He kīʻaha koko nui kou e pehu ana i loko o kou ʻōpū? (Abdominal Aortic Aneurysm) - E makaʻala kākou i kēia!

Ua lohe paha ʻoe i kahi kīʻaha koko nui i loko o kou ʻōpū e pehu ana e like me ka pōpō? He mea weliweli paha kēia, akā inā ʻike ʻoe, hiki iā ʻoe ke kāohi i nā mea he nui. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, i kapa ʻia ma ke ʻano lapaʻau ʻo `(Abdominal Aortic Aneurysm)` a i ʻole `(AAA)`. I ka ʻōlelo maʻalahi, lilo kahi ʻāpana o ka paia nui o ka ʻōpū (Aorta) i nāwaliwali a pehu.

He aha kēia ʻAneurysm Aortic ʻōpū?

ʻAe, e nānā mua kākou i ke ʻano maʻalahi o kēia `(Abdominal Aortic Aneurysm)`. ʻO ke kīʻaha koko nui loa i loko o kou kino ʻo ia ka aorta, a i ʻole ka `(Aorta)`. E noʻonoʻo e like me ka paipu nui e lawe ana i ka wai mai kahi pahu wai i ka hale holoʻokoʻa. Hoʻolaha ʻia ke koko i pamu ʻia e ko kākou puʻuwai ma ke kino holoʻokoʻa ma o kēia `(Aorta)`. ʻO ka ʻāpana o kēia `(Aorta)` e hele ana ma ka ʻōpū ua kapa ʻia ʻo `(Abdominal Aorta)`.

I kēia manawa, i loko o kahi `(Abdominal Aortic Aneurysm)`, ua puʻupuʻu mai kahi nāwaliwali ma ka paia o ka aorta ʻōpū, e like me ka pahū ʻana o kahi pōpō. ʻO ka maʻamau, ua ikaika loa a palupalu nā paia o ko kākou `(Aorta)`. Ua hoʻolālā ʻia e kū i ke kaomi o ke koko e puka mai ana mai ka puʻuwai mai.

Eia nō naʻe, i ko kākou ʻelemakule ʻana, ma muli o nā kumu e like me ka hoʻohana ʻana i ka paka (e like me ka puhi paka ʻana), a me kekahi mau kūlana olakino, hiki i ka paia o kēia `(Aorta)` ke lilo i mea nāwaliwali. Ke lilo ia i mea nāwaliwali, ʻaʻole hiki iā ia ke kū i ke kaomi o ke koko, a hoʻomaka ka `(Aorta)` e pehu mai kēlā wahi nāwaliwali. E ulu mālie ana kēia pehu i ka hala ʻana o ka manawa.

Hoʻoholo nā kauka he AAA kou inā ʻoi aku ka nui o kahi ʻāpana o ka aorta ma mua o 50% ma mua o ka maʻamau. No ka hapa nui o nā kānaka, ʻo ia hoʻi he puʻupuʻu ma kahi o 3 kenimika ka laulā.

ʻO ka mea nui loa, ʻoiai e nui ana kēia pehu (`Aneurysm`), e piʻi aʻe ana ka pilikia o ka pahū ʻana (`Rupture`). Inā hana ʻia kēlā, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko o ke kino a hoʻoweliweli i ke ola. He kiʻekiʻe loa kēia pilikia no ka ``Aneurysm`` i ʻoi aku ka nui ma mua o 5.0 kenimika i nā wahine a me 5.5 kenimika i nā kāne.

I ka manawa pinepine, ʻaʻole hōʻike kahi AAA i kekahi mau hōʻailona a hiki i ka wā e pahū ai. ʻO ia ke kumu he mea nui e ʻike inā he mau kumu pilikia kou no ka hoʻomohala ʻana i kahi AAA a hana pū me ke kauka e hoʻokele iā lākou.

Pōpilikia!

Inā loaʻa koke iā ʻoe ka ʻeha nui ma kou ʻōpū a i ʻole ke kua i lalo, he hōʻailona paha ia o kahi AAA e kokoke ana e pahū. Hiki iā ʻoe ke paʻakikī i ka hanu ʻana, ka poniuniu, a me ka luaʻi ʻana. Inā hana ʻia kēia , pono ʻoe e kāhea i ka 911 a i ʻole e hele koke i ka haukapila kokoke loa.

Pehea ka maʻamau o kēia `(Abdominal Aortic Aneurysm)`?

ʻAʻole kēia he kūlana kakaikahi e like me kou manaʻo.

• Ma kahi o 1.4% o nā pākeke ma waena o 50 a me 84 mau makahiki ma ʻAmelika Hui Pū ʻIa i loaʻa i kēia maʻi. ʻO ia hoʻi ma kahi o 1.1 miliona mau kānaka.
• Hoʻopilikia ia ma waena o 1% a me 2% o nā kāne ma luna o 65 mau makahiki. Hoʻonui pālua ka pilikia o ka loaʻa ʻana o ka AAA me kēlā me kēia ʻumi makahiki o ka makahiki.
• ʻEhā manawa ʻoi aku ka nui o ka loaʻa ʻana o kēia i nā kāne ma mua o nā wahine.
• Hoʻomohala ia ma kahi o 1% o nā wahine ma luna o 70 mau makahiki i loaʻa ka mōʻaukala o ka puhipaka.

Ua ʻike hou ʻia ka noiʻi:

• ʻOiai hiki ke loaʻa kēia mau ʻAneurysm (pehu) ma nā wahi āpau o ka Aorta, ʻike pinepine ʻia lākou ma ka ʻāpana ʻōpū. 75% o nā ʻAneurysm Aortic āpau he ʻAbdominal Aortic Aneurysm.
• ʻOi aku ka maʻamau o ka `(AAA)` i nā keʻokeʻo, nā ʻeleʻele, a me nā ʻĀkia.
• ʻO ka maʻamau, hiki kēia i nā kāne. Eia nō naʻe, inā hiki i ka wahine, ʻoi aku ka nui o ka pilikia o ka pahū ʻana, ʻoiai inā he mea liʻiliʻi. Hiki nō hoʻi ke hana i nā lālā ʻē aʻe o ka ʻohana.

He aha nā hōʻailona o ka Abdominal Aortic Aneurysm?

ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona a hiki i ka wā e pahū ai kahi "AAA". Eia naʻe, i ka wā e pahū ai, hiki iā ʻoe ke ʻike i kēia mau mea:

• ʻO ka ʻeha mau a hohonu hoʻi ma ke kua i lalo a i ʻole ka ʻōpū.
• ʻEha ma ka wāwae, ka ʻūhā, a i ʻole ka ʻāpana pelvic.
• He kani ʻana e like me ka puʻuwai o ka naʻau ma ka ʻōpū. (Hiki ke ʻike ʻia kēia e kekahi poʻe wīwī, akā inā he mea hou ia, pono ʻoe e hopohopo).

He pilikia olakino kahi AAA i haki! Hiki ke hoʻomaka koke nā hōʻailona:

• ʻEha nui ma ka ʻōpū, ke kua i lalo, a i ʻole nā ​​wāwae.
• Paʻakikī ka hanu ʻana.
• Piʻi ka helu o ka puʻuwai.
• Ke koko haʻahaʻa.
• Ka poniuniu a i ʻole ka nalowale o ka ʻike.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Pipili ka ʻili a pulu.

Inā ʻike ʻoe i kēia mau hōʻailona, ​​mai hoʻokaʻulua no kekahi kekona, e hele koke i ka haukapila!

He aha nā kumu o ka Abdominal Aortic Aneurysm?

I ka ʻōlelo maʻalahi, hoʻokumu ʻia kahi AAA e kahi nāwaliwali i loko o ka paia o ka aorta. Hoʻokumu ʻia kēia nāwaliwali e ka hui pū ʻana o nā kumu kaiapuni a me nā kumu genetic. ʻAʻole maopopo loa ka mea e hana nei.

Eia kekahi laʻana, hiki i ka hoʻohana ʻana i ka paka ke hōʻino i nā protein e hana ana i ka paia o ka aorta, e hoʻemi ana i kona ikaika. Eia kekahi, hiki i ka aorta ke lilo i nāwaliwali ma muli o nā waihona momona i loko o nā kīʻaha koko (atherosclerosis). Ke hōʻiliʻili kēia mau waihona momona i ka hala ʻana o ka manawa, hiki ke loaʻa ka mumū a me ka make ʻana o nā cell i loko o nā papa o ka paia o ke aʻa. Ke haki nā ʻāpana kūkulu o ka aorta, lilo ka aorta i nāwaliwali a hiki ke puʻupuʻu maʻalahi i ke ʻano ʻē.

ʻO wai ka mea i pilikia nui no ka hoʻomohala ʻana i ka "Abdominal Aortic Aneurysm"?

He hopena nui kēia mau mea pilikia i ka ulu ʻana o `(AAA):

• Loaʻa kahi moʻolelo o ka hoʻohana ʻana i ka paka:Wahi a nā kānaka noiʻi, he mea pilikia ka puhi ʻana i ka liʻiliʻi he 100 mau cigarette i kou ola. ʻOkoʻa ka pilikia ma muli o ka nui o ka paka āu i hoʻohana ai (ʻo ka nui o kāu i hoʻohana ai, ʻoi aku ka kiʻekiʻe o ka pilikia).
• Ka hoʻonui ʻana i ka makahiki: Hoʻonui ka pilikia o ka loaʻa ʻana o ka AAA i kou wā ʻelemakule (ma hope o 50 mau makahiki no nā kāne, ma hope o 65 mau makahiki no nā wahine).
• Kāne i ka wā hānau: ʻOi aku ka nui o ka loaʻa ʻana o ka `(AAA)` i nā kāne.
• ʻO ka loaʻa ʻana o kahi moʻolelo ʻohana o (AAA): He mea nui nō hoʻi kēia. Inā loaʻa i kekahi o kou mau hoahānau mua (nā mākua, nā keiki, nā kaikaina) ka (AAA), he 10% a 20% kou pilikia o ka loaʻa ʻana iā ia. Kiʻekiʻe loa kēia pilina ma waena o nā kaikaina kāne.

Nā kumu pilikia ʻē aʻe:

• Ke koko kiʻekiʻe.
• Loaʻa kekahi ʻano maʻi cardiovascular atherosclerotic (ASCVD). ʻO kēia ka maʻi coronary artery (CAD) a me ka maʻi peripheral artery (PAD).
• Loaʻa i kahi maʻi pili vascular i hoʻoilina ʻia.

He aha nā pilikia e hiki mai ana o ka `(AAA)`?

ʻO ka pilikia maʻamau ka haki ʻana o kahi aneurysm. Hoʻopilikia kēia i ka make ma waena o 150,000 a me 200,000 ma ka honua holoʻokoʻa i kēlā me kēia makahiki. Hiki i kahi AAA i haki ke hoʻoulu i ke kahe koko kūloko e hoʻoweliweli i ke ola. Hoʻonui ka pilikia i ka wā e nui ai ka aneurysm.

Pehea e ʻike ai i kahi `(Abdominal Aortic Aneurysm)`?

No ka mea, ʻaʻole hana pinepine nā AAA i nā hōʻailona, ​​​​​​hoʻomaopopo pinepine nā kauka i nā AAA i haki ʻole i ka wā o nā hoʻokolohua no nā kūlana olakino ʻē aʻe. Inā kānalua kāu kauka he AAA kāu ma muli o nā hopena hoʻokolohua a i ʻole nā ​​​​kumu ʻē aʻe, hiki iā lākou ke hana i kēia mau hoʻokolohua:

• ʻO ka ultrasound duplex ʻōpū: ʻO kēia ka hoʻāʻo i hana pinepine ʻia, ʻeha ʻole, a maʻalahi hoʻi.
• CT Angiogram (Computed tomography angiogram - CTA): ʻAe kēia i kahi ʻike kikoʻī.

Nānā ʻana no ka Abdominal Aortic Aneurysm

Paipai nā kauka i ka poʻe i pilikia i ka loaʻa ʻana o kahi AAA e hana i kahi ultrasound. He hoʻāʻo maʻalahi kēia a ʻeha ʻole. Hiki iā ia ke nānā i ke alo o kahi AAA. Inā he hoʻokahi, e kauoha kāu kauka i nā ultrasound hou aʻe i nā manawa maʻamau (ʻo ka maʻamau i kēlā me kēia 6 a 12 mau mahina) e nānā iā ia. Inā nui loa ia a inā he mau kumu pilikia ʻē aʻe no ka haki ʻana, hiki ke paipai ʻia ke ʻoki kino.

Pehea e mālama ʻia ai ka Abdominal Aortic Aneurysm?

Aia ka lāʻau lapaʻau i ka nui o ka aneurysm, ʻoiai ʻo ia ke kumu nui e hoʻoholo ai i ka pilikia o ka haki ʻana. ʻAʻole pono paha ka lāʻau koke no nā aneurysms liʻiliʻi.Akā, e nānā ke kauka i ka aneurysm me nā ultrasounds maʻamau a i ʻole nā ​​​​scan CT. Ua kapa ʻia kēia he surveillance . Pono paha nā aneurysms nui i ke ʻoki ʻana.

`(AAA)` Nānā (`Nānā`)

Ma keʻano laulā, he mea kūpono ke nānā ʻana i kahi AAA inā emi kona anawaena ma mua o 5.5 cm i nā kāne a emi ma mua o 5.0 cm i nā wahine. Eia kekahi, ʻaʻole pono e hōʻike ka aneurysm i kekahi mau hōʻailona.

Ma muli o ka nui o ka aneurysm, pono paha ʻoe e hana i kahi ultrasound a i ʻole CT scan i nā manawa maʻamau. Pono paha nā aneurysms nui i nā hoʻokolohua pinepine. Inā kokoke ʻoe i ke kahua o ka mālama ʻana, pono paha ʻoe i kahi CT scan ma kahi o ka ultrasound. Pono ʻoe e hahai i kāu kauka no nā hoʻokolohua. E haʻi pū kāu kauka iā ʻoe:

• He aha nā hoʻololi nohona e pono ai ʻoe e hana? ʻO kēia ka hoʻōki loa ʻana i ka hoʻohana ʻana i ka paka, ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai, a me ka hoʻoikaika kino.
• He aha nā lāʻau lapaʻau e pono ai ʻoe e lawe e kāohi i nā kūlana e like me ke koko kiʻekiʻe a i ʻole ka cholesterol kiʻekiʻe?

ʻAʻole e hoʻemi ʻia kahi aneurysm e nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau (ʻaʻohe lāʻau lapaʻau e hiki ke hana pēlā i kēia manawa). Eia nō naʻe, hiki i kēia mau hana ke kōkua i ka hoʻolohi ʻana i ka wikiwiki o ka ulu ʻana o kahi aneurysm a hōʻemi i ka pilikia o nā pilikia cardiovascular ʻē aʻe. Ke ʻimi nei nā kānaka noiʻi i nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻolohi a hoʻōki paha i ka ulu ʻana o nā AAA liʻiliʻi.

ʻO ke ʻoki kino no `(AAA)`

Pono paha kāu AAA i ke ʻoki ʻana i kēia mau hihia:

• Ua manaʻo ʻia ʻo ka aneurysm he 5.5 cm a ʻoi aku paha ke anawaena i nā kāne a he 5.0 cm a ʻoi aku paha i nā wahine. (Hiki i kekahi mau kikowaena kūikawā ke ʻōlelo i ke ʻoki kino no nā nui liʻiliʻi, ma muli o kou olakino holoʻokoʻa, ka ʻikepili pilikia, a me nā kumu ʻē aʻe.)
• Me ka nānā ʻole i ka nui o ka aneurysm, inā hoʻoulu ia i nā hōʻailona.
• Inā ua pahū ka aneurysm, pono ke ʻoki koke ʻana e hoʻopakele i kou ola.

Hana ʻia ke ʻoki ʻana e hōʻemi i ka pilikia o ka pahū ʻana o kahi aneurysm ma ka wehe ʻana i ka ʻāpana nāwaliwali o ka aorta a hoʻololi iā ia me kahi paipu hana (graft) a i ʻole ma ke kau ʻana i kahi uhi hou (graft) i loko o ka aorta. ʻElua mau ʻano ʻoki no kēia:

• ʻO ke ʻoki hoʻoponopono aneurysm hāmama kuʻuna: Maanei, ua wehe ʻia ka ʻōpū a ua hoʻololi ʻia ka ʻāpana i hōʻino ʻia o ka aorta.
• Hoʻoponopono ʻana i ka aneurysm endovascular (EVAR): Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi ma ka wāwae o luna a me ke kau ʻana i kahi stent graft i loko o ka aorta e uhi i ka aneurysm. ʻAʻole pono kēia i kahi ʻoki nui.

ʻO ka maʻamau, makemake nā kauka ʻoki a me nā mea maʻi i ke kaʻina hana EVAR no ke ʻoki koho no ka mea ʻoi aku ka maʻalahi o ka hoʻōla ʻana a ʻoi aku ka maikaʻi o ka manawa e ola ai i ka wā pōkole. Inā kūpono ke ʻano o ka aorta, hiki iā EVAR ke hāʻawi i ka hoʻoponopono lōʻihi. Eia nō naʻe, pono ʻoe e loaʻa i kahi ultrasound a i ʻole CT scan i kēlā me kēia makahiki e nānā i ka hoʻoponopono. ʻO ke ʻoki hāmama paha kahi koho palekana ma muli o kekahi mau kumu (e like me kou makahiki a i ʻole ke ʻano o ka aorta). Loaʻa i kēlā me kēia kaʻina hana kona mau pono a me nā hemahema. E kūkākūkā kāu kauka i kēia me ʻoe, a hiki iā ʻoe ke hana i ka hoʻoholo maikaʻi loa.

Pono ke ʻoki koke ʻana no kahi aneurysm i haki e hāʻawi iā ia i ka manawa e hoʻopakele ai i ke ola.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kēia maʻi?

Aia kou manaʻo i nā kumu he nui, me ka nui o ka aneurysm, ka manawa e pono ai no ʻoe e loaʻa ai ka lāʻau lapaʻau, a me kou olakino holoʻokoʻa. ʻO kāu kauka ke kanaka maikaʻi loa e nīnau iā ʻoe i ka mea e manaʻo ai. ʻIke maikaʻi ʻo ia iā ʻoe a me kou mōʻaukala olakino.

Hiki ke pale ʻia ka Abdominal Aortic Aneurysm?

ʻAʻohe ala i hōʻoia ʻia i kēia manawa e pale aku ai i ka hoʻokumu ʻia ʻana o kahi AAA. Eia nō naʻe, inā he makua kou, kaikaina, a keiki paha i loaʻa iā ia kahi AAA, e kamaʻilio me kāu kauka. Hiki iā ia ke paipai i kahi ultrasound e nānā i nā hōʻailona o kahi aneurysm.

Inā he moʻolelo ʻohana kou a ʻaʻole paha, hiki iā ʻoe ke hana i nā hana e hōʻemi i nā kumu pilikia ʻē aʻe a mālama i kou olakino cardiovascular holoʻokoʻa. E kamaʻilio me kāu kauka e pili ana i kēia mau mea:

• Pehea ʻoe e hoʻōki ai i ka puhipaka a i ʻole ka hoʻohana ʻana i ka paka i nā mea ʻē aʻe?
• Pehea ʻoe e hana ai i kahi hoʻolālā hoʻoikaika kino e kūpono iā ʻoe?
• Pehea e hahai ai i kahi papaʻai olakino no ka puʻuwai?
• Pehea ʻoe e kāohi ai i kou koko, ka cholesterol, a me ke kō koko?
• Pehea e kaupalena ai i ka inu ʻana i ka waiʻona?

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kahi `(AAA)`, he mea nui loa ia e hahai i nā kuhikuhi i hāʻawi ʻia e kāu kauka. E aʻo aku ʻo ia iā ʻoe e like me kāu mau pono. Ma keʻano laulā, eia kekahi mau ʻōlelo aʻoaʻo:

• E hele i kāu mau manawa lapaʻau a pau a me nā hoʻokolohua hahai.
• E hana i nā hoʻololi nohona e kākoʻo ai i kou olakino. E hoʻomaka i kahi liʻiliʻi a hoʻonohonoho i nā pahuhopu hiki iā ʻoe ke hoʻokō.
• E lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka.
• E nīnau i kāu kauka inā pono ʻoe i nā lāʻau antibiotic ma mua o kekahi mau kaʻina hana niho a lapaʻau paha. Pono kekahi poʻe iā lākou e pale aku i ka maʻi ma hope o ke ʻoki hoʻoponopono aneurysm.

Āhea wau e ʻike ai i kaʻu kauka?

E kāhea i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Nā hōʻailona hou a loli paha.
• Nā hopena ʻaoʻao mai nā lāʻau lapaʻau.
• Nā nīnau a hopohopo paha e pili ana i kou kūlana a i ʻole ka hoʻolālā lapaʻau.

E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou hele ʻana mai no nā manawa i hoʻonohonoho ʻia. Pono ʻoe e hana i nā nānā maʻamau e nānā i kēia mau mea:

• E nui aʻe ana paha kahi `(AAA)`, a i ʻole aia kekahi pilikia o ka pahū ʻana?
• Aia kekahi mau pilikia ma hope o ka EVAR, e like me ka endoleak (ke kahe ʻana o ke koko a puni ka graft), a i ʻole he mau hōʻailona o ka re-rupture?

E hele i kāu mau hālāwai a pau i hiki i kāu kauka ke nānā i kou kūlana a kōkua iā ʻoe e noho olakino.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe nā hōʻailona o ka pahū ʻana o ka AAA, e like me ka ʻeha koke a koʻikoʻi ma kou ʻōpū a i ʻole ke kua i lalo , e kāhea koke i ka 911 a i ʻole e hele i ka lumi pilikia haukapila kokoke loa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• Aia anei au i ka pilikia o ka loaʻa ʻana o kahi `(AAA)`?
• Pono anei au e hana i kahi hoʻāʻo loiloi no (AAA)?
• He aha nā hoʻololi o ke ʻano o ka nohona e pono iaʻu e hana ai e hōʻemi i koʻu pilikia?

Inā hoʻoholo kāu kauka he `(AAA)` kou, hiki iā lākou ke nīnau iā ʻoe i kēia mau nīnau e ʻike hou aku:

• Pehea ka nui o ka aneurysm?
• Ke paipai nei ʻoe i ka nānā ʻana a i ʻole ke ʻoki kino?
• He aha ke ʻano hana ʻoki kino maikaʻi loa noʻu?
• He aha nā pōmaikaʻi a me nā pōʻino o ke ʻoki kino?
• ʻEhia ka lōʻihi e ola ai?
• He aha nā hoʻokolohua hoʻomau e pono iaʻu e hana ma hope o ke ʻoki kino?
• Pono kekahi o koʻu ʻohana e hoʻāʻo ʻia no ka `(AAA)`?

Hiki ke hoʻoluhi a hopohopo ka ʻike ʻana he Abdominal Aortic Aneurysm kou. Akā ʻo ka nūhou maikaʻi, ua ʻike kāu kauka he hoʻokahi kou. ʻO ka ʻike ʻana he hoʻokahi kāu ke kaʻina mua e mālama ai iā ʻoe i ke olakino. E nānā kāu kauka i kou kūlana a ʻōlelo i ka lāʻau lapaʻau inā pono. E haʻi pū ʻo ia iā ʻoe e pili ana i nā mea hiki iā ʻoe ke hana i kou ola o kēlā me kēia lā e pale aku i ka aneurysm mai ka nui a i ʻole ka pahū ʻana.

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i nā manaʻo koʻikoʻi a mākou i kūkākūkā ai i kēia lā e pili ana i ka `(Abdominal Aortic Aneurysm)` a i ʻole `(AAA)`.

• ʻO ka aneurysm aortic (AAA) ka nāwaliwali a me ka pehu ʻana o ke kīʻaha koko nui i loko o ka ʻōpū (ka aorta).
• I ka manawa pinepine, ʻaʻohe hōʻailona o ka maʻi i nā pae mua.
• ʻOi aku ka pilikia o nā kāne ʻelemakule e puhipaka ana . Inā loaʻa i kekahi o ka ʻohana, aia kahi pilikia.
• ʻO ka pōʻino nui loa , ʻo ia ka hiki ke pahū ('Rupture`) . Inā hana ʻia kēlā, hiki ke hoʻoweliweli i ke ola.
• Inā loaʻa iā ʻoe ka ʻeha nui a koke i kou ʻōpū a i ʻole ke kua me nā hōʻailona ʻē aʻe, he pilikia ia. E hele koke i ka haukapila.
• He mea nui i ka poʻe me nā kumu pilikia e hana i nā hoʻokolohua loiloi e like me ka ʻōlelo a ke kauka.
• Ma ke ʻano he lāʻau lapaʻauHiki ke hana ʻia ke kiaʻi ʻana a i ʻole ke ʻoki ʻana. Aia ia i ka nui o ka aneurysm a me nā kumu ʻē aʻe.
• He mea nui loa ka haʻalele ʻana i ka puhipaka a me ke ola ʻana i kahi nohona olakino .

E hoʻomanaʻo, ʻoi aku ka maikaʻi o ka hoʻomaopopo ʻia a hana i nā hana e pono ai ma mua o ka makaʻu i kēia. E kamaʻilio ākea me kāu kauka a koho i ka lāʻau lapaʻau a me ke ʻano o ka nohona e kūpono loa iā ʻoe.

ʻO ka Aneurysm Aortic ʻōpū , AAA, Pehu ʻana o ka Aorta, Pahū ʻana o ke kīʻaha koko, ʻEha ʻōpū, Maʻi puʻuwai, Puhi paka