Ua haʻi aku anei kekahi kauka iā ʻoe e hana i kahi "vascular ultrasound" a i ʻole "vascular mapping"? Malia paha ua loaʻa iā ʻoe ke ʻoki bypass a i ʻole ke dialysis nei ʻoe no ka mea ua hāʻule kou mau puʻupaʻa. ʻOiai ke kani iki nei ka inoa he mea paʻakikī, he hoʻāʻo maʻalahi loa ia a ʻeha ʻole. I ka pololei, he "palapala ʻāina" ia e hōʻike maopopo ana i nā kīʻaha koko i loko o kou kino. No laila e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī.
I ka ʻōlelo maʻalahi, he aha ka Arterial and Venous Mapping?
ʻO kēia ka mea i kapa pinepine ʻia ʻo 'Vein Mapping'. He scan ultrasound maoli kēia. Ua ʻike paha ʻoe i nā hōʻike scan o kahi makuahine hāpai, a ʻo ia ka ʻenehana like i hoʻohana ʻia ma ʻaneʻi. Lawe kēia hoʻāʻo i nā kiʻi o kou mau aʻa a me nā veins .
I ka ʻōlelo maʻalahi:
- He mau kīʻaha koko nui nā aʻa e lawe ana i ke koko maʻemaʻe mai ka puʻuwai a i nā ʻāpana ʻē aʻe o ke kino.
- ʻO nā aʻa koko he mau kīʻaha koko e lawe ana i ke koko haumia i ka puʻuwai mai nā wahi like ʻole o ke kino.
No laila, ʻo ka hana a kēia hoʻāʻo ʻana, ʻo ia ke hana i kahi "palapala ʻāina" o nā aʻa a me nā veins i loko o kou lima a i ʻole kou wāwae, me ke olakino o nā aʻa a me nā veins, ka wikiwiki o ko lākou kahe koko, inā ua ālai ʻia lākou ma nā wahi āpau, a pehea ko lākou nui. He mea nui loa kēia palapala ʻāina i nā kauka, e like me ka puke alakaʻi.
No ke aha mākou e pono ai e hana i kēia ʻano hoʻokolohua?
Hana ʻia kēia hoʻāʻo no ʻelua mau kumu nui. ʻO kekahi e hoʻolālā mua no kekahi mau ʻoki kino , a ʻo kekahi e ʻike pololei i kekahi mau maʻi .
E ʻike pono kākou i kēia mau manawa kūpono.
| manawa kūikawā | No ke aha he mea nui ka hoʻāʻo? |
|---|---|
| Ma mua o ke ʻoki ʻana i ke aʻa coronary bypass | Ke ālai ʻia kahi kīʻaha koko i loko o ka puʻuwai e nā waihona momona, pono e hana ʻia kahi ala hou (bypass) e kāpae iā ia. Hana ʻia kēia ma ka lawe ʻana i kahi kīʻaha koko olakino mai kahi ʻāpana ʻē aʻe o ke kino (ʻo ka wāwae maʻamau) a hoʻoili iā ia. No laila, ma mua o kēia ʻoki kino, he mea nui kēia palapala ʻāina e ʻike i ke kīʻaha koko maikaʻi loa, ikaika loa, a olakino hoʻi e hoʻoili ai iā ia. |
| Ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka dialysis (Dialysis) | No kekahi kanaka me ka hāʻule ʻana o nā puʻupaʻa e hana i ka dialysis, pono e lawe ʻia ke koko mai ke kino, e hoʻomaʻemaʻe ʻia e kahi mīkini, a laila hoʻihoʻi ʻia i ke kino. Pono kēia i kahi wahi komo me ke kahe koko wikiwiki. No kēia, hoʻopili nā kauka i kahi aʻa a me kahi aʻa i kou lima (he fistula). No laila, he mea kōkua nui kēia hoʻāʻo i ke koho ʻana i ke aʻa a me ka aʻa maikaʻi loa a ikaika loa no ia. |
| ʻO ke ʻoki kino peripheral vascular bypass | E like me ka puʻuwai, hiki ke ālai ʻia nā kīʻaha koko ma nā lima a me nā wāwae e nā waihona momona. Ua kapa ʻia kēia he Peripheral Artery Disease (PAD). I kēlā hihia, hana ʻia ke ʻoki bypass e kāpae i ka ālai ʻana. Hana ʻia kēia hoʻāʻo e ʻike i kahi kīʻaha koko olakino. |
| No ka ʻike ʻana i kekahi mau maʻi | Hoʻohana ʻia hoʻi ia no ka ʻike ʻana i kekahi mau maʻi o ke kīʻaha koko. No ka laʻana, hiki iā ia ke nānā i nā kūlana e like me nā waihona momona i loko o nā paia o ke kīʻaha koko (atherosclerosis) a me nā ʻōpū koko i loko o nā aʻa (deep vein thrombosis - DVT). |
ʻO wai ka mea e hana nei i kēia hoʻokolohua?
Hana ʻia kēia hoʻāʻo e kahi loea ultrasound i aʻo kūikawā ʻia i nā scan ultrasound. ʻO ia ka mea nāna e lawe i nā kiʻi e pono ai. A laila, nānā ke kauka vascular i nā kiʻi a hoʻomākaukau i kāu hōʻike, kahi i hoʻouna ʻia i kāu kauka lapaʻau.
Pehea e hana ai kēia hoʻāʻo?
He mea maʻalahi loa ia. Hoʻouna kahi mīkini ultrasound i nā nalu leo alapine kiʻekiʻe hiki ʻole iā mākou ke lohe ma o nā ʻiʻo o ke kino. Lele nā nalu leo mai ke kino a lele hou (echoes). Hoʻopili ka mīkini i nā nalu leo i hōʻike ʻia a hoʻolilo iā lākou i mau kiʻi ma ka pale kamepiula.
ʻO ka palapala ʻāina ʻana o nā aʻa e pili ana i ka hoʻouna ʻana i kēia mau nalu kani i kahi i loaʻa ai kou mau kīʻaha koko. Hoʻokuʻu kēia mau nalu kani i nā hunaola koko ʻulaʻula e hele ana i loko o nā kīʻaha koko a hoʻi hou.Ana ka mīkini i ke kahe o ke koko ma muli o ka wikiwiki o ke kahe ʻana o ke koko a hana i kahi kiʻi maopopo o nā kīʻaha koko ma ka pale. Hiki iā ia ke ʻike i nā mea āpau mai ka nui o nā kīʻaha koko, ko lākou ʻano, a me ka wikiwiki o ke kahe ʻana o ke koko.
Pono anei iaʻu e hoʻomākaukau i kekahi mea ma mua o ka hoʻokolohua?
ʻAʻole, ʻaʻohe hoʻomākaukau kūikawā e pono ai. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau.
Akā, aia kekahi mau mea e hoʻomanaʻo ai:
- Pono ʻoe e komo i ka ʻaʻahu haukapila ma mua o ka hoʻokolohua.
- Pono ʻoe e wehe i nā mea hoʻonani a pau āu e ʻaʻahu nei, no laila ʻoi aku ka maikaʻi o ka waiho ʻana ma ka home inā hiki.
- Hana pinepine ʻia kēia hoʻāʻo ma kahi kikowaena kiʻi kūikawā ma kahi haukapila a i ʻole ke kikowaena olakino.
ʻO ka maʻamau, hiki i kēia hoʻāʻo holoʻokoʻa ke hala ma waena o 30 a 90 mau minuke .
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
E nānā kākou i nā mea e hana nei i kēlā me kēia ʻanuʻu i kēia manawa.
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma ka papa hoʻokolohua.
2. A laila, hoʻopili ke loea i kahi gel wai-hoʻoheheʻe ʻia i ka ʻili o ka wahi e hoʻāʻo ʻia nei (lima a wāwae paha). ʻAʻole e hōʻeha kēia gel i ka ʻili a ʻaʻole hoʻi e hoʻohaumia i nā lole.
3. A laila, e lawe ʻo ia i kahi mea liʻiliʻi i kapa ʻia he transducer a kau iā ia ma luna o ka ʻāpana i uhi ʻia i ka gel a hoʻoneʻe iā ia i mua a i mua. Hoʻouna kēia mea hana i nā nalu leo a lawe i nā nalu e hoʻi mai ana. I ka manawa like, hana ʻia nā kiʻi o kou mau kīʻaha koko ma kahi pale kamepiula.
4. E paʻa ka loea i kēia mea hana ma ka ʻili a hiki i ka loaʻa ʻana o ka ʻike āpau e pono ai.
5. Mea nui: Inā e hana ʻia kēia hoʻāʻo ma mua o ke ʻoki ʻana, hiki i ke kauka ʻenehana ke kaha i kekahi mau wahi ma kou ʻili me kahi peni . Hana ʻia kēia mau māka e kōkua i ke kauka ʻoki e ʻike i kahi kikoʻī o ke kīʻaha koko. Mai holoi i kēia mau māka ma mua o ke ʻoki ʻana no kekahi kumu . Inā mae nā māka ma hope o ka ʻauʻau ʻana, hiki i ke kauka ʻoki ke hāʻawi iā ʻoe i kahi peni a noi iā ʻoe e hoʻopili hou iā lākou.
Aia kekahi pilikia i loko o kēia?
ʻAʻole. ʻO kēia ka mea maikaʻi loa e pili ana i kēia hoʻāʻo. ʻAʻole hana ka palapala ʻāina vein i nā hopena ʻino.
He hoʻāʻo ʻeha ʻole kēia, ʻaʻohe pilikia, a palekana hoʻi. No laila, ʻaʻohe kumu e makaʻu ai.
ʻAʻohe nila, nā kala, nā anesthesia, a i ʻole nā ʻoki ʻili i loko o kou kino. ʻAʻohe mea e pili ana i ka radiation, e like me kekahi mau scans ʻē aʻe, e like me nā X-ray.
Āhea wau e loaʻa ai ka hōʻike?
Ma hope o ka hoʻāʻo ʻana, e holoi ke loea i ka gel mai kou ʻili. A laila hiki iā ʻoe ke ʻaʻahu maʻamau a hoʻi i ka home a i ʻole e hele i ka hana. ʻAʻohe manawa hoʻomaha e pono ai.
E nānā ke kauka loea vascular i kāu mau scan, e hoʻomākaukau i kahi hōʻike piha, a hoʻouna aku i kāu kauka lapaʻau. ʻO ka maʻamau, e loaʻa i kāu kauka kēia hōʻike i loko o kekahi mau lā. I ka manawa aʻe e ʻike ai ʻoe iā ia, e wehewehe ʻo ia i nā hopena iā ʻoe.
Eia nō naʻe, i kekahi manawa, inā manaʻo ʻia he kūlana wikiwiki a hoʻoweliweli i ke ola (e like me DVT), hiki i ke kauka ke hana koke i kēia hoʻāʻo. I kēlā hihia, hiki iā ʻoe ke ʻike koke i nā hopena.
Leka Lawe-Home
- He scan ultrasound maʻalahi a ʻeha ʻole ka Arterial and Venous Mapping e nānā ai i ke olakino o kou mau kīʻaha koko (nā aʻa a me nā veins).
- Hoʻokumu kēia i kahi "palapala ʻāina" o kou mau kīʻaha koko, he mea nui loa ia no nā kauka e hoʻolālā i nā ʻoki kino a me ka ʻike ʻana i nā maʻi.
- He mea nui paha kēia hoʻāʻo ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka dialysis, ʻoiai no ke ʻoki ʻana i ka puʻuwai .
- ʻAʻohe pilikia, hopena ʻaoʻao, a i ʻole ka radiation i komo i kēia hoʻāʻo, no laila mai hopohopo no ia.
- Ma hope o ka hoʻāʻo ʻana, e kamaʻilio ākea me kāu kauka e pili ana i kāu mau hopena a me nā hana aʻe. Mai kānalua e nīnau i kāu mau nīnau.











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