ʻImi ʻili
Hoʻohana kahi scanner ate i kahi mea radioactive e nānā ai i ke ʻano o ka hana ʻana o ke ake a me ka ʻāpala a nānā i nā lehulehu i ke ake.
E hoʻopili ka mea mālama ola i kahi mea lekiō i kapa ʻia he radioisotope i hoʻokahi o kou mau uaua. Ma hope o ka pulu ʻana o ke akepaʻa i nā mea, noi ʻia ʻoe e moe i ka papa ma lalo o ka scanner.
Hiki i ka scanner ke haʻi i kahi o nā mea radioactive i ʻākoakoa ai i ke kino. Hōʻike ʻia nā kiʻi ma ke kamepiula. Noi paha ʻoe e noho hāmau, a i ʻole hoʻololi i nā kūlana i ka wā o ka scan.
E noi ʻia ʻoe e kau inoa i kahi palapala ʻae. E noi ʻia ʻoe e hemo i nā mea hoʻonaninani, nā waihoʻi niho, a me nā metala ʻē aʻe e hiki ke hoʻopili i nā hana a ka scanner.
Pono ʻoe e komo i ke kapa komo haukapila.
E ʻike ʻoe i kahi kui ʻoiʻoi ke hoʻokomo ʻia ka nila i loko o kou aa. ʻAʻole ʻoe e ʻike iki i kekahi mea i ka nānā ʻana maoli. Inā loaʻa iā ʻoe kahi pilikia e moe hāmau ana a pīhoihoi nui paha, hāʻawi ʻia iā ʻoe i lāʻau lapaʻau akahai (sedative) e kōkua ai iā ʻoe e hoʻomaha.
Hiki i ka hoʻāʻo ke hāʻawi i ka ʻike e pili ana i ka hana ate a me ka spleen. Hoʻohana ʻia ia e kōkua i ka hōʻoia ʻana i nā hopena hoʻokolohua ʻē aʻe.
ʻO ka hoʻohana maʻamau no ka ʻimi ʻana i ke ake e kuhikuhi i kahi ʻano i kapa ʻia he hyperplasia nodular focal nodular, a i ʻole FNH, ka mea e kumu i kahi maʻi maʻi ʻole i loko o ke ake.
Pono ke akepaʻa a me ka lepe e nānā maʻamau i ka nui, ke ʻano, a me kahi. Hoʻokomo like ʻia ka radioisotope.
Hōʻike nā hopena maʻamau:
- ʻO ka hyperplasia nodular Focal a i ʻole adenoma o ke ake
- Loaʻa ʻole
- ʻO ka maʻi ʻo Budd-Chiari
- Maʻi kīnā
- ʻO ka maʻi ate (e like me cirrhosis a i ʻole hepatitis)
- ʻO ke kahakaha vena cava kiʻekiʻe
- Infarction Splenic (make make)
- Nā Tumors
ʻO ke kukuna uila mai kēlā me kēia memo kahi hopohopo iki. ʻO ke kiʻekiʻe o ka pāhawewe i kēia kaʻina hana he ʻoi aku ka liʻiliʻi o ka hapanui o nā kukuna x. ʻAʻole manaʻo ʻia ua lawa ia e hōʻino ai i ke kanaka maʻamau.
Pono nā wahine hāpai a hānai paha e nīnau i kā lākou mea hāʻawi ma mua o ka hōʻike ʻana i ka radiation.
Pono paha nā hoʻokolohua ʻē aʻe e hōʻoia i nā hopena o kēia hōʻike. Pākuʻi ʻia kēia mau mea:
- ʻO ke ultrasound ʻōpū
- Scanner CT ʻōpū
- ʻO ka biopsy ate
Hoʻohana pinepine ʻia kēia hoʻāʻo. Ma kahi o ka manawa, hoʻohana pinepine ʻia ka MRI a i ʻole CT scans e loiloi i ke ake a me ka palu.
Scanner Technetium; ʻO ke ake technetium sulfur colloid scan; ʻO ke aniani o ka radionuclide ʻeleʻele-Liver; Nuclear scan - technetium; Nuclear scan - ake a i ʻole ʻāpala
- ʻImi ʻili
Chernecky CC, Berger BJ. Hōʻike Hepatobiliary (HIDA Scan) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 635-636.
Madoff SD, Burak JS, Math KR, Walz DM. Nā ʻenehana kiʻi kuli a me ka anatomy maʻamau. I: Scott NW, ed. Insall & Scottʻoki kino o ke kuli. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 5.
Mettler FA, Guiberteau MJ. ʻAha Gastrointestinal. I: Mettler FA, Guiberteau MJ, hua. Nā mea nui o ke kiʻi ʻana i nā lāʻau lapaʻau nukelea. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 7.
Narayanan S, Abdalla WAK, Tadros S. Nā kumu o ka radiology pediatric. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 25.
Tirkes T, Sandrasegaran K. ʻImi noiʻi o ke ake. I: Saxena R, ed. ʻO ke ʻano Hepatic Pathology: kahi ala diagnostic. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 4.