Scanner CT Heart

ʻO kahi scan tomography i helu ʻia (CT) o ka puʻuwai kahi ʻano kiʻi e hoʻohana i nā kukuna x e hana i nā kiʻi kikoʻī o ka puʻuwai a me nā kīʻaha koko.

• Kāhea ʻia kēia hoʻāʻo he scan calcium o ka coronary ke hana ʻia ia e ʻike inā loaʻa iā ʻoe kahi buildup o ka calcium i loko o nā aʻa o kou puʻuwai.
• Kapa ʻia ʻo CT angiography inā hana ʻia e nānā i nā aʻa e lawe i ke koko i kou puʻuwai. Loiloi kēia hoʻokolohua inā aia ka liʻiliʻi a i ʻole ka paʻa i kēlā mau aʻa.
• Hana ʻia ka hoʻāʻo i kekahi manawa me ka scans o ke aorta a i ʻole nā ​​aʻa pulmonary e nānā ai i nā pilikia me kēlā mau hale.

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

• E moe ʻoe ma kou kua me kou poʻo a me kou mau wāwae ma waho o ka scanner ma nā ʻaoʻao ʻelua.
• Hoʻokomo ʻia nā pākuʻi liʻiliʻi, i kapa ʻia nā electrodes ma kou umauma a pili i kahi mīkini e hoʻopaʻa i ka hana uila o kou puʻuwai. Hāʻawi ʻia ʻoe i ka lāʻau e hoʻolohi i ka helu o kou puʻuwai.
• Ke komo nei ʻoe i loko o ka scanner, kaʻapuni a nā pōʻai x-ray o ka mīkini iā ​​ʻoe.

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 ke hana i nā hiʻohiʻona 3D (ʻekolu dimensional) o ka puʻuwai.

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.

He 10 mau minuke wale nō ka loiloi holoʻokoʻa.

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 (IV) i loko o kou lima a lima paha. 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.

Ma mua o ka loaʻa ʻana o ka ʻokoʻa:

• E hoʻomaopopo i kāu mea mālama ola inā loaʻa iā ʻoe kahi hopena i ka hoʻohālikelike a i ʻole nā ​​lāʻau. 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 hoʻolako e pili ana i kāu mau lāʻau āpau, no ka mea e noi ʻia ʻoe e hoʻopaʻa i kekahi, e like me ka metformin (Glucophage) lāʻau lapaʻau diabetes, ma mua o ka hoʻāʻo.
• E hoʻomaopopo i kāu mea hāʻawi inā loaʻa iā ʻoe nā pilikia o ka hakuʻala. Hiki i ka mea hoʻohālikelike ke hoʻonāukiuki i ka hana o ka hakuʻala.

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.

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.

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

Hāʻawi ʻia ka ʻokoʻa i loko o ka IV i kahi:

• ʻO ke ahi wela iki
• ʻIno metallic i ka waha
• Hoʻomaʻamaʻa wela o ke kino

Kūleʻa kēia mau manaʻo a hele aku i loko o kekona kekona.

Hana wikiwiki ʻo CT i nā kiʻi kikoʻī o ka puʻuwai a me nā aʻa ona. Hoʻomaopopo a hōʻoia paha ka hōʻike:

• Kūkulu kahi plaque i nā aʻa coronary e hoʻoholo ai i kou makaʻu no ka maʻi puʻuwai
• ʻO ka maʻi puʻuwai Congenital (nā pilikia puʻuwai e kū nei i ka wā hānau)
• Nā pilikia me nā valves puʻuwai
• ʻO ka pale ʻana o nā aʻa e hoʻolako i ka puʻuwai
• Nā Tumors a i ʻole ka lehulehu o ka puʻuwai
• ʻO ka hana pauma o ka puʻuwai

Manaʻo ʻia nā hopena inā maʻamau ka naʻau a me nā aʻa e nānā ʻia he maʻamau i ka helehelena.

Hoʻokumu ʻia kāu "helu kalipuna" ma ka nui o ka puna i loaʻa i loko o nā aʻa o kou puʻuwai.

• He maʻamau ka hōʻike (maikaʻi ʻole) inā ʻo kāu helu helu calcium he 0. Kuhi kēia he haʻahaʻa loa ka manawa o ka puʻuwai puʻuwai ma nā makahiki e hiki mai ana.
• Inā haʻahaʻa loa ka helu calcium, ʻaʻole paha ʻoe e loaʻa i ka maʻi coronary artery.

Nā hopena kūpono ʻole ma muli o:

• ʻO Aneurysm
• Maʻi maʻi ʻōpū
• Maʻi maʻi ʻaʻai Coronary
• Nā pilikia o ka puʻuwai puʻuwai
• ʻO ka hoʻohaunaele o ka uhi a puni ka puʻuwai (pericarditis)
• Hoʻopili ʻia o hoʻokahi a ʻoi paha o nā aʻa coronary (stenosis coronary artery)
• Nā Tumors a i ʻole nā ​​lehulehu o ka puʻuwai a i ʻole nā ​​wahi e puni ana

Inā kiʻekiʻe kāu helu calcium:

• ʻO ka manaʻo ia he buildup calcium kāu i loko o nā paia o kou aʻa coronary. He hōʻailona maʻamau kēia o atherosclerosis, a i ʻole ka paʻakikī ʻana o nā aʻa.
• ʻO ke kiʻekiʻe o kāu helu, ʻoi aku paha ka nui o kēia pilikia.
• E kamaʻilio me kāu mea hoʻolako e pili ana i nā loli nohona hiki iā ʻoe ke hōʻemi i ka makaʻikaʻi no ka maʻi puʻuwai.

ʻO nā pilikia no ka CT scan me:

• Ke hōʻike ʻia nei i ka radiation
• ʻO ka hopena āpau e hoʻohālikelike i ka kala

Hōʻike ka CT scan iā ʻoe i nā radiation hou aʻe ma mua o nā kukuna x maʻamau. Loaʻa i nā x-ray a i ʻole CT scans i ka manawa ke hoʻonui i kou makaʻi no ka maʻi ʻaʻai. Eia nō naʻe, liʻiliʻi ka makaʻu o kēlā me kēia scan NineManga.com Pono ʻoe a me kāu mea lawelawe e kaupaona i kēia makaʻu e kūʻē i nā pono o ka loaʻa ʻana o kahi hōʻailona pololei no kahi pilikia olakino.

Loaʻa i kekahi poʻe nā maʻi āpau e hoʻohālikelike i ka kala. E hoʻomaopopo i kāu mea nāna i hāʻawi inā ua loaʻa ʻoe i kahi hopena maʻi ʻaʻai i ka wai ʻokoʻa a injected.

• 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 a i ʻole ka luaʻi, ka ʻū ʻana, ka naue, a i ka hives paha.
• Inā hāʻawi ʻia ʻoe i kēlā ʻano ʻokoʻa, pono paha ʻoe e lawe i nā steroid (e like me prednisone) a i ʻole antihistamines (e like me diphenhydramine) ma mua o ka hoʻāʻo. Pono paha ʻoe e lawe i kahi blocker histamine (e like me ranitidine).
• Kōkua nā puʻupaʻa i ka hemo ʻana o ke iodine mai ke kino. Pono ka poʻe me nā maʻi puʻupaʻa a diabetes paha e loaʻa i nā wai keu ma hope o ka hoʻāʻo e kōkua ai i ka hoʻolei ʻana i ka iodine mai ke kino.

Kākaʻikahi wale, hiki i ke kala ke hoʻoweliweli i kahi pane maʻi 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.

Scanner CAT - puʻuwai; ʻImi i ka tomography axial tomography - puʻuwai; ʻImi tomography compute - puʻuwai; Kalai hua helu; Nānā CT scanohi lehulehu - puʻuwai; Helu helu ʻia ka uila uila - puʻuwai; Helu helu ʻo Agatston; Hōʻike ʻalā Coronary

• CT scan

Beniamina IJ. Nā hōʻike diagnostics a me nā kaʻina hana i ka mea maʻi me ka maʻi o ka maʻi puʻuwai. I: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. ʻO Andreoli lāua ʻo Carpenter's Cecil Essentials of Medicine. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 4.

Doherty JU, Kort S, Mehran R, et al. ʻO ACC / AATS / AHA / ASE / ASNC / HRS / SCAI / SCCT / SCMR / STS 2019 kūpono kūpono kūpono no ke kiʻi multimodality i ka loiloi ʻana i ka hanana o ka puʻuwai a me ka hana i nā maʻi puʻuwai nonvalvular: kahi hōʻike o ke Kulanui ʻAmelika o Cardiology kūpono kūpono hoʻohana. ʻO ka Task Force, ʻAmelika Hui Pū ʻIa no Thuracic Surgery, ʻAmelika ʻAmelika Hui Pū ʻIa, ʻAmelika Hui Pū ʻIa o Echocardiography, ʻAmelika ʻAmelika Hui Pū ʻIa Nuclear, Pūnaewele Rhythm Heart, ʻĀina no ka Cardiovascular Angiography a me nā hana, Society of Cardiovascular Compulated Tomography, Society for Cardiovascular Magnetic Resonance, a me Society of Nā Kahukū Thoracic. ʻO J Am Coll Cardiol. 2019; 73 (4): 488-516. PMID: 30630640 www.ncbi.nlm.nih.gov/pubmed/30630640.

ʻO Min JK. Ua helu ʻo Cardiac i ka ʻōkalakala. 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 18.