ʻImi poʻohiwi MRI

ʻO ka poʻohiwi MRI (kiʻi kiʻi kiʻi resonance) kahi hōʻike kiʻi e hoʻohana ai i ka ikehu mai nā mākēneka mana a hana i nā kiʻi o ka ʻāpana poʻohiwi.

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

Pili nā hōʻike e pili pū ana:

• ʻO MRI lima
• MRI

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). 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 luna o kahi pākaukau hāiki, e pāheʻe ai i loko o kahi paipu e like me ke ana nui.

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. Hiki ke hoʻopili ʻia ka make i ka poʻohiwi. 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 kauka inā makaʻu ʻoe i nā wahi kokoke (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua ai iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi (sedative). E kuhi paha kāu kauka i kahi MRI "hāmama", kahi i kokoke ʻole ai ka mīkini i ke kino.

Ma mua o ka hoʻāʻo ʻana, e haʻi i kāu mea mālama ola 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 nui ke kumu i nā hewa.

He paʻakikī a anuanu paha ka pākaukau, akā hiki iā ʻoe ke noi i kahi kapa moe a uluna paha. 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 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 hoʻolilo i ka manawa.

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

He mea maikaʻi ʻo MRI no ke kuhi lima ʻana a me ka loiloi ʻana i nā ʻeha haʻuki. Hiki iā ia ke hāʻawi i nā kiʻi kikoʻī o nā ʻāpana o ka poʻohiwi (e like me nā mea palupalu) paʻakikī e ʻike maopopo ma nā CT scan.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe:

• Kahi lehulehu i hiki ke ʻike ʻia i ka wā o ka hoʻokolohua kino
• ʻO kahi loaʻa kūpono ʻole ma ka x-ray a i ʻole ka scan iwi
• ʻEha poʻohiwi a me ke kuni
• Hoemi i ka neʻe o ka hui poʻohiwi
• Kūkulu ka wai i ka hui o ka poʻohiwi
• ʻUlaʻula a huʻi paha o ka hui poʻohiwi
• Kūpono poʻohiwi
• Nawaliwali poohiwi
• ʻO ka ʻeha poʻohiwi a me ka mōʻaukala o ka maʻi ʻaʻai
• ʻO kaʻeha poʻohiwi iʻoi aku ka maikaʻiʻole me ka lāʻau

ʻO kahi hopena maʻamau ʻaʻole i ʻike ʻia nā pilikia i kou poʻohiwi a me nā mea a puni e pili ana i nā kiʻi.

ʻO kekahi mau kumu kūpono o nā hopena kūpono ʻole:

• Hoʻololi degenerative ma muli o ka makahiki
• Loaʻa ʻole
• Iwi maʻiʻaʻai (osteomyelitis)
• Iwi haʻihaʻi a haki hoʻi
• ʻO Bursitis ma ka ʻāpana poʻohiwi
• Waimaka Biceps
• ʻO Osteonecrosis maʻamau (vaskular nekrosis)
• Haehae Rotator cuff
• ʻO Rotator cuff tendinitis
• ʻŪhā poohiwi (poʻohiwi paʻa)
• Tumor (me ka maʻi ʻaʻai)
• Haehae Labral
• Cyst ma ka poʻohiwi

ʻAʻole pili kēia papa inoa i nā pilikia āpau. E kamaʻilio i kāu mea hoʻolako me nā nīnau a me nā hopohopo.

ʻAʻohe kukuna o MRI. ʻAʻole i hōʻike ʻia nā hopena ʻino 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. ʻAʻole hiki ke hana i nā hopena āpau i ka lāʻau. 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 wā o ka MRI ke kumu i nā pacemaker puʻuwai a me nā implants ʻē aʻe ʻaʻole e hana pū. Hiki iā ia ke hoʻoneʻe i kahi ʻāpana o ka hao i loko o kou kino. E ʻoluʻolu e lawe ʻole i kekahi mea i piha ka hao i ka lumi scanner, hiki ke lilo i mea papahana a weliweli iā ʻoe.

Hiki ke hana i nā hoʻokolohua ma kahi o MRI o ka poʻohiwi:

• Nānā CT poʻohiwi
• X-ray o ka poʻohiwi

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

MRI - poʻohiwi; Kiʻi resonance ʻume mākenēki - poʻohiwi

• Hoʻomaʻamaʻa Rotator cuff
• Rotator cuff - mālama pono iā ʻoe iho
• Hoʻohuli poʻohiwi - hoʻokuʻu
• ʻOki poʻohiwi - hoʻokuʻu
• Ke hoʻohana nei i kou poʻohiwi ma hope o ke kahakaha ʻana

Anderson MW, Fox MG. MRI o ka poʻohiwi. I: Anderson MW, Fox MG, nā ʻaoʻao. Anatomy sectional e MRI a me CT. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 2.

Hanypsiak B, DeLong JM, Lowe WR. Nā maʻi Scapulothoracic. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 57.

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. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 5.