He hoʻāʻo ʻana i nā kīʻaha koko o ka lolo? E aʻo kākou e pili ana i ka Cerebral Angiogram!

I kekahi manawa, e kauoha paha kāu kauka i kahi scan lolo no ka mea he ʻeha nui kou, nalowale koke ka ʻike, a i ʻole nā ​​hōʻailona ʻē aʻe. Akā i kekahi manawa aia paha nā pilikia i hiki ʻole i kahi scan maʻamau ke loaʻa, ʻoiai hoʻi i loko o nā kīʻaha koko palupalu i loko o kou lolo. ʻO ia ka manawa e paipai ai kāu kauka i kahi hoʻokolohua kūikawā i kapa ʻia ʻo 'Cerebral Angiogram'.

I ka ʻōlelo maʻalahi, he aha ka angiogram cerebral?

He hoʻāʻo X-ray kūikawā ka `Cerebral Angiogram` e nānā ana i nā kīʻaha koko (nā kīʻaha koko) i loko o kou lolo, poʻo, a ʻāʻī paha a pehea e kahe ai ke koko ma o lākou. Ua kapa ʻia hoʻi ʻo ia ʻo `Cerebral Angiography`.

E noʻonoʻo i kēia, ua like ia me ka hoʻohana ʻana i kahi kāmela drone e ʻike mai luna mai pehea ke ʻano o ke kaʻa ma nā alanui o ke kūlanakauhale, kahi i paʻa ai nā alanui, a me kahi i haiki ai nā alanui. Akā ma ʻaneʻi, ke nānā nei mākou i ka ʻōnaehana aʻa koko i loko o kou lolo.

He maʻalahi loa ke kaʻina hana. Hoʻokomo pinepine ke kauka i kahi ʻōmole lahilahi (catheter) i loko o kahi aʻa nui ma kou ʻūhā a lima paha. A laila, ma o ka ʻōmole, ua hoʻokomo ʻia kahi wai kūikawā i kapa ʻia he dye contrast i loko o kou kino. Ke hele nei ka dye me kou koko ma kou kino holoʻokoʻa, ʻoi aku hoʻi ma o nā kīʻaha koko i loko o kou lolo, hoʻolilo ia i kēlā mau kīʻaha koko i keʻokeʻo ma nā kiʻi X-ray. A laila hiki i ke kauka ke ʻike inā he pilikia me kou mau kīʻaha koko.

No ke aha ʻoe e pono ai e hana i kēia hoʻokolohua?

ʻO ka maʻamau, kauoha kāu kauka i kēia hoʻāʻo ke ʻole he hopena o nā hoʻokolohua ʻē aʻe (e like me ka CT a i ʻole MRI scan). Hiki iā ia ke ʻike i nā ʻano ʻē like ʻole i loko o nā kīʻaha koko i loko o kou lolo.

E nānā i ka papa ma lalo nei e ʻike i nā kūlana e hiki ke ʻike ʻia mai kēia.

Aia kekahi mau pilikia i kēia hoʻāʻo?

E like me nā hoʻokolohua lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi e pili ana. Akā ke paipai nei kāu kauka i kēia hoʻokolohua no ka mea ʻoi aku ka nui o nā pono ma mua o nā pilikia . Mai makaʻu iā ia. Eia nō naʻe, he mea nui e makaʻala i nā pilikia .

ʻO nā pilikia nui:

• Ka ʻike ʻia ʻana i ka radiation: He hoʻāʻo X-ray kēia, no laila e ʻike ʻia ʻoe i kekahi radiation. Eia nō naʻe, aia kēia nui i loko o nā palena palekana.
• ʻAleʻaleʻa i ka Dye Hoʻohālikelike:Hiki i kekahi poʻe ke maʻi i kēia kala. Inā ua loaʻa iā ʻoe kēia ma mua a i ʻole he maʻi ʻoe i kekahi mea ʻē aʻe (ʻoi aku ka iodine, nā meaʻai kai), pono ʻoe e haʻi i kāu kauka.
• Ka hopena ma nā puʻupaʻa: Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, hiki i kou mau puʻupaʻa ke paʻakikī i ka wehe ʻana i kēia kala mai kou kino.
• Ke kahe koko a i ʻole nā ​​ʻūpā koko: Aia paha kekahi kahe koko a i ʻole ka palapū ma kahi i hou ʻia. Aia kekahi pilikia o ka ʻūpā koko.

Kākaʻikahi loa, ʻo ia hoʻi, kākaʻikahi loa , hiki ke loaʻa nā pilikia koʻikoʻi e like me kēia:

• TIA (Transient Ischemic Attack): Ua kapa ʻia kēia he 'mini stroke'. Nalo nā hōʻailona ma hope o kekahi manawa.
• Hahau: Hiki ke hana ʻia e kahi ʻūpā koko e ālai ana i kahi aʻa i loko o ka lolo.
• Ka paʻakikī o ka ʻōlelo ʻana (Aphasia)
• Hematoma (hōʻiliʻili koko ma kahi i kuʻi ʻia)

Ma muli o kēia mau pilikia ke nīnau nei ke kauka e pili ana i kou mōʻaukala olakino piha ma mua o ka hoʻāʻo ʻana.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?

ʻAʻole paʻakikī ka hoʻomākaukau ʻana no kēia. ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a ke kauka.

Nā mea e pono ai ʻoe e haʻi aku i ke kauka

E kamaʻilio pono me kāu kauka e pili ana i kēia mau mea ma mua o ka hoʻāʻo ʻana.

• ʻO nā mea alerika āu e loaʻa ai: ʻOi loa aku inā he maʻi ʻoe i ka dye contrast, iodine, shellfish, nā lāʻau lapaʻau, latex, a i ʻole lipine.
• Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, pono ʻoe e haʻi aku.
• Inā he mau maʻi kahe koko kou.
• Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻoiai nā anticoagulants a i ʻole nā ​​​​​​mea hoʻokahe koko, e like me ka aspirin a me ka warfarin.

Nā hoʻomākaukau ʻē aʻe

• ʻAi a me ka mea inu: E aʻo pinepine ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana (hoʻokē ʻai) no kekahi mau hola ma mua o ka hoʻāʻo.
• Nā lāʻau lapaʻau: Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, i kekahi mau lā ma mua o ka hoʻāʻo ʻana. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.
• Kōkua: Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha iki e hōʻoluʻolu iā ʻoe ma mua o ka hoʻāʻo. E hoʻohiamoe iki ia iā ʻoe, no laila he mea nui e lawe mai ʻoe i kekahi e lawe iā ʻoe i ka home.
• Nā hoʻokolohua ʻē aʻe: Hiki ke hāʻawi ʻia iā ʻoe kahi hoʻāʻo koko liʻiliʻi ma mua e nānā i kou manawa coagulation koko, e hōʻemi i kou pilikia.

He aha kaʻu e hana ai ma hope o ka hoʻāʻo?

Ma hope o ka pau ʻana o ka hoʻāʻo, e mālama ʻia ʻoe i loko o ka haukapila no kekahi mau hola no ka nānā ʻana.

• Hoʻomaha: Ma muli o kahi i hoʻokomo ʻia ai ke kui, hiki ke ʻōlelo ʻia iā ʻoe e moe i lalo ma kahi moe no kekahi mau hola, me ka neʻe ʻole ʻana i kou lima a i ʻole kou wāwae.
• ʻEha: Inā he ʻeha iki a pehu paha ma kahi i inikini ʻia, e ʻōlelo ke kauka e kau ʻoe i kahi ʻeke hau a lawe paha i kahi lāʻau ʻeha.
• ʻAi a me nā wai: Inā ʻaʻole i kuhikuhi ʻia ʻoe e kāu kauka, hiki iā ʻoe ke ʻai maʻamau. Eia nō naʻe, he mea nui loa ka inu ʻana i ka wai he nui. E kōkua kēia i ka waihoʻoluʻu e haʻalele koke i kou kino i loko o kou mimi.
• Hana: Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o 8-12 mau hola. Eia nō naʻe, ua ʻōlelo ʻia e pale i nā hana ikaika, e like me ka hāpai kaumaha, no hoʻokahi a ʻelua paha lā.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

He mea maʻamau ka loaʻa ʻana o kahi palapū liʻiliʻi ma kahi o ke kī ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, mai hoʻowahāwahā iā ia. E kāhea koke aku i kāu kauka. Inā loaʻa kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• ʻO kēia nā loli i ka lima a i ʻole ka wāwae kahi i hoʻokomo ʻia ai ke kui: nā loli o ka mahana (manaʻo anuanu loa a wela loa paha), nā loli o ke kala, ka nui o ka ʻeha, ka mae ʻana o ke kino, a i ʻole ka manaʻo mae ʻole ma kēlā lima/wāwae.
• Inā loaʻa iā ʻoe ke kuni a i ʻole ke anu a haʻalulu ʻoe .
• Inā ʻeha, ʻulaʻula, pehu, piʻi ke kahe ʻana o ke koko ma kahi i hou ʻia , a inā paha e puka mai ana kahi wai e like me ka pus.
• Inā pilikia ʻoe i ka ʻōlelo ʻana a i ʻole nā ​​loli o ka ʻike .
• Inā manaʻo ʻoe ua poniuniu a nāwaliwali paha nā ʻiʻo .
• Inā ʻeha kou umauma a paʻakikī paha ka hanu ʻana .