ʻO ka arteriopathy obliterative limb lalo (AOMI) i wehewehe ʻia e ka hōʻemi ʻana o ka caliber o nā aʻa i nā lālā haʻahaʻa, e hopena i nā hōʻailona ʻeha a me ka naʻau.

Hōʻike ʻia ʻo Arteriopathy obliterating o nā lālā haʻahaʻa (PAD) e ka hōʻemi ʻana i ke anawaena o nā aʻa e hāʻawi ana i nā lālā haʻahaʻa: pūhaka, wāwae, wāwae, etc.

ʻO nā aʻa kumu nui e hāʻawi i ke koko i kēia ʻāpana o ke kino: ʻo ke aʻaʻa iliac (ma ke pelvis), ke aʻa femoral (ma ka femur) a me ke aʻaʻa tibial (ma ka tibia). ʻO lākou nō hoʻi nā aʻa i komo nui ʻia i ka maʻi.

ʻO ka hōʻemi ʻana o ka caliber o kēia mau aʻa ʻo ia ka hopena o ka hoʻokumu ʻana o nā pā atheroma: nā ʻōpala cellular, a me ka hōʻiliʻili ʻana o ka cholesterol.

ʻO ka hoʻopau ʻana i ka maʻi ʻaʻa o nā lālā haʻahaʻa ʻaʻole maʻamau i ka hōʻailona mua. ʻAʻole maopopo ka mea maʻi ua loaʻa iā ia.

ʻO ka emi ʻana o ke anawaena arterial e hoʻoulu i ka hāʻule o ke kaomi systolic (ke kahe koko i ke kino, i ka wā o ka ʻoki ʻana o ka puʻuwai), ma nā lālā haʻahaʻa.

Hiki ke hoʻokaʻawale ʻia nā ʻano ʻelua o ka ischemia (ka emi ʻana o ka vascularization arterial):

• ischemia hoʻoikaika kino, hiki ke hōʻike i nā hōʻailona ischemic
• ʻO ka ischemia mau, ʻike pinepine ʻia nā hōʻailona maʻi.

Epidemiologically, pili kēia maʻi maʻi ma kahi o 1,5% o nā poʻe Farani ma lalo o 50 mau makahiki.

Ua ʻōlelo ʻia he piʻi aʻe ka pilikia o nā kāne i ka hoʻomohala ʻana i kēia ʻano maʻi arterial, me ka ratio o 3 mau hihia kāne i 1 hihia wahine.

ʻO ka ʻimi ʻana i kahi mōʻaukala olakino, a me ka ʻike ʻana i nā hōʻailona kikoʻī, ʻo ia nā pae mua i ka ʻike ʻana i kēia maʻi. Ma hope o nā hoʻokolohua maʻi: ana o ka pulse, a i ʻole ka systolic pressure index (IPS). Hiki i kēia ʻanuʻu ʻelua ke loaʻa kahi ʻike ma ke kahua pāʻani o ka AOMI.

ʻO nā kumu kumu o ka maʻi:

• un diabetes
• a obesity a i ʻole ke kaumaha
• hypercholesterolemia
• a hypertension
• e uwahi ana
• ka hoʻoikaika kino

Hiki i kēlā me kēia kanaka ke hopohopo e ka ulu ʻana o ia ʻano pathology. Eia nō naʻe, ʻo ka predominance e pili pū me nā poʻe ma luna o 50 a me nā kāne.

ʻO nā hōʻailona maʻamau o ka maʻi:

• ʻeha ʻiʻo ma nā lālā haʻahaʻa, ʻoi aku ma nā wāwae
• ʻo ka hoʻomaka ʻana o ka ʻāʻī hou ʻana, i kapa ʻia hoʻi ka intermittent claudication
• ʻO ka hoʻololi ʻana o ka ʻili, ka hoʻololi ʻana o ka mahana ma nā lālā haʻahaʻa hiki ke lilo i mau hōʻailona koʻikoʻi.

Hoʻonui ʻia kēia mau hōʻailona ma ke ʻano o ka ʻike ʻana i ke anu.

Aia kekahi mau mea pilikia i ka wā e ulu ai kēia ʻano arteritis. ʻOi aku ka maʻi o ka maʻi cardiovascular, a i ʻole ka makahiki o ke kanaka.

ʻO nā māhele mua o ka hōʻailona o ka arteritis obliterans o nā lālā haʻahaʻa e loaʻa mai ka nānā ʻana a me nā hoʻokolohua lapaʻau: ʻike ʻia nā hōʻailona maʻi a me nā hōʻailona, ​​​​ke ana ʻana o ka systolic pressure index, ana o ka pulse, etc.

Hiki i nā hoʻokolohua hoʻohui ʻē aʻe ke kākoʻo i kēia mau hana mua: ʻO ka ultrasound Doppler o nā lālā haʻahaʻa, kahi hoʻāʻo hele wāwae maʻamau, kahi ultrasound o ke aorta, kahi electrocardiogram, a i ʻole kahi loiloi cardiological a me lipid hohonu.

ʻO ka pale ʻana i kēia maʻi ma muli o nā loli i ka nohona o ka mea maʻi:

• ka pau ʻana o ka puhi paka, inā he puhi paka ka hope
• ka hoʻomaʻamaʻa kino maʻamau a hoʻololi ʻia. ʻO ka hele wāwae, no ka laʻana, hiki ke paipai nui ʻia
• hoʻomalu kaumaha mau
• ka lawe ʻana i ka meaʻai olakino a kaulike.