He aha ka Coronary Calcium Scan? Ke Kumu, nā Pae/Kaʻina Hana & Nā Hōʻike

He hoʻokolohua wikiwiki a ʻeha ʻole ka coronary calcium scan e kiʻi ana i nā kiʻi o nā aʻa o kou puʻuwai e nānā i ka hōʻiliʻili ʻana o ka calcium. Hiki i kēia scan CT kūikawā ke ʻike i nā hōʻailona mua o ka maʻi puʻuwai ma mua o kou manaʻo ʻana i nā hōʻailona, e hāʻawi ana iā ʻoe a me kāu kauka i ka ʻike waiwai e pili ana i ke olakino o kou puʻuwai.

E noʻonoʻo iā ia he kiʻi o ka ʻōnaehana paipu o kou puʻuwai. Nānā ka scan i nā waihona calcium i loko o kāu mau aʻa coronary, ʻo ia nā kīʻaha koko e hāʻawi ana i ka oxygen i kou ʻiʻo puʻuwai. ʻIke pinepine ʻia kēia mau wahi calcium ma kahi i hana ʻia ai ka plaque, e lilo ana kēia hoʻokolohua i mea hana pono no ka hoʻomaopopo ʻana i kou pilikia o nā pilikia puʻuwai ma ke ala.

He aha ka coronary calcium scan?

Hoʻohana ka coronary calcium scan i ka computed tomography (CT) technology e hana i nā kiʻi kikoʻī o nā kīʻaha koko o kou puʻuwai. Nānā pono ka scan i nā waihona calcium i kūkulu ʻia i loko o nā paia o kāu mau aʻa coronary i ka manawa.

Hana kēia mau waihona calcium e like me nā māka, e hōʻike ana i kahi i hana ʻia ai ka atherosclerosis (paʻakikī o nā aʻa). Ke hana ʻia ka plaque i loko o kou mau aʻa, hiki i ka calcium ke hōʻiliʻili ma laila ma ke ʻano he ʻāpana o ka pane kūlohelohe o ke kino. ʻO ka nui o ka calcium i loaʻa, ʻo ka nui o ka plaque āu e loaʻa ai.

Hana ka hoʻokolohua i ka helu calcium, he helu e hōʻike ana i ka nui o ka calcium i loko o kou mau aʻa coronary. Kōkua kēia helu i kāu kauka e loiloi i kou pilikia o ka loaʻa ʻana o ka puʻuwai a i ʻole ka hoʻomohala ʻana i nā pilikia puʻuwai ʻē aʻe i ka wā e hiki mai ana.

No ke aha e hana ʻia ai ka coronary calcium scan?

Paipai nā kauka i nā scans calcium coronary i ka mua e loiloi i ka pilikia o ka maʻi puʻuwai i ka poʻe i loaʻa ʻole nā ​​hōʻailona. He mea kōkua nui kēia hoʻokolohua no ka poʻe i ka pilikia waena o ka maʻi puʻuwai, kahi e hiki ai i nā hopena ke alakaʻi i nā hoʻoholo nui e pili ana i ka pale ʻana a me ka mālama ʻana.

Hiki i kāu kauka ke ʻōlelo aku i kēia scan inā he mau mea pilikia kāu e like me ke koko kiʻekiʻe, ka cholesterol kiʻekiʻe, ka maʻi diabetes, a i ʻole ka moʻolelo o ka maʻi puʻuwai i loko o ka ʻohana. Hiki i ka scan ke kōkua i ka hoʻoholo ʻana inā pono ʻoe i ka lāʻau lapaʻau ʻoi aku ka ikaika e pale ai i nā pilikia o ka puʻuwai, e like me ka hoʻomaka ʻana i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol a i ʻole ka hoʻololi ʻana i ke ʻano o ke ola.

He mea waiwai nō hoʻi ka hoʻokolohua i ka wā e hāʻawi ai nā mea hana loiloi pilikia ʻē aʻe i nā hopena maopopo ʻole. I kekahi manawa, hoʻokomo nā mea helu pilikia kuʻuna iā ʻoe i kahi wahi hina kahi paʻakikī ke hoʻoholo i ke ala lapaʻau maikaʻi loa. Hiki i ka scan calcium ke hāʻawi i ka ʻike hou e pono ai e hana i nā hoʻoholo maopopo e pili ana i kāu mālama.

Eia kekahi, hiki i ka scan ke hoʻoikaika i nā loli o ke ola. ʻO ka ʻike ʻana i nā hōʻike maoli o ka hōʻiliʻili ʻana o ka calcium i loko o kou mau aʻa he mea hoʻāla ikaika e paipai iā ʻoe e hana i nā hana olakino puʻuwai e like me ka hoʻomaikaʻi ʻana i kāu ʻai, ka hoʻoikaika kino hou aku, a i ʻole ka haʻalele ʻana i ka puhi paka.

He aha ke kaʻina hana no ka coronary calcium scan?

He maʻalahi ke kaʻina hana coronary calcium scan a maʻa mau ma kahi o 15 mau minuke mai ka hoʻomaka a i ka pau ʻana. E moe ʻoe ma luna o kahi papa e paheʻe ana i loko o kahi mea scan CT, e like me ka mīkini nui e like me ka donut.

I ka wā o ka scan, pono ʻoe e paʻa i kou hanu no nā manawa pōkole (maʻamau 10-20 kekona) i ka wā e kiʻi ai ka mīkini i nā kiʻi. E hāʻawi ka mea loea iā ʻoe i nā ʻōlelo maopopo e pili ana i ka manawa e paʻa ai i kou hanu a i ka manawa e hiki ai iā ʻoe ke hanu maʻamau hou. Kōkua kēia paʻa hanu i ka hōʻoia ʻana i nā kiʻi maopopo a pololei.

He pōkole loa ka manawa scanning maoli, maʻamau i kekahi mau minuke wale nō. ʻAʻole ʻoe e ʻike i kekahi mea i ka wā o ka scan ponoʻī, akā e lohe paha ʻoe i kekahi mau leo ​​whirring a i ʻole ke kaomi ʻana mai ka mīkini. Hiki i ka papa āu e moe nei ke neʻe iki i ka wā e hopu ai ka scanner i nā kiʻi mai nā kihi like ʻole.

ʻAʻole pono ka waihoʻoluʻu ʻokoʻa no kēia hoʻokolohua, ʻo ia hoʻi, ʻaʻole ʻoe e loaʻa i nā injections a ʻaʻole pono e inu i nā wai kūikawā. He mea maʻalahi kēia i ke kaʻina hana a hoʻemi i ka pilikia o nā hopena maʻi e hiki ke hana i kekahi manawa me nā mea ʻokoʻa.

Pehea e hoʻomākaukau ai no kāu scan calcium coronary?

He mea maʻalahi ka hoʻomākaukau ʻana no ka scan calcium coronary no ka mea he hoʻokolohua non-invasive. Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o ka scan, a ʻaʻole pono ʻoe e hooki i ka lawe ʻana i kekahi o kāu mau lāʻau maʻamau ke ʻole kāu kauka e haʻi pololei iā ʻoe.

Pono ʻoe e ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa me ka ʻole o nā mea metala. E pale i nā pālule me nā pihi metala, nā bra underwire, nā mea nani, a i ʻole kekahi mea me nā mea hoʻonaninani metala. Hiki i kēia mau mea ke hoʻopilikia i ke kiʻi a pono paha e wehe ʻia ma mua o ka scan.

Inā loaʻa iā ʻoe kahi pacemaker, defibrillator, a i ʻole nā ​​mea lapaʻau i hoʻokomo ʻia, e hōʻoia e haʻi i kāu kauka a me ka hui kiʻi ma mua. ʻOiai ʻaʻole pinepine kēia mau mea i ka scan, pono ka hui lapaʻau e ʻike e pili ana iā lākou e hōʻoia i kou palekana a loaʻa nā kiʻi maikaʻi loa.

He mea kōkua ke hōʻea i kekahi mau minuke ma mua e hoʻopau i nā palapala e pono ai a hoʻopaʻa. E nānā nā limahana i ke kaʻina hana me ʻoe a pane i nā nīnau āu e loaʻa ai ma mua o ka hoʻomaka ʻana o ka scan.

Pehea e heluhelu ai i kāu scan calcium coronary?

Hōʻike ʻia nā hopena scan calcium coronary ma ke ʻano he helu calcium, i kapa ʻia hoʻi he helu Agatston. Hōʻike kēia helu i ka nui o ka calcium i loaʻa i loko o kou mau aʻa coronary, me nā helu kiʻekiʻe e hōʻike ana i ka piʻi ʻana o ka calcium.

ʻO ka helu ʻole he ʻole ʻaʻole i ʻike ʻia ka calcium i loko o kou mau aʻa coronary. He lono maikaʻi kēia a hōʻike i kahi pilikia haʻahaʻa loa o ka maʻi puʻuwai. ʻO ka poʻe me ka helu calcium ʻole he liʻiliʻi ma mua o 1% ka manawa e loaʻa ai ka puʻuwai i nā makahiki 10 e hiki mai ana.

Hōʻike nā helu ma waena o 1 a me 99 i ka hōʻiliʻili ʻana o ka calcium maʻalahi. Hōʻike kēia i ka loaʻa ʻana o kekahi atherosclerosis mua, akā he haʻahaʻa nō kou pilikia. Hiki i kāu kauka ke ʻōlelo aku i nā loli o ke ola a me ka nānā pono ʻana i nā mea pilikia o kou olakino puʻuwai.

Hōʻike nā helu ma waena o 100 a me 299 i ka hōʻiliʻili ʻana o ka calcium maʻalahi. Hōʻike kēia i ka pilikia waena o ka maʻi puʻuwai, a e ʻōlelo paha kāu kauka i nā hoʻolālā pale ʻoi aku ka ikaika. Hiki i kēia ke komo i ka hoʻomaka ʻana i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol a i ʻole ka hoʻonui ʻana i nā hoʻololi o ke ola.

Hōʻike nā helu o 300 a ʻoi aku paha i ka hōʻiliʻili ʻana o ka calcium nui a me ka pilikia nui o ka maʻi puʻuwai. Pono pinepine ka poʻe ma kēia pae i ka mālama ʻana i ka pale ʻana i ka maʻi puʻuwai, me nā lāʻau lapaʻau, nā loli o ke ola, a me nā hoʻokolohua puʻuwai hou.

E hoʻomanaʻo i ka pono e wehewehe mau ʻia nā helu calcium i ka pōʻaiapili o kou makahiki, ke kāne, a me nā mea pilikia ʻē aʻe. E noʻonoʻo kāu kauka i kēia mau mea a pau e hāʻawi iā ʻoe i ka loiloi pololei loa o kou pilikia maʻi puʻuwai.

Pehea e hoʻoponopono ai i kāu helu calcium coronary?

ʻOiai ʻaʻole hiki iā ʻoe ke hoʻohuli a wehe paha i ka calcium i kūkulu mua ʻia i loko o kou mau aʻa, hiki iā ʻoe ke hana i nā hana e hoʻolohi i ka hōʻiliʻili ʻana o ka calcium a hoʻemi i kou pilikia maʻi puʻuwai. ʻO ke kī ka nānā ʻana i ka pale ʻana i ka hana ʻana o ka plaque hou a me ka hoʻopaʻa ʻana i ka plaque e kū nei.

ʻO nā loli o ke ola ke kumu o ka mālama ʻana i ka hōʻiliʻili ʻana o ka calcium coronary. Hiki i ka hoʻoikaika kino mau, ʻo ia hoʻi nā hana aerobic e like me ka hele wāwae, ka ʻauʻau, a i ʻole ke kaʻa kaʻa, ke kōkua i ka hoʻomaikaʻi ʻana i kou olakino cardiovascular holoʻokoʻa. E ʻimi i ka liʻiliʻi o 150 mau minuke o ka hoʻoikaika kino maʻalahi i kēlā me kēia pule, e like me ka mea i ʻōlelo ʻia e nā alakaʻi olakino puʻuwai.

He mea nui ka ʻai i ka hoʻolohi ʻana i ka holomua o ka palaka. E kālele ana i kahi ʻano ʻai olakino no ka puʻuwai i waiwai i nā mea kanu, nā hua, nā kīʻaha holoʻokoʻa, nā protein lean, a me nā momona olakino. E kaupalena i nā meaʻai i hana ʻia, ka sodium nui, a me nā kō i hoʻohui ʻia. Ua hōʻike ka ʻano ʻai Mediterranean i nā pōmaikaʻi kūikawā no ke olakino o ka puʻuwai.

Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i kāu mau mea pilikia. Hoʻonohonoho pinepine ʻia nā Statins, e hoʻohaʻahaʻa ana i ka cholesterol, no ka poʻe me nā helu calcium kiʻekiʻe. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hana ʻana o ka palaka hou a hiki ke kōkua i ka hoʻopaʻa ʻana i ka palaka e kū nei.

Hiki ke pono nā lāʻau lapaʻau ʻē aʻe ma muli o kāu kūlana kikoʻī. Hiki i kēia ke komo i nā lāʻau lapaʻau koko kiʻekiʻe inā loaʻa iā ʻoe ka hypertension, nā lāʻau lapaʻau maʻi diabetes inā loaʻa iā ʻoe ka maʻi diabetes, a i ʻole aspirin no ka pale ʻana i ke koko i kekahi mau hihia.

He mea nui nō hoʻi ka mālama ʻana i ke kaumaha a me ka hiamoe kūpono. Hiki i ke kaumaha mau a me ka hiamoe maikaʻi ʻole ke kōkua i ka mumū a me nā kaʻina hana ʻē aʻe e paipai i ka maʻi puʻuwai. E noʻonoʻo i nā ʻenehana hoʻemi kaumaha e like me ka noʻonoʻo ʻana, nā hana hanu hohonu, a i ʻole nā hana hoʻomaha maʻamau.

He aha ka helu calcium coronary maikaʻi loa?

ʻO ka helu calcium coronary maikaʻi loa he zero, ʻo ia hoʻi, ʻaʻole i loaʻa nā waihona calcium i loko o kou mau aʻa coronary. Hōʻike kēia i ka pilikia haʻahaʻa loa o ka maʻi puʻuwai a hōʻike i ka manuahi ʻana o kou mau aʻa mai ka hana ʻana o ka palaka nui.

ʻO ka loaʻa ʻana o ka helu calcium zero e pili ana i nā hopena olakino puʻuwai maikaʻi loa. Hōʻike nā haʻawina i ka poʻe me nā helu calcium zero he haʻahaʻa loa ka pilikia o ka puʻuwai a i ʻole nā hanana cardiac ʻē aʻe i nā makahiki 10-15 e hiki mai ana, ma lalo o 1% i kēlā me kēia makahiki.

Eia naʻe, he mea nui e hoʻomaopopo i ka pono e unuhi ʻia nā helu calcium e pili ana i kou makahiki a me nā ʻano ʻē aʻe. ʻOi aku ka maʻamau o nā poʻe ʻōpio i ka loaʻa ʻana o nā helu zero a i ʻole haʻahaʻa loa no ka mea ʻaʻole i loaʻa ka manawa nui e hoʻomohala i ka hōʻiliʻili calcium. I ko mākou wā ʻelemakule, lilo kekahi hōʻiliʻili calcium i mea maʻamau.

No nā poʻe ma luna o 45-50 mau makahiki, lilo ka mālama ʻana i ka helu calcium zero i mea waiwai nui. Hōʻike ia, ʻoiai ke ʻelemakule, ua noho olakino kou mau aʻa a ʻaʻole i loaʻa ka atherosclerosis nui.

ʻOiai inā ʻaʻole zero kāu helu, ʻoi aku ka maikaʻi o nā helu haʻahaʻa ma mua o nā mea kiʻekiʻe. ʻO nā hana a pau āu e hana ai e pale i ka hōʻiliʻili calcium hou a e mālama i nā mea pilikia o kou maʻi puʻuwai e pōmaikaʻi i kou olakino lōʻihi.

He aha nā mea pilikia no ka helu calcium coronary kiʻekiʻe?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i ka helu calcium coronary kiʻekiʻe. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe a me kāu kauka e loiloi i kāu kūlana pilikino a hoʻomohala i nā hoʻolālā pale kūpono.

ʻO ka makahiki kekahi o nā mea pilikia nui loa, no ka mea, piʻi ka hōʻiliʻili calcium i ka manawa. Hoʻomaka nā kāne i ka hoʻomohala ʻana i nā waihona calcium ma mua o nā wahine, akā piʻi nui ka pilikia o nā wahine ma hope o ka menopause i ka wā e emi ai nā pae estrogen.

Eia nā mea pilikia nui e hiki ke kōkua i nā helu calcium kiʻekiʻe:

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• Ke koko kiʻekiʻe (hypertension)
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• Nā pae cholesterol kiʻekiʻe, ʻo ia hoʻi ka LDL (

  ʻO kekahi mau mea pilikia i ʻike ʻole ʻia akā he mea nui, ʻo ia nā maʻi genetic e pili ana i ka hana ʻana o ka cholesterol, e like me ka familial hypercholesterolemia. Eia kekahi, hiki i ka radiation therapy ma mua i ka wahi o ka umauma ke hoʻonui i ka pilikia o ka calcium buildup i nā makahiki ma hope.

  He mea nui nā mea ola i ka hōʻiliʻili ʻana o ka calcium. Hiki i nā meaʻai i kiʻekiʻe i nā meaʻai i hana ʻia, ka sodium nui, a me nā momona momona ke kōkua i ka ulu ʻana o ka atherosclerosis a me nā waihona calcium ma hope. Hiki i ke kaumaha mau a me nā ʻano hiamoe maikaʻi ʻole ke kōkua i nā kaʻina hana inflammatory e hoʻolaha i ka hana ʻana o ka plaque.

  ʻOi aku ka maikaʻi o ka loaʻa ʻana o ka helu calcium coronary kiʻekiʻe a i ʻole haʻahaʻa?

  ʻOi aku ka maikaʻi o ka loaʻa ʻana o ka helu calcium coronary haʻahaʻa ma mua o ka helu kiʻekiʻe. Hōʻike nā helu haʻahaʻa i ka liʻiliʻi o ka calcium buildup i loko o kou mau aʻa, e unuhi ana i ka haʻahaʻa o ka pilikia o ka puʻuwai a me nā hanana cardiovascular ʻē aʻe.

  Hōʻike ka helu calcium haʻahaʻa i ke olakino o kou mau aʻa a he liʻiliʻi ka plaque atherosclerotic. ʻO ia hoʻi, ʻoi aku ka haʻahaʻa o kou pilikia o ka hoʻomohala ʻana i nā pilikia puʻuwai koʻikoʻi i ka wā e hiki mai ana, e hāʻawi ana iā ʻoe i ka manawa hou e mālama ai i kou olakino puʻuwai ma o nā koho ola a me ka mālama pale.

  Hōʻike nā helu calcium kiʻekiʻe i ka nui o ka plaque buildup a me ka pilikia cardiovascular kiʻekiʻe. ʻOiai he mea hopohopo paha kēia, he mea nui e hoʻomanaʻo i ka ʻike ʻana i kāu helu e hāʻawi iā ʻoe i ka ʻike waiwai. ʻOiai me ka helu kiʻekiʻe, hiki iā ʻoe ke hana i nā hana kūpono e hōʻemi i kou pilikia a pale i nā pilikia puʻuwai.

  ʻO ka poʻe me nā helu calcium kiʻekiʻe e pōmaikaʻi pinepine mai ka mālama ʻana i ka lāʻau lapaʻau ʻoi aku ka ikaika. Hiki i kēia ke komo i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol, ka mālama ʻana i ke koko, a me nā hoʻololi ola holoʻokoʻa. Me ka mālama kūpono, hiki i nā poʻe he nui me nā helu calcium kiʻekiʻe ke hōʻemi nui i ko lākou pilikia o nā hanana puʻuwai e hiki mai ana.

  ʻO ke kī, ʻo ia ka hāʻawi ʻana o kekahi helu calcium, kiʻekiʻe a haʻahaʻa paha, i ka ʻike pono no ʻoe a me kāu kauka. Hiki i nā helu haʻahaʻa ke hōʻoluʻolu a hoʻoikaika iā ʻoe e mālama i nā hana maikaʻi. Hiki i nā helu kiʻekiʻe, ʻoiai e hōʻike ana i ka pilikia kiʻekiʻe, ke alakaʻi i nā hoʻoholo lapaʻau nui e pale aku i ke olakino o kou puʻuwai.

  He aha nā pilikia hiki ke loaʻa mai i ka helu calcium coronary haʻahaʻa?

  ʻO ka loaʻa ʻana o kahi helu calcium coronary haʻahaʻa ʻaʻole ia e hana i nā pilikia, akā aia kekahi mau mea nui e pono e noʻonoʻo. ʻO ka hopohopo nui, ʻo ia ka hāʻawi ʻana o kahi helu haʻahaʻa i ka hōʻoluʻolu wahaheʻe, e alakaʻi ana i kekahi poʻe e mālama ʻole i nā mea nui ʻē aʻe o ke olakino puʻuwai.

  ʻAʻole ia he manaʻo o ka helu calcium zero a haʻahaʻa paha e palekana loa ʻoe mai ka pilikia o ka maʻi puʻuwai. Hiki nō iā ʻoe ke loaʻa i ka plaque palupalu i loko o kou mau aʻa ʻaʻole i loaʻa ka calcium i kēia manawa. Hiki i kēia ʻano plaque ke lilo i mea weliweli i kekahi manawa no ka mea ʻoi aku ka maʻalahi o ka haki a hana i ka puʻuwai.

  Hiki i kekahi poʻe me nā helu calcium haʻahaʻa ke loaʻa i nā pilikia puʻuwai ʻē aʻe ʻaʻole i ʻike ʻia e ka scan. No ka laʻana, hiki iā ʻoe ke loaʻa i nā pilikia o ka puʻuwai, nā pilikia valve, a i ʻole nā ​​maʻi ʻē aʻe e pili ana i ka hana o ka puʻuwai akā ʻaʻole pili i ka hōʻiliʻili ʻana o ka calcium i loko o nā aʻa coronary.

  ʻO kekahi mea e noʻonoʻo ai, ʻo ia ka hiki ke loli o nā helu calcium i ka manawa. ʻOiai inā haʻahaʻa kāu helu i kēia manawa, hiki ke piʻi i kou wā ʻelemakule a i ʻole inā ʻoi aku ka maikaʻi o kāu mau mea pilikia. ʻO ia hoʻi, pono nō ʻoe e mālama i nā hana ola maikaʻi a mālama i nā maʻi e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ka cholesterol kiʻekiʻe.

  I nā manawa kakaʻikahi, hiki i nā poʻe me nā maʻi genetic e pili ana i ka metabolism cholesterol ke hoʻomohala i nā pilikia puʻuwai ʻoiai he helu calcium haʻahaʻa. Hiki i kēia mau maʻi ke hana i ka hana plaque wikiwiki ʻaʻole paha e hōʻike ʻia ma ke ʻano he waihona calcium ma ka scan.

  He aha nā pilikia hiki ke loaʻa mai i ka helu calcium coronary kiʻekiʻe?

  Hōʻike ka helu kalipuna coronary kiʻekiʻe i ka nui o ka hana ʻana o ka plaque i loko o kou mau aʻa coronary, hiki ke alakaʻi i nā pilikia he nui. ʻO ka hopohopo nui loa he piʻi ka pilikia o ka puʻuwai, no ka mea, pili nā helu kalipuna kiʻekiʻe me ka maʻi coronary artery nui.

  ʻO ka poʻe me nā helu kalipuna kiʻekiʻe he nui ka hiki ke loaʻa ka ʻeha o ka umauma (angina) i ka wā e hana ai i ka hana kino a i ʻole ke koʻikoʻi. Hana ʻia kēia i ka wā ʻaʻole hiki i nā aʻa i hoʻopaʻa ʻia ke hāʻawi i ke koko lawa e hoʻokō i nā koi oxygen o kou puʻuwai i ka wā e hana ai.

  Eia nā pilikia nui e pili ana me nā helu kalipuna coronary kiʻekiʻe:

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  • Piʻi ka pilikia o ka puʻuwai (myocardial infarction)
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  • ʻEha a i ʻole ka hōʻoluʻolu o ka umauma (angina)
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  • Pōkole o ka hanu i ka wā e hana ai
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  • Pono no nā kaʻina hana puʻuwai e like me ka angioplasty a i ʻole ke ʻoki ʻana i ka bypass
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  • Hoʻomohala ʻana i ka puʻuwai i ka manawa
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  • Piʻi ka pilikia o ka hahau
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  • ʻOi aku ka nui o ka make ʻana o ka puʻuwai
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  Hoʻonui pinepine ka pilikia o kēia mau pilikia me nā helu kalipuna kiʻekiʻe. ʻO ka poʻe me nā helu ma luna o 300 he nui ka pilikia ma mua o ka poʻe me nā helu ma waena o 100-299, ʻoiai e ʻokoʻa ka pilikia o kēlā me kēia kanaka ma muli o ka makahiki, ke kāne, a me nā mea ʻē aʻe.

  Hiki i kekahi poʻe me nā helu kalipuna kiʻekiʻe loa ke ʻike i ka mea i kapa ʻia ʻo

  Pono ʻoe e kūkākūkā i nā hopena o kāu scan calcium coronary me kāu kauka me ka nānā ʻole i ka helu, no ka mea, pono lākou e wehewehe i nā hopena ma ke ʻano o kou olakino holoʻokoʻa a me nā mea pilikia. He mea nui kēia kamaʻilio ʻana no ka hoʻomohala ʻana i kahi hoʻolālā pale a i ʻole lapaʻau kūpono.

  Inā he helu calcium ʻole kāu, pono nō ʻoe e ʻike i kāu kauka e kūkākūkā i ka mālama ʻana i kou olakino puʻuwai. ʻOiai me nā hopena scan maikaʻi loa, pono ʻoe i ka nānā mau ʻana i kāu mau mea pilikia a me ke alakaʻi ʻana i ka mālama ʻana i kāu helu haʻahaʻa i kou wā ʻelemakule.

  ʻO ka poʻe me nā helu calcium ma waena o 1-99 e pono e hoʻonohonoho i kahi manawa e kūkākūkā ai i nā hoʻololi ola a hoʻoholo inā pono kekahi hoʻāʻo a i ʻole lapaʻau hou. E kōkua kāu kauka iā ʻoe e hoʻomaopopo i ke ʻano o kēia hana ʻana o ka calcium no kou olakino lōʻihi.

  ʻO ka poʻe me nā helu o 100 a i ʻole ke kiʻekiʻe e ʻike koke i kā lākou kauka e kūkākūkā i nā hoʻolālā pale ikaika. Pono pinepine nā helu kiʻekiʻe i ka mālama piha ʻana me nā lāʻau lapaʻau, nā loli ola, a me nā hoʻokolohua puʻuwai hou.

  Pono ʻoe e ʻimi i ka lāʻau lapaʻau koke inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana ma hope o kāu scan, ʻoiai inā he helu calcium kiʻekiʻe kāu. Aia kēia mau hōʻailona i ka ʻeha o ka umauma, ka pōkole o ka hanu, ka luhi maʻamau, a i ʻole kekahi ʻoluʻolu e hōʻike ana i nā pilikia o ka puʻuwai.

  Eia kekahi, e hoʻonohonoho i nā manawa e hahai ai e like me ka ʻōlelo a kāu kauka. Pono ka poʻe me nā helu calcium kiʻekiʻe i ka nānā pinepine ʻana a hiki ke pōmaikaʻi mai nā scans hou i kēlā me kēia mau makahiki e nānā i nā loli i kā lākou hana calcium.

  Nā nīnau i nīnau pinepine ʻia e pili ana i ka scan calcium coronary

  Q.1 He maikaʻi anei ka hoʻāʻo scan calcium coronary no ka ʻike ʻana i ka maʻi puʻuwai?

  ʻAe, he mea maikaʻi nā scans calcium coronary no ka ʻike ʻana i nā hōʻailona mua o ka maʻi artery coronary ma mua o ka ulu ʻana o nā hōʻailona. He mea waiwai nui ka hoʻokolohua no ka ʻike ʻana i nā kānaka i ka pilikia waena e pōmaikaʻi paha mai nā hoʻolālā pale ʻoi aku ka ikaika.

  Eia naʻe, he mau palena ko ka scan. ʻIke wale ia i ka plaque calcified, ʻaʻole i ka plaque palupalu i hōʻiliʻili ʻole i ka calcium. Eia kekahi, hōʻike ka hoʻokolohua i ke alo o ka atherosclerosis akā ʻaʻole ia e hōʻike inā ua ʻāiki a paʻa paha kou mau aʻa.

  Q.2 Ke kumu o ka helu calcium coronary kiʻekiʻe i ka ʻeha o ka umauma?

  ʻAʻole i hana pololei ka helu calcium coronary kiʻekiʻe i ka ʻeha o ka umauma, akā hōʻike ia i ke alo o ka plaque nui e hiki ke alakaʻi i ka ʻeha o ka umauma. ʻAʻole ʻeha nā waihona calcium, akā hōʻailona lākou e hiki ke ʻāiki kou mau aʻa i ka lawa ʻana e kaupalena i ke kahe koko i kou puʻuwai.

  Ke hiki ʻole i nā aʻa i ʻāiki ke hāʻawi i ke kahe koko kūpono i ka wā e hoʻonui ai i ka hana a i ʻole ke koʻikoʻi, hiki iā ʻoe ke ʻike i ka ʻeha o ka umauma, ke kaomi, a i ʻole ka hōʻoluʻolu ʻole. ʻO kēia ʻano ʻeha o ka umauma, i kapa ʻia ʻo angina, he hōʻailona ia o ka maʻi artery coronary e hōʻike ana ka helu calcium.

  Q.3 Hiki i ka scan calcium coronary ke ʻike i ka pilikia o ka puʻuwai?

  ʻAe, he mau mea hana maikaʻi nā scans calcium coronary no ka loiloi ʻana i ka pilikia o ka puʻuwai. Hoʻopili ʻia nā helu calcium kiʻekiʻe me ka piʻi ʻana o ka pilikia o ka puʻuwai i nā makahiki e hiki mai ana, e lilo ana kēia hoʻokolohua i mea waiwai no ka stratification pilikia.

  Kōkua ka scan i ka ʻike ʻana i nā kānaka e pōmaikaʻi paha mai nā lāʻau lapaʻau pale e like me nā lāʻau lapaʻau hoʻohaʻahaʻa cholesterol a i ʻole nā ​​hoʻololi ʻana i ke ola ikaika. Eia naʻe, he mea nui e hoʻomanaʻo i ka hilinaʻi ʻana o ka pilikia o ka puʻuwai i nā mea he nui, a ʻo ka helu calcium he ʻāpana wale nō o ka puʻupuʻu.

  Q.4 Ehia mau manawa e loaʻa ai iaʻu kahi scan calcium coronary?

  Pono ka pinepine o nā scans calcium coronary ma muli o kāu mau hopena mua a me nā mea pilikia. ʻAʻole pono ka poʻe me nā helu calcium zero i nā scans hou no nā makahiki he nui, pinepine 5-10 mau makahiki, ke ʻole e loli nui kā lākou mau mea pilikia.

  Hiki i ka poʻe me nā helu calcium kiʻekiʻe ke pōmaikaʻi mai nā scans hou i kēlā me kēia 3-5 mau makahiki e nānā i ka holomua. E ʻōlelo kāu kauka i ka manawa kūpono e pili ana i kāu kūlana kikoʻī, me kou makahiki, nā mea pilikia, a me ka pane ʻana i ka lāʻau lapaʻau.

  Q.5 Aia kekahi mau pilikia mai ka radiation scan calcium coronary?

  Hoʻopili nā scans calcium coronary i kahi liʻiliʻi o ka ʻike radiation, akā haʻahaʻa loa ka pilikia. ʻO ka nui o ka radiation e like me 10-15 mau X-ray umauma, i manaʻo ʻia he liʻiliʻi i nā huaʻōlelo lapaʻau.

  No ka hapa nui o nā kānaka, ʻoi aku ka maikaʻi o ka loaʻa ʻana o ka ʻike nui e pili ana i ko lākou pilikia maʻi puʻuwai ma mua o ka pilikia radiation liʻiliʻi. Eia naʻe, pono nā wahine hāpai e pale i kēia hoʻokolohua, a ʻo ka poʻe i loaʻa i nā scans CT he nui i kēia manawa e makemake paha e kūkākūkā i ka ʻike radiation cumulative me kā lākou kauka.