Ua hele anei ʻoe e ʻike i ke kauka no ka mea ua ʻeha kou umauma a i ʻole ka pōkole o ka hanu a ua haʻi lākou iā ʻoe e kiʻi i kahi CT scan o kou puʻuwai? Ua makaʻu iki paha ʻoe a hoihoi i ke ʻano o ia mea, pehea e hana ʻia ai, a inā e ʻeha. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i ka CT scan o kou puʻuwai, a i ʻole Cardiac CT scan, ma ke ʻano maʻalahi loa. He hoʻāʻo kēia e hāʻawi maoli i kāu kauka i ka ʻike waiwai nui e pili ana i ke olakino o kou puʻuwai, a ʻaʻole ia he mea e makaʻu ai.
He aha ke ʻano o ka CT scan o ka puʻuwai?
I ka ʻōlelo maʻalahi, he hoʻāʻo X-ray kūikawā kēia e lawe ana i kahi kiʻi ʻekolu-dimensional (3D) o kou puʻuwai. Ua like ia me ka lawe ʻana i nā kiʻi maopopo he nui o kou puʻuwai, nā kīʻaha koko nui e pili ana iā ia, a me nā mea a puni ia i ka manawa hoʻokahi.
ʻO kēia ka hoʻouna ʻana i kekahi mau kukuna X-ray ma o kou kino mai nā kihi like ʻole a me ka hoʻohui ʻana i ka ʻikepili me kahi kamepiula e hana i kahi kiʻi 3D maopopo loa a kikoʻī. I kekahi manawa, no ka hoʻomālamalama hou ʻana i kēia mau kiʻi, ua hoʻokomo ʻia kahi wai kūikawā i kapa ʻia he dye contrast i loko o kahi aa koko ma kou lima. Hoʻomaopopo maikaʻi kēia wai i kou mau kīʻaha koko a me nā ʻāpana o kou puʻuwai ma ke scan. Hiki i kēia ʻano hana ke hana i nā kiʻi maopopo loa a kiʻekiʻe hoʻi, ʻoiai kou puʻuwai e kuʻi ana.
He aha ka mea hiki ke ʻike ʻia e kēia scan?
ʻO nā kiʻi i loaʻa ma hope o kēia scan e ʻae i kāu kauka e ʻike i nā mea he nui e pili ana i kou puʻuwai. ʻO nā mea nui:
- ʻO nā aʻa coronary, e hoʻolako i ke koko i kou puʻuwai: Hiki ke nānā ʻia kēia mau kīʻaha koko no ka plaque, blockage, a i ʻole ka hoʻohaiki ʻana.
- Nā keʻena puʻuwai, nā ʻiʻo a me nā kiwikā: Hiki ke ʻike ʻia ka nui o nā keʻena puʻuwai, ka hana o nā ʻiʻo, a inā e hana pono ana nā kiwikā.
- Nā aa koko pulmonary: Hiki iā ʻoe ke ʻike i nā aa koko e lawe ana i ke koko mai nā māmā i ka puʻuwai.
- ʻAorta Thoracic: ʻO kēia ke kīʻaha koko nui e hoʻomaka ana ma ka puʻuwai a hiki ke hoʻohana ʻia e nānā i nā pilikia, e like me nā aneurysms a i ʻole ka haehae ʻana i kona paia (dissection).
- Pericardium: Hiki ke nānā ʻia ka membrane lahilahi e hoʻopuni ana i ka puʻuwai e ʻike inā he hōʻiliʻili wai a inā paha ua mānoanoa (calcification).
I nā kūlana hea e haʻi aku ai ke kauka iā ʻoe e hana i kēia scan?
Hiki i ke kauka ke ʻōlelo aku i kēia scan ke pono lākou e aʻo hou aku i ka ʻike hohonu a maopopo e pili ana i ka puʻuwai i hiki ʻole i nā hoʻokolohua ʻē aʻe ke loaʻa. Eia kekahi laʻana:
- E ʻimi i ke kumu pololei o ka ʻeha o kou umauma a i ʻole ka pōkole o ka hanu .
- E nānā e ʻike inā he calcium a i ʻole nā waihona momona (plaque) nā kīʻaha koko o kou puʻuwai, ua haiki, a ua ālai ʻia paha.
- NāuE nānā pehea e hana ai nā valves o ka puʻuwai.
- E nānā inā he pilikia me ka aorta , e like me nā aneurysms a i ʻole ka dissection .
- E hoʻolālā mua no ke ʻoki puʻuwai hāmama a i ʻole ke ʻoki robotic.
- E hoʻolālā i nā lāʻau lapaʻau hou, e like me nā kaʻina hana valve transcatheter .
- E hoʻolālā mua no ka mālama ʻana i ka puʻuwai naʻau kūpono ʻole (arrhythmia ablation) .
- E nānā e ʻike inā ua loaʻa kekahi mau pilikia ma hope o nā ʻoki kino a i ʻole nā lāʻau lapaʻau i ʻōlelo ʻia ma luna.
- E ʻike inā he pilikia puʻuwai hānau kou.
- E nānā inā he puʻupuʻu a puʻupuʻu paha i loko a puni paha o ka puʻuwai a ʻike i kona ʻano.
- E nānā i ka hōʻiliʻili ʻana o ka wai a i ʻole nā waihona calcium i loko o ka pericardium , ke ʻeke e hoʻopuni ana i ka puʻuwai.
He aha ka ʻokoʻa ma waena o ka Cardiac CT a me ka Cardiac MRI?
He nui ka poʻe e huikau nei i kēia mau hoʻāʻo ʻelua. ʻOiai ke kiʻi maopopo nei nā mea ʻelua i nā kiʻi o ka puʻuwai, aia kekahi mau ʻokoʻa ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o lāua.
| Ke kumu o ka hoʻololi | Wehewehena |
|---|---|
| ʻAno o ka mīkini | ʻOi aku ka hāmama o ka mīkini CT ma mua o ka mīkini MRI. Ua like ia me kahi donut nui. Ua like ka mīkini MRI me kahi ʻōmole lōʻihi. |
| Ka manawa i hoʻolilo ʻia | He mau minuke wale nō ka lōʻihi o ka CT scan, akā ʻoi aku ka lōʻihi o ka MRI scan. |
| ʻenehana i hoʻohana ʻia | Hoʻohana ka CT scan i ka radiation X-ray. ʻAʻole hoʻohana ka MRI i ka radiation, akā hoʻohana i kahi kahua magnetic ikaika. |
| Ke kani o ka mīkini | ʻOi aku ka mālie o ka mīkini CT ma mua o ka mīkini MRI. Hana ka mīkini MRI i kahi walaʻau nui. |
| ʻAno Hoʻoluʻu Kūʻē | Inā hoʻohana ʻia kahi dye ʻokoʻa, hāʻawi ʻia kahi dye iodinated no ka CT scan, ʻoiai hāʻawi ʻia kahi dye gadolinium no ka MRI. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke scan?
No ka loaʻa ʻana o nā hopena maikaʻi loa mai kēia scan, pono ʻoe e hoʻomākaukau iki i ka lā ma mua. E hāʻawi ka haukapila iā ʻoe i nā kuhikuhi no kēia, akā e nānā kākou i kekahi mau mea maʻamau e pono ai ʻoe e ʻike.
Nā mea e makaʻala ai i ka wā e ʻai ai a inu ai
- I ka lā o ke scan, mai ʻai i kekahi mea no ʻehā a ʻeono hola ma mua o ke scan. Eia nō naʻe, hiki iā ʻoe ke inu i ka wai.
- Mai inu i kekahi mea i loaʻa ka caffeine i ka lā ma mua a ma ka lā o ke scan. ʻO ke ʻano kēia e pale loa i ke kofe, ke kī, nā mea inu ikehu, a me nā mea inu palupalu i loaʻa ka caffeine. Hiki i ka caffeine ke hoʻonui i kou puʻuwai, e paʻakikī ai ke kiʻi i kahi kiʻi maopopo.
- Eia kekahi , inā ʻoe e hoʻohana ana i nā stimulants (ikaika a i ʻole nā pila ʻai) , mai lawe iā lākou i ka lā ma mua a i ʻole ma ka lā o ke scan.
Nā mea e hoʻomanaʻo ai e pili ana i ka lāʻau lapaʻau
- Inā loaʻa iā ʻoe ka claustrophobia, mai hopohopo. E haʻi mua i kāu kauka e pili ana i ia mea. Hiki iā ia ke hāʻawi iā ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha .
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā mea āu e lawe ai me ke kauoha ʻole ʻia).
- Inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me sildenafil (Viagra® a i ʻole Revatio®) , mai lawe iā lākou i ka lā ma mua a i ʻole ma ka lā o ke scan. ʻO kēia no ka mea hiki iā lākou ke launa pū me kekahi mau lāʻau lapaʻau i hāʻawi ʻia i ka wā o ke scan. Inā ʻaʻole ʻoe maopopo, e nīnau i kāu kauka.
- Inā loaʻa iā ʻoe ka maʻi diabetes , e nīnau i kāu kauka e pili ana i ke ʻano o ka lawe ʻana i kāu lāʻau lapaʻau i ka lā o ke scan. Inā manaʻo ʻoe ua haʻahaʻa kou pae kō koko, e hoʻomaopopo koke i nā limahana.
He aha ka mea e manaʻo ai i ka lā o ke scan?
Ma mua o ke scan, e nīnau aku ke koʻokoʻo iā ʻoe i kekahi mau nīnau. He mea nui e pane pololei ʻoe iā lākou.
- Ua hāpai ʻoe?
- Loaʻa iā ʻoe nā maʻi ʻaleka i ka iodine a i ʻole nā meaʻai kai.Aia kekahi?
- Ke hele nei ʻoe i ka radiation therapy ?
- Inā ʻoi aku ʻoe ma mua o 60 a i ʻole he mau pilikia kou i nā puʻupaʻa , pono paha ʻoe e hana i kahi hoʻāʻo koko e nānā i ka hana o kāu puʻupaʻa ma mua o ka hāʻawi ʻia ʻana o ka dye contrast.
Pehea e hoʻomākaukau ai iā ʻoe iho no ka scan
1. ʻO ka mea mua, pono ʻoe e wehe i kāu mau mea hoʻonani a pau a komo i kahi lole kūikawā i hāʻawi ʻia e ka haukapila.
2. Inā pono ʻoe e hoʻolohi iki i ka helu o kou puʻuwai e loaʻa ai kahi kiʻi maopopo, hiki iā ʻoe ke hāʻawi iā ia i kahi lāʻau lapaʻau.
3. Inā e hāʻawi ʻia kahi kala hoʻohālikelike, e hoʻokomo ke kahu maʻi i kahi ʻōmole liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima.
4. A laila e hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā ma waenakonu o ka mīkini CT.
5. E hoʻomaʻemaʻe ʻia ʻekolu mau wahi o kou umauma a e hoʻopili ʻia ʻekolu mau kāpili liʻiliʻi (electrodes). Hiki paha iā ʻoe ke wehe i kekahi lauoho. E hoʻopili ʻia kēia mau electrodes i kahi mīkini EKG e hoʻopaʻa ana i ka hana uila o kou puʻuwai.
6. Pono ʻoe e mālama i kou mau lima ma luna o kou poʻo i ka manawa a pau e hana ʻia ai ke scan. Aia kou poʻo a me kou mau wāwae ma waho o ka mīkini.
Mai hopohopo, hiki iā ʻoe ke kamaʻilio me nā limahana i ka wā o ke scan. E hāʻawi lākou iā ʻoe i nā ʻōlelo aʻoaʻo āu e pono ai.
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻO ke kaʻina holoʻokoʻa, me ka manawa hoʻomākaukau, hiki ke lawe ma kahi o 30-60 mau minuke, akā ʻo ka scan maoli e emi ma mua o 10 mau minuke.
- E ʻike ʻoe i ka moena āu e moe nei e neʻe mālie ana i loko o ka mīkini ʻano donut.
- Ke hāʻawi ʻia ka dye ʻokoʻa ma o ka IV, he mea maʻamau ka manaʻo ʻana i kahi mehana iki a me kahi ʻono metala i loko o kou waha i kona hele ʻana ma kou kino. E nalo ana kēia i loko o kekahi mau kekona.
- I mea e loaʻa ai nā kiʻi maopopo, he mea nui loa ia e noho mālie . Inā haʻi mai ke limahana iā ʻoe e paʻa i kou hanu no kekahi manawa , e hana pēlā.
Ma hope o ke scan, hiki iā ʻoe ke hoʻi i ka home, ʻai, a hana i kāu mau hana maʻamau. Eia nō naʻe, inā ua hāʻawi ʻia ʻoe i kahi mea hoʻomaha, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home. E wehewehe kāu kauka i nā hopena o ke scan iā ʻoe ma ka lā hoʻokahi a i ʻole i loko o kekahi mau lā.
Aia kekahi mau pilikia me kēia scan?
He hoʻāʻo haʻahaʻa loa ka pilikia o ka CT scan, akā loaʻa paha i kekahi poʻe kahi hopena iki i ka dye contrast a i ʻole nā mea ʻē aʻe i hoʻohana ʻia.
- Nā hopena kūpono o ka Contrast Dye:Loaʻa paha i kekahi poʻe kahi hopena maʻi i kēia. Hiki i kēia ke komo pū me ka maneʻo, ka nausea, ka ʻūhā, a me nā hives. Hoʻopau pinepine kēia mau mea me ka ʻole o ka lāʻau lapaʻau. He mea kākaʻikahi loa, hiki ke loaʻa kahi hopena maʻi koʻikoʻi (anaphylactic reaction) e hoʻoulu ai i ka paʻakikī o ka hanu ʻana. Hiki i kēia ke hoʻoweliweli i ke ola a pono e mālama koke ʻia. Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa, e noi ʻia paha ʻoe e inu i nā wai hou ma hope o ke scan e kōkua i ka hoʻokahe ʻana i ka iodine mai kou kino. Inā he makuahine hānai ʻoe, ʻoi aku ka maikaʻi o ka hoʻopuka ʻana i ka waiū umauma ma mua o ke scan a hānai i kāu pēpē no hoʻokahi a ʻelua paha lā ma hope o ke scan, no ka mea hiki i ka dye i hoʻohana ʻia no ke scan ke komo i loko o kou waiū umauma.
- Pāhawewe: Hoʻohana nā scan CT i nā kukuna X. ʻO ka lōʻihi o ka hoʻopili ʻana i kēia mau kukuna e hoʻonui iki i kou pilikia o ka maʻi kanesa. Eia nō naʻe, no kou palekana, ua mālama ʻia ka nui o ka pāhawewe i hoʻopuka ʻia i ka wā o kēia hoʻāʻo i ka liʻiliʻi loa. No ka mea hiki i nā kukuna X ke hōʻeha i kahi fetus i loko o ka ʻōpū, ʻaʻole ʻōlelo ʻia kēia hoʻāʻo no nā wahine hāpai.
He aha nā hopena a he aha ko lākou manaʻo?
E wehewehe kāu kauka iā ʻoe i ka mea i loko o ka hōʻike āu e loaʻa ai ma hope o ke scan. Ma keʻano laulā, aia ʻelua ʻano hopena.
| ʻAno hopena | He aha kēlā manaʻo? |
|---|---|
| Nā hopena maʻamau | Aia kou puʻuwai a me nā aʻa i ke kūlana maʻamau. Inā ʻo kāu helu calcium he 0, ʻo ia hoʻi, ʻaʻohe ou maʻi aʻa coronary a he haʻahaʻa ka pilikia o ka hōʻeha puʻuwai. |
| Nā hopena maʻamau ʻole |
|
ʻO ka mea hope loa, mai makaʻu i ka Cardiac CT scan, a i ʻole ka mīkini ponoʻī. He hoʻāʻo kēia e hāʻawi ana i ka ʻike waiwai e pili ana i ke kūlana o kou puʻuwai me ka ʻole o ka hana ʻana i kekahi ʻoki i loko o kou kino. No nā hopena maikaʻi loa, e hahai pono i nā ʻōlelo kuhikuhi i hāʻawi ʻia e kāu kauka a me nā limahana o ka haukapila.
Leka Lawe-Home
- ʻO ka cardiac CT scan kahi hoʻāʻo X-ray kūikawā e lawe i nā kiʻi ʻekolu-dimensional (3D) maopopo o kou puʻuwai a me nā kīʻaha koko e hoʻopili ai.
- Hoʻohana ʻia ia no nā mea he nui, e like me ka ʻimi ʻana i ke kumu o ka ʻeha o ka umauma, ka nānā ʻana i nā ʻūpā koko, a me ka hoʻolālā ʻana i ke ʻoki kino.
- He mea nui loa e hahai pono i nā kuhikuhi i hāʻawi ʻia ma mua o ka hoʻāʻo (e pili ana i ka meaʻai, ka mea inu, a me ka lāʻau lapaʻau).
- He hoʻāʻo haʻahaʻa loa kēia, ʻaʻohe ʻeha. He mau minuke wale nō ka lōʻihi o ke scan.
- Inā he mau makaʻu a kānalua paha kou e pili ana i kēia hoʻāʻo, e kamaʻilio ākea me kāu kauka e pili ana.
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