He aha ka CT Coronary Angiogram? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka CT coronary angiogram he scan puʻuwai ʻaʻole invasive e hana ana i nā kiʻi kikoʻī o kāu mau aʻa coronary me ka hoʻohana ʻana i nā X-ray a me ka ʻenehana kamepiula. E noʻonoʻo iā ia he kamera kūikawā e hiki ke ʻike ma waena o kou umauma e nānā i nā kīʻaha koko e hāʻawi ana i kou ʻiʻo puʻuwai. Kōkua kēia hoʻāʻo kiʻi kiʻekiʻe i nā kauka e ʻike i nā paʻa, ka ʻuʻuku, a i ʻole nā pilikia ʻē aʻe i loko o kēia mau aʻa koʻikoʻi me ka ʻole o ka hoʻokomo ʻana i nā paipu i loko o kou kino e like me ka angiograms kuʻuna.

He aha ka CT coronary angiogram?

Hoʻohui ka CT coronary angiogram i ka computed tomography (CT) scanning me ka waihoʻoluʻu contrast e hana i nā kiʻi maopopo, ʻekolu-dimensional o nā kīʻaha koko o kou puʻuwai. Hoʻohana ka ʻāpana

• Ka ʻike ʻana i nā paʻa a i ʻole ka hāiki ʻana i nā aʻa coronary
• Ka loiloi ʻana i ka ʻeha o ka umauma ke ʻike ʻole ʻia ke kumu
• Ka nānā ʻana i ka maʻi aʻa coronary ma mua o kou hoʻomohala ʻana i nā hōʻailona
• Ka loiloi ʻana i nā ʻoki bypass a i ʻole nā stents mai nā kaʻina hana i hala
• Ka hoʻolālā ʻana i ka mālama ʻana i nā maʻi puʻuwai i ʻike ʻia
• Ka noiʻi ʻana i nā hopena maʻamau mai nā hoʻokolohua koʻikoʻi a i ʻole EKGs

He mea waiwai loa ka hoʻokolohua no ka mea hiki iā ia ke hopu i nā hōʻailona mua o ka maʻi puʻuwai ma mua o kou ʻike ʻana i nā hōʻailona koʻikoʻi. A laila hiki i kāu kauka ke ʻōlelo aku i nā loli ola a i ʻole nā lāʻau lapaʻau e pale ai i nā pilikia puʻuwai i ka wā e hiki mai ana.

He aha ke kaʻina hana no ka CT coronary angiogram?

Hana ʻia ke kaʻina hana CT coronary angiogram i loko o kahi haukapila a i ʻole ke kikowaena kiʻi a pili i kekahi mau ʻanuʻu maʻalahi. E hana pū ʻoe me kahi loea i hoʻomaʻamaʻa ʻia nāna e alakaʻi iā ʻoe ma kēlā me kēia ʻāpana o ke kaʻina hana a pane i nā nīnau āu e loaʻa ai.

Eia ka mea e hana maʻamau i ka wā o kāu scan:

1. E hoʻololi ʻoe i ka ʻaʻahu haukapila a wehe i nā mea nani a i ʻole nā mea metala
2. E hoʻokomo kahi loea i kahi laina IV i kou lima no ka waihoʻoluʻu
3. E moe ʻoe ma luna o kahi papa e paheʻe ana i loko o ka mea scanner CT
4. Hiki ke kau ʻia nā electrodes liʻiliʻi ma kou umauma e nānā i kou puʻuwai
5. Hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau e hoʻolohi i kou puʻuwai inā pono
6. E hoʻokomo ʻia ka waihoʻoluʻu ma o kāu IV i ka wā e scan ana
7. Pono ʻoe e paʻa i kou hanu no nā manawa pōkole i ka wā e lawe ʻia ai nā kiʻi
8. ʻO ka hana scanning holoʻokoʻa e lawe maʻamau i 10-15 mau minuke

I ka wā e hoʻokomo ʻia ai ka waihoʻoluʻu, hiki iā ʻoe ke ʻike i kahi manaʻo mahana a i ʻole ka ʻono metala i kou waha. He maʻamau loa kēia mau manaʻo a e hala koke. E kamaʻilio mau ka loea me ʻoe i ke kaʻina hana.

Pehea e hoʻomākaukau ai no kāu CT coronary angiogram?

Kōkua ka hoʻomākaukau kūpono i ka hōʻoia ʻana i nā kiʻi maikaʻi loa a hoʻēmi i ka pilikia o nā pilikia. E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī e pili ana i kou kūlana pilikino, akā maʻalahi a maʻalahi ka hapa nui o nā ʻanuʻu hoʻomākaukau.

Eia nā ʻanuʻu hoʻomākaukau maʻamau āu e pono ai e hahai:

• E hōʻalo i ka caffeine no 12-24 mau hola ma mua o kāu hoʻokolohua
• Mai ʻai i nā meaʻai paʻa no 4 mau hola ma mua o ke kaʻina hana
• E lawe i kāu mau lāʻau lapaʻau maʻamau ke ʻole i kuhikuhi ʻia
• E hōʻike i kāu kauka e pili ana i nā maʻi āpau, ʻoi aku hoʻi i ka waihoʻoluʻu ʻokoʻa a i ʻole iodine
• E haʻi i kāu hui inā hāpai ʻoe a i ʻole e hāpai ana paha
• E kūkākūkā i nā pilikia o ka puʻupaʻa a i ʻole nā lāʻau lapaʻau diabetes me kāu kauka
• E hoʻonohonoho i ka halihali inā e loaʻa iā ʻoe ka sedation

Inā ʻoe e lawe i nā lāʻau lapaʻau no ka maʻi diabetes, ʻoiai ʻo metformin, e noi paha kāu kauka iā ʻoe e hooki i ka lawe ʻana iā lākou no ka manawa. Kōkua kēia mālama ʻana i ka pale ʻana i nā pilikia puʻupaʻa kakaʻikahi akā koʻikoʻi ke hui pū ʻia me ka waihoʻoluʻu ʻokoʻa.

Pono ʻoe e haʻi i kekahi mōʻaukala o ka maʻi puʻupaʻa, no ka mea, makemake paha kāu kauka e nānā i kāu hana puʻupaʻa ma mua o ka hoʻokolohua. Pono paha kekahi poʻe i ka hydration hou a i ʻole nā lāʻau lapaʻau kūikawā e pale i ko lākou puʻupaʻa i ka wā o ke kaʻina hana.

Pehea e heluhelu ai i kāu CT coronary angiogram?

E wehewehe ʻia kāu hopena CT coronary angiogram e kahi radiologist a me cardiologist i loea i ka heluhelu ʻana i kēia mau kiʻi paʻakikī. E ʻimi lākou i nā hōʻailona o ka ʻuʻuku, nā poloka, a i ʻole nā mea ʻē aʻe i loko o kou mau aʻa coronary a hāʻawi i kahi hōʻike kikoʻī i kāu kauka.

ʻO ka maʻamau, loaʻa i ka hōʻike ka ʻike e pili ana i ke kēkelē o ka ʻuʻuku i kēlā me kēia aʻa coronary nui. Hoʻomaopopo nā kauka i nā poloka ma ke ʻano he pākēneka, e like me 25%, 50%, a i ʻole 75% ka ʻuʻuku. Ma keʻano laulā, ua manaʻo ʻia nā poloka o 70% a ʻoi aku paha i nā aʻa nui he mea nui a pono paha ka lāʻau lapaʻau.

Hiki nō i kāu mau hopena ke komo pū i ka helu calcium, e ana ana i ka nui o ka calcium i kūkulu ʻia i loko o kou mau aʻa coronary. Hiki i nā helu calcium kiʻekiʻe ke hōʻike i ka pilikia nui o nā pilikia o ka naʻau, ʻoiai inā ʻaʻole nui nā poloka i loaʻa iā ʻoe. Kōkua kēia ʻike i kāu kauka e loiloi i kou pilikia cardiovascular holoʻokoʻa.

I kekahi mau hihia, hiki i ka scan ke hōʻike i nā aʻa coronary maʻamau me ka ʻole o nā poloka nui. Hiki i kēia ke hōʻoluʻolu loa inā ua ʻike ʻoe i ka ʻeha o ka umauma, no ka mea, hōʻike ia ʻaʻole paha i loaʻa kāu mau hōʻailona ma muli o ka maʻi aʻa coronary.

Pehea e hoʻomaikaʻi ai i kou olakino aʻa coronary?

Inā hōʻike kāu CT coronary angiogram i nā aʻa maʻamau a i ʻole kekahi degere o ka ʻuʻuku, hiki iā ʻoe ke hana i nā hana e hoʻomaikaʻi a mālama i kou olakino naʻau. ʻO ka nūhou maikaʻi, ʻo ka nui o nā hoʻolālā maikaʻi loa he mau loli ola hiki iā ʻoe ke hoʻomaka e hoʻokō koke.

Eia nā ala i hōʻoia ʻia e kākoʻo i kou olakino aʻa coronary:

• E hahai i ka ʻai olakino naʻau i waiwai i nā hua, nā mea kanu, a me nā kīʻaha holoʻokoʻa
• E komo i ka hana kino maʻamau e like me ka ʻōlelo a kāu kauka
• E haʻalele i ka puhi ʻana a pale i ka ʻike ʻana i ka uahi lua
• E mālama i ke kaumaha olakino no kou ʻano kino
• E mālama i ke kaumaha ma o nā ʻenehana hoʻomaha a i ʻole ke aʻo ʻana
• E lawe mau i nā lāʻau i kuhikuhi ʻia e like me ke kuhikuhi
• E nānā a mālama i ke koko a me nā pae cholesterol
• E mālama pono i ka maʻi diabetes inā loaʻa iā ʻoe kēia maʻi

Inā hōʻike kāu scan i nā poloka nui, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e kōkua i ka pale ʻana i nā koko koko, hoʻohaʻahaʻa i ka cholesterol, a i ʻole ka mālama ʻana i ke koko. I kekahi mau hihia, pono paha nā kaʻina hana e like me ka angioplasty a i ʻole ke ʻoki bypass e hoʻihoʻi i ke kahe koko kūpono.

E hoʻomanaʻo pinepine ka maʻi o nā ʻaʻaʻa coronary i ka ulu lohi ʻana i nā makahiki he nui. ʻOiai inā hōʻike kāu scan i kekahi ʻano o ka ʻāʻī ʻana, hiki i ka hoʻololi ʻana i nā hana ola maikaʻi ke kōkua i ka pale ʻana i ka holomua hou a hoʻemi i kou pilikia o ka loaʻa ʻana o nā puʻuwai.

He aha ke kūlana maikaʻi loa o nā ʻaʻaʻa coronary?

ʻO ke kūlana maikaʻi loa o nā ʻaʻaʻa coronary ka loaʻa ʻana o nā ʻaʻaʻa maʻemaʻe loa, maʻalahi me ka ʻole o ka ʻāʻī a i ʻole nā ​​pāpā. Ma nā huaʻōlelo lapaʻau, ʻo ia hoʻi ka loaʻa ʻana o nā paia arterial maʻemaʻe me ka ʻole o ka hana ʻana o ka plaque a me ke kahe koko maʻamau i nā wahi a pau o kou ʻiʻo puʻuwai.

Eia naʻe, i ko mākou wā e ʻelemakule ai, he mea maʻamau ka ulu ʻana i kekahi ʻano o ka atherosclerosis, ʻo ia ka hana lohi ʻana o ka plaque i loko o kā mākou mau ʻaʻaʻa. ʻO ke kī ka mālama ʻana i kēia kaʻina hana i ka liʻiliʻi a me ka pale ʻana mai ka holomua ʻana i kahi e kaupalena nui ai i ke kahe koko i kou puʻuwai.

Manaʻo nā kauka i nā ʻaʻaʻa coronary i ke olakino ke emi ka pāpā ma lalo o 50% i kekahi moku nui. Ma kēia pae, noho maʻamau ke kahe koko e hāʻawi i kou ʻiʻo puʻuwai me ka oxygen a me nā meaʻai e pono ai i ka wā o nā hana maʻamau a me ka hoʻoikaika kino.

Hiki i kāu helu calcium ke hāʻawi i ka ʻike i ke olakino o kou ʻaʻaʻa coronary. He mea maikaʻi ka helu ʻole a hōʻike i ka pilikia haʻahaʻa loa o nā pilikia o ka puʻuwai i ka wā e hiki mai ana. Hōʻike nā helu ma luna o 100 i ka pilikia haʻahaʻa, ʻoiai nā helu ma luna o 400 e hōʻike i ka pilikia kiʻekiʻe e koi ai i ka mālama ʻoi aku ka ikaika.

He aha nā mea pilikia no ka maʻi o nā ʻaʻaʻa coronary?

ʻO ka hoʻomaopopo ʻana i kāu mau mea pilikia no ka maʻi o nā ʻaʻaʻa coronary hiki ke kōkua iā ʻoe a me kāu kauka e wehewehe i kāu mau hopena CT coronary angiogram a hoʻolālā i nā hana pale kūpono. Aia kekahi mau mea pilikia hiki iā ʻoe ke hoʻomalu, ʻoiai ʻo nā mea ʻē aʻe he ʻāpana o kāu hana genetic a i ʻole ke kaʻina hana ʻelemakule maoli.

ʻO nā mea pilikia hiki iā ʻoe ke hoʻololi, ʻo ia:

• Ka puhi ʻana a i ʻole ka hoʻohana ʻana i nā huahana paka
• Ke koko kiʻekiʻe (hypertension)
• Nā pae cholesterol kiʻekiʻe
• Maʻi diabetes a i ʻole prediabetes
• Ka momona a i ʻole ke kaumaha nui
• Ka hana ʻole kino a i ʻole ke ola noho mālie
• Ke kaumaha mau a i ʻole ka mālama ʻole ʻana i ke kaumaha
• ʻAi maikaʻi ʻole i kiʻekiʻe i nā momona saturated a me nā meaʻai i hana ʻia

ʻO nā mea pilikia ʻaʻole hiki iā ʻoe ke hoʻololi, ʻo ia kou makahiki, ke kāne, a me ka mōʻaukala ʻohana o ka maʻi puʻuwai. Hoʻomohala maʻamau nā kāne i ka maʻi artery coronary ma mua o nā wahine, ʻoiai e piʻi nui ka pilikia o nā wahine ma hope o ka menopause. ʻO ka loaʻa ʻana o nā mākua a i ʻole nā kaikunāne me ka maʻi puʻuwai mua e hoʻonui pū ana i kou pilikia.

Hiki i kekahi mau maʻi lapaʻau ke hoʻonui i kou pilikia, me ka sleep apnea, ka maʻi kīkī mau, a me nā maʻi autoimmune e like me ka rheumatoid arthritis. Inā he nui nā mea pilikia iā ʻoe, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana a i ʻole ka hana mua ʻana.

Ua ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā helu calcium coronary haʻahaʻa a i ʻole kiʻekiʻe?

ʻOi aku ka maikaʻi o nā helu calcium coronary haʻahaʻa no kou olakino puʻuwai. Hōʻike ka helu calcium o ka zero ʻaʻohe calcium i ʻike ʻia i loko o kou mau aʻa coronary, e hōʻike ana i kahi pilikia haʻahaʻa loa o ka loaʻa ʻana o nā poloka nui a i ʻole ka ʻike ʻana i nā pilikia puʻuwai i ka wā e hiki mai ana.

Hoʻomaopopo maʻamau ʻia nā helu calcium i nā pae e pili ana i nā pae like ʻole o ka pilikia cardiovascular. Hōʻike ka helu o 1-10 i ka liʻiliʻi o ka hana ʻana o ka plaque, ʻoiai ʻo nā helu o 11-100 e hōʻike ana i ka atherosclerosis maʻalahi. Hōʻike nā helu o 101-400 i ka ukana plaque maʻalahi, a hōʻike nā helu ma luna o 400 i ka atherosclerosis nui.

Eia naʻe, he mea nui e hoʻomaopopo i ka hōʻike ʻana o nā helu calcium i ka nui o ka plaque calcified i loko o kou mau aʻa, ʻaʻole pono i ke kiʻekiʻe o ka ʻuʻuku. Hiki i kekahi poʻe ke loaʻa nā helu calcium kiʻekiʻe akā loaʻa nō ke kahe koko kūpono, ʻoiai ʻo nā poʻe ʻē aʻe e loaʻa paha nā poloka nui me nā helu calcium haʻahaʻa.

E noʻonoʻo kāu kauka i kāu helu calcium me nā mea ʻē aʻe e like me kāu mau hōʻailona, nā mea pilikia, a me ke olakino holoʻokoʻa i ka wā e hoʻoholo ai i ke ala lapaʻau maikaʻi loa. ʻOiai inā he helu calcium kiʻekiʻe kāu, hiki i nā lāʻau lapaʻau kūpono a me nā loli ola ke kōkua i ka pale ʻana i ka holomua hou.

He aha nā pilikia hiki ke loaʻa i nā poloka artery coronary?

Hiki i nā poloka artery coronary ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole i mālama ʻia, akā hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e hahai i kāu hoʻolālā lapaʻau a hana i nā koho ola olakino naʻau. ʻO ka nūhou maikaʻi, me ka mālama olakino hou, hiki ke pale ʻia a mālama maikaʻi ʻia kekahi o kēia mau pilikia.

ʻO nā pilikia koʻikoʻi loa e hiki ke ulu, ʻo ia:

• Hoʻouka naʻau (myocardial infarction) i ka wā e ālai koke ʻia ai ke kahe koko
• ʻEha umauma mau (angina) i ka wā e hana kino ai a i ʻole ke kaumaha
• ʻAʻole hana ka naʻau i ka wā e nāwaliwali ai ka ʻiʻo naʻau i ka manawa
• Nā puʻuwai puʻuwai ʻole (arrhythmias) ma muli o ka lako koko maikaʻi ʻole
• Ka make puʻuwai koke i nā hihia koʻikoʻi me nā poloka he nui

Hiki mai nā hoʻouka naʻau i ka wā e ʻoki loa ai kahi poloka i ke kahe koko i kahi ʻāpana o kou ʻiʻo naʻau. Hiki ke hana kēia i ka wā e haki ai ka plaque e kū nei a hana i ka ʻōpala koko, a i ʻole i ka wā e lilo mālie ai kahi poloka. Hiki i ka mālama olakino wikiwiki ke hoʻihoʻi pinepine i ke kahe koko a hōʻemi i ka pōʻino o ka ʻiʻo naʻau.

Ua ulu mālie nā pilikia mau e like me ka ʻole o ka naʻau i ka wā e nāwaliwali ai kou ʻiʻo naʻau i nā manawa he nui o ke kahe koko kūpono ʻole. Eia naʻe, me ka mālama kūpono me nā lāʻau lapaʻau, nā loli ola, a i kekahi manawa nā kaʻina hana, nui ka poʻe me ka maʻi artery coronary e ola ana i nā ola piha a ikaika.

ʻO ke kī, ʻo ia ka hana pū ʻana me kāu hui mālama ola e nānā i kou kūlana a hoʻoponopono i nā lāʻau lapaʻau e like me ka mea e pono ai. Hiki i nā manawa hālāwai maʻamau a me ka pili ʻana i kāu hoʻolālā lapaʻau ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o kēia mau pilikia.

I ka manawa hea e ʻike ai au i ke kauka no nā pilikia o ka ʻaʻaʻa coronary?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe kekahi mau hōʻailona e hōʻike ana i nā pilikia o ka ʻaʻaʻa coronary. Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona iā lākou iho, ʻoiai inā he mau mea pilikia kou no ka maʻi puʻuwai a i ʻole inā ua hōʻike kāu CT coronary angiogram i nā mea ʻokoʻa.

E ʻimi koke i ka lāʻau lapaʻau no kēia mau hōʻailona ʻōlelo aʻo:

• ʻEha a i ʻole ke kaomi ʻana o ka umauma, ʻoiai me ka hoʻoikaika
• Pōkole o ka hanu i ka wā o nā hana maʻamau
• ʻEha e pāhola ana i kou mau lima, ʻāʻī, āwae, a i ʻole ke kua
• Luhi a i ʻole nāwaliwali ʻole
• ʻO ka wili a i ʻole ka māmā me ka ʻoluʻolu o ka umauma
• Nausea a i ʻole ka hou ʻana me nā hōʻailona umauma

E kelepona koke i nā lawelawe pilikia inā loaʻa iā ʻoe ka ʻeha umauma nui, ʻoiai inā pili pū me ka hou ʻana, ka nausea, a i ʻole ka pōkole o ka hanu. He mau hōʻailona paha kēia o ka puʻuwai, e koi ana i ka lāʻau lapaʻau koke e pale aku i ka pōʻino mau o ka ʻiʻo puʻuwai.

Pono nō hoʻi ʻoe e hoʻonohonoho i nā manawa hālāwai maʻamau me kāu kauka inā ua hōʻike kāu CT coronary angiogram i kekahi degere o ka maʻi ʻaʻaʻa coronary. Pono ka nānā ʻana i nā poloka māmā e hōʻoia ʻaʻole lākou e holomua, a makemake paha kāu kauka e hoʻoponopono i kāu mau lāʻau lapaʻau a i ʻole e ʻōlelo i nā hoʻokolohua hou e pili ana i kou manaʻo.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka CT coronary angiogram

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

ʻAe, he mea maikaʻi loa ka CT coronary angiogram no ka ʻike ʻana i ka maʻi maʻi coronary artery, ʻoi aku hoʻi i ka poʻe me ka pilikia waena o nā pilikia o ka naʻau. Hiki i kēia hoʻokolohua ke ʻike i nā poloka liʻiliʻi e like me 50% a he mea maikaʻi loa ia i ka hoʻopau ʻana i ka maʻi maʻi coronary artery koʻikoʻi ke maʻamau nā hopena.

He kiʻekiʻe loa ka helu pololei o ka hoʻokolohua no ka ʻike ʻana i nā poloka e pono ai ka mālama ʻana. Eia naʻe, he mea pono loa ia no ka poʻe i loaʻa nā hōʻailona e hōʻike ana i ka maʻi naʻau akā ʻaʻole i ka pilikia kiʻekiʻe e hele pololei i nā kaʻina hana invasive. E hoʻoholo kāu kauka inā kūpono kēia hoʻokolohua e pili ana i kāu kūlana a me nā hōʻailona.

Q.2 ʻO ka helu calcium coronary kiʻekiʻe ke manaʻo mau nei e pono wau i ke ʻoki?

ʻAʻole, ʻo ka helu calcium coronary kiʻekiʻe ʻaʻole ia e manaʻo maʻalahi e pono ʻoe i ke ʻoki a i ʻole nā kaʻina hana invasive. Nui ka poʻe me nā helu calcium kiʻekiʻe e hiki ke mālama pono ʻia me nā lāʻau lapaʻau a me nā loli o ke ola e kōkua ai i ka pale ʻana i ka holomua o ka plaque a me ka hōʻemi ʻana i ka pilikia o ka puʻuwai.

E noʻonoʻo kāu kauka i kāu helu calcium me kāu mau hōʻailona, ​​nā hopena hoʻokolohua ʻē aʻe, a me ke olakino holoʻokoʻa i ka wā e hoʻoholo ai i ke ala lapaʻau maikaʻi loa. Manaʻo ʻia ke ʻoki a i ʻole nā ​​kaʻina hana e like me ka angioplasty ke loaʻa iā ʻoe nā poloka koʻikoʻi e hoʻoulu ai i nā hōʻailona a i ʻole ka pilikia kiʻekiʻe o ka puʻuwai.

Q.3 Hiki iaʻu ke loaʻa kahi CT coronary angiogram maʻamau akā loaʻa nō nā pilikia o ka naʻau?

ʻOiai he mea hōʻoluʻolu loa ka CT coronary angiogram maʻamau a hōʻike i ka pilikia haʻahaʻa o ka puʻuwai mai ka maʻi maʻi coronary artery, ʻaʻole ia e hoʻopau loa i nā pilikia o ka naʻau. Hiki iā ʻoe ke loaʻa nā pilikia e like me nā maʻi puʻuwai, nā pilikia o ka valve puʻuwai, a i ʻole nā ​​maʻi ʻiʻo puʻuwai ʻaʻole i loiloi ʻia e kēia hoʻokolohua.

Eia kekahi, hiki i nā poloka liʻiliʻi loa a i ʻole ka plaque palupalu i hoʻopaʻa ʻole ʻia ke nalo i kekahi manawa. Eia naʻe, inā maʻamau kāu CT coronary angiogram, haʻahaʻa loa kou pilikia o ka loaʻa ʻana o ka puʻuwai mai ka maʻi maʻi coronary artery i nā makahiki e hiki mai ana.

Nīnau 4. Pehea ka pinepine e hana hou ai au i ka angiogram coronary CT?

Aia ka pinepine o ka hana hou ʻana i nā angiogram coronary CT i kāu mau hopena mua a me nā mea pilikia. Inā maʻamau loa kāu scan mua a he haʻahaʻa kou mau mea pilikia, ʻaʻole paha ʻoe e pono i kahi scan ʻē aʻe no nā makahiki he nui, inā paha.

Inā hōʻike kāu scan i nā poloka māmā a i ʻole nā ​​poloka waena, hiki i kāu kauka ke ʻōlelo aku e hana hou i ke kiʻi ʻana i kēlā me kēia 3-5 mau makahiki e nānā i ka holomua. Pono paha ka poʻe me nā mea pilikia kiʻekiʻe a i ʻole nā ​​hopena nui aʻe i ka nānā pinepine ʻana me ka hana hou ʻana i nā scan CT a i ʻole nā ​​ʻano hoʻokolohua puʻuwai ʻē aʻe.

Nīnau 5. Aia kekahi mau pilikia i ka loaʻa ʻana o ka angiogram coronary CT?

He palekana loa ka angiogram coronary CT, akā e like me nā hoʻokolohua lapaʻau, loaʻa kekahi mau pilikia liʻiliʻi. ʻO nā hopohopo nui ka hōʻike ʻana i ka radiation a me nā hopena kūpono i ka waihoʻoluʻu contrast, ʻoiai he kakaikahi nā pilikia koʻikoʻi.

Hoʻohālikelike ka hōʻike ʻana i ka radiation i kahi 1-2 mau makahiki o ka radiation background maoli, i manaʻo ʻia he mea kūpono no ka ʻike waiwai i loaʻa. ʻAʻole maʻamau nā hopena waihoʻoluʻu contrast a maʻamau ka maʻalahi, me ka nausea a i ʻole ka ʻōpala. Loaʻa nā hopena maʻi koʻikoʻi i ka liʻiliʻi ma mua o 1% o nā maʻi a hiki ke mālama pono ʻia ke hana lākou.