Maʻi Buerger

ʻO ka maʻi Buerger he maʻi maʻamau ʻole ia o nā ʻāʻī a me nā veins ma nā lima a me nā wāwae. Ma ka maʻi Buerger—i kapa ʻia hoʻi ʻo thromboangiitis obliterans—e pani ʻia nā kīʻaha koko. E emi ana kēia i ke kahe koko i nā wahi i pilikia. Hiki ke hana ʻia nā clots koko i loko o nā kīʻaha koko. I ka hala ʻana o ka manawa, e hōʻino a luku paha ka nele o ke kahe koko i ka ʻili. Hiki i ka hōʻino ke alakaʻi i ka maʻi a me ka make o nā pūnaewele kino, i kapa ʻia ʻo gangrene. ʻIke pinepine ʻia ka maʻi Buerger ma nā wāwae mua. Hiki paha ke hoʻopili i nā kīʻaha koko o ka lima. Hiki ke hana ʻia nā clots koko i loko o nā veins liʻiliʻi o nā lima a me nā wāwae. ʻO ka poʻe i loaʻa ka maʻi Buerger e puhi mau ana i nā sigareta a hoʻohana paha i nā ʻano ʻē aʻe o ka paka, e like me ka paka ʻai. ʻO ka haʻalele ʻana i nā ʻano paka a pau wale nō ke ala e hoʻōki ai i ka maʻi Buerger. No ka poʻe ʻaʻole haʻalele, pono paha ka ʻoki ʻana i nā manamana lima a me nā manamana wāwae.

Nā hōʻailona o ka maʻi Buerger: Ke ʻōhule a i ʻole ka ʻeha ʻole o nā manamana lima a i ʻole nā manamana wāwae. Loli ke kala o ka ʻili ma nā lima a me nā wāwae. Hiki i ka ʻili ke nānā he ʻeleʻele, ʻulaʻula a uliuli paha. Ma muli o ke kala o kou ʻili, hiki ke paʻakikī a maʻalahi paha ke ʻike i kēia mau loli kala. Nā manamana lima a me nā manamana wāwae e huli keʻokeʻo a laila uliuli ke hōʻike ʻia i ke anu, i ʻike ʻia ʻo ka maʻi Raynaud. Ma muli o ke kala o kou ʻili, hiki ke paʻakikī a maʻalahi paha ke ʻike i kēia mau loli kala. ʻEha ma nā wāwae e hele mai ana me ka hele ʻana. Hiki i ka ʻeha ke paʻakikī i ka hele ʻana i nā mamao lōʻihi. ʻEha nā ʻeha wehe ma nā manamana lima a me nā manamana wāwae. Hiki i ka ʻeha ma nā manamana lima a me nā manamana wāwae ke lilo i mea ʻino a hele mai i ka hoʻomaha. Hoʻoulu ʻia kahi vein ma lalo pono o ka ʻili, ma muli o kahi clot koko i loko o ka vein. E ʻike i kahi mea mālama ola inā manaʻo ʻoe he mau hōʻailona o ka maʻi Buerger kāu.

E ʻimi i kahi mea lawelawe mālama ola inā manaʻo ʻoe he mau hōʻailona o ka maʻi Buerger kāu.

ʻAʻole maopopo ka kumu kūpono o ka maʻi Buerger. Hoʻopili nui ʻia ke kūlana i ka hoʻohana ʻana i ka paka. Manaʻo ʻia he hiki i nā kemika i loko o ka paka ke hōʻino i ka papa o nā kīʻaha koko. Manaʻo nā loea aia kekahi poʻe i loaʻa nā gene e hoʻonui ai i ka nui o ka loaʻa ʻana o ka maʻi Buerger. Hiki nō hoʻi i ka maʻi ke loaʻa i ka wā e hoouka ai ke ʻōnaehana pale o ke kino i nā pūnaewele olakino ma ka hewa.

ʻO ka mea pilikia nui loa no ka maʻi Buerger, ʻo ia ka puhipaka a i ʻole ka hoʻohana ʻana i kekahi ʻano o ka paka. Hiki ke loaʻa kēia maʻi i nā kānaka puhipaka, hoʻohana i nā sigara a me ka ʻai ʻana i ka paka. ʻO nā helu o ka maʻi Buerger he kiʻekiʻe loa ma nā wahi o ke Kai waena, ka Hikina Waena a me ʻAsia kahi i laha nui ai ka puhipaka. Wahi a kekahi noiʻi, ʻo ka hoʻohana lōʻihi ʻana i ka mariuana, i kapa ʻia hoʻi ʻo ka cannabis, e hoʻonui ana i ka pilikia o nā pilikia o nā kīʻaha koko e like me nā mea o ka maʻi Buerger. ʻO nā mea pilikia ʻē aʻe no ka maʻi Buerger, ʻo ia ka mea kāne a me ka ʻōpio ma mua o 45 mau makahiki. Hiki i ka maʻi lōʻihi o nā gums i loko o ka waha ke hoʻonui i ka pilikia. Akā, pono ke noiʻi hou aku e hōʻoia i kēia pilina.

Hōʻemi ka maʻi Buerger i ke kahe koko i nā lima a me nā wāwae. I ka wā e ʻoi aku ai ka maʻi, ʻaʻole lawa ke koko i ka ʻili a me nā pūnaewele ma nā wahi i pilikia. Hiki i kēia ke hana i nā ʻeha wehe ʻeha e ʻaʻole e ho'ōla. Hiki i nā ʻeha ke alakaʻi i kahi pilikia i kapa ʻia ʻo gangrene. ʻO nā hōʻailona o ka gangrene ka ʻili ʻeleʻele a uliuli paha, ka nalowale o ka manaʻo i ka manamana lima a i ʻole ka manamana wāwae i pilikia, a me kahi ʻala ʻino mai kēlā wahi. He kūlana koʻikoʻi ka gangrene. Pono pinepine ka ʻoki kino e wehe i ka manamana lima, ka manamana wāwae a i ʻole nā ​​pūnaewele ʻē aʻe i pilikia.