Stenosis aʻa Carotid - mālama pono iā ʻoe iho
Hāʻawi nā aʻa carotid i ka lako o ke koko i ka lolo. Aia lākou ma kēlā me kēia ʻaoʻao o kou ʻāʻī. Hiki iā ʻoe ke haha i ko lākou lāʻau i lalo o kou iwi ā.
Kū ka stenosis aʻa Carotid i ka wā e hoʻopili ai a hoʻopaʻa ʻia nā aʻa carotid. Hiki i kēia ke alakaʻi i ka hahau.
Inā paha ʻaʻole i koi aku kāu kauka i ke ʻoki e wehe i nā aʻa liʻiliʻi, nā lāʻau a me nā loli nohona hiki:
- Kāohi i ka hoʻopili ʻana o kēia mau aʻa koʻikoʻi
- Kāohi i kahi hahau ʻana mai ka hanana ʻana
Ke hana nei i kekahi mau hoʻololi i kāu papaʻai a me nā ʻano hoʻoikaika kino hiki ke kōkua i ka mālama ʻana i nā maʻi maʻi carotid. Hiki i kēia mau olakino olakino ke kōkua iā ʻoe e mālama i ke kaupaona olakino a mālama i ke koko kiʻekiʻe a me ka cholesterol.
- ʻAi i kahi papaʻai olakino, momona momona.
- ʻAi i nā huaʻai a me nā lau nui. ʻOi aku ka maikaʻi a maikaʻi ʻole nā koho i ʻoi aku ka maikaʻi ma mua o ka kēpau, kahi i hoʻohui i ka paʻakai a i ʻole ke kō.
- Koho i nā meaʻai kiʻekiʻe-fiber, e like me nā berena huapalaoa, nā pāpaina, nā palaoa, a me nā pahū.
- ʻAi i ka ʻiʻo momona a me ka moa ʻili ʻole a me ka kuhukukū.
- ʻAi i ka iʻa i ʻelua mau pule. Maikaʻi ka iʻa i kou aʻa.
- Eʻokiʻoki i ka momona momona, ka momona, a hoʻohui i ka paʻakai a me ke kō.
E hana hou.
- E kamaʻilio mua me kāu kauka olakino e hōʻoia i kou olakino lawa e hoʻoikaika kino.
- ʻO ka hele wāwae kahi ala maʻalahi e hoʻohui i ka hana i kou lā. E hoʻomaka me 10 a 15 mau minuke i ka lā.
- E hoʻomaka mālie a kūkulu i 150 mau minuke hoʻoikaika kino i hoʻokahi pule.
Uoki ka puhipaka, ke puhi ʻoe. ʻO ka haʻalele ʻana e hoʻoliʻiliʻi i kāu makaʻi o ka hahau. E kamaʻilio me kāu mea hoʻolako e pili ana i nā papahana haʻalele-puhi paka.
Inā ʻaʻole hoʻohaʻahaʻa ka nohona i kāu kolesterol a me ke kahe o ke koko, hiki ke kuhikuhi ʻia nā lāʻau.
- Nā lāʻau Cholesterol kōkua i kou ake e hana i ka kolamu liʻiliʻi. Pale kēia i ka plake, kahi waiho waxy, mai ke kūkulu ʻana i nā aʻa carotid.
- ʻO nā lāʻau kaomi koko hoʻomaha i kou mau kīʻaha koko, e hoʻolōʻihi i kou puʻuwai, a kōkua i kou kino e hoʻopau i ka wai keu. Kōkua kēia i ka hoʻohaʻahaʻa i ke koko kiʻekiʻe.
- Nā lāʻau hoʻoliʻiliʻi koko, e like me aspirin a i ʻole clopidogrel, hoʻemi i ka manawa o ke kōkō ʻana o ke koko a kōkua i ka hoʻohaʻahaʻa i kou maka o ka hahau.
Hiki i kēia mau lāʻau ke loaʻa nā hopena ʻaoʻao. Inā ʻoe e ʻike i nā hopena, e haʻi pono i kāu kauka. Hiki i kāu kauka ke hoʻololi i ka lāʻau a i ʻole ke ʻano lāʻau āu e lawe ai e kōkua i ka hōʻemi ʻana i nā hopena. Mai hōʻoki i ka lawe ʻana i nā lāʻau a i ʻole lawe i nā lāʻau liʻiliʻi me ka kamaʻilio ʻole ʻana me kāu mea hāʻawi.
E makemake kāu mea lawelawe e nānā iā ʻoe a ʻike i ke ʻano o ka maikaʻi o kāu mālama ʻana. I kēia mau kipa, hiki i kāu mea hāʻawi ke:
- E hoʻohana i kahi stethoscope e hoʻolohe i ke kahe o ke koko i kou ʻāʻī
- E hōʻoia i kou kaomi koko
- E hōʻoia i kāu pae kolesterol
Loaʻa paha iā ʻoe nā hoʻokolohua kiʻi i ʻike ʻia inā e ʻoi aku ana ka maikaʻi o nā ālai i kāu aʻa carotid.
ʻO ka loaʻa ʻana o ka maʻi carotid artery e hoʻoweliweli ai iā ʻoe no ka hahau ʻana. Inā manaʻo ʻoe he ʻōuli kou o ka hahau, e hele i ka lumi pilikia a kelepona paha iā 911 a i ʻole ka helu kūloko kūloko. ʻO nā ʻōuli o ka hahau pū kekahi:
- ʻIke makapō
- Huikau
- Ka nalowale hoʻomanaʻo ʻana
- Lilo o ka naʻau
- Nā pilikia me ka ʻōlelo a me ka ʻōlelo
- Lilo hihio
- Ka nāwaliwali i hoʻokahi ʻāpana o kou kino
E loaʻa ke kōkua ke loaʻa nā hōʻailona. ʻO ka loaʻa koke ʻana iā ʻoe o ka lāʻau, ʻo ka ʻoi aku ka maikaʻi o kou manawa e ola ai. Me ka hahau ʻana, ʻo kēlā me kēia kekona o ka hoʻolohi hiki ke hopena i ka nui o ka ʻeha o ka lolo.
ʻO ka maʻi maʻi carotid - mālama pilikino
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ʻO Goldstein LB. ʻO ka maʻi cerebrovascular Ischemic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 379.
Ricotta JJ, Ricotta JJ. ʻO ka maʻi Cerebrovascular: ka hoʻoholo ʻana me ka lāʻau lapaʻau. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 89.
ʻO Sooppan R, Lum YW. Ka mālama ʻana i ka stenosis carotid recurrent. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 933-939.
- ʻO ka maʻi maʻi Carotid Artery