CT angiography - pahu

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 ka umauma a me luna o ka ʻōpū. Kū ʻo CT i ka tomography i helu ʻia.

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

ʻOiai i loko o ka scanner, ke kaʻapuni nei ke kukuna x-ray o ka mīkini iā ​​ʻoe.

Hoʻokumu kahi kamepiula i mau kiʻi kaʻawale 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 i ke ana hoʻohālike ʻekolu dimensional o ka umauma ma ka hoʻopaʻa pū ʻana i nā ʻāpana.

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.

Lawe ʻia nā scanner piha i mau minuke wale nō. Hiki i nā scanners hou ke kiʻi i kou kino holoʻokoʻa, ke poʻo i ka manamana wāwae, ma lalo o 30 kekona.

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.
• 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 ʻana i mea e loaʻa maluhia ai iā ia.
• 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 paha ʻoe e hana i ke akahele hou aʻe.

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 hōʻino i ka scanner. Inā kaupaona ʻoe ma mua o 300 mau paona (135 kilokilo), e kamaʻilio me kāu mea hoʻolako e pili ana i ka palena o ke kaupaona ma mua o ka hoʻāʻo.

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.

ʻAʻole ʻeha nā x-ray i hana ʻia e ka CT scan. Hiki paha i kekahi poʻe ke hōʻoluʻolu mai ka moe ʻana i ka papa paʻakikī.

Inā loaʻa iā ʻoe ka ʻokoʻa ma o ka aa, loaʻa iā ʻoe kahi:

• Manaʻo iki ke ahi
• ʻOno nā mea hao i kou waha
• Hoʻomaʻamaʻa wela ʻana i kou kino

He maʻamau kēia a hele mau i loko o kekona kekona.

E hana ʻia kahi angiogram CT umauma:

• No nā ʻōuli e hōʻike ana i ke kahe o ke koko i nā akemāmā, e like me ka ʻeha o ka umauma, ka hanu wikiwiki ʻana, a i ʻole ka liʻiliʻi o ka hanu
• Ma hope o kahi ʻeha a i ʻole ʻeha trauma
• Ma mua o ke kahakaha ʻana i ka hū a me ka umauma
• E nānā i kahi pūnaewele kūpono e hoʻokomo i kahi catheter no hemodialysis
• No ka pehu ʻana o ka maka a i ʻole nā ​​lima luna i hiki ʻole ke wehewehe ʻia
• E ʻimi i kahi kīnā o ka hānau aorta a i ʻole nā ​​kīʻaha koko i ka umauma
• E nānā i kahi pālua balloon o ke aʻa (aneurysm)
• E nānā i kahi waimaka i loko o ke aʻa (dissection)

Manaʻo ʻia nā hopena inā ʻaʻole ʻike ʻia nā pilikia.

Hōʻike paha kahi pahu CT i nā maʻi he nui o ka puʻuwai, nā mumū, a i ʻole ka umauma, e like me:

• Hoʻopaʻa ʻia ka poloka o ka vena cava kiʻekiʻe: ʻO kēia aa nui e hoʻoneʻe i ke koko mai ka hapa luna o ke kino i ka puʻuwai.
• Koko koko (s) i loko o nā māmā.
• Nā mea kūpono ʻole o nā kīʻaha koko i nā akemāmā a i ʻole ka umauma, e like me ka maʻi ʻaʻa aortic
• Aneurysm ʻaʻa (ma kahi o ka umauma).
• Pahu o kahi hapa o nā aʻa nui e alakaʻi ana i waho o ka puʻuwai (aorta).
• Haehae i ka paia o kahi aʻa (dissection).
• ʻO ka hoʻohaunaele o nā paia o ke kīʻaha koko (vasculitis).

Nā pilikia o ka CT scan me:

• Ke hōʻike ʻia nei i ka radiation
• ʻO ka hopena āpau e hoʻohālikelike i ka kala
• Poino i nā puʻupaʻa mai ka pena kala

Hoʻohana ka CT scans 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. Hoʻohana ka hapa nui o nā scanners o kēia au i nā ʻenehana e hoʻohana ai i ka liʻiliʻi radiation.

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 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 e hāʻawi i kēlā ʻano ʻokoʻa, hāʻawi paha kāu mea hāʻawi iā ʻoe i nā antihistamines (e like me Benadryl) a me / a i ʻole nā ​​steroid i mua o ka hoʻāʻo.
• 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 kekahi ke hoʻolohe iā ʻoe i nā manawa āpau.

Angiography tomography i helu ʻia - thorax; CTA - māmā; ʻO ka pulmonary embolism - CTA umauma; Aneorysm Thoracic aortic - CTA umauma; Thromboembolism Venous - māmā CTA; Koko koko - CTA lung; Embolus - CTA māmā; CT angiogram pulmonary

ʻO Gilman M. Congenital a me nā maʻi ulu o nā māmā a me nā alaloa. I: Digumarthy SR, Abbara S, Chung JH, eds. ʻO ka hoʻonā ʻana i ka pilikia ma ke kiʻi ʻana i ka umauma. Piladelapia, PA: Elsevier; 2020: chap 15.

Martin RS, Meredith JW. Ka mālama ʻana i ka ulia pōpilikia. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 16.

Nā Reekers JA. Angiography: nā loina, nā ʻenehana 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.