Tej zaum koj nyuam qhuav rov qab los tsev los ntawm kev phais loj. Tej zaum koj xav tias muaj kev ywj pheej thiab kev nplij siab heev. Tab sis tus kws kho mob puas tau qhia koj txog ib yam dab tsi zoo li 'endoleak'? Los yog nws puas tau qhia koj tias ib yam dab tsi zoo li ntawd yuav tshwm sim thaum koj tuaj kuaj mob yav tom ntej? Nws yog ib qho ib txwm muaj uas yuav ntshai thiab txhawj xeeb me ntsis thaum koj hnov lo lus no. Tab sis tsis txhob txhawj. Hnub no, peb yuav tham txog nws hauv cov lus yooj yim, nws yog dab tsi, vim li cas nws tshwm sim, thiab seb koj puas yuav tsum ntshai.
Hais yooj yim xwb, qhov endoleak no yog dab tsi?
Yuav kom nkag siab qhov no, cia peb xub ceeb toom koj me ntsis txog qhov kev phais uas koj tau ua. Cov hlab ntsha loj tshaj plaws hauv peb lub cev, aorta, zoo li cov kav dej tseem ceeb hauv peb lub tsev. Qee zaum, ib qho chaw hauv phab ntsa ntawm cov hlab ntsha no yuav tsis muaj zog thiab bulges zoo li lub npas. Qhov ntawd yog qhov peb hu ua
aneurysm . Vim tias qhov no tuaj yeem ua rau muaj kev phom sij, cov kws kho mob ntxig ib txoj hlab ntsha cuav, hu ua
stent graft, rau hauv qhov bulge. Xav txog nws zoo li muab ib lub raj tshiab, muaj zog dua los ntawm cov kav dej qub, tsis muaj zog. Tam sim no cov ntshav tsuas yog ntws los ntawm stent tshiab uas tau ntxig. Tom qab ntawd, tsis muaj kev nyuaj siab rau ntawm phab ntsa qub, tsis muaj zog, yog li tsis muaj kev pheej hmoo ntawm nws tawg. Tab sis, tom qab lub
sijhawm luv luv, me ntsis ntshav pib xau ntawm lub
stent tshiab thiab phab ntsa ntawm cov hlab ntsha qub. Nws zoo li me ntsis dej xau los ntawm ob sab ntawm lub raj tshiab.
Qhov ntshav xau ntawd yog qhov peb hu ua 'endoleak' hauv kev kho mob. Yog tias qhov endoleak no tshwm sim hauv 30 hnub tom qab phais, nws hu ua "endoleak thaum ntxov." Yog tias nws tshwm sim tom qab 30 hnub, nws hu ua "endoleak lig."
Qhov no puas tshwm sim rau ntau tus neeg? Puas yog ib yam dab tsi uas yuav tsum ntshai?
Qhov tseeb,
kwv yees li ib ntawm plaub tus neeg uas tau phais kho cov aneurysm no (xws li EVAR lossis TEVAR) muaj qee qhov kev pheej hmoo ntawm kev mob endoleak no. Yog li nws tsis yog qhov tsis tshua muaj. Tab sis qhov tseem ceeb yog,
tsis yog txhua tus endoleaks muaj kev phom sij. Qee hom endoleaks yuav zoo dua ntawm lawv tus kheej hauv ob peb lub hlis yam tsis tas yuav kho mob. Tus kws kho mob tsuas yog yuav saib xyuas nws nrog kev luam theej duab xwb . Txawm li cas los xij, qee hom mob hnyav dua. Lawv tuaj yeem ua rau lub aneurysm loj hlob dua thiab ua rau lub siab nce ntxiv, yog li lawv yuav tsum tau kho sai sai.
Yog li ntawd, qhov hnyav yog txiav txim siab los ntawm hom thiab qhov chaw ntawm qhov no.
Cov hom endoleaks tseem ceeb yog dab tsi?
Muaj 5 hom endoleaks tseem ceeb. Txhua hom muaj qhov ua rau txawv. Tam sim no, nrog rau kev siv tshuab stent tshiab, qhov tshwm sim ntawm qee hom tau txo qis heev. Cia peb saib seb cov hom no yog dab tsi.
| Hom Endolek | Zoo li cas? (Tsuas yog) | Qhov hnyav |
|---|
| Hom 1 | Ntshav ntws vim yog lub stent tsis haum rau phab ntsa ntawm cov hlab ntsha ntawm sab saud lossis sab hauv qab. | Mob hnyav heev. Muaj kev pheej hmoo siab uas cov hlab ntsha aneurysm yuav tawg. Yuav tsum tau kho tam sim ntawd. |
| Hom 2 | Los ntshav rov qab rau hauv lub aneurysm los ntawm cov hlab ntsha me me uas txuas rau cov hlab ntsha loj. | Qhov no yog hom mob uas feem ntau tshwm sim. Feem ntau nws tsis txaus ntshai. Kwv yees li 40% ntawm cov neeg mob yuav zoo dua hauv 6 lub hlis. Cov kws kho mob yuav saib xyuas lawv. |
| Hom 3 | Yog tias lub stent muaj ntau qhov, cov ntshav yuav tawm vim muaj kev sib cais ntawm ob qhov. | Mob hnyav heev. Ib yam li hom 1, muaj kev pheej hmoo ntawm kev tawg. Yuav tsum tau kho tam sim ntawd. |
| Hom 4 | Ntshav ntws los ntawm cov qhov me me hauv daim ntaub uas lub stent ua los ntawm. | Tsis tshua muaj. Qhov mob no zoo li tsis pom muaj nyob rau hauv cov stents tshiab. |
| Hom 5 | Cov kev ntsuas tsis qhia txog kev xau ntshav, tab sis qhov aneurysm txuas ntxiv loj hlob. Nws tseem hu ua "endotension." | Vim tias qhov ua rau tsis paub meej, cov kws kho mob tab tom saib xyuas qhov no ze. |
Cov tsos mob ntawm tus kab mob endoleak yog dab tsi?
Nov yog qhov tseem ceeb tshaj plaws uas koj yuav tsum paub.
Feem ntau, koj yuav tsis hnov cov tsos mob ntawm endoleak. Tej zaum koj yuav tsis hnov qhov kev hloov pauv, mob, lossis tsis xis nyob. Cov no raug kuaj pom thaum lub sijhawm scans uas ua thaum koj
teem sijhawm tom qab phais. Yog vim li cas koj tus kws kho mob hais kom koj tuaj rau cov scans ntawd rau hnub uas lawv muab rau koj. Tsis txhob hla lawv.
Xwm txheej ceev! Yog tias koj muaj cov tsos mob no, mus rau ETU tam sim ntawd!
Yog tias cov hlab ntsha qub tawg vim yog endoleak, nws yog qhov xwm txheej ceev hauv kev kho mob. Yog tias cov tsos mob hauv qab no tshwm sim sai sai, tsis txhob nkim sijhawm thiab mus
rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob .
- Mob tam sim ntawd, mob tsis taus, thiab mob ntse hauv plab, nraub qaum, lossis ob txhais ceg.
- Mob tam sim ntawd, mob kua muag hauv siab lossis nraub qaum.
- Kiv taub hau thiab tsaus muag.
- Lub plawv dhia ceev ceev tam sim ntawd.
- Hnov txias thiab tawm hws.
- Xeev siab thiab ntuav .
- Ua pa nyuaj .
Cov kws kho mob nrhiav tau qhov no li cas?
Raws li tau hais ua ntej lawm, qhov no yuav raug kuaj pom los ntawm kev siv cov kev ntsuas tshwj xeeb. Cov kev kuaj no yuav ua tau thaum lub sijhawm koj phais, tom qab ua tiav, thiab ntau lub hlis lossis ntau xyoo tom qab. Qhov no yog vim qee qhov endoleaks lig tuaj yeem tshwm sim tom qab lub sijhawm tom qab phais. Cov kev kuaj tseem ceeb uas siv yog:
- Kev luam theej duab CT (Computed Tomography scans): Qhov no tuaj yeem thaij duab peb-seem kom meej ntawm sab hauv lub cev thiab xyuas seb puas muaj ntshav ntws.
- Doppler Ultrasound: Qhov no tuaj yeem ntes tau cov dej ntws los ntawm kev saib tus qauv thiab qhov ceev ntawm cov ntshav ntws hauv cov hlab ntsha .
- Angiogram: Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv cov hlab ntsha thiab thaij duab X-ray kom pom tseeb tias cov ntshav ntws los qhov twg.
Koj kho tus mob endoleak li cas?
Kev kho mob nyob ntawm seb koj muaj hom endoleak twg, nws nyob qhov twg, thiab koj txoj kev noj qab haus huv tag nrho. Tsis muaj ib txoj kev kho mob uas haum rau txhua tus. Muaj peb txoj kev xaiv tseem ceeb.
1. Kev Soj Ntsuam
Qhov no yog qhov uas feem ntau ua rau cov endoleaks uas tsis loj heev xws li Hom 2. Koj tus kws kho mob yuav hais kom koj mus thaij duab txhua 6 lub hlis. Qhov no yuav xyuas seb cov ntshav ntws puas ploj mus, puas tseem zoo li qub, lossis yog tias aneurysm loj zuj zus. Yog tias aneurysm tsis loj zuj zus, nws yog qhov zoo tshaj plaws kom tsis txhob ua dab tsi thiab tos.
2. Kev Kho Mob Endovascular
Cov no yog cov kev phais me me uas ua tsis muaj qhov phais loj, siv ib yam dab tsi zoo li rab koob los hla cov hlab ntsha.
- Embolizing: Thaiv cov hlab ntsha me me uas ua rau los ntshav nrog ib hom kua nplaum tshwj xeeb lossis cov xov hlau me me.
- Kev txuas ntxiv ntawm lub stent: Txuas lub stent los ntawm kev ntxig lwm daim stent los npog qhov xau.
- Siv kua nplaum: Kaw lub aneurysm los ntawm kev siv cov khoom zoo li kua nplaum rau thaj chaw uas cov ntshav ntws.
3. Kev Phais Qhib
Qhov no tsis tshua muaj neeg ua. Tsuas yog tias lwm txoj kev kho tsis tau qhov endoleak, thiab ua qhov kawg, kev phais loj uas muaj kev txiav plab raug siv.
Cov lus nug uas yuav tsum nug koj tus kws kho mob
Nws yog ib qho ib txwm muaj cov lus nug txog koj tus mob. Tsis txhob yig nug cov lus nug no thaum koj mus ntsib koj tus kws kho mob.
- Tom qab phais mob no, yuav muaj teeb meem dab tsi ntxiv?
- Kuv txoj kev pheej hmoo ntawm kev tsim endoleak yog dab tsi?
- Kuv yuav tsum tuaj xyuas koj ntau npaum li cas?
- Kuv yuav tsum tau muaj cov duab scan twg?
- Kuv yuav tsum ua li cas kom kuv lub plawv thiab cov hlab ntsha noj qab nyob zoo?
Kev kho qhov aneurysm yog ib qho txheej txheem cawm txoj sia. Yog li nws yog ib txwm muaj teeb meem me me zoo li no tom qab phais mob. Feem ntau, cov no tsis tas yuav kho. Tam sim no muaj ntau yam kev kho mob yooj yim dua thiab siab dua. Yog tias koj xav tias nkees lossis ntxhov siab, tham nrog koj tus kws kho mob lossis tsev neeg txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endoleak yog ib qho teeb meem uas tshwm sim tom qab phais mob aneurysm, tab sis nws tsis yog ib txwm muaj kev phom sij.
- Feem ntau cov mob endometritis tsis muaj tsos mob, yog li nco ntsoov mus kuaj mob raws li koj tus kws kho mob tau hais.
- Hom 1 thiab 3 endoleaks yog qhov mob hnyav thiab xav tau kev kho mob tam sim ntawd. Hom 2 endoleak feem ntau ploj mus nws tus kheej.
- Yog tias koj muaj cov tsos mob xws li mob plab/mob hauv siab sai sai, tsaus muag, thiab lwm yam, nws yuav yog ib qho cim qhia tias muaj aneurysm tawg. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias koj muaj lus nug lossis kev tsis ntseeg txog koj tus mob, tsis txhob ntshai tham nrog koj tus kws kho mob.
Endoleak, Aneurysm, Kev Phais Mob, Stent Graft, Ntshav Tawg, Aorta, EVAR, TEVAR, Kab Mob Plawv
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus