻē aʻe (atherosclerotic plaque) ma luna o nā paia o kou aʻa.

ʻIke nui ʻia ʻo PAD i ka poʻe ma luna o 65 mau makahiki. ʻO ka maʻi diabetes, ka puhipaka, a me ke koko kiʻekiʻe e hoʻonui i ka makaʻu no PAD.

Pākuʻi ʻia nā ʻōuli o PAD i nā cramp i nā wāwae i ka manawa o ka hoʻoikaika kino (intermittent claudication). I nā hihia koʻikoʻi, he ʻeha pū kekahi ke hoʻomaha ka wāwae.

Hiki i ka mālama ʻana i nā mea pilikia ke hōʻemi i ka makaʻu o ka hōʻino hou aku i ka naʻau. Hoʻopili nui ka mālama ʻana i nā lāʻau a me ka hoʻoponopono hou. I nā hihia koʻikoʻi, hiki nō ke hana i ke ʻoki.

ʻO kahi papahana hele wāwae maʻamau e hoʻomaikaʻi i ke kahe o ke koko ma ke ʻano he kīʻaha koko liʻiliʻi hou. ʻO ka papahana hele wāwae penei:

• Hoʻomehana i ka hele ʻana i kahi wikiwiki i kumu ʻole i kāu mau hōʻailona wāwae wāwae maʻamau.
• A laila e hele wāwae i kahi o ka ʻeha haʻahaʻa a me ka hōʻoluʻolu ʻole.
• Hoʻomaha a hala ka ʻeha, a laila hoʻāʻo e hele hou.

ʻO kāu pahuhopu i ka manawa hiki ke hele wāwae 30 a 60 mau minuke. E kamaʻilio mau me kāu mea mālama ola ma mua o kou hoʻomaka ʻana i kahi papahana hoʻoikaika kino. Kāhea koke aku i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli i ka wā a ma hope paha o ka hoʻoikaika kino.

• ʻEha ʻeha
• Nā pilikia hanu
• Puʻupuʻu
• Kahi helu puʻuwai kaulike ʻole

Hana i nā hoʻololi maʻalahi e hoʻohui i ka hele wāwae i kou lā.

• Ma ka hana, e hoʻāʻo i ke alapiʻi ma kahi o ka ʻeleweka, e hoʻomaha i kahi wāwae he 5 mau minuke i kēlā me kēia hola, a i ʻole e hoʻohui i kahi hele he 10 a 20 mau minuke i ka wā o ka ʻaina awakea.
• E hoʻāʻo e hoʻokau ma ka wēlau loa o ke kahua kaʻa, a i ʻole ma ke alanui paha. ʻOi aku ka maikaʻi, e hoʻāʻo e hele wāwae i ka hale kūʻai.
• Inā holo ʻoe i ke kaʻa ʻōhua, haʻalele i ke kaʻa ʻōhua 1 kū ma mua o kou kū maʻamau a hele wāwae i ke koena o ke ala.

Uoki ka puhipaka. Hoʻopili ka puhihaka i kou mau aʻa a hoʻonui i ka makaʻu no ka atherosclerotic plaque a i ʻole ke kōkō ʻana o ke koko. ʻO nā mea ʻē aʻe hiki iā ʻoe ke hana e noho i ke olakino e like me ka hiki ke:

• E mālama pono i kou kahe koko
• E hoʻemi i kou kaumaha, inā ʻoi aku kou kaumaha.
• ʻAi i kahi papa haʻahaʻa kolesterol a me nā papaʻai momona momona.
• E hoʻāʻo i kou kō kō inā loaʻa ʻoe i ka maʻi diabetes, a mālama ia ma lalo o ka kaohi.

E hōʻoia i kou mau wāwae i kēlā me kēia lā. Nānā i nā piko, nā ʻaoʻao, nā wāwae, nā kuʻekuʻe wāwae, a ma waena o kou manamana wāwae. Inā loaʻa iā ʻoe nā pilikia ʻike, e noi i kekahi e nānā i kou mau wāwae nou. E hoʻohana i kahi mea hoʻoluʻu e mālama pono ai i kou ʻili. Imi i:

• ʻIli maloʻo a uhaʻi paha
• Pāhū a ʻeha paha
• ʻEha a ʻoki paha
• ʻUlaʻula, mehana, a palupalu paha
• Nā wahi paʻa a paʻakikī paha

Kāhea i kāu mea hoʻolako i ke ala kūpono e pili ana i nā pilikia o ka wāwae. Mai hoʻāʻo e mālama iā lākou iā ʻoe iho ma mua.

Inā ʻoe e lawe i nā lāʻau no ke koko kiʻekiʻe, kiʻekiʻe cholesterol, a i ʻole diabetes, lawe iā lākou e like me ka mea i kauoha ʻia. Inā ʻaʻole ʻoe e lawe i ka lāʻau no kahi kolesterol kiʻekiʻe, e nīnau i kāu mea hāʻawi e pili ana iā lākou no ka mea hiki ke kōkua iā ʻoe inā ʻaʻole kiʻekiʻe kāu kolesterol.

Kauoha paha kāu mea hāʻawi i nā lāʻau e hiki mai ana e kaohi i kāu maʻi o ke aʻa peripheral:

• ʻO Aspirin a i ʻole kahi lāʻau i kapa ʻia ʻo clopidogrel (Plavix), ka mea e mālama i kou koko mai ka hana ʻana i nā clots
• ʻO Cilostazol, kahi lāʻau e hoʻonui (hoʻolaha) i nā kīʻaha koko

Mai hōʻoki i ka lawe ʻana i kēia mau lāʻau me ke kamaʻilio mua ʻole ʻana me kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO kahi wāwae a wāwae paha i anuanu i ka hoʻopā, pale, polū, a i ʻole numb
• ʻO ka ʻeha o ka umauma a me ka liʻiliʻi o ka hanu ke ʻeha kou wāwae
• ʻO ka ʻeha o ka wāwae e hele ʻole, ʻoiai ke hele ʻole ʻoe a neʻe paha (kapa ʻia ka ʻeha hoʻomaha)
• ʻO nā wāwae ʻulaʻula, wela, a pehu paha
• ʻO nā ʻeha hou ma kou mau wāwae a wāwae paha
• Nā ʻōuli o ka maʻi (fever, sweats, ʻulaʻula a me ka ʻeha ʻeha, manaʻo maʻi maʻamau)
• Nā maʻi ʻeha ʻole

Maʻi maʻi vaskular peripheral - mālama iā ʻoe iho; Claudication pākuʻi - mālama pono iā ʻoe iho

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.

Kullo IJ. Maʻi maʻi peripheral artery. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 141-145.

ʻO Simons JP, Robinson WP, Schanzer A. ʻO ka maʻi ʻoihana kiʻekiʻe loa: ka mālama olakino a me ka hoʻoholo ʻana. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 105.

• ʻO ka maʻi Arterial Peripheral