Aneurysm o ka aorta o ka naau - aha ka ia? Aortic Aneurysm: 'ehaʻeha ka, Symptoms, lapaʻau

I waena o nā mea a pau iʻikeʻia ka naʻau a me ka vascular maʻi na kumu maopopo waeʻano i ho i ka pilikia nui i kanaka ola. Ua nā myocardial infarction, aortic aneurysm. Ma ka hope, ke kūkākūkā i oi aku au mamuli o ka pauku.

Aortic aneurysm o ka naau: He aha ka mea a pehea ka mea pilikia loa?

Ke aorta - keia mea kekahi o ka mea nui artery i loko o ke kino o ke kanaka, i kahi kokoke i ka naau. Ma ia, i ke koko kahe mai i ka papa kuhikuhiE nāʻiʻo i loko o nā mea a pau o ka'ē aʻe arteries. Cardiac aortic aneurysm mea he'āno'ē, ma a ka anoe hapa o ka aorta aie a hiki i ka aoao o na mea he nui aʻe. Pathology paha e kekahi congenital a loaa ia lakou ma ano.

Ka maʻi hoʻomaka me ka mea i lalo i ka puʻe o ke koko pele ua haehaeʻia intima. Pela, ke koko mea hiki ke kahe 'ana i loko o ka Muscle, ahu iho. Ma keia wahi i ka hoʻomanawanui 'ana Kahalaopuna ola discomfort i loko o ka pahu, i loko o ka lima hema. Pale ili, ka manaʻo koikoi, piʻi pū, ma laila nō Kīwala'ō mau makemake. Pulu i ke koko, o ka aortic pā ua i nā'ō. Ma rupture o ka aneurysm kanaka ke lilo ike paka i. Ma kekahi mau hihia, ma laila hele mai kekahi manawa a make mai loa koko poho a me ka hawewe.

Ke pathogenesis o ka maʻi

Pehea mea cardiac aneurysm o ka aorta? He aha ka mea no ka pathology, hiki ke maopopo ina oe i ike i ka'anatomia o ka nui nāʻiʻo o ke kanaka kino. Ma ka myocardium ua thinned paia i nei iluna, ma o ke koko pumping mai kekahi ventricle a hiki i ka 'ē aʻe. Inā he kanaka i keia maʻi, ke hoopaaia ka pā i nā 'aʻole hoʻi ia. Keia kahua i mea paʻakikī i mau koko pumping.

Ma waho aʻeo i piʻi i loko o nā paia o ka aorta i loko o ke kahua o aneurysms i kekahiʻeleu hemodynamic, a me mechanical aʻe. Pathology pinepine ia lŘlŘ ma operatively i hoka ai wahi i mea mau ka mahina i ka mahuahua haawe aie i ka mea kiʻekiʻe pele māmā holo. Maʻi aortic trauma a me excessive aayoaeuiinoe o proteolytic nā'ūhū hoʻonāukiuki aku i ka hoʻololi iho o laholio maoli, a me ka nānā aku o nonspecific loli ma degenerative ano i loko o ka ipu paia.

I hana ka aneurysm ua ulu ma ka nui, e like me ka puʻe ma luna o kona mau pā pōhaku wale maoli. Ma ka 'ē aʻe lima, i ke koko i loko o ka aneurysmal sac ua ka meheu o ia, a lilo ae la ia i ka ai-kapaia māpuna. Ma ka distal kuhikuhi, wale 45% o ke koko hina, mai ka huina makana i loko o ka aneurysm wale. He mea no ka mea i loko o kona lua i ke koko kahe ana ma ka paia o ka kikowaena kahawai ua mālama mau turbulenceʻano papa hana, a me ka alo o ka nui mea o thrombotic nā paʻi hua.

pathology hookomo ana i

Epekema mai a puni ka honua hoʻomau i ka 'Imi makaikai i na maʻi like cardiac aneurysm o ka aorta, mea ia mea a me ka mea kumumea he hoʻonui i kona ulu ana. Aia ma lalo iho, ua pololei kekahi o ia mau mea:

1. Atherosclerosis. Sclerotic plaques i hanaʻia i loko o ka papa o kēia maʻi, ke loli ka aortic paia, a e ia'ōlewa kupono.
2. Infectious ano o ka maʻi. Cardiac aneurysm o ka aorta pinepine ia lŘlŘ ku ei ke kāʻei kua o syphilis a tuberculosis.
3. Congenital maʻi (Marfan maʻi pale, Ehlers-Danlos maʻi pale). Pinepine i ka mōʻaukala o ka hanana o ka maʻi ua ua hoʻonānā e nana i ka ohana mōʻaukala.
4. Pilikia ana, a me mechanical poino like me ka hopena o ke kaʻa ulia.
5. Myocardial infarction. 'O kēia ka loa e like me ka kumu o ka maʻi. I ka 35% o kanaka, ka poe i waiho wale aku no i ka myocardial infarction, diagnosed naau aneurysm. Ma keia hihia, ka mea, ua ike iho la me kona pololei hoomau.

Ma ka māhuahua pilikia o ka ulu ka aneurysm nā paka, hypertensive, overweight kanaka me kiʻekiʻe koko naʻokoko. Wahi a ka 'ikepili helu, cardiac aneurysm o ka aorta i hiki i Elima oʻu hahau hou pinepine diagnosed ma kāne a pau ma mua o ka wahine. E like me ka rula, e hoomanawanui i na makahiki - oi ma mua o 50 makahiki.

maʻi Mea Maluna

Ma vascularʻoki kino hoʻohana mau nā kinolau aortic aneurysms Mea Maluna ka nānā 'ana ma luna o lākou koke IIeEeAIEUAA paia' ole, a me ka palapala etiology.

I kulike ai me ka segmental typology kilakila: aneurysm o sinus o Valsalva, pii / e iho mai ana kekahi hapa, ka aortic e pio mai a me ka abdominal aorta.

Loiloi 'ana o ka morphological' ole o ka aneurysms moku'āina e leie aku e māhelehele au iā lāua i loko o ka oiaio a me ka wahahee. I ka pa o ka hope ua poe e connective'aʻaʻa, a ua hanaʻia ma muli o ke pulsatile hematoma ho okumu.

Ke kinona o ka aneurysm hiki e saccular a me ka fusiform.

He aha e na symptoms pu ma ka pathology?

Ma ka hapanui o na hihia i ka maʻi mea asymptomatic. Diagnose ia ma huikau, pinepine i oaeouee ka nānā 'ana a ma ka ninaninau ana i nā nā loko. Hoopii o nā mea maʻi hou ina ka aneurysm ua wehewehe aku ma ka ulu kokololio a me ka mea ua ma luna o ka Ewa o ka wanaao ae.

Aneurysm o ka pii aorta o ka naau a me kona piʻo ua ana pu e he ao alohilohi i lapaʻau kiʻi, i ke kumu no keia o ka mea a pau anatomical wahi. Pathology e kau puʻe i na iwi aoao a me thoracic spine. E hoomanawanui i ohumu o ka cough a me ka pokole o ka hanu aie a hiki i ka mīkini'opihia o ka bronchi, naau palpitations, hoarseness.

Hooloihi ae i ahi eʻeha i loko o ka hope, ua ano o na pathologies o ka thoracic aorta o ka naau. Ma keia hihia, nā mea maʻi i hookuu hoailona i keʻano o ka maloo cough, edema, pōniuniu a me ka nawaliwali ma ke kino.

Ma PalekanaEND_LINK ninaninau, ke kauka e haawi aku i na mea noonoo i ka mawaho hiʻona o ke kanaka. Elongation o nā poho, he poe loihi, kyphosis, sternal deformity - a pau o kēia mau hoailona i e hōʻike o Marfan maʻi pale. Mākou i mua kamailio e pili ana ia i loko o kēia 'atikala.

Eia naʻe, loa pinepine ka mua hoailona o ka pathology mea aortic rupture. Ua hoike mai ai ia profuse kahe ana ke koko i loko o ka digestive nā loko. Ke hoomanawanui i ka luaʻi me ke koko, loa pahu eha e hohola iho la i ka spine. I ka nele o ka 'eleu kōkua hiki' ai pono i ka hoʻomanawanui make.

Pehea e huai ae i aneurysm?

Loa pinepine i ka oaeouee? Checkup, kauka diagnosed like "cardiac aneurysm o ka aorta." He aha ka mea, he aha ka mea na kumu o ka maʻi a me ka papa kuhikuhiE ano o ka lapaau, o ka hoʻomalu, mai hai aku i ka iniiaiie? Eaia. No ka nui piha study o ka pilikia e pono ai i ka nui o nā haʻawina, a me HI, MRI, ultrasound. E like me ka hopena o kaʻike, hope, ke kauka e launa mai i ka piha lapaʻau kiʻi o ka maʻi.

Ma keia hookolokolo ana ia mea nui, e lawe i mooolelo o ka mea ana i aneurysm o ko lākou mau symptoms mea like i nā illnesses. I mea no ke aha la he kūikawā kūlana i loko o kaʻike, i haawiia mai ai i ka palena pau haʻawina.

pathology ka loaʻaʻana, a hiki ma ka loiloi. Poe akamai i Paipai 'mau lawe i nā kānaka ma hope o 60 makahiki, ka mea hiki ole haawi i hewaʻano a i ka mōʻaukala o keia maʻi.

Aneurysm o ka aorta o ka naau: iapaau ana

A me na symptoms o ka maʻi a me ka lapaʻau 'ana e pili pū ana. Ma hope o ke kauka, e hoopaa i kaʻike, hope loa, e hiki ke hoomau aku i ka lapaau.

Ma asymptomatic pathology Inc ua kaupalena i ka hooponopono ana o ka moku'āina ma ka vascular surgeon, a me ka ikaika X-Ray hooponopono. E emi i ka pilikia o ka complications i loko o kekahi mau hoʻomanawanui iki mai lawelawe anticoagulants.

ʻoki kino ua hōʻike ma ka aneurysm nui ka nui (4 knm), e like me kona ulu e holumua ai. Kēia iapaau ana ua pono no ka aneane pau loa nā mea maʻi i i, e hana me ka pathology i kapaia "cardiac aneurysm o ka aorta."

Hana o ia hoʻi, ma ka excising kekahi maÿi ipu hapa, suturing, a me kona hope ma ka kina vascular prosthesis.

Eia naʻe, i ka prognosis o kēia maʻi i loko o ka loa lakou malaila hihia. Mai ka hoʻomaka o ka hooulu ana o ka aneurysm a me ka make ma kahi o 75% o nā mea maʻi i loko o elima makahiki. Hapalua o ia i make ma ka ulia rupture o ka aorta, a me ke koena - ma concomitant pathologies (hahauʻana, ischemia).

complications o aneurysm

1. Flaws aortic kiwikā a me ka naʻau 'ole.
2. Aneurysm rupture. Pela he mea nui kahe ana ke koko i loko o ka pleural lua, naehana hanu, naau a esophagus eke. I Ina o ke kahe ana ke koko 'ana i loko o ka pericardial lua o ka ulu cardiac tamponade.
3. Huʻi aneurysm clotting.

Ka luna-i oleloia complications, ināʻaʻole e hoʻolako 'āwīwī mālama' hiki e ona no nā mea maʻi me kaʻike, o "cardiac aneurysm o ka aorta." Iapaau ana o keia maʻi lapaau Nāna e koho, ma muli o ka nohona ma ke ano o ke ahonui a me ka degere o ka oolea o ka pathology.

kāohi ana

I ka wa e hele ai i ka Kāohiʻana o ia i ka mea maʻi, a pau na koi ma olakino Aloha Hawaii a me ka hoole ana o ka hewaʻano pono e noonoo mua. E like me ua oleloia, no ka lōʻihi manawa e hana ana i loko o ka huna ano o cardiac aneurysm o ka aorta. Symptoms ma keia hihia, aole i ikea, i ka hoʻomanawanui mea me ka ike ole o ke alo o keia pathology. Ia mea ke kumu ina he kanaka mea ma kamepiula (uiki, kiʻekiʻe ke koko, he ohana mōʻaukala o aortic dissection hoopii), e mau undergo i ka piha PalekanaEND_LINK loiloi. No kēia mau mea, ano laulā, e hoʻohana ultrasound, aortography hoʻohana MRI Akä naÿe hope paha. 'Eleu ka loaʻaʻana o ka maʻi i hoola i ke ola.

ka hopena

Kēia 'atikala i nā hōʻike ma "An aneurysm o ka aorta o ka naau:.' Ehaʻeha ka, Symptoms a me ka lapaʻau" Mai Mai e makau i ka maʻi, e like me ka 'eleuʻike, a me ke akamai lapaau i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao ae kokoke loa poina e pili ana i ka pilikia.