Nā Halemai a me nā Kauka5 Iulai 2026🔄 Updated: 14 Iul. 2026⏱ 17 min

He scan kūikawā e aʻo ai e pili ana i kou puʻuwai! (Cardiac Computed Tomography - CT Scan) E kamaʻilio kākou e pili ana?

Creator: Dr. Priya Sammani
Published: 2026-07-05T01:54:36.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

I kēia lā, e kamaʻilio mākou e pili ana i kahi scan kūikawā e hiki ke hōʻike iā ʻoe i ka ʻike he nui e pili ana i kou puʻuwai. Ua kapa ʻia ʻo ia he cardiac `CT` scan (Cardiac Computed Tomography - CT scan). Malia paha ua haʻi aku kāu kauka iā ʻoe e hana i kēia, a ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi. No laila, e nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, nā mea āu e pono ai e ʻike ma mua o kou loaʻa ʻana, a me nā pōmaikaʻi a me nā pōʻino.

He aha ke ʻano o ka CT scan cardiac?

I ka ʻōlelo maʻalahi, ʻo ka cardiac CT scan kahi ʻano kūikawā o ka hoʻāʻo X-ray e hoʻohana ana i nā kukuna X-ray he nui mai nā ʻaoʻao like ʻole e hana i nā kiʻi maopopo loa, ʻekolu-dimensional o kou puʻuwai, nā kīʻaha koko nui e pili ana iā ia, a me nā ʻiʻo a puni.

Hoʻohana nā kauka i ka ʻenehana CT hou loa e hana i kēia scan `Cardiac CT`. I kekahi manawa, hoʻokomo ʻia kahi wai kūikawā (intravenous (IV) contrast / dye) i loko o kou aa. ʻAe kēia i ke ʻano o ka puʻuwai a me nā kīʻaha koko i pili iā ia e ʻike maopopo ʻia. ʻO kēia ʻano scan multi-slice e hiki ai i nā kauka ke loaʻa nā kiʻi ʻekolu-dimensional kiʻekiʻe loa o kou puʻuwai e neʻe ana a me nā kīʻaha koko nui.

He aha ka mea e hiki ai i ka CT scan o ka puʻuwai ke ʻike?

Hiki i kāu kauka ke hoʻomaopopo maikaʻi i nā mea he nui e pili ana i kou puʻuwai mai kēia scan. Eia kekahi laʻana:

ʻO ke kūlana o nā aʻa coronary e hoʻolako koko i kou puʻuwai.
Pehea e hana ai nā keʻena puʻuwai, nā ʻiʻo puʻuwai, a me nā kiwikā puʻuwai.
ʻO ke ʻano o nā aʻa koko pulmonary .
Inā paha he pilikia me ka aorta thoracic a i kekahi manawa ka aorta abdominal .
ʻO ka ʻeke pale a puni ka puʻuwai (pericardium) .

Ma muli o ka ʻike maopopo ʻia ʻana o kēia mau mea a pau ma kēia scan, he kōkua nui ia no ke kauka e hana i kahi hoʻoholo maikaʻi e pili ana i ke olakino o kou puʻuwai.

I ka manawa hea e pono ai ka CT scan cardiac?

Hiki i kahi scan CT cardiac ke hāʻawi i ka ʻikepili kikoʻī a maopopo hoʻi ma mua o nā hoʻokolohua kiʻi ʻē aʻe. Aia kekahi mau kumu e kauoha ai kāu kauka i kēia scan. E nānā kākou i ko lākou ʻano:

E ʻike i ke kumu o ka ʻeha o kou umauma a i ʻole ka pōkole o ka hanu.
E nānā i kou mau aʻa puʻuwai no ka calcium a i ʻole ka hōʻiliʻili ʻana o ka plaque , ka haiki ʻana, a i ʻole nā mea ālai.
E loiloi i ka hana o nā kiwikā o kou puʻuwai.
E nānā i kekahi pilikia me kou aorta, e like me nā aneurysms a i ʻole ka dissection .
ʻO ke ʻoki puʻuwai hāmama a i ʻoleE hoʻolālā i ke ʻoki puʻuwai minimally invasive/robotic.
E hoʻolālā i nā kaʻina hana valve transcatheter/percutaneous .
E hoʻolālā i nā kaʻina hana ablation arrhythmia no nā hewa o ka rhythm o ka puʻuwai .
E loiloi i nā pilikia e hiki mai ana ma hope o ia mau ʻoki kino a i ʻole nā lāʻau lapaʻau.
E nānā inā he pilikia puʻuwai hānau kou.
E ʻike inā he puʻupuʻu a puʻu paha i loko a puni ka puʻuwai a he aha kona ʻano.
E nānā i ka ʻeke a puni ka puʻuwai (pericardium) no ka hōʻiliʻili ʻana o ka wai ('fluid`) a i ʻole nā waihona calcium ('calcification`).

E noʻonoʻo, ke ʻeha mau nei kou ʻanakala i ka umauma, a ʻaʻole hiki i nā kauka ke ʻike pono i ke kumu. I ka manawa e like me kēia, hiki i kahi scan `CT` ke hāʻawi i ka ʻike pono he nui.

ʻO wai ka mea e hana i ka CT scan cardiac?

I ka hapa nui o ka manawa, e ʻōlelo aku kāu kauka puʻuwai i kēia scan CT cardiac. Eia nō naʻe, aia kahi hui mālama ola kino ʻokoʻa ma kahi e hana ʻia ai ke scan e kōkua iā ʻoe. ʻO lākou kēia:

Nā mea loea: ʻO kēia ka poʻe e hoʻohana i ka scanner CT a loaʻa nā kiʻi.
Nā Kahu Maʻi: Inā pono, e kau nā kahu maʻi i kahi laina 'IV' i loko o kahi aa koko ma kou lima a hāʻawi iā ʻoe i nā lāʻau lapaʻau.
Nā Kauka: Nānā nā kauka i ke kiʻi, kālailai i nā kiʻi, a hāʻawi i kahi hōʻike ('wehewehe i ke kiʻi').

No ke kiʻi ʻana i kēia scan, pono ʻoe e hele i kahi haukapila a i ʻole kahi i loea i ka `medical imaging`.

Pehea e hana ai ka CT scan puʻuwai?

He mea maʻalahi loa ia. I kou moe ʻana ma luna o ka moena o ka mīkini scan, e hoʻohuli ana ke kukuna X-ray a puni ʻoe. Akā, ʻaʻole ia e pā i kou kino. E lohe paha ʻoe i kahi kani ʻūlū iki a i ʻole ke kani ʻana i ka wā e hana ana ka mīkini. Hoʻohui kahi kamepiula i kēia mau kiʻi scan e hana i kahi kiʻi ʻekolu-dimensional (3D) o kou puʻuwai.

He aha ka ʻokoʻa ma waena o ka MRI cardiac a me ka CT cardiac?

Ua lohe paha ʻoe i kahi hoʻokolohua MRI puʻuwai . Hiki i ka MRI puʻuwai a me ka CT puʻuwai ke hana i nā kiʻi kikoʻī o ka puʻuwai, akā aia kekahi mau ʻokoʻa ma waena o nā hoʻokolohua ʻelua. E nānā kākou i ke ʻano o lāua.

Ke komo ʻoe i loko o ka mīkini, ʻoi aku ka hāmama o ka mīkini CT ma mua o ka mīkini MRI. ʻO ke ʻano kēia, ʻaʻole i ʻoi aku ka paʻa o kekahi poʻe i ko lākou noho ʻana i loko o ka mīkini MRI.
ʻOi aku ka lōʻihi o ka manawa o kahi MRI scan ma mua o ka CT scan.
Hoʻohana ka CT scan i ka radiation X-ray , akā, ʻaʻole hoʻohana ka MRI i ka radiation.
ʻOi aku ka mālie o ka mīkini CT ma mua o ka mīkini MRI.
Inā hāʻawi ʻia ʻoe i kahi mea hoʻohālikelike, hoʻohana ka CT scan i kahi mea hoʻohālikelike iodinated , ʻoiai ʻo ka MRI e hoʻohana i kahi mea hoʻohālikelike i hoʻokumu ʻia ma ka gadolinium .

No laila, ʻo ke kauka ke hoʻoholo i ka scan kūpono loa iā ʻoe.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

Pono ʻoe e hahai pono i nā ʻōlelo a kāu kauka i ka lā ma mua a ma ka lā o kāu scan CT cardiac, e pili ana i ka mea e ʻai ai a inu ai, a me nā lāʻau lapaʻau e hoʻōki ai i ka lawe ʻana.

E pili ana i ka meaʻai a me ka mea inu

I ka lā o ka hoʻokolohua, mai ʻai i kekahi mea no ʻehā a ʻeono hola ma mua o kou manawa i hoʻonohonoho ʻia. Hiki iā ʻoe ke inu wai wale nō.
Mai inu i nā mea inu caffeine i ka lā ma mua a i ʻole ma ka lā o ka hoʻokolohua. ʻO ke ʻano kēia, ʻaʻohe kofe, kī, a i ʻole nā mea inu ikehu.
Mai hoʻohana i nā pila hoʻoikaika a i ʻole nā pila ʻai i ka lā ma mua a i ʻole ma ka lā o ka hoʻāʻo. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.

E pili ana i nā lāʻau lapaʻau

Inā he kanaka ʻoe e hopohopo nei i nā wahi paʻa, e nīnau i kāu kauka e pili ana i kahi lāʻau lapaʻau e hiki ai ke hoʻomālielie iā ʻoe i ka wā o ke kiʻi ʻana.
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā lāʻau lapaʻau i kauoha ʻole ʻia.
Mai lawe i ka Sildenafil (Viagra® a i ʻole Revatio®) a i ʻole nā lāʻau like i ka lā ma mua a i ʻole ma ka lā o ka hoʻāʻo ʻana, no ka mea, hiki i kēia mau mea ke launa pū me nā lāʻau lapaʻau e hāʻawi ʻia iā ʻoe i ka wā o ka hoʻāʻo ʻana. E nīnau pū i kāu kauka e pili ana i kēia.
Inā loaʻa iā ʻoe ka maʻi diabetes , e nīnau i kāu kauka pehea e hoʻoponopono ai i kāu lāʻau lapaʻau i ka lā o ka hoʻāʻo. Inā manaʻo ʻoe ua haʻahaʻa kou kō koko, e haʻi koke i kāu kauka.

He aha ka mea e manaʻo ai i ka lā o ka hoʻokolohua?

Ma mua o kāu scan CT cardiac, makemake kāu kauka e ʻike e pili ana i kēia mau mea:

Ua hāpai ʻoe?
He maʻi āpau ʻoe i ka iodine a me/a i ʻole ka iʻa paʻi , a i ʻole i nā lāʻau lapaʻau ʻē aʻe?
Ke loaʻa nei iā ʻoe ka radiation therapy i kēia manawa?
Inā ʻoe ma luna o 60 mau makahiki , a i ʻole ua loaʻa iā ʻoe nā pilikia o ka puʻupaʻa ma mua, pono paha ʻoe e hana i kahi hoʻāʻo koko e nānā i ka hana o kāu puʻupaʻa ma mua o ka hāʻawi ʻana i ka wai hoʻohālikelike.

Ke hoʻomākaukau nei no kahi scan CT

E wehe i kāu mau mea hoʻonani a waiho ma ka home.
Nā mea kūikawā i hāʻawi ʻia iā ʻoe e ka haukapilaPono ʻoe e komo i ka ʻaʻahu haukapila.
Malia paha hiki i ke kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau e hoʻolohi i ka helu o kou puʻuwai .
Inā hāʻawi ʻia ʻoe i ka wai hoʻohālikelike (dye), e kau ke kahu maʻi i kahi laina IV i loko o kahi aa koko ma kou lima. ʻO kēia wai ka mea e hōʻike maopopo ai i kou mau kīʻaha koko a me ka puʻuwai ma nā kiʻi scan.
E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā, a e hoʻoneʻe mālie ʻia ka moena i ka puka poepoe ma waenakonu o ka mīkini scan CT.
E hoʻomaʻemaʻe ke kauka ma kahi o ʻekolu mau wahi o kou umauma a hoʻopili i nā ʻāpana electrode liʻiliʻi a pipili iā lākou. I mea e pipili pono ai kēia mau electrodes, pono paha ʻoe e ʻoki i kekahi o ka lauoho ma kēlā wahi o kou umauma.
Hoʻopili ʻia kēia mau electrodes i kahi monitor electrocardiogram (EKG) , kahi e hoʻopaʻa ai i ka hana uila o kou puʻuwai i ka wā o ka hoʻāʻo.
E noi ʻia ʻoe e moe ma luna o ka moena scanner me kou mau lima ma luna o kou poʻo a hiki i ka pau ʻana o ka hoʻāʻo. E waiho ʻia kou poʻo a me kou mau wāwae ma waho o ka scanner.

ʻO ka mea nui loa: He mea nui loa e noho mālie i kēia manawa a e hahai pono i nā kuhikuhi. A laila wale nō e hiki ai iā ʻoe ke loaʻa nā kiʻi maopopo.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

Hiki i kahi scan CT cardiac piha ke hala ma waena o 30 a me 60 mau minuke , me ka manawa hoʻomākaukau. Eia nō naʻe, ʻoi aku ka lōʻihi o ka scan CT maoli, ma kahi o 10 mau minuke ma ka nui .

E ʻike ʻoe i ka neʻe ʻana o ka scanner i ke ʻano donut i loko o kahi moe āu e moe nei.
Inā hāʻawi ʻia ʻoe i ka wai hoʻohālikelike, e hoʻokomo kahi mea mālama ola ma o kāu laina IV. He mea maʻamau ka manaʻo ʻana i kahi manaʻo mahana iki i ka wā e hele ai ka wai ma kou kino. Hiki i kekahi poʻe ke ʻike i kahi ʻono metala i loko o ko lākou waha no kekahi mau kekona.
No ka loaʻa ʻana o nā kiʻi akaka, he mea nui loa e noho mālie a hahai pololei i nā kuhikuhi .
Hiki iā ʻoe ke kamaʻilio me ka hui mālama ola. Hiki paha iā lākou ke noi iā ʻoe e hoʻopaʻa i kou hanu no kekahi manawa pōkole loa .

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka hōʻoia ʻana o ke kauka ua loaʻa iā lākou nā kiʻi a pau a lākou e pono ai, e wehe lākou i kāu laina IV. A laila hiki iā ʻoe ke hoʻololi a hoʻi i ka home.

Ma hope o ka hoʻāʻo ʻana, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau a ʻai a inu. Eia nō naʻe, inā ua lawe ʻoe i kahi lāʻau hoʻomaha, pono kekahi e hele mai e lawe iā ʻoe i ka home.

E kamaʻilio kāu kauka me ʻoe e pili ana i nā hopena hoʻāʻo ma ia lā a i ʻole i loko o kekahi mau lā.

Aia kekahi mau pilikia me kēia hoʻāʻo?

He hana haʻahaʻa ka pilikia o ka CT scan. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā pilikia liʻiliʻi me ka wai hoʻohālikelike a i ʻole nā mea ʻē aʻe i hoʻohana ʻia i ka hoʻāʻo.

Mea hoʻohālikelike / kala

I kekahi manawa, loaʻa paha i kekahi poʻe kahi hopena maikaʻi ʻole i ka wai hoʻohālikelike (aia ka iodine maʻamau). Hiki i kekahi poʻe ke ʻike i ka maneʻo, ka nausea, ka ʻūhā, a i ʻole ka ʻulaʻula o ka ʻili ma hope o ke komo ʻana o ka wai. Nalo pinepine kēia mau hōʻailona me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hoʻomalu ʻia me nā antihistamines, steroids, a me nā mea pale histamine .
He mea kākaʻikahi loa, hiki ke loaʻa kahi hopena alerika koʻikoʻi (anaphylactic reaction) . Hiki iā ia ke pilikia i ka hanu ʻana. Hiki i kēia ke hoʻoweliweli i ke ola, no laila pono ka mālama koke ʻana a me ka lāʻau lapaʻau e kāohi i kēia mau hōʻailona.
Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa , e noi ʻia paha ʻoe e inu i nā wai hou aʻe ma hope o ke scan e kōkua i ka hoʻohemo ʻana i ka iodine mai kou kino.
ʻOiai hiki i ka mea hoʻohālikelike i hoʻohana ʻia no ka CT scan cardiac ke komo i loko o kou waiū umauma , inā ʻoe e hānai waiū ana, he manaʻo maikaʻi e hoʻopuka i kahi waiū umauma ma mua o ke scan. A laila hiki iā ʻoe ke hānai i kāu pēpē i kēlā waiū no hoʻokahi a ʻelua paha lā ma hope o ke scan.

Pāhawewe

Hoʻohana nā mīkini scan CT i nā kukuna X. He liʻiliʻi loa ka pilikia o ka maʻi kanesa mai kēia radiation i ka hala ʻana o ka manawa. No kou palekana, ua mālama ʻia kou ʻike ʻana i ka radiation i ka liʻiliʻi loa. Eia nō naʻe, hiki i nā kukuna X ke hōʻeha i kahi ʻōpū e ulu ana, no laila ʻaʻole ʻōlelo ʻia kēia hoʻāʻo inā hāpai ʻoe . Inā pono, e hoʻonohonoho kāu kauka e pale i kāu pēpē.

Lāʻau lapaʻau e hoʻohaʻahaʻa ana i ka helu o ka puʻuwai

Inā ua hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻolohi i kou puʻuwai no ka hoʻāʻo ʻana, a inā he maʻi kou e like me ka hānō, ka hāʻule ʻana o ka puʻuwai, a i ʻole ka maʻi pulmonary obstructive chronic (COPD) , hiki iā ʻoe ke paʻakikī i ka hanu ʻana i ka wā o ke scan. He mea nui loa ia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi.

He aha nā hopena? He aha ke ʻano o ia mea?

Hiki ke loaʻa nā hopena ʻelua ma hope o ke scan: nā hopena maʻamau a me nā hopena ʻē.

Nā hopena maʻamau

Ke nānā aku nei kou puʻuwai a me nā aʻa koko he maʻamau .
ʻO kāu helu calcium he ʻole (`0`). ʻO ia hoʻi, ʻaʻohe ou maʻi ʻaʻa coronary , a he haʻahaʻa kou pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai.

Nā hopena maʻamau ʻole

Aia nā waihona momona (plaque) a me ka haiki ʻana (stenosis) i loko o nā aʻa coronary.
ʻO ka loaʻa ʻana o ka helu calcium kiʻekiʻe ke ʻano he atherosclerosis coronary kou.
ʻO ka waiwai calcium o 100 a emi mai paha e hōʻike ana i nā hōʻailona māmā o ka maʻi ʻaʻa coronary.
Inā ʻoi aku ma mua o 400 , hōʻike ia i nā hōʻailona laha o ka maʻi ʻaʻa coronary.
Inā ma waena o 100 a me 400 , aia nā ʻano pae waena.
I ka manawa pinepine, hāʻawi ʻia kou pae calcium ma ke ʻano he helu percentile , nāna e haʻi iā ʻoe i kou kūlana i ka hoʻohālikelike ʻia me nā poʻe ʻē aʻe o kou mau makahiki, ke kāne, a me ka lāhui i lawe i ka hoʻokolohua.
ʻAʻole hana maʻamau ka hana a i ʻole nā kīwaha o ka puʻuwai.
ʻO ka maʻi pericardial - ka hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai ('effusion') a me ka mumū o ka pericardium ('pericarditis').
Aia kahi puʻupuʻu a i ʻole ka nui .
Aia kahi pilikia puʻuwai hānau .
Ua hoʻonui ʻia ke kīʻaha koko (aneurysm) , ua haehae ʻia (dissection) , a ua haiki paha (stenosis/coarctation) .

E wehewehe pono ana kāu kauka i kēia mau hopena iā ʻoe.

Āhea wau e kāhea aku ai i ke kauka?

Inā manaʻo ʻoe e loaʻa ana iā ʻoe kahi hopena i ka wai hoʻohālikelike a i ʻole ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe i ka wā o ka hoʻāʻo ʻana, a inā ʻaʻole ʻoe i loaʻa nā hopena o kāu CT scan cardiac ma hope o kekahi mau lā, e kāhea i kāu kauka.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

Mai makaʻu i ka CT scan cardiac a i ʻole ka mīkini CT. He hoʻāʻo ʻaʻole invasive kēia e hāʻawi ana i kāu kauka i ka ʻike waiwai nui e pili ana i nā mea e hana nei i loko o kou puʻuwai a me kona mau ʻano a puni.

No nā hopena maikaʻi loa, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka ʻai ʻana a me ka inu ʻana ma mua o ka hoʻāʻo ʻana. Eia kekahi, e hōʻoia e noho mālie a paʻa i kou hanu i ka wā o ka hoʻāʻo ʻana.

Hiki i kēia hoʻāʻo ke haʻi iā ʻoe i nā mea he nui e pili ana i ke olakino o kou puʻuwai, no laila mai kānalua e hana inā pono. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.

ʻO ke scan CT Cardiac, puʻuwai, aʻa coronary, scan, maʻi puʻuwai, CT scan, kiʻi 3D

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Nā Halemai a me nā Kauka5 Iulai 2026
He scan kūikawā e aʻo ai e pili ana i kou puʻuwai! (Cardiac Computed Tomography - CT Scan) E kamaʻilio kākou e pili ana?
Dr. Priya SammaniMedical Verification
⏱ 17 min read
📋Table of Contents
1. He aha ke ʻano o ka CT scan cardiac?
2. He aha ka mea e hiki ai i ka CT scan o ka puʻuwai ke ʻike?
3. I ka manawa hea e pono ai ka CT scan cardiac?
4. ʻO wai ka mea e hana i ka CT scan cardiac?
5. Pehea e hana ai ka CT scan puʻuwai?
6. He aha ka ʻokoʻa ma waena o ka MRI cardiac a me ka CT cardiac?
7. Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
8. E pili ana i ka meaʻai a me ka mea inu
9. E pili ana i nā lāʻau lapaʻau
10. He aha ka mea e manaʻo ai i ka lā o ka hoʻokolohua?
11. Ke hoʻomākaukau nei no kahi scan CT
12. He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
13. He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
14. Aia kekahi mau pilikia me kēia hoʻāʻo?
15. Mea hoʻohālikelike / kala
16. Pāhawewe
17. Lāʻau lapaʻau e hoʻohaʻahaʻa ana i ka helu o ka puʻuwai
18. He aha nā hopena? He aha ke ʻano o ia mea?
19. Nā hopena maʻamau
20. Nā hopena maʻamau ʻole
21. Āhea wau e kāhea aku ai i ke kauka?
22. Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
I kēia lā, e kamaʻilio mākou e pili ana i kahi scan kūikawā e hiki ke hōʻike iā ʻoe i ka ʻike he nui e pili ana i kou puʻuwai. Ua kapa ʻia ʻo ia he cardiac `CT` scan (Cardiac Computed Tomography - CT scan). Malia paha ua haʻi aku kāu kauka iā ʻoe e hana i kēia, a ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi. No laila, e nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, nā mea āu e pono ai e ʻike ma mua o kou loaʻa ʻana, a me nā pōmaikaʻi a me nā pōʻino.
He aha ke ʻano o ka CT scan cardiac?
I ka ʻōlelo maʻalahi, ʻo ka cardiac CT scan kahi ʻano kūikawā o ka hoʻāʻo X-ray e hoʻohana ana i nā kukuna X-ray he nui mai nā ʻaoʻao like ʻole e hana i nā kiʻi maopopo loa, ʻekolu-dimensional o kou puʻuwai, nā kīʻaha koko nui e pili ana iā ia, a me nā ʻiʻo a puni.
Hoʻohana nā kauka i ka ʻenehana CT hou loa e hana i kēia scan `Cardiac CT`. I kekahi manawa, hoʻokomo ʻia kahi wai kūikawā (intravenous (IV) contrast / dye) i loko o kou aa. ʻAe kēia i ke ʻano o ka puʻuwai a me nā kīʻaha koko i pili iā ia e ʻike maopopo ʻia. ʻO kēia ʻano scan multi-slice e hiki ai i nā kauka ke loaʻa nā kiʻi ʻekolu-dimensional kiʻekiʻe loa o kou puʻuwai e neʻe ana a me nā kīʻaha koko nui.
He aha ka mea e hiki ai i ka CT scan o ka puʻuwai ke ʻike?
Hiki i kāu kauka ke hoʻomaopopo maikaʻi i nā mea he nui e pili ana i kou puʻuwai mai kēia scan. Eia kekahi laʻana:
ʻO ke kūlana o nā aʻa coronary e hoʻolako koko i kou puʻuwai.
Pehea e hana ai nā keʻena puʻuwai, nā ʻiʻo puʻuwai, a me nā kiwikā puʻuwai.
ʻO ke ʻano o nā aʻa koko pulmonary .
Inā paha he pilikia me ka aorta thoracic a i kekahi manawa ka aorta abdominal .
ʻO ka ʻeke pale a puni ka puʻuwai (pericardium) .
Ma muli o ka ʻike maopopo ʻia ʻana o kēia mau mea a pau ma kēia scan, he kōkua nui ia no ke kauka e hana i kahi hoʻoholo maikaʻi e pili ana i ke olakino o kou puʻuwai.
I ka manawa hea e pono ai ka CT scan cardiac?
Hiki i kahi scan CT cardiac ke hāʻawi i ka ʻikepili kikoʻī a maopopo hoʻi ma mua o nā hoʻokolohua kiʻi ʻē aʻe. Aia kekahi mau kumu e kauoha ai kāu kauka i kēia scan. E nānā kākou i ko lākou ʻano:
E ʻike i ke kumu o ka ʻeha o kou umauma a i ʻole ka pōkole o ka hanu.
E nānā i kou mau aʻa puʻuwai no ka calcium a i ʻole ka hōʻiliʻili ʻana o ka plaque , ka haiki ʻana, a i ʻole nā mea ālai.
E loiloi i ka hana o nā kiwikā o kou puʻuwai.
E nānā i kekahi pilikia me kou aorta, e like me nā aneurysms a i ʻole ka dissection .
ʻO ke ʻoki puʻuwai hāmama a i ʻoleE hoʻolālā i ke ʻoki puʻuwai minimally invasive/robotic.
E hoʻolālā i nā kaʻina hana valve transcatheter/percutaneous .
E hoʻolālā i nā kaʻina hana ablation arrhythmia no nā hewa o ka rhythm o ka puʻuwai .
E loiloi i nā pilikia e hiki mai ana ma hope o ia mau ʻoki kino a i ʻole nā lāʻau lapaʻau.
E nānā inā he pilikia puʻuwai hānau kou.
E ʻike inā he puʻupuʻu a puʻu paha i loko a puni ka puʻuwai a he aha kona ʻano.
E nānā i ka ʻeke a puni ka puʻuwai (pericardium) no ka hōʻiliʻili ʻana o ka wai ('fluid`) a i ʻole nā waihona calcium ('calcification`).
E noʻonoʻo, ke ʻeha mau nei kou ʻanakala i ka umauma, a ʻaʻole hiki i nā kauka ke ʻike pono i ke kumu. I ka manawa e like me kēia, hiki i kahi scan `CT` ke hāʻawi i ka ʻike pono he nui.
ʻO wai ka mea e hana i ka CT scan cardiac?
I ka hapa nui o ka manawa, e ʻōlelo aku kāu kauka puʻuwai i kēia scan CT cardiac. Eia nō naʻe, aia kahi hui mālama ola kino ʻokoʻa ma kahi e hana ʻia ai ke scan e kōkua iā ʻoe. ʻO lākou kēia:
Nā mea loea: ʻO kēia ka poʻe e hoʻohana i ka scanner CT a loaʻa nā kiʻi.
Nā Kahu Maʻi: Inā pono, e kau nā kahu maʻi i kahi laina 'IV' i loko o kahi aa koko ma kou lima a hāʻawi iā ʻoe i nā lāʻau lapaʻau.
Nā Kauka: Nānā nā kauka i ke kiʻi, kālailai i nā kiʻi, a hāʻawi i kahi hōʻike ('wehewehe i ke kiʻi').
No ke kiʻi ʻana i kēia scan, pono ʻoe e hele i kahi haukapila a i ʻole kahi i loea i ka `medical imaging`.
Pehea e hana ai ka CT scan puʻuwai?
He mea maʻalahi loa ia. I kou moe ʻana ma luna o ka moena o ka mīkini scan, e hoʻohuli ana ke kukuna X-ray a puni ʻoe. Akā, ʻaʻole ia e pā i kou kino. E lohe paha ʻoe i kahi kani ʻūlū iki a i ʻole ke kani ʻana i ka wā e hana ana ka mīkini. Hoʻohui kahi kamepiula i kēia mau kiʻi scan e hana i kahi kiʻi ʻekolu-dimensional (3D) o kou puʻuwai.
He aha ka ʻokoʻa ma waena o ka MRI cardiac a me ka CT cardiac?
Ua lohe paha ʻoe i kahi hoʻokolohua MRI puʻuwai . Hiki i ka MRI puʻuwai a me ka CT puʻuwai ke hana i nā kiʻi kikoʻī o ka puʻuwai, akā aia kekahi mau ʻokoʻa ma waena o nā hoʻokolohua ʻelua. E nānā kākou i ke ʻano o lāua.
Ke komo ʻoe i loko o ka mīkini, ʻoi aku ka hāmama o ka mīkini CT ma mua o ka mīkini MRI. ʻO ke ʻano kēia, ʻaʻole i ʻoi aku ka paʻa o kekahi poʻe i ko lākou noho ʻana i loko o ka mīkini MRI.
ʻOi aku ka lōʻihi o ka manawa o kahi MRI scan ma mua o ka CT scan.
Hoʻohana ka CT scan i ka radiation X-ray , akā, ʻaʻole hoʻohana ka MRI i ka radiation.
ʻOi aku ka mālie o ka mīkini CT ma mua o ka mīkini MRI.
Inā hāʻawi ʻia ʻoe i kahi mea hoʻohālikelike, hoʻohana ka CT scan i kahi mea hoʻohālikelike iodinated , ʻoiai ʻo ka MRI e hoʻohana i kahi mea hoʻohālikelike i hoʻokumu ʻia ma ka gadolinium .
No laila, ʻo ke kauka ke hoʻoholo i ka scan kūpono loa iā ʻoe.
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
Pono ʻoe e hahai pono i nā ʻōlelo a kāu kauka i ka lā ma mua a ma ka lā o kāu scan CT cardiac, e pili ana i ka mea e ʻai ai a inu ai, a me nā lāʻau lapaʻau e hoʻōki ai i ka lawe ʻana.
E pili ana i ka meaʻai a me ka mea inu
I ka lā o ka hoʻokolohua, mai ʻai i kekahi mea no ʻehā a ʻeono hola ma mua o kou manawa i hoʻonohonoho ʻia. Hiki iā ʻoe ke inu wai wale nō.
Mai inu i nā mea inu caffeine i ka lā ma mua a i ʻole ma ka lā o ka hoʻokolohua. ʻO ke ʻano kēia, ʻaʻohe kofe, kī, a i ʻole nā mea inu ikehu.
Mai hoʻohana i nā pila hoʻoikaika a i ʻole nā pila ʻai i ka lā ma mua a i ʻole ma ka lā o ka hoʻāʻo. Inā he mau nīnau kāu e pili ana i kēia, e nīnau i kāu kauka.
E pili ana i nā lāʻau lapaʻau
Inā he kanaka ʻoe e hopohopo nei i nā wahi paʻa, e nīnau i kāu kauka e pili ana i kahi lāʻau lapaʻau e hiki ai ke hoʻomālielie iā ʻoe i ka wā o ke kiʻi ʻana.
E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, ʻoiai nā lāʻau lapaʻau i kauoha ʻole ʻia.
Mai lawe i ka Sildenafil (Viagra® a i ʻole Revatio®) a i ʻole nā lāʻau like i ka lā ma mua a i ʻole ma ka lā o ka hoʻāʻo ʻana, no ka mea, hiki i kēia mau mea ke launa pū me nā lāʻau lapaʻau e hāʻawi ʻia iā ʻoe i ka wā o ka hoʻāʻo ʻana. E nīnau pū i kāu kauka e pili ana i kēia.
Inā loaʻa iā ʻoe ka maʻi diabetes , e nīnau i kāu kauka pehea e hoʻoponopono ai i kāu lāʻau lapaʻau i ka lā o ka hoʻāʻo. Inā manaʻo ʻoe ua haʻahaʻa kou kō koko, e haʻi koke i kāu kauka.
He aha ka mea e manaʻo ai i ka lā o ka hoʻokolohua?
Ma mua o kāu scan CT cardiac, makemake kāu kauka e ʻike e pili ana i kēia mau mea:
Ua hāpai ʻoe?
He maʻi āpau ʻoe i ka iodine a me/a i ʻole ka iʻa paʻi , a i ʻole i nā lāʻau lapaʻau ʻē aʻe?
Ke loaʻa nei iā ʻoe ka radiation therapy i kēia manawa?
Inā ʻoe ma luna o 60 mau makahiki , a i ʻole ua loaʻa iā ʻoe nā pilikia o ka puʻupaʻa ma mua, pono paha ʻoe e hana i kahi hoʻāʻo koko e nānā i ka hana o kāu puʻupaʻa ma mua o ka hāʻawi ʻana i ka wai hoʻohālikelike.
Ke hoʻomākaukau nei no kahi scan CT
E wehe i kāu mau mea hoʻonani a waiho ma ka home.
Nā mea kūikawā i hāʻawi ʻia iā ʻoe e ka haukapilaPono ʻoe e komo i ka ʻaʻahu haukapila.
Malia paha hiki i ke kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau e hoʻolohi i ka helu o kou puʻuwai .
Inā hāʻawi ʻia ʻoe i ka wai hoʻohālikelike (dye), e kau ke kahu maʻi i kahi laina IV i loko o kahi aa koko ma kou lima. ʻO kēia wai ka mea e hōʻike maopopo ai i kou mau kīʻaha koko a me ka puʻuwai ma nā kiʻi scan.
E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā, a e hoʻoneʻe mālie ʻia ka moena i ka puka poepoe ma waenakonu o ka mīkini scan CT.
E hoʻomaʻemaʻe ke kauka ma kahi o ʻekolu mau wahi o kou umauma a hoʻopili i nā ʻāpana electrode liʻiliʻi a pipili iā lākou. I mea e pipili pono ai kēia mau electrodes, pono paha ʻoe e ʻoki i kekahi o ka lauoho ma kēlā wahi o kou umauma.
Hoʻopili ʻia kēia mau electrodes i kahi monitor electrocardiogram (EKG) , kahi e hoʻopaʻa ai i ka hana uila o kou puʻuwai i ka wā o ka hoʻāʻo.
E noi ʻia ʻoe e moe ma luna o ka moena scanner me kou mau lima ma luna o kou poʻo a hiki i ka pau ʻana o ka hoʻāʻo. E waiho ʻia kou poʻo a me kou mau wāwae ma waho o ka scanner.
ʻO ka mea nui loa: He mea nui loa e noho mālie i kēia manawa a e hahai pono i nā kuhikuhi. A laila wale nō e hiki ai iā ʻoe ke loaʻa nā kiʻi maopopo.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Hiki i kahi scan CT cardiac piha ke hala ma waena o 30 a me 60 mau minuke , me ka manawa hoʻomākaukau. Eia nō naʻe, ʻoi aku ka lōʻihi o ka scan CT maoli, ma kahi o 10 mau minuke ma ka nui .
E ʻike ʻoe i ka neʻe ʻana o ka scanner i ke ʻano donut i loko o kahi moe āu e moe nei.
Inā hāʻawi ʻia ʻoe i ka wai hoʻohālikelike, e hoʻokomo kahi mea mālama ola ma o kāu laina IV. He mea maʻamau ka manaʻo ʻana i kahi manaʻo mahana iki i ka wā e hele ai ka wai ma kou kino. Hiki i kekahi poʻe ke ʻike i kahi ʻono metala i loko o ko lākou waha no kekahi mau kekona.
No ka loaʻa ʻana o nā kiʻi akaka, he mea nui loa e noho mālie a hahai pololei i nā kuhikuhi .
Hiki iā ʻoe ke kamaʻilio me ka hui mālama ola. Hiki paha iā lākou ke noi iā ʻoe e hoʻopaʻa i kou hanu no kekahi manawa pōkole loa .
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Ma hope o ka hōʻoia ʻana o ke kauka ua loaʻa iā lākou nā kiʻi a pau a lākou e pono ai, e wehe lākou i kāu laina IV. A laila hiki iā ʻoe ke hoʻololi a hoʻi i ka home.
Ma hope o ka hoʻāʻo ʻana, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau a ʻai a inu. Eia nō naʻe, inā ua lawe ʻoe i kahi lāʻau hoʻomaha, pono kekahi e hele mai e lawe iā ʻoe i ka home.
E kamaʻilio kāu kauka me ʻoe e pili ana i nā hopena hoʻāʻo ma ia lā a i ʻole i loko o kekahi mau lā.
Aia kekahi mau pilikia me kēia hoʻāʻo?
He hana haʻahaʻa ka pilikia o ka CT scan. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā pilikia liʻiliʻi me ka wai hoʻohālikelike a i ʻole nā mea ʻē aʻe i hoʻohana ʻia i ka hoʻāʻo.
Mea hoʻohālikelike / kala
I kekahi manawa, loaʻa paha i kekahi poʻe kahi hopena maikaʻi ʻole i ka wai hoʻohālikelike (aia ka iodine maʻamau). Hiki i kekahi poʻe ke ʻike i ka maneʻo, ka nausea, ka ʻūhā, a i ʻole ka ʻulaʻula o ka ʻili ma hope o ke komo ʻana o ka wai. Nalo pinepine kēia mau hōʻailona me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hoʻomalu ʻia me nā antihistamines, steroids, a me nā mea pale histamine .
He mea kākaʻikahi loa, hiki ke loaʻa kahi hopena alerika koʻikoʻi (anaphylactic reaction) . Hiki iā ia ke pilikia i ka hanu ʻana. Hiki i kēia ke hoʻoweliweli i ke ola, no laila pono ka mālama koke ʻana a me ka lāʻau lapaʻau e kāohi i kēia mau hōʻailona.
Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa , e noi ʻia paha ʻoe e inu i nā wai hou aʻe ma hope o ke scan e kōkua i ka hoʻohemo ʻana i ka iodine mai kou kino.
ʻOiai hiki i ka mea hoʻohālikelike i hoʻohana ʻia no ka CT scan cardiac ke komo i loko o kou waiū umauma , inā ʻoe e hānai waiū ana, he manaʻo maikaʻi e hoʻopuka i kahi waiū umauma ma mua o ke scan. A laila hiki iā ʻoe ke hānai i kāu pēpē i kēlā waiū no hoʻokahi a ʻelua paha lā ma hope o ke scan.
Pāhawewe
Hoʻohana nā mīkini scan CT i nā kukuna X. He liʻiliʻi loa ka pilikia o ka maʻi kanesa mai kēia radiation i ka hala ʻana o ka manawa. No kou palekana, ua mālama ʻia kou ʻike ʻana i ka radiation i ka liʻiliʻi loa. Eia nō naʻe, hiki i nā kukuna X ke hōʻeha i kahi ʻōpū e ulu ana, no laila ʻaʻole ʻōlelo ʻia kēia hoʻāʻo inā hāpai ʻoe . Inā pono, e hoʻonohonoho kāu kauka e pale i kāu pēpē.
Lāʻau lapaʻau e hoʻohaʻahaʻa ana i ka helu o ka puʻuwai
Inā ua hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻolohi i kou puʻuwai no ka hoʻāʻo ʻana, a inā he maʻi kou e like me ka hānō, ka hāʻule ʻana o ka puʻuwai, a i ʻole ka maʻi pulmonary obstructive chronic (COPD) , hiki iā ʻoe ke paʻakikī i ka hanu ʻana i ka wā o ke scan. He mea nui loa ia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau maʻi.
He aha nā hopena? He aha ke ʻano o ia mea?
Hiki ke loaʻa nā hopena ʻelua ma hope o ke scan: nā hopena maʻamau a me nā hopena ʻē.
Nā hopena maʻamau
Ke nānā aku nei kou puʻuwai a me nā aʻa koko he maʻamau .
ʻO kāu helu calcium he ʻole (`0`). ʻO ia hoʻi, ʻaʻohe ou maʻi ʻaʻa coronary , a he haʻahaʻa kou pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai.
Nā hopena maʻamau ʻole
Aia nā waihona momona (plaque) a me ka haiki ʻana (stenosis) i loko o nā aʻa coronary.
ʻO ka loaʻa ʻana o ka helu calcium kiʻekiʻe ke ʻano he atherosclerosis coronary kou.
ʻO ka waiwai calcium o 100 a emi mai paha e hōʻike ana i nā hōʻailona māmā o ka maʻi ʻaʻa coronary.
Inā ʻoi aku ma mua o 400 , hōʻike ia i nā hōʻailona laha o ka maʻi ʻaʻa coronary.
Inā ma waena o 100 a me 400 , aia nā ʻano pae waena.
I ka manawa pinepine, hāʻawi ʻia kou pae calcium ma ke ʻano he helu percentile , nāna e haʻi iā ʻoe i kou kūlana i ka hoʻohālikelike ʻia me nā poʻe ʻē aʻe o kou mau makahiki, ke kāne, a me ka lāhui i lawe i ka hoʻokolohua.
ʻAʻole hana maʻamau ka hana a i ʻole nā kīwaha o ka puʻuwai.
ʻO ka maʻi pericardial - ka hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai ('effusion') a me ka mumū o ka pericardium ('pericarditis').
Aia kahi puʻupuʻu a i ʻole ka nui .
Aia kahi pilikia puʻuwai hānau .
Ua hoʻonui ʻia ke kīʻaha koko (aneurysm) , ua haehae ʻia (dissection) , a ua haiki paha (stenosis/coarctation) .
E wehewehe pono ana kāu kauka i kēia mau hopena iā ʻoe.
Āhea wau e kāhea aku ai i ke kauka?
Inā manaʻo ʻoe e loaʻa ana iā ʻoe kahi hopena i ka wai hoʻohālikelike a i ʻole ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe i ka wā o ka hoʻāʻo ʻana, a inā ʻaʻole ʻoe i loaʻa nā hopena o kāu CT scan cardiac ma hope o kekahi mau lā, e kāhea i kāu kauka.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
Mai makaʻu i ka CT scan cardiac a i ʻole ka mīkini CT. He hoʻāʻo ʻaʻole invasive kēia e hāʻawi ana i kāu kauka i ka ʻike waiwai nui e pili ana i nā mea e hana nei i loko o kou puʻuwai a me kona mau ʻano a puni.
No nā hopena maikaʻi loa, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka ʻai ʻana a me ka inu ʻana ma mua o ka hoʻāʻo ʻana. Eia kekahi, e hōʻoia e noho mālie a paʻa i kou hanu i ka wā o ka hoʻāʻo ʻana.
Hiki i kēia hoʻāʻo ke haʻi iā ʻoe i nā mea he nui e pili ana i ke olakino o kou puʻuwai, no laila mai kānalua e hana inā pono. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
ʻO ke scan CT Cardiac, puʻuwai, aʻa coronary, scan, maʻi puʻuwai, CT scan, kiʻi 3D
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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