He mea e like me ka pōpō liʻiliʻi i loko o kou kino? E kamaʻilio kākou e pili ana i kēia aneurysm!

Ua lohe paha ʻoe i ka huaʻōlelo 'aneurysm'? Ua lohe paha ʻoe i kahi hoaaloha a ʻohana paha i loaʻa iā ia kekahi. A i ʻole ua lohe paha ʻoe i ke kauka e kamaʻilio ana e pili ana i ia mea. ʻOiai paha he mea weliweli iki ke kani ʻana o ka inoa, inā ʻike pono kākou i ke ʻano o ia mea, hiki iā kākou ke pale aku i ka makaʻu pono ʻole. No laila, e kamaʻilio kākou e pili ana i ia mea i kēia lā?

He aha maoli ka aneurysm?

I ka ʻōlelo maʻalahi, he aneurysm kahi nāwaliwali i loko o ka paia o ke kīʻaha koko i loko o ko kākou kino e puʻupuʻu ana e like me ka pōpō. ʻIke ʻoe, ʻo ko kākou mau aʻa nā ʻōmole nui e lawe ana i ke koko momona i ka oxygen mai ka puʻuwai a i ke koena o ke kino. No laila, inā lilo kahi wahi i loko o ka paia o kēia aʻa i nāwaliwali, ʻo ke kaomi i hana ʻia e ke koko e kahe wikiwiki ana ke kumu o kēlā wahi nāwaliwali e puʻupuʻu. ʻO kēlā puʻupuʻu ka mea a mākou e kapa nei he aneurysm.

I ka hapanui o ka manawa, ʻaʻole mākou e manaʻo he aneurysm ko mākou, a ʻaʻole mākou e ʻeha. Eia nō naʻe, inā pohā koke ia, hiki ke lilo i mea weliweli loa, a i kekahi manawa hiki ke hoʻoweliweli i ke ola. No laila, he mea nui loa ka makaʻala i kēia.

Aia kekahi mau ʻano aneurysms like ʻole? Ma hea lākou e hana ʻia ai?

ʻAe, hiki i kēia aneurysm ke hana i loko o kekahi aʻa i loko o ko kākou kino. ʻO ia hoʻi, hiki iā lākou ke hana ma nā wahi like ʻole e like me ka puʻuwai, ka ʻōpū (ʻōpū), ka lolo, a me nā wāwae. Hoʻoholo ʻia ke ʻano o ka aneurysm e kahi i hana ʻia ai.

ʻO ke ʻano maʻamau o ka aneurysm i ʻike pinepine ʻia ʻo ia ka aneurysm aortic . Ua ʻike anei ʻoe ʻo ka aorta ke aʻa nui loa i loko o ko mākou kino? ʻO ia ke aʻa e lawe i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa. ʻO nā aneurysms e kū mai ana i loko o nā aʻa ʻē aʻe ma mua o ka aorta ua kapa ʻia ʻo peripheral aneurysms.

E nānā kākou i kekahi mau ʻano nui:

• ʻO ka Abdominal Aortic Aneurysm (AAA): ʻO kēia ke ʻano maʻamau. Hoʻomohala ia ma ka ʻāpana o ka aorta e holo ana i lalo ma ka ʻōpū.
• ʻO ka Aneurysm Cerebral/Aneurysm Brain: E like me ka inoa e hōʻike nei, hana ʻia kēia ma kahi aʻa i loko o ka lolo. ʻO ke ʻano maʻamau o kēia ʻo ia ka aneurysm saccular, i ʻike ʻia hoʻi he aneurysm berry . Ua like ia me kahi ʻeke liʻiliʻi i piha i ke koko i hoʻopili ʻia i ke aʻa, e like me ka hua.
• ʻO ka Aneurysm Aortic Thoracic: He ʻuʻuku iki kēia ma mua o ka Aortic Aortic Aneurysm abdominal. Loaʻa ia ma ka ʻaoʻao o luna o ka aorta, ma ka ʻāpana umauma.
• ʻO Carotid Aneurysm: Hoʻomohala kēia mau mea i loko o nā aʻa carotid, ka mea e hoʻolako i ke koko i ko mākou lolo, ka ʻāʻī, a me ke alo. He mea kākaʻikahi loa kēia.
• ʻO Popliteal Aneurysm: Hana ʻia kēia ma ke aʻa e holo ana ma hope o ke kuli.
• ʻO Mesenteric Artery Aneurysm: Ke ulu nei kēia ʻano aneurysm i loko o ke aʻa e hoʻolako ana i ke koko i ko mākou ʻōpū.
• ʻO Splenic Artery Aneurysm: Hana ʻia kēia ma ke aʻa e alakaʻi ana i ka spleen.

Pehea ka maʻamau o kēia aneurysm?

Ua ʻike anei ʻoe e loaʻa nā aneurysms lolo i haki ʻole ʻia i loko o 2% a 5% o nā kānaka olakino? A, o kēlā poʻe, ma kahi o 25% he ʻoi aku ma mua o hoʻokahi aneurysm. ʻO ka hapa nui, ulu lākou i ka wā makua, akā hiki nō hoʻi iā lākou ke loaʻa i nā keiki. ʻIke pinepine ʻia lākou ma kahi o 50 mau makahiki. Akā ʻo ka mea maikaʻi loa, ʻo ka hapa nui o nā aneurysms lolo ʻaʻole e haki.

ʻOi aku ka maʻamau o nā aneurysms aortic (AAA) me ka makahiki. ʻOi aku ka maʻamau o nā aneurysms aortic abdominal (AAA) i nā kāne ma mua o nā wahine. 1% wale nō o nā kāne 55-64 makahiki i loaʻa iā lākou. Eia nō naʻe, piʻi kēia pakeneka ma 2% a 4% me kēlā me kēia ʻumi makahiki.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kahi aneurysm?

Hoʻopilikia nā ʻano aneurysms like ʻole i nā hui like ʻole o ka poʻe. No ka laʻana, ʻoi aku ka maʻamau o nā aneurysms o ka lolo i nā wahine ma mua o nā kāne. Pēlā nō, ʻoi aku ka maʻamau o nā aneurysms aortic i nā kāne ma mua o nā wahine.

ʻO nā aneurysms aortic abdominal (AAA) ka mea maʻamau i:

• No nā kāne.
• No nā poʻe ma luna o 60 mau makahiki.
• No ka poʻe puhipaka. (He mea pilikia nui kēia!)
• No ka poʻe keʻokeʻo (akā hiki ke ulu i loko o kekahi o kēlā me kēia lāhui).

He aha nā hōʻailona o kahi aneurysm?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ke kanaka he aneurysm ko lākou. Hiki ke ulu mālie i loko o ke kino. Eia nō naʻe, inā pahū kahi aneurysm, he pilikia olakino ia! Pono ʻoe e loaʻa koke ka lāʻau lapaʻau. Inā hōʻike ʻoe a i ʻole kekahi mea āu e noho pū ana me ʻoe i nā hōʻailona o kahi aneurysm i haki, e kelepona koke i ka 911 (1990 Suwaseriya ma Sri Lanka).

ʻIke koke ʻia nā hōʻailona o kahi aneurysm i haki:

• Poʻo māmā /ʻāʻī.
• Ka wikiwiki o ka puʻuwai.
• ʻO ke poʻo ʻeha nui koke, ka ʻeha ma ka umauma, ka ʻōpū, a i ʻole ke kua.
• Ka nalowale koke o ka ʻike ma hope o kahi ʻeha poʻo nui.

He mea nui: He kūlana ola a make paha ka aneurysm i haki, no laila inā ʻike ʻoe i kēia mau hōʻailona, ​​​​mai hoʻokaʻulua.

ʻOiai inā ʻaʻole pahū kahi aneurysm, hiki iā ia ke hana i nā hōʻailona ma muli o kona wahi. Hiki iā ʻoe ke ʻike i nā hōʻailona o ka haʻalulu, e like me ke koko haʻahaʻa, ka hou anu, ka manaʻo o ka nāwaliwali, a me ka puʻuwai wikiwiki.

ʻO nā hōʻailona ʻē aʻe paha:

• Manaʻo huikau a puni paha.
• Paʻakikī ke ale ʻana.
• Luhi.
• ʻEha poʻo (ʻoi aku hoʻi i nā hihia o ka aneurysm o ka lolo).
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• ʻEha ma kou ʻōpū, umauma a i ʻole ke kua.
• ʻŌpū Paʻi a i ʻole ka pehu ʻana ma kou ʻāʻī.
• Ka wikiwiki o ka puʻuwai.
• Nā Hoʻololi ʻIke.

He aha nā pilikia e hiki mai ana o kahi aneurysm?

Inā haki kahi aneurysm, hoʻoulu ia i ke kahe koko kūloko. Ma muli o kahi i loaʻa ai, hiki i ka haki ke lilo i mea weliweli loa a hiki i ka hoʻoweliweli i ke ola.

E noʻonoʻo, he aha ka mea e hana ai inā e hana ʻia kahi ʻaʻa koko i loko o kahi aneurysm ma kou ʻāʻī a hele i kou lolo? Inā ālai kēlā ʻaʻa koko i ke kahe o ke koko i kou lolo, hiki mai kahi hahau.

Inā pahū kahi aneurysm o ka lolo, ua kapa ʻia ia he hemorrhage subarachnoid. Kapa kekahi poʻe i kēia ʻano hahau he kahe koko o ka lolo. ʻIke pinepine ka poʻe i "ke poʻo ʻeha ʻino loa o ko lākou ola." Hiki ke ukali ʻia e ka mae ʻana o ka ʻōpū, ka paʻakikī i ka ʻōlelo ʻana, a me nā hōʻailona ʻē aʻe.

No ke aha i hoʻokumu ʻia ai kēia aneurysm? He aha nā kumu?

I kekahi manawa, hānau ʻia nā kānaka me kahi aneurysm. ʻO ia hoʻi, aia lākou i ka wā hānau. Eia nō naʻe, hiki iā lākou ke ulu i kēlā me kēia manawa o ke ola. I ka hapanui o nā hihia, he paʻakikī ke loaʻa kahi kumu kikoʻī no kahi aneurysm. Eia nō naʻe, aia kekahi mau kumu hiki:

• Atherosclerosis: ʻO kēia ka wā e hōʻiliʻili ai nā waihona momona i loko o nā paia o nā aʻa, e hoʻohaiki ana iā lākou. Hiki i kēia ke hoʻonāwaliwali i nā paia o nā aʻa.
• Moʻolelo ʻohana o nā aneurysms: Inā ua loaʻa i kou makuahine, makuakāne, a i ʻole nā ​​​​hoahānau kēia maʻi, aia ʻoe i ka pilikia o ka hoʻomohala ʻana.
• Ke koko kiʻekiʻe: Inā kiʻekiʻe mau ke koko, hiki i nā paia o ke aʻa ke hōʻino a nāwaliwali.
• He ulia a ʻeha paha i ka aorta .

Pehea e ʻike ai nā kauka i kahi aneurysm? (Diagnosis)

Nui nā aneurysms e ulu me ka ʻole o nā hōʻailona. Hiki i kāu kauka ke ʻike iā lākou ma kahi hanana i ka wā o ka nānā maʻamau a i ʻole kekahi scan ʻē aʻe.

Inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he aneurysm paha kou, e hana ke kauka i kekahi mau hoʻokolohua kiʻi. ʻO nā hoʻokolohua e hiki ke kōkua i ka ʻike a me ka nānā ʻana i kahi aneurysm:

• CT Scan
• CT a i ʻole MRI Angiography: Hoʻohana ʻia kēia e lawe i kahi kiʻi kūikawā o nā kīʻaha koko.
• ʻO ke kiʻi ʻana o ka ultrasound (Ultrasound)

Pehea e hoʻokaʻawale ai ke kauka i kahi aneurysm?

E hoʻokaʻawale kāu kauka i kahi aneurysm ma muli o kona nui a me ke ʻano o kona hoʻokumu ʻia ʻana. Aia nā hoʻokaʻawale like ʻole:

• ʻAneurysm fusiform: Ma kēia, puka mai ke aʻa mai nā ʻaoʻao a pau.
• ʻO Saccular Aneurysm: ʻO kēia ka wā e puʻupuʻu ai kekahi ʻaoʻao o ke aʻa (e like me ka Berry Aneurysm i ʻōlelo mua ʻia).
• ʻAneurysm Mycotic: Hana ʻia kēia i ka wā e nāwaliwali ai ka paia o ke aʻa ma hope o kahi maʻi (pinepine i loko o nā kiwikā o ka puʻuwai).
• ʻO ka Pseudoaneurysm a i ʻole ka Aneurysm Wahaheʻe: Ma kēia, ʻo ka papa waho loa o ka paia o ke aʻa e puʻupuʻu ana. Hiki ke hana kēia ma hope o ka hōʻino ʻia ʻana o ka papa o loko o ke aʻa (dissection).

Pehea e mālama ʻia ai kahi aneurysm?

Inā ʻike ke kauka he aneurysm kou i haki ʻole ʻia, e nānā pono lākou iā ʻoe. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke pale aku i ka haki ʻana o ka aneurysm.

Ma muli o ke ʻano, kahi, a me ka nui o ka aneurysm, hiki ke komo pū ka lāʻau lapaʻau me nā lāʻau lapaʻau a i ʻole ke ʻoki kino. Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e hoʻomaikaʻi i ke kahe koko, hoʻohaʻahaʻa i ke koko, a i ʻole kaohi i ka cholesterol. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i ka aneurysm mai ka nui ʻana a hoʻemi i ke kaomi ma ka paia o ke aʻa.

ʻO nā aneurysms nui i pilikia i ka pahū ʻana e pono paha ke ʻoki ʻia. Eia kekahi, inā haki kahi aneurysm, pono maoli ke ʻoki ʻana. Aia kekahi mau ʻano ʻoki ʻana:

• Hoʻoponopono ʻana i ka Aneurysm Endovascular (EVAR):Ma kēia ʻoki endovascular, hoʻokomo ke kauka i kahi catheter (kahi ʻōmole lahilahi) i loko o kahi kīʻaha koko. Ma o ke catheter, hoʻokomo ke kauka ʻoki i kahi graft (kahi ʻāpana paipu kūikawā) e hoʻoikaika a hoʻoponopono paha i ke aʻa. No nā aneurysms thoracic, ua kapa ʻia kēia kaʻina hana ʻo Thoracic Endovascular Aneurysm Repair (TEVAR). Inā hoʻohana ʻia kahi graft me nā puka kūikawā, ua kapa ʻia ʻo Fenestrated Endovascular Aneurysm Repair (FEVAR).
• ʻO ke ʻoki hāmama: I kekahi mau hihia, hiki i ke kauka lapaʻau ke hana i kahi ʻoki (ʻoki hāmama) e hoʻokomo i kahi graft a wehe paha i ka aneurysm.
• ʻO ka Endovascular Coiling: Mālama kēia kaʻina hana i nā aneurysms lolo. Hoʻokomo ke kauka lapaʻau i kekahi mau wili (ʻo ia hoʻi, nā wili uea platinum) i loko o ka aneurysm ma o kahi catheter a hoʻopiha iā ia. Hoʻemi kēia i ka nui o ke koko e kahe ana i loko o ka aneurysm a hoʻemi i ka pilikia o ka pahū ʻana.
• ʻOki ʻana o ka Microvascular: He ʻano hana ʻoki lolo hāmama kēia no nā aneurysms cerebral. Hoʻokomo ke kauka i kahi clip metala ma ke kumu o ka aneurysm e ʻoki ai i ke kahe koko.
• Catheter Embolization: Hoʻohana ʻia kēia kaʻina hana e hoʻōki i ke kahe ʻana o ke koko i loko o kahi aneurysm. Hoʻokomo ke kauka lapaʻau i kahi catheter i loko o ke aʻa i hoʻopilikia ʻia a hoʻohana i ka ʻōmole e hoʻokomo i nā lāʻau lapaʻau a i ʻole nā ​​​​mea embolic e hoʻōki i ke kahe ʻana o ke koko.

Pehea e pale ai i ka hoʻokumu ʻana o kahi aneurysm?

He mea maʻamau nā aneurysms i haki ʻole. ʻAʻole hiki ke pale ʻia i nā manawa a pau. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kahi aneurysm ma ka mālama ʻana i kahi nohona olakino:

• ʻAi i ka ʻAi Ola Kino no ka Puʻuwai: E ʻai i ka ʻaila, ka paʻakai, a me ke kōpaʻa e emi iho, a e ʻai i nā mea kanu a me nā huaʻai. He mea maikaʻi loa nā mea e like me nā lau ʻōmaʻomaʻo, nā mea kanu, a me nā iʻa hou i loaʻa ma ko mākou ʻāina.
• Hoʻoikaika Kino Mau: E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no ka liʻiliʻi he 30 mau minuke i ka lā.
• E mālama i ke kaumaha olakino: He mea nui loa ka mālama ʻana i ke kaumaha kūpono i kou kiʻekiʻe.
• E hōʻalo a hoʻōki paha i ka puhipaka: He mea pono kēia e hana. ʻO ka puhipaka kekahi o nā kumu nui o nā aneurysms.

He aha ka wānana no kekahi me ka aneurysm?

He mau pilikia hoʻoweliweli ola nā aneurysms haki. Inā haki kahi aneurysm i loko o ka lolo, hiki iā ia ke hana i ka hahau. Hiki ke make inā ʻaʻole mālama koke ʻia. Me ka mālama koke ʻana, hiki ke ʻokoʻa ka hopena. Hoʻōla maikaʻi ka hapa nui o ka poʻe me ka hoʻōla hou ʻana a me nā lāʻau ʻē aʻe.

Hiki i nā kauka ke kōkua i nā poʻe me nā aneurysms liʻiliʻi i haki ʻole. E nānā pono kāu kauka i kou kūlana. Hiki i nā lāʻau lapaʻau a i ʻole ke ʻoki kino ke hōʻemi i ka pilikia o ka haki ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i nā hōʻailona e like me kēia, pono ʻoe e ʻike koke i ke kauka:

• Māmā ke poʻo.
• Ka wikiwiki o ka puʻuwai.
• ʻO ke poʻo ʻeha nui koke, ka ʻeha ma ka umauma, ka ʻōpū, a i ʻole ke kua.

Hiki i kēia mau hōʻailona ke hōʻailona o kahi aneurysm i haki, no laila he mea nui e ʻimi i ke aʻo lapaʻau me ka hoʻonele ʻole i ka manawa.

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

Inā kānalua ʻoe he aneurysm kou, a inā paha ua loaʻa iā ʻoe ke ʻano, hiki iā ʻoe ke nīnau i kāu kauka e like me kēia:

• Aia anei iaʻu ka pilikia o ka loaʻa ʻana o kahi aneurysm?
• Pono anei iaʻu e hana i nā hoʻokolohua kiʻi e ʻike ai i kahi aneurysm?
• Pehea e hiki ai iaʻu ke pale aku i koʻu aneurysm mai ka ʻino a i ʻole ka pahū ʻana?
• He aha nā hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e hōʻemi i koʻu pilikia?

E hoʻomanaʻo, hiki i kahi aneurysm ke ulu i loko o kekahi aʻa i loko o ko kākou kino. Hiki i kāu kauka ke nānā i kahi aneurysm a mālama iā ia e hōʻemi i ka pilikia o ka pahū ʻana. Eia nō naʻe, inā pahū kahi aneurysm, he pilikia olakino ia. Pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i nā aneurysms i kēia lā, ʻeā? I ka pōkole, he ʻāpana nāwaliwali lākou o kekahi o ko kākou mau kīʻaha koko e puʻupuʻu ana e like me ka pōpō. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e ʻike iā lākou, akā hiki iā lākou ke lilo i mea weliweli loa inā pahū lākou.

ʻO ka mea nui loa, ʻo ia ka makaʻala i kāu mau kumu pilikia. Inā loaʻa iā ʻoe nā mea e like me ka puhipaka, ke koko kiʻekiʻe, a i ʻole kahi mōʻaukala ʻohana, he manaʻo maikaʻi e loaʻa nā nānā lapaʻau maʻamau.

Inā loaʻa iā ʻoe nā hōʻailona ulia pōpilikia, e like me ke poʻo ʻeha nui koke, ka ʻeha o ka umauma, a i ʻole ka nalowale o ka ʻike, e hele koke i ka haukapila.

ʻO ke ʻano ola kino olakino, e like me ka ʻai pono ʻana, ka hoʻoikaika kino ʻana, a me ka pale ʻana i ka puhipaka, hiki ke hōʻemi i kēia pilikia. No laila, e mālama pono i kou kino. No ka mea, ʻo ke olakino ka mea nui loa!

ʻAneurysm , kīʻaha koko, aorta, aneurysm lolo, aneurysm ʻōpū, kīʻaha koko pohā, ʻeha poʻo koke, ʻoki kino