Sinus MRI nānā

ʻO ke kiʻi kiʻi magnetic resonance (MRI) o nā sinus e hana i nā kiʻi kikoʻī o nā wahi i piha i ka ea i loko o ka iwi poʻo.

Kapa ʻia kēia mau hakahaka i nā sinus. Noninvasive ka hoʻāʻo.

Hoʻohana ka MRI i nā mākēneki mana a me nā nalu lekiō ma kahi o ka pāhawewe. Hōʻalo nā hōʻailona mai ka mākala magnet i kou kino a hoʻouna ʻia i kahi kamepiula. Ma laila, hoʻolilo ʻia i mau kiʻi. Hoʻouna i nā ʻano nāʻaʻa ʻokoʻa i nā hōʻailona like ʻole.

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 kekahi hōʻike i nā kiʻi he nui a i ʻole i kekahi manawa he mau haneli mau kiʻi.

E noi paha iā ʻoe e komo i ka ʻaukā lole a i ʻole ka lole me ka ʻole o nā mea hao a i ʻole nā ​​ziper (e like me ka sweatpants a me kahi pālule). Hiki i kekahi ʻano metala ke kumu i nā kiʻi blurry.

E moe ʻoe ma ka papaʻaiki liʻiliʻi, e pāheʻe ai i kahi scanner e like me ke ʻano o ke ana.

Hoʻokomo ʻia nā hāmeʻa liʻiliʻi, i kapa ʻia he coil, a puni ke poʻo. Kōkua kēia mau hāmeʻa i ka hoʻomaikaʻi ʻana i ka maikaʻi o nā kiʻi.

Koi ʻia kekahi mau hoʻāʻo i kahi kala kūikawā (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.

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 pinepine ʻia i 30 mau minuke, akā lōʻihi paha ka lōʻihi.

Ma mua o ka hoʻāʻo, e haʻi i ka radiologist inā loaʻa iā ʻoe nā pilikia o ka hakuʻala. Hoʻopili paha kēia inā hiki iā ʻoe ke loaʻa i ka ʻokoʻa IV.

Inā makaʻu ʻoe i nā wahi i hoʻopaʻa ʻia (loaʻa claustrophobia), e haʻi i kāu mea mālama ola ma mua o ka hōʻike. 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 ke kino.

Hiki i nā māla magnetika ikaika i hana ʻia i ka wā o MRI ke hoʻopili i nā pacemakers a me nā implants ʻē aʻe. ʻAʻole hiki i ka poʻe me ka nui o nā pacemaker cardiac i kahi MRI a ʻaʻole pono e komo i kahi MRI. Hana ʻia kekahi mau pacemaker hou i palekana me MRI. Pono ʻoe e hōʻoia me kāu mea hāʻawi inā palekana kāu pacemaker i kahi MRI.

ʻAʻole hiki iā ʻoe ke loaʻa kahi MRI inā loaʻa iā ʻoe kekahi o nā mea hao i loko o kou kino.

• 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)
• Ua hoʻonoho ʻia i nā hono kuʻi
• Kekahi ʻano o nā vatic stent
• Pauma ʻeha

E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau hāmeʻa ke hoʻonohonoho ʻana i ka hoʻokolohua, no laila hiki ke hoʻoholo ʻia ke ʻano pololei o ka hao.

Ma mua o ka MRI, pono i nā limahana metala a i ʻole ka poʻe i ʻike ʻia i nā ʻāpana metala liʻiliʻi e loaʻa i kahi iwi poʻo x. E nānā kēia no ka metala i nā maka.

Ma muli o ka MRI kahi magnet, hiki i nā mea hao me nā peni e like me nā peni, nā ʻeke ʻeke, a me nā aniani ke lele ma o aku o ka lumi. Hiki ke weliweli kēia, no laila ʻaʻole lākou e ʻae ʻia i ka wahi scanner.

ʻAʻole ʻae ʻia nā mea hao ʻē aʻe i loko 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. Hiki paha i kekahi poʻe ke hopohopo i loko o ka scanner. Inā loaʻa iā ʻoe kahi pilikia e moe ana a makaʻu loa paha, hāʻawi ʻia ʻoe i lāʻau e kōkua ai iā ʻoe e ʻoluʻolu (sedative). Hiki i ka neʻe keu ke hōʻino i nā kiʻi MRI a hana i nā hewa.

Paakiki paha ke anu ka papaʻaina. Hiki iā ʻoe ke noi i kahi kapa a i ʻole ka uluna. 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 ʻōlelo i ka mea e hana nei i ka scanner i kēlā me kēia manawa. He kīwī kā kekahi mau mea scanners MRI e kōkua i ka hala ʻana o ka manawa.

ʻAʻohe manawa hoʻōla, ke ʻole ʻoe e makemake i ka sedation. Ma hope o ka scan MRI, hiki iā ʻoe ke hoʻi i kāu papaʻai maʻamau, hana, a me nā lāʻau.

Hāʻawi kēia hōʻike i nā kiʻi kikoʻī o nā sinus. E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe:

• Kaheʻe nasal maʻamau
• ʻO kahi ʻike kūpono ʻole ma ka x-ray a i ʻole ka endoscopy nasal
• Hema hānau o nā sinus
• Lilo ʻaʻala
• Nasal airway blockage ʻaʻole e maikaʻi me ka lapaʻau
• Nā ihu koko hou (epistaxis)
• Nā hōʻailona o ka hōʻeha i ka wahi sinus
• Nā poʻo hina ʻole i wehewehe ʻole ʻia
• ʻAʻole i wehewehe ʻia ka ʻeha sinus i maikaʻi ʻole me ka lāʻau

E kauoha paha kāu mea hāʻawi i kēia hōʻike iā:

• E hoʻoholo inā ua pālahalaha nā polyp nasal ma ʻō aku o ka ihu
• Loiloi i kahi maʻi a abscess paha
• E ʻike i kahi nuipa a tumor paha, me ka maʻi ʻaʻai
• E hoʻolālā i ke kahakaha sinus a nānā i kāu holomua ma hope o ke kaha ʻana

Manaʻo ʻia nā hopena inā maʻamau nā ʻokana a me nā hanana e nānā ʻia he maʻamau i ka helehelena.

Hoʻouna hou nā ʻano ʻokoʻa i nā hōʻailona MRI like ʻole. E hoʻouna hou nā pūnaewele olakino i kahi hōʻailona ʻokoʻa iki ma mua o nā maʻi maʻi maʻi.

Nā hopena kūpono ʻole ma muli o:

• Ka maʻi ʻaʻai a i ʻole tumo
• ʻO ka maʻi i nā iwi o nā sinus (osteomyelitis)
• ʻO ka maʻi o nā aʻa e pili ana i ka maka (orbital cellulitis)
• Nasal polyps
• Sinusitis - huʻi
• Sinusitis - maʻi mau

E kamaʻilio i kāu mea hāʻawi inā he nīnau a hopohopo kāu.

ʻAʻole hoʻohana ʻo MRI i kahi radiation ionizing. ʻAʻole i hōʻike ʻia nā hopena ʻaoʻao mai MRI. ʻO ka ʻano maʻamau o ka ʻokoʻa (kala) i hoʻohana ʻia ʻo gadolinium. Palekana loa ia. ʻAʻohe hiki iki nā hopena āpau i kēia kala. E nānā ka mea e hana ana i ka mīkini i ka helu o kou puʻuwai a me kou hanu ʻana.

Kākaʻikahi loa, hiki i nā poʻe me ke kīkī ʻole a i ʻole nā ​​maʻi puʻupuʻu mau ke ulu i kahi hopena koʻikoʻi i ka ʻokoʻa (kala). Inā loaʻa iā ʻoe nā pilikia ʻōpū, pono e haʻi i ka ʻenehana MRI a me kāu mea hāʻawi ma mua o kou loaʻa ʻana i kēia kala.

ʻAʻole i paipai pinepine ʻia ʻo MRI no nā hanana trauma ʻino, no ka mea, ʻaʻole hiki i nā lako traction a me ke ola ke komo palekana i ka wahi scanner a hiki i ka hoʻokolokolo ke lawe i kahi manawa iki.

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.

Hiki ke hana ʻia nā hoʻokolohua ma kahi o kahi sinus MRI:

• CT scan o nā sinus
• X-ray o nā sinus

Hiki ke koho ʻia kahi CT scan ma nā hihia pilikia, ʻoiai ʻoi aku ka wikiwiki a loaʻa pinepine i ka lumi pilikia.

Kaha: ʻAʻole maikaʻi ʻo MRI e like me CT i ka wehewehe ʻana i ka anatomy o nā sinus, a no laila ʻaʻole hoʻohana pinepine ʻia no ka sinusitis huehue.

MRI o nā hewa; Kiʻi resonance ʻume mākenēki - sinuses; ʻO Maxillary sinus MRI

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O'Handley JG, Tobin EJ, Shah AR. Otorhinolaryngology. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 18.

ʻO Totonchi A, Armijo B, Guyuron B. Nā pilikia o ke alaloa a me ka ihu i hoʻopili ʻia. I: Rubin JP, Neligan PC, eds. ʻOki kino: Volume 2: ʻoki kino Aesthetic. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 18.

ʻO Wymer DTG, ʻo Wymer DC. Kiʻi kiʻi. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 5.