He aha ka Abdominal Aortic Aneurysm? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka abdominal aortic aneurysm (AAA) ka puʻupuʻu ʻana a i ʻole ka pehu ʻana o ka aorta, ke kumu nui o nā ʻāʻī o kou kino, ma ka wahi o kou ʻōpū. E noʻonoʻo iā ia e like me kahi wahi nāwaliwali ma kahi hose māla e hoʻomaka ana e hoʻonui i waho ma lalo o ke kaomi. ʻO ka nui maʻamau o ka aorta he ʻīniha hoʻokahi, akā i ka wā e hoʻolōʻihi ai i 1.5 mau manawa o kona nui maʻamau a ʻoi aku paha, ua kapa nā kauka ia ia he aneurysm.

ʻO ka hapa nui o nā kānaka me nā abdominal aortic aneurysms liʻiliʻi e manaʻo maikaʻi loa a ʻaʻole ʻike lākou i loaʻa iā lākou. Hoʻomohala pinepine kēia mau mea i nā makahiki a ʻaʻole paha e hoʻoulu i nā pilikia. Eia naʻe, hiki i nā aneurysms nui ke lilo i mea koʻikoʻi no ka mea hiki iā lākou ke pahū, ʻo ia ke kumu e pono ai ka hoʻomaopopo ʻana i kēia kūlana no kou olakino.

He aha nā hōʻailona o ka abdominal aortic aneurysm?

ʻAʻole nui nā abdominal aortic aneurysms e hoʻoulu i nā hōʻailona, ​​​​ʻoi aku hoʻi i ka wā liʻiliʻi lākou. ʻO ia ke kumu i kapa ai kekahi mau kauka iā lākou he mau kūlana

• ʻEha koke loa a ʻoi loa i kou ʻōpū a i ʻole kou kua e like me ka haehae ʻana
• ʻEha e pālahalaha ana i kou ʻūhā, nā ʻūhā, a i ʻole nā ​​wāwae
• Nāwaliwali a i ʻole ka hiolo ʻana
• ʻŌlelo wikiwiki
• Ke hoʻoheheʻe nei a me ka luhi
• ʻIli e like me ka palupalu a i ʻole ke nānā aku he mālie

ʻO kēia mau hōʻailona pilikia ke hōʻike nei e hiki ke leaka a i ʻole ka puka ʻana o ka aneurysm, ʻo ia hoʻi ka mea weliweli i ke ola. Inā ʻike ʻoe i kēia mau hōʻailona, ​​e kāhea koke i ka 911.

He aha nā ʻano o ka aneurysm aortic ʻōpū?

Hoʻokaʻawale nā ​​kauka i nā aneurysms aortic ʻōpū ma muli o ko lākou nui a me ko lākou wahi. ʻO ka hoʻomaopopo ʻana i kēia mau ʻano e kōkua i kāu hui lapaʻau e hoʻoholo i ke ala nānā a me ka mālama maikaʻi loa no kāu kūlana kikoʻī.

Ma ka nui, hoʻokaʻawale ʻia nā aneurysms i nā māhele e alakaʻi i nā hoʻoholo mālama:

• Nā aneurysms liʻiliʻi: 3.0 a 4.4 cm (ma kahi o 1.2 a 1.7 iniha) ma waena
• Nā aneurysms waena: 4.5 a 5.4 cm (ma kahi o 1.8 a 2.1 iniha) ma waena
• Nā aneurysms nui: 5.5 cm (ma kahi o 2.2 iniha) a ʻoi aku paha

ʻO ka nui o ka aneurysm, ʻo ka nui o ka pilikia o ka haki ʻana. E ana mau kāu kauka i kāu aneurysm e hahai i nā loli i ka nui.

Hoʻokaʻawale ʻia nā aneurysms e ko lākou ʻano a pehea lākou e hoʻopilikia ai i ka paia artery:

• Nā aneurysms fusiform: ʻO ke ʻano maʻamau loa, kahi e puka mai ai ka puni holoʻokoʻa o ka artery i waho me ka like
• Nā aneurysms saccular: ʻAʻole maʻamau, kahi e puka mai ai hoʻokahi ʻaoʻao wale nō o ka paia artery i waho, e hana ana i kahi hiʻohiʻona e like me ka ʻeke

E hoʻomaopopo pū kāu kauka inā aia kāu aneurysm ma luna a ma lalo paha o kahi e lālā mai ai nā arteries renal (nā arteries i kou nā puʻupaʻa) mai ka aorta. Hoʻopili kēia wahi i nā koho ʻoki inā pono ka mālama.

He aha ka mea e hoʻokumu ai i ka aneurysm aortic ʻōpū?

ʻAʻole maopopo mau ke kumu kūpono o nā aneurysms aortic o ka ʻōpū, akā e ulu lākou ke nāwaliwali ka paia o ka aorta i ka hala ʻana o ka manawa. Hiki i kekahi mau mea ke hoʻopili i kēia kaʻina nāwaliwali, a pinepine he hui pū ʻana o nā mea ma mua o hoʻokahi kumu wale nō.

ʻO nā mea maʻamau loa e hiki ke nāwaliwali i kou paia aortic:

• Atherosclerosis: ʻO ka hōʻiliʻili ʻana o nā waihona momona a me ka cholesterol i loko o kou mau arteries, ʻo ia ke kumu maʻamau loa
• Ke koko kiʻekiʻe: Hiki i ka ikaika mau loa i nā paia artery ke hoʻonui a hoʻonāwaliwali iā lākou
• Paka: Hoʻopōʻino i nā paia kīʻaha koko a hoʻokūʻē i ke kaʻina nāwaliwali
• Nā kumu genetic: Loaʻa i kekahi poʻe kahi kūlana e kū ai ka aneurysm
• Nā loli pili i ka makahiki: Ka hana ʻino maoli i nā kīʻaha koko i ka hala ʻana o ka manawa

ʻO nā kumu ʻaʻole maʻamau akā nui e komo pū ana nā maʻi e hoʻopilikia ana i ka paia aortic, nā kūlana inflammatory e like me ka vasculitis, a me kekahi mau maʻi connective tissue. Hoʻomohala kekahi poʻe i nā aneurysms ma hope o ka hōʻeha a i ʻole ka hōʻeha i ka ʻōpū, ʻoiai he mea maʻamau ʻole kēia.

I kekahi mau hihia, hiki ke pili nā aneurysms i nā kūlana genetic e like me ka Marfan syndrome a i ʻole ka Ehlers-Danlos syndrome, ka mea e hoʻopilikia ana i nā pūnaewele connective o ke kino. He mea maʻamau ʻole kēia mau kūlana akā nui ka ʻike ʻana no ka mea hiki iā lākou ke hoʻopilikia i nā ʻāpana ʻē aʻe o kou kino pū kekahi.

I ka wā e ʻike ai i ke kauka no ka abdominal aortic aneurysm?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha ʻōpū a i ʻole kua mau loa, ʻoi aku inā loaʻa iā ʻoe nā pilikia no nā aneurysms. ʻOiai ʻaʻole nui nā aneurysms e hana i nā hōʻailona, ​​ʻo ka nānā ʻana e hāʻawi i ka maluhia o ka manaʻo a hopu i nā pilikia ma mua.

Hoʻolālā i kahi hālāwai maʻamau me kāu kauka inā ʻike ʻoe:

• ʻEha mau i ka ʻōpū ʻaʻohe kumu maopopo
• ʻEha hope e mau ana ʻoiai ke hoʻomaha a me nā hana hoʻomaha ʻeha maʻamau
• Kahi manaʻo pākīkī i loko o kou ʻōpū e hiki iā ʻoe ke ʻike me kou lima
• Ke piha koke i ka ʻai, ʻoi aku inā he mea hou kēia naʻu

ʻAʻole pono e hōʻike kēia mau hōʻailona i loaʻa iā ʻoe kahi aneurysm, akā pono lākou e kūkākūkā me kāu mea lawelawe ola kino. ʻAe ka ʻike mua ʻana i nā koho kiaʻi a me ka mālama maikaʻi.

Eia naʻe, pono kekahi mau hōʻailona i ka mālama pilikia koke. Kāhea i ka 911 koke inā ʻike ʻoe:

• ʻEha koke a nui i ka ʻōpū a i ʻole ka hope e like me ka haehae
• Hina a ʻāʻī nui
• ʻŌlelo wikiwiki me ka hou a me ka nausea
• ʻIli e lilo koke i keʻokeʻo a i ʻole clammy

Hiki i kēia mau hōʻailona ke hōʻike i kahi aneurysm e haehae ana, ʻo ia kahi pilikia olakino e pono ai ka mālama koke e hoʻopakele i kou ola.

He aha nā kumu pilikia no ka aneurysm aortic ʻōpū?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai kahi aneurysm aortic ʻōpū. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe a me kāu kauka e hoʻoholo inā kūpono ka nānā ʻana a i ʻole nā ​​​​mea palekana no kou kūlana.

ʻO nā kumu pilikia nui loa:

• Ke kāne: ʻOi aku ka nui o nā kāne e loaʻa i ka AAA ma mua o nā wāhine ma kahi o 4 a 6 mau manawa
• ʻOi aku ka makahiki ma mua o 65: Hoʻonui nui ka pilikia ma hope o 65 mau makahiki, ʻoi aku no nā kāne
• Pāpā: Loaʻa i nā mea puhi paka i kēia manawa a i ʻole ma mua ka pilikia nui loa, me ka hoʻonui ʻana o ka pilikia me nā makahiki paka
• Mōʻaukala ʻohana: ʻO ka loaʻa ʻana o ka makua, kaikuaʻana, a i ʻole ke keiki me ka aneurysm e hoʻonui i kou pilikia
• Atherosclerosis: Hoʻopaʻa a hoʻoemi ʻia o nā arteries ma kou kino
• Ke koko kiʻekiʻe: Hoʻokomo i ka pilikia hou aku i nā paia artery i ka manawa

ʻO nā kumu keu e hiki ai ke hoʻonui i kou pilikia, ʻo ia ka nui o ka cholesterol, ka maʻi hanu ʻole (COPD), a me ka mōʻaukala o ka puhipaka. ʻOiai inā ua haʻalele ʻoe i ka puhipaka, e kiʻekiʻe mau ana kou pilikia i hoʻohālikelike ʻia i nā poʻe ʻaʻole i puhipaka, ʻoiai e emi ana ia ma hope o kekahi manawa.

ʻO kekahi mau kumu pilikia ʻaʻole nui loa, ʻo ia kekahi mau kūlana genetic e like me ka maʻi Marfan, ka loaʻa ʻana o nā maʻi e hoʻopilikia ana i nā kīʻaha koko, a me kekahi mau kūlana inflammatory. He kuleana ko ka lāhui a me ka lāhui, me nā kāne keʻokeʻo ka mea kiʻekiʻe loa o ka pilikia.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo kekahi mau kumu pilikia, e like me ka puhipaka, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe, hiki ke hoʻololi ʻia ma o nā hoʻololi ʻana o ke ola a me ka mālama lapaʻau. Hāʻawi kēia iā ʻoe i kekahi mana ma luna o kou pae pilikia.

He aha nā pilikia hiki ke loaʻa i ka aneurysm aortic ʻōpū?

ʻO ka pilikia nui loa o ka aneurysm aortic ʻōpū, ʻo ia ka haki ʻana, kahi e pahū ai ka aneurysm a hoʻokumu i ka nui o ke koko komo i loko. He pilikia ola kēia e pono ai ka ʻoki kino koke, a ʻoiaʻiʻo, nui nā kānaka ʻaʻole e ola i ka aneurysm i haki.

Ke hilinaʻi nui nei ka pilikia o ka haki ʻana i ka nui o kāu aneurysm. ʻAʻole pinepine nā aneurysms liʻiliʻi (ma lalo o 5.5 cm) e haki, me ka emi ma mua o 1% e haki ana i kēlā me kēia makahiki. Eia naʻe, ʻoi aku ka nui o ka pilikia o nā aneurysms nui, ʻo ia ke kumu e ʻōlelo pinepine ai nā kauka i ka ʻoki kino ke hiki i nā aneurysms i 5.5 cm a ʻoi aku paha.

ʻO nā pilikia ʻē aʻe e hiki ke loaʻa, ʻo ia:

• Nā clots koko: Hiki ke hana i loko o ka aneurysm a hiki ke hele i nā ʻāpana ʻē aʻe o kou kino
• Embolism: Hiki i nā ʻāpana liʻiliʻi o ka clot a i ʻole nā ​​ʻōpala ke haki a pani i nā arteries liʻiliʻi
• Compression: Hiki i nā aneurysms nui loa ke kaomi i nā ʻōnaehana a i ʻole nā ​​mea kokoke
• Infection: ʻOiai he mea maʻamau ʻole, hiki i nā aneurysms ke loaʻa i ka maʻi i kekahi manawa

ʻO nā ʻāpala koko e hoʻokumu ʻia ana i loko o ka aneurysm e noho mau ana i ka paia a ʻaʻole e hoʻopilikia. Akā naʻe, i kekahi manawa, hiki i nā ʻāpana ke haki a hele i kou mau wāwae, nā puʻupaʻa, a i ʻole nā ​​mea ʻē aʻe, e hoʻopilikia paha i ka ʻeha a i ʻole ka hōʻino.

I nā hihia kakaikahi, hiki i nā aneurysms nui ke kaomi ma kou kua, e hoʻokumu ana i ka ʻeha kua, a i ʻole ma kou ʻōpū, e hoʻokumu ana i nā hōʻailona digestive. Hoʻomohala kekahi poʻe i ka mea i kapa ʻia he aneurysm inflammatory, kahi e hoʻoulu ʻia ai ka wahi a puni ka aneurysm a hiki ke hoʻokumu i nā hōʻailona hou aku.

ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole loa e hoʻokumu nā aneurysms liʻiliʻi i nā pilikia. ʻO ka nānā mau ʻana e hiki ai i kāu kauka ke hahai i nā loli a paipai i ka mālama ʻana ma mua o ka hoʻomohala ʻana o nā pilikia koʻikoʻi.

Pehea e pale aku ai i ka abdominal aortic aneurysm?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā abdominal aortic aneurysms a pau, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia a hoʻomāmā i ka ulu ʻana o nā aneurysms i loaʻa. ʻO nā hana palekana maikaʻi loa e kau i ka mālama ʻana i nā kīʻaha koko olakino a me ka mālama ʻana i nā pilikia hiki iā ʻoe ke kaohi.

ʻO nā ʻanuʻu nui loa āu e lawe ai e komo pū me:

• Mai puhi paka, a i ʻole e haʻalele inā ʻoe e puhi ana i kēia manawa: ʻO kēia ka mea nui loa āu e hiki ai ke hana
• Mālama i kou kaomi koko: E mālama i lalo o 130/80 mmHg ma o ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau inā pono
• Mālama i kou cholesterol: E hahai i ka ʻai olakino naʻau a lawe i nā lāʻau lapaʻau e like me ke kauoha
• Hoʻoikaika kino mau: E pahuhopu no ka liʻiliʻi o 30 mau minuke o ka hana waena i ka hapa nui o nā lā
• ʻAi i ka ʻai olakino: E kau i nā hua, nā huaʻai, nā huaola holoʻokoʻa, a me nā protein lahilahi
• Mālama i ka kaumaha olakino: ʻO ka kaumaha keu e kau i ka pilikia hou aku ma kāu ʻōnaehana cardiovascular

Inā loaʻa iā ʻoe nā pilikia pilikia e like me ka mōʻaukala ʻohana o nā aneurysms a i ʻole he kāne ʻoe ma luna o 65 mau makahiki i puhi paka, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana. Hiki i ka ʻike mua ma o ka nānā ʻana o ka ultrasound ke hopu i nā aneurysms i ka wā liʻiliʻi a maʻalahi hoʻi e nānā.

He mea nui no hoi na nānā maʻamau me kāu mea lawelawe ola kino, ʻoiai inā loaʻa iā ʻoe nā kūlana e like me ke koko kiʻekiʻe, ka maʻi suka, a i ʻole ka maʻi naʻau. Hiki i ka mālama pono ʻana i kēia mau kūlana ke kōkua i ka pale ʻana i kou mau kīʻaha koko mai ka poino.

ʻOiai ʻaʻole hiki ke hoʻololi ʻia nā kumu genetic a me ka makahiki, ʻo ka nānā ʻana i nā kumu pilikia hiki ke hoʻololi ʻia ke hōʻemi nui i kou mau manawa e loaʻa ai ka aneurysm a i ʻole ke hoʻomāmā i kona ulu ʻana inā loaʻa iā ʻoe kekahi.

Pehea ka hōʻoia ʻana o ka abdominal aortic aneurysm?

ʻO ka hōʻoia ʻana i ka abdominal aortic aneurysm pinepine ia i ka wā o ka nānā maʻamau a i ʻole i ka wā e noiʻi ana i nā pilikia olakino ʻē aʻe. Loaʻa pinepine nā aneurysms i ka wā o nā hoʻokolohua kiʻi no nā pilikia pili ʻole, ʻo ia hoʻi ka mea pōmaikaʻi no ka mea ʻo ka ʻike mua ʻana ka mea nui.

ʻO ka hoʻokolohua nānā nui ka abdominal ultrasound, ʻaʻohe ʻeha a hoʻohana i nā nalu leo ​​e hana i nā kiʻi o kāu aorta. Hiki i kēia hoʻokolohua ke ana pololei i ka nui o kāu aorta a me ka ʻike ʻana i kekahi bulging. ʻO ia ke ʻano o ka ultrasound i hoʻohana ʻia i ka wā hāpai, no laila ua palekana loa a ʻoluʻolu.

Inā loaʻa kahi aneurysm a i ʻole ka manaʻo, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aku:

• CT scan: Hāʻawi i nā kiʻi kikoʻī a me nā ana pololei o ka aneurysm
• MRI: Hāʻawi i nā kiʻi kikoʻī me ka ʻole o ka radiation exposure
• Abdominal X-ray: Hiki ke hōʻike i nā waihona calcium i ka paia aneurysm
• Nānā kino: Hiki i kāu kauka ke ʻike i kahi ʻāpana pulsing i loko o kou ʻōpū

I ka wā o ka nānā kino, e kau kāu kauka i kona mau lima ma kou ʻōpū e ʻike i kekahi pulsing a i ʻole nā ​​mea ʻē aʻe. Eia naʻe, ʻaʻole hiki ke hilinaʻi mau ʻia kēia ʻano, ʻoi aku hoʻi i nā poʻe momona a i ʻole nā ​​aneurysms liʻiliʻi.

He mea pono loa nā CT scans no ka mea hāʻawi lākou i ka ʻike kikoʻī e pili ana i ka nui, ke ʻano, a me ka pilina o ka aneurysm i nā kino kokoke. Kōkua kēia ʻike i kāu kauka e hoʻolālā i ka mālama inā pono ka ʻoki kino.

Inā kiʻekiʻe kou pilikia i ka aneurysms, hiki i kāu kauka ke ʻōlelo aku i ka nānā maʻamau ʻoiai ʻaʻohe ou hōʻailona. Ke ʻōlelo aku nei ka U.S. Preventive Services Task Force i ka nānā hoʻokahi no nā kāne mai 65 a 75 mau makahiki i puhi paka ma mua.

He aha ka lāʻau lapaʻau no ka abdominal aortic aneurysm?

ʻO ka lāʻau lapaʻau no nā aneurysms o ka ʻōpū e hilinaʻi ana i ko lākou nui, kou mau hōʻailona, ​​a me kou olakino holoʻokoʻa. Hoʻomaʻamaʻa pinepine ʻia nā aneurysms liʻiliʻi ʻaʻole e hoʻoulu i nā pilikia me nā hoʻokolohua kiʻi maʻamau, ʻoiai nā aneurysms nui aʻe e pono paha i ka hoʻoponopono ʻana i ka ʻoki kino.

No nā aneurysms liʻiliʻi (ma lalo o 5.5 cm), ʻōlelo pinepine nā kauka i kahi ala

Hoʻoponopono endovascular e pili ana i ka kau ʻana i kahi stent-graft i hāʻule i loko o nā kīʻaha koko ma kou mau wāwae a hiki i ka aneurysm. I ka manawa i kau ʻia ai, e hoʻonui ʻia e hoʻohuli i ke kahe koko ma o ka graft ma mua o ka aneurysm. Loaʻa i kēia koho kahi manawa hoʻōla pōkole akā pono paha nā kaʻina hana hoʻomau ma hope o kekahi manawa.

E kōkua kāu kauka iā ʻoe e koho i ke koho maikaʻi loa ma muli o nā ʻano o kāu aneurysm, kou mau makahiki, a me kou kūlana olakino holoʻokoʻa.

Pehea e mālama ai i ka abdominal aortic aneurysm ma ka home?

ʻO ka mālama ʻana i ka abdominal aortic aneurysm ma ka home e kau nui ana i ka hoʻomāmā i kona ulu ʻana a me ka hōʻemi ʻana i kou pilikia o nā pilikia. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka nui o nā hana āu e hiki ke hana ai he mau koho ola maikaʻi like ia e pōmaikaʻi i kou olakino cardiovascular holoʻokoʻa.

ʻO nā mea nui loa āu e hiki ke hana ma ka home e komo pū me:

• E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha ʻia, ʻoi aku hoʻi nā lāʻau lapaʻau koko a me ka cholesterol
• E nānā mau i kou koko ke kiʻekiʻe inā loaʻa iā ʻoe ka hypertension
• E pale i ka hāpai kaumaha a i ʻole ka hoʻoikaika e hiki koke ke hoʻonui i ke kaomi i loko o kou ʻōpū
• E hahai i kahi ʻai olakino naʻau haʻahaʻa i ka momona saturated a me ka sodium
• E noho ikaika kino me nā hoʻoikaika haʻahaʻa e like me ka hele wāwae
• E mālama i ke kaumaha ma o nā ʻano hoʻomaha a i ʻole ke kūkākūkā

He mea nui e pale aku i nā hana e hiki ke hoʻokumu i nā piʻi koke i ke kaomi koko, e like me ka hāpai kaumaha, ka hoʻoikaika ikaika, a i ʻole nā hana kino pahū. Eia naʻe, he pono maoli ka hoʻoikaika māmā a mau no kou olakino cardiovascular.

E mālama i nā hōʻailona hou a hōʻike koke i kāu kauka. ʻO kēia e komo pū me kekahi ʻeha ʻōpū hou a i ʻole e ʻino nei, ʻeha kua, a i ʻole ka manaʻo pulsing i loko o kou ʻōpū e lilo i mea ʻike nui ʻia.

E hōʻoia e hele i kāu mau hālāwai hoʻomau a me nā hoʻokolohua kiʻi i hoʻonohonoho ʻia. He mea nui kēia mau nānā maʻamau no ka nānā ʻana inā ulu ana kāu aneurysm a me ka hoʻoholo ʻana inā pono e hoʻololi i nā hoʻolālā lapaʻau.

Inā ua puhi ʻoe i ka paka, ʻo ka haʻalele ʻana ka mea nui loa āu e hiki ai ke hana. E nīnau i kāu kauka e pili ana i nā papahana haʻalele paka a i ʻole nā ​​lāʻau lapaʻau e hiki ke kōkua iā ʻoe e haʻalele me ka holomua.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu kūkā ke kōkua iā ʻoe e hoʻohana pono i kou manawa me kāu kauka a e hōʻoia i kou loaʻa ʻana i nā ʻike āpau āu e pono ai. ʻO ka loaʻa ʻana o kahi ala hoʻonohonoho pono e hōʻemi i ka hopohopo a kōkua i kāu hui mālama ola e hāʻawi i ka mālama maikaʻi loa.

Ma mua o kāu kūkā, e hōʻiliʻili i nā ʻike koʻikoʻi:

• E kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou a me ka mea e hoʻomaikaʻi ai a i ʻole e hoʻopilikia ai iā lākou
• E papa inoa i nā lāʻau āpau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka pākaukau a me nā mea hoʻohui
• E lawe mai i nā hopena kiʻi mua a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kāu aneurysm
• E hoʻomaopopo i ka mōʻaukala o kou ʻohana o nā aneurysms, nā maʻi naʻau, a i ʻole ka hahau
• E kākau i nā nīnau āu e makemake ai e nīnau i kāu kauka

ʻO kekahi mau nīnau kōkua e noʻonoʻo ai e nīnau, ʻo ia: Pehea ka nui o kaʻu aneurysm? Pehea ka pinepine o kaʻu pono e nānā? He aha nā hōʻailona e pono ai au e nānā? He aha nā hana e pono ai au e pale aku? I ka wā hea paha e pono ai au i ka ʻoki kino?

Mai kānalua e lawe mai i kahi lālā ʻohana a hoaaloha paha i kāu kūkā. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi a hāʻawi i ke kākoʻo manaʻo. Hiki ke kōkua nui ka loaʻa ʻana o kekahi e noho pū ana, inā ʻoe e manaʻo hopohopo e pili ana i kāu ʻike maʻi.

E kūpaʻa e pili ana i kou mau ʻano ola, me ka puhi paka, ka hoʻohana ʻana i ka waiʻona, a me nā ʻano hoʻoikaika kino. Pono kāu kauka i kēia ʻike e hāʻawi i nā ʻōlelo aʻoaʻo maikaʻi loa no kāu mālama.

Inā ke noʻonoʻo ʻia nei ʻoe no ka ʻoki kino, e nīnau e pili ana i nā pilikia a me nā pono o nā koho ʻoki kino like ʻole, ka mea e manaʻo ai i ka wā hoʻōla, a pehea e hoʻomākaukau ai no ke kaʻina hana.

He aha ka lawe nui e pili ana i ka aneurysm aortic ʻōpū?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā aneurysms o ka aorta ʻōpū, ʻo ia ka hiki ke mālama ʻia inā ʻike koke ʻia. ʻAʻole pinepine nā aneurysms liʻiliʻi e hoʻoulu i nā pilikia a hiki ke mālama maluhia ʻia me nā nānā maʻamau a me nā hoʻokolohua kiʻi.

ʻOiai paha ke manaʻo he weliweli ka loaʻa ʻana o kahi aneurysm, e hoʻomanaʻo he mau koho mālama a me ka nānā maikaʻi loa i hāʻawi ʻia e ka lāʻau lapaʻau hou. ʻAʻole pinepine nā aneurysms liʻiliʻi e haehae, a i ka wā e pono ai ka mālama ʻana i nā aneurysms nui aʻe, he pono loa nā koho ʻoki.

ʻO ke kī, ʻo ia ka noho pili me kāu hui olakino a hahai i kā lākou mau ʻōlelo aʻo no ka nānā ʻana a me nā hoʻololi ʻano ola. ʻO ka lawe ʻana i nā lāʻau e like me ka kauoha ʻia, ka mālama ʻana i nā maʻamau olakino, a me ka hele ʻana i nā hālāwai hope loa e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka hopena maikaʻi.

Inā loaʻa iā ʻoe nā kumu pilikia no nā aneurysms, ʻoi aku hoʻi inā he kāne ʻoe ma luna o 65 mau makahiki i puhi paka, e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana. Hiki i ka ʻike mua ma o kahi ultrasound maʻalahi ke hāʻawi i ka maluhia o ka manaʻo a hopu i nā pilikia ke hiki ke mālama ʻia.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o kahi aneurysm ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke ola i kahi ola piha a hana nui. Nui nā kānaka me nā aneurysms e hoʻomau i ka hana, huakaʻi, a hauʻoli i kā lākou mau hana punahele i ka wā e mālama pono ai i ko lākou kūlana.

Nā nīnau pinepine e pili ana i ka aneurysm o ka aorta ʻōpū

Hiki iaʻu ke hoʻoikaika inā loaʻa iaʻu kahi aneurysm o ka aorta ʻōpū?

ʻAe, he pono ka hoʻoikaika māmā no nā kānaka me nā aneurysms. Hiki i ka hele wāwae, ka ʻauʻau, a me ka holo paikikala māmā ke kōkua i ka hoʻomaikaʻi ʻana i kou olakino cardiovascular. Eia naʻe, pono ʻoe e pale aku i ka hāpai kaumaha, ka hoʻoikaika nui, a i ʻole nā ​​hana e hoʻoulu ai i nā piʻi koke i ke kaomi koko. E kūkākūkā mau i kāu mau hoʻolālā hoʻoikaika kino me kāu kauka e hōʻoia i ko lākou kūpono no kāu kūlana kikoʻī.

E ulu nui anei koʻu aneurysm i ka manawa?

ʻAʻole pono. Nui nā aneurysms liʻiliʻi e mau loa i nā makahiki he nui a i ʻole e ulu mālie loa. Hoʻololi ka nui o ka ulu ʻana mai ke kanaka a i ke kanaka a hilinaʻi ia i nā mea e like me ka kaohi ʻana i ke koko, ke kūlana o ka puhipaka, a me nā genetics. ʻO ia ke kumu o ka pono o ka nānā mau ʻana - hiki i kāu kauka ke hahai i nā loli a hoʻoponopono i kāu hoʻolālā mālama e like me ia.

Pehea ka lōʻihi e hiki ai iaʻu ke ola me kahi abdominal aortic aneurysm?

Nui nā kānaka me nā aneurysms liʻiliʻi e ola ana i nā ola maʻamau me ka ʻole o ka aneurysm e hoʻoulu i nā pilikia. ʻO nā mea nui ka nui o kāu aneurysm, pehea kou mālama ʻana i kāu mau pilikia, a inā ʻoe e hele i nā hālāwai hoʻomau mau. Me ka nānā pono a me ka mālama, hiki i ka hapa nui o nā kānaka me nā aneurysms ke manaʻo e ola i nā ola piha a hana.

He pilikia anei ka ʻoki kino no kahi aneurysm?

Loaʻa i nā ʻoki kino a pau kekahi pilikia, akā maʻamau ka palekana o ka hoʻoponopono ʻana i ka aneurysm ke hana ʻia e nā kauka ʻoki kino akamai. ʻOi aku ka liʻiliʻi o ka pilikia o ka ʻoki kino ma mua o ka pilikia o ka waiho ʻana i kahi aneurysm nui me ka mālama ʻole. E kūkākūkā kāu kauka i nā pilikia a me nā pono kikoʻī ma muli o kou kūlana pilikino, me kou makahiki, ke olakino holoʻokoʻa, a me nā ʻano o kāu aneurysm.

Hiki i ke kaumaha ke hoʻoulu i ka pupuhi ʻana o kaʻu aneurysm?

ʻOiai ʻo ke kaumaha kino koke a nui a i ʻole nā ​​​​spikes koko kiʻekiʻe e hiki ke hoʻopili i ka pilikia o ka pupuhi ʻana, ʻaʻole paha e hoʻoulu i ka pupuhi ʻana ke kaumaha o kēlā me kēia lā. Eia naʻe, he mea nui ka mālama ʻana i ke kaumaha no kou olakino cardiovascular holoʻokoʻa. Inā hopohopo ʻoe e pili ana i nā pae kaumaha, e kamaʻilio me kāu kauka e pili ana i nā ʻenehana mālama kaumaha olakino e hiki ke pōmaikaʻi i kou olakino holoʻokoʻa.