Ua ālai ʻia kou mau kīʻaha koko ma kou ʻāʻī? E kamaʻilio kākou e pili ana i ka ultrasound carotid!

Ua lohe paha ʻoe i kahi hoʻāʻo i kapa ʻia ʻo Carotid Ultrasound? Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ia mea, a i ʻole he hoihoi wale nō paha ʻoe e pili ana i ia mea. Mai hopohopo, he hoʻāʻo maʻalahi loa ia, ʻaʻohe ʻeha, a he mea nui loa. No laila, e kamaʻilio kākou e pili ana i ia mea i kēia lā, ʻeā?

He aha ke ʻano o ka ultrasound carotid?

I ka ʻōlelo maʻalahi, he hoʻāʻo ka carotid ultrasound e nānā ana i loko o kou mau aʻa carotid . Aia kēia mau kīʻaha koko ma nā ʻaoʻao ʻelua o kou ʻāʻī, a hoʻolako lākou i ke koko i kou lolo . No laila hiki iā ʻoe ke noʻonoʻo i ke koʻikoʻi o ka mālama ʻana i kēia mau aʻa i ke olakino.

Hoʻohana kēia hoʻāʻo i nā nalu kani e kiʻi i nā kiʻi o loko o kou mau kīʻaha koko. Ua like ia me kahi scan ultrasound no nā wahine hāpai, akā hana ʻia ma kou ʻāʻī. Hoʻohana pū ia i kahi ʻenehana i kapa ʻia ʻo Doppler ultrasound . Hiki iā ia ke ʻike i ka maikaʻi a me ka wikiwiki o ke kahe ʻana o ke koko ma o kou mau kīʻaha koko. ʻAʻole anei he mea kupaianaha?

Āhea e pono ai kēia hoʻāʻo?

Makemake ke kauka e hana i kēia hoʻāʻo ultrasound carotid e ʻike ai inā he mau ʻūpā koko a i ʻole nā ​​waihona momona (plaque) i loko o kou mau aʻa carotid. Ua like kēia mau waihona momona me ka ʻōpala i loko o kahi paipu wai. I ka hala ʻana o ka manawa, hiki i kēia ke hōʻiliʻili a ālai i nā kīʻaha koko. Inā hana ʻia kēia, hiki ke emi ka nui o ke koko e hele ana i ka lolo, e alakaʻi ana i kahi kūlana weliweli e like me ka hahau ʻana .

E noʻonoʻo, ua like kēia me kahi paipu wai i loko o kāu māla i loaʻa ka lepo i loko a ke kāohi nei i ke kahe ʻana o ka wai. ʻO ia ke kumu he mea nui e mālama i kēia mau paipu i ka maʻemaʻe.

ʻO wai ka mea nui loa o kēia hoʻokolohua?

Hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā ua hana ʻia ʻoe i ke ʻoki kino e wehe ai i kahi kīʻaha koko i paʻa.
• Inā ua kau ʻia kahi stent i loko o ke aʻa carotid, e nānā inā e hana pono ana.
• Inā hōʻike ʻia ma kahi hoʻokolohua mua ua ālai iki ʻia ke kīʻaha koko, e nānā mau iā ia.
• Inā lohe ke kauka i kahi leo ʻē (bruit) , e like me ke kani ʻūlū, ke kau ʻo ia i ka stethoscope ma kou ʻāʻī.
• Inā he koko kiʻekiʻe kou a i ʻole ka cholesterol kiʻekiʻe .
• Inā ua loaʻa mua iā ʻoe kahi hahau a i ʻole kahi hoʻouka ischemic transient (TIA) , e like me ka mini-stroke a ua hoʻōla ʻia.
• Inā ʻoe e hoʻomākaukau ana no ke ʻoki ʻana i ke aʻa coronary .
• Iā ʻoeInā loaʻa iā ʻoe ka maʻi diabetes.
• Inā ua loaʻa kekahi o kou ʻohana i ka hahau a i ʻole ka maʻi puʻuwai.
• Inā he puʻu (hematoma) o ke koko i hōʻiliʻili ʻia ma ka ʻāʻī.

He aha ka mea e nānā ai ke kiʻi o ka Doppler ultrasound?

Me ka hoʻohana ʻana i kēia ʻenehana Doppler, hiki i nā kauka ke loaʻa ka ʻike maikaʻi o:

• Pehea e holo ai ke kahe o ke koko?
• Aia kekahi mea e ālai ana a e ʻūmiʻi ana paha i loko o ke kīʻaha koko?
• I kekahi manawa hiki ke ʻike ʻia kekahi mau maʻi congenital a i ʻole nā ​​​​​​maʻi puʻupuʻu.

ʻO wai ka mea e hana i kēia hoʻāʻo ultrasound carotid?

Hana pinepine ʻia kēia hoʻāʻo e kahi sonographer a i ʻole ultrasound technologist. I kekahi manawa, hiki i kahi radiologist , he kauka nāna e kālailai i nā kiʻi scan, ke hana i kēia hoʻāʻo.

Pehea e hana ai kēia hoʻāʻo? He maʻalahi loa ia!

ʻAʻole hoʻohana ka ultrasound carotid i kekahi radiation , no laila he palekana loa ia. E like me ka mea i ʻōlelo ʻia ma mua, hoʻohana ia i nā nalu kani e hana i nā kiʻi o loko o kou mau kīʻaha koko carotid.

Hoʻohana ke kauka i kahi mea liʻiliʻi i kapa ʻia he transducer (e like me kahi scanner liʻiliʻi e nānā i ke kumukūʻai o nā waiwai ma kahi hale kūʻai) ma ka ʻili o kou ʻāʻī e hoʻouna i kēia mau nalu kani. Ke paʻi kēia mau nalu kani i nā kīʻaha koko a lele hou, hoʻouna ʻia ka ʻike i kahi kamepiula, kahi e hana ʻia ai ma ke ʻano he kiʻi. Hiki ke hoʻopaʻa ʻia kēia mau kiʻi e like me ke wikiō a mālama ʻia paha ma ke ʻano he kiʻi.

Pono anei iaʻu e hoʻomākaukau pono ma mua o ka hoʻokolohua?

ʻAʻole, ʻaʻole pono ʻoe e hoʻomākaukau nui. Eia nō naʻe, he manaʻo maikaʻi ke komo ʻana i kahi pālule palupalu a ʻoluʻolu hoʻi ʻaʻole e uhi i kou ʻāʻī . Inā kiʻekiʻe loa kou pālule a puni kou ʻāʻī, pono paha ʻoe e komo i kahi lole haukapila. Eia kekahi, inā ʻoe e komo ana i ka lei a i ʻole nā ​​apo pepeiao , he manaʻo maikaʻi e wehe iā lākou no ka mea hiki ke hoʻopilikia i ka hoʻāʻo.

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

Pono ʻoe e hana i kēia hoʻāʻo ma ke keʻena o kāu kauka a i ʻole ma ka haukapila. ʻO ka maʻamau, he 30 a 45 mau minuke ka lōʻihi o ka hoʻāʻo.

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

ʻO ka mea mua, e hoʻopili ke kauka a i ʻole ka sonographer i kahi gel moakaka ma nā ʻaoʻao o kou ʻāʻī . (E hoʻomanaʻo, aia ʻelua mau aʻa carotid, hoʻokahi ma kēlā me kēia ʻaoʻao o kou ʻāʻī.) Hiki ke manaʻo ʻia kēia gel he mehana iki. Hoʻopili ʻia kēia gel e kōkua i nā nalu kani e hele ma waena o ka transducer a me kou mau kīʻaha koko.

He mea nui loa ʻaʻole e neʻe a puni i ka wā o ka hoʻāʻo. Penei e hiki ai iā ʻoe ke kiʻi i nā kiʻi maopopo.

ʻOiai ʻoe e moe ana ma luna o kahi moe, kau ke kauka i ka transducer ma ka ʻili ma nā ʻaoʻao ʻelua o kou ʻāʻī a kaomi i lalo. I ka lele ʻana o nā nalu kani mai ka transducer mai nā kīʻaha koko, hoʻohana ke kamepiula i kēlā ʻike e hana i kiʻi. Hoʻoneʻe ke kauka i ka transducer i mua a i hope ma luna o kou ʻili a hiki i ka loaʻa ʻana o nā kiʻi āpau āna e pono ai.

ʻAʻole ʻoe e lohe i kēia mau nalu kani. Eia nō naʻe, inā he ultrasound Doppler ia, lohe paha ʻoe i kahi kani "swish swish" e like me ka wai e kahe ana i loko o ke kino , me ka loli ʻana o ke kani.

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

Ke pau ka hoʻāʻo ʻana, e hāʻawi ke kauka iā ʻoe i kahi kāwele e holoi i ka gel i hoʻopili ʻia ma kou ʻāʻī . Ma hope o kēlā, inā ʻoe e ʻaʻahu ana i kahi lole haukapila, hiki iā ʻoe ke hoʻololi i kou mau lole. Inā ʻaʻole ʻoe e loaʻa nā hopena i ka lā hoʻokahi, hiki iā ʻoe ke hoʻi i ka home. Hiki iā ʻoe ke hoʻomau me kāu mau hana maʻamau .

Aia kekahi pilikia i loko o kēia?

ʻAʻohe pilikia . Hiki iā ʻoe ke manaʻo i kahi kaomi iki ke kau ʻoe i ka transducer ma kou ʻāʻī, akā ʻaʻohe ʻeha iki . No laila, ʻaʻohe kumu e makaʻu ai.

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

E hōʻike ana nā hopena i loaʻa i kāu kauka iā ʻoe i ke ʻano o ka haiki a i ʻole ka paʻa ʻana o kou mau kīʻaha koko. Hōʻike ʻia kēia ma ke ʻano he pakeneka , a i ʻole ma waho o 100.

He aha ka hopena maʻamau?

Inā loaʻa iā ʻoe kahi hopena maʻamau, ʻo ia hoʻi, ʻaʻohe mea e paʻa ai a ʻaʻole hoʻi e hāiki ana i loko o kou mau kīʻaha koko carotid. He nūhou maikaʻi kēlā!

He aha inā loaʻa kahi hopena kūpono ʻole?

Inā ʻano ʻē nā hopena, ʻo ia hoʻi he atherosclerosis paha kou, he ʻūpā koko, a i ʻole kekahi pilikia ʻē aʻe e hoʻohaiki ana i nā kīʻaha koko. Hoʻonui kēia ʻano i kou pilikia o ka hahau ʻana.

Pehea e hoʻoholo ʻia ai ka lāʻau lapaʻau?

Inā he mau waihona momona (plaque) kou ma kekahi a i ʻole nā ​​​​​​ʻāpana ʻelua o kou mau aʻa carotid, akā ʻoi aku ka liʻiliʻi o ka paʻa ʻana ma mua o 50% (no kekahi me nā hōʻailona o ka hahau ʻana) a i ʻole ma lalo o 60% (no kekahi me ka ʻole o nā hōʻailona o ka hahau ʻana), hiki i kāu kauka ke aʻo iā ʻoe e hoʻololi i kāu ʻai, hoʻoikaika kino, a hoʻōki i ka hoʻohana ʻana i nā huahana paka .

Eia kekahi, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau lapaʻau e hoʻoheheʻe i nā ʻōpū koko (e.g. 'Thrombolytics')
• Nā lāʻau lapaʻau e pale ai i nā ʻūpā koko (e like me Aspirin a i ʻole Clopidogrel)
• Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g., 'Statins')
• Nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko (e.g. 'Antihypertensives')

Eia nō naʻe, inā ʻoi aku ka paʻa ʻana ma mua o kēlā (50% a ʻoi aku paha no kekahi me nā hōʻailona o ka hahau ʻana, 60% a ʻoi aku paha no kekahi me ka ʻole o nā hōʻailona o ka hahau ʻana), hiki i ke kauka ke paipai i kahi carotid endarterectomy e wehe i nā waihona momona.Hiki ke ʻōlelo ʻia kahi ʻoki kino i kapa ʻia ʻo carotid artery bypass graft (ABP). Hoʻohana ʻia nā hopena o ka carotid ultrasound e hoʻolālā i kēia ʻoki kino, no ka mea e hōʻike pololei ana i kahi o ka paʻa. ʻO kekahi lāʻau lapaʻau no nā paʻa koʻikoʻi, ʻo ia ka angioplasty . Pili kēia i ka wehe ʻana i nā waihona momona mai nā paia o ke kīʻaha koko, e hoʻonui ana i ke kahe o ke koko. Ma hope o ka angioplasty, hiki ke kau ʻia kahi stent e mālama i ke kīʻaha koko e wehe.

ʻO ka maʻamau, pololei ka ultrasound Carotid. Eia nō naʻe, i kekahi manawa hiki iā ia ke hōʻike i kahi poloka i ʻole maoli. Eia kekahi, hiki i ka ʻike o ka sonographer ke hana i kahi ʻokoʻa. ʻIke pinepine kēia scan i nā pilikia koʻikoʻi ma mua o nā mea liʻiliʻi. No laila, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi hou aʻe, e like me ka cerebral angiography , CT angiography (CTA) , a i ʻole magnetic resonance angiography (MRA) . I ​​kekahi manawa, hiki i nā iwi ma kou ʻāʻī ke ālai i ka ultrasound mai ka ʻike ʻana i nā ʻāpana o kou carotid artery. ʻAʻole hiki i ka ultrasound ke "ʻike" ma o ka iwi.

Nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hahau ʻana

E hoʻoholo pū kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe ma muli o nā kumu pilikia ʻē aʻe i loaʻa iā ʻoe. ʻOi aku kou pilikia o ka hahau ʻana inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Ke koko kiʻekiʻe
• Kolesterol kiʻekiʻe
• Maʻi diabetes
• ʻO ka maʻi ʻaʻai peripheral (PAD)
• ʻO ka fibrillation atrial (ka puʻuwai puʻuwai kūpono ʻole)
• Maʻi ʻeha o ke kelepona ʻokiʻoki
• Momona
• Maʻi puʻuwai

ʻO ka hoʻohana ʻana i nā huahana paka, ka ʻai ʻana i nā meaʻai momona a me ka paʻakai, a me ka hana ʻole e hoʻonui i ka pilikia o ka hahau ʻana.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

I kekahi manawa, hiki i kahi radiologist ke kamaʻilio me ʻoe i ka lā hoʻokahi a haʻi iā ʻoe i nā hopena. I kekahi manawa, e hoʻouna ka radiologist i nā hopena ultrasound carotid i kāu kauka, nāna e haʻi iā ʻoe e pili ana iā lākou i loko o kekahi mau lā.

Pono ʻoe e ʻike hou i ke kauka?

Inā ʻaʻole ʻoe i loaʻa i kāu mau hopena ultrasound carotid i kekahi mau lā, e kamaʻilio me kāu kauka e pili ana i ia mea. Ma hope o kou loaʻa ʻana o kāu mau hopena, inā he mau nīnau kāu e pili ana i ka lāʻau i kuhikuhi ʻia iā ʻoe, e kamaʻilio me kāu kauka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He ala maʻalahi ka Carotid Ultrasound e ʻike ai inā he poloka a i ʻole he ʻūmiʻi i loko o kou mau aʻa carotid. ʻAʻohe ʻeha a ʻaʻole lōʻihi ka hana ʻana.Inā ʻike kāu kauka he ʻūlū kou mau kīʻaha koko, pono paha ʻoe e hana i kekahi mau hoʻololi i kou nohona. ʻOiai inā kūpono kekahi mea e like me ke ʻoki kino iā ʻoe, hiki nō iā ʻoe ke hōʻemi i kou pilikia o ka hahau ʻana ma ka lawe ʻana i nā ʻano olakino maikaʻi . Ma mua o kou ʻike ʻana, e lilo kēia mau hoʻololi olakino i ʻāpana o kou ola, a ʻaʻole pono ʻoe e noʻonoʻo e pili ana iā lākou, e lilo wale lākou i mea maʻamau.

No laila, inā noi kāu kauka iā ʻoe e hana i kēia ʻano hoʻāʻo, mai makaʻu e hoʻomau me ia. He kōkua nui ia i kou olakino!

ʻO ke kani ʻana o Carotid, nā kīʻaha koko ma ka ʻāʻī, ka hahau ʻana, ka nānā ʻana o Doppler, nā waihona momona, ka cholesterol, ke koko kiʻekiʻe