Berry Aneurysms: ʻike i nā hōʻailona
Anter
- Loaʻa iaʻu kahi aneurysm berry?
- He aha ke kumu o ka aneurysms berry?
- Nā kumu pilikia Congenital
- Nā kumu pilikia olakino
- Nā pilikia pilikia o ke ola
- Pehea wau e ʻike ai inā loaʻa iaʻu kahi aneurysm berry?
- Pehea e mālama ʻia ai ka berry aneurysms?
- ʻOki ʻoki ʻana
- 'Ōwili Endotherapy
- ʻO nā mea hoʻohuli kahe
- Hoʻoponopono hōʻailona
- Pehea e pale ai i nā aneurysms berry
- He mea make mau anei nā aneurysms berry?
He aha ka aneurysm berry
ʻO ka aneurysm ka hoʻonui ʻana o kahi aʻa i hoʻokumu ʻia e ka nāwaliwali i ka paia o ke aʻa. ʻO kahi aneurysm berry, e like me ka berry ma ke kumu hāiki, ʻo ia ka ʻano maʻamau o ka aneurysm o ka lolo. Loaʻa iā lākou he 90 pākēneka o nā aneurysms lolo āpau, e like me kā Stanford Health Care. Kū i waho ka berry aneurysms ma ke kumu o ka lolo kahi e hui ai nā kīʻaha koko nui, a ʻo ka Circle o Willis kekahi.
Ke holo nei ka manawa, kaomi mai ka aneurysm ma ka paia nawaliwali o ke aʻa hiki ke hoʻonā i ka aneurysm. Ke haki kahi aneurysm berry, neʻe ke koko mai ke aʻa i loko o ka lolo. ʻO kahi aneurysm ruptured kahi kūlana koʻikoʻi e pono ai ka lāʻau lapaʻau koke.
E hoʻomanaʻo, e like me ka American Stroke Association, ʻo 1.5 wale nō a 5 mau pākēneka o ka poʻe e hoʻomohala i ka aneurysm o ka lolo. Ma waena o ka poʻe i loaʻa ka lolo aneurysm, ʻo 0.5 wale nō i ka 3 pākēneka e ʻike i ka haki.
Loaʻa iaʻu kahi aneurysm berry?
Heʻuʻuku ka berry aneurysms a manuahi ka ʻōuli, akā hoʻokau ka mea nui i kekahi manawa i ka lolo a i ʻole nā ʻalolo. Hiki i kēia ke kumu i nā hōʻailona neurological, me:
- ʻeha poʻo i kahi kikoʻī
- haumana nui
- ʻike hihi ʻole a pālua paha
- ʻeha ma luna a ma hope paha o ka maka
- nāwaliwali a me ka helu
- pilikia i ka ʻōlelo ʻana
Kāhea aku i kāu kauka inā ʻike ʻoe i kekahi o kēia mau ʻōuli.
ʻO nā aneurysms ruptured ka mea maʻamau e neʻe ke koko mai ke aʻa i hoʻopili ʻia i loko o ka lolo. Kapa ʻia kēia he hemorrhage subarachnoid. ʻO nā ʻōuli o kahi hemorrhage subarachnoid e pili pū me nā mea i helu ʻia ma luna a me:
- ʻeha poʻo poʻo ʻino loa ke hiki koke mai
- ʻike ʻole
- nausea a me ka luaʻi
- ʻāʻī ʻoʻoleʻa
- hoʻololi koke i ke kūlana noʻonoʻo
- ʻike i ka mālamalama, i kapa ʻia hoʻi ʻo photophobia
- ka hopu ʻana
- he lihilihi maka hiu
He aha ke kumu o ka aneurysms berry?
Aia kekahi mau kumu i hiki i kekahi poʻe ke loaʻa i kahi aneurysm berry. ʻO kekahi poʻe hānau hānau, ʻo ia hoʻi ua hānau ʻia nā kānaka me lākou. ʻO kekahi he ʻano olakino a me nā ʻano nohona. Ma ka laulā, ʻike pinepine ʻia nā aneurysms berry i nā mākua ma mua o 40 a me nā wahine.
Nā kumu pilikia Congenital
- nā maʻi pilikino pili (e laʻa me, Ehlers-Danlos syndrome, Marfan syndrome, a me fibromuscular dysplasia)
- maʻi maʻi polycystic
- he pā aʻa ʻole
- malformation lolo kūpikipiki
- moʻolelo ʻohana o nā aneurysms berry
- maʻi koko
- ʻōiwi
- hōʻeha poʻo poʻo
- kahe koko kiʻekiʻe
- nā aa ʻaʻa paʻa, i kapa ʻia hoʻi he atherosclerosis
- nā pae haʻahaʻa o ka estrogen
- puhipaka
- hoʻohana lāʻau, ʻoiai ʻo ka cocaine
- hoʻohana nui i ka waiʻona
Nā kumu pilikia olakino
Nā pilikia pilikia o ke ola
Pehea wau e ʻike ai inā loaʻa iaʻu kahi aneurysm berry?
Hiki i kāu kauka ke kuhikuhi i kahi aneurysm berry ma ka hana ʻana i nā hoʻokolohua. Hoʻopili kēia i ka tomography kamepiula (CT) a me nā kiʻina resonance kiʻi (MRI). ʻOiai ke hana nei i kekahi o kēia mau scans, hiki i kāu kauka ke hoʻopili iā ʻoe me ka kala e ʻike pono ai i ke kahe o ke koko i kou lolo.
Inā ʻaʻole hōʻike kēlā mau hana i kekahi mea, akā manaʻo kāu kauka loaʻa paha iā ʻoe kahi aneurysm berry, aia kekahi mau hoʻokolohua diagnostics hiki iā lākou ke hana.
ʻO kekahi o ia ʻano koho he cerebral angiogram. Hana ʻia kēia ma ka hoʻokomo ʻana i kahi ʻōmole lahilahi i loaʻa ka kala i loko o kahi aʻa nui, ʻo ka maʻamau ke aʻa, a hoʻokuʻi iā ia i nā aʻa i loko o kou lolo. ʻAe kēia i kāu mau aʻa e hōʻike maʻalahi i kahi X-ray. Eia nō naʻe, ʻaʻole hoʻohana pinepine ʻia kēia ʻano kiʻi kiʻi i kēia lā i ke ʻano invasive.
Pehea e mālama ʻia ai ka berry aneurysms?
Aia he ʻekolu koho ʻoki kino no nā aneurism berry berry unruptured a ruptured. Hele mai kēlā me kēia koho me kāna ʻano ponoʻī o nā pilikia i hiki. E noʻonoʻo kāu kauka i ka nui a me kahi o ka aneurysm a me kou makahiki, nā kūlana olakino ʻē aʻe, a me ka mōʻaukala ʻohana e koho ai i kahi koho palekana loa nāu.
ʻOki ʻoki ʻana
ʻO kekahi o nā ʻano berry aneurysm berry maʻamau ka ʻoki ʻana i ka ʻoki. Lawe kahi neurosurgeon i kahi ʻāpana o ka iwi poʻo e kiʻi ai i ka aneurysm. Kau lākou i kahi pāpale hao ma ka aneurysm e hoʻokū i ke kahe o ke koko i loko o laila.
ʻO ka ʻoki ʻana i ke ʻoki lāʻau he ʻoki hoʻopilikia e koi pinepine ai i kekahi mau pō i ka haukapila. Ma hope o kēlā, hiki iā ʻoe ke manaʻo i ʻehā a ʻeono pule o ka hoʻōla. I loko o kēlā manawa, hiki iā ʻoe ke mālama iā ʻoe iho. E hōʻoia wale nō e kaupalena i kāu hana kino e ʻae ai i ka manawa o kou kino e ola. Hiki iā ʻoe ke hoʻomaka lohi i ka hoʻohui ʻana i nā hana hoʻoikaika kino, e like me ka hele wāwae a me nā hana o ka hale. Ma hope o ʻehā a ʻeono pule, hiki iā ʻoe ke hoʻi i kāu pae o ka hana ma mua o ka ʻoki ʻana.
'Ōwili Endotherapy
ʻO ka lua o ke koho lapaʻau ʻana he ʻōpala endovascular, ʻoi aku ka liʻiliʻi o ka invasive ma mua o ka ʻoki ʻana o ka lāʻau. Hoʻokomo ʻia kahi paipu liʻiliʻi i loko o kahi aʻa nui a pahu ʻia i luna i ka aneurysm. Ua like kēia hana me ka cerebral angiogram i hiki i kāu kauka ke hoʻohana e loaʻa ai kahi hōʻailona. Hele ka uea platinum palupalu ma o ka paipu a i loko o ka aneurysm. I ka manawa i loko o ka aneurysm, nā kaula uila a hoʻopili i ke kō ʻana o ke koko, kahi e sila ai ka aneurysm.
Pono ke kaʻina hana i kahi noho no ka haukapila hoʻokahi pō, a hiki iā ʻoe ke hoʻi i kāu pae o ka hana maʻamau i loko o nā lā. ʻOiai ʻoi aku ka liʻiliʻi o kēia koho, hele mai ia me ka makaʻu o ke kahe o ka wā e hiki mai ana, kahi e koi ai i kahi ʻoki hou.
ʻO nā mea hoʻohuli kahe
ʻO nā diverters kahe kahi koho lapaʻau hou loa no nā aneurysms berry. Pili lākou i kahi paipu liʻiliʻi, i kapa ʻia he stent, i kau ʻia ma luna o ke kīʻaha koko o ka aneurysm. Hoʻopili ia i ke koko mai ka aneurysm. Hoʻoiho koke kēia i ke kahe o ke koko i ka aneurysm, kahi e pili pono ai i ʻeono pule a i ʻeono mahina. I nā mea maʻi ʻaʻole moho ʻoki, hiki i ka diverter kahe ke lilo i kahi koho lapaʻau ʻoi aku ka palekana, ʻoiai ʻaʻole ia e koi i ke komo ʻana i ka aneurysm, kahi e hoʻonui ai i ka makaʻu o ka aneurysm rupturing.
Hoʻoponopono hōʻailona
Inā ʻaʻole i haki ka aneurysm, hoʻoholo paha kāu kauka he ʻoi aku ka palekana o ka nānā ʻana i ka aneurysm me nā scans maʻamau a mālama i nā ʻōuli āu i loaʻa. Nā koho no ka mālama ʻana i nā hōʻailona me:
- nā mea ʻeha no ka ʻeha poʻo
- nā poloka ʻauʻa kalipuna e mālama i nā kīʻaha koko mai ka liʻiliʻi
- nā lāʻau lapaʻau kūpale no ka hopu ʻana i nā aneurysms ruptured
- angioplasty a i ʻole ka ʻume ʻana o ka lāʻau e hoʻonui ai i ke kahe o ke koko e mālama i ke kahe o ke koko a pale i kahi maʻi maʻi
- ka hoʻokahe ʻana i ka wai cerebrospinal ʻoi aku ka nui mai kahi aneurysm ruptured me ka hoʻohana ʻana i kahi catheter a shunt ʻōnaehana paha
- kino, ʻoihana, a me ka haʻiʻōlelo e hoʻoponopono ai i ka lolo ma muli o ka aneurysm berry ruptured
Pehea e pale ai i nā aneurysms berry
ʻAʻohe ala i ʻike ʻia e pale aku ai i nā aneurysms berry, akā aia nā loli nohona e hiki ke hoʻohaʻahaʻa i kou makaʻi. Pākuʻi ʻia kēia mau mea:
- haʻalele i ka puhipaka a pale i ka uahi lua
- e hōʻalo nei i ka hoʻohana lāʻau hoʻoleʻaleʻa
- e hāhai nei i ka papaʻai olakino haʻahaʻa i loko o nā momona momona, nā momona trans, nā kolesterol, nā paʻakai, a me nā kō kō
- hana i nā hana hoʻoikaika kino e like me kou hiki
- ke hana pū nei me kāu kauka e mālama i ke koko kiʻekiʻe a i ʻole ke kiʻekiʻe o ke kōkōlika inā loaʻa iā ʻoe
- e kamaʻilio pū ana me kāu kauka e pili ana i nā pilikia e pili ana i nā mea pale oral
Inā loaʻa iā ʻoe kahi aneurysm berry, ke hana nei i kēia mau hoʻololi i hiki ke kōkua iā ʻoe e pale i ka aneurysm mai ka haki ʻana. Ma waho aʻe o kēia mau loli, pono ʻoe e hōʻalo i ka kānana kūpono ʻole, e like me ke kau ʻana i nā kaupaona kaumaha, inā loaʻa iā ʻoe kahi aneurysm i hoʻopau ʻole ʻia.
He mea make mau anei nā aneurysms berry?
Hele nā poʻe he nui me nā aneurysms berry i ko lākou ola āpau me ka ʻike ʻole he hoʻokahi. Ke hele a nunui a haki paha kahi berry aneurysm, eia nō naʻe, hiki ke loaʻa nā hopena koʻikoʻi, ola āpau. Pili kēia mau hopena kūpaʻa i ka nui o kou makahiki a me kou kūlana, a me ka nui a me kahi o ka aneurysm berry.
ʻO ka nui o ka manawa ma waena o ka ʻike ʻana a me ka mālama ʻana he mea nui. E hoʻolohe i kou kino a ʻimi koke i ka lāʻau lapaʻau inā ʻoe e manaʻo he aneurysm berry kāu.