Aneurysm aorta ʻōpū

ʻO ke aorta ke kīʻaha koko nui e hāʻawi i ke koko i ka ʻōpū, pelvis, a me nā wāwae. Hiki i kahi aneurysm aortic aortic ke hana ʻia kahi ʻāpana o ke aorta a nui a i ʻole nā ​​pāluna.

ʻAʻole ʻike ʻia ke kumu kikoʻī o kahi aneurysm. Kū ʻia ia ma muli o ka nāwaliwali i ka paia o ke aʻa.Nā kumu i hiki ke hoʻonui i kou makaʻu i ka loaʻa ʻana o kēia pilikia nā:

• Puhipaka
• Piʻi koko kiʻekiʻe
• Moekolohe kāne
• Nā kumu kūmole

ʻO kahi aneurysm aortic aortic aneurysm e ʻike pinepine ʻia i nā kāne ma mua o 60 mau makahiki i loaʻa i hoʻokahi a ʻoi paha nā kumu pilikia. ʻO ka nui o ka aneurysm, ʻo ka ʻoi aku paha ka haki a haehae paha. Hiki i kēia ke hoʻoweliweli i ke ola.

Hiki i nā Aneurysms ke ulu lohi i nā makahiki he nui, pinepine me ka ʻole o nā ʻōuli. Hiki koke mai nā ʻōuli inā piʻi koke ka aneurysm, hāmama a hoʻokahe ke koko i loko o ka paia o ka moku (dissort aortic).

Nā ʻōuli o ka haki pū:

• ʻEha ma ka ʻōpū a i ʻole hoʻi. ʻĀwī paha ka ʻeha, hikiwawe, hoʻomau a hoʻomau mau paha. Pālahalaha paha i ka ʻūhā, ka ʻūhā, a me nā wāwae paha.
• Ka hala ʻana.
• ʻIli Clammy.
• Puʻupuʻu.
• ʻO Nusea a me ka luaʻi.
• Helu puʻuwai wikiwiki.
• Pāhaʻi.

E nānā kāu mea mālama ola i kou ʻōpū a ʻike i nā pulsa i kou mau wāwae. E ʻike paha ka mea hāʻawi:

• He puʻupuʻu (nui) i loko o ka ʻōpū
• ʻIke pulsating i loko o ka ʻōpū
• Pāpū ʻoʻoleʻa a paʻakikī paha

E ʻike paha kāu mea hāʻawi i kēia pilikia ma ka hana ʻana i kēia mau hoʻokolohua:

• ʻO Ultrasound o ka ʻōpū ke kuhi mua ʻia ka aneurysm ʻōpū
• CT scan o ka ʻōpū e hōʻoia i ka nui o ka aneurysm
• CTA (compute tomographic angiogram) e kōkua me ka hoʻolālā ʻoki kino

E hana ʻia paha kekahi o kēia mau ho'āʻo ke loaʻa iā ʻoe nā hōʻailona.

Hiki paha iā ʻoe ke aneurysm aortic aortic aneurysm e kū ʻole nei i kekahi ʻōuli. E kauoha paha kāu mea hāʻawi i kahi ultrasound o ka ʻōpū e nānā no kahi aneurysm.

• ʻO ka hapa nui o nā kāne ma waena o nā makahiki 65 a 75, nā mea puhipaka i ko lākou ola e loaʻa i kēia hōʻoia i hoʻokahi manawa.
• ʻO kekahi mau kāne ma waena o nā makahiki 65 a 75, ʻaʻole puhipaka i ko lākou ola e pono ai i kēia hōʻike i hoʻokahi manawa.

Inā loaʻa kou kahe i loko o kou kino mai kahi aneurysm aortic, pono ʻoe i ke kaila koke.

Inā liʻiliʻi ka aneurysm a ʻaʻohe ʻōuli:

• ʻAʻohe hana iki ke ʻoki.
• Pono ʻoe a me kāu mea lawelawe e hoʻoholo inā ʻoi aku ka liʻiliʻi o ka pilikia o ke ʻoki ʻana ma mua o ka makaʻu o ke kahe ʻana inā ʻaʻohe ou ʻoki.
• Makemake paha kāu mea e nānā i ka nui o ka aneurysm me nā hoʻāʻo ultrasound i kēlā me kēia 6 mahina.

ʻO ka hapa nui o ka manawa, hana ʻia ke ʻoki inā nui ka nui o ka aneurysm ma mua o 2 ʻīniha (5 centimita) ma ʻō a i ʻole e ulu wikiwiki ana. ʻO ka pahuhopu ka hana ʻoki ʻana ma mua o ka ulu ʻana o nā pilikia.

Aia he ʻelua ʻano o ke kaha ʻana:

• Hoʻoponopono wehe - Hana ʻia kahi ʻoki nui i loko o kou ʻōpū. Hoʻololi ʻia ka moku kūlohelohe me kahi hoʻopili i hana ʻia i nā mea i hana ʻia e ke kanaka.
• Hoʻopili stent endovis - hiki ke hana i kēia kaʻina hana me ka ʻole o kahi ʻoki nui i loko o kou ʻōpū, i hiki ai iā ʻoe ke hoʻōla wikiwiki. He palekana paha kēia ma ke ʻano he pilikia olakino ʻē aʻe a i ʻole he ʻelemakule makua. Hiki ke hana i ka hoʻoponopono endovascular i kekahi manawa no kahi leaking a i ʻole ke kahe ʻana o ke aneurysm.

Maikaʻi pinepine ka hopena inā loaʻa iā ʻoe kahi ʻoki e hoʻoponopono hou i ka aneurysm ma mua o ka haki ʻana.

Ke hoʻomaka kahi aneurysm aorta ʻōpū e haehae a wāwahi paha, he pilikia olakino ia. Ma kahi o 1 i ka 5 mau kānaka i ola i ka aneurysm ʻōpū i haki.

E hele i ka lumi pilikia a kāhea paha iā 911 inā he ʻeha kou i loko o kou ʻōpū a i ʻole kua i hope maikaʻi ʻole a hele ʻole paha.

E hoʻemi i ka makaʻu o nā aneurysms:

• ʻAi i ka papaʻai olakino puʻuwai, hoʻoikaika kino, hoʻōki i ka puhipaka (inā puhi ʻoe), a hoʻemi i ke koʻikoʻi.
• Inā loaʻa ʻoe i ke koko kiʻekiʻe a diabetes paha, e lawe i kāu mau lāʻau e like me ka mea a kāu mea hāʻawi i haʻi aku ai iā ʻoe.

ʻO ka poʻe ma luna o 65 mau makahiki i puhipaka loa pono e hana i kahi ultrasound kānana i hoʻokahi manawa.

Aneurysm - ʻaʻa maʻi; AAA

• Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
• Aortic aneurysm hana hou - endovascular - hoʻokuʻu

• Haki ʻaʻa - pahu x-ray
• Aneurysm ʻaʻano

Braverman AC, Schermerhorn M. Nā maʻi o ke aorta. I: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 63.

Colwell CB, Fox CJ. Aneurysm aorta ʻōpū. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 76.

LeFevre ML; ʻO ka Pūʻali Hana lawelawe lawelawe US. ʻO ka loiloi ʻana no ka aneurysm aortic aortic: he ʻōlelo ʻōlelo aʻoaʻo a ka US Preventive Services Force. ʻO Ann Intern Med. 2014; 161 (4): 281-290. PMID: 24957320 www.ncbi.nlm.nih.gov/pubmed/24957320.

Woo EW, Damrauer SM. ʻO nā aneurysms aorta ʻōpū: wehe i ka lāʻau lapaʻau. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 71.