He aha te pseudoaneurysm? He mea hei wehi māu? Me kōrero tāua!

I ētahi wā, ka rite pea koe ki tētahi puku iti i tētahi wāhi o tō tinana, he mamae pea, he mamae rānei ki te pā atu. I muri rānei i ētahi whakamātautau hauora, tera pea he puku iti, he pupuhi rānei i te wāhi i mahia ai. Kei muri i ēnei mea, tera pea he mate e kiia nei ko te Pseudoaneurysm, e kōrerohia ana e tātou i tēnei rā. Ahakoa he ahua uaua te ingoa, me kōrero noa iho tēnei, i roto i tētahi huarahi e mārama ai koe. Kaua e manukanuka, he mea tēnei ka taea te whakahaere i te nuinga o ngā wā.

He aha tonu te pseudoaneurysm?

He whakarāpopototanga noa iho, ko te pseudoaneurysm he pupuhi i roto i tō uaua toto, he uaua toto te nuinga, ka puta mai i te wā e kohia ana he toto iti ki te wāhi i whara ai. Ka kiia hoki ko te "aneurysm teka" nā te mea ehara i te aneurysm tūturu.

He maha ngā wā ka puta tēnei āhuatanga hei raruraru o tētahi tikanga hauora, pērā i te angiogram. Koinei te wā ka kohia te toto ki tētahi wāhi motuhake kua pakaru te uaua. Ko te tikanga kei te kotahi te wāhi o te raruraru.

Kāore ētahi pseudoaneurysms i te tino mōrearea, ā, ka ora ake i a rātou anō. Engari ko ētahi he kino rawa atu. Ki te pahū, ka pā mai he raruraru hauora nui, tae atu ki te mate. Nō reira, he mea tino nui kia mōhio ki ngā take me ngā tohu. Kātahi ka taea e koe te rapu tohutohu hauora tere, ā, ka karohia ngā raruraru nui.

He aha te rerekētanga i waenga i te pseudoaneurysm me te aneurysm tūturu?

He rerekē rawa ēnei mea e rua. He rerekē te āhua me te āhua o ō rātou "taiepa". Kia kite tātou me pēhea te mahi.

Te rerekētanga o ngā pakitara

Ko te rerekētanga matua ko te āhua o te "taiepa" e karapoti ana i ēnei.

Whakaarohia, ko te aneurysm tūturu he pupuhi e puta ana i roto i tō uaua. Kei roto i taua pupuhi ngā paparanga e toru o te pakitara o te uaua, te intima, te media, me te adventitia, ka hanga i tōna ake pakitara. Ko te tikanga o tēnā ko te uaua tonu kei te pupuhi ki waho.

Engari i roto i te pseudoaneurysm , kotahi, e rua rānei o ngā paparanga e toru o te pakitara o te uaua ka uru. Ko te toenga he mea hanga mai i te kiko honohono ka puta ina whara te uaua. He ngoikore rawa atu tēnei pakitara i te pakitara o te aneurysm tūturu. He rite ki tētahi wahi paraikete hou kua whakatakotoria ki te taha o tētahi paipa tawhito kua pakaru. Kāore i te tino kaha, e tika ana?

He maha ngā wā ka honoa te pseudoaneurysm ki te uaua mā tētahi wāhanga iti rite ki te "kaki".

Te rerekētanga o te āhua

He maha ngā āhua me ngā rahi o ngā aneurysm. Engari he nui ake te tūponotanga he fusiform i ngā pseudoaneurysm. Arā, he whānui ake i waenganui, he whaiti ake ki ngā taha. He rite ki te maka i tētahi whutupōro ki roto i tētahi tōkena roa. Ka pupuhi i ngā taha katoa o te uaua.

Heoi, he rite te āhua o te pseudoaneurysm ki te pēke. Arā, he porowhita, ka puta mai i te taha kotahi o te uaua, mā roto i tētahi kōhao iti e kiia nei ko te kaki. He rite ki tētahi poihau e puta mai ana i te pakitara o te uaua. Kāore e pana atu i ngā taha katoa o te pakitara o te uaua.

He aha te take o te pseudoaneurysm?

He rerekē te take mō tēnei i runga i te wāhi i hangaia ai i roto i tō tinana. Ka taea te wehewehe i ngā pseudoaneurysms ki ētahi momo i runga i te wāhi i hangaia ai. Hei tauira, ka puta ngā pseudoaneurysms i roto i ngā uaua femoral, ngā uaua visceral, me te aorta.

Ngā Pseudoaneurysms Femoral

Koinei te momo tino noa. Ka puta i roto i te uaua e tata ana ki tō hope. Ka puta pea i:

• Ngā raruraru o ngā maimoatanga hauora: Ina koa ko ngā whakamātautau, ko ngā maimoatanga rānei e whakauru ana i tētahi catheter ki roto i tētahi uaua toto (koinei te tino take). Whakaarohia kua mahia he angiogram ki roto i tō hope. I ētahi wā ka puta he patunga iti ki reira, ka puta ai tēnei āhuatanga.
• Whara: Ka puta mai i tētahi aituā, i tētahi patunga kino rānei.
• Te mate urutā.

Ngā Pseudoaneurysms o roto

He onge ake tēnei momo. Ka puta mai i roto i ngā uaua e tuku toto ana ki ō whekau, ki tō whēkau, ki tō ate rānei. Ngā Take:

• Ngā raruraru o te maimoatanga hauora, o te pokanga rānei.
• Te mumura o te repe taiaki (Pancreatitis).

Ngā Pseudoaneurysms Aorta

Ka puta tēnei i roto i te aorta, te uaua nui rawa atu o tō tinana. Ngā Take:

• Te whara tuturu ki te rohe o te uma.
• Ngā mate urutā.
• Ngā raruraru o te pokanga ngākau.

He nui ake te mōrearea o te hunga e pāngia ana e ngā mate pēnei i te Marfan syndrome, te Loeys-Dietz syndrome rānei, nā te mea ka ngoikore ngā pakitara o ō rātou uaua toto i ēnei mate.

He aha ngā tohu o te pseudoaneurysm?

Tirohia mēnā kei a koe ētahi o ēnei tohu:

• Te rongo i tētahi puku mamae, e pupuhi ana i raro i tō kiri.
• Te mamae i te pā atu ki taua wāhi.
• Te kiri mākūkū, te tae rānei o te kiri.
• Mena kei te pēhi te puku i tētahi io, tera pea ka rongo koe i te ngau, i te kōkō rānei .

Ki te kite koe i tētahi mea pēnei, inā koa mēnā kua whakauruhia he catheter ki roto i tō puku, ā, kua oti ētahi whakamātautau te mahi, me toro atu koe ki te tākuta.

Me pēhea te mohio ki te pseudoaneurysm?

Ina haere koe ki te tākuta, ka kōrero ia mō ō tohumate, kātahi ka tirotirohia e ia te tinana. I roto i tēnei whakamātautau, ka tirohia e ia ngā mea e whai ake nei:

• He pupuhi kei te rohe o te hope?
• He puku kei raro i te kiri?
• He mamae te pā atu ki taua wāhi?
• He rerekētanga kei te tae, kei te kakano rānei o te kiri (nekrosis kiri) e tohu ana i te raruraru o te tohanga toto?
• Kei te rongo koe i te rere toto kāore i te tika (he tangi pēnei i te "broo-ee")?

Hei tāpiritanga, ka taea hoki e tō tākuta te mahi i tētahi tirotiro oro-rua. He tikanga noa tēnei e whakamahia ana hei tirotiro i te rere o te toto i roto i ō uaua me ō uaua. He whakamātautau kore mamae tēnei. Ka taea e ia te āwhina ki te whakatau i te rahi me te wāhi tika o te pseudoaneurysm.

He aha ngā maimoatanga mō te pseudoaneurysm?

Ko te maimoatanga e whakawhirinaki ana ki te wāhi me te rahi o te puku. Kei roto i ngā kōwhiringa maimoatanga ko te tirotiro, te werohanga, te pēhi, me ngā tikanga iti rawa te whakaekenga. Mena kāore ēnei tikanga e angitu, tera pea ka hiahiatia he pokanga i ētahi wā onge. Ka matapakihia e tō tākuta te maimoatanga pai rawa atu māu.

Te mātakitaki

Mena he iti noa te pseudoaneurysm kei roto i tō hope, he iti iho i te 2 henimita te whānui, tera pea ka taea e koe te tatari kia tae noa ki te wā e ngaro ai tēnei raruraru i roto i ētahi wiki. Nō reira, ka tirotirohia e tō tākuta. Me whai koe i tētahi ultrasound takirua i ia wiki tae noa ki te ngaronga o te pseudoaneurysm. I tēnei wā, me karo koe i ngā mea katoa e whakararuraru ana i te wāhi, pērā i te hiki, te piko rānei.

Werohanga thrombin e arahina ana e te ultrasound

Mēnā he nui ake i te 2 henimita te rahi o te pseudoaneurysm femur, he tino mamae rānei, me tere tonu te rongoā. Ko te tikanga tino noa ko te werohanga thrombin mā te ultrasound. I roto i tēnei tikanga, ka whakangāwari te tākuta i te wāhi kia kore ai koe e mamae. Kātahi, i raro i te arataki ultrasound, ka werohangahia he whākōkī e kiia nei ko te thrombin ki roto i te pseudoaneurysm. Ka whakarewahia te toto totoka, ā, ka mutu te toto.

He tino whai hua tēnei maimoatanga. I ētahi wā onge, ki te kore e ea te raruraru, me mahi pea he pokanga. Engari he tino onge tēnā.

Te pēhitanga e arahina ana e te ultrasound

I whakamahia nuitia tēnei tikanga e ngā tākuta i ngā wā o mua, engari kua whakaatuhia e ngā rangahau he iti ake te angitu i te werohanga thrombin, ā, he nui ake te mōrearea o ngā raruraru.

Heoi anō, he pai pea tēnei tikanga mō ngā pseudoaneurysms femur tino iti, iti iho i te 1 henimita te rahi, nā te mea he nui ake pea te mōrearea o ngā raruraru i te wā e werohia ana i ēnei momo take.

Ngā tikanga whakaeke iti rawa

Ka taea te rongoā i ngā pseudoaneurysms visceral mā te whakamahi i ngā stent, i ngā koiri iti rānei. Ka aukatihia e ēnei taputapu te rere o te toto ki roto i te pseudoaneurysm, ā, ka ārai i ngā raruraru.

Mena he pseudoaneurysm kei roto i tō aorta, me tere te rongoā i mua i te pakaru. Ka taea e te tikanga whakaora ora e kiia nei ko te endovascular aneurysm repair (EVAR) te whakatika i te raruraru me te kore e hiahiatia he pokanga ngākau tuwhera.

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

Ko te roa o te whakaoranga ka whakawhirinaki ki te momo maimoatanga i whiwhi koe me tō hauora whānui. Mā tō tākuta koe e ārahi i roto i tō whakaoranga. Me takoto pea koe (whakapae) mō ētahi haora i muri i te maimoatanga. Ka tirotirohia koe e tō tākuta kia kore ai he raruraru. Me karo pea koe i te taraiwa, i te hiki rānei i ngā mea taumaha mō tētahi wā. Engari me taea e koe te hoki anō ki ō mahi noa me te kore he raruraru i roto i te wā poto.

I runga i te maimoatanga i whiwhi koe me tō hauora, me haere pea koe ki ngā wā tirotiro whai muri. Hei tauira, mēnā i whakauruhia he stent ki a koe, ka hiahia tō tākuta ki te whakarite kei te mahi tonu. Ka tirohia hoki e rātou ngā raruraru, ngā mate rānei. He mea nui kia mau tonu tō hauora i ēnei tirotiro.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te pseudoaneurysm?

Ko ētahi mea kāore e taea te whakahaere, pērā i te pakeketanga. Ko te hunga neke atu i te 75 tau te pakeke he nui ake te mōrearea ki te whakawhanake i te pseudoaneurysm. Engari tera ētahi āhuatanga ka taea e koe te whakahaere, pērā i te momona me te toto toto tiketike, ka whakanui ake i tō mōrearea.

Ka taea e koe te mahi i ēnei mea hei ārai i te pseudoaneurysm me te pupuri i tō hauora whānui:

• Whāia he kai hauora mō te ngākau .
• Whakakorikori tinana i ia wā, i ia wā.
• Inumia he nui te wai .
• Āta karohia ngā kai he nui te tote (konutai).
• Kia nui te moe .
• Whakahaerehia te ahotea .

He aha te mea ka tupu mēnā he pseudoaneurysm tōku?

Ki te pakaru te pseudoaneurysm, ka pā mai he raruraru nui. Ka taea e ia te arahi ki te toto o roto, tae atu ki te mate. Heoi, ki te kitea wawetia, ā, ka rongoātia, ka taea te whakahaere ngāwari i te pseudoaneurysm.

Koia te mea nui kia mōhio koe ki ngā tohu. Kātahi ka taea e koe te kite wawe i te raruraru, ka rapu awhina. Ka taea e ngā pseudoaneurysms te hoki mai anō ā muri ake nei. Nō reira, ki te mea kua pāngia koe e tētahi, kia mōhio koe ki ngā tohu ā muri ake nei. Kaua e mahue ngā wā whakarite ki tō tākuta, ā, me kōrero ki tō tākuta mō ngā tohu, ngā huringa rānei ka kitea e koe.

Āhea ahau me rapu tohutohu hauora?

Mena kei a koe ngā tohu o te pseudoaneurysm, ki te mea rānei kei te whakaaro koe kei te hē tetahi mea, waea atu ki tō tākuta tonu . Kia tino tupato mena kua whiwhi koe i te maimoatanga endovascular (te maimoatanga mā te whakamahi i te catheter). He onge ngā raruraru. Engari ki te puta, he mea nui kia kitea wawetia.

He āhuatanga ohorere hauora te pakaru o te pseudoaneurysm! Mena ka pāngia koe e ngā tohu o te pakaru o te pseudoaneurysm, waea atu ki te 911, haere rānei ki te hōhipera tata tonu. Tērā pea ko ēnei tohu:

* Te mamae nui ki te wāhi i puta ai te puku.

* Mamae o te uma .

* Te uaua ki te manawa .

* Pōhēhētanga .

* Te toto toto iti .

* Te tere o te manawa rerekē .

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kua kitea he pseudoaneurysm tōu, tera pea he maha āu pātai. Tīmata ki te pātai ki a koe anō i ēnei mea:

• He aha i puta ai tēnei pseudoaneurysm ki ahau?
• Me pēhea taku whakahaere i aku tohumate?
• He aha ngā kōwhiringa maimoatanga e pai ana mōku?
• Ka pēhea te roa o taku whakaoranga i muri i te maimoatanga?
• He aha ngā mahi me karo e au i te wā e rongoatia ana?
• He aha ngā mahi me karo e au i te wā e ora ana?

Mā tō tākuta koe e āwhina kia noho humarie, ā, māna anō hoki koe e whakarato ki ngā mōhiotanga e hiahiatia ana e koe.

Mena kua pāngia koe e te pseudoaneurysm i mua, kōrero ki tō tākuta mō ngā mōrearea ā muri ake nei. Pātai atu mō ēnei mea:

• Kei te tūpono anō ahau ki te pāngia e te pseudoaneurysm?
• He mate hauora anō ōku e pā ana ki tōku mōrearea?
• He aha taku e taea ai hei whakaiti i taku mōrearea?

Ahakoa kāore anō kia pāngia koe e tēnei raruraru, ka taea e koe te kōrero ki tō tākuta kia nui ake ai ō mōhiotanga mō tēnei raruraru. Pātai atu mō ngā āhuatanga mōrearea kei a koe, kia mōhio ai koe me pēhea te whakaiti i tō mōrearea o ngā raruraru ā muri ake nei.

Ki te mea kei te hiahia koe ki tētahi tikanga e whakamahi ana i te catheter, kōrero ki tō tākuta mō ngā mōrearea. He raruraru noa ngā pseudoaneurysms o ēnei tikanga. Engari ehara i te mea he mea noa. Inaa, tata ki te kotahi i roto i te rua rau tāngata ka pāngia e tēnei raruraru i muri i te angiogram. He nui ake ngā painga o ēnei tikanga i ngā mōrearea. Engari he mea nui kia kōrero ki tō tākuta kia whakautua ō pātai katoa.

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He mea whakamataku, he mea ohorere hoki te kitenga kei a koe te pseudoaneurysm. Engari nā ngā maimoatanga me ngā hangarau hou, ka taea e koe te ora me te noho i te oranga noa. Ko te mea nui ko te kimi i te tātaritanga i te wā tonu ka tīmata ngā tohu. He mea nui hoki kia mōhio koe ki ngā āhuatanga mōrearea mō te whakawhanake i te pseudoaneurysm. Ko ngā raruraru mai i ngā tikanga hauora pēnei i te angiogram te tino take. Engari ka taea hoki e ngā āhuatanga mōrearea whaiaro pēnei i te momona me te toto toto tiketike te whai wāhi. Kōrero ki tō tākuta kia ako atu ai koe mō ō mōrearea me pēhea te whakahaere i aua mōrearea. Kaua e manukanuka, he otinga kei reira mō ngā mea katoa!

` Pseudoaneurysm, ngā oko toto, ngā uaua toto, te toto, te angiogram, te hauora o te ngakau, ngā tohu