He pakaru o te hope i muri i te pokanga aneurysm? Kaua e manukanuka, me kōrero tāua!

Kua hoki mai pea koe i tētahi pokanga nui. Tērā pea kei te tino harikoa koe, kei te tino marino hoki. Engari i kōrerotia e te tākuta he mea pēnei i te 'endoleak'? I kōrerotia rānei e ia ki a koe tera pea ka pā mai tētahi mea pēnei ina haere mai koe mō ngā tirotiro ā muri ake nei? He mea noa te mataku me te manukanuka ina rongo koe i tēnei kupu. Engari kaua e manukanuka. I tēnei rā, ka kōrerohia e tātou i roto i ngā kupu māmā, he aha te mea nei, he aha i puta ai, me te mea me wehi koe.

He aha te tikanga o tēnei turuturu?

Hei mārama ki tēnei, me whakamahara atu mātou ki a koe mō te pokanga i mahia ki a koe. Ko te oko toto nui rawa atu o tō tātou tinana, te aorta, he rite ki te paipa wai matua o tō tātou whare. I ētahi wā, ka ngoikore tetahi wāhi i te pakitara o tēnei oko toto, ka pupuhi pērā i te poihau. Koinei te mea e kiia nei e mātou he aneurysm . Nā te mea he morearea tēnei, ka whakauruhia e ngā tākuta he oko toto horihori, e kiia nei ko te stent graft, ki roto i te pupuhi. Whakaarohia he rite ki te whakauru i tētahi ngongo hou, kaha ake i roto i tētahi paipa wai tawhito, ngoikore. Inaianei ka rere te toto mā roto i te stent hou kua whakaurua. Kātahi, kāore he pēhanga ki te pakitara tawhito, ngoikore, nō reira kāore he mōrearea o te pahū. Engari, i muri i tētahi wā poto rawa, ka tīmata te turuturu o te toto iti i waenganui i te stent hou kua whakanohoia me te pakitara o te oko toto tawhito. He rite ki te turuturu o te wai iti mai i ngā taha o te ngongo hou. Ko taua turuturu toto te mea e kiia nei e mātou i roto i te rongoā he 'endoleak'. Mena ka puta tēnei endoleak i roto i ngā rā 30 o te pokanga, ka kiia he "early endoleak." Ki te puta i muri i ngā rā 30, ka kiia he "late endoleak".

He maha ngā tāngata e pāngia ana e tēnei āhuatanga? He mea hei wehi mā rātou?

Ina hoki, tata ki te kotahi i roto i te whā o ngā tāngata e pāngia ana e ēnei momo pokanga whakatika aneurysm (pēnei i te EVAR, i te TEVAR rānei) ka whai wāhi pea ki te whakawhanake i tēnei putanga endo. Nō reira, ehara i te mea onge. Engari ko te mea nui, ehara i te mea he morearea ngā putanga endo katoa. Nō reira, ko te kaha o tēnei ka whakatauhia e te momo me te wāhi o tēnei.

He aha ngā momo matua o ngā rerenga endo?

E rima ngā momo matua o ngā rerenga endo. He rerekē te take o ia momo. Ināianei, nā te taenga mai o te hangarau stent hou, kua tino heke te maha o ngā momo. Me titiro tātou he aha ēnei momo.

He aha ngā tohu o te turuturu endo?

Anei te mea nui rawa atu me mōhio koe. I te nuinga o te wā, kāore koe e rongo i tētahi tohu o te rerenga endo. Kāore pea koe e rongo i tētahi huringa, mamae, kore rānei e pai. Ka kitea ēnei i roto i ngā matawai e mahia ana i roto i ō wā tirotiro whai muri i te pokanga. Koia te take e kī atu ai tō tākuta kia haere mai koe mō aua matawai i ngā rā kua hoatu e rātou ki a koe. Kaua e mahue.

Āhua ohorere! Ki te pāngia koe e ēnei tohu, haere tonu ki te ETU!

Ki te pakaru te aneurysm tawhito nā te endoleak, he āhuatanga hauora ohorere tēnei. Ki te puta ohorere mai ngā tohu e whai ake nei, kaua e moumou taima, engari haere ki te Tari Ohorere (ETU) o te hōhipera tata .

• Te mamae ohorere, te mamae nui, te mamae kore e taea te whakamanawanui i te puku, i te tuara, i ngā waewae rānei.
• He mamae ohorere, he haehae hoki i te uma, i te tuara rānei.
• Pōuriuri me te hemo o te tinana.
• Te tere ohorere o te ngakau .
• Te mātao me te werawera.
• Whakapairuaki me te ruaki .
• Te uaua ki te manawa .

Me pēhea te kite a ngā tākuta i tēnei?

E ai ki te kōrero i mua ake nei, ka kitea tēnei mā roto i ngā matawai motuhake. Tērā pea ka mahia ēnei whakamātautau i te wā o tō pokanga, i muri i te otinga, me ngā marama, ngā tau rānei i muri mai. Nā te mea ka puta pea ētahi rerenga mutunga i muri i tētahi wā i muri i te pokanga. Ko ngā whakamātautau matua e whakamahia ana ko:

• Matawai CT (Matawai Tomography Rorohiko): Ka taea e tēnei te tango whakaahua mārama-toru-ahu o roto o te tinana, me te tirotiro mō ngā turuturu toto.
• Doppler Ultrasound: Ka taea e tēnei te kite i ngā turuturu mā te titiro ki te tauira me te tere o te rere o te toto i roto i ngā uaua toto .
• Angiogram: Ko te werohanga o tētahi tae motuhake ki roto i ngā uaua toto, me te tango i tētahi hihi-X hei tirotiro i te wāhi e turuturu mai ana te toto.

Me pēhea te rongoā i te turuturu endo?

Ko te maimoatanga e whakawhirinaki ana ki te momo rerenga endo kei a koe, te wāhi e noho ana, me tō hauora whānui. Kāore he maimoatanga kotahi e pai ana mō te katoa. E toru ngā kōwhiringa matua.

1. Te Mātakitaki

Koinei te mea e mahia ana mō ngā turuturu toto kāore i te tino kino pērā i te Momo 2. Ka tono tō tākuta kia tirotirohia koe i ia ono marama. Mā tēnei ka tirohia mēnā kei te memeha haere te turuturu toto, mēnā kei te noho tonu, mēnā rānei kei te nui haere te aneurysm. Ki te kore te aneurysm e nui haere, he pai ake kia kaua e mahi i tetahi mea, ā, me tatari.

2. Maimoatanga Endovascular

He pokanga iti ēnei e mahia ana, kāore he tapahi nui, e whakamahia ana he mea pērā i te ngira hei wero i roto i te uaua toto.

• Te whakapūpū i te toto: Te ārai i ngā oko toto iti e puta ai te toto mā te whakamahi i tētahi momo kāpia motuhake, i ngā waea iti rānei.
• Toronga stent: Te toronga o te stent mā te whakauru i tētahi atu wahi stent hei taupoki i te turuturu.
• Te tāpiri i te kāpia: Te hiri i te aneurysm mā te tāpiri i tētahi mea rite ki te kāpia ki te wāhi e turuturu ana te toto.

3. Pokanga Tuwhera

He tino onge tēnei mahi. Mēnā kāore e taea e ētahi atu tikanga te whakatika i te pakaru o te puku, ā, hei huarahi whakamutunga, ka whakamahia he pokanga nui e tapahia ai te puku.

Ngā pātai hei pātai atu ki tō tākuta

He mea noa te whai pātai mō tō āhua. Kaua e mangere ki te pātai i ēnei pātai ina kite anō koe i tō tākuta.

• He aha atu ngā raruraru ka puta i muri i tēnei pokanga?
• He aha te mōrearea o te putanga mai o te endoleak?
• Kia pēhea te auau o taku haerenga mai mō te tirotiro whai muri?
• He aha ngā matawai me whiwhi ahau?
• Me aha ahau kia ora ai tōku ngākau me ōku uaua toto?

He tikanga whakaora ora te whakatika i te aneurysm. Nō reira, he mea noa te pā mai o ngā raruraru iti pēnei i muri i te pokanga. I te nuinga o te wā, kāore ēnei e hiahiatia kia rongoātia. He maha atu ngā maimoatanga matatau me ngā maimoatanga māmā e wātea ana ināianei. Mena kei te ngenge koe, kei te taumaha rawa rānei, kōrero ki tō tākuta, ki tō whānau rānei mō tēnei. Endoleak, Aneurysm, Pokanga, Tāruatanga Stent, Tāreretanga Toto, Aorta, EVAR, TEVAR, Mate Manawa