yu no di kכndyushכn we dεn kכl Endoleak we kin apin afta dεn trit yu aneurism?

Yu dɔn ɛva yɛri bɔt `Aneurysm`, we na wan sik we di wɔl na di aorta ɔ big blɔd vesel na di bɔdi kin wik ɛn bulge lɛk balɔ? Sɔntɛm yu dɔn gɛt wan, ɛn dɔktɔ dɛn dɔn trit am bay we dɛn put wan smɔl tiub we dɛn kɔl `Stent Graft`, we na wan we dɛn kɔl `Endovascular`, we min se dɛn nɔ mek big say. Tink bɔt am lɛk we lik na ol wata paip. So dɔktɔ dɛn kin put ɔda tiub insay di lik fɔ mek i strɔng. כltu, sכmtεm afta da tritmεnt de, sכm bכdi kin bigin fכ lik kכmכt na di `Stent Graft`, insay di sak usay di `Aneurysm` bin de bifo. Na dat wi de kɔl `Endoleak` na mɛrɛsin. Tide, wi go tɔk smɔl bɔt wetin dis rili bi, wetin mek i kin apin, if i denja, aw fɔ no am, ɛn wetin na di tritmɛnt dɛm.

Wetin na `Endoleak` rili?

fכ simpul wan, `Endoleak` min se afta dεn dכn trit di `Aneurysm` εn sial, bכdi de bigin fכ fכlכ bak insay di ol `Aneurysm` sak. naw, luk, כltεm we dεn trit wan `Aneurysm`, yu bכdi de כnli fכ fכlכ tru di nyu `Stent Graft` tכb we dεn put insay. dis `Stent Graft` lεk sכpכt fכ di wikεd bכdi vεsεl wכl. fכ dat, bכdi nכ de fכlכ to di pat we dεn dכn pwεl, we de bulg, dat na di `Aneurysm Sac`. Dɔn di `Aneurysm` de stɔp fɔ big ɛn bɔs. I fɔ fayn if blɔd nɔ de kɔmɔt.

כltu, if fכ sכm rizin bכdi lik na do na di `Stent Graft` εn insay di `Aneurysm Sac`, dεn kכl dat `Endoleak`. Difrɛn rizin dɛn de we mek dis `Endoleak` kin apin. sכm pan dεm na fכ prכblεm wit di `Graft` insεf, εn sכm pan dεm kin bi fכ כda sכm sכm bכdi we de stat frכm di `Aneurysm Sac`. I tan lɛk se wata de lik frɔm sɔm say dɛn afta dɛn dɔn opin ruf.

if wan `Endoleak` apin insay 30 dez afta dis `Endovascular` tritmεnt, wi kin kכl am ``early endoleaks`` . di wan dεm we de divεlכp afta 30 de dεn kכl dεm ``sεkכnd εndoliks`` כ ``let εndoliks`` .

Aw kɔmɔn tin na `Endoleak`?

Naw yu kin de wɔnda if dis `Endoleak` na sɔntin we kin apin to ɔlman ɔ na sɔntin we nɔ kin apin so ɔltɛm. infakt, dis `Endoleak` kכndishכn kin apin pan lεk 1 pan 4 pipul dεm we de du `Endovascular Aneurysm Repair` (wi kכl am `EVAR` fכ sכt - dis na tritmεnt mεnli fכ `Aneurysm` na di bכdi wכl) כ `Toracic Endovascular Aneurysm Repair` (`TEVAR`) fכ `Aneurysm` na di chεst . So, i nɔto so we dɛn nɔ yɛri bɔt. Na dat mek i rili impɔtant fɔ no bɔt dis.

Yu tink se `Endoleak` denja?

Dis kin mek yu fred smɔl. "O, a de fred se i go blɔd bak, nɔto so?" Bɔt nɔto ɔl di ɛndolik dɛn denja . Sɔm endoleak nɔ de kɔz ɛni bad tin ɛn dɛn kin bɛtɛ fɔ dɛnsɛf. Jɔs lɛk aw smɔl wund kin wɛl fɔ insɛf. If na so i bi, yu dɔktɔ kin disayd fɔ jɔs wach yu sik. Dis min se yu fɔ kɔntinyu fɔ du tɛst ɛn si wetin de apin.

Bɔt sɔm kayn `Endoleak` kin siriɔs smɔl. fכ mek di posisibul fכ dat `Aneurysm` gεt big bak εn bכs, i nid fכ trit am kwik. Bikɔs if wan `Aneurysm` bɔs, i kin mek pɔsin in layf de pan denja. So, if dis denja ɔ nɔ denja, i dipen pan di kayn `Endoleak` ɛn usay i de. Dɔktɔ dɛn kin disayd fɔ du sɔntin bay ɔl dɛn tin ya.

Us kayn `Endoleak` de?

Naw, fayv kayn `Endoleak` de we dɛn dɔn no. Ɛni kayn tin gɛt difrɛn tin we kin mek i apin. Jɔs lɛk aw ɛni sik gɛt in yon kɔz. Wit di divεlכpmεnt כf nyu `Stent Graft` tεknכlכji, sכm kayn `Endoleak` dεn dכn dכn naw sכmtεm, we na gud tin.

Fɔ dɛn wan ya , `Type 2 Endoleak` na di wan we kɔmɔn pas ɔl . כltu , di `Type 1` εn `Type 3` endoleak dεm na sכm mכr denja , as dεn de inkrεs di risk fכ di `Aneurysm` bכst (`rupturing`). Lɛ wi tek wan klos luk pan dɛn kayn ya.

`Tayp 1 Ɛndolik`

Dis kin apin we di stent graft nɔ tay fayn fayn wan na di wɔl na di blɔd vesel, we min se dɛn nɔ sidɔm am fayn. Imajin, if smɔl gap de bitwin di kɔva ɛn di wɔl, wata go lik frɔm de, ɛn blɔd go lik frɔm ɛni wan pan di ɔpa ɛnd (proksimal) ɔ dɔŋ ɛnd (distal) na di stent graft ɛn go insay di aneurism sak. Tayp 1 endoleak na siriɔs sik, so i kin nid fɔ trit am kwik kwik wan. dis dεm kin rכp di anεvrizm pas כda kayn dεm. If dɔktɔ dɛn si dis, dɛn go tek akshɔn kwik kwik wan.

`Tayp 2 Ɛndolik`

Dis na di kayn we we pipul dɛn kin gɛt we dɛn kɔl endoleak . i kin kכmכn afta EVAR pas TEVAR fכ abdominal aneurism. dis lik kin apin we bכdi lik frכm yu aorta כ stεnt atεri insay di aneurism sak tru sכm sכm bכdi vεsεl dεm (branch vεsul dεm כ kolataral vεsul dεm). Imajin se yu aorta gɛt smɔl branch dɛn (branch dɛn). Naw, ivin if wi put nyu stent graft fɔ lɔk di ol na di aorta, sɔm blɔd kin stil lik frɔm dɛn branch dɛn de. Na so Type 2 endoleak tan.

Bɔrku tɛm, dɛn kin no se yu gɛt Tayp 2 Ɛndolik insay 30 dez afta yu dɔn trit yu Ɛndovaskular. כltu, sכmtεm dεn kin apin leta, we dεn kכl "let endoleaks." bכt 40% pan di Tayp 2 εndolik dεm dεn kin no afta 30 dez. Na lɛk 8% kin no se dɛn gɛt am afta wan ia we dɛn dɔn trit dɛn.

Bɔt bɔku pan di `Type 2 Endoleaks` nɔto so bad . Dɛn kin wɛl fɔ dɛnsɛf afta lɛk siks mɔnt we dɛn nɔ gɛt ɛni tritmɛnt. Na bikɔs dɛn smɔl smɔl blɔd vesel dɛn de kin lɔk dɛnsɛf. ivin if dεn nכ bεtε, if di `Aneurysm Sac` stebul εn nכ de big, di dכkta kin kip in yay pan am. bכt wan wan tεm, as tεm de go, dis `Type 2 Endoleak` kin mek chenj dεm na di `Aneurysm Sac` εn tכn to mכr denja `Endoleak` lεk `Type 1` כ `Type 3`. If dat apin, dɛn nid fɔ gɛt tritmɛnt. if di `Aneurysm` big pas 5 milimita (`5mm`), yu kin nid tritmεnt. if dεn nכ trit di `Aneurysm`, chans de fכ mek di `Aneurysm` bכs.

`Tayp 3 Ɛndolik`

Tayp 3 Ɛndolik kin apin we di ɔvalap mɔdyul kɔmpɔnɛnt dɛn na yu stent graft separet, ɔ if di klos na di graft insɛf rɔtin ɔ te. Dis tan lɛk paip we kin separet na di jɔyn, ɔ wan ol kin fɔm na di paip insɛf. lεk Tayp 1 Endoleak, risk de fכ di aneurism bכs biכs di bכdi de fכlכ dεrekt insay di aneurism sak כnda prεshכn. So, i impɔtant fɔ mek dɛn trit am kwik kwik wan. Bɔt wit di advans we dɛn dɔn mek pan divays, Tayp 3 Ɛndolik nɔ bɔku.

`Tayp 4 Ɛndolik`

dis kin apin we bכdi de lik tru di sכm sכm ol dεm na di stent graft (di porositi fכ di graft mεtirial). Dɛn kin si dis kwik kwik wan na di tritmɛnt, bɔt bɔrku tɛm i kin sɔlv fɔ insɛf. dis na komplikashכn we rili rεs fכ di graft, εn i nכ kin kכmכn bכku wit di graft dεm we dεn de yuz tide.

`Tayp 5 Ɛndolik`

`Tayp 5 Endoleak` dεn kכl am bak ``Endotension``. Dis na tin we strenj smɔl. wetin de apin insay dis kes na dat, pan ɔl we nכ sayn de fכ ``Endoleak`` pan ``Imaging`` tεst, di ``Aneurysm Sac`` de kכntinyu fכ gro. pan ɔl we di εksakεt kכz fכ dis nכ klia, dεn tink se i kin bi se ``prεshכn transmishכn`` de tru di ``Stent Graft``, pan כl we nכ blכd lik de we yu kin si. Dis na kɔndishɔn bak we dɛn nid fɔ wach.

Wetin na di simptom dɛm fɔ wan `Endoleak`?

Dis na di prɔblɛm we bɔku pipul dɛn gɛt. Bɔrku tɛm, no sayn nɔr de wae yu go ɛkspɛkt fɔ si if yu gɛt ɛndoleak. Sɔntɛm yu nɔ go notis ɛni difrɛns. Dɛn kin no ɛndolik bay we dɛn de du imej tɛst di de we yu trit yu ɛn bay we dɛn du fɔlɔp tɛst afta dat.Na dat mek i so, so impɔtant fɔ go fɔ dɛn fɔlɔp tɛst dɛn de. Fɔ go fɔ tɛst jɔs di de dɛn we di dɔktɔ se na di wangren we fɔ no sɔntin lɛk dis kwik kwik wan.

Bɔt if di aneurism big ɛn bɔs (aneurysm rupture) bikɔs ɔf wan ɛndolik (espɛshali wan kayn we we denja), na mɛdikal imejensi . If dis apin, dɛn sayn ya kin apin. If dis apin , yu fɔ kɔl 911 ɔ go na di ɔspitul we de nia yu wantɛm wantɛm :

• Di bɔdi kol ɛn swet (`Clammy, sweaty skin`).
• Diziz, na filin fɔ spin na yu ed.
• Faint, we yu nɔ de no natin.
• At bit de kam fast fast (`Fast hat bit`).
• Nɔs ɛn vɔmit.
• I nɔ izi fɔ yu fɔ blo, fil lɛk se yu de swɛla (shɔt fɔ blo).
• Wantɛm wantɛm, bad bad pen na yu bɛlɛ, dɔŋ bak ɔ yu leg.
• Sɔdɛn shap ɛn tear pen na yu chɛst ɔ bak.

If dɛn sayn ya de sho, nɔr de delay.

Aw yu kin fɛn wan `Endoleak`?

As wi bin dɔn tɔk, dɛn kin no if pɔsin gɛt ɛndolik tru imej tɛst. Dɛn kin du dɛn tɛst ya we dɛn de ripɛnt yu ɛndovaskyuɛl anɛrizm ɛn afta dɛn dɔn ripɛnt yu. Bɔrku tɛm, dɛn kin no am di sem de ɔ insay 30 dez afta dɛn du di ɔpreshɔn. Bɔt sɔntɛnde, i kin apin te to 12 mɔnt ɔ ivin lɔng pas dat. Na dat mek i rili impɔtant fɔ kip ɔl yu fɔl-ap apɔntinmɛnt dɛn. Jɔs lɛk aw dɛn de du savis fɔ motoka, dis na sɔntin we dɛn nid fɔ tek kia ɔf ɔltɛm.

Test fɔ detekt `Endoleak`

di men tεst dεm we dεn kin yus fכ no `Endoleak` we dεn de trit am εn afta dεn de trit am na:

• `Computed Tomography (CT) scans`: dis de tek kכros-sekshכnal imej dεm fכ di insay pat pan di bכdi. di `Stent Graft`, `Aneurysm Sac`, εn bכdi lik dεm yu kin si klia wan.
• Doppler Ultrasound: Dis de yuz sawnd wev fɔ luk aw blɔd de flɔ. I kin no if endoleak de ɛn aw di blɔd de flɔ.
• Angiogram: Insay dis, dɛn kin put spɛshal wata (kɔntrast day) insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt pikchɔ dɛn. Yu kin si klia wan se blɔd de flɔ ɛn lik.

Dɛn tɛst ya kin ɛp fɔ no if yu tritmɛnt dɔn wok fayn, if di stent graft de, ɛn if ɛnitin lik rawnd di stent.

Yu go nid fɔ gɛt dɛn `imaging` tɛst ya fɔ mɔnt ɔ ia afta yu dɔn trit yu. Yu dɔktɔ go tɛl yu bɔt dɛn tɛst ya ɛn aw ɔltɛm yu fɔ du dɛn. כltu, dεn tεst dεm ya implεnt fכ kech eni `εndolik` we kin divεlכp leta (`sεkכnd εndolik`) kwik εn trit am if nid de.

Wetin na di tritmɛnt dɛm fɔ `Endoleak`?

Yu mɛdikal tim go trit yu Endoleak akɔdin to yu wan wan nid. Di we aw dɛn de manej Endoleak difrɛn fɔ ɛni pɔsin. Dis go dipen pan di kayn bɔdi we yu gɛt (fɔ ɛgzampul, di lɔng we yu anɛrizm in nɛk lɔng, usay di blɔd vesel dɛn de, ɛn ɔda tin dɛn), di kayn Ɛndolik, ɛn usay i de. in jεnarכl, tri men opshכn dεm de fכ trit Endoleak: obsכbishכn, εndovaskul tritmεnt, εn/כ opin כpεrayshכn.

Fɔ wach

If yu gɛt wan kayn ɛndolik we nɔ siriɔs, lɛk Tayp 2 ɛndolik, yu dɔktɔ kin tɛl yu fɔ du "watchful waiting" fɔ si if i go wɛl fɔ insɛf. dis kin apin if di kכnekt bכdi vεsul dεm kכlכt (klot כf), stכp di bכdi saplai to di aneurism sak. כltu, if di εndolik mek di aneurism sak big (i.e., big pas 5 mm), yu go nid tritmεnt fכ mek i nכ rכp.

Endovaskul tritmɛnt

Dis na di tritmɛnt we dɛn kin yuz mɔ fɔ wan ɛndovaskyuɛl anɛrizm. yu endovaskul sajin kin du endovaskul aneurism ripa yuz minimal invasive teknik. Dɛn tin ya kin bi:

• Blɔk di branch blɔd vesel dɛm we de gi blɔd to di aneurism. dat min se dεn injεkt wan spεshal tin (embolizing agent) insay di sכm sכm bכdi we de mek di Type 2 Endoleak εn dεn de kכloz.
• `Stent Graft` na prosidur we involv fכ put כda `Stent` pies dεm (`cuffs or extenders`) biyכn di lik, εksεnd di εria fכ yu big atεri (`Aorta`) usay dεn bin put di `Stent`. Dis kin bi fɔ `Type 1 Endoleak`.
• go dairekt to di aneurism sak εn sial di aneurism sak yuz mεtirial dεm we lεk glu.

Dɛn we ya kin mek dɛn ebul fɔ du tritmɛnt we dɛn nɔ kɔt big say, tru wan smɔl ol.

Ɔpreshɔn (`Open Ɔpreshɔn`) .

If endovaskul tritmɛnt nɔ pɔsibul ɔ nɔ wok, opin ɔpreshɔn na di las tin we dɛn kin du. Dis kin min fɔ mek dɛn kɔt big say, go insay di anɛrizm, ɛn fɔ mek di stent graft ɔ fɔ put nyu wan. dis nכ kin apin bכku bכku wan, as di εndovaskul tεknik dεm naw dכn bכku bכku wan.

Wetin fɔ ɛkspɛkt if yu gɛt `endoleak`?

Bɔku tɛm, Ɛndolik nɔ nid tritmɛnt, mɔ di Tayp 2. Ivin if dɛn nid fɔ trit am, bɔku tin dɛn de we nɔ kin ambɔg di bɔdi we nɔ nid fɔ kɔt smɔl. Dɛn Endovaskyuɛl tritmɛnt ya dɔn sho se dɛn gɛt rili ay sakrifays rɛt. Apat frɔm dat, nyu teknɔlɔji dɛn de kɔntinyu fɔ mek dɛn yuz stent graft we de ridyus di risk fɔ Ɛndolik.

If yu gɛt endoleak, nɔ panik. Yu dɔktɔ go ɛksplen to yu di tritmɛnt dɛn we yu go ebul fɔ du. di tin we impɔtant pas ɔl na dat yu go kɔntinyu fɔ gɛt fɔlɔp tɛst ivin afta di ɛndolik dɔn wɛl.I rili impɔtant fɔ no ɛn trit ɛni prɔblɛm we go kam wit yu stent graft kwik kwik wan, jɔs lɛk aw yu de mɛn motoka.

Ustɛm a fɔ go to mi dɔktɔ?

Mek shɔ se yu kip ɔl di fɔlɔp apɔntinmɛnt dɛn afta yu EVAR ɔ TEVAR tritmɛnt. Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ du imej tɛst. Bɔrku tɛm, dɛn go de nia dɛnsɛf fɔs, bɔt dɛn kin kam nia dɛnsɛf mɔ ɛn mɔ as tɛm de go. Fɔ fala dɛn instrɔkshɔn dɛn de jɔs.

Dɔn bak, if yu gɛt ɛni wan pan di imejensi simptom dɛm we kin kam wit rupchɔ aneurysm, lɛk aw wi bin dɔn tɔk, go na ɔspitul wantɛm wantɛm ɛn nɔ wet.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

Afta yu EVAR ɔ TEVAR prosidur, aks yu dɔktɔ bɔt di risk dɛm fɔ kɔmplikeshɔn dɛm. Dɔn bak, tɔk bɔt fɔ fala-fala tɛst ɛn us imej tɛst fɔ ɛkspɛkt. Yu kin aks kwɛstyɔn dɛn lɛk:

• Wetin na di poshubul sayd effekt (komplikeshɔn) dɛm fɔ dis tritmɛnt? Wetin na mi risk fɔ gɛt endoleak?
• Aw ɔltɛm a nid fɔ kam fɔ fala mi? Us kayn tɛst (lɛk CT skan, ɔltra saund) a go nid fɔ du?
• Us tritmɛnt opshɔn dɛn a gɛt if a gɛt `endoleak`?
• Us chenj dɛn a kin mek na mi layf fɔ ɛp mi at fɔ gɛt wɛlbɔdi ɛn fɔ mek mi stent graft nɔ fayn? (e.g., fɔ lɛf fɔ smok, fɔ du ɛksɛsayz, fɔ it it)

I rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dis fɔ mek yu ɔndastand di tin we de apin to yu.

Wetin na di mɛsej we wi kin kɛr go na os frɔm dis stori?

εndolik na komplikashכn we dεn kin mεnεj we kin apin afta dεn rεpa di εndovaskul anεvrizm. Sɔntɛm yu nɔ go nid ɛni tritmɛnt. Bɔt if yu du dat, yu dɔktɔ go tɔk to yu bɔt di tritmɛnt dɛn we fayn fɔ yu.

I kɔmɔn fɔ mek prɔblɛm dɛn lɛk dis kin apin afta dɛn dɔn du tin we go sev pɔsin in layf, lɛk fɔ trit wan aneurism. Bɔt di bɛnifit dɛn we di we aw dɛn de du am kin gɛt pas di prɔblɛm dɛn we kin apin . So nɔ panik if yu kam fɔ no bɔt wan endoleak.

Di tin we impɔtant pas ɔl na fɔ go na di fɔlɔp apɔntinmɛnt dɛn we di dɔktɔ gi yu ɛn gɛt di tɛst dɛn we i kin tɛl yu fɔ du. Da we de, dɛn kin no ɛni prɔblɛm ɛn trit am kwik kwik wan.

If yu fil taya ɛn yu fil bad, na nɔmal tin. Bɔku pipul dɛn de go tru di sem tin we yu de go tru. Tɔk to yu dɔktɔ ɛn yu fambul bɔt aw fɔ kɔntrol di strɛs we kin kam we yu wɛl. Nɔto yu wan de.

` Endoleak, Aneurism, Stent Graft, EVAR, TEVAR, Blidin, Aneurism, Stent Graft, At sik