Ungangove wakadzokera kumba nguva pfupi yadarika mushure mekuvhiyiwa kukuru. Kunyange zvazvo ungangonzwa zororo, ungangove wakanzwa chiremba wako achitaura nezvechimwe chinhu chinonzi 'Endoleak,' kana kuti pamwe vakanyevera kuti chinogona kuonekwa panguva yekutevera kwako mune ramangwana. Kunzwa izwi iri kunogona kukonzera kunetseka zvishoma. Zvisinei, ndapota musavhunduka. Nhasi, paNirogi Lanka, tichakurukura kuti chii chaizvo, nei zvichiitika, uye kuti tingazvibata sei nechivimbo.
Nemashoko akareruka, chii chinonzi Endoleak?
Kuti tinzwisise izvi, ngatikurukurei muchidimbu maitiro enyu. Tsinga huru yeropa mumuviri wenyu, Aorta, inoshanda sepombi huru yemvura mumba menyu. Dzimwe nguva, chikamu chemadziro etsinga iyi chinopera simba uye chinoputika, sebharumu. Tinozviti Aneurysm .
Nekuti izvi zvinogona kuva nengozi, vanachiremba vanoisa Stent Graft munzvimbo yakazvimba. Funga nezvazvo sekupinza pombi itsva, yakasimba mukati meyakare, isina simba kuti idzorere kuyerera kwayo. Iye zvino, ropa rinongofamba nepakati pestent itsva, richideredza kumanikidzwa pamadziro ekare, asina simba uye richideredza zvakanyanya njodzi yekuputika.
Zvisinei, mune dzimwe nguva shoma, ropa shoma rinogona kubuda pakati pestent itsva nemadziro emudziyo wekutanga. Kubuda uku ndiko kwatinotsanangura mukurapa se'Endoleak.'
Kana endoleak ikaitika mukati memazuva makumi matatu mushure mekuvhiyiwa kwako, inoiswa muchikamu che "endoleak yekutanga." Kana ikaonekwa mushure memazuva makumi matatu, inonzi "endoleak yekupedzisira."
Izvi zvakajairika sei, uye zvinokonzera kutya here?
Maererano nehuwandu hwevanhu, munhu mumwe chete pavanhu vana vanovhiyiwa neaneurysm (seEVAR kana TEVAR) vanogona kusangana ne endoleak. Hazviwanzoitika.
Chinonyanya kukosha ndechekuti, hadzisi mhuka dzese dzerudzi rwe endoleak dzine njodzi.
Mamwe ma endoleaks anopora ega pasina kupindira. Chiremba wako anongotarisa mamiriro ako kuburikidza nekuongororwa kwemifananidzo nguva dzose. Zvisinei, mamwe marudzi akakomba zvakanyanya; kana akaita kuti aneurysm iwedzere kana kuwedzera kumanikidzwa, kurapwa kuchadiwa nekukurumidza.
Kukosha kwacho kunoenderana zvachose nerudzi uye nzvimbo yekubuda kwemvura.
Ndedzipi mhando huru dzeEndoleaks?
Kune mhando shanu huru dze endoleaks, imwe neimwe ine zvikonzero zvakasiyana. Nekushandisa tekinoroji yemazuva ano ye stent, dzakawanda dzadzo dziri kuramba dzichiwedzera kushomeka.
| Rudzi | Maitiro (Akarerutswa) | Kuomarara |
|---|---|---|
| Rudzi 1 | Kubuda kwemvura panzvimbo yepamusoro kana pasi pechisimbiso apo stent inosangana nemadziro etsinga. | Zvakakomba zvikuru. Njodzi huru yekuputika. Kurapa kunodiwa nekukasika. |
| Rudzi rwechipiri | Kudzokera shure kunoyerera mu aneurysm kubva kumapazi eparutivi etsinga. | Kazhinji kacho. Kazhinji hazvina njodzi; 40% inonyangarika yoga mukati memwedzi mitanhatu. Inotariswa navanachiremba. |
| Rudzi rwechitatu | Kubuda kwemvura pakati pezvikamu zve stent nekuda kwekutadza kushanda kana kupatsanurwa kwesimba. | Zvakakomba zvikuru. Njodzi yakafanana neyerudzi rwekutanga. Kurapwa nekukasika kunodiwa. |
| Rudzi rwechina | Inobuda nepaburi rine maburi e stent graft pachayo. | Hazviwanzoitiki. Hazviwanzoonekwa ne stents dzemazuva ano. |
| Rudzi rwechishanu | Inonziwo "Endotension"; aneurysm inoramba ichikura pasina nzvimbo inooneka yekubuda kwemvura. | Zvikonzero hazvina kujeka; zvinoda kutariswa kwachiremba. |
Ndezvipi zviratidzo zveEndoleak?
Iyi ndiyo pfungwa inonyanya kukosha: kazhinji, hauzombonzwi zviratidzo zve endoleak zvachose. Ungasanzwa kurwadziwa, kusagadzikana, kana shanduko mumuviri.
Izvi zvinoonekwa kuburikidza nekutevera nguva dzekuonana nachiremba uye kuskena mifananidzo panguva dzawakagara nadzo. Zvakakosha kuti upinde nguva dzese dzekuonana nachiremba uye upedze kuskena kwako; ndapota usazvisiya.
Yambiro Yekukurumidzira! Tsvaga rubatsiro nekukasika kana ukasangana neizvi:
Kana endoleak ikakonzera kuputika , idambudziko rehutano rinogona kuurayisa. Kana chimwe chezvinotevera chikaitika kamwe kamwe, enda kuchipatara chiri pedyo nekukurumidza:
- Kurwadziwa kamwe kamwe, kusingatsungiririki, uye kunorwadza zvakanyanya mudumbu, musana, kana makumbo.
- Kunzwa kubvaruka kamwe kamwe muchipfuva chako kana kumusana.
- Dzungu kana kufenda.
- Kurova kwemoyo nekukurumidza kamwe kamwe.
- Kudikitira kunotonhora uye ganda rinopisa.
- Kusvotwa nekurutsa .
- Kushaya mweya .
Vanachiremba vanoongorora sei izvi?
Sezvambotaurwa, kuona kubuda kwemvura uku kunoda kuongororwa kwakanyatsogadzirwa. Uchafanirwa kuongororwa panguva yekuvhiyiwa kwako, nekukurumidza mushure mekuvhiyiwa, uye kunyangwe mwedzi kana makore gare gare. Izvi zvinodaro nekuti mamwe "ma "endoleaks" anogona kukura zvakanaka mushure mekuvhiyiwa kwako kwekutanga.
Miedzo mikuru inoshandiswa pakuongorora inosanganisira:
- CT scan (Computed Tomography): Izvi zvinogadzira mifananidzo yakajeka yemuviri wako, zvichitibvumira kuona chero ropa riri kubuda.
- Doppler Ultrasound: Iyi bvunzo inoongorora kuti ropa rinoyerera sei kuburikidza nemuviri wakomitsipa yeropa , zvichitibatsira kuona kumhanya uye kwainoenda ropa kuti tione kuti ropa rinogona kubuda.
- Angiogram: Dhayi yakasiyana-siyana inopinzwa mutsinga dzeropa, yozoteverwa neX-ray, ichipa mepu chaiyo yekuona nzvimbo chaiyo yekubuda kweropa.
Ma endoleak anorapwa sei?
Chirongwa chenyu chekurapa chakagadzirirwa imi, zvichienderana nerudzi rwe endoleak, nzvimbo yayo chaiyo, uye hutano hwenyu. Havasi vese vanoda nzira imwe chete. Pane sarudzo nhatu huru:
1. Kucherechedza
Iyi ndiyo nzira inonyanya kushandiswa pakubuda kwemvura kudiki, kusina njodzi yakawanda, senge Type 2 endoleaks. Chiremba wako anogona kukurudzira kuti uongorore nzvimbo yacho kwemwedzi mitanhatu yega yega kuti utarise nzvimbo yacho. Isu tinoongorora kana kubuda kwemvura kwacho kuchipera kwega, kukaramba kwakasimba, kana kana aneurysm ichitanga kukura. Kana aneurysm isiri kukura, kuongorora ndiyo nzira yakachengeteka uye inoshanda zvakanyanya.
2. Kurapa kweEndovascular
Idzi inzira dzisinganyanyi kupindira dzinoitwa kuburikidza nekuboorwa kudiki, uchishandisa catheter inotungamirirwa netsinga dzeropa pane kuda kuvhiyiwa kukuru.
- Kuisa simbi muropa: Tinoshandisa macoils chaiwo kana manamati ekurapa kudzivirira tsinga diki dzinotakura mvura inobuda.
- Kuwedzerwa kweStent Graft: Tinoisa chimwe chikamu chestent graft kuti tiwedzere kufukidza uye tivhare zvinobudirira kudonha kwemvura.
- Kubatanidza Glue: Tinogona kupinda mu aneurysm sac zvakananga kuti tibaye chivharo chekurapa kuti tivhare nzvimbo inobuda mvura.
3. Kuvhiyiwa Kwakavhurika
Izvi hazviwanzoitiki. Tinongoona izvi senzira yekupedzisira kana endoleak isingagone kugadziriswa nenzira dzisinganyanyi kukuvadza, zvichiita kuti pave nekuvhiyiwa kwakavhurika.
Mibvunzo kuna chiremba wako
Zvakajairika kuti uzvidye mwoyo nezveutano hwako. Paunozoshanyira chiremba wako nguva inotevera, usazeza kubvunza mibvunzo inotevera:
- Ndezvipi zvimwe zvinetso zvandinofanira kuziva pakutevera nzira iyi?
- Ndedzipi njodzi yandingawana kana ndikagadzira endoleak?
- Ndichafanira kudzoka kakawanda sei kuzosangana nevamwe?
- Ndezvipi zviedzo zvemifananidzo zvandinoda mune ramangwana?
- Matanho api andingatore kuti ndivandudze hutano hwemwoyo wangu netsinga dzeropa?
Kugadzirisa aneurysm inzira inoponesa hupenyu, uye zvinobatsira kuona matambudziko madiki mushure mekuvhiyiwa sematanho anotarisirwa murwendo rwako rwekupora. Kazhinji, matambudziko aya haadi kupindira, uye kana achida, mishonga yemazuva ano inopa mhinduro dzinoshanda uye dziri nyore. Kana ukambonzwa kunetseka kana kuremerwa, ndapota taura nachiremba wako kana kukurukura manzwiro aya nevadikanwi vako.
Mharidzo Yekuenda Nayo Kumba
- Endoleak inyaya inowanzo wanikwa mushure mekuongororwa kweaneurysm, asi haisi nguva dzose ine njodzi.
- Mazhinji endoleaks haana zviratidzo, ndosaka zvichikosha kuti upinde musangano wako wekutevera.
- Matumbu erudzi rwekutanga nerwechitatu endoleaks akakomba uye anoda kurapwa nekukasika, nepo matumbu anowanzobuda erudzi rwechipiri achiwanzopera ega.
- Kana ukanzwa kurwadziwa kwakanyanya mudumbu kana pachipfuva, kana kuti uchinzwa kufenda, izvi zvinogona kuratidza kuputika kweaneurysm . Tsvaga rubatsiro rwekurapa nekukasika nekufonera 911 kana kushanyira dhipatimendi re emergency riri pedyo.
- Kana muine kusava nechokwadi kana mibvunzo nezvechirwere chenyu, ndapota musazeza kutaura nachiremba wenyu.
Endoleak, Aneurysm, Kuvhiyiwa, Stent Graft, Kubuda kweropa, Aorta, EVAR, TEVAR, Chirwere chemwoyo
