Aneurysm surgery hnuah endoleak a awm em? Ngaihtuah buai suh, sawi ila!

Surgery lian tak atanga i lo haw chauh a ni mai thei. Zalenna leh thlamuanna nasa tak i nei a ni mai thei. Mahse, doctor khan ‘endoleak’ ang chi thil a hrilh che em? A nih loh leh, nakin lawka check-up nei tura i lo kal hunah chutiang thil chu a thleng thei tih a hrilh che em? He thu i hriat hian tlem a hlauhthawn leh lungkham deuh hi thil pangngai a ni. Mahse, lungngai suh. Vawiin hian thu awlsam takin kan sawi dawn a, eng nge a nih, engvangin nge a lo awm tih leh i hlauh tur nge tih te kan sawi dawn a ni.

A awlsam zawngin, he endoleak hi eng nge ni?

Hei hi hrethiam tur chuan i surgery neih dan kha tlem han hriat nawn tir hmasa ila. Kan taksaa thisen kalna kawng lian ber, aorta hi kan in chhunga tui pipe lian ber ang mai a ni. A châng chuan, he vessel bang chhunga hmun pakhat chu a chak lo va, balloon ang maiin a bulge ṭhin. Chu chu aneurysm kan tih chu a ni. Hei hi a hlauhawm theih avangin doctor-te chuan thisen kalna kawng siam, stent graft an tih chu bulge chhungah an dah lut a. Tui pipe hlui, chak lo tak hmanga tube thar, chak zawk dah ang maiin han ngaihtuah teh. Tunah chuan thisen chu stent dah thar hmang chauhvin a luang chhuak ta a ni. Tichuan, bang hlui, chak lo takah chuan pressure a awm lo va, chuvang chuan a puak thei lo. But, after a very short time , stent dah thar leh thisen kalna hlui bang inkarah thisen tlem a chhuak tan ta. Tube thar sir atanga tui tlem a chhuak ang mai a ni. Chu thisen leak chu damdawi lama ‘endoleak’ kan tih chu a ni. He endoleak hi operation atanga ni 30 chhunga a lo awm chuan "early endoleak" an ti. Ni 30 hnua a lo awm chuan "late endoleak" an ti.

Hetiang hi mi tam tak chungah a thleng em? Hlauh tur thil a ni em?

Dik tak chuan, heng ang chi aneurysm siamthatna surgery (EVAR emaw TEVAR ang chi) nei mi pali zinga pakhat vel hian he endoleak hi an vei theihna chance engemaw zat an nei a ni. Chuvangin chutiang chu a ni lo. Mahse a pawimawh ber chu, endoleak zawng zawng hi a hlauhawm vek lo. Chuvangin, a nasat dan chu a chi leh a hmun a zirin a innghat a ni.

Endoleak chi hrang hrangte chu engte nge ni?

Endoleak chi hrang hrang 5 a awm a. Anmahni hian chhan hrang hrang an nei vek a. Tunah chuan stent technology thar a lo chhuah tak avangin chi thenkhat chu a tlahniam nasa hle. Heng chi hrang hrangte hi eng nge an nih i han thlir teh ang.

Endoleak symptoms te chu engte nge ni?

Hetah hian i hriat tur pawimawh ber chu a awm. A tam zawkah chuan endoleak symptoms i nei lovang. Inthlâk danglamna, natna, leh lungawi lohna i nei lo mai thei. Hengte hi operation hnua i follow-up appointment neih chhunga scan tih thinah hmuhchhuah a ni. Chuvangin i doctor chuan chutiang scan te chu an pek che date-ah chuan rawn lut turin a hrilh che a ni. Skip suh.

Rikrum! Heng symptoms te hi i neih chuan ETU ah kal nghal rawh!

Endoleak avanga aneurysm hlui a rupture chuan medical emergency a ni. A hnuaia symptoms te hi a lo lang nghal a nih chuan hun khawhral suh la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh .

• Pum, hnungzang emaw ke emaw ah natna rang tak, tuar theih loh, na tak.
• A rilru emaw, a hnungzang emaw a na nghal mai, mittui tla thei.
• Luak chhuak leh muhil.
• Thinlung na tak rang tak .
• Khua a vawt leh thawk hah.
• Nausea leh luak chhuak .
• Thâwk lak harsat .

Engtin nge doctor-te hian hei hi an hriat chhuah?

Sawi tawh ang khan hei hi special scan hmanga hriat theih a ni. Heng test te hi i surgery lai te, i tih zawh hnuah te, thla emaw kum tam tak hnuah te pawh tih theih a ni. Hei hi a chhan chu late endoleak thenkhat chu operation hnu hun engemaw chen hnuah a lo awm thei a ni. Test hman berte chu:

• CT scan (Computed Tomography scans): Hei hian taksa chhung lam chu three-dimensional image chiang tak a la thei a, thisen a chhuak leh awm loh a enfiah thei bawk.
• Doppler Ultrasound: Hei hian thisen kalna kawng chhunga thisen kal dan leh a kal chak dan enin leak a hmu thei a ni .
• Angiogram: Hei hi thisen kalna kawng hrang hrangah dye bik inject a, X-ray lak a, thisen chhuahna hmun dik tak hriat a ni.

Endoleak hi engtin nge i enkawl ang?

Enkawlna chu endoleak i neih chi hrang hrang, a awmna hmun leh i hriselna zawng zawngah a innghat a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. Thil thlan bik pathum a awm.

1. Enfiahna

Hei hi Type 2 ang chi non-serious endoleaks tan tih tam ber a ni a, i doctor chuan thla 6 danah vel scan tir turin a ti ang che. Hei hian thisen leak chu a mah chauhin a bo em tih te, a awm reng em tih te, aneurysm a lian chho zel em tih te a enfiah ang. Aneurysm a lian lo a nih chuan engmah tih loh a, nghah a tha ber.

2. Endovascular hmanga enkawlna

Hengte hi surgery tenau tak tak, incision lian tak nei lo, thisen kalna kawng kal tlanga needle ang chi hmanga tih thin a ni.

• Embolizing: Thisen chhuahna tur thisen kalna kawng te tak te chu glue chi khat emaw wire te tak te hmanga block.
• Stent extension: Leak khuh nan stent dang dah belh a, stent tihzauh.
• Glue hman: Thisen chhuahna hmunah glue ang chi hnawih hmanga aneurysm seal.

3. Open Surgery neih a ni

Hei hi tih a tlem hle. Thil dang hmanga endoleak siam that loh chauhvin, a tawp ber atan chuan surgery lian tak, pum chhunga incision hmanga tih a ni.

I doctor zawh tur zawhna

I dinhmun chungchanga zawhna i neih hi thil pangngai a ni. Doctor i hmuh leh hunah heng zawhnate hi zawt hreh suh.

• He surgery hnuah hian eng harsatna dang nge lo awm thei?
• Endoleak ka neih theihna tur risk chu eng nge ni?
• Engzat nge follow-up turin ka lo kal tur?
• Eng scan nge ka neih a ngai?
• Ka thinlung leh thisen kalna kawng hrisel turin eng nge ka tih ang?

Aneurysm siamthat hi nunna chhanhimna a ni. Chuvangin hetiang surgery hnuah hian hetiang complication tenau te hi neih hi thil pangngai a ni. A tam zawkah chuan hengte hi enkawl a ngai lo. Tunah chuan enkawlna hmasawn leh awlsam zawk tam tak a awm ta. I chau emaw, i rilru a buai emaw a nih chuan i doctor emaw chhungte emaw hnenah sawipui rawh. Endoleak, Aneurysm, Surgery, Stent Graft, Thisen Leak, Aorta, EVAR, TEVAR, Lung Natna te