Nyocha CT obi

Nyocha kọmputa (CT) nke obi bụ usoro imaging nke na-eji ụzarị ọkụ iji mepụta foto zuru ezu nke obi na akwara ọbara ya.

• A na-akpọ nnwale a nyocha akwara nke akwara mgbe a na-eme ya iji hụ ma ọ bụrụ na i nwere calcium n'ime akwara obi gị.
• A na-akpọ ya CT angiography ma ọ bụrụ na emee ya iji lee akwara ndị na-eweta ọbara n’obi gị. Ule a na-enyocha ma ọ bụrụ na ịbelata ma ọ bụ mgbochi na akwara ndị ahụ.
• Ule a na-eme mgbe ụfọdụ yana nyocha nke akwara ma ọ bụ akpa ume iji chọọ nsogbu na akụkụ ndị ahụ.

A ga-agwa gị ka ị dinara na tebụl dị warara nke na-adaba n'etiti etiti nyocha CT.

• Ga-edina n’azụ gị n’isi na ụkwụ n’èzí nyocha ahụ n’isi abụọ.
• A na-etinye obere patches, a na-akpọ electrodes na obi gị ma jikọọ na igwe nke na-edekọ ọrụ eletriki obi gị. Enwere ike inye gi ogwu ka oghara igba obi gi.
• Ozugbo ị banyere n'ime nyocha ahụ, ụzarị igwe ọkụ x-ray na-agbagharị gburugburu gị.

Kọmputa na-emepụta ihe dị iche iche nke mpaghara ahụ, nke a na-akpọ mpekere.

• Enwere ike ịchekwa ihe osise ndị a, lelee ha na ihe nlele, ma ọ bụ bipụta ya na ihe nkiri.
• Enwere ike ịmepụta ụdị 3D (akụkụ atọ) nke obi.

Must ga-anọrịrị n'oge ule ahụ, n'ihi na mmegharị na-ebute onyonyo achọrọ. Enwere ike ịgwa gị ka ijide ume gị obere oge.

Dum nyocha ahụ ga-ewe ihe dị ka nkeji 10.

Ule ufodu choro ka esi tinye ha nke puru iche, nke anakpo ihe di iche, n'ime aru tupu nnwale amalite. Ihe iche na-enyere aka ka mpaghara ụfọdụ gosipụta nke ọma na ụzarị ọkụ.

• Enwere ike inye ihe dị iche site na eriri (IV) n'aka gị ma ọ bụ aka gị. Ọ bụrụ na ejiri ya mee ihe, enwere ike ịgwa gị ka ị ghara iri ma ọ bụ drinkụọ ihe ọ bụla maka awa 4 ruo 6 tupu ule ahụ.

Tupu ịnata ọdịiche ahụ:

• Mee ka onye nlekọta ahụike gị mara ma ọ bụrụ na ị nwere mmeghachi omume na-agbanwe ma ọ bụ ọgwụ ọ bụla. Nwere ike ị toụ ọgwụ tupu ule iji nweta ihe a n'enweghị nsogbu.
• Gwa onye na - enye gị ọgwụ gị banyere ọgwụ gị niile, nihi na enwere ike ịgwa gị ka ijide ụfọdụ, dịka ọgwụ ịgwọ ọrịa shuga metformin (Glucophage) tupu nyocha ahụ.
• Mee ka onye na-eweta gị mara ma ọ bụrụ na ị nwere nsogbu akụrụ. Ihe dị iche iche nwere ike ime ka akụrụ arụ ọrụ ka njọ.

Ọ bụrụ na i karịa kilogram 300 (kilogram 135), chọpụta ma igwe CT nwere oke ibu. Nnukwu ibu nwere ike imebi akụkụ ihe ọrụ nyocha ahụ.

A ga-agwa gị ka i wepu ọla n’uwe ma were akwa ụlọ ọgwụ oge a na-amụ ihe.

Peoplefọdụ ndị mmadụ nwere ike ịnwe ahụ erughị ala site na ịgha ụgha na tebụl siri ike.

Ihe iche sitere na IV nwere ike ibute:

• Obere mmetuta
• Igwe dara na onu
• Na-ekpo ọkụ na-ekpochapụ ahụ

Mmetụta ndị a dị mma ma na-agakarị n'ime sekọnd ole na ole.

CT na-emepụta ihe osise zuru ezu banyere obi na akwara ya. Nnwale ahụ nwere ike ịchọpụta ma ọ bụ chọpụta:

• Ihe e dere ede na akwara obi iji chọpụta ihe egwu gị na ọrịa obi
• Ọrịa afọ ime (nsogbu obi dị n'oge ọmụmụ)
• Nsogbu banyere obi valves
• Mgbochie nke akwara ndị na-enye obi
• Tumo ma ọ bụ pụta obi
• Ọrụ mgbapụta nke obi

A na-ahụta nsonaazụ dị ka ihe dị mma ma ọ bụrụ na a na-enyocha obi na akwara na-ahụkarị.

Gị "calcium score" gị dabere na ọnụọgụ nke dị na akwara obi gị.

• Nnwale ahụ bụ ihe kwesịrị ekwesị (na-adịghị mma) ma ọ bụrụ na akara calcium gị bụ 0. Nke a pụtara na ohere ịnweta nkụchi obi n'ime ọtụtụ afọ na-esote dị obere.
• Ọ bụrụ na akara calcium dị obere, o yikarịrị ka ị ga-arịa ọrịa akwara ọbara.

Nsonaazụ na-adịghị mma nwere ike ịbụ n'ihi:

• Aneurysm
• Ọrịa afọ ime
• Ọrịa akwara ọbara
• Nsogbu obi obi
• Mbufụt nke ekpuchi gburugburu obi (pericarditis)
• Na-ebelata otu ma ọ bụ karịa akwara akwara (akwara obi)
• Tumo ma obu otutu ndi ozo nke obi ma obu ndi gbara ya gburugburu

Ọ bụrụ na akara calcium gị dị elu:

• Ọ pụtara na ị nwere calcium buildup na mgbidi nke akwara akwara gị. Nke a na-abụkarị ihe ịrịba ama nke atherosclerosis, ma ọ bụ ike nke akwara.
• Nke dị elu na akara gị, nsogbu a nwere ike ịdị njọ karị.
• Gwa onye na - enye gị ọrụ gbasara mgbanwe ndụ ị nwere ike ime iji belata ihe egwu ọrịa obi.

Ihe ize ndụ maka nyocha CT gụnyere:

• N'ịbụ onye ekpughere radieshon
• Ihe nfụkasị ahụ dị iche iche na agba

Nyocha CT na-ekpughe gị karịa radieshon karịa ụzarị ọkụ mgbe niile. Inwe ọtụtụ ụzarị ọkụ ma ọ bụ nyocha CT oge na-aga nwere ike ime ka ị ghara ịnwe ọrịa kansa. Agbanyeghị, ihe egwu dị na nyocha ọ bụla pere mpe. Gị na onye na-eweta gị kwesịrị ịtụle ihe egwu a megide uru nke ịnweta nyocha ziri ezi maka nsogbu ahụike.

Fọdụ ndị nwere ihe nfụkasị na nke dị iche iche. Mee ka onye na-eweta gị mara ma ọ bụrụ na ọ dịtụla mgbe ị na-enwe nfụkasị na dye dị iche.

• Dị ọdịiche kachasị dị iche iche nke enyere n’ime akwara nwere ayodiin. Ọ bụrụ na e nyere onye nwere ụdị iodine ahụ ụdị iche a, ọgbụgbọ ma ọ bụ agbọ agbọ, izuzụ, ọkọ ma ọ bụ hives nwere ike ịpụta.
• Ọ bụrụ na a ga-enyerịrị gị ụdịrị iche ahụ, ịnwere ike ị steroidsụ steroid (dịka prednisone) ma ọ bụ antihistamines (dị ka diphenhydramine) tupu ule ahụ. I nwekwara ike iwere ihe mgbochi histamine (dịka ranitidine).
• Akụrụ na - enyere aka wepu ayodiin n’ahụ. Ndị nwere ọrịa akụrụ ma ọ bụ ọrịa shuga nwere ike ịnweta mmiri ọzọ mgbe a nwalechara ha iji nyere aka iwepụ ayodiin ahụ.

Obere oge, ihe ahụ e ji esiji ákwà nwere ike ibute nsogbu nfụkasị a na-akpọ anaaphylaxis. Ọ bụrụ na ịnwee nsogbu iku ume n'oge ule ahụ, ị ​​ga-agwa onye ọrụ nyocha ahụ ozugbo. Scanners na-eji intercom na ndị ọkà okwu abịa, yabụ onye ọrụ nwere ike ịnụ gị n'oge niile.

CAT nyocha - obi; Kọmputa axial tomography scan - obi; Kọmputa tomography scan - obi; Akara Calcium; Multi-detector CT scan - obi; Igwe elektrọn nke gbakọrọ ihe onyonyo - obi; Agatston akara; Nyocha akwara ọbara

• Nyocha CT

Benjamin IJ. Nnyocha nyocha na usoro nyocha na onye ọrịa nwere ọrịa obi. Na: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. Andreoli na Carpenter’s Cecil Mkpa nke Ọgwụ. Agba nke 9. Philadelphia, PA: Elsevier Saunders; 2016: isi 4.

Doherty JU, Kort S, Mehran R, et al. Amụma ACC / AATS / AHA / ASE / ASNC / HRS / SCAI / SCCT / SCMR / STS 2019 iji ihe eji eme ihe maka onyonyo onodu otutu mmadu na nyocha nke akwara obi na aru oru na oria obi na-adighi nma: akuko nke American College of Cardiology Kwesịrị Ekwesị Iji Criteria Ktù Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Intercepts, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Comput Tomography, Society for Cardiovascular Magnetic Resonance, na Society of Ndị dọkịta na-awa ahụ Thoracic. J Am Coll Cardiol. 2019; 73 (4): 488-516. PMID: 30630640 www.ncbi.nlm.nih.gov/pubmed/30630640.

Min JK. Ihe gbasara Cardiac. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 18.