ʻO ka ischemia artery Mesenteric

Hana ʻia ka ischemia ʻaʻa Mesenteric ke loaʻa kahi hoʻopili a blockage paha o hoʻokahi a ʻoi paha o nā aʻa nui ʻekolu e hoʻolako i nā ʻōpū liʻiliʻi a nui. Kapa ʻia kēia mau mea nā aʻa mesenteric.

Holo pololei nā aʻa e hāʻawi i ke koko i nā ʻōpū mai ka aorta. ʻO ke aorta ke aʻa nui mai ka puʻuwai.

Hana ʻia ka paʻakikī o nā aʻa ke kūkulu ka momona, kolesterol, a me nā mea ʻē aʻe i nā paia o nā aʻa. ʻOi aku ka maʻamau o kēia i nā poʻe puhipaka a i ka poʻe me ke koko kiʻekiʻe a i ʻole ke kō kiʻekiʻe o ke koko.

Hoʻopili kēia i nā kīʻaha koko a hoʻoliʻiliʻi i ke kahe o ke koko i nā ʻōpū. E like me nā ʻāpana ʻē aʻe o ke kino, lawe ke koko i ka oxygen i loko o nā ʻōpū. Ke lohi ka hāʻawi o ka oxygen, hiki mai paha nā ʻōuli.

Hiki ke ālai koke ʻia ke koko i nā ʻōpū e ke kōkuʻu koko (embolus). ʻO nā clots pinepine mai ka puʻuwai a aorta paha. ʻIke pinepine ʻia kēia mau clots i ka poʻe me ka puʻuwai puʻuwai maʻamau.

Nā ʻōuli i hoʻokumu ʻia e ka paʻakikī paʻakikī o nā aʻa mesenteric i:

• Paʻi ʻōpū ma hope o ka ʻai ʻana
• Pohā

Nā ʻōuli o ka ischemia ʻeha (akene) mesenteric ma muli o kahi huakaʻi koko e hele pū ana:

• ʻO ka ʻeha nui o ka ʻōpū a kūpikipiki paha
• Pohā
• ʻO ka luaʻi
• Fiva
• Nusea

Ke hoʻomaka a hele a paʻakikī paha nā ʻōuli, hiki i nā hoʻokolohua koko ke hōʻike i ka hoʻonui ʻia o ka helu o ke koko keʻokeʻo a me nā loli i ke kiʻekiʻe o ka acid acid. Loaʻa paha ke kahe ʻana i ke kahe GI.

Hōʻike paha kahi Doppler ultrasound a i ʻole CT angiogram scan i nā pilikia me nā kīʻaha koko a me ka ʻōpū.

ʻO kahi angiogram mesenteric kahi hōʻike e pili ana i ka hoʻokomo ʻana i kahi kala kūikawā i loko o kou kahe o ke koko e hōʻike i nā aʻa o ka ʻōpū. A laila lawe i nā kukuna x o ka wahi. Hiki i kēia ke hōʻike i kahi o ka paʻa i ke aʻa.

Ke pale ʻia ka lako o ke koko i kahi ʻāpana o ka puʻuwai puʻuwai, e make ana ka mākala. Kapa ʻia kēia he hōʻeha puʻuwai. Hiki i kekahi ʻano like o ka hōʻeha ke loaʻa i kekahi ʻāpana o nā ʻōpū.

Ke ʻoki koke ʻia ke koko e kahi koko, he pilikia ia. Hiki i ka mālama ʻana ke hoʻopili i nā lāʻau e hoʻonā i ke kaukā koko a wehe i nā aʻa.

Inā loaʻa iā ʻoe nā hōʻailona ma muli o ka paʻakikī o nā aʻa mesenteric, aia kekahi mau mea hiki iā ʻoe ke hana e kaohi i ka pilikia.

• Uoki ka puhipaka. Hoʻopili ka puhipaka i nā aʻa. Hoʻoiho kēia i ka hiki i ke koko ke hāpai i ka oxygen a hoʻonui i ka makaʻu o ke kūkulu ʻana i nā clots (thrombi a me emboli).
• E mālama pono i kou kahe koko ma lalo o ka kaohi.
• Inā kaumaha nui ʻoe, hoʻēmi i kou kaupaona.
• Inā kiʻekiʻe kou kolesterol, ʻai i ka papa haʻahaʻa kolesterol a me ka papaʻai momona momona.
• E nānā i kāu pae kō kō inā loaʻa kou maʻi diabetes, a mālama ia i ka mālama.

Hiki ke hana ʻoki inā pilikia ka pilikia.

• Lawe ʻia ka ālai a hoʻohui hou ʻia nā aʻa i ka aorta. ʻO kahi bypass a puni ka ālai kahi hana ʻē aʻe. Hana mau ʻia ia me kahi graft Tube Tube.
• Hoʻokomo o kahi stent. Hiki ke hoʻohana ʻia kahi stent ma ke ʻano he koho ʻē aʻe i ke ʻoki kino e hoʻonui ai i ka poloka ma ke aʻa a i ʻole e lawe pololei i ka lāʻau i kahi i pilikia. He hana hou kēia a pono e hana wale ʻia e nā mea lawelawe olakino ʻike. ʻOi aku ka maikaʻi o ka hopena me ke ʻoki.
• I kekahi manawa, pono e hemo kahi hapa o kou ʻōpū.

ʻO ka nānā no ka ischemia mesenteric maʻi mau ma hope o ke kūleʻa maikaʻi. Eia nō naʻe, he mea nui e hoʻololi i ka nohona e pale i ka paʻakikī ʻana o nā aʻa i ka ʻoi aku ka maikaʻi.

ʻO ka poʻe me ka ʻoʻoleʻa o nā aʻa e hoʻolako i nā ʻōpū i loaʻa pinepine i nā pilikia like i nā kīʻaha koko e hāʻawi i ka puʻuwai, ka lolo, nā puʻupaʻa, a me nā wāwae.

Hana maikaʻi ʻole ka poʻe me ka ischemia maʻi nui mesenteric ma muli o ka make ʻana o nā ʻāpana o ka ʻōpū ma mua o ka hiki ʻana ke hana ʻia. Hiki i kēia ke make. Eia nō naʻe, me ka hōʻoia koke a me ka mālama ʻana, hiki ke mālama maikaʻi ʻia ka ischemia mesenteric huikau.

ʻO ka make ʻana o ka pūnaewele mai ka nele o ke kahe o ke koko (infarction) i loko o nā ʻōpū ʻo ia ka pilikia nui loa o ka isentia arent mesenteric. Pono paha ke ʻoki e wehe i ka ʻāpana make.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Hoʻololi i ka ʻōpū
• Fiva
• Nusea
• ʻEha ʻeha loa
• ʻO ka luaʻi

Hiki i nā loli nohona ke hiki ke hōʻemi i kou makaʻu no ka hoʻopili ʻana o nā aʻa.

• E kiʻi i ka hoʻoikaika kino maʻamau.
• E hāhai i ka papaʻai olakino.
• E mālama ʻia nā pilikia o ka puʻuwai puʻuwai.
• Mālama i kou kōpaʻa koko a me ke kō i ke kō.
• E haʻalele i ka puhi pua ʻana.

Maʻi Mesenteric vascular; Colitis Ischemic; ʻŌpū Ischemic - mesenteric; ʻŌpū make - mesenteric; ʻŌpū make - mesenteric; Atherosclerosis - ʻaʻa mesenteric; Hoʻopaakiki o nā aʻa - mesenteric artery

• ʻO ka ischemia arter Mesenteric a me ka infarction

Holscher CM, Reifsnyder T. Aute mesenteric ischemia. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 1057-1061.

Kahi CJ. Nā maʻi Vascular o ka gastrointestinal tract. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 134.

ʻO Lo RC, Schermerhorn ML. ʻO ka maʻi arential Mesenteric: epidemiology, pathophysiology, a me ka loiloi loiloi. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 131.