He aha ka Aneurisma o ka ʻAʻa Popliteal? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka aneurisma o ka ʻaʻa popliteal kahi e hoʻonui ai a lilo i ʻano peʻapeʻa ka ʻaʻa nui ma hope o kou kuli. ʻO kēia ʻaʻa, i kapa ʻia ʻo ka ʻaʻa popliteal, e lawe mau ana i ke koko mai kou ʻūhā i lalo i kou wāwae lalo a me kou wāwae.

ʻOiai paha e lohe ʻia kēia kūlana he mea hopohopo, ʻo ia maoli nō ka ʻano maʻamau loa o ka aneurisma e pili ana i nā lima a me nā wāwae. E noʻonoʻo e like me kahi wahi nāwaliwali i loko o ka hose māla e puʻupuʻu i waho ma hope o kekahi manawa. Noho ka hapa nui o nā kānaka me nā aneurisma popliteal liʻiliʻi i nā ola maʻamau, hana ikaika me ka nānā pono a me ka mālama.

He aha ka Aneurisma o ka ʻAʻa Popliteal?

E kū mai ana ka aneurisma o ka ʻaʻa popliteal i ka wā e hoʻolōʻihi a hoʻonui ai kahi ʻāpana o ka ʻaʻa popliteal i ka liʻiliʻi o 1.5 mau manawa o kona nui maʻamau. E holo ana kou ʻaʻa popliteal ma hope o kou hui kuli, e hoʻohui ana i nā kīʻaha koko i kou ʻūhā i nā mea i kou wāwae lalo.

Ke nāwaliwali ka paia o ka ʻaʻa, e hoʻokūpaʻa ke kaomi koko iā ia e puʻupuʻu i waho e like me ka peʻapeʻa. Hiki i kēia wahi hoʻonui ke liʻiliʻi e like me ka hua waina a nui e like me ka plum. Hiki ke hoʻomohala mālie ka aneurisma i nā mahina a i nā makahiki paha, pinepine me ka ʻole o ka hōʻike ʻana i kekahi mau hōʻailona i ka wā mua.

ʻO ka hapa nui o nā aneurisma popliteal he

• Kahiʻi pupuhi a i ʻole kahi ʻāpana ma hope o kou kuli e hiki iā ʻoe ke ʻike i ka wā e kaomi mālie ai
• ʻEha a i ʻole ka ʻeha i kou wāwae bipi, ʻoi aku hoʻi i ka wā e hele ai a i ʻole e hoʻoikaika
• ʻO ka pehu ʻana i kou wāwae lalo a i ʻole ka wāwae
• Anuanu a i ʻole nā ​​hoʻololi kala i kou mau manamana wāwae a i ʻole ka wāwae
• Ke ʻeha ʻana o nā ʻiʻo bipi i ka wā e hana ana
• Ka manaʻo o ke kaumaha a i ʻole ka luhi i kou wāwae i pilikia

Hiki i nā hōʻailona ʻoi aku ka nui ke ulu inā hana ka aneurysm i nā pilikia. ʻO kēia mau mea e komo pū ai ka ʻeha wāwae koke, nui, ka ʻōʻili a i ʻole ka tingling i kou wāwae, a i ʻole ka ʻili keʻokeʻo, anuanu ma lalo o kou kuli. Inā hana nā clots koko i loko o ka aneurysm, hiki i nā ʻāpana ke haki a pani i nā arteries liʻiliʻi, e hoʻokumu ana i ka ʻeha nui a me ka hiki ke hōʻino i nā pūnaewele.

I nā hihia kakaikahi, hiki i ka aneurysm ke kaomi i nā aʻalolo kokoke, e hoʻokumu ana i ka nāwaliwali a i ʻole nā ​​manaʻo maʻamau ʻole i kou wāwae. ʻIke kekahi poʻe ua ʻoi aku ka nui o kā lākou mau hōʻailona me ka hana a hoʻomaikaʻi me ka hoʻomaha, e like me nā pilikia kahe ʻē aʻe.

He aha nā ʻAno o ka Popliteal Artery Aneurysm?

Hoʻokaʻawale ʻia nā aneurysms o ka popliteal artery ma muli o kā lākou kumu a me ke ʻano. ʻO ka hoʻomaopopo ʻana i kēia mau ʻano e kōkua i kāu kauka e koho i ke ala lapaʻau maikaʻi loa no kou kūlana kikoʻī.

ʻO nā aneurysms ʻoiaʻiʻo ka ʻano maʻamau loa, e hoʻopili ana i nā papa ʻekolu o ka paia artery. Hoʻomohala kēia mau mea i ka wā e nāwaliwali ai ka paia artery i ka manawa, maʻamau ma muli o nā kumu genetic a i ʻole atherosclerosis (ka paʻakikī ʻana o nā arteries). Ke hoʻolōʻihi nei ka paia holoʻokoʻa i waho, e hana ana i kahi bulge e like me ka pōpō.

ʻO nā aneurysms wahaheʻe, i kapa ʻia hoʻi he pseudoaneurysms, e hana ana i ka wā e ʻoki ai i ka paia artery e ʻae ai i ke koko ke kahe i waho. Hoʻopaʻa ʻia ke koko i kahe ʻia e nā pūnaewele a puni, e hana ana i kahi ʻāpana pupuhi. Hoʻopuka pinepine ʻia kēia mau mea mai ka hōʻeha, nā kaʻina hana lapaʻau, a i ʻole nā ​​maʻi.

Hoʻokano nā kauka i nā aneurysms ma muli o ko lākou ʻano. Hoʻopuni nā aneurysms fusiform i ke kaapuni āpau o ke aʻa koko, e hana ana i ka hoʻonui ʻana i ke ʻano o ka spindle. Hoʻopuka nā aneurysms saccular mai kekahi ʻaoʻao wale nō o ke aʻa koko, e like me ka hua i hoʻopili ʻia i ka lāʻau.

He aha ka mea e hoʻoulu ai i ka Aneurysm o ke Aʻa Popliteal?

Hoʻomohala ʻia nā aneurysms o ke aʻa popliteal i ka wā e nāwaliwali ai ka paia o ke aʻa koko a ʻaʻole hiki ke kū i ke kaomi koko maʻamau. Hana ʻia kēia nāwaliwali ma o kekahi mau ʻano like ʻole, pinepine e hana pū ana i ka manawa.

ʻO nā kumu maʻamau loa e komo pū ana:

• Atherosclerosis (ka paʻakikī a me ka hoʻoliʻiliʻi ʻana o nā aʻa koko ma muli o ka hōʻiliʻili ʻana o ka plaque)
• Nā kumu genetic e hoʻopilikia ana i ka ikaika o nā paia o ke aʻa koko
• Ke koko kiʻekiʻe e kau ana i ka pilikia hou aku ma nā paia o ke aʻa koko
• Nā maʻi o ka pūnaewele hoʻohui e like me ka maʻi Marfan a i ʻole ka maʻi Ehlers-Danlos
• ʻO ka hōʻeha mua a i ʻole ka hōʻeha i ka wahi kuli
• Nā maʻi e hoʻonāwaliwali ana i ka paia o ke aʻa koko
• Nā pilikia mai nā kaʻina hana lapaʻau a i ʻole nā ​​​​ʻoki kino

He kuleana nui ka makahiki, ʻoiai e lilo nā paia o ke aʻa koko i emi iki ka oluolu ma mua o ka manawa. ʻOi aku ka nui o nā kāne i ka loaʻa ʻana o nā aneurysms popliteal ma mua o nā wāhine, a ʻo ka maʻi pinepine e pilikia ana i nā kānaka ma luna o 60. Hoʻokūkū ka puhipaka i ke kaʻina hana ma ka hōʻino ʻana i nā paia o ke aʻa koko a me ka hoʻoikaika ʻana i ka atherosclerosis.

Loaʻa i kekahi poʻe ka manaʻo e kūkulu i ka aneurysm. Inā loaʻa iā ʻoe nā lālā ʻohana me nā aneurysms ma kekahi wahi o ko lākou kino, hiki iā ʻoe ke loaʻa ka pilikia kiʻekiʻe. Hiki i kekahi mau kūlana genetic maʻamau ke hoʻoliʻiliʻi i nā paia o ke aʻa koko, e alakaʻi ana i nā aneurysms i nā makahiki ʻōpio.

I ka wā e ʻike ai i ke Kauka no ka Aneurysm o ke Aʻa Popliteal?

I nā hihia maikaʻi ʻole, hiki i ka aneurysm ke haki, e hoʻokumu ana i ke kahe koko kūloko. ʻOi aku ka nui o kēia me nā aneurysms nui a i ʻole nā ​​mea e ulu wikiwiki ana. He pilikia lapaʻau koke ka haki ʻana e pono ai ka ʻoki kino koke. Maikaʻi, ʻoi aku ka liʻiliʻi o ka haki ʻana o nā aneurysms popliteal ma mua o nā aneurysms ma nā ʻāpana ʻē aʻe o ke kino.

Hiki i nā pilikia lōʻihi ke ulu i ka manawa inā emi ke kahe koko. Hiki i kou mau ʻiʻo wāwae ke nāwaliwali mai ke kahe koko maikaʻi ʻole, a hiki i nā ʻeha ma kou wāwae a i ʻole kou wāwae lalo ke hoʻōla mālie a i ʻole ʻaʻole loa.

Pehea e hiki ai ke pale ʻia ka Popliteal Artery Aneurysm?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā aneurysms popliteal artery a pau, ʻoi aku hoʻi nā mea i hoʻokumu ʻia e nā kumu genetic, hiki iā ʻoe ke hoʻemi nui i kou pilikia ma ka hoʻokele ʻana i nā kumu pilikia hiki ke hoʻokele ʻia. Ke nānā nei ka pale ʻana i ka mālama ʻana i kou mau arteries olakino a ikaika.

ʻO nā hoʻolālā pale ʻana maikaʻi loa e komo pū ana me ka haʻalele ʻana i ka puhi ʻana, ʻoiai ʻo ka hoʻohana ʻana i ka paka kekahi o nā kumu pilikia ikaika loa no ka hōʻino ʻana i ka artery. Inā puhi ʻoe, hiki i kāu kauka ke kōkua iā ʻoe e ʻimi i nā kumuwaiwai a me nā lāʻau lapaʻau e haʻalele ai me ka holomua. ʻOiai inā ua puhi ʻoe no nā makahiki, hiki i ka hoʻōki ʻana i kēia manawa ke pōmaikaʻi i kou olakino artery.

ʻO ka hoʻokele ʻana i kou koko kiʻekiʻe he mea nui like. Ke kau nei ke koko kiʻekiʻe i ka pilikia mau i nā paia artery, e hoʻolilo ana iā lākou i ka nāwaliwali a me ka puʻupuʻu. Hiki i ka hoʻoikaika kino maʻamau, ka ʻai olakino haʻahaʻa i ka sodium, a me nā lāʻau lapaʻau koko kiʻekiʻe i ka wā e pono ai ke kōkua i ka mālama ʻana i kou kaomi i kahi pae olakino.

Ke hoʻokele nei i nā kumu pilikia cardiovascular ʻē aʻe e kōkua pū ana. ʻO ia hoʻi ke hoʻokele ʻana i ka maʻi diabetes inā loaʻa iā ʻoe, ka mālama ʻana i kou mau pae cholesterol olakino, ka mālama ʻana i ka kaumaha olakino, a me ka noho ʻana i ka hana kino. Ke pōmaikaʻi nei kēia mau hoʻololi ola i kou mau arteries a pau, ʻaʻole wale nā ​​mea ma hope o kou mau kuli.

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā aneurysms a i ʻole nā ​​maʻi pūnaewele pili, e kūkākūkā i nā koho nānā me kāu kauka. ʻAe ka ʻike mua ʻana i ka nānā ʻana a me ka mālama ʻana ma mua o ka ulu ʻana o nā pilikia.

Pehea e hiki ai ke ʻike ʻia ka Popliteal Artery Aneurysm?

ʻO ka ʻike ʻana i kahi popliteal artery aneurysm e hoʻomaka pinepine me kāu kauka e ʻimi ana i kahi nui e pā ana ma hope o kou kuli i ka wā o ka nānā kino. Eia naʻe, ʻaʻole hiki ke ʻike ʻia nā aneurysms liʻiliʻi ma ka pā ʻana wale nō, no laila pono pinepine nā hoʻokolohua kiʻi no ka ʻike maopopo.

E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kou mau hōʻailona a me ka mōʻaukala lapaʻau, me nā mōʻaukala ʻohana o nā aneurysms. I ka wā o ka nānā kino, e nānā lākou i nā pulses i kou mau wāwae a me nā wāwae, e ʻimi i nā hōʻailona o ke kahe koko emi, a e ʻimi pono i ka wahi ma hope o kou kuli no nā pulsations a i ʻole nā ​​nui maʻamau ʻole.

ʻO ka hoʻokolohua ʻike pinepine loa kahi ultrasound, kahi e hoʻohana ai i nā nalu kani e hana i nā kiʻi o kou mau arteries. Hiki i kēia hoʻokolohua ʻeha ʻole ke hōʻike i ka nui a me ke ʻano o ka aneurysm a ana i ke kahe koko ma o ia. Hoʻohana pinepine ʻia ka ultrasound no ka ʻike mua ʻana a me ka nānā mau ʻana no ka mea palekana, ʻaʻole invasive, a ʻaʻole pono i kekahi hoʻomākaukau kūikawā.

No ka ʻike kikoʻī hou aku, hiki i kāu kauka ke kauoha i kahi CT scan a i ʻole MRI. Ke hāʻawi nei kēia mau hoʻokolohua i nā kiʻi maopopo o ka aneurysm a me nā ʻano kokoke, e kōkua ana i ka hoʻolālā ʻana i ka mālama inā pono. Inā manaʻo ʻia ka ʻoki kino, pono paha ʻoe i kahi angiogram, kahi e hoʻokomo ʻia ai ka waihoʻoluʻu contrast i kou mau arteries e hana i nā kiʻi X-ray kikoʻī.

I kekahi manawa, ʻike ʻia nā aneurysms popliteal ma ka manawa i nā hoʻokolohua no nā kūlana ʻē aʻe. He mea pōmaikaʻi kēia, ʻoiai e ʻae ana i ka nānā mua ʻana a me ka mālama ʻana ma mua o ka ulu ʻana o nā hōʻailona.

He aha ka mālama ʻana no ka Popliteal Artery Aneurysm?

Ke hilinaʻi nei ka mālama ʻana no nā aneurysms popliteal artery i ka nui o ka aneurysm, kou mau hōʻailona, ​​a me kou olakino holoʻokoʻa. Hiki ke nānā palekana ʻia nā aneurysms liʻiliʻi he nui, asymptomatic me nā nānā maʻamau, ʻoiai nā mea nui a i ʻole nā ​​mea symptomatic e pono ai ka hoʻoponopono ʻoki kino.

No nā aneurysms liʻiliʻi (ma lalo o 2 kenimika) me nā hōʻailona ʻole, e manaʻo paha kāu kauka i ka kali makaʻala. ʻO ia hoʻi nā hoʻokolohua ultrasound maʻamau i kēlā me kēia 6-12 mahina e nānā i ka nui o ka aneurysm a e nānā i nā hoʻololi. E loaʻa pū iā ʻoe nā lāʻau lapaʻau e hoʻokele i nā kumu pilikia e like me ke koko kiʻekiʻe a me ke cholesterol.

Ke lilo nei ka mālama ʻoki kino i mea pono i ka wā e nui ai nā aneurysms ma mua o 2 kenimika, e hoʻokumu ana i nā hōʻailona, ​​a i ʻole ke hōʻike nei i nā hōʻailona o nā pilikia. ʻO ke ala ʻoki kino maʻamau loa ka ʻoki bypass, kahi e hana ai kāu kauka i kahi ala hou no ke kahe koko a puni ka aneurysm me ka hoʻohana ʻana i kahi moku koko olakino mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole kahi graft synthetic.

ʻO ka hoʻoponopono endovascular kahi koho invasive liʻiliʻi no kekahi mau mea maʻi. I kēia kaʻina hana, ua hoʻokomo ʻia kahi stent graft (kahi tube uhi ʻia) ma o kahi ʻoki liʻiliʻi a waiho ʻia i loko o ka aneurysm e hoʻohuli i ke kahe koko. ʻO kēia ala e komo pinepine ana i kahi manawa hoʻōla pōkole ma mua o ka ʻoki kino maʻamau.

E noʻonoʻo kāu hui ʻoki kino i nā mea e like me kou mau makahiki, kou olakino holoʻokoʻa, kahi a me ka nui o ka aneurysm, a me ke kūlana o kou mau moku koko ʻē aʻe i ka wā e manaʻo ai i ke ala mālama maikaʻi loa no ʻoe.

Pehea e lawe ai i ka mālama home i ka wā o ka Popliteal Artery Aneurysm?

Ke nānā nei ka hoʻokele ʻana i kahi popliteal artery aneurysm ma ka home i ke kākoʻo ʻana i kou kahe koko holoʻokoʻa a me ka pale ʻana i nā pilikia. E hāʻawi kāu kauka i nā kuhikuhi kikoʻī ma muli o kou kūlana pilikino, akā hiki i kekahi mau kumu nui ke kōkua iā ʻoe e noho olakino.

ʻO ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia he mea nui. Hiki paha kēia ke komo pū me nā mea hoʻoheheʻe koko e pale aku i nā clots, nā lāʻau lapaʻau koko kiʻekiʻe e hoʻemi i ka pilikia i kou mau arteries, a i ʻole nā ​​lāʻau lapaʻau cholesterol-lowering e hoʻolohi i ka atherosclerosis. Mai hoʻōki a hoʻololi paha i kēia mau lāʻau lapaʻau me ka ʻole o ka nīnau ʻana i kāu kauka ma mua.

E noho ikaika i loko o nā manaʻo o kāu kauka. Hiki i ka hele wāwae maʻamau ke hoʻomaikaʻi i ke kahe koko a kōkua i ka pale ʻana i nā clots koko. E hoʻomaka mālie a hoʻonui mālie i kou pae hana e like me ka mea i ʻae ʻia. E pale i nā hana e hiki ke kau i ka pilikia nui i kou mau wāwae, e like me ka hāpai kaumaha a i ʻole nā ​​haʻuki kiʻekiʻe.

E nānā i kou mau wāwae i kēlā me kēia lā no nā hoʻololi i ke kala, ka mahana, a i ʻole ka manaʻo. E hōʻike koke i nā hōʻailona hou e like me ka ʻeha nui, ka pehu, a i ʻole ka numbness i kāu kauka. E mālama i kou mau wāwae i luna i ka wā e hoʻomaha ai e hoʻomaikaʻi i ke kahe koko, a e pale i ka noho ʻana a i ʻole ka kū ʻana i hoʻokahi kūlana no nā manawa lōʻihi.

E mālama i ka mālama wāwae maikaʻi ma ka mālama ʻana i kou mau wāwae maʻemaʻe a maloʻo, ka lole ʻana i nā kāmaʻa ʻoluʻolu, a me ka nānā ʻana i nā ʻoki a i ʻole nā ​​ʻeha e hoʻōla mālie ana. He mea nui ka kahe koko maikaʻi no ka hoʻōla ʻana o ka ʻeha, no laila pono e hoʻoponopono koke ʻia nā pilikia wāwae.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

Ke hoʻomākaukau nei no kāu manawa kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa a hāʻawi i kāu hui mālama ola i ka ʻike e pono ai lākou e hāʻawi iā ʻoe i ka mālama maikaʻi loa. Hiki i kahi hoʻomākaukau iki ke hana i kahi ʻokoʻa nui i ka pono o kāu manawa.

E kākau i kou mau hōʻailona a pau, me ka wā i hoʻomaka ai, ka mea e hoʻomaikaʻi a ʻoi aku ka ʻino paha, a pehea lākou e hoʻopilikia ai i kāu mau hana i kēlā me kēia lā. E kikoʻī e pili ana i kekahi ʻeha wāwae, pehu, a i ʻole nā ​​hoʻololi i ka manaʻo āu i ʻike ai. ʻO nā hōʻailona ʻaʻole pili paha he mea nui.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau āu e lawe nei, me nā lāʻau lapaʻau kuhikuhi, nā lāʻau lapaʻau ma luna o ka counter, a me nā mea hoʻohui. E komo pū me nā dosages a me ka pinepine o kāu lawe ʻana i kēlā me kēia. Inā hoʻohana ʻoe i nā hale kūʻai lāʻau lapaʻau he nui, e noʻonoʻo e lawe mai i kāu mau pahu lāʻau a pau e pale aku i ka nele i kekahi mea.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka. Hiki paha kēia ke komo pū me nā nīnau e pili ana i kāu mau koho mālama, nā palena hana, nā hōʻailona hōʻailona e nānā ai, a i ʻole ka wā e pono ai nā manawa hahai. E kākau i kēia mau mea ma mua e ʻaʻole ʻoe e poina i nā kumuhana nui i ka wā o kāu kipa.

Inā hiki, e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi i kāu manawa. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo i ka wā o nā kūkākūkā e pili ana i nā koho mālama. Hiki ke kōkua nui ka loaʻa ʻana o kekahi kanaka ʻē aʻe inā manaʻo ʻoe e hopohopo e pili ana i kāu ʻike.

He aha ka lawe nui e pili ana i ka Popliteal Artery Aneurysm?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i nā aneurysms popliteal artery ʻo ia ka mālama ʻia o nā kūlana i ka wā i ʻike pono ʻia a nānā ʻia. ʻOiai ʻo ka huaʻōlelo