He puʻupuʻu e like me ka pōpō pehu kou umauma? (Thoracic Aortic Aneurysm) - E kamaʻilio kākou e pili ana i kēia!

Ke ʻeha nei ʻoe i kekahi manawa ma kou umauma, ʻāʻī, a i ʻole ka ʻāwae? A i ʻole ka paʻakikī iki o ka hanu ʻana, a i ʻole ka manaʻo o ka ʻū ʻana i ka moni ʻana? ʻO ka hapa nui o ka manawa, poina iā mākou kēia mau mea, me ka manaʻo he mea maʻamau lākou, malia paha he mea e like me ka gastritis. Eia naʻe, i kekahi manawa hiki i kēia ke lilo i hōʻailona o kahi mea e pono ai ka nānā iki. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi pehu e like me ka balloon e hiki ke hana i loko o ke kīʻaha koko nui i loko o ko mākou umauma, ʻo ka aorta . I ka lāʻau lapaʻau, kapa mākou i kēia he 'Thoracic Aortic Aneurysm '.

He aha kēia 'Thoracic Aortic Aneurysm'? I ka ʻōlelo maʻalahi...

E noʻonoʻo he ʻōnaehana hoʻolako wai nui ko kou hale. Pēlā ka hana a ka aorta i loko o ko kākou kino. ʻO kēia ke aʻa nui loa a koʻikoʻi loa e lawe ana i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa. Ua like kona ʻano me kahi paipu.

I kēia manawa, ʻo kēia 'Thoracic Aortic Aneurysm' ʻo ia ka wā e nāwaliwali ai ka paia o kou aorta e holo ana ma kou umauma (ʻo ia ke kumu i kapa ʻia ai ʻo 'Thorax' a i ʻole ka lua o ka umauma) a puʻupuʻu i waho e like me ka pōpō ma kahi hoʻokahi. Kapa pū kekahi poʻe i kēia he dilation a i ʻole ka hoʻonui ʻana o ke aʻa. Ma ke ʻano laulā, inā ʻoi aku ka laulā o kēlā ʻāpana o ka aorta ma mua o 50% o kona laulā maʻamau, manaʻo mākou he 'Aneurysm', a i ʻole he bulge/bulge. Hiki ke ʻokoʻa kēia "laulā maʻamau" mai kahi a i kahi i loko o ka aorta.

Hiki ke loaʻa kēia mau puʻupuʻu ma nā wahi āpau o ka aorta. ʻO ka hapa pinepine, loaʻa lākou ma ka ʻōpū (kapa mākou iā lākou ʻo 'Abdominal Aortic Aneurysm'), akā hiki i hoʻokahi i loko o ʻehā mau kānaka ke loaʻa i kēia ʻano ma ka umauma.

ʻAʻole paha e koi ʻia ka mālama nui ʻana o nā aneurysms liʻiliʻi. ʻO nā lāʻau lapaʻau a me nā hoʻokolohua kiʻi maʻamau (e like me nā scans) e kāohi i ke kūlana kumu e lawa paha. Eia nō naʻe, inā nui kou aneurysm a ulu wikiwiki paha, pono paha ke ʻoki ʻana e pale aku i nā pilikia e hoʻoweliweli ana i ke ola . E hoʻoholo nā kauka i ka lāʻau lapaʻau maikaʻi loa nāu a me ka wā e hana ai, no ka mea makemake lākou e loaʻa iā ʻoe nā hopena maikaʻi loa.

Pehea ka maʻamau o kēia ʻano?

ʻO kēia kūlana, i kapa ʻia ʻo 'Thoracic Aortic Aneurysm', hoʻopilikia pinepine ia ma waena o 6 a me 10 no 100,000 mau kānaka. Eia nō naʻe, he paʻakikī ke ʻōlelo pololei i ka helu, no ka mea, ʻo ka hapa nui o ka manawa ʻaʻole hōʻike kēia mau aneurysms i nā hōʻailona a no laila ʻaʻole ʻike ʻia. Ma kahi o 20% o nā maʻi i ʻike ʻia i kēia manawa he mōʻaukala ʻohana o ke kūlana, ʻo ia hoʻi he pilina genetic.

Ma ʻAmelika Hui Pū ʻIa wale nō, ua manaʻo ʻia he 30,000 mau kānaka e make ana i kēlā me kēia makahiki mai ka dissection aortic a i ʻole ka haki ʻana, no laila ʻaʻole kēia he mea e lawe māmā ʻia.

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He aha nā hōʻailona o ka aneurysm aortic thoracic?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka poʻe me kēia "aneurysm" iā ia, no ka mea, ʻaʻohe pinepine nā hōʻailona.Eia naʻe, i kekahi manawa hiki iā ia ke hōʻike i nā hōʻailona e like me kēia:

• Ke ʻeha nei ma kou ʻauwae, ʻāʻī, umauma, a i ʻole ke kua i luna .
• Ke paʻakikī i ka ale ʻana a i ʻole ka ʻeha i ka ale ʻana (inā e kaomi ana ka aneurysm ma kou esophagus).
• Ka leo haʻalulu (inā e ʻomi ana kēia aneurysm i nā aʻalolo e kaohi ana i kou leo).
• ʻUmi a paʻakikī paha ka hanu ʻana (inā e hoʻopaʻa ana ka aneurysm i kou alaloa).

Nā hōʻailona o ka haki ʻana o ka aneurysm (Rupture) a i ʻole ka dissection (Dissection) - he pilikia kēia!

ʻAʻohe hōʻailona o ka nui o ka poʻe, a laila hiki koke ke haki a nahā paha kahi aneurysm. ʻO kēia mau mea ʻelua he mau pilikia olakino e pono ai ka mālama koke ʻana! Hiki ke hoʻomaka koke nā hōʻailona a hiki ke koʻikoʻi loa. Inā loaʻa iā ʻoe a i ʻole kekahi o kēia mau hōʻailona , ​​​​pono ʻoe e hele koke i ka haukapila :

• ʻEha koke a hiki ʻole ke hoʻomanawanui ma ka umauma a i ʻole ke kua. Wehewehe kekahi poʻe iā ia he ʻō ʻana, haehae ʻana, a pahū paha.
• Ka poniuniu a i ʻole ka manaʻo o ka wili ʻana.
• Paʻakikī ka hanu ʻana.
• Piʻi ka helu o ka puʻuwai.
• Ka hou nui ʻana.
• Ka huikau.
• Paʻakikī i ka ʻōlelo ʻana.
• Ka nalowale ʻana o ka ʻike.
• Ka nāwaliwali a i ʻole ka maneʻo ma kekahi ʻaoʻao o ke kino.

I ke kūlana e like me kēia , he mea nui kēlā me kēia hola a me kēlā me kēia minuke. ʻO ka lōʻihi o kou hoʻopaneʻe ʻana i ka ʻimi ʻana i ka lāʻau lapaʻau, ʻo ka liʻiliʻi o ka hiki ke hoʻopakele i kou ola. No laila, mai lawe māmā i kēia mau hōʻailona.

He aha nā kumu o ka 'Thoracic Aortic Aneurysm'?

ʻO ke kumu nui o ka Thoracic Aortic Aneurysm he maʻi i kapa ʻia ʻo Atherosclerosis. I ka ʻōlelo maʻalahi, ʻo ia ka wā e hōʻiliʻili ai nā waihona momona (plaque) i loko o nā paia o ko mākou mau kīʻaha koko, e hoʻohaiki mālie ana iā lākou. I ka hala ʻana o ka manawa, hoʻonāwaliwali kēia mau waihona momona i nā paia o ka aorta, e ʻoi aku ka maʻalahi o ka hoʻomohala ʻana i kahi aneurysm.

ʻO ka maʻamau, he ikaika nā paia o ko kākou aorta a pono e hiki ke hoʻonui a hoʻemi e like me ka mea e pono ai ke kahe ke koko. E noʻonoʻo e pili ana i ia mea, ʻo kēia aorta kahi e puka pololei mai ai ke koko mai ka puʻuwai. No laila, pono e hiki ke kū i ke kaomi i hana ʻia i ka wā e pamu ikaika ai ka puʻuwai i ke koko.

Hiki i kahi aorta olakino ke hana i kēia me ka ʻole o nā pilikia. Eia nō naʻe, inā nāwaliwali nā paia o ka aorta, hiki i ke kaomi mai ka puʻuwai ke hana i kahi ʻāpana o ka aorta e pehu i waho, e hana ana i kahi aneurysm. He mea ʻē kēia pehu, e hoʻololi ana i ke ʻano o ka ʻōmole o ka aorta. Ke hoʻomau nei ke kahe ʻana o ke koko ma o kēia pehu, ua kau ʻia ke kaomi hou aʻe ma luna o nā paia i nāwaliwali mua ʻia, e hoʻonāwaliwali hou aku ana iā lākou. ʻO ka hopena, ua pehu hou aku nā paia. ʻO ka nui o ka aneurysm, ʻoi aku ka weliweli.

He aha nā kumu pilikia?

ʻO kēlā me kēia mea e hoʻonāwaliwali ai i nā paia o ka aorta e hoʻonui i ka pilikia o ka loaʻa ʻana o kahi aneurysm. Ma waho aʻe o ka atherosclerosis, aia kekahi mau kumu pilikia ʻē aʻe:

• ʻAortitisHe ʻano mumū e kū mai ana i loko o ka aorta.
• ʻO ka maʻi valve aortic bicuspid : ʻElua mau lau o ka valve aortic o ka puʻuwai (ʻo ka maʻamau he ʻekolu).
• ʻO ka maʻi ʻaʻa coronary (CAD) : Nā maʻi e pili ana i nā aʻa coronary e hoʻolako i ke koko i ka ʻiʻo o ka puʻuwai.
• Loaʻa kahi moʻolelo ʻohana o ka aneurysm (moʻolelo ʻohana).
• Ke koko kiʻekiʻe .
• ʻO ka maʻi Loeys-Dietz : He ʻano maʻi genetic kakaikahi e pili ana i nā ʻiʻo pili.
• ʻO Marfan syndrome : ʻO kekahi ʻano genetic e hoʻopilikia ai i nā ʻiʻo pili.
• ʻOiai ma luna o 65 mau makahiki.
• Ka puhipaka a i ʻole ka hoʻohana ʻana i kekahi huahana paka.
• ʻO ka 'Turner syndrome' : He maʻi genetic e pili wale ana i nā wahine.
• ʻO ka maʻi Vascular Ehlers-Danlos : He maʻi pili pili kakaikahi e hoʻopilikia ai i nā kīʻaha koko.

Hiki ke hoʻoilina ʻia ka Thoracic Aortic Aneurysm?

ʻAe, hiki i ka Thoracic Aortic Aneurysm ke holo i loko o nā ʻohana. ʻO ia hoʻi , hiki ke hoʻoili ʻia i nā hanauna. Ua ʻike nā kānaka noiʻi i kekahi mau hoʻololi genetic e hoʻonui ai i ka pilikia. ʻO kēia mau mea, ʻo nā hoʻololi i loko o ka gene ACTA2 ka mea maʻamau.

Ke haʻi aku nei ka gene ACTA2 i ko mākou kino e hana i kekahi mau protein i loko o nā paia o ko mākou mau aʻa. Kōkua kēia mau protein i nā paia o ko mākou mau aʻa e mālama i ko lākou ʻano ma ke kākoʻo ʻana i ke kaomi o ke koko e kahe ana ma o lākou. Inā he mutation i loko o ka gene ACTA2, hiki i nā paia o ko mākou mau aʻa ke kīkoʻo nui i ka wā e kahe ai ke koko ma o lākou.

Eia nō naʻe, ʻaʻole hiki iā ʻoe ke ʻōlelo ua hoʻoilina ʻoe i kahi hoʻololi genetic no ka mea he aneurysm kou. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka pilikia. Inā ua loaʻa i kekahi o kou ʻohana pili biologically) kahi Thoracic Aortic Aneurysm, he manaʻo maikaʻi e kamaʻilio me kāu kauka. Hiki iā ia ke paipai i ka hoʻāʻo genetic .

Ma hea e hana ʻia ai kēia 'Thoracic Aortic Aneurysm'?

Hoʻokumu ʻia kēia mau mea ma kahi e nāwaliwali ai nā paia o ka aorta. ʻO nā mea e like me ka 'Atherosclerosis' (nā waihona momona) a mākou i kamaʻilio ai ma mua, a i ʻole nā ​​​​maʻi pili o ka ʻiʻo, hoʻonāwaliwali i nā paia o ka aorta, e maʻalahi ai ka hana ʻana o 'Aneurysm'.

Ua ʻike anei ʻoe ʻo ka aorta ke kīʻaha koko nui loa i loko o ko kākou kino? Ua like ia me ke koʻokoʻo hele kahiko. Hoʻomaka ia ma ka puʻuwai, piʻo i luna, a laila iho i lalo ma ka umauma a me ka ʻōpū. Hoʻopau ia ma luna pono o ka piko.

ʻO ka hapa pinepine, ulu ka Thoracic Aortic Aneurysm ma ka aorta ascending a i ʻole ka aorta descending. I kekahi manawa kākaʻikahi, hiki nō hoʻi ke ulu ma ka ʻāpana arched o ka aorta - ka ʻāpana e like me ke kaula o kahi lāʻau.

Pehea ke koʻikoʻi o ka Thoracic Aortic Aneurysm?

He maʻi koʻikoʻi ka Thoracic Aortic Aneurysm. Aia kekahi mau pilikia e hiki ke hana:

• Ka haki ʻana o ka aneurysm.
• Ka ʻoki ʻana o ke aorta .
• Hoʻokumu ʻia nā ʻōpū koko ma kahi o ka aneurysm a hele i nā ʻāpana ʻē aʻe o ke kino (thromboembolism). Hiki i kēia mau ʻōpū koko ke hana i nā kūlana koʻikoʻi e like me ka hahau ʻana a i ʻole ka mesenteric ischemia .
• ʻO ka luaʻi ʻana o ka valve aortic .

He mau kūlana koʻikoʻi maoli kēia. ʻO ia ke kumu e pono ai mākou e makaʻala e pili ana i kēia 'Aneurysm'.

Pehea e ʻike ʻia ai kēia 'Thoracic Aortic Aneurysm'?

ʻO ka hapa pinepine, ʻike ʻia kahi Thoracic Aortic Aneurysm ma ka ulia . ʻO ia hoʻi, ʻike ʻia ia i ka wā e hana ana nā kauka i nā hoʻokolohua no kekahi kumu ʻē aʻe. No ka laʻana, hiki i kahi X-ray umauma ke hōʻike i ka ʻaoʻao waena o kou umauma (ka mediastinum) ʻoi aku ka laulā ma mua o ka maʻamau. He hōʻailona paha kēia o kahi aneurysm.

Inā kānalua kāu kauka i kahi Thoracic Aortic Aneurysm, mai kahi X-ray a i ʻole no nā kumu ʻē aʻe, e kauoha ʻo ia i nā hoʻokolohua penei:

• ʻO ka ʻangiogram tomography i helu ʻia (CT) : He scan CT kūikawā kēia.
• ʻEchocardiogram (echo) : He scan ultrasound o ka puʻuwai.
• ʻO ka angiogram resonance magnetic (MRA) : He scan e nānā ana i nā kīʻaha koko me ka hoʻohana ʻana i ka ʻenehana MRI.
• ʻŌmole ultrasound : He hoʻāʻo ultrasound e nānā i kahi aneurysm i loko o ka aorta ʻōpū.

He aha nā lāʻau lapaʻau no ka Thoracic Aortic Aneurysm?

ʻO ke ʻoki ʻana o ka aorta ka lāʻau lapaʻau nui a mau loa no ka Thoracic Aortic Aneurysm. Hoʻohana nā kauka i nā ʻano hana ʻoki like ʻole. ʻO kekahi o lākou:

• ʻO ke ʻoki kino kuʻuna : ʻO kēia ka hana ʻana i kahi ʻoki lōʻihi ma waenakonu o ka umauma, e wehe ana i ka ʻāpana i hōʻino ʻia o ka aorta, a hoʻololi iā ia me kahi ʻōmole hana (graft). Hoʻohana ʻia kēia ʻano hana e mālama i nā aneurysms ma ka aorta piʻi, a me nā aneurysms paʻakikī ma ka umauma a me ka ʻōpū.
• Hoʻoponopono ʻoki kino endovascular Thoracic (TEVAR) : He hana ʻoki kino minimally invasive kēia. ʻO ia hoʻi, hana ʻia me ka ʻole o ka hana ʻana i nā ʻoki nui. Hoʻohana ʻia ia e mālama i nā aneurysms ma ka aorta iho. Ma kēia kaʻina hana, hana ke kauka lapaʻau i nā ʻoki liʻiliʻi ma kou ʻūhā, hoʻohana i kahi artery (femoral artery) e hele ana ma waena, a hoʻohana i kahi catheter (ʻōmole lahilahi) e hoʻokomo i kahi graft i loko o ka aneurysm.
• Hoʻololi aʻa aorticHana ʻia kēia ʻoki no kahi Aneurysm ma kahi e pili ai ka aorta i ka puʻuwai (Aortic root). Hiki paha i kēia ke pili i ka hoʻololi ʻana i kāu valve aortic. Ma kekahi ʻaoʻao, hiki ke hoʻohana ʻia nā Valve-sparing techniques e mālama i kāu valve kūlohelohe.

I kekahi manawa, hoʻohui nā kauka ʻoki i nā ʻano hana he nui (no ka laʻana, ke ʻoki hāmama a me ka mālama ʻana i ka endovascular) ma muli o ke ʻano o ka aneurysm. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau ma ke kikowaena aorta e hoʻonui i kāu mau koho a me kou manawa kūpono o kahi hopena maikaʻi.

Āhea wau e pono ai ke ʻoki kino?

Na ke kauka e hoʻoholo inā pono ʻoe i ke ʻoki ʻana, a inā pēlā, i ka wā hea, ma ka noʻonoʻo ʻana i kēia mau mea:

• Ka nui a me kahi o ka aneurysm.
• Pehea ka wikiwiki o ka ulu ʻana o ka aneurysm .
• Inā paha ke kumu o ka aneurysm i nā hōʻailona a pehea ke koʻikoʻi o lākou .
• Nā pilikia olakino ʻē aʻe āu e loaʻa nei.

Inā nui ka aneurysm a i ʻole e hōʻike ana i nā hōʻailona, ​​pono paha ke ʻoki ʻana e pale aku i kona pahū ʻana. He mea nui ka nui o ka aneurysm no ka mea ʻo ka nui o ia mea, ʻo ka nui o ka pahū ʻana. ʻO ka maʻamau, e hoʻoholo nā kauka e hana i ke ʻoki ʻana inā aia ka aneurysm ma waena o 2 a me 2.2 ʻīniha (ma kahi o 5 a 5.5 kenimika) ka laulā, a inā paha e ulu ana ma kahi o ka hapalua kenimika i kēlā me kēia makahiki.

Akā, ʻaʻole wale ka nui e helu ʻia. Inā loaʻa iā ʻoe kahi maʻi pili o nā ʻiʻo, kahi valve aortic bicuspid, a i ʻole nā ​​​​mea ʻē aʻe e hoʻonui ai i kou pilikia o ka haki ʻana a i ʻole ka haki ʻana, hiki i kāu kauka ke hoʻoholo e hana i ke ʻoki ʻana ma mua. E kamaʻilio me kāu kauka e pili ana i ka nui o kou aneurysm a me ka wā e pono ai ke ʻoki ʻana.

"Ke kali makaʻala"

Inā liʻiliʻi ka aneurysm a ʻaʻohe ona hōʻailona, ​​ʻaʻole paha ʻoe e pono koke i ke ʻoki ʻana. Akā, e nānā kāu kauka i kou kūlana (ua kapa ʻia kēia he kali makaʻala). Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka pilikia o nā pilikia.

Eia kekahi laʻana, hiki ke kauoha ʻia nā scan kiʻi i kēlā me kēia 6 a 12 mau mahina e nānā i nā loli i loko o ka aneurysm. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko a hoʻemi i ke kaomi ma ka ʻāpana nāwaliwali o kou aorta. Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino ke ʻoi aku ka maikaʻi o nā pono o ke ʻoki kino ma mua o nā pilikia .

Hiki ke pale ʻia ka Thoracic Aortic Aneurysm?

ʻAʻohe ala kikoʻī e pale aku ai i kēia maʻi. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka atherosclerosis (kahi kumu nui o nā aneurysms). Eia kekahi mau mea hiki iā ʻoe ke hana:

• E kāohi i kou koko a me nā pae cholesterol.
• E hahai i kahi papaʻai olakino no ka puʻuwai (e.g., ka Mediterranean Diet ).
• E hōʻalo i nā huahana paka a pau.
• E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino kaulike i kēlā me kēia pule (akā e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi hoʻolālā hoʻoikaika kino hou).
• E hana i kahi hoʻokolohua olakino makahiki, a hele i nā manawa hoʻopaʻa i hoʻonohonoho ʻia.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me kahi Thoracic Aortic Aneurysm?

ʻO ka manawa ola e pili ana i nā kumu he nui, me ka nui o ka aneurysm a inā paha e hoʻoulu ai i nā pilikia. Hiki i nā aneurysms nui ke lilo i mea weliweli. Ma kahi o 65% o ka poʻe me kahi aneurysm nui i mālama ʻole ʻia e ola ana i hoʻokahi makahiki ma hope o ka hōʻoia ʻana. ʻO 20% wale nō e ola ana i ʻelima mau makahiki.

Eia nō naʻe, me ka mālama pono ʻana, hiki ke hoʻonui nui ʻia kou manaʻolana ola a hiki iā ʻoe ke ola i kahi ola lōʻihi a olakino. ʻO ia ke kumu he mea nui e ʻike inā ʻoe e pilikia ana i ka loaʻa ʻana o kahi Thoracic Aortic Aneurysm a hana pū me kāu kauka e mālama i ke kūlana.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kahi aneurysm, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana iā ʻoe iho. Hiki iā ia ke ʻōlelo i nā mea e like me:

• E pale i ka hoʻoikaika kino ikaika. ʻO nā mea e like me ka hāpai kaumaha kaumaha a i ʻole ka hoʻomaʻamaʻa waena kiʻekiʻe (HIIT) hiki ke kau i ke kaumaha hou ma kou mau aʻa. E nīnau i kāu kauka i nā ʻano hoʻoikaika kino palekana nou.
• E pale i ka hoʻohana ʻana i ka paka. Hoʻonui ka paka i ka pilikia o nā maʻi cardiovascular he nui. Inā ʻoe e puhipaka a hoʻohana paha i nā huahana paka ʻē aʻe, e ʻimi i ke kōkua e haʻalele.
• E hoʻololi i kāu papaʻai. Pono paha ʻoe e hōʻemi i kāu ʻai paʻakai a i ʻole e hana i nā hoʻololi ʻē aʻe e maikaʻi no ke olakino o kou aʻa.
• E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha. Pono paha ʻoe i nā lāʻau lapaʻau e kāohi i nā kūlana olakino ma lalo. E nīnau i kāu kauka inā he mau nīnau kāu e pili ana i ke ʻano o ka lawe ʻana i kēia mau lāʻau lapaʻau.
• E hōʻalo i nā mea e hoʻonui ai i ka helu o ka puʻuwai. ʻO nā laʻana e komo pū me ka cocaine, nā amphetamines, a me kekahi mau mea hoʻohui lāʻau.

Āhea wau e ʻike ai i kaʻu kauka?

E ʻike i kāu kauka no kahi nānā makahiki, a e mālama i kāu mau manawa hoʻopaʻa a pau. E kāhea koke i kāu kauka inā:

• Inā ʻike ʻoe i nā hōʻailona hou a i ʻole nā ​​​​loli i nā hōʻailona e kū nei .
• Inā hoʻoulu ka lāʻau lapaʻau i nā hopena ʻaoʻao i manaʻo ʻole ʻia .
• Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu hoʻolālā lapaʻau.

Āhea wau e hele ai i ka lumi pilikia (ER)?

Nā hōʻailona o kahi aneurysm i haki a haki pahaInā pēlā, e kelepona i ka 911 (1990 ma Sri Lanka) a i ʻole e hele koke i ka lumi pilikia kokoke loa. He mau pilikia olakino kēia e pono ai ka mālama koke ʻana e hoʻopakele i nā ola.

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

Inā haʻi aku kāu kauka iā ʻoe he Thoracic Aortic Aneurysm kou, ʻaʻole paha ʻoe e ʻike i ka mea e nīnau mua ai. Eia kekahi mau nīnau e hoʻomaka ai:

• Pehea ka nui o koʻu aneurysm?
• He mea e hopohopo ai kēia nui?
• He aha ka mea i hiki ai ke kumu o kēia 'aneurysm'?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona?
• ʻEhia pinepine e pono ai iaʻu ke hele mai no nā hoʻokolohua hahai?

He aha kēia 'Thoracoabdominal aneurysm'?

He ʻano ʻAneurysm kēia. He ʻano ʻAneurysm kēia e pālahalaha ana ma kou umauma (Thorax) a me kou ʻōpū (Abdomen). ʻO kēia ʻano he 15% o nā ʻAneurysms āpau e ulu ana i loko o ka aorta.

Hiki ke hopohopo ka ʻike ʻana he aneurysm kou i loko o kou umauma. Malia paha ʻaʻole ʻoe i noʻonoʻo e pili ana i ke olakino o kou mau aʻa a pehea lākou e hana ai. A i ʻole, ua hānau ʻia paha ʻoe me kahi maʻi pili, no laila ua ʻike nui ʻoe i nā hana o loko o kou kino. ʻAʻohe mea āu e ʻike ai, ʻo kēia ka manawa e aʻo hou ai e pili ana i kou kūlana a hana i nā hana e hōʻemi i kou pilikia o nā pilikia.

E kamaʻilio me kāu kauka e pili ana i nā mea āu e manaʻo ai ma muli o kou kūlana. E hiki iā ia ke hoʻopilikino i kahi hoʻolālā lapaʻau e kūpono i kāu mau pono, e pane i kāu mau nīnau, a hāʻawi iā ʻoe i ka ʻike e pono ai ʻoe e neʻe i mua.

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

He maʻi koʻikoʻi ka Thoracic Aortic Aneurysm. Eia nō naʻe, me ka ʻike mua ʻana, ke aʻo lapaʻau kūpono, a me ka mālama kūpono, loaʻa iā ʻoe kahi manawa kūpono e ola ai i kahi ola olakino a lōʻihi.

• E hoʻolohe i nā hōʻailona: Mai hoʻowahāwahā i nā mea e like me ka ʻeha koke, ka ʻeha nui o ka umauma a i ʻole ke kua.
• E hoʻāʻo ʻia inā he mau kumu pilikia kou: Inā ua loaʻa i kekahi o kou ʻohana kēia maʻi, a inā he koko kiʻekiʻe kou a puhipaka paha, e ʻimi i ke kōkua lapaʻau.
• E hahai pono i nā ʻōlelo a kāu kauka: e lawe i kāu mau lāʻau lapaʻau i kuhikuhi ʻia, e hahai i nā ʻōlelo aʻoaʻo no ka hoʻoikaika kino a me ka ʻai ʻana, a e hele i nā hoʻokolohua a me nā manawa i hoʻonohonoho ʻia.
• E pale loa i ka puhipaka: ʻO kēia kekahi o nā mea nui loa hiki iā ʻoe ke hana.

Mai hopohopo, ʻaʻole ʻoe hoʻokahi. Ua mākaukau kāu hui lapaʻau e kōkua iā ʻoe. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia kūlana a mālama pono i kou olakino.

ʻO ka Aneurysm Aortic Thoracic, aorta, ʻeha umauma, maʻi puʻuwai, nā kīʻaha koko, aneurysm, ʻoki kino