E noʻonoʻo inā e kahe mau ana kekahi o nā kīʻaha koko i loko o kou kino, a i ʻole e ulu ana kahi puʻupuʻu i kēlā me kēia lā no ka mea e hānai ana kekahi kīʻaha koko iā ia. I ka wā ma mua, ʻo ka mālama ʻana i ia mau kūlana e koi pinepine ʻia ai ke ʻoki nui e pili ana i nā ʻoki nui. Eia nō naʻe, mahalo i ka holomua o ka lāʻau lapaʻau , i kēia manawa he kaʻina hana kupaianaha kā mākou e hiki ai iā mākou ke komo i ke kīʻaha kikoʻī ma o kahi puka liʻiliʻi a ālai iā ia me ka ʻole o ka pono no nā ʻoki nui. I kēia lā, ke kūkākūkā nei mākou i kahi kaʻina hana i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia: ʻO ka Embolization.
I ka ʻōlelo maʻalahi, he aha ka Embolization?
He hana lapaʻau minimally invasive ka embolization. ʻO ka pahuhopu ka pale ʻana a i ʻole ka pani ʻana i kahi kīʻaha koko kikoʻī i loko o kou kino. E noʻonoʻo e like me ke kau ʻana i kahi plug i loko o kahi paipu wai e hoʻōki i ke kahe ʻana; ʻo ia ka mea a mākou e hana ai ma ʻaneʻi.
Hiki i kēia ke lilo i kaʻina hana i hoʻonohonoho ʻia, kahi e nānā ai kāu kauka iā ʻoe a hoʻonohonoho i kahi lā ma mua. Eia nō naʻe, i nā hihia o nā pilikia olakino—e like me ka trauma koʻikoʻi a i ʻole ke kahe koko nui—hiki ke hana ʻia ma ke ʻano he hana hoʻopakele ola ulia pōpilikia .
Pehea e hiki ai i ka embolization ke kōkua iā ʻoe?
Hāʻawi kēia kaʻina hana i nā hopena no ka manawa pōkole a mau loa paha i nā ʻano pilikia olakino like ʻole. Hoʻohana nui ʻia ia i:
- E hoʻokaʻawale i nā kīʻaha koko ʻē: I kekahi manawa, hiki i nā aʻa a me nā veins ke hihia i kahi ʻano ʻē. Hoʻopau kēia ʻenehana i kēia mau pilina ʻē.
- Hoʻōki i ke kahe koko i nā ʻōpū: Ma ke ālai ʻana i nā kīʻaha koko e hānai ana i nā ulu ʻana o ka maʻi ʻaʻai a i ʻole nā mea kanu maikaʻi ʻole, hoʻopau mākou i ka ʻōpū i nā meaʻai, hiki ke hoʻēmi a hoʻōki loa paha i ka ulu ʻana.
- Hoʻōki a pale paha i ke kahe koko nui: He ala kūpono loa ia e kāohi ai i ke kahe koko o loko a i waho paha.
He aha nā kūlana olakino e hoʻohana ai i ka embolization?
Hoʻohana ʻia kēia lāʻau lapaʻau no nā ʻano maʻi like ʻole ma ke kino holoʻokoʻa. Hāʻawi ka papa ma lalo nei i kahi ʻike maopopo.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| Nā Maʻi ʻAʻai Arteriovenous (AVM) | He hiʻohiʻona ʻano ʻē o nā aʻa a me nā aʻa koko e hiki ke hana i loko o ka lolo a i ʻole nā ʻāpana ʻē aʻe o ke kino. |
| Nā Aneurysms o ka lolo | He paia aʻa koko nāwaliwali i loko o ka lolo e puʻupuʻu ana e like me ka pōpō. Inā haki, he mea hoʻoweliweli ia i ke ola. |
| Nā ʻōpū koko | Ke kahe nei kekahi mau puʻupuʻu; ʻo ka pale ʻana i ko lākou lako koko e kōkua i ka kaohi ʻana i kēia kahe koko. |
| Kahe koko ihu mau loa (Epistaxis) | ʻO ke kahe koko nui a pinepine hoʻi i hiki ʻole ke mālama ʻia e nā lāʻau lapaʻau maʻamau. |
| Ke kahe koko ʻana o ka ʻōpū | ʻO ke kahe koko i hoʻoulu ʻia e nā ʻōpū maʻi, diverticulosis, a i ʻole nā pilikia ʻē aʻe o ka ʻōpū. |
| Kahe koko nui o ka menstrual | Ke kahe koko nui a lōʻihi i ka wā menstruation. |
| Nā Fibroids Uterine | ʻO nā ulu ʻana ʻaʻole he maʻi ʻaʻai; ʻo ke ālai ʻana i ko lākou lako koko e kōkua iā lākou e emi. |
| Ke kahe koko kūloko traumatic | Ke hoʻōki nei i ke kahe ʻana o ke koko i nā ʻōpū e like me ka spleen, ke akepaʻa, a i ʻole nā māmā ma hope o kahi ulia. |
| ʻO ka maʻi varicocele | Nā aa koko pehu i loko o ka scrotum e hiki ai ke hōʻeha a ʻoluʻolu ʻole paha i nā kāne. |
Pehea e hana ʻia ai kēia kaʻina hana a na wai?
Hana ʻia kēia kaʻina hana e kahi Interventional Radiologist . He kauka loea kēia e hoʻohana ana i ka ʻenehana X-ray a me ke kiʻi kiʻi e hoʻokele i loko o kou kino, e hana ana i nā lāʻau lapaʻau paʻakikī me ka hoʻohana ʻana i nā mea hana liʻiliʻi a pololei me ka ʻole o ka pono o ke ʻoki kino wehe.
I ka ʻōlelo maʻalahi, hana ke kauka i kahi ʻoki liʻiliʻi ma kou pulima, ʻūhā, a i ʻole ka ʻāʻī. Ma o kēia puka, alakaʻi ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter ma o kou mau kīʻaha koko i kahi kikoʻī o ka pilikia. Nānā ʻia ke kaʻina holoʻokoʻa ma kahi pale X-ray. Ke kau ka catheter i ke kūlana, hoʻokuʻu ʻia nā mea kūikawā i ʻike ʻia ʻo 'embolic agents' e ālai i ke kīʻaha koko.
He aha nā mea hana Embolic?
ʻO ke ʻano o ka mea i hoʻohana ʻia e ālai i ka moku e hilinaʻi wale ʻia ma kou kūlana kikoʻī a me nā ʻano o ka moku e pono ai ka mālama ʻana.
- Nā Pōpō Liʻiliʻi: He mau pōpō liʻiliʻi liʻiliʻi kēia, he mau pōpō hoʻopūpū i alakaʻi ʻia i loko o ke kīʻaha koko. Hoʻohana ʻia lākou e ālai i ke kīʻaha koko no kekahi manawa a mau loa paha.
- ʻO ka Gelatin Foam: He mea e like me ka huʻahuʻa e hoʻoheheʻe palekana i loko o kou kino ma hope o kekahi mau lā.
- Pili Wai: He mea hoʻopili kūikawā e paʻakikī koke e sila i nā kīʻaha koko kūpono ʻole a pilikia paha.
- Nā ʻōwili hao: Nā ʻōwili liʻiliʻi i hana ʻia me ka pololei i hana ʻia me ke kila kila a i ʻole ka platinum. Hoʻonoho ʻia kēia mau mea ma kahi e pono ai e ālai pono i ka ipu.
- Nā Mea ʻĀpana: Nā ʻāpana poepoe liʻiliʻi o nā nui like ʻole i hoʻohana ʻia e sila mau loa i nā kīʻaha koko liʻiliʻi.
He aha ka mea e hana ʻia i ka wā a ma hope o ke kaʻina hana?
He aha kāu e hana ai ma mua o ke kaʻina hana?
Ma mua o kāu mālama ʻana, e noi paha kāu kauka Nirogi Lanka i nā hoʻokolohua kiʻi e like me ka Ultrasound, CT, a i ʻole MRI scan.e loaʻa kahi palapala ʻāina maopopo o kou mau kīʻaha koko a me ke kahe ʻana o ke koko. Inā ʻoe e lawe ana i kekahi mau lāʻau hoʻomāmā koko , e kuhikuhi ʻia paha ʻoe e hoʻōki iā lākou i kekahi mau lā ma mua o ke kaʻina hana.
He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?
1. E hāʻawi ʻia ʻoe i ka hoʻomaha mālie e kōkua iā ʻoe e hoʻomaha (e ʻike pono ʻoe akā ʻoluʻolu), a e hoʻomānoʻino ʻia ka wahi e hoʻokomo ʻia ai ke catheter me kahi anesthetic kūloko.
2. E hana kāu kauka lapaʻau i kahi ʻoki liʻiliʻi loa ma ka ʻili o kou pulima lima, ʻūhā, a i ʻole ka ʻāʻī.
3. E hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter i loko o ke kīʻaha koko a alakaʻi ʻia i ka wahi i manaʻo ʻia me ka hoʻohana ʻana i ka fluoroscopy (kiʻi X-ray manawa maoli).
4. E hoʻokomo ʻia kahi waihoʻoluʻu hoʻohālikelike kūikawā ma o ke catheter e hoʻomālamalama i kou mau kīʻaha koko a kuhikuhi i ke kumu pololei o ke kahe ʻana o ke koko a i ʻole ke kīʻaha koko e mālama ʻia.
5. A laila e hoʻokomo ʻia ka mea embolic i koho ʻia (e like me nā coils, glue, a i ʻole nā mea liʻiliʻi), a e hōʻoia kāu kauka ua ālai pono ʻia ke kahe o ke koko.
6. Ke pau, wehe ʻia ke catheter, a kau ʻia kahi kāʻei liʻiliʻi ma luna o kahi i komo ai. ʻAʻole pono nā ʻoki nui a i ʻole nā humuhumu.
ʻAʻole pono ʻoe e ʻike i ka ʻeha nui i ka wā o ke kaʻina hana. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha liʻiliʻi i ka wā e hāʻawi ʻia ai ka anesthetic, a hiki paha iā ʻoe ke ʻike i kahi manaʻo mahana pōkole i ka wā e hoʻokomo ʻia ai ka dye contrast.
Nā Pōmaikaʻi a me nā Pōʻino o ka Embolization
He aha nā pōmaikaʻi?
Hāʻawi ka Embolization i kekahi mau pono ma mua o ke ʻoki kino hāmama kuʻuna:
- Kaohi wikiwiki ʻana i ke kahe ʻana o ke koko me nā helu holomua kiʻekiʻe.
- ʻOi aku ka liʻiliʻi o ke komo ʻana ma mua o ke ʻoki hāmama; no ka mea, he ʻuʻuku wale nō ka puka e pono ai ma mua o kahi ʻoki nui, he liʻiliʻi ka nalowale o ke koko.
- ʻOi aku ka wikiwiki o ka manawa hoʻōla, me ka hapa nui o nā maʻi e hoʻi i nā hana maʻamau i loko o hoʻokahi pule.
- Ua hoʻemi ʻia ka lōʻihi o ka noho ʻana ma ka haukapila.
Aia kekahi mau pilikia?
E like me nā kaʻina hana lapaʻau āpau, aia nā pilikia e hiki mai ana, ʻoiai he mea kakaikahi lākou. E kūkākūkā kāu kauka i kēia mau mea me ʻoe ma mua.
| Pōpilikia Hiki Ke Loaʻa | He wehewehe maʻalahi |
|---|---|
| Ka hopena maʻi i ka waihoʻoluʻu | Hiki i kekahi mau maʻi ke loaʻa i kahi hopena alerika iki i ka dye contrast i hoʻohana ʻia. |
| Ke kahe koko a i ʻole ka palapū ma kahi | Hiki ke loaʻa ke kahe koko liʻiliʻi a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai ke catheter. |
| Ka neʻe ʻana o ka mea hana embolic | I kahi manawa kākaʻikahi loa, hiki i ka mea i hoʻohana ʻia e ālai i ka moku ke neʻe i kahi ʻē aʻe. |
| Maʻi | E like me nā kaʻina hana a pau, aia kahi pilikia liʻiliʻi o ka maʻi. |
| Ka pōʻino o ke aʻalolo (Neuropathy) | He liʻiliʻi loa ka pilikia o ka hōʻino ʻana i nā aʻalolo kokoke. |
| Nā pilikia hahau a i ʻole ka ʻike maka | Inā e mālama ana i nā kīʻaha koko o ke poʻo a i ʻole ka ʻāʻī, aia kahi pilikia kakaikahi loa o ka hahau ʻana a i ʻole nā loli o ka ʻike inā hele koke ka mea hana. |
He aha e makaʻala ai i ka wā e hoʻōla ai?
Pono ka hapa nui o nā maʻi e noho i ka haukapila no hoʻokahi pō ma hope o ke kaʻina hana, kahi e hāʻawi ʻia ai ʻoe i ka hoʻokele ʻeha e like me ka mea e pono ai.
Ke hoʻi ʻoe i ka home, pono ʻoe e hoʻomaha no kekahi mau lā a kaupalena i kāu hana kino.
- Inā ma o ka ʻūhā ke kaʻina hana: Mai piʻi i ke alapiʻi a i ʻole ka neʻe nui ʻana no kahi manawa pōkole.
- Inā ma o ka pulima lima ke kaʻina hana: E hōʻalo i nā hana e hoʻoluhi ai i ka lima, e like me ke kikokiko kaumaha a i ʻole ke kākau ʻana, no kekahi mau lā.
E pale loa i ka hāpai ʻana i nā mea kaumaha. Eia nō naʻe, hiki i nā hele wāwae pōkole a mālie ke kōkua i ka pale ʻana i nā ʻūpā koko. He mea nui nō hoʻi ka mālama ʻana i kahi komo maʻemaʻe a me ka hoʻopili ʻana i ka hau e hōʻemi i kekahi pehu.
Inā ʻike ʻoe i kēia mau hōʻailona, e kāhea koke aku i kāu kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home, e kāhea koke aku i kāu kauka . Inā loaʻa kahi pilikia, e hele pololei i ka Lumi Pilikia (ER) kokoke loa a i ʻole e kelepona i ka 911 .
| Nā Hōʻailona ʻŌlelo Aʻo e Makaʻala ai | |
|---|---|
| Nā Hōʻailona o ka Maʻi | Kuni, a ʻulaʻula paha a me ka mehana ma kahi o ke kaʻina hana. |
| Nā Hōʻailona o ke Koko Paʻa | ʻUlaʻula, pehu, a ʻeha mau paha ma kou ʻūhā a wāwae paha. |
| Kahe koko nui | Ke kahe koko ʻana i hiki ʻole ke kaohi ʻia ma kahi i ʻoki ʻia. |
| Paʻakikī ka hanu ʻana | Ka hoʻomaka koke ʻana o ka pōkole o ka hanu. |
| Puʻupuʻu ma ka Pūnaewele | He puʻupuʻu ʻeha a ulu wikiwiki paha ma kahi kokoke i ke komo ʻana. |
| Ka luaʻi mau ʻana/ka luaʻi ʻana | ʻAʻole hiki ke mālama i nā wai a i ʻole ka meaʻai. |
Leka Lawe-Home mai Nirogi Lanka
- ʻO ka Embolization kahi hana holomua loa, minimally invasive i hoʻolālā ʻia e ālai palekana i nā kīʻaha koko kikoʻī me ka ʻole o ka pono no ke ʻoki kino hāmama kuʻuna.
- Hoʻohana mākou i kēia ʻano hana e mālama ai i nā ʻano like ʻole, me ke kahe koko nui, nā ʻōpū, nā fibroids uterine, a me nā AVM.
- Ma muli o ka liʻiliʻi o ka invasive, ʻaʻole nui ka ʻeha a me ka wikiwiki o ka hoʻōla ʻana ke hoʻohālikelike ʻia me ke ʻoki kino hāmama.
- E like me nā hana lapaʻau āpau, aia nā pilikia e hiki mai ana. E ʻoluʻolu e kūkākūkā ākea i kāu mau hopohopo a pau me kāu kauka ma mua o ke kaʻina hana.
- Inā ʻike ʻoe i kekahi mau hōʻailona hopohopo ma hope o kāu lāʻau lapaʻau, e kelepona koke aku i kāu kauka. Inā loaʻa kahi pilikia olakino, e kelepona i ka 911 a i ʻole e kipa koke i kāu keʻena pilikia kokoke loa.
embolization, paʻa ʻana o nā kīʻaha koko, mālama minimally invasive, fibroids uterine, AVM, chemoembolization, radiology interventional
