Transillumination
ʻO Transillumination ka hoʻomālamalama ʻana o kahi kukui ma o kahi kino a i ʻokena paha e nānā ai no nā mea kūpono ʻole.
Hoʻopili ʻia nā kukui o ke keʻena a pio paha i ʻike ʻia ka wahi o ke kino i ka maʻalahi. Kuhi ʻia kahi kukui uila i kēlā wahi. ʻO nā wahi e hoʻohana ʻia ai kēia hōʻike me nā:
- Poʻo
- ʻĀkala
- ʻO ka umauma o kahi pēpē ʻōpio a i ʻole hānau hou
- Uma o ka wahine makua
Hoʻohana ʻia kekahi transillumination i kekahi manawa e ʻike i nā kīʻaha koko.
I kekahi mau wahi i loko o ka ʻōpū a me ka ʻōpū, hiki ke ʻike ʻia ke kukui ma o ka ʻili a me nā kiko i ka manawa o ka endoscopy luna a me ka colonoscopy.
ʻAʻole pono kahi hoʻomākaukau no kēia hōʻike.
ʻAʻohe mea hōʻoluʻolu me kēia hōʻike.
Hana ʻia kēia hōʻike me nā hoʻokolohua ʻē aʻe e kuhi:
- ʻO Hydrocephalus i nā keiki hānau hou a pēpē paha
- ʻO ka ʻeke piha piha i ka wai i ka scrotum (hydrocele) a i ʻole kahi tumo i loko o ka testicle
- Nā liona umauma a i ʻole nā cista i nā wahine
I nā keiki hānau hou, hiki ke hoʻohana ʻia kahi kukui halogen mālamalama e transilluminate i ka hakahaka o ka umauma inā he mau hōʻailona o ka hāhā i hina a i ʻole ka ea a puni ka puʻuwai. (Hiki i ka Transillumination ma o ka pahu ke hiki wale i nā keiki hānau liʻiliʻi.)
Ma ka laulā, ʻaʻole kūpono ka transillumination i kahi hōʻike kūpono e hilinaʻi ai. ʻO nā hoʻokolohua hou aku, e like me kahi x-ray, CT, a i ʻole ultrasound, pono e hōʻoia i ka ʻike.
Aia nā ʻike kūlohelohe i ka wahi i loiloi ʻia a me nā ʻano maʻamau o kēlā wahi.
Hoʻopiha ʻia nā wahi i ka ea a i ʻole ka mālamalama o ka wai ke ʻole. ʻO kahi laʻana, i loko o kahi lumi pouli, e hoʻomālamalama ke poʻo o kahi keiki hānau hou me ka hiki ke loaʻa ʻo hydrocephalus ke pau kēia hana.
Ke pau ma ka umauma:
- E pouli nā wahi kūloko i ka ʻeleʻele inā aia kekahi maʻi leona a ua kū ka kahe (no ka mea ʻaʻole transilluminate ke koko).
- ʻAno ʻulaʻula nā kuʻikuʻi Benign.
- ʻEleʻele nā ʻōpala malignant i ʻeleʻele.
ʻAʻohe pilikia e pili ana i kēia hōʻike.
- Hōʻike lolo ʻōpio
ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. Nā loiloi loiloi a me nā pono hana. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. St Louis, MO: Elsevier; 2019: chap 3.
Lissauer T, Hansen A. Ninaninau kino o ka hānau keiki. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 28.