Transcranial Doppler ultrasound

Transcranial doppler ultrasound (TCD) kahi hōʻike diagnostic. Ana ʻia ke kahe o ke koko a i loko o ka lolo.

Hoʻohana ʻo TCD i nā nalu kani e hana i nā kiʻi o ke kahe o ke koko i loko o ka lolo.

Penei e hana ʻia ai ka hōʻike:

• E moe ʻoe ma kou kua i kahi pākaukau padded me kou poʻo a me kou ʻāʻī ma ka uluna. Kikoo iki ʻia kou ʻāʻī. A i ʻole noho ʻoe ma ka noho.
• Hoʻopili ka mea ʻenehana i kahi gel i hoʻokumu ʻia i ka wai ma kou mau luakini a me nā lihilihi, ma lalo o kou ā, a ma ke kumu o kou ʻāʻī. Kōkua ka gel i nā hawewe kani i loko o kāu mauʻaʻaʻa.
• Ua neʻe ʻia kahi koʻokoʻo i kapa ʻia he transducer ma luna o kahi e hoʻāʻo ʻia ana. Hoʻouna ka wand i nā nalu kani. Hele nā ​​nalu kani i kou kino a lele i waho kahi e aʻo ʻia (i kēia hihia, kou lolo a me nā kīʻaha koko).
• Nānā kahi kamepiula i ka lauana a nā nalu kani e hana ai ke hoʻi hou lākou. Hoʻokumu ia i kahi kiʻi mai nā nalu kani. Hoʻokumu ka Doppler i kahi kani "swishing", ʻo ia ke kani o kou koko e neʻe ana i nā aʻa a me nā uaua.
• Hiki i ka hōʻoia ke 30 mau minuke i hoʻokahi hola e hoʻopau.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike. ʻAʻole pono ʻoe e loli i ke kapa komo olakino.

E hoʻomanaʻo i:

• Wehe i nā aniani kuhina ma mua o ka hoʻāʻo inā hoʻokomo ʻoe iā lākou.
• E hoʻopaʻa i kou mau maka ke hoʻopili ʻia ka gel i kou mau lihilihi i ʻole ʻoe e loaʻa i kou mau maka.

ʻIke paha ka gel i kou ʻili. ʻIke paha ʻoe i kahi kaomi ke hoʻoneʻe ʻia ka transducer a puni kou poʻo a me kou ʻāʻī. ʻAʻole pono ke kaomi i kekahi ʻeha. Lohe paha ʻoe i kahi kani "whooshing". He maʻamau kēia.

Hana ʻia ka hoʻāʻo e ʻike i nā kūlana e hoʻopili i ke kahe o ke koko i ka lolo.

• Hoʻopili a paʻa paha o nā aʻa i ka lolo
• Ka hahau a i ʻole ka hoʻouka ischemic kuewa (TIA a i ʻole ministroke)
• Kahe i ka hakahaka ma waena o ka lolo a me nāʻaʻaʻa e uhi i ka lolo (subarachnoid hemorrhage)
• Ballooning o kahi kīʻaha koko i ka lolo (cerebral aneurysm)
• Hoʻololi i ke kaomi i loko o ka iwi poʻo (kaomi intracranial)
• ʻO ka anemia pūnaewele paʻakiki, e nānā ai i ka pilikia o ka hahau

Hōʻike kahi hōʻike maʻamau i ke kahe o ke koko maʻamau i ka lolo. ʻAʻohe hākiki a paʻa paha i nā kīʻaha koko e alakaʻi i a i loko o ka lolo.

ʻO kahi hopena kūpono ʻole e hoʻopili ʻia kahi aʻa a i ʻole e loli ana kekahi mea i ke kahe o ke koko i nā aʻa o ka lolo.

ʻAʻohe pilikia me ka loaʻa ʻana o kēia kaʻina hana.

ʻO Transcranial Doppler ultrasonography; TCD ultrasonography; TCD; Ke aʻo ʻana ma Transcranial Doppler

• Kahikina
• Aneisis cerebral
• Hoʻouka Ischemic kuewa (TIA)
• Atherosclerosis o nā aʻa carotid i loko

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