ʻO Aneurysm

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

ʻAʻole maopopo maopopo ke kumu o ka aneurysms. Aia kekahi mau aneurysms ma ka hānau ʻana (congenital). ʻO nā kīnā i kekahi mau ʻāpana o ka paia aʻa ke kumu.

ʻO nā wahi maʻamau no nā aneurysms me:

• ʻO ke aʻa nui mai ka puʻuwai e like me ka aac a me ka aorta ʻōpū
• Koʻo (cerebral aneurysm)
• Ma hope o ke kuli i ka wāwae (aneurysm artery popliteal)
• Intestine (mesenteric artery aneurysm)
• ʻO ke aʻa i loko o ka iwi (splenic artery aneurysm)

ʻO ke koko kiʻekiʻe, ke kiʻekiʻe o ke kōkō, a me ka puhi paka ʻana paha e hoʻāla i kou makaʻi no kekahi ʻano aneurysms. Manaʻo ʻia ke kahe koko kiʻekiʻe he mea nui i nā aneurysms aortic austic. ʻO ka maʻi Atherosclerotic (ka hana kolesterol i loko o nā aʻa) hiki ke alakaʻi ʻia i ka hoʻokumu ʻia ʻana o kekahi aneurysms. ʻO kekahi mau ʻāpana a i ʻole nā ​​kūlana e like me ka fibromuscular dysplasia hiki ke hopena i nā aneurysms.

Pili pinepine ka hāpai ʻana i ka hoʻokumu a me ka haki ʻana o nā aneurysms arter splenic.

Aia nā ʻōuli i kahi o ka aneurysm. Inā kū ka aneurysm ma kahi o ke kino, e ʻike pinepine ʻia ka ʻeha a me ka pehu ʻana me kahi puʻupuʻu kui.

ʻAʻohe kumu o nā aneurysms i ke kino a i ʻole ka lolo. Hiki ke hoʻonui i nā aneurysms i ka lolo me ka ʻole o ka hāmama (rupturing). Hiki i ka aneurysm hoʻonui ʻia ke kaomi ma nā aʻa a hoʻonā i ka lua o ka hihiʻo, dizziness, a me nā poʻo hina. Hiki paha i kekahi aneurysms ke kani i nā pepeiao.

Inā haki ka aneurysm, ka ʻeha, ke koko haʻahaʻa, ka wikiwiki o ka puʻuwai, a me ka lightheadedness. Ke haki ka aneurysm o ka lolo, aia ka ʻehaʻeha loa o ke poʻo i ʻōlelo ʻia e kekahi poʻe ʻo "ke poʻo ʻeha loa o koʻu ola." ʻO ka makaʻu o ka koma a make paha ma hope o ka haki ʻana he kiʻekiʻe.

E hana ka mea mālama ola i kahi hoʻokolohua kino.

Hoʻohana ʻia nā hoʻokolohua e kuhikuhi i kahi aneurysm:

• CT scan
• CT angiogram
• MRI
• MRA
• Kukuna ultrasound
• Angiogram

Pili ka mālama ʻana i ka nui a me kahi o ka aneurysm. Koi paha kāu mea hāʻawi i nā loiloi maʻamau e ʻike ai ke ulu nei ka aneurysm.

Hana ʻoki paha. ʻO ke ʻano o ke kaha ʻana i hana ʻia a ke pono ʻoe e hilinaʻi ia i kāu mau ʻōuli a me ka nui a me ke ʻano o ka aneurysm.

Pili paha ke ʻoki kino i kahi ʻoki ʻoki nui (hāmama). I kekahi manawa, hana ʻia kahi hana i kapa ʻia endotherapy embolization. Hoʻokomo ʻia nā ʻōwili a i ʻole nā ​​stent o ka hao i loko o kahi aneurysm lolo e hana i ka aneurysm clot. Hoʻoemi kēia i ka makaʻu no ka haki ʻoiai e hāmama ana ke aʻa. Pono paha i nā aneurysms lolo ʻē aʻe e kau i kahi ʻokiʻoki ma luna o lākou e pani iā ​​lākou a pale i ka haki.

Hiki ke hoʻoikaika ʻia nā aneurysms o ke aorta me ke kaha ʻana e hoʻoikaika ai i ka paia o ke kīʻaha koko.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i kahi puʻupuʻu ma kou kino, inā ʻeha a ʻehaʻeha paha ia.

Me kahi aneurysm aortic, e hele i ka lumi pilikia a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko inā loaʻa iā ʻoe ka ʻeha ma kou ʻōpū a i ʻole kua i maikaʻi ʻole a hele ʻole paha.

Me kahi aneurysm o ka lolo, e hele i ke keʻena pilikia a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko inā loaʻa ʻoe i ka ʻeha a me ka ʻeha o ke poʻo, keu hoʻi inā loaʻa ʻoe i ka nausea, ka luaʻi, ka hopu ʻana i ka maʻi, a i ʻole nā ​​ʻōuli ʻōnaehana ʻē aʻe.

Inā kuhi ʻia ʻoe me kahi aneurysm i kahe ʻole o ke koko, pono ʻoe e hoʻāʻo pinepine e ʻike inā hoʻonui ʻia ka nui.

ʻO ke kaohi ʻana i ke koko kiʻekiʻe ke kōkua i ka pale ʻana i kekahi aneurysms. E hāhai i ka papaʻai olakino, e hoʻoikaika i ka hana maʻamau, a mālama i kāu kolesterol i kahi pae olakino e kōkua ai hoʻi i ka pale ʻana i nā aneurysms a i ʻole nā ​​pilikia.

Mai puhi. Inā puhi ʻoe i ka uahi, ʻo ka haʻalele ʻana e hoʻohaʻahaʻa ai i kou makaʻi no ka aneurysm.

Aneurysm - aʻa splenic; Aneurysm - aʻa popliteal; Aneurysm - aʻa mesenteric

• Aneisis cerebral
• Aneurysm ʻaʻano
• Hoʻokena hemachage Intracerebellar - CT scan

Britz GW, Zhang YJ, Desai VR, Scranton RA, Pai NS, West GA. ʻO nā hana ʻoki lāʻau i nā aneurysms intracranial. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 383.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Maʻi maʻi ʻaʻano Peripheral. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 62.

Lawrence PF, Rigberg DA. Aneurysms Arterial: etiology, epidemiology, a me ka mōʻaukala kūlohelohe. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 69.