Pehea e kōkua ai nā X-Ray i ka hōʻoia diagnost COPD?

Anter

• Nā kiʻi o nā hōʻailona COPD
• Ke hoʻomākaukau nei no kahi pahu kukui X
• He aha e hōʻike ai kahi X-ray?
• He aha inā ʻaʻole COPD?
• He aha ka ʻokoʻa ma waena o nā X-ray a me ka CT scans?
• Hoʻonohonoho COPD
• Lawe aku

X-ray no COPD

ʻO ka maʻi pulmonary obstructive maʻi (COPD) kahi maʻi puʻupuʻu koʻikoʻi e komo pū kekahi me nā ʻano hanu ʻokoʻa.

ʻO nā kūlana COPD maʻa mau loa he emphysema a me ka bronchitis mau. ʻO Emphysema kahi maʻi e hōʻeha ai i nā ʻeke ea liʻiliʻi i nā akemāmā. ʻO ka maʻi bronchitis maʻi kahi maʻi e hoʻonāukiuki mau i nā alaloa a hoʻonāukiuki ʻia me ka hoʻonui ʻana o ka hana mucus.

Pilikia pinepine ka poʻe me COPD i ka hanu ʻana, hana i ka nui o ka mucus, ʻike i ka paʻa o ka umauma, a loaʻa nā hōʻailona ʻē aʻe e pili ana i ka paʻakikī o ko lākou kūlana.

Inā kānalua kāu kauka he COPD kāu, hele paha ʻoe i loko o kekahi mau hoʻokolohua like ʻole e kōkua i ka hana ʻana i kahi hōʻailona. ʻO kekahi o lākou kahi X-ray umauma.

ʻO ka X-ray umauma he wikiwiki, non-invasive, a ʻaʻohe ʻeha. Hoʻohana ia i nā nalu electromagnetic e hana i nā kiʻi o nā akemāmā, puʻuwai, diaphragm, a me ka ribcage. ʻO ia wale nō kekahi o nā hoʻokolohua i hoʻohana ʻia i ka hōʻailona o COPD.

Nā kiʻi o nā hōʻailona COPD

Ke hoʻomākaukau nei no kahi pahu kukui X

ʻAʻole pono ʻoe e hana nui e hoʻomākaukau ai no kāu X-ray. E komo ʻoe i kaʻaʻahu haukapila ma kahi o nā lole maʻamau. Hāʻawi ʻia kahi pale apron e pale aku i kāu ʻohana hānau mai ka radiation i hoʻohana ʻia e lawe i ka X-ray.

E wehe pū ʻoe i kekahi mea hoʻonaninani e hiki ke hoʻopilikia i ka kānana ʻana.

E hana ʻia paha kahi kukui X i kou kū ʻana i luna a i ʻole moe ʻana i lalo. Aia ia i kāu mau ʻōuli. ʻO ka maʻamau, hana ʻia kahi umauma X-ray i kou kū ʻana.

Inā hopohopo kāu kauka he wai kou a puni kou mau māmā, i kapa ʻia he pleural effusion, makemake paha lākou e ʻike i nā kiʻi hou aku o kou mau māmā ʻoiai e moe ana ma kou ʻaoʻao.

Akā maʻamau aia ʻelua mau kiʻi i kiʻi ʻia: ʻo kekahi mai mua a ʻo kekahi mai ka ʻaoʻao. Loaʻa koke nā kiʻi no ka kauka e loiloi ai.

He aha e hōʻike ai kahi X-ray?

ʻO kekahi o nā hōʻailona o COPD e hōʻike ʻia ma kahi X-ray he mau mumū hyperinflated. ʻO ka manaʻo o kēia ka nui o nā ake māmā ma mua o ka maʻamau. Eia kekahi, e nānā ka diaphragm i lalo a pālahalaha ma mua o ka maʻamau, a ʻoi aku ka lōʻihi o ka naʻau ma mua o ka maʻamau.

ʻAʻole hōʻike kahi X-ray i ka COPD inā nui ke ʻano o ka bronchitis maʻi mau. Akā me ka empysema, hiki ke ʻike ʻia nā pilikia kūkulu hou aku o nā akemāmā ma kahi X-ray.

ʻO kahi laʻana, hōʻike paha kahi X-ray i ka bipi. I loko o nā akemāmā, ʻo ka bullae kahi ʻeke o ke ea e kū kokoke ana i ka ʻili o nā akemāmā. Hiki iā Bullae ke nui loa (ʻoi aku ma mua o 1 cm) a lawe i kahi ākea ma loko o ka māmā.

Kapa ʻia nā bullae liʻiliʻi i nā puʻupuʻu. ʻAʻole ʻike ʻia kēia mau mea ma ka umauma X-ray ma muli o kā lākou nui liʻiliʻi.

Inā haki kahi bipi a bleb paha, hiki i ka ea ke pakele i waho o ka māmā a hāʻule ia. ʻIke ʻia kēia me he pneumothorax kūlohelohe, a koi ʻia i ka lāʻau lapaʻau wikiwiki. ʻO nā ʻōuli he ʻeha ka umauma ʻoi loa a hoʻonui a i ʻole nā ​​pilikia hanu hou.

He aha inā ʻaʻole COPD?

Hiki i nā umauma ʻē aʻe ke kumu ʻia e nā kumu ʻē aʻe ma kahi o COPD. Inā hōʻike ʻole kou umauma X-ray i nā hōʻailona ʻike ʻia o COPD, e nānā ana kāu kauka iā ia no nā pilikia ʻē aʻe.

ʻO ka ʻeha o ka umauma, paʻakikī ka hanu ʻana, a me ka hōʻemi ʻana i ka hiki ke hoʻoikaika kino hiki ke lilo i mau hōʻailona o ka pilikia o ka māmā, akā hiki nō hoʻi iā lākou ke hōʻailona o ka puʻuwai.

Hiki i kahi X-ray umauma ke hāʻawi i ka ʻike koʻikoʻi e pili ana i kou puʻuwai a me nā kīʻaha koko, e like me ka nui o ka puʻuwai, ka nui o ke kīʻaha koko, nā hōʻailona o ka wai a puni ka puʻuwai, a me ka helu ʻana a i ʻole nā ​​paʻakikī o nā kiwikā a me nā kīʻaha koko.

Hiki iā ia ke hōʻike i nā iwi ākea a i ʻole nā ​​pilikia ʻē aʻe me nā iwi i loko a puni ka umauma, nā mea āpau e hōʻeha i ka ʻeha o ka umauma.

He aha ka ʻokoʻa ma waena o nā X-ray a me ka CT scans?

ʻO ka X-ray umauma kahi ala e hāʻawi ai i kāu kauka me nā kiʻi o kou puʻuwai a me kou mau ake. ʻO kahi scan tomography compute (CT) o ka umauma kahi mea hana ʻē aʻe i kauoha pinepine ʻia i ka poʻe me nā pilikia hanu.

ʻAʻole like me kahi X-ray maʻamau, e hāʻawi nei i kahi kiʻi pālahalaha, hoʻokahi kiʻi, hāʻawi ʻo CT scan i kahi kiʻi o nā kiʻi X-ray i kiʻi ʻia mai nā ʻaoʻao ʻokoʻa. Hāʻawi ia i nā kauka i kahi ʻāpana keʻa e nānā i nā meaola a me nā mea palupalu ʻē aʻe.

Hāʻawi kahi CT scan i kahi ʻike kikoʻī ma mua o kahi X-ray maʻamau. Hiki ke hoʻohana ʻia e nānā no nā kahe o ke koko i nā akemāmā, kahi hiki ʻole i ka X-ray umauma ke hana. Hiki i kahi CT scan ke kiʻi i kahi kikoʻī liʻiliʻi loa, ʻike ʻana i nā pilikia, e like me ka maʻi ʻaʻai, ma mua.

Hoʻohana pinepine ʻia ka hoʻokolohua kiʻi e hāhai i nā hanana ʻē aʻe i ʻike ʻia ma loko o nā akemāmā ma ka umauma X-ray.

ʻAʻole ia he mea maʻamau na kāu kauka e koi aku i ka umauma X-ray a me ka CT scan ma muli o kāu mau hōʻailona. Hana mua pinepine ʻia kahi kukui X no ka mea wikiwiki a maʻalahi ia a hāʻawi i ka ʻike kūpono i mea e hoʻoholo koke ai e pili ana i kāu mālama.

Hoʻonohonoho COPD

Hoʻokaʻawale pinepine ʻia ʻo COPD i ʻehā mau pae: akahai, akahai, ʻino a koʻikoʻi loa. Hoʻoholo ʻia nā pae i ka hui ʻana o ka hana a me nā ʻōuli.

Hāʻawi ʻia kahi helu helu e pili ana i kāu hana māmā, ʻo ke kiʻekiʻe ka helu i ʻoi aku ka maikaʻi o kāu hana māmā. Hoʻokumu ʻia ka hana lepa ma luna o kāu volume expiratory i koi ʻia i hoʻokahi kekona (FEV1), kahi ana o ka nui o ka ea e hiki ai iā ʻoe ke hemo mai kou mau māmā i hoʻokahi kekona.

Hāʻawi ʻia kahi papa leka ma muli o ka hopena o kāu mau hōʻailona i kou ola i kēlā me kēia lā a me ka nui o nā lapalapa o COPD i loaʻa iā ʻoe i ka makahiki i hala. Loaʻa nā ʻōuli liʻiliʻi o ka hui A a me nā lapalapa liʻiliʻi loa. ʻO ka hui D ka nui o nā ʻōuli a me nā lapalapa.

ʻO kahi nīnau nīnau, e like me ka COPD Assessment Tool (CAT), hoʻohana mau ʻia e loiloi i ka hopena o kāu hōʻailona COPD i kou ola.

ʻO kahi ala maʻalahi e noʻonoʻo e pili ana i nā pae penei. Aia kekahi ʻano i loko o ka ʻōnaehana māka:

• Pūʻulu 1 A. COPD liʻiliʻi me kahi FEV1 o ma kahi o 80 pakeneka o ka maʻamau. Kakaikahi nā ʻōuli i ke ola o kēlā me kēia lā a me kekahi mau kukui uila.
• Pūʻulu 2 B. COPD kaulike me ka FEV1 o waena o 50 a me 80 pākēneka o ka maʻamau.
• Pūʻulu 3 C. ʻO COPD koʻikoʻi me ka FEV1 o waena o 30 a me 50 pākēneka o ka maʻamau.
• Pūʻulu 4 D. ʻO COPD koʻikoʻi loa me ka FEV1 ma lalo o ke kahua 3 a i ʻole me ka FEV1 like me ke kahua 3, akā me nā pae oxygen haʻahaʻa. Hoʻopili nui nā ʻōuli a me nā pilikia o COPD i ka maikaʻi o ke ola.

Hoʻonohonoho ʻia ka ʻōnaehana māka e alakaʻi i nā kauka pehea e hoʻomaʻamaʻa maikaʻi ai i nā mea maʻi e pili ana i kā lākou hana māmā a me kā lākou mau ʻōuli - ʻaʻole hoʻokahi a ʻo kekahi paha.

Lawe aku

ʻAʻole hiki i kahi umauma X-ray ke hōʻoia i kahi hōʻoia o COPD, akā hiki iā ia ke hāʻawi i ka ʻike kūpono e pili ana i kou mau māmā a me kou puʻuwai.

Pono pono kahi aʻo ʻana i ka hana māmā e hana i kahi hōʻoia pono, a me ka loiloi pono ʻana i kāu mau hōʻailona a me ka hopena o kāu mau ʻōuli i kou ola.

Loaʻa i ka umauma X-ray a me kahi CT scan i kahi radiation, no laila e ʻike pono i kāu kauka inā loaʻa iā ʻoe kahi X-ray a i ʻole CT scans i kēia manawa.

Inā he mau nīnau kāu e pili ana i ka loaʻa ʻana o kahi X-ray a i ʻole kahi CT scan, a i ʻole no nā hoʻokolohua a me nā lāʻau e pili ana i ka COPD, mai hoʻokaʻulua e kamaʻilio me kāu kauka.