Puʻuwai MRI

ʻO ke kiʻi ʻana o ka resonance ʻume mākenēki kahi ʻano kiʻi e hoʻohana i nā mākēneki mana a me nā nalu lekiō e hana i nā kiʻi o ka puʻuwai. ʻAʻole ia e hoʻohana i ka radiation (x-ray).

Kāhea ʻia nā kiʻi paʻi kiʻi magnetic hoʻokahi (MRI) i nā ʻāpana. Hiki ke mālama ʻia nā kiʻi ma ke kamepiula a paʻi ʻia paha i ke kiʻi ʻoniʻoni. Hoʻokumu kekahi hōʻike i nā kiʻi he nui a i ʻole i kekahi manawa he mau haneli mau kiʻi.

Hiki ke hana ʻia ka hoʻokolohua ma ke ʻāpana o ka MRI umauma.

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 kumu i nā kiʻi blurry a i ʻole e ʻume ʻia i ka maneta ikaika.

E moe ʻoe ma luna o kahi pākaukau hāiki, e pāheʻe ai i loko o kahi paipu e like me ke ana nui.

Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā (ʻokoʻa). Hāʻawi pinepine ʻia ka kala ma mua o ka hoʻāʻo ma o kahi aa (IV) i kou lima a i ʻole ka forearm. Kōkua ka wai kala i ka radiologist e ʻike maopopo i kekahi mau wahi. He ʻokoʻa kēia mai ka kala i hoʻohana ʻia no ka scan CT.

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 mālama ola inā makaʻu ʻoe i nā wahi kokoke (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i kahi lāʻau e kōkua ai iā ʻoe e hiamoe a liʻiliʻi i ka hopohopo, a i ʻole hāʻawi paha kāu mea lawelawe i kahi "hamama" MRI, kahi i kokoke ʻole ai ka mīkini i ke kino.

Ma mua o ka hoʻāʻo, e haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā kiʻi anurysm lolo
• Kekahi mau ʻano o nā kiʻina puʻupuʻu puʻupuʻu
• ʻO ka defibrillator puʻuwai a i ʻole pacemaker
• Hoʻokomo nā pepeiao loko (cochlear)
• ʻO ka maʻi kīkī a i ʻole ka dialysis (ʻaʻole hiki iā ʻoe ke loaʻa ka hoʻohālikelike)
• Ua hoʻonoho ʻia i nā hono kuʻi
• Kekahi ʻano o nā vatic stent
• 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)

Ma muli o ka MRI i nā mākēneki ikaika, ʻaʻole ʻae ʻia nā mea metala i loko o ka lumi me ka scanner MRI:

• E lele paha nā peni, nā ʻeke ʻeke, a me nā aniani maka ma o ka lumi.
• Hiki ke hōʻino ʻia nā mea e like me nā mea nani, nā uaki, nā kāleka hōʻaiʻē, a me nā kōkua lohe.
• Hiki i nā pine, nā hairpins, nā ziper metala, a me nā mea hao like ke kekee i nā kiʻi.
• Lawe ʻia nā hana niho hiki ke hoʻoneʻe ʻia ma mua pono o ka scan.

ʻAʻole loaʻa kahi ʻeha i kahi hōʻike MRI naʻau. Hiki paha i kekahi poʻe ke hopohopo i loko o ka scanner. Inā paʻakikī paha ʻoe e moe moe a hopohopo nui paha, hāʻawi ʻia iā ʻoe i lāʻau e hoʻomaha ai. Hiki i ka neʻe keu ke hōʻino i nā kiʻi MRI a hana i nā hewa.

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. Hāʻawi ʻia ʻoe i nā plug pepeiao e kōkua e hōʻemi i ka walaʻau.

Hāʻawi kahi intercom i ka scanner iā ʻoe e kamaʻilio i ke kanaka e hana nei i ka hoʻokolohua i kēlā me kēia manawa. Loaʻa i kekahi mau mea mākaʻikaʻi MRI nā kīwī a me nā pepeiao pepeiao kūikawā e kōkua i ka hala ʻana o ka manawa.

ʻAʻohe manawa hoʻōla, ke ʻole pono ka sedation. (Pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home inā hāʻawi ʻia ka sedation.) Ma hope o ka scan MRI, hiki iā ʻoe ke hoʻomaka hou i kāu papaʻai maʻamau, ka hana, a me nā lāʻau, ke ʻole haʻi ka mea hāʻawi iā ʻoe i kahi ʻokoʻa.

Hāʻawi ʻo MRI i nā kiʻi kikoʻī o ka naʻau a me nā kīʻaha koko mai nā ʻike he nui. ʻO ka manawa pinepine, hoʻohana ʻia ia ke makemake ʻia ka ʻike hou aʻe ma hope o kāu echocardiogram a i ʻole CT scan puʻuwai. ʻOi aku ka pololei o MRI ma mua o ka CT scan a i ʻole nā ​​hoʻokolohua ʻē aʻe no kekahi mau ʻano, akā ʻoi aku ka liʻiliʻi o ka pololei no nā poʻe ʻē aʻe.

Hoʻohana ʻia ka MRI puʻuwai e loiloi a kuhi ai:

• Poino ka puʻuwai puʻuwai ma hope o ka hōʻeha puʻuwai
• Nā kīnā hānau o ka puʻuwai
• Nā puʻuwai puʻuwai a me nā ulu ʻana
• Hoʻonāwaliwali a i ʻole nā ​​pilikia ʻē aʻe me ka mākala puʻuwai
• Nā ʻōuli o ka holo pono ʻole o ka naʻau

Loaʻa paha nā hopena maʻamau ma muli o nā mea he nui, e like me:

• Nā maʻi maʻi maʻi puʻuwai
• Fluid i loko o ka ʻeke e like me ka uhi ʻana a puni ka puʻuwai (pericardial effusion)
• Tumor o nā kīʻaha koko a i ʻole puni ka puʻuwai
• Axial myxoma a i ʻole ka ulu ʻana a i ʻole tumo i ka puʻuwai
• ʻO ka maʻi puʻuwai Congenital (pilikia puʻuwai āu i hānau ʻia ai)
• ʻO ka hōʻino a make paha i ka puʻuwai puʻuwai, ʻike ʻia ma hope o ka puʻuwai puʻuwai
• Ka hoʻohaunaele o ka puʻuwai puʻuwai
• Hoʻokomo o ka puʻuwai puʻuwai e nā mea maʻamau
• Hoʻonawaliwali i ka puʻuwai puʻuwai, i hiki ke kumu ʻia e sarcoidosis a i ʻole amyloidosis

ʻAʻohe pāhawewe i loko o MRI. ʻAʻole i hōʻike ʻia nā māla ʻume mākenēki a me nā nalu uila i ka wā o ka scan.

Kākaʻikahi nā hopena a pau o ke kala i hoʻohana ʻia i ka wā o ka hōʻike. ʻO ka ʻano maʻamau o ka ʻokoʻa (kala) i hoʻohana ʻia ʻo gadolinium. Palekana loa ia. E nānā ka mea e hana ana i ka mīkini i ka helu o kou puʻuwai a me ka hanu ʻana e like me ka mea e pono ai. Hiki i nā pilikia paʻakikī ke loaʻa i nā poʻe me nā pilikia koʻikoʻi koʻikoʻi.

Ua hana ʻino ʻia ka poʻe ma nā mīkini MRI ke lawe ʻole lākou i nā mea hao mai ko lākou lole a i ka wā i waiho ʻia ai nā mea hao i ka lumi e nā poʻe ʻē aʻe.

ʻAʻole i hōʻike pinepine ʻia ʻo MRI no nā hōʻeha hōʻeha. ʻAʻole hiki i nā lako hoʻoikaika a me ke ola ke komo palekana i ka wahi scanner.

Hiki ke uku ʻia nā MRI, lawe i kahi manawa lōʻihi e hana, a maʻalahi hoʻi i ka neʻe.

Kiʻi resonance ʻume mākenēki - puʻuwai; Kiʻi resonance ʻume mākenēki - puʻuwai; ʻO ka resonance ʻume mākenēki-nukelea - puʻuwai; NMR - puʻuwai; MRI o ka puʻuwai; Cardiomyopathy - MRI; Puʻuwai puʻuwai - MRI; ʻO ka maʻi puʻuwai Congenital - MRI

• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua
• Nānā MRI

ʻO Kramer CM, Beller GA, Hagspiel KD. Kiʻi kiʻi ʻole noninvasive. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 50.

Kwong RY. Kiʻi resonance ʻume mākenēki Cardiovascular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 17.