ʻO Endoleak ma hope o ke ʻoki aneurysm? Mai hopohopo, e kamaʻilio kākou e pili ana!

Ua hoʻi mai paha ʻoe mai kahi ʻoki kino nui. Ke manaʻo nei paha ʻoe i kahi manaʻo nui o ke kūʻokoʻa a me ka hōʻoluʻolu. Akā ua haʻi aku anei ke kauka iā ʻoe e pili ana i kahi mea e like me ka 'endoleak'? A i ʻole ua haʻi aku ʻo ia iā ʻoe e hiki ke hana ʻia kekahi mea e like me ia ke hele mai ʻoe no nā nānā ʻana i ka wā e hiki mai ana? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēia huaʻōlelo. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma nā ʻōlelo maʻalahi, he aha ia, no ke aha e hana ʻia ai, a inā paha e makaʻu ʻoe.

I ka ʻōlelo maʻalahi, he aha kēia endoleak?

I mea e hoʻomaopopo ai i kēia, e hoʻomanaʻo mua kākou iā ʻoe e pili ana i ke ʻoki ʻana i loaʻa iā ʻoe. ʻO ke kīʻaha koko nui loa i loko o ko kākou kino, ʻo ka aorta, ua like ia me ka paipu wai nui i loko o ko kākou hale. I kekahi manawa, lilo kahi wahi i loko o ka paia o kēia kīʻaha koko i nāwaliwali a puʻupuʻu e like me ka pōpō. ʻO ia ka mea a mākou e kapa nei he aneurysm . No ka mea he mea weliweli kēia, hoʻokomo nā kauka i kahi kīʻaha koko artificial, i kapa ʻia he stent graft, i loko o ka puʻupuʻu. E noʻonoʻo e like me ke kau ʻana i kahi paipu hou a ikaika ma o kahi paipu wai kahiko a nāwaliwali. I kēia manawa, kahe wale ke koko ma o ka stent i hoʻokomo hou ʻia. A laila, ʻaʻohe kaomi ma ka paia kahiko a nāwaliwali, no laila ʻaʻohe pilikia o ka pahū ʻana. Akā, ma hope o kahi manawa pōkole loa, hoʻomaka kahi koko liʻiliʻi e kahe ma waena o ka stent i kau hou ʻia a me ka paia o ke kīʻaha koko kahiko. Ua like ia me kahi wai liʻiliʻi e kahe ana mai nā ʻaoʻao o ka paipu hou. ʻO kēlā kahe koko ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'endoleak'. Inā hana ʻia kēia endoleak i loko o 30 mau lā o ke ʻoki ʻana, ua kapa ʻia ʻo ia he "endoleak mua." Inā hana ia ma hope o 30 mau lā, ua kapa ʻia ia he "late endoleak."

Ke hana nei kēia i nā kānaka he nui? He mea anei ia e makaʻu ai?

ʻO ka ʻoiaʻiʻo, ma kahi o hoʻokahi o ka ʻehā o ka poʻe e hana nei i kēia ʻano ʻoki hoʻoponopono aneurysm (e like me EVAR a i ʻole TEVAR) loaʻa kekahi manawa e loaʻa ai kēia endoleak. No laila, ʻaʻole ia he mea maʻamau. Akā ʻo ka mea nui, ʻaʻole weliweli nā endoleaks āpau. No laila, ua hoʻoholo ʻia ke koʻikoʻi e ke ʻano a me ka wahi o kēia.

He aha nā ʻano nui o nā endoleaks?

Aia he 5 mau ʻano nui o nā endoleaks. He kumu ʻokoʻa ko kēlā me kēia. I kēia manawa, me ka hiki ʻana mai o ka ʻenehana stent hou, ua emi nui ka nui o kekahi mau ʻano. E nānā kākou i ke ʻano o kēia mau ʻano.

He aha nā hōʻailona o ka endoleak?

Eia ka mea nui loa āu e pono ai e ʻike. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e ʻike i kekahi mau hōʻailona o ka endoleak. ʻAʻole paha ʻoe e ʻike i kekahi mau loli, ʻeha, a ʻoluʻolu ʻole paha. ʻIke ʻia kēia mau mea i ka wā o nā scans i hana ʻia i kāu mau manawa hoʻopaʻa ma hope o ke ʻoki ʻana. ʻO ia ke kumu e haʻi aku ai kāu kauka iā ʻoe e hele mai no kēlā mau scans i nā lā a lākou e hāʻawi ai iā ʻoe. Mai hōʻalo iā lākou.

Pilikia! Inā ʻike ʻoe i kēia mau hōʻailona, ​​e hele koke i ka ETU!

Inā haki ka aneurysm kahiko ma muli o ka endoleak, he pilikia olakino ia. Inā loaʻa koke nā hōʻailona ma lalo nei, mai hoʻonele i ka manawa a hele i ka Emergency Department (ETU) o ka haukapila kokoke loa .

• ʻEha koke, ʻoi, hiki ʻole ke hoʻomanawanui ma ka ʻōpū, ke kua, a i ʻole nā ​​​​wāwae.
• Ka ʻeha koke a haehae hoʻi ma ka umauma a i ʻole ke kua.
• Pōniuniu a me ka mae ʻana.
• Ka puʻuwai wikiwiki koke.
• Ke anu nei a me ka hou.
• Ka luaʻi a me ka luaʻi .
• Paʻakikī ka hanu ʻana .

Pehea e ʻike ai nā kauka i kēia?

E like me ka mea i ʻōlelo ʻia ma mua, ʻike ʻia kēia me nā scan kūikawā. Hiki ke hana ʻia kēia mau hoʻāʻo i ka wā o kāu ʻoki kino, ma hope o ka pau ʻana, a me nā mahina a i ʻole nā ​​​​makahiki ma hope. ʻO kēia no ka mea hiki ke ulu aʻe kekahi mau endoleaks lohi ma hope o kekahi manawa ma hope o ke ʻoki kino. ʻO nā hoʻāʻo nui i hoʻohana ʻia:

• ʻO ke scan CT (Computed Tomography scans): Hiki i kēia ke lawe i nā kiʻi ʻekolu-dimensional maopopo o loko o ke kino a nānā i nā kahe koko.
• ʻO Doppler Ultrasound: Hiki i kēia ke ʻike i nā leaka ma ka nānā ʻana i ke ʻano a me ka wikiwiki o ke kahe koko i loko o nā kīʻaha koko .
• Angiogram: Pili kēia i ke komo ʻana i kahi waihoʻoluʻu kūikawā i loko o nā kīʻaha koko a lawe i kahi X-ray e ʻike pono i kahi e kahe ana ke koko.

Pehea ʻoe e mālama ai i kahi endoleak?

Aia ka lāʻau lapaʻau i ke ʻano o ka endoleak āu, kahi e loaʻa ai, a me kou olakino holoʻokoʻa. ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau. ʻEkolu mau koho nui.

1. Nānā ʻana

ʻO kēia ka mea i hana pinepine ʻia no nā endoleaks koʻikoʻi ʻole e like me ke ʻano 2. E noi aku kāu kauka iā ʻoe e hana i kahi scan ma kahi o kēlā me kēia 6 mahina. E nānā kēia e ʻike inā e nalowale ana ke kahe koko ma kāna iho, inā e noho like ana, a inā paha e nui ana ka aneurysm. Inā ʻaʻole e nui ana ka aneurysm, ʻoi aku ka maikaʻi o ka hana ʻole a kali.

2. Lapaʻau Endovascular

He mau ʻoki liʻiliʻi kēia i hana ʻia me ka ʻole o kahi ʻoki nui, me ka hoʻohana ʻana i kahi mea e like me ka nila e hele ai ma ke kīʻaha koko.

• Ke hoʻopili ʻana: Ke ālai ʻana i nā kīʻaha koko liʻiliʻi e hoʻoulu ai i ke kahe ʻana me kahi ʻano kola kūikawā a i ʻole nā ​​​​uaea liʻiliʻi.
• Hoʻolōʻihi ʻana i ka stent: Ke hoʻolōʻihi nei i ka stent ma ke kau ʻana i kahi ʻāpana stent ʻē aʻe e uhi i ka leak.
• Ke kau ʻana i ke kola: Ke sila ʻana i ka aneurysm ma ke kau ʻana i kahi mea like me ke kola i kahi e kahe ana ke koko.

3. ʻOki Hana Hāmama

Hana kākaʻikahi loa kēia. Inā ʻaʻole hiki i nā ʻano hana ʻē aʻe ke hoʻoponopono i ka endoleak, a ma ke ʻano he koho hope loa, hoʻohana ʻia kahi ʻoki nui e pili ana i ka ʻoki ʻana i ka ʻōpū.

Nā nīnau e nīnau aku ai i kāu kauka

He mea maʻamau ka loaʻa ʻana o nā nīnau e pili ana i kou kūlana. Mai kānalua e nīnau i kēia mau nīnau i ka manawa aʻe e ʻike ai ʻoe i kāu kauka.

• He aha nā pilikia ʻē aʻe e hiki ke hana ma hope o kēia ʻoki kino?
• He aha koʻu pilikia o ka loaʻa ʻana o ka endoleak?
• ʻEhia pinepine e pono ai iaʻu ke hele mai no ka nānā ʻana?
• He aha nā scan e pono ai iaʻu?
• He aha kaʻu e hana ai e mālama i ke olakino o koʻu puʻuwai a me nā kīʻaha koko?

He hana hoʻōla ola ka hoʻoponopono ʻana i kahi aneurysm. No laila, he mea maʻamau ka loaʻa ʻana o nā pilikia liʻiliʻi e like me kēia ma hope o ia ʻano hana. ʻO ka hapa nui o ka manawa, ʻaʻole pono e mālama ʻia kēia mau mea. I kēia manawa, aia nā lāʻau lapaʻau holomua a maʻalahi hoʻi i loaʻa. Inā ʻoe e luhi a kaumaha paha, e kamaʻilio me kāu kauka a ʻohana paha e pili ana i ia mea. Endoleak, Aneurysm, ʻoki kino, Stent Graft, Leak Blood, Aorta, EVAR, TEVAR, Maʻi Puʻuwai