Aneurysm surgery hnuah endoleak a awm em? Hlauthawng suh, sawi ila! | Nirogi Lanka chuan a rawn ti a

Tun hnaiah operation lian tak i neih hnuah i haw leh mai thei. I rilru hahdamna i neih a rinawm laiin, i doctor-in ‘Endoleak’ an tih thil a sawi i hre tawh mai thei a, a nih loh leh nakin lawka i enkawl zui hunah pakhat a lo lang thei tih an vaukhân pawh a ni thei bawk. He thumal hi hriat hian ngaihtuahna a tibuaitu deuh thei tih chu hriatthiam theih a ni. Mahse, khawngaihin hlauthawng suh. Vawiin hian Nirogi Lanka-ah hian hei hi eng nge a nih chiang takin kan sawi dawn a, engvangin nge a lo awm tih leh inrintawkna nena kan hmachhawn dan tur kan sawiho dawn a ni.

A awlsam zawngin sawi ila, Endoleak chu eng nge ni?

Hei hi hriatthiam theih nan i kalphung chu tawi te tein i hrechhuak leh ang u. I taksa chhunga thisen kalna kawng lian ber Aorta hian i in chhunga tui pipe lian ber angin hna a thawk a. A chang chuan he vessel wall section pakhat chu a chak lo va, a bulge a, balloon ang maiin a awm bawk. Hei hi Aneurysm tiin kan sawi thin.

Hei hi a hlauhawm theih avangin doctor-te chuan bulging area chhungah Stent Graft an dah a. Pipe hlui, chak lo tak chhungah pipe thar, nghet tak dahin, flow chu redirect ang maiin han ngaihtuah teh. Tunah chuan thisen chu stent thar kaltlangin chauh a kal a, chu chuan bang hlui, chak lo tak chunga pressure a tiziaawm a, a rupture theihna pawh nasa takin a ti tlem a ni.

Mahse, a tlem berah chuan stent thar leh a bulpui vessel bang inkarah thisen tlemte a luang chhuak thei a ni. He specific leakage hi medically-a ‘Endoleak’ tia kan sawi thin hi a ni.

I operation atanga ni 30 chhunga endoleak a lo awm chuan “early endoleak” tiin an classified a ni. Ni 30 hnua a lo lan chuan “late endoleak” tia sawi a ni.

Hei hi engtiang chiahin nge a awm a, alarm siamtu a ni em?

Statistically chuan aneurysm repair surgery (EVAR emaw TEVAR ang chi) nei mi pali zinga pakhat vel chuan endoleak an nei thei a ni. Thil thleng mak tak a ni lo.

A pawimawh ber chu endoleak zawng zawng hi a hlauhawm vek lo.

A nasat dan chu leak chi leh awmna hmunah a innghat vek a ni.

Endoleaks chi hrang hrang lian ber berte chu engte nge ni?

Endoleaks hi primary type panga a awm a, a chhan hrang hrang nei vek a ni. Tunlai stent technology hmang hian heng zinga tam tak hi a tlem chho zel a ni.

Endoleak natna lan chhuah dan chu engte nge ni?

Hei hi a pawimawh ber a ni: a tam zawkah chuan endoleak symptoms i nei lo tak tak ang. Natna, lungawi lohna, leh taksa lama danglamna engmah i nei lo thei.

Hengte hi i doctor schedule-a follow-up appointment leh imaging scan hmanga hriat theih a ni. Appointment zawng zawngah i tel vek a, i scan i tihfel a pawimawh hle; khawngaihin skip suh u.

Emergency Warning a nih chuan! Hengte hi i tawn chuan tanpuina zawng nghal rawh:

Endoleak chuan rupture a thlen a nih chuan nunna atana hlauhawm medical emergency a ni. A hnuaia thilte hi a lo thleng thut a nih chuan, tihkhawtlai lohvin emergency room (ER) hnai ber pan rawh:

• I pum, i hnungzang emaw, i ke emaw-ah natna rang tak, tuar theih loh, na tak.
• I rilru emaw i hnungzang emaw-ah mittui tla nghal mai.
• Luak chhuak emaw, muhil emaw.
• Rilru chak tak, rang tak .
• Cold sweats leh vun clammy tak tak te.
• Nausea leh luak chhuak .
• Thâwk hahna .

Engtin nge doctor-te hian hengte hi an hriat chian?

Sawi tawh ang khan heng leak te hi hriatchhuah nan hian specialized imaging test a ngai a ni. I tih lai hian heng check-up te hi i tih a ngai ang a, a hnu lawkah te, thla emaw kum tam tak emaw hnuah pawh i tih a ngai ang. Hei hi a chhan chu i surgery hmasa ber hnuah "late endoleaks" thenkhat chu a lo thang tha thei a ni.

Monitoring atana hman tur test hmasa berte chu:

• CT scan (Computed Tomography): Hei hian i taksa thlalak chiang tak, 3D a siam a, thisen active leakage eng pawh kan hmu thei a ni.
• Doppler Ultrasound: He test hian thisen i kal dan a zirchiang a nithisen kalna kawng , leak awm thei hriat theihna turin a luang chakna leh a kalna tur hriat theihna turin min pui a ni.
• Angiogram: I thisen kalna kawngah hian special contrast dye an inject a, chu chu X-ray hmangin an inject a, chu chuan eng leakage awmna hmun dik tak hriat theihna tur map chiang tak a pe a ni.

Engtin nge endoleaks hi enkawl a nih?

I treatment plan hi i tan bik a ni a, endoleak chi hrang hrang, a awmna dik tak leh i hriselna dinhmun zawng zawng a zirin a ni. Mi zawng zawng hian kalphung inang kan mamawh vek lo. Thil thlan bik pathum a awm a:

1. Enfiahna

Hei hi leak tenau, risk tlem, Type 2 endoleak ang chi te tan chuan hman tlanglawn ber a ni. I doctor chuan thla 6 danah routine scan neih a rawt thei a, chu chuan a hmun chu a enfiah thei ang. Leak chu a mah chauhin a reh em, a nghet reng em, a nih loh leh aneurysm a lo lian tan em tih kan track thin. Aneurysm a lian lo a nih chuan enfiah hi duhthlanna him ber leh hlawk ber a ni fo thin.

2. Endovascular hmanga enkawlna

Hengte hi minimally invasive procedure, puncture te tak te hmanga tih a ni a, operation lian tak neih ngai lovin i thisen kalna kawng kaihruaitu catheter hmanga tih a ni.

• Embolization: Leak chawmtu vessel te te chu kan block off nan specialized coil emaw medical glue emaw kan hmang thin.
• Stent Graft Extension: Coverage tihzauh nan leh leak chu tha taka seal turin stent graft segment dang kan dah belh bawk.
• Glue Embolization: Aneurysm sac chu direct-in kan lut thei a, leak hmun khar nan medical-grade sealant inject theih a ni.

3. Open Surgery neih a ni

Hei hi a tlem hle. Hei hi endoleak chu less invasive method hmanga siamthat theih a nih loh chuan a tawp ber atan kan ngai a, chu chu conventional open surgical procedure a ngai a ni.

I doctor tan zawhna awm thei

I hriselna chungchangah ngaihtuahna neih hi thil pangngai tak a ni. I doctor i tlawh leh hunah a hnuaia zawhnate hi zawt hreh suh:

• Hetiang tih dan zawm hian eng harsatna dang awm thei nge ka hriat tur?
• Endoleak ka neih theihna tura ka personal risk level chu engzat nge ni?
• Follow-up appointment atan engzat nge ka lo kir leh a ngai ang?
• Nakin lawkah eng imaging test bik nge ka mamawh ang?
• Ka thinlung leh vascular health optimize turin eng step nge ka tih theih ang?

Aneurysm siamthat hi nunna chhanhimna a ni a, operation hnua harsatna tenau te chu i dam lehna kawngah enkawl theih tur anga ngaih a \angkai hle. Vawi tam tak chu heng thilte hi inrawlh a ngai lo va, a awm a nih chuan tunlai damdawi hian solution hlawk tak, awlsam tak a pe a ni. I lungkham emaw, i rilru a buai emaw a nih chuan, khawngaihin i doctor pan la, emaw, heng rilru put hmangte hi i hmangaih tak takte nen sawipui rawh.

Endoleak, Aneurysm, Surgery, Stent Graft, Thisen leak, Aorta, EVAR, TEVAR, Lung natna