E noʻonoʻo he ʻūpā koko kou i loko o kou kino, a i ʻole he aa koko e hoʻolako ana i ke koko i kahi puʻupuʻu kanesa. I ka wā ma mua, pono ʻoe e hana i kahi hana nui no kekahi mea e like me kēia. Akā i kēia manawa, aia kahi ʻenehana e hiki ai iā ʻoe ke komo i loko o ke kino ma o kahi lua liʻiliʻi loa a pani i kēlā kīʻaha koko. ʻO ia ka mea a mākou e kapa nei he Embolization. He ʻano lapaʻau minimally invasive kēia ʻaʻole ia e hōʻino nui i ke kino a ʻaʻole pono kahi ʻoki nui. Ma kēia ʻatikala, e kamaʻilio maʻalahi mākou e pili ana.
He aha nā pōmaikaʻi o ka mālama ʻana i ka embolization?
I ka ʻōlelo maʻalahi, pili kēia lāʻau lapaʻau i ka pale ʻana i kahi kīʻaha koko kikoʻī i loko o ke kino no kekahi manawa a mau loa paha. Hāʻawi kēia iā mākou i kekahi mau pono nui.
- Ka hoʻopau ʻana i nā pilina kīʻaha koko maʻamau ʻole: I kekahi manawa, hiki ke hana ʻia nā pilina maʻamau ʻole ma waena o nā aʻa a me nā veins i loko o ko mākou kino. Hiki i ka embolization ke pani i kēia mau pilina ma mua o ko lākou hoʻoulu ʻana i nā pilikia nui.
- Ke ʻoki ʻana i ke kahe koko i nā puʻupuʻu a me nā maʻi ʻaʻai: Pono kahi puʻupuʻu i ke kahe koko e ulu ai. Ke ālai kēia lāʻau i ke kahe koko i ka puʻupuʻu, ua nele nā pūnaewele kanesa i nā meaʻai e pono ai lākou a make.
- Ke kāohi ʻana i ke kahe koko nui: He mea kūpono loa kēia ʻano hana i ka hoʻōki ʻana i ke kahe koko i loko o ke kino ma muli o kahi ulia, ʻeha ʻōpū, a i ʻole kekahi kumu ʻē aʻe.
He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻO ka embolization kahi lāʻau lapaʻau e hiki ke hoʻohana ʻia no kekahi mau pilikia ma aneane kēlā me kēia ʻāpana o ke kino. Hōʻike ka papa ma lalo nei i kekahi o kēia mau kūlana.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā malformations arteriovenous (AVMs) | No ka hoʻōki ʻana i ke kahe ʻana o ke koko i nā wahi i hihia ai nā kīʻaha koko, e like me nā puʻupuʻu. |
| Nā aneurysms o ka lolo | Ke ālai ʻana i ka wahi e hōʻemi ai i ka pilikia o ka pohā ʻana o ke kīʻaha koko. |
| Nā maʻi ʻaʻai koko a me nā puʻupuʻu | E ʻoki i ke kahe koko i ke kanesa. |
| Ka kahe pinepine ʻana o ke koko ihu (Epistaxis) | Ke hiki ʻole ke kaohi i ke kahe ʻana o ke koko, ʻo ke kīʻaha koko liʻiliʻi e pani ai. |
| Ke kahe koko ʻana o ka ʻōpū | No ka ho'ōki ʻana i ke kahe koko mai nā kūlana e like me nā ʻōpū ʻōpū. |
| Nā fibroids uterine | Hoʻemi ia i nā fibroids ma ka ʻoki ʻana i ko lākou lako koko, a laila e kaohi ana i ke kahe koko kaumaha o ka menstrual. |
| ʻO ka pehu ʻana o nā aʻa koko i loko o nā testicles (Varicocele) | E hoʻōki i ke kahe ʻana o ke koko i loko o nā aʻa koko pehu. |
| 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 ka hōʻeha ʻana i nā ʻōpū e like me ke akepaʻa a me ka spleen. |
Pehea pololei e hana ʻia ai kēia lāʻau lapaʻau?
Hana ʻia kēia lāʻau e kahi Interventional Radiologist , he loea e hoʻohana ana i nā ʻenehana kiʻi e like me nā X-ray e alakaʻi i nā ʻōmole liʻiliʻi ma o nā kīʻaha koko i loko o ke kino.
Eia ke ʻano o ka hana ʻana o ka lāʻau lapaʻau i kēlā me kēia ʻanuʻu:
1. Hoʻomākaukau: Ma mua o ka mālama ʻana, e loaʻa iā ʻoe kahi CT scan, MRI, a i ʻole ultrasound scan e nānā i ke kūlana o kou mau kīʻaha koko. Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, pono ʻoe e hoʻōki iā lākou no kekahi manawa e like me ke kuhikuhi a kāu kauka.
2. Hoʻomaha a me ka Māmā: Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hāʻawi ʻia ʻoe i kahi mea hoʻomaha. A laila, e hāʻawi ʻia kahi inikini e hoʻomaha i ka wahi e hoʻokomo ʻia ai ka paipu (ʻo ka ʻūhā, ka pulima lima, a i ʻole ka ʻāʻī).
3. Ke hoʻokomo ʻana i ka catheter: Hana ke kauka i kahi lua liʻiliʻi ma ka ʻili ma kahi ʻeha a hoʻokomo i kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter i loko o ke kīʻaha koko ma o ia mea.
4. Ke neʻe nei i ka pahuhopu:ʻOiai e nānā ana i kahi ʻenehana wikiō X-ray manawa maoli e like me ka fluoroscopy, alakaʻi ke kauka i ka catheter ma ke kīʻaha koko i kahi kikoʻī e pono ai ka lāʻau lapaʻau.
5. Ke hoʻouna ʻana i ka Embolic Agent: Ke kau ʻia ma kahi kūpono, hoʻouna ʻia kahi mea kūikawā a mea hana paha (embolic agent) i hoʻohana ʻia e pani i ke kīʻaha koko ma o ka catheter.
6. Ke ālai ʻana a me ka pani ʻana: Ma hope o ka hōʻoia ʻana ua ālai loa ʻia ke kīʻaha koko e ka mea, wehe pono ke kauka i ka catheter. Hoʻopili ʻia kahi band-aid liʻiliʻi ma kahi i hou ʻia. ʻAʻole pono nā ʻoki nui a i ʻole nā humuhumu.
ʻAʻole anei he mea kupaianaha? Pehea e hoʻoponopono ai i kahi pilikia i loko o ke kino me ka ʻoki ʻole ʻana! ʻO kēia ka holomua o ka lāʻau lapaʻau hou.
Nā ʻelele Embolic
Hoʻohana ʻia nā ʻano mea like ʻole e sila ai i ke kīʻaha koko. Aia ke koho i kou kūlana olakino a me ke ʻano o ke kīʻaha koko.
| ʻAno o ka Luna Embolic | Wehewehena |
|---|---|
| Nā ʻōwili hao | Nā ʻōwili uea liʻiliʻi i hana ʻia me nā metala e like me ka platinum. Hoʻokomo ʻia kēia mau mea i loko o ke aʻa a hoʻōki i ke kahe ʻana o ke koko. |
| Huʻa gelatin | He mea e like me ka huʻahuʻa e ālai ana i nā kīʻaha koko no kekahi manawa a hoʻoheheʻe i loko o ke kino i loko o kekahi mau lā. |
| Ke kāpili wai | He ʻano ʻūpā lapaʻau. Ke hoʻokomo ʻia i loko o kahi aa, paʻakikī koke ia a hoʻopaʻa mau i ke aa. |
| Nā mea hana ʻāpana | Nā ʻāpana poepoe liʻiliʻi loa. Hiki i kēia mau mea ke ālai mau i nā capillaries koko liʻiliʻi. |
Aia kekahi mau pilikia i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau embolization ke lawe mai i kekahi mau pilikia. Eia nō naʻe, haʻahaʻa loa ka likelika o kēia mau mea. E kūkākūkā kāu kauka i kēia mau mea me ʻoe.
- ʻAleʻaleʻa i ka Waihoʻoluʻu Hoʻohālikelike: Loaʻa paha i kekahi poʻe ka maʻi i ka waihoʻoluʻu kūikawā i hoʻohana ʻia i ka wā o ke scan.
- ʻEha a kahe paha ke koko ma kahi i hou ʻia: Hiki ke ʻike ʻia kahi ʻeha liʻiliʻi ma kahi i hou ʻia.
- Maʻi: He mea kākaʻikahi loa, hiki mai paha kahi maʻi.
- Ka hewa ʻana o ka mea hana Embolic: Hiki i ka mea i hoʻohana ʻia e ālai i kahi kīʻaha koko ke wehe a hele i kahi vein ʻē aʻe a ālai iā ia (he mea laha ʻole kēia).
- Ka hōʻino ʻana i nā ʻiʻo a puni: Aia kahi manawa liʻiliʻi e hōʻino ʻia ai nā ʻiʻo olakino a puni ka wahi i manaʻo ʻia ma muli o ka ʻoki ʻia ʻana o ke koko.
ʻO ka mea nui loa, ʻaʻole ia e makaʻu i kēia mau pilikia, akā e kamaʻilio pono me kāu kauka ma mua o ka mālama ʻana a nīnau i kāu mau nīnau a pau.
Ma hope o ka mālama ʻana a me ka wā hoʻōla
Ma hope o ka lāʻau lapaʻau, pono ʻoe e noho ma ka haukapila no hoʻokahi lā. Loaʻa paha iā ʻoe kekahi ʻeha ma kahi i inikini ʻia no kekahi mau lā. E hāʻawi ʻia iā ʻoe nā lāʻau ʻeha no kēia.
Hiki i kekahi poʻe ke loaʻa i kahi maʻi i kapa ʻia ʻo post-embolization syndrome , ʻo ia hoʻi ke ʻano e hoʻoulu ai i nā hōʻailona e like me ke kuni, ka nausea, a me ka luaʻi. ʻO ka maʻamau, e hoʻomaikaʻi kēia i loko o kekahi mau lā.
Ma hope o ka hoʻi ʻana i ka home:
- E hoʻomaha i kekahi mau lā a hoʻomaha maikaʻi. E pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hāpai ʻana i nā mea kaumaha.
- Inā ua hoʻokomo ʻia kahi catheter i loko o kou ʻūhā , mai piʻi pinepine i luna a i lalo i ke alapiʻi.
- Inā he ʻeha kou pulima , e hoʻōki i ka hana ʻana i nā hana ikaika e like me ke kikokiko ʻana a i ʻole ke kākau ʻana no kekahi mau lā.
- E mālama i ka maʻemaʻe o ka wahi i loaʻa ai ke kui.
Āhea e ʻike hou ai i kāu kauka
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei , e kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
- He puʻu ʻeha a ulu wikiwiki paha kokoke i kahi o ke kui.
- Ke kahe koko nui ʻana mai kahi i puka ai ke kui.
- Paʻakikī ka hanu ʻana.
- Nā hōʻailona o ka maʻi (ke kuni, ka ʻulaʻula a me ka mehana ma kahi i mālama ʻia).
- ʻUlaʻula a me ka pehu ʻana ma ka wāwae a i ʻole ka ʻūhā (he hōʻailona paha ia o ke koko koko).
- Ka luaʻi a me ka luaʻi ʻana a hiki i kahi hiki ʻole ke hoʻomau i ka ʻai a me ka inu.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono loa ka embolization e ālai ana i kahi kīʻaha koko kikoʻī i loko o ke kino me ka ʻole o ka hana ʻoki nui.
- Hoʻohana ʻia ia e hoʻōki i ke kahe koko nui, ʻoki i ke kahe koko i nā maʻi ʻaʻai, a mālama i nā pilikia kīʻaha koko ʻē aʻe e like me AVMs.
- No ka mea ʻaʻole kēia he ʻoki nui, ʻoi aku ka liʻiliʻi o ka ʻeha a me ka manawa hoʻōla pōkole ma mua o ke ʻoki maʻamau.
- E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia, no laila he mea nui loa e kūkākūkā pono iā lākou a pau me kāu kauka ma mua o ka lāʻau lapaʻau.
- E hahai pono i nā ʻōlelo a kāu kauka ma hope o ka mālama ʻana. Inā ʻike ʻoe i kekahi mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau.











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