Loaʻa iā ʻoe ke koko kiʻekiʻe i wehewehe ʻole ʻia? A i ʻole he paʻakikī ke kāohi i kou koko me ka lāʻau lapaʻau? Lohe paha ʻoe i kekahi manawa i kahi leo ʻē i loko o kou mau pepeiao a i ʻole manaʻo ʻoe ua poniuniu? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole a mākou i lohe nui ʻole ai a ʻo ia paha ke kumu o kēia mau mea. Ua kapa ʻia kēia ʻo Fibromuscular Dysplasia, a i ʻole FMD no ka pōkole.
I ka ʻōlelo maʻalahi, he aha ka Fibromuscular Dysplasia (FMD)?
ʻO ka FMD kahi maʻi e hoʻopilikia ai i nā aʻa i loko o ko mākou kino, nā ʻōmole e lawe ana i ke koko mai ka puʻuwai i nā ʻōpū ʻē aʻe. ʻO ka mea e hana ʻia ma kēia, ʻaʻole ulu maʻamau nā cell i loko o nā paia o nā aʻa. Hiki i kēia ke hana i nā aʻa e haiki i kahi hoʻokahi a i ʻole e puʻupuʻu e like me ka pōpō. I kekahi manawa hiki i nā aʻa ke nānā aku e like me ke kaula o nā momi, ua haiki ma nā wahi a ua puʻupuʻu ma nā wahi.
E noʻonoʻo i ka mea e hana ʻia inā paʻa kahi paipu wai a nāwaliwali a pehu. Ua ālai ʻia ke kahe o ka wai, ʻeā? ʻO ia ka mea e hana ʻia ma FMD. Ua ālai ʻia ke kahe o ke koko ma o nā aʻa. Hiki i kēia ke alakaʻi i nā pilikia olakino like ʻole.
ʻOiai hiki i kēia kūlana ke hoʻopilikia i kekahi aʻa i loko o ke kino, ʻo ia ka mea maʻamau e hoʻopilikia ai:
- Nā aʻa renal: Ke hoʻopilikia ʻia kēia mau mea, hiki ke hoʻopilikia ʻia ka hana a nā puʻupaʻa.
- ʻO nā aʻa Carotid i ka ʻāʻī e hoʻolako i ke koko i ka lolo: Ke hoʻopilikia ʻia kēia mau mea, hiki ke hoʻopau ʻia ka lako koko i ka lolo.
ʻO ka mea kupanaha, ʻoi aku ma mua o 90% o nā maʻi i ʻike ʻia me FMD he mau wahine , e lilo ia i mea maʻamau i waena o nā wahine.
ʻElua mau ʻano nui o nā FMD:
Ua hoʻokaʻawale nā kauka iā ia i ʻelua ʻano nui ma muli o ke ʻano o nā aʻa i ka wā o nā hoʻokolokolo. No ka hoʻomaopopo ʻana i kēia, e nānā i ka papa ma lalo.
| ʻAno FMD | Wehewehena |
|---|---|
| FMD Multifocal | ʻO kēia ke ʻano maʻamau. E like me ke kaula o nā momi, puʻupuʻu ke aʻa ma kekahi mau wahi, a laila wili, a laila puʻupuʻu hou... a pēlā aku. Ua kapa ʻia hoʻi kēia he "kaula o nā momi". |
| FMD Kūikawā | He ʻano kākaʻikahi iki kēia ʻano. Hana ʻia ia ke ālai ʻia a pehu paha kekahi ʻāpana o ke aʻa. |
He aha nā hōʻailona o FMD?
ʻO nā hōʻailona e ʻike ʻia ana ma muli o ke aʻa i loko o ke kino i hōʻino ʻia e ka FMD. ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona inā he ʻano palupalu loa ko lākou o ke ʻano. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia.
- Ke koko kiʻekiʻe e paʻakikī ke kaohi: Hiki i kēia ke kumu o ke koko kiʻekiʻe, ʻoiai hoʻi i kahi ʻōpio.
- ʻEha poʻo: Loaʻa paha i kekahi poʻe ka ʻeha poʻo e like me ka migraine.
- ʻEha ʻāʻī.
- Pulsatile tinnitus: He leo kani i loko o nā pepeiao e like me ka puʻuwai o ka naʻau.
- Ka poniuniu a i ʻole ka manaʻo o ka wili ʻana a puni ʻoe (Vertigo).
- He walaʻau ʻē ma ka ʻāʻī a i ʻole ka ʻōpū (Bruit): Ke nānā ke kauka me ka stethoscope, hiki ke lohe ʻia kahi leo 's...s...' i ke kahe ʻana o ke koko ma o ke aʻa i paʻa.
- ʻEha ka umauma.
- Paʻakikī ka hanu ʻana.
- ʻEha ʻaoʻao: Hiki ke loaʻa kēia ʻeha inā pili nā aʻa e pili ana i nā puʻupaʻa.
- Koko i loko o ka mimi.
ʻO ka mea nui loa, hiki ke ʻike ʻia kēia mau hōʻailona i nā maʻi ʻē aʻe, no laila inā loaʻa iā ʻoe kekahi mea e like me kēia, e kamaʻilio me kāu kauka.
No ke aha e kū mai ai ka FMD? He aha nā kumu?
ʻAʻole maopopo i nā kānaka ʻepekema ke kumu pololei o ka FMD, akā aia kekahi mau kumu i manaʻo ʻia e kōkua i ia.
- ʻIke Hoʻoilina: Ua ʻike ʻia ua hoʻoili ʻia kēia maʻi mai kēlā hanauna a i kēia hanauna ma kekahi mau ʻohana.
- Nā Hormones: E like me kā mākou i ʻōlelo ai ma mua, ʻoi aku ka maʻamau o kēia i nā wahine. No laila, ua manaʻo ʻia he kuleana ko ka estrogen, kahi hormone wahine, i kēia.
- Nā kumu o ke kaiapuni: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka loaʻa ʻana o kēia maʻi.
- Ka hōʻino ʻana i nā paia arterial: Hiki ke hoʻopilikia ʻia nā kumu e like me ke kīkoʻo pinepine ʻana o nā paia arterial.
Eia kekahi, hiki ke pili pū ʻia ka FMD me kekahi mau maʻi lapaʻau kakaʻikahi ʻē aʻe. No ka laʻana, ʻike ʻia me nā maʻi e like me ka `(Ehlers-Danlos syndrome)` a me ka `(Marfan syndrome)`.
Nā pilikia koʻikoʻi e hiki ke hana ma muli o FMD
Inā ʻaʻole mālama pono ʻia ka FMD a ʻaʻole paha i ʻike ʻia, hiki ke loaʻa kekahi mau pilikia weliweli. He mea nui loa ka makaʻala i kēia mau mea.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| ʻAneurysm | ʻO kēia ka wā e puʻupuʻu ai kahi ʻāpana nāwaliwali o ke aʻa e like me ka pōpō. He mea weliweli kēia no ka mea inā pohā koke kēia puʻupuʻu, hiki iā ia ke hoʻoulu i ke kahe koko nui i loko o ke kino. |
| Ka ʻoki ʻana o ke aʻa | E noʻonoʻo i kahi aʻa e like me kahi paipu i hana ʻia me kekahi mau papa. ʻO ka mea e hana ʻia ma kēia, aia kahi haehae ma ka papa o loko o ka paia o ke aʻa. Hiki i ke koko ke kahe ma o kēia haehae a ālai i ke kahe ʻana o ke koko. He pilikia koʻikoʻi loa kēia. |
| Hahau | Inā hoʻopilikia ka FMD i nā aʻa e lawe ana i ke koko i ka lolo, hiki ke ālai ʻia ke kahe o ke koko a i ʻole hiki ke hana ʻia kahi ʻūpā koko, e hana ana i ka hahau ʻana. |
| Hoʻouka ischemic kuikilana (TIA) | Ua like kēia me ka hahau ʻana, akā nalo nā hōʻailona (e laʻa, ke kūlou ʻana o ka waha i kekahi ʻaoʻao, ka mae ʻana o ka lima hoʻokahi) i loko o 24 mau hola. He hōʻailona kēia e hōʻike ana e hiki mai ana kahi hahau nui. |
Inā ʻike ʻoe i nā hōʻailona o kēia ʻano pilikia (e laʻa, ka ʻeha poʻo koke, ka paʻakikī o ka ʻōlelo ʻana, ka nalowale o ka ʻike ma kekahi ʻaoʻao o ke kino), he mea nui loa ia e hele koke i ka Emergency Department (ETU) o ka haukapila .
Pehea e ʻike ai nā kauka i ka FMD?
I kekahi manawa, loaʻa paha i kāu kauka kahi hōʻailona o FMD (e like me ka bruit) i ka wā o ka nānā maʻamau, a i ʻole hiki ke loaʻa ma kahi hanana i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.
Inā kānalua ke kauka iā FMD, e hana ʻo ia i kekahi mau hoʻokolohua kūikawā e hōʻoia iā ia.
- ʻO Vascular Ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e lawe i nā kiʻi o nā aʻa a nānā i nā ālai a i ʻole nā dilations.
- Angiography: Pili kēia i ka hoʻokomo ʻana i kahi kala kūikawā i loko o ke kino a me ka hoʻohana ʻana i kahi X-ray, CT, a i ʻole MRI scan e ʻike maopopo i loko o nā aʻa. ʻO kēia ke ala maikaʻi loa e ʻike ai i ka FMD.
He aha nā lāʻau lapaʻau no FMD?
ʻAʻohe lāʻau lapaʻau no ka FMD. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kāohi i nā hōʻailona a pale i nā pilikia weliweli. ʻO ka lāʻau lapaʻau āu e loaʻa ai e pili ana i nā aʻa i hoʻopilikia ʻia a me ke koʻikoʻi o ke kūlana.
Eia kekahi mau koho lapaʻau:
- Nā lāʻau lapaʻau koko: Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me nā ACE inhibitors a me nā ARBs e kaohi i ke koko .
- Nā lāʻau lapaʻau e pale ai i nā ʻūpā koko: Hiki ke hāʻawi ʻia nā lāʻau antiplatelet a i ʻole anticoagulant (e.g., aspirin) e hōʻemi i nā pilikia e like me ka hahau ʻana.
- Angioplasty: ʻAʻole kēia he hana ʻoki kino. Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi ʻōmole lahilahi loa i kapa ʻia he catheter ma o kahi aʻa a i ka wā e hiki ai i kahi paʻa, ua hoʻopiha ʻia kahi pōpō liʻiliʻi ma ka hopena e hoʻonui i ke aʻa i paʻa.
- ʻO ke ʻoki kino: I kekahi manawa pono paha ke ʻoki kino e hoʻoponopono i kahi aneurysm a hana paha i kahi kīʻaha koko hou.
Nā mea e noʻonoʻo ai i ka wā e noho ai me FMD
Hiki ke hopohopo ka ʻike ʻana he FMD kou. Eia nō naʻe, me ka mālama pono ʻana a me ka nānā pono ʻana o ke kauka, hiki iā ʻoe ke ola i kahi ola maʻamau.
Ua hōʻike ʻia e nā noiʻi ʻaʻole i ʻoi aku ka ʻino o ka FMD i ka hala ʻana o ka manawa. Eia nō naʻe, aia kahi pilikia o nā pilikia a mākou i kūkākūkā ai ma mua.
He mea nui e hahai i kēia mau mea no ka mālama ʻana i kou olakino maikaʻi:
- E ʻike pinepine i kāu kauka: He mea nui e hana i nā nānā mau ʻana e nānā i ke kūlana o kou mau aʻa a e hōʻoia i ka hana pono ʻana o kāu lāʻau. Pono paha ʻoe e hana i kahi scan i hoʻokahi manawa i ka makahiki.
- E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha: Mai ho'ōki i ka lawe ʻana i kekahi lāʻau lapaʻau i kauoha ʻia e kāu kauka.
- E ana i kou kaomi koko ma ka home: E nānā pinepine i kou kaomi koko a mālama i kahi moʻolelo o ia mea.
- E pale loa i ka puhipaka:Hoʻonui ka puhipaka i ka FMD. No laila, inā ʻoe e puhipaka, e kiʻi i ke kōkua e haʻalele.
ʻAʻole ʻoe hoʻokahi. E hoʻomohala kāu kauka a me ka hui mālama ola i kahi hoʻolālā no ka mālama ʻana i kāu mau hōʻailona a me nā pilikia. E aʻo pū lākou iā ʻoe e pili ana i nā hōʻailona lapaʻau e makaʻala ai. No laila, mai makaʻu e kamaʻilio me lākou e pili ana i kou mau hopohopo.
Leka Lawe-Home
- ʻO ka Fibromuscular Dysplasia (FMD) kahi maʻi laha ʻole e hoʻopilikia ai i nā aʻa koko, ʻoi aku hoʻi i nā wahine.
- ʻO nā hōʻailona nui paha, ʻo ke koko kiʻekiʻe i paʻakikī ke kaohi, ka ʻeha poʻo, a me ka lohe ʻana i nā leo ʻē i loko o nā pepeiao.
- Hiki i kēia kūlana ke hana i nā pilikia koʻikoʻi e like me ka hahau a me ka aneurysm.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia ka FMD, hiki ke mālama maikaʻi ʻia me nā lāʻau lapaʻau, angioplasty, a me nā loli o ke ʻano o ka nohona.
- Inā ua ʻike ʻia ʻoe me FMD, he mea nui loa ia e pale i ka puhipaka, e kaohi i kou koko, a e hahai i nā ʻōlelo a kāu kauka e like me ke kauoha.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo