ʻO ka loiloi MRI ʻo Lumbar
Hoʻohana kahi scanner magnetic resonance imaging (MRI) i ka ikehu mai nā mākēneki ikaika e hana i nā kiʻi o ka ʻaoʻao haʻahaʻa o ka iwi kuamoʻo (lumbar spine).
ʻAʻole hoʻohana kahi MRI i ka radiation (x-ray).
Kapa ʻia nā kiʻi MRI hoʻokahi i nā ʻāpana. Hiki ke mālama ʻia nā kiʻi ma ke kamepiula a paʻi ʻia paha i ke kiʻi ʻoniʻoni. Hoʻokumu hoʻokahi hōʻike i nā kiʻi he nui.
Pili nā hōʻike e pili ana:
- Cervis MRI scan (ʻāʻī MRI)
- MRI
E komo ʻoe i ke kapa komo haukapila a lole paha me ka ʻole o nā mea hao a i ʻole nā ziper (e like me ka sweatpants a me kahi pālule). E wehe pono i kāu uaki, nā mea hoʻonaninani a me nā uaki. Hiki i kekahi ʻano metala ke kumu i nā kiʻi blurry.
E moe ʻoe ma luna o kahi pākaukau hāiki e paheʻe i loko o kahi paipu e like me ke ana nui.
Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā (ʻokoʻa). ʻO ka hapanui o ka manawa, e loaʻa iā ʻoe ke kala ma o kahi aa koko (IV) i kou lima a i ʻole ka lima ma mua o ka hoʻāʻo. Hiki iā ʻoe ke kiʻi i ke kala ma o ka hoʻokomo ʻana. 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. 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 paʻa (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi. E kuhi paha kāu mea hāʻawi i kahi MRI "wehe", 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.
ʻAʻohe ʻeha kahi hōʻike MRI. Pono ʻoe e moe iki e like me ka neʻe ʻana o ka neʻe ʻana 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 plugina pepeiao e kōkua e pale 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 hoʻi i kāu papaʻai maʻamau, hana, a me nā lāʻau.
Pono ʻoe i kahi MRI lumbar inā loaʻa iā ʻoe:
- ʻO ke kua haʻahaʻa a pelvic paha i maikaʻi ʻole ma hope o ka lapaʻau ʻana
- ʻO ka nāwaliwali o ka wāwae, numbness, a i ʻole nā ʻōuli ʻē aʻe e hoʻomaikaʻi a maikaʻi ʻole paha
E kauoha paha kāu mea hāʻawi i kahi lumbar MRI inā loaʻa iā ʻoe:
- Paʻi kua a me ke kuni
- Nā kīnā hānau o ka iwi ʻaoʻao lalo
- Ka hōʻeha a i ʻole trauma i ka iwi kuamoʻo o lalo
- ʻO ke kaumaha haʻahaʻa a me kahi mōʻaukala a i ʻole nā hōʻailona o ka maʻi ʻaʻai
- Sclerosis lehulehu
- Nā pilikia i ka kaohi ʻana a i ʻole ka hoʻonele ʻana i kāu ʻōpū
- Hapa disk
ʻO kahi hopena maʻamau ke ʻano o kou kuamoʻo a me nā aʻa kokoke.
ʻO ka hapa nui o ka manawa, nā hopena maʻamau ma muli o:
- Herniated a i ʻole "slip" disk (lumbar radiculopathy)
- Pahu o ka iwi kolamu (iwi kuamoʻo stenosis)
- Ka ʻaihue maʻamau i nā iwi a me nā iwi i ka iwi kuamoʻo (spondylitis)
Nā hopena ʻē aʻe paha ma muli o:
- Hoʻololi degenerative ma muli o ka makahiki
- ʻO Ankylosing spondylitis, kahi ʻano o ka maʻi pākī
- Maʻi maʻi iwi
- Cauda equina maʻi maʻi
- Nā ʻāpana o ke kua i lalo ma muli o ka osteoporosis
- Pā huila (diskitis)
- Holo ka iwi kuamoʻo
- ʻEha ʻiwi
- Tumo ʻōiwi
- Syringomyelia
E kamaʻilio i kāu mea hoʻolako e pili ana i kāu nīnau a hopohopo.
ʻAʻohe kukuna o MRI. ʻAʻohe hopena i hōʻike ʻia mai nā māla ʻume mākenēki a me nā nalu lekiō.
Palekana ʻo ia i ka hana MRI i ka wā hāpai. ʻAʻole i hōʻike ʻia nā hopena a i ʻole nā pilikia.
ʻO ka ʻano maʻamau o ka ʻokoʻa (kala) i hoʻohana ʻia ʻo gadolinium. Palekana loa ia. Kākaʻikahi nā hopena a pau o kēia kala. 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 ʻoluʻolu e haʻi i kāu mea hoʻolako ma mua o ka hoʻāʻo.
Hiki i nā māla ikaika ikaika i hana ʻia i ka MRI ke hana i nā puʻuwai puʻuwai a me nā mea ʻē aʻe i hana ʻole pū kekahi. Hiki iā ia ke kumu e neʻe a neʻe paha i nā ʻāpana metala ʻē aʻe i loko o kou kino. No nā kumu palekana, e ʻoluʻolu mai lawe i kekahi mea i loaʻa ka mea kila i loko o ka lumi scanner.
Kiʻi resonance ʻume mākenēki - iwi kuamoo lumbar; MRI - kua lalo
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