ʻO ka aneurysm ka pehu o ka paia o ke aʻa, ʻo ka haki ʻana e alakaʻi ai i ka hemorrhage, me ka makaʻu o ka make. Hiki iā ia ke hoʻopili i nā lālā like ʻole e like me nā puʻupaʻa, ka puʻuwai a i ʻole ka lolo.

Ka wehewehe ʻana o ka aneurysm

Hoʻohālikelike ʻia kahi aneurysm e kahi hernia i loko o ka paia o kahi aʻa, e hopena ai i ka nāwaliwali o ka hope. Hiki i nā Aneurysms ke noho hāmau a haki paha, e hoʻomaka ana i nā pilikia olakino koʻikoʻi a i ʻole ka make.

Hiki i kahi aneurysm ke hana i nā aʻa nui e like me nā mea e hāʻawi i ke koko i ka lolo a me nā aorta.

Hiki i kahi aneurysm ke hana i nā aʻa ākea - maʻamau ma hope o ke kuli - ʻoiai he kakaikahi loa ka haki o kēia mau mea.

ʻO nā wahi nui ʻelua no nā aneurysms:

I ke aʻa e waiho pololei i ka puʻuwai: he aneurysm aortic ia. Aia pū me ka aneurysm o kaaorta kōkō a me ka aneurysm o kaaorta ʻōpū.

I ke aʻa e hoʻolako i ka lolo: he aneurysm cerebral, i kapa pinepine ʻia he aneurysm intracranial.

Aia kekahi ʻano o nā aneurysms e like me nā mea e hoʻopili ana i ke aʻa mesenteric (e hoʻopili ana i ke aʻa e hānai i ka ʻōpū) a me nā mea e hoʻopili ana i nā aʻa splenic a me nā hanana.

E pili ana i ka cerebral aneurysm, hiki i ka hope ke hoʻokahe a i ʻole ka haki o ke koko, e hoʻokahe ana i ka lolo i ka lolo: ʻōlelo kekahi a lailahahauʻana ʻano hemorrhagic. ʻO ka hapanui o ka manawa ka aneurysm o ka lolo mai kahi moku ruptured i ka manawa ma waena o ka lolo a me nā aʻa (meninges) e uhi ana i ka lolo. Kapa ʻia kēia ʻano hemorrhagic stroke he subarachnoid hemorrhage. ʻO ka hapa nui o nā aneurysms o ka lolo, eia nō naʻe, ʻaʻole e haki. ʻOi aku ka maʻamau o ka aneurysms lolo i nā mākua ma mua o nā keiki a ʻoi aku ka maʻamau o nā wahine ma mua o nā kāne.

Nā kumu o ka aneurysm ruptured

Pehea e hana ai i nā aneurysms?

ʻO ka pehu ʻana i loko o ke aʻa kahi hopena o ka lahilahi o kona paia, i hiki ai i ke kaomi koko ke hoʻonui ākea i ka paia arterial.

Lawe ʻia kahi aneurysm aortic i ke ʻano o ka puʻupuʻu e like me ka puni o ke aʻa, akā ʻo ka aneurysm cerebral ma kahi o ka hopena o kahi puʻupuʻu e lawe i ke ʻano o kahi ʻeke, ma kahi mau kahi nāwaliwali loa nā aʻa.

ʻO nā aneurysms lolo i wāwahi ʻia ke kumu maʻamau o kahi ʻano o ka hahau i ʻike ʻia ma ke ʻano he hemorrhage subarachnoid. ʻOi aku ka maʻamau o kēia ʻano hahau ma mua o ka hahau ʻana o ka ischemic.

No ke aha e ulu ai nā aneurysms?

ʻAʻole maopopo maopopo i ke kumu e nāwaliwali ai ka paia arterial a pehea e hana ai i kahi aneurysm.

ʻIke ʻia, eia nō naʻe, aia kekahi mau helu pilikia (ʻike ma lalo) i ʻike ʻia e pili ana me ka ulu ʻana o nā aneurysms.

ʻIke o ka aneurysm o ka lolo

Inā loaʻa ʻoe i ka ʻeha a ʻeha a ʻeha paha a i ʻole nā ​​hōʻailona ʻē aʻe e pili ana i ka aneurysm, e loaʻa iā ʻoe kahi hoʻokolohua a i ʻole ka moʻo o nā hoʻokolohua e hoʻoholo inā ke kahe nei ʻoe i ka lewa ma waena o kou lolo a me nā mea e pili ana (hemorrhage subarachnoid) a i ʻole ke ʻano o ka hahau. .

Inā ua hiki ke kahe, e hoʻoholo ka pūʻulu pilikia inā he aneurysm ke kumu.

Inā loaʻa iā ʻoe nā ʻōuli o ka aneurysm o ka lolo non-rupturing - e like me ka ʻeha ma hope o kou maka, nā pilikia ʻike, a me ka palapū ma kekahi ʻaoʻao o kou alo - e like paha me nā hoʻokolohua like.

ʻO nā hōʻoia diagnostics:

• Tomography kamepiula (CT). ʻO kēia CT scan ka ho'āʻo mua e hoʻohana ai e hoʻoholo inā aia ke kahe ʻana o ka lolo i ka lolo.
• Mākēneki resonance kiʻi (MRI). Hoʻohana kahi MRI i kahi kahua magnet a me nā nalu uila e hana i nā kiʻi kikoʻī o ka lolo. Loiloi ʻo ia i nā aʻa i hiki ke hoʻomaopopo i ka pūnaewele o ka aneurysm.
• Hōʻike wai Cerebrospinal. ʻO ka hemorrhage Subarachnoid ke alakaʻi pinepine i ke alo o nā hunaola ʻulaʻula i ka wai cerebrospinal (wai e hoʻopuni ana i ka lolo a me ka iwi kuamoʻo). Hana ʻia kēia hōʻike inā loaʻa nā ʻōuli o ka aneurysm.
• Cerebral angiography a i ʻole ʻo ka mea ʻimi ʻimi. I loko o kēia kaʻina hana, injhes ke kauka i ka waihoʻoluʻu i loko o ka catheter i loko o ke aʻa nui - maʻamau i ka ʻūlū. ʻOi aku ka nui o ka hoʻowalewale o kēia hōʻike ma mua o nā mea ʻē aʻe a hoʻohana pinepine ʻia ke hāʻawi ʻole ʻia nā hōʻike diagnostic ʻē aʻe i ka lawa o ka ʻike.

ʻO ka hoʻohana ʻana i nā hoʻokolohua kiʻi ʻana no ka pale ʻana no ka aneurysms lolo lolo ʻole ʻia ʻaʻole ia e paipai ʻia inā ʻaʻole he moʻolelo ʻohana ko ka mea maʻi me kahi kekelē mua (makua, kaikaina).

Nā pilikia o ka aneurysm

ʻO ka hapa nui o ka poʻe e noho nei me kahi aneurysm ʻaʻole e ʻeha i nā pilikia. He mea nui ka mālama ʻana i nā mea pilikia.

ʻO nā pilikia o ka aneurysm penei:

• ʻO ka thromboembolism Venous: ʻO ka pale ʻana o kahi aa e ke kīʻaha koko hiki ke hana i ka ʻeha i loko o kahi meaola e like me ka ʻōpū a i ʻole ka lolo, a ma ka hihia hope e hiki ai ke hōʻeha.
• ʻO ka ʻeha o ka umauma a me / a i ʻole ka ʻeha lumbar: kū ia ma hope o kahi aneurysm aortic a i ʻole ruptured.
• ʻO ka angina pectoris : Hiki i kekahi ʻano aneurysm ke alakaʻi i ka angina pectoris, ʻeha e pili ana i nā aʻa liʻiliʻi e hāʻawi i ka lako maikaʻi ʻole i ka puʻuwai.

ʻO ka hihia o ka aneurysm cerebral

Ke haki ka aneurysm lolo, he mau kekona wale nō ke kahe ʻana o ke kahe. Hiki i ke kahe ʻana ke kumu i ka hōʻino ʻana i nā hunaola lolo e hoʻopuni ana (neurons). Hoʻonui ia i ke kaomi i loko o ka iwi poʻo.

Inā piʻi kiʻekiʻe ke kaomi, hiki ke hoʻopau ʻia ke koko a me ka oxygen i ka lolo i kahi e hiki ai ke ʻike ʻole a i ʻole ka make.

Nā pilikia i hiki ke hoʻomohala ma hope o ka haki ʻana o ka aneurysm me:

• Kahe hou kekahi. Hiki ke kahe hou kahi aneurysm ruptured, e hōʻino hou ana i nā hunaola o ka lolo.
• ʻO Vasospasm. Ma hope o ka aneurysm, hiki i nā kīʻaha koko i ka lolo ke hoʻoliʻiliʻi me ka manawa koke a no ka manawa iki: ʻo vasospasm kēia. Hiki i kēia maʻamau ke kaohi i ke kahe o ke koko i nā hunaola o ka lolo, e hōʻeha ana i ka maʻi ischemic a e hōʻino hou ana i nā neurons.
• ʻO Hydrocephalus. Ke hiki i kahi aneurysm ruptured ke kahe ʻana i ke ākea ma waena o ka lolo a me nā mea e pili ana (subarachnoid hemorrhage), hiki i ke koko ke pale i ke kahe o ka wai (i kapa ʻia ka cerebrospinal fluid) e hoʻopuni ana i ka lolo a me ke kino. ka lāʻauʻala. Hiki i kēia ʻano ke kumu i kahi keu o ka wai cerebrospinal e hoʻonui ai i ke kaomi ma ka lolo a hiki ke hōʻino i nā kinikini: he hydrocephalus ia.
• Hyponatremia. ʻO ka hemorrhage Subarachnoid ma hope o kahi aneurysm cerebral hiki ke hoʻohaunaele i ke kaulike sodium i ke koko. Hiki i kēia ke hana i ka hōʻino ma ka hypothalamus, kahi ma ke kumu o ka lolo. A haʻahaʻa pae sodium ma ke koko (i kapa ʻia hyponatremia) hiki ke alakaʻi i ka pehu ʻana o nā neurons a me ka pōʻino mau loa.