Pākuʻi Carotid

ʻO Carotid duplex kahi hōʻike ultrasound e hōʻike ana i ke kahe maikaʻi o ke kahe ma waena o nā aʻa carotid. Aia nā aʻa carotid i ka ʻāʻī. Hāʻawi pololei lākou i ke koko i ka lolo.

ʻO Ultrasound kahi ala ʻeha ʻole e hoʻohana i nā nalu kani e hana i nā kiʻi o loko o ke kino. Hana ʻia ka hoʻāʻo ma kahi lab vascular a i ʻole radiology department.

Hana ʻia ka hōʻoia ma ke ala aʻe:

• Moe ʻoe i kou kua. Kākoʻo ʻia kou poʻo e mālama iā ia mai ka neʻe ʻana. Hoʻopili ka mea loea ultrasound i kahi gel i hoʻokumu ʻia i ka wai i kou ʻāʻī e kōkua ai i ka lawe ʻana o nā nalu kani.
• ʻO ka mea aʻe, hoʻoneʻe ka mea loea i kahi lāʻau i kapa ʻia transducer i hope a i waho ma kahi o ka wahi.
• Hoʻouna ka mea i nā nalu kani i kou ʻāʻī. Piʻi nā nalu kani i nā kīʻaha koko a hana i nā kiʻi a i ʻole nā ​​kiʻi o loko o nā aʻa.

ʻAʻole pono kahi hoʻomākaukau.

ʻIke paha ʻoe i kekahi kaomi ke neʻe ʻia ka transducer ma kou ʻāʻī. ʻAʻole pono ke kaomi i kekahi ʻeha. Lohe paha ʻoe i kahi kani "whooshing". He maʻamau kēia.

Nānā kēia hōʻike i ke kahe o ke koko i nā aʻa carotid. Hiki iā ia ke huai:

• ʻO ke kāpili koko (thrombosis)
• Pahu i nā aʻa (stenosis)
• Nā kumu ʻē aʻe o ka paʻa ʻana i nā aʻa carotid

E kauoha paha kāu kauka i kēia hōʻike inā:

• Ua loaʻa iā ʻoe kahi hahau a i ʻole hoʻouka ischemic kuikawa (TIA)
• Pono ʻoe i kahi hoʻāʻo muli no ka mea ua ʻike ʻia ka hoʻopili ʻana o kāu aʻa carotid i ka wā i hala a i ʻole ua ʻoki ʻia ʻoe ma ke aʻa.
• Lohe kāu kauka i kahi kani maikaʻi ʻole i kapa ʻia he bruit ma luna o nā aʻa carotid ʻāʻī. ʻO ke kumu paha kēia o ka hoʻopili ʻia ʻana o ke aʻa.

E haʻi nā hopena i kāu kauka pehea e wehe aikiʻi paha kāu mau aʻa carotid. ʻO kahi laʻana, he 10% paha nā puʻupuʻu e pili ana, 50% iki paha, a i ʻole 75% liʻiliʻi.

ʻO ka hopena maʻamau ʻaʻohe pilikia me ke kahe o ke koko i nā aʻa carotid. ʻAʻohe o ke aʻa o ke keʻakeʻa nui, ka hoʻopili ʻana, a me nā pilikia ʻē aʻe.

ʻO kahi hopena maʻamau ke ʻano o ka hoʻopili ʻana o ke aʻa, a i ʻole kekahi mea e loli ana i ke kahe o ke koko i nā aʻa carotid. ʻO kēia kahi hōʻailona o atherosclerosis a i ʻole nā ​​ʻano moku ʻē aʻe.

Ma ka laulā, ʻoi aku ka liʻiliʻi o ke aʻa, ʻo ke kiʻekiʻe o kāu makaʻā no ka hahau.

Kaukaʻi ʻia i nā hopena, makemake paha kāu kauka iā ʻoe e:

• E noʻonoʻo i ke kaha
• E loaʻa i nā hoʻokolohua hou (e like me ka cerebral angiography, CT angiography, a me ka magnetic resonance angiography)
• E hāhai i ka papaʻai olakino a me ka nohona e pale ai i ka paʻakikī o nā aʻa
• E hana hou i ka hōʻike i ka wā e hiki mai ana

ʻAʻohe pilikia me ka loaʻa ʻana o kēia kaʻina hana.

Scan NineManga.com - carotid duplex; Ultrasound Carotid; ʻO ke ultrasound carotid artery; Ultrasound - carotid; Vascular ultrasound - carotid; Ultrasound - vascular - carotid; Hahau - carotid duplex; TIA - carotid duplex; Hoʻoiho ischemic kuewa - carotid duplex

• ʻOki kino aʻa Carotid - hoʻokuʻu

• Carotid stenosis - X-ray o ke aʻa hema
• Carotid stenosis - X-ray o ke aʻa pono
• Pākuʻi Carotid

Bluth EI, Johnson SI, Troxclair L. Nā moku cerebral extracranial. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 26.

Kaufman JA, Nesbit GM. ʻO nā aʻa Carotid a me nā vertebral. I: Kaufman JA, Lee MJ, eds. ʻO Radiology Vascular a me Interventional: nā pono e pono ai. ʻElua ed. Piladelapia, PA: Elsevier Saunders; 2014: chap 5.

Polak JF, Pellerito JS. ʻO sonography Carotid: ka protocol a me nā noʻonoʻo loea. I: Pellerito JS, Polak JF, hua. Hoʻolauna i ka Vascular Ultrasonography. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 5.