Ua ʻike anei ʻoe i kahi ʻeha iki ma kou umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka puʻuwai puʻuwai ʻē aʻe? I kēlā manawa, ke hele ʻoe e ʻike i ke kauka, ua lohe paha ʻoe iā ia e ʻōlelo ana, "E hana kākou i kahi scan puʻuwai." He aha maoli ka scan puʻuwai, a i ʻole ke kiʻi ʻana i nā kiʻi? He aha ka mea e nānā ai kēia mau hoʻokolohua? He mea anei ia e makaʻu ai? ʻAe, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha ke kiʻi ʻana o ka puʻuwai?
I ka ʻōlelo maʻalahi, ʻo ke kiʻi ʻana o ka puʻuwai kahi huaʻōlelo laulā no nā ʻano hana like ʻole i hoʻohana ʻia e kiʻi i nā kiʻi o kou puʻuwai a me nā kīʻaha koko a me nā ʻiʻo a puni ia. E like me ke kiʻi ʻana i kahi kiʻi me kāu kelepona, hiki i kēia mau ʻano hana i nā kauka ke ʻike maopopo i ka mea e hana nei i loko o kou puʻuwai, inā paha e hana olakino ana, a inā paha he pilikia ma kekahi wahi.
ʻAʻole kēia he hoʻāʻo hoʻokahi. Pili ia i kekahi mau ʻano hoʻāʻo like ʻole a kāu kauka e hoʻoholo ai ma muli o kou kūlana. I kekahi manawa, hiki ke hana ʻia ʻelua a ʻekolu paha mau hoʻāʻo e kiʻi i kahi kiʻi piha o ke olakino o kou puʻuwai.
No ke aha e kauoha ai ke kauka i kēlā ʻano hoʻokolohua?
Aia kekahi mau kumu e paipai ai ke kauka i kēia ʻano hoʻāʻo. E noʻonoʻo, ke hana nei ka ʻenekini o kāu kaʻa i kahi leo ʻē, akā ʻaʻole hiki iā ʻoe ke ʻike i ke kumu. A laila ʻo ka mea maikaʻi loa e hana ai, ʻo ia ka wehe ʻana i ka pāpale a nānā i ka ʻenekini. ʻO ia ka mea like.
Eia kekahi o nā kumu nui:
- Nānā ʻana no ka maʻi puʻuwai: Hiki i kēia mau hoʻokolohua ke kōkua i ka ʻike ʻana i nā pilikia puʻuwai ma mua o ka puka ʻana o nā hōʻailona.
- E ʻike pololei i kahi maʻi (Diagnosis): Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma a me ka paʻakikī o ka hanu ʻana, he mea nui kēia e hoʻoholo ai inā he pilikia puʻuwai ke kumu, a inā pēlā, he aha ia.
- E loiloi i ka nui o ka pōʻino: Inā hiki koke mai kahi hōʻeha puʻuwai, kōkua kēia mau hoʻāʻo e ana pololei i ka nui o ka pōʻino i ka puʻuwai.
- E ana i ka holomua o ka lāʻau lapaʻau: Hana ʻia kēia mau hoʻokolohua e ʻike ai inā e hoʻomaikaʻi ana ke kūlana o ka puʻuwai o kahi mea e loaʻa ana i ka lāʻau lapaʻau no ka maʻi puʻuwai a inā e hana pono ana ka lāʻau lapaʻau.
He aha nā ala nui e kiʻi ai i nā kiʻi o ka puʻuwai?
ʻAe, e nānā kākou i kēia mau ʻano hoʻāʻo nui. He ʻokoʻa kēlā me kēia. ʻO ka mea a kekahi e hoʻāʻo ai, ʻaʻole ia ka mea a kekahi e hoʻāʻo ai. No laila, e koho kāu kauka i ka hoʻāʻo kūpono loa iā ʻoe.
| Inoa Hoʻāʻo | I ka ʻōlelo maʻalahi, eia kāu e hana ai ... |
|---|---|
| ʻEchocardiogram (Echo) | Hoʻohana ʻia ka Ultrasound e hana i kahi wikiō o ka puʻuwai. Nānā ia i nā keʻena o ka puʻuwai, nā valves, a me ka hiki ke pamu. |
| ʻO ka Tomography Computed Cardiac (CT) | Hoʻohui ʻia kekahi mau kukuna X kūikawā e hana i nā kiʻi kikoʻī ʻekolu-dimensional (3D) o ka puʻuwai. He ala maikaʻi ia e ʻike ai i nā ālai ʻana i nā kīʻaha koko. |
| Hoʻāʻo Hoʻoluhi Puʻuwai Nuklea (PET/SPECT) | Hoʻokomo ʻia kahi liʻiliʻi o kahi mea radioactive ʻino ʻole (tracer) i loko o ke kino a nānā ʻia ke kahe o ke koko i ka puʻuwai. Hana ʻia kēia ma ke kaʻawale i ka wā hoʻoikaika kino a me ka wā hoʻomaha. |
| ʻO ka Angiogram Coronary | Hoʻokomo ʻia kahi ʻōmole lahilahi loa (catheter) ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae i loko o ka puʻuwai, hoʻokomo ʻia kahi kala kūikawā, a lawe ʻia kahi wikiō X-ray. ʻO kēia ke ala maikaʻi loa e ʻike ai inā ua ālai ʻia nā aʻa koko o ka puʻuwai. |
| MRI puʻuwai | Hoʻohana ia i nā kahua makeneka a me nā nalu lekiō e hana i nā kiʻi maopopo loa a kikoʻī o ka puʻuwai. ʻAʻole ia e hoʻohana i nā kukuna X. |
| MUGA Scan | Ana pololei ia i ka hana pamu o nā keʻena haʻahaʻa (ventricles) o ka puʻuwai. ʻAʻole hoʻohana pinepine ʻia i kēia manawa. |
He aha ka Echocardiogram (Echocardiogram)?
ʻO kēia ka hoʻāʻo maʻamau. E like me ke scan ʻana o ka pēpē a ka makuahine hāpai, hoʻohana pū kēia i nā nalu kani (ultrasound).No laila, ʻaʻohe hopena radiation ma kou kino. He palekana loa kēia. Hiki i ke kauka ke hoʻohana i kēia e ʻike, e like me ke wikiō ola, inā paha e hana pono ana kou mau keʻena puʻuwai a me nā valves, pehea ka mānoanoa o nā paia o kou puʻuwai, a pehea ka maikaʻi o ka puʻuwai e pamu ana i ke koko.
He aha ka Cardiac CT Scan?
He ʻoi aku ka paʻakikī o kēia ma mua o kahi X-ray maʻamau. E noʻonoʻo e like me ka ʻoki ʻana i kahi berena i mau ʻāpana. Lawe kahi CT scan i nā kukuna X mai nā kihi like ʻole ma o kou puʻuwai a hoʻohui iā lākou ma kahi kamepiula e hana i kahi kiʻi ʻekolu-dimensional (3D) o kou puʻuwai. Hiki i kēia ke hōʻike maopopo inā he mau waihona calcium nā aʻa coronary, ka mea e hoʻolako ana i ke koko i ka puʻuwai, a i ʻole ua ālai ʻia ma kekahi wahi.
E kamaʻilio kākou e pili ana i ka Nuclear Cardiac Stress Test
Makaʻu iki kekahi poʻe ke lohe lākou i kēia inoa. Ke lohe lākou i ka huaʻōlelo "nukleari," manaʻo lākou he mea nui ia. Akā, ʻaʻohe mea e makaʻu ai. ʻO kāu hana, ʻo ia ke hoʻokomo i kahi liʻiliʻi a palekana o ka mea radioactive (tracer) i loko o kou aa. Ke hele pū kēia mea me ke koko i ka puʻuwai, ʻike kahi kāmela kūikawā iā ia a hana i kahi palapala ʻāina o ke kahe koko i nā ʻiʻo puʻuwai.
Hana ʻia kēia hoʻāʻo ma nā ʻāpana ʻelua:
1. Ke hoʻomaha ʻoe.
2. Ke piʻi aʻe kou puʻuwai ma hope o ka hele wāwae ʻana ma luna o ka treadmill a i ʻole ka hoʻoikaika kino (stress).
Ma ka hoʻohālikelike ʻana i kēia mau mea ʻelua, hiki i ke kauka ke hoʻoholo inā ʻaʻole lawa ke koko o kahi ʻāpana o ka puʻuwai i ka wā e hoʻoluhi ʻia ai. ʻO Cardiac PET (Positron Emission Tomography) a me Cardiac SPECT (Single-Photon Emission Computed Tomography) ʻelua mau hoʻokolohua nui o kēia ʻano.
He liʻiliʻi loa ka nui o nā mea radioactive i hoʻohana ʻia i kēia mau hoʻokolohua. Haʻalele ia i ke kino i loko o kekahi mau hola. No laila, mai makaʻu pono ʻole iā ia.
He aha ka Angiogram Coronary?
ʻO kēia ka hoʻāʻo "kūlana gula" no ka nānā ʻana i nā ālai ʻana i nā aʻa o kou puʻuwai. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu, i kapa ʻia he catheter , ma kou pulima a i ʻole kahi aʻa koko i loko o kou lima i loko o kahi kīʻaha koko i loko o kou puʻuwai. A laila hoʻokomo ʻia kahi kala kūikawā ma o ka ʻōmole a lawe ʻia kahi X-ray. Hoʻomaopopo ka kala i nā kīʻaha koko ma ka X-ray. Hiki iā ia ke hōʻike pololei i kahi i hoʻohaiki ʻia ai kahi aʻa koko a i ʻole i ālai loa ʻia. I kekahi manawa, inā loaʻa kahi ālai ʻia, hiki i nā kauka ke hoʻokomo i kahi mea liʻiliʻi e like me ka mesh (stent) e wehe koke iā ia.
He aha ka MRI o ka naʻau?
Ua lohe paha ʻoe i ka MRI. ʻAʻole ia e hoʻohana i nā kukuna X. Akā, hoʻohana ia i nā kahua magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa o ka puʻuwai. (Auē, ua komo malū ʻo Malayalam. Pono e makaʻala. Sinhala wale nō). Hoʻohana ia i nā kahua magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa o ka puʻuwai. He mea pono loa ia no ka ʻike ʻana i nā mea e like me ka hōʻino ʻia o ka ʻiʻo puʻuwai, ka ʻiʻo ʻeha, a me ka pehu ʻana.
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻOkoʻa paha ke ʻano o kāu hoʻomākaukau ʻana ma muli o ka hoʻokolohua āu e loaʻa nei. E hāʻawi kāu kauka a limahana paha o ka haukapila iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. Akā, aia kekahi mau mea maʻamau e hoʻomanaʻo ai.
| ʻŌlelo aʻoaʻo | Wehewehena |
|---|---|
| Meaʻai a me ka mea inu | Pono paha kekahi mau hoʻokolohua iā ʻoe e hoʻokē ʻai no kekahi mau hola. No nā mea e like me nā hoʻokolohua koʻikoʻi, e noi ʻia paha ʻoe e pale i nā meaʻai i loaʻa ka caffeine e like me ke kofe, ke kī, a me ke kokoleka i ka lā ma mua. |
| Nā lole a me nā mea hoʻonani | I ke hele ʻana no nā hoʻokolohua e like me CT a me MRI, e wehe i nā mea hoʻonani a pau, e like me ke gula, ke kālā, a me nā wati, a waiho iā lākou ma ka home. E ʻaʻahu i nā lole ʻoluʻolu me ka ʻole o nā pihi hao a i ʻole nā zippers. |
| ʻIke lapaʻau | E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau i kauoha ʻia, nā mea kūʻai ʻole ʻia, nā huaora, nā mea hoʻohui). E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi olakino ʻē aʻe (ʻoi aku ka maʻi puʻupaʻa) a i ʻole nā maʻi allergies. |
| Nā mea hana i loko o ke kino | Inā loaʻa iā ʻoe kahi pacemaker, nā kiwikā metala, nā koʻokoʻo a i ʻole nā kui i hoʻokomo ʻia i ke ʻoki ʻana, pono ʻoe e hoʻomaopopo i kāu kauka ma mua o ka MRI. |
| Hāpai keiki | Inā hāpai ʻoe a hāpai paha, he mea nui loa ia e hoʻomaopopo i kāu kauka ma mua o ka hana ʻana i nā hoʻokolohua e like me ka X-ray a i ʻole CT scan. |
Aia kekahi mau pilikia i loko o kēia mau hoʻokolohua?
ʻO ka nūhou maikaʻi, he palekana loa ka nui o kēia mau hoʻokolohua. ʻAʻole lākou e pili i nā ʻoki nui e like me ke ʻoki ʻana.
He mea kākaʻikahi ka loaʻa ʻana o kahi hopena maʻi i ka dye i hoʻohana ʻia i loko o kahi angiogram a i ʻole CT scan. Eia nō naʻe, he mea kākaʻikahi loa kēia. Inā ua loaʻa iā ʻoe kēlā ʻano hopena maʻi ma mua, e haʻi mua i kāu kauka e pili ana i ia mea.
Hoʻokomo nā kukuna X a me nā scan CT iā ʻoe i kahi liʻiliʻi o ka radiation, akā palekana ka nui. Kauoha ke kauka i kēia hoʻāʻo no ka mea ʻoi aku ka nui o nā pono ma mua o nā pilikia liʻiliʻi.
Leka Lawe-Home
- ʻO ke kiʻi ʻana o ka puʻuwai ka hui pū ʻana o nā hoʻokolohua like ʻole e kōkua iā ʻoe e nānā hohonu i ke olakino o kou puʻuwai.
- ʻO ka Echocardiogram, CT, MRI, a me Angiogram kekahi o nā hana i hoʻohana pinepine ʻia.
- He mea nui kēia mau hoʻokolohua no ka ʻike mua ʻana i ka maʻi puʻuwai, ka hōʻoia pololei ʻana, a me ke ana ʻana o ka holomua o ka lāʻau.
- Inā noi kāu kauka iā ʻoe e hana i kēia hoʻāʻo, mai makaʻu nui ʻoe. He hana nui ia e mālama ai i ke olakino o kou puʻuwai.
- Ma mua o ka hoʻāʻo ʻana, e nīnau i ke kauka i nā nīnau a kānalua paha āu e pili ana i ia mea.
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