CT angiography - nā lima a me nā wāwae
Hoʻohui ʻo CT angiography i kahi scan CT me ka injection o ka kala. Hiki i kēia ʻenehana ke hana i nā kiʻi o nā kīʻaha koko i nā lima a me nā wāwae. Kū ʻo CT i ka tomography i helu ʻia.
E moe ʻoe ma kahi pākaukau hāiki e paheʻe i waenakonu o ka scanner CT.
Ke noho nei ʻoe i loko o ka scanner, kaʻapuni ke kukuna 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 mau kiʻi he nui 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 ʻia nā hiʻohiʻona o ke kino i ʻekolu dimenā ma ka hoʻohui ʻana i nā ʻāpana.
Pono ʻoe e noho mālie i ka wā o ka hoʻokolohua, no ka mea, hoʻohaunaele ka neʻe i nā kiʻi. Hiki paha iā ʻoe ke hoʻopaʻa i kou hanu no nā manawa pōkole.
Ma kahi o 5 mau minuke ka loiloi.
Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā, i kapa ʻia he ʻokoʻa, e hoʻokomo ʻia i loko o kou kino ma mua 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 lawe i nā lāʻau i mua o ka hoʻāʻo e hōʻalo ai i kēia pilikia.
- Ma mua o ka loaʻa ʻana o ka ʻokoʻa, e haʻi i kāu mea hāʻawi inā ʻoe e lawe i ka lāʻau diabetes i ka metformin (Glucophage). Pono ʻoe e hana i ke keu keu inā ʻoe e lawe i kēia lāʻau.
Hiki i ka ʻokoʻa ke hoʻonāukiuki i nā pilikia o ka hakuʻala i nā poʻe me nā puʻuwai maikaʻi ʻole. E kamaʻilio i kāu mea hāʻawi inā loaʻa iā ʻoe kahi mōʻaukala o nā pilikia kīwī.
Hiki i ka nui o ke kaupaona ke hoʻopōʻino i nā ʻāpana hana a ka scanner. Inā kaupaona ʻoe ma mua o 300 mau paona (135 kilokilo), e kamaʻilio me kāu kauka e pili ana i ka palena o ke kaupaona ma mua o ka hoʻāʻo.
Pono ʻoe e hemo i nā mea kāhiko a komo i kaʻaʻahu hōkele i ka wā o ka hōʻike CT.
Hōʻoluʻolu ʻole paha kekahi poʻe e moe ana i ka papa paʻakikī.
Hāʻawi ʻia ka ʻokoʻa i loko o ka IV i kahi:
- Manaʻo iki ke ahi
- ʻOno nā mea hao i kou waha
- Hoʻomaʻamaʻa wela ʻana i kou kino
Kūleʻa kēia mau manaʻo a hele aku i loko o kekona kekona.
Pono paha ʻoe i kēia hoʻokolohua inā loaʻa nā ʻōuli o kahi kīʻaha a i ʻole ālai ʻia i kahi kīʻaha koko i nā lima, nā lima, nā wāwae, a me nā wāwae.
E hana ʻia paha ka hōʻike e hōʻoia ai:
- Hoʻonui ākea a i ʻole ballooning o kahi ʻāpana o ke aʻa (aneurysm)
- Kahena
- ʻO ka pehu a me ka mumū o nā kīʻaha koko (vasculitis)
- ʻEha wāwae i ka wā e hele wāwae ana a i ʻole hoʻoikaika kino (claudication)
Manaʻo ʻia nā hopena inā ʻaʻole ʻike ʻia nā pilikia.
ʻO kahi hopena maʻamau ma muli o ka hoʻopili ʻana a me ka paʻakikī o nā aʻa i nā lima a i ʻole nā wāwae mai ka paʻa o nā pā i nā paia o ke aʻa.
Hōʻike ka x-ray i kahi paʻa i nā moku i hoʻokumu ʻia e:
- Hoʻonui ākea a i ʻole ballooning o kahi ʻāpana o ke aʻa (aneurysm)
- Huʻi koko
- Nā maʻi ʻē aʻe o nā aʻa
Nā hualoaʻa kūpono ʻole paha ma muli o:
- ʻO ka hoʻowahāwahā o nā kīʻaha koko
- Ka hōʻeha i nā kīʻaha koko
- ʻO ka maʻi Buerger (thromboangiitis obliterans), kahi maʻi laha ʻole kahi e paʻa ai nā kīʻaha koko o nā lima a me nā wāwae
Nā pilikia o ka CT scan me:
- Hōʻike i ka pāhawewe
- Allergy e hoʻohālikelike i ka kala
- Poino i nā puʻupaʻa mai ka pena kala
Hāʻawi ka CT scan i kahi 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 kūkākūkā i kēia pilikia inā hoʻohālikelike ʻia me ka waiwai o kahi ʻike pololei no ka pilikia. Hoʻohana ka hapa nui o nā scanners o kēia au i nā ʻenehana e hoʻohana ai i ka liʻiliʻi radiation.
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 ka iodine. Inā loaʻa iā ʻoe kahi alodio iodine, loaʻa paha iā ʻoe ka nausea a i ʻole ka luaʻi, ka ʻū ʻana, ka huehue, a i ʻole nā hives inā loaʻa kēia ʻano ʻokoʻa.
- Inā pono ʻoe i kēia ʻano ʻokoʻa, hāʻawi paha kāu mea hāʻawi iā ʻoe i 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 ʻoe i nā wai hou aʻe ma hope o ka hoʻāʻo e kōkua i ka hemo ʻana i kou kino o ka iodine inā loaʻa ʻoe i ka maʻi puʻupaʻa a i ʻole ka maʻi kō.
Kākaʻikahi, hiki i ke kala ke kumu i kahi pane maʻi ʻaʻano koʻikoʻi i kapa ʻia he anaphylaxis. Hiki i kēia ke hoʻoweliweli i ke ola. E hoʻomaopopo koke i ka mea scanner inā pilikia ʻoe i ka hanu ʻana i ka wā o ka hoʻāʻo. He intercom a me nā mea haʻi ʻōlelo nā scanners i hiki i ka mea hoʻokele ke hoʻolohe iā ʻoe i nā manawa āpau.
Heluhelu ʻoihana tomography angiography - peripheral; CTA - peripheral; CTA - Holo; PAD - CT angiography; Maʻi maʻi peripheral artery - CT angiography; PVD - CT angiography
- CT scan
Kauvar DS, Kraiss LW. Trauma maʻi: hope loa. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 184.
Melville ARI, Belch JJF. Nā maʻi vasospastic mua a me nā haumāna lua (ke ʻano o Raynaud) a me ka vasculitis. I: Loftus I, Hinchliffe RJ, eds. ʻO ke kīʻaha vascular a me ka endovascular: kahi hoa pili i ka hana ʻoki kino kūikawā. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 12.
Nā Reekers JA. Angiography: nā loina, nā hana, a me nā pilikia. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 78.