Aortic dissection

Aortic dissection mākaukau kaua paha ma kūpono ai i loko o ke koko penetrating i ka pa pohaku ona ma muli o i paewaewa ma ka 'ole o ka pā iwi. Kēia pathology o ka loa, he pono ole, a pilikia huʻi maʻi. Me ka 'eleu lapaʻau o aortic dissection kokoke mau hualoaʻa ma ka make ana o ka hoʻomanawanui.

Ke kumu o hewa i loko o kēia moku'āina mea he 'aʻe' ana i ka waenakonu o ka moku iwi.

Aortic dissection (pii aku) ia lŘlŘ loa pinepine i loko o ke kāʻei kua o ka hypertension. Degeneration ma ka waena iwi (cystic medial necrosis) ia lŘlŘ ma kahi o 20% o nā mea maʻi. Ua hiki e ukali e Marfan maʻi pale. Kēia aaiaoe abnormality ma connective'aʻaʻa kāna hana wehewehe aku ma ka skeletal a me ka maka, mea'ōnaehana mānowai koko complications, concomitant ka make ana o ka moku pa, e like me ka pono me insufficiency ma ka akau atrioventricular kiwikā a me aortic kiwikā. Ka hapanui o nā mea maʻi me Marfan maʻi pale mai i ola mai i ka makahiki hookahi kanaha.

Aortic dissection (downlink) e wahi pinepine pu ma ka loa a me ka atherosclerosis hypertension. Ma pohihihi keia hihia, ke ano ua pu ma cystic necrosis (medial).

Ua aneane mau hoʻomaka me ka luku ana o ke kanana nei ma luna o ka loko o ka iwi i loko o kekahi a oi mau wahi. Ke pii aku aorta Ua kaulana, nō kāu no nā i elima kenimika ma luna o kona kiwikā, i loko o ka ia - he hookuuia kuleana ma lalo o ka subclavian artery (hema). Ka moku i loko o kēia mau wahi kŘpa a paʻa, akā, hoʻoneʻe ma kēlā me kēiaʻaoʻao. Pela, aia no he i kā mākou hemodynamic stress i loko o ka pauku elua o kēlā me kēia systolic hou. Ma keia hihia i ka pā iwi i overstrain kaʻoi loa ma kēia mau kumu, ka paepaeʻana i ke OAAIeOO o ke koko hookaawale moku paia.

It E e hoʻomaopopo i ka lesions a me symptoms,ʻano nui ki ina hana like o ka lapaʻau e pono okoa ka wā o ka pua iho a pii aku aorta.

Aneurysms o na ipu thoracic hoʻomōhala, IeAUPIIe, IAa IO asymptomatic, no laila, e hoomanawanui i pele, mai ohumu. Lākou hōʻike ma ka X-Ray a ultrasound ulia.

Ma kekahi mau hihia, i ka wa a ka aneurysm i nui nui, ma laila e e kekahi eha i loko o ka pahu, ai 'ole hoʻi. Pela ka mea, he mīkini'opihia no e pili nā loko.

Symptoms o ka aneurysm:

- cough, pokole o ka hanu;

- 'aʻe' o ka moni 'ia;

- nani o ka maka, a me ka ai;

- eha.

Soreness e ia i loko o ke ano, a hahao aku la oia e hoohalike ai angina, akā,ʻaʻole wehe nitroglycerin.

Abdominal aortic aneurysm nā mea maʻi hoopii 'Oihana, e like me ka rula, mai i ho'öla. Make i loaa ma ka wale ma ka noiʻi i nā wā. Ma kekahi mau hihia, kaulana, a mahuahua nui nā mea maʻi pulsation i loko o ka abdomen a me ka eha ole discomfort ma ka lalo hoʻi a me ka hope.

Dissecting aortic aneurysm ia lŘlŘ ma ka haki loko wahi iwi. Pela koko liu i loko o ka waena, ahu iho, a ma waena o nā leho ho okumu i ka huhui waina a lākou.

Pela, he mea wale kekahi o ekolu holoʻokoʻa iwi (mawaho), a ua poino moku paha o poha, e alakai i ka make ana o ka hoʻomanawanui.

aneurysm rupture i loko o ka aorta ua pu ma unbearable bakingʻeha i loko o ka abdomen a pahu, he nihinihi emi i loko o ke koko,. Ka lapaʻau kiʻi pela mea i like loa me ka hōʻike o cardiogenic hawewe a me myocardial infarction, a pinepine lawe lawa kauka auwana.

No ka mea, o ka aneurysm kokoke, aole i hoike mai ai ia ia iho, a ua loaʻa ma ka iho, e uhai i kona mau symptoms hoʻomōhala incompatible me ke ola, a me ka hoʻomanawanui hiki ole ke kokua mai, e like me ka mea i ka manawa no ka iapaau ana nō kōna huiwaina ua nalowale.