E like me kou ʻike, hoʻohana nā kauka i nā hoʻokolohua like ʻole e ʻike i nā pilikia i loko o ko kākou kino. Ua kamaʻāina paha ʻoe i nā mea e like me nā X-ray a me nā CT scan. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano scan ʻokoʻa iki i hoʻohana ʻia e nānā pono i ka hana o ko kākou mau māmā. Ua kapa ʻia kēia he VQ scan. ʻOiai paha he paʻakikī iki ka inoa, he mea maʻalahi loa ia.
I ka ʻōlelo maʻalahi, he aha ka VQ scan?
ʻO ka VQ scan kahi hoʻāʻo ʻelua ʻāpana, ʻaʻole invasive e lawe i nā kiʻi o kou mau māmā a ana i ke kahe ʻana o ke ea a me ke kahe o ke koko i loko o lākou.
ʻO ke ʻano o ka 'V' ma ka inoa ʻo Ventilation , ʻo ia ke ʻano o ka neʻe ʻana o ka ea i loko a i waho o kou mau māmā. ʻO ke ʻano o ka 'Q' no Perfusion , ʻo ia ka nui o ke koko e kahe ana i nā kīʻaha koko liʻiliʻi i loko o kou mau māmā. No laila, i kekahi manawa ua kapa ʻia ʻo ia he Ventilation-Perfusion scan, lung scan, a i ʻole lung scintigraphy.
I nā kūlana hea e hoʻohana ʻia ai kēia scan?
Hoʻohana pinepine nā kauka i kahi scan VQ e nānā i kahi ʻōpū koko i loko o kou mau māmā (Pulmonary Embolism, a i ʻole PE) . Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. Hoʻohana ʻia hoʻi ia no ka ʻike ʻana i ka CTEPH (Chronic Thromboembolic Pulmonary Hypertension) , kahi kūlana e hoʻoulu ai i ke koko kiʻekiʻe i loko o nā kīʻaha koko o nā māmā.
ʻAʻole wale ia, kōkua kēia scan e nānā i ka hana o kou mau māmā i nā kūlana ʻē aʻe.
- Ma hope o ka hoʻoili ʻana o ka māmā.
- Ma mua o ke ʻoki ʻana e wehe i kahi māmā a i ʻole kekahi hapa o ia mea.
- I ka wā e nānā ai a mālama paha i nā maʻi māmā ʻē aʻe, e like me COPD (Maʻi Pulmonary Obstructive Chronic) .
Akā e hoʻomanaʻo, nānā nui ka VQ scan i ka hana o ka māmā. No ka ʻike pololei ʻana i ka maʻi māmā, hoʻohana pinepine nā kauka i nā hoʻokolohua ʻē aʻe, e like me ka CT scan a i ʻole ka X-ray umauma.
He aha ka ʻokoʻa ma waena o kahi scan VQ a me kahi scan CT?
ʻOiai ʻo nā ʻano scan ʻelua e kiʻi i nā kiʻi o nā māmā a kōkua i ka ʻike ʻana i nā pilikia e like me nā ʻūpā koko, aia nā ʻokoʻa maopopo ma waena o nā mea ʻelua. E nānā kākou iā lākou ma kahi papa.
| ʻoiaʻiʻo | VQ Scan | CT Scan |
|---|---|---|
| He aha ka mea i hoʻohana ʻia | Hoʻokomo ʻia kahi tracer radioactive ma o ka hanu ʻana a me ka injection. | Hoʻokomo ʻia kahi kala kūikawā (ʻala hoʻohālikelike) i loko o ke kino ma o kahi inikini. |
| He aha ka mea e hoʻāʻo ʻia nei? | Nānā ʻia ka neʻe ʻana o ka ea a me ke koko (hana) i loko o nā māmā. | Nānā ʻia ke ʻano o nā māmā a me nā pilikia me lākou (e like me nā ʻūpā koko). |
| Ka hana radioactive | ʻOi aku ka emi o ka radiation ma mua o ka CT scan. | ʻOi aku ka nui o ka radiation ma mua o ka VQ scan. |
| No ka poʻe me nā pilikia puʻupaʻa | Palekana. ʻAʻohe hopena i nā puʻupaʻa. | Hiki i ke ʻano o ka waihoʻoluʻu i hoʻohana ʻia ke hōʻino i nā puʻupaʻa. |
Pehea e hoʻomākaukau ai ma mua o ke scan?
ʻOiaʻiʻo, ʻaʻole pono kēia scan i kahi hoʻomākaukau kūikawā. Hiki iā ʻoe ke ʻai maʻamau a lawe i kāu mau lāʻau lapaʻau. Eia nō naʻe, pono ʻoe e haʻi i kāu kauka e pili ana i kēia mau mea:
- Inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe: Loaʻa i kēia scan kahi liʻiliʻi o ka radiation, no laila ʻaʻole palekana no ka pēpē i hānau ʻole ʻia. I kēlā mau hihia, hiki i kāu kauka ke paipai i kahi hoʻokolohua ʻē aʻe.
- Inā he makuahine hānai waiū ʻoe: ʻOiai hiki i ka mea i hoʻohana ʻia no ke scan ke komo i loko o ka waiū umauma, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kūikawā e pili ana i ka hānai ʻana i kāu pēpē no hoʻokahi a ʻelua paha lā ma hope o ke scan.
- Inā pilikia ʻoe e noho mālie ma kekahi kūlana no kekahi mau minuke: Inā ʻoe e neʻe i ka wā o ke scan, ʻaʻole e maopopo nā kiʻi. No laila he mea nui e hoʻomaopopo iā mākou e pili ana i kēia ma mua.
ʻO ka maʻamau, kauoha ʻia kahi X-ray umauma i loko o 24 mau hola o ke kiʻi VQ. ʻO ka ʻike i loaʻa mai kēia e kōkua i ke kauka e hoʻomaopopo i nā hopena o ke kiʻi VQ.
He aha ka mea e hana ʻia i ka wā o ke scan?
Ma waena o 30 a me 60 mau minuke ka lōʻihi o kēia hoʻāʻo. Loaʻa iā ia ʻelua mau ʻāpana. Hoʻokahi wale nō ʻāpana i hana ʻia e kekahi poʻe, akā ʻo ka hapa nui o ka poʻe ua hana ʻia nā ʻāpana ʻelua i ka lā hoʻokahi.
Māhele ʻEkahi: Nānā ʻana i ka ea
Pili kēia i ka nānā ʻana i ke komo ʻana o ka ea i loko o kou mau māmā.
1. ʻO ka mea mua, e hoʻokomo ʻia ʻoe me kahi ʻāpana waha a i ʻole kahi pale maka e uhi ana i kou waha a me kou ihu. Pono paha ʻoe e kau i kahi ʻūpā liʻiliʻi ma kou ihu e hōʻoia i kou hanu wale ʻana ma kou waha.
2. A laila, ma o kahi paipu i hoʻopili ʻia i kēia hāmeʻa, hoʻohui ʻia kahi liʻiliʻi loa o kahi mea radioactive (tracer) i ka ea āu e hanu ai. E noʻonoʻo e like me ke kau ʻana i kahi lepili kala liʻiliʻi ma ka ea āu e hanu ai.
3. E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā a hoʻouna ʻia i loko o kahi mīkini e like me ka cylinder. A i ʻole e hoʻonoho ʻia ʻoe ma kahi noho a kau ʻia i mua o kahi kāmela.
4. I kou hanu ʻana ma o kēia pale maka, e kiʻi ana kahi kāmela kūikawā i nā kiʻi o kou mau māmā. Hiki ke hoʻohuli ʻia ʻoe i nā kūlana like ʻole e kiʻi i nā kiʻi e pono ai.
Māhele ʻElua: Perfusion Scan
Hoʻopau ʻia kēia ʻāpana i ka pau ʻana o ke kiʻi hoʻoulu ea. Nānā kēia ʻāpana i ke kahe ʻana o ke koko i nā māmā.
- I kēia manawa, ʻaʻole i hanu ʻia ka mea radioactive (tracer). Akā, ua hoʻokomo ʻia i loko o kahi aʻa koko ma kou lima ma o kahi IV .
- A laila, me ka hoʻohana ʻana i ke kāmela like me ma mua, lawe lākou i nā kiʻi o ke koko e kahe ana ma kou mau māmā.
Pehea e loaʻa ai nā hopena ma hope o ke scan?
Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau ma hope o ke scan. ʻO ka mea radioactive i hoʻokomo ʻia i loko o kou kino e puka maoli mai kou kino ma o kou hanu ʻana, mimi, a me ka ʻōpala i loko o kekahi mau hola a i ʻole mau lā. E loaʻa pinepine iā ʻoe kāu mau hopena i loko o 24 mau hola.
Inā ʻōlelo ka hōʻike hopena "Normal" a i ʻole "Low probability," ʻo ia hoʻi, ʻaʻohe ʻūpā koko. Inā ʻōlelo ia i kahi mea e like me "Intermediate probability," ʻo ia hoʻi, ʻaʻole maopopo, a pono paha nā hoʻokolohua hou aku. Inā ʻōlelo ia "High probability," ʻo ia hoʻi, he kiʻekiʻe ka manawa kūpono o kahi ʻūpā koko, a e kamaʻilio kāu kauka me ʻoe e pili ana i ka lāʻau lapaʻau āu e pono ai.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ke koko i loko o kou mau māmā (pulmonary embolism) , he pilikia ia.E kāhea koke aku i kāu kauka, a i ʻole e hele i ka lumi pilikia o ka haukapila kokoke loa (ETU). E makaʻala i kēia mau hōʻailona:
- Ka paʻakikī koke o ka hanu ʻana.
- ʻEha nui ma ka umauma, lima, poʻohiwi, ʻāʻī, a i ʻole ka ʻauwae.
- ʻŪhū me ke koko a i ʻole me ke koko ʻole.
- ʻIli keʻokeʻo a me ka hou pipili.
- ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā kui lima (cyanosis).
- Piʻi ka helu o ka puʻuwai.
- Ka hou nui ʻana.
Leka Lawe-Home
- ʻO ka VQ scan kahi hoʻāʻo ʻelua ʻāpana e nānā ai i ke kahe ʻana o ka ea a me ke koko (hana) i nā māmā.
- Hoʻohana nui ʻia kēia no ka ʻike ʻana i nā ʻōpū koko i loko o nā māmā (pulmonary embolism).
- ʻOi aku ka liʻiliʻi o ka radioactive ma mua o ka CT scan a ʻoi aku ka palekana no ka poʻe me ka maʻi puʻupaʻa a i ʻole nā maʻi allergies i nā dye CT.
- ʻOiai he wahi liʻiliʻi o ka mea radioactive (tracer) i hoʻohana ʻia i loko o kēia, ʻaʻole ia e hōʻeha nui i ke kino. Hoʻopau ʻia ia mai ke kino i loko o kekahi mau lā.
- Inā hāpai ʻoe, hānai waiū, a i ʻole pilikia ʻoe e noho mālie, e ʻōlelo pono i kāu kauka ma mua o ke kiʻi ʻana.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha koke o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana, e noʻonoʻo he pilikia ia a e ʻimi koke i ke kōkua lapaʻau.
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