Aortic aneurysm hana hou - endotherapy

Hoʻoponopono ka endeur aortic aneurysm (AAA) i kahi ʻoki e hoʻoponopono hou i kahi ākea i kāu aorta. Kapa ʻia kēia he aneurysm. ʻO ke aorta ka aʻa nui e hāpai i ke koko i kou ʻōpū, pelvis, a me kou mau wāwae.

ʻO kahi aneurysm aortic ke hele a nui a kahi ʻāpana o kēia aʻa a i ʻole nā ​​pāluna i waho. Kū ʻia ia ma muli o ka nāwaliwali i ka paia o ke aʻa.

Hana ʻia kēia hana i loko o kahi keʻena hana, ma ka radiology o ka haukapila, a i ʻole ma kahi keʻena catheterization. E moe ʻoe ma luna o kahi pākaukau padded. Hiki paha iā ʻoe ke loaʻa i ka anesthesia laulaha (hiamoe ʻoe a ʻaʻohe ʻeha) a i ʻole epidural a i ʻole anesthesia spinal. I ka wā o ke kaʻina hana, e hana kāu kauka lāʻau:

• E ʻokiʻoki i kahi ʻoki liʻiliʻi kokoke i ke aʻa, e ʻike i ke aʻa wahine.
• Hoʻokomo i kahi stent (kahi wili hao) a me kahi hoʻopili kanaka i hana ʻia e ke kanaka ma o keʻoki i loko o ke aʻa.
• A laila e hoʻohana i kahi kala e wehewehe i ka nui o ka aneurysm.
• E hoʻohana i nā kukuna x e alakaʻi ai i ka stent graft i loko o kāu aorta, i kahi o ka aneurysm.
• E wehe aʻe i ka stent me ka hoʻohana ʻana i kahi ʻano spring-like a hoʻopili iā ia i nā paia o ke aorta. E emi hope kāu aneurysm a puni ia.
• ʻO ka hope loa e hoʻohana i nā kukuna x a me ka kala hou e ʻike pono i ka stent ma kahi kūpono a me ke kahe ʻole o kou aneurysm i loko o kou kino.

Hana ʻia ʻo EVAR ma muli o ka nui o kāu aneurysm, ke ulu wikiwiki nei, a i ʻole ke kahe a ke kahe ʻana paha o ke kahe.

Loaʻa iā ʻoe he AAA i kumu ʻole i kekahi ʻōuli a i ʻole nā ​​pilikia. Ua ʻike paha kāu kauka olakino i kēia pilikia ke loaʻa iā ʻoe kahi ultrasound a i ʻole CT scan no kekahi kumu ʻē aʻe. Aia kekahi pilikia e wehe paha kēia aneurysm (rupture) inā ʻaʻohe ou ʻoki e hoʻoponopono ai. Eia nō naʻe, he mea weliweli paha ke ʻoki ʻana e hoʻoponopono i ka aneurysm. I kēlā mau hihia, ʻo EVAR kahi koho.

Pono ʻoe a me kāu mea lawelawe e hoʻoholo inā ʻoi aku ka liʻiliʻi o ka hopena o kēia ʻoki ma mua o ka makaʻu no ka haki inā ʻaʻohe ou ʻoki e hoʻoponopono hou ai ka pilikia. Manaʻo paha ka mea hāʻawi iā ʻoe i kahi ʻoki inā ʻo ka aneurysm:

• ʻOi aku ka nui (ma kahi o 2 ʻīniha a i ʻole 5 mau kenimika)
• Ke ulu nei me ka wikiwiki (kahi liʻiliʻi ma mua o 1/4 iniha ma luna o 6 a 12 mau mahina i hala.

Loaʻa i ka EVAR kahi haʻahaʻa o ka hoʻomohala ʻana i nā pilikia ke hoʻohālikelike ʻia i ka ʻoki ākea. E ʻōlelo paha kāu mea hāʻawi i kēia ʻano hoʻoponopono inā loaʻa iā ʻoe nā pilikia olakino ʻē aʻe a i ʻole he poʻe ʻelemakule.

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā
• Nā pilikia hanu
• ʻO ka maʻi, e komo pū ana me nā akemāmā, ka mimi, a me ka ʻōpū
• Ka hōʻeha puʻuwai a i ʻole hōʻeha
• Nā hopena i nā lāʻau

ʻO nā pilikia no kēia ʻoki kino penei:

• ʻO ke kahe ʻana a puni ka graft e pono ai i kahi ʻoki hou aʻe
• Kahe i mua o a ma hope o ke kaʻina hana
• Ka paʻa ʻana o ka stent
• Ka hōʻino i ke aʻalolo, ke kumu o ka nāwaliwali, ʻeha, a i ʻole ka helu ʻana i ka wāwae
• Hewa ʻole nā ​​hakuʻala
• ʻO ke koko maikaʻi ʻole i kou mau wāwae, kou mau puʻupaʻa, a i ʻole nā ​​mea ʻē aʻe
• Nā pilikia e kiʻi a mālama ʻana paha i kahi kūkulu
• ʻAʻole kūleʻa ke kaha a pono ʻoe i kahi ʻoki ākea
• Pahee ka stent
• Hoʻopuka ka stent a koi i kahi ʻoki ākea

E nānā ana kāu mea hāʻawi iā ʻoe a kauoha i nā hoʻokolohua ma mua o kāu ʻoki ʻana.

E haʻi mau i kāu mea hoʻolako i nā lāʻau āu e lawe nei, ʻoiai nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

Inā ʻoe he puhipaka, pono ʻoe e hōʻoki. Hiki i kāu mea hāʻawi ke kōkua. Eia kekahi mau mea ʻē aʻe e pono ai ʻoe e hana ma mua o kāu ʻoki ʻana.

• Ma kahi o ʻelua mau pule ma mua o kou ʻoki kino ʻana, e kipa aku ʻoe i kāu mea hoʻolako e hōʻoia i nā pilikia olakino, e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me nā pilikia o ka puʻuwai a me ka hanu.
• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), a me naprosyn (Aleve, Naproxen).
• E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
• E haʻi mau i kāu mea hāʻawi inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe ma mua o kou ʻoki ʻana.

ʻO ke ahiahi ma mua o kāu ʻoki kino:

• Mai inu i kekahi mea ma hope o ke aumoe, me ka wai.

I ka lā o kou ʻoki kino:

• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Noho ka hapa nui o ka poʻe i ka haukapila no kekahi mau lā ma hope o kēia ʻoki ʻana, kaukaʻi ʻia i ke ʻano o nā kaʻina hana i loaʻa iā lākou. ʻO ka pinepine, ʻoi aku ka wikiwiki o ke ola ʻana mai kēia kaʻina hana me ka ʻeha liʻiliʻi ma mua o ka ʻoki ākea. Eia nō paha, hiki paha iā ʻoe ke hoʻi i ka home ma mua.

Ma kahi noho haukapila, hiki iā ʻoe ke:

• E noho i loko o ke keʻena mālama mālama (ICU), kahi e nānā pono ʻia ai ʻoe ma ka mua
• Loaʻa i kahi catheter urinary
• Hāʻawi ʻia i nā lāʻau i lahilahi i kou koko
• E paipai ʻia e noho ma ka ʻaoʻao o kou wahi moe a laila hele wāwae
• E komo i nā stocking kūikawā i mea e pale aku ai i nā kahe koko i kou mau wāwae
• E loaʻa i nā lāʻau ʻeha i loko o kou mau uaua a i ʻole i ka ākea e hoʻopuni i kāu iwi kuamoʻo (epidural)

ʻO ka hoʻōla ma hope o ka hoʻoponopono hope ʻana o ka endovirus me ka wikiwiki i ka nui o nā hihia.

Pono ʻoe e kiaʻi ʻia a nānā pinepine ʻia e hōʻoia i ka hoʻokahe ʻole ʻana o ke aneurysm aortic aneʻi i ke koko.

MAKE; Hoʻoponopono hou aneurysm hopena - aorta; Hoʻoponopono AAA - endovascular; Hoʻoponopono - aneurysm aortic - endotherapy

• Aortic aneurysm hana hou - endovascular - hoʻokuʻu

Braverman AC, Schemerhorn M. Nā maʻi o ke aorta. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 63.

ʻO Brinster CJ, Sternbergh WC. Nā hana hoʻoponopono aneurysm endovirus. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 73.

ʻO Tracci MC, Cherry KJ. ʻO ke aorta. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 61.