Ua noʻonoʻo paha ʻoe inā hiki i kahi kīʻaha koko nui i loko o kou ʻōpū, e like me ka paipu wai, ke lilo i nāwaliwali a pehu e like me ka pōpō? Nui ka poʻe e loaʻa i kēia maʻi me ka ʻole o nā hōʻailona. Akā inā pahū koke ia, hiki ke hoʻoweliweli i ke ola. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hoʻāʻo maʻalahi a ʻeha ʻole e hiki ke kōkua iā ʻoe e ʻike i kēia ʻenemi leo ʻole i ka wā mua.
He aha ka Abdominal Aortic Aneurysm (AAA)?
I ka ʻōlelo maʻalahi, he puʻupuʻu kēia i loko o ka aorta ʻōpū, aia i loko o ko kākou ʻōpū. E noʻonoʻo iā ia e like me ke aʻa nui loa e lawe ana i ke koko ma o ko kākou kino (e like me ka paipu nui o kahi laina wai). Ke nāwaliwali ka paia o kēia aʻa ma kekahi wahi, ʻo ke kaomi i hana ʻia e ke koko e kahe ana ma o ia mea e hoʻoulu ai i kēlā wahi nāwaliwali e puʻupuʻu i waho e like me ka pōpō. ʻO ia ka mea a mākou e kapa nei he Abdominal Aortic Aneurysm , a i ʻole AAA .
ʻO ka pōʻino nui o kēia, ʻo ia ka ulu mālie pinepine ʻana i nā makahiki me ka ʻole o nā hōʻailona a ʻeha paha. Akā inā i kekahi lā, lilo kēia pehu i mea hiki ʻole ke hoʻomanawanui a pohā, e hoʻoulu ai i ke kahe koko nui i loko o ka ʻōpū, hiki ke make.
No ke aha he mea nui kēia scan?
He mea nui loa kēia scan no kekahi kumu: no ka mea, hiki i ka ʻike mua ʻana ke hoʻōla i nā ola.
Ke pahū kēia puʻupuʻu koko, he pilikia olakino ia. I kēlā manawa, ua liʻiliʻi loa ka manawa e hoʻopakele ai i ka mea maʻi. Akā me kēia scan ultrasound maʻalahi, hiki iā mākou ke ʻike mua inā aia kēia puʻupuʻu, a inā pēlā, pehea kona nui. A laila loaʻa i kā mākou mau kauka ka manawa kūpono e hāʻawi i ka lāʻau lapaʻau a me ka nānā ʻana e pono ai ma mua o ka pahū ʻana.
I ka ʻōlelo maʻalahi, he manawa kūpono loa kēia no mākou e ʻike mua i kahi hoʻoweliweli leo ʻole a hana i ka hana ma mua o ka hiki ʻana mai o kahi ulia.
ʻO wai ka makemake e lawe i kēia hoʻokolohua?
Paipai nā kauka i nā poʻe me kekahi mau kumu pilikia e hana i kēia scan ma ka liʻiliʻi hoʻokahi i ko lākou ola. Pono e ʻike nā poʻe ma lalo nei i kēia.
- ʻO nā kānaka ma waena o 65 a me 75 mau makahiki .
- ʻO kēlā me kēia kanaka me ka mōʻaukala o ka puhipaka (nā kāne a me nā wahine).
- Inā ua loaʻa i kekahi o kou ʻohana pili (makuahine, makuakāne, kaikunāne, kaikuahine) kahi aneurysm (AAA) e like me kēia.
I kekahi mau hihia kūikawā, hiki i kāu kauka ke paipai i kēia scan no ka poʻe ma waho o kēia pae makahiki. Eia kekahi laʻana:
- ʻOiai inā ʻoe ma lalo o 65 mau makahiki, ua puhipaka ʻoe, loaʻa iā ʻoe ka atherosclerosis , nā aʻa koko varicose ma nā wahi ʻē aʻe o ke kino, a i ʻole he maʻi pili pili hoʻoilina.No ka poʻe me (ka maʻi pili pili i hoʻoilina ʻia).
- No ka poʻe ma luna o 75 mau makahiki, nona nā kumu pilikia i luna, akā ʻaʻole i hana ʻia kēia scan ma mua.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka a hoʻoholo inā pono ʻoe i kēia hoʻokolohua.
Pehea ʻoe e hana ai i kēia scan? He maʻalahi loa ia!
Hana ʻia kēia me ka nānā ʻana i ka ultrasound o ka ʻōpū. He mea maʻalahi loa kēia.
- ʻAʻohe ʻeha iki.
- ʻAʻohe mea i hoʻouna ʻia i loko o ke kino.
- ʻAʻole ia he radioactive e like me ka X-ray.
- He manawa pōkole wale nō ia, ma kahi o 10 a 15 mau minuke .
Eia ka mea e hana ʻia ke hana ʻoe i kēia:
1. E hoʻomoe ʻia ʻoe ma ka papa hoʻokolokolo a e noi ʻia e hōʻike i kou ʻōpū.
2. A laila e hoʻopili kekahi loea i kahi gel moakaka a anuanu iki i kou ʻōpū. Kōkua kēia gel i nā nalu scan e komo i kou kino.
3. A laila, hoʻoneʻe mālie ʻia kahi mea hana liʻiliʻi (wand/probe) ma luna o ka gel e kiʻi i nā kiʻi o kou aorta.
4. A pau ʻoe, e holoi i ka gel a ua mākaukau ʻoe e hele. ʻO ia wale nō!
ʻAʻohe mea e makaʻu ai, ʻaʻohe mea e mākaukau ai.
He aha ka mea e hana ʻia ma hope o ke kiʻi ʻana? He aha ka ʻōlelo a nā hopena?
Hiki iā ʻoe ke hoʻi koke i ka home ma hope o ke scan. E hāʻawi kāu kauka iā ʻoe i ka manawa e kūkākūkā ai i nā hopena. Hiki ke ʻelua ʻāpana nui nā hopena.
| Hopena | He aha ke ʻano o ia mea |
|---|---|
| ʻAʻohe aneurysm | ʻO kēia ka hopena maʻamau. ʻO ia hoʻi, ʻaʻohe hoʻonui kūpono ʻole o kou aorta. ʻAʻohe mea e hopohopo ai. ʻAʻole paha ʻoe e noʻonoʻo hou e pili ana i kēia. |
| Aia kahi aneurysm. | ʻO ke ʻano kēia he puʻupuʻu i loko o kou aorta. Hiki iā ia ke lilo i mea liʻiliʻi a nui. E wehewehe kāu kauka i ka mea e hana ai ma muli o ka nui o ka puʻupuʻu. |
He aha ka mea e hana ai inā ʻike ʻoe he aneurysm kou?
ʻO ka mea mua, mai hopohopo! ʻO ka hapa nui o ka manawa, ʻaʻole e pohā maʻalahi nā puʻupuʻu liʻiliʻi. E nānā pono ke kauka iā ia.
ʻO ka hana aʻe e pili ana i ka nui (ke anawaena) o ka puʻupuʻu. Manaʻo pinepine ʻia ke ʻoki kino inā ʻoi aku ka nui o ka puʻupuʻu ma mua o 5.5 kenimika (cm). No nā puʻupuʻu liʻiliʻi, e kauoha paha kāu kauka i nā scan hou ma kahi papa hana maʻamau e ʻike ai inā e ulu ana.
| Ka nui o ka aneurysm | Āhea e scan hou ai |
|---|---|
| 3.0 kenimika a i 3.9 kenimika | I kēlā me kēia 3 makahiki |
| 4.0 kenimika a i 4.9 kenimika (kāne) | I kēlā me kēia 12 mahina (hoʻokahi manawa i ka makahiki) |
| 4.0 kenimika a i 4.4 kenimika (wahine) | I kēlā me kēia 12 mahina (hoʻokahi manawa i ka makahiki) |
| ʻOi aku ma mua o 5.0 kenimika (kāne) | I kēlā me kēia 6 mahina |
| ʻOi aku ma mua o 4.5 kenimika (wahine) | I kēlā me kēia 6 mahina |
ʻO kekahi mea nui loa, ʻo ia ke haʻi aku i kou ʻohana pili (makuahine, makuakāne, kaikaina) inā loaʻa iā ʻoe kēia maʻi. Hiki paha iā lākou ke pilikia i kēia maʻi, no laila he mea nui e kamaʻilio me kā lākou kauka a hana i kēia hoʻokolohua.
I ka manawa hea e kamaʻilio ai me ke kauka
Mai kānalua e kamaʻilio me kāu kauka ma kekahi o nā kūlana ma lalo nei.
- Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia hoʻāʻo scan AAA.
- E kamaʻilio e pili ana i kou pilikia no kēia maʻi a me nā ala e hiki ai iā ʻoe ke hōʻemi.
- Inā he mau nīnau kāu e pili ana i kāu mau hopena scan a i ʻole ka hoʻolālā lapaʻau.
- Inā ʻike ʻoe ua loaʻa i kekahi o kou ʻohana ka AAA.
He mea maʻamau ke hopohopo iki a me ka makaʻu e pili ana i ka wā e hiki mai ana ke ʻike ʻoe he maʻi kou e like me kēia. Akā e hoʻomanaʻo, he haʻahaʻa loa ka manawa e lilo ai kahi maʻi liʻiliʻi i mea pilikia koke. E nānā pono kāu kauka iā ia a e hoʻomaopopo iā ʻoe i ka manawa kūpono inā pono ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka Abdominal Aortic Aneurysm (AAA) kahi pehu ʻana o ke kīʻaha koko nui i loko o ka ʻōpū. He leo ʻole pinepine ia a ʻaʻohe hōʻailona, akā hiki ke make inā pohā.
- Hiki ke ʻike mua ʻia kēia me kahi scan ultrasound maʻalahi a ʻeha ʻole.
- Inā ʻoe ma luna o 65, ʻoiai inā he mōʻaukala puhipaka kou a i ʻole he mōʻaukala ʻohana o ka maʻi, e kamaʻilio me kāu kauka e pili ana i kēia scan.
- Mai hopohopo inā ʻike ʻoe i kahi puʻupuʻu. I ka hapa nui o ka manawa, hiki ke nānā ʻia a mālama ʻia i ka manawa kūpono.
- ʻO ka ʻike mua ʻana ke ala maikaʻi loa e pale aku ai i nā maʻi e hoʻoweliweli ana i ke ola.
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