Aneurysm enkawl hnua Endoleak tih natna hi i hria em?

`Aneurysm`, taksa chhunga aorta bang emaw, thisen kalna kawng lian tak emaw a chak lo va, balloon ang maia a bulh thin tih i hre tawh em? I nei tawh mai thei a, doctor-te chuan tube te tak te `Stent Graft` an tih chu dahin an enkawl a, chu chu `Endovascular` tih a ni a, chu chu incision lian tak siam loh tihna a ni. Tui pipe hlui atanga leak ang maiin han ngaihtuah teh. Chuvangin doctor-te chuan leak chhungah tube dang an dah leh a, chu chu a tichak zawk a ni. Mahse, a chang chuan chu enkawlna hnuah chuan `Stent Graft` atang hian thisen tlem a chhuak tan a, `Aneurysm` awmna bawm chhungah a luang lut tan thin. Chu chu damdawi lamah `Endoleak` kan tih chu a ni. Vawiin hian hei hi eng nge a nih tak tak tih te, engvangin nge a lo awm tih te, a hlauhawm em tih te, engtin nge kan hriat theih ang tih te, a enkawl dan tur te chu chipchiar deuhin kan sawi dawn a ni.

`Endoleak` chu eng nge ni tak tak?

A awlsam zawngin `Endoleak` tih awmzia chu `Aneurysm` enkawl leh seal a nih hnuah `Aneurysm` bawm hlui chhungah thisen a luang leh tan tihna a ni. Tunah chuan en teh, a tlangpuiin `Aneurysm` enkawl a nih hian i thisen chu `Stent Graft` tube dah thar atang chauhvin a luang chhuak thin. He `Stent Graft` hi thisen kalna kawng chak lo tak thlawptu ang mai a ni. Chuvangin thisen kalna kawng chhia, bulging, chu chu `Aneurysm Sac`-ah a luang lo. Tichuan `Aneurysm` chu a lian leh puak chhuak tawh lo. Thisen chhuak a awm loh chuan a pawi lo tur a ni.

Mahse, eng emaw chhan vanga `Stent Graft` pawnah thisen a luang lut a, `Aneurysm Sac` chhungah a luang lut a nih chuan chu chu `Endoleak` an ti a ni. Hetiang `Endoleak` lo awm chhan hrang hrang a awm a. Ṭhenkhat chu `Graft` ngeia harsatna awm vang a ni a, ṭhenkhat chu `Aneurysm Sac` atanga tan thisen kalna kawng te tak te dang vang pawh a ni thei bawk. Inchung hawn hnua hmun thenkhat atanga tui luang chhuak ang mai a ni.

He `Endovascular` enkawlna atanga ni 30 chhunga `Endoleak` a lo awm chuan ``early endoleaks`` kan ti thin. Ni 30 hnua lo piang chhuakte chu ``secondary endoleaks`` emaw ``late endoleaks`` emaw an ti a.

`Endoleak` hi engtiang chiahin nge a awm?

Tunah chuan he `Endoleak` hi mi zawng zawng chunga thleng thin nge, thil thleng tlem tak a ni em tih i ngaihtuah mai thei. Dik tak chuan he `Endoleak` natna hi mi 4 zinga 1 velin `Endovascular Aneurysm Repair` (a tawi zawngin `EVAR` kan ti a - hei hi pum chhunga `Aneurysm` enkawlna a ni ber) emaw, `Thoracic Endovascular Aneurysm Repair` (`TEVAR`) emaw hmanga `Aneurysm` in the chest Chuvangin, chutiang hriat loh chu a ni lo. Chuvang chuan hei hi hriat chian a pawimawh hle a ni.

`Endoleak` hi a hlauhawm em?

Hei hian tlem a ti hlauthawng mai thei che. "Aw, thisen a chhuak leh ang tih ka hlau a ni lawm ni?" I ngaihtuah mai thei. Mahse endoleak zawng zawng hi a hlauhawm vek lo . Endoleak thenkhat chuan harsatna an thlen lo va, anmahni chauhin an dam leh thin. Hliam te tak te chu a mah chauhin a dam ang maiin. Chutiang hunah chuan i doctor chuan i dinhmun chu enfiah mai mai a tum mai thei. Hei hian test tih chhunzawm zel a, eng nge thleng tih en tihna a ni.

Mahse, `Endoleak` chi thenkhat chu a serious deuh deuh. Chu `Aneurysm` chu a lian leh thei a, a puak thei lo tur chuan enkawl vat a ngai a ni. A chhan chu `Aneurysm` a puak chuan nunna atana hlauhawm a ni thei. Chuvangin, hei hi a hlauhawm leh hlauhawm loh chu `Endoleak` chi leh a awmna hmunah a innghat a ni. Doctor-te chuan heng zawng zawng hi a zirin thutlukna an siam thin.

Eng chi `Endoleak` nge awm?

Tunah hian `Endoleak` chi panga hriatchhuah a ni. Type tin hian chhan hrang hrang an nei a. Natna tin hian chhan hrang hrang an nei ang bawkin. Tunlai hian `Stent Graft` technology thar a lo chhuah tak avangin `Endoleak` chi thenkhat chu a tlahniam deuh tawh a, hei hi thil tha tak a ni.

Chung zingah chuan `Type 2 Endoleak` hi a tam ber a ni . Mahse , `Type 1` leh `Type 3` endoleaks te hi a hlauhawm deuh a , `Aneurysm` puak (`rupturing`) hlauhawmna a tihpun avangin. Heng chi hrang hrangte hi ngun zawkin han thlir ila.

`Type 1 Endoleak` tih a ni

Hei hi stent graft chu thisen kalna bangah a inbun that loh chuan a thleng thin a, chu chu a seal tha lo tihna a ni. Ngaihtuah teh, cover leh wall inkarah gap tlemte a awm chuan chuta tang chuan tui a luang chhuak ang a, stent graft chunglam tawp (proximal) emaw, a hnuai lam tawp (distal) emaw atangin thisen a chhuak ang a, aneurysm sac chhungah a lut ang. Type 1 endoleak hi natna khirh tak a nih avangin enkawl vat a ngai tlangpui. Hengte hian chi dang aiin aneurysm a tichhia tam zawk. Hei hi Doctor ten an hmuh chuan hma an la thuai ang.

`Type 2 Endoleak` tih a ni

Hei hi endoleak chi khat zingah chuan a tam ber a ni . Abdominal aneurysm tan TEVAR aiin EVAR hnuah a tam zawk. He leak hi i aorta emaw stented artery atanga thisen chhuak chu thisen kalna kawng te tak te (branch vessels emaw collateral vessels) kaltlangin aneurysm sac-ah a luang lut a ni. I aorta hian branch te te (branches) a nei ang tih han ngaihtuah teh. Tunah chuan aorta chhunga khur khar nan stent graft thar kan dah a nih pawhin chu branch atang chuan thisen engemaw zat a la chhuak thei tho. Chutiang chu Type 2 endoleak chu a ni.

A tam zawkah chuan Type 2 Endoleaks hi Endovascular treatment i neih atanga ni 30 chhungin i hmuchhuak thin. Mahse, a hnuah a lo awm thei a, "late endoleaks" tia hriat a ni. Type 2 Endoleaks zinga 40% vel chu ni 30 hnuah hmuhchhuah a ni. 8% vel chu kum khat enkawl hnuah hmuhchhuah an ni.

Mahse `Type 2 Endoleaks` tam zawk hi chu chutiang khawpa hlauhawm an ni lo . Thla ruk vel enkawl loh hnuah anmahni chauhin an dam leh thin. A chhan chu chu thisen kalna kawng te te chu anmahni chauhin an inkhar vek a ni. An dam lo a nih pawhin `Aneurysm Sac` chu a stable a, a lian lo a nih chuan doctor chuan a en reng thei a ni. Mahse a chang chuan hun kal zelah he `Type 2 Endoleak` hian `Aneurysm Sac` ah hian inthlak danglamna a thlen thei a, `Type 1` emaw `Type 3` ang chi `Endoleak` hlauhawm zawkah a chang thei bawk. Chutiang a nih chuan enkawl a ngai a ni. `Aneurysm` hi millimeter 5 (`5mm`) aia lian a nih chuan enkawl a ngai mai thei. `Aneurysm` enkawl loh chuan `Aneurysm` a puak theihna chance a awm.

`Type 3 Endoleak` tih a ni

Type 3 Endoleak hi i stent graft-a modular components inzawmkhawmte a inthen a, a nih loh leh graft-a puan ngei pawh a chhe emaw, a chhe emaw a nih chuan a thleng thin. Hei hi joint-a pipe inthen emaw, pipe chhung ngeiah khur a lo awm emaw nen a inang a ni. Type 1 Endoleak ang bawkin pressure hnuaiah thisen a luang lut nghal a, a chhan chu aneurysm puak theihna a awm. Chuvangin, rang taka enkawl hi a pawimawh hle. Mahse, device design lama hmasawnna a awm avangin Type 3 Endoleaks hi a tlem hle.

`Type 4 Endoleak` tih a ni

Hei hi stent graft-a khur te tak te (graft material porosity) atanga thisen a chhuah hian a thleng thin. Hei hi enkawlna hmasa berah hmuh tur a awm tlangpui a, mahse a mah chauhin a reh fo thin. Hei hi graft-a complication awm lo tak a ni a, tunlai grafts hman danah chuan a tam lo hle.

`Type 5 Endoleak` tih a ni

`Type 5 Endoleak` hi ``Endotension`` an ti bawk. Hei hi a mak deuh. Hetiang thila thil thleng chu, ``Imaging`` test-ah ``Endoleak`` tih chhinchhiahna awm lo mahse, ``Aneurysm Sac`` hi a pung zel a ni. Hei hi a chhan dik tak hriat chian ni lo mah se, thisen chhuahna hmuh theih awm lo mah se, ``Stent Graft`` kaltlangin ``pressure transmission`` a awm thei niin an ngai. Hei pawh hi dinhmun enfiah ngai tak a ni.

`Endoleak` natna lan chhuahna chu engte nge ni?

Hei hi mi tam takin harsatna an neih chu a ni. Endoleak i neih chuan i hmuh beisei tur symptoms a awm lo tlangpui . A danglamna i hmu lo mai thei. Endoleak hi i enkawlna ni a imaging test leh a hnua follow-up test tih hmangin hriat theih a ni.Chuvangin chutiang follow-up test-na atana kal chu a pawimawh em em a ni. Doctor-in a sawi ni chiah chiaha test neih hi hetiang thil hi rang taka hriat theihna awmchhun a ni.

Mahse, endoleak (a bik takin chi hlauhawm tak) avanga aneurysm a lian a, a puak (aneurysm rupture) a nih chuan medical emergency a ni Chutiang a nih chuan a hnuaia symptoms te hi a lo lang thei a ni. Chutiang a nih chuan 911 ah call emaw damdawi in hnai ber pan nghal tur a ni :

• Taksa chu a vawt a, a thawmhnaw (`Clammy, sweaty skin`).
• Luak chhuak, lu chhunga inher chhuak ang maia awm.
• Fainting, hriatna hloh.
• Heartbeat a chak chho zel (`Fast heartbeat`).
• Nausea leh luak chhuak.
• Thâwk harsa, thawk hah ang maia inhriatna (thâwk tawi).
• I pum, i hnungzang emaw i ke emaw ah natna nasa tak a awm nghal.
• I rilru emaw, i hnungzang emaw-ah natna nasa tak leh mittui tla nghal mai.

Heng symptoms te hi a lo lang a nih chuan tihkhawtlai suh.

Engtin nge `Endoleak` i hmuh theih?

Sawi tawh ang khan endoleak hi imaging test hmangin hmuhchhuah a ni. Heng test te hi i endovascular aneurysm siamthat lai leh i siamthat hnuah tih thin a ni. A tam zawkah chuan ni khatah emaw, tih a nih atanga ni 30 chhungin emaw hmuhchhuah a ni. Mahse, a chang chuan thla 12 thleng emaw, a aia rei emaw pawh a awm thei. Chuvangin i follow-up appointment zawng zawng hi zawm vek a pawimawh hle. Car service ang bawkin hei hi enkawl chhunzawm zel ngai a ni.

`Endoleak` hmuhchhuah nan test a nei

Enkawl lai leh enkawl hnua `Endoleak` hriat theihna atana test hman berte chu:

• `Computed Tomography (CT) scans`: Hei hian taksa chhung lam cross-sectional image a la a. `Stent Graft`, `Aneurysm Sac`, leh thisen leak te chu chiang takin a lang thei.
• Doppler Ultrasound: Hei hian sound wave hmangin thisen kal dan a en thin. Endoleak a awm leh awm loh leh thisen a kal dan a hre thei.
• Angiogram: Hemiah hian thisen kalna kawngah tui bik (contrast dye) inject a, X-ray image lak a ni. Thisen kal leh leak te chu chiang takin a lang thei.

Heng test te hian i enkawlna a hlawhtling em tih te, stent graft chu a hmunah a awm em tih te, stent chhehvelah leakage a awm em tih te a hriat theih nan a pui thei a ni.

Heng `imaging` test te hi enkawl hnuah thla tam tak emaw kum tam tak emaw chhung i neih a ngai dawn a ni. I doctor chuan heng test te hi a hrilh ang che a, eng chen nge i tih tur tih te a hrilh ang che. Mahse, heng test te hi a hnu lama lo awm thei `endoleak` eng pawh (`secondary endoleaks`) man thuai nan leh a tul chuan enkawl turin a pawimawh hle.

`Endoleak` enkawl dan tur chu engte nge ni?

I medical team chuan i Endoleak chu i mimal mamawh angin an enkawl ang. Endoleak enkawl dan hi mi tin tan a inang lo. Hei hi i taksa chi hrang hrang (entir nan, i aneurysm kawr sei zawng, thisen kalna hmun, etc.), Endoleak chi leh a awmna hmunah a innghat ang. A tlangpuiin Endoleak enkawlna atan hian duhthlan tur pawimawh pathum a awm a, chungte chu: observation, endovascular treatment, leh/or open surgery te an ni.

Hmuhdan

Endoleak chi khat na lo zawk, Type 2 endoleak ang chi i neih chuan i doctor chuan a mah chauhin a dam leh dawn em tih en turin "watchful waiting" approach a rawt thei ang. Hei hi thisen kalna kawng inzawmte a clot (clot off) a, aneurysm sac-a thisen kalna a tihtawp chuan a thleng thei. Mahse, endoleak vangin aneurysm sac chu a lian zawk (i.e., 5 mm aia lian) a nih chuan a chhe lo turin enkawlna i mamawh ang.

Endovascular enkawlna a ni

Hei hi endovascular aneurysm enkawlna atana hman tlanglawn ber a ni. I endovascular surgeon chuan minimally invasive technique hmangin endovascular aneurysm repair a ti thei ang. Chûng zîngah chuan:

• Aneurysm-a thisen pe chhuaktu branch thisen kalna kawng (branch blood vessels) block. Chu chu Type 2 Endoleak thlentu thisen kalna kawng te tak teah hian thil bik (embolizing agent) inject a ni a, chu chu khar a ni.
• `Stent Graft` chu leak piah lamah `Stent` piece dang (`cuffs or extenders`) dah belh a, i artery lian tak (`Aorta`) `Stent` dahna hmun chu tihzauh a ngai a ni. Hei hi `Type 1 Endoleak` atan tih a ni fo.
• Aneurysm sac-ah direct-a kal a, glue ang chi thil hmanga aneurysm sac seal.

Heng hmanrua te hian enkawlna hi incision lian tak awm lovin, khur te tak te hmangin tih theih a ni.

Surgery (`Open Surgery`) tih a ni.

Endovascular treatment a theih loh emaw, a hlawhchham emaw chuan open surgery hi a hnuhnung ber a ni tlangpui. Hei hian incision lian tak siam a, aneurysm chhunga luh a, stent graft siamthat emaw, a thar dah emaw a huam a ni. Hei hi a tlem hle a, tunah chuan endovascular techniques hi a hmasawn zawk hle a ni.

`Endoleak` i neih chuan eng nge beisei tur?

A tam zawkah chuan Endoleak hian enkawl a ngai lo va, a bik takin Type 2. Enkawl a ngai a nih pawhin minimally invasive option tam tak a awm a, chu chu incision tlem zawk a ngai a ni. Heng Endovascular treatment te hian hlawhtlinna rate sang tak an nei a ni. Hei bakah hian technology thar hmangin Endoleak vei theihna tihziaawmna tur stent grafts hman dan pawh a tha chho zel bawk.

Endoleak i neih chuan hlauthawng suh. I doctor chuan i enkawl dan tur a hrilhfiah ang che. A pawimawh ber chu endoleak a dam hnuah pawh follow-up test i nei chhunzawm zel dawn a ni.Nakin lawkah i stent graft-a harsatna awm apiang chu a rang thei ang bera hriatchhuah leh enkawl a pawimawh hle a, lirthei enkawl ang bawkin.

Engtikah nge ka doctor ka hmuh ang?

I EVAR emaw TEVAR emaw enkawlna hnuah follow-up appointment zawng zawng chu vawng reng ang che. I doctor chuan imaging test neih fo a ngai tih a hrilh ang che. A tlangpuiin a tir lamah chuan an inhnaih zawk ang a, mahse hun kal zelah an inhnaih lehzual thei. Chu thupekte chu dik takin zawm rawh.

Tin, a hmaa kan sawi tawh ang khan ruptured aneurysm nena lo awm emergency symptoms i neih chuan nghak lovin damdawi inah kal nghal rawh .

I doctor zawh tur zawhna

I EVAR emaw TEVAR emaw i tih zawh chuan i doctor hnenah harsatna awm thei te zawt la. Tin, follow-up test chungchang leh eng imaging test nge beisei tur tih te pawh sawi bawk ang che. Zawhna i zawt thei ang:

• He enkawlna hian eng side effect (complication) nge a neih theih? Endoleak ka neih theihna tur risk chu eng nge ni?
• Engzat nge follow-up turin ka lo kal ngai? Eng ang test nge (CT, ultrasound ang chi) tih ka mamawh ang?
• `Endoleak` ka neih chuan eng treatment option nge ka neih?
• Ka thinlung hriselna atana pui tur leh ka stent graft chu a dinhmun tha taka awm reng turin eng nunphung tihdanglam nge ka tih theih ang? (e.g., meizuk bânsan, exercise lak, ei leh in) .

Hetiang zawhna zawh a, i dinhmun hriatthiamna tha zawk neih hi a pawimawh hle.

He thawnthu atang hian eng thuchah nge kan in lama kan hruai theih ang?

Endoleak hi endovascular aneurysm siamthat hnua lo awm thei, manageable complication a ni. Enkawlna engmah i mamawh lo mai thei. Mahse, i tih chuan i doctor chuan i tana ṭha tur enkawlna kawng hrang hrangte chu a sawipui ang che.

Nunna chhanhimna tur, aneurysm enkawl ang chi tih hnuah hetiang harsatna hi a awm fo thin. Mahse, chutianga tih dân hlawkna chuan a hlauhawmna chu a tluk pha hle a ni . Chuvangin endoleak i hriat chuan hlauthawng suh.

A pawimawh ber chu doctor-in a pek che follow-up appointment-ah kal a, a rawtna test te neih hi a ni. Chutiang chuan harsatna eng pawh chu hriatchhuah leh rang taka enkawl theih a ni.

I chau a, i rilru a buai a nih chuan thil pangngai a ni. Mi tam takin nangmah ang bawk hian an tawk mek a ni. I doctor leh chhungte nen dam lehna avanga lungkhamna lo awm thinte enkawl dan tur sawipui rawh. Nangmah chauh i ni lo.

` Endoleak, Aneurysm, Stent Graft, EVAR, TEVAR, Thisen chhuah, Aneurysm, Stent Graft, Lung natna