Tērā pea kua hoki mai koe ki te kāinga i muri i tētahi pokanga nui. Ahakoa kei te ahua marino pea koe, tērā pea kua rongo koe i tō tākuta e kōrero ana mō tētahi mea e kiia nei ko te 'Endoleak,' i whakatūpato rānei rātou ka puta mai tētahi i roto i ō tirotiro ā muri ake nei. He mea mārama te whakaaro ka puta he āwangawanga ina rongo koe i tēnei kupu. Heoi, kaua e mataku. I tēnei rā, i Nirogi Lanka, ka matapakihia e tātou he aha tēnei mea, he aha i puta ai, me pēhea te whakatata atu me te maia.
He aha te Endoleak i te kīanga māmā noa iho?
Hei mārama ki tēnei, me whakamahara poto tātou ki tāu tikanga. Ko te oko toto nui rawa atu o tō tinana, ko te Aorta, he rite ki te paipa wai matua i roto i tō whare. I ētahi wā, ka ngoikore tetahi wāhanga o tēnei pakitara oko toto, ka pupuhi, he rite ki te poihau. Ka kiia tēnei he Aneurysm .
Nā te mea he morearea tēnei, ka whakanohoia e ngā tākuta he Tārua Stent ki roto i te wāhi e pupuhi ana. Whakaarohia he rite ki te whakauru i tētahi paipa hou, pakari ki roto i tētahi paipa tawhito, ngoikore hei huri i te rere. Ināianei, ka haere noa te toto mā roto i te stent hou, ka whakamama i te pēhanga ki runga i te pakitara tawhito, ngoikore, ā, ka tino whakaiti i te tūponotanga o te pakaru.
Heoi, i roto i ētahi wā iti, ka turuturu pea te toto iti i waenganui i te stent hou me te pakitara o te oko toto taketake. Ko tēnei turuturu motuhake te mea e tautuhia ana e mātou e te rata he 'Endoleak'.
Mena ka puta he turuturu endo i roto i ngā rā 30 o tō pokanga, ka kiia he "turuuru endo wawe". Mena ka puta i muri i ngā rā 30, ka kiia he "turuuru endo mutunga".
He pēhea te noa o tēnei, ā, he take hei mataku?
E ai ki ngā tatauranga, tata ki te kotahi i roto i te whā o ngā tāngata e pokangahia ana mō te whakatikatika i te aneurysm (pēnei i te EVAR, i te TEVAR rānei) ka pāngia pea e te endoleak. Ehara i te mea onge tēnei.
He mea nui, ehara i te mea he morearea ngā turuturu katoa.
Ka memeha haere ētahi rerenga endo me te kore he wawaotanga. Ka aroturuki noa tō tākuta i tō āhua mā te matawai whakaahua auau. Heoi, he nui ake te kino o ētahi atu momo; ki te mea ka whānui ake te aneurysm , ka piki ake rānei te pēhanga, me tere tonu te maimoatanga hauora.
Ko te kaha o te turuturu ka whakawhirinaki katoa ki te momo me te wāhi o te turuturu.
He aha ngā momo matua o ngā Endoleaks?
E rima ngā momo matua o ngā turuturu endo, he rerekē ngā take o ia momo. Nā te hangarau stent hou, he maha o ēnei e tino onge haere ana.
| Momo | Tikanga (Whakamāmā) | Te kaha |
|---|---|---|
| Momo 1 | Te turuturu i te rohe hiri o runga, o raro rānei, i te wāhi e tūtaki ai te stent ki te pakitara o te uaua toto. | Tino kino. He nui te mōrearea o te pakaru. Me whiwhi maimoatanga tonu. |
| Momo 2 | Te rere whakamuri ki roto i te aneurysm mai i ngā peka taha o te uaua. | Tino noa. Kāore i te tino mōrearea; 40% ka memeha noa i roto i ngā marama e ono. Ka tirotirohia e ngā tākuta. |
| Momo 3 | Te turuturu i waenga i ngā wāhanga o te stent nā te ngoikore o te miihini, te momotu rānei. | Tino kino. He rite te mōrearea ki te Momo 1. Me whiwhi maimoatanga tonu. |
| Momo 4 | Te turuturu mā roto i te rauemi pūngoi o te tākai stent tonu. | Tino onge. Kāore i te kitea me ngā stent hou. |
| Momo 5 | Ka kiia hoki ko te "Endotension"; ka haere tonu te whānui o te aneurysm, kāore he pūtake turuturu e kitea ana. | Kāore i te mārama ngā take; me tirotirohia tata e te rata. |
He aha ngā tohu o te Endoleak?
Koinei te mea tino nui: i te nuinga o te wā, kāore koe e kite i ngā tohu o te turuturu. Tērā pea kāore koe e kite i te mamae, i te kore whakamarie, i ngā huringa tinana rānei.
Ka kitea ēnei mā roto i ngā wā tirotiro me ngā matawai whakaahua a tō tākuta. He mea nui kia tae atu koe ki ngā wā tirotiro katoa me te whakaoti i ō matawai; kaua e mahue i a koe.
Whakatūpato Āhuatanga ohorere! Rapua he āwhina tonu mēnā ka pāngia koe e ēnei:
Ki te puta he pakaru i te pito o raro, he āhuatanga ohorere hauora e morearea ana ki te ora. Ki te puta ohorere mai tētahi o ēnei e whai ake nei, haere tonu ki te rūma ohorere (ER) tata rawa atu:
- Te mamae ohorere, te mamae nui, te mamae kore e taea te whakamanawanui i roto i tō puku, i tō tuara, i ō waewae rānei.
- Te kare ā-roto ohorere o te haehae i roto i tō uma, i tō tuara rānei.
- Pōuriuri , ngoikore rānei.
- Te tere ohorere o te manawa .
- Te werawera makariri me te kiri mākūkū.
- Whakapairuaki me te ruaki .
- Te poto o te manawa .
Me pēhea te tautuhi a ngā tākuta i ēnei?
E ai ki te kōrero i mua ake nei, me whai whakamātautau whakaahua motuhake koe kia kitea ai ēnei turuturu. Me whai koe i ēnei tirotiro i te wā o tō pokanga, i muri tonu mai, tae atu ki ngā marama, ngā tau rānei i muri mai. Nā te mea ka puta pea ētahi "urunga mutunga" i muri tata mai i tō pokanga tuatahi.
Ko ngā whakamātautau matua e whakamahia ana mō te aroturuki ko:
- Matawai CT (Tomography Rorohiko): Mā tēnei ka puta he whakaahua mārama, 3D o tō tinana, kia taea ai e mātou te tautuhi i tētahi turuturu toto e kaha ana.
- Doppler Ultrasound: Ka aromatawaihia e tēnei whakamātautau te rere o te toto i roto i tō tinanangā uaua toto , hei āwhina i a tātou ki te tautuhi i te tere me te ahunga o te rere hei kite i ngā turuturu pea.
- Angiogram: Ka werohia he tae rerekē motuhake ki roto i ō uaua toto, ā, muri iho ka werohia he hihi-X, ka puta he mahere tino tika hei kimi i te wāhi tika o te turuturu.
Me pēhea te rongoā mō ngā rerenga endo?
Kua whakaritea tō mahere maimoatanga mōu ake, i runga i te momo rerenga endo, tōna wāhi tuturu, me tō āhua hauora whānui. Ehara i te mea he rite tonu te huarahi e hiahiatia ana e te katoa. E toru ngā kōwhiringa matua:
1. Te Mātakitaki
Koinei te huarahi tino noa mō ngā turuturu iti, iti te mōrearea, pērā i ngā turuturu Momo 2. Tērā pea ka tūtohu tō tākuta kia tirotirohia ia ono marama hei aroturuki i te wāhi. Ka aroturukihia e mātou mēnā ka memeha te turuturu, ka noho pumau, ka tīmata rānei te tipu o te aneurysm. Mēnā kāore te aneurysm e whakanui ana, ko te tirotiro te kōwhiringa haumaru me te whai hua.
2. Maimoatanga Endovascular
He tikanga iti noa te whakaekenga ēnei e mahia ana mā te pokanga iti, mā te whakamahi i tētahi catheter e arahina ana i roto i ō uaua toto, kaua e hiahiatia he pokanga nui.
- Te whakapūngao: Ka whakamahia e mātou ngā koiri motuhake, ngā kāpia hauora rānei hei ārai i ngā oko toto iti e whāngai ana i te turuturu.
- Toronga o te Tārai Stent: Ka tāpirihia e mātou tētahi atu wāhanga o te tārai stent hei whakawhānui i te hipokinga, hei hiri hoki i te turuturu.
- Te Whakapūmautanga o te Piripiri: Ka uru atu pea mātou ki te pēke aneurysm ki te werohanga i tētahi hiri kounga hauora hei kati i te wāhi turuturu.
3. Pokanga Tuwhera
He tino onge tēnei. E whakaaro ana mātou koinei te huarahi whakamutunga mēnā kāore e taea te whakatika i te turuturu mā roto i ngā tikanga iti ake te whakaekenga, ā, me whakamahi i tētahi pokanga tuwhera tikanga.
Ngā pātai mā tō tākuta
He mea noa te āwangawanga mō tō hauora. Ina toro atu koe ki tō tākuta, kaua e mangere ki te pātai i ēnei pātai:
- He aha atu ngā raruraru pea me mōhio ahau i muri i tēnei tikanga?
- He aha te taumata mōrearea whaiaro mō te whakawhanake i te endoleak?
- Kia pēhea te auau o taku hokinga atu mō ngā wā whakarite whai muri?
- He aha ngā whakamātautau whakaahua motuhake e hiahiatia ana e au ā muri ake nei?
- He aha ngā mahi ka taea e au te mahi hei whakapai ake i te hauora o tōku ngākau me ōku toto?
He mahi whakaora ora te whakatika i te aneurysm, ā, he mea āwhina te titiro ki ngā raruraru iti i muri i te pokanga hei mahi whakaora. He maha ngā wā, kāore ēnei take e hiahiatia he wawaotanga, ā, ki te hiahiatia, ka tukuna e te rongoā hou he otinga tino whai hua, ngāwari hoki. Ki te pāngia koe e te manukanuka, e te taumahatanga rānei, whakapā atu ki tō tākuta, kōrerohia rānei ēnei kare ā-roto ki ō whanaunga.
Karere Tangohia ki te Kāinga
- He mea noa te kitea o te endoleak i muri i te whakatikatika i te aneurysm, engari ehara i te mea he āhuatanga morearea i ngā wā katoa.
- Ko te nuinga o ngā rerenga endo kāore he tohu, koia te mea nui kia tae atu koe ki ō wā whakarite whai muri.
- He kino ngā turuturu momo 1 me te momo 3, ā, me tere te rongoā, ko ngā turuturu momo 2 ia ka memeha haere i a rātou anō.
- Ki te pāngia koe e te mamae ohorere, nui o te puku, o te uma rānei, te hemo rānei, he tohu pea tēnei kei te pakaru pea te aneurysm . Rapua tonutia he awhina hauora mā te waea atu ki te 911, mā te toro atu rānei ki te tari ohorere tata.
- Mena he pātai, he feaa rānei āu mō tō āhua, kaua e mangere ki te kōrero ki tō tākuta.
Endoleak, Aneurysm, Pokanga, Tāruatanga Stent, Tātaritanga toto, Aorta, EVAR, TEVAR, Mate manawa
