He kīʻaha koko anei kou i loko o kou ʻōpū e puʻupuʻu ana e like me ka pōpō? E aʻo kākou e pili ana i kēia (Visceral Artery Aneurysm)!

Ua manaʻo paha ʻoe e hiki i kahi kīʻaha koko i loko o ko kākou kino, e like me ka paipu wai, ke lilo i nāwaliwali i kekahi manawa a puʻupuʻu e like me ka pōpō? Ua kapa wale ʻia kēia he `(Aneurysm)`. I kekahi manawa hiki ke hūnā ʻia kēia me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona, ​​​​akā hiki ke lilo koke i pilikia nui i ke ola. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana hiki ke hoʻoweliweli, akā ʻaʻole ʻike ka poʻe he nui iā ia, ʻo ia hoʻi ʻo `(Visceral Artery Aneurysm)`.

He aha ka `(Visceral Artery Aneurysm)`? E hoʻomaopopo maʻalahi kākou!

E noʻonoʻo, he kīʻaha koko ko kākou i loko o ko kākou kino, a he nāwaliwali iki kona paia. A laila, ma muli o ke kaomi o ke koko e kahe ana ma loko, e puʻupuʻu ana kēlā wahi nāwaliwali e like me ka pōpō. ʻO ia ka mea i kapa ʻia he "Aneurysm". I kēia manawa, inā nui loa kēia "Aneurysm", ʻo ia hoʻi, hiki ke pahū ka puʻupuʻu e like me ka pōpō. Inā hana ʻia kēlā, hoʻomaka ke koko e kahe i loko o ke kino. Kāhea mākou i kēia he "Hemorrhage", a he kūlana hoʻoweliweli maoli kēia i ke ola.

I kēia manawa, he aha kēia mau '(Visceral Arteries)'? ʻO kēia nā kīʻaha koko nui i loko o ko kākou kino, ʻo ia hoʻi ka '(Aorta)', nāna e lālā a hoʻolako i ke koko i nā ʻōkana koʻikoʻi loa i loko o ko kākou ʻōpū.

ʻO kēia mau ʻōkana:

• Ko mākou ʻōpū
• nā puʻupaʻa
• Ake
• ʻO ka pancreas
• ʻŌpū
• ʻōpū

ʻO ka hapa pinepine, loaʻa kēia mau "Visceral Artery Aneurysms" i loko o nā aʻa e lawe ana i ke koko i ka spleen, nā puʻupaʻa, a me ke ake.

Aia kekahi mau ʻano o `(Visceral Artery Aneurysms)`?

ʻAe, ʻelua ʻano nui.

1. Pseudoaneurysms: ʻO kēia ka wā e hana ʻia ai kahi lua liʻiliʻi ma ka paia o ke kīʻaha koko, a kahe kekahi koko mai loko mai o ka lua, e hōʻiliʻili ana i loko o nā ʻiʻo ma waho o ke aʻa koko. A laila, ma muli o ke kaʻina hana koko i loko o ko mākou kino, hana ʻia kahi paia nāwaliwali a puni ke koko i hōʻiliʻili ʻia. Eia naʻe, no ka mea, ʻaʻole ikaika loa kēia paia, ʻoi aku ka pahū o kēia mau pseudoaneurysms.

2. Nā Aneurysms ʻoiaʻiʻo: ʻO kēia ka wā e puʻupuʻu ai kahi ʻāpana nāwaliwali o ka paia o ke kīʻaha koko e like me ka pōpō. E like me ka mea i ʻōlelo ʻia ma mua.

Pehea ka maʻamau o kēia mau mea? ʻO wai ka mea i loaʻa pinepine iā lākou?

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.

ʻOkoʻa ka nui o kekahi ʻano o nā aneurysms o ke aʻa visceral ma muli o ke kāne. No ka laʻana, ʻoi aku ka nui o ka hiki i nā wahine ke loaʻa i kahi aneurysm i loko o ke aʻa e lawe ana i ke koko i ka spleen.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

Eia ka mea nui loa. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona! Loaʻa pinepine i nā kauka kēia mau mea ma ka ulia pōpilikia i ka wā o kahi hoʻokolohua lapaʻau, e like me ka "(CT scan)" a i ʻole "(MRI scan)", no kekahi maʻi ʻē aʻe.

Eia nō naʻe, inā pahū ke kīʻaha koko e ʻōhū ana, a i ʻole "aneurysm", e ʻike ʻia nā hōʻailona. ʻO nā hōʻailona nui:

• Anemia (ʻo ia hoʻi ka emi ʻana o ke koko i loko o ke kino)
• ʻEha ma ka ʻōpū a i ʻole ke kua . Hiki i kēia ʻeha ke maʻalahi loa i kekahi manawa, i kekahi manawa hiki ke koʻikoʻi. No laila, he paʻakikī i kekahi manawa ke ʻike pololei i ka maʻi.

Hiki ke ʻokoʻa nā hōʻailona ʻē aʻe ma muli o ka wahi o ka aneurysm. Eia kekahi laʻana:

• Ke luaʻi ʻana i ke koko
• Koko i loko o ka ʻōpala

Inā loaʻa koke iā ʻoe ka ʻeha nui ma kou ʻōpū a i ʻole ke kua, mai hoʻowahāwahā iā ia. He mea nui e ʻimi koke i ke kōkua lapaʻau.

No ke aha e kū mai ai kēia mau ʻ(Visceral Artery Aneurysms)`? He aha nā kumu?

Aia kekahi mau kumu nui e ulu ai nā aneurysms maoli:

• Atherosclerosis: ʻO kēia ke kumu maʻamau. Hōʻiliʻili nā waihona momona i loko o ko kākou mau kīʻaha koko, e hoʻonāwaliwali mālie ana i nā paia o nā aʻa.
• Nā maʻi pili pili: No ka laʻana, nā kūlana e like me Fibromuscular dysplasia, Marfan syndrome, a me Ehlers-Danlos syndrome. Hiki i kēia mau mea ke hoʻonāwaliwali i nā paia o nā aʻa koko mai ka hānau ʻana.
• ʻEha: E noʻonoʻo i kahi ulia nui, kahi hahau nui i ka ʻōpū. ʻOiai i kēlā manawa, hiki ke hana ʻia kēia ʻano kūlana.

ʻO nā kumu o nā pseudoaneurysms:

• Nā ʻeha ma hope o ke ʻoki ʻana i ke akepaʻa a i ʻole ka pancreas.
• Ka mumū o ka pancreas (Pancreatitis).
• Nā ʻeha (mai kahi ulia a i ʻole kekahi hahau ʻē aʻe).
• ʻO ka maʻi ʻaʻai.

Pehea e ʻike ai nā kauka i kēia?

Hoʻohana nui nā kauka i nā hoʻokolohua kiʻi lapaʻau kūikawā e like me nā CT scans (Computed Tomography scans) a me nā MRI scans (Magnetic Resonance Imaging) e ʻike ai i nā Visceral Artery Aneurysms. Hiki i kēia mau hoʻokolohua ke ana pololei i ka nui o ka aneurysm. He mea nui ka ʻike ʻana i kēia nui no ka hoʻoholo ʻana i nā koho lapaʻau.

Aia kekahi hoʻāʻo kūikawā ʻē aʻe, i kapa ʻia ʻo `(Angiography)` . Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi loa (`Catheter`) i loko o kekahi o kou mau aa koko a hoʻouna ʻia i ka `(Visceral Artery)` kahi i loaʻa ai ka `(Aneurysm)`. A laila, ua hoʻokomo ʻia kahi wai kūikawā (`Contrast dye`) ma o kēlā ʻōmole. A laila, i ka nānā ʻana me `(X-ray)` a i ʻole `(CT scan)`, ʻike maopopo ʻia nā wahi ʻē i loko o nā kīʻaha koko e ka wai. I kekahi manawa, hiki ke hana ʻia ka lāʻau lapaʻau i ka manawa like me kēia `(Angiography)`.

I kekahi mau hihia, ʻoi aku hoʻi ka poʻe me nā maʻi pili i ʻōlelo ʻia ma mua, aia paha he aneurysms ma mua o hoʻokahi aʻa visceral. I ia mau hihia, e nānā paha kāu kauka i nā aʻa āpau i loko o kou ʻōpū.

He aha kāu e hana ai ma hope o kou ʻike ʻana he `(Aneurysm)` kou? Ke kali wale nei ʻoe? `(Nānā ʻana)`

ʻO ka mālama ʻana a i ʻole ka mālama ʻana, aia ia i ka nui a me ke ʻano o ka aneurysm. Ma keʻano laulā, inā ʻoi aku ka liʻiliʻi o ka aneurysm maoli ma mua o 2 kenimika , paipai pinepine nā kauka i ka "kali makaʻala."

ʻO ke ʻano kēia e nānā ke kauka iā ʻoe i nā manawa maʻamau e ʻike ai inā e nui ana ka aneurysm. Hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko, no ka mea, hiki i ke koko kiʻekiʻe ke hoʻonui i ka pilikia o ka nui ʻana o ka aneurysm.

I ka manawa hea e pono ai ke mālama ʻia kēia?

Inā manaʻo ʻoe e pahū paha kahi aneurysm, ʻoi aku ka maikaʻi o ka mālama ʻana. ʻOi loa aku i nā hihia e like me kēia:

• ʻO nā pseudoaneurysms o kēlā me kēia nui: no ka mea, he kiʻekiʻe ko lākou pilikia o ka pahū ʻana.
• ʻO nā aneurysms maoli i ʻoi aku ma mua o 2 kenimika: (Eia nō naʻe, i ke ʻano o kahi aneurysm aʻa splenic, ʻōlelo pinepine ʻia ka hoʻoponopono ʻana i ka wā i ʻoi aku ka nui ma mua o 3 kenimika).

Eia kekahi, me ka nānā ʻole i ka nui o kou aneurysm, pono paha ʻoe i ka mālama ʻana inā he kiʻekiʻe kou pilikia o ka haki ʻana. Hiki ke piʻi aʻe kou pilikia inā ʻoe:

• Inā hāpai ʻoe a i ʻole i ka makahiki hānau keiki.
• Inā he mau hōʻailona mau kou e like me ka anemia a i ʻole ka ʻeha o ka ʻōpū/kua.
• Inā makemake ʻoe i kahi hoʻoili ate a i ʻole kekahi ʻoki ʻē aʻe e mālama ai i ka cirrhosis.

Eia kekahi, ʻo kekahi mau `(Visceral Artery Aneurysms)`, me ka nānā ʻole i ko lākou nui, pono e mālama koke ʻia, ma muli o ko lākou wahi, no ka mea, he kiʻekiʻe ko lākou pilikia o ka pahū ʻana. Eia kekahi laʻana:

• He aneurysm i loko o ke aʻa gastroduodenal, ka mea e hoʻolako ana i ke koko i ka ʻōpū, ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi, a me ka ʻaoʻao o luna o ka pancreas.
• He aneurysm i loko o ke aʻa pancreaticoduodenal, ka mea e hoʻolako ana i ke koko i ka pancreas a me ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi.
• He aneurysm i loko o ke aʻa mesenteric kiʻekiʻe, ka mea e hoʻolako ana i ke koko i ka ʻōpū liʻiliʻi.

He aha nā koho lapaʻau?

ʻElua mau ʻano lapaʻau nui:

1. ʻOki wehe

2. Nā kaʻina hana endovascular invasive liʻiliʻi

Hoʻoholo nā kauka i kahi o kēia mau ʻano ʻelua e kūpono iā ʻoe ma ka noʻonoʻo ʻana i nā mea e like me:

• ʻO ke ʻano o kou mau kīʻaha koko (e like me ko lākou ʻano a me ka nui).
• Aia i hea ka `(Aneurysm)`?
• Nā pilikia o ke ʻoki kino hāmama (e pili ana i kou makahiki a me kou olakino holoʻokoʻa).

Ma ke ʻoki kino hāmama `(ʻoki kino hāmama)`ʻO ka mea e hana ʻia, ma hope o ka hana ʻana i kahi ʻoki nui, hele pololei ke kauka ʻoki i kahi o ka aneurysm, wehe i ka ʻāpana i hōʻino ʻia o ke aʻa, a hoʻoili i kahi ʻāpana aʻa hou a hoʻoponopono paha i ka mea e kū nei.

ʻO ka mālama ʻana me ka minimally invasive e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi (catheter) i loko o kahi kīʻaha koko, maʻamau mai kou ʻūhā, a alakaʻi iā ia i kahi o ka aneurysm. A laila, hoʻokomo ʻia nā mea liʻiliʻi ma o ka ʻōmole e kākoʻo i ka aneurysm a pale iā ia mai ka pahū ʻana, me ka hoʻohana ʻana i hoʻokahi a ʻoi aku paha o kēia mau ʻano hana:

• ʻO ka embolization coil a i ʻole ka embolization plug: Pili kēia i ke komo ʻana i kahi coil liʻiliʻi a i ʻole ka plug mechanical i loko o ka aneurysm a hoʻopiha iā ia.
• Ka hoʻopili ʻana o ka wai: Ma kēia, ua hoʻokomo ʻia kahi lem kūikawā, gel, a i ʻole kekahi mea wai ʻē aʻe i loko o ka aneurysm a hoʻopaʻa ʻia.
• Ke kau ʻana i ka stenting: Ma kēia, ua hoʻokomo ʻia kahi paipu (kahi stent) i hana ʻia me ka ʻupena metala i uhi ʻia me ka lole i loko o ke aʻa kahi i loaʻa ai ka aneurysm.

Inā loaʻa iā ʻoe kahi angiography e ʻike ai i kahi aneurysm artery visceral, i kekahi manawa hiki ke hana ʻia kēia lāʻau lapaʻau minimally invasive i ka manawa like, me ka hoʻohana ʻana i ka catheter like i hoʻohana ʻia no kēlā hoʻokolokolo ʻana.

He aha ka ʻokoʻa ma waena o ke ʻoki hāmama a me ka mālama ʻana i ka endovascular?

Ua aʻo ʻia kēia mau lāʻau lapaʻau ʻelua. Ma keʻano laulā, ua like ka palekana a me ka pono o nā mea ʻelua. Eia nō naʻe, hiki i nā ʻano hana minimally invasive ke hopena i ka hoʻōla wikiwiki ʻana a me ka noho pōkole ʻana i ka haukapila. Eia nō naʻe, i kekahi mau hihia, pono paha kahi lāʻau lapaʻau ʻelua.

Aia kekahi ala e pale aku ai i ke kūkulu ʻia ʻana o `(Visceral Artery Aneurysm)`?

He paʻakikī ke pale aku i nā ʻano ʻano ʻē aʻe o ka Visceral Artery Aneurysms. Eia nō naʻe, hiki ke pale ʻia nā ʻano ʻē aʻe i hana ʻia e ka lahilahi a me ka paʻakikī o nā ʻaʻa koko i ʻōlelo ʻia ma mua e ke ʻano ola kino olakino. Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana o ka ʻē aʻe o ka ʻaʻa koko:

• E kāohi i kāu cholesterol a me ke koko.
• E hoʻoikaika kino i nā manawa a pau.
• E hahai i kahi papaʻai olakino no ka puʻuwai .
• 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.

He aha ka manaʻo no kēia kūlana? `(Manaʻo)`

Inā haki kahi Visceral Artery Aneurysm, hiki i kekahi manawa ke make. Hōʻike nā haʻawina ma kahi o 25% o ka poʻe i hōʻea i ka lumi pilikia me kahi Visceral Artery Aneurysm he aneurysm i haki. Ma waena o kēia mau mea, ma ka liʻiliʻi he 10% e make ana.ʻOi aku ka kiʻekiʻe o ka pilikia o ka make no nā makuahine hāpai i loaʻa ka aneurysm i haki.

Ma keʻano laulā, ʻoi aku ka nui o ka poʻe i loaʻa ʻole nā ​​​​hōʻailona (ʻeha a i ʻole ke kahe koko i loko) ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau e loaʻa nā hopena maikaʻi. ʻOi aku ka nui o ka pilikia o ka pohā a me ka make o ka pohā ʻana o ka poʻe me nā pseudoaneurysms ma mua o ka poʻe me nā aneurysms maoli.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa koke iā ʻoe ka ʻeha nui ma kou ʻōpū a i ʻole ke kua, e ʻimi koke i ke kōkua lapaʻau. Mai hoʻokaʻulua.

ʻO nā aneurysms artery visceral he mau wahi nāwaliwali i loko o nā paia o kou mau aʻa i loko o kou ʻōpū. Inā pahū kēia mau paia, hiki iā lākou ke hoʻoulu i ke kahe koko i loko. ʻAʻole loaʻa i nā kānaka a pau me kēia maʻi nā hōʻailona koʻikoʻi, no laila hiki ke hoʻopaneʻe ʻia ka ʻike ʻana. Eia nō naʻe, me ka hoʻohana nui ʻana i nā hoʻokolohua kiʻi lapaʻau no nā maʻi ʻē aʻe, ua ʻike ʻia nā Visceral Artery Aneurysms he nui ma mua o ko lākou pahū ʻana. No laila, hiki i ka mālama mua ke hōʻemi i ka pilikia o ka make. ʻOiai ʻaʻole hiki ke pale ʻia nā Visceral Artery Aneurysms a pau, hiki i kahi nohona olakino ke hōʻemi i ka pilikia o nā aneurysms i hoʻokumu ʻia e ka atherosclerosis. E kamaʻilio me kāu kauka e pili ana i kāu mea hiki ke hana e hōʻemi i kou pilikia o ka atherosclerosis.

Leka Lawe-Home

• ʻO ka "Visceral Artery Aneurysm" he puʻupuʻu e like me ka pōpō i loko o kahi kīʻaha koko i loko o ka ʻōpū. Hiki ke lilo i mea weliweli loa inā pahū.
• I ka hapanui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona. Hiki ke ʻike ʻia ma ka ulia pōpilikia i ka wā o ka scan no kekahi maʻi ʻē aʻe.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha koke o ka ʻōpū/kua, ka luaʻi ʻana i ke koko, a i ʻole ke kahe ʻana o ke koko i loko o kou noho , e ʻike koke aku i ke kauka.
• Aia nā koho lapaʻau. Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o ka nui a me ke ʻano o ka aneurysm, a me kou kūlana olakino.
• He mea nui loa ka nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) no ka pale ʻana i nā aneurysms i hoʻokumu ʻia e ka atherosclerosis.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka ʻohana a i ʻole kekahi loea. E noho olakino!

ʻAneurysm , aʻa, ʻōpū, haki ʻana o ke aʻa koko, kahe koko i loko, ʻoki kino, CT scan