ʻO ka hemorrhage Intracerebral (ICH) kahi ʻano hoʻoweliweli ola e pili ana i ke kahe ʻana o ke kahe i loko o nā mākala o ka lolo. ʻO nā hanana e like me ka hypertension e kau i ke kaomi kiʻekiʻe ma nā aʻa liʻiliʻi e hāʻawi i ke koko a me ka oxygen i ka lolo. ʻO ka nui o ke kaomi arterial e haki ai kēia mau aʻa a ke pani nei i ka lako o ke koko, e alakaʻi ana i ka hōʻino ʻana o ka cell.

I kahi hōʻeha e like me ka hemorrhage intercerebral (ICH) e ala i ka loaʻa ʻole o ka lolo i ka lawa koko a me ka oxygen, e lawe ʻia mai e nā ke poʻo, hypertension or ka huihuʻi koko. ʻO kēia kahi ke olakino kino e pono ai ka hoʻoponopono koke ka mea e hoʻopiʻi ai i nā lāʻau lapaʻau, ka hana, a me nā hōʻokoʻa maʻalahi e hōʻemi i ke koko; Eia naʻe, ʻaʻole maopopo loa ka hopena o ke kahe nui o ke koko i ka hemorrhage intercerebral.

ʻO ke aʻo ʻana ma ka ʻōpū o Intercerebral Hemorrhage (ICH)

Ke aʻo ʻana o Anderson, C. et. al. (2013) Loiloi i ka maikaʻi o ke komo ʻana i Intercerebral Hemorrhage (ICH) ma o ka hoʻohaʻahaʻa wikiwiki ʻana i ke kahe o ke koko kahi e pili ai i ka heluna kanaka a me nā hiʻohiʻona o ka maʻi. Ma ka ʻaoʻao ʻē aʻe, ua loiloi ʻia ka sternness o kā lākou hahau ʻana ʻO Glasgow Coma Scale (GCS) a me ka Nā Papahana Hoʻolālā o nā Haumāna (NIHSS) ka palapala kumu i hoʻopaʻa ʻia, ma 24 mau hola a i 7 mau lā a i ka manawa paha i lawe ʻia i ka haukapila.

I ka manawa o ka loiloi o ka baseline, hana ʻia ʻo CT scan o ka ʻili a i ʻole MRI e hōʻoia e hiki ai ke hoʻopaʻa i ka ʻeha i pili i ka ʻenehana maʻamau e noho nei. Eia nō naʻe, ma nā lā 28 a i ʻole 90 lā, ua ukali ʻia nā mea maʻi ma o ke kelepona a i ʻole me ka limahana nā mea kōkua mākaukau e ʻike ʻole ʻia i nā pae hana. ʻO ka poʻe maʻi i hiki ʻole ke loaʻa i ka mālama ʻia a i ʻole hiki ke hoʻokō ʻia me nā kulekele, ua hāhai ʻia a piha hoʻi, me ka ʻike ʻia i hoʻopili ʻia i loko o ka noiʻi e like me ka 'manaʻo e mālama i ka loina.

He mea i hōʻoia ʻia ma ke aʻo ʻana ma ka Intercerebral Hemorrhage (ICH)

I loko o ke aʻo ʻana, ua hoʻonohonoho kaulike nā mea noiʻi i nā maʻi he 2839 i loaʻa ka moʻaukala o ka hemorrhage intracerebral kūlohelohe i loko o nā hola he 6 i hala a ua hāpai i ke kaomi systolic. Ua makemake ʻia lākou e loaʻa i ka lāʻau lapaʻau koʻikoʻi e hoʻohaʻahaʻa i ko lākou kahe koko me ka pahuhopu o ka hoʻohaʻahaʻa ʻana i ka pae systolic o <140 mmHg ma loko o 1 hola a i ʻole kahi lāʻau lapaʻau e koi ʻia me kahi pahuhopu o ka pae systolic o <180 mmHg.

ʻO ka hopena mua ka make a i ʻole ka pilikia nui, i wehewehe ʻia he helu 3 ka 6 ma ka pae ʻo Rankin i hoʻololi ʻia (he hōʻailona no 0 he mau hōʻike ʻole, he hōʻailona no 5 e hōʻike ana i ka maʻi hōʻeha nui, a me ka hōʻailona o 6 e hōʻike ana i ka make) ma 90 lā. Ua mālama ʻia kahi ʻano loiloi mua ma mua o ka helu Rankin i hoʻololi ʻia a me ka wikiwiki o nā hanana ʻino i hoʻohālikelike ʻia ma waena o nā hui ʻelua. Ma waena o nā poʻe 2794 e hiki ke hoʻoholo ʻia ka hopena mua loa, ʻo 719 o 1382 mau mea komo (52.0%) e loaʻa ana i ka hoʻomaʻamaʻi loa ʻana, e like me ka 785 o 1412 (55.6%) e loaʻa ana i ka mālama i nā alakaʻi i makemake ʻia, he hanana hopena mua.)

ʻO ka make kino he 11.9% i loko o ka hui e loaʻa ana ka mālama lapaʻau ikaika a me ka 12.0% i ka hui e loaʻa ana ka mālama alakaʻi. ʻO nā hanana koʻikoʻi koʻikoʻi ʻaʻole i hōʻeha i nā 23.3% a me 23.6% o nā mea maʻi i nā hui ʻelua, ʻelua.

I ka hopena, i nā maʻi me hemorrhage intracerebral, ʻaʻole ka hopena o ka hoʻohaʻahaʻa i ke koko i ka hopena e hōʻemi i ka nui o ka hopena mua o ka make a i ʻole ka hōʻino nui. Eia naʻe, kahi loiloi papaʻi o nā helu Rankin i hoʻololi ʻia i hōʻike ʻia i nā hopena hana me ka hoʻohaʻahaʻa ʻana i ke koko.

E hoʻomau i ka heluhelu ʻana i ke aʻo ʻana o:

Craig S. Anderson, MD, Ph.D., Emma Heeley, Ph.D., Yining Huang, MD, Jiguang Wang, MD, Christian Stapf, MD, Candice Delcourt, MD, Richard Lindley, MD, Thompson Robinson, MD, Pablo Lavados, MD, MPH, Bruce Neal, MD, Ph.D., Jun Hata, MD, Ph.D., Hisatomi Arima, MD, Ph.D., et al., No ka INTERACT2 Investigator.

 

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