Ua pehu kou aorta? E kamaʻilio kākou e pili ana i ka aortitis!

Ua manaʻo paha ʻoe ʻoiai ke kīʻaha koko nui loa o ko kākou kino, hiki ke loaʻa nā pilikia? I kekahi manawa, ʻo ka ʻeha a kākou e manaʻo ai me ke kumu ʻole, a i ʻole ka ʻoluʻolu ʻole a kākou e manaʻo ai i loko o ko kākou kino, hiki ke lilo i hōʻailona o kekahi mea e like me kēia. I kēia lā, e kamaʻilio kākou e pili ana i ka aortitis, kahi maʻi e hiki ke hana i loko o ka aorta, ke kīʻaha koko nui o ko kākou kino.

He aha ka aortitis? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka aortitis kahi mumū o kou aorta . I kēia manawa e noʻonoʻo e pili ana i ke ʻano o kēia aorta. ʻO ia ke aʻa nui loa i loko o ko mākou kino. Ua like ia me ka paipu wai nui e hoʻolako i ka wai i ko mākou hale. ʻO kēia aorta ka mea e lālā ana a hoʻolako i ke koko maʻemaʻe a waiwai i ka oxygen i kēlā me kēia ʻōkana a me nā ʻiʻo i loko o ko mākou kino. No laila, ʻoiai he kīʻaha koko nō hoʻi kēia aorta, hiki iā mākou ke ʻike i kēia kūlana i kapa ʻia ʻo aortitis ma ke ʻano he ʻano o ka vasculitis , a i ʻole ka mumū o nā kīʻaha koko.

I kekahi manawa, hiki ke kaupalena ʻia ka aortitis i ka aorta. A i ʻole, hiki ke hana pū me ka mumū o nā kīʻaha koko ʻē aʻe i loko o ke kino (i kapa ʻia ʻo systemic vasculitis). Nui nā ʻano o ka systemic vasculitis. Hoʻoponopono nā kauka i kēia ma muli o nā kīʻaha koko i hoʻopilikia ʻia a me nā hōʻailona ʻē aʻe i loaʻa iā lākou.

Hiki i ka Aortitis ke hoʻonui i kou aorta. Kāhea mākou iā ia he aneurysm aortic . A i ʻole, hiki i ka aorta ke haiki. Ua kapa ʻia kēia he aortic stenosis . Hiki i kēia mau kūlana ʻelua ke hoʻoweliweli i ke ola . No ka mea, ʻo ka aorta ke aʻa nui e lawe ana i ke koko waiwai i ka oxygen ma loko o ko mākou kino. Inā he pilikia me ia, hoʻopilikia ia i ka ʻōnaehana kino holoʻokoʻa.

ʻO nā hōʻailona āu e ʻike ai, pehea ʻoe i ʻike ʻia ai, a me nā koho lapaʻau āu e loaʻa ai e hilinaʻi ʻia ma nā kumu he nui:

• ʻO ka ʻāpana hea o kou aorta i hoʻopilikia ʻia e kēia maʻi .
• Inā paha he mumū i loko o nā kīʻaha koko ʻē aʻe.
• Inā ua ʻike ke kauka i kahi kumu kumu a i ʻole kahi maʻi pili.

He maʻi autoimmune anei ʻo Aortitis?

ʻAe, manaʻo ka hapa nui o nā kauka he maʻi autoimmune ka vasculitis (ka mumū o nā kīʻaha koko). ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o kou kino i kona mau ʻiʻo ponoʻī, e hoʻoulu ai i ka mumū. Ua like ia me ke puhi ʻana i kou hale ponoʻī i ke ahi.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo aortitis?

ʻO ke ʻano maʻamau o ka aortitis e pili ana i ke kūlana a i ʻole ke kumu. ʻO ia hoʻi, inā pili ia me kahi maʻi ʻē aʻe a i ʻole. Ma ke ʻano laulā, ʻaʻole maʻamau ka aortitis .

He aha nā hōʻailona o ka Aortitis?

Hiki ke ʻokoʻa nā hōʻailona o ka aortitis mai kēlā kanaka a kēia kanaka. Aia ia i ka mea i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo vasculitis a i ʻole kekahi maʻi mumū a maʻi lele paha. I kekahi manawa, ʻaʻohe hōʻailona o ka poʻe me ka aortitis . ʻO ia ka mea e hopohopo iki ai.

Eia nō naʻe, eia kekahi mau hōʻailona maʻamau:

• ʻEha umauma: E noʻonoʻo i kahi ʻeha koke, ʻūmiʻi a ʻō aku paha i kou umauma.
• ʻEha ʻōpū (ʻeha ʻōpū): Hiki ke ʻeha ma ka ʻōpū lalo, ka umauma, a i ʻole ma ka ʻōpū holoʻokoʻa.
• ʻEha hope: ʻEha, ʻoi aku hoʻi ma ke kua o luna.
• ʻEha poʻo : ʻAʻole like me ka ʻeha poʻo maʻamau, akā he ʻeha poʻo koʻikoʻi iki a mau loa.
• Nā loli o ka ʻike: ʻIke pōwehiwehi a nalowale koke paha ka ʻike.
• Kuni: Lilo ke kino i wela a kuni me ke kumu ʻole.
• Pōkole o ka hanu: Manaʻo ia he pilikia kou hanu ʻana ʻoiai me ka hoʻoikaika iki ʻana.
• Pehu ʻana o nā wāwae: Pehu nā kuʻekuʻe wāwae o nā wāwae ʻelua.
• ʻEha ma nā lālā (i ka wā e hoʻohana ai): Loaʻa ka ʻeha i ka wā e neʻe ai i ka lima a i ʻole ka wāwae a i ʻole e hana ana i ka hana.
• Nā hōʻailona e pili ana i ka mumū: nā mea e like me ka luhi, ka pohō kaumaha, a me ka nalowale o ka makemake.
• Nā hōʻailona e pili ana i ka vasculitis e hoʻopilikia ana i nā kīʻaha koko ʻē aʻe.
• Nā hōʻailona e pili ana i kahi maʻi kumu (inā loaʻa).

He aha nā hopena ʻē aʻe e hiki ai i ka aortitis ke loaʻa i koʻu kino?

Ma waho aʻe o nā hōʻailona, ​​hiki i ka poʻe me ka aortitis ke loaʻa i nā pilikia like ʻole. He mea koʻikoʻi loa kēia:

• Ka hāʻule ʻana o ka puʻupaʻa: Hiki ke hana kēia inā pili nā aʻa koko e hoʻolako koko ai i nā puʻupaʻa.
• Hahau: Inā he pilikia me nā kīʻaha koko e hoʻolako koko i ka lolo.
• Hoʻouka puʻuwai: Inā he pilikia me nā aʻa e hoʻolako koko i ka puʻuwai.
• Ka hāʻule ʻana o ka puʻuwai: ʻAʻole hiki i ka puʻuwai ke hana pono.
• Ka haki ʻana a i ʻole ka haehae ʻana o ka aorta: ʻO kēia ka mea weliweli loa. Inā haki ka aorta, he mea paʻakikī ke hoʻopakele i kou ola.

He aha nā kumu o ka Aortitis?

Aia kekahi mau kumu nui o ka aortitis. He ʻāpana paha ia o kahi maʻi kumu i kapa ʻia ʻo systemic vasculitis (ka mumū e hoʻopilikia ai i nā kīʻaha koko ma ke kino holoʻokoʻa). A i ʻole pili paha i kahi maʻi mumū ʻē aʻe. I kēia mau hihia, ʻaʻole i ʻike ʻia ke kumu pololei o ka maʻi kumu a me ka aortitis pili . Eia kekahi, kekahi mau maʻi.Hiki nō hoʻi ke ulu aʻe ka Aortitis.

I kekahi manawa, i ka wā e hana ai i ke ʻoki ʻana ma ka aorta, hiki ke ʻike koke ʻia ka aortitis. Ma kēia ʻano, ʻo ka aortitis i kaupalena ʻia i ka aorta, me ka ʻole o kekahi maʻi ʻē aʻe a i ʻole ka mumū o nā kīʻaha koko ʻē aʻe, ua kapa ʻia ʻo "isolated focal aortitis."

ʻO ka vasculitis ʻōnaehana a me nā maʻi mumū ʻē aʻe

ʻO kekahi o nā maʻi e hiki ai ke hoʻoulu i ka aortitis:

• ʻO ka arteritis cell nui: He ʻano kēia e hoʻopilikia pinepine ai i nā aʻa o ke poʻo a me ka ʻāʻī, ʻo ia hoʻi i nā poʻe ma luna o 50 mau makahiki.
• ʻO Takayasu arteritis: He maʻi kēia e hoʻopilikia ai i ka aorta a me kona mau lālā nui, ʻoi aku ka maʻamau i nā wahine ʻōpio.
• ʻO Cogan syndrome: He maʻi laha ʻole e hoʻopilikia i nā maka a me nā pepeiao a hiki ke hana i ka aortitis.
• ʻO ka maʻi ʻo Behçet: He maʻi e hoʻoulu ai i nā ʻeha ma ka waha a me ka ʻāpana genital, nā pilikia ʻili, a me ka mumū o nā maka.
• ʻO ka maʻi Kawasaki: He maʻi kēia e hoʻopilikia nui ana i nā keiki ʻōpio . Hoʻoulu ia i ka mumū o nā kīʻaha koko.
• ʻO Polyarteritis nodosa: He maʻi e hoʻopilikia ai i nā aʻa waena.
• Nā ʻano ʻē aʻe o ka 'systemic vasculitis'.
• ʻO Ankylosing spondylitis: He maʻi e hoʻoulu ai i ka mumū o nā hono o ka iwi kuamoʻo.
• ʻO ka ʻāʻī Rheumatoid: He maʻi kaulana e hoʻoulu ai i ka mumū o nā hono.
• ʻO ka systemic lupus erythematosus (SLE): He maʻi autoimmune e hoʻopilikia i nā ʻāpana like ʻole o ke kino.
• ʻO ka polychondritis hou: He maʻi e hoʻopilikia ai i ka ʻiʻo cartilage.
• ʻO Sarcoidosis: ʻO ia ka maʻi e kū mai ana nā granulomas liʻiliʻi (nodules) ma nā ʻano ʻāpana like ʻole o ke kino.
• ʻO ka maʻi e pili ana i ka Immunoglobulin 4 (IgG4): He ʻano fibrous a me ka mumū e hoʻopilikia ai i nā ʻōkana like ʻole.
• Nā maʻi ʻōpū mumū: e like me ka maʻi a Crohn a me ka colitis ulcerative.

Nā maʻi

Hiki i kekahi mau maʻi koʻikoʻi ke hana i ka aortitis. ʻO kekahi mau laʻana:

• Salmonella: He bacteria e hoʻoulu ai i ka lāʻau make meaʻai.
• Syphilis: He maʻi i laha ma ke ʻano moekolohe.
• ʻO Staphylococcus: He bacteria e hoʻoulu ai i nā maʻi ʻili a me nā maʻi ʻino ʻē aʻe.
• Fiva kiko ʻo Rocky Mountain: He maʻi i lawe ʻia e ka ʻuku.
• Maʻi Gonococcal: Gonorrhea.
• ʻO ka maʻi puʻupuʻu: He maʻi bacteria e hoʻopilikia nui ai i nā māmā.
• Hepatitis B a me C: Nā maʻi viral e hoʻopilikia ai i ke akepaʻa.
• Nā maʻi herpes:
• Nā maʻi fungal:

Pehea e ʻike ʻia ai ka Aortitis?

No ka ʻike pono inā he aortitis kou, e hahai kāu kauka i kēia mau hana:

• E kamaʻilio lākou e pili ana i kou mōʻaukala olakino: e nīnau lākou e pili ana i kou mau maʻi ma mua, nā maʻi o kou ʻohana, a me nā lāʻau lapaʻau āu e lawe ai.
• E hana ʻia kahi hoʻokolokolo kino: E nānā ʻia kou kino.
• Ua kauoha ʻia nā hoʻokolohua kiʻi: nā hoʻokolohua e hiki ai ke nānā pono i kāu aorta a me kona mau lālā nui.
• Ua kauoha ʻia nā hoʻāʻo koko: Hiki i kēia ke nānā i ke kiʻekiʻe o ka mumū i loko o kou kino.
• Inā ua hana ʻia ʻoe i ke ʻoki kino e pili ana i ka aorta, e nānā ʻia kahi hāpana ʻiʻo i lawe ʻia i kēlā manawa ma lalo o kahi microscope.

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka aortitis?

Nā hoʻāʻo kiʻi:

• Echocardiogram: He hoʻāʻo e nānā i ka hana a me ke ʻano o ka puʻuwai.
• Transesophageal echocardiogram: He ho'āʻo echo kēia, akā ua hoʻokomo ʻia kahi mea liʻiliʻi ma o ka esophagus e ʻike pono i ka puʻuwai a me ka aorta.
• ʻO ke ultrasound o ka ʻōpū: E nānā i ka aorta i loko o ka ʻōpū.
• ʻO ke kiʻi ʻikepili i helu ʻia (CT): Lawe ka CT scan i nā kiʻi ʻokiʻoki o ke kino a hāʻawi i nā hiʻohiʻona kikoʻī o ka aorta a me nā ʻiʻo a puni.
• Magnetic resonance imaging (MRI): Hoʻohana i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi kikoʻī.
• ʻO ke kiʻi ʻana o ka Positron emission tomography (PET): Kōkua i ka ʻike ʻana i nā wahi o ka mumū i loko o ke kino.

Nā hoʻāʻo koko:

• ʻO ka helu sedimentation Erythrocyte (ESR): He hoʻāʻo e hōʻike ana i ka mumū i loko o ke kino.
• ʻO ka protein C-reactive (CRP): ʻO kēia kekahi hoʻāʻo koʻikoʻi e hōʻike ana i ka mumū.
• Helu koko piha: Ke ana kēia i nā ʻano o nā cell i loko o ke koko a me ko lākou helu.
• Nā kemika e hoʻāʻo ai i ka hana o nā puʻupaʻa a me ke akepaʻa:
• Inā pono, nā hoʻāʻo koko kūikawā ʻē aʻe e ʻike i ka vasculitis systemic, nā maʻi mumū ʻē aʻe, a i ʻole nā ​​​​maʻi.

Ka nānā ʻana i nā ʻiʻo aortic:

Inā ʻoe e hana ʻia ana no kahi aneurysm aortic , hiki i kāu kauka lapaʻau ke lawe i kahi hāpana ʻiʻo i ka wā o ke ʻoki ʻana e nānā no ka mumū. Ua ʻike ʻia kekahi poʻe me ka aortitis i kēia ʻano ʻoki ʻana, me ka ʻole o nā hōʻailona mua.

Pehea e mālama ʻia ai ka Aortitis?

Hiki ke mālama ʻia ka Aortitis me ka lāʻau lapaʻau a/a i ʻole ke ʻoki kino . E hoʻoholo nā kauka i ka lāʻau lapaʻau ma muli o nā kumu aʻe:

• ʻO wai ka ʻāpana o kou aorta i hoʻopilikia ʻia ?
• Inā paha ua hana ʻia kahi aneurysm a i ʻole ka haʻahaʻa ʻana ma muli o ka aortitis, a pehea ke koʻikoʻi o ia mea .
• Inā he maʻi pili a i ʻole kekahi kumu ʻē aʻe .
• Inā paha e hoʻopilikia ana i nā kīʻaha koko ʻē aʻe .

ʻO ka mea nui, inā loaʻa iā ʻoe ka "isolated focal aortitis" (ʻo ia hoʻi, ua kaupalena ʻia i ka aorta, me ke kumu ʻole) a ua hana ʻia ke ʻoki ʻana e wehe loa iā ia, a ʻaʻohe maʻi kumu, ʻaʻole paha ʻoe e pono hou i ka lāʻau lapaʻau. Eia nō naʻe, he mea nui e hoʻomau ʻia ke kiaʻi ʻia e kāu kauka . Inā loaʻa kekahi mau hōʻailona hou, pono paha ʻoe e mālama ʻia ma ke ʻano ʻē aʻe.

He aha nā lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka aortitis?

Inā ʻike kāu kauka i kahi kūlana vasculitis systemic ikaika, kahi maʻi ʻē aʻe, a i ʻole ka maʻi, hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau lapaʻau anti-inflammatory a immunosuppressive paha: No ka vasculitis systemic a i ʻole nā ​​​​​​kūlana mumū ʻē aʻe. Hana kēia mau lāʻau immunosuppressive ma ke kāohi ʻana i ka ʻōnaehana pale o ke kino.
• Nā lāʻau antibiotic: Inā ua ulu ka aortitis ma muli o kahi maʻi.

Aia kekahi mau hopena ʻaoʻao i kēia mau lāʻau lapaʻau?

ʻAe, ʻoi aku ka hiki i nā lāʻau lapaʻau immunosuppressive ke hōʻemi i ka hiki o kou kino ke hakakā i nā maʻi. No laila, e wehewehe kāu kauka i nā pilikia a me nā pono o kēlā me kēia lāʻau lapaʻau iā ʻoe. E kamaʻilio pū ʻo ia me ʻoe e pili ana i nā ala e hōʻemi ai i kēia mau pilikia. Mai makaʻu, e kamaʻilio me kāu kauka a e hoʻomaopopo i nā mea āpau.

I ka manawa hea e pono ai ke ʻoki kino no ka aortitis?

Pono paha ʻoe i ke ʻoki ʻana i kēia mau hihia:

• Inā he aneurysm aortic kou, inā manaʻo ʻia ua lawa ka nui e pahū, a inā paha e hoʻopilikia ana ka aneurysm i ka hana o ka puʻuwai.
• Inā e hāiki ana kou aorta, e hōʻemi nui ana i ke kahe koko i nā ʻōpū koʻikoʻi.

Pehea e hiki ai iaʻu ke hōʻemi i kēia pilikia?

I ka hapanui o nā hihia, paʻakikī ke pale aku i ka aortitis no ka mea hiki ke pili pū me ka vasculitis systemic, kahi maʻi mumū ma lalo, kahi hana mumū hoʻokahi, a i ʻole kahi maʻi.

Eia nō naʻe, no ka poʻe me ka aortitis, he mea nui loa ia e hōʻemi i nā kumu pilikia ʻē aʻe no ka hōʻino ʻana i nā kīʻaha koko . ʻO kēia mau mea:

• Ke kāohi nei i ke koko kiʻekiʻe.
• Hoʻohaʻahaʻa i nā pae cholesterol.
• Ka hoʻōki loa ʻana i ka hoʻohana ʻana i nā huahana paka.
• Hoʻoikaika kino mau.
• Ka mālama ʻana i ke kaumaha olakino nou.

Inā loaʻa iaʻu ka aortitis, ʻo wai ka mea e komo i kaʻu hui mālama ola?

No ka mea hiki i ka aortitis ke hōʻike ma nā ʻano like ʻole a koi aku i nā lāʻau lapaʻau like ʻole, pono paha ʻoe i kekahi mau mea lawelawe olakino e kōkua iā ʻoe. Eia kekahi laʻana:

• Mea lawelawe mālama mua: He kanaka nāna e mālama i kou olakino holoʻokoʻa.
• Kauka Puʻuwai: He loea i ka puʻuwai a me nā aʻa.
• Rheumatologist: He loea i nā maʻi hui, ʻiʻo, a me nā maʻi autoimmune, ʻoiai he nui nā kūlana vasculitis e hāʻule i loko o kēia māhele.
• Loea maʻi lele: Inā kānalua ʻia kahi maʻi.
• Kauka lapaʻau cardiothoracic a vascular paha: Inā pono ke ʻoki kino.

He aha ka manaʻolana no ka aortitis?

Pehea ʻoe e ʻike ai i ka aortitis e pili ana i kekahi mau kumu:

• ʻO ka ʻāpana hea o kou aorta i hoʻopilikia ʻia a pehea kona koʻikoʻi ?
• Inā paha e hoʻopilikia ka aortitis.
• Inā he maʻi pili a i ʻole kekahi kumu ʻē aʻe .
• ʻO ka pane i ka lāʻau lapaʻau (inā pono ka lāʻau lapaʻau) a inā paha he hopena ʻaoʻao ke kumu o ka lāʻau lapaʻau .

Pehea wau e mālama ai iaʻu iho?

ʻO ka mea nui loa, ʻo ia ke hele ʻana i nā manawa hoʻokolokolo āpau me kāu kauka, e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha, a e hoʻomaopopo koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona hou a ʻoluʻolu ʻole paha. Mai hopohopo, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i kou kino.

Āhea wau e ʻike ai i kaʻu kauka?

E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou ʻike ʻana i kāu kauka a i ʻole e hana i nā hoʻokolohua. Inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole e hoʻi hou mai nā hōʻailona kahiko, e kelepona koke aku i kāu kauka.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

ʻO ka pilikia weliweli loa o kahi aneurysm aortic ʻo ia kona haki ʻana a i ʻole ka pahū ʻana. He kūlana koʻikoʻi loa kēia, no ka mea, ʻo kou aorta ke aʻa nui e lawe ana i ka nui o ke koko i kou kino. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​hiki ke lilo i aorta haki:

* Inā loaʻa koke iā ʻoe ka ʻeha nui ma kou umauma, kua, a i ʻole ka ʻōpū (ʻōpū) me ka ʻole o ka hōʻike mua ʻana.

* Inā wikiwiki ka puʻuwai.

* Inā manaʻo ʻoe ua poniuniu.

* Inā loaʻa iā ʻoe ka nāwaliwali a i ʻole ka mae ʻana o ka maka, ka lima, a i ʻole ka wāwae, a i ʻole ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka ʻike ʻana.

Inā ʻoe e lawe ana i nā lāʻau lapaʻau immunosuppressive no ka aortitis, a inā he vasculitis systemic a i ʻole ka maʻi mumū kou, hiki iā ʻoe ke loaʻa nā pilikia koʻikoʻi ʻē aʻe e pono ai ke kōkua koke ʻana o ke kauka. E wehewehe kāu kauka iā ʻoe i nā hōʻailona e pono ai ʻoe e hele i ka lumi pilikia, ma muli o kāu hōʻailona kikoʻī a me ka hoʻolālā hoʻokele.

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

Ke ʻike ʻoe i kāu kauka, mai kānalua e nīnau i nā nīnau e like me kēia:

• Hiki ke loaʻa kahi maʻi a i ʻole ke kumu no koʻu aortitis?
• He aha ka hoʻolālā lapaʻau maikaʻi loa noʻu?
• Pehea e nānā ai ke kauka i koʻu kūlana?
• Pono anei au e ʻike i nā loea ʻē aʻe?
• He aha nā hōʻailona e pono iaʻu e makaʻala?

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

No ka mea hiki i ka aortitis ke lilo i mea hoʻoweliweli i ke ola, he mea nui e hoʻomau i ka ʻimi ʻana i ka lāʻau lapaʻau mai kahi loea olakino i ʻike e pili ana i ka aortitis a me kona mau kumu . Pono ʻoe i nā nānā lapaʻau maʻamau e nānā i kāu aorta. Hiki i kēia ke komo pū me nā kipa kauka, nā hoʻāʻo koko, a me nā hoʻāʻo kiʻi.

ʻO ka hoʻomaopopo ʻana i kāu mau hopohopo aortitis kikoʻī, ka ʻike ʻana i nā hōʻailona o nā pilikia koʻikoʻi, a me ka ʻike ʻana i kahi e hele ai no ke kōkua i ka wā e pono ai ʻoe e kōkua iā ʻoe e hoʻokele i kou kūlana aortitis. E kū i kēia me ka wiwo ʻole a me ka makaʻu ʻole. ʻAʻole ʻoe hoʻokahi.

ʻAortitis , Aorta, Mumū, Maʻi Puʻuwai, Nā ʻAʻa Koko, ʻEha Umauma, Aortic Aneurysm, Vasculitis