I go mɔs bi se yu jɔs kam bak na os afta dɛn dɔn du big ɔpreshɔn yu. I go mɔs bi se yu de fil bɔku fridɔm ɛn yu de fil fri. Bɔt di dɔktɔ tɛl yu bɔt sɔntin lɛk ‘endoleak’? Ɔ i bin tɛl yu se sɔntin lɛk dat kin apin we yu kam fɔ chɛk-ap tumara bambay? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn wɔri we yu yɛri dis wɔd. Bɔt nɔ wɔri. Tide, wi go tɔk bɔt am simpul wan, wetin i bi, wetin mek i kin apin, ɛn if yu fɔ fred.
Fɔ tɔk am simpul wan, wetin na dis endoleak?
Fɔ ɔndastand dis, lɛ wi mɛmba yu smɔl bɔt di ɔpreshɔn we dɛn bin du yu fɔs. Di blɔd vesel we big pas ɔl na wi bɔdi, we na di aorta, tan lɛk di men wata paip we de na wi os. Sɔntɛnde, wan spat na di wɔl na dis vessel kin wik ɛn bulge lɛk balyɔn. Na dat wi kin kɔl
aneurism . Bikɔs dis kin denja, dɔktɔ dɛn kin put wan atifishal blɔd vesel, we dɛn kɔl
stent graft, insay di bulge. Tink bɔt am lɛk we yu put nyu tiub we strɔng pas am tru wan ol wata paip we wik. Naw di blɔd de pas na di stent we dɛn jɔs put insay. Dɔn, no prɛshɔn nɔ de pan di ol, wik wɔl, so no risk nɔ de fɔ mek i bɔs. Bɔt, afta rili shɔt
tɛm , smɔl blɔd kin bigin fɔ lik bitwin di
stent we dɛn jɔs put ɛn di wɔl na di ol blɔd vesel. I tan lɛk se smɔl wata de lik frɔm di sayd dɛn na di nyu tiub.
Dat blɔd lik na wetin wi kin kɔl ‘endoleak’ pan mɛrɛsin. if dis endoleak apin insay 30 dez afta dεn du di כpεrayshכn, dεn kכl am "early endoleak." if i apin afta 30 dez, dεn kכl am "let endoleak."
Yu tink se dis kin apin to bɔku pipul dɛn? Na sɔntin we wi fɔ fred?
infakt,
lεk wan pan fכ pipul dεm we de du dεn kayn כpεrayshכn dεm ya fכ ripa di anεvrizm (lεk EVAR כ TEVAR) gεt sכm chans fכ divεlכp dis εndolik. So i nɔ kɔmɔn so. Bɔt di impɔtant tin na dat,
nɔto ɔl di endoleak dɛn denja. Sɔm kayn ɛndolik go bɛtɛ fɔ dɛnsɛf insay sɔm mɔnt we dɛn nɔ gɛt ɛni tritmɛnt. Di dɔktɔ go jɔs de wach am wit skan . Bɔt sɔm kayn dɛn kin rili siriɔs. Dɛn kin mek di aneurism gro bak ɛn mek di prɛshɔn go ɔp, so dɛn nid fɔ trit dɛn kwik kwik wan.
So, na di kayn ɛn usay dis kin apin kin no aw i kin tranga.
Wetin na di men kayn endoleaks?
5 men kayn εndolik dεm de. Ɛni wan pan dɛn gɛt difrɛn rizin. Naw, we dɛn dɔn kam wit nyu stent tɛknɔlɔji, di wan dɛn we kin gɛt sɔm kayn stent dɛn dɔn go dɔŋ bad bad wan. Lɛ wi tek wan luk pan wetin na dɛn kayn tin ya.
| Endolek tayp | Aw i de? (Simply) | Di kayn we aw i siriɔs |
|---|
| Tayp 1 | Blɔd lik bikɔs di stent nɔ fit fayn fayn wan to di blɔd vesel wɔl na di ɔp ɔ dɔŋ ɛnd. | I rili siriɔs. Risk de fɔ mek di anɛrizm brok. Dɛn nid fɔ gɛt tritmɛnt wantɛm wantɛm. |
| Tayp 2 we de na di wɔl | bכdi de bכn bak insay di anεvrizm frכm sכm sכm branch bכdi vεsul dεm we de kכnekt to di men bכdi vεsεl. | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Bɔku tɛm, i nɔ kin denja. Na lɛk 40% pan di kes dɛm kin bɛtɛ fɔ dɛnsɛf insay 6 mɔnt. Dɔktɔ dɛn de wach dɛn. |
| Tayp 3 we yu de du | If di stent gɛt bɔku pat dɛn, di blɔd kin lik bikɔs tu pan di pat dɛn separet. | I rili siriɔs. Lɛk Tayp 1, risk de fɔ mek i brok. Dɛn nid fɔ gɛt tritmɛnt wantɛm wantɛm. |
| Tayp 4 | Blɔd kin lik tru di fayn fayn ol dɛn we de na di klos we dɛn mek di stent wit. | Rili rare. I tan lɛk se dɛn nɔ kin si dis kɔndishɔn pan nyu stent dɛn. |
| Tayp 5 we de na di wɔl | di skan dεm nכ de sho se blכd de lik, bכt di anεvrizm de kכntinyu fכ gro. Dɛn kin kɔl am bak "endotension." | Bikɔs di tin nɔ klia, di dɔktɔ dɛn de wach dis gud gud wan. |
Wetin na di sayn dɛm fɔ endoleak?
Na di impɔtant tin we yu nid fɔ no.
Bɔrku tɛm, yu nɔr go fil ɛni sayn fɔ gɛt endoleak. Yu nɔ go fil ɛni chenj, pen, ɔ nɔ fil fayn. Dɛn kin no dɛn tin ya di tɛm we dɛn de du di skan we dɛn kin du we dɛn
de fala yu afta dɛn dɔn du di ɔpreshɔn. Na dat mek yu dɔktɔ tɛl yu fɔ kam insay fɔ dɛn skan dɛn de pan di de dɛn we dɛn gi yu. Nɔ skip dɛn.
Sɔntin yu nɔ plan! If yu gɛt dɛn sik ya, go na di ETU wantɛm wantɛm!
If di ol aneurism brok bikos of endoleak, na mεdikal imejensi. If dɛn sayn ya apin wantɛm wantɛm, nɔ west tɛm ɛn go
na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
Aw dɔktɔ dɛn kin no dis?
As wi bin dɔn tɔk, dɛn kin no dis wit spɛshal skan. Dɛn kin du dɛn tɛst ya we dɛn de du yu ɔpreshɔn, afta dɛn dɔn du am, ɛn afta sɔm mɔnt ɔ ia. dis na biכs sכm let εndolik kin divεlכp afta sכm tεm afta dεn כpεrayshכn. Di men tɛst dɛn we dɛn kin yuz na:
- CT scan (Computed Tomography scans): Dis kin tek klia tri-dimɛnshɔnal pikchɔ dɛn we de insay di bɔdi ɛn chɛk fɔ si if blɔd de lik.
- Doppler Ultrasound: Dis kin no lik bay we yu luk di patεn εn spid we di bכdi de fכlכ insay di bכdi vεsul dεm .
- Angiogram: Dis na fɔ injɛkt spɛshal day insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt fɔ si ustɛm di blɔd de lik frɔm.
Aw yu kin trit wan endoleak?
Di tritmɛnt dipen pan di kayn ɛndoleak we yu gɛt, usay i de, ɛn yu ɔl wɛl bɔdi. No wan saiz tritmɛnt nɔ de fɔ ɔlman. Tri men tin dɛn de we yu kin du.
1. Fɔ wach
Dis na wetin dεn kin du bכku tεm fכ nכn-siriכs εndolik lεk Tayp 2. Yu dכkta go aks yu fכ skan bכt εvri 6 mכnt. Dis go chɛk fɔ si if di blɔd lik de go fɔ insɛf, if i de kɔntinyu fɔ de di sem, ɔ if di anɛrizm de big. If di aneurism nɔ de big, i bɛtɛ fɔ lɛ yu nɔ du natin ɛn wet.
2. Endovaskul Tritmɛnt
Dis na smɔl ɔpreshɔn dɛn we dɛn kin du we dɛn nɔ kɔt big wan, ɛn dɛn kin yuz sɔntin lɛk nidul fɔ go tru di blɔd vesel.
- Embolizing: Fɔ blok smɔl smɔl blɔd vesel dɛm we de mek pɔsin blɔd wit spɛshal kayn glu ɔ smɔl waya.
- Stent ekstenshɔn: Fɔ ɛkstɛnd di stent bay we yu put ɔda pat pan di stent fɔ kɔba di lik.
- Fɔ put glu: Fɔ sial di anɛrizm bay we yu put sɔntin we tan lɛk glu na di say we di blɔd de lik.
3. Opin Ɔpreshɔn
Dis nɔ kin apin so ɔltɛm. Na if ɔda we dɛn nɔ ebul fɔ mek di ɛndolik, ɛn as las tin, dɛn kin du big ɔpreshɔn we go mek dɛn kɔt di bɛlɛ.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
Na nɔmal tin fɔ gɛt kwɛstyɔn bɔt yu kɔndishɔn. Nɔ shek fɔ aks dɛn kwɛstyɔn ya di nɛks tɛm we yu go to yu dɔktɔ.
- Us ɔda prɔblɛm dɛn kin apin afta dis ɔpreshɔn?
- Wetin na mi risk fɔ gɛt endoleak?
- Aw ɔltɛm a fɔ kam fɔ fala mi?
- Us skan dɛn a nid fɔ gɛt?
- Wetin a fɔ du fɔ mek mi at ɛn mi blɔd vesel dɛn gɛt wɛlbɔdi?
Fɔ ripɛnt wan aneurysm na tin we de sev pɔsin in layf. So na nɔmal tin fɔ gɛt smɔl smɔl prɔblɛm dɛn lɛk dis afta dɛn dɔn du dis kayn ɔpreshɔn. Bɔrku tɛm, dɛn tin ya nɔr kin nid fɔ trit. Naw, bɔku mɔ advans ɛn simpul tritmɛnt dɛn de we dɛn kin gɛt. If yu de fil taya ɔr yu de fil pasmak, tɔk to yu dɔktɔ ɔr fambul bɔt dat.
Mɛsej we dɛn kin kɛr go na os
- Endoleak na wan kɔmɔn kɔmplikeshɔn afta dɛn dɔn ɔpreshɔn di aneurism, bɔt nɔto ɔltɛm i kin bi wan denja kɔndishɔn.
- Bɔrku endometritis kes dɛm nɔr kin gɛt ɛni sayn, so mek shɔ se yu go fɔ fala-ɔp tɛst lɛk aw yu dɔktɔ tɛl yu.
- di tayp 1 εn 3 εndolik dεm na siriכs εn dεn nid fכ trit am kwik kwik wan. di mכr kכmכn tayp 2 εndolik kin rεsכlv insεf bכku tεm.
- If yu gɛt sɔm sayn dɛn lɛk we yu gɛt bad bad bɛlɛ/chɛst pen wantɛm wantɛm, we yu de fɔdɔm, ɛn ɔda tin dɛn, i kin bi sayn fɔ se yu gɛt di anɛrizm we dɔn brok . Go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt yu sik, nɔ ɛva fred fɔ tɔk bɔt am wit yu dɔktɔ.
Endoleak, Aneurism, Surgery, Stent Graft, Blɔd Lik, Aɔta, EVAR, TEVAR, At sik
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