ʻO ka Aneurysm ʻAortic Abdominal

Anter

• He aha ka aneurysm aortic aortic aneurysm (AAA)?
• He aha nā ʻano o nā aneurysms aortic aortic?
• He aha ke kumu o ka aneurysm aorta ʻōpū?
• Puhipaka
• Ke koko kiʻekiʻe (hypertension)
• Pāpala vascular (vasculitis)
• ʻO wai ka mea e makaʻu i ka ʻōpū aortic aneurysm?
• He aha nā hōʻailona o ka aneurysm aortic aortic?
• Ke hōʻike nei i kahi aneurysm aortic aortic
• Ke mālama nei i kahi aneurysm aortic aortic
• He aha ka manaʻo lōʻihi?
• Pehea e pale aku ai i ka aneurysm aorta ʻōpū?

He aha ka aneurysm aortic aortic aneurysm (AAA)?

ʻO ke aorta ke kīʻaha koko nui loa i ke kino o ke kanaka. Hāpai ia i ke koko mai kou puʻuwai a hiki i kou poʻo a me kou mau lima a iho i kou ʻōpū, nā wāwae, a me nā pelvis. Hiki i nā paia o ke aorta ke ʻōhū a huʻu paha e like me kahi baluna liʻiliʻi inā e nāwaliwali lākou. Kapa ʻia kēia he aneurysm aortic aortic aneurysm (AAA) ke hana ʻia ma ka ʻāpana o ke aorta i loko o kou ʻōpū.

ʻAʻole hiki i nā AAA ke kumu i nā pilikia, akā hiki i kahi aneurysm ruptured ke hoʻoweliweli i ke ola. No laila, inā ʻike ʻia ʻoe me kahi aneurysm, makemake paha kāu kauka e nānā pono iā ʻoe, ʻoiai ʻaʻole lākou e komo koke.

He aha nā ʻano o nā aneurysms aortic aortic?

Hoʻokaʻawale pinepine ʻia nā AAA e ko lākou nui a me ka wikiwiki a lākou e ulu nei. Hiki i kēia mau mea ʻelua ke kōkua i ka wānana i nā hopena olakino o ka aneurysm.

Liʻiliʻi (ma lalo o 5.5 mau kenimika) a i ʻole AAA e hoʻonui lohi i ka hopena o ka haki ma mua o nā aneurysms nui a i ʻole nā ​​mea ulu wikiwiki. Manaʻo pinepine nā kauka he mea ʻoi aku ka palekana o ka nānā ʻana i kēia mau mea me nā ultrasound puni ʻōpū ma mua o ka mālama ʻana iā lākou.

Nui (ʻoi aku ma mua o 5.5 mau kenimika) a i ʻole AAA e ulu wikiwiki ana e ʻoi aku paha o ka haki ma mua o nā aneurysms ulu liʻiliʻi a lohi paha. Hiki i kahi haki ke alakaʻi i ke kahe o loko a me nā pilikia koʻikoʻi ʻē aʻe. ʻO ka nui o ka aneurysm, ʻo ka ʻoi aku paha ia e pono ai ke mālama ʻia me ke ʻoki. Pono e mālama ʻia kēia ʻano aneurysms inā ke kumu nei lākou i nā hōʻailona a i ʻole ke kahe ʻana o ke koko.

He aha ke kumu o ka aneurysm aorta ʻōpū?

ʻAʻole ʻike ʻia ke kumu o nā AAA. Eia nō naʻe, ua hōʻike ʻia kekahi mau mea e hoʻonui i kou makaʻu iā lākou. Pākuʻi ʻia lākou:

Puhipaka

Hiki i nā puhipaka ke hoʻopōʻino pono i nā paia o kāu mau aʻa, e hoʻonui pinepine iā lākou. Hiki iā ia ke hoʻonui i kou makaʻi i ke kaʻe kiʻekiʻe.

Ke koko kiʻekiʻe (hypertension)

ʻO ke kaomi koko e pili ana i ka pae o ke kaomi ma nā paia o kou kīʻaha koko. Hiki i ke kahe kiʻekiʻe ke hoʻonāwaliwali i nā paia o kāu aorta. Hana paha kēia i kahi aneurysm.

Pāpala vascular (vasculitis)

ʻO ka mumū koʻikoʻi ma waena o nā aorta a me nā aʻa ʻē aʻe hiki i kekahi manawa ke kumu iā AAA. Kākaʻikahi loa kēia.

Hiki i nā aneurysms ke hana i loko o nā kīʻaha koko i kou kino. Eia nō naʻe, manaʻo nui ʻia nā AAA no ka nui o ka aorta.

ʻO wai ka mea e makaʻu i ka ʻōpū aortic aneurysm?

E hiki paha ke AAA inā ʻoe:

• he kāne
• momona a momona paha
• ma luna o 60 mau makahiki
• he moʻolelo ʻohana ko nā naʻau a me nā maʻi
• loaʻa ke kiʻekiʻe o ke koko, ʻoi loa inā ma waena o 35 a 60 mau makahiki kou
• loaʻa i ke kiʻekiʻe o ke kolesterol a momona paha i loko o nā kīʻaha koko (atherosclerosis)
• noho i kahi nohona noho
• ua loaʻa i ka ʻeha i kou ʻōpū a i ʻole nā ​​mea ʻino ʻē aʻe i kou midsection
• nā huahana paka paka

He aha nā hōʻailona o ka aneurysm aortic aortic?

ʻO ka hapa nui o nā aneurysms ʻaʻohe hōʻailona ke ʻole lākou e haki. Inā haki kahi AAA, ʻike paha ʻoe i hoʻokahi a ʻoi paha o nā ʻōuli aʻe.

• ʻeha hōʻeha i kou ʻōpū a i ʻole hoʻi hope
• ʻeha e hohola ana mai kou ʻōpū a i ʻole hoʻi i kāu pelvis, nā wāwae, a i ʻole ka ʻūlū
• ʻili clammy a sweaty paha
• hoʻonui ʻia ka helu o ka puʻuwai
• haʻalulu a nalowale paha o ka ʻike

Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli. Hiki ke hoʻoweliweli i kahi aneurysm ruptured.

Ke hōʻike nei i kahi aneurysm aortic aortic

ʻO nā AAA i wāwahi ʻole ʻia ʻike pinepine ʻia ke nānā ʻia e kahi kauka a nānā nei paha i kou ʻōpū no kekahi kumu ʻē aʻe.

Inā kānalua kāu kauka he loaʻa paha kāu iā lākou, e manaʻo lākou i kou ʻōpū e ʻike inā he ʻoʻoleʻa a i ʻole he nui ka paʻi ʻana. Hiki iā lākou ke nānā i ke kahe o ke koko i kou mau wāwae a i ʻole hoʻohana i kekahi o nā hōʻike aʻe:

• CT scan o ka ʻōpū
• ultrasound ʻōpū
• umauma X-ray
• ʻōpū MRI

Ke mālama nei i kahi aneurysm aortic aortic

Kaukaʻi ʻia i ka nui a me kahi kikoʻī o ka aneurysm, hiki i kāu kauka ke hana i ke ʻoki e hoʻoponopono a lawe aku paha i nā mea i hōʻino ʻia. Hana ʻia kēia me ka ʻoki ʻana o ka ʻōpū hāmama a i ʻole ke kahakaha endovascular. ʻO ke ʻoki i hana ʻia e kaukaʻi ʻia i kou olakino holoʻokoʻa a me ke ʻano o ka aneurysm.

Hoʻohana ʻia ka ʻōpū ʻōpū e wehe i nā wahi i hōʻino ʻia o kāu aorta. ʻO ia ke ʻano ʻoi loa o ke kaha ʻana a he manawa hoʻōla hou. Pono paha ke ʻoki ʻōpū inā nui ka nui o kāu aneurysm a i ʻole ua haki.

ʻO ke kīpē Endovirus kahi ʻano hoʻoweliweli ma mua o ka ʻoki ʻana o ka ʻōpū. Pili ia i ka hoʻohana ʻana i kahi graft e hoʻokūpaʻa i nā paia nāwaliwali o kāu aorta.

No kahi AAA liʻiliʻi ma lalo o 5.5 mau kenimika ākea, hiki i kāu kauka ke hoʻoholo e nānā iā ia ma kahi o ka hana ʻana i ke ʻoki. He pilikia ko ka ʻoki kino, a ʻaʻole naha naha nā aneurysms liʻiliʻi.

He aha ka manaʻo lōʻihi?

Inā paipai kāu kauka i kahi ʻōpū o ka ʻōpū hāmama, hiki i ʻeono pule e ola hou ai. ʻElua mau pule wale nō ka hoʻōla hou ʻana mai ke ʻoki lāʻau hope.

ʻO ka kūleʻa o ke kaha ʻana a me ka hoʻihoʻi hilinaʻi nui ʻana i ka loaʻa ʻole o ka AAA ma mua o ka haki. Maʻamau ka ʻike maʻa mau inā loaʻa ka AAA ma mua o ka haki.

Pehea e pale aku ai i ka aneurysm aorta ʻōpū?

ʻO ka nānā ʻana i ke olakino puʻuwai hiki ke pale aku iā AAA. ʻO ke kumu kēia o ka nānā ʻana i ka mea āu e ʻai ai, hoʻoikaika kino ana, a me ka hōʻalo ʻana i nā kumu kūlohelohe e like me ka puhipaka ʻana. Kauoha paha kāu kauka i nā lāʻau e mālama ai i ke koko kiʻekiʻe a i ʻole ke kōkō a i ʻole e kōkua iā ʻoe e kaohi i kāu maʻi kō.

Makemake paha kāu kauka e kānana iā ʻoe no kahi AAA ke huli iā 65 inā aia ʻoe i kahi kiʻekiʻe kiʻekiʻe ma muli o ka puhipaka a me nā kumu ʻē aʻe. Hoʻohana ka hōʻike loiloi i kahi ultrasound ʻōpū e scan i kāu aorta no nā ʻōhū. He eha ʻole a pono wale nō e hana i hoʻokahi manawa.