ʻO Dysplasia Fibromuscular

Anter

• He aha nā hōʻailona a me nā hōʻailona?
• He aha ke kumu?
• ʻO Genes
• Hormones
• Nā aʻa kūpono ʻole
• Na wai ia mea?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Angioplasty transluminal pakalona
• ʻOki kino
• Pehea e pili ai i ke ola?

He aha ka fibromuscular dysplasia?

ʻO Fibromuscular dysplasia (FMD) kahi kūlana e ulu ai nā keu keu i loko o nā paia o nā aʻa. ʻO nā aʻa nā kīʻaha koko e lawe i ke koko mai kou puʻuwai a i ke koena o kou kino. Hoʻopili ka ulu keu keu i nā aʻa, e ʻae ana i ka liʻiliʻi o ke koko e kahe ma waena o lākou. Hiki iā ia ke alakaʻi i nā puʻupuʻu (aneurysms) a me nā waimaka (dissection) i nā aʻa.

Hoʻololi pinepine ka FMD i nā aʻa waena i hāʻawi ʻia i ke koko i ka:

• nā puʻupaʻa (nā puʻuwai ākea)
• lolo (carotid arteries)
• ʻōpū a me nā ʻōpū (mesenteric arteri)
• nā lima a me nā wāwae

Hiki i ke kahe o ke kahe o ke koko ke alakaʻi i ka pōʻino mau loa.

Hoʻopili ka FMD ma waena o 1 pākēneka a me 5 pākēneka o ʻAmelika. Ma kahi o ka hapakolu o ka poʻe me kēia ʻano i loaʻa iā ia ma mua o hoʻokahi aʻa.

He aha nā hōʻailona a me nā hōʻailona?

ʻAʻole kumu pinepine ʻo FMD i nā ʻōuli. Ke hana ia, hilinaʻi nā ʻōuli i ka hopena o nā meaola.

ʻO nā ʻōuli o ke kahe ʻana o ke kahe o ke koko i nā puʻupaʻa pū kekahi:

• ʻeha ʻaoʻao
• kahe koko kiʻekiʻe
• shrinkage o ka hakuʻala
• hana ʻino ʻole ke ana ʻia e kahi hōʻike koko

ʻO nā ʻōuli o ke kahe o ke kahe o ke kahe i ka lolo ka:

• ʻeha poʻo
• ʻūpā
• ʻeha ʻāʻī
• kani kani a kani paha i nā pepeiao
• ʻōmaʻomaʻo maka
• haumana kaulike ʻole
• hahau a kuhina paha

ʻO nā ʻōuli o ke kahe o ke kahe o ke koko i loko o ka ʻōpū pū kekahi:

• ʻeha ka ʻōpū ma hope o ka ʻai ʻana
• lilo kaumaha maopopo ʻole

ʻO nā ʻōuli o ke kahe o ke kahe o ke koko i nā lima a me nā wāwae pū kekahi:

• ʻeha i ka lālā i hoʻopili ʻia ke hele a holo paha
• nāwaliwali a i ʻole helu ʻole
• ka mahana a me nā kala e hoʻololi i ka lālā i hoʻopili ʻia

He aha ke kumu?

ʻAʻole maopopo i nā kauka ke kumu o FMD. Eia naʻe, ua hoʻonohonoho nā mea noiʻi i ʻekolu mau manaʻo nui:

ʻO Genes

Ma kahi o 10 pākēneka o nā hihia FMD e kū nei i nā lālā o ka ʻohana like, e ʻōlelo ana he kuleana paha nā genetics. Eia nō naʻe, no ka loaʻa ʻole o ka maʻi i kou makua a i ʻole hoahānau. Hoʻohui ʻia, hiki i nā lālā o ka ʻohana ke loaʻa iā FMD e hoʻololi i nā aʻa like ʻole.

Hormones

ʻEkolu a ʻehā mau manawa ka loaʻa o ka wahine FMD ma mua o nā kāne, ka mea e hōʻike nei e pili ana i nā homone wahine. Eia nō naʻe, pono hou ʻia kahi noiʻi e hōʻoia i kēia.

Nā aʻa kūpono ʻole

ʻO ka nele o ka oxygen i nā aʻa ʻoiai lākou e hana nei hiki ke kumu iā lākou e ulu kino ʻole, e hiki ai ke hōʻemi i ke kahe o ke koko.

Na wai ia mea?

ʻOiai ʻaʻole maopopo ke kumu kikoʻī o FMD, aia kekahi mau mea e hoʻonui ai i kou manawa e hoʻomohala iā ia. Pākuʻi ʻia kēia mau mea:

• he wahine ma lalo o ka makahiki 50
• ka loaʻa ʻana o hoʻokahi a ʻoi paha o nā ʻohana me ka maʻi
• puhipaka

Pehea ia ʻike?

Manaʻo paha kāu kauka he FMD kāu ma hope o ka lohe ʻana i kahi kani kani ke lohe nei i kāu aʻa me kahi stethoscope. Ma waho aʻe o ka loiloi ʻana i kāu mau hōʻailona ʻē aʻe, hoʻohana paha lākou i kahi hoʻokolohua kiʻi e hōʻoia i kāu ʻike.

Hoʻohana ʻia nā hoʻokolohua kiʻi e ʻike pono iā FMD:

• Pāhoihoi (Doppler) ultrasound. Hoʻohana kēia ho'āʻo i nā nalu kani pinepine a me kahi kamepiula e hana i nā kiʻi o kāu kīʻaha koko. Hiki iā ia ke hōʻike i ke kahe o ke kahe o ke koko i loko o kāu mau aʻa.
• Mākōkō resonance angiography. Hoʻohana kēia ho'āʻo i nā mākēneki mana a me nā nalu lekiō e hana i nā kiʻi o kāu kīʻaha koko.
• ʻO ka angographyography tomography. Hoʻohana kēia hoʻokolohua i nā kukuna X a me ka pena hoʻohālikelike e hana i nā kiʻi kikoʻī o kāu kīʻaha koko.
• Palapala Kahiko. Inā ʻaʻole hiki i nā hoʻokolohua noninvasive ke hōʻoia i ka hōʻailona, ​​pono ʻoe i kahi arteriogram. Hoʻohana kēia hoʻokolohua i ka pena kala i injected ma o ka uea i kau ʻia i kāu ʻūlū a i ʻole ka ʻāpana i hoʻopili ʻia o kou kino. A laila, lawe ʻia nā kukuna X o kou mau kīʻaha koko.

Pehea e mālama ʻia ai?

ʻAʻohe mea ola no FMD, akā hiki iā ʻoe ke hoʻokele. Hiki i nā mālama ʻana ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a pale i nā pilikia o ka maʻi.

Nui ka poʻe i ʻike i kahi kekelē o ke kōkua mai nā kaomi koko, e like me:

• poloka receptor angiotensin II: candesartan (Atacand), irbesartan (Avapro), losartan (Cozaar), valsartan (Diovan)
• Angiotensin-hoʻololi i nā enzyme (nā mea kāohi ʻo ACE): benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinvil, Zestril)
• beta–poloka: atenolol (Tenormin), metoprolol (Lopressor, Toprol-XL)
• kalipuna kanal blockers: amlodipine (Norvasc), nifedipine (Adalat CC, Afeditab CR, Procardia)

Pono paha ʻoe e lawe i nā mea lahilahi o ke koko, e like me ka aspirin, i mea e pale aku ai i ke koko koko. ʻOi aku ka maʻalahi o kēia e hele i ke koko ma nā aʻa ʻikiiki.

ʻO nā koho lapaʻau hou aʻe:

Angioplasty transluminal pakalona

ʻO kahi paipu lahilahi i kapa ʻia he catheter me kahi baluna ma kekahi wēlau e wili ʻia i loko o ke aʻa ʻapiʻapi. A laila, hoʻonui ʻia ka pāluna e wehe i ke aʻa.

ʻOki kino

Inā loaʻa kahi paʻa i kou aʻa, a ʻākiki loa paha kou aʻa, pono ʻoe i ke ʻoki e hoʻoponopono. E hoʻoneʻe paha kāu mea kauka i ka ʻāpana o kou aʻa a i ʻole ke reroute e kahe ana a puni ia.

Pehea e pili ai i ke ola?

ʻO ke ʻano maʻamau ʻo FMD kahi ola lōʻihi. Eia nō naʻe, ʻaʻole i loaʻa i nā kānaka noiʻi kekahi hōʻike e hōʻemi ana i ke ola, a he nui nā poʻe me FMD e noho maikaʻi nei i loko o kā lākou 80s a me 90s.

E hana me kāu kauka e ʻike i ke ala ʻoi loa e mālama ai i kāu mau ʻōuli, a e ʻike pono e haʻi iā lākou inā ʻike ʻoe i kekahi hōʻailona hou, e like me:

• loli ka hihiʻo
• loli ke kamaʻilio ʻana
• nā hoʻololi i hōʻike ʻole ʻia i kou mau lima a me kou mau wāwae