Ua lohe paha ʻoe i ka huaʻōlelo ' brain aneurysm'? Ua lohe paha ʻoe i kahi hoaaloha o ʻoe e loaʻa ana i hoʻokahi. He mea maʻamau ka makaʻu iki a me ka haʻalulu ke lohe mākou i kēia inoa. ʻO wai ka mea e makaʻu ʻole ke ʻōlelo lākou ua pohā kahi kīʻaha koko i loko o ka lolo, ʻeā? Akā, ma kahi o ka makaʻu pono ʻole e pili ana i kēia, ʻoi aku ka nui o ka makaʻala. No laila, i kēia lā, e kamaʻilio mākou e pili ana i ia mea me ka maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka aneurysm?
E noʻonoʻo i kahi pōpō. Inā hoʻomau mākou i ka puhi ʻana ma luna, e nāwaliwali kekahi mau ʻāpana a puka mai ia e like me ka pehu liʻiliʻi, ʻeā? Pēlā nō ka mea e hana ʻia i loko o nā kīʻaha koko i loko o ko kākou lolo.
Ke nāwaliwali kahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo i kekahi wahi, a hoʻomau ke koko i ke kahe wikiwiki ʻana ma o ia mea, e puʻupuʻu ana ka wahi nāwaliwali e like me ka pōpō. Ua kapa ʻia kēlā puʻupuʻu he aneurysm . Hiki i kēia ke ulu a hiki i ka nui o kahi hua liʻiliʻi.
ʻOiai ke kani weliweli nei ka inoa, ʻaʻole ka hapa nui o nā aneurysms e hoʻoulu i kekahi mau hōʻailona a i ʻole nā pilikia olakino. Hiki i ke kanaka ke ola i ko lākou ola holoʻokoʻa me ka ʻike ʻole he aneurysm ko lākou, me ka ʻole o nā pilikia.
Eia nō naʻe, he mea kākaʻikahi loa, hiki i kēia aneurysm ke ulu nui aʻe, kahe mālie ke koko, a haki koke paha. Ke haki a kahe ke koko i loko o ka lolo, ua kapa ʻia ʻo ia he hahau hemorrhagic. He pilikia olakino koʻikoʻi loa kēia a hoʻoweliweli i ke ola. I ia mau hihia, pono ka mālama koke ʻana i ka haukapila.
He aha nā ʻano a me nā nui o nā aneurysms?
Hiki ke hoʻokaʻawale ʻia nā aneurysms i kekahi mau ʻano nui. E nānā kākou i ko lākou ʻano.
| ʻAno Aneurysm | Wehewehena |
|---|---|
| ʻO ka Aneurysm Saccular | ʻO kēia ke ʻano maʻamau. Hoʻokumu ia i kahi pehu ma waho o ke kīʻaha koko, e like me kahi hua e kau ana mai kahi kumu waina. ʻO ia ke kumu i kapa ʻia ai he "berry aneurysm." |
| ʻO ka Aneurysm Fusiform | ʻAʻole hana ʻia kēia mau mea e like me ka pehu. Akā, pehu aʻe nā paia o ke kīʻaha koko a puni, e hoʻonui ana i kēlā wahi. ʻAʻole maʻamau kēia mau mea. |
| ʻO ka Aneurysm Mycotic | He ʻano aneurysm e ulu ana i ka wā e nāwaliwali ai ka paia o ke kīʻaha koko ma muli o kahi maʻi e like me ka bacteria a i ʻole ka fungi. He mea kākaʻikahi loa kēia. |
Hiki i kēia mau aneurysms ke ʻano o nā nui like ʻole.
- Liʻiliʻi ( SMA ll): ʻAʻole i like ka nui me ka mea holoi penikala ma mua o 11 millimeters (e like me ka nui o ka mea holoi penikala).
- Nui: Ma waena o 11-25 millimeters (e like me ka nui o ke kālā 5 rupee ma Sri Lanka).
- Kanaka Nui: ʻOi aku ka nui ma mua o 25 millimeters.
He aha nā hōʻailona o kēia? ʻO kēia ka mea e pono ai ʻoe e ʻike!
ʻO nā hōʻailona o kahi aneurysm e pili ana i ka pohā ʻana a i ʻole. He mea nui loa kēia ʻāpana, no laila e makaʻala pono.
| Nā hōʻailona pilikia o kahi aneurysm i haki (inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele koke i ka ETU!) | |
|---|---|
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| Nā hōʻailona o kahi aneurysm e ulu ana akā ʻaʻole e pahū (e ʻike koke i ke kauka) | |
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No ke aha i hana ʻia ai kēia mau aneurysms? ʻO wai ka mea i ʻoi aku ka pilikia?
ʻAʻohe kumu hoʻokahi no ke kūkulu ʻia ʻana o ka aneurysm, akā ua ʻike ʻia kekahi mau mea pilikia.
Nā kumu hoʻoilina
Hiki i kekahi mau kūlana hoʻoilina ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā aneurysms.
- ʻO ka maʻi puʻupaʻa polycystic autosomal dominant kahi maʻi e hoʻokumu ʻia ai nā cysts i loko o nā puʻupaʻa.
- ʻO ka Neurofibromatosis ʻano 1 kahi maʻi e hoʻoulu ai i nā ʻōpū ma ka ʻili a me nā aʻalolo.
- Nā maʻi e pili ana i nā ʻiʻo pili (Marfan syndrome, Ehlers-Danlos syndrome)
Nā mea pilikia e pili ana i ke ʻano o ka nohona
ʻO kēia nā mea hiki iā kākou ke kaohi.
- Ke koko kiʻekiʻe: ʻO kēia ke kumu nui a maʻamau ka pilikia.
- Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka hoʻomohala ʻana i nā aneurysms a me ka pahū ʻana.
- Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana pili (makuahine, makuakāne, kaikaina) i kahi aneurysm, ua ʻoi aku kou pilikia.
- Makahiki: Piʻi ka pilikia ma hope o 40 mau makahiki.
- Kāne: ʻOi aku ka nui o ka loaʻa ʻana o nā aneurysms i nā wahine ma mua o nā kāne.
- Ka hoʻohana ʻana i nā lāʻau lapaʻau: Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me ka cocaine.
- Ka inu nui ʻana i ka waiʻona.
Pehea e ʻike ai nā kauka i kēia?
Inā kānalua kāu kauka i kahi aneurysm ma muli o kāu mau hōʻailona, aia kekahi mau hoʻokolohua e hōʻoia iā ia.
- CT Scan: Lawe kēia i nā kiʻi kikoʻī o ka lolo. I kekahi manawa hoʻokomo ʻia kahi kala kūikawā i loko o ka lolo e ʻike nui ʻia ai nā kīʻaha koko.
- MRI Scan: Hoʻohana ʻia ke kahua magnetic e lawe i nā kiʻi maopopo loa o ka lolo a me nā kīʻaha koko.
- ʻAngiogram:ʻO kēia ke ala hilinaʻi loa e ʻike ai i kahi aneurysm. Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) ma o kahi kīʻaha koko ma ka wāwae a i ʻole ka lima i nā kīʻaha koko ma ka lolo, ua hoʻokomo ʻia kahi wai kūikawā, a ua lawe ʻia kekahi mau kiʻi X-ray. ʻAe kēia i ka wahi kikoʻī, ka nui, a me ke ʻano o ka aneurysm e ʻike ʻia.
- Spinal Tap/Lumbar Puncture: Inā he kānalua ua haki kahi aneurysm, e lawe ʻia kahi hāpana o ka wai o ka spinal mai ka spine a hoʻāʻo ʻia no ke koko.
He aha nā lāʻau lapaʻau?
Hoʻoholo ʻia ka lāʻau lapaʻau e nā kumu he nui, me ka haki ʻana o ka aneurysm a i ʻole, kona nui, kahi, kou makahiki, a me ke olakino holoʻokoʻa.
No nā aneurysms liʻiliʻi, asymptomatic, ʻaʻole i haki, hiki paha ke pale i kekahi lāʻau lapaʻau a me ke kali makaʻala wale nō. Pono ʻoe e kūkākūkā i kēia me kāu kauka e hana i ka hoʻoholo maikaʻi loa.
Pono e mālama koke ʻia kahi aneurysm i haki no ka mea he kiʻekiʻe loa ka pilikia o ka pahū hou ʻana. Aia kekahi mau koho lapaʻau nui.
| ʻAno lapaʻau | He mea maʻalahi ka mea e hana ʻia. |
|---|---|
| ʻOki ʻokiʻoki | He ʻoki kino e pili ana i ka wehe ʻana i ke poʻo. Hoʻonoho ke kauka i ka aneurysm a kau i kahi ʻūpā hao liʻiliʻi ma kona ʻāʻī e hoʻōki i ke kahe ʻana o ke koko. |
| ʻŌwili Endovascular | He hana kēia ʻaʻole e pili ana i ka wehe ʻana i ke poʻo. E like me ka angiogram, hoʻokomo ʻia kahi ʻōmole lahilahi ma o ka wāwae, a hoʻokomo ʻia nā wili uea platinum maikaʻi loa ma loko a hoʻokomo ʻia i loko o ka aneurysm. A laila ua hoʻōki ʻia ke kahe koko i laila, a hana ʻia kahi ʻūpā koko a pani iā ia. |
| ʻO ke ʻoki hoʻololi kahe | He kaʻina hana i hoʻohana ʻia no nā aneurysms nui. Ma kēia kaʻina hana, ua kau ʻia kahi stent e like me ka mesh i loko o ke kīʻaha koko kahi i loaʻa ai ka aneurysm. ʻAe kēia i ke koko e kahe pololei ma o ka aneurysm, ma kahi o ke kāpae ʻana iā ia. |
Leka Lawe-Home
- ʻAʻole loa e haki ka hapa nui o nā aneurysms o ka lolo. Hiki iā lākou ke lilo i asymptomatic, no laila mai hopohopo pono ʻole i ka inoa.
- ʻO ka ʻeha poʻo koke a koʻikoʻi e like me kāu i ʻike ʻole ai i kou ola he hōʻailona ia! Inā hana ʻia kēia, mai noʻonoʻo hou a hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
- ʻO ke koko kiʻekiʻe a me ka puhi paka nā ʻenemi nui ʻelua. ʻO ka kaohi ʻana i kēia mau mea ʻelua hiki ke hōʻemi nui i kou pilikia.
- Inā ua loaʻa i kahi lālā pili o ka ʻohana kahi aneurysm, e kamaʻilio me kāu kauka e pili ana i ia mea.
- Inā ʻike mua ʻia a mālama pono ʻia, hiki ke ho'ōla loa ʻia kēia maʻi. No laila, he mea nui loa ka makaʻala i nā hōʻailona.
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