Kilo Aorta

ʻO ka ʻoki kino o ke aʻa aorta kahi lāʻau lapaʻau no ka nui ʻana o kahi ʻāpana o ka aorta, i kapa ʻia hoʻi he aneurysm aorta. ʻO ka aorta ka moku koko nui e lawe ana i ke koko mai ka naʻau a i ke kino. ʻO ke aʻa aorta kahi e hoʻohui ai ka aorta a me ka naʻau. Hiki paha i nā aneurysms aorta kokoke i ke aʻa aorta ma muli o kahi kūlana hoʻoilina i kapa ʻia ʻo Marfan syndrome. ʻO nā kumu ʻē aʻe, ʻo ia nā kūlana naʻau i loaʻa mai ka hānau ʻana mai, e like me kahi valve kūpono ʻole ma waena o ka naʻau a me ka aorta.

Hāpai ka aneurism aortic i ka pilikia o nā hanana e hoʻoweliweli ana i ke ola. I ka hoʻonui ʻia ʻana o ka nui o ka aorta, piʻi ka pilikia o nā hanana cardiac. Hana pinepine ʻia ka ʻoki ʻana o ke aʻa aortic e pale aku i kēia mau kūlana: Ka haki ʻana o ka aorta. Ka haehae ma waena o nā papa o ka paia o ka aorta, i kapa ʻia ʻo ka dissection aortic. Ke kahe hou ʻana o ke koko i loko o ka naʻau, i kapa ʻia ʻo ka regurgitation aortic, ma muli o ka pani ʻole piha ʻana o ka valve. Hoʻohana pū ʻia ka ʻoki ʻana o ke aʻa aortic ma ke ʻano he lāʻau lapaʻau no ka dissection aortic a i ʻole nā ​​poho ʻē aʻe e hoʻoweliweli ana i ke ola i ka aorta.

ʻO nā pilikia o ka ʻokiʻoki o ke aʻa aorta he kiʻekiʻe maʻamau i hoʻohālikelike ʻia me nā ʻokiʻoki ʻē aʻe ʻaʻole pilikia. ʻO nā pilikia e komo pū ana: Ke kahe koko e pono ai ka ʻokiʻoki hou aku. Ka regurgitation aorta. Make. ʻOi aku ka kiʻekiʻe o nā pilikia ke hana ʻia ka ʻokiʻoki o ke aʻa aorta ma ke ʻano he lāʻau pilikia no ka dissection aorta a i ʻole ka rupture aorta. Hana ʻia ka ʻokiʻoki o ke aʻa aorta i ka wā e ʻoi aku ai ka pono o ka pale ʻana ma mua o nā pilikia o ka ʻokiʻoki.

Ho'okolokolo 'ia nā ho'okolokolo e ho'oholo ai i kou pilikia o ka dissection aortic a i 'ole ka rupture aortic. ʻO nā mea nui e komo pū ana: Ka nui o ke aʻa aortic. Ka wikiwiki o ka ho'onui 'ana i ka nui. Ke kūlana o ka valve ma waena o ka na'au a me ka aorta. Ke olakino laulā o ka na'au. Ho'ohana 'ia nā hopena o kēia mau ho'okolokolo e ho'oholo ai inā pono 'oe e hana i ka 'oki kino, i ka wā e hana ai 'oe, a me ke 'ano o ka 'oki kino e hana 'ia.

Aia kekahi mau ʻano o ka ʻoki kino o ke aʻa aorta, me kēia mau mea: Hoʻololi ʻia ka valve aorta a me ke aʻa. Ke kapa ʻia nei kēia hana ʻo ka hoʻololi ʻana i ke aʻa aorta hui pū. E wehe ke kauka lapaʻau i kahi hapa o ka aorta a me ka valve aorta. A laila, e pani ke kauka lapaʻau i ka ʻāpana o ka aorta me kahi paipu hana, i kapa ʻia ʻo ka graft. E pani ʻia ka valve aorta me kahi valve mīkini a i ʻole valve ola. Pono kēlā me kēia kanaka i loaʻa kahi valve mīkini e lawe i ka lāʻau lapaʻau e hoʻonui ai i ke koko no ke ola e pale aku ai i nā clots koko. Ke kapa ʻia nei nā lāʻau lapaʻau e hoʻonui ai i ke koko he mau mea hoʻonui koko a i ʻole anticoagulants. Hoʻoponopono ʻia ka valve-sparing aortic root. E pani ke kauka lapaʻau i ka ʻāpana nui o ka aorta me kahi graft. E noho mau ana ka valve aorta ma kona wahi. Ma kekahi ʻano, e humuhumu ke kauka lapaʻau i ka valve i loko o ka graft. Inā loaʻa iā ʻoe kekahi kūlana naʻau ʻē aʻe, hiki i kāu kauka lapaʻau ke mālama iā ia i ka manawa like me ka ʻoki kino o ke aʻa aorta.