Hiki ke pohā kahi kīʻaha koko i loko o ka ʻōpū? (Visceral Artery Aneurysm)

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha o ka ʻōpū a i ʻole ke kua? Manaʻo pinepine mākou he mea maʻalahi e like me ka gastritis. Akā i kekahi manawa, ma hope o ia ʻano hōʻailona liʻiliʻi, aia paha kahi pilikia olakino koʻikoʻi a mākou e noʻonoʻo ʻole ai. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi leo ʻole, hoʻoweliweli i ke ola, akā ʻaʻole i kamaʻilio nui ʻia. ʻO ia ka Visceral Artery Aneurysm.

I ka ʻōlelo maʻalahi, he aha kēia Visceral Artery Aneurysm?

ʻAe, e hoʻomaopopo maʻalahi kākou i kēia. E noʻonoʻo aia kekahi mau kīʻaha koko nui (nā aʻa) i loko o ko kākou kino e hoʻolako ana i ke koko i nā ʻōpū koʻikoʻi e like me ke akepaʻa, nā puʻupaʻa, nā ʻōpū, ka pancreas, ka spleen, a me ka ʻōpū. ʻO kēia nā mea a kākou e kapa nei he Visceral Arteries.

ʻO kahi aneurysm ka wā e nāwaliwali ai ka paia o ke kīʻaha koko no kekahi kumu a puʻupuʻu i waho e like me ka pōpō.

E noʻonoʻo, hiki i kēia aa koko, pehu a pehu e like me kēia, ke pohā koke (rupture). Inā hana ʻia kēlā, e hoʻomaka ke kahe koko nui i loko o ke kino. Kāhea mākou i kēia ʻano `(Hemorrhage)`. He pilikia weliweli loa kēia, a hoʻoweliweli i ke ola.

ʻO ka hapa pinepine, hoʻokumu ʻia kēia mau aneurysms i loko o nā aʻa e hoʻolako i ke koko i ka spleen, nā puʻupaʻa, a me ke ake.

Aia kekahi mau ʻano o kēia mau aneurysms?

ʻAe, ʻelua ʻano nui. He mea nui e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.

Hiki iā kākou ke ʻike i kēia kūlana he mea maʻamau i loko o ke kaiāulu?

He ʻano laha ʻole nā ​​Visceral Artery Aneurysms. Akā, no ka mea, ʻaʻole hōʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona, ​​he paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa iā lākou.

Akā, he mea kupanaha, ʻokoʻa kekahi mau ʻano ma muli o ke kāne. No ka laʻana, ʻoi aku ka maʻamau o nā aneurysms i loko o ke aʻa e hoʻolako ana i ke koko i ka spleen i nā wahine.

He aha nā hōʻailona o kēia?

ʻO kēia kahi e weliweli loa ai ka mea. ʻAʻohe pinepine nā hōʻailona. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau mea ma ke ʻano ulia. ʻO ia hoʻi, ʻike wale nā ​​​​kauka i kēia ke hana lākou i kahi mea e like me ka CT scan a i ʻole MRI scan o ka ʻōpū no kekahi maʻi ʻē aʻe.

Eia nō naʻe, inā haki kahi aneurysm, hiki ke ʻike ʻia nā hōʻailona. ʻO nā hōʻailona nui:

• Anemia: ʻO ke ʻano kēia o ka emi ʻana o ka nui o ke koko i loko o ke kino. Hiki ke hana kēia ma muli o ke kahe nui ʻana o ke koko i loko o ke kino.
• ʻEha ʻōpū a ʻeha hope paha: Hiki i kēia ʻeha ke ʻano mai ka ʻoluʻolu a i ka ʻeha nui, no laila hiki i kekahi manawa ke paʻakikī ke ʻike pono i ke kumu.
• Ke luaʻi ʻana i ke koko.
• Koko i loko o ka ʻōpala.

No ke aha e hana ʻia ai kēia ʻano aneurysms? He aha nā kumu?

ʻOkoʻa nō hoʻi nā kumu ma muli o nā ʻano aneurysms ʻelua a mākou i kūkākūkā ai ma mua.

Pehea e ʻike ai ke kauka i kēia?

Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana iā ʻoe, inā kānalua kāu kauka i kēia ʻano, hiki iā ia ke kuhikuhi iā ʻoe no nā hoʻokolohua aʻe.

• CT scan a me MRI scan: ʻO kēia nā ʻano hana diagnostic nui. Hiki i kēia mau kiʻi ke hōʻike i kahi a me ka nui pololei o ka aneurysm. He mea nui loa kēia no ka hoʻoholo ʻana i ka lāʻau lapaʻau.

• Angiography: He hoʻāʻo kūikawā kēia. Hoʻokomo ke kauka i kahi ʻōmole lahilahi (catheter) i loko o kekahi o kou mau aa koko (maʻamau i loko o kou ʻūhā). A laila hoʻokomo ʻia ka ʻōmole i ke kīʻaha koko i hoʻopilikia ʻia a hoʻokomo ʻia kahi wai kūikawā (contrast dye). A laila hoʻohana ʻia ka wai e lawe i nā kiʻi X-ray a i ʻole CT e ʻike inā he mea ʻē i loko o ke kīʻaha koko, e like me ka aneurysm. I kekahi manawa, hiki ke hāʻawi ʻia ka lāʻau lapaʻau i ka manawa like me ka hoʻāʻo.

Pehea e mālama ʻia ai?

ʻO ke ʻano o ka mālama ʻana e pili ana i nā mea e like me ke ʻano, ka nui, kahi o ka aneurysm, a me kou olakino holoʻokoʻa.

1. Ke Kali Makaʻala

I kekahi manawa, ʻoiai inā he aneurysm maoli ia i emi iho ma mua o 2 kenimika , ʻaʻole e mālama kāu kauka iā ʻoe, akā e nānā iā ʻoe i nā manawa maʻamau e ʻike inā e nui ana. Hiki iā lākou ke kuhikuhi i ka lāʻau lapaʻau e kāohi i kou koko.

2. Nā hihia kahi e pono ai ka mālama ʻana

I kekahi mau hihia, ʻoi aku ka maikaʻi o ka mālama ʻana i nā warts, me ka nānā ʻole i ka nui, no ka mea, he kiʻekiʻe ko lākou pilikia o ka pahū ʻana.

• Pono ka lāʻau lapaʻau no ka pseudoaneurysm o kekahi nui .
• No nā aneurysms maoli i ʻoi aku ma mua o 2 kenimika .
• Inā hāpai ʻoe a i ʻole e hoʻolālā ana e loaʻa nā keiki.
• Inā hoʻomau nā hōʻailona e like me ka anemia a me ka ʻeha o ka ʻōpū.
• Inā kokoke ʻoe e hana i ke ʻoki kino e like me ke kāpili ʻana o ke ake.
• Inā ua hoʻokumu ʻia nā aneurysms i loko o kekahi mau aʻa koko kiʻekiʻe (e.g., nā aʻa koko e hoʻolako ana i ke koko i ka ʻōpū a i ʻole ka pancreas), e mālama ʻia lākou me ka nānā ʻole i ka nui.

3. Nā ʻano lapaʻau nui

ʻElua mau ʻano lapaʻau nui.

• ʻOki Hāmama: Ma kēia kaʻina hana, hana ke kauka ʻoki i kahi ʻoki nui iki ma ka ʻōpū a hele pololei i ke kīʻaha koko i hōʻino ʻia. A laila wehe ʻia ka ʻāpana i hōʻino ʻia a hoʻoponopono ʻia a pani ʻia paha me kahi mea e like me ka ʻōmole hana.

• Nā Kaʻina Hana Endovascular Minimally Invasive: ʻAʻole pili kēia i ka hana ʻana i kahi ʻoki nui. E like me ka mea i ʻōlelo ʻia ma mua, hoʻokomo ʻia kahi paipu lahilahi (catheter) ma o kahi aa koko ma ka ʻūhā a alakaʻi ʻia i kahi o ka aneurysm. A laila hoʻokomo ʻia ka paipu a 'sila ʻia' me ka hoʻohana ʻana i nā ʻano hana like ʻole.
• Coil Embolization: Hoʻokomo ʻia nā wili metala liʻiliʻi a i ʻole kekahi mea e like me ka plug i loko o ka aneurysm e hoʻopiha iā ia a hoʻōki i ke kahe ʻana o ke koko.
• ʻO ka Embolization Liquid: Hoʻokomo ʻia kahi kāpili kūikawā, e like me ka gel, i loko o ka aneurysm a 'sila' iā ia.
• Stenting: Hoʻokomo ʻia kahi ʻōmole metala e like me ka ʻupena i uhi ʻia me ka lole i loko o ke kīʻaha koko e hoʻoikaika i ka paia nāwaliwali.

Hiki i ka mālama ʻana i ka endovascular ke kōkua iā ʻoe e hoʻōla wikiwiki a hōʻemi i kou noho ʻana ma ka haukapila ma mua o ke ʻoki kino hāmama. Eia nō naʻe, i kekahi manawa pono paha kahi lāʻau ʻelua. E koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe.

He aha nā hopena hope loa o kēia kūlana?

Pono kākou e hoʻomaopopo he maʻi koʻikoʻi kēia. Inā ʻaʻole mālama ʻia, hiki i ka aneurysm ke haki a hiki i ka make. Wahi a ka ʻikepili, ma kahi o 25% o ka poʻe i hoʻokomo ʻia i ka haukapila ua loaʻa koke kahi aneurysm i haki. Ma kahi o 10% o lākou e make. ʻOi aku ka kiʻekiʻe o ka pilikia o ka make inā haki ka aneurysm i nā wahine hāpai.

ʻAʻole anei hiki ke pale ʻia kēia?

He mea paʻakikī ke pale aku i nā aneurysms e ulu ana ma muli o kekahi mau kumu genetic a i ʻole nā ​​​​maʻi pili o nā ʻiʻo. Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia o nā aneurysms i hoʻokumu ʻia e ka atherosclerosis (nā waihona momona i loko o nā kīʻaha koko). Aia kekahi mau mea hiki iā ʻoe ke hana e hana i kēia:

• E mālama pono i kāu cholesterol a me ke koko .
• E hoʻoikaika kino i nā manawa a pau.
• E hoʻomau i ka ʻai ʻana i meaʻai olakino no ka puʻuwai (e hoʻēmi i ka ʻaila, ka paʻakai, a me ke kō).
• E hiamoe pono.
• E kaupalena i ka inu ʻana i ka waiʻona .
• E kāohi i ke kaumaha .
• E hoʻōki loa i ka puhipaka a me ka hoʻohana ʻana i ka paka.

Inā makemake ʻoe i nā ʻōlelo aʻoaʻo hou aku no kēia, e kamaʻilio me kāu kauka ʻohana.