Pākuʻi MRI māka
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Hoʻohana ka scanner MRI (magnetic resonance imaging) i nā mākēneki ikaika e hana i nā kiʻi o ka lima luna a me lalo. Pākuʻi paha kēia i ka kuʻe lima, ka pulima lima, nā lima, nā manamana lima, a me nā mākua a me nāʻiʻo ʻē aʻe.
ʻAʻole ia e hoʻohana 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.
E ʻaʻahu ʻoe i ke kapa komo haukapila a lole paha me ka ʻole o nā ziper metala a i ʻole snaps (e like me ka sweatpants a me kahi pālule). E wehe pono i kāu uaki, nā mea hoʻonaninani, a me kāu ʻeke. 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 ana nui.
Hoʻohana kekahi mau hoʻokolohua i kahi kala make (ʻokoʻa). ʻO ka hapanui o ka manawa, e loaʻa iā ʻoe ke kala ma o kahi aa i kou lima a lima paha ma mua o ka hoʻāʻo. 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. E moe wahaheʻe ʻoe. 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. 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 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.
Hāʻawi kēia hōʻike i nā kiʻi kikoʻī o nā ʻāpana o ka lima e paʻakikī e ʻike akāka ma ka CT scan.
E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe:
- Kahi lehulehu i hiki ke ʻike ʻia ma ka hoʻokolohua kino
- ʻO kahi loaʻa kūpono ʻole ma ka x-ray a i ʻole ka scan iwi
- ʻO kaʻeha lima a me ka moʻaukala o ka maʻi ʻaʻai
- ʻO kaʻeha lima a lima paha e maikaʻi ʻole me ka lāʻau
- Iwi maʻiʻaʻai (osteomyelitis)
- ʻEha iwi a me ka wela
- Iwi haʻi
- Ka hoʻemi hoʻoliʻiliʻi a i ʻole "ka laka ʻana" o ka pulima a me ka ami kuʻekuʻe lima
- ʻOʻulaʻula a pehu paha o ka pulima a me nā kuʻekuʻe lima
- Nā hōʻeha i ka cartilage a me nā ligament
ʻO kahi hopena maʻamau ke nānā aku ua maikaʻi kou lima.
Nā hopena kūpono ʻole ma muli o:
- Hoʻololi degenerative ma muli o ka makahiki
- Loaʻa ʻole
- Bursitis o ka kuʻe lima a lima paha
- Iwi naha a haʻi paha
- ʻO Ganglion cyst i ka lima o ka lima
- ʻO ka maʻi i loko o ka iwi
- Ligament, tendon, a i ʻole ʻeha cartilage i ka pulima a kuʻekuʻe lima paha
- Poino Muscle
- Osteonecrosis (neuralrosros)
- Tumor a i ʻole ka maʻi ʻaʻai i ka iwi, nā mākala, a i ʻole nā mea palupalu
E kamaʻilio i kāu mea hāʻawi inā he nīnau a hopohopo kāu.
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 ka maʻi āpau. 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 hoʻoneʻe i kahi ʻāpana o ka hao 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.
ʻO nā hoʻāʻo e hana ʻia paha ma kahi o kahi MRI o ka lima e hoʻopili pū ʻia:
- CT scan o ka lima
- Pākuʻi x-hoʻohui
Hiki ke koho ʻia kahi scan CT ma kahi pilikia. ʻOi aku ka wikiwiki o ka hōʻoia ma mua o MRI a loaʻa pinepine i ka lumi pilikia.
MRI - lima; Wrist MRI; MRI - kūlima; Kiko MRI; MRI - kuʻekuʻe lima
Anderson MW, Fox MG. MRI o ka lima. I: Anderson MW, Fox MG, nā ʻaoʻao. Anatomy sectional e MRI a me CT. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 4.
ʻO Thomsen HS, Reimer P. Hoʻolaha media Intravascular no radiography, CT, MRI a me ultrasound. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 2.
ʻO Wilkinson ID, ʻo Graves MJ. Kiʻi resonance ʻume mākenēki: I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 5.