Ke ʻeha mau nei hoʻi kou mau wāwae? Ke manaʻo nei ʻoe e like me ka mae a ʻūlū paha kou mau wāwae ke hele ʻoe no kahi mamao pōkole? A i ʻole he mau aa koko polū kou i loko o kou mau wāwae e pehu ana? Malia paha ua noi kāu kauka iā ʻoe e hana i kahi "Vascular Ultrasound", a i ʻole e like me kā mākou e ʻike nei, he "Doppler Scan". Ua manaʻo paha ʻoe i kahi makaʻu iki i kou lohe ʻana i kēia inoa. He aha kēia scan? Pehea kona ʻano? He ʻeha anei? He mea anei e makaʻu ai? I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, i maopopo ai kāu mau nīnau a pau e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka Vascular Ultrasound?
He scan palekana loa ka Vascular Ultrasound, ʻaʻohe ʻeha. Ua kapa ʻia hoʻi he "Duplex Study," hoʻohana ia i nā nalu kani alapine kiʻekiʻe e kiʻi i kahi kiʻi maopopo o ke kahe ʻana o ke koko ma o nā aʻa a me nā veins i loko o ko mākou kino.
E noʻonoʻo e like me kahi kāmela kūikawā e hana me ke kani e nānā i loko o ko kākou kino. He hoʻāʻo ʻaʻole invasive kēia, ʻo ia hoʻi, ʻaʻohe pōʻino i kou kino, ʻaʻohe ʻoki, ʻaʻohe inikini, ʻaʻohe inikini. No laila, ʻaʻohe kumu e makaʻu ai. Nānā nui kēia inā e holo pono ana ke kahe koko ma o nā kīʻaha koko ma nā wahi e like me kou mau lima, nā wāwae, a me ka ʻāʻī.
I nā hihia hea e ʻōlelo ai ke kauka i kēia scan?
Aia kekahi mau kumu e kauoha ai kāu kauka i kēia hoʻāʻo. ʻO ke kumu nui, ke kānalua nei ʻo ia he pilikia me kou mau kīʻaha koko. E nānā kākou i kekahi o kēia mau kūlana ma ke ʻano maʻalahi me ka hoʻohana ʻana i ka papa ma lalo nei.
| Kūlana | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā ʻūpā koko - e.g. Deep Vein Thrombosis (DVT) | Hoʻokumu ʻia nā ʻūpā koko i loko o nā aa koko hohonu i loko o ke kino, ʻoi aku hoʻi ma nā wāwae. Hiki i kēia ke lilo i mea weliweli. |
| Atherosclerosis - e.g. ʻO ka maʻi ʻaʻai Peripheral (PAD) | Hoʻopili ʻia nā aʻa e lawe ana i ke koko i nā lima a me nā wāwae e ka hōʻiliʻili ʻana o ka plaque, kahi e kaupalena ai i ke kahe o ke koko. |
| Nā ʻaʻa Varicose a me ka hemahema Venous mau loa | Pehu nā aʻa koko o nā wāwae, polū ke ʻano, a ʻaʻole holo pono ke koko ma muli o ka nāwaliwali o nā kiwikā aʻa koko. |
| Maʻi ʻAʻa Carotid | Ka hāiki ʻana o nā aʻa nui ma nā ʻaoʻao ʻelua o ka ʻāʻī e hoʻolako ana i ke koko i ka lolo ma muli o nā waihona momona. Hiki i kēia ke alakaʻi i ka hahau ʻana. |
| Atherosclerosis | Hōʻiliʻili ka momona a me ka cholesterol i loko o nā paia o nā aʻa koko ma nā wahi āpau o ke kino, e lilo ai nā kīʻaha koko i paʻakikī a ololi. |
Kahi mea hou aʻe,
- E nānā inā he maʻamau ke kahe o ke koko i kahi kino ma hope o ka hoʻoili ʻana o kahi kino.
- E nānā i ka holomua o ke ʻoki bypass ma hope o ka hana ʻia ʻana ma nā aa koko.
- Hoʻohana ʻia kēia scan e hoʻoholo ai inā kūpono ʻoe no ka lāʻau e like me ka angioplasty.
He aha nā hōʻailona e pono ai ʻoe i kēia scan?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, ʻoi aku ka nui o ka manawa e ʻōlelo aku ai kāu kauka i kēia scan, no ka mea, he mau hōʻailona paha kēia o ke kahe koko maikaʻi ʻole.
| ʻO ka hōʻailona āu e manaʻo nei | He aha ke ʻano o ia mea |
|---|---|
| ʻEha ma nā wāwae, ʻoiai nā keiki bipi, i ka wā e hele ana (hōʻoluʻolu ma hope o ke kū ʻana no kekahi manawa) | He hōʻailona nui kēia o ka maʻi Peripheral Artery (PAD). Loaʻa kēia ʻeha ke loaʻa ʻole ke kahe koko i nā ʻiʻo i ka wā e hoʻoikaika kino ai. |
| Ke kuni, ke kani ʻana, a i ʻole ka ʻūlū ʻana i nā wāwae | Hiki ke ʻike ʻia nā hōʻailona e like me kēia ke hoʻopilikia ʻia nā aʻalolo ma muli o ke kahe koko maikaʻi ʻole. |
| Nā ʻeha wāwae | Pono kahi ʻeha i kahi lako koko maikaʻi e ho'ōla ai. Ke emi ke kahe o ke koko, ʻaʻole paha e ho'ōla ʻia kahi ʻeha liʻiliʻi no kekahi manawa. |
| ʻOi aku ka pehu o kekahi wāwae, ʻulaʻula, a i ʻole ka mahana ma mua o kekahi | He mau hōʻailona hōʻailona paha kēia o kahi ʻōpū vein hohonu (DVT). |
| Manaʻo e maloʻo ana nā ʻiʻo o nā wāwae (Muscle atrophy) | Ke loaʻa ʻole i nā testicles ka lawa o ke koko a me ka oxygen no kekahi manawa, e emi iho paha ko lākou nui. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, mai mālama iā lākou ma ka home, akā e ʻike pono i ke kauka no ka ʻōlelo aʻo.
Pehea e hoʻomākaukau ai ma mua o ke scan?
ʻO kēia ka ʻāpana maikaʻi loa. ʻAʻohe hoʻomākaukau kūikawā e pono ai no ka Vascular Ultrasound. ʻAʻole pono ʻoe e hoʻokē ʻai a lawe paha i kekahi mau lāʻau lapaʻau kūikawā. Eia nō naʻe, aia kekahi mau mea e hoʻomanaʻo ai:
- Nā lole: E ʻaʻahu i nā lole palupalu a ʻoluʻolu hoʻi. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hōʻike maʻalahi i ka wahi e nānā ʻia ana (e laʻa, ka wāwae, ka lima). E noi ʻia paha ʻoe e hoʻololi i kahi lole haukapila.
- Nā mea hoʻonani: ʻOi aku ka maikaʻi o ka waiho ʻana i nā mea e like me nā mea hoʻonani ma ka home i ka lā o ke scan.
- Manawa: E hōʻea i ka haukapila a i ʻole ke kahua scan ma kahi o 15 mau minuke ma mua o kou manawa i hoʻonohonoho ʻia. E ʻae kēia iā ʻoe e hoʻopau i nā pepa e pono ai me ka ʻole o ka pilikia.
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻAe, e nānā kākou i ka mea e hana ʻia ke hana mākou i ka scan. He hana maʻalahi loa ia.
1. Ke moe ʻana i lalo: ʻO ka mea mua, e hoʻomoe ʻia ʻoe me ka ʻoluʻolu ma ka papa hoʻokolokolo.
2. Ke kau ʻana i ka gel:A laila, hoʻopili ʻia kahi gel e like me ka wai ma kahi e hana ʻia ai ke scan (no ka laʻana, kou wāwae). He anu iki, akā ʻaʻole ia he mea ʻoluʻolu ʻole. Hoʻopili ʻia kēia gel e kōkua i nā nalu kani e hele ma kou ʻili me ka ʻole o ke keʻakeʻa.
3. Ke nānā ʻana: ʻO ka mea aʻe, lawe kahi ʻenehana ultrasound i hoʻomaʻamaʻa kūikawā ʻia i kahi mea liʻiliʻi e like me ka microphone i kapa ʻia he transducer a kau iā ia ma luna o ka ʻili i uhi ʻia i ka gel a hoʻoneʻe iā ia i mua a i mua.
4. Ke lohe ʻana i ke kani: I kēia manawa, e ʻike ʻoe i kahi kaomi iki, akā ʻaʻole ia e ʻeha. Hiki iā ʻoe ke lohe i kahi kani 'whoosh whoosh' ma ka pale kamepiula, e like me ke ʻano o kou puʻuwai e kuʻi ana. Mai hopohopo, ʻo kēia ke kani o ke koko e kahe ana ma kou mau aa koko. ʻO kēia ka mea e hāʻawi i nā kauka i kahi manaʻo o ka wikiwiki a me ke ʻano o ke kahe ʻana o ke koko.
5. Pau: Ke nānā ʻia nā wahi āpau e pono ai, e holoi ke loea i ka gel i hoʻopili ʻia i kou kino. Hiki i ke kaʻina hana holoʻokoʻa ke hala i 30-60 mau minuke.
He aha ka mea e hana ʻia ma hope o ke scan? Pehea e loaʻa ai iaʻu nā hopena?
Ke pau koke ke scan, hiki iā ʻoe ke ala aʻe, hoʻololi i nā lole, a hoʻomau i kāu mau hana maʻamau. ʻAʻohe pono e hoʻi i ka home a i ʻole ka hana. ʻAʻole ʻoe e ʻike i nā hopena ʻaoʻao a i ʻole ka ʻoluʻolu ʻole mai kēia hoʻokolohua.
Nānā pono ʻia nā kiʻi a me ka ʻikepili mai ke kiʻi ʻana e kahi radiologist . Hoʻopili ʻo ia i nā kiʻi, hoʻoholo i ka wikiwiki o ke kahe ʻana o ke koko, a inā he mea e ālai ana a i ʻole e haiki ana, a hoʻomākaukau i kahi hōʻike. A laila hoʻouna ʻia ka hōʻike i ke kauka nāna i kauoha i ka hoʻāʻo. Loaʻa pinepine nā hopena i loko o hoʻokahi a ʻelua paha lā.
E nānā hou kāu kauka i ka hōʻike, e hoʻohālikelike iā ia me kāu mau hōʻailona, a e wehewehe iā ʻoe i kou ʻano a me ke ʻano o ka lāʻau e pono ai.
Leka Lawe-Home
- He hoʻokolohua palekana a ʻeha ʻole ka Vascular Ultrasound (Doppler scan) e nānā ai i ke kahe o ke koko i loko o kou mau kīʻaha koko.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha, ka pehu ʻana, nā ʻeha ʻaʻole e ho'ōla, a i ʻole ka mae ʻana o kou mau wāwae, e kamaʻilio pono me kāu kauka e pili ana i ia mea.
- ʻAʻohe hoʻomākaukau kūikawā e pono ai no kēia scan, no laila inā kauoha ke kauka i kēia hoʻokolohua, mai makaʻu iā ia a mai kānalua e hana.
- He kōkua nui kēia i ka ʻike mua ʻana i nā maʻi koʻikoʻi e like me ke koko ʻana a me ka hāiki ʻana o nā aʻa koko, a me ka hoʻomaka ʻana i ka lāʻau kūpono.
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