Hoʻoponopono ka lolo aneurysm

Hoʻoponopono ka lolo aneurysm i kahi ʻoki e hoʻoponopono i kahi aneurysm. He wahi nāwaliwali kēia i loko o kahi pā o ke kīʻaha koko e hoʻopūpā ai a kīpaku paha ka moku i waho a haki i kekahi manawa (haki). Hiki iā ia ke kumu:

• Kahe i loko o ka wai cerebrospinal (CSF) a puni ka lolo (i kapa ʻia hoʻi he hemorrhage subarachnoid)
• Kahe i ka lolo e hana i kahi hōʻiliʻili o ke koko (hematoma)

ʻElua mau ʻano hana i hoʻohana ʻia e hoʻoponopono i kahi aneurysm:

• Hana ʻia ka ʻoki ʻana i ka wā o ka craniotomy hāmama.
• ʻO ka hoʻoponopono endovascular (ʻoki kino), ka hoʻohana pinepine ʻana i ka wili a i ʻole ka coiling a me ka stenting (mesh tubes), kahi ala liʻiliʻi a me nā ala maʻamau e mālama ai i nā aneurysms.

Ma ka aneurysm ʻoki ʻana:

• Hāʻawi ʻia ʻoe i ka anesthesia ākea a me ka paipu hanu.
• Wehe ʻia kou poʻo, poʻo poʻo, a me ka uhi o ka lolo.
• Kau ʻia kahi pāpale kila ma ke kumu (ʻāʻī) o ka aneurysm e pale iā ia mai ka haki ʻana (haki).

I ka hoʻopau ʻana o ka endovascular (ʻoki) o kahi aneurysm:

• Loaʻa paha iā ʻoe ka anesthesia ākea a me ka paipu hanu. A i ʻole, hāʻawi ʻia ʻoe i ka lāʻau e hoʻomaha ai ʻoe, akā ʻaʻole lawa e hoʻokau ai iā ʻoe e hiamoe ai.
• Alakaʻi ʻia kahi catheter ma o kahi ʻoki liʻiliʻi i kou aʻa i kahi aʻa a laila i ke kīʻaha koko i kou lolo kahi o ka aneurysm.
• Hoʻokomo ʻia nā mea ʻokoʻa ma o ka catheter. ʻAe kēia i ke kaukipō e ʻike i nā aʻa a me ka aneurysm ma kahi monitor ma ka lumi hana.
• Hoʻokomo ʻia nā kaula hao lahilahi i loko o ka aneurysm. A laila ʻōwili lākou i kahi pōpō hei. No kēia kumu, ua kapa ʻia ke kaʻina hana he coiling. Pōpō ke koko e hana a puni i kēia wili e pale ai i ka aneurysm mai ka haki a me ke kahe ʻana o ke koko. I kekahi manawa hoʻokomo ʻia nā stent (mesh tubes) i mea e paʻa ai nā wili a maopopo e hāmama ka ipu koko.
• I ka wā a ma hope pono hoʻi o ke kaʻina hana, hāʻawi ʻia paha ʻoe i ka lahilahi o ke koko, e like me heparin, clopidogrel, a aspirin paha. Pale kēia mau lāʻau i ke kaola ʻana o ke koko weliweli i ka stent.

Inā haki ka aneurysm i ka lolo (ruptures), he pilikia ia e pono ai ka lāʻau lapaʻau i ka haukapila. Lawe pinepine ʻia kahi haki me ke kahakaha, keu hoʻi ʻo ke kīpē endovascular.

Loaʻa paha i kahi kanaka kahi aneurysm i hoʻopau ʻole ʻia 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.

• ʻAʻole pono e mālama koke ʻia nā aneurysms āpau. ʻO nā Aneurysms i hoʻokahe ʻole i ke koko, keu hoʻi inā liʻiliʻi lākou (ʻoi aku ma mua o 3 mm ma ko lākou wahi nui loa), ʻaʻole pono e mālama koke. ʻAʻole hiki ke haki kēia mau aneurysms liʻiliʻi loa.
• E kōkua kāu kaukō 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 a i ʻole ke nānā ʻana i ka aneurysm me ke kiʻi hou ʻana a hiki i ka pono ʻana o ke ʻoki. ʻAʻole pono kekahi mau aneurysms liʻiliʻi i ke ʻoki.

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, a i ʻole nā ​​maʻi

ʻO nā pilikia o ke ʻoki ʻana o ka lolo ka:

• Koko koko a hoʻokahe paha i ka lolo a puni paha
• Huʻi lolo
• ʻO ka maʻi i ka lolo a i ʻole nā ​​ʻāpana a puni ka lolo, e like me ka iwi poʻo a poʻo poʻo
• Ka hopu ʻana i nā maʻi
• Hahau

ʻO ke kaha ʻana ma nā wahi āpau o ka lolo ke hana i nā pilikia e akahai a ʻino paha. Noho paha lākou i kahi manawa pōkole a ʻaʻole paha lākou e hele.

ʻO nā ʻōuli o ka lolo a me nā ʻōnaehana (neurological) pilikia me:

• Hoʻololi ka hana
• Huikau, nā pilikia hoʻomanaʻo
• Lilo o ke kaulike a i ʻole ka hoʻohui ʻana
• Pōpō
• Nā pilikia e nānā nei i nā mea a puni ʻoe
• Pilikia haʻi ʻōlelo
• Nā pilikia ʻike (mai ka makapō i nā pilikia me ka ʻaoʻao ʻaoʻao)
• Nāwaliwali ka ʻiʻo

Hana pinepine ʻia kēia hana ma ke ʻano he pilikia. Inā ʻaʻole ia he pilikia:

• E haʻi i kāu mea mālama ola i nā lāʻau a lāʻau paha āu e lawe nei a inā ʻoe e inu nui i ka ʻalekohola.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ke kakahiaka o ke ʻoki.
• E hoʻāʻo e hōʻoki i ka puhipaka.
• E hāhai i nā ʻōkuhi no ka ʻai ʻole a me ka inu ma mua o ke kaha ʻana.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

ʻO ka noho ʻana i ka haukapila no ka hoʻoponopono hou ʻana o ka aneurysm ma kahi o 1 a 2 mau lā inā ʻaʻohe kahe ma mua o ke kauka.

Noho ka haukapila ma hope o ka hemo ʻana o craniotomy a me aneurysm ma kahi o 4 a 6 mau lā. Inā he kahe ʻana a i ʻole nā ​​pilikia ʻē aʻe, e like me nā kīʻaha koko i hoʻopili ʻia i ka lolo a i ʻole ka hōʻuluʻulu ʻana o ka wai i ka lolo, hiki i ka haukapila ke lilo i 1 a 2 mau pule, a ʻoi aku paha.

E loaʻa paha iā ʻoe nā hoʻokolohua kiʻi o nā kīʻaha koko (angiogram) i ka lolo ma mua o kou hoʻouna ʻia ʻana i ka home, a i hoʻokahi manawa paha i hoʻokahi makahiki no kekahi mau makahiki.

E hāhai i nā ʻōkuhi no ka mālama ʻana iā ʻoe iho ma ka home.

E noi i kāu kauka inā palekana iā ʻoe ke loaʻa nā hoʻokolohua kiʻi e like me angiogram, CT angiogram, a i ʻole MRI scans o ke poʻo i ka wā e hiki mai ana.

Ma hope o ke kūleʻa maikaʻi ʻana no ka aneurysm kahe ʻana o ke kahe, he mea maʻamau ʻole ia e kahe hou ke koko.

Aia ka nānā i ka hopena o ka lolo i ka hoʻokahe ʻana ma mua, i ka wā, a ma hope paha o ke kaha ʻana.

ʻO ka hapa nui o ka manawa, hiki i ke kīpoki ke pale i ka aneurysm o ka lolo i hana ʻole i nā ʻōuli mai ka nui a hāmama.

Loaʻa paha iā ʻoe ma mua o hoʻokahi aneurysm a i ʻole aneurysm i ʻōwili ʻia e ulu paha. Ma hope o ka hoʻomaʻemaʻe ʻana, pono ʻoe e ʻike ʻia e kāu mea hoʻolako i kēlā me kēia makahiki.

Hoʻoponopono Aneurysm - cerebral; Hoʻoponopono Cerebral aneurysm; ʻŌwili hao; Hoʻoponopono i ka aneurysm Saccular; Hoʻoponopono hou Berry aneurysm; Hoʻoponopono hou Fusiform; Ke kāpae ʻana i ka hoʻoponopono aneurysm; Hoʻoponopono hope aneʻi aneʻi - lolo; Subarachnoid hemorrhage - aneurysm

• Hoʻoponopono ka lolo aneurysm - hoʻokuʻu
• ʻOki kino o ka lolo - hoʻokuʻu
• Ke mālama nei i ka spasticity muscle a i ʻole nā ​​spasms
• Ke kamaʻilio nei me kekahi me ka aphasia
• Ke kamaʻilio nei me kekahi me ka maʻi disarthria
• Dementia a me ka hoʻokele
• Dementia - nā pilikia a me nā pilikia hiamoe
• Dementia - mālama i kēlā me kēia lā
• Dementia - mālama palekana i ka home
• Epilepsy i nā keiki - hoʻokuʻu
• Hahau - hoʻokuʻu
• Pilikia i nā pilikia

ʻO Altschul D, Vats T, Unda S. Hoʻomaʻamaʻa endotherapy o ka lolo aneurysms. I: Ambrosi PB, ed. ʻIke Hou i nā maʻi Cerebrovascular - He loiloi loiloi hou ʻia. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. IntechOpen; 2020: chap: 11. Loiloi ʻia ʻAukake 1, 2019. Loaʻa iā Mei 18, 2020.

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#. Hoʻohou i Kēkēmapa 5, 2018. Loaʻa iā Iulai 10, 2020.

Le Roux PD, Winn HR. Ke hoʻoholo hoʻoholo ʻana no ka mālama ʻana i nā aneurysms intracranial. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 379.

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 Iulai 10, 2020.

ʻO Spears J, Macdonald RL. Hoʻoponopono Perioperative o ka hemorrhage subarachnoid. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 380.