He aha nā Malformations Vascular o ka ʻōnaehana Nervous Central? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO nā malformations vascular o ka ʻōnaehana nervous central nā pilina kūpono ʻole ma waena o nā kīʻaha koko i loko o kou lolo a i ʻole kou spinal cord. Hoʻokumu ʻia kēia mau pūʻulu o nā kīʻaha koko i pilikia ʻole i ka wā o ka hoʻomohala mua a hiki ke hoʻopilikia i ke ʻano o ke kahe koko ma o kou ʻōnaehana nervous.

E noʻonoʻo i nā kīʻaha koko o kou lolo e like me kahi ʻōnaehana alanui i hoʻolālā pono ʻia. Ma nā malformations vascular, aia kekahi mau alanui o kēia mau alanui me nā huli a i ʻole nā pilina kūpono ʻole i ʻaʻole i ʻāpana o ka hoʻolālā mua. ʻOiai paha kēia e lohe ai, nui nā kānaka e ola ana i ko lākou ola holoʻokoʻa me ka ʻike ʻole ʻana i loaʻa iā lākou kekahi.

He aha nā malformations vascular o ka ʻōnaehana nervous central?

ʻO kēia mau malformations nā pūʻulu o nā kīʻaha koko kūpono ʻole i hoʻomohala ʻia ma mua o ka hānau ʻana. ʻAʻole hana nā kīʻaha koko i nā ala maʻemaʻe maʻamau ma waena o nā arteries a me nā veins, e hana ana i nā pūnaewele pilikia ma kahi.

ʻO ka hapa nui o nā malformations vascular e noho paʻa ana i loko o kou ola. ʻAʻole hana kekahi i nā pilikia, ʻoiai ke alakaʻi aku kekahi i nā hōʻailona e like me nā headaches a i ʻole nā seizures. ʻO ka mea nui e hoʻomaopopo ai ʻaʻole ʻo ka loaʻa ʻana o kekahi mea e ʻōlelo koke ai e loaʻa iā ʻoe nā pilikia olakino koʻikoʻi.

ʻO kāu ʻōnaehana nervous e komo pū ana i kou lolo a me kou spinal cord, no laila hiki i kēia mau malformations ke hana ma kēlā me kēia wahi. ʻOi aku ka nui o nā malformations lolo ma mua o nā malformations spinal cord, a ua lilo nā kauka i mea akamai loa i ka mālama ʻana i nā ʻano ʻelua.

He aha nā ʻano o nā malformations vascular o ka ʻōnaehana nervous central?

Aia kekahi mau ʻano like ʻole, kēlā me kēia me kona mau ʻano a me nā ʻano hana. ʻO ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu hui lapaʻau e hana i ka papahana mālama maikaʻi loa no kāu kūlana kikoʻī.

ʻO nā arteriovenous malformations (AVMs) ka ʻano i ʻike nui ʻia. Hana kēia i nā pilina pololei ma waena o nā arteries a me nā veins, e hala ana i ka pūnaewele maʻamau o nā kīʻaha koko liʻiliʻi i kapa ʻia ʻo capillaries. Hiki i kēia ke hana i ke kahe koko wikiwiki loa ma o ka wahi.

ʻO nā cavernous malformations, i kapa ʻia hoʻi ʻo cavernomas, e like me nā pūʻulu o nā wahi liʻiliʻi i piha i ke koko. ʻOi aku ka liʻiliʻi o kēia mau mea a pinepine ʻaʻole nui nā hōʻailona ma mua o AVMs. Hiki iā lākou ke hoʻokahe i nā nui liʻiliʻi o ke koko, ka mea maʻamau e ho'ōla pono'ī.

ʻO nā venous malformations e pili ana i ka hoʻomohala ʻana o nā vein kūpono ʻole. ʻO kēia mau mea maʻamau ka ʻano ʻoluʻolu loa a pinepine ʻaʻole hana i nā hōʻailona. Nui nā kānaka e ʻike wale ana iā lākou i ka wā o nā scans lolo i hana ʻia no nā kumu ʻē aʻe.

ʻO nā capillary telangiectasias nā kīʻaha koko liʻiliʻi i hoʻonui ʻia e pinepine ʻaʻole hana i nā pilikia. Loaʻa pinepine kēia mau mea ma ka manawa kūpono a maʻamau ʻaʻole pono i ka lapaʻau.

He aha nā hōʻailona o nā malformations vascular o ka ʻōnaehana nervous central?

Nui nā kānaka me nā malformations vascular ʻaʻole loaʻa i nā hōʻailona. Ke loaʻa nā hōʻailona, hiki iā lākou ke ʻokoʻa nui ma muli o ka wahi a me ka nui o ka malformation.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Headaches e like ʻole me kāu mau headaches maʻamau
• Seizures, ka mea paha ka hōʻailona mua no kekahi poʻe
• Nāwaliwali a i ʻole numbness i nā ʻāpana o kou kino
• Nā loli ʻike a i ʻole ka pilikia me ka hoʻohuihui
• Nā pilikia me ka ʻōlelo a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo
• Nā pilikia hoʻomanaʻo a i ʻole ka huikau

Kekahi poʻe e ʻike i nā loli subtle e like me ka pilikia e hoʻokūkū a i ʻole ka luhi maʻamau. Hiki i kēia mau hōʻailona ke hele mai a hele aku, a i ʻole paha e hoʻomohala mālie i ka manawa.

ʻO nā hōʻailona koʻikoʻi akā ʻano maʻamau e komo pū ana i nā headaches nui koke, ka nalowale ʻana o ka ʻike, a i ʻole nā loli neurological koke. Hiki i kēia ke hōʻike i ke kahe koko mai ka malformation, ka mea e pono ai ka mālama koke.

He mea kūpono ke hoʻomaopopo aku ʻo nā hōʻailona e pili pinepine ana i kahi o ka malformation i loko o kou lolo a i ʻole spinal cord. Hiki i kahi malformation ma ka wahi e kaohi ana i ka neʻe ʻana ke hana i ka nāwaliwali, ʻoiai ke hoʻopilikia aku kekahi kokoke i nā kikowaena ʻōlelo i ka ʻōlelo.

He aha nā kumu o nā malformations vascular o ka ʻōnaehana nervous central?

Hoʻomohala ʻia kēia mau malformations i ka wā mua loa o ka hāpai ʻana i ka wā e hoʻokumu mua ai i nā kīʻaha koko. ʻAʻole maopopo loa ke kumu kikoʻī o kēia, akā ʻaʻole ia i hana ʻia e kekahi mea āu a i ʻole kou mau mākua i hana ai.

ʻO ka hapa nui o nā malformations vascular e hana ma ka manawa kūpono i ka wā o ka hoʻomohala ʻana. Hāʻawi kāu mau genes i nā ʻōlelo aʻo no ka hoʻokumu ʻana i nā kīʻaha koko, a i kekahi manawa ua hoʻololi iki ʻia kēia mau ʻōlelo aʻo i ka wā o ke kaʻina hana paʻakikī o ka hana ʻana i kāu ʻōnaehana nervous.

Ua ʻōlelo ʻia, hiki i kekahi mau kūlana genetic maʻamau ke hoʻonui i ka hiki ke hoʻomohala i kekahi mau ʻano o nā malformations. ʻO ka hereditary hemorrhagic telangiectasia kekahi laʻana, ʻoiai kēia e hoʻopili wale i kahi hapa liʻiliʻi o nā kānaka me nā malformations vascular.

ʻAʻole pinepine nā kumu kūlohelohe i ka wā hāpai e hana i kēia mau malformations. Manaʻo pinepine ʻia lākou he mau hoʻololi hoʻomohala e hana ana i ka wā o ke kaʻina hana paʻakikī o ka kūkulu ʻana i kāu ʻōnaehana nervous.

He aha nā pilikia o nā malformations vascular o ka ʻōnaehana nervous central?

ʻOiai ka hapa nui o nā kānaka me nā malformations vascular e ola ana i nā ola maʻamau, olakino me ka ʻole o nā pilikia koʻikoʻi. Eia naʻe, ʻo ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e hana i nā hoʻoholo ʻike e pili ana i ka nānā ʻana a me ka lapaʻau.

ʻO ka pilikia koʻikoʻi loa ka kahe koko (hemorrhage) mai ka malformation. ʻOi aku ka nui o kēia me kekahi mau ʻano e like me AVMs, ʻoiai pēlā nō, ʻo ka makahiki makahiki maʻamau he haʻahaʻa loa. Ke hana ke kahe koko, hiki iā ia ke hana i nā hōʻailona e like me ka stroke.

Hiki i nā seizures ke hoʻomohala inā hoʻopilikia nā malformations i ka lolo i nā ala e hoʻopilikia ai i ka hana uila maʻamau. Nui nā kānaka me nā seizures pili malformation e pane maikaʻi ana i nā lāʻau anti-seizure.

Hiki i nā neurological deficits ke hoʻomohala inā hoʻopilikia kahi malformation i ka hana lolo ma o ke kaomi, ka hoʻololi ʻana o ke kahe koko, a i ʻole nā kahe liʻiliʻi i ka manawa. Hiki i kēia ke komo pū me ka nāwaliwali, nā pilikia ʻōlelo, a i ʻole nā loli cognitive.

Hiki i nā hōʻailona holomua ke hana i kekahi poʻe, ʻoiai me ka ʻole o ke kahe koko maopopo. Hiki paha kēia ma muli o nā loli mālie i ke kahe koko a i ʻole nā kahe liʻiliʻi, ʻike ʻole ʻia e hana ana i ka scar tissue.

ʻO nā pilikia maʻamau e komo pū ana i ka hydrocephalus (ka hōʻiliʻili wai i loko o ka lolo) a i ʻole ka hoʻonui ʻia o ke kaomi i loko o ka iwi poʻo. Hana pinepine kēia me nā malformations nui a i ʻole ma hope o nā hanana kahe koko.

ʻO ka ʻoiaʻiʻo maikaʻi, ua lilo ka mālama lapaʻau hou i mea maikaʻi loa i ka pale ʻana a me ka mālama ʻana i kēia mau pilikia ke hana lākou.

Pehea e ʻike ʻia ai nā malformations vascular o ka ʻōnaehana nervous central?

Hoʻomaka pinepine ka ʻike ʻana me kāu moʻolelo lapaʻau a me kahi hoʻokolohua neurological. E nīnau aku kāu kauka e pili ana i kāu mau hōʻailona a e hana i nā hoʻokolohua e nānā i kāu mau reflexes, hoʻohuihui, a me ka hana lolo.

ʻO MRI (magnetic resonance imaging) ka hoʻokolohua imaging maʻamau loa i hoʻohana ʻia. Hiki i kēia scan kikoʻī ke hōʻike i ke ʻano o kou lolo a me kou spinal cord, e hōʻike ana i ka hapa nui o nā ʻano o nā malformations vascular maopopo a palekana.

Hiki ke hoʻohana ʻia nā CT scans, ʻoiai inā manaʻo ʻia ke kahe koko. ʻOi aku ka wikiwiki o kēia mau scans ma mua o MRI a hiki ke hōʻike koke inā aia ke koko i loko o kou lolo.

Hāʻawi ka cerebral angiography i ka ʻike kikoʻī loa o ke ʻano o nā kīʻaha koko. Hoʻokomo kēia i ka hoʻokomo ʻana i ka waihoʻoluʻu contrast i loko o kāu mau kīʻaha koko a me ka lawe ʻana i nā kiʻi X-ray. Mālama ʻia ia no nā hihia kahi e pono ai ka hoʻolālā lapaʻau i ka ʻike kikoʻī loa.

Hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aku e like me EEG (electroencephalogram) inā loaʻa iā ʻoe nā seizures. Ana kēia i ka hana uila i loko o kou lolo a kōkua i ke alakaʻi ʻana i ka lapaʻau seizure.

ʻAʻole pinepine nā hoʻokolohua koko no ka ʻike ʻana, akā hiki ke hana ʻia e nānā no nā kūlana genetic a i ʻole e hoʻomākaukau no nā lapaʻau hiki.

He aha ka lapaʻau no nā malformations vascular o ka ʻōnaehana nervous central?

Pili nā ala lapaʻau i nā mea he nui e komo pū ana i ke ʻano, ka nui, a me ka wahi o kāu malformation, a me kou ʻike ʻana i nā hōʻailona. ʻAʻole pono nā kānaka a pau me kahi malformation vascular i ka lapaʻau hana.

ʻO ka nānā ʻana me ka nānā mau ʻana ka ala maikaʻi loa pinepine, ʻoi aku hoʻi no nā malformations liʻiliʻi e hana ʻole ana i nā hōʻailona. E hahai kāu hui lapaʻau i nā loli ma ka manawa me nā scans manawa.

Hiki i nā lāʻau lapaʻau ke hoʻokele maikaʻi i nā hōʻailona e like me nā seizures a i ʻole nā headaches. Hana maikaʻi nā lāʻau anti-seizure no ka hapa nui o nā kānaka me nā seizures pili malformation, ʻoiai hiki i nā lāʻau like ʻole ke kōkua me ka mālama ʻana i ka headache.

Hiki ke ʻōlelo ʻia ka wehe ʻana i ka ʻoki no kekahi mau malformations, ʻoi aku hoʻi nā mea i kahe koko a i ʻole paha e hana i nā pilikia. Ua hana nā ʻenehana neurosurgical hou i kēia mau kaʻina hana ʻoi aku ka palekana ma mua o ka wā ma mua.

Hoʻohana nā kaʻina hana endovascular i nā tubes lahilahi i hoʻokomo ʻia ma o nā kīʻaha koko e mālama i nā malformations mai loko mai. Hiki i kēia mau ala liʻiliʻi ke pani i nā kīʻaha koko kūpono ʻole a i ʻole e hoʻoikaika i nā wahi nāwaliwali.

Hoʻohana ka stereotactic radiosurgery i nā kukui radiation i hoʻonohonoho ʻia e pani mālie i nā kīʻaha koko kūpono ʻole. Lawe kēia lapaʻau non-invasive i nā mahina a i nā makahiki e hōʻike i nā hopena piha akā hiki ke maikaʻi loa no kekahi mau malformations.

E hana pū kāu hui lapaʻau me ʻoe e koho i ka ala e hāʻawi ana i ka kaulike maikaʻi loa o nā pōmaikaʻi a me nā pilikia no kāu kūlana kikoʻī.

Pehea e mālama ai i nā malformations vascular o ka ʻōnaehana nervous central ma ka home?

ʻO ka noho ʻana me kahi malformation vascular pinepine e komo pū ana i ka hana ʻana i nā koho ola noʻonoʻo e kākoʻo i kou olakino holoʻokoʻa a hoʻemi i nā pilikia hiki. Hiki i ka hapa nui o nā kānaka ke mālama i nā ola maʻamau, hana.

E hahai pono i kāu papa lāʻau inā lawe ʻoe i nā lāʻau anti-seizure a i ʻole nā lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia. ʻO ka kūpaʻa e kōkua i ka mālama ʻana i nā pae paʻa i loko o kāu ʻōnaehana no ka pono maikaʻi loa.

E makaʻala i kāu mau hōʻailona a me nā loli. E mālama i kahi moʻolelo maʻalahi o nā headaches, seizures, a i ʻole nā hōʻailona ʻē aʻe e kaʻana like me kāu hui lapaʻau i ka wā o nā kipa hahai.

E mālama i ka olakino maikaʻi ma o ka hoʻoikaika kino maʻamau, ka hiamoe lawa, a me ka hoʻokele kaumaha. Kākoʻo kēia i ka hana holoʻokoʻa o kāu ʻōnaehana nervous a hiki ke kōkua i ka pale ʻana i nā hōʻailona flare-ups.

E kūkākūkā i nā palena hana me kāu kauka. Hiki i nā kānaka he nui ke komo i ka hapa nui o nā hana, ʻoiai kekahi e pono ai ke pale aku i kekahi mau haʻuki a i ʻole nā hana e hiki ke hoʻonui i ka pilikia kahe koko.

E aʻo e pili ana i kāu ʻano kikoʻī o ka malformation i hiki iā ʻoe ke hana i nā hoʻoholo ʻike e pili ana i kāu mālama. ʻO ka hoʻomaopopo ʻana i kāu kūlana e kōkua iā ʻoe e kamaʻilio maikaʻi me nā mea mālama olakino a ʻike i nā loli koʻikoʻi.

E hoʻopili me nā hui kākoʻo a i ʻole nā kaiāulu pūnaewele inā ʻike ʻoe he kōkua lākou. Nui nā kānaka e pōmaikaʻi mai ke kamaʻilio ʻana me nā poʻe ʻē aʻe me nā ʻike like.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

ʻO ka hoʻomākaukau ʻana no kāu kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike a me ke alakaʻi waiwai loa mai kāu hui lapaʻau. Hiki i kahi hoʻonohonoho iki ma mua ke hana i kahi ʻokoʻa nui.

E kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou, pehea pinepine lākou e hana ai, a me ka mea e hoʻomaikaʻi ai a i ʻole e hoʻopilikia ai iā lākou. E komo pū me nā hōʻailona e like ʻole paha - i kekahi manawa hāʻawi lākou i nā ʻōlelo aʻo koʻikoʻi.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau, me nā lāʻau over-the-counter a me nā mea hoʻohui. Hiki i kekahi mau lāʻau ke launa pū me nā lapaʻau no nā malformations vascular, no laila pono i kāu kauka ke kiʻi piha.

E hōʻiliʻili i nā hopena hoʻokolohua ma mua, nā scans, a i ʻole nā moʻolelo lapaʻau e pili ana i kāu kūlana. Inā ʻike ʻoe i nā loea ʻē aʻe, e lawe mai i kā lākou mau hōʻike a me nā ʻōlelo aʻo.

E hoʻomākaukau i nā nīnau ma mua. E noʻonoʻo e nīnau e pili ana i kāu ʻano kikoʻī o ka malformation, nā koho lapaʻau, nā palena hana, a me nā hōʻailona e pono ai ka mālama koke.

E lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi inā hiki. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia i ka wā o ke kūkā a hāʻawi i ke kākoʻo manaʻo.

E kākau i kāu mau hopohopo nui a i ʻole nā pahuhopu no ke kipa. Kōkua kēia i ka hōʻoia ʻana i nā kumuhana koʻikoʻi loa e pane ʻia ʻoiai inā manaʻo ʻia ke kūkā wikiwiki.

He aha ka mea nui e lawe ai e pili ana i nā malformations vascular o ka ʻōnaehana nervous central?

ʻO nā malformations vascular o ka ʻōnaehana nervous central nā kūlana hiki ke mālama ʻia i ola nui nā kānaka me ka holomua. ʻOiai paha ka ʻike mua e manaʻo ʻia he mea kaumaha, hāʻawi ka lāʻau lapaʻau hou i nā mea hana maikaʻi loa no ka nānā ʻana a me ka lapaʻau ke pono.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻaʻole i hoʻomaopopo kāu olakino a i ʻole ka palena o kāu hiki i kahi ola piha, hana. Nui nā kānaka me kēia mau kūlana e alualu i nā ʻoihana, nā pilina, a me nā hana e like me nā poʻe ʻē aʻe.

ʻO ka hana pili me kāu hui mālama olakino a me ka noho ʻike e pili ana i kāu kūlana kāu mau hoʻolālā maikaʻi loa no ka holomua lōʻihi. Kōkua ka mālama hahai mau ʻana i ka hōʻoia ʻana i ka hopu ʻana i nā loli koke a mālama ʻia e like me ke kūpono.

E nānā i ka mea āu e hiki ai ke kaohi - ka lawe ʻana i nā lāʻau e like me ke kuhikuhi ʻia, ka mālama ʻana i ka olakino maikaʻi holoʻokoʻa, a me ka noho ʻike i kāu mau hōʻailona. Hāʻawi kēia ala hana proactive iā ʻoe i ke kumu kūpono loa no ka mālama pono ʻana i kāu kūlana.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā malformations vascular o ka ʻōnaehana nervous central

Hiki i nā malformations vascular ke hele aku ma luna o lākou iho?

ʻO ka hapa nui o nā malformations vascular nā ʻano mau loa e nalowale ʻole me ka ʻole o ka lapaʻau. Eia naʻe, hiki i kekahi mau mea liʻiliʻi ke lilo i mea liʻiliʻi i ka manawa, a hiki ke mālama ʻia kekahi mau ʻano e kāpae i nā kīʻaha koko kūpono ʻole. Hiki i kāu kauka ke wehewehe i ka mea e manaʻo ai ma muli o kāu ʻano a me ke kūlana.

He hereditary nā malformations vascular?

ʻO ka hapa nui o nā malformations vascular e hana ma ka manawa kūpono a ʻaʻole hoʻoili ʻia ma o nā ʻohana. Eia naʻe, hiki i nā kūlana genetic maʻamau e like me ka hereditary hemorrhagic telangiectasia ke hoʻonui i ka pilikia. Inā loaʻa iā ʻoe kahi moʻolelo ʻohana o nā malformations vascular, e kūkākūkā me kāu kauka e hoʻomaopopo i kāu mau pilikia kikoʻī.

Hiki iaʻu ke loaʻa nā keiki inā loaʻa iaʻu kahi malformation vascular?

Nui nā kānaka me nā malformations vascular e loaʻa ana i nā hāpai holomua. Eia naʻe, hiki i ka hāpai ke hoʻopilikia i ke kahe koko a hoʻopilikia paha i nā hōʻailona. Hiki i kāu hui lapaʻau ke kōkua iā ʻoe e hoʻolālā no ka hāpai ʻana ma ka hoʻoponopono ʻana i nā lāʻau inā pono a nānā pono iā ʻoe i kēia manawa.

E ʻoi aku ka ʻino o kaʻu malformation vascular i ka manawa?

ʻO ka hapa nui o nā malformations vascular e noho paʻa ana i loko o ke ola. Hiki i kekahi ke hana i nā hōʻailona holomua, ʻoiai ʻaʻole hana kekahi i nā pilikia. ʻO ka nānā mau ʻana me kāu hui mālama olakino e kōkua i ka hahai ʻana i nā loli a hoʻoponopono i kāu papahana mālama e like me ke kūpono. ʻO ka mea nui ka noho pili me ka mālama lapaʻau ma mua o ka hopohopo e pili ana i ka mea hiki ke hana.

He aha nā hana āu e pale aku ai me kahi malformation vascular?

Pili nā palena hana i kāu ʻano kikoʻī o ka malformation, kona wahi, a me kou loaʻa ʻana i nā hōʻailona e like me ke kahe koko. Hiki i nā kānaka he nui ke komo i ka hapa nui o nā hana maʻamau e komo pū ana i ka hoʻoikaika kino a me nā haʻuki. Hiki i kāu kauka ke hāʻawi i ke alakaʻi pilikino ma muli o kāu kūlana pilikino a kōkua iā ʻoe e hana i nā hoʻoholo ʻike e pili ana i nā hana.