ʻO MRI umauma
ʻO ka umauma MRI (kiʻi magnetic resonance imaging) kahi hoʻāʻo kiʻi e hoʻohana ai i nā māla ʻume mākeneka ikaika a me nā nalu lekiō e hana i nā kiʻi o ka umauma (ʻāpana thoracic). ʻAʻole ia e hoʻohana i ka radiation (x-ray).
Hana ʻia ka hōʻoia ma ke ala aʻe:
- Hiki iā ʻoe ke noi e ʻaʻahu i kahi kapa komo no ka haukapila a lole paha me ka ʻole o nā mea hoʻopaʻa hao (e like me ka sweatpants a me kahi pālule). Hiki i kekahi mau ʻano metala ke hana i nā kiʻi blurry a i ʻole weliweli e komo ai i ka lumi scanner.
- Moe ʻoe i ka papaʻaiki hāiki, e pāheʻe ai i ka scanner ʻano-tunnel nui.
- Pono ʻoe e noho mālie i ka wā o ka hoʻokolohua, no ka mea ʻo ka neʻe ke kumu o nā kiʻi blurr. ʻ toldlelo ʻia paha ʻoe e hoʻopaʻa i kou hanu no nā wā pōkole.
Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā i kapa ʻia he ʻokoʻa. Hāʻawi pinepine ʻia ke kala ma mua o ka hoʻāʻo ma o kahi aa koko (IV) i kou lima a i ʻole ka lima. Kōkua ka wai kala i ka radiologist e ʻike maopopo i kekahi mau wahi. Hiki ke hana ʻia kahi hōʻoia koko e ana i kāu hana o ka puʻupaʻa ma mua o ka hōʻike. ʻO kēia e hōʻoia i ke olakino o kou mau puʻupaʻa e kānana i ka ʻokoʻa.
I ka wā o ka MRI, e nānā ka mea nāna e hoʻohana i ka mīkini iā ʻoe mai kahi lumi ʻē aʻe. ʻO ka hoʻāʻo pinepine ka lōʻihi o 30 a 60 mau minuke, akā lōʻihi paha ka lōʻihi.
E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 4 a 6 mau hola ma mua o ka scanner.
E haʻi i kāu mea hāʻawi inā claustrophobic ʻoe (makaʻu i nā wahi pani). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi. E ʻōlelo paha kāu mea hāʻawi i kahi MRI "wehe", kahi i kokoke ʻole ai ka mīkini i kou kino.
Ma mua o ka hoʻāʻo ʻana, e haʻi i kāu mea mālama ola inā loaʻa iā ʻoe:
- Nā kiʻi anurysm lolo
- ʻO nā valves puʻuwai hana
- ʻO ka defibrillator puʻuwai a i ʻole pacemaker
- Hoʻokomo nā pepeiao loko (cochlear)
- ʻO ka maʻi kīkī a i ʻole ma ka dialysis (ʻaʻole hiki iā ʻoe ke loaʻa ka hoʻohālikelike)
- Ua hoʻonoho ʻia i nā hono kuʻi
- Nā helehelena vascular
- Hana ʻia me ka metala i ka wā i hala (pono ʻoe i nā hoʻokolohua e nānā no nā ʻāpana metala i kou mau maka)
Loaʻa i ka MRI nā mākēneki ikaika, no laila ʻaʻole ʻae ʻia nā mea metala i loko o ka lumi me ka scanner MRI. ʻO kēia no ka mea aia kahi pilikia e huki ʻia mai kou kino i ka scanner. Nā laʻana o nā mea hao e pono ai ʻoe e hemo:
- Nā peni, nā pahi ʻeke, a me nā aniani aniani
- Nā mea e like me nā mea nani, nā uaki, nā kāleka hōʻaiʻē, a me nā mea kōkua lohe
- ʻO nā pine, nā lauoho, a me nā ziper metala
- Hana niho hiki ke hemo
ʻO kekahi o nā hāmeʻa hou aʻe i hōʻike ʻia ma luna nei ua kūlike ʻo MRI, no laila pono ka radiologist e nānā i ka mea hana e hoʻoholo inā he MRI hiki.
ʻAʻohe ʻeha kahi hōʻike MRI. Inā loaʻa iā ʻoe kahi pilikia e moe mālie a hopohopo nui paha, hāʻawi ʻia ʻoe i ka lāʻau e hoʻomaha ai. Hiki i ka neʻe keu ke hōʻino i nā kiʻi MRI a hana i nā hemahema ke nānā ke kauka i nā kiʻi.
He paʻakikī a anuanu paha ka papaʻaina, akā hiki iā ʻoe ke noi no kahi kapa a uluna paha. Hoʻopuka ka mīkini i nā kani kani kani a kani i ke kani ʻana. Hiki iā ʻoe ke komo i nā kui pepeiao e kōkua ai e hoʻēmi i ka walaʻau.
ʻO kahi intercom i loko o ka lumi e ʻae iā ʻoe e kamaʻilio me kekahi i kēlā me kēia manawa. Loaʻa i kekahi mau MRI nā kīwī a me nā pepeiao pepeiao kūikawā i hiki iā ʻoe ke hoʻohana e kōkua i ka hala ʻana o ka manawa.
ʻAʻohe manawa hoʻōla, ke hāʻawi ʻole ʻia ʻoe i lāʻau e hoʻomaha ai. Ma hope o ka scan MRI, hiki iā ʻoe ke hoʻomaka hou i kāu papaʻai maʻamau, hana, a me nā lāʻau.
Hāʻawi kahi MRI umauma i nā kiʻi kikoʻī o nā kiko i loko o ka umauma. Ma ka laulā, ʻaʻole maikaʻi ma ka nānā ʻana i nā ake māmā e like me ka nānā ʻana o ka pahu CT, akā hiki ke ʻoi aku ka maikaʻi no nā nāʻaʻa ʻē aʻe.
Hana ʻia kahi MRI umauma i:
- Hāʻawi i kahi ʻokoʻa i ka angiography, a i ʻole pale i ka hōʻike pinepine ʻana i ka radiation
- E wehewehe i nā mea i loaʻa mai nā kukuna x a i ʻole CT scans ma mua
- ʻIke i nā ulu kūpono ʻole i ka umauma
- Loiloi i ke kahe o ke koko
- Hōʻike i nā pūnana lymph a me nā kīʻaha koko
- Hōʻike i nā hanana o ka pahu mai nā kihi he nui
- E ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka umauma i nā wahi ʻē aʻe o ke kino (kapa ʻia kēia ʻo ke kau ʻana - kōkua ia i ke alakaʻi ʻana i ka mālama ʻana a me ka ukali ʻana i ka wā e hiki mai ana, a hāʻawi iā ʻoe i ka manaʻo o ka mea e manaʻo ai i ka wā e hiki mai ana
- Huli i nā hikoko
ʻO kahi hopena maʻamau ke ʻano o ka umauma o kou umauma he maʻamau.
ʻO kahi MRI umauma kūpono ʻole ma muli o:
- ʻO ka waimaka i ka paia, kahi ākea ākea a paluna paha, a i ʻole ka hoʻopili ʻana o nā aʻa nui e lawe ana i ke koko mai ka puʻuwai (aorta)
- ʻO nā hoʻololi ʻē aʻe o nā kīʻaha koko nui i nā akemāmā a i ʻole ka umauma
- ʻO ke kūkulu ʻana i ke koko a i ʻole ka wai a puni ka puʻuwai a i ʻole nā ake māmā
- ʻO ke kanulau maʻi a i ʻole ke kanesa i pāhola aʻe i nā akemāmā mai nā wahi ʻē aʻe o ke kino
- Ka maʻi ʻaʻai a i ʻole nā tumors o ka puʻuwai
- Ka maʻi ʻaʻai a i ʻole nā tumors o ka umauma, e like me ka tummus tummus
- ʻO ka maʻi kahi e nāwaliwali ai ka puʻuwai puʻuwai, hoʻolōʻihi ʻia, a i ʻole pilikia pilikia ʻē aʻe (cardiomyopathy)
- ʻOhi o ka wai a puni nā akemāmā (pleural effusion)
- Poino i, a hoʻonui i nā alaloa nui o nā akemāmā (bronchiectasis)
- Nā lymph node hoʻonui ʻia
- ʻO ka maʻi o ka puʻuwai puʻuwai a i ʻole ka puʻuwai puʻuwai
- Maʻi ʻaʻai Esophageal
- Lymphoma i ka umauma
- Nā kīnā hānau o ka puʻuwai
- Nā tumors, nā nodule, a i ʻole nā cista i ka umauma
ʻAʻole hoʻohana ʻo MRI i ka pāhawewe. I kēia lā, ʻaʻole i hōʻike ʻia nā hopena ʻē aʻe mai nā māla magnet a me nā nalu lekiō.
ʻO ka ʻano maʻamau o ka ʻokoʻa (kala) i hoʻohana ʻia ʻo gadolinium. Palekana loa ia. ʻAʻole hiki ke hana i nā hopena āpau i ka lāʻau. Eia nō naʻe, hiki i ka gadolinium ke lilo i mea hōʻino i ka poʻe me nā pilikia ʻōpū e pono ai ka dialysis. Inā loaʻa iā ʻoe nā pilikia o ka hakuʻala, e haʻi i kāu mea hoʻolako ma mua o ka hoʻāʻo.
Hiki i nā māla ikaika ikaika i hana ʻia i ka wā o ka MRI ke kumu i nā pacemaker puʻuwai a me nā implants ʻē aʻe ʻaʻole e hana pū. Hiki iā ia ke hoʻoneʻe i kahi ʻāpana o ka hao i loko o kou kino.
I kēia manawa, ʻaʻole i manaʻo ʻia ʻo MRI kahi mea pono waiwai no ka ʻike ʻana a i ʻole ke nānā ʻana i nā loli iki i kaʻiʻo māmā. Loaʻa ka māhū i ka hapanui a paʻakikī i ke kiʻi. ʻOi aku ka maikaʻi o ka CT scan no ka nānā ʻana i kēia mau loli.
Nā mea maikaʻi ʻole o MRI me:
- Kumukuai kiʻekiʻe
- Lōʻihi lōʻihi o ka scan NineManga.com
- ʻIke i ka neʻe
ʻO ka resonance ʻume mākenēkiu - pahu; Kiʻi resonance ʻume mākenēki - umauma; NMR - umauma; MRI o ka ʻōpū; ʻO Thoracic MRI
- Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
- Nānā MRI
- Vertebra, thoracic (waena waena)
- Nā lālā Thoracic
ʻAckman JB. Thoracic magnetic resonance imaging: ʻano hana a me ke hoʻokokoke ʻana i ka hōʻailona. I: Shephard J-AO, ed. TKiʻi kiʻi horacic: nā koi. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 3.
ʻO Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: kiʻi noninvasive diagnostics. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 18.