He aha ka Aneurysm o ka lolo? E kamaʻilio kākou e pili ana i ia mea!

Ua noʻonoʻo paha ʻoe i ka mea e hiki mai ana inā loaʻa kahi kīʻaha koko liʻiliʻi i loko o kou lolo i kahi ʻano liʻiliʻi e like me ka pōpō, ulu nui, a pahū? ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā, he aneurysm lolo. Ua lohe paha ʻoe i kēia huaʻōlelo ma mua. Mai hopohopo, e wehewehe maʻalahi kākou.

He aha ka aneurysm o ka lolo?

I ka ʻōlelo maʻalahi, ʻo ka aneurysm cerebral kahi kūlana kahi e pehu ai kahi nāwaliwali i loko o kahi kīʻaha koko (kapa mākou he artery) i loko a puni paha o kou lolo a pehu i waho e like me ka pōpō. E noʻonoʻo iā ia e like me kahi nāwaliwali i loko o kahi paipu wai, e hoʻoulu ai i ke kaomi wai e hoʻoulu ai i kēlā wahi e pehu. Ke kahe ke koko ma o ia mea, hoʻokuke ke kaomi i ka wahi nāwaliwali i waho, e hana ana i kahi pehu liʻiliʻi.

I ka hoʻopiha wikiwiki ʻana o ke koko i ka ʻano like me ka pōpō, hoʻonui ʻia ka aneurysm. Ua like kēia me ke ʻano o ka lahilahi ʻana o ka pōpō ke puhi ʻoe i ka ea i loko, e ʻoi aku ai ka pahū.

Hiki i nā aneurysms lolo ke ulu ma nā wahi āpau o kou lolo. Eia nō naʻe, ulu pinepine lākou ma nā aʻa nui ma ke kumu o kou iwi poʻo. Ma waena o 10% a me 30% o ka poʻe me ka aneurysm lolo he ʻoi aku ma mua o hoʻokahi aneurysm. ʻO ka hapa nui o ka manawa, he liʻiliʻi loa kēia mau aneurysms a ʻaʻole lākou e hōʻike i kekahi mau hōʻailona.

Eia nō naʻe, ʻike wale ʻia nā hōʻailona ke nui ka aneurysm e kaomi ai i nā aʻalolo kokoke a i ʻole nā ​​​​ʻiʻo lolo. ʻO ka mea weliweli loa ka wā e haki ai ka aneurysm a kahe ke koko (leaks) a pahū paha. Hiki i kēia ke kumu o ke kahe koko i loko o ka lolo. Hiki i ka aneurysm lolo i haki ke hoʻoweliweli i ke ola a pono e mālama ʻia me ka lāʻau lapaʻau ulia pōpilikia. ʻO ka lōʻihi o ka lōʻihi o ka aneurysm i haki, ʻoi aku ka nui o ka pilikia o ka make a i ʻole ke kīnā mau loa.

He aha ka mea e hana ai ke pahū kahi aneurysm o ka lolo?

Ke pohā kēia, kahe ke koko i loko o nā ʻiʻo o ka lolo a puni. Kāhea mākou i kēia he "Hemorrhage". Hiki i kēia koko ke kau i ke kaomi pono ʻole ma luna o nā ʻiʻo o ka lolo a hoʻoulu i ka lolo e pehu. ʻO ka maʻamau, i kēia manawa, loaʻa kahi ʻeha poʻo nui i kapa ʻia ʻo "Thunderclap headache" a me nā hōʻailona ʻē aʻe.

Hiki i ka haki ʻana o ka aneurysm o ka lolo ke hoʻoulu i nā pilikia olakino koʻikoʻi. Eia kekahi mau laʻana:

• ʻO ke kahe koko subarachnoid (SAH) : ʻO ke kahe koko kēia i loko o ka hakahaka ma waena o nā membrane lahilahi e uhi ana a pale i kou lolo (kapa mākou i kēia ʻo ka 'arachnoid layer'). 90% o nā SAH i hana ʻia e kahi aneurysm lolo i haki.
• Hahau hemorrhagic : ʻO ke kahe ʻana o ke koko i loko o ka hakahaka ma waena o kou iwi poʻo a me kou lolo.

Hiki i kēia mau kūlana ke hōʻeha mau i ka lolo, a i ʻole nā ​​​​pilikia ʻē aʻe e like me:

• Vasospasm : ʻO kēia ka wā e ʻūlū ai a paʻakikī paha nā kīʻaha koko, e hōʻemi ana i ka nui o ka oxygen e hiki ana i ka lolo.
• Hydrocephalus : ʻO kēia ka wā e hōʻiliʻili ai ka wai cerebrospinal a i ʻole ke koko a puni ka lolo, e kau ana i ke kaomi nui ma luna o ka lolo.
• Nā ʻūlū : ʻO ka ʻūlū kahi hoʻonui manawa pōkole a kaohi ʻole ʻia o ka hana uila i loko o ka lolo. Hiki i kēia ke hoʻonui i ka pōʻino o ka lolo i hoʻokumu ʻia e ka aneurysm i haki.
• Coma : He kūlana kēia o ka ʻike ʻole e mau ana mai nā lā a i nā pule.
• Make : Ma kahi o 50% o nā maʻi e make ana mai kahi aneurysm o ka lolo i haki.

ʻO wai ka mea e loaʻa ana i nā aneurysms o ka lolo?

Hiki ke ulu nā aneurysms o ka lolo i loko o kekahi kanaka, i kēlā me kēia makahiki. Eia nō naʻe, pili pinepine lākou i ka poʻe ma waena o 30 a me 60 mau makahiki. ʻOi aku ka maʻamau o lākou i nā wahine.

Pehea ka maʻamau o kēia aneurysm?

Ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ma kahi o 6% o ka heluna kanaka he aneurysm i haki ʻole. Eia nō naʻe, ʻaʻole maʻamau ka haki ʻana o nā aneurysms lolo. Ma kahi o 30,000 mau kānaka ma ʻAmelika Hui Pū ʻIa e loaʻa i kēia maʻi i kēlā me kēia makahiki.

He aha nā hōʻailona o kahi aneurysm o ka lolo?

ʻOkoʻa nā hōʻailona o kahi aneurysm o ka lolo ma muli o ka haki ʻana a i ʻole.

Nā hōʻailona o kahi aneurysm i haki

Eia nā hōʻailona o kahi aneurysm i haki:

• ʻEha poʻo : He ʻeha poʻo koke kēia a ʻeha loa. Ua wehewehe ka poʻe he nui iā ia ʻo "ke poʻo poʻo ʻino loa o koʻu ola."
• Ka luaʻi ʻana a me ka nausea.
• ʻOʻoleʻa o ka ʻāʻī (paʻakikī ke kulou ʻana i ka ʻāʻī).
• ʻIke pōwehiwehi a ʻike pālua paha.
• ʻIke i ka mālamalama (photophobia).
• Nā ʻōʻili.
• He lihilihi e kulou ana a me ka puka maka i hoʻonui ʻia.
• ʻEha ma luna a ma hope o ka maka.
• Ka huikau.
• Ka nāwaliwali a/a i ʻole ka mae ʻana o ka ʻōpū.
• Ka nalowale o ka ʻike.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i ka 911 a i ʻole e hele i ka ʻoihana pilikia o ka haukapila kokoke loa. He pilikia kēia!

I kekahi manawa hiki i kahi koko liʻiliʻi ke kahe mai kahi aneurysm o ka lolo. Ua kapa ʻia kēia he 'sentinel bleed.' Inā hana ʻia kēia, hiki iā ʻoe ke loaʻa i nā 'sentinel headaches' i kekahi mau lā a i ʻole nā ​​pule ma mua o ka pahū ʻana o ka aneurysm.

Nā hōʻailona o kahi aneurysm i haki ʻole ʻia

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā aneurysms lolo i hoʻopau ʻia i kekahi mau hōʻailona. Eia nō naʻe, inā nui lākou, hiki i ka pehu e like me ka balloon i loko o ke kīʻaha koko ke kau i ke kaomi ma luna o nā aʻalolo kokoke a i ʻole nā ​​​​ʻiʻo lolo, e hana ana i nā hōʻailona e like me:

• ʻEha poʻo.
• Nā loli i ka ʻike.
• Pupil i hoʻonui ʻia (pupil i hoʻonui ʻia).
• Manuʻa ma ke poʻo a i ʻole ka maka.
• ʻEha ma luna a ma hope o ka maka.
• Nā ʻōʻili.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i ke kauka.

He aha ke kumu o nā aneurysms o ka lolo?

Hana ʻia nā aneurysms o ka lolo ke lahilahi a nāwaliwali nā paia o nā aʻa i loko o kou lolo. Hoʻokumu pinepine ʻia lākou ma kahi e māhele ai nā aʻa. I kekahi manawa, hiki iā ʻoe ke hānau ʻia me kahi aneurysm o ka lolo. ʻO ka maʻamau, hana ʻia kēia e kahi ʻano ʻē i loko o ka paia o ke aʻa (he 'kina hānau'). Hiki i kekahi mau kumu ʻē aʻe ke hoʻonāwaliwali i ka paia o ke aʻa.

Hiki i nā mea hānau ma lalo nei ke hoʻopilikia i ke olakino o kou mau aʻa a hoʻonui i kou pilikia o ka hoʻomohala ʻana i kahi aneurysm lolo:

• `(ʻO ka maʻi ʻo Vascular Ehlers-Danlos)`
• ``(ʻO ka maʻi puʻupaʻa polycystic autosomal dominant)``
• ʻO ka maʻi Marfan
• `(Fibromuscular dysplasia)`
• ʻO ka maʻi arteriovenous
• ʻO kahi lālā pili o ka ʻohana (kaikuaʻana maoli, kaikuahine, a makua paha) he moʻolelo o ka loaʻa ʻana o kahi aneurysm lolo.

Eia kekahi mau kūlana a me nā hana ʻē aʻe e hiki ai ke hoʻonāwaliwali i kou mau paia aʻa i ka hala ʻana o ka manawa:

• Puhi paka.
• Ke koko kiʻekiʻe.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻoi aku hoʻi ka cocaine.
• Ka hoʻohana nui ʻana i ka waiʻona.

He aha ke kumu e pahū ai ka aneurysm o ka lolo?

ʻO nā kumu like e kōkua ai i ke kūkulu ʻia ʻana o kahi aneurysm o ka lolo hiki ke kumu i ka haki ʻana a me ke kahe ʻana o ke koko.

Manaʻo nā kānaka noiʻi ʻo ke koko kiʻekiʻe ke kumu nui o ka haki ʻana o ka aneurysm. Ke piʻi aʻe ke koko, piʻi aʻe ke kaomi i hoʻokomo ʻia e ke koko ma nā paia o nā kīʻaha koko. Aia kekahi mau kūlana e hiki ai i ke koko kiʻekiʻe ke kumu o ka haki ʻana o ka aneurysm o ka lolo:

• He manaʻo ikaika ka hoʻomau ʻana o ke kaumaha, e like me ka huhū koke.
• Ke kaumaha nui i ka wā e hāpai ai, huki ai, a i ʻole e paʻi ana i kahi mea kaumaha (e laʻa, ka hāpai ʻana i nā mea kaumaha, ka hoʻoneʻe ʻana i nā lako).
• ʻAʻole lawe i ka lāʻau lapaʻau kūpono no ke koko kiʻekiʻe āu i loaʻa mua.

Aia kekahi mau kumu ʻē aʻe e hoʻoholo ai i ka likelika o ka pahū ʻana o kahi aneurysm:

• Ka nui a me ke ʻano : ʻAʻole hiki ke poha nā aneurysms liʻiliʻi ma mua o nā aneurysms nui a ʻano ʻē.
• Ka ulu ʻana : Inā ulu nui kahi aneurysm i ka hala ʻana o ka manawa, ʻoi aku ka nui o ka haki ʻana.
• Kahi : ʻOi aku ka nui o ka haki ʻana o nā aneurysms ma nā aʻa komo hope ma ke kua o ka lolo a me ke aʻa komo mua ma ke alo o ka lolo ma mua o nā aneurysms ma nā wahi ʻē aʻe o ka lolo.
• Lāhui : ʻOi aku ka nui o ka pilikia o ka poʻe o ka hanauna Kepanī a Finnish paha i ka haki ʻana o ka aneurysm.
• Makahiki ʻelemakule: ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 70 mau makahiki i ka haki ʻana o ka aneurysm.

ʻO ka poʻe i loaʻa ma mua o hoʻokahi aneurysm lolo a i ʻole i loaʻa mua ke kahe koko mai kahi aneurysm aia i ka pilikia nui loa o ka pahū ʻana o ka aneurysm lolo.

Pehea e ʻike ai i kahi aneurysm o ka lolo?

ʻAʻole ʻike ka nui o ka poʻe me nā aneurysms lolo i haki ʻole ʻia he hoʻokahi ko lākou. Hiki i ke kauka ke ʻike iā ia ma kahi ulia pōpilikia ke loaʻa iā ʻoe kahi MRI a i ʻole CT scan o kou lolo no kekahi kumu olakino ʻē aʻe.

Inā loaʻa iā ʻoe nā hōʻailona o ka aneurysm lolo, e like me ka ʻeha poʻo nui, pono ʻoe e kāhea i ka 911 a i ʻole e hele koke i ka haukapila. E kauoha ke kauka i nā hoʻokolohua e ʻike ai inā ua haki kahi aneurysm lolo. Hiki i kēia mau hoʻokolohua ke komo pū me:

• (CT - scan tomography computed) : ʻO kēia ka hoʻāʻo kiʻi mua a ke kauka e kauoha ai e nānā i ke kahe ʻana o ke koko i loko o ka lolo. Hoʻohana ka "CT scan" i nā kukuna X a me ke kamepiula e lawe i nā kiʻi ʻokiʻoki o kou kino. Hiki i nā kauka ke hoʻohana i kahi hoʻāʻo i kapa ʻia ʻo "CT angiogram (CTA)". Hiki i kēia ke lawe i nā kiʻi kikoʻī o ke kahe koko i loko o nā aʻa o ka lolo. Hiki i ka "CTA" ke hōʻike i ka nui, kahi, a me ke ʻano o kahi aneurysm, inā ʻaʻole i haki a haki paha.
• (MRI - magnetic resonance imaging scan) : Hoʻohana kahi MRI i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e kiʻi i nā kiʻi kikoʻī o kou lolo. Lawe ka Magnetic resonance angiography (MRA) i nā kiʻi kikoʻī o nā aʻa i loko o ka lolo a hōʻike i ka nui, kahi, a me ke ʻano o kahi aneurysm.
• ʻO ka angiography cerebral : He hoʻāʻo kēia i hana ʻia e kahi neurosurgeon a i ʻole ka neuroradiologist interventional. Hoʻokomo lākou i kahi catheter i loko o kahi kīʻaha koko i loko o kou ʻūhā a i ʻole ka pulima a hoʻokomo iā ia i loko o kou lolo e lawe i nā kiʻi kikoʻī o nā aʻa i loko o kou ʻāʻī a me kou lolo. Hiki i kēia hoʻāʻo kiʻi ke ʻike i nā poloka i loko o nā aʻa i loko o kou lolo a i ʻole ka ʻāʻī. Hiki iā ia ke ʻike i nā wahi nāwaliwali i loko o kahi aʻa, e like me ka aneurysm. Hoʻohana nā kauka i kēia hoʻāʻo e hoʻoholo i ke kumu o ke kahe ʻana o ke koko i loko o ka lolo a me kahi kikoʻī, ka nui, a me ke ʻano o kahi aneurysm.
• (Cerebrospinal fluid - CSF analysis) : Ke ana nei kēia hoʻāʻo i nā mea i loko o ke kahe e hoʻopuni ana a pale i kou lolo a me ke kaula spinal (`spinal cord`). Lawe ke kauka i kahi laʻana o `CSF` ma ka lawe ʻana i kahi `spinal tap` a i ʻole `lumbar puncture`. Hiki i kēia loiloi ke ʻike inā he kahe koko a puni ka lolo.

Pehea e mālama ʻia ai nā aneurysms o ka lolo?

ʻO ka pahuhopu nui o ka mālama ʻana i ka aneurysm o ka lolo, ʻo ia ke hoʻōki a hōʻemi paha i ke kahe ʻana o ke koko i loko o ka aneurysm. Pono ke ʻoki kino ulia pōpilikia no kahi aneurysm lolo e kahe ana a pohā paha.Ma muli o kou kūlana, pono paha kahi aneurysm i haki ʻole ʻia e pono ai ka mālama ʻana.

E ʻōlelo aku kāu hui lapaʻau i nā koho lapaʻau kūpono loa iā ʻoe, ma muli o kou anatomia vascular, ka nui a me kahi o ka aneurysm, a me kekahi mau kumu ʻē aʻe.

Ma keʻano laulā, ʻoi aku ka lōʻihi o ka ho'ōla ʻana o nā aneurysms i haki ma mua o nā aneurysms i haki ʻole.

ʻOki ʻana o ka microvascular no nā aneurysms o ka lolo

Ma kēia ʻoki kino, hana kahi neurosurgeon i kahi lua liʻiliʻi i loko o kou iwi poʻo a hele i kahi o ka aneurysm. Me ka hoʻohana ʻana i kahi microscope liʻiliʻi loa a me nā mea hana, kau ke kauka ʻoki kino i kahi clip metala liʻiliʻi ma ke kumu o ka aneurysm a pani iā ​​ia. Hoʻōki kēia i ke kahe koko i loko o ka aneurysm. Hiki i kēia ʻoki kino ke hoʻōki i ke kahe koko i loko o ka lolo a pale paha i kahi aneurysm i haki ʻole mai ka nui a i ʻole ka pahū ʻana.

ʻOkoʻa ka manawa ho'ōla no nā aneurysms i haki (he mau pule a hiki i nā mahina) a me nā aneurysms i haki ʻole (ʻelua a ʻehā pule paha). ʻO nā aneurysms i ʻoki loa ʻia ʻaʻole pinepine lākou e kahe hou ke koko (e hana hou).

ʻO ka wili ʻana o ka endovascular no nā aneurysms o ka lolo

Ma kēia kaʻina hana, hoʻokomo kahi neurosurgeon a i ʻole interventional neuroradiologist i kahi catheter (kahi paipu palupalu) i loko o kahi kīʻaha koko ma kou ʻūhā a i ʻole ka pulima lima a hoʻokomo iā ia i loko o kou lolo. Ma o ka catheter, hoʻokomo ke kauka i kahi wili liʻiliʻi o ka uea palupalu loa i loko o ka aneurysm.

Ma hope o ke kau ʻana o ke kauka i kēia wili i loko o ka aneurysm, hoʻololi ia i ke ʻano o ke kahe ʻana o ke koko i loko o ka aneurysm a hana i kahi ʻūpā koko. Hoʻōki kēia ʻūpā koko i ke kahe ʻana o ke koko i loko o ka aneurysm, e hana ana i kahi sila, e like me kahi clip.

Nā stent hoʻohuli kahe no nā aneurysms o ka lolo

Ma kēia kaʻina hana, hoʻokomo kahi neurosurgeon a i ʻole interventional neuroradiologist i kahi catheter i loko o kahi kīʻaha koko ma kou ʻūhā a i ʻole ka pulima a hoʻokomo iā ia i loko o kou lolo. Ma o ka catheter, hoʻokomo ke kauka i kahi ʻōmole mesh i loko o ka ʻāpana o ke kīʻaha koko kahi i loaʻa ai ka aneurysm. Hoʻohuli kēia mesh (a i ʻole "hoʻohuli") i kou kahe koko mai ka aneurysm ma kahi o ke komo ʻana i loko.

Mea hana pūnaewele no nā aneurysms o ka lolo

Ma kēia ʻano hana, e like me ka mea i ʻōlelo ʻia ma luna, hoʻokomo ke kauka i kahi cube metala e like me ka ʻupena a i ʻole he poepoe i loko o ka aneurysm ma o kahi catheter i loko o ka lolo. Hana pū kēia e like me ka ʻōwili. ʻO ia hoʻi, hana ia i kahi sila ma luna o ka aneurysm, e kāohi ana i ke koko mai ke kahe ʻana i laila a pale aku iā ia mai ka nui a i ʻole ka pahū ʻana.

Nā lāʻau lapaʻau ʻē aʻe no ka aneurysm lolo i haki

Inā loaʻa iā ʻoe kahi aneurysm i haki, e hoʻohana kāu hui lapaʻau i nā lāʻau lapaʻau hou aʻe e hoʻāʻo e kāohi i kāu mau hōʻailona a pale i nā pilikia. Hiki i kēia mau lāʻau lapaʻau ke komo pū me:

• Nā lāʻau lapaʻau antiseizureKōkua kēia mau lāʻau lapaʻau i ka pale ʻana i nā hopu ʻana e pili ana i ka aneurysm i haki.
• Nā mea pale o ke kahawai calcium : Kōkua kēia mau lāʻau i ka hōʻemi ʻana i ka pilikia o ka hahau ʻana i hoʻokumu ʻia e ka vasospasm.
• Shunt : He ʻōmole kēia e kōkua ai i ka hoʻoneʻe ʻana i ka wai cerebrospinal (CSF) mai ka lolo i kahi ʻāpana ʻē aʻe o ke kino. Hiki i kēia ke kōkua i ka pale ʻana i ka hydrocephalus.

ʻO ka poʻe i loaʻa i ka aneurysm i haki pinepine e pono ai ka hoʻōla kino, ka hoʻōla ʻōlelo, a me ka hoʻōla hana e hoʻihoʻi i ka hana nalowale a aʻo e noho me ke kino kīnā mau loa.

Pono anei au i ka lāʻau no kahi aneurysm o ka lolo i haki ʻole?

Inā he aneurysm lolo liʻiliʻi kou i haki ʻole ʻia ʻaʻole ia e hoʻoulu i nā hōʻailona, ​​​​a ʻaʻohe ou kumu pilikia ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku ʻaʻole e mālama ʻia.

Akā, e kauoha aku kāu kauka i nā hoʻokolohua kiʻi i kēlā me kēia manawa e nānā i nā loli a i ʻole ka ulu ʻana. E aʻo pū lākou iā ʻoe e haʻalele i ka puhipaka inā puhipaka ʻoe a e mālama i kou koko koko ma lalo o ka kaohi.

Inā loaʻa iā ʻoe nā hōʻailona, ​​​​a inā he loli i ka aneurysm i ka wā o kahi hoʻokolohua kiʻi hou, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Inā loaʻa iā ʻoe nā hōʻailona, ​​nā kumu pilikia, a/a i ʻole ka nui o ka aneurysm, e kūkākūkā ʻoe a me kāu kauka i nā pono, nā pōʻino, a me nā koho no ke ʻoki ʻana a/a i ʻole ka mālama ʻana i ka endovascular. E hilinaʻi kēia hoʻoholo i kekahi mau kumu, me:

• kou mau makahiki.
• ʻO kou olakino holoʻokoʻa a me nā maʻi ʻē aʻe āu e loaʻa ai.
• ʻO kahi, ka nui, a me nā ʻano ʻē aʻe o ka aneurysm.
• ʻO ke anatomy o kou mau kīʻaha koko.
• Ka moʻolelo ʻohana o ka maʻi.
• Ka pilikia o ka pahū ʻana.

Pehea e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana i kahi aneurysm?

ʻAʻole hiki iā ʻoe ke pale a hoʻololi paha i kekahi mau mea pilikia no nā aneurysms o ka lolo, e like me kou mau makahiki a i ʻole nā ​​kūlana genetic. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o kahi aneurysm o ka lolo:

• Ka mālama ʻana i ke koko koko olakino me nā lāʻau lapaʻau a/a i ʻole nā ​​​​loli o ke ʻano o ka nohona.
• ʻAʻole puhi paka a i ʻole ka hoʻōki ʻana i ka puhi paka.
• Ke loaʻa nei ke kōkua no ka maʻi hoʻohana waiʻona a me/a i ʻole ka maʻi hoʻohana mea ʻona, a me ka hoʻohana ʻole ʻana i nā mea hoʻoulu e like me ka cocaine.

He aha ka wānana no ka haki ʻana o ka aneurysm o ka lolo?

ʻO ka nānā ʻana no ka hoʻōla ʻana mai kahi aneurysm lolo i haki ʻia e hilinaʻi ʻia i kekahi mau kumu, e like me:

• Kou makahiki a me kou olakino holoʻokoʻa.
• Inā he mau maʻi neurological mua kāu.
• Kahi o ka aneurysm.
• ʻEhia ke koko i nalowale mai ka aneurysm.
• Pehea ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau.
• Inā ua holomua ka mālama ʻana no ka aneurysm.

Ma kahi o 25% o ka poʻe i loaʻa i ka pohā ʻana o ka aneurysm o ka lolo e make i loko o 24 mau hola. Ma kahi o 50% e make ana mai nā pilikia i loko o ʻekolu mahina o ka pohā ʻana.

No ka poʻe e ola ana, ma kahi o 66% e ʻeha mau ana i ka hōʻeha o ka lolo. Hoʻōla kekahi poʻe me ka liʻiliʻi a ʻaʻohe paha kīnā.

Hiki iā ʻoe ke ola i ka manawa lōʻihi me kahi aneurysm o ka lolo?

He nui ka poʻe me nā aneurysms lolo liʻiliʻi i haki ʻole ʻia, ʻaʻole loa lākou e ʻike i nā hōʻailona, ​​​​a ʻaʻole ia e hoʻopilikia i ko lākou olakino.

Eia nō naʻe, kiʻekiʻe loa ka nui o ka make ʻana o nā aneurysms o ka lolo i haki.

Āhea wau e ʻike ai i kaʻu kauka e pili ana i kahi aneurysm o ka lolo?

Inā loaʻa iā ʻoe kahi aneurysm lolo i haki ʻole ʻia, pono ʻoe e ʻike pinepine i kāu kauka e nānā i ka nui o ka aneurysm a kāohi i nā mea pilikia, e like me ke koko kiʻekiʻe.

Inā ua loaʻa iā ʻoe kahi aneurysm lolo i haki ma mua, pono ʻoe e ʻike pinepine i kāu hui lapaʻau e nānā i nā pilikia hiki ke hiki mai a e hōʻoia ʻaʻole ʻoe e loaʻa hou i kahi aneurysm ʻē aʻe.

Inā loaʻa koke iā ʻoe kahi ʻeha poʻo koʻikoʻi me a i ʻole me ka ʻole o nā hōʻailona hahau, he hōʻailona paha ia o kahi aneurysm o ka lolo. Kāhea koke i ka 911 a i ʻole e hele i kahi lumi pilikia o ka haukapila. ʻO ka wikiwiki o kou loaʻa ʻana o ke kōkua lapaʻau, ʻoi aku ka maikaʻi o kou manawa e hoʻopakele ai i kou ola.

Inā loaʻa iā ʻoe kahi aneurysm lolo i haki ʻole ʻia, e kamaʻilio me kāu kauka e pili ana i nā pono a me nā pōʻino o nā koho lapaʻau a me nā koho hoʻokele like ʻole. Ua mākaukau lākou e kōkua iā ʻoe.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai kā mākou i kamaʻilio ai:

• ʻO ka aneurysm o ka lolo he pehu e like me ka puʻupuʻu ma kahi nāwaliwali o ke kīʻaha koko o ka lolo.
• ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā aneurysms liʻiliʻi i nā hōʻailona. Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻeha poʻo koke a koʻikoʻi, e like me "ka ʻeha poʻo ʻino loa o kou ola," he hōʻailona paha ia o kahi aneurysm i haki. Inā hana ʻia kēia, pono ʻoe e hele koke i ka haukapila.
• ʻO nā mea e like me ke koko kiʻekiʻe a me ka puhi paka nā kumu nui o ka hoʻokumu ʻia ʻana a me ka haki ʻana o ka aneurysm.
• Hoʻoholo nā kauka inā e mālama a ʻaʻole paha i ka poʻe me nā aneurysms i haki ʻole ma muli o kekahi mau kumu.
• He pilikia hoʻoweliweli i ke ola ka pohā ʻana o ka aneurysm. He mea nui ka mālama koke ʻana.
• Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i kahi aneurysm ma o ke ola ʻana i kahi nohona olakino a me ka kaohi ʻana i nā kumu pilikia.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. E wehewehe hou aku lākou i kēia iā ʻoe.

`Aneurysm lolo, aneurysm lolo, ʻeha poʻo, koko kiʻekiʻe, kahe koko o ka lolo, nā maʻi neurological, ʻoki kino aneurysm