Aneurysm i ka lolo

ʻO kahi aneurysm kahi wahi nāwaliwali i ka paia o kahi kīʻaha koko e hoʻoheheʻe a i waho paha ka ipu koko. Ke hiki mai kahi aneurysm i loko o kahi kīʻaha koko o ka lolo, kapa ʻia ia he cerebral, a i ʻole intracranial, aneurysm.

Kū nā Aneurysms i ka lolo ke loaʻa kahi wahi nāwaliwali i ka paia o kahi kīʻaha koko. Aia paha kahi aneurysm mai ka hānau ʻana (congenital). A i ʻole, hoʻomohala paha ia ma hope i ke ola.

Nui a hewahewa nā ʻano aneurysms lolo. Kapa ʻia ka ʻano maʻamau ka berry aneurysm. Hiki i kēia ʻano ke ʻokoʻa i ka nui mai kahi mau mile a i kahi kenetimita. Hiki ke ʻoi aku ka nui o ka aneurysms berry nunui ma mua o 2.5 mau kenimika. ʻOi aku kēia mau mea i nā mākua. ʻO nā aneurysms berry, keu hoʻi ke ʻoi aku ma mua o hoʻokahi, i kekahi manawa i hoʻoili ʻia e nā ʻohana.

ʻO nā ʻano ʻē aʻe o ka cerebral aneurysms e pili ana i ka hoʻonui ʻia ʻana o kahi kīʻaha koko holoʻokoʻa. A i ʻole, ʻike ʻia paha lākou ma ke ʻano he poʻomanaʻo mai kahi ʻāpana o kahi kīʻaha koko. Hiki i kēlā ʻano aneurysms ke hana i loko o nā kīʻaha koko e hāʻawi i ka lolo. ʻO ka paʻakikī o nā aʻa (atherosclerosis), trauma, a me ka maʻi hiki ke hōʻeha i ka paia o ke kīʻaha koko a hana i nā aneurysms cerebral.

Kūleʻa nā aneurysms lolo. Hoʻokahi o kanalima mau kānaka i loaʻa ka lolo aneurysm, akā he wahi liʻiliʻi wale nō o kēia mau aneurysms ke kumu o nā ʻōuli a i ʻole ka haki.

ʻO nā kumu pilikia me:

• ʻO ka mōʻaukala ʻohana o nā aneurysms cerebral
• Nā pilikia olakino e like me ka maʻi polycystic kidney, coarctation o ka aorta, a me ka endocarditis
• ʻO ke koko kiʻekiʻe, puhipaka, ʻalekohola, a me ka hoʻohana lāʻau kū ʻole i ke kānāwai

Loaʻa paha i kahi kanaka kahi aneurysm me ka ʻole o nā ʻōuli. Hiki ke loaʻa kēia ʻano aneurysm ke hana ʻia kahi MRI a i ʻole CT scan o ka lolo no kekahi kumu ʻē aʻe.

E hoʻomaka paha kahi aneurysm lolo e hoʻokahe i kahi koko liʻiliʻi. ʻO kēia paha ke kumu o kahi ʻeha poʻo ʻeha i hiki i ke kanaka ke wehewehe ʻo "ke poʻo ʻeha loa o koʻu ola." Hiki ke kapa ʻia he hekili a he sentinel poʻo ʻeha paha. ʻO kēia ke kumu o ka ʻeha ke poʻo i hōʻailona hōʻailona no ka haki o ka wā e hiki mai ana i hiki i kekahi mau lā i mau mau pule ma hope o ka hoʻomaka mua ʻana o ka ʻeha.

Hiki paha i nā ʻōuli ke paʻi ka aneurysm ma nā hale kokoke i ka lolo a haki paha (ruptures) a kumu i ke kahe ʻana i ka lolo.

Pili nā ʻōuli i kahi o ka aneurysm, inā hāmama, a he aha ka ʻaoʻao o ka lolo e hoʻokeke nei iā ia. Pākuʻi ʻia paha nā ʻōuli:

• Hōʻike pālua
• Lilo o ka hihiʻo
• Poʻo poʻo poʻo
• ʻEhaʻeha maka
• ʻEha ʻāʻī
• ʻĀʻī ʻoʻoleʻa
• Ke kani nei i nā pepeiao

ʻO ka hōʻeha, ʻehaʻeha poʻo loa kahi hōʻailona o kahi aneurysm i haki. ʻO nā ʻōuli ʻē aʻe o kahi aneurysm rupture e hoʻopili pū paha:

• Huikau, ʻaʻohe ikehu, hiamoe, haʻalulu, a i ʻole koma
• E hāʻule ana ka ʻōmaka
• Nā poʻo hina me ka nausea a i ʻole ka luaʻi
• Ka nāwaliwali o nā mākala a paʻakikī paha i ka neʻe ʻana i kekahi ʻāpana o ke kino
• Numbness a i ʻole hoʻoliʻiliʻi sensation i kekahi ʻāpana o ke kino
• Pilikia i ka ʻōlelo ʻana
• Ka hopu ʻana i nā maʻi
• ʻĀʻī ʻoʻoleʻa (i kekahi manawa)
• Hoʻololi ka hihiʻo (ʻike lua, nalo ʻana o ka hihiʻo)
• Ka nalowale o ka ʻike

MEA KAHAKAHA: ʻO kahi aneurysm ruptured kahi maʻi olakino. Kāhea iā 911 a i ʻole kāu helu kūloko kūloko.

Hiki i kahi hoʻokolohua maka ke hōʻike i nā hōʻailona o ka hoʻonui ʻia o ke kaomi i ka lolo, me ka pehu ʻana o ke aʻalolo optic a i ʻole ke kahe ʻana i ka retina o ka maka. Hōʻike kahi hōʻike hoʻokolohua i ka neʻe ʻana o ka maka i ka maka, ka ʻōlelo, ka ikaika, a me ka naʻau.

Hiki ke hoʻohana ʻia nā hōʻike aʻe e hōʻike ai i kahi aneurysm cerebral a hoʻoholo i ke kumu o ke kahe ʻana o ka lolo i ka lolo.

• Cerebral angiography a i ʻole spiral CT scan angiography (CTA) o ke poʻo e hōʻike i kahi a me ka nui o ka aneurysm
• Piula ʻōiwi
• CT scan o ke poʻo
• Electrocardiogram (ECG)
• MRI o ke poʻo a i ʻole MRI angiogram (MRA)

Hoʻohana ʻia nā hana maʻamau ʻelua e hoʻoponopono ai i kahi aneurysm.

• Hana ʻia ka ʻoki ʻana i ka wā o ka ʻoki ʻana o ka lolo hāmama (craniotomy).
• Hana pinepine ʻia ka hoʻoponopono endovirus. Pili pinepine ia i ka wili a i ʻole ka wili ʻana a me ka stenting. ʻO kēia kahi ala hoʻohaʻahaʻa liʻiliʻi a me nā ala maʻamau e mālama ai i nā aneurysms.

ʻAʻole pono e mālama koke ʻia nā aneurysms āpau. ʻO nā mea liʻiliʻi loa (ʻoi aku ma mua o 3 mm) ʻaʻole hiki ke hāmama.

E kōkua kāu kauka olakino iā ʻoe e hoʻoholo inā ʻoi aku ka palekana o ka hana ʻana i ke kaukō e ālai ai i ka aneurysm ma mua o ka hāmama ʻana. I kekahi manawa maʻi nui ka poʻe ʻaʻole hiki ke ʻoki, a weliweli paha e mālama i ka aneurysm ma muli o kona wahi.

ʻO kahi aneurysm ruptured kahi pilikia i pono e mālama koke ʻia. Hoʻopili paha ka mālama ʻana:

• Hoʻokomo ʻia i ka keʻena mālama maʻi nui (ICU)
• Hoʻopau i ka moe a me nā kapu hana
• Kahe o ke koko mai ka wahi o ka lolo (cerebral ventricular drainage)
• Nā lāʻau lapaʻau e pale aku ai i ka hopu ʻana
• ʻO nā lāʻau e kaohi i ka maʻi poʻo a me ke kahe o ke koko
• Nā lāʻau lapaʻau ma o ke aa (IV) e pale aku ai i ka maʻi

Ke hoʻoponopono hou ʻia ka aneurysm, pono paha ka lapaʻau e pale ai i kahi maʻi maʻi i ka spasm o ke kīʻaha koko.

Maikaʻi kāu hana ma muli o nā mea he nui. ʻO ka poʻe i loko o kahi koma hohonu ma hope o ka haki ʻana o ka aneurysm ʻaʻole hana e like me ka poʻe me nā ʻōuli ʻoi aku ka ikaika.

ʻO nā ʻōiwi cerebral ruptured he mea make pinepine. O ka poʻe i ola, ʻaʻohe o lākou kīnā mau. Loaʻa i nā poʻe ʻē aʻe i ke kaulike kūpono a koʻikoʻi.

Komo pū kekahi nā pilikia o ka aneurysm i ka lolo:

• Hoʻonui i ke kaomi i loko o ka iwi poʻo
• ʻO Hydrocephalus, i kumu ʻia e ka hōʻuluʻulu ʻana o ka wai cerebrospinal i nā ventricle o ka lolo
• Ka nalowale o ka neʻe ʻana i hoʻokahi a i ʻole nā ​​ʻāpana o ke kino
• Loaʻa o ka naʻau i kekahi ʻāpana o ke alo a i ʻole ke kino
• Ka hopu ʻana i nā maʻi
• Hahau
• ʻO ka hemorrhage Subarachnoid

E hele i ka lumi pilikia a kāhea paha iā 911 a i ʻole kāu helu kūloko kūloko inā loaʻa ʻoe i ka ʻeha a ʻeha a ʻeha hoʻi paha, keu hoʻi inā loaʻa ʻoe i ka nausea, ka luaʻi, ka hopu ʻana i ka maʻi, a i ʻole nā ​​ʻōuli ʻōnaehana ʻē aʻe.

Kāhea pū hoʻi inā he ʻeha kou poʻo ʻokoʻa ia ou, keu hoʻi inā koʻikoʻi ia a i ʻole ʻeha ʻeha loa ʻoe.

ʻAʻohe ala i ʻike ʻia e pale ai i kahi aneurysm berry mai ka hana ʻana. ʻO ka mālama ʻana i ke koko kiʻekiʻe e hōʻemi paha i ka manawa o ka aneurysm e wāwahi ana. ʻO ke kaohi ʻana i nā pilikia no ka atherosclerosis e hōʻemi paha i ka likelihood o kekahi ʻano aneurysms.

Pono paha ka poʻe i ʻike he aneurysm e kipa mau i nā kauka e hōʻoia i ka hoʻololi ʻole o ka aneurysm i ka nui a me ke ʻano.

Inā ʻike ʻia nā aneurysms kū ʻole i ka manawa, hiki iā lākou ke mālama ʻia ma mua o ka hana ʻana i nā pilikia a nānā ʻia paha me ke kiʻi maʻamau (maʻamau i kēlā me kēia makahiki).

ʻO ka hoʻoholo e hoʻoponopono hou i kahi aneurysm cerebral i hoʻopau ʻole ʻia e pili ana i ka nui a me kahi o ka aneurysm, a me ka makahiki o ke kanaka a me ke olakino laulā.

Aneurysm - lolo; Aneisis Cerebral; ʻO Aneurysm - intracranial

• Hoʻoponopono ka lolo aneurysm - hoʻokuʻu
• Headache - he aha e nīnau aku ai i kāu kauka

• Aneisis cerebral
• Aneisis cerebral

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. He aha kāu e ʻike ai e pili ana i nā aneurysms cerebral. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should- know-about-cerebral-aneurysms#.Wv1tfUiFO1t. Hoʻohou i Kēkēmapa 5, 2018. Loaʻa iā ʻAukake 21, 2020.

National Institute of Neurological Disorder a me ka pūnaewele Stroke. Pepa ʻoiaʻiʻo ʻo cerebral aneurysms. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Hoʻohou ʻia Malaki 13, 2020. Loaʻa iā ʻAukake 21, 2020.

Szeder V, Tateshima S, Duckwiler GR. Nā aneurysms intracranial a me ka hemorrhage subarachnoid. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 67.

Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Nā ʻōkuhi no ka mālama ʻana i nā mea maʻi me nā aneurysms intracranial i hoʻopau ʻole ʻia: kahi alakaʻi no nā ʻoihana mālama ola mai ka American Heart Association / American Stroke Association. Hahau. 2015: 46 (8): 2368-2400. PMID: 26089327 pubmed.ncbi.nlm.nih.gov/26089327/.