Ua lohe anei ʻoe i ke kūlana weliweli i kapa ʻia ʻo Aortic Dissection? E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī!

Ua noʻonoʻo paha ʻoe i ke ʻano o ka pōʻino e hiki ke hana i ke kīʻaha koko nui i loko o ko kākou kino, ʻo ia ka paipu nui loa e lawe ana i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa? He kūlana weliweli ka aortic dissection e hiki koke ke lilo i mea hoʻoweliweli i ke ola. ʻOiai he mea weliweli iki kēia, he mea nui loa ia e makaʻala i kēia. No ka mea, inā ʻike mua ʻia, hiki ke mālama ʻia.

He aha ka Aortic Dissection? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka aortic dissection he haehae (he haehae) i loko o ka paia o kou aorta , ke kīʻaha koko nui e lawe ana i ke koko oxygenated mai kou puʻuwai a i kou kino holoʻokoʻa. E noʻonoʻo i ka aorta ma ke ʻano he paipu wai nui i loko o kou home. Holo ia ma kou umauma, ma kou ʻōpū, a iho i kou mau wāwae.

He ʻano maʻi laha ʻole kēia. Penei ka hana ʻana: ʻEkolu papa o ka paia o ka aorta. No kekahi kumu, ua nāwaliwali ka papa o loko o kēia paia, e hana ana i kahi haehae liʻiliʻi i loko. A laila, holo wikiwiki ke koko kiʻekiʻe ma o ka haehae, e hoʻokaʻawale ana i ka papa o loko a me ka papa waena. Ua like ia me ka paia i haehae ʻia i ʻelua. Ua kapa ʻia kēia he dissection .

Ke hoʻomaka ke koko e kahe i ke ala kūpono ʻole e like me kēia, hiki ke ālai ʻia a hoʻemi ʻia paha ke kahe koko maʻamau i nā ʻāpana ʻē aʻe o ke kino. I kekahi mau hihia, hiki ke pahū ka aorta holoʻokoʻa.

He kūlana koʻikoʻi loa kēia a hoʻoweliweli i ke ola. Inā ʻaʻole i ʻike koke ʻia a mālama ʻia, hiki ke make. No laila, inā ʻike ʻoe i kēia mau hōʻailona, ​​mai hopohopo a hele koke i kahi lumi pilikia.

Ua hōʻike ʻia aia kēia maʻi ma waena o 5 a me 30 no ka miliona kanaka i kēlā me kēia makahiki.

He aha nā ʻano nui o ka dissection aortic?

ʻElua mau ʻano nui o ka dissection aortic:

1. ʻO Stanford Type A Aortic Dissection: Hoʻomaka kēia ma ka hoʻomaka ʻana o kou aorta, ʻo ia ka ʻāpana kokoke loa i kou puʻuwai. Hiki ke hoʻoweliweli i ke ola . ʻO ka maʻamau, pono ia i kahi ʻoki umauma wehe ulia pōpilikia. Pili kēia i ka hoʻoponopono ʻana i ka hoʻomaka ʻana o ka aorta i haehae ʻia a i ʻole ka wehe ʻana a me ka hoʻololi ʻana me kahi ʻāpana prosthetic. ʻO ka hapa nui o ka manawa, hoʻomau ka dissection a hiki i lalo o ka aorta. ʻOi aku ka maʻamau o ke ʻano A ma mua o ke ʻano B.

2. ʻO ka hoʻokaʻawale ʻana o ke aortic ʻAno B ʻo Stanford:Hoʻomaka ia ma ka ʻaoʻao haʻahaʻa o ka aorta, kahi mamao iki aku mai ka puʻuwai, ma hope pono o ke ā aortic, ma ka aorta iho. E like me ke ʻano A, hiki iā ia ke hoʻolōʻihi pinepine mai ka aorta iho a i ka aorta ʻōpū. Eia naʻe, ʻaʻole ia e pili i ka ʻāpana mua o ka aorta. Pono paha a ʻaʻole paha e koi koke ʻia ke ʻoki ʻana. Aia kēia ma kahi o ka dissection a inā paha e ʻoki ana i ke kahe koko i kāu mau ʻōkana ʻē aʻe.

Hoʻohana nā kauka i kahi ʻōnaehana hoʻokaʻawale ʻē aʻe, i kapa ʻia ʻo ka ʻōnaehana hoʻokaʻawale ʻo DeBakey . ʻEkolu ona ʻano. Hoʻomaka ke ʻano mua (ʻAno 1) ma ka aorta piʻi aʻe a hiki i ka aorta iho. Hoʻomaka ke ʻano ʻelua (ʻAno 2) ma ka aorta piʻi aʻe a ua kaupalena ʻia i ka aorta piʻi (ua like nā mea ʻelua me ke ʻano Stanford A). Hoʻomaka ke ʻano ʻekolu (ʻAno 3) ma ka aorta iho a iho i lalo (ua like kēia me ke ʻano B).

He aha nā hōʻailona o ka aortic dissection? Pehea ʻoe e ʻike ai?

ʻO ke ʻano nui o ka dissection aortic, ʻo ia ka hiki koke ʻana mai . Hiki ke hana i kēlā me kēia manawa. Hana pinepine ia i ka wā hoʻoikaika kino, me ka piʻi koke ʻana o ke koko. Eia nō naʻe, hiki nō hoʻi ke hana ʻia i kou wā e hiamoe ana a kū wale ana paha. ʻAʻohe hōʻailona hōʻailona e hele mai ma mua.

Eia nā hōʻailona maʻamau āu e ʻike ai:

• He ʻeha koke, koʻikoʻi, a ʻoi ma ka umauma a i ʻole ke kua o luna. Hiki ke manaʻo ʻia me he mea lā e haehae ʻia ana mai loko mai, e hou ʻia ana me ka pahi, a i ʻole e haehae ʻia ana ka ʻili.
• ʻEha nui o ka ʻōpū.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• Ka mae ʻana a i ʻole ka poniuniu.
• Ke koko haʻahaʻa.
• Nā leo puʻuwai ʻē (ka murmur puʻuwai diastolic a i ʻole nā ​​​​leo puʻuwai muffled).
• He pulse wikiwiki a nāwaliwali.
• Ka hou nui ʻana.
• Huikau (hiki ʻole ke noʻonoʻo pono).
• Ka nalowale ʻana o ka ʻike.
• ʻO nā hōʻailona o ka hahau ʻana e komo pū ana me ka nāwaliwali ma kekahi ʻaoʻao o ke kino a me ka paʻakikī i ka ʻōlelo ʻana.

Inā loaʻa iā ʻoe nā hōʻailona o ka dissection aortic e like me kēia, ʻoiai ka ʻeha nui o ka umauma a i ʻole nā ​​​​hōʻailona o ka hahau ʻana, e kāhea koke i ka 911 a i ʻole e hele i ka lumi pilikia kokoke loa. Mai manaʻo he mea maʻamau kēia, he mea nui kēlā me kēia kekona.

He aha nā kumu o ka dissection aortic?

Hana ʻia kahi ʻoki ʻana o ka aorta i ka wā e nāwaliwali mālie ai nā ʻāpana i loko o nā paia o ka aorta. Ua mau paha kēia nāwaliwali no nā makahiki, a hiki i ka wā e hiki ʻole ai i kahi nāwaliwali loa o ka paia aortic ke kū i mua. ʻO ia ka manawa e haehae ai, e hana ana i kahi ʻoki ʻana o ka aortic.

Manaʻo nā kauka ʻo ka hapa nui o nā hihia o ka ʻoki ʻana o ka aortic i hana ʻia e ka nāwaliwali kumu i ka paia aortic (malia paha he hoʻoilina). I nā hihia ʻē aʻe, hiki i ke kaomi mai ke koko kiʻekiʻe mau ke hoʻonāwaliwali i ka paia aortic, e alakaʻi ana i ka haehae a me ka ʻoki ʻana.

ʻO ka maʻamau, hana ʻia ka ʻoki ʻana o ke aortic ma nā wahi i lalo o ke kaomi nui loa o ka paia aortic. No ka laʻana, kou aorta piʻi. ʻOi aku ka pinepine o ka ʻoki ʻana ma ka aorta luna ma mua o nā mea ma ka aorta haʻahaʻa.

ʻO wai ka mea i pilikia nui no kēia? He aha nā kumu pilikia?

Aia kekahi mau kumu e hoʻonui ai i kou pilikia o ka hoʻomohala ʻana i ka aortic dissection. E nānā inā pili kēia mau mea iā ʻoe:

• Ke koko kiʻekiʻe mau (hypertension): ʻO kēia ke kumu pilikia koʻikoʻi a maʻamau . Hoʻopōʻino pololei ke koko kiʻekiʻe i nā papa ʻiʻo o ka aorta. ʻO kēia ke kumu o ka nalowale ʻana o nā olonā elastic, ka hiolo ʻana o ke ʻano o ka paia, a me ka mānoanoa o ka paia.
• ʻO ka Atherosclerosis (nā waihona momona i loko o nā kīʻaha koko) a i ʻole ke kolamu kiʻekiʻe.
• Ka hoʻohana ʻana i nā huahana paka (cigarettes, beedis, etc.).
• ʻO ka aneurysm Aortic (kahi puʻupuʻu kūpono ʻole a i ʻole ka puʻupuʻu ma ka paia o kou aorta).
• ʻO ka maʻi o ka valve aortic.
• ʻO nā maʻi puʻuwai hānau ʻole, e like me ka valve aortic bicuspid (kahi valve me ʻelua mau leaflet ma kahi o nā ʻekolu maʻamau) a i ʻole ka maʻi Turner .
• ʻO nā maʻi pili o nā ʻiʻo, e like me ka Marfan syndrome a me ka Ehlers-Danlos syndrome, he mau pilikia ia e hiki ke hoʻoilina ʻia mai nā mākua a i nā keiki.
• ʻO nā kūlana aortic thoracic hoʻoilina ʻē aʻe, ka mea e hoʻopilikia nui ai i kāu aorta.
• Inā ua loaʻa i kekahi o kou ʻohana ka dissection aortic (mōʻaukala ʻohana).
• Aortitis (ka mumū/pehu ʻana o ka aorta).
• Nā ʻeha koʻikoʻi ma ka umauma. Eia kekahi laʻana, kahi ulia kaʻa wikiwiki, kahi hāʻule ʻana mai ke kiʻekiʻe o 20 kapuaʻi.
• ʻOiai he kāne (ʻoi aku ka nui o ka pilikia o nā kāne ma mua o nā wahine).
• Ma waena o 40 a me 70 mau makahiki. I kou wā ʻelemakule, e emi ana ka maʻalahi o ka paia aortic.
• Loaʻa ke koko kiʻekiʻe i ka wā hāpai, ʻoiai i ka wā hānau keiki.
• Nā hana e hiki ai ke hoʻoulu i ke koko kiʻekiʻe i kahi manawa lōʻihi, e like me ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine a i ʻole nā ​​amphetamines.

Hiki i kēia mau kūlana ke ulu koke i nā poʻe e komo ana i ka powerlifting a ua maʻalahi i nā aneurysms a i ʻole dissection.

Inā loaʻa iā ʻoe kēia mau mea pilikia kiʻekiʻe (e like me ka aneurysm a i ʻole kahi maʻi ʻiʻo pili), e ʻimi i kahi kikowaena aortic o ka maikaʻi loa no kāu mālama ʻana. Loaʻa i kēia mau kikowaena nā lāʻau lapaʻau hou loa. Hāʻawi pū lākou i ka mālama maikaʻi loa ma ka lawe pū ʻana mai i kahi hui multidisciplinary o nā kauka (cardiologists, radiologists, geneticists). Ua hōʻike ʻia nā haʻawina ʻo nā kikowaena e loea ana i ka mālama ʻana i nā maʻi aortic e loaʻa nā hopena maikaʻi loa no kēia mau hihia paʻakikī.

He aha nā pilikia e hiki mai ana mai ka dissection aortic?

Hiki i ka dissection aortic ke hana i nā pilikia koʻikoʻi e like me:

• Hahau.
• Ka hōʻino ʻana i ka valve aortic.
• Maʻi hohola.
• Ka hāʻule ʻana o ka puʻuwai.
• Ka hōʻino ʻana i nā ʻōpū o loko e like me nā puʻupaʻa.
• ʻO ka tamponade puʻuwai: ʻO ka hōʻiliʻili ʻana o ka wai ma waena o ka ʻiʻo puʻuwai a me ka ʻeke a puni ka puʻuwai (pericardium).
• Ka make.

Pehea e ʻike ai nā kauka i ka dissection aortic? He aha nā ʻano hana hōʻoia?

Hiki i ke kauka ke kānalua i ka dissection aortic ma muli o kāu mau hōʻailona. Eia nō naʻe, pono lākou e hoʻoholo inā he dissection aortic kou a i ʻole kekahi pilikia olakino ʻē aʻe i loaʻa nā hōʻailona like, e like me ka hōʻeha puʻuwai a i ʻole ka hahau. Me ka dissection aortic, he mea paʻakikī paha ke ʻike i nā pulse i kou mau lima a me nā wāwae. Hiki i ke kauka ke ʻike he kiʻekiʻe ke koko ma kekahi lima ma mua o kekahi.

Pono nā kauka e ʻike koke i ka dissection aortic no ka mea pono paha ʻoe i ke ʻoki kino ulia pōpilikia. Ke ʻike kāu hui lapaʻau i ka dissection aortic, hiki i kahi hui halihali kūikawā ke hoʻoili iā ʻoe i kahi kikowaena e mālama ana i kēia mau kūlana paʻakikī.

He aha nā hoʻokolohua diagnostics?

Hiki i ke kauka ke kauoha i nā hoʻokolohua e like me kēia:

• X-ray umauma: He hoʻāʻo wikiwiki kēia e hoʻohana ana i kahi liʻiliʻi o ka radiation e kiʻi i nā kiʻi o kou puʻuwai, nā māmā, nā kīʻaha koko (e like me ka aorta), a me nā iwi i loko o kou umauma.
• CT scan: Kōkua kēia hoʻāʻo i ka loaʻa ʻana o ka ʻike maikaʻi loa o ka aorta i ka wā pilikia. Hiki iā ia ke kōkua i ke kauka e ʻike inā he aneurysm a dissection paha. Hiki iā ʻoe ke loaʻa i kahi wai kūikawā (IV contrast) i hoʻokomo ʻia i loko o kou aa koko ma ke ʻano he ʻāpana o kēia hoʻāʻo.
• ʻO ka echocardiogram Transthoracic (TTE): Hoʻohana kēia i ka ʻenehana ultrasound e hana i nā kiʻi neʻe o kou mau valves puʻuwai, nā keʻena puʻuwai, a me ka hoʻomaka ʻana o kou aorta (aʻa aortic).
• ʻO ke kaʻina hana echocardiogram Transesophageal (TEE):Hiki i kēia ke hana i nā kiʻi maopopo a kikoʻī hoʻi o nā valves a me nā keʻena o ka puʻuwai ma mua o ka echocardiogram transthoracic maʻamau. Hāʻawi pū ia i kahi ʻike maikaʻi aʻe o ka thoracic aorta, ke kīʻaha koko i loko o kou umauma. Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi mea ultrasound ma o kou waha i loko o kou esophagus. Aia ka esophagus ma hope pono o kou puʻuwai a ma mua o ka aorta descending.
• MRI scan: Hoʻohana kēia i kahi magnet nui a me nā nalu lekiō e hana i nā kiʻi kikoʻī o nā ʻōpū a me nā ʻano i loko o kou kino, me kou aorta. Hiki iā ia ke hōʻike i nā kiʻi neʻe o nā valves puʻuwai, nā keʻena, a pehea e kahe ai ke koko ma o ka aorta. Eia nō naʻe, ʻoi aku ka lōʻihi o kēia hoʻāʻo ma mua o kahi CT scan maʻamau, no laila ʻaʻole i hoʻohana pinepine ʻia i nā pilikia.

Pehea e mālama ʻia ai ka dissection aortic?

ʻO ke ʻano o ka mālama ʻana no ka dissection aortic e pili ana i ka wahi o ka haehae a me ka dissection.

• No ka ʻoki ʻana o ka aortic ʻano A (inā ua hoʻopilikia ʻia ka ʻāpana mua o ka aorta, kokoke loa i ka puʻuwai), pono ʻoe e ʻoki koke.
• I loko o ka ʻoki ʻana o ke aortic ʻano B, inā ʻoki ka ʻoki ʻana i ke kahe koko i nā ʻōpū koʻikoʻi a me nā ʻāpana kino, e like me kou mau puʻupaʻa, nā ʻōpū, nā wāwae, a i ʻole ke kaula kuamoʻo, pono ʻoe i ke ʻoki ʻana i ka pilikia. Inā hōʻike kāu CT scan i kekahi mau hiʻohiʻona pilikia kiʻekiʻe, pono ʻoe i ke ʻoki koke.
• I nā hihia ʻoi aku ka liʻiliʻi o ke koʻikoʻi, hiki ke hoʻomaka ka mālama ʻana no ka aortic dissection me nā lāʻau lapaʻau e hoʻolohi i kou puʻuwai a i ʻole e hoʻohaʻahaʻa i kou koko. Hiki ke hana ʻia ke ʻoki ma hope inā loaʻa nā pilikia.

ʻO ke ʻoki kino a me ka mālama ʻana i ka endovascular

ʻO nā koho ʻoki kino e komo pū ana:

• Hoʻololi i ke kāpili: Wehe ke kauka lapaʻau i ka ʻāpana i hōʻino ʻia o kou aorta a hoʻololi iā ia me kahi paipu i hana ʻia me nā ʻiʻo hana (kahi kāpili). Ma muli o ka nui o ka dissection, pono paha lākou e hoʻoponopono i kāu valve aortic, aʻa aortic, a i ʻole kou aortic arch a me nā aa koko e lawe ana i ke koko i kou poʻo a me kou mau lima. He ʻoki puʻuwai hāmama kēia a ʻo ia ka lāʻau lapaʻau maikaʻi loa no ka dissection aortic type A pilikia.
• Hoʻoponopono ʻana i ka stent-graft endovascular:Ma kēia kaʻina hana, hoʻoponopono ke kauka i kou aorta mai loko mai. Hoʻohana lākou i kahi stent graft. He paipu synthetic kēia i hana ʻia me nā uea metala me ke kākoʻo (e like me ka scaffold) i hoʻopili ʻia iā ia. Hoʻoikaika ka stent i ka ʻāpana nāwaliwali o ka aorta. ʻO kēia hoʻoponopono endovascular ke koho maikaʻi loa no kahi dissection paʻakikī (ua ālai ʻia ke kahe koko i nā ʻōpū koʻikoʻi, a i ʻole he mau hiʻohiʻona kiʻekiʻe ma kahi CT scan) type B. Hana ke kauka i kēia ma ka hana ʻana i kahi ʻoki liʻiliʻi ma kou aʻa femoral ma kou ʻūhā a me ka hoʻohana ʻana i nā uea a me nā catheters.
• ʻAno hana Hybrid: Ma kēia kaʻina hana, hoʻohana ke kauka i nā ʻano hana ʻoki hāmama a me nā ʻano hana stent-graft endovascular e hoʻoponopono i ka aorta. Hoʻohana ʻia kēia ʻano hana i ka wā e pono ai ka hoʻoponopono ʻana e hoʻolōʻihi a hiki i ke aortic arch, ka mea e hoʻolako i ke koko i ka lolo a me nā lima. Hiki ke hana ʻia kēia ma ke ʻano he kaʻina hana ulia pōpilikia no ka dissection ʻano A. Hiki ke hana ʻia ma ke ʻano he ʻāpana o ka hoʻoponopono ʻelua-paepae, me ka hoʻohana ʻana i kahi bypass mai kahi kīʻaha koko i kou ʻāʻī e kōkua i ka hoʻomākaukau no ka hoʻoponopono endovascular no ka dissection ʻano B.

Nā lāʻau lapaʻau

Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau, e like me nā beta-blockers, e hoʻohaʻahaʻa i kou helu puʻuwai a me ke koko. I kekahi mau hihia o ka dissection aortic type B, hiki ke hoʻohana ʻia nā lāʻau lapaʻau wale nō e mālama i ka dissection i ka wā mua. Ma muli o ke koʻikoʻi o ka haehae a me ka nui o ka dissection, hiki ke hana ʻia ke ʻoki ʻana i nā mahina a i ʻole nā ​​​​makahiki ma hope.

Hiki ke pale ʻia ka dissection aortic?

Nui nā kumu hiki ʻole iā ʻoe ke hoʻololi e hoʻonui ai i kou pilikia o ka hoʻomohala ʻana i ka dissection aortic. No ka laʻana, kekahi mau maʻi puʻuwai hānau, nā maʻi pili o nā ʻiʻo, a i ʻole nā ​​​​kumu genetic e pili ana i ka mōʻaukala ʻohana o ka dissection aortic.

Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kekahi o kāu mau pilikia:

• E kāohi i kou koko.
• E hōʻalo loa i nā huahana paka.
• E mālama i ke kaumaha olakino nou.
• E kau mau i ke kāʻei noho i ka wā e holo ana i loko o ke kaʻa e pale aku i nā ʻeha o ka umauma i ka wā e loaʻa ai kahi ulia.
• E hele i nā hoʻokolohua lapaʻau maʻamau, a e ʻike i ke kauka inā ʻike ʻoe i kekahi loli i kou olakino.
• Inā ua loaʻa i kahi hoahānau mua (makua, keiki, a kaikaina paha) ka dissection aortic, e noi i kāu kauka e loiloi i kou pilikia no ka maʻi aortic. A laila hiki i kāu kauka ke nānā iā ʻoe a hāʻawi iā ʻoe i ka lāʻau lapaʻau e pono ai ma mua o ka hiki ʻana mai o kahi hanana aortic.

Inā ua ʻike ʻia ʻoe me kahi aneurysm aortic, e ʻike i ke kauka loea i nā maʻi aortic (he cardiologist a he kauka lapaʻau cardiac paha). Hiki iā lākou ke loiloi i kou pilikia a, inā pono, e nānā iā ʻoe no ke ʻoki ʻana e hoʻoponopono i kāu aorta.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi dissection aortic?

He hanana hoʻoweliweli paha ke ʻoki ʻana o ke aortic. ʻOi aku ka nui o ka make ʻana o ka poʻe me ke ʻoki ʻana o ke aortic koke (ʻano A). Ma kahi o 40% o ka poʻe me ke ʻano A aortic dissection e make koke ana, ma muli o ka haki loa ʻana o ka aorta a me ke kahe ʻana o ke koko.

ʻO ka poʻe i ola i ka pilikia, waiho pinepine ʻia lākou me kahi ʻoki mau ʻana ma nā ʻāpana i mālama ʻole ʻia o ko lākou aorta. Pono paha kēia i ka mālama ʻia ma kahi manawa ma hope.

Me ka holomua o nā lāʻau lapaʻau hou, ke holomua nei ka wānana i ka wā maʻi mau. Eia nō naʻe, he pōkole ke ola ma hope o ka ʻoki ʻana o ka aortic i hoʻohālikelike ʻia me ka heluna kanaka maʻamau. Eia nō naʻe, me ka mālama koke ʻana a me ka mālama ʻana e kahi hui aortic i aʻo ʻia, hiki ke ola i kahi ola maʻamau no nā makahiki he nui ma hope o ka ʻoki ʻana o ka aortic.

Pehea wau e mālama ai iaʻu iho?

ʻO ka maʻamau, e kuhikuhi ke kauka i nā lāʻau lapaʻau koko, e like me nā beta-blockers, e hoʻokele i kou koko a me ka helu o ka puʻuwai. Pono ʻoe e lawe i kēia mau mea no ke koena o kou ola . Pono paha ʻoe i ʻoi aku ma mua o hoʻokahi lāʻau lapaʻau koko.

He mea nui loa hoʻi e pale i nā huahana paka ma hope o ka dissection aortic.

He maikaʻi nā hana aerobic e like me ka hele wāwae, ke kaʻa paikikala, a me ka ʻauʻau. Eia nō naʻe, pono e pale ʻia kekahi mau hana, e like me ka hāpai kaumaha (ʻoi aku ma mua o ka hapalua o kou kaumaha kino). Hiki iā lākou ke hoʻonui i kou koko a kau i ke kaomi hou ma ka aorta.

Āhea wau e ʻike ai i kaʻu kauka?

Ma hope o kou ola ʻana i kahi aortic dissection - ʻoiai inā ʻaʻole ʻoe e hana ʻoki - pono ʻoe e ʻike pinepine i ke kauka (ʻo kēlā me kēia 3 a 12 mau mahina) no kahi CT a MRI scan paha. ʻAe kēia i nā kauka e ʻike mua i nā loli a hana e like me ia.

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

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ke ʻano o ka dissection aortic i loaʻa iaʻu?
• E pono anei iaʻu ke ʻoki kino?
• Hiki iā ʻoe ke kuhikuhi iaʻu i kahi hui kākoʻo no ka poʻe i loaʻa i ka dissection aortic?

He aha ka ʻokoʻa ma waena o ka aneurysm, rupture, a me ka dissection?

Hiki i kēia mau huaʻōlelo ke huikau iki, no laila e wehewehe kākou:

• ʻAneurysm aortic: He ʻōhū e like me ka baluna kēia ma kahi nāwaliwali o ka paia o kou aorta. A i ʻole e ʻōhū ana kahi ʻāpana holoʻokoʻa o ka aorta. Hiki i kahi aneurysm aortic ke hana i ka haki ʻana o ka aortic a i ʻole ka dissection aortic.
• ʻO ka haki ʻana o ka aortic: He haehae piha kēia, a he lua paha, ma ka paia o ka aorta, e kahe ana ke koko ma o ka lua i loko o ka wahi a puni.
• Ka ʻoki ʻana o ke aorta:He haehae kēia ma ka papa o loko loa o ka aorta. ʻAe ia i ke koko e kahe ma loko, e hoʻokaʻawale hou ana i nā papa o loko a me waena o ka paia aortic. Hiki i kēia ke hoʻolōʻihi no kahi mamao loa ma nā ʻaoʻao ʻelua ma kou aorta, a hiki ke laha aku i nā kīʻaha koko e lālā ana mai ka aorta.

He mea weliweli maoli ka ʻoki ʻana o ka aortic a he mea huikau hoʻi. Hiki i ke ola ʻana ke lilo i ʻeke huikau o nā manaʻo. He kūpono kou mau manaʻo, a aia kekahi poʻe e hoʻomaopopo ana i kāu mea e hele nei. E lilo i kou leo ​​ponoʻī, e nīnau i nā nīnau e pili ana i nā mea i maopopo ʻole. E hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau, e hahai i nā ʻōlelo aʻoaʻo a kāu kauka, a e hele i nā manawa a pau a kāu kauka.

He mea nui loa ke hele ʻana i kahi kikowaena aortic o ka maikaʻi loa, nona ka ʻike nui i ka mālama ʻana i kēia ʻano maʻi a loaʻa ke kākoʻo o nā loea like ʻole. ʻOi aku ka maikaʻi o nā hopena i loaʻa mai ia mau kikowaena ma mua o nā mea e mālama ana i kahi helu liʻiliʻi loa o nā maʻi.

ʻO ka leka koʻikoʻi loa e lawe i ka home

No laila, ua maopopo paha iā ʻoe i kēia manawa he ʻano koke, weliweli loa, a hoʻoweliweli i ke ola ka Aortic Dissection. Inā ʻike koke ʻoe i ka ʻeha umauma koʻikoʻi, ka ʻeha hope, a i ʻole nā ​​​​hōʻailona o ka hahau ʻana, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.

• ʻO ka manawa ke ola: ʻO ka ʻike mua ʻana a me ka mālama ʻana hiki ke hoʻōla i ke ola.
• E makaʻala i nā kumu pilikia: E makaʻala i nā mea e like me ke koko kiʻekiʻe, ka puhipaka, a me ka mōʻaukala ʻohana. E ho'āʻo e kaohi iā lākou.
• Ka mālama kūpono a me ka hahai ʻana: E hoʻohana i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e like me ke kauoha. E hele i nā hoʻokolohua lapaʻau i ka manawa kūpono.
• Kōkua akamai: Inā hiki, e ʻimi i ka lāʻau lapaʻau mai kahi kikowaena loea e mālama ana i kēia ʻano maʻi.

Lana ko mākou manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻO ka ʻoki ʻana o ke aorta, aorta, aorta, ʻeha umauma, maʻi puʻuwai, koko kiʻekiʻe, ʻoki kino, mālama pilikia