Endoleak nyuma yo kubagwa aneurysm? Ntugire ikibazo, reka tubiganireho!

Birashoboka ko uvuye kubagwa bikomeye. Birashoboka ko wumva ufite umudendezo mwinshi kandi uhumurijwe. Ariko se, muganga yakubwiye ikintu nk'icyo 'endoleak'? Cyangwa yakubwiye ko ikintu nk'icyo gishobora kubaho uje kwisuzumisha mu gihe kizaza? Ni ibisanzwe kumva ufite ubwoba n'impungenge gato iyo wumvise iri jambo. Ariko ntugahangayike. Uyu munsi, turabivugaho mu magambo yoroshye, icyo ari cyo, impamvu kibaho, n'uko wagombye gutinya.

Mu magambo make, iyi endoleak ni iki?

Kugira ngo tubisobanukirwe, reka tubanze twibutse gato ku kubagwa wakorewe. Umuyoboro munini w'amaraso mu mubiri wacu, aorta, ni nk'umuyoboro mukuru w'amazi mu nzu yacu. Hari igihe, ahantu mu rukuta rw'uyu muyoboro hacika intege hagahinduka nk'ibara ry'umuhondo. Ibyo ni byo twita aneurysm . Kubera ko ibi bishobora guteza akaga, abaganga bashyiramo umuyoboro w'amaraso w'ubukorano, witwa stent graft, mu muyoboro. Tekereza nko gushyira umuyoboro mushya ukomeye binyuze mu muyoboro ushaje, wacitse intege. Ubu amaraso atembera gusa muri stent nshya. Hanyuma, nta gitutu kiri ku rukuta rushaje, rwacitse intege, bityo nta ngaruka zo guturika. Ariko, nyuma y'igihe gito cyane, amaraso make atangira kuva hagati ya stent nshya yashyizwemo n'urukuta rw'umuyoboro ushaje w'amaraso. Ni nk'amazi make ava mu mpande z'umuyoboro mushya. Uko kuva kw'amaraso ni ko twita mu buvuzi 'endoleak'. Iyo iyi endoleak ibaye mu minsi 30 nyuma yo kubagwa, yitwa "endoleak ya mbere." Iyo bibaye nyuma y'iminsi 30, byitwa "endoleak ya nyuma."

Ese ibi bibaho ku bantu benshi? Ese ni ikintu cyo gutinya?

Mu by’ukuri, hafi umuntu umwe kuri bane bakorerwa ubu bwoko bw’ubu burwayi bwo gusana aneurysm (nk’ubwa EVAR cyangwa TEVAR) bafite amahirwe yo kurwara iyi endoleak. Rero ntabwo ari ibisanzwe. Ariko icy’ingenzi ni uko atari ko endoleak zose ziteje akaga. Bityo rero, uburemere bugenwa n'ubwoko n'aho byakorewe.

Ni ubuhe bwoko bw'ingenzi bwa endoleaks?

Hari ubwoko 5 bw'ingenzi bwa endoleaks. Buri bumwe muri bwo bufite impamvu butandukanye. Ubu, hamwe n'ikoranabuhanga rishya rya stent, umubare w'ubwoko bumwe na bumwe waragabanutse cyane. Reka turebere hamwe ubwo bwoko.

Ni ibihe bimenyetso by'indwara ya endoleak?

Dore ikintu cy'ingenzi ugomba kumenya. Akenshi, nta bimenyetso by'indwara ya endoleak uzumva. Ushobora kutwumva impinduka, ububabare, cyangwa kutamererwa neza. Ibi bigaragazwa mu gihe cyo gupima indwara bikorwa mu gihe cyo gukurikirana gahunda zawe nyuma yo kubagwa. Niyo mpamvu muganga wawe akubwira kuza gukora izo scan ku matariki aguhaye. Ntuzisimbuke.

Ibyihutirwa! Niba ubonye ibi bimenyetso, jya kuri ETU ako kanya!

Iyo aneurysm ishaje yacitse bitewe n'agakoko gatera indwara, ni ikibazo cyihutirwa cy'ubuvuzi. Niba ibimenyetso bikurikira bigaragaye mu buryo butunguranye, ntugapfushe umwanya ahubwo ujye kwa muganga wita ku barwayi ba ETU (ibitaro bikurura ubutabazi bwihuse) .

• Ububabare butunguranye, bukabije mu nda, mu mugongo, cyangwa mu maguru.
• Ububabare butunguranye, butera mu gituza cyangwa mu mugongo.
• Kuzungera no gucika intege.
• Umutima utera cyane mu buryo butunguranye.
• Kumva mfite ubukonje n'ibyuya.
• Isesemi no kuruka .
• Kugorwa no guhumeka .

Abaganga babibona bate?

Nkuko byavuzwe mbere, ibi bigaragazwa hakoreshejwe isuzuma ryihariye. Ibi bizamini bishobora gukorwa mu gihe cyo kubagwa kwawe, nyuma yuko bikozwe, ndetse n'amezi cyangwa imyaka nyuma yaho. Ibi biterwa nuko hari udukoko two mu nda dushobora kugaragara nyuma y'igihe runaka nyuma yo kubagwa. Ibizamini by'ingenzi bikoreshwa ni ibi bikurikira:

• Gupima CT (Computed Tomography scan): Ibi bishobora gufata amashusho y’imbere mu mubiri mu buryo bugaragara neza kandi bigasuzuma niba amaraso yavuye.
• Doppler Ultrasound: Ibi bishobora kumenya amazi asohoka urebye imiterere n'umuvuduko w'amaraso mu mitsi .
• Angiogramu: Ibi bikubiyemo gutera irangi ryihariye mu mitsi y'amaraso no gufata X-ray kugira ngo urebe neza aho amaraso ava.

Ufata gute endoleak?

Uburyo bwo kuvura buterwa n'ubwoko bwa endoleak ufite, aho iherereye, n'ubuzima bwawe muri rusange. Nta buryo bumwe bwo kuvura bushobora kugufasha muri byose. Hari amahitamo atatu y'ingenzi.

1. Kwitegereza

Ibi nibyo bikunze gukorwa ku ndwara zifata imitsi yo mu bwonko zidasanzwe nka Type 2. Muganga wawe azagusaba ko ukorerwa isuzuma buri mezi 6. Ibi bizareba niba amaraso arimo kuvamo ubwayo, niba aguma uko yari ameze, cyangwa niba aneurysm irimo kwiyongera. Niba aneurysm idakomeza kwiyongera, ni byiza kutagira icyo ukora ngo utegereze.

2. Ubuvuzi bw'imitsi yo mu nda

Ubu ni ukubaga guto gukorwa nta gukata gukomeye, hakoreshejwe ikintu nk'urushinge kugira ngo binyure mu mitsi y'amaraso.

• Gufunga imitsi mito y'amaraso itera kuva amaraso hakoreshejwe ubwoko bwihariye bwa kole cyangwa insinga nto.
• Kwagura stent: Kwagura stent ushyiramo ikindi gice cya stent kugira ngo upfuke aho amazi yavuye.
• Gukoresha kole: Gufunga aneurysm ukoresheje ikintu gisa n'ikole ahantu amaraso ava.

3. Kubagwa mu buryo bw'ibanga

Ibi bikorwa gake cyane. Gusa iyo ubundi buryo bwananiwe gusana endoleak, kandi nk'ubutabazi bwa nyuma, hakoreshwa kubagwa gukomeye ku gifu.

Ibibazo byo kubaza muganga wawe

Ni ibisanzwe kugira ibibazo ku bijyanye n'uburwayi bwawe. Ntugatinye kubaza ibi bibazo ubutaha ugiye kubonana na muganga wawe.

• Ni izihe ngorane zindi zishobora kubaho nyuma y'uku kubagwa?
• Ni izihe ngorane mfite zo kurwara endoleak?
• Ni kangahe nkwiye kuza gukurikirana?
• Ni izihe scan ngomba kugira?
• Ni iki nkwiye gukora kugira ngo umutima wanjye n'imitsi y'amaraso bikomeze kugira ubuzima bwiza?

Gusana aneurysm ni uburyo bwo kurokora ubuzima. Ni ibisanzwe rero kugira ingorane nto nk'izi nyuma yo kubagwa. Akenshi, izi ngaruka ntizikenera kuvurwa. Ubu hari ubundi buryo bwo kuvura bugezweho kandi bworoshye. Niba wumva unaniwe cyangwa uremerewe, ganira na muganga wawe cyangwa umuryango wawe ku bijyanye nabyo. Endoleak, Aneurysm, Kubaga, Stent Graft, Kuva amaraso, Aorta, EVAR, TEVAR, Indwara z'Umutima