ʻO Chest CT

ʻO ka CT scan umauma (compute tomography) kahi ʻano kiʻi e hoʻohana i nā kukuna x e hana i nā kiʻi ʻāpana o ka umauma a me luna o ka ʻōpū.

Hana ʻia ka hōʻoia ma ke ala aʻe:

• E noi ʻia paha ʻoe e hoʻololi i kaʻaʻahu hōkele.
• Moe ʻoe ma ka pākaukau hāiki e paheʻe i waenakonu o ka scanner. Ke komo nei ʻoe i loko o ka scanner, kaʻapuni a nā pōʻai x-ray o ka mīkini iā ​​ʻoe.
• 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 kahi manawa pōkole.

Loaʻa ka scan piha i 30 kekona i kekahi mau minuke.

Pono kekahi mau scans CT 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. Hoʻohālikelike i nā wahi kikoʻī i loko o ke kino a hana i kahi kiʻi akāka. Inā noi kāu mea hāʻawi i kahi CT scan me ka ʻokoʻa intravenous, e hāʻawi ʻia ia iā ʻoe ma o kahi aa (IV) i kou lima a lima paha. Hiki ke hana ʻia kahi hōʻoia koko e ana i kāu hana o ka puʻupaʻa ma mua o ka hōʻike. ʻO kēia hōʻoia e hōʻoia i ke olakino o kou mau puʻupaʻa e kānana i ka ʻokoʻa.

Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha i ka wā o ka hoʻāʻo.

Loaʻa i kekahi poʻe nā maʻi āpau i ka ʻokoʻa IV a pono paha e lawe i ka lāʻau i mua o kā lākou hoʻāʻo e loaʻa palekana ai i kēia lāʻau.

Inā hoʻohana ʻia ka ʻokoʻa, noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 4 a 6 mau hola ma mua o ka hoʻāʻo.

Inā kaupaona ʻoe ma mua o 300 mau paona (135 kilokilo), e hoʻopili aku kāu kauka olakino i ka mea scanner ma mua o ka hoʻāʻo. Loaʻa i nā CT scanners ka palena kaupaona o 300 a 400 mau paona (100 a 200 kilokilo). Hiki i nā scanners hou ke komo i 600 mau paona (270 kilo). Ma muli o ka paʻakikī o ka hele ʻana i nā kukuna x i nā mea hao, e noi ʻia ʻoe e hemo i nā mea hoʻonaninani.

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

Hāʻawi ʻia ka hoʻohālikelike ma o ka IV i kahi naʻau ʻā iki, 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.

ʻAʻohe manawa hoʻōla, ke hāʻawi ʻole ʻia ʻoe i ka lāʻau e hoʻomaha ai. Ma hope o kahi scan CT, hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau, hana, a me nā lāʻau.

Hana koke ʻo CT i nā kiʻi kikoʻī o ke kino. Hoʻohana ʻia paha ka hoʻokolohua e kiʻi i kahi ʻike ʻoi aku o nā hale i loko o ka umauma. ʻO kahi CT scan kekahi ala maikaʻi loa e nānā ai i nā mea palupalu e like me ka puʻuwai a me nā māmā.

Hana ʻia paha kahi umauma CT:

• Ma hope o ka hōʻeha umauma
• Ke kuhi ʻia kahi tumo a i ʻole nuipa (ʻōpala o nā pūnaewele), me kahi nodule pulmonary mehameha i ʻike ʻia ma ka umauma x-ray
• E hoʻoholo i ka nui, ke kinona, a me ke kūlana o nā mea i loko o ka umauma a me luna o ka ʻōpū
• E nānā i nā hōʻiliʻili a kahe a me nā wai i nā akemāmā a i ʻole nā ​​wahi ʻē aʻe
• E nānā i ka maʻi a i ʻole ka palaho ma ka umauma
• E nānā i nā kahe koko i loko o nā akemāmā
• E nānā no ka scarring i loko o nā ake māmā
  

Hōʻike paha ʻo Thoracic CT i nā maʻi he nui o ka puʻuwai, nā mumū, ka mediastinum, a i ʻole ka umauma, me:

• ʻO ka waimaka i ka paia, kahi ākea ākea a paluna paha, a i ʻole ka hoʻopili ʻana o nā aʻa nui e lawe ana i ke koko mai ka puʻuwai (aorta)
• ʻO nā hoʻololi ʻē aʻe o nā kīʻaha koko nui i nā akemāmā a i ʻole ka umauma
• Kūkulu i ke koko a i ʻole ka wai a puni ka puʻuwai
• ʻO ke kanulau maʻi a i ʻole ke kanesa i pāhola aʻe i nā akemāmā mai nā wahi ʻē aʻe o ke kino
• ʻOhi o ka wai a puni nā akemāmā (pleural effusion)
• Poino i, a hoʻonui i nā alaloa nui o nā akemāmā (bronchiectasis)
• Nā lymph node hoʻonui ʻia
• Nā maʻi o ka puʻupuʻu kahi e wela ai nā mea o ka lung a laila ʻino.
• Pulumonia
• Maʻi ʻaʻai Esophageal
• Lymphoma i ka umauma
• Nā tumors, nā nodule, a i ʻole nā ​​cista i ka umauma

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. Hoʻohana nā CT scans i nā pae haʻahaʻa o ka radiation ionizing, ka mea hiki ke kumu i ka maʻi ʻaʻai a me nā kīnā ʻē aʻe. Eia nō naʻe, liʻiliʻi ka makaʻu o kēlā me kēia scan NineManga.com Hoʻonui ka hopena i ka nui o nā noi i hana ʻia.

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. I nā hihia kakaikahi, hiki i ke kala ke hoʻoweliweli i ka pane o ka maʻi āpau i kapa ʻia he anaphylaxis. Inā loaʻa iā ʻoe kekahi pilikia e hanu i ka wā o ka hoʻāʻo, pono ʻoe e hoʻomaopopo koke 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.

I ka poʻe me nā pilikia puʻupaʻa, loaʻa paha ka hopena ʻino i ka puʻupaʻa. I kēia mau kūlana, lawe ʻia paha nā hana i hana ʻia i mea e palekana ai ka waihoʻoluʻu waihoʻoluʻu.

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 hoʻokolohua inā manaʻo kāu mea hāʻawi iā ʻoe ua loaʻa ʻoe i ka maʻi ʻaʻai.

ʻO Thoracic CT; CT scan - māmā; CT scan - umauma

• CT scan
• Ka maʻi ʻaʻai thyroid - CT scan
• Pulmonary nodule, mehameha - CT scan
• Lū nui, ʻūlū ʻākau i luna - CT scan
• Ka maʻi ʻaʻai Bronchial - CT scan
• Lū nui, māmā akau - CT scan
• Lung nodule, akau haʻahaʻa māmā - CT scan
• Lū me ka maʻi ʻaʻai squamous cell - CT scan
• Vertebra, thoracic (waena waena)
• Anatomy māmā maʻamau
• Nā lālā Thoracic

Nair A, Barnett JL, Semple TR. Ke kūlana o kēia manawa o ke kiʻi thoracic. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 1.

ʻO Shaqdan KW, ʻo Otrakji A, ʻo Sahani D. Ka hoʻohana palekana ʻana o ka pāpāho ʻokoʻa. I: Abujudeh HH, Bruno MA, eds. Nā Mākau Noninterpretive Radiology: Nā Pono. Piladelapia, PA: Elsevier; 2018: chap 20.