ʻImi CT scan wāwae
ʻO kahi scan tomography i helu ʻia (CT) o ka wāwae e hana i nā kiʻi ʻāpana o ka wāwae. Hoʻohana ia i nā kukuna x e hana i nā kiʻi.
E moe ʻoe ma kahi pākaukau hāiki e paheʻe i waenakonu o ka scanner CT.
Ke komo nei ʻoe i loko o ka scanner, kaʻapuni a nā pōʻai x-ray o ka mīkini iā ʻoe. (Hiki i nā scanners "spiral" hou ke hana i ka hoʻokolohua me ka kū ʻole.)
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 hoʻohālikelike i nā hoʻohālikelike ʻekolu dimensional (3D) o ka wāwae ma ka hoʻohui pū ʻana i nā ʻāpana.
Pono ʻoe e moe moe i ka wā o ka hōʻike. Hiki i ka neʻe ke kumu i nā kiʻi blurr. Pono paha ʻoe e hoʻopaʻa i kou hanu no nā manawa pōkole.
10 a 15 mau minuke wale nō ka loiloi.
Hoʻohana kekahi mau hoʻokolokolo i kahi kala kūikawā, i kapa ʻia he ʻokoʻa, i hoʻokomo ʻia i loko o kou 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.
- E hoʻomaopopo i kāu mea mālama ola inā loaʻa iā ʻoe kahi hopena i ka ʻokoʻa. Pono paha ʻoe e inu i nā lāʻau i mua o ka hoʻāʻo ʻana i mea e hōʻalo ai i kēia pilikia.
- Ma mua o ka loaʻa ʻana o ka ʻokoʻa, e haʻi i kāu mea lawelawe inā lawe ʻoe i ka metformin lāʻau lapaʻau diabetes (Glucophage). Pono ʻoe e hana i ke keu keu ma mua o ka hōʻoia inā lawe ʻoe i kēia lāʻau.
Hiki i ka nui o ke kaupaona ke hoʻopōʻino i nā ʻāpana hana a ka scanner. E ʻike inā he kaupaona ke kaupaona o ka mīkini CT inā ʻoe e kaupaona ma mua o 300 mau paona (135 kilokilo).
E komo ʻoe i kaʻaʻahu haukapila i ka wā o ke aʻo ʻana. Pono ʻoe e hemo i nā mea hoʻonaninani āpau.
Hōʻoluʻolu ʻole paha kekahi poʻe e moe ana i ka papa paʻakikī.
Hāʻawi ʻia ka hoʻohālikelike ma o ka IV i kahi naʻau ʻā iki, kahi ʻono metala i ka waha, a me kahi hoʻomehana mahana o ke kino. ʻO kēia mau manaʻo maʻamau a hele i loko o kekona kekona.
Hana wikiwiki ʻo CT scan i nā kiʻi kikoʻī o ke kino. Kōkua paha ka hoʻāʻo e nānā no:
- He abscess a maʻi paha
- ʻO kahi nuipaʻa i ʻike ʻia i ka wā o ka hoʻokolohua kino
- Ke kumu o ka ʻeha a i ʻole nā pilikia ʻē aʻe i ka wāwae, nā kuʻekuʻe wāwae, a i ʻole nā kuli (ʻo ka maʻamau ke hiki ʻole ke hana ʻia kahi MRI)
- He iwi haki
- Ke kumu o nā haki
- Nā nuipa a me nā puʻukū, me ka maʻi ʻaʻai
- Nā pilikia hoola a i ʻole nā ʻili maka ma hope o ke kahakaha ʻana
Hiki paha ke hoʻohana i kahi scan CT e alakaʻi i kahi kaukōkō i kahi kūpono ma ka biopsy.
Manaʻo ʻia nā hopena he maʻamau inā nānā ka wāwae i OK.
Nā hopena kūpono ʻole ma muli o:
- Hoʻololi degenerative ma muli o ka makahiki
- Loaʻa ʻole a maʻi paha
- Koko koko i ka wāwae (deep venous thrombosis)
- Iwi naha a haʻi paha
- Kanesa
- Poino i ke kuli, ka wāwae, a i ʻole ke kuʻekuʻe wāwae
- Tumo iwi noncancerous
- ʻO nā pilikia hoʻōla a i ʻole ke hoʻomohala ʻana i nāʻiʻo maʻa ma hope o ke kahakaha
ʻO nā pilikia no ka CT scan me:
- Ke hōʻike ʻia nei i ka radiation
- ʻO ka hopena āpau e hoʻohālikelike i ka kala
- Hewa hānau inā hana ʻia i ka wā hāpai
Hōʻike ʻo CT scans iā ʻoe i nā radiation hou aʻe ma mua o nā kukuna x maʻamau. ʻO ka loaʻa ʻana o nā x-ray a i ʻole CT scans no ka manawa ke hāpai i kou makaʻu no ka maʻi ʻaʻai, akā liʻiliʻi ka makaʻu mai kēlā me kēia scan. E kamaʻilio i kāu mea hāʻawi e pili ana i kēia makaʻu e kūʻē i nā pono o ka hoʻāʻo.
Loaʻa i kekahi poʻe nā maʻi āpau e hoʻohālikelike i ka kala. E hoʻomaopopo i kāu mea hāʻawi inā loaʻa iā ʻoe kēia ʻano ʻano.
- ʻO ka ʻano maʻamau o ka ʻokoʻa i hāʻawi ʻia i loko o ke aa koko he iodine. Loaʻa paha i kahi kanaka me kahi alodio iodine i ka nausea a i ʻole ka luaʻi, ka ʻū ʻana, ka huehue, a i ʻole nā hives mai kēia ʻano ʻokoʻa.
- Inā loaʻa iā ʻoe kēia ʻano ʻokoʻa, loaʻa paha iā ʻoe nā antihistamines (e like me Benadryl) a i ʻole nā steroid i mua o ka hoʻāʻo.
- Kōkua nā puʻupaʻa i ka hemo ʻana o ke iodine mai ke kino. Pono paha ka poʻe me ka maʻi puʻupaʻa a i ʻole diabetes e loaʻa i nā wai keu ma hope o ka hoʻāʻo e kōkua ai i ka lawe ʻana i ka iodine mai ke kino.
Hiki paha i ke kala ke hoʻoweliweli i ka pane maʻi i kapa ʻia ʻo anaphylaxis. Kākaʻikahi kēia. E haʻi koke i ka mea scanner inā pilikia paha ʻoe i ka hanu ʻana i ka wā o ka hoʻāʻo. 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.
Nānā CAT - wāwae; ʻImi i ka tomography axial tomography - ka wāwae; ʻImi tomography compute - wāwae; CT scan - ka wāwae
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Shaw AS, Prokop M. Pūnaewele hoʻopaʻa. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 4.
ʻO Thomsen HS, Reimer P. Hoʻolaha media Intravascular no radiography, CT, MRI a me ultrasound. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 2.