Mwina mwabwerera kunyumba posachedwapa mutachitidwa opaleshoni yayikulu. Ngakhale kuti mwina mukumva bwino, mwina munamvapo dokotala wanu akunena za chinthu chotchedwa 'Endoleak,' kapena mwina anachenjeza kuti chikhoza kubwera panthawi yowunikira mtsogolo. Kumva mawu awa kungayambitse nkhawa pang'ono. Komabe, chonde musachite mantha. Lero, ku Nirogi Lanka, tikambirana za izi, chifukwa chake zimachitika, komanso momwe tingazithetsere molimba mtima.
Mwachidule, kodi Endoleak ndi chiyani?
Kuti timvetse izi, tiyeni tikumbukire mwachidule njira yanu. Mtsempha waukulu kwambiri wamagazi m'thupi lanu, Aorta, umagwira ntchito ngati chitoliro chachikulu chamadzi m'nyumba mwanu. Nthawi zina, gawo la khoma la mtsempha uwu limafooka ndikutupa, ngati baluni. Timatcha izi kuti Aneurysm .
Chifukwa izi zitha kukhala zoopsa, madokotala amaika Stent Graft mkati mwa malo otupa. Taganizirani izi ngati kuyika chitoliro chatsopano, cholimba mkati mwa chakale, chofooka kuti chitsogoze kuyenda kwa magazi. Tsopano, magazi amangoyenda kudzera mu stent yatsopano, kuchepetsa kupanikizika pakhoma lakale, lofooka ndikuchepetsa kwambiri chiopsezo cha kuphulika.
Komabe, nthawi zina, magazi ochepa amatha kutuluka pakati pa stent yatsopano ndi khoma la mtsempha woyambirira. Kutuluka kumeneku ndiko komwe timatanthauzira azachipatala kuti 'Endoleak.'
Ngati endoleak imapezeka mkati mwa masiku 30 kuchokera pamene opaleshoni yanu yachitika, imatchedwa "endoleak yoyambirira." Ngati imawonekera patatha masiku 30, imatchedwa "endoleak yochedwa."
Kodi izi ndizofala bwanji, ndipo kodi ndi chifukwa chodera nkhawa?
Malinga ndi ziwerengero, pafupifupi munthu m'modzi mwa anayi aliwonse omwe amachitidwa opaleshoni yokonzanso aneurysm (monga EVAR kapena TEVAR) akhoza kudwala endoleak. Si zachilendo.
Chofunika kwambiri, si mbalame iliyonse ya endoleak yomwe ndi yoopsa.
Ma endoleak ena amatha okha popanda kulowererapo. Dokotala wanu amangoyang'anira vuto lanu pogwiritsa ntchito ma scans nthawi zonse. Komabe, mitundu ina ndi yoopsa kwambiri; ngati ipangitsa kuti aneurysm ikule kapena kuonjezera kuthamanga kwa magazi, chithandizo chamankhwala chidzafunika mwachangu.
Kuopsa kwake kumadalira mtundu ndi malo omwe madzi atuluka.
Kodi mitundu ikuluikulu ya Endoleaks ndi iti?
Pali mitundu isanu ikuluikulu ya endoleaks, iliyonse ili ndi zifukwa zosiyanasiyana. Ndi ukadaulo wamakono wa stent, yambiri mwa iyi ikuchepa kwambiri.
| Mtundu | Njira (Yosavuta) | Kuopsa |
|---|---|---|
| Mtundu 1 | Kutayikira pamwamba kapena pansi pa malo otsekerera pomwe stent imakumana ndi khoma la mtsempha wamagazi. | Choopsa kwambiri. Chiwopsezo chachikulu cha kuphulika. Pakufunika chithandizo mwachangu. |
| Mtundu Wachiwiri | Kubwerera m'mbuyo kumalowa mu aneurysm kuchokera ku nthambi zam'mbali za mtsempha wamagazi. | Chofala kwambiri. Nthawi zambiri si choopsa; 40% amatha mwangozi mkati mwa miyezi 6. Amayang'aniridwa ndi madokotala. |
| Mtundu 3 | Kutuluka kwa madzi pakati pa magawo a stent chifukwa cha kulephera kwa makina kapena kuleka kugwira ntchito. | Zoopsa kwambiri. Chiwopsezo chofanana ndi cha mtundu woyamba. Chithandizo chachangu chikufunika. |
| Mtundu 4 | Kutuluka m'zinthu zokhala ndi mabowo a stent graft yokha. | Zosowa kwambiri. Siziwoneka kawirikawiri ndi ma stenti amakono. |
| Mtundu 5 | Amatchedwanso "Endotension"; aneurysm imapitirira kukula popanda gwero looneka la kutuluka kwa madzi. | Zifukwa zake sizikudziwika bwino; zimafunika kuyang'aniridwa mosamala ndi dokotala. |
Kodi zizindikiro za Endoleak ndi ziti?
Iyi ndi mfundo yofunika kwambiri: nthawi zambiri, simudzamva zizindikiro zilizonse za endoleak. Simungamve ululu, kusasangalala, kapena kusintha kwa thupi.
Izi zimapezeka kudzera mu nthawi yokumana ndi dokotala komanso nthawi yowunikira ma ultrasound. Ndikofunikira kuti mupite ku nthawi zonse zokumana ndi dokotala ndikumaliza kusanthula kwanu; chonde musawaphonye.
Chenjezo la Zadzidzidzi! Funani thandizo mwachangu ngati mukukumana ndi izi:
Ngati endoleak yayambitsa kuphulika , ndi ngozi yachipatala yomwe ingawononge moyo. Ngati chilichonse mwa izi chachitika mwadzidzidzi, pitani ku chipinda chadzidzidzi chapafupi (ER) mwamsanga:
- Kupweteka kwadzidzidzi, kosapiririka, komanso koopsa m'mimba, msana, kapena miyendo.
- Kumva kung'ambika mwadzidzidzi pachifuwa kapena kumbuyo kwanu.
- Chizungulire kapena kukomoka.
- Kugunda kwa mtima mwachangu komanso mwadzidzidzi.
- Thukuta lozizira komanso khungu louma.
- Kusanza ndi kusanza .
- Kupuma movutikira .
Kodi madokotala amazindikira bwanji izi?
Monga tanenera kale, kuzindikira kutuluka kwa madzi kumeneku kumafuna mayeso apadera ojambulira zithunzi. Muyenera kuyesedwa izi panthawi ya opaleshoni yanu, nthawi yomweyo pambuyo pake, komanso miyezi kapena zaka pambuyo pake. Izi zili choncho chifukwa "ma endoleak ena ochedwa" amatha kukula bwino mutachita opaleshoni yanu yoyamba.
Mayeso oyamba omwe amagwiritsidwa ntchito powunikira ndi awa:
- Kujambula kwa CT (Computed Tomography): Izi zimapanga zithunzi zomveka bwino za thupi lanu, zomwe zimatithandiza kuzindikira kutuluka kwa magazi kulikonse komwe kukuchitika.
- Doppler Ultrasound: Kuyeza kumeneku kumayesa momwe magazi amayendera kudzera m'magazi anumitsempha yamagazi , zomwe zimatithandiza kuzindikira liwiro ndi komwe madzi akuyenda kuti tizindikire kutuluka kwa madzi.
- Angiogram: Utoto wapadera wosiyanitsa umalowetsedwa m'mitsempha yanu yamagazi, kenako X-ray, yomwe imapereka mapu olondola kwambiri kuti mudziwe komwe kutuluka kulikonse kwa magazi kumachokera.
Kodi matenda a endoleak amachiritsidwa bwanji?
Ndondomeko yanu ya chithandizo imapangidwa kuti ikugwirizaneni ndi inu, kutengera mtundu wa endoleak, komwe ili, komanso thanzi lanu lonse. Si aliyense amene amafuna njira yofanana. Pali njira zitatu zazikulu:
1. Kuyang'anitsitsa
Iyi ndi njira yodziwika kwambiri yopezera kutuluka kwa madzi pang'ono komanso kotsika, monga matenda a endoleak a mtundu wa 2. Dokotala wanu angakulangizeni kuti mufufuze nthawi zonse miyezi 6 iliyonse kuti muwone ngati kutuluka kwa madzi kwatha kokha, kukhalabe kokhazikika, kapena ngati aneurysm yayamba kukula. Ngati aneurysm sikukula, kuyang'anitsitsa nthawi zambiri ndiye njira yotetezeka komanso yothandiza kwambiri.
2. Chithandizo cha Endovascular
Izi ndi njira zochepa zowononga zomwe zimachitika kudzera mu kubowola pang'ono, pogwiritsa ntchito catheter yoyendetsedwa kudzera m'mitsempha yanu yamagazi m'malo mochita opaleshoni yayikulu.
- Kutulutsa mpweya: Timagwiritsa ntchito ma coil apadera kapena guluu wamankhwala kuti titseke mitsempha yaying'ono yomwe imadutsa madzi otuluka.
- Kukulitsa kwa Stent Graft: Timayika gawo lina la stent graft kuti tiwonjezere kuphimba ndikutseka bwino kutuluka kwa madzi.
- Kutulutsa Glue Embolization: Tikhoza kulowa mu thumba la aneurysm mwachindunji kuti tiikemo chosindikizira chamankhwala kuti titseke malo otayikira.
3. Opaleshoni Yotseguka
Izi sizichitika kawirikawiri. Timaona izi ngati njira yomaliza ngati endoleak singakonzedwe pogwiritsa ntchito njira zosavuta kuwononga, zomwe zimapangitsa kuti pakhale opaleshoni yotseguka.
Mafunso kwa dokotala wanu
Ndi zachilendo kukhala ndi nkhawa zokhudza thanzi lanu. Mukapitanso kwa dokotala wanu, musazengereze kufunsa mafunso otsatirawa:
- Ndi mavuto ena ati omwe ndiyenera kudziwa potsatira njira iyi?
- Kodi chiopsezo changa chokhala ndi endoleak ndi chotani?
- Kodi ndiyenera kubwera kangati kuti ndikakumane ndi dokotala nthawi yotsatira?
- Ndi mayeso ati enieni ojambulira zithunzi omwe ndidzafunika mtsogolo?
- Ndi njira ziti zomwe ndingachite kuti ndikhale ndi thanzi labwino la mtima wanga ndi mitsempha yamagazi?
Kukonza aneurysm ndi njira yopulumutsa moyo, ndipo n'kothandiza kuona mavuto ang'onoang'ono pambuyo pa opaleshoni ngati njira zothanirana ndi kuchira kwanu. Nthawi zambiri, mavutowa safuna kuthandizidwa, ndipo ngati atero, mankhwala amakono amapereka njira zothandiza komanso zosavuta. Ngati mukumva kuda nkhawa kapena kutopa, chonde lankhulani ndi dokotala wanu kapena kambiranani za malingaliro awa ndi okondedwa anu.
Uthenga Wopita Nawo Kunyumba
- Endoleak ndi njira yodziwika bwino yochiritsira matenda pambuyo pa aneurysm, koma nthawi zina sizikhala zoopsa.
- Matenda ambiri a endoleak alibe zizindikiro, ndichifukwa chake ndikofunikira kupita kumisonkhano yanu yotsatira.
- Matenda a endoleak amtundu wa 1 ndi 3 ndi oopsa ndipo amafunika chithandizo chachangu, pomwe kutuluka kwa matenda a mtundu wa 2 komwe kumachitika nthawi zambiri kumatha kokha.
- Ngati mukumva kupweteka kwadzidzidzi, kwakukulu m'mimba kapena pachifuwa, kapena kukomoka, izi zitha kusonyeza kuphulika kwa aneurysm . Fufuzani chithandizo chadzidzidzi mwachangu poyimbira 911 kapena kupita ku dipatimenti yadzidzidzi yapafupi.
- Ngati muli ndi kukayikira kapena mafunso okhudza matenda anu, chonde musazengereze kulankhula ndi dokotala wanu.
Endoleak, Aneurysm, Opaleshoni, Stent Graft, Kutuluka kwa magazi, Aorta, EVAR, TEVAR, Matenda a Mtima
