ʻO ka ʻoki ʻana ma hope o ka haki ʻana o ka aneurysm

ʻO nā hihia āpau o kahi aneurysm non-rupturing e koi i ka mālama ikaika, akā i ka wā e haki ai ka aneurysm, koi ʻia ke ʻoki pilikia.

E pili ana i ka aneurysm aortic, inā ʻo ka ʻōpū a i ʻole ka ʻāʻī, pono ia i ka ʻoki ʻana i ka wā e haki ai. Me ka ʻole o ka hoʻokō koke ʻana, he mea make mau ka aneurysm ruptured i loko o ke aorta thoracic a aneane make mau i ka ʻōpū o ka ʻōpū.

ʻO ka hoʻoholo e hana i kahi aneurysm unruptured i loko o ke aorta e pili ana i nā kumu he nui e pili ana i ke kūlana o ka mea maʻi, ka makahiki, a me nā ʻano o ka aneurysm ponoʻī (ka nui a me ka wikiwiki o ka ulu ʻana).

No ka hana ʻana i kahi aneurysm aortic, aia ʻelua mau hana hana e koho ʻia ma muli o ka paʻakikī a me kahi o ka aneurysm.

ʻO ke ʻano hana ʻoki maʻamau.

Pono ia e wehe i ka aneurysm ma hope o ka hoʻopaʻa ʻana (me ka hoʻohana ʻana i nā forceps) o ke aʻa. Hoʻopau ʻia ke kaʻa ʻana i loko o ke aorta a hoʻololi ʻia ka ʻāpana ʻeha o ke aʻa me kahi prosthesis.

ʻOki kino Endovascular

He kaʻina hana hōʻemi liʻiliʻi ia e pili ana i ka hoʻokomo ʻana i kahi paipu plastik (catheter) i loko o ke aʻa, maʻamau ma ka ʻāʻī, a laila kaomi ʻana i kahi uea platinum ma o ka catheter i kahi o ka aneurysm. He makani ke kaula i loko o ka aneurysm, hoʻopilikia i ke kahe ʻana o ke koko a hoʻopaʻa ʻia ke koko. ʻOi aku ka maikaʻi o ka ʻoki ʻana endovascular ma mua o ke kaʻina kuʻuna, ʻoi aku ka pōkole o ka manawa hana a me ka noho maʻi.

ʻO ka ʻoki ʻana naʻe endovascular, ke lawe nei i nā pilikia, ma kahi o nā mea i ʻike pinepine ʻia i ka wā o ke kaʻa.

ʻAʻole mālama ʻia nā aneurysms ʻaʻole hiki ke wāwahi ʻia ma muli o ka hopena o ka pōʻino o ka lolo ma muli o nā pilikia o ke kaʻina hana.

A laila aʻo ʻia nā maʻi e pili ana i ka nānā ʻana a me ka hoʻololi ʻana, inā hiki, nā mea e hoʻonui ai i ka pilikia o kahi aneurysm lolo. Pili kēia i ka mana o ke koko. ʻOiaʻiʻo, inā mālama ʻia ke kanaka no ke koko kiʻekiʻe, ʻo ka mālama ʻana me kahi lāʻau antihypertensive e hōʻemi i ka pilikia o ka haki.

Ke hoʻomaka ka aneurysm o ka lolo i ka subarachnoid hemorrhage, e hoʻolalelale ʻia ka mea maʻi i ka haukapila a hana ʻia ka lolo e pani ai i ke aʻaʻa naha, i mea e pale ai i ke kahe hou ʻana.

ʻO ka mālama ʻole ʻana i nā aneurysms lolo me ka haki ʻana

Loaʻa nā lāʻau lapaʻau e hoʻopau i nā hōʻailona a mālama i nā pilikia.

• Hiki ke hoʻohana ʻia nā mea hōʻeha ʻeha, e like me ka acetaminophen e mālama i ke poʻo.
• ʻO nā mea hoʻopaʻa aʻoaʻo calcium ke pale aku i ka calcium mai ke komo ʻana i nā cell i loko o nā paia o nā kīʻaha koko. Hiki i kēia mau lāʻau lapaʻau ke hoʻemi i ka hōʻemi ʻana o nā aʻa koko (vasospasm) i hiki ke lilo i mea pilikia o ka aneurysm. ʻO kekahi o kēia mau lāʻau lapaʻau, ʻo nimodipine, ʻike ʻia e hōʻemi i ka pōʻino o ka lolo ma muli o ka lawa ʻole o ke kahe koko ma hope o ka hemorrhage subarachnoid.
• Hiki ke hoʻohana i nā lāʻau anti-seizure no ka mālama ʻana i nā maʻi e pili ana i kahi aneurysm. ʻO kēia mau lāʻau lapaʻau he levetiracetam, phenytoin, a me ka waika valproic.
• Hoʻoponopono hoʻoponopono. ʻO ka pōʻino o ka lolo ma muli o ka hemorrhage subarachnoid hiki ke alakaʻi i ka pono no ka hoʻoponopono hou ʻana i nā mākau kino, ʻōlelo, a me ka ʻoihana hana.

Nā pūnaewele o ka hoihoi a me nā kumuwaiwai

Nā wahi hoihoi:

Cerebral aneurysm: wehewehe, hōʻailona, ​​mālama (Sciences et Avenir)

ʻO ka aneurysm cerebral (CHUV, Lausanne)

kumu: 

Kauka Helen Webberley. Aneurysm: Nā kumu, nā hōʻailona a me ka mālama ʻana. Nūhou Lapaʻau i kēia lā, maraki 2016.

ʻO ka aneurysm lolo. ʻO ke keʻena o Mayo, Kepakemapa 2015.

He aha ka aneurysm? National Heart, Lung, and Bool Insitute, ʻApelila 2011.