Palehua plethysmography

ʻO ka lune plethysmography kahi hōʻike e hoʻohālikelike i ke kahe o ke koko i nā wāwae a me nā lima.

Hana ʻia kēia hōʻike ma ke keʻena ʻoihana olakino a i ʻole kahi haukapila. E noi ʻia ʻoe e moe me ka ʻāpana kiʻekiʻe o kou kino i hāpai iki ʻia.

ʻEkolu a ʻehā mau puʻupuʻu koko e ʻūlū paʻa ʻia i kou lima a me kou wāwae. Hoʻonui ka mea hāʻawi i nā cuffs, a me kahi mīkini i kapa ʻia kahi plethysmograph e ana i nā lāʻau mai kēlā me kēia cuff. Hoʻopaʻa ka hōʻike i ke kaomi kiʻekiʻe i hana ʻia ke hana ka puʻuwai (systolic pressure pressure).

Hoʻomaopopo ʻia nā ʻokoʻa ma waena o nā puʻupuʻu. Inā loaʻa kahi emi o ka lāʻau i waena o ka lima a me ka wāwae, hōʻike paha ia i kahi paʻa.

Ke pau ka hoʻāʻo, hoʻoneʻe ʻia nā kūpeʻe koko.

Mai puhi iki ma kahi o 30 mau minuke ma mua o ka hoʻāʻo. E noi ʻia ʻoe e hemo i nā lole a pau mai ka lima a me ka wāwae e hoʻāʻo ana.

ʻAʻole pono ʻoe e ʻoluʻolu nui me kēia hōʻike. E ʻike wale ʻoe i ke kaomi o ke kūpikipiki koko. Lawe pinepine ka hoʻāʻo ma mua o 20 a 30 mau minuke e hana.

Hana pinepine ʻia kēia hoʻāʻo e nānā no ka hoʻopili ʻana a i ʻole blockages o nā kīʻaha koko (nā aʻa) i nā lima a me nā wāwae.

Aia ma lalo o kahi 20 a 30 mm Hg ʻokoʻa i ke kaomi systolic o ka wāwae i hoʻohālikelike ʻia me ka lima.

Nā hopena kūpono ʻole ma muli o:

• Maʻi maʻi o Arterial
• Huʻi koko
• Hoʻololi ka ipu koko ma muli o ka maʻi kō
• ʻEha i kahi artery
• Other moku maʻi maʻi (vascular maʻi)

Nā kūlana ʻē aʻe e hana ʻia ai ka hōʻike:

• Trombosis venous hohonu

Inā loaʻa iā ʻoe kahi hopena maikaʻi ʻole, pono paha ʻoe e ʻike hou aʻe e ʻike i ka pūnaewele kikoʻī o ka piʻina.

ʻAʻohe pilikia.

ʻAʻole pololei kēia hōʻike e like me ka arteriography. Hana ʻia paha ka Plethysmography no ka poʻe maʻi nui i hiki ʻole ke huakaʻi i ka hale hōʻike lāʻau. Hiki ke hoʻohana ʻia kēia hoʻāʻo e paku ai no ka maʻi vascular a i ʻole e hāhai i nā hoʻokolohua kūlohelohe ma mua.

Noninvasive ka hoʻāʻo, a ʻaʻole ia e hoʻohana i nā kukuna x a i ʻole ka ʻume ʻana o ke kala. ʻOi aku ka liʻiliʻi o ke kumukūʻai ma mua o ka angiogram.

Plethysmography - lālā

ʻO Beckman JA, ʻo Creager MA. ʻO ka maʻi peripheral artery: ka loiloi loiloi. I: Creager MA, Beckman JA, Loscalzo J, eds. Ka Lapaʻau Vascular: He Hoa no ka Maʻi Puʻuwai ʻo Braunwald. Piladelapia, PA: Elsevier; 2020: chap 18.

Tang GL, Kohler TR. Ke keʻena hoʻokolohua vascular: ka loiloi i ka physiologic arterial. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 20.