Nā Hemahema O Nā Kīʻaha Koko O Ka ʻōnaehana Hoʻoikaika Kikowaena
Nānaina
ʻO nā hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻomaʻamaʻa kikowaena he mau pilikia maʻamau ʻole ia me nā kīʻaha koko ma ka lolo a i ʻole ke kua a me kā lākou mau uhi, i kapa ʻia ʻo nā membrane.
He nui nā ʻano o nā hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻomaʻamaʻa kikowaena, me kēia mau mea:
- Nā hemahema arteriovenous (AVM). He mau ʻōwili kūpono ʻole kēia o nā kīʻaha koko e hoʻohui ana i nā arteries a me nā veins. Hiki i ka AVM ke loaʻa ma nā wahi a pau o ke kino. ʻO ka hapa nui, loaʻa lākou ma a kokoke paha i ka lolo a i ʻole ke kua. ʻO kēia ʻano ke pilikia nui loa o ke kahe koko o ka lolo a me nā pilikia ʻē aʻe.
- Capillary telangiectasias. He mau kīʻaha koko liʻiliʻi kēia, i kapa ʻia ʻo nā capillaries, ʻoi aku ka laulā ma mua o ka maʻamau.
- Nā hemahema cavernous. He mau kīʻaha koko kēia ma ka lolo a i ʻole ke kua i hana ʻia me ka ʻano kūpono ʻole. He ʻano lākou e like me nā mulberries a i ʻole ka popcorn.
- Nā fistulas dural arteriovenous. He mau loulou kūpono ʻole kēia ma waena o nā arteries a me ka uhi paʻakikī ma luna o ka lolo a i ʻole ke kua, i kapa ʻia ʻo dura, a me ka vein e hoʻokahe ana.
- Nā hemahema venous. He mau veins nui loa kēia ma ka lolo a i ʻole ke kua. Ua kapa ʻia hoʻi lākou he mau hemahema venous developmental.
Nā hōʻailona
Aia nā hōʻailona ma muli o ke ʻano o ka maʻi vascular o ka ʻōnaehana hoʻoikaika waena a me kahi i loaʻa ai. ʻAʻohe hōʻailona o kekahi mau maʻi vascular. Loaʻa lākou ma ka hoʻohālikelike ʻana no kekahi mea ʻē aʻe.
Hiki i nā hōʻailona no kekahi mau maʻi vascular o ka ʻōnaehana hoʻoikaika waena ke komo pū me:
- Ke kahe koko.
- Nā hopu.
- Ke poʻo ʻeha.
- Nā pilikia o ka lolo a me ka ʻōnaehana hoʻoikaika, i kapa ʻia ʻo nā hemahema neurological, e ʻoi aku ka maikaʻi ma mua o ka manawa. Hiki i nā hemahema neurological ke hoʻopilikia i ka ʻōlelo, ka ʻike, ke kaulike, ka hoʻomanaʻo a me nā mākau ʻē aʻe.
Nā kumu
ʻAʻole maopopo ke kumu o nā hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻoikaika kikowaena. Aia kekahi i ka wā hānau, i kapa ʻia ʻo congenital. ʻO nā mea ʻē aʻe e hele mai ma hope.
Hiki i kekahi mau kūlana genetic ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka hemahema o nā kīʻaha koko. Hiki i ka hōʻeha ʻana i ka ʻōnaehana hoʻoikaika kikowaena ke kumu ʻē aʻe.
Nā pilikia
Hiki i nā pilikia ke komo pū me:
- Ka hahau.
- Ka pōʻino o ka lolo mai kahi kīʻaha koko i pahū.
- Ka make.
- Nā pilikia o ke aʻo ʻana a me ke ʻano i nā keiki.
Ke kokoke mai ka koko, nui aʻe ka pilikia o ka koko hou. No ka mea i loaʻa iā ia kahi malformation vascular, hiki i ka hāpai ke hoʻonui i ka pilikia o ke koko.
ʻImi ʻike
No ka hōʻoiaʻana i kahi hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻoikaika kikowaena, e ʻimi ana kekahi mea mālama ola i ka mōʻaukala ʻohana o ka hahau ʻana, ka maʻi ʻepelepsi a i ʻole nā kūlana pili. Loaʻa i kekahi mau hemahema o nā kīʻaha koko kahi kani ʻōlelo, i kapa ʻia ʻo ka bruit. ʻO ke kahe koko wikiwiki ma o kahi hemahema e hana ai i ka bruit. Loaʻa paha i ka mea hoʻolako ke kani ma o kahi stethoscope.
Hiki i nā hoʻokolohua kiʻi e like me ka angiogram ke ʻike i kahi hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻoikaika kikowaena. Hōʻike ka angiogram i ke kahe koko ma o nā arteries a i ʻole nā veins. E ʻike ʻia nā kīʻaha koko ma ke kiʻi ma hope o ka hoʻokomo ʻana i ka waihoʻoluʻu hoʻohālikelike i loko o ke koko. E hoʻomālamalama ka waihoʻoluʻu ma ka scan.
Hiki ke hoʻohana ʻia kahi angiogram resonance magnetic a i ʻole kahi angiogram tomography kamepiula e hōʻoia i kahi hemahema o nā kīʻaha koko o ka ʻōnaehana hoʻoikaika kikowaena a hoʻolālā i ka mālama.
Loaʻa kekahi mau hemahema o nā kīʻaha koko, e like me nā hemahema cavernous, me ka hoʻohana ʻana i nā scan MRI a i ʻole CT maʻamau.
Ka mālama ʻana
ʻO ke ʻano o ka mālama ʻana i kahi hemahema o nā kīʻaha koko o ka ʻōnaehana nerve waena e hilinaʻi ana i ke ʻano o ka hemahema, kahi i loaʻa ai, nā hōʻailona e hoʻoulu ai a me ka pilikia o ka haʻalele ʻana. I kekahi manawa, ʻo ka nānā ʻana i nā loli i ka hemahema a me ka pilikia o ke kahe koko paha ka mea wale nō e pono ai.
ʻO nā lāʻau lapaʻau e hoʻohana ʻia paha no ka mālama ʻana i nā hōʻailona o kahi hemahema venous e komo pū me nā lāʻau lapaʻau anti-seizure no ka mālama ʻana i nā hoʻoulu a me nā mea hoʻoemi ʻeha no nā poʻo ʻeha.
Hiki ke wehe ʻia kekahi mau hemahema o nā kīʻaha koko o ka ʻōnaehana nerve waena e hoʻopilikia nui ana i ke kahe koko. ʻO ke kaʻina hana e hilinaʻi ana i ka hemahema.
- Ka ʻoki kino. ʻO kēia ka ʻoki ʻana i loko o ka lolo a i ʻole ke kīʻaha o ke kua e wehe ai i ka hemahema. Hoʻohana pinepine ʻia ka ʻoki kino no kahi hemahema arteriovenous i liʻiliʻi a ma kahi maʻalahi ke hiki aku.
E like me kekahi ʻoki kino, aia nā pilikia e like me ka maʻi a me ka nalowale o ke koko. Aia nō hoʻi ka pilikia o ka hōʻino ʻana i nā pūnaewele olakino kokoke.
- Stereotactic radiosurgery. Hoʻohana kēia i nā kukuna radiation i kuhikuhi pololei ʻia i ka hemahema o nā kīʻaha koko. Hoʻopōʻino ka radiation i nā paia o nā kīʻaha koko o ka hemahema a hoʻokumu i ka nalowale ʻana ma hope o kekahi manawa.
No ka mea ʻaʻole pili ka radiosurgery i ka ʻoki ʻana, ʻoi aku ka haʻahaʻa o nā pilikia ma mua o ka ʻoki kino maʻamau. Eia naʻe, aia ka pilikia o ka hōʻino ʻana o ka radiation i nā pūnaewele olakino.
- Endovascular embolization. Hoʻokomo kēia ʻenehana i ka hoʻohana ʻana i kahi tube lōʻihi a lahilahi, i kapa ʻia ʻo catheter. Hoʻokomo ʻia ka tube i loko o kahi artery ma ka wāwae a i ʻole ka ʻūhā e hānai ana i ka hemahema. A laila ua kaula ʻia i ka lolo me ka hoʻohana ʻana i ka X-ray imaging e alakaʻi ai.
Ma o ka tube, hoʻouna ka kauka i nā coils a i ʻole kahi mea e like me ka glue e kāohi ana i ka artery a hoʻoemi i ke kahe koko i ka hemahema.
ʻAʻole paha e wehe loa ka embolization i ka hemahema, a i ʻole paha ʻaʻole lōʻihi nā hopena. Hoʻohana pinepine ʻia me nā kaʻina hana ʻoki kino ʻē aʻe.
Ka ʻoki kino. ʻO kēia ka ʻoki ʻana i loko o ka lolo a i ʻole ke kīʻaha o ke kua e wehe ai i ka hemahema. Hoʻohana pinepine ʻia ka ʻoki kino no kahi hemahema arteriovenous i liʻiliʻi a ma kahi maʻalahi ke hiki aku.
E like me kekahi ʻoki kino, aia nā pilikia e like me ka maʻi a me ka nalowale o ke koko. Aia nō hoʻi ka pilikia o ka hōʻino ʻana i nā pūnaewele olakino kokoke.
Stereotactic radiosurgery. Hoʻohana kēia i nā kukuna radiation i kuhikuhi pololei ʻia i ka hemahema o nā kīʻaha koko. Hoʻopōʻino ka radiation i nā paia o nā kīʻaha koko o ka hemahema a hoʻokumu i ka nalowale ʻana ma hope o kekahi manawa.
No ka mea ʻaʻole pili ka radiosurgery i ka ʻoki ʻana, ʻoi aku ka haʻahaʻa o nā pilikia ma mua o ka ʻoki kino maʻamau. Eia naʻe, aia ka pilikia o ka hōʻino ʻana o ka radiation i nā pūnaewele olakino.
Endovascular embolization. Hoʻokomo kēia ʻenehana i ka hoʻohana ʻana i kahi tube lōʻihi a lahilahi, i kapa ʻia ʻo catheter. Hoʻokomo ʻia ka tube i loko o kahi artery ma ka wāwae a i ʻole ka ʻūhā e hānai ana i ka hemahema. A laila ua kaula ʻia i ka lolo me ka hoʻohana ʻana i ka X-ray imaging e alakaʻi ai.
Ma o ka tube, hoʻouna ka kauka i nā coils a i ʻole kahi mea e like me ka glue e kāohi ana i ka artery a hoʻoemi i ke kahe koko i ka hemahema.
ʻAʻole paha e wehe loa ka embolization i ka hemahema, a i ʻole paha ʻaʻole lōʻihi nā hopena. Hoʻohana pinepine ʻia me nā kaʻina hana ʻoki kino ʻē aʻe.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
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