Tej zaum koj nyuam qhuav rov qab los tsev tom qab phais loj. Txawm hais tias koj yuav xav tias zoo siab, tej zaum koj yuav tau hnov koj tus kws kho mob hais txog ib yam dab tsi hu ua 'Endoleak,' lossis tej zaum lawv ceeb toom tias yuav muaj ib qho tshwm sim thaum koj rov qab mus ntsib kws kho mob yav tom ntej. Hnov lo lus no tuaj yeem ua rau koj txhawj xeeb me ntsis. Txawm li cas los xij, thov tsis txhob ntshai. Hnub no, ntawm Nirogi Lanka, peb yuav tham txog qhov no yog dab tsi, vim li cas nws tshwm sim, thiab yuav ua li cas nrog kev ntseeg siab.
Hauv cov lus yooj yim, Endoleak yog dab tsi?
Yuav kom nkag siab qhov no, cia peb rov qab xav txog koj txoj kev kho mob luv luv. Cov hlab ntsha loj tshaj plaws hauv koj lub cev, Aorta, ua haujlwm zoo li cov kav dej loj hauv koj lub tsev. Qee zaum, ib feem ntawm phab ntsa hlab ntsha no tsis muaj zog thiab o, zoo li lub npas. Peb hu qhov no ua Aneurysm .
Vim qhov no tuaj yeem ua rau muaj kev phom sij, cov kws kho mob muab Stent Graft tso rau hauv thaj chaw uas pob. Xav txog nws zoo li ntxig ib lub yeeb nkab tshiab, ruaj khov rau hauv ib lub qub, tsis muaj zog kom hloov pauv kev ntws. Tam sim no, cov ntshav tsuas yog mus dhau lub stent tshiab, txo qhov siab rau ntawm phab ntsa qub, tsis muaj zog thiab txo qhov kev pheej hmoo ntawm kev tawg.
Txawm li cas los xij, muaj ob peb qho teeb meem me me, tej zaum yuav muaj ntshav me me ntws tawm ntawm lub stent tshiab thiab phab ntsa ntawm cov hlab ntsha qub. Qhov kev ntws tawm tshwj xeeb no yog qhov peb txhais los ntawm kev kho mob tias yog 'Endoleak.'
Yog tias muaj qhov endoleak tshwm sim hauv 30 hnub ntawm koj qhov kev phais, nws raug suav hais tias yog "endoleak thaum ntxov." Yog tias nws tshwm sim tom qab 30 hnub, nws raug hu ua "endoleak lig."
Qhov no tshwm sim ntau npaum li cas, thiab puas yog qhov ua rau muaj kev ceeb toom?
Raws li kev suav lej, kwv yees li ib ntawm plaub tus neeg uas tau phais kho cov hlab ntsha aneurysm (xws li EVAR lossis TEVAR) yuav muaj qhov endoleak. Nws tsis yog ib qho tshwm sim tsis tshua muaj.
Qhov tseem ceeb, tsis yog txhua lub endoleak muaj kev phom sij.
Qee cov endoleaks ploj mus ntawm lawv tus kheej yam tsis muaj kev cuam tshuam dab tsi. Koj tus kws kho mob tsuas yog saib xyuas koj tus mob los ntawm kev thaij duab tsis tu ncua. Txawm li cas los xij, lwm hom mob hnyav dua; yog tias lawv ua rau lub aneurysm nthuav dav lossis nce siab, yuav tsum tau kho mob sai sai.
Qhov hnyav yog nyob ntawm seb hom thiab qhov chaw ntawm qhov xau.
Cov hom Endoleaks tseem ceeb yog dab tsi?
Muaj tsib hom endoleaks tseem ceeb, txhua hom muaj ntau yam ua rau. Nrog rau cov thev naus laus zis niaj hnub no, ntau yam ntawm cov no tau dhau los ua tsawg dua.
| Hom | Lub Tshuab (Yooj Yim) | Qhov hnyav |
|---|---|---|
| Hom 1 | Muaj qhov xau ntawm thaj chaw kaw sab saud lossis hauv qab uas lub stent ntsib phab ntsa ntawm cov hlab ntsha. | Mob hnyav heev. Muaj feem yuav tawg. Yuav tsum tau kho tam sim ntawd. |
| Hom 2 | Cov ntshav ntws rov qab mus rau hauv aneurysm los ntawm cov ceg ntawm cov hlab ntsha. | Feem ntau. Feem ntau tsis txaus ntshai; 40% ploj mus yam tsis tau npaj tseg hauv 6 lub hlis. Cov kws kho mob yuav tsum tau saib xyuas. |
| Hom 3 | Kev xau ntawm cov ntu ntawm lub stent vim yog kev ua tsis tiav lossis kev sib txuas. | Hnyav heev. Muaj kev pheej hmoo zoo ib yam li Hom 1. Yuav tsum tau kho tam sim ntawd. |
| Hom 4 | Kev nkag mus los ntawm cov khoom siv porous ntawm lub stent graft nws tus kheej. | Tsis tshua muaj neeg pom. Tsis tshua muaj neeg pom nrog cov stents niaj hnub no. |
| Hom 5 | Kuj hu ua "Endotension"; qhov aneurysm txuas ntxiv nthuav dav yam tsis pom qhov chaw xau. | Tsis paub meej tias yog vim li cas; yuav tsum tau saib xyuas mob kom zoo. |
Cov tsos mob ntawm Endoleak yog dab tsi?
Qhov no yog qhov tseem ceeb tshaj plaws: feem ntau, koj yuav tsis hnov cov tsos mob ntawm endoleak kiag li. Koj yuav tsis hnov mob, tsis xis nyob, lossis kev hloov pauv ntawm lub cev.
Cov no raug kuaj pom los ntawm kev teem sijhawm rov qab thiab kev thaij duab ntawm koj tus kws kho mob lub sijhawm. Nws yog ib qho tseem ceeb uas koj yuav tsum mus koom txhua qhov kev teem sijhawm thiab ua kom tiav koj cov kev thaij duab; thov tsis txhob hla lawv.
Ceeb Toom Thaum Muaj Xwm Ceev! Nrhiav kev pab tam sim ntawd yog tias koj ntsib cov no:
Yog tias qhov endoleak ua rau tawg , nws yog qhov xwm txheej ceev uas ua rau tuag taus. Yog tias muaj ib qho ntawm cov hauv qab no tshwm sim sai sai, mus rau chav kho mob ceev (ER) ze tshaj plaws yam tsis muaj kev ncua:
- Mob tam sim ntawd, tsis tuaj yeem ua tau, thiab mob ntse hauv koj lub plab, nraub qaum, lossis ob txhais ceg.
- Kev xav tias kua muag ntws hauv koj lub hauv siab lossis nraub qaum.
- Kiv taub hau los yog tsaus muag.
- Lub plawv dhia ceev ceev.
- Hws txias thiab daim tawv nqaij ntub.
- Xeev siab thiab ntuav .
- Ua tsis taus pa .
Cov kws kho mob kuaj mob li cas?
Raws li tau hais ua ntej lawm, kev nrhiav pom cov qhov xau no yuav tsum tau kuaj duab tshwj xeeb. Koj yuav tsum tau kuaj xyuas cov no thaum lub sijhawm koj ua phais, tam sim ntawd tom qab ntawd, thiab txawm tias ntau lub hlis lossis ntau xyoo tom qab. Qhov no yog vim qee qhov "endoleaks lig" tuaj yeem tshwm sim zoo tom qab koj thawj zaug phais.
Cov kev ntsuam xyuas tseem ceeb uas siv rau kev saib xyuas suav nrog:
- CT scan (Computed Tomography): Qhov no tsim cov duab 3D meej ntawm koj lub cev, uas ua rau peb pom tseeb tias muaj cov ntshav ntws tawm.
- Doppler Ultrasound: Qhov kev kuaj no ntsuas seb cov ntshav ntws li cas los ntawm kojcov hlab ntsha , pab peb txheeb xyuas qhov ceev thiab kev coj ntawm cov dej ntws kom pom cov dej xau.
- Angiogram: Ib qho xim tshwj xeeb uas muaj qhov sib txawv raug txhaj rau hauv koj cov hlab ntsha, ua raws li X-ray, muab daim ntawv qhia meej heev los nrhiav qhov chaw tseeb ntawm qhov xau.
Yuav kho cov endoleaks li cas?
Koj txoj kev npaj kho mob yog tsim tshwj xeeb rau koj, raws li hom endoleak, nws qhov chaw tseeb, thiab koj txoj kev noj qab haus huv tag nrho. Tsis yog txhua tus neeg xav tau tib txoj kev. Muaj peb txoj kev xaiv tseem ceeb:
1. Kev Soj Ntsuam
Qhov no yog txoj kev siv ntau tshaj plaws rau cov qhov xau me me, uas tsis muaj kev pheej hmoo ntau, xws li Hom 2 endoleaks. Koj tus kws kho mob yuav pom zoo kom kuaj xyuas txhua 6 lub hlis los saib xyuas thaj chaw. Peb taug qab seb qhov xau puas daws tau nws tus kheej, tseem ruaj khov, lossis yog tias aneurysm pib loj hlob. Yog tias aneurysm tsis loj hlob, kev soj ntsuam feem ntau yog qhov kev xaiv zoo tshaj plaws thiab muaj txiaj ntsig zoo tshaj plaws.
2. Kev Kho Mob Endovascular
Cov no yog cov txheej txheem minimally invasive ua los ntawm kev tho me me, siv lub catheter coj los ntawm koj cov hlab ntsha es tsis tas yuav phais loj.
- Kev Siv Tshuaj Txhaws: Peb siv cov kauj tshwj xeeb lossis cov kua nplaum kho mob los thaiv cov hlab ntsha me me uas pub cov pa xau.
- Kev Txuas Ntxiv Stent Graft: Peb muab ib ntu ntxiv ntawm stent graft tso rau kom ntev dua thiab kaw qhov xau kom zoo.
- Kev Siv Kua Nplaum Los Txhaws: Peb tuaj yeem nkag mus rau hauv lub hnab aneurysm ncaj qha los txhaj tshuaj sealant qib kho mob kom kaw qhov chaw xau.
3. Kev Phais Qhib
Qhov no tsis tshua muaj. Peb tsuas xav tias qhov no yog qhov kawg yog tias qhov endoleak tsis tuaj yeem kho tau los ntawm cov txheej txheem uas tsis tshua muaj kev cuam tshuam, uas yuav tsum tau phais qhib ib txwm muaj.
Cov lus nug rau koj tus kws kho mob
Nws yog ib qho ib txwm muaj kev txhawj xeeb txog koj txoj kev noj qab haus huv. Thaum koj mus ntsib koj tus kws kho mob dua, tsis txhob yig nug cov lus nug nram qab no:
- Kuv yuav tsum paub txog lwm yam teeb meem dab tsi ntxiv tom qab ua tiav cov txheej txheem no?
- Kuv tus kheej muaj kev pheej hmoo li cas rau kev tsim endoleak?
- Kuv yuav tsum rov qab mus ntsib kws kho mob ntau zaus npaum li cas?
- Kuv yuav xav tau cov kev kuaj duab tshwj xeeb twg yav tom ntej?
- Kuv yuav ua li cas thiaj li txhim kho kuv lub plawv thiab cov hlab ntsha kom noj qab haus huv zoo?
Kev kho qhov aneurysm yog ib txoj kev cawm txoj sia, thiab nws yog ib qho pab tau kom pom cov teeb meem me me tom qab phais mob ua cov kauj ruam uas koj tuaj yeem tswj tau hauv koj txoj kev rov zoo. Feem ntau, cov teeb meem no tsis tas yuav kho, thiab yog tias lawv ua, cov tshuaj niaj hnub no muab cov kev daws teeb meem yooj yim thiab zoo heev. Yog tias koj ntxhov siab lossis ntxhov siab, thov hu rau koj tus kws kho mob lossis tham txog cov kev xav no nrog koj cov neeg hlub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho endoleak yog ib qho kev kho tom qab aneurysm, tab sis nws tsis yog ib qho xwm txheej txaus ntshai tas li.
- Feem ntau cov endoleaks tsis muaj tsos mob, yog vim li cas nws thiaj li tseem ceeb heev rau koj mus koom koj cov kev teem sijhawm tom qab.
- Cov kab mob endoleaks hom 1 thiab 3 yog cov mob hnyav thiab xav tau kev kho mob sai, thaum cov kab mob xau hom 2 feem ntau yuav ploj mus ntawm lawv tus kheej.
- Yog tias koj mob plab lossis mob hauv siab tam sim ntawd, lossis tsaus muag, qhov no yuav qhia tau tias muaj aneurysm tawg . Nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd los ntawm kev hu rau 911 lossis mus ntsib chav kho mob thaum muaj xwm txheej ceev ze tshaj plaws.
- Yog tias koj muaj lus nug lossis kev tsis ntseeg txog koj tus mob, thov tsis txhob yig nrog koj tus kws kho mob tham.
Endoleak, Aneurysm, Kev Phais Mob, Stent Graft, Ntshav Tawm, Aorta, EVAR, TEVAR, Kab Mob Plawv
