Ua pilikia koke anei ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma a ua ʻōlelo ke kauka iā ʻoe e hana i kahi scan VQ? Ua hopohopo paha ʻoe i kāna ʻōlelo ʻana i kēlā. "He aha kēia scan VQ?" "Pehea ke ʻano?" "ʻEha anei?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka VQ scan?
He hoʻāʻo ʻelua ʻāpana ʻole ka VQ scan e kiʻi ana i nā kiʻi o ka hana o kou māmā. Nānā nui ia i ka maikaʻi o ka hana ʻana o kou māmā a me ke kahe ʻana o kou koko ma o lākou .
ʻO kēia ke ʻano o nā leka ʻelua ma kona inoa.
- ʻO ke ʻano o ka leka "V" no ka Ventilation . ʻO ia ke kaʻina hana e komo ai ka ea a puka i waho o nā māmā ke hanu ʻoe.
- ʻO ke kū nei ka leka "Q" no Perfusion . Pili ia i ka nui a me ke kahe o ke koko i hoʻolako ʻia i nā kīʻaha koko liʻiliʻi i loko o nā māmā.
I ka ʻōlelo maʻalahi, ua like kēia me ka nānā ʻana inā maikaʻi ke kūlana o nā alanui ma ke kūlanakauhale (nā alaloa) a inā ʻaʻohe kaʻa e paʻa ana ma kēlā mau alanui (ke kahe ʻana o ke koko).
No ke aha e ʻōlelo ai ke kauka i kahi VQ scan?
ʻO ke kumu nui a maʻamau e kauoha ai ke kauka i kēia hoʻāʻo ʻana ke manaʻo lākou he ʻūlū koko i loko o nā māmā. Ua ʻike ʻia kēia ʻano ma ke ʻano lapaʻau he pulmonary embolism (PE) . Hiki i kēia ke lilo i ʻano weliweli loa , no laila he mea nui e loaʻa kahi hōʻailona a me ka lāʻau i ka wā hikiwawe loa.
Eia kekahi, hoʻohana ʻia kēia VQ scan ma kekahi mau kūlana ʻē aʻe:
- E hoʻomaopopo i ke ʻano "Chronic Thromboembolic Pulmonary Hypertension (CTEPH)," he maʻi ia e hoʻonui ai i ke koko i loko o nā māmā.
- E nānā i ka hana o ka māmā ma hope o ka hoʻoili ʻana o ka māmā.
- Ma mua o ka wehe ʻana i kahi ʻāpana a i ʻole kahi māmā holoʻokoʻa, e nānā i ka hana o ke koena o ka māmā.
- E loiloi i ka hana o ka māmā i kekahi me nā maʻi māmā ʻē aʻe, e like me COPD.
He aha ka mea e hana maoli ana ma kēia hoʻokolohua?
ʻAe, e nānā kākou i ka mea e hana ʻia ana i loko o kēia hoʻāʻo. Hana ʻia kēia ma ʻelua ʻāpana i ka lā hoʻokahi, hana ʻia kekahi ʻāpana ke pau ka hana ʻana o kekahi.
1. Māhele ʻEkahi (Ea - ke nānā ʻana i ka neʻe ʻana o ka ea):Ma kēia, ʻaʻahu ʻoe i kahi mea hanu kūikawā (e like me ka pale maka). Hanu ʻoe ma o ia mea. Hoʻohui ʻia kahi mea radioactive liʻiliʻi loa i kapa ʻia he "tracer" i ka ea āu e hanu ai. Ua like kēia me ke kau ʻana i kahi "tag" liʻiliʻi i ka lewa. A laila lawe ke kāmela kūikawā i nā kiʻi. Ma muli o ka "tag", hiki ke ʻike maopopo ʻia nā wahi e hele ai ka ea ma kou mau māmā i nā kiʻi.
2. Māhele 2 (Perfusion): Ma kēia, ua hoʻokomo ʻia kahi mea radioactive palekana like (tracer) i loko o kahi aa koko ma kou lima. Hele kēia 'tag' me ke koko ma loko o kou kino a i loko o kou mau māmā. Lawe hou ke kāmela like i hoʻohana ʻia ma mua i nā kiʻi. Hōʻike kēia i kahi e kahe ana ke koko i loko o kou mau māmā.
Ma ka hoʻohālikelike ʻana i kēia mau kiʻi ʻelua, e hoʻoholo ke kauka inā he pilikia me kou mau māmā.
He aha ka ʻokoʻa o ka VQ scan mai ka CT scan?
He nīnau kēia a ka poʻe he nui. ʻOiai ke kiʻi nei nā scan VQ a me CT i nā kiʻi o nā māmā, aia kekahi mau ʻokoʻa koʻikoʻi ma waena o nā mea ʻelua.
| Hiʻona | VQ Scan | CT Scan |
|---|---|---|
| He aha ka mea i hoʻohana ʻia | Hāʻawi ʻia kahi mea radioactive (tracer) ma ka hanu ʻana a me ka inikini. | Hāʻawi ʻia kahi waihoʻoluʻu kūikawā (Contrast Dye) ma o kahi inikini. |
| Pae pāhawewe | ʻOi aku ka emi o ka radiation ma mua o ka CT scan. | ʻOi aku ke kiʻekiʻe o ka radiation ma mua o ka VQ scan. |
| No nā maʻi puʻupaʻa | He palekana loa ia no ka poʻe me ka lawa ʻole o ka renal. | Hiki ke hoʻoweliweli ka waihoʻoluʻu i hoʻohana ʻia i nā scan CT no ka mea hiki iā ia ke hoʻopilikia i nā puʻupaʻa. |
| No ka poʻe maʻi āpau i nā kala | He palekana loa ia , no ka mea, ʻaʻole hoʻohana ʻia ke ʻano o ka dye i hoʻohana ʻia i ka CT scan. | Inā he maʻi ʻoe i nā kala, ʻaʻole hiki iā ʻoe ke hoʻohana. |
Pono anei au e hoʻomākaukau ma mua o ka hoʻokolohua?
ʻO kēia ka mea maikaʻi loa. ʻAʻohe hoʻomākaukau kūikawā e pono ai no kahi scan VQ. Hiki iā ʻoe ke ʻai, inu, a lawe i kāu mau lāʻau lapaʻau e like me ka mea maʻamau. Eia nō naʻe, aia kekahi mau mea āu e haʻi aku ai i kāu kauka:
- Inā hāpai ʻoe a manaʻo paha ʻoe: Hiki i kāu kauka ke ʻōlelo i kahi hoʻokolohua ʻē aʻe, no ka mea, hiki i ka radiation ke hoʻopilikia i ka ʻōpū.
- Inā he makuahine hānai ʻoe: ʻOiai hiki i ka radiation ke hele i kāu pēpē ma o ka waiū umauma, e noi ʻia paha ʻoe e hoʻōki i ka hānai ʻana no kekahi mau hola a i ʻole hoʻokahi lā ma hope o ka hoʻāʻo ʻana a hoʻolei i ka waiū umauma. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo no kēia.
- Inā pilikia ʻoe i ka noho mālie no ka manawa lōʻihi: ʻOi aku ka maikaʻi o ka neʻe ʻole ʻana i ka wā e kiʻi ana i nā kiʻi. ʻO ka hana ʻana pēlā e hopena i nā kiʻi palalulu a me kahi hōʻike maikaʻi ʻole.
ʻO ka maʻamau, hana ʻia kahi X-ray umauma 24 mau hola ma mua o ke kiʻi VQ. ʻO ka ʻike i loaʻa mai kēia e kōkua pū i ka hoʻomaopopo ʻana i ka hōʻike kiʻi VQ.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
Ma waena o 30 a me 60 mau minuke ka lōʻihi o ka hoʻāʻo holoʻokoʻa.
Māhele ʻEkahi: Nānā ʻana i ka ea
Ma kēia, e noho ʻia ʻoe ma kahi noho a moe paha ma luna o kahi papaʻaina. E hāʻawi ʻia ʻoe i kahi pale maka a i ʻole ka waha e hanu ai. A laila, e kiʻi ke kāmela i nā kiʻi i kou hanu ʻana ma ia mea. Hiki ke hoʻohuli ʻia ʻoe i nā ʻaoʻao like ʻole e kiʻi i nā kiʻi.
Māhele ʻElua: Perfusion Scan
E hoʻomaka kēia i ka pau ʻana o ka hapa mua. Pili kēia i ke kau ʻana i kahi IV i loko o kahi aa koko ma kou lima a me ka hoʻokomo ʻana i kahi mea radioactive ma o ia mea. A laila, e like me ma mua, lawe ʻia nā kiʻi me kahi kāmela.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? He aha ka ʻōlelo a ka hōʻike?
Ma hope o ka pau ʻana o ka hoʻāʻo, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. ʻO ka mea radioactive i hoʻokomo ʻia i loko o kou kino e waiho maoli i kou kino i loko o kou mimi a me ka ʻōpala i loko o kekahi mau hola a i ʻole mau lā.
ʻO ka maʻamau, loaʻa ka hōʻike i loko o 24 mau hola. E nānā wale kākou i ka mea e ʻōlelo ʻia ana ma loko o ka hōʻike.
| Nā huaʻōlelo e ʻike ʻia paha ma ka hōʻike | He aha kēlā manaʻo? |
|---|---|
| Inā ʻaʻole ʻoe e ʻike i kahi ʻaʻa koko ... | |
| Maʻamau / Haʻahaʻa ka hiki / ʻAʻohe PE | He mea maʻamau ke kahe ʻana o ke ea a me ke koko i loko o nā māmā. He haʻahaʻa loa a ʻaʻohe paha ka manawa kūpono o ke koko e paʻa ai. |
| Inā kānalua... | |
| Pahiki waena / Indeterminate | ʻAʻole hiki ke ʻōlelo maopopo mai kēia mau scan inā he ʻūpā koko a ʻaʻole paha. Pono paha nā hoʻokolohua hou aʻe. |
| Inā he hiki ke loaʻa kahi ʻūlū koko ... | |
| Kūlana kiʻekiʻe / PE i kēia manawa / PE-maikaʻi | He mea hiki loa ke loaʻa iā ʻoe kahi ʻūpā koko i loko o kou mau māmā. E kamaʻilio ke kauka me ʻoe e pili ana i ka lāʻau lapaʻau āu e pono ai. |
Aia kekahi pilikia i loko o kēia?
He liʻiliʻi loa nā pilikia o kahi scan VQ. ʻO nā pilikia hiki ke loaʻa:
- Ka ʻike ʻia ʻana o ka radiation: Hoʻohana kēia i kahi liʻiliʻi loa a palekana o ka radiation. Hoʻopau loa ʻia ia mai ke kino i loko o kekahi mau lā.
- Ka hopena aleri: He liʻiliʻi loa ka manawa e loaʻa ai kahi hopena aleri i ka lāʻau pale, akā he akahai pinepine ia.
- ʻOluʻolu ʻole iki: Aia paha kekahi ʻeha iki i ka wā o ka inikini a pono e noho mālie i ka wā o ka hoʻāʻo ʻana.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, he hōʻailona paha ia o kahi ʻōpū koko i loko o nā māmā (Pulmonary Embolism). I kēlā hihia , e hele koke i ka haukapila Emergency Department (ETU) kokoke loa.
- Ka pōkole koke o ka hanu
- ʻEha nui ma ka umauma, lima, poʻohiwi, ʻāʻī, a i ʻole ka ʻauwae
- ʻUmi me ke koko a i ʻole me ke koko ʻole
- ʻIli keʻokeʻo a me ka hou ʻana
- ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā kui lima (Cyanosis)
- Nā palpitations o ka puʻuwai
- Ka hou nui ʻana
He pilikia olakino kēia mau hōʻailona, no laila ʻo ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe me ka hoʻonele ʻole i ka manawa hiki ke hoʻopakele i kou ola.
Leka Lawe-Home
- He hoʻāʻo palekana a ʻeha ʻole ka VQ scan e nānā ana i ka ea a me ke kahe o ke koko i loko o nā māmā.
- Hoʻohana nui ʻia kēia no ka ʻike ʻana i kahi ʻōpū koko i loko o ka māmā (pulmonary embolism).
- Hoʻohana ia i ka radiation emi ma mua o ka CT scan. ʻOi aku ka kūpono no ka poʻe me ka maʻi puʻupaʻa a me ka poʻe i maʻi āpau i nā kala CT.
- Inā hāpai ʻoe a hānai waiū paha, e ʻōlelo pono i kāu kauka ma mua o ka hoʻāʻo ʻana.
- Inā ʻike ʻoe i nā hōʻailona e like me ka pōkole o ka hanu a me ka ʻeha o ka umauma, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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