Ke manaʻo nei ʻoe i kekahi manawa ua pehu iki kou lima a wāwae paha, ʻulaʻula, a ʻeha ke hoʻopā ʻia? A i ʻole ua paʻakikī koke ʻoe i ka hanu ʻana a me ka ʻeha o ka umauma? Malia paha ke kumu o kēia mau mea he ʻōpū koko i loko o kahi aʻa koko i kou lima a wāwae paha. ʻO kēia ka manawa e ʻōlelo ai kā mākou mau kauka e hana i kahi ultrasound e ʻike pono ai inā he mau ʻōpū koko kēia. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia ʻatikala, e pili ana i kēia "Venous Extremity Ultrasound" i hana ʻia e ʻike i nā pilikia me nā aʻa koko i loko o nā lālā. ʻAʻohe mea e hopohopo ai, he maʻalahi loa ia.
He aha ka `(Ultrasound)`? E hoʻomaopopo maʻalahi kākou, ʻeā?
ʻAe, e nānā mua kākou i ke ʻano o kēia hoʻāʻo `(Ultrasound)`, a i ʻole ka mea a kekahi e kapa nei he `(Sonography)`. Ke hoʻomanaʻo nei ʻoe i ke ʻano o ka lele ʻana o nā ʻōpeʻapeʻa i ka pō me ka ʻike ʻole? Hoʻopuka lākou i nā nalu leo alapine kiʻekiʻe mai ko lākou waha, a i ka wā e paʻi ai lākou i kahi mea a lele hou, ʻike lākou i ka mea e kū nei. ʻO ia ka hana a kēia mīkini `(Ultrasound)`.
ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ka hoʻouna ʻia ʻana o nā nalu leo alapine kiʻekiʻe , kahi i lohe ʻole ʻia e ko mākou mau maka, i ka ʻāpana o ke kino e pono ai ke nānā ʻia. A laila, kuʻi kēlā mau nalu leo i nā ʻōpū i loko a hoʻihoʻi mai, e like me ka `echo`. Hoʻopaʻa ʻia kēlā mau nalu leo e hoʻi mai ana e ka mīkini a hōʻike ʻia iā mākou ma ke ʻano he mau kiʻi ma ka pale kamepiula (`monitor`). Ua like kēia me ke kiʻi a i ʻole ke wikiō.
ʻAe kēia iā mākou e nānā pono i nā ʻiʻo palupalu he nui i loko o ko mākou kino, no ka laʻana, ka ʻōpū gallbladder, ke akepaʻa, ka puʻuwai, nā puʻupaʻa, a me ka uterus. Hiki iā mākou ke ʻike i ka ulu ʻana o kahi fetus i loko o ka ʻōpū. ʻO ka mea nui loa, hiki iā ia ke ʻike i nā mea i ālai ʻia a i ʻole nā paʻa koko i loko o nā kīʻaha koko .
E hoʻomanaʻo, he hoʻāʻo palekana loa ka ultrasound. ʻAʻole ia e hoʻohana i kekahi radiation, e like me ka X-ray. No laila, ʻaʻohe pono e hopohopo e pili ana i nā hopena ʻaoʻao. He ʻano hilinaʻi loa ia e hoʻohana mau ʻia e nā kauka.
No laila he aha ka Ultrasound o nā ʻāpana venous o luna a i ʻole o lalo?
I kēia manawa ua ʻike mākou i ke ʻano o ka `(Ultrasound)`. A laila ʻo kēia `(Upper or Lower Venous Extremity Ultrasound)` he hoʻāʻo ia e nānā i kahi ʻūpā koko i loko o nā aa koko, ʻoi aku hoʻi i kou mau lima (`upper extremity`) a i ʻole nā wāwae (`lower extremity`) . I kekahi manawa hiki ke hana ʻia kēia ma hoʻokahi lima a wāwae paha, a i ʻole hiki ke hana ʻia ma nā mea ʻelua. Aia ia i kāu mau hōʻailona.
E noʻonoʻo ua pehu kekahi o kou mau wāwae, ʻulaʻula, a ʻeha ke pā no kekahi mau lā, a malia paha ua ʻoi aku ka mahana ma mua o kekahi. Ke loaʻa iā ʻoe nā hōʻailona e like me kēia, manaʻo paha ke kauka he ʻūpā koko kou i loko o kahi aa koko hohonu i kou wāwae (`Deep Vein Thrombosis - DVT`). ʻO ia ka manawa e lilo ai kēia hoʻāʻo i mea nui loa. No ka mea, inā hoʻomau kēia ʻūpā koko, hiki ke haki a paʻa i kahi e like me nā māmā, he kūlana weliweli ia. ʻO ia ke kumu he mea nui e ʻike koke a mālama iā ia.
Aia kekahi hoʻomākaukau kūikawā ma mua o kēia hoʻokolohua?
He nīnau kēia a nā poʻe he nui e nīnau ai. ʻO ka ʻoiaʻiʻo, ʻaʻole pono nā ultrasounds i kekahi hoʻomākaukau kūikawā . Inā pono ʻoe e hana i kekahi mea ma mua o ka hoʻāʻo ʻana, e haʻi mua aku kāu kauka, kahu maʻi, a i ʻole ka mea hoʻokipa haukapila iā ʻoe.
Akā, e hoʻomanaʻo i hoʻokahi mea. Aia kekahi mau ʻano hoʻāʻo ultrasound. No ka laʻana, inā ʻoe e loaʻa ana i kahi ultrasound ʻōpū, e noi ʻia paha ʻoe e hoʻokē ʻai no kekahi mau hola a inu paha i ka wai he nui. ʻO kēia i hiki ai ke ʻoi aku ka maopopo o nā kiʻi.
Eia nō naʻe, no ka Venous Extremity Ultrasound a mākou e kamaʻilio nei, ʻaʻole koi pinepine ʻia kēlā ʻano hoʻomākaukau kūikawā. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hahai pololei i nā ʻōlelo a kāu kauka.
He aha ka mea e hana ʻia i ka lā o ka hoʻokolohua?
Hiki iā ʻoe ke ʻai a inu maʻamau i ka lā o ka hoʻokolohua. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻohe hoʻomākaukau kūikawā, no laila ʻaʻohe mea e hopohopo ai.
Hana ʻia kēia hoʻāʻo e kahi loea i aʻo kūikawā ʻia . E hoʻokele ʻo ia i ka mīkini a nānā i nā wahi ma kou lima a i ʻole kou wāwae. A laila e nānā ʻia nā kiʻi e kahi radiologist i hōʻoia ʻia e ka papa nāna e hāʻawi i kahi hōʻike. No laila, e hōʻoiaʻiʻo ʻoe aia ʻoe i loko o nā lima o kahi hui ʻike nui.
He aha ka mea e hana ʻia ke lawe ʻoe i ka hoʻokolohua? Hiki iā ʻoe ke wehewehe iki?
ʻAe, e nānā kākou i ka mea e hana ʻia ke hana maoli mākou i ka hoʻāʻo.
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi papa hoʻokolokolo. He moena ʻoluʻolu kēia me kahi moena ma luna.
2. A laila, hoʻopili ʻia kahi gel mehana a hoʻoheheʻe ʻia i ka wai i ka ʻili o ka lima a i ʻole ka wāwae e nānā ʻia. ʻAʻole e hōʻeha kēia gel i kou ʻili a i ʻole kou lole. Hiki ke holoi maʻalahi ʻia. Hoʻopili ʻia kēia gel e kōkua i ka mea liʻiliʻi e hoʻouna i nā nalu kani (ka probe a i ʻole transducer) e hoʻopili maikaʻi me ka ʻili a loaʻa nā kiʻi maopopo.
3. A laila, kau ʻia ka probe ma kou ʻili, a hoʻouna ʻia nā nalu kani ma o ia mea e kiʻi i nā kiʻi. Hoʻoneʻe ke loea i ka probe a puni a nānā iā ia mai nā kihi like ʻole.
4. I kekahi manawa,Pono paha ke loea e "paʻi" a "ʻomi" paha i kou lima a i ʻole kou wāwae. Mai makaʻu i kēia. ʻO kēia ke kōkua iā ʻoe e ʻike maikaʻi i kekahi o nā aa koko a e ʻike i ke kahe ʻana o ke koko. He ʻoluʻolu iki paha ia, akā, ʻaʻole ia e ʻeha loa.
5. ʻO ka maʻamau, he 60 mau minuke ka lōʻihi o ka hoʻāʻo holoʻokoʻa. Hiki ke ʻokoʻa iki kēia ma muli o ka wahi e hoʻāʻo ʻia nei.
Inā ʻoe e manaʻo nei i kekahi ʻano ʻeha, e haʻi koke aku i ke loea. Na lākou e kōkua iā ʻoe.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? Pehea ka lōʻihi e loaʻa ai ka hōʻike?
Ma hope o ka pau ʻana o ka hoʻāʻo, hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā.
Hiki iā ʻoe ke loaʻa i kāu mau hopena ultrasound i loko o 24 mau hola (Pōʻakahi a Pōʻalima i nā hola ʻoihana) .
A laila, e wehewehe ke kauka nāna i kauoha i ka hoʻāʻo i nā hopena iā ʻoe . E haʻi aku ʻo ia iā ʻoe inā he mau pilikia a me ka mea e hana ai ma hope. Hiki iā lākou ke haʻi iā ʻoe e hoʻomaka i ka lāʻau lapaʻau, a i ʻole e haʻi aku paha lākou iā ʻoe e hana i nā hoʻokolohua ʻē aʻe. Aia wale nō ia i kou kūlana.
He palekana maoli anei kēia? ʻAʻohe mea e makaʻu ai?
He kānalua kēia i loaʻa i nā poʻe he nui. E ʻae mai iaʻu e haʻi hou, he hoʻāʻo palekana loa ka ultrasound .
- I kēia, ʻaʻohe radiation e komo i ke kino.
- A hiki i kēia manawa, ʻaʻohe hopena ʻino.
- ʻOiai ʻo kēia ke ʻano o ka nānā ʻana i nā pēpē i loko o ka ʻōpū o nā makuahine hāpai, hiki iā ʻoe ke noʻonoʻo i ka palekana o kēia.
No laila, inā noi mai ke kauka iā ʻoe e hana i kēia hoʻokolohua, mai makaʻu a hopohopo paha no ia mea. He ʻano hana holomua loa kēia a nā kauka a puni ka honua e hoʻohana nei me ka hilinaʻi nui e ʻike i nā maʻi.
ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo mai kēia (Leka Lawe-Home)
ʻAe, e nānā kākou i kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai i kēia lā:
- He hoʻāʻo palekana a ʻeha ʻole ka Venous Extremity Ultrasound i hoʻohana ʻia e ʻike i nā pilikia e like me ke koko i loko o nā aa koko o nā lālā.
- ʻAʻohe radiation i hoʻohana ʻia ma kēia, no laila mai hopohopo e pili ana i nā hopena ʻaoʻao.
- ʻAʻole pono kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo ʻana, akā e hahai i nā ʻōlelo a ke kauka.
- Ma kahi o 60 mau minuke ka lōʻihi o ka hoʻāʻo ʻana a hana ʻia e kahi loea i aʻo ʻia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu ʻana, ka ʻulaʻula, ka ʻeha, a i ʻole ka mehana i ka pā ʻana ma kou lima a wāwae paha, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka. E kauoha ʻo ia i kēia hoʻāʻo inā pono.
- Hiki i nā ʻūpā koko (e like me DVT) ke lilo i mea weliweli inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā mua . No laila, inā ʻōlelo ke kauka i kēia hoʻokolohua, he mea nui loa ia no kou olakino e hana ʻia.
No laila, inā pono ʻoe e hana i ia ʻano hoʻokolohua, mai makaʻu. E hoʻomanaʻo he mea maikaʻi kēia e hana ai e nānā i kou olakino. Makemake au iā ʻoe i ke olakino maikaʻi!
ʻO ke kani ʻana o ke koko ( ultrasound), ka hoʻāʻo ʻana i nā aʻa koko (vein tests), nā ʻūpā koko (blood clots), ka ʻeha ma nā lālā (limbs), ka ʻike ʻana i ke ʻano o ka maʻi (diagnose), ka Sonography (sonography), ka DVT (DVT)
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