Hoʻolālā CT orbit

ʻO kahi scan tomography compute (CT) o ka orbit kahi ʻano kiʻi. Hoʻohana ia i nā kukuna x e hana i nā kiʻi kikoʻī o nā kumu maka (orbits), nā maka a me nā iwi e pili ana.

E noi ʻia ʻoe e moe ma ka pākaukau hāiki e paheʻe i waenakonu o ka scanner CT. Kau ʻia kou poʻo i loko o ka scanner CT.

ʻAe ʻia ʻoe e kau i kou poʻo ma ka uluna.

Ke komo nei ʻoe i loko o ka scanner, kaʻapuni ke kukuna x-ray o ka mīkini iā ​​ʻoe akā ʻaʻole ʻoe e ʻike i ka x-ray.

Hana kahi kamepiula i nā kiʻi kaʻawale o ka wahi o ke kino, i kapa ʻia nā ʻāpana. Hiki ke mālama ʻia kēia mau kiʻi, nānā ʻia ma kahi monitor, a paʻi ʻia paha ma ke kiʻi ʻoniʻoni. Hiki i ke kamepiula ke hana i nā hoʻohālikelike ʻekolu dimensional o ka ʻaoʻao o ke kino ma ka hoʻopaʻa pū ʻana i nā ʻāpana.

E moe mālie ʻoe i ka wā o ka hoʻokolohua, no ka mea ʻo ka neʻe ke kumu o nā kiʻi blurr. E noi paha ʻoe e hoʻopaʻa i kou hanu no nā wā pōkole.

Ma kahi o 30 kekona ka loiloi maoli. ʻO ka hana holoʻokoʻa ma kahi o 15 mau minuke.

Ma mua o ka hoʻāʻo:

• E noi ʻia ʻoe e hemo i nā mea hoʻonaninani a komo i ke kapa komo i ka haukapila i ka wā o ke aʻo ʻana.
• Inā ʻoe e kaupaona ma mua o 300 mau paona (135 kilokilo), e ʻike inā he kaupaona kau palena ko ka mīkini CT. Hiki i ka nui o ke kaupaona ke hoʻopōʻino i nā ʻāpana hana a ka scanner.

Pono kekahi mau hoʻāʻo i kahi kala kūikawā, i kapa ʻia he ʻokoʻa, e lawe ʻia i loko o ke kino ma mua o ka hoʻomaka ʻana o ka hoʻāʻo. Kōkua ka hoʻohālikelike i kekahi mau wahi e hōʻike ʻoi aku ka maikaʻi ma nā kukuna x. Hiki ke hāʻawi i ka hoʻohālikelike ma o kahi aa (intravenous- IV) i loko o kou lima a i ʻole ka forearm.

Ma mua o ka nānā ʻana i ka hoʻohana ʻana i ka ʻokoʻa, he mea nui e ʻike i ka mea aʻe:

• E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 4 a 6 mau hola ma mua o ka hoʻāʻo.
• E hoʻomaopopo i kāu mea mālama ola inā loaʻa iā ʻoe kahi hopena i ka ʻokoʻa. Hiki paha iā ʻoe ke lawe i nā lāʻau i mua o ka hoʻāʻo ʻana i mea e loaʻa palekana ai kēia mea.
• E haʻi i kāu mea hāʻawi inā lawe ʻoe i ka metformin lāʻau lapaʻau diabetes (Glucophage). Pono paha ʻoe e hana i ke akahele hou aʻe.
• E hoʻomaopopo i kāu mea hāʻawi inā loaʻa ʻole kāu hana hakuʻala maikaʻi ʻole. ʻO kēia no ka mea hiki i ka hoʻohālikelike ke hoʻopōʻino i ka hana o ka hakuʻala.

Hiki paha i kekahi poʻe ke hōʻoluʻolu mai ka moe ʻana i ka papa paʻakikī.

Hāʻawi ʻia ka ʻokoʻa ma o ka IV i kahi naʻau ʻā iki. Hiki iā ʻoe ke ʻono i ka mea hao i ka waha a me kahi hoʻomehana mahana o ke kino. Kūleʻa kēia mau manaʻo a hele pinepine i loko o kekona kekona.

He mea kōkua kēia hōʻike no ke kuhi ʻana i nā maʻi e pili ana i nā wahi a puni nā maka.

• Nā kīʻaha koko
• Nā mākala maka
• Ke hāʻawi nei i nā maka (nā ʻalohi optic)
• Sinus

Hiki paha ke hoʻohana i kahi scan CT orbit e ʻike:

• Loaʻa ʻole (maʻi) o ka maka o ka maka
• Iwi kumu maka maka
• Mea ʻē i ka paukū maka

Nā hualoaʻa kūpono ʻole paha:

• Kahena
• Iwi kumu maka maka
• Maʻi maʻi kupapaʻu
• Maʻi kīnā
• Tumo

Nānā pololei ʻia a nānā ʻia me ka nānā ʻana i nā CT scan a me nā kukuna x e ʻike pono lākou e hoʻohana i ka liʻiliʻi o ka radiation. ʻO ka makaʻu e pili pū ʻia me kēlā me kēia scanna he haʻahaʻa loa ia. Hoʻonui ka makaʻi ke hana ʻia nā noiʻi hou aku.

Hana ʻia ka CT scans ke ʻoi aku ka maikaʻi ma mua o nā pōpilikia. ʻO kahi laʻana, hiki ke ʻoi aku ka makaʻu ʻole i ka loaʻa ʻole o ka hōʻike, keu hoʻi inā manaʻo kāu mea lawelawe he maʻi ʻaʻai kāu.

ʻO ka ʻano maʻamau o ka ʻokoʻa i hāʻawi ʻia i loko o ke aa koko he iodine.

• Inā hāʻawi ʻia i kahi kanaka me kahi alodio iodine i kēia ʻano ʻokoʻa, nausea, sneezing, luaʻi, aniani, a me nā hives.
• Inā loaʻa iā ʻoe kahi maʻi āpau ʻike e hoʻohālikelike akā pono ia no kahi hōʻike kūleʻa, loaʻa paha iā ʻoe nā antihistamines (e like me Benadryl) a i ʻole nā ​​steroid i mua o ka hoʻāʻo.

Kōkua nā puʻupaʻa i ka kānana ʻana o ka iodine mai ke kino. Inā loaʻa ʻoe i ka maʻi puʻupaʻa a i ʻole diabetes, pono e kiaʻi pono ʻia ʻoe no nā pilikia o ka puʻupaʻa ma hope o ka hoʻohālikelike ʻana. Inā loaʻa ʻoe i ka maʻi diabetes a i ʻole loaʻa i ka maʻi puʻupaʻa, e kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻāʻo e ʻike i kāu mau pilikia

Ma mua o ka loaʻa ʻana o ka ʻokoʻa, e haʻi i kāu mea lawelawe inā lawe ʻoe i ka metformin lāʻau lapaʻau diabetes (Glucophage) no ka mea pono ʻoe e makaʻala hou. Pono paha ʻoe e hoʻokū i ka lāʻau no 48 mau hola ma hope o ka hoʻāʻo.

I nā hihia kakaikahi, hiki i ke kala ke hoʻoweliweli i ka pane o ka maʻi āpau i kapa ʻia he anaphylaxis. Inā he pilikia paha kāu i ka hanu ʻana i ka wā o ka hoʻāʻo, e haʻi koke aku i ka mea scanner. Hele mai nā scanner me kahi intercom a me nā mea kamaʻilio, no laila hiki i ka mea hoʻokele ke hoʻolohe iā ʻoe i nā manawa āpau.

CT scan - orbital; ʻImi CT maka; ʻO ka scan tomography i helu ʻia - orbit

• CT scan

ʻO Bowling B. Orbit. I: ʻO Bowling B, ed. ʻO Ophthalmology Clinical Clinical. 8th ed. Piladelapia, PA: Elsevier; 2016: chap 3.

Chernecky CC, Berger BJ. Hoʻopili ʻia ʻo Cerebral tomography-diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 310-312.

ʻO Guluma K, ʻo Lee JE. Ophthalmology. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 61.

ʻO Poon CS, ʻAberama M, ʻO ʻAberama JJ. Orbit. I: Haaga JR, Boll DT, eds. CT a me MRI o ke Kino holoʻokoʻa. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 20.