Abdominal aortic aneurysm: symptoms,ʻike, lapaʻau

Ke aorta o ka nui loa artery azygos. Ka mea, e pili ana i ka systemic holo, a nourishes a pau na nā loko o ko mākou kino ka koko. Ke aorta Ua maheleia i loko o 3 pauku a me 2 māhele - ka abdominal a me ka thoracic. Loa pinepine (95%) loaʻa kekahi aneurysm o ka abdominal aorta, a mākou i keia la, a mākou e'ōlelo.

Aneurysm - o ka palena manawa paha bulging o ka aorta. Ka maʻi mea no ke kumu o na mea he nui kēia hui kūkāʻana, no ka mea, hiki ole kauka e hele mai i ka lōkahi ka manaʻo, ka degere o? Anoe? Aiey o ka vascular pa hiki ke diagnosed me he aneurysm. Muaʻike, i hookupaaiaʻi me ka hoomahuahua i loko o ka aorta 2 wa, a me hoʻonui kona anawaena oi ma mua o 3 knm, naʻe, haawiia i ka mea i ka aorta i ke anawaena o ka 15 a hiki i 32 knm, i ka manaʻo o "oi ma mua o 3 knm"ʻae nō hoʻi he vague. No laila, i ka makahiki 1991, i ke aloha a hiki i ka noiʻi o 'Amelikaʻepekema hoomaka aneurysm manaoia'āno'ē hoʻonui o ka lumen o ka aorta ma ka 50% oi ma mua o kona maʻamau anawaena. Akā, i kēia ho'ākāka 'ana o kekahi ākeʻakeʻa kumu.

Kēia pukana mea pakahi aku la ia nui i loko o ke koho ana o nā kaʻa mokulele oʻoki lāʻau lapaʻau 'uao, akā, auwe, mea nō hamama. Ia manawa, mai ka aneurysm kēlā me kēia makahiki pepehi ma kahi o 15,000 Americans o ka makahiki. Ma ka hapanui o na hihia, ka mea wale aʻole i manawa e diagnose.

He aha kauka Ua pio ka polokalamu ana i aneurysm?

It Hawaii he maʻi vascular surgeon, e like me ka papa kuhikuhi iapaau ana no ka hana ana pilikia. Inā ka hana ua i hoikeia mai, i ka hoʻomanawanui e e ike ia e kekahi kahuna lapaau, he cardiologist a internist (hoʻomalu i loko o na lapaau) no ka pono kanaka hoʻoponopono i ko lakou kulana. Aneurysm loa insidious, e hiki koke olalo i ka ulu, mahuahua i ka pilikia o ka loa hoʻoponopono ulia pōpilikia 'ana o kona complications - kahi nahā i.

ʻO wai ka mea ma kamepiula?

An aneurysm ua diagnosed i loko o nā kānaka a me nā wāhine (ka hope, nae, o ka emi). Naʻe, ka mea ike i loko o na kanaka mua o 65 makahiki, ia ia lŘlŘ oi pinepine ia. He pili kēia i ke kuko ana i na mea he nui kanaka i ka uiki e, i mea oi loa nā palapala i ka wa elemakule.

No laila, ma kamepiula nā:

• kanaka e loaa ana mai ka hypertension;
• paka;
• ē aʻei kūpono ma a ka ohana i ua diagnosed me ka aneurysm o ka abdominal aorta 'ole' ē aʻe mea'ōnaehana mānowai koko mai, a / 'ole mai o kaʻike ākea holo;
• mea nona ka overweight a me kanaka he sedentary Aloha Hawaii e alakai.

Aʻo! Maopopo noiʻi, ua ili nui aneurysms mai kūpuna.

Kind o aneurysms o ka abdominal aorta: Mea Maluna

Abdominal aortic aneurysm ua maheleia i loko o kekahi mau ano kaumaha ma muli o kona helehelena, IIeEeAIEUAA a me pathological hiʻona:

1. Sac (kohu o ke kieke ia ma ka cervix pili me ka lumen o ka aorta).
2. Fusiform. Ke kinona o ka kālī, a ua pili ma ka puka a hiki i ka lumen o ka aorta. Ka loa e like me ka ano o ka aneurysm.

E like me ka pathological ano o na kēia mauʻano o nā aneurysms:

1. Oiaio ia mau mea. Kona hoomaka moku pa, e like me ka hana ana o ka ai iiiaanoaa o papa o ka aorta.
2. Pseudoaneurysm. Eia kahi mea akaka ma hope o ka poino, no ka mea o ka hooulu ana mai o pulsating hematoma.
3. Exfoliating. A laila kona mau pā delaminate a piha kūloko lua me ka hematoma, a ma ka pa o ka pōʻino, ua make vascular'aʻaʻa ua pili i ka lumen o ka aorta.

Maopopo ma waena o ka mea, a me ka IIeEeAIEUAA:

1. Aneurysm o ka infrarenal abdominal aorta mea ma luna / lalo o kaʻaʻa puʻuwai arteries lala.
2. Suprarenal mea ma luna o ka ai manamana ai arteries
3. Huina aneurysm ua pālahalaha ma ka holoʻokoʻa loa o ka moku.

He aha nō nā kumu o nā aneurysms?

• Atherosclerosis, ma a ka vascular pā i mānoanoa o ia mea, a haalele i kona elasticity, a ua hanaʻia ma luna o kona mau pā i loko o ka palapala o ka momona atherosclerotic plaques. I ka haku mele 'ana o nā plaques nā palapala naʻokoko a me nā bipi kūpaluʻia. Oiai kauka ka mea, aole i hiki maopopo paa ana ka mea e loli ai i ka hooulu ana o ka atherosclerosis, aneurysm, akā, ka mea, ua ea ae ia no a hiki i keia maʻi hōʻike circulatory kāna hana i loko o ka ipu, a mahana lako hou o ka mahuaola. E like me ka hopena, i ka vascular'aʻaʻa ua poino, i ukali ia e kona cleavage. E like me ka hopena, i kaʻike, ka "abdominal aortic aneurysm".
• Mimikō ka mea "aloha" luku koko artery. Ua Ua pinepine pu ma ka retinopathy, nephropathy, aneurysms.
• Aaiaoe?. Ma kekahi congenital syndromes (Ehlers -. Danlos maʻi pale, Marfan Erdheim pathologic cystic medial necrosis, etc.) e loli ana i ka arteries, me ka abdominal aorta. He pinepine hiki ke kumumea i ka pilina ma waena o ka aneurysm abdominal aorta a aaiaoe maʻi.
• Infectious maʻi. Mau nā maʻi i aloha ia i ka loko, ahu iho o ka naau (endokart) - syphilis, ekdokardit, salmonella, a pela aku ...
• Nā palapū no ka abdomen. No ka laʻana, ka wā i ikaika kŰia i ka pahu a me abdominal aorta paha e loli.
• Hoʻoʻino keʻano o ka hanaʻana. Nonspecific aortoarteriit, no kekahi laʻana, kumu he mea hoʻonāwaliwali maoli nō o ka aortic pa. Eia naʻe,ʻaʻohe kiko'ī ma kēia pukana nae. Akā, 'ole-hoʻoʻino maʻi o ka vascular paia pinepine i hoʻomaka ai ma muli o ke atherosclerotic plaques.

Ma mau, loa pinepine i ke kumu o aneurysms i ka uiki e, physical inactivity a me ka makahiki. He loa nui e diagnose ia i ka manawa. Aneurysms o ka thoracic a me ka abdominal aorta i okoa symptoms, a mākou e noonoo.

He aha e na symptoms o abdominal aortic aneurysm Oihana?

Loa pinepine, aneurysms aole loa e hoonoho iho i manao ai, a ua diagnosed wale i loko o ka anamanaʻo. E like me ka mea i hoʻololi i nā nā loko, disrupting i ko lakou akamai i ke ola, ka mea hiki ke diagnosed pono, no ka mea, he mea nui ke hoʻomaka i abdominal ultrasound. Kauka e hoailona oukou i ka oi aku "huna" thoracic aneurysm. Ua hiki ole ke hōʻike ma nā mea a pau a i umauma eha, cough a me ka pokole o ka hanu. Ma ka hihia o ka hoʻoulu urgency ua loaa aneurysm o ka abdominal aorta.

O ka mea mau symptoms aneurysm līkaia no kekahi i hoʻomaka ai pu paha kaawale.

1. Ehaeha i loko o ka opu wahi, i kaʻawaʻawa loa ka waiʻona ma o ka piha a me ka pana, i kohu ai ka listen Kal.
2. Abdominal eha, mehana, e aho, aching, hoopaa külana. Ua Ua IIeEeAIEUIeXAIIUE pono i loko o ka umbilicus a haʻalele.

A me kaʻauhau'ēʻaʻe hoailonaʻo ia ia iho, i manao ai abdominal aortic aneurysm. Kona symptoms i aiʻokoʻa i ka mea, manao i ka oiaio pilikia ka loa paʻakikī. O ke kumu ho i ka mea i kekahi lālā aneurysm hiki loko likeʻole nā loko, a nenoai. E like me ka hopena, ka mea hiki ke pioloke me kaʻaʻa puʻuwai colic, pancreatitis, a sciatica.

Ishioradikulyarny maʻi pale ke kumu no kaʻeha ma ka lalo hoʻi (i loko o 'ana, ka pūhaka) a me ka haunaele pā lonoaʻili ma na wawae a pau me ka neʻeʻana kāna hana.

Abdominal maʻi pale hoikeia aku ai e luaʻi, belching, diarrhea a constipation, e like me ka nele o ka ikaika loa ka makemake, i hiki aku ai i ke kaupaonaʻana me keia poho.

Maʻi ischemia o nā wāwae ua olelo ia ma ka 'aʻe o ka holo (anu wawae), Muscle eha i hele, a ma ka maha, papa'āweʻaweʻa kemika lameness.

Prostate cider announces iho urinary kāna hana,ʻeha, aloha o ka naau ma ka lalo hoʻi, aʻo ka helehelena o kaʻulaʻula koko aeee i loko o ka mimi.

Rupture o abdominal aortic aneurysm hoʻomaka me ka waiwai o kaʻeha i loko o ka abdomen, nui nawaliwali a me ka pōniuniu. I kekahi manawa, i kaʻeha i hāʻawi mai ai i ka pūhaka, groin paha crotch. Ma keia hihia nele i ka hoʻomanawanui koke 'inikua noonoo, mai ka moku'āina mea fraught me ka make. Pinepine i ka aneurysm, mai hemo mai ma ka waena o ka poe uuku naʻau liʻiliʻi, i ka'ōpū a me ka duodenum, ma ka liʻiliʻi loa - i loko o ka'ōpū manoanoa. I ka wa i haehaeia abdominal aortic aneurysm, i ke pu na symptoms ma nausea a me ka luaʻi. Ma ka māhele hema o ka abdomen ua palpated hoʻonaʻauao ua lohi mahuahua, a me ka ikaika kēia. Kona palena i ole palpated.

Ma rupture o ka aneurysm symptoms i loa alohilohi, akā, ka mea, e hiki wawe ka pioloke a me nā mea pepehi ola ana, no laila, eʻoiaʻiʻo, e kahea aku i ambulance no kekahi o ka huʻiʻeha i loko o ka abdomen paha pahu.

ʻike, no ka maʻi

Ka mua PalekanaEND_LINK ke kahua - 'inikua ninaninau, a ma palpation Kahalaopuna he ikaika pulsation i loko o ka abdomen, ka mea, o ka abdominal aortic aneurysm. Diagnosing ka mea, nā noiʻi e ae e visualize mea, ke ahaʻia i loko o ka abdominal lua. Mua o nā mea a pau, ia mea ultrasound, a Me tomography (HI) a me ka multislice Me tomography o ka aorta (MSCT).

Inā ka mea, ua kēia abdominal aortic aneurysm, ultrasound e leie aku aneane loa pono e hōʻoia kona alo. Ua hōʻike i ka mau wahi o ka aneurysm, i ka noho ana o ka vascular paia, i ka wahi o ka nahā i, ina e ai wahi.

HI a MSCT hana e hōʻike calcification, aortic thrombosis vnutrimeshkovy, olelo hooweliweli aku a uhai i kekahi nahā i.

Inā ka PalekanaEND_LINK ho'āʻo ai i helu 'ia ma luna, mai ae pololeiʻike, (oiai keia mea pohihihi keia loa), hoonohoia ma aortography. Ka papa hana apono 'maoli-manawa nānā i ka aorta a me kona mau lālā ma kūikawā loli i hoʻolaunaʻia ma loko o ka moku. He hōʻike ia ina he mea e hoʻohuoiʻia no lesion o visceral a me kaʻaʻa puʻuwai arteries, i ike moku'āina o ka distal circulatory kahi moe.

Complications o abdominal aortic aneurysm

Keia ano mea pilikia ole wale no ola akā, no ke ola. Mua o nā mea a pau, i ka aorta hiki i ka embolism (blockage) o na arteries, infectious complications, hoʻomōhala naʻau ole.

Dissecting abdominal aortic aneurysm - he mea pepehi complication i mea kona rupture a me ke koko i loko o ka vascular papa o ke kino. Inā pau ka stratified, ahu iho 3 a me ka aorta, mai hemo mai loa, he mea pili koko me keia poho.

Akā, o ka papa, i kaʻino complication o ka aneurysm - ka mea i mokuāhana ma. He nui nā mea maʻi me ka untreated aneurysms, e make i loko o 5 makahiki. Mua oe hoʻokaʻawale i kekahi kanaka Kahalaopunaʻeha ma ka abdomen, a ma ka lumbar māhele 'āina. Inā i aneurysm o ka abdominal aorta haehaeʻia, i ka maʻi ua wehewehe aku ma profuse kahe ana ke koko i hiki aku ai, e hoohikilele a me ka make. No ia mea, heʻoiaʻiʻo kahea i ambulance ma ka hihia o ka huʻiʻeha ma ka abdomen a me ka pahu, e like me ka lohi mea pilikia loa. 'Ikepili helu hōʻike i make koke 3 wale% o nā mea maʻi ma hope o rupture o ka aorta, oiai kekahi poe e ola mai ka 6 hora i 3 mahina. Ma ka hapanui o na hihia, ka mea make i loko o lā. Pehea e hana i aneurysm? ka eia e noonoo.

Lapaʻau o aneurysms abdominal aorta

He nui nā poʻe manaʻo kuhihewa manaoio i kaʻike, "aneurysm o ka abdominal aorta," lapaʻau hiki wale nō eʻoki lāʻau lapaʻau. I ka mea, ma laila nō nā mea a pau pākahi.

Inā ka aneurysm kīnā 4.5 knm ma anawaena, ua i hōʻike 'ia ai ka hana, no ka mea, oia ke lawe aku i ka mea i oi aku pilikia no ke ola ma mua o ka mahuahua ma ka nui moku. Nō kāu, ia i nā mea kū i malamaia ma mua na kanaka, ka poe e ae, mai ke kākoʻo '-morbidities, a ma ka hou, aole ia e pau pūnuku puhi (a e like me kaʻike, holo ana e uwahi ana e pono ai me ka!). No ka ia, he kali hihiu, no ka mea, o ka pilikia o aortic rupture ma ia anawaena mea wale nō ma kahi o 3% no ka makahiki. Ma keia hihia, o kela mea keia eono mahina i ka hoʻomanawanui ua puʻe wale akula kēlā i ka hana ultrasound e loaʻa mai i ka nui o ka aorta. Inā ka vascular pa i nā Hoʻonui i ka pono, ka mea, o ka iniiaiie PAaIEN no kaʻoki kino, no ka mea, ua mahuahua ka pahiki o fracture ma ka 50%.

Ke kūpuna, nāna i hōʻike i ka aneurysm o ka abdominal aorta, ua desirably lawe mai ma ka mea o ka endovascular, minimally invasive iaoia i ka iapaau ana. Iloko o ka hana, ke hoʻomanawanui ua lawelawe i loko o ka artery he catheter ma i komo stent. Ka Ho 'i loko o ka aorta, e wehe a me ka uhi i ka artery, hiki ke kūapoʻana i ka hoʻohuli ai i nā' āpana o kona kino. Na pomaikai o ka hana nā ka Lightweight portability, a he uuku ke ola au - wale i kekahi mau lā. Akā, i kēia hana i kona mau nuances, no laila, e paa ana ia mea i nā mea a pau. I ka papa kuhikuhiE drawback o keia hana - ia 10% o nā hihia ma laila mea i ka distal Polenekia o ka hookupaa Awai.

Inā diagnosed me "abdominal aortic aneurysm", i ka hana o pinepine hamama. I loko o kona hoʻohuli ai i nā wahi o ka aorta i wehe a UAIAaIN ma ka prosthesis i o Dacron (kemikala lole ma muli o polyester). I mea e i komo i ka aorta, hoʻohana 'Median laparotomy. Duration o kaʻoki kino ana mea e pili ana 2-3 hola. Ma hope oʻoki kino koe hiki me ka makaʻu no.

Ke hoomanawanui hou ma kahi o elua pule. Resumption o ka hana i loko o kekahi hihia mea hiki wale nō ma hope o 4-10 pule. Ke hoomanawanui Ua pololei hookapuia physical haʻawina, hōʻike maluhia a me ka hele.

Contraindications e weheʻoki kino

Pāpāʻoki kino ma lalo o ke ana ma lalo nei:

• Recent myocardial infarction (ole e emi malalo o kekahi mahina).
• Cardiac a pulmonary insufficiency.
• ʻaʻa puʻuwai insufficiency.
• Iliac a femoral arteries.

Hoʻopulapula ma hope oʻoki kino

O ka holo ana, i ke alo o complications ma hope oʻoki kino pili i ke ahonui o ka makahiki, a pili i nā maʻi. Nō hoʻi, i ka hoʻomanawanui i ka ke ano e worsen ina kona kino ua ua hoʻonāwaliwaliʻia (HIV, oncology, mimikō), he mea obesity a me ka naau maʻi. A, mālama '-o ka hoʻoneʻe ana i haawi mai i ka hoʻomanawanui hou aku paha i ke ola, a ola ma mua o pilikia' uao i rupture o ka aortic aneurysm.

Complications e hana ana me ka naoh i mau anesthesia, a 'aʻole i lawe a pau, o ka hooulu ana o ka maʻiʻaʻai, poho i na nā loko, a kahe ana ke koko. Ka mea uuku loa ka helu ana o na hihia i ona e hana.

Ināʻoki kino ua? Oaony, kauka waiho aku i ka hebedoma mua kona e hali ana i lawe ai ', koko thinners, a ua Anati-hoʻoʻino ai' ana (aspirin a me kekahi poe e ae.). E hōʻoia i ka hōʻike aku i kou kauka e pili ana i ke ano o ka lapaʻauʻiaʻoe e lawe i ka manawa, ma mua o ka hana.

Ka pilikia o ka recurrence ka loa liʻiliʻi, akā, inā he kanaka koke hoʻomaka e hoʻopilikia i ka eha ma ka hope a me abdomen, nausea, ka luaʻi, numbness ma na wawae a me kekahi mau manaʻo unwell, e imi 'inikua aʻo koke.

Kāohi aneurysm

Abdominal aortic aneurysm ia lŘlŘ oe i emi paha ina e hoole (a, maikaʻi loa, 'aʻole e kuai i ka maʻa), pūnuku puhi, e ka pāʻana i ka manaʻo koikoi a me kou kaumaha. Ua mea i nui, e alakaʻi i kaʻeleu a me ka olakino Aloha Hawaii. E hoʻokaʻaʻike ola!