Wan spɛshal skan fɔ lan bɔt yu at! (Cardiac Computed Tomography - CT Scan) Lɛ wi tɔk bɔt am?

Tide wi go tɔk bɔt wan spɛshal skan we go sho yu bɔku tin bɔt yu at. dεn kכl am kadyak `CT` skan (Cardiac Computed Tomography - CT scan). Sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ du dis, ɔ yu dɔn yɛri bɔt am sɔmsay. So lɛ wi tek wan luk pan wetin i bi, aw dɛn kin du am, wetin yu nid fɔ no bifo yu gɛt am, ɛn wetin di gud ɛn bad tin dɛn bi.

Wetin na CT skan fɔ di at?

Fɔ tɔk am simpul wan, kadyak CT skan na spɛshal kayn X-ray tɛst we de yuz bɔku ɛkstrem rayt bim dɛn frɔm difrɛn say dɛn fɔ mek yu at rili klia, tri-dimɛnshɔnal pikchɔ dɛn bɔt yu at, di big big vessel dɛn we de kɔnɛkt to am, ɛn di tisu dɛn we de rawnd am.

Dɔktɔ dɛn kin yuz di laytst CT teknɔlɔji fɔ du dis `Cardiac CT` skan. sכmtεm, dεn kin injεkt spεshal wata (intravenכs (IV) kכntrast / day) insay yu vein. dis de mek dεn kin si di strכkchכ fכ di at εn di blכd vesel dεm we kכnεkt to am klia wan. Dis we aw dɛn kin skan bɔku bɔku slais dɛn kin mek dɔktɔ dɛn ebul fɔ gɛt rili ay kwaliti, tri-dimɛnshɔnal pikchɔ dɛn bɔt yu at we de muv ɛn big blɔd vesel dɛn.

Wetin CT skan fɔ di at kin no?

Yu dɔktɔ kin ɔndastand bɔku tin bɔt yu at fayn fayn wan frɔm dis skan. Fɔ ɛgzampul:

• Di kɔndishɔn fɔ di korona at we de gi blɔd to yu at.
• Aw di at chεmba dεm, di at mכsul dεm, εn di at valv dεm de wok.
• Di kayn we aw di pulmonari vein dɛn tan .
• If prɔblɛm de wit di thoracic aorta ɛn sɔm tɛm dɛn de di abdominal aorta .
• Di sak we de protɛkt di at (pɛrikardium) .

Bikɔs yu kin si ɔl dis klia wan pan dis skan, i go rili ɛp di dɔktɔ fɔ mek i disayd fɔ du gud tin bɔt yu at wɛlbɔdi.

Ustɛm dɛn nid fɔ du CT skan na di at?

CT skan na di at kin gi mɔ ditayla ɛn klia data pas ɔda imej tɛst dɛn. Bɔku rizin dɛn de we mek yu dɔktɔ kin ɔda dis skan. Lɛ wi tek wan luk pan wetin dɛn bi:

• Fɛn ɔut wetin de mek yu chɛst de pen ɔr yu nɔr de blo fayn.
• Chek yu at at fɔ si if di kalsiɔm ɔ plek dɔn bɔku , if i smɔl, ɔ if i dɔn blok.
• Asɛs aw yu at valv dɛn de wok.
• Chek fɔ ɛni prɔblɛm wit yu aorta, lɛk aneurism ɔ dissection .
• Opin at ɔpreshɔn ɔPlan fɔ du minimally invasive/robotic hat ɔpreshɔn.
• Plan di transkateta/pεrkyutan valv prosidכs dεm .
• Plan fɔ ablashɔn di aritmia fɔ di at ritm irɛgyulariti .
• Asɛs di prɔblɛm dɛn we kin apin afta dɛn kayn ɔpreshɔn ɔ tritmɛnt ya.
• Chek if yu gɛt at prɔblɛm we dɛn bɔn wit .
• Fɛn ɔut if tumbu ɔ mas de insay ɔ rawnd di at ɛn wetin i tan.
• chεk di sak we de rawnd di at (pεrikardyכm) fכ fכ si if wata de kכmכt (`fluid`) כ kalsiכm dεposit (`kalsifikכshכn`).

Imajin, yu ɔnkul de gɛt pen na in chɛst ɔltɛm, ɛn di dɔktɔ dɛn nɔ ebul fɔ no di rayt tin we de mek i fil pen. na tεm lεk dis, wan `CT` skan kin gi bכku yusful infכmeshכn.

Udat de du di kadyak CT skan?

Bɔku tɛm, yu dɔktɔ we de mɛn yu at go tɛl yu fɔ du dis CT skan fɔ yu at. Bɔt wan sɛpret wɛlbɔdi tim de na di say we dɛn de du di skan fɔ ɛp yu. Dɛn na:

• Teknishian dɛn: Na dɛn pipul ya de ɔpreshɔn di CT skan ɛn gɛt di pikchɔ dɛn.
• Nɔs dɛm: If nid de, nɔs dɛm go put wan `IV` layn na wan vein na yu an ɛn gi yu mɛrɛsin.
• Dɔktɔ dɛn: Dɔktɔ dɛn de wach di skan, analayz di pikchɔ dɛn, ɛn gi ripɔt (`intaprit di skan`).

Fɔ gɛt dis skan, yu fɔ go na ɔspitul ɔ ples we spɛshal pan `mɛdikal imej`.

Aw CT skan fɔ di at kin wok?

I rili simpul. As yu de ledɔm na di bed na di skan mashin, di X-ray bim de rɔn rawnd yu. Bɔt i nɔ de bit yu bɔdi. Yu go yɛri smɔl buz ɔ klik sawnd we di mashin de wok. Kɔmpyuta kin jɔyn dɛn skan pikchɔ dɛn ya fɔ mek wan tri-dimɛnshɔnal (3D) pikchɔ fɔ yu at.

Wetin na di difrɛns bitwin kadyak MRI ɛn kadyak CT?

Sɔntɛm yu dɔn yɛri bɔt wan MRI tɛst fɔ yu at . Ɔl tu di kadyak MRI ɛn di kadyak CT kin mek ditayla pikchɔ dɛn bɔt di at, bɔt sɔm difrɛns de bitwin di tu tɛst dɛn. Lɛ wi tek wan luk pan wetin dɛn bi.

• We yu go insay di mashin, di CT mashin kin opin pas di MRI mashin. Dis min se sɔm pipul dɛn kin fil lɛk se dɛn nɔ kin kramp we dɛn de insay di MRI mashin.
• MRI skan kin tek lɔng tɛm pas CT skan.
• CT skan de yuz X-ray raytin , bɔt MRI nɔ de yuz raytin.
• Di CT mashin kwayɛt pas di MRI mashin.
• If dɛn gi yu kɔntrast mɛdiɔm, CT skan de yuz kɔntrast mɛdiɔm we gɛt ayodin , ɛn MRI de yuz kɔntrast mɛdiɔm we gɛt gadolinium .

So, na di dɔktɔ de disayd us skan go fayn fɔ yu.

Aw a fɔ rɛdi fɔ dis tɛst?

Yu fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs di de bifo ɛn di de we dɛn de du yu kadyak CT skan, bɔt wetin fɔ it ɛn drink, ɛn us mɛrɛsin fɔ stɔp fɔ tek.

Bɔt it ɛn drink

• Di de we dɛn go du di tɛst, nɔ it ɛnitin fɔ 4 to 6 awa bifo di tɛm we yu dɔn plan fɔ it. Yu kin jɔs drink wata.
• Nɔ drink ɛni drink we gɛt kafinɛ di de bifo ɔ di de we dɛn de du di tɛst. Dis min se yu nɔ fɔ drink kɔfi, ti, ɔ ɛnaji drink.
• Nɔ yuz ɛnaji pils ɔ diet pils di de bifo ɔ di de we dɛn de du di tɛst. If yu gɛt ɛni kwɛstyɔn bɔt dis, aks yu dɔktɔ.

Bɔt mɛrɛsin dɛn

• If yu na pɔsin we de fil se yu de fred na say dɛn we tayt, aks yu dɔktɔ bɔt wan mɛrɛsin we go mek yu nɔ gɛt wanwɔd we dɛn de du di skan.
• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di mɛrɛsin dɛn we yu nɔ de tek.
• Nɔ tek Sildenafil (Viagra® ɔ Revatio®) ɔ ɔda kayn mɛrɛsin dɛn di de bifo ɔ di de we dɛn de du di tɛst, bikɔs dɛn tin ya kin miks wit di mɛrɛsin dɛn we dɛn go gi yu we dɛn de du di tɛst. Aks yu dɔktɔ bɔt dis bak.
• If yu gɛt dayabitis , aks yu dɔktɔ aw fɔ ajɔst yu mɛrɛsin di de we dɛn go du di tɛst. If yu tink se yu blɔd shuga nɔ bɔku, tɛl yu dɔktɔ wantɛm wantɛm.

Wetin fɔ ɛkspɛkt di de we dɛn go du di tɛst?

Bifo yu kadyak CT skan, yu dɔktɔ go want fɔ no bɔt dɛn tin ya:

• Yu gɛt bɛlɛ?
• Yu gɛt alɛji fɔ ayodin ɛn/ɔ shelfish , ɔ ɔda mɛrɛsin dɛn?
• Yu de tek redyushɔn tɛrapi naw ?
• If yu dɔn pas 60 ia , ɔ yu dɔn gɛt prɔblɛm wit yu kidni trade, yu kin nid fɔ du blɔd tɛst fɔ chɛk yu kidni fɔ wok bifo dɛn gi yu di kɔntrast fluid.

Fɔ pripia fɔ mek dɛn du CT skan

• Tek ɔf yu jɔyri ɛn lɛf am na os.
• Speshal tin dɛn we di ɔspitul dɔn gi yuYu fɔ wɛr ɔspitul gɔn.
• Sɔntɛm di dɔktɔ go gi yu mɛrɛsin we go mek yu at nɔ rit .
• If dɛn gi yu kɔntrast (day) fluid, nɔs go put IV layn na wan vein na yu an. Dis wata na in de mek yu blɔd vesel ɛn at sho klia wan pan di skan pikchɔ dɛn.
• Dɛn go mek yu ledɔm pan spɛshal bed, ɛn dɛn go muf di bed smɔl smɔl to di sɛkɔral opin we de na di midul pan di CT skan.
• Di dɔktɔ go klin lɛk tri say dɛn na yu chɛst ɛn put smɔl smɔl ilɛktrɔd pat dɛn we kin stika pan dɛn. Fɔ mek shɔ se dɛn ilɛktrɔd ya stik fayn, yu go nid fɔ trim sɔm pan di ia dɛn we de na da say de na yu chɛst.
• Dɛn kin kɔnɛkt dɛn ilɛktrɔd ya to wan ilɛktrɔkardiogram (EKG) monita , we de rayt di ilɛktrik wok we yu at de du we yu de du di tɛst.
• Dɛn go aks yu fɔ ledɔm na di skan bed wit yu an dɛn ɔp yu ed te di tɛst dɔn. Yu ed ɛn yu leg dɛn go de na do na di skan mashin.

Di tin we impɔtant pas ɔl: I rili impɔtant fɔ mek yu stil de muf dis tɛm ɛn fala di instrɔkshɔn dɛn fayn fayn wan. Na da tɛm de nɔmɔ yu go ebul fɔ gɛt klia pikchɔ dɛn.

Wetin kin apin we dɛn de du di tɛst?

Wan ful kadyak CT skan kin tek bitwin 30 ɛn 60 minit , inklud di tɛm fɔ pripia. Bɔt di rial CT skan insɛf kin tek smɔl tɛm, lɛk 10 minit pas ɔl .

• Yu go fil se di skan we tan lɛk donut de muf go insay di bed we yu de ledɔm pan.
• If dɛn gi yu kɔntrast fluid, wɛlbɔdi biznɛs pɔsin go injɛkt am tru yu IV layn. I nɔmal fɔ fil wam smɔl as di wata de travul tru yu bɔdi. Sɔm pipul dɛn kin gɛt mɛtal teist na dɛn mɔt fɔ sɔm sɛkɔn.
• Fɔ mek yu gɛt klia pikchɔ dɛn, i rili impɔtant fɔ mek yu nɔ de muv ɛn fala di instrɔkshɔn dɛn di rayt we .
• Yu kin tɔk to di tim we de kia fɔ di wɛlbɔdi biznɛs. Dɛn kin aks yu bak fɔ ol yu briz fɔ shɔt tɛm .

Wetin kin apin afta di tɛst?

Afta di dɔktɔ mek shɔ se dɛn gɛt ɔl di pikchɔ dɛn we dɛn nid, dɛn go pul yu IV layn. Dɔn yu kin chenj ɛn go na os.

Afta di tɛst, yu kin du yu nɔmal tin dɛn ɛn it ɛn drink. Bɔt if yu dɔn tek wan mɛrɛsin we de mek yu fil fayn, sɔmbɔdi go nid fɔ kam kɛr yu go na os.

Yu dɔktɔ go tɔk to yu bɔt di tɛst rizɔlt ɔ da de de ɔ insay sɔm dez.

Ɛni risk de wit dis tɛst?

CT skan na wan we we nɔ gɛt bɔku prɔblɛm . Bɔt sɔm pipul dɛn kin gɛt smɔl prɔblɛm wit di kɔntrast fluid ɔ ɔda tin dɛn we dɛn yuz fɔ du di tɛst.

Kontrast ejen / day

• Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt bad bad tin fɔ du wit di kɔntrast fluid (we kin gɛt ayodin). Sɔm pipul dɛn kin it, nɔs, sniz, ɔr kin gɛt rɔsh na dɛn skin afta dɛn dɔn injɛkt di wata. Dɛn sayn ya kin dɔn wae dɛn nɔr gɛt tritmɛnt. Bɔt dɛn kin kɔntrol dɛn wit antihistamin, stɛroyd, ɛn histamin blɔk .
• Na smɔl tɛm nɔmɔ, siriɔs alɛji (anaphylactic reaction) kin apin. I kin mek i nɔ izi fɔ blo. Dis kin mek yu layf de pan denja, so yu nid fɔ gɛt tritmɛnt ɛn mɛrɛsin kwik kwik wan fɔ kɔntrol dɛn sik ya.
• If yu gɛt dayabitis ɔ kidni sik , dɛn kin aks yu fɔ drink ɛkstra wata afta di skan fɔ ɛp fɔ pul di ayodin kɔmɔt na yu bɔdi.
• Bikɔs di kɔntrast mɛdiɔm we dɛn kin yuz fɔ CT skan na yu bɔdi kin pas insay yu mama in milk , if yu de gi yu mama in bɛlɛ, i go fayn fɔ mek yu ɛksprɛs sɔm mama in milk bifo di skan. Dɔn yu kin gi yu pikin da milk de fɔ wan ɔ tu dez afta di skan.

Radieshɔn we dɛn kin yuz

CT skan dɛn kin yuz ɛkstrem rayt. Na smɔl risk de fɔ gɛt kansa frɔm dis raytin as tɛm de go. Fɔ mek yu sef, dɛn kin mek yu nɔ gɛt bɔku raytin. Bɔt ɛkstrem rayt kin ambɔg pikin we de gro, so dɛn nɔ kin fayn fɔ du dis tɛst if yu gɛt bɛlɛ . If nid de, yu dɔktɔ go mek arenjmɛnt fɔ protɛkt yu pikin.

Mεdikeshכn we de mek yu at rεt rεt

If dɛn gi yu mɛrɛsin fɔ mek yu at rit slo fɔ di tɛst, ɔ if yu gɛt wan sik lɛk asma, at pwɛl, ɔ chronic obstructive pulmonary disorder (COPD) , yu kin gɛt prɔblɛm fɔ blo we dɛn de du di skan. I rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya.

Wetin na di tin dɛn we kin apin? Wetin i min?

Tu kayn rizɔlt kin de afta di skan: nɔmal rizɔlt ɛn abnɔmal rizɔlt.

Nɔmal rizɔlt dɛn

• Yu at ɛn di at dɛn kin luk nɔmal .
• Yu kalsiɔm skɔ na ziro (`0`). Dat min se yu nɔ gɛt korona at sik , ɛn yu nɔ go gɛt at atak.

Di tin dɛn we kin apin we nɔmal

• fεt dεposit dεm (plak) εn narrowing (stenosis) de na di korona atεri dεm.
• If yu gɛt ay kalsiɔm skɔ min se yu gɛt korona atɛrosklɛrosis .
• If di kalsiɔm valyu na 100 ɔ less de sho se yu gɛt smɔl smɔl sayn dɛm fɔ korona at sik.
• If i pas 400 , i de sho se yu gɛt sayn dɛn we de sho se yu gɛt korona at sik.
• If i de bitwin 100 ɛn 400 , i gɛt mɔdaret lɛvɛl kwaliti dɛn.
• Bɔku tɛm, dɛn kin gi yu kalsiɔm lɛvɛl as pasɛntayl skɔ , we de tɛl yu usay yu tinap we yu kɔmpia am to ɔda pipul dɛn we yu ej, yu man ɔ uman, ɛn yu trayb we dɔn tek di tɛst.
• di hat in wok ɔ di valv dɛn nɔ de wok nɔmal wan .
• di sik we de na di pεrikardyul - we di wata we de kכmכt na di sak we de rawnd di at (`effusion`) εn inflameshn na di pεrikardial (`pericarditis`).
• Na wan tumbu ɔ mas de .
• Wan prɔblɛm de we pɔsin kin bɔn wit in at .
• di bכdi vεsul de big (aneurysm) , i gεt tear (dissection) , כ i sכmtεm (stenosis/coarctation) .

Yu dɔktɔ go ɛksplen dɛn rizɔlt ya to yu gud gud wan.

Ustɛm a fɔ kɔl di dɔktɔ?

If yu fil se yu de gɛt riakshɔn to di kɔntrast fluid ɔ mɛrɛsin we dɛn gi yu we dɛn bin de du di tɛst, ɔ if yu nɔ gɛt di rizɔlt fɔ yu kadyak CT skan afta sɔm dez, kɔl yu dɔktɔ.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Nɔ fred fɔ gɛt CT skan na yu at ɔ di CT mashin. Dis na tɛst we nɔ de ambɔg yu dɔktɔ we de gi yu dɔktɔ bɔku valyu infɔmeshɔn bɔt wetin de apin na yu at ɛn di tin dɛn we de rawnd am.

Fɔ mek yu gɛt di bɛst rizɔlt, fala wetin yu dɔktɔ tɛl yu bɔt aw fɔ it ɛn drink bifo yu du di tɛst. Dɔn bak, mek shɔ se yu stil de ɛn ol yu briz we yu de du di tɛst.

Dis tɛst kin tɛl yu bɔrku tin bɔt yu at wɛl bɔdi, so nɔr shem fɔ mek dɛn du am if nid de. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.

` Kadyak CT skan, at, korona at, skan, at sik, CT skan, 3D imej