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He aha ke ʻano o ka ultrasound carotid?
I ka ʻōlelo maʻalahi, ua like kēia me kahi scan ultrasound a kahi makuahine e hāpai ana i kahi pēpē. Akā hana ʻia kēia ma nā ʻaoʻao ʻelua o kou ʻāʻī ma kahi o kou ʻōpū. ʻAʻole hoʻohana kēia hoʻāʻo i kekahi radiation. Akā , hoʻohana ia i nā nalu kani alapine kiʻekiʻe e hana i kahi kiʻi o loko o kou carotid artery i hōʻike ʻia ma kahi pale kamepiula. Aia kekahi ʻano hana kūikawā i kapa ʻia ʻo Doppler ultrasound . Hiki iā ia ke ʻike pololei i ka wikiwiki a me ke ʻano o ke kahe ʻana o ke koko ma o kou mau aʻa. Ua like ia me ka nānā ʻana i ke kahe ʻana o ka wai ma o kahi paipu.No ke aha ʻoe e makemake ai e hana i kahi scan e like me kēia?
E kauoha aku kāu kauka i kēia scan ma ke ʻano nui e nānā i nā ʻōpū koko a i ʻole ka hōʻiliʻili ʻana o ka plaque i loko o kou mau aʻa carotid. Hiki i kēia mau plaque ke hoʻohaiki mālie i ke aʻa a hiki i ka wā e ālai loa ai. Hoʻonui kēia i kou pilikia o ka hahau ʻana. Hiki i kāu kauka ke paipai i kēia hoʻāʻo ma nā kūlana aʻe:| Ke kumu o ke scan | He wehewehe maʻalahi |
|---|---|
| Loaʻa ke koko kiʻekiʻe a i ʻole ka cholesterol | ʻO kēia mau kūlana ʻelua ke kumu nui o nā waihona momona i loko o nā paia o ke aʻa. |
| Loaʻa i kahi hahau mua a i ʻole TIA | Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o kahi hahau mua, nui a liʻiliʻi paha, a i ʻole ka hoʻouka kaua ischemic transient (TIA). |
| Loaʻa i ka maʻi diabetes | Hoʻopōʻino ka maʻi diabetes i nā kīʻaha koko a hoʻonui i ka pilikia o ko lākou hāiki ʻana. |
| Loaʻa kahi moʻolelo ʻohana o ka maʻi puʻuwai a i ʻole ka hahau ʻana | Hiki ke hoʻonui ʻia ka pilikia ma muli o nā mana genetic. |
| Ke lohe nei i kahi kani ʻē (bruit) ke kau ʻia ka stethoscope ma luna o ke aʻa carotid | Ke haiki ke aʻa, lohe paha ʻoe i kahi leo "shhh..." i ke kahe ʻana o ke koko ma loko. He hōʻailona kēia o kahi paʻa. |
| Ma mua o ke ʻoki ʻana i ke aʻa coronary | He mea nui e ʻike i ke kūlana o nā kīʻaha koko e hoʻolako koko i ka lolo ma mua o ke ʻoki ʻana. |
| Ma hope o ka mālama ʻia ʻana no ka hoʻohaiki ʻana o kahi aʻa | He mea pono kēia e ʻike ai inā ua holomua ka lāʻau a inā he hoʻi hou ʻana. |
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Check Availability →Pehea e hoʻomākaukau ai ma mua o ke scan?
ʻO kēia ka ʻāpana maikaʻi loa. ʻAʻohe hoʻomākaukau kūikawā e pono ai no kēia scan. ʻAʻole pono ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka lawe ʻana i kekahi lāʻau lapaʻau (akā e nānā me kāu kauka e hōʻoia). Akā ʻoi aku ka maʻalahi inā ʻoe e hoʻomanaʻo i kekahi mau mea:- E ʻaʻahu i nā lole ʻoluʻolu a paʻa hoʻi me ka ʻāʻī ākea. Inā ʻoe e ʻaʻahu i nā lole paʻa e uhi ana i kou ʻāʻī, pono paha ʻoe e ʻaʻahu i ka lole haukapila.
- Mai komo i nā lei nui a i ʻole nā apo pepeiao. Hiki i kēia ke hoʻopilikia i ke kiʻi ʻana .
He aha ka mea e hana ʻia i ka wā o ke scan? He mea maʻalahi loa ia!
ʻO ka maʻamau, he 30 a 45 mau minuke ka lōʻihi o ka hoʻāʻo ʻana. E noʻonoʻo ʻoe e moe mālie ana ma luna o kahi moena i loko o ka lumi hoʻokolokolo. 1. Ke kau ʻana i kahi gel: ʻO ka mea mua, e kau ka sonographer i kahi gel moakaka ma nā ʻaoʻao o kou ʻāʻī. Manaʻo paha he mehana iki. Kōkua kēia gel i nā nalu kani e hele ma kou ʻili a i loko o kou mau aʻa. 2. Ke nānā ʻana: A laila, e kau ʻo ia i kahi mea liʻiliʻi, lima lima (transducer) ma kou ʻāʻī a hoʻoneʻe iā ia i mua a i mua. Hoʻouna kēia mea hana i nā nalu kani a lawe i nā nalu e hoʻi mai ana. A laila hoʻololi ʻia kēia ʻike i nā kiʻi e kahi kamepiula. 3. E noho mālie: No nā hopena maikaʻi loa, he mea nui e noho mālie i ka wā o ke scan. 4. E lohe ʻia anei kekahi leo? ʻAʻohe leo i ka wā o ka ultrasound maʻamau. Akā i ka wā o ka ʻāpana Doppler, kahi e nānā ai i ke kahe ʻana o ke koko, lohe paha ʻoe i kahi leo "s…s…s…..." rhythmic. ʻO ia ke kani o ke koko e kahe ana i loko o kou aʻa. ʻAʻohe mea e hopohopo ai. Ke pau ke scan, e hāʻawi ʻia ʻoe i kahi kāwele e holoi i ka gel. A laila hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau. ʻAʻole pono kahi hoʻomaha kūikawā.Aia kekahi pilikia i loko o kēia?
ʻAʻohe pilikia i kēia hoʻāʻo. ʻAʻohe ʻeha. ʻAʻohe radiation . Hiki iā ʻoe ke manaʻo i kahi kaomi iki ke kaomi ʻia ka hāmeʻa i kou ʻāʻī, akā ʻaʻohe ʻeha iki. No laila, mai makaʻu i kēia.
He aha ka ʻōlelo a ka hōʻike ? E hoʻomaopopo kākou i nā hopena
ʻO ka hōʻike a kāu kauka e loaʻa ai e haʻi nui iā ʻoe i ka nui o kou aʻa carotid i ālai ʻia. Hōʻike ʻia ia ma ke ʻano he pakeneka.- Hopena Maʻamau: ʻO ke ʻano kēia, ʻaʻohe ʻano haiki nui a i ʻole ke ālai ʻana i loko o kou mau aʻa, a ke kahe maikaʻi nei ke koko . He nūhou maikaʻi kēia!
- Hopena Maʻamau ʻole: ʻO ke ʻano kēia he paʻa kekahi ʻano o kekahi a i ʻole nā ʻalā ʻelua. Ua kapa ʻia kēia hōʻiliʻili momona he atherosclerosis . Hoʻonui kēia ʻano i ka pilikia o ka hahau ʻana.
Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?
Mai hopohopo. ʻOiai inā he paʻa, nui nā mea hiki ke hana ʻia e pili ana i ia mea. Aia ka lāʻau lapaʻau i ka nui o ke paʻa a me nā hōʻailona āu e loaʻa nei. Hoʻoholo ʻia kēia e kāu kauka .Inā he ʻoi aku ka liʻiliʻi o ka paʻa ʻana:
I kēia manawa, ʻaʻole e hele ke kauka no ke ʻoki kino. Akā, e paipai ʻo ia i nā hoʻololi o ke ʻano o ka nohona a me nā lāʻau lapaʻau.- Nā loli o ke ʻano o ka nohona:
- Kaohi ʻai : E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka paʻakai, a me ke kō, a e ʻai i nā mea kanu, nā huaʻai, a me nā meaʻai waiwai i ka fiber.
- Hoʻoikaika Kino: E hoʻomaʻamaʻa i ka hana ʻana i nā hoʻoikaika kino maʻalahi, e like me ka hele wāwae i kēlā me kēia lā.
- E ho'ōki i ka puhipaka : Hoʻopōʻino ka puhipaka i nā aʻa koko.
- Nā ʻano lāʻau lapaʻau:
- Nā lāʻau hoʻohaʻahaʻa kolesterol (e.g., statins )
- Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (e like me Aspirin, Clopidogrel )
- Nā lāʻau lapaʻau koko ( Antihypertensives )
Inā he ʻoi aku ka paʻa o ka pilikia:
Inā ua ālai nui ʻia ke aʻa, ʻo ia hoʻi ma mua o 50%-60%, a ke ʻike nei hoʻi ʻoe i nā hōʻailona, hiki i kāu kauka ke ʻōlelo i kekahi o nā lāʻau lapaʻau aʻe.- Carotid Endarterectomy: He ʻoki kino kēia. E like me ka wehe ʻana i kahi mea i ālai ʻia mai kahi paipu, ua wehe ʻia ke aʻa a ua wehe ʻia ka papa momona (plaque) i loko.
- ʻO Angioplasty a me Stenting: Pili kēia i ka hoʻopiha ʻana i kahi pōpō i loko o ke aʻa i haiki ʻia e hoʻonui iā ia. A laila, hoʻokomo ʻia kahi mea liʻiliʻi e like me ka mesh ( stent ) e pale aku ai i ka pani hou ʻana.
Leka Lawe-Home
- He scan palekana loa a ʻeha ʻole ka carotid ultrasound e nānā ana i ke kūlana o nā aʻa ma ka ʻāʻī e lawe ana i ke koko i ka lolo.
- Hiki i kēia ke kōkua i ka ʻike ʻana i nā ālai mua i loko o nā aʻa e hiki ai ke alakaʻi i ka hahau ʻana.
- ʻAʻole pono ka hoʻomākaukau kūikawā i ka hoʻāʻo ʻana, ʻaʻohe pilikia a i ʻole nā hopena ʻaoʻao.
- Ma muli o nā hopena o ka hoʻokolohua, hiki i ka lāʻau lapaʻau ke komo pū me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i ʻole, inā pono, ke ʻoki kino.
- E kūkākūkā mau i kāu mau hopena hoʻāʻo a me ka lāʻau lapaʻau e hiki mai ana me kāu kauka . E hāʻawi lākou iā ʻoe i ke alakaʻi maikaʻi loa.
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