Lumbosacral spine CT
ʻO kahi CT lumbosacral spine CT kahi nānā tomography i helu ʻia o ka iwi kuamoo o lalo a me nā mea pili.
E noi ʻia ʻoe e moe ma ka pākaukau hāiki e paheʻe i waenakonu o ka scanner CT. Pono ʻoe e moe i kou kua no kēia hōʻike.
I ka manawa i loko o ka scanner, kaʻapuni ke kukuna x-ray o ka mīkini iā ʻoe.
Ana nā mea ʻike liʻiliʻi i loko o ka scanner i ka nui o nā kukuna x i loko o ka ʻāpana o ke kino e hoʻopaʻa ʻia ana. Lawe kahi kamepiula i kēia ʻike a hoʻohana iā ia e hana i kahi mau kiʻi, 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 ke hana ʻia i ke ana hoʻohālike ʻekolu o nā ʻōnaehana e ke kau pū ʻana i nā ʻāpana pākahi.
Pono ʻoe e noho mālie i ka wā o ka hoʻokolohua, no ka mea ʻo ka neʻe ke kumu o nā kiʻi blurr. ʻ belelo ʻia paha ʻoe e hoʻopaʻa i kou hanu no nā manawa pōkole.
I kekahi mau hihia, hiki ke ʻimi ʻia kahi kala i hoʻokumu ʻia iodine, i kapa ʻia he ʻokoʻa, i loko o kou aa ma mua o ke kiʻi ʻia ʻana o nā kiʻi. Hiki i ka hoʻohālikelike ke kuhi i nā wahi kikoʻī i loko o ke kino, kahi e hana ai i kahi kiʻi akāka.
I nā hihia ʻē aʻe, hana ʻia kahi CT o ka iwi kuamoo lumbosacral ma hope o ka hoʻokomo ʻana i ke kala ʻokoʻa i loko o ke aʻa kuamoʻo i ka wā o ka lumbar puncture e nānā hou ai i ka kaomi ʻana ma nā ʻalolo.
He mau minuke ka loiloi.
Pono ʻoe e hemo i nā mea hoʻonaninani āpau a i ʻole nā mea hao ʻē aʻe ma mua o ka hoʻāʻo. ʻO kēia ke kumu o ke kumu o nā kiʻi kūpono ʻole a blurry hoʻi.
Inā pono ʻoe i kahi lumbar puncture, noi ʻia paha ʻoe e hōʻoki i kou lahilahi a i ʻole nā lāʻau anti-inflammatory (NSAIDs) i kekahi mau lā ma mua o ke kaʻina hana. E hōʻoia me kāu kauka i mua o ka manawa.
ʻAʻole ʻeha nā kukuna x. Hiki paha i kekahi poʻe ke hōʻoluʻolu mai ka moe ʻana i ka papa paʻakikī.
Hiki i ka hoʻohālikelike ke kumu i kahi ʻā ʻana o ke ahi, kahi ʻono metallic i ka waha, a me kahi hoʻomehana mahana o ke kino. Kūleʻa kēia mau manaʻo a hele aku i loko o kekona kekona.
Hana wikiwiki ʻo CT i nā kiʻi kikoʻī o ke kino. Hiki i kahi CT o ka iwi lumbosacral ke loiloi i nā haki a me nā loli o ka iwi kuamoo, e like me nā mea ma muli o ka maʻi kōpaʻa a me nā deformities paha.
Hiki i ka CT o ka iwi lumbosacral ke hōʻike i nā ʻano aʻe a i ʻole nā maʻi:
- Cyst
- Pāpaʻi herniated
- Maʻi kīnā
- Ua pālahalaha ʻia ka maʻi ʻaʻai
- ʻO Osteoarthritis
- Osteomalacia (palupalu o nā iwi)
- ʻ nerveiwi nerve
- Tumo
- ʻO ka haʻihaʻi vertebral (iwi iwi haʻi)
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, nā hives, ka huehue, ka nausea, ka hanu paʻakikī, a i ʻole nā hōʻailona ʻē aʻe.
Inā loaʻa iā ʻoe nā pilikia ʻōpū, diabetes a i ʻole ma ka dialysis hakuʻala, e kamaʻilio me kāu kauka olakino ma mua o ka hoʻāʻo e pili ana i kāu makaʻu i ka loaʻa ʻana o nā haʻawina ʻokoʻa.
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. Liʻiliʻi ka pilikia e pili ana i kēlā me kēia scan Hoʻonui ka makaʻi ke hoʻokō ʻia nā scan he nui hou aku.
I kekahi mau hihia, hiki ke hana ʻia kahi CT scan inā ʻoi aku ka nui o nā pōmaikaʻi ma mua o nā pilikia. ʻO kahi laʻana, hiki ke ʻoi aku ka makaʻu ʻole i ka loaʻa ʻole o ka hōʻike inā manaʻo kāu mea lawelawe he maʻi maʻi kāu.
Pono nā wahine hāpai a hānai paha e nīnau i kā lākou mea hāʻawi e pili ana i ka makaʻu o ka CT scans i ka pēpē. Hiki i ka uila i ka wā o ka hāpai ʻana ke hoʻololi i ka pēpē, a hiki i ke kala i hoʻohana ʻia me ka CT scans ke komo i ka waiū umauma.
Spinal CT; CT - iwi kuamoʻo lumbosacral; ʻEha ʻeha haʻahaʻa - CT; LBP - CT
- CT scan
- Iwi kuamoʻo
- Vertebra, lumbar (haʻahaʻa i hope)
- Vertebra, thoracic (waena waena)
- Lumbar vertebrae
Nā Reekers JA. Angiography: nā loina, nā ʻenehana a me nā pilikia. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 78.
ʻO Van Thielen T, van den Hauwe L, Van Goethem JW, Parizel PM. Ke kūlana o kēia manawa o ke kiʻi ʻana o ka iwi kuamoo a me nā hiʻohiʻona anatomical. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 47.