Scanner MRI ʻōpū
ʻO ka scanning magnetic resonance imaging scan kiʻi kahi hōʻike kiʻi e hoʻohana i nā mākēneki mana a me nā nalu lekiō. Hoʻokumu nā nalu i nā kiʻi o loko o ka ʻōpū. 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, e nānā ʻia ma kahi monitor, a i ʻole scan ʻia i kahi disk. Hoʻokumu kekahi hōʻike i nā kiʻi he nui a i ʻole i kekahi manawa he mau haneli mau kiʻi.
Hiki iā ʻoe ke noi e ʻaʻahu i kahi kapa komo no ka haukapila a lole paha me ka ʻole o nā ziper metala a i ʻole nā pahele (e like me ka sweatpants a me kahi pālule). Hiki i kekahi ʻano metala ke kumu i nā kiʻi blurry.
E moe ʻoe ma kahi pākaukau hāiki. Pāheʻe ka pākaukau i kahi scanner ʻano like me ke ana.
Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā (ʻokoʻa). ʻO ka hapanui o nā manawa, hāʻawi ʻia ke kala i ka wā o ka hoʻāʻo ma o ke aa (IV) i kou lima a i ʻole ka forearm. Kōkua ka wai kala i ka radiologist e ʻike maopopo i kekahi mau wahi.
I ka wā o ka MRI, e nānā ka mea nāna e hoʻohana i ka mīkini iā ʻoe mai kahi lumi ʻē aʻe. Lōʻihi ka hōʻike ma kahi 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 ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi. Hōʻike paha kāu mea hāʻawi i kahi MRI hāmama, kahi i kokoke ʻole ai ka mīkini i kou kino.
Ma mua o ka hoʻāʻo, e haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe:
- ʻO nā valves puʻuwai hana
- Nā kiʻi anurysm lolo
- 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. Hōʻalo i ka lawe ʻana i nā mea e like me:
- Nā ʻeke ʻeke, nā peni, a me nā aniani aniani
- Nā wati, nā kāleka hōʻaiʻē, nā mea hoʻonaninani, a me nā mea kōkua pepeiao
- ʻO nā lauoho, nā zipa metala, nā pine, a me nā mea like
- Hiki ke hoʻoneʻe ʻia nā kahua niho niho
ʻAʻohe ʻeha kahi hōʻike MRI. Loaʻa paha iā ʻoe ka lāʻau e hoʻomaha ai inā loaʻa kahi pilikia e moe mālie ana a hopohopo nui paha. ʻO ka neʻe nui ʻana hiki ke blur 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. Hana ka mīkini i ka leo nui a kani i ka kani ke kani ʻia. 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 e kōkua iā ʻoe e hala i ka manawa.
ʻAʻohe manawa hoʻōla, ke hāʻawi ʻole ʻia ʻoe i lāʻau e kōkua ai iā ʻoe e hoʻomaha. Ma hope o ka scan MRI, hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau, hana, a me nā lāʻau.
Hāʻawi kahi MRI ʻōpū i nā kiʻi kikoʻī o ka ʻōpū mai nā manaʻo he nui. Hoʻohana pinepine ʻia ia e wehewehe i nā mea i loaʻa mai nā ultrasound ma mua a i ʻole CT scan exams.
Hoʻohana ʻia kēia hōʻike e nānā ai:
- Kahe ke kō i loko o ka ʻōpū
- Nā kīʻaha koko i loko o ka ʻōpū
- Ke kumu o ka ʻeha o ka ʻōpū a i ʻole ka pehu
- ʻO ke kumu o nā hopena hoʻokolohua koko ʻole, e like me nā pilikia o ke ake a me nā puʻupaʻa
- Lymph nodes i loko o ka ʻōpū
- Nā nuipaʻa i ke akepaʻa, nā puʻupaʻa, nā adrenals, ka pancreas, a me nā pūnana
Hiki i ka MRI ke hoʻokaʻawale i nā tumors mai nā aʻa maʻamau. Hiki i kēia ke kōkua i ke kauka e ʻike hou aʻe e pili ana i ka tumo e like me ka nui, ke koʻikoʻi, a me ka pālahalaha ʻana. Kāhea ʻia kēia.
I kekahi mau hihia hiki iā ia ke hāʻawi i ka ʻike ʻoi aku ka maikaʻi e pili ana i ka lehulehu i ka ʻōpū ma mua o CT.
ʻO kahi hopena kūpono ma muli o:
- Aneurysm aorta ʻōpū
- Loaʻa ʻole
- Ka maʻi ʻaʻai a i ʻole nā tumors i pili i nā adrenal glands, ate, gallbladder, pancreas, nā puʻupaʻa, nā ureter, nā ʻōpū
- Hoʻonui ākea a i ʻole akepaʻa
- Nā pilikia Gallbladder a i ʻole nā palaka
- Hemangiomas
- Hydronephrosis (ʻōhū ʻōhū mai ke kua o ka mimi)
- Maʻi kīnā
- Nā hōʻino a me nā maʻi paha
- Pohaku hakuʻala
- Nā lymph node hoʻonui ʻia
- ʻO ka vena cava i keʻakeʻa ʻia
- ʻO ke kahakaha ʻana o ke uaua (akepaʻa)
- Ka poloka a hoʻopili ʻana paha o nā aʻa e hoʻolako i nā puʻupaʻa
- Trombosis aʻa koko
- ʻO ka hōʻole a me ka hōʻole ʻana i ke ake
- Cirrhosis o ke ake
- Hoʻolahalaha ʻia nā maʻi ʻaʻai i hoʻomaka ma waho o ka ʻōpū
ʻAʻole hoʻohana ʻo MRI i ka radiation ionizing. ʻAʻole i hōʻike ʻia nā hopena ʻino mai nā māla ʻume mākenēki a me nā nalu lekiō.
ʻO ka ʻano maʻamau o ka ʻokoʻa (kala) i hoʻohana ʻia ʻo gadolinium. Palekana loa ia. Kūleʻa ka hopena o ka maʻi āpau akā hiki ke hana. Inā loaʻa iā ʻoe kahi mōʻaukala o nā hopena maʻi ʻino i nā lāʻau ʻē aʻe pono ʻoe e hoʻomaopopo i kāu kauka. Hoʻohui ʻia, hiki i ka gadolinium ke lilo i mea hōʻino i ka poʻe me nā pilikia ʻōpū e pono ai ka dialysis. E haʻi i kāu mea hāʻawi ma mua o ka hoʻāʻo inā loaʻa nā pilikia o kou hakuʻala.
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 i nā mākēneki ke hana i kahi ʻāpana o ka hao i loko o kou kino e neʻe a neʻe paha.
ʻO ka resonance ʻume mākenēkiu - ʻōpū; NMR - ʻōpū; Mākēneki resonance kiʻi - ʻōpū; MRI o ka ʻōpū
- Aortic aneurysm hana hou - endovascular - hoʻokuʻu
- ʻŌnaehana Digestive
- Nānā MRI
Al Sarraf AA, McLaughlin PD, Maher MM. Ke kūlana o kēia manawa o ke kiʻi ʻana o ka gastrointestinal tract. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 18.
ʻO Levine MS, ʻO Gore RM. Nā ʻōnaehana kiʻi diagnostic i gastroenterology. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 124.
Mileto A, Boll DT. ʻO ke akepaʻa: anatomy maʻamau, nā kiʻina kiʻi, a me nā maʻi diffuse. I: Haaga JR, Boll DT, eds. CT a me MRI o ke Kino holoʻokoʻa. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 43.