Ke manaʻo nei anei kekahi kīʻaha koko i loko o kou ʻāʻī e like me ka pehu ʻana? E aʻo kākou e pili ana i ka Carotid Artery Aneurysm!

Ua noʻonoʻo paha ʻoe inā hiki i nā kīʻaha koko i loko o ko kākou ʻāʻī ke loaʻa nā pilikia like ʻole? I kekahi manawa hiki i kēia mau aa ke lilo i nāwaliwali a puʻupuʻu e like me ka pōpō. ʻOiai he mea weliweli iki kēia, inā ʻike mākou i kēia, hiki iā mākou ke hana i ka mea kūpono me ka hopohopo ʻole. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻo ia hoʻi , ʻo Carotid Artery Aneurysm .

He aha ka Carotid Artery Aneurysm? He aha ka mea e hana nei?

I ka ʻōlelo maʻalahi, ʻo ka aneurysm o ke aʻa carotid kahi kūlana kahi e nāwaliwali ai kahi ʻāpana o nā aʻa carotid, aia ma nā ʻaoʻao ʻelua o ko kākou ʻāʻī, a puka i waho. He mau kīʻaha koko koʻikoʻi kēia mau aʻa carotid no ka mea hāʻawi lākou i ka hapa nui o ke koko i ko kākou lolo, ke poʻo, ka maka, a me ka ʻāʻī.

ʻO ke aʻa carotid nui, e hoʻomaka ana ma ka piko o ko kākou umauma, e piʻi ana i ka ʻāʻī a maʻamau e māhele ʻia i ʻelua lālā ma waenakonu o ka ʻāʻī. ʻO kekahi ke aʻa carotid kūloko a ʻo kekahi ke aʻa carotid waho . ʻOiai hiki ke loaʻa kēia mau aneurysms i kekahi o kēia mau aʻa carotid, ʻike pinepine ʻia lākou ma ke aʻa carotid kūloko.

E noʻonoʻo e like me ka puhi ʻana i ka ea i loko o kahi pōpō. I ka piʻi ʻana o ka ea, e lahilahi a nui ka paia o ka pōpō, ʻeā? Pēlā nō ia me kēia. Ke nāwaliwali kahi ʻāpana o ka paia o ke aʻa, hoʻomaka kēlā ʻāpana e puʻupuʻu ma lalo o ke kaomi o ke koko. I ka ulu ʻana o kēia puʻupuʻu, e lahilahi ka paia o ke aʻa. A laila piʻi ka pilikia o ka pahū ʻana. ʻO ia ke kumu i ʻōlelo ʻia ai ʻo ka nui o ka aneurysm, ʻoi aku ka weliweli.

Pehea ke koʻikoʻi o kēia kūlana?

ʻO ka aneurysm o ke aʻa carotid kahi mea e kū mai ana i loko o nā aʻa e hoʻolako pololei i ke koko i ko mākou lolo, no laila ʻaʻole ia he mea e lawe māmā ʻia. Eia naʻe, ʻaʻole like ke koʻikoʻi o nā aneurysms āpau.

He liʻiliʻi loa kekahi mau aneurysms a hiki ke noho ma kahi no nā makahiki me ka ʻole o ka hoʻopilikia ʻana. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia nā ʻōpū koko ma kēia wahi pehu. Inā haki kēia mau ʻōpū koko a ālai i kahi kīʻaha koko i loko o ka lolo, hiki iā lākou ke hana i kahi hoʻouka kaua ischemic transient (TIA), kahi hahau liʻiliʻi, a i ʻole kahi hahau mau loa .

Inā pahū koke kahi aneurysm nui (ruptures) , hoʻomaka ke kahe ʻana o ke koko i loko o ka lolo. Ua kapa ʻia kēia he hahau hemorrhagic . He pilikia weliweli kēia e hoʻoweliweli ana i ke ola.

He aha ka ʻokoʻa ma waena o kahi aneurysm maoli a me kahi aneurysm wahaheʻe?

Ua hoʻokaʻawale nā ​​kauka i kēia mau aneurysms i ʻelua ʻano, ma muli o ke ʻano o ka puʻupuʻu.

• ʻO ka Aneurysm ʻoiaʻiʻo:ʻO kēia ka wā e nāwaliwali ai nā papa ʻekolu o ka paia o ke aʻa (i kapa ʻia ʻo "Intima, Media, Adventitia") a puʻupuʻu i waho. ʻO ke kumu nui o kēia, ʻo ia ka waiho ʻana o ka momona i loko o nā kīʻaha koko, kahi kūlana i kapa ʻia ʻo "Atherosclerosis".
• ʻAneurysm wahaheʻe a i ʻole pseudoaneurysm: He puʻupuʻu kēia ma hoʻokahi a ʻelua paha papa o ka paia o ke aʻa. Me he mea lā ua puʻupuʻu mai kahi ʻeke liʻiliʻi mai loko mai o ke aʻa. Hoʻokumu pinepine ʻia kēia e ka hōʻino ʻia o ke aʻa i loko o kahi ulia, maʻi, a i ʻole nā ​​​​pilikia mai ka mālama ʻana i ke olakino .

Inā he aneurysm maoli kēia a he aneurysm wahaheʻe paha, hiki i nā mea ʻelua ke hana i nā pilikia a pono paha ke mālama ʻia.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi? Pehea ka maʻamau o ia mea?

ʻIke pinepine ʻia nā aneurysms o ke aʻa carotid i nā pākeke, ʻoiai ka poʻe ma waena o 50 a me 60 mau makahiki. Eia nō naʻe, ʻaʻole hiki ke loaʻa pinepine i nā keiki.

ʻAʻole kēia he kūlana maʻamau loa. ʻO ka ʻoiaʻiʻo, ʻaʻole i hōʻike ʻia ma mua o hoʻokahi i loko o 100 mau aneurysms i loko o ke kino he mau aneurysms o ke aʻa carotid.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

Loaʻa i kekahi poʻe kahi aneurysm o ke aʻa carotid akā ʻaʻole lākou e ʻike i kekahi mau hōʻailona. ʻIke wale ʻia lākou i ka wā e loaʻa ai iā lākou kahi scan no kekahi kumu ʻē aʻe.

ʻO ka hapa nui o ka poʻe e loaʻa ana nā hōʻailona he transient ischemic attack (TIA) a i ʻole ka hahau. Ua like ka TIA me ka "mini-stroke." Hiki iā ia ke lilo i hōʻailona e hōʻike ana he hahau nui aʻe e hiki mai ana i nā lā a i ʻole nā ​​pule e hiki mai ana. ʻO ka TIA a me ka hahau ʻana ua hana ʻia e ka haki ʻana o ke kahe koko i ka lolo.

He mau pilikia olakino kēia! Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka haukapila:

* Ka ʻike maka pōwehiwehi a i ʻole ka emi ʻana o ka ʻike ma kekahi a i ʻole nā ​​maka ʻelua.

* Paʻakikī i ka hele wāwae, kūpikipikiʻō.

* Pōʻino, nalowale ke kaulike.

* Ka maneʻo a nāwaliwali paha ma ka maka, ka lima, a i ʻole ka wāwae, ʻoiai ma kekahi ʻaoʻao o ke kino.

* He ʻeha poʻo koʻikoʻi a koke.

* Paʻakikī i ka ʻōlelo ʻana, paʻakikī i ka hoʻomaopopo ʻana i ka mea a haʻi e ʻōlelo nei. Ke hūpō nei a huikau paha.

ʻAʻole paha ʻoe e hiki ke kāhea no ke kōkua iā ʻoe iho ke loaʻa iā ʻoe kēia mau hōʻailona koʻikoʻi. ʻO ia ke kumu he mea nui e aʻo i kou ʻohana a me kou mau hoaaloha e pili ana i nā hōʻailona o TIA a me Stroke. Inā noho hoʻokahi ʻoe, he manaʻo maikaʻi nō hoʻi e noʻonoʻo i kahi Medical Alert System (MAS) hiki iā ʻoe ke kaomi e kāhea no ke kōkua.

Ma waho aʻe o kēia mau hōʻailona TIA a me ka hahau ʻana, inā ulu nui ka aneurysm e kaomi i nā aʻalolo ʻē aʻe a i ʻole nā ​​​​kīʻaha koko ma ka ʻāʻī a i ʻole ke poʻo,Eia kekahi mau hōʻailona e hiki mai ana:

• ʻEha poʻo.
• Ka leo palahalaha.
• ʻEha ʻāʻī.
• Pehu maka.
• Me he puʻupuʻu lā ma kuʻu ʻāʻī, me he mea lā e huki ʻia ana.
• Paʻakikī ke ale ʻana.
• Nā pilikia ʻike.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka.

No ke aha lā kēia e hana nei? He aha nā kumu?

Aia kekahi mau kumu o ka aneurysm o ke aʻa carotid.

• Atherosclerosis (nā waihona momona i loko o nā kīʻaha koko): ʻO kēia ke kumu nui a maʻamau.
• Nā kūlana e hoʻonāwaliwali ai i nā paia o nā aʻa: ʻO nā laʻana e komo pū me ka Fibromuscular Dysplasia a me kekahi mau maʻi pili.
• Nā pilikia o nā lāʻau lapaʻau: I kekahi manawa hiki ke hana ʻia e nā mea e like me `(Carotid Endarterectomy)` (ʻoki ʻana ma ke aʻa carotid), `(Central Line Placement)` (hoʻokomo ʻana i kahi ʻōmole i loko o kahi aʻa nui ma ka ʻāʻī), a i ʻole `(Radiation Therapy)` (lāʻau radiation) no ka maʻi ʻaʻai.
• Nā ʻeha koʻikoʻi i ke aʻa: No ka laʻana, hiki ke hana mai kahi ulia koʻikoʻi, e like me ka pū ʻana a i ʻole ke kī ʻana.

He aha nā kumu pilikia? (Nā kumu pilikia)

Aia kekahi mau kumu e hoʻonāwaliwali ai i nā paia o nā aʻa, e hoʻonui ana i ka pilikia o ka hoʻomohala ʻana i kahi aneurysm:

• Inā ua loaʻa i kekahi o ka ʻohana kahi aneurysm (loulou hoʻoilina).
• Inā he koko kiʻekiʻe kou (hypertension) .
• Inā ʻoe e puhipaka a hoʻohana paha i nā huahana paka ʻē aʻe.

Pehea e ʻike ai nā kauka i kēia?

Hoʻoponopono nā kauka i kahi aneurysm artery carotid ma ka hana ʻana i kekahi mau hoʻokolohua, e like me:

• Hoʻokolokolo kino: I loko o kēia, e kau ke kauka i kahi stethoscope ma kou ʻāʻī a hoʻolohe i ke kani o ke koko e kahe ana ma loko. I kekahi manawa, inā he aneurysm, hiki ke lohe ʻia kahi leo "swoosh" kūikawā (carotid bruit).
• Mōʻaukala lapaʻau ʻohana: E nīnau ke kauka e pili ana i nā kūlana olakino i loko o kou ʻohana, no ka mea, inā ua loaʻa i kekahi o kou ʻohana kahi aneurysm, hiki paha iā ʻoe ke pilikia.
• Kou mōʻaukala olakino: E nīnau kāu kauka e pili ana i nā kūlana olakino āu e loaʻa ai a me nā lāʻau lapaʻau āu e lawe ai. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o ka aneurysm.
• Nā Hoʻāʻo Kiʻi: He mau hoʻāʻo kēia e hōʻike pono ana i ka mea e hana nei i loko o ke aʻa carotid a me ke ʻano o ka ʻāina a puni. ʻO kēia nā mea e hōʻoia ai inā loaʻa kahi aneurysm a hoʻoholo i ka lāʻau maikaʻi loa.

I kekahi manawa, hana nā kauka i kēia mau hoʻokolohua no ka mea ke manaʻo nei lākou he aneurysm ma muli o nā hōʻailona. I kekahi manawa, ʻike ʻia lākou me ka ulia pōpilikia i ka wā e hana ana i nā hoʻokolohua no kekahi maʻi ʻē aʻe (`(Incidental Diagnosis)`).

Nā hoʻokolohua nui no ka hōʻoia ʻana:

• CT Scan (Computed Tomography - CT Scan)
• ʻO ka MRA Scan (Magnetic Resonance Angiography - MRA)
• ʻO ke kiʻi ʻana o ka ultrasound

Ma waho aʻe o kēia, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua ʻē aʻe no ʻoe:

• ʻO kahi scan lolo e nānā i ke kahe koko i loko o ka lolo a ʻike inā he mau aneurysms ʻē aʻe.
• Ka hoʻāʻo ʻana i ka genetic e nānā i nā kūlana hoʻoilina.
• ʻO nā scan ʻē aʻe e nānā i nā aneurysms i nā kīʻaha koko nui ʻē aʻe o ke kino (e laʻa, ka aorta).

He aha ka lāʻau lapaʻau no kēia?

Aia kekahi mau lāʻau lapaʻau no nā aneurysms o ke aʻa carotid. ʻO nā pahuhopu nui o ka lāʻau lapaʻau, ʻo ia ka hōʻemi ʻana i nā hōʻailona a me ka hoʻemi ʻana i ka pilikia o nā pilikia koʻikoʻi, e like me ka haki ʻana o ka aneurysm a i ʻole ka maʻi lolo.

E noʻonoʻo ke kauka i kekahi mau kumu e hoʻoholo ai inā pono ʻoe i ke ʻoki kino a i ʻole kekahi hana ʻē aʻe:

• ʻO ka nui o ka aneurysm.
• Pehea ka wikiwiki o ka ulu ʻana o ka aneurysm .
• Inā he mau hōʻailona kou a ʻaʻole paha .

ʻO nā koho lapaʻau nui:

• Nānā ʻana
• ʻO ke ʻoki kino hāmama
• Hoʻopili ʻana i ka Stent Endovascular

Nānā / Kali Makaʻala

Ua kapa ʻia kēia he "kali makaʻala." Pili kēia i kāu kauka e hoʻomau i ka nānā ʻana i kāu aneurysm. E loaʻa iā ʻoe nā hoʻokolohua (e like me ka ultrasound, CT scan, a i ʻole MRI scan) i kēlā me kēia 6 a 12 mau mahina e ʻike ai inā he mau loli i ka aneurysm. Hoʻohana pinepine ʻia kēia no nā aneurysms liʻiliʻi, asymptomatic .

Inā he koko kiʻekiʻe kou, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau koko . Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ke kaomi ma ka aneurysm. Hiki iā lākou ke kuhikuhi i ka lāʻau hoʻohaʻahaʻa cholesterol .

ʻO ke ʻoki kino hāmama

ʻO kēia ke ʻano lapaʻau kuʻuna. Ma kēia, wehe ke kauka ʻoki i ka ʻāpana i hōʻino ʻia a pehu o ke aʻa carotid a hana i kahi ala hou no ke kahe ʻana o ke koko ma kona wahi. Ua kapa ʻia kēia ʻo bypass grafting .

No ka hana ʻana i kēia kīʻaha koko hou (graft), hiki i ke kauka lapaʻau ke hoʻohana i kahi ʻāpana kīʻaha koko i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou kino ponoʻī, a i ʻole e hoʻohana paha lākou i kahi aa koko i hana ʻia me kahi mea synthetic e like me GORE-TEX® .

Hoʻopili ʻana i ka Stent Endovascular

He hana invasive iki kēia ma mua o ke ʻoki kino hāmama. ʻO ka nui o ka aneurysm a me kona wahi ma ke aʻa carotid e hoʻoholo ai inā he moho ʻoe no kēia hana.

ʻO ke ʻano o ka endovascular ke hana ʻia ke ʻoki ʻana i loko o kou mau kīʻaha koko, me ka hoʻohana ʻana i nā ʻōmole lōʻihi a lahilahi (catheters).Hana ke kauka lapaʻau i kahi lua liʻiliʻi i loko o kahi aʻa i loko o kou ʻūhā, hoʻokomo i kēia paipu ma loko, a hoʻouna i kahi stent graft (kahi paipu liʻiliʻi e like me ka mesh) i ka aneurysm ma lalo o ke alakaʻi X-ray. A laila hoʻopiha ʻia ka stent graft i loko o ke aʻa, e uhi ana i ka aneurysm. A laila kahe ke koko ma o ka stent graft hou.

He aha ka lāʻau lapaʻau kūpono noʻu?

Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. E noʻonoʻo ʻo ia i kou kūlana a me kou mau pono. Ma mua o kekahi lāʻau lapaʻau, e wehewehe pono kāu kauka i nā pono, nā hemahema, a me nā hopena ʻaoʻao. E wehewehe pū ʻo ia pehea e hoʻomākaukau ai no ka lāʻau lapaʻau a me ka manawa hoʻōla ma hope o ka lāʻau lapaʻau.

He aha kā mākou e hana ai e hōʻemi i kēia pilikia?

ʻO kekahi mau mea pilikia (e laʻa me ka mōʻaukala ʻohana) ʻaʻole ia ma ko mākou mana. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e mālama i ke olakino o ko mākou mau aʻa a hōʻemi i ko mākou pilikia o ka loaʻa ʻana o kahi aneurysm:

• E hōʻalo loa i ka puhipaka, ka vaping, a i ʻole ka hoʻohana ʻana i nā huahana paka ʻē aʻe. E noi i kāu kauka no ke kōkua e hoʻōki.
• E ʻai i ka meaʻai olakino no ka puʻuwai, haʻahaʻa i ka momona momona, ka paʻakai, a me ke kō.
• E hoʻoikaika kino mau e like me ke kuhikuhi a kāu kauka.
• E kaupalena i ka inu ʻana i ka waiʻona.
• E kāohi i nā kumu pilikia e like me ke koko kiʻekiʻe.
• E lawe i ka lāʻau lapaʻau i kauoha ʻia e ke kauka me ka pololei a me ka manawa kūpono.
• E hana i nā hoʻokolohua lapaʻau makahiki a mai poina i nā manawa i hālāwai ai me kāu kauka.

He aha kāu e noʻonoʻo ai ke ʻike ʻoe he aneurysm kou?

Hiki ke ʻokoʻa ka wā e hiki mai ana o kekahi me ka aneurysm o ke aʻa carotid. Loaʻa i kekahi poʻe kahi aneurysm liʻiliʻi a nā kauka e nānā wale ai no nā makahiki. No kekahi poʻe, ulu koke ka aneurysm a pono e mālama ʻia. ʻOiai hiki i ke ʻoki kino a me ka mālama ʻana i ka endovascular ke mālama i nā aneurysms, he mau pilikia nō hoʻi ko lākou. E kamaʻilio ākea me kāu kauka e pili ana i kou kūlana a me nā mea e manaʻo ai i ka wā e hiki mai ana.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī)

E hahai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i nā loli o ke ʻano o ka nohona e kōkua i ka mālama ʻana i kou kūlana. Eia kekahi, e nīnau e pili ana i nā hana maikaʻi ʻole iā ʻoe. Pono paha ʻoe e pale i kekahi mau hana e hoʻokaumaha loa i kou kino .

He aha nā manawa kūikawā e pono ai ʻoe e ʻike i ke kauka?

E haʻi aku kāu kauka iā ʻoe i ka pinepine o kou pono e ʻike i ke kauka a inā pono ʻoe e loaʻa i kekahi mau hoʻokolohua. E hōʻoia e hele i kēlā mau manawa a pau.

E kāhea i kāu kauka i nā hihia aʻe:

• Inā ʻike ʻia kahi hōʻailona hou a i ʻole e loli nā hōʻailona e kū nei.
• Inā loaʻa iā ʻoe kahi hopena ʻaoʻao mai kahi lāʻau āu e lawe nei.
• E pili ana i kou aneurysm a me kāu hoʻolālā lapaʻauInā he mau nīnau a kānalua paha kāu.

I ka manawa hea e hele ai i ka Emergency Treatment Unit (ETU) :

Inā loaʻa iā ʻoe nā hōʻailona o ka "Hoʻāʻo Puʻuwai", "Stroke", a i ʻole "TIA", e kāhea koke i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke ʻike ʻoe he aneurysm kou no ke aʻa carotid, nui paha kāu mau nīnau. Akā, ʻaʻole paha ʻoe e ʻike i kahi e hoʻomaka ai. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau e hoʻomaka i ke kamaʻilio ʻana:

• Aia ma hea ka aneurysm? Ma ka ʻāʻī a i ʻole i loko o ke poʻo?
• Pehea ka nui o ka aneurysm?
• E pono anei iaʻu ka lāʻau lapaʻau? Inā pēlā, āhea?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia koho lapaʻau?
• He aha kaʻu e manaʻo ai i ka wā e hoʻōla ai ma hope o ka lāʻau lapaʻau?
• He aha nā hoʻololi o ke ʻano o ka nohona e pono iaʻu e hana?
• Aia kekahi mau hana e pono ʻole iaʻu e hana?
• Pono anei au e loaʻa nā hoʻokolohua hou aku? Inā pēlā, pehea ka wikiwiki?

ʻO ka ʻokoʻa ma waena o kahi aneurysm ma ka ʻāʻī (extracranial) a me kahi aneurysm i loko o ke poʻo (intracranial)

ʻO kēia mau inoa ʻelua e pili ana i kahi aneurysm i hana ʻia i loko o kahi aʻa carotid. Eia nō naʻe, pili kēia i kahi ʻokoʻa ma kahi o ka aneurysm.

• ʻO ke ʻano extracranial aia ka aneurysm ma waho o ke poʻo, ʻo ia hoʻi ma ka ʻāʻī .
• ʻO ke ʻano intracranial aia ka aneurysm i loko o ke poʻo .

Ua māhele ʻia ko kākou aʻa carotid kūloko i kēia mau ʻāpana no ka mea e hele ana ia i luna o ka ʻāʻī a i loko o ke poʻo. I ka ʻōlelo maʻalahi, ʻo ka ʻāpana o ke aʻa i loko o ka ʻāʻī (ka ʻāpana cervical a i ʻole C1) ua kapa ʻia ʻo ka ʻāpana extracranial. ʻO nā ʻāpana ma hope o ke komo ʻana o ke aʻa i loko o ke poʻo (ka petrous, lacerum, cavernous, clinoid, ophthalmic, communicating segments - C2 a C7) ua kapa ʻia ʻo ka ʻāpana intracranial. ʻAʻole pono ʻoe e hoʻomanaʻo i kēia mau inoa, akā inā ʻōlelo kāu kauka i kekahi mea e like me, "He aneurysm kou ma kou aʻa carotid kūloko hema, ʻāpana cervical," ʻo kāna manaʻo, aia kahi aneurysm ma ka ʻāpana o ke aʻa ma kou ʻāʻī hema, ma waho o ke poʻo.

Mai makaʻu e nīnau i kāu kauka e pili ana i nā huaʻōlelo lapaʻau āu i maopopo ʻole ai. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo maikaʻi i nā mea e hana nei i loko o kou kino a me kahi e hana nei.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ke makaʻu i ka wā e ʻike ai ʻoe he aneurysm kou. ʻO nā nīnau e like me "No ke aha i hana ʻia ai kēia iaʻu?" a me "E loli anei koʻu ola o kēlā me kēia lā?" e hiki mai paha i ka noʻonoʻo. Hiki paha iā ʻoe ke makaʻu i nā pilikia.

Akā, ʻo ka mea nui loa, ʻaʻole ia e hopohopo.Me nā ʻenehana kiʻi kiʻi holomua a me nā lāʻau lapaʻau o kēia wā, hiki i nā kānaka he nui ke ola maʻamau. Hiki paha i kekahi ke nānā i ko lākou aneurysm, aʻo kekahi poʻe e pono paha ka lāʻau lapaʻau.

Inā ua ʻike ʻia ʻoe me kahi aneurysm o ke aʻa carotid, e kamaʻilio me kāu kauka e pili ana i nā hana aʻe a me ka mālama ʻana. Inā liʻiliʻi ka aneurysm, hiki i kāu kauka ke ʻōlelo aku i ka nānā ʻana. E mālama pono i nā manawa a kāu kauka a me nā scan i kēlā me kēia lā. Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke kū i kēia kūlana ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono a me ka loaʻa ʻana o kahi ʻano maikaʻi.

ʻO ka Aneurysm o ke Arteri Carotid, ʻO ka Aneurysm o ke Arteri Carotid, nā kīʻaha koko o ka ʻāʻī, ke kahe ʻana o ke koko i ka lolo, TIA, ka hahau liʻiliʻi, ka hahau ʻana, ka maʻi lolo, nā hōʻailona o ka Aneurysm, ka mālama ʻana i ka Aneurysm