Aia nā kīʻaha koko nui e hoʻolako ana i ke koko i ko kākou lolo, ke poʻo, a me ke alo ma nā ʻaoʻao ʻelua o ko kākou ʻāʻī. Ua like kēia me nā alaloa nui i loko o ko kākou kino. E noʻonoʻo i ke ʻano inā he pā nāwaliwali kekahi o kēia mau alaloa a puʻupuʻu aʻe e like me ka pōpō. ʻO ia ka mea a kākou e kamaʻilio nei i kēia lā, he aneurysm o ke aʻa carotid. ʻOiai paha he mea weliweli iki ia, he mea nui e makaʻala i ia mea.
He aha ka Aneurysm o ke Ala Carotid?
I ka ʻōlelo maʻalahi, ʻo ka aneurysm o ke aʻa carotid kahi kūlana kahi e nāwaliwali ai kahi ʻāpana o ka paia o kahi kīʻaha koko nui (ke aʻa carotid) e lawe ana i ke koko mai nā ʻaoʻao ʻelua o kou ʻāʻī a i kou lolo, e hoʻoulu ai i ke koko e pehu i waho e like me ka pehu.
E noʻonoʻo i kahi pōpō i hoʻopiha ʻia. E lahilahi ana ka paia o ka pōpō i kona hoʻopiha ʻia ʻana, ʻeā? He aha ka mea e hana ai inā e hoʻopiha hou ʻoe? Pahū ia. Pēlā e puʻupuʻu ai kēia aneurysm. I ka hala ʻana o ka manawa, hiki iā ia ke nui aʻe. I kona nui ʻana, e lahilahi ana kona paia, a aia kahi pilikia e haki ia i kekahi lā. No laila, ʻo ka nui o ka aneurysm, ʻoi aku ka weliweli.
Pehea ke koʻikoʻi o kēia kūlana?
He maʻi koʻikoʻi nā aneurysms o ke aʻa Carotid e hoʻopilikia ana i nā kīʻaha koko e hoʻolako pololei ana i ke koko i ko kākou lolo, no laila ʻaʻole ia he mea e lawe māmā ʻia. Eia naʻe, ʻaʻole like ka weliweli o nā aneurysms āpau. He liʻiliʻi loa kekahi a hiki ke noho ma kahi no nā makahiki me ka ʻole o ka hoʻoulu ʻana i kekahi pilikia.
Akā aia ʻelua mau pilikia nui:
1. ʻAʻa koko: Hiki ke hana ʻia kahi ʻaʻa koko i loko o ka aneurysm, a hiki i kahi ʻāpana o ia mea ke haki a paʻa i loko o kahi kīʻaha koko liʻiliʻi i loko o ka lolo. Hiki i kēia ke ʻoki i ke kahe koko i ka lolo a hoʻoulu i kahi hoʻouka kaua ischemic transient (TIA) , kahi "mini stroke," a i ʻole kahi hahau ischemic piha .
2. Ka haki ʻana o ka aneurysm: Inā haki kahi aneurysm nui, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko a i ʻole a puni ka lolo. ʻO ka hopena o ka hahau ʻana ua kapa ʻia he hahau hemorrhagic . He pilikia koʻikoʻi loa kēia a he mea hoʻoweliweli paha i ke ola.
He aha ka ʻokoʻa ma waena o kahi aneurysm maoli a me kahi aneurysm wahaheʻe?
He mea lapaʻau kēia, akā e hoʻomaopopo maʻalahi kākou. ʻEkolu papa ka paia o ko kākou mau kīʻaha koko.
- ʻO ka Aneurysm ʻoiaʻiʻo: ʻO kēia ka wā e nāwaliwali ai nā papa ʻekolu o ke aʻa a puʻupuʻu i waho. ʻO ka hapa nui o kēia ke kumu o nā waihona momona i loko o nā paia o ke aʻa (atherosclerosis).
- ʻO ka Aneurysm wahaheʻe a i ʻole Pseudoaneurysm:ʻO kēia ka wā e hōʻino ʻia ai kekahi a ʻelua paha papa o ka paia o ke kīʻaha koko, e ʻae ana i kekahi koko e kahe i waho a hōʻiliʻili a puni ke kīʻaha koko, e hana ana i kahi pehu. ʻO ka ʻōlelo pololei, ʻaʻole kēia he kahe koko maoli. Hiki ke hana ia ma muli o kahi ulia, kahi maʻi, a i ʻole kahi pilikia o kekahi lāʻau lapaʻau.
Hiki i kēlā me kēia ʻano ke hoʻopilikia i nā pilikia, no laila pono paha nā mea ʻelua i ka mālama ʻana.
ʻO wai ka mea i loaʻa i kēia maʻi? A he mea maʻamau anei ia?
ʻOiai hiki ke loaʻa nā aneurysms o ke aʻa carotid i kekahi pākeke, ʻoi aku ka maʻamau o lākou i nā poʻe ma waena o 50 a me 60 mau makahiki. Hiki ke loaʻa pinepine ʻole i nā keiki.
Akā ʻo ka nūhou maikaʻi, he kūlana kakaikahi loa kēia. ʻO nā aneurysms o ke aʻa Carotid ka emi ma mua o 1% o nā aneurysms āpau i loko o ke kino.
He aha nā hōʻailona o kēia?
I ka hapa nui o ka manawa, hiki ke loaʻa kēia mau aneurysms me ka ʻole o nā hōʻailona. I kekahi manawa loaʻa lākou i ka wā i hana ʻia ai kahi mea e like me ke scan poʻo no kekahi kumu ʻē aʻe.
Akā inā kū mai nā hōʻailona, he mau hōʻailona pinepine lākou o ka hahau ʻana a i ʻole ka hoʻouka kaua ischemic transient (TIA).
Hiki i ka TIA ke lilo i hōʻailona koʻikoʻi e hōʻike ana he hahau nui e hiki mai ana i nā lā a i ʻole nā pule e hiki mai ana, no laila he mea nui e makaʻala pono i kēia mau hōʻailona.
| Nā hōʻailona pilikia o ka hahau ʻana a i ʻole TIA - inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele koke i ka ETU! | |
|---|---|
| Ka hemahema o ka ʻike maka | Ka pohihihi a nalowale paha o ka ʻike ma kekahi a i ʻole nā maka ʻelua. |
| Ka nawaliwali a ka ʻeha paha ma kekahi ʻaoʻao o ke kino | Manaʻo o ka mae ʻana ma kekahi ʻaoʻao o ka maka, ka lima, a i ʻole ka wāwae. (e.g., ke kūlou ʻana o kekahi ʻaoʻao o ka maka) |
| Paʻakikī i ka ʻōlelo ʻana | He ʻōlelo hōʻino, he paʻakikī ke hoʻomaopopo i ka mea e ʻōlelo ʻia nei. |
| Ka paʻakikī o ka hele wāwae a me ka nalowale o ke kaulike | Pōniuniu, hiki ʻole ke kū mālie, e kauō ana i kekahi ʻaoʻao i ka wā e hele ana. |
| ʻEha poʻo koke a koʻikoʻi | Ka hoʻomaka koke ʻana mai o kahi ʻeha poʻo nui e like me ka wā ma mua. |
Inā ʻike ʻoe i nā hōʻailona e like me kēia, ʻaʻole paha ʻoe e hiki ke kāhea aku i ka haukapila iā ʻoe iho. No laila, he mea nui loa ia e hoʻomaopopo i ka poʻe o kou hale e pili ana i kēia.
Nā hōʻailona ʻē aʻe
Ma waho aʻe o nā hōʻailona hahau, inā ulu nui ka aneurysm e kaomi i nā aʻalolo ʻē aʻe a i ʻole nā kīʻaha koko i ka ʻāʻī, nā hōʻailona e like me:
- ʻEha poʻo
- Ka leo haʻalulu
- ʻEha ʻāʻī
- Pehu maka
- Manaʻo e like me kahi puʻu ma ka ʻāʻī a ke kuʻi nei
- Ka paʻakikī i ka ale ʻana i ka meaʻai
- Nā pilikia ʻike ʻē aʻe
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka a haʻi iā lākou e pili ana i ia mea.
No ke aha e hana ʻia ai nā aneurysms penei? He aha nā kumu?
Aia kekahi mau kumu hiki ke kumu o ka aneurysm o ke aʻa carotid.
- Atherosclerosis: ʻO kēia ke kumu nui a maʻamau. Hiki ke hana ʻia kēia kūlana ke hōʻiliʻili ka cholesterol a me ka momona i loko o nā paia o nā kīʻaha koko, e hoʻonāwaliwali ana i nā paia.
- Nā maʻi e hoʻonāwaliwali ai i nā paia o nā kīʻaha koko: ʻO kekahi mau maʻi, e like me ka "Fibromuscular dysplasia," ke kumu o ka noho ʻole ʻana o nā paia o nā kīʻaha koko i ke olakino.
- Nā pilikia o nā lāʻau lapaʻau: Hiki ke hana ʻia ma ke ʻano he pilikia o kekahi mau ʻoki ʻāʻī, kekahi mau laina waena, a i ʻole ka radiation therapy no ka maʻi kanesa.
- Nā Ulia: Ka hōʻino ʻia ʻana o ke aʻa koko mai kahi ulia koʻikoʻi, e like me ke kī ʻana i ka pū a i ʻole ke kī ʻana.
Nā Kumu Pilikia
Aia kekahi mau kumu e hoʻonāwaliwali ai i nā paia o nā kīʻaha koko, kahi e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i kahi aneurysm:
- Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana kahi aneurysm, ʻoi aku kou pilikia.
- Ke koko kiʻekiʻe (Hypertension): Ke piʻi aʻe ke koko, hoʻonui ia i ke kaomi ma nā paia o nā kīʻaha koko. Hiki i kēia ke hoʻonāwaliwali i nā paia.
- Puhipaka: ʻO ka puhipaka kekahi kumu nui o ka hōʻino ʻana i nā kīʻaha koko. Hoʻonāwaliwali ia i nā paia o nā aʻa a hoʻonui nui i ka pilikia o ka loaʻa ʻana o nā aneurysms.
Pehea e ʻike ai ke kauka i kēia maʻi?
Hana kekahi kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.
1. Hoʻokolokolo kino: E kau ke kauka i kahi stethoscope ma kou ʻāʻī a hoʻolohe. I kekahi manawa, hiki ke lohe ʻia kahi leo 'swooshing' kūikawā (carotid bruit) i ka wā e kahe ana ke koko ma o kēia aneurysm.
2. ʻO kou mōʻaukala olakino a me kou ʻohana: E nīnau ke kauka e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai a inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like.
3. Nā Hoʻāʻo Kiʻi: ʻO kēia ke ala maikaʻi loa e hōʻoia ai i ka maʻi. Hiki i kēia mau hoʻāʻo ke ʻike maopopo i ka mea e hana nei i loko o kou aʻa carotid.
- ʻIke CT (ʻIke Tomography i hoʻopili ʻia)
- ʻO ka MRA Scan (Magnetic Resonance Angiography)
- ʻO ke kiʻi ʻana o ka ultrasound
ʻAe kēia mau hoʻokolohua i nā kauka e hoʻoholo i ka nui, ke ʻano, a me kahi o ka aneurysm, a no laila e hoʻoholo i ka lāʻau maikaʻi loa.
He aha nā koho lapaʻau?
Aia ka lāʻau lapaʻau i ka nui o kou aneurysm, pehea ka wikiwiki o kona ulu ʻana, a inā he mau hōʻailona kou. ʻEkolu mau koho lapaʻau nui.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| 1. Nānā ʻana | Inā liʻiliʻi loa ka aneurysm a ʻaʻohe hōʻailona, e ʻōlelo paha kāu kauka e kali no kekahi manawa me ka ʻole o ke ʻoki ʻana. Ua kapa ʻia kēia ʻo "waiting watchful." E loaʻa iā ʻoe nā scans i kēlā me kēia 6 mahina a i ʻole hoʻokahi makahiki e ʻike ai inā e nui ana ka aneurysm. I kēia manawa, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi i ke kaomi. |
| 2. ʻOki Hana Hāmama | ʻO kēia ke kaʻina hana kuʻuna. Ma kēia kaʻina hana, hana ke kauka ʻoki i kahi ʻoki ma ka ʻāʻī a wehe i ka ʻāpana i hōʻino ʻia o ke kīʻaha koko, nona ka aneurysm. A laila, hoʻohana ʻia kahi ʻāpana o ke kīʻaha koko a i ʻole kahi paipu hana (graft) i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou kino (no ka laʻana, kou wāwae) e hana i kahi ala hou no ke kahe ʻana o ke koko. |
| 3. Lapaʻau Endovascular (Endovascular Stent Grafting) | He hana ʻoki kino iki kēia ʻaʻole pono ia he ʻoki nui. E hana kāu kauka i kahi lua liʻiliʻi i loko o ke kīʻaha koko ma kou lima a hoʻokomo i kahi ʻōmole lahilahi (catheter) ma loko. Ma lalo o ke alakaʻi ʻana o X-ray, ua hoʻokomo ʻia ka ʻōmole i ka aneurysm, a ua hoʻokomo ʻia kahi ʻōmole mesh kūikawā (stent graft) i loko. ʻAe kēia i ke koko e kahe ma o ka ʻōmole hou ma kahi o ke komo ʻana i loko o ka aneurysm. |
Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe ma hope o ke kamaʻilio ʻana me ʻoe a me ka wehewehe ʻana i nā mea āpau.
He aha kaʻu e hana ai e hōʻemi i kēia pilikia?
ʻAʻole hiki iā mākou ke kaohi i kekahi mau mea pilikia (e like me ka mōʻaukala ʻohana), akā he nui nā mea hiki iā mākou ke hana e mālama i ko mākou mau kīʻaha koko a hōʻemi i ko mākou pilikia o ka hoʻomohala ʻana i kahi aneurysm.
- Inā ʻoe e puhipaka, e hoʻōki i kēia lā. ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana. E noi i kāu kauka no ke kōkua.
- E ʻai i ka meaʻai olakino no ka puʻuwai. E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō. E ʻai hou aku i nā mea kanu, nā huaʻai, a me nā greens.
- E hoʻoikaika kino i nā manawa a pau. E hana i nā hoʻoikaika kino kūpono iā ʻoe e like me nā kuhikuhi a kāu kauka.
- E kāohi i ke koko kiʻekiʻe. Inā he koko kiʻekiʻe kou, e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai i ka manawa kūpono.
- E hahai i nā ʻōlelo aʻoaʻo a ke kauka. E hele i nā hoʻokolohua lapaʻau i ka manawa kūpono.
Aia kekahi ʻokoʻa ma waena o kahi aneurysm ma ka ʻāʻī a me kahi aneurysm i loko o ke poʻo?
He ʻano lapaʻau iki kēia, akā e hoʻomaʻalahi kākou: Holo ko kākou aʻa carotid i luna o ka ʻāʻī a i loko o ke poʻo.
- ʻO nā aneurysms e hana ʻia ma waho o ke poʻo, ʻo ia hoʻi, ma ka ʻāʻī, ua kapa ʻia ʻo 'extracranial' .
- ʻO nā aneurysms e hana ʻia i loko o ke poʻo i kapa ʻia ʻo 'intracranial' .
Inā hoʻohana kāu kauka i kēia mau huaʻōlelo nou, ke kuhikuhi wale nei lākou i kahi o ka aneurysm. ʻAʻole pono ʻoe e hoʻopaʻanaʻau i kēia mau huaʻōlelo. E noi i kāu kauka no ka wehewehe ʻana i nā mea āu e maopopo ʻole ai.
He mea maʻamau ka makaʻu ke ʻike ʻoe he aneurysm kou. Akā me ka ʻenehana scan holomua a me nā lāʻau lapaʻau o kēia wā, hiki i nā poʻe he nui ke ola maʻamau. ʻO ka mea nui loa, ʻo ia ke hahai pono i nā ʻōlelo a kāu kauka a hele i nā nānā maʻamau.
Leka Lawe-Home
- ʻO ka aneurysm o ke aʻa carotid ka hoʻonāwaliwali ʻia o ka paia o kahi kīʻaha koko nui i ka ʻāʻī e lawe ana i ke koko i ka lolo, e hoʻoulu ai ia e pehu e like me ka pōpō.
- ʻO nā pōʻino nui ʻelua e hiki ke kū mai mai kēia he ʻūpā koko e hoʻoulu ai i ka hahau ʻana a me ka pahū ʻana o ka aneurysm.
- Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana, e like me ke kūlou koke ʻana o kekahi ʻaoʻao o kou maka, ka mae ʻana o ka lima, a i ʻole ka paʻakikī o ka ʻōlelo ʻana, he pilikia ia. E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Aia ka lāʻau lapaʻau i ka nui o ka aneurysm a me nā hōʻailona. I kekahi manawa ua lawa paha ka nānā wale ʻana. I kekahi manawa pono paha ke ʻoki kino.
- He mea nui ka kaohi ʻana i ke koko kiʻekiʻe a me ka pale ʻana i ka puhipaka i mea e pale ai i kēia maʻi.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo