lolo aneurysmʻIke pū ʻia he aneurysm cerebral. ʻO ka aneurysm i loko o ka lolo ka hoʻonui ʻia ma nā wahi nāwaliwali o ke kahe ʻana o ke aʻa. ʻo kahi laʻana; hoʻonui nā paia o nā kīʻaha koko o ka lolo.
Ua wehewehe ʻia ʻo ia ka pehu ʻana o nā aʻa koko. ʻO nā ʻaʻa ʻaʻa pehu ke hana i nā ʻōpū. Hiki i nā veins nāwaliwali ke haki.
Ke alakaʻi pinepine nei kēia ʻano i ka hemorrhage subarachnoid. ʻO ka subarachnoid hemorrhage ke kumu o ka dilation, thinning, and rupture of blood vessels. ʻO ka hopena o ke koko i ka hemorrhagic stroke a i ʻole ke koko i loko o ka lolo, kahi e hoʻonui ai i ka make.
ʻO ka hapa nui o nā aneurysms lolo. ʻIke wale ʻia ia i ka wā neuroimaging a i ʻole autopsy.
He aha nā ʻano o ka lolo aneurysms?
ʻekolu ʻano lolo aneurysm loaʻa:
Aneurysm saccular:lolo aneurysmʻo ia ke ʻano maʻamau. ʻIke ʻia he ʻeke poepoe i piha i ke koko, pili i ke aʻa nui.
Fusiform aneurysm: Hōʻike ʻo ia iā ia iho ma ke ʻano o ka pehu ʻana ma muli o ka baluna a i ʻole ka protrusion mai nā ʻaoʻao a pau o ke aʻa.
Mycotic aneurysm: Ua like ia me ka fungus succulent, no ka mea, ua hana ʻia ma muli o ka maʻi.
He aha nā kumu o ka aneurysm lolo?
Ke lilo nā paia o nā ʻaʻaʻa i loko o ka lolo i ka lahilahi, haki, a nāwaliwali paha lolo aneurysm hiki mai. Hiki ke hōʻemi ʻia ke aʻa i kēlā me kēia makahiki a ma muli o nā kumu he nui. ʻO kekahi o nā kumu e hiki ke alakaʻi i ka ulu ʻana o ke ʻano:
ka nele o ka alpha-glucosidase,
ʻO ka maʻi o Ehlers-Danlos,
ʻO ka dysplasia fibromuscular,
ʻO ka maʻi maʻi maʻi polycystic (PCKD)
ʻO nā maʻi genetic e like me Klinefelter syndrome.
ʻO nā maʻi puʻuwai hiki ʻole ke mālama ʻia e like me ke koko a me ke atherosclerosis.
ʻO ka inu waiʻona mau
ʻO ka hoʻohana mau ʻana i nā lāʻau lapaʻau e like me ka cocaine
puhi mau
ʻO Glioma
ʻO ka maʻi o nā kīʻaha koko o ka lolo (mycotic aneurysm).
Ua ʻike ʻia ke ʻano e alakaʻi ai i ka lolo. Akā nā mea a pau lolo aneurysms ʻaʻole i loaʻa i ka hemorrhagic stroke. lolo aneurysm ʻO nā kūlana e hiki mai ana ma muli o kēia:
hopu ʻana
pōʻino lolo mau
koma
Make koke
Pehea e ʻike ʻia ai kahi aneurysm lolo?
Inā ʻaʻole i haki ʻia, ʻike ʻia ia i ka wā o ka lolo kiʻi. ʻO kekahi o nā ʻano diagnostic:
ʻO ke kiʻi hoʻonaʻauao mākēneki (MRI): Kōkua ia i ka ʻike ʻana i nā loli o nā ʻiʻo lolo.
ʻO ka angiography cerebral: Hana ʻia e ʻike i nā pilikia i loko o nā kīʻaha koko.
Hoʻopili ʻia ka helu helu helu (CT scan): Hoʻohana ia e hoʻoholo i kahi o nā aneurysms a inā paha ua haki lākou.
Ka nānā 'ana i ka wai cerebrospinal (CSF): Hoʻohana ʻia kēia loiloi e ʻike i ke koko a puni ka lolo.
Pehea e mālama ʻia ai?
Ka mālama ʻana i ka aneurysm loloʻO nā ʻano hana penei:
ʻO ka ʻoki ʻana i ka microsurgical clipping (MSC): Kōkua ia i ka pale ʻana i ke kahe koko ma ka lolo. Hoʻopaʻa ʻo ia me ka hoʻohana ʻana i kahi pahu metala.
Platinum coil embolization: ʻOi aku ka palena o ka hohonu o ka hana ma mua o ke ʻano ʻē aʻe. Ma ʻaneʻi, hoʻohana ʻia nā coils e hoʻopaʻa i nā aneurysms a pale i ke kahe ʻana o ke koko i loko o ka lolo.
Nā lāʻau lapaʻau: Hoʻohana ʻia nā lāʻau lapaʻau e like me nā anticonvulsants.
lolo aneurysm He kūlana weliweli i ke ola. Hiki i ka hemorrhage subarachnoid ke hoʻopōʻino mau loa i kekahi poʻe. He mea nui ka hoʻomaʻamaʻa mua ʻana a me ka mālama ʻana e hoʻonui i ka manawa o ka hoʻōla.
