Kungenzeka ukuthi usanda kubuyela ekhaya ngemuva kokuhlinzwa okukhulu. Nakuba kungenzeka ukuthi uzizwa ukhululekile, kungenzeka ukuthi uke wezwa udokotela wakho ekhuluma ngento ebizwa ngokuthi 'i-Endoleak,' noma mhlawumbe baxwayise ngokuthi ingavela ngesikhathi sokulandelela kwakho kwesikhathi esizayo. Ukuzwa leli gama kungabangela ukukhathazeka kancane ngokuqondakalayo. Kodwa-ke, sicela ungakhathazeki. Namuhla, eNirogi Lanka, sizoxoxa ngqo ngokuthi kuyini lokhu, kungani kwenzeka, nokuthi singabhekana kanjani nakho ngokuzethemba.
Kalula nje, iyini i-Endoleak?
Ukuze siqonde lokhu, ake sikhumbule kafushane inqubo yakho. Umthambo wegazi omkhulu kunayo yonke emzimbeni wakho, i-Aorta, usebenza njengepayipi lamanzi eliyinhloko ekhaya lakho. Ngezinye izikhathi, ingxenye yalolu donga lwemithambo iyabuthaka futhi iqhume, njengebhaluni. Lokhu sikubiza ngokuthi i -Aneurysm .
Ngenxa yokuthi lokhu kungaba yingozi, odokotela bafaka i -Stent Graft ngaphakathi kwendawo evuvukele. Cabanga ngakho njengokufaka ipayipi elisha, eliqinile ngaphakathi kwedala, elibuthakathaka ukuze kuqondiswe ukugeleza kwegazi. Manje, igazi lihamba kuphela nge-stent entsha, linciphisa ingcindezi odongeni oludala, olubuthakathaka futhi linciphise kakhulu ingozi yokuqhekeka.
Kodwa-ke, ezimweni ezimbalwa, inani elincane legazi lingavuza phakathi kwe-stent entsha nodonga lomthambo wokuqala. Lokhu kuvuza okuthile yilokho esikuchaza ngokwezokwelapha ngokuthi 'i-Endoleak.'
Uma i-endoleak ivele zingakapheli izinsuku ezingu-30 kusukela uhlinzwe, ihlukaniswa ngokuthi “i-endoleak yokuqala.” Uma ivela ngemva kwezinsuku ezingu-30, ibizwa ngokuthi “i-endoleak yamuva.”
Kuvamile kangakanani lokhu, futhi ingabe kuyimbangela yokwethuka?
Ngokwezibalo, cishe umuntu oyedwa kwabane abahlinzwa ngokulungiswa kwe-aneurysm (njenge-EVAR noma i-TEVAR) bangase babe nomdlavuza we-endoleak. Akuyona into engavamile.
Okubaluleke kakhulu, akuwona wonke ama-endoleak ayingozi.
Amanye ama-endoleak ayaziphilisa ngokwawo ngaphandle kokungenelela. Udokotela wakho uzomane aqaphe isimo sakho ngokusebenzisa ama-imaging scan avamile. Kodwa-ke, ezinye izinhlobo zimbi kakhulu; uma zibangela ukuthi i -aneurysm yande noma inyuse ingcindezi, kuzodingeka ukwelashwa ngokushesha.
Ubunzima buxhomeke ngokuphelele ohlotsheni kanye nendawo lapho kuvuza khona.
Yiziphi izinhlobo eziyinhloko ze-Endoleaks?
Kunezinhlobo ezinhlanu eziyinhloko zama-endondoleak, ngayinye inezimbangela ezahlukene. Ngobuchwepheshe besimanje be-stent, eziningi zazo ziya ngokuya zingavamile.
| Uhlobo | Indlela (Elula) | Ubunzima |
|---|---|---|
| Uhlobo 1 | Ukuvuza endaweni yokuvala ephezulu noma engezansi lapho i-stent ihlangana khona nodonga lwemithambo yegazi. | Kubi kakhulu. Ingozi enkulu yokuqhekeka. Kudingeka ukwelashwa ngokushesha. |
| Uhlobo 2 | Ukubuyela emuva kugeleza ku-aneurysm kusuka emagatsheni aseceleni e-artery. | Okuvame kakhulu. Ngokuvamile akulona ingozi; ama-40% aphela ngokuzenzakalelayo zingakapheli izinyanga eziyi-6. Kuqashwe odokotela. |
| Uhlobo 3 | Ukuvuza phakathi kwezingxenye ze-stent ngenxa yokwehluleka komshini noma ukunqamuka. | Kubi kakhulu. Ingozi efanayo nohlobo 1. Kudingeka ukwelashwa okusheshayo. |
| Uhlobo 4 | Iphuma ezintweni ezinezimbobo ze-stent graft uqobo. | Akuvamile kakhulu. Akuvamile ukubonwa ngama-stents esimanje. |
| Uhlobo 5 | Futhi ibizwa ngokuthi “i-Endotension”; i-aneurysm iyaqhubeka nokukhula ngaphandle komthombo obonakalayo wokuvuza. | Izimbangela azicaci; kudinga ukubhekwa eduze kwezokwelapha. |
Ziyini izimpawu ze-Endoleak?
Leli yiphuzu elibaluleke kakhulu: ezimweni eziningi, ngeke uzizwe nhlobo izimpawu ze-endoleak. Ungase ungabi nabuhlungu, ukungakhululeki, noma izinguquko zomzimba.
Lokhu kutholakala ngokuqokwa kokulandela kanye nokuskena izithombe ngezikhathi zodokotela wakho. Kubalulekile ukuthi ube khona kuzo zonke izikhathi zokubona udokotela futhi uqedele ukuskena kwakho; sicela ungazidluli.
Isexwayiso Esiphuthumayo! Funa usizo ngokushesha uma uhlangabezana nalokhu:
Uma i-endoleak iholela ekuqhekekeni , kuyisimo esiphuthumayo sezokwelapha esisongela ukuphila. Uma noma yikuphi okulandelayo kwenzeka ngokuzumayo, hamba uye ekamelweni eliphuthumayo eliseduze (ER) ngokushesha:
- Ubuhlungu obungazelelwe, obungabekezeleleki, obubukhali esiswini sakho, emhlane, noma emilenzeni.
- Ukudabuka okungazelelwe esifubeni noma emhlane wakho.
- Ukuzizwa unesizungu noma ukuphelelwa yithemba.
- Ukushaya kwenhliziyo okusheshayo nokungazelelwe.
- Ukujuluka okubandayo kanye nesikhumba esithambile.
- Isicanucanu nokuhlanza .
- Ukuphelelwa umoya .
Odokotela bakuthola kanjani lokhu?
Njengoba kushiwo ngaphambili, ukuthola lokhu kuvuza kudinga ukuhlolwa okukhethekile kwezithombe. Kuzodingeka wenze lokhu kuhlolwa ngesikhathi senqubo yakho, ngokushesha ngemva kwalokho, ngisho nangemva kwezinyanga noma iminyaka. Lokhu kungenxa yokuthi amanye "ama-endoleaks asephuzile" angakhula kahle ngemva kokuhlinzwa kwakho kokuqala.
Ukuhlolwa okuyinhloko okusetshenziselwa ukuqapha kufaka phakathi:
- I-CT scan (i-Computed Tomography): Lokhu kudala izithombe ezicacile, ze-3D zomzimba wakho, okusivumela ukuthi sithole noma yikuphi ukuvuza kwegazi okusebenzayo.
- I-Doppler Ultrasound: Lokhu kuhlola kuhlola ukuthi igazi ligeleza kanjani egazini lakhoimithambo yegazi , okusisiza ukuthi sibone isivinini kanye nendlela okugeleza ngayo ukuze sibone ukuvuza okungenzeka.
- I-Angiogram: Idayi ekhethekile yokuhlukanisa ifakwa emithanjeni yakho yegazi, ilandelwe yi-X-ray, enikeza imephu enembile kakhulu yokuthola indawo eqondile yokuvuza.
Iphathwa kanjani i-endondoleaks?
Uhlelo lwakho lokwelashwa luhlelwe ngendlela eqondene nawe ngqo, ngokusekelwe ohlotsheni lwe-endoleak, indawo yayo eqondile, kanye nesimo sakho sempilo iyonke. Akuwona wonke umuntu odinga indlela efanayo. Kunezinketho ezintathu eziyinhloko:
1. Ukuqaphela
Lena indlela evame kakhulu yokuvuza okuncane, okunengozi encane, njenge-endoleaks yohlobo lwesibili. Udokotela wakho angase ancome ukuthi kwenziwe ukuhlolwa okuvamile njalo ezinyangeni ezi-6 ukuze kuqashwe indawo. Silandelela ukuthi ukuvuza kuyazixazulula yini, kuhlala kuzinzile, noma ukuthi i-aneurysm iqala ukukhula. Uma i-aneurysm ingakhuli, ukuqaphela ngokuvamile kuyindlela ephephile nephumelela kakhulu.
2. Ukwelashwa Kwemithambo Yegazi
Lezi izinqubo ezingangenisi kakhulu igazi ezenziwa ngokubhoboza okuncane, kusetshenziswa i-catheter eqondiswa emithanjeni yegazi yakho kunokudinga ukuhlinzwa okukhulu.
- Ukufakwa kwe-Embolization: Sisebenzisa ama-coil akhethekile noma ama-glue ezokwelapha ukuvimba imithambo emincane ehambisa ukuvuza.
- Isandiso se-Stent Graft: Sibeka ingxenye eyengeziwe ye-stent graft ukuze sandise ukumbozwa futhi sivale ngempumelelo ukuvuza.
- Ukufakwa Kweglue: Singase sifinyelele ngqo esikhwameni se-aneurysm ukuze sifake i-sealant yezinga lezokwelapha ukuze sivale indawo evuzayo.
3. Ukuhlinzwa Okuvulekile
Lokhu akuvamile kakhulu. Sibheka lokhu njengesixazululo sokugcina kuphela uma i-endoleak ingenakulungiseka ngezindlela ezingangenisi kakhulu, okudinga inqubo evamile yokuhlinzwa evulekile.
Imibuzo kadokotela wakho
Kuvamile ukuba nokukhathazeka ngempilo yakho. Uma uvakashela udokotela wakho ngokulandelayo, ungangabazi ukubuza imibuzo elandelayo:
- Yiziphi ezinye izinkinga ezingaba khona okufanele ngizazi ngokulandela le nqubo?
- Ingakanani ingozi yami yokuthola i-endoleak?
- Kukangaki ngidinga ukubuya ukuze ngithole ama-aphoyintimenti okulandelela?
- Yiziphi izivivinyo ezithile zezithombe engizozidinga esikhathini esizayo?
- Yiziphi izinyathelo engingazithatha ukuze ngithuthukise impilo yenhliziyo yami kanye nemithambo yegazi?
Ukulungisa i-aneurysm kuyindlela esindisa impilo, futhi kuyasiza ukubheka izinkinga ezincane ngemva kokuhlinzwa njengezinyathelo ezilawulekayo ohambweni lwakho lokululama. Ngokuvamile, lezi zinkinga azidingi ukungenelela, futhi uma zidingeka, imithi yesimanje inikeza izixazululo ezisebenza kahle nezilula. Uma uzizwa ukhathazekile noma ukhungathekile, sicela uxhumane nodokotela wakho noma uxoxe ngale mizwa nabathandekayo bakho.
Umlayezo Wokuya Nawe Ekhaya
- I-endoleak iyindlela evamile yokulungisa ngemva kokuphelelwa yigazi, kodwa akuyona njalo isimo esiyingozi.
- Iningi lama-endoleak alinazo izimpawu, yingakho kubalulekile ukuya emihlanganweni yakho yokulandelela ehleliwe.
- Ama-endoleak ohlobo 1 no-3 ayingozi futhi adinga ukwelashwa okusheshayo, kuyilapho ukuvuza okuvamile kohlobo 2 kuvame ukuzixazulula ngokwako.
- Uma uzwa ubuhlungu obungazelelwe, obukhulu besisu noma besifuba, noma uquleka, lokhu kungabonisa ukuqhuma kwe-aneurysm okungenzeka. Funa usizo lwezokwelapha oluphuthumayo ngokushesha ngokushayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze.
- Uma unemibuzo noma ukungabaza mayelana nesimo sakho, sicela ungalokothi unqikaze ukukhuluma nodokotela wakho.
I-Endoleak, i-Aneurysm, Ukuhlinzwa, i-Stent Graft, Ukuvuza kwegazi, i-Aorta, i-EVAR, i-TEVAR, Isifo senhliziyo
