Puʻuwai PET Heart

ʻO kahi scan tomography emission positron puʻuwai (PET) kahi hōʻike kiʻi e hoʻohana ai i kahi mea radioactive i kapa ʻia he tracer e nānā no ka maʻi a i ʻole ke kahe o ke koko i loko o ka puʻuwai.

ʻAʻole like me ke kiʻi magnetic resonance (MRI) a me ka tomography i helu ʻia (CT), e hōʻike nei i ke ʻano o ke kahe o ke koko i a mai nā ʻokena, kahi PET scan e hāʻawi i ka ʻike hou aku e pili ana i ka hana ʻana o nā meaola a me nā meaola.

Hiki i kahi puʻuwai PET scan ke ʻike inā paha lawa ke koko i nā wahi o kou puʻuwai puʻuwai, inā loaʻa ka puʻuwai puʻuwai a i ʻole nā ​​ʻili maka i ka puʻuwai, a i ʻole ke kūkulu ʻia ʻana o nā mea ʻino i ka puʻuwai puʻuwai.

Pono kahi scan PET i kahi liʻiliʻi o nā mea radioactive (tracer).

• Hāʻawi ʻia kēia tracer ma o kahi aa koko (IV), pinepine ma ka loko o kou kuʻe lima.
• Hele ia ma o kou koko a ʻohiʻohi i loko o nā ʻokena a me nā ʻaʻa, me kou puʻuwai.
• Kōkua ka mea tracer i ka radiologist e ʻike pono i kekahi mau wahi a i ʻole nā ​​maʻi.

Pono ʻoe e kali ma kahi kokoke e komo ka tracer i kou kino. Lawe ʻia kēia ma kahi o 1 hola i ka nui o nā hihia.

A laila, e moe ʻoe ma ka papaʻaina liʻiliʻi, e heʻe ai i kahi scanner e like me ke ʻano o ke ana.

• E kau ʻia nā electrodes no ka electrocardiogram (ECG) ma kou umauma. Hoʻomaopopo ka scanner PET i nā hōʻailona mai ka tracer.
• Hoʻololi kahi kamepiula i nā hopena i nā kiʻi 3-D.
• Hōʻike ʻia nā kiʻi ma kahi monitor no ka radiologist e heluhelu.

Pono ʻoe e moe moe i ka scan PET a hiki i ka mīkini ke hana i nā kiʻi kikoʻī o kou puʻuwai.

I kekahi manawa, hana ʻia ka hōʻike me ka hoʻāʻo ʻana i ke koʻikoʻi (hoʻoikaika kino a i ʻole ka pharmacologic stress).

Ma kahi o 90 mau minuke ka hoʻāʻo.

E noi ʻia ʻoe ʻaʻole e ʻai i kekahi mea no 4 a 6 mau hola ma mua o ka scanner. Hiki iā ʻoe ke inu wai. I kekahi manawa hāʻawi ʻia ʻoe i kahi papaʻai kūikawā ma mua o ka hoʻāʻo.

E haʻi i kāu mea mālama ola inā:

• Makaʻu ʻoe i nā wahi kokoke (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi.
• Hāpai ʻoe a manaʻo paha ʻoe ua hāpai.
• Loaʻa iā ʻoe nā maʻi āpau i injye (ʻokoʻa).
• Lawe ʻoe i ka insulin no ka maʻi diabetes. Pono ʻoe i kahi hoʻomākaukau kūikawā.

E haʻi mau i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe nei, me nā mea i kūʻai ʻia me ka ʻole o ka lāʻau. I kekahi manawa, hoʻopilikia paha nā lāʻau i nā hopena hōʻike.

ʻIke paha ʻoe i kahi kui ʻoi loa ke hoʻokomo ʻia ka nila i loko o kou aa.

ʻAʻole loaʻa kahi ʻeha i kahi scan PET. He paʻakikī a anuanu paha ka pākaukau, akā hiki iā ʻoe ke noi i kahi kapa moe a uluna paha.

ʻO kahi intercom i loko o ka lumi e ʻae iā ʻoe e kamaʻilio me kekahi i kēlā me kēia manawa.

ʻAʻohe manawa hoʻōla, ke hāʻawi ʻole ʻia ʻoe i lāʻau e hoʻomaha ai.

Hiki i kahi scan PET PET puʻuwai ke hōʻike i ka nui, ke ʻano, ke kūlana, a me kekahi hana o ka puʻuwai.

Hoʻohana pinepine ʻia ia i nā hoʻokolohua ʻē aʻe, e like me echocardiogram (ECG) a me nā hōʻike o ka naʻau koʻikoʻi ʻaʻole lawa ka ʻike.

Hiki ke hoʻohana ʻia kēia hoʻāʻo e hōʻike i nā pilikia o ka puʻuwai a hōʻike i nā wahi i loaʻa ʻole ke kahe koko maikaʻi i ka puʻuwai.

Lawe ʻia kekahi mau scans PET ma kahi o ka manawa e hoʻoholo ai i ke ʻano o kāu pane ʻana i ka lāʻau no ka maʻi puʻuwai.

Inā pili kāu hoʻāʻo i ka hoʻoikaika kino, ʻo ka hōʻoia maʻamau ka mea maʻamau i hiki iā ʻoe ke hoʻoikaika kino no ka mea ʻoi aku ka lōʻihi a ʻoi paha o ka hapanui o nā poʻe o kou mau makahiki a me kāu moekolohe. ʻAʻole nō ʻoe i loaʻa i nā ʻōuli a i ʻole nā ​​loli i ke kaomi koko a i ʻole kāu ECG i hoʻokumu i ka hopohopo.

ʻAʻohe pilikia i ʻike ʻia i ka nui, ke ʻano, a me ka hana o ka puʻuwai. ʻAʻohe wahi i ʻohiʻohi maʻamau ʻia ai ka radiotracer.

Nā hopena kūpono ʻole ma muli o:

• Maʻi maʻi ʻaʻai Coronary
• Hōʻeha puʻuwai a i ʻole cardiomyopathy

ʻO ka nui o nā radiation i hoʻohana ʻia i ka scan PET. Ua like ia me ka nui o ka radiation e like me ka nui o ka CT scans. Eia kekahi, ʻaʻole lōʻihi ke kukuna i kou kino.

ʻO nā wahine hāpai a hānai hānai paha e hōʻike i kā lākou mea lawelawe ma mua o ka loaʻa ʻana o kēia hōʻike. ʻOi aku ka maʻalahi o nā pēpē a me nā pēpē e ulu ana i ka ʻōpū i nā hopena o ka radiation no ka mea ke ulu mau nei kā lākou meaola.

Hiki, ʻoiai ʻaʻole loa ia, e loaʻa i kahi maʻi maʻi i ka mea radioactive. Loaʻa i kekahi poʻe ka ʻeha, ʻulaʻula, a i ʻole ka pehu ʻana ma ka pūnaewele injection.

Hiki ke loaʻa nā hopena wahaheʻe ma ka scan PET. Hiki ke hoʻopili ke kō a me nā pae insulin i nā hopena hōʻike i ka poʻe me ka maʻi kō.

Hana ʻia ka hapa nui o nā scan PET me kahi scan CT. Kapa ʻia kēia scan paʻi hoʻohui ʻia he PET / CT.

ʻImi lāʻau nīnūnē scan lāʻau; Hoʻonohonoho emission positron naʻau; ʻImi PET Myocardial

Patel NR, Tamara LA. ʻO ka tomography emission Cardiac positron. I: Levine GN, hoʻoponopono. Nā ʻōlelo huna Cardiology. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 9.

ʻO Nensa F, Schlosser T. Cardiac positron emission tomography / magnet resonance. I: Manning WJ, Pennell DJ, eds. ʻO Resonance Mākēkiʻi Cardiovascular. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 50.

Udelson JE, Dilsizian V, Bonow RO. Cardiology nuklear. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 16.