Mīkini hōʻeuʻeu
ʻO ka scan scenal renal kahi hōʻike lāʻau lapaʻau nukleila kahi e hoʻohana ʻia ai kahi mea liʻiliʻi o nā mea radioactive (radioisotope) e ana i ka hana o nā puʻupaʻa.
Hiki ke ʻokoʻa ke ʻano kikoʻī o ka scanner. Hāʻawi kēia ʻatikala i kahi nānā ākea.
ʻO ka scan scenal renal me kahi scintiscan perfusion renal. Hiki ke hana ʻia me kēlā hōʻike.
E noi ʻia ʻoe e moe ma ka papa scanner. E hoʻokau ka mea mālama ola i kahi kāʻei paʻa a i ʻole ke kūpikipiki koko i kou lima o luna. Hana kēia i ke kaomi a kōkua i kou mau uaua lima e lilo i nui. Hoʻokomo ʻia kahi liʻiliʻi o ka radioisotope i loko o kahi aa. Hiki ke loli ka radioisotope kikoʻī i hoʻohana ʻia, kaukaʻi ʻia i ka mea e aʻo ʻia ana.
Wehe ʻia ke cuff a i ʻole ka paʻa i ka lima o luna, a neʻe ka mea radioactive ma o kou koko. Nānā ʻia nā puʻupaʻa ma kahi manawa pōkole ma hope. Lawe ʻia kekahi mau kiʻi, ʻo 1 a 2 kekona paha ka lōʻihi. ʻO ka huina manawa loiloi e pili ana i 30 mau minuke i 1 hola.
Loiloi kahi kamepiula i nā kiʻi a hāʻawi i ka ʻike kikoʻī e pili ana i ka hana ʻana o kou puʻupaʻa. ʻO kahi laʻana, hiki iā ia ke haʻi i kāu kauka i ka nui o nā kānana o ke kōkō ma luna o ka manawa. ʻO kahi lāʻau diuretic ("pill wai") hiki ke ʻimi pū ʻia i ka wā o ka hoʻāʻo. Kōkua kēia i ka holo wikiwiki o ka radioisotope ma o kou puʻupaʻa.
Hiki iā ʻoe ke hoʻi i ka home ma hope o ka scan. Noi paha ʻoe e inu i nā wai a nui a me ka mimi pinepine e kōkua i ka lawe ʻana i ka mea radioactive mai ke kino.
E haʻi i kāu mea hāʻawi inā lawe ʻoe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a i ʻole nā lāʻau kahe koko. Hoʻopili paha kēia mau lāʻau i ka hoʻāʻo.
E noi paha ʻoe e inu i nā wai hou ma mua o ka scan.
ʻIke kekahi poʻe i ka hōʻoluʻolu ke waiho ʻia ka nila i loko o ka aa. Eia naʻe, ʻaʻole ʻoe e ʻike i ka mea uila. Paʻakikī a anuanu hoʻi ka pākaukau loiloi.Pono ʻoe e moe mālie i ka manawa o ka scan. Hiki paha iā ʻoe ke hoʻonui i ka makemake e mimi ma kahi o ka hopena o ka hoʻāʻo.
ʻ tellslelo kahi scan scan renal i kāu mea hāʻawi i ka hana o kāu puʻupaʻa. Hōʻike pū kekahi i kā lākou nui, kūlana, a me ko lākou ʻano. Hiki ke hana ʻia inā:
- ʻAʻole hiki iā ʻoe ke loaʻa i nā kukuna x ʻē aʻe e hoʻohana ana i nā mea hoʻohālikelike (dye) no ka mea ua makaʻala ʻoe a maʻi paha iā lākou, a ua hōʻemi paha ʻoe i ka hana o ka hakuʻala.
- Ua loaʻa ʻoe i kahi transplan kidney a makemake kāu kauka e nānā i ka maikaʻi o ka hana o ka puʻupaʻa a nānā i nā hōʻailona o ka hōʻole
- Loaʻa iā ʻoe ke kiʻekiʻe o ke koko a makemake kāu kauka e ʻike i ka maikaʻi o ka hana o kāu puʻupaʻa
- Pono kāu mea lawelawe e hōʻoia inā he ʻōpala ke nānā aku i pehu a i ʻole pale ʻia ma kahi x-ray e nalowale ana ka hana
ʻO nā hopena maʻamau he hōʻailona ia o ka hoʻemi ʻana i ka hana o ka hakuʻala. Pili paha kēia i:
- Huehue a hōʻeha kīwī ʻole paha
- Maʻi maʻi maʻi maʻiʻaʻai (pyelonephritis)
- Nā pilikia o kahi transplan kidney
- Glomerulonephritis
- ʻO Hydronephrosis
- Ka hōʻeha o ka puʻupaʻa a me ka ureter
- Hoʻopili a paʻa paha o nā aʻa e hāpai i ke koko i ka puʻupaʻa
- Uropathy ākea
Aia kekahi wahi radiation mai ka lekiōleona. ʻO ka hapanui o kēia pāhawewe ke loaʻa i nā puʻupaʻa a me ka ʻai. ʻAneʻane pau ka radiation i ke kino i loko o 24 mau hola. Kūkā ʻia e akahele inā hāpai ʻoe a hānai waiu paha.
He mea liʻiliʻi loa, e loaʻa i kahi kanaka kahi maʻi maʻi i ka radioisotope, i hiki ke hoʻopili ʻia me ka anaphylaxis koʻikoʻi.
Renogram; Mīkini ʻiʻo
- Anatomia hakuʻala
- ʻO Kidney - ke kahe o ke koko a me ka mimi
Chernecky CC, Berger BJ. ʻO Renocystogram. I: Chernecky CC, Berger BJ nā hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 953-993.
Duddalwar VA, Jadvar H, Palmer SL, Boswell WD. ʻO ke kiʻi diagnostic kidney. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 28.
Shukla AR. ʻO nā valves urethral posterior a me nā anomalies urethral. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 141.
ʻO Wymer DTG, ʻo Wymer DC. Kiʻi kiʻi. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 5.