He aha ka dissection aortic, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• He aha ke kumu o ka wehewehe aorta
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki

ʻO ka dissection Aortic, i ʻike ʻia he dissection aortic, kahi hanana olakino maʻamau loa, kahi o ka papa o loko o ka aorta, i kapa ʻia ʻo intima, e ʻehaʻeha i kahi waimaka liʻiliʻi, kahi e hiki ai i ke koko ke komo i loko, a hiki i nā papa mamao loa. Hohonu i loko o ka moku a ke kumu nei i nā ʻōuli e like me ka ʻeha a me ka ʻeha o ka umauma, ke ʻano o ka hanu ʻana a me ka nāwaliwali.

ʻOiai he kakaikahi, ʻike pinepine ʻia kēia ʻano i nā kāne ma mua o 60, keu hoʻi ke loaʻa kahi moʻolelo olakino o ke kahe kiʻekiʻe o ke koko kiʻekiʻe ʻole, atherosclerosis, hoʻohana lāʻau a i ʻole nā ​​pilikia puʻuwai ʻē aʻe.

Ke kānalua ʻia ka dissect ortho, he mea nui ia e hele koke i ka haukapila, ʻoiai ke ʻike ʻia i nā hola he 24, aia kahi kiʻekiʻe o ke kūleʻa o ka lāʻau, a hana mau ʻia me nā lāʻau i loko o ke aa. e kaohi i ke kahe o ke koko.

Nā hōʻailona nui

Hiki ke loli ākea nā ʻōuli o ka dissection aortic mai kēlā me kēia kanaka, akā naʻe, hiki iā lākou ke hoʻopili pū.

• ʻEha ʻeha a ʻeha hoʻi i ka umauma, hoʻi a ʻōpū;
• Manaʻo o ka pōkole o ka hanu;
• Ka nāwaliwali i nā wāwae a i ʻole nā ​​lima;
• Mauleʻa
• Ka ʻōlelo paʻakikī, ka ʻike ʻana a i ʻole ka hele wāwae ʻana;
• Pulse nāwaliwali, kahi hiki ke hana ma ka ʻaoʻao hoʻokahi o ke kino.

ʻOiai ua like kēia mau ʻōuli me kekahi mau pilikia puʻuwai ʻē aʻe, hiki i ka lōʻihi ke ʻike ʻia ma loko o ka poʻe i loaʻa i kahi maʻi puʻuwai ma mua, e koi ana i nā hoʻokolohua he nui. E nānā i nā hōʻailona he 12 o nā pilikia puʻuwai.

Ke hōʻike ʻia nā ʻōuli o nā pilikia puʻuwai, he mea nui ia e hele wikiwiki i ka haukapila e ʻike ai i ke kumu a hoʻomaka i ka lāʻau i ka wā hiki.

Pehea e hōʻoia ai i ke kuhi

ʻO ke kuhi o ka dissect orta e hana mau ʻia e kahi cardiologist, ma hope o ka loiloi ʻana i nā ʻōuli, ka mōʻaukala olakino o kēlā kanaka a me nā hoʻokolohua e like me ka X-ray umauma, electrocardiogram, echocardiogram, tomography compute a me ka resonance magnet.

He aha ke kumu o ka wehewehe aorta

Kū pinepine ka dissection Aortic i kahi aorta i hoʻonāwaliwali a no laila ʻoi aku ka maʻamau o ka poʻe i loaʻa ka mōʻaukala o ke koko kiʻekiʻe a i ʻole atherosclerosis. Eia nō naʻe, hiki ke hana ʻia ma muli o nā kūlana ʻē aʻe e hoʻopili i ka paia aorta, e like me ka maʻi o Marfan a i ʻole nā ​​hoʻololi ʻana i ka nohona bicuspid o ka puʻuwai.

ʻOi aku ka liʻiliʻi, hiki i ka dissection hiki ke hana ma muli o ka trauma, ʻo ia hoʻi, ma muli o nā pōpilikia a i ʻole nā ​​kuʻi ʻeha ʻana i ka ʻōpū.

Pehea e hana ai i ka lāʻau

Pono e hana i ka hoʻomaʻamaʻa no ka dissection aortic ma hope koke iho o ka hōʻoia ʻana o ka diagnose, e hoʻomaka ana me ka hoʻohana ʻana i nā lāʻau e hoʻohaʻahaʻa i ke kahe o ke koko, e like me nā beta-blockers. Eia hou, ʻo ka ʻeha ke alakaʻi i ka hoʻonui i ka kaomi a me ka hōʻino ʻana o ke ʻano, hiki ke hoʻohana ʻia nā analgesics ikaika, e like me morphine.

I kekahi mau hihia, pono nō paha ke ʻoki ʻana e hoʻomaikaʻi i ka paia aorta. Loiloi ʻia ka pono no ke ʻoki e kahi kauka lāʻau cardiothoracic, akā pili ia i kahi i hana ai ka dissection. No laila, inā pili ka dissection i ka piʻi piʻi o ka aorta, hōʻike pinepine ʻia ke kaha koke ʻana, akā inā ʻike ʻia ka dissection i ka ʻāpana e iho ana, hiki i ka lāʻau lapaʻau ke hoʻomaopopo mua i ka holomua o ke ʻano a me nā ʻōuli, a ʻaʻole paha pono ke ʻoki. .

I ka wā e pono ai, he ʻōkuhi paʻakikī loa ia a hoʻopau manawa hoʻi, no ka mea, pono i ke kauka ke hoʻololi i kahi i hoʻopili ʻia o ka aorta me kahi ʻāpana o nā mea synthetic.

Nā pilikia i hiki

Nui nā pilikia e pili ana i ka dissection aortic, ʻo nā mea nui ʻelua e pili ana i ka haki ʻana o nā aʻa, a me ka hoʻomohala ʻana o ka dissection i nā aʻa koʻikoʻi ʻē aʻe, e like me nā mea e hāpai i ke koko i ka puʻuwai. No laila, i ka hoʻohui ʻana i ka lāʻau no ka dissection aortic, loiloi ka poʻe kauka i ke ʻano o nā pilikia e pono e mālama ʻia, i mea e hōʻemi ai i ka make ʻana.

ʻOiai ma hope o ka mālama ʻana, nui ka makaʻu o nā pilikia i loko o nā makahiki 2 mua a, no laila, pono e kūkākūkā mau ke kanaka me ka cardiologist, a me nā hoʻokolohua, e like me ka tomography i helu ʻia a me nā kiʻi resonance ʻumeʻume, e ʻike i nā pilikia hiki wawe paha. .

I mea e hōʻalo ai i ka hoʻomaka ʻana o nā pilikia, ʻo nā kānaka i loaʻa i ka dissort aortic e pono e mālama i nā ʻōlelo a ke kauka, a me ka pale ʻana i nā ʻano e hoʻonui nui i ke kahe o ke koko. No laila, paipai ʻia e hōʻalo i ka hana ʻana i nā hana hoʻoikaika kino a me ka loaʻa ʻana o kahi papaʻai kaulike i haʻahaʻa i ka paʻakai.