E noʻonoʻo ʻoe e kahe mau ana ke koko o kekahi kīʻaha koko i loko o kou kino, a i ʻole e ulu nui ana kekahi aa koko e hoʻolako ana i ke koko i kahi puʻupuʻu i kēlā me kēia lā. I ka wā ma mua, pono e mālama ʻia kēia ʻano mea ma ka hana ʻana i kahi ʻoki nui a me ka ʻoki ʻana i ka wahi. Akā i kēia manawa, no ka mea ua holomua ka ʻepekema lapaʻau , aia kekahi ʻano hana kupaianaha e hiki ai iā ʻoe ke komo i loko o ke kino ma o kahi lua liʻiliʻi a 'āpau' i kēlā kīʻaha koko wale nō. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia ʻano hana lapaʻau i kapa ʻia ʻo Embolization, kahi mea i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia.
I ka ʻōlelo maʻalahi, he aha ka embolization?
He hana lapaʻau minimally invasive ka embolization. Pili ia i ka pale ʻana a i ʻole ka pani ʻana i kahi kīʻaha koko kikoʻī i loko o ke kino. E noʻonoʻo e hoʻokomo mākou i kahi mea i loko o kahi paipu wai e hoʻōki i ke kahe ʻana o ka wai. ʻĀ, ʻo ia ka mea e hana nei ma ʻaneʻi.
Hiki i kēia ke lilo i lāʻau lapaʻau i hoʻolālā mua ʻia i kekahi manawa. ʻO ia hoʻi, kahi mea a ke kauka e hana ai ma hope o ka nānā ʻana iā ʻoe a me ka hoʻohana ʻana i kahi papa hana. Akā i kekahi manawa, e like me ka pilikia, pono paha e hana ʻia kēia ma ke ʻano he lāʻau lapaʻau pilikia e hoʻōki i ke kahe nui ʻana o ke koko.
He aha ke kōkua e loaʻa iā mākou mai ka embolization?
Ma o kēia ʻano lapaʻau, hiki iā mākou ke loaʻa nā hopena no ka manawa pōkole a mau loa paha i nā pilikia he nui i loko o ko mākou kino. ʻO ka hopena nui, ʻo ia:
- Ke wehe ʻana i nā kīʻaha koko i pili pono ʻole: I kekahi manawa hiki i nā aʻa koko a me nā aʻa koko i loko o ko mākou kino ke pili pono ʻole. Hoʻopau kēia kaʻina hana i kēlā mau pilina i hiolo.
- Ke ʻoki ʻana i ke kahe koko i nā puʻupuʻu: Ke ālai ʻia nā kīʻaha koko e hoʻolako ana i nā puʻupuʻu maʻi ʻaʻai a me nā ulu ʻē aʻe, ua nele nā puʻupuʻu i nā meaʻai. Hiki iā lākou ke emi a oki paha i ka ulu ʻana.
- Ke kāohi ʻana a i ʻole ke kāohi ʻana i ke kahe nui ʻana: He ala kūpono loa kēia e hoʻōki ai i ke kahe nui ʻana, ma loko a ma waho paha o ke kino.
He aha nā kūlana e mālama ʻia me ka embolization?
Hoʻohana ʻia kēia lāʻau lapaʻau no nā ʻano maʻi like ʻole e hiki ke hoʻopilikia i ka aneane o kēlā me kēia ʻāpana o ke kino. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi mai ka papa ma lalo nei.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā pilina ʻano ʻē o nā aʻa a me nā veins (Arteriovenous malformations - AVM) | Hoʻopili ʻia nā kīʻaha koko (nā aʻa koko a me nā aʻa koko). Hiki i kēia mau mea ke hana ma ka lolo a i ʻole ma kahi ʻē aʻe o ke kino. |
| Nā aneurysms o ka lolo | Ka hoʻonāwaliwali ʻana o ka paia o ke kīʻaha koko i loko o ka lolo, e hoʻoulu ai iā ia e puʻupuʻu e like me ka pōpō. Hiki i kēia ke lilo i mea weliweli loa inā pahū. |
| Nā puʻupuʻu koko a me nā puʻupuʻu ʻē aʻe | Ke kahe nei kekahi mau maʻi ʻaʻai a me nā puʻupuʻu. Hoʻomalu ʻia ke kahe ʻana o ke koko ma ka pani ʻana i ke kīʻaha koko e hoʻolako iā ia. |
| Ka kahe pinepine ʻana o ke koko ihu (Epistaxis) | ʻO ke kahe pinepine ʻana o ka ihu kaumaha i hiki ʻole ke kaohi ʻia e nā lāʻau ʻē aʻe. |
| Ke kahe koko ʻana o ka ʻōpū | ʻO ke kahe koko i hoʻoulu ʻia e nā kūlana e like me ka ʻōpū ʻōpū a i ʻole ka diverticulosis. |
| Kahe nui o ke kahe ʻana o ka menstrual | ʻO ke kahe koko kaumaha a lōʻihi i nā wahine. |
| Nā fibroids uterine | He mau puʻupuʻu ʻaʻole kēia he maʻi kanesa. ʻO ka pale ʻana i nā kīʻaha koko e hoʻolako iā lākou e hoʻemi i nā puʻupuʻu. |
| Ke kahe koko ʻana o loko ma muli o nā ulia pōpilikia | No ka hoʻōki ʻana i ke kahe ʻana o ke koko i hana ʻia e nā hōʻeha i nā ʻōpū e like me ka spleen, ke akepaʻa, a me nā māmā. |
| ʻO ka pehu ʻana o nā aʻa koko i loko o nā testicles (Varicocele) | ʻO ke ʻano kahi e pehu ai a ʻeha ai nā aʻa koko a puni nā testicle o nā kāne. |
Pehea e hana ai kēia lāʻau lapaʻau? ʻO wai ka mea hana?
Hana ʻia kēia lāʻau lapaʻau e kahi Radiologist Interventional . ʻO ia hoʻi, he loea e hoʻohana ana i nā ʻenehana scan e like me nā X-ray e ʻike i loko o ke kino, a nāna e hoʻokomo i nā mea hana palupalu loa i loko o ke kino e hana i ka lāʻau lapaʻau me ka ʻole o ke ʻoki kino nui.
I ka ʻōlelo maʻalahi, e hana ʻo ia i kahi lua liʻiliʻi loa i loko o kou ʻili, e like me kou pulima lima, ʻūhā, a i ʻole ka ʻāʻī. A laila, ma o kēlā lua, ua hoʻokomo ʻia kahi paipu lahilahi a palupalu i kapa ʻia he catheter ma o kahi kīʻaha koko i kahi e pono ai ka mālama ʻana. Hana ʻia kēia mau mea a pau ma lalo o ke alakaʻi ʻana o kahi pale e like me ka X-ray. Ke kuhikuhi pololei ʻia, ua hoʻokomo ʻia nā mea kūikawā (nā mea embolic) ma o ka catheter e sila i ke kīʻaha koko.
He aha nā mea hana embolic i hoʻohana ʻia e ālai i nā kīʻaha koko?
E ʻokoʻa nā mea i hoʻohana ʻia ma muli o kou kūlana olakino a me ke ʻano o ke kīʻaha koko e pono ai ke pani ʻia.
- Nā Baluna: Nā baluna liʻiliʻi loa e hiki ke hoʻopiha ʻia ma ke komo ʻana iā lākou i loko o kahi kīʻaha koko. Hoʻohana ʻia kēia mau mea e pani ai i ke aʻa koko no kekahi manawa a mau loa paha.
- ʻŌhū Gelatin: He mea e like me ka huʻahuʻa e hoʻoheheʻe i loko o ke kino i loko o kekahi mau lā.
- Keli wai: He ʻano keli kūikawā e paʻakikī koke a hoʻohana ʻia e sila i nā kīʻaha koko kūpono ʻole.
- Nā ʻōwili hao: Nā ʻōwili uea lahilahi loa i hana ʻia me ke kila kila a me ka platinum. Hiki ke kau pololei ʻia kēia mau mea e ālai i ke aʻa.
- Nā mea ʻāpana liʻiliʻi: Nā ʻāpana poepoe o nā nui like ʻole. Ke ālai mau nei kēia i nā kīʻaha koko liʻiliʻi.
He aha ka mea e hana ʻia i ka wā a ma hope o ka mālama ʻana?
He aha kaʻu e hana ai ma mua o ka mālama ʻana?
E kauoha paha kāu kauka i kekahi mau scan, e like me ka ultrasound, CT scan, a i ʻole MRI , no ka hoʻomaopopo maikaʻi ʻana i kou mau kīʻaha koko a me ke kahe koko ma mua o ka mālama ʻana. Eia kekahi, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā mea hoʻokahe koko , e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi hoʻomaha mālie e hoʻomoe iā ʻoe i ka hiamoe māmā. A laila, ʻo ka wahi wale nō e hoʻokomo ʻia ai ke catheter e hoʻomānoʻino ʻia.
2. A laila, hana ke kauka loea i kahi ʻoki liʻiliʻi ma ka ʻili o ka lima, ka ʻūhā, a i ʻole ka ʻāʻī.
3. Hoʻokomo ʻia ke catheter i loko o ke kīʻaha koko ma o kēlā lua a alakaʻi ʻia i kahi i makemake ʻia no ka mālama ʻana, me ka hoʻohana ʻana i ka ʻenehana X-ray i kapa ʻia ʻo fluoroscopy .
4. I mea e ʻike maopopo ai i nā kīʻaha koko a me ke kahe ʻana o ke koko, ua hoʻokomo ʻia kahi dye kūikawā (contrast dye) ma o ke catheter.
5. A laila, ua hoʻokomo ʻia ka mea embolic a mākou i kamaʻilio ai ma mua (kahi mea e like me ka uea wili, gum, nā ʻāpana) a ua hōʻoia ʻia ke kahe ʻana o ke koko.
6. Ke pau ke kaʻina hana, wehe ʻia ke catheter a hoʻopili ʻia kahi kāʻei liʻiliʻi ma kahi i hou ʻia. ʻAʻole pono nā ʻoki nui a i ʻole nā humuhumu.
ʻAʻole ʻoe e ʻeha nui i ka wā o kēia mālama ʻana. Hiki paha iā ʻoe ke manaʻo i kahi ʻano ʻūlū iki ke hoʻokomo ʻia ka lāʻau hoʻomāno. Hiki paha iā ʻoe ke manaʻo i kahi mehana iki i ka wā e komo ai ka kala i loko o kou kino.
Nā pono a me nā pilikia o ka mālama ʻana i ka embolization
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
ʻOi aku ka maikaʻi o ka mālama ʻana i ka embolization ma mua o ke ʻoki kino hāmama maʻamau.
- Hiki ke kaohi koke ʻia ke kahe ʻana o ke koko a ua holomua loa ka lāʻau.
- ʻOi aku ka liʻiliʻi o kona hopena i ke kino ma mua o ke ʻoki hāmama. Aia kahi lua liʻiliʻi ma kahi o kahi ʻoki nui, no laila ʻaʻole nui ke kahe ʻana o ke koko.
- He pōkole ka manawa ho'ōla, a hiki i ka hapa nui o ka poʻe ke hoʻi hou i kā lākou hana maʻamau i loko o hoʻokahi pule .
- He pōkole ka manawa i hoʻolilo ʻia ma ka haukapila.
Aia kekahi mau pilikia i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia e pili ana. Eia naʻe, ʻaʻole paha e hiki mai kēia mau mea. E wehewehe mua kāu kauka i kēia mau mea āpau iā ʻoe.
| Ka pilikia hiki ke loaʻa | He wehewehe maʻalahi |
|---|---|
| ʻAleʻaleʻa i ka waihoʻoluʻu | Hiki i kekahi poʻe ke maʻi alerika i ka dye contrast i hoʻohana ʻia i ka wā o ka mālama ʻana. |
| Ke kahe koko a i ʻole ka palapū ma kahi i kuʻi ʻia | Aia paha he kahe koko a i ʻole ka palapū ma kahi i hoʻokomo ʻia ai ke catheter. |
| Ke hele nei ka mea hana embolic i kahi kūpono ʻole | I kahi manawa kākaʻikahi loa, hiki i ka mea i hoʻohana ʻia e sila ai i ke kīʻaha koko ke hemo a hele i kahi ʻē aʻe. |
| Nā maʻi | E like me nā hana lapaʻau a pau, aia kahi pilikia liʻiliʻi o ka maʻi. |
| Ka pōʻino o ke aʻalolo (Neuropathy) | He wahi liʻiliʻi loa ka manawa e hōʻino ai i kahi aʻalolo kokoke i ka wahi i mālama ʻia. |
| Hahau a makapō paha | Inā komo kahi mea embolic i loko o ke kīʻaha koko i loko o ka lolo i ka wā e mālama ʻia ai ke poʻo, hiki ke loaʻa pinepine ʻia ka hahau ʻana a i ʻole ka hemahema o ka ʻike. |
He aha kāu e makaʻala ai i ka wā e hoʻōla ai?
Pono pinepine ʻoe e noho i ka haukapila no hoʻokahi pō ma hope o ka mālama ʻana. I loko o kēia manawa, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha.
Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻomaha maikaʻi no kekahi mau lā a kaupalena i ka hana kino.
- Inā he ʻō ʻana kou ʻūhā: E hōʻemi i kāu hana, e like me ka piʻi ʻana i luna a i lalo i ke alapiʻi.
- Inā he ʻoki pulima kou: E hoʻōki i ka hana ʻana i nā hana luhi e like me ke kākau ʻana a me ke paʻi ʻana no kekahi mau lā.
Pono e hōʻalo loa ʻia nā hana hoʻoikaika e like me ka hāpai ʻana i nā mea kaumaha. Eia nō naʻe, ʻo ka hele wāwae pōkole i kēlā me kēia lā hiki ke kōkua i ka pale ʻana i nā pilikia e like me ke koko ʻana. He mea nui hoʻi e kau i ka hau ma kahi i hou ʻia e hōʻemi i ka pehu a e mālama i ka maʻemaʻe o ka ʻeha.
Inā loaʻa iā ʻoe 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 mai ka lāʻau lapaʻau, pono ʻoe e hoʻomaopopo koke i kāu kauka . Inā loaʻa kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| Nā hōʻailona o kahi maʻi | Kuni, ʻulaʻula a mehana paha ma ka wahi i mālama ʻia. |
| Nā hōʻailona o ke koko koko | ʻUlaʻula, pehu, a ʻeha paha ma ka ʻūhā a i ʻole ka wāwae. |
| Kahe nui ʻana o ke koko | Ke kahe koko hiki ʻole ke hoʻōki mai kahi i hou ʻia. |
| Paʻakikī ka hanu ʻana | Ka paʻakikī koke o ka hanu ʻana. |
| He puʻu kahi i hana ʻia ai ke kuʻi | He puʻupuʻu ʻeha a ulu wikiwiki paha kokoke i kahi i hou ʻia ai. |
| Ka luaʻi mau a me ka luaʻi ʻana | Ka luaʻi a me ka luaʻi ʻana a hiki i kahi hiki ʻole ke hoʻomau i ka ʻai a me ka inu ʻana. |
Leka Lawe-Home
- ʻO ka embolization kahi ʻano lapaʻau holomua loa a holomua hoʻi e ālai ana i kahi kīʻaha koko kikoʻī i loko o ke kino me ka ʻole o ka hana ʻana i kahi ʻoki nui.
- Hoʻōla ia i nā ʻano maʻi like ʻole, me ke kahe koko nui, nā ʻōpū kanesa, nā fibroids uterine, a me nā AVM.
- Ma muli o ka emi ʻana o kona hopena i ke kino ma mua o ke ʻoki kino hāmama, ua emi ka ʻeha a me ka manawa hoʻōla hou.
- E like me nā lāʻau lapaʻau āpau, aia nā pilikia, no laila e kamaʻilio e pili ana i kēia mau mea a pau me kāu kauka ma mua o ka lāʻau lapaʻau.
- Inā loaʻa kekahi mau hōʻailona ʻē ma hope o ka mālama ʻana, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.
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