Cishe usanda kufika ekhaya uvela ekuhlinzweni okukhulu. Cishe uzizwa ukhululekile futhi ukhululekile. Kodwa ingabe udokotela ukutshelile ngento efana ne-'endoleak'? Noma ingabe ukutshelile ukuthi into efana naleyo ingenzeka uma uza ukuzohlolwa esikhathini esizayo? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa leli gama. Kodwa ungakhathazeki. Namuhla, sizoxoxa ngakho ngamazwi alula, ukuthi kuyini, kungani kwenzeka, nokuthi kufanele wesabe yini.
Kalula nje, iyini le endoleak?
Ukuze siqonde lokhu, ake siqale sikukhumbuze kancane ngokuhlinzwa owakwenza. Umthambo wegazi omkhulu emzimbeni wethu, i-aorta, ufana nombhobho wamanzi oyinhloko endlini yethu. Ngezinye izikhathi, indawo odongeni lwalo mthambo iba buthakathaka futhi iqhume njengebhaluni. Yilokho esikubiza ngokuthi i-
aneurysm . Ngenxa yokuthi lokhu kungaba yingozi, odokotela bafaka umthambo wegazi wokwenziwa, obizwa ngokuthi
i-stent graft, eqhumeni. Cabanga ngakho njengokufaka ipayipi elisha, eliqinile ngepayipi lamanzi elidala, elibuthakathaka. Manje igazi ligeleza kuphela nge-stent esanda kufakwa. Ngemuva kwalokho, akukho ngcindezi odongeni oludala, olubuthakathaka, ngakho-ke akukho bungozi bokuthi luqhume. Kodwa, ngemva
kwesikhathi esifushane kakhulu, igazi elincane liqala ukuvuza phakathi kwe
-stent esanda kufakwa nodonga lomthambo wegazi omdala. Kufana namanzi amancane avuzayo ezinhlangothini zepayipi elisha.
Lokho kuvuza kwegazi yilokho esikubiza ngokwezokwelapha ngokuthi 'i-endoleak'. Uma le-endoleak yenzeka zingakapheli izinsuku ezingu-30 zokuhlinzwa, ibizwa ngokuthi "i-endoleak yokuqala." Uma kwenzeka ngemva kwezinsuku ezingu-30, kubizwa ngokuthi "i-endoleak yasekupheleni."
Ingabe lokhu kuyenzeka kubantu abaningi? Ingabe kuyinto okufanele uyesabe?
Eqinisweni,
cishe umuntu oyedwa kwabane abenza lolu hlobo lokuhlinzwa kokulungisa i-aneurysm (njenge-EVAR noma i-TEVAR) banethuba lokuthuthukisa le endoleak. Ngakho-ke akuyona into engavamile kangako. Kodwa into ebalulekile ukuthi,
akuzona zonke i-endoleak eziyingozi. Ezinye izinhlobo ze-endoleaks zizolulama zodwa ezinyangeni ezimbalwa ngaphandle kokwelashwa. Udokotela uzoziqapha nje ngama -scan . Kodwa-ke, ezinye izinhlobo zimbi kakhulu. Zingabangela ukuthi i -aneurysm ikhule futhi futhi zandise ingcindezi, ngakho-ke zidinga ukwelashwa ngokushesha.
Ngakho-ke, ubukhali bunqunywa uhlobo nendawo yalokhu.
Yiziphi izinhlobo eziyinhloko zama-endoleak?
Kunezinhlobo ezi-5 eziyinhloko zama-endoleak. Ngayinye yazo inembangela ehlukile. Manje, ngokufika kobuchwepheshe obusha be-stent, ukwanda kwezinye izinhlobo kuye kwehla kakhulu. Ake sibheke ukuthi ziyini lezi zinhlobo.
| Uhlobo lwe-Endolek | Kunjani? (Kalula nje) | Ubunzima |
|---|
| Uhlobo 1 | Ukuvuza kwegazi ngenxa yokuthi i-stent ayifaneleki kahle odongeni lwemithambo yegazi ekugcineni okuphezulu noma phansi. | Kubi kakhulu. Kunobungozi obukhulu bokuqhekeka kwe-aneurysm. Kudingeka ukwelashwa ngokushesha. |
| Uhlobo 2 | Ukopha emuva ku-aneurysm evela emithanjeni yegazi emincane exhuma emthanjeni wegazi oyinhloko. | Lolu uhlobo oluvame kakhulu. Ngokuvamile aluyona ingozi. Cishe ama-40% amacala ayaphola ngokwawo zingakapheli izinyanga eziyisithupha. Odokotela bayawaqapha. |
| Uhlobo 3 | Uma i-stent yenziwe ngezingxenye eziningi, ukuvuza kwegazi kungenzeka ngenxa yokuhlukana phakathi kwezingxenye ezimbili. | Kubi kakhulu. Njengohlobo 1, kunengozi yokuqhekeka. Kudingeka ukwelashwa ngokushesha. |
| Uhlobo 4 | Igazi livuza ngezimbobo ezincane kakhulu endwangu eyenziwe ngayo i-stent. | Akuvamile kakhulu. Lesi simo asibonakali kuma-stents amasha. |
| Uhlobo 5 | Ama-scan awabonisi ukuvuza kwegazi, kodwa i-aneurysm iyaqhubeka nokukhula. Ibizwa nangokuthi "i-endotension." | Njengoba imbangela ingacaci, odokotela baqapha lokhu ngokucophelela. |
Ziyini izimpawu ze-endoleak?
Nansi into ebaluleke kakhulu okudingeka uyazi.
Esikhathini esiningi, ngeke uzizwe izimpawu ze-endoleak. Ungase ungezwa noma yiziphi izinguquko, ubuhlungu, noma ukungakhululeki. Lokhu kutholakala ngesikhathi sokuskena okwenziwa ngesikhathi
sokuqokwa kwakho kokulandelela ngemva kokuhlinzwa. Yingakho udokotela wakho ekutshela ukuthi uze ukuzoskena ngezinsuku abakunikeza zona. Ungaziyeki.
Isimo Esiphuthumayo! Uma uhlangabezana nalezi zimpawu, iya ku-ETU ngokushesha!
Uma i-aneurysm endala
iqhuma ngenxa ye-endoleak, kuyisimo esiphuthumayo sezokwelapha. Uma izimpawu ezilandelayo zivela ngokuzumayo, ungachithi isikhathi uye
eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
Odokotela bakuthola kanjani lokhu?
Njengoba kushiwo ngaphambili, lokhu kutholakala ngokuskena okukhethekile. Lokhu kuhlolwa kungenziwa ngesikhathi sokuhlinzwa kwakho, ngemva kokuhlinzwa, kanye nezinyanga noma iminyaka kamuva. Lokhu kungenxa yokuthi amanye ama-endoleaks asephuzile angavela ngemva kwesikhathi esithile ngemva kokuhlinzwa. Ukuhlolwa okuyinhloko okusetshenzisiwe yile:
- I-CT scan (i-Computed Tomography scans): Lokhu kungathatha izithombe ezicacile zengaphakathi lomzimba ezinezilinganiso ezintathu futhi kuhlole ukuvuza kwegazi.
- I-Doppler Ultrasound: Lokhu kungabona ukuvuza ngokubheka iphethini kanye nesivinini sokugeleza kwegazi emithanjeni yegazi .
- I-Angiogram: Lokhu kuhilela ukufaka idayi ekhethekile emithanjeni yegazi nokuthatha i-X-ray ukuze ubone ukuthi igazi liphuma kuphi ngqo.
Uyiphatha kanjani i-endoleak?
Ukwelashwa kuncike ohlotsheni lwe-endoleak onayo, ukuthi itholakala kuphi, kanye nempilo yakho iyonke. Akukho ukwelashwa okukodwa okulingana nakho konke. Kunezinketho ezintathu eziyinhloko.
1. Ukuqaphela
Yilokhu okwenziwa kakhulu kuma-endoleak angewona amabi njengoHlobo 2. Udokotela wakho uzokucela ukuthi uhlolwe njalo ezinyangeni eziyi-6. Lokhu kuzohlola ukuthi ukuvuza kwegazi kuyaphela ngokwako, ukuthi kuhlala kufana, noma ukuthi i-aneurysm iyakhula. Uma i-aneurysm ingakhuli, kungcono ungenzi lutho bese ulinda.
2. Ukwelashwa Kwemithambo Yegazi
Lokhu ukuhlinzwa okuncane okwenziwa ngaphandle kokusikwa okukhulu, kusetshenziswa into efana nenaliti ukuze kudlule emthanjeni wegazi.
- Ukuhlanganisa: Ukuvimba imithambo yegazi emincane ebangela ukopha ngohlobo olukhethekile lweglue noma izintambo ezincane.
- Isandiso se-stent: Ukwandisa i-stent ngokufaka enye ingxenye ye-stent ukuze kufihlwe ukuvuza.
- Ukusebenzisa inhlaka: Ukuvala i-aneurysm ngokusebenzisa into efana nenhlaka endaweni lapho igazi livuza khona.
3. Ukuhlinzwa Okuvulekile
Lokhu akuvamile kakhulu. Kuphela uma ezinye izindlela zehluleka ukulungisa i-endoleak, futhi njengesixazululo sokugcina, kusetshenziswa ukuhlinzwa okukhulu okuhlanganisa ukusikwa kwesisu.
Imibuzo okufanele uyibuze udokotela wakho
Kuvamile ukuba nemibuzo ngesimo sakho. Ungangabazi ukubuza le mibuzo ngesikhathi esizayo lapho ubona udokotela wakho.
- Yiziphi ezinye izinkinga ezingaba khona ngemva kwalokhu kuhlinzwa?
- Iyini ingozi yami yokuthola i-endoleak?
- Kufanele ngize kangaki ukuze ngilandelelwe?
- Yiziphi izikena okudingeka ngibe nazo?
- Yini okufanele ngiyenze ukuze inhliziyo yami nemithambo yegazi yami zihlale ziphilile?
Ukulungisa i-aneurysm kuyinqubo esindisa impilo. Ngakho-ke kuyinto evamile ukuba nezinkinga ezincane ezifana nalezi ngemva kokuhlinzwa okunjalo. Esikhathini esiningi, lezi azidingi ukwelashwa. Manje sekukhona ukwelashwa okuthuthukile kakhulu nokulula okutholakalayo. Uma uzizwa ukhathele noma ukhungathekile, khuluma nodokotela wakho noma umndeni wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Endoleak iyinkinga evamile ngemva kokuhlinzwa kwe-aneurysm, kodwa akuyona njalo isimo esiyingozi.
- Izimo eziningi ze-endometritis azinazimpawu, ngakho-ke qiniseka ukuthi uya kohlolwa ngokulandelayo njengoba kunqunywe udokotela wakho.
- Izinhlobo 1 kanye no-3 ze-endoleak ziyingozi kakhulu futhi zidinga ukwelashwa ngokushesha. Izinhlobo ezivame kakhulu ze-endoleak zohlobo 2 zivame ukuzixazulula zodwa.
- Uma unezimpawu ezifana nobuhlungu obukhulu besisu/esifubeni, ukuquleka, njll., kungaba uphawu lokuqhuma kwe -aneurysm . Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma unokungabaza noma imibuzo ngesimo sakho, ungesabi ukuxoxa ngaso nodokotela wakho.
I-Endoleak, i-Aneurysm, Ukuhlinzwa, i-Stent Graft, Ukuvuza Kwegazi, i-Aorta, i-EVAR, i-TEVAR, Isifo Senhliziyo
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