He aha ka Aneurysm Aorta Thoracic? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka aneurysm aorta thoracic kahi ʻāpana pupu a i ʻole e pehu ana i loko o kou aorta, ka moku nui e lawe ana i ke koko mai kou naʻau ma o kou umauma. E noʻonoʻo iā ia e like me kahi wahi nāwaliwali i loko o ka hose māla e hoʻolōʻihi mālie ana i waho ma mua o ka manawa.

Hoʻomohala kēia kūlana i ka wā e nāwaliwali ai ka paia o kou aorta a ʻaʻole hiki ke mālama i kona ʻano maʻamau ma lalo o ke kaomi o ke kahe koko. ʻOiai ke kani nui nei, nui nā kānaka e noho ana me nā aneurysms liʻiliʻi me ka ʻike ʻole ʻana iā lākou, a me ka nānā pono a me ka mālama, hiki ke hoʻokele pono ʻia ka hapa nui.

He aha ka Aneurysm Aorta Thoracic?

ʻO kou aorta ka moku nui loa o kou kino, ma ka laulā o ka hose māla i nā mākua olakino. Hana ʻia ka aneurysm aorta thoracic i ka wā e nāwaliwali ai kahi ʻāpana o kēia moku koʻikoʻi i loko o kou wahi umauma a hoʻonui aku ma mua o kona nui maʻamau.

ʻEkolu ʻāpana nui o ka aorta thoracic kahi e hiki ai i nā aneurysms ke hoʻomohala. Aia ka aorta piʻi ma luna pono o kou naʻau, ke kūlou ka aortic arch ma luna, a holo ka aorta iho i lalo ma o kou umauma. Hāʻawi kēlā me kēia wahi i kāna mau manaʻo no ka lapaʻau a me ka nānā.

ʻO ka hapa nui o nā aneurysms aorta thoracic e ulu mālie ana i nā makahiki a i ʻole nā ​​decades. ʻAʻole wale ka nui ka mea hopohopo, akā ʻo ka pilikia e hiki ai i ka paia nāwaliwali ke haehae a i ʻole ke haki inā lilo ia i nui loa a i ʻole e ulu wikiwiki loa.

He aha nā Hōʻailona o ka Aneurysm Aorta Thoracic?

Nui nā aneurysms aorta thoracic ʻaʻole i loaʻa nā hōʻailona, ​​ʻoi aku hoʻi i ka wā liʻiliʻi lākou. ʻO ia ke kumu i kapa ʻia ai lākou i kekahi manawa he mau kūlana

• ʻEha hohonu, e like me ka ʻeha ma ka umauma e hiki ke pālahalaha i kou kua
• Pōkole o ka hanu a i ʻole ka pilikia o ka hanu hohonu
• Kūmau ka ʻōhū ʻaʻole pane i nā lāʻau lapaʻau maʻamau
• Leo ʻāwīwī a i ʻole loli o ka leo mai ke kaomi ʻana ma nā aʻalolo
• Paʻakikī ke ʻai, ʻoi aku hoʻi nā meaʻai paʻakikī
• ʻEha ma waena o kou mau poʻohiwi

I nā hihia kakaikahi, hiki i nā aneurysms nui ke hoʻokumu i nā hōʻailona kikoʻī hou aku. Hiki iā ʻoe ke ʻike i ka pehu ma kou maka, ka ʻāʻī, a i ʻole nā lima inā e kaomi ka aneurysm i nā veins nui. Loaʻa i kekahi poʻe kahi manaʻo pulu ma ko lākou umauma a i ʻole ka ʻāʻī.

He mea nui e hoʻomaopopo i ka ʻeha koke a nui ma ka umauma a i ʻole ke kua hiki ke hōʻike i kahi pilikia olakino. Inā ʻike ʻoe i ka ʻeha ʻāwīwī ikaika e hele mai koke ana, pono kēia i ka mālama olakino koke no ka mea hiki ke hōʻailona i ka haki a i ʻole ka dissection.

He aha nā ʻAno o ka Thoracic Aortic Aneurysm?

Hoʻokaʻawale ʻia nā aneurysms aortic thoracic ma muli o kahi e loaʻa ai i loko o kou umauma a me ko lākou ʻano. Ke hoʻomaopopo nei i kēia mau ʻokoʻa e kōkua i kāu hui lapaʻau e hoʻoholo i ke ala maikaʻi loa no ka nānā ʻana a me ka mālama ʻana.

Ma ka wahi, aia he ʻekolu ʻano nui. Hoʻomohala ʻia nā aneurysms aortic ascending ma ka ʻāpana kokoke loa i kou naʻau a ʻo ia ka ʻano maʻamau loa. Loaʻa nā aneurysms aortic arch ma ka ʻāpana kūlou ma luna, ʻoiai nā aneurysms thoracic descending e hoʻokumu ʻia ma ka ʻāpana e holo ana i lalo ma kou umauma.

Ma ke ʻano, hiki i nā aneurysms ke fusiform a saccular paha. Hoʻopili nā aneurysms fusiform i ka puni holoʻokoʻa o ka artery, e hana ana i kahi bulge i ʻano pōpeku. Hoʻopili nā aneurysms saccular mai ka ʻaoʻao hoʻokahi wale nō o ka paia artery, e like me kahi pōpō liʻiliʻi i hoʻopili ʻia i ka moku.

Hoʻomohala kekahi poʻe i ka mea i kapa ʻia ʻo ka thoracoabdominal aneurysm, kahi e hoʻolōʻihi ai mai ka umauma i lalo i ka ʻōpū. Pono kēia mau mea i ka mālama kūikawā ma muli o ko lākou nui a me ka nui o nā arteries nui e pili ana paha.

He aha ka mea e hoʻokumu ai i ka Thoracic Aortic Aneurysm?

He nui nā kumu e hiki ai ke nāwaliwali kou paia aorta i ka hala ʻana o ka manawa, e alakaʻi ana i ka hoʻokumu ʻana o ka aneurysm. ʻO ke kumu maʻamau loa ka ʻiliʻili mālie a me ka haehae ʻana i ka paia artery, pinepine e pili ana i ka ʻelemakule a me ke koko kiʻekiʻe lōʻihi.

Eia nā kumu nui a me nā kumu kōkua:

• Ke koko kiʻekiʻe e kau nei i ka pilikia hou aku ma nā paia artery ma nā makahiki he nui
• Atherosclerosis, kahi e kūkulu ai nā waihona momona a hoʻonāwaliwali i nā paia kīʻaha
• Nā maʻi pilikua genetic connective e like me ka maʻi Marfan a i ʻole ka maʻi Ehlers-Danlos
• Bicuspid aortic valve, kahi hemahema valve naʻau i loaʻa mai ka hānau ʻana
• Mōʻaukala ʻohana o nā aneurysms aortic a i ʻole nā dissections
• Trauma mua a i ʻole ka hōʻeha ʻana i ka wahi umauma
• Kekahi mau maʻi e hiki ke hoʻonāwaliwali i ka paia aortic

ʻAʻole pinepine, nā kūlana inflammatory e like me ka giant cell arteritis a i ʻole Takayasu arteritis e hiki ke hōʻino i ka paia aortic. Hoʻomohala kekahi poʻe i nā aneurysms ma hope o ka ʻoki kino naʻau, ʻoiai he mea maʻamau kēia me nā ʻenehana ʻoki hou.

He kuleana nui ka makahiki, me ka nui o nā aneurysms aortic thoracic e ulu ana i nā kānaka ma luna o 60. Eia naʻe, ʻo ka poʻe me nā kūlana genetic a i ʻole nā ​​​​bicuspid aortic valves e hiki ke hoʻomohala i nā aneurysms i nā makahiki ʻōpio, i kekahi manawa ma ko lākou mau makahiki 20 a i ʻole 30.

I ka wā e ʻike ai i ke Kauka no ka Thoracic Aortic Aneurysm?

Pono ʻoe e hoʻokaʻaʻike i kāu mea lawelawe ola kino inā loaʻa iā ʻoe ka ʻeha umauma mau, ʻoi aku inā he hohonu a ʻeha paha a hoʻolōʻihi i kou kua. ʻOiai he nui nā kūlana e hiki ke hoʻokumu i ka ʻoluʻolu ʻole o ka umauma, he mea naʻauao mau ka loiloi ʻana iā ia me ka ʻoihana.

Hoʻonohonoho i kahi manawa inā hoʻomohala ʻoe i ka hanu pōkole mau me ka ʻole o ke kumu maopopo, ka maʻi ʻōhū mau ʻaʻole e hoʻomaikaʻi, a i ʻole nā ​​hoʻololi leo e mau ana ma mua o kekahi mau pule. Hiki i kēia mau hōʻailona ke hōʻike i ka ulu ʻana o ka aneurysm a me ka hoʻopili ʻana i nā ʻano kokoke.

E hele koke i ka mālama pilikia inā loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ke kua e hōʻea koke mai ana, a me ka ʻeha e like me ka haehae a i ʻole ka haehae. Hiki i kēia ʻano ʻeha, ʻoi aku hoʻi inā hele mai me ka hou, ka luaʻi, a i ʻole ka pilikia o ka hanu, ke hōʻike i ka haki a i ʻole ka dissection e weliweli ana i ke ola.

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā aneurysms aortic a i ʻole nā kūlana genetic i ʻike ʻia e like me ka maʻi Marfan, e kūkākūkā i nā koho hōʻoia me kāu kauka ʻoiai inā ʻoluʻolu ʻoe. Hiki i ka ʻike mua ma o ka nānā kiʻi maʻamau ke ola.

He aha nā kumu pilikia no ka Thoracic Aortic Aneurysm?

Hiki i ka hoʻomaopopo ʻana i kāu mau kumu pilikia ke kōkua iā ʻoe a me kāu hui olakino e hoʻoholo pono e pili ana i ka hōʻoia a me ka pale ʻana. Aia kekahi mau kumu pilikia ʻaʻole hiki iā ʻoe ke hoʻololi, ʻoiai aia kekahi mau mea i loko o kou mana e hoʻololi.

ʻO nā kumu pilikia hiki ʻole ke hoʻololi ʻia e komo pū me kou mau makahiki, me ka hoʻonui ʻana o ka pilikia ma hope o 60, a me kou wahine kino, ʻoiai ʻoi aku ka nui o nā kāne i loaʻa i nā aneurysms aortic thoracic ma mua o nā wāhine. ʻO ka loaʻa ʻana o ka mōʻaukala ʻohana o nā aneurysms a i ʻole nā kūlana genetic e like me ka maʻi Marfan e hoʻonui nui hoʻi i kou pilikia.

Eia nā kumu pilikia nui e makaʻala ai:

• Ke koko kiʻekiʻe, ʻoi aku hoʻi inā hoʻokele maikaʻi ʻole ʻia no nā makahiki he nui
• Paka, ka mea e hōʻino ai i nā paia o nā kīʻaha koko a hoʻokūkū i ka ulu ʻana o ka aneurysm
• Mōʻaukala ʻohana o nā aneurysms aortic a i ʻole ka make koke o ka naʻau
• Nā maʻi pilikino pilikino
• Bicuspid aortic valve a i ʻole nā kūlana naʻau congenital ʻē aʻe
• Trauma umauma mua a i ʻole ka hōʻeha
• Kekahi mau kūlana autoimmune a i ʻole inflammatory

Aia kekahi mau mea e kahaha paha iā ʻoe e komo pū me ka hoʻohana ʻana i ka cocaine, ka mea hiki ke hoʻokumu i nā piʻi koke i ke koko, a me kekahi mau maʻi e like me ka syphilis a i ʻole ka maʻi tuberculosis e hiki ke hoʻonāwaliwali i ka paia aortic i ka manawa.

ʻO ka mea maikaʻi, ʻo ka mālama ʻana i nā kumu pilikia hiki ke kaohi ʻia e like me ke koko kiʻekiʻe a me ka haʻalele ʻana i ka puhipaka, hiki ke hoʻomāmā nui i ka ulu ʻana o ka aneurysm a hoʻemi i kou pilikia cardiovascular holoʻokoʻa.

He aha nā pilikia hiki ke loaʻa i ka Thoracic Aortic Aneurysm?

ʻO ka pilikia koʻikoʻi loa, ʻo ia ka haehae ʻana, kahi e haehae loa ai ka paia kīʻaha nāwaliwali. He pilikia ola kēia e pono ai ka ʻoki kino koke, akā, maikaʻi, he mea maʻamau ʻole ia me ka nānā pono a me ka mālama koke.

ʻO ka aortic dissection kekahi pilikia nui kahi e haehae ai ka papa o loko o ka paia kīʻaha, e hana ana i kahi ala hewa no ke kahe koko. Hiki koke kēia a hiki ke hoʻoulu i ka ʻeha nui, akā me ka hoʻoponopono lapaʻau wikiwiki, nui nā kānaka e ola maikaʻi.

ʻOi aku ka nui o nā pilikia e ulu mālie ana i ka ulu ʻana o ka aneurysm:

• Ke komo ʻana o nā ʻāpana kokoke e hoʻoulu ai i ka pilikia hanu
• Ke kaomi ʻana i ka esophagus e alakaʻi ai i nā pilikia ʻai
• Loli leo mai ke kaomi ʻana i ka recurrent laryngeal nerve
• Ke hoʻokumu ʻana o nā clots koko i loko o ka aneurysm e hiki ke hele i nā wahi ʻē aʻe
• Nā pilikia valve naʻau inā hoʻopilikia ka aneurysm i ka wahi valve

I nā hihia maʻamau ʻole, hiki i nā aneurysms nui loa ke komo i nā veins nui, e hoʻoulu ai i ka pehu ʻana i ka maka, ka ʻāʻī, a i ʻole nā ​​lima. Loaʻa i kekahi poʻe ka superior vena cava syndrome, kahi e pono ai ka mālama koke e hoʻihoʻi i ke kahe koko maʻamau.

Me ka nānā mau a me ka mālama kūpono, hiki ke pale ʻia a mālama ʻia ka nui o kēia mau pilikia. E nānā kāu hui olakino no nā hōʻailona o ka ulu ʻana a i ʻole ka loli e hōʻike paha i ka pilikia nui.

Pehea e hiki ai ke pale ʻia ka Thoracic Aortic Aneurysm?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā thoracic aortic aneurysms a pau, ʻoi aku hoʻi nā mea e pili ana i nā kumu genetic, hiki iā ʻoe ke lawe i nā ʻanuʻu koʻikoʻi e hoʻemi i kou pilikia a hoʻomāmā i ka ulu ʻana o nā aneurysms i loaʻa.

ʻO ka mālama ʻana i kou koko ke ʻano pale nui loa. Ke hoʻokau nei ke koko kiʻekiʻe i ka pilikia mau i nā paia o kou mau ʻāpana koko, no laila, ʻo ka mālama pono ʻana iā ia e hiki ai ke hoʻemi nui i kou pilikia o ka loaʻa ʻana o ka aneurysm a i ʻole e hoʻomāmā i kona ulu ʻana inā loaʻa iā ʻoe.

Eia nā ʻano pale nui:

• Mālama i ke koko olakino ma o ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau inā pono
• E haʻalele loa i ka puhipaka, no ka mea, ke hoʻoikaika nei ka hoʻohana ʻana i ka paka i ka ulu ʻana o ka aneurysm
• E hoʻoikaika kino mau, akā e pale i ka hāpai kaumaha nui inā loaʻa iā ʻoe kahi aneurysm i ʻike ʻia
• ʻAi i ka ʻai olakino naʻau momona i nā hua, nā huaʻai, a me nā huaola holoʻokoʻa
• Mālama i ke kaumaha ma o nā ʻano hoʻomaha a i ʻole ka ʻōlelo aʻo
• E lawe mau i nā lāʻau i kuhikuhi ʻia, ʻoi aku hoʻi nā lāʻau lapaʻau koko

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o nā aneurysms a i ʻole nā ​​kūlana genetic, hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i kou mau pilikia a hana i nā hoʻoholo naʻauao e pili ana i ka nānā ʻana a me nā hoʻololi ʻana i ke ola.

ʻO nā nānā maʻamau me kāu mea mālama ola e hiki ai ke ʻike mua a me ka nānā ʻana. Inā loaʻa iā ʻoe nā mea pilikia, e kūkākūkā inā kūpono paha ka nānā ʻana i nā kiʻi no kou kūlana.

Pehea ka hōʻoia ʻana o ka Thoracic Aortic Aneurysm?

Ua ʻike ʻia nā aneurysms aortic thoracic he nui ma ka manawa like i nā hoʻokolohua kiʻi i kauoha ʻia no nā kumu ʻē aʻe. Hiki i kāu kauka ke loaʻa i hoʻokahi ma ka X-ray umauma, CT scan, a i ʻole MRI i hana ʻia e noiʻi i nā hōʻailona ʻē aʻe a i ʻole ma ke ʻano he ʻāpana o ka mālama maʻamau.

Inā manaʻo kāu kauka he aneurysm paha kāu ma muli o kāu mau hōʻailona a i ʻole nā ​​mea pilikia, e kauoha paha lākou i nā hoʻokolohua kiʻi kūikawā. Hāʻawi ka CT scan me ka contrast i nā kiʻi kikoʻī o kāu aorta a hiki ke ana pololei i ka nui a me ka wahi o kekahi aneurysm.

ʻO ka hana hoʻomaopopo maʻamau he mau ʻanuʻu. E lawe mua kāu kauka i ka moʻolelo lapaʻau kikoʻī, e nīnau ana i kāu mau hōʻailona, ​​moʻolelo ʻohana, a me nā mea pilikia. E hana lākou i kahi hoʻokolokolo kino, e hoʻolohe ana i kou naʻau a e nānā ana i nā leo a i ʻole nā ​​pāheʻe kūpono ʻole.

ʻO nā hoʻokolohua hoʻomaopopo maʻamau e komo pū ana i nā kiʻi CT umauma, kahi e hāʻawi ai i nā kiʻi kikoʻī loa, a me nā echocardiograms, kahi e hiki ai ke loiloi i nā aneurysms kokoke i kou naʻau. Hāʻawi nā kiʻi MRI i nā kikoʻī maikaʻi loa me ka ʻole o ka hoʻolaha ʻana, ʻoiai paha e hōʻike nā X-ray umauma i nā aneurysms nui akā hiki ke hala nā mea liʻiliʻi.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka hoʻokolohua genetika inā manaʻo lākou he kūlana hoʻoilina. He waiwai kēia ʻike no kāu mālama a me ka ʻike olakino o nā lālā o kou ʻohana.

He aha ka lāʻau lapaʻau no ka Thoracic Aortic Aneurysm?

Aia ka lāʻau lapaʻau ma nā mea he nui e like me ka nui o kāu aneurysm, pehea ka wikiwiki o ka ulu ʻana, kou olakino holoʻokoʻa, a me ka wahi i loko o kou aorta. Hoʻomaʻamaʻa wale nā ​​aneurysms liʻiliʻi, kūpaʻa i ka nānā mau ʻana, ʻoiai paha e pono ai ka hana ʻoki no nā mea nui.

No nā aneurysms liʻiliʻi, ʻo ka kali me ka nānā mau ʻana i nā kiʻi pinepine ka ʻano maikaʻi loa. E ʻōlelo maʻamau kāu kauka i nā hoʻokolohua CT a i ʻole MRI i kēlā me kēia 6 a 12 mau mahina e nānā i ka ulu ʻana, me nā lāʻau lapaʻau e kaohi i ke koko a hoʻemi i ke kaumaha ma ka paia o ke artery.

E pono nā koho hana ʻoki ke hiki i nā aneurysms i kekahi mau nui a i ʻole e hōʻike i ka ulu wikiwiki:

• Hoʻoponopono ʻoki ākea, kahi i pani ʻia ai ka ʻāpana nāwaliwali me kahi graft synthetic
• Endovascular stent grafting, kahi hana liʻiliʻi e hoʻohana ana i kahi stent uhi ʻia
• Nā hana hybrid e hui pū ana i nā ʻenehana ākea a me nā endovascular
• Hana ʻoki pilikia no ka haki a i ʻole ka dissection

ʻO ka hoʻoholo no ka ʻoki kino e hele mai maʻamau i ka wā e hiki ai i nā aneurysms e piʻi ana i 5.5 cm a i ʻole nā aneurysms e iho ana i 6.5 cm i ke anawaena. Eia naʻe, pono paha i nā kānaka me nā kūlana genetic ka ʻoki kino ma nā nui liʻiliʻi ma muli o ka nui o ka pilikia o ka haki.

E noʻonoʻo kāu hui ʻoki kino i kou mau makahiki, olakino holoʻokoʻa, a me ka lōʻihi o ke ola i ka wā e ʻōlelo ai i ka mālama. Loaʻa i nā ʻenehana ʻoki kino hou nā helu holomua maikaʻi loa, me ka hoʻi ʻana o ka hapa nui o nā kānaka i nā hana maʻamau i loko o kekahi mau mahina.

Pehea e lawe ai i ka mālama home i ka wā o ka Thoracic Aortic Aneurysm?

ʻO ka mālama ʻana i ka thoracic aortic aneurysm ma ka home e kau nui ana i ka pale ʻana i kou ʻāʻī mai ka pilikia hou a me ka mālama ʻana i kou olakino cardiovascular holoʻokoʻa. ʻO ka pahuhopu, ʻo ia ka hana ʻana i nā kūlana e hoʻomāmā a pale aku paha i ka ulu hou aku.

ʻO ka mālama ʻana i ke koko kou hana nui i kēlā me kēia lā. E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻia, e nānā i kou koko maʻamau inā ʻōlelo ʻia, a e mālama i kahi moʻolelo e kaʻana like me kāu hui olakino. ʻO nā hoʻomaikaʻi iki loa i ka kaohi koko e hiki ke hana i kahi ʻokoʻa nui.

Eia nā ʻano mālama home nui:

• E lawe i nā lāʻau lapaʻau a pau e like me ke kuhikuhi ʻia, ʻoiai nā lāʻau lapaʻau koko
• E pale i ka hāpai kaumaha, ka hoʻoikaika, a i ʻole nā hana e hoʻokumu ai i ka paʻa hanu
• E nānā i kou koko maʻamau a e hoʻopaʻa i nā helu
• E hahai i ka ʻai olakino naʻau, haʻahaʻa paʻakai
• E komo i ka hoʻoikaika māmā, maʻamau e like me ka ʻae ʻana a kāu kauka
• E hoʻomaʻamaʻa i nā ʻano hoʻokele kaumaha e like me ka hanu hohonu a i ʻole ka noʻonoʻo
• E pale i nā mea hoʻoulu e like me ka caffeine nui a i ʻole nā mea inu ikehu

E makaʻala i kou kino a e hōʻike koke i nā hōʻailona hou a i ʻole nā ​​hōʻailona e loli ana. E mālama i kahi papa inoa o nā hōʻailona pilikia ma kahi maʻalahi e hiki ai i nā lālā o ka ʻohana ke ʻike i ka wā e ʻimi ai i ka mālama pilikia.

Hoʻokumu i kahi pūnaewele kākoʻo o nā ʻohana a me nā hoaaloha e hoʻomaopopo ana i kou kūlana. ʻO ka loaʻa ʻana o nā kānaka e hiki ke kōkua i nā hana o kēlā me kēia lā i ka wā hoʻōla a i ʻole e hāʻawi i ke kākoʻo manaʻo, he mea nui ia i kou olakino holoʻokoʻa.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā lāʻau lapaʻau?

ʻO ka hoʻomākaukau maikaʻi ʻana no kāu mau kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama lapaʻau piha loa. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, ʻoiai nā mea i ʻike ʻole ʻia, me ka wā i hoʻomaka ai lākou a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha.

E ʻohi i kāu mau moʻolelo lapaʻau, ʻoi aku hoʻi nā haʻawina kiʻi mua o kou umauma a i ʻole naʻau. Inā ua hana ʻia nā hoʻokolohua ma nā wahi like ʻole, e ho'āʻo e kiʻi i nā kope i hiki i kāu kauka ke hoʻohālikelike i nā hopena ma mua o ka manawa a me ka hahai ʻana i nā loli.

E hana i kahi papa inoa piha e lawe pū me ʻoe:

• Nā lāʻau lapaʻau āpau i kēia manawa, me nā nui a me ka pinepine o kāu lawe ʻana
• Kāu mōʻaukala lapaʻau ʻohana, ʻoi aku hoʻi nā kūlana naʻau a i ʻole nā ​​make koke
• Kekahi mau hōʻailona āu i ʻike ai, me nā lā a me nā kūlana
• Nā nīnau āu e makemake ai e nīnau e pili ana i kou kūlana a me nā koho mālama
• Kāu mau helune ʻana o ke koko inā ʻoe e nānā ma ka home

E noʻonoʻo e pili ana i kou ʻano ola a e mākaukau e kūkākūkā i kou mau hana hoʻoikaika kino, nā pae kaumaha, a me kekahi hoʻohana paka a waiʻona paha me ka ʻoiaʻiʻo. Pono kāu kauka i ka ʻike piha e hāʻawi i nā ʻōlelo aʻoaʻo maikaʻi loa no kou kūlana.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha i nā kūkā nui. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia a hāʻawi i ke kākoʻo manaʻo, ʻoi aku hoʻi i ka wā e kūkākūkā ana i nā koho mālama a i ʻole nā ​​​​ʻōlelo aʻoaʻo ʻoki kino.

He aha ka lawe nui e pili ana i ka Aneurysm Thoracic Aortic?

ʻO ka mea nui loa e hoʻomaopopo ai, ʻo ia ka hiki ke mālama ʻia nā aneurysms aortic thoracic inā loaʻa koke a nānā pono ʻia. ʻOiai paha e manaʻo nui ʻia ka maʻi i ka hoʻomaka, nui nā kānaka e ola piha a hana i ke ola me ka mālama lapaʻau kūpono.

ʻO ka ʻike mua ʻana a me ka mālama hoʻomau mau ka mea kōkua nui loa iā ʻoe. ʻAʻole pinepine nā aneurysms liʻiliʻi i nānā pono ʻia e hoʻopilikia, a hiki ke mālama holomua ʻia nā aneurysms nui aʻe me nā ʻenehana ʻoki hou i ka wā e pono ai ka hana.

E nānā i nā mea hiki iā ʻoe ke kaohi: ka lawe ʻana i nā lāʻau e like me ke kauoha ʻia, ka mālama ʻana i ke koko maikaʻi, ka pale ʻana i ka puhipaka, a me ka noho ʻana i ka hana ma lalo o nā kuhikuhi a kāu kauka. ʻAʻole wale kēia mau ʻanuʻu e kōkua i ka mālama ʻana i kāu aneurysm, akā e hoʻomaikaʻi pū i kou olakino cardiovascular holoʻokoʻa.

E hoʻomanaʻo he hui kēia ma waena ou a me kāu poʻe lawelawe olakino. ʻO ke kamaʻilio ākea e pili ana i nā hōʻailona, nā hopohopo, a me nā mea pili i ke ola e kōkua iā ʻoe e loaʻa ka mālama kūpono loa no kou kūlana pilikino.

Nā Nīnau Pinepine e pili ana i ka Thoracic Aortic Aneurysm

Hiki iaʻu ke hoʻoikaika inā loaʻa iaʻu ka thoracic aortic aneurysm?

ʻAe, hiki i ka hapanui o nā kānaka me nā aneurysms aortic thoracic ke hoʻoikaika, akā ʻo ke ʻano a me ka ikaika e hilinaʻi ana i ka nui a me ka wahi o kāu aneurysm. ʻO ka hele wāwae, ka ʻauʻau, a me ka hoʻoikaika cardiovascular māmā ka mea palekana a maikaʻi pinepine. Eia naʻe, pono ʻoe e pale i ka hāpai kaumaha nui, nā haʻuki pili, a i ʻole nā ​​hana e pili ana i ka hoʻoikaika a i ʻole ka paʻa ʻana o kou hanu, ʻoiai hiki i kēia ke hoʻokumu i nā piʻi pōʻino i ke koko.

E pono anei ka ʻoki ʻana i kaʻu thoracic aortic aneurysm?

ʻAʻole pono. Nui nā aneurysms liʻiliʻi e mau loa i nā makahiki a pono wale nō ka nānā mau ʻana me nā hoʻokolohua kiʻi. Hoʻomaka ʻia ka ʻoki kino ke hiki i nā aneurysms i nā palena nui, ulu wikiwiki, a i ʻole e hoʻoulu i nā hōʻailona. Noʻonoʻo kāu kauka i nā mea he nui e komo pū ana i kou makahiki, ke olakino holoʻokoʻa, a me nā ʻano o ka aneurysm i ka wā e hana ai i nā ʻōlelo aʻo no ka ʻoki kino.

He hoʻoilina anei ka aneurysm aortic thoracic?

Loaʻa i kekahi mau aneurysms aortic thoracic kahi ʻāpana genetic, ʻoi aku hoʻi nā mea i pili pū me nā kūlana e like me ka maʻi Marfan, ka valve aortic bicuspid, a i ʻole ka mōʻaukala ʻohana o nā aneurysms. Inā loaʻa iā ʻoe kahi hoahānau mua me ka aneurysm aortic, hiki i kāu kauka ke ʻōlelo aku i ka ʻōlelo aʻo genetic a me ka nānā ʻana. Eia naʻe, nui nā aneurysms e ulu ana ma muli o nā mea ʻē aʻe e like me ke koko kiʻekiʻe a me ka ʻelemakule.

Pehea pinepine wau e pono ai i nā hoʻokolohua kiʻi hoʻomau?

Aia ke alapine ma ka nui a me ka wikiwiki o ka ulu ʻana o kāu aneurysm. ʻO nā aneurysms liʻiliʻi a paʻa, pono pinepine nā kiʻi i kēlā me kēia mahina 6 a 12, ʻoiai nā mea nui a i ʻole nā ​​mea e hōʻike ana i ka ulu ʻana e pono ai ka nānā pinepine i kēlā me kēia mahina 3 a 6. E hana kāu kauka i kahi papa hana kiaʻi pilikino e pili ana i kou kūlana kūikawā a me nā pilikia.

Hiki i nā lāʻau lapaʻau ke hoʻemi i kaʻu aneurysm aortic thoracic?

ʻAʻole hiki i nā lāʻau lapaʻau o kēia manawa ke hoʻemi i nā aneurysms i loaʻa, akā hiki iā lākou ke hoʻomāmā a hoʻopau i ka ulu ʻana. He mea nui loa nā lāʻau lapaʻau koko no ka hoʻemi ʻana i ka pilikia ma ka paia o ka artery. Hōʻike kekahi noiʻi i ka hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka hoʻopaʻa ʻana i nā aneurysms, akā ʻo nā pahuhopu nui o ka mālama ʻana i ka lāʻau lapaʻau ʻo ka kaohi ʻana i ke koko a me ka hoʻemi ʻana i nā pilikia cardiovascular.