He CT Angiogram hei mōhio tika mō ō uaua toto! Me kōrero tāua mō tēnei?

I ētahi wā, me āta tirotiro e ā tātou tākuta ngā oko toto i roto i ō tātou tinana. Hei whakamārama, kia kitea ai mēnā he raruraru kei roto i ngā oko toto, mēnā he aukati kei tētahi wāhi, mēnā he pupuhi iti pērā i te poihau. Koinā te wā e āwhina ai tēnei whakamātautau motuhake e kiia nei ko te CT Angiogram. Me titiro tātou he aha tēnei, me pēhea te mahi, me te aha hoki e hiahiatia ai?

He aha te angiogram CT?

He whakarāpopototanga noa iho, he whakamātautau te angiogram CT e tango ana i ngā whakaahua taipitopito o ō oko toto me ngā kiko e karapoti ana i a rātou. He rite ki te whakaahua, engari he mārama ake. He maha ngā wā ka mahia tēnei whakamātautau hei tirotiro i ngā aukati, i te whaiti rānei o ngā uaua e tuku toto ana ki tō ngākau, e kiia nei ko ngā uaua coronary, ko te mea rānei e kiia nei e ngā tākuta ko te mate coronary artery . Nā konei, i ētahi wā ka kiia ko te angiogram CT coronary, ko te CCTA rānei.

He aha atu ngā mate e whakamahia ana te CT angiogram hei tātaritanga?

He maha ngā mea e whakamahia ana i tēnei angiogram CT, ehara i te mea ko ngā oko toto o te ngākau anake. Whakaarohia ēnei āhuatanga:

• Aneurysm: Koinei te wā e pupuhi rerekē ai te uaua toto, hei tauira ko tō aorta, ko te uaua toto rānei i roto i tō roro, pērā i te poihau.
• Te tapahi i te aorta: Koinei te wā e pakaru ana te paparanga o roto o te pakitara o tō aorta.
• Te ngoikore o te hanganga o ngā uaua toto: He āhuatanga tēnei e hono tahi ai ngā uaua toto me ngā uaua uaua, inā koa i ngā wāhi pērā i te roro.
• Mate pūkahukahu carotid: He aukati i puta mai i ngā putunga ngako (pēka) i roto i ngā pūkahukahu e kawe ana i te toto ki tō roro.
• Mate pūkahukahu ā-roto: He āhuatanga e hangai ai te kiriuhi toto ki roto i ngā pūkahukahu o ō waewae, o ō ringaringa rānei.
• Te toto totoka e piri ana ki roto i ngā pukahukahu: He toto totoka e mau ana ki roto i ngā pukahukahu.
• Te tapahi ohorere i te uaua o te ngākau (SCAD): He haehae, he wehenga ohorere rānei i te pakitara o te uaua o te ngākau i roto i te ngākau.
• Whara whara: Ina pā he mea koi ki tō uma, ki tō kaki, ki tō upoko rānei, ka pakaru ngā uaua toto.

Ehara i te mea koinā anake, engari i ētahi wā ka whakamahia hoki e tō tākuta he angiogram CT hei whakamahere i mua mō te pokanga, mō ētahi atu tikanga hauora rānei. Hei tauira, ka taea e ia te āwhina i a koe ki te tirotiro i ō uaua coronary i mua i te mahi i te whakakapinga takirere ngākau, te pokanga bypass ngākau, te whakatakotoranga stent rānei.

"I roto i te hangarau, ko te angiogram CT te whakaahua e puta mai ana i tēnei whakamātautau. Ko te angiogram CT te tikanga e whakamahia ana hei tango i ēnei whakaahua. Engari i a tātou e kōrero nei, e rua ngā mea e whakamahia ana mō te whakamātautau e haere ana koe. Ka karangahia e ētahi he CTA."

Me pēhea te mahi a te angiography CT?

I mōhio koe ahakoa he matawai CT noa ka taea te tango whakaahua taipitopito, toru-ahu (3D) o roto o ō tātou tinana? Nā te mea ka tangohia e te matawai he rau o ngā whakaahua papatahi rua-ahu (2D). Kātahi ka honoa e te rorohiko ēnei whakaahua katoa hei hanga whakaahua 3D kounga teitei. Heoi, ko te rerekētanga nui i waenga i te matawai CT me te angiography CT ko te whakamahinga o te tae rerekē .

Mā tēnei tikanga matawai CT, me te rauemi hihiko, ka puta ō uaua toto me te mea kua 'whakamāramahia'. Ka taea e te tākuta te huri i tēnei whakaahua 3D ki ngā taha katoa. He rite ki te pupuri i tētahi tauira iti o tō uaua toto i tōna ringa. Mā tēnei ka taea e ia te kite i ia wāhanga o te uaua toto mai i ngā koki rerekē, te tautuhi i ngā raruraru, me te whakamahere maimoatanga.

He iti ake te whakaekenga o te angiography CT, ā, he iti ake ngā mōrearea e pā ana ki tēnā i te angiography tuku iho. I roto i te angiogram tuku iho, ka whakauruhia he ngongo angiangi e kiia nei ko te catheter ki roto i tō uaua toto, ā, ka arahina ki te wāhi e tirohia ana. Kāore e hiahiatia he catheter mō te angiogram CT. Heoi, i runga i tō tau me ētahi atu āhuatanga hauora, kāore pea koe e pai mō te angiogram CT. I taua wā, me whai pea koe i te tukanga angiography tuku iho whakaekenga ake i whakahuatia i mua ake nei.

Me pēhea te whakarite i mua i tēnei whakamātautau?

Mā te tākuta i tūtohu kia whai CT angiogram koe e tohutohu me pēhea te whakarite. Ko te tikanga, me kōrero e koe ki te tākuta ēnei e whai ake nei:

• Mō ngā rongoā katoa e tangohia ana e koe i tēnei wā.
• Tō hītori hauora katoa, tae atu ki te mate manawa, ngā raruraru tākihi, me ngā mate pāwera.
• Kua pāngia koe e te mate pāwera ki tētahi tae rerekē i whakamahia i roto i tētahi whakamātautau i mua?
• Ahakoa kei te hapu koe, kei te whāngai u rānei.

Ka hoatu e te tākuta ētahi tohutohu motuhake hei whai māu. Tērā pea kei roto i ēnei ko ngā mea pēnei i:

• E hia ngā hāora me nohopuku ahau mō te whakamātautau, arā, kaua e kai, kaua e inu i tetahi mea?
• Me mutu te tango i ngā rongoā e whakamahia ana e koe i mua i te whakamātautau?

Ina tae mai koe mō te whakamātautau, ka hoatu he kākahu hōhipera hei kakahu māu. Me tango atu hoki e koe ngā whakapaipai koura, hiriwa rānei e mau ana koe, nā te mea ka raru pea te whakamātautau.

He aha ngā mea hei tumanakohia i te wā o te CT angiogram?

He tere, he kore mamae hoki te angiography CT. Heoi, ka whakauruhia he catheter IV, he ngongo iti, ki roto i te uaua i roto i tō ringa. Kei te ara koe, kāore i raro i te mate whakamoe. Ka takoto koe i runga i te tēpu whakamātautau. He mowhiti porowhita nui tēnei tēpu, he rite ki te tōnati, e neke haere ana i roto. Kāore koe i te tino herea, pērā i te wā o te matawai MRI.

Me noho marino koe i te wā o te whakamātautau kia taea ai e te matawai te tango pikitia pai. Mā tētahi tangata kua whakangungua motuhake, ko te Kaihangarau Irahiko, tō whakamātautau e mahi. Māna e whakamārama ia taahiraa, me te kī atu ki a koe he aha te mahi (hei tauira, kia pēhea te roa o te pupuri i tō manawa). Koinei te mea e tupu ana i te nuinga o te wā:

• Ka meinga koe kia takoto ki runga i te tēpu whakamātautau.
• Ka āwhina i a koe kia noho whakamarie. Tērā pea ka taea e koe te whakamahi i ngā urunga, i ngā whitiki rānei hei pupuri i a koe ki te wāhi kotahi.
• Ka werohia he IV ki roto i tō uaua hei hoatu i te tae rerekē. I te nuinga o te wā ka waiho tēnei ki tō ringaringa, ki tō hope rānei. Ka noho tonu te IV ki tōna tūranga tae noa ki te wā e tangohia ai ngā whakaahua. Tērā pea ka pā te mahana ki a koe i te whakaurunga o te tae. He mea noa tēnei, kaua e manukanuka.
• Mena ko te whakamātautau he tirotiro i ō uaua ngakau, ka tāpirihia e te tākuta he pāti iti (he taura EKG) ki tō uma. Mā tēnei ka taea e te tākuta te tango pikitia e rite ana ki tō manawa pā.
• Kia rite katoa ngā mea, ka haere te tohunga hangarau ki tētahi rūma motuhake. Ka taea e ia te kite me te kōrero ki a koe mā te pūnaha intercom.
• Ka neke whakamua, ka neke whakamua te tēpu whakamātautau i roto i te mowhiti rite ki te tōnati o te matawai. Ka tangohia e te matawai he rau ngā whakaahua i tēnei wā. Tērā pea ka rangona he haruru pakupaku, he pātōtō rānei.
• Mā te tohunga hangarau koe e kī atu āhea me pupuri tō manawa, āhea hoki me noho puku. Ahakoa te nekehanga iti noa iho, ka pāngia te kounga o ngā whakaahua.
• Kia oti te tango pikitia, ka tangohia te IV, ā, ka whakatakotoria he takai iti ki runga i te wāhi. Ka āwhinahia hoki koe kia ara ake i te tēpu. Kātahi ka mutu te whakamātautau.

Ka noho koe i roto i te rūma whakamātautau mō te 20 ki te 60 meneti pea, tae atu ki te wā whakarite. Ka noho koe i roto i te matawai mō te meneti, e rua rānei. Ka tere tonu te mutunga. Heoi, me haere pea te tākuta i roto i te matawai neke atu i te kotahi kia whiwhi ai i ngā whakaahua katoa e hiahiatia ana e ia.

He aha ngā ngoikoretanga o te angiogram CT?

I runga anō i ō hiahia me ō āwangawanga, tera pea ētahi ngoikoretanga o te angiography CT. Kei roto i ēnei:

• Te whakamahinga o te tae rerekē: Ehara tēnei i te raruraru mō te nuinga o te tangata. Heoi, i ētahi wā ka pāngia koe e te mate pāwera ki tēnei tae. Mena kua inumia e koe tēnei i mua, ka hoatu pea e tō tākuta he rongoā hei inu māu i mua i te whakamātautau, ka tūtohu rānei i tētahi atu whakamātautau.
• Te pānga o te irahiko iti-horopeta:He tino iti te nui o te irahiko ka puta mai i tētahi whakamātautau kotahi. Heoi, mā te pānga o te irahiko ki tō tinana mō tō oranga katoa ka paku piki ake te tūponotanga o te mate pukupuku. Ka whakaarohia ēnei katoa e tō tākuta. I te nuinga o te wā, he iti noa iho ēnei tūponotanga ki te whakataurite ki ngā painga o te CTA.

He aha ngā mea ka tupu i muri i te angiogram CT?

Kia mutu tō whakamātautau, ka taea e koe te hoki ki ō mahi o ia rā. Engari me inu nui koe i te wai me ētahi atu wai . Mā tēnei ka āwhina i te tae whakawehewehe kia tere te wehe atu i tō tinana.

He aha ngā hua o te CTA?

Ka puta he whakaahua taipitopito o ō uaua toto me ngā kiko e karapoti ana i a rātou mā te CT angiography, tae atu ki ngā moenga capillary. Ka taea e ēnei whakaahua te whakaatu i ngā raruraru maha i roto i ō uaua toto, pērā i te hanga paraka me ngā aneurysms. Ka tirohia ēnei whakaahua e te tohunga hihi-X, ā, ka tātarihia. Ka tukuna e ia ngā kitenga ki te tākuta nāna i tūtohu te whakamātautau māu. Kātahi ka kōrero te tākuta ki a koe, ka whakamārama i ngā hua.

Me toro atu anō pea koe ki tō tākuta (ngā haerenga whai muri). Me whai atu anō pea koe i ētahi atu whakamātautau. Mā tō tākuta koe e kī atu ki te aha te mahi e whai ake nei. Kaua e wehi ki te pātai mō ngā hua me te pānga ki a koe.

Āhea ahau me waea atu ki te tākuta?

Kōrero ki tō tākuta i tētahi wā pēnei:

• Mena he pātai āu i a koe e whakarite ana mō tō angiogram CT.
• Mena he pātai āu mō ngā hua o te whakamātautau .
• Ki te hiahia koe ki te kōrero mō tō mate, mō ngā kōwhiringa maimoatanga rānei .

Ahakoa te nui o te kī a tetahi ki a koe he tere, he kore mamae hoki te whakamātautau, he mea noa te māharahara. Kāore he aha. He mea noa te māharahara i mua i tētahi whakamātautau. Engari me mahara koe kei reira te angiogram CT hei āwhina i a koe. Mā tēnei ka taea e te tākuta te kite i ngā mea e tupu ana i roto i ō uaua toto. Mā ēnei hua, ka taea e kōrua ko te tākuta te whakarite i te maimoatanga e hiahiatia ana e koe mō tō hauora.

Ngā mea tino nui hei maumahara mā tātou

Āe, kua maha ā tātou kōrero mō te CT Angiogram. Kāore he take e mataku ai. He whakamātautau tino nui tēnei e whakamahia ana hei tiki kōrero taipitopito mō ngā oko toto i roto i tō tinana, inā koa ngā oko toto i roto i tō ngākau, roro, me ngā waewae. Ki te tono tō tākuta kia whakamātauria tēnei whakamātautau, ko te tikanga kei te hiahia ia ki te mōhio atu mō tō hauora. Nō reira, me whai i ngā tohutohu me te āta, ā, ki te mea he pātai āu, me pātai ki te tākuta, ki te tohunga hangarau rānei e mahi ana i te whakamātautau. He mea nui tō mahi tahi kia angitu ai tēnei whakamātautau.

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