Hoʻokena endotherapy

ʻO ka embolization endovascular kahi hana e mālama ai i nā kīʻaha koko ʻole ma ka lolo a me nā ʻāpana ʻē aʻe o ke kino. He koho ʻē aʻe ia e wehe i ka ʻoki kino.

ʻO kēia kaʻina hana ʻokiʻoki i ka hāʻawi koko i kekahi ʻāpana o ke kino.

Hiki paha iā ʻoe ke anesthesia ākea (hiamoe a ʻaʻohe ʻeha) a me kahi pūnao hanu. A i ʻole, hāʻawi ʻia ʻia iā ʻoe ka lāʻau e hoʻomaha ai, akā ʻaʻole ʻoe e hiamoe.

E hana ʻia kahi ʻoki ʻoki liʻiliʻi i ka wahi o ke keu. E hoʻohana ke kauka i ke kui kele e hana i puka ma ke aʻa wahine, kahi kīʻaha koko nui.

• Hoʻouna ʻia i kahi ʻili liʻiliʻi a maʻalahi hoʻi i kapa ʻia he catheter ma o ka ʻili hāmama a i loko o ke aʻa.
• Hoʻokomo ʻia ka kala ma o kēia paipu i hiki ke ʻike ʻia ka ipu koko ma nā kiʻi x-ray.
• Hoʻoneʻe mālie ke kauka i ka catheter ma o ke kīʻaha koko a i kahi e aʻo ʻia ai.
• I ka manawa e kau ai ka catheter, kau ke kauka i nā ʻāpana palika liʻiliʻi, ka pelu, nā wili hao, ka huʻa, a i ʻole kahi baluna e hoʻopili ai i ka ipu koko hewa. (Inā hoʻohana ʻia nā ʻōwili, kapa ʻia ʻo coil embolization.)

Hiki i kēia kaʻina hana ke hana i mau hola.

Hoʻohana pinepine ʻia ke kaʻina hana e mālama i nā aneurysms i ka lolo. Hiki nō ke hoʻohana ʻia no nā kūlana olakino ʻē aʻe ke hiki ke hoʻoweliweli i ke kahakaha. ʻO ka pahuhopu o ka mālama ʻana e pale i ke kahe ʻana i ka wahi o ka pilikia a e hōʻemi i ka makaʻala e haki ka ipu koko (rupture).

Kōkua kāu kauka iā ʻoe e hoʻoholo inā ʻoi aku ka palekana o ke ʻoki ʻana e ālai ai i ka aneurysm ma mua o ka haki ʻana.

Hoʻohana ʻia kēia kaʻina hana e mālama ai:

• Malformation Arteriovenous (AVM)
• Aneurysm lolo
• Carotid artery cavernous fistula (kahi pilikia me nā aʻa nui ma ka ʻāʻī)
• ʻO kekahi mau tumors

Pākuʻi ʻia paha nā pōpilikia mai ke kaʻina hana:

• Kahe i ka pūnaewele o ka puncture o ka nila
• Kahe i ka lolo
• Hoʻopōʻino i ke aʻa kahi i hoʻokomo ʻia ai ka nila
• ʻŌwili kuni ʻia a i ʻole baluna
• Ka hana ʻole ʻana e mālama loa i ke kīʻaha koko ʻokoʻa
• Maʻi kīnā
• Hahau
• Nā ʻōuli e hoʻi mau nei
• Make

Hana pinepine ʻia kēia hana i ke kumu pilikia. Inā ʻaʻole ia he pilikia:

• E haʻi i kāu mea mālama ola i nā lāʻau a i ʻole nā ​​mea kanu āu e lawe nei, a inā inu ʻoe i ka nui o ka waiʻona.
• E noi i kāu mea nāna e hāʻawi i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.
• E hoʻāʻo e hōʻoki i ka puhipaka.
• E noi pinepine ʻia ʻoe ʻaʻole e ʻai a inu i kekahi mea no 8 mau hola ma mua o ke kaha ʻana.
• E lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Inā ʻaʻohe kahe ma mua o ke kaʻina hana, pono ʻoe e noho i ka haukapila no 1 a 2 mau lā.

Inā kū ke kahe, ʻoi aku ka lōʻihi o kou noho ʻana i ka haukapila.

Pehea kou wikiwiki e ola ai i kāu olakino holoʻokoʻa, ke koʻikoʻi o kāu ʻano olakino, a me nā kumu ʻē aʻe.

I ka hapanui o nā hihia, he hopena kūleʻa ka embolization endovascular me nā hopena maikaʻi.

Aia ka nānā i kekahi ʻino o ka lolo i kū mai ke kahe ʻana o ke koko ma mua, i ka wā, a ma hope paha o ke ʻoki.

Hoʻomaʻo - endotherapy embolism; ʻŌwili hao embolization; Cerebral aneurysm - endovascular; ʻŌwili hao - endovascular; Aneurysm Saccular - endovascular; Aneurysm berry - hana hou endotherapy; Hoʻoponopono hou i ka aneurysm Fusiform - endovascular; Hoʻoponopono Aneurysm - endovascular

Kellner CP, Taylor BES, Meyers PM. Hoʻoponopono endovascular o nā malformations arteriovenous no ka hoʻōla. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 404.

Lazzaro MA, Zaidat OO. Nā manaʻo o ka neurointerventional therapy. 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 56.

Rangel-Castilla L, Shakir HJ, Siddiqui AH. Endotherapy therapy no ka mālama ʻana i ka maʻi cerebrovascular. I: Caplan LR, Biller J, Leary MC, a me nā ʻaoʻao. Primer ma nā maʻi Cerebrovascular. ʻElua ed. Cambridge, MA: Elsevier Academic Press; 2017: chap 149.