He aha ka maʻi ākea Peripheral Arterial a pehea e ʻike ai

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai
• Pehea e hana ai i ka lāʻau
• He aha nā kumu

ʻO ka maʻi arterial peripheral (PAD) kahi maʻi i hōʻike ʻia e ka hōʻemi ʻana o ke kahe o ke koko i loko o nā aʻa, ma muli o ka hoʻopili ʻana a i ʻole ke kuhi ʻia ʻana o kēia mau moku, e pili pinepine ana i nā wāwae a me nā wāwae, a ke hana nei i nā hōʻailona a me nā ʻōuli e like me ka ʻeha, ʻūpī, paʻakikī hele i nā wāwae, ke hoʻokumu ʻia o nā ulcer a, a ʻo ka makaʻu hoʻi o ka necrosis o ka lālā pili.

ʻIke ʻia ʻo ka maʻi ākea ākea peripheral (PAD), kumu ʻia kēia maʻi e ka hōʻiliʻili ʻia o nā momona momona i nā kīʻaha koko, i kapa ʻia ʻo atherosclerosis. ʻO ka poʻe makaʻu loa i ka hoʻomohala ʻana i kēia maʻi he poʻe puhipaka lākou, nā kānaka me ka maʻi kō, a kiʻekiʻe ke kōkō a i ʻole ke koko kiʻekiʻe, no ka laʻana. Maopopo ka maopopo he aha ia a pehea e mālama ai i ka atherosclerosis.

No ka mālama ʻana i ka maʻi ākea ākea, e aʻoaʻo ke kauka i nā lāʻau lapaʻau e hōʻemi a pale aku paha i ka ʻino ʻana o ke ākea o ke aʻa, e like me AAS, Clopidogrel a i ʻole Cilostazol, e laʻa me nā lāʻau e kāohi ai i ke koko kiʻekiʻe, ka kolesterol a me ka maʻi kō, a ʻo ia pū kekahi. ka mea nui i ka hānai ʻia o nā ʻano nohona olakino. Hōʻike ʻia ka mālama ʻana me ke ʻoki kino no ka poʻe me nā ʻōuli koʻikoʻi, ka mea hoʻomaikaʻi ʻole me nā lāʻau a i ʻole ka hemahema nui o ka holo ʻana o nā lālā.

Nā hōʻailona nui

ʻO nā kānaka me nā maʻi ākea peripheral ʻaʻohe o lākou mau hōʻailona a, i nā manawa he nui, hiki i ka maʻi ke holo mālie a hōʻike wale ʻia ke lilo ia i koʻikoʻi. Eia nō naʻe, nā hōʻailona a me nā hōʻailona pinepine.

• ʻEha ma nā wāwae ke hele wāwae a hoʻomaikaʻi ia me ka hoʻomaha, i kapa ʻia hoʻi claudication pākuʻi. Hiki ke ʻike ʻia ka ʻeha o ka wāwae a hiki i ka maha ke hele a hewa ka maʻi;
• Māluhiluhi Muscle o nā wāwae;
• Pākuʻi, ʻōlohelohe a i ʻole ke anuanu i nā lālā i hoʻopili ʻia;
• ʻO ka wela a me ka luhi paha i nāʻiʻo o ka wāwae, e like me ka bipi keiki;
• Hoʻoemi i nā kīʻaha arterial, ka poho o ka lauoho a me ka ʻili lahilahi ma nā lālā i hoʻopili ʻia;
• Ke hoʻokumu ʻia ʻana o nā ulcer arterial, a i ʻole nekrosis o ka lālā, i nā hihia ʻoi loa.

ʻO nā ʻōuli, keu hoʻi ka ʻeha, hiki ke hoʻomāhuahua i ka hiamoe ʻana i ka pō a i nā manawa ke kiʻekiʻe ʻia nā lālā, ʻoiai e hoʻoliʻiliʻi hou kēia i ke kahe o ke koko i nā wāwae a me nā wāwae.

Hiki i ke atherosclerosis ke hoʻopili i nā kīʻaha koko ma loko o ke kino, no laila ʻo ka poʻe me nā maʻi arterial peripheral pū kekahi me ka nui o ka pilikia o ka hoʻomōhala ʻana i nā maʻi maʻi ʻiʻo ʻē aʻe, e like me angina, hōʻeha puʻuwai, hahau a thrombosis paha, no ka laʻana. E ʻike he aha nā maʻi maʻi ʻōpū a me nā kumu nui.

Pehea e hōʻoia ai

ʻO ke ala nui e ʻike ai i ka maʻi ākea ākea ma o ka loiloi loiloi e ke kauka, nāna e nānā i nā ʻōuli a me nā hoʻokolokolo kino ʻana o ka lālā i hoʻopilikia ʻia.

Eia hou, hiki i ke kauka ke noi e hoʻokō i kekahi mau hoʻokolohua, e like me ke ana kaomi i nā lālā, ultrasound me ka doppler a i ʻole ka angiography ma ke ʻano he ala e kōkua ai e hōʻoia i ka ʻike.

Pehea e hana ai i ka lāʻau

Hōʻike ʻia ke lapaʻau no ka maʻi ākea peripheral e ke kauka, ʻo ia hoʻi ka angiologist, nāna e kuhikuhi i ka hoʻohana ʻana i nā lāʻau e like me:

• ʻO Aspirin a i ʻole clopidogrel, ka mea e kōkua i ka pale ʻana i ka thrombi i ke koko a me ka ālai ʻana o nā aʻa.
• Hoʻopilikia ka lāʻau Cholesterol, i mea e kōkua ai i ka hoʻopaʻa ʻana i ka plaque koloke i loko o nā moku a pale i ka ālai ʻana mai ka ʻino.
• ʻO Cilostazol, kahi e kōkua ai i ka hoʻoulu ʻana i nā aʻa i hoʻopili ʻia no nā hihia kaulike a koʻikoʻi paha;
• ʻO nā mea hōʻeha ʻeha e hōʻoluʻolu ai i ka ʻeha.

Hoʻohui, he mea nui e lawe i nā hoʻomaikaʻi i ka nohona a me ka mālama ʻana i nā mea pilikia no kēia maʻi, e like me ka haʻalele ʻana i ka puhipaka, ka lilo ʻana o ke kaupaona, ka hana ʻana i nā hana hoʻoikaika kino maʻamau (ma ka liʻiliʻi he 30 mau minuke i ka lā) e hana i ka lāʻau kūpono e kaohi ai i ka maʻi kō, ka kolesterol a me ke kiʻekiʻe o ke koko.

I kēia ala, hiki ke hōʻemi i ka worsening o atherosclerosis a me nā hopena o ka hōʻiliʻili o nā momona momona i loko o nā kīʻaha koko, no laila e pale ana i ka hōʻeha ʻana o ka maʻi arterial a me ke ʻano o nā maʻi maʻi maʻi, e like me angina, myocardial infarction a me ka hahau ʻana. , o kahi laʻana.

ʻO ke ʻoki lāʻau, ma ka ʻaoʻao ʻē aʻe, hiki ke hōʻike ʻia e ka angiologist i nā hihia kahi i hoʻomaikaʻi ʻole ʻia ai nā ʻōuli ma ke ʻano he lāʻau lapaʻau a i ʻole ke koʻikoʻi ke kahe o ke kahe o ke koko.

He aha nā kumu

ʻO ke kumu nui o ka maʻi ākea peripheral ʻo atherosclerosis, kahi o ka hōʻiliʻili o ka momona ma nā paia o nā aʻa e hoʻonāukiuki, hoʻopili a hoʻemi i ke kahe o ke koko. Nā kumu pilikia no ka atherosclerosis me:

• Kolesterol kiʻekiʻe;
• Ke koko kiʻekiʻe;
• Meaʻai momona i nā momona, ka paʻakai a me ke kō;
• Nohona sedentary;
• Kaumaha nui;
• Puhi paka;
• Diabetes;
• Maʻi maʻi puʻuwai.

Eia nō naʻe, nā kumu ʻē aʻe o ka maʻi ākea peripheral i thrombosis, embolism, vasculitis, fibromuscular dysplasia, compression, cystic adventitial disease a i ʻole trauma i ka lālā, no ka laʻana.