Oboolyawo waakakomawo awaka okuva mu kulongoosebwa okunene. Oboolyawo owulira eddembe ddene n’obuweerero. Naye omusawo yakubuulira ku kintu nga ‘endoleak’? Oba yakugamba nti ekintu ng’ekyo kiyinza okubaawo ng’ozze okwekebejjebwa mu biseera eby’omu maaso? Kya bulijjo okuwulira ng’otya katono n’okweraliikirira ng’owulira ekigambo kino. Naye teweeraliikiriranga. Leero, tugenda kukyogerako mu bigambo ebyangu, kiki, lwaki kibaawo, era oba olina okutya.
Mu ngeri ennyangu, endoleak eno kye ki?
Kino okukitegeera, ka tusooke tukujjukizaako katono ku kulongoosebwa kwe walongoosebwa. Omusuwa ogusinga obunene mu mubiri gwaffe, oguyitibwa aorta, gulinga payipu y’amazzi enkulu mu nnyumba yaffe. Oluusi, ekifo mu bbugwe w’ekibya kino kinafuwa ne kibutuka ng’akapiira. Ekyo kye tuyita okuzimba
emisuwa . Olw’okuba kino kiyinza okuba eky’akabi, abasawo bayingiza omusuwa ogw’ekikugu oguyitibwa
stent graft mu kibumba. Kirowoozeeko ng’okuteeka ttanka empya era ey’amaanyi okuyita mu payipu y’amazzi enkadde era enafuye. Kati omusaayi gukulukuta mu stent eyaakayingizibwa yokka. Olwo, tewali kunyigirizibwa ku bbugwe omukadde, anafuye, kale tewali bulabe bwa kukutuka. But, after a very short
time , omusaayi omutono gutandika okukulukuta wakati wa
stent eyaakateekebwa ne bbugwe w’omusuwa omukadde. Kiringa amazzi amatono agakulukuta okuva ku mabbali ga ttanka empya.
Okwo okukulukuta kw’omusaayi kye tuyita mu by’obusawo ‘endoleak’. Singa endoleak eno ebaawo mu nnaku 30 oluvannyuma lw'okulongoosebwa, eyitibwa "early endoleak." Singa kibaawo oluvannyuma lw'ennaku 30, kiyitibwa "late endoleak."
Kino kituuka ku bantu bangi? Kintu kya kutya?
Mu butuufu,
abantu nga omu ku buli bana abalongoosebwa ebika bino eby’okuddaabiriza emisuwa (nga EVAR oba TEVAR) balina emikisa egimu egy’okufuna endoleak eno. Kale si kya bulijjo bwe kityo. Naye ekikulu kiri nti
endoleaks zonna si za bulabe. Ebika by’endoleaks ebimu bijja kutereera ku bwabyo mu myezi mitono nga tewali bujjanjabi bwonna. Omusawo ajja kumala kugilondoola nga akozesa sikaani . Kyokka ebika ebimu biba bya maanyi nnyo. Ziyinza okuvaako omusuwa okuddamu okukula n’okwongera ku puleesa, n’olwekyo zeetaaga okujjanjabibwa amangu.
N’olwekyo, obuzibu buno busalibwawo ekika n’ekifo kino we kiri.
Bika ki ebikulu ebya endoleaks?
Waliwo ebika bya endoleaks ebikulu 5. Buli omu ku bo alina ensonga ya njawulo. Kati olw’okujja kwa tekinologiya omupya owa stent, omuwendo gw’ebika ebimu gukendedde nnyo. Ka tulabe ebika bino bye biruwa.
| Ekika kya Endolek | Kiri kitya? (Mu ngeri ennyangu) | Obuzibu |
|---|
| Ekika 1 | Okukulukuta kw’omusaayi olw’omusinde obutakwatagana bulungi ku bbugwe w’emisuwa ku nkomerero eya waggulu oba eya wansi. | Siriyaasi nnyo. Waliwo akabi kanene ak’okukutuka kw’omusuwa. Kyetaagisa obujjanjabi obw’amangu. |
| Ekika kya 2 | Okuvaamu omusaayi okudda mu misuwa okuva mu misuwa emitono egy’amatabi agakwatagana n’emisuwa emikulu. | Kino kye kika ekisinga okubeerawo. Ebiseera ebisinga tekiba kya bulabe. Ebitundu nga 40% ku balwadde batereera ku bwabwe mu myezi 6. Abasawo babalondoola. |
| Ekika kya 3 | Singa stent ekolebwa ebitundu ebingi, omusaayi guyinza okukulukuta olw’okwawukana wakati w’ebitundu bibiri. | Siriyaasi nnyo. Okufaananako n’ekika kya 1, waliwo akabi k’okukutuka. Kyetaagisa obujjanjabi obw’amangu. |
| Ekika 4 | Omusaayi gukulukuta nga guyita mu bituli ebitonotono ennyo mu lugoye stent mwe bakolera. | Rare nnyo. Embeera eno erabika terabibwa mu stent empya. |
| Ekika kya 5 | Sikaani teziraga musaayi gwonna ogukulukuta, naye emisuwa gyeyongera okukula. Era kiyitibwa "endotension." | Olw’okuba ekivuddeko tekinnategeerekeka bulungi, abasawo kino bakilondoola nnyo. |
Bubonero ki obulaga nti omuntu alina endoleak?
Bino bye bisinga obukulu by'olina okumanya.
Ebiseera ebisinga, tojja kuwulira bubonero bwonna bwa endoleak. Oyinza obutawulira nkyukakyuka yonna, obulumi, oba obutawulira bulungi. Bino bizuulibwa mu sikaani ezikolebwa mu
biseera byo eby’okugoberera oluvannyuma lw’okulongoosebwa. Y’ensonga lwaki omusawo akugamba oyingire ku sikaani ezo ku nnaku ze bakuwa. Tozibuuka.
Kwelinda! Bw’ofuna obubonero buno, genda mu ETU mu bwangu!
Singa omusuwa omukadde gukutuka olw’okukulukuta kw’omubiri, kiba kya mangu mu by’obujjanjabi. Singa obubonero buno wammanga bubaawo mu bwangu, tomala biseera era genda
mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) .
Kino abasawo bakizuula batya?
Nga bwe kyayogeddwako emabegako, kino kizuulibwa nga bakozesa sikaani ez’enjawulo. Ebigezo bino biyinza okukolebwa ng’olongooseddwa, ng’omaze okulongoosebwa, n’oluvannyuma lw’emyezi oba emyaka. Kino kiri bwe kityo kubanga endoleaks ezimu ezilwawo zisobola okukula oluvannyuma lw’ekiseera oluvannyuma lw’okulongoosebwa. Ebigezo ebikulu ebikozesebwa bye bino:
- CT scan (Computed Tomography scans): Kino kisobola okukuba ebifaananyi ebitegeerekeka obulungi eby’ebitundu bisatu eby’omunda mu mubiri n’okukebera oba omusaayi gukulukuta.
- Doppler Ultrasound: Kino kisobola okuzuula ebikulukuta ng’otunuulira enkola n’obwangu omusaayi bwe gutambula mu misuwa .
- Angiogram: Kino kizingiramu okufuyira langi ey’enjawulo mu misuwa n’okukuba ekifaananyi kya X-ray okulaba ddala omusaayi gye gukulukuta.
Endoleak ogijjanjaba otya?
Obujjanjabi businziira ku kika kya endoleak gy’olina, gye kiri, n’obulamu bwo okutwalira awamu. Tewali bujjanjabi bwa sayizi emu. Waliwo enkola ssatu enkulu.
1. Okwetegereza
Kino kye kisinga okukolebwa ku endoleaks ezitali za maanyi nga Type 2. Omusawo ajja kukusaba okukeberebwa sikaani nga buli luvannyuma lwa myezi 6. Kino kijja kukebera okulaba oba omusaayi ogukulukuta gugenda ku bwagwo, oba gusigala nga bwe guli oba omusuwa gweyongera obunene. Singa omusuwa tegukula, kirungi tolina ky’okola n’olinda.
2. Obujjanjabi bw’emisuwa
Buno bulongoosa butonotono obukolebwa nga tebusaliddwaako kinene, nga bakozesa ekintu ng’empiso okuyita mu misuwa.
- Embolizing: Okuziba emisuwa emitono egivaako omusaayi nga bakozesa ekika kya glue eky’enjawulo oba waya entonotono.
- Stent extension: Okugaziya stent ng’oyingizaamu ekitundu ekirala ekya stent okubikka ekifo ekivuddemu.
- Okusiiga kalaamu: Okusiba emisuwa ng’osiiga ekintu ekiringa ggaamu mu kifo omusaayi we gukulukuta.
3. Okulongoosa mu lwatu
Kino kikolebwa kitono nnyo. Singa enkola endala ziremererwa okuddaabiriza endoleak, era ng’ekisembayo, okulongoosa okunene okuzingiramu okutema olubuto kwe kuddukira.
Ebibuuzo by’olina okubuuza omusawo wo
Kya bulijjo okuba n’ebibuuzo ku mbeera yo. Tolwawo kubuuza bibuuzo bino omulundi oguddako ng’olaba omusawo.
- Bizibu ki ebirala ebiyinza okubaawo oluvannyuma lw’okulongoosebwa kuno?
- Obulabe ki obw’okufuna endoleak?
- Mirundi emeka gye nnina okujja okugoberera?
- Sikaani ki ze nneetaaga okuba nazo?
- Kiki kye nsaanidde okukola okusobola okukuuma omutima gwange n’emisuwa nga miramu?
Okuddaabiriza omusuwa oguyitibwa aneurysm nkola etaasa obulamu. Kale kyabulijjo okufuna ebizibu ebitonotono nga bino oluvannyuma lw’okulongoosebwa ng’okwo. Ebiseera ebisinga, bino tebyetaagisa kujjanjabibwa. Kati waliwo obujjanjabi obw’omulembe era obwangu ennyo obuliwo. Bw’oba owulira ng’okooye oba ng’ozitoowereddwa, yogerako n’omusawo wo oba ab’omu maka go.
Obubaka Obutwala Awaka
- Endoleak kizibu kya bulijjo oluvannyuma lw’okulongoosebwa emisuwa, naye si bulijjo mbeera ya bulabe.
- Abantu bangi abakwatibwa endometritis tebalina bubonero, n’olwekyo kakasa nti ogenda okukeberebwa okugoberera ng’omusawo bw’akulagidde.
- Ebika 1 ne 3 endoleaks bya maanyi era byetaaga okujjanjabibwa mu bwangu. Endoleak ey’ekika kya 2 esinga okubeerawo etera okugonjoola ku bwayo.
- Bw’oba olina obubonero ng’okulumwa ennyo mu lubuto/ekifuba mu bwangu, okuzirika, n’ebirala, kiyinza okuba akabonero k’emisuwa egyakutuse . Genda mu kitongole ky’eddwaaliro eky’amangu (ETU) mu bwangu.
- Bw’oba olina okubuusabuusa oba ekibuuzo kyonna ku mbeera yo, totya kugiteesaako n’omusawo wo.
Endoleak, Aneurysm, Okulongoosa, Stent Graft, Okukulukuta kw’omusaayi, Aorta, EVAR, TEVAR, Obulwadde bw’omutima
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