Anorysm aortic ʻaʻano

ʻO kahi aneurysm kahi ākea ākea a ākea paha o kahi ʻāpana o ke aʻa ma muli o ka nāwaliwali i ka paia o ka kīʻaha koko.

Loaʻa kahi aneurysm aortic aortic i ka ʻāpana o ke aʻa nui o ke kino (aorta) e hele i ka umauma.

ʻO ke kumu maʻamau o ka aneurysm aortic aortic aneʻi e paʻakikī ana i nā aʻa. ʻOi aku ka maʻamau o kēia ʻano i nā kānaka me ke kōpaʻa kiʻekiʻe, ke kiʻekiʻe o ke koko kiʻekiʻe lōʻihi, a i ʻole nā ​​puhipaka.

ʻO nā kumu pilikia ʻē aʻe no ka aneurysm thoracic me:

• Nā hoʻololi i hoʻokumu ʻia e ka makahiki
• Nā maʻi pilikino e like me Marfan a i ʻole Ehlers-Danlos Syndrome
• Ka hoʻohaunaele o ka aorta
• ʻO ka ʻeha mai ka hāʻule a i ʻole nā ​​kaʻa kaʻa kaʻa kaʻa
• Syphilis

Hoʻonui lohi ʻo Aneurysms i nā makahiki he nui. ʻAʻohe o ka hapanui o ka poʻe a hiki i ka hoʻomaka ʻana o ka aneurysm e kulu a hoʻonui paha.

Hoʻomaka hoʻomaka pinepine nā ʻōuli i ka:

• Ulu koke ka aneurysm.
• Wehe nā aneurysm waimaka (i kapa ʻia ka haki).
• Kulu ke koko ma ka paia o ka aorta (dissort aortic).

Inā kaomi ka aneurysm ma nā hale kokoke, hiki i kēia mau ʻōuli ke hana.

• Hoarseness
• Pilikia i nā pilikia
• ʻO ka hanu kiʻekiʻe (stridor)
• ʻO ka pehu i ka ʻāʻī

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻO ka ʻeha o ka umauma a i luna paha
• ʻIli Clammy
• ʻO Nusea a me ka luaʻi
• Helu puʻuwai wikiwiki
• ʻIke o ka luku e hiki mai ana

He maʻa mau ka hoʻāʻo kino ke ʻole ka haki a kulu paha.

ʻIke ʻia ka hapa nui o nā aneurysms aortic aorta ma nā hōʻike kiʻi i hana ʻia no nā kumu ʻē aʻe. Hoʻopili kēia mau ho'āʻo me ka x-ray umauma, echocardiogram, a i ʻole CT scan a i ʻole MRI.Hōʻike kahi kaha kiʻi CT i ka nui o ka aorta a me kahi kikoʻī o ka aneurysm.

ʻO kahi aortogram (kahi hoʻonohonoho kūikawā o nā kiʻi x-ray i hana ʻia i ka wā e hoʻokomo ʻia ai ka kala i ke aorta) hiki ke hoʻomaopopo i ka aneurysm a me nā lālā o ke aorta e pili ana.

Aia kahi makaʻu e wehe paha ka aneurysm (haki) inā ʻaʻohe ou ʻoki e hoʻoponopono ai.

Pili ka lāʻau i ka wahi o ka aneurysm. Hana ʻia ka aorta i ʻekolu mau ʻāpana:

• ʻO ka ʻaoʻao mua e neʻe i luna i ke poʻo. Kapa ʻia ka aorta piʻi.
• Piʻo ka ʻaoʻao waena. Kapa ʻia ʻo ia a arch aortic.
• ʻO ka hapa hope e neʻe i lalo, i nā wāwae. Kapa ʻia ka aorta e iho mai ana.

No nā poʻe me nā aneurysms o ka aorta e piʻi aʻe a i ʻole ke ākea aortic:

• Paipai ʻia ke ʻoki e pani ai i ka aorta inā ʻoi aku ka nui o ka aneurysm ma mua o 5 a 6 centimika.
• Hana ʻia kahi ʻoki ma ka waena o ka iwi umauma.
• Hoʻololi ʻia ke aorta me kahi palaka a lole paha.
• ʻO kēia kahi ʻoki nui e koi ai i ka mīkini puʻuwai puʻuwai.

No ka poʻe me nā aneurysms o ka aorta kōkō e iho mai ana:

• Hana ʻia ke kaha nui e pani i ke aorta me ka hoʻopili lole inā ʻoi aku ka nui o ka aneurysm ma mua o 6 kenimika.
• Hana ʻia kēia ʻoki ma o ka ʻoki ʻana ma ka ʻaoʻao hema o ka umauma, a hiki i ka ʻōpū.
• ʻO ka stenting Endovascular kahi koho hōʻemi loa. ʻO kahi stent kahi keleawe liʻiliʻi a palakiko paha e hoʻohana ʻia e hoʻopaʻa i ke aʻa ākea. Hiki ke hoʻokomo ʻia i nā stents i loko o ke kino me ka ʻoki ʻole ʻana i ka umauma. Eia naʻe, ʻaʻole nā ​​kānaka āpau me nā aneurysms o ka thoracic e moho no ka stenting.

ʻO ka nānā manawa lōʻihi no ka poʻe me ka aneurysm aortic aortic e pili ana i nā pilikia olakino ʻē aʻe, e like me ka maʻi puʻuwai, ke koko kiʻekiʻe, a me ka maʻi kō. Ua hoʻokumu a hāʻawi paha kēia mau pilikia i kēia ʻano.

Hiki i nā pilikia koʻikoʻi ma hope o ke kahakaha ʻana ke hoʻopili ʻia:

• Kahena
• Maʻi maʻi Graft
• Maʻi hohola
• Paʻi kuʻi ʻole
• Poino hakuʻala
• Pālolo
• Hahau

ʻO ka make ma hope koke o ka hana ʻana ma 5% a 10% o ka poʻe.

ʻO nā pilikia ma hope o ka stant aneurysm me ka hōʻino ʻana i nā kīʻaha koko e hāʻawi ana i ka wāwae, e koi paha i kahi hana hou.

E haʻi i kāu mea mālama ola inā loaʻa iā ʻoe:

• He moʻolelo ʻohana o nā maʻi pilina (e like me Marfan a i ʻole Ehlers-Danlos syndrome)
• Hōʻoluʻolu o ka umauma a hoʻi i hope

E pale aku atherosclerosis:

• Kaohi i kou kiʻekiʻe o ke koko a me nā pae o ke koko.
• MAI Puhi.
• ʻAi i kahi papaʻai olakino.
• Hoʻomaʻamaʻa pinepine.

Aneurysm ʻaʻano - thoracic; Aneurysm Syphilitic; ʻO Aneurysm - aortic thoracic

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

• Aneurysm ʻaʻano
• Haki ʻaʻa - pahu x-ray

ʻO Acher CW, Wynn M. Thoracic a me nā aneurysms o ka thoracoabdominal: wehe lāʻau lapaʻau. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 77.

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.

Lederle FA. Nā maʻi o ke aorta. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 69.

Singh MJ, Makaroun MS. Thoracic a me nā thoracabdominal aneurysms: ka hoʻomaʻamaʻa endovascular. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 78.