Nā ho'āʻo olakino naʻau
Anter
- Hōʻuluʻulu Manaʻo
- Kāleka Cardiac
- Kāleka CT Cardiac
- Cardiac MRI
- X-Ray umauma
- ʻO Angonography Coronary
- ʻ .lelo Echocardiography
- Electrocardiogram (EKG), (ECG)
- Hōʻoia ʻIke
Hōʻuluʻulu Manaʻo
ʻO nā maʻi puʻuwai ka mea pepehi kanaka helu ʻekahi ma ka U.S. ʻO lākou kekahi kumu nui o ke kīnā ʻole. Inā loaʻa ʻoe i ka maʻi puʻuwai, he mea nui ia e ʻike wawe, ke maʻalahi ka mālama ʻana. Hiki i nā hōʻoia koko a me nā hoʻāʻo olakino puʻuwai ke kōkua i ka ʻike ʻana i nā maʻi puʻuwai a i ʻole ʻike i nā pilikia e hiki ai i nā maʻi puʻuwai. Aia kekahi mau ʻano like ʻole o ka hoʻāʻo olakino puʻuwai. E hoʻoholo kāu kauka i kahi hoʻokolohua a i ʻole nā hoʻāʻo āu e pono ai, e pili ana i kāu mau ʻōuli (inā loaʻa), nā mea pilikia, a me ka mōʻaukala olakino.
Kāleka Cardiac
ʻO ka catheterization Cardiac kahi hana olakino e hoʻohana ai e hōʻoia a mālama i kekahi ʻano puʻuwai. No ke kaʻina hana, kau kāu kauka i kahi catheter (kahi lōʻihi lōʻihi, lahilahi, maʻalahi) i loko o kahi kīʻaha koko i kou lima, ʻūlū, a i ʻole ʻāʻī, a wili ʻia i kou puʻuwai. Hiki i ke kauka ke hoʻohana i ka catheter i
- Hana i kahi angiography coronary. Pili kēia i ke kau ʻana i kahi ʻano kala ʻokoʻa i ka catheter, no laila hiki i ke kala ke kahe i loko o kou kahawai i kou puʻuwai. A laila lawe kāu kauka i nā kukuna x o kou puʻuwai. ʻAe ka kala i kāu kauka e ʻike i kou mau aʻa coronary ma ka x-ray, a e nānā no ka maʻi o ke aʻa coronary (kahi paʻa plaque i nā aʻa).
- Lawe i nā laʻana o ke koko a me ka puʻuwai puʻuwai
- Hana i nā kaʻina hana e like me ke kahakaha puʻuwai liʻiliʻi a i ʻole angioplasty, inā ʻike kāu kauka pono ʻoe iā ia
Kāleka CT Cardiac
ʻO ka CT CT (compute tomography) scan kahi hōʻike kiʻi ʻeha ʻole e hoʻohana i nā kukuna x e kiʻi i nā kiʻi kikoʻī o kou puʻuwai a me nā kīʻaha koko. Hiki i nā kamepiula ke hoʻohui i kēia mau kiʻi e hana i kahi hoʻohālikelike ʻekolu dimensional (3D) o ka puʻuwai holoʻokoʻa. Hiki i kēia hoʻāʻo ke kōkua i nā kauka e ʻike a loiloi paha
- Maʻi maʻi ʻaʻai Coronary
- ʻO ke kūkulu ʻana o ka kalipuna i nā aʻa coronary
- Nā pilikia me ka aorta
- Nā pilikia me ka hana puʻuwai a me nā valves
- Nā maʻi Pericardial
Ma mua o ka hoʻāʻo ʻana, loaʻa ʻoe i ka injection o ka pena ʻokoʻa. Hōʻike ka kala i kou puʻuwai a me nā kīʻaha koko i nā kiʻi. ʻO ka scanner CT kahi mīkini nui e like me ke ana. Ke moe nei ʻoe ma ka papa ʻaina e paheʻe iā ʻoe i loko o ka scanner, a lawe ka scanner i nā kiʻi ma kahi o 15 mau minuke.
Cardiac MRI
ʻO Cardiac MRI (magnetic resonance imaging) kahi hōʻike kiʻi ʻeha ʻole e hoʻohana i nā nalu lekiō, nā mākēneki, a me kahi kamepiula e hana i nā kiʻi kikoʻī o kou puʻuwai. Hiki iā ia ke kōkua i kāu kauka e ʻike inā he maʻi puʻuwai kou, a inā pēlā, pehea kona kaumaha. Hiki i kahi MRI puʻuwai ke kōkua pū i kāu kauka e hoʻoholo i ke ala ʻoi loa e mālama ai i nā pilikia puʻuwai e like me
- Maʻi maʻi ʻaʻai Coronary
- Nā pilikia o ka puʻuwai puʻuwai
- Pericarditis
- Nā Tumiko Cardiac
- Poino i ka puʻuwai puʻuwai
ʻO ka MRI kahi mīkini nui e like me ke ana. Ke moe nei ʻoe ma ka papa ʻaina e paheʻe iā ʻoe i loko o ka mīkini MRI. Hana leo nui ka mīkini i ke kiʻi ʻana i nā kiʻi o kou puʻuwai. Lawe ʻia ma kahi o 30-90 mau minuke. I kekahi manawa ma mua o ka hoʻāʻo, loaʻa paha iā ʻoe kahi injection o ka pena ʻokoʻa. Hōʻike ka kala i kou puʻuwai a me nā kīʻaha koko i nā kiʻi.
X-Ray umauma
Hoʻokumu kahi kukui x i nā kiʻi o nā meaola a me nā kūkulu i loko o kou umauma, e like me kou puʻuwai, nā māmā, a me nā kīʻaha koko. Hiki iā ia ke hōʻike i nā hōʻailona o ka holo pono ʻole o ka puʻuwai, a me nā maʻi pūpū a me nā kumu ʻē aʻe o nā hōʻailona ʻaʻole pili i ka maʻi puʻuwai.
ʻO Angonography Coronary
ʻO ke angiography coronary (angiogram) kahi hana e hoʻohana ai i ka pena kala a me nā kiʻi x-ray e nānā ai i ka ʻaoʻao o kāu mau aʻa. Hiki iā ia ke hōʻike inā paha e hoʻopaʻa ka pā i kou mau aʻa a pehea ke koʻikoʻi o ka paʻa ʻana. Hoʻohana nā kauka i kēia kaʻina hana e ʻike i nā maʻi puʻuwai ma hope o ka ʻeha o ka umauma, hopu ʻia ʻo ka puʻuwai hikiwawe (SCA), a i ʻole nā hopena maikaʻi ʻole mai nā hoʻokolohua puʻuwai ʻē aʻe e like me kahi EKG a i ʻole kahi hoʻāʻo koʻikoʻi.
Loaʻa iā ʻoe kahi catheterization puʻuwai e kiʻi i ka kala i loko o kāu mau aʻa coronary. A laila loaʻa iā ʻoe nā kukuna x kūikawā ke kahe nei ka kala i loko o nā aʻa o kāu coronary. ʻAe ka kala i kāu kauka e hoʻopaʻa i ke kahe o ke koko ma o kou puʻuwai a me nā kīʻaha koko.
ʻ .lelo Echocardiography
ʻO ka Echocardiography, a i ʻole ka echo, kahi hōʻike ʻeha ʻole e hoʻohana i nā nalu kani e hana i nā kiʻi neʻe o kou puʻuwai. Hōʻike nā kiʻi i ka nui a me ke ʻano o kou puʻuwai. Hōʻike pū lākou i ka maikaʻi o ka hana o nā keʻena o kou puʻuwai a me nā kiwikā. Hoʻohana nā kauka i kahi echo e kuhikuhi i nā pilikia puʻuwai like ʻole he nui, a e nānā i ka nui o lākou.
No ka hoʻāʻo, hoʻopili ka ʻenehana i ka gel i kou umauma. Kōkua ka gel i nā nalu kani i kou puʻuwai. Neʻe ka ʻenehana i kahi transducer (hāmeʻa e like me ke kele) a puni kāu umauma. Pili ka transducer i kahi kamepiula. Hoʻouna ia i nā nalu ultrasound i loko o kou umauma, a hoʻi hou nā nalu i hope. Hoʻololi ke kamepiula i nā leo i nā kiʻi o kou puʻuwai.
Electrocardiogram (EKG), (ECG)
ʻO kahi electrocardiogram, i kapa ʻia he ECG a i ʻole EKG, he hōʻike ʻeha ʻole e ʻike a hoʻopaʻa i ka hana uila o kou puʻuwai. Hōʻike ia i ka wikiwiki o ka pā ʻana o kou puʻuwai a inā kūpaʻa a kūlike ʻole paha kāna mele.
ʻO EKG paha he ʻāpana o kahi hoʻokolohua maʻamau e nānā no nā maʻi puʻuwai. A i ʻole loaʻa iā ʻoe e ʻike a hoʻopaʻa i nā pilikia puʻuwai e like me ka puʻuwai puʻuwai, arrhythmia, a me ka puʻuwai puʻuwai.
No ka hoʻāʻo, moe mau ʻoe ma ka papa ʻaina a hoʻopaʻa ʻia kahi kahu hānai a mea ʻenehana paha i nā electrodes (nā pākuʻi i loaʻa nā mea ʻike) i ka ʻili ma kou umauma, nā lima, a me nā wāwae. Hoʻopili nā uea i nā uila i kahi mīkini e hoʻopaʻa i ka hana uila o kou puʻuwai.
Hōʻoia ʻIke
Nānā ka hoʻāʻo ʻana i ke ʻano o ka hana o kou puʻuwai i ka wā o ke koʻikoʻi koʻikoʻi. Hiki iā ia ke kōkua i ke kuhi ʻana i ka maʻi o ke aʻa korona, a e nānā ai i ke koʻikoʻi o ia. Hiki iā ia ke nānā no nā pilikia ʻē aʻe, me ka maʻi puʻuwai puʻuwai a me ka holo pono ʻole o ka puʻuwai.
No ka hoʻāʻo, hoʻomaʻamaʻa ʻoe (a hāʻawi ʻia i ka lāʻau inā ʻaʻole hiki iā ʻoe ke hoʻoikaika kino) e hana ikaika ai kou puʻuwai a hahau wikiwiki. ʻOiai ke hana nei kēia, loaʻa iā ʻoe kahi EKG a me ka nānā ʻana i ke kaomi koko. I kekahi manawa he echocardiogram paha kāu, a i ʻole nā hoʻokolohua kiʻi ʻē aʻe e like me ka scan nukelea. No ka scan nukelea, loaʻa iā ʻoe kahi injection o ka tracer (kahi mea radioactive), e hele nei i kou puʻuwai. Hoʻomaopopo nā kāmela kūikawā i ka ikehu mai ka tracer e hana i nā kiʻi o kou puʻuwai. Loaʻa iā ʻoe nā kiʻi paʻi ʻia ma hope o kou hoʻoikaika kino, a ma hope o kou hoʻomaha ʻana.
NIH: National Heart, Lung, a me Blood Institute