Ua lohe anei ʻoe i ke kīʻaha koko nui loa i loko o kou kino, ʻo ka aorta? E noʻonoʻo e like me ka ʻōnaehana paipu wai nui i loko o ko kākou kino. ʻO ia ka mea e lawe i ke koko maʻemaʻe a oxygenated mai ka puʻuwai a hāʻawi iā ia i nā ʻāpana ʻē aʻe o ke kino. Ua like kona ʻano me kahi paipu nui a ʻōniʻoniʻo. ʻO kēia ʻano weliweli i kapa ʻia ʻo Aortic Aneurysm e hana ʻia ma kēia aorta. No laila e kamaʻilio kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka aneurysm aortic?
E noʻonoʻo i kahi paipu wai i loko o kāu māla. I ka hala ʻana o ka manawa, lilo kahi kiko ma luna i nāwaliwali a puʻupuʻu e like me ka pōpō ma lalo o ke kaomi o ka wai. Pēlā nō ka mea e hana ʻia i ko kākou aorta. Ke nāwaliwali kahi kiko ma ka paia o ka aorta no kekahi kumu, ʻo ke kaomi o ke koko e puka mai ana mai ka puʻuwai e hoʻoulu ai i kēlā wahi nāwaliwali e puʻupuʻu e like me ka pōpō. ʻO kēia puʻupuʻu ka mea a mākou e kapa nei he Aortic Aneurysm.
Ua ʻike anei ʻoe i ke kumu he mea weliweli kēia? E ulu mālie ana kēia pehu e like me ka pōpō a hiki ke pahū koke (rupture). Inā hana ʻia kēlā, hoʻomaka ke kino e kahe nui ke koko. He kūlana pilikia loa ia e hoʻoweliweli ana i ke ola.
ʻElua mau ʻano nui o ka aneurysm aortic:
Ma muli o kahi o kēia puʻupuʻu i loko o ka aorta, ua māhele mākou iā ia i ʻelua ʻano nui. He mea maʻalahi loa kēia e hoʻomaopopo.
| ʻAno o ka aneurysm | Aia ma hea kēia? |
|---|---|
| ʻO ka Aneurysm Aortic ʻōpū (AAA) | ʻO kēia ke ʻano maʻamau. Loaʻa ia ma ka ʻaoʻao haʻahaʻa o ka aorta, ʻo ia ka ʻāpana e hele ana ma ka ʻōpū (ʻōpū). |
| ʻO ka Aneurysm Aortic Thoracic (TAA) | ʻIke ʻia kēia ʻano ma ka ʻāpana o ka aorta e hele ana ma ka umauma. ʻOi aku ka pololei, ma ka ʻāpana e kūlou ana i ke ʻano o ka leka 'U' e hoʻomaka ana mai ka puʻuwai. Hiki i ka poʻe me kekahi mau maʻi hoʻoilina, e like me ka Marfan syndrome, ke hoʻomohala i kēia ʻano aneurysm. |
ʻO kēia mau ʻano ʻelua, ʻo ka AAA i loko o ka ʻōpū ka mea maʻamau. Malia paha kēia no ka mea ʻoi aku ka lahilahi o ka paia o ke aʻa i loko o ka ʻōpū ma mua o ka paia o ke aʻa i loko o ka umauma.
He mea maʻamau anei kēia maʻi? ʻO wai ka mea i pilikia nui?
He maʻi leo ʻole pinepine nā aneurysms aortic. ʻOi aku ka nui o ka loaʻa ʻana o ka AAA i nā kāne he 4-6 mau manawa ma mua o nā wahine, ʻoi aku hoʻi ma ka ʻōpū. Piʻi ka pilikia me ka makahiki.
Aia ʻoe i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i kahi aneurysm aortic inā loaʻa iā ʻoe nā kumu aʻe:
- Ka puhipaka: ʻO kēia ke kumu pilikia nui a hiki ke kāohi ʻia.
- Ma luna o 65 mau makahiki: I kou wā ʻelemakule, hiki ke emi ka ikaika o nā paia o kou aʻa.
- Inā he kāne ʻoe: ʻOi aku ka maʻamau o kēia ʻano i waena o nā kāne.
- Moʻolelo ʻohana: Inā ua loaʻa i kahi lālā pili o ka ʻohana (makuahine, makuakāne, kaikaina) kēia maʻi, ua ʻoi aku kou pilikia.
- Ke koko kiʻekiʻe (Hypertension): Hiki i ke koko kiʻekiʻe ke hōʻino i nā paia o nā aʻa a hoʻonāwaliwali iā lākou.
No ke aha lā kēia e hana nei? He aha nā kumu?
He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia, akā ua ʻike ʻia hiki i kekahi mau kūlana ke kōkua i ia.
- Atherosclerosis: Hōʻiliʻili ka cholesterol a me ka momona i loko o nā paia o ke aʻa, e hoʻoemi a paʻakikī ai nā aʻa. Hoʻonāwaliwali kēia i nā paia o ke aʻa.
- Ka mumū ʻana i loko o nā aʻa: Hiki i kekahi mau maʻi ke hoʻoulu i nā paia o nā aʻa e pehu a nāwaliwali.
- Nā maʻi hoʻoilina: ʻO nā maʻi genetic e hoʻopilikia i nā ʻiʻo pili, e like me Marfan syndrome a me Ehlers-Danlos syndrome, hiki ke hoʻoulu i ka nāwaliwali congenital o nā paia o ke aʻa.
- ʻEha aortic: Ka hōʻino ʻana i ka aorta, e like me kahi ulia koʻikoʻi.
- ʻO kekahi mau maʻi: ʻO kekahi mau maʻi bacteria, e like me syphilis, hiki ʻole ke hana i kēia.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
ʻO kēia ka ʻāpana weliweli loa o kēia maʻi. ʻAʻohe hōʻailona o ka nui o ka poʻe. ʻAʻole lākou i ʻike ua loaʻa iā lākou a hiki i ka wā e pahū ai ka aneurysm. ʻO ia ke kumu i kapa ʻia ai ʻo ka "pepehi kanaka leo ʻole."
Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona i ka ulu mālie ʻana o ka aneurysm. Eia kekahi, inā pohā ia, he koke loa a koʻikoʻi nā hōʻailona. E nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.
| Nā hōʻailona o ka Aneurysm Aortic | |
|---|---|
| Nā hōʻailona e hiki mai ana i ka wā e hoʻonui mālie ai ka aneurysm | |
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| Nā hōʻailona o kahi aneurysm i haki koke ʻia - He pilikia kēia! | |
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He mea nui loa: Inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i kekahi o nā hōʻailona o ka aneurysm i haki, he pilikia olakino ia. Mai hoʻokaʻulua a hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) .
He aha nā pilikia e hiki ai i kēia ke hana?
ʻO ka pilikia koʻikoʻi a weliweli hoʻi, ʻo ia ka haki ʻana o ka aneurysm, hiki ke alakaʻi i ke kahe koko i loko o ke kino a me ka make paha.
Eia kekahi, hiki ke loaʻa kekahi kūlana weliweli. Ua kapa ʻia ʻo ia he aortic dissection . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka haehae ʻana o kahi waimaka liʻiliʻi ma ka papa o loko o ka paia o ke aʻa, a ʻo ke koko e hele mai ana ma o ia mea ma lalo o ke kaomi kiʻekiʻe e kahe ana ma waena o nā papa o ka paia. Hiki i kēia ke ālai i ke kahe koko i loko o ke aʻa, a i ka hopena hiki i ke aʻa ke pohā loa. He kūlana nō hoʻi kēia e pono ai ka mālama olakino ulia pōpilikia.
Pehea e ʻike ai ke kauka i kēia?
I ka manawa pinepine, ʻike ʻia kēia ʻano ma ke ʻano ulia pōpilikia i ka wā o ka hoʻāʻo ʻana no kekahi ʻano ʻē aʻe. No ka laʻana, hiki ke ʻike ʻia kahi aneurysm ʻōpū ma ke ʻano ulia pōpilikia i ka wā o kahi scan ultrasound i hana ʻia no ka ʻeha o ka ʻōpū.
Inā he mau mea pilikia kou a i ʻole nā hōʻailona i ʻōlelo ʻia ma luna nei, e kauoha kāu kauka i kekahi mau hoʻokolohua kūikawā e nānā i kēia kūlana.
- Nānā CT
- CT a i ʻole MRI angiography - Hiki i kēia ke ʻike maopopo i ke kahe ʻana o ke koko i loko o nā aʻa.
- ʻO ke kani ʻana o ka ultrasound (ultrasound scan)
Inā ʻike ʻia ma mua o ka pahū ʻana... he aha ka lāʻau lapaʻau?
Inā loaʻa kahi aneurysm ma mua o ka haki ʻana, aia kekahi mau ala e mālama ai. Aia ka lāʻau lapaʻau i ka nui o ka aneurysm, kona wahi, a me ka wikiwiki o kona ulu ʻana.
- No nā aneurysms liʻiliʻi (kali makaʻala): Inā liʻiliʻi ka aneurysm a ʻaʻole e ulu wikiwiki, hiki i kāu kauka ke hoʻoholo e nānā iā ia me ke ʻoki ʻole ʻana. E loaʻa iā ʻoe nā scans i nā manawa maʻamau e ʻike ai inā loli kona nui.
- Nā lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e hōʻemi i ke kaomi ma ka paia o ke aʻa a kaohi i ka wikiwiki o ka ulu ʻana o ka aneurysm.
- Lāʻau hoʻomalu koko.
- Nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā pae cholesterol koko.
Āhea ʻoe e pono ai ke ʻoki kino?
Inā ʻoi aku ka nui o ka aneurysm ma mua o kahi nui i koho ʻia, e ulu wikiwiki ana, a inā manaʻo ke kauka e kokoke ana e pahū, e ʻōlelo ʻia paha ke ʻoki ʻana. ʻElua ʻano nui o ke ʻoki ʻana.
| ʻAno o ke ʻoki kino | He maʻalahi kāu hana. |
|---|---|
| Hoʻoponopono ʻana i ka Aneurysm Hāmama | ʻO kēia ke kaʻina hana kuʻuna. Ma kēia kaʻina hana, wehe ke kauka ʻoki i ka ʻōpū a i ʻole ka umauma, wehe i ka ʻāpana puʻupuʻu o ke aʻa, a hoʻololi iā ia me kahi ʻōmole hana (graft). Hana pinepine ʻia kēia ʻoki i ka hihia pilikia o kahi aneurysm i haki. |
| ʻO ke ʻoki kino liʻiliʻi loa (Endovascular Aneurysm Repair - EVAR) | He ʻano hana hou kēia. Ma kahi o ka hana ʻana i kahi ʻoki nui, hoʻokomo ʻia kahi catheter (kahi ʻōmole lahilahi) ma o kahi lua liʻiliʻi ma ka ʻūhā, a hoʻokomo ʻia kahi ʻōmole hana maʻalahi ma o ia mea i ka aneurysm, kahi e kīkoʻo ʻia ai a hoʻoikaika ʻia ka paia o ke aʻa. Ua kapa ʻia kēia ʻano hana ʻo (TEVAR) a i ʻole (FEVAR) . |
Hiki iā kākou ke pale aku i kēia mai ka hana ʻana?
ʻOiai ʻaʻole hiki iā mākou ke hoʻololi i kekahi mau mea pilikia (e like me ka makahiki a me ka genetics), hiki iā mākou ke hōʻemi nui i ka pilikia o ka hoʻomohala ʻana i kēia maʻi weliweli ma ka hoʻololi ʻana i ko mākou nohona.
- E hoʻōki loa i ka puhipaka: Inā he mea puhipaka ʻoe, ʻo ka hoʻōki ʻana i kēia lā ka hoʻoholo maikaʻi loa hiki iā ʻoe ke hana.
- E ʻai i ka meaʻai olakino no ka puʻuwai: e ʻai iki i ka ʻaila, ka paʻakai, a me ke kō, a e ʻai hou aku i nā mea kanu, nā huaʻai, a me nā greens.
- E hoʻoikaika kino mau: E hana i nā hoʻoikaika kino maʻalahi e like me ka hele wāwae no 30 mau minuke ma ka liʻiliʻi i ka lā.
- E mālama i ke kaumaha olakino.
- Inā he koko kiʻekiʻe a cholesterol paha kou, e hahai i ka ʻōlelo aʻo a kāu kauka.
Leka Lawe-Home
- ʻO ka aneurysm aortic ka wā e nāwaliwali ai ka paia o ke kīʻaha koko nui o ko mākou kino a puʻupuʻu e like me ka pōpō.
- ʻO ka hapa nui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona a hiki i ka pahū ʻana. ʻO ia ke kumu he mea weliweli loa ia.
- ʻO ka puhipaka, ke koko kiʻekiʻe, ka ʻoi ʻana o 65 mau makahiki, a me ka mōʻaukala ʻohana nā kumu nui o ka pilikia.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma, ka ʻōpū a i ʻole ke kua, ka poniuniu, a i ʻole nā hōʻailona ʻē aʻe, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) .
- Hiki i kahi nohona olakino ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia maʻi.
- Inā ʻoe i loko o kahi hui pilikia, he mea nui loa e kamaʻilio me kāu kauka a loaʻa i nā hoʻokolohua e pono ai.
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