Pākuʻi MRI umauma

ʻO ka umauma MRI (imaging magnetic resonance imaging) scan he hōʻike kiʻi e hoʻohana i nā mākēneki mana a me nā nalu lekiō e hana i nā kiʻi o ka umauma a me nā mea a puni. ʻAʻole ia e hoʻohana i ka radiation (x-ray).

Hana ʻia kahi MRI umauma me ka mammography a i ʻole ultrasound. ʻAʻole ia he pani no ka mammography.

E komo ʻoe i ke kapa komo haukapila a i ʻole nā ​​lole me ka ʻaʻole o nā kila kila a i ʻole ka nūnika (nā lole ʻūlū a me kahi pālule). Hiki i kekahi ʻano metala ke kumu i nā kiʻi blurry.

E moe ʻoe ma kou ʻōpū ma luna o kahi papa hāiki me kou mau umauma e kau ana i lalo i nā puka cushioned. Pāheʻe ka pākaukau i loko o kahi pahu wai 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 ke aa (IV) i kou lima a i ʻole ka forearm. Kōkua ke kala i ke kauka (radiologist) e ʻike pono 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. He 30 a 60 paha mau minuke ka lōʻihi o ka hoʻāʻo, akā lōʻihi paha ka lōʻihi.

ʻAʻole paha ʻoe e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo. E noi i kāu mea mālama ola e pili ana i ka ʻai ʻana a me ka inu ma mua o ka hoʻāʻo.

E haʻi i kāu mea hāʻawi inā makaʻu ʻoe i nā wahi paʻa (loaʻa claustrophobia). Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hiamoe a hoʻoliʻiliʻi liʻiliʻi. Eia kekahi, e ʻōlelo paha kāu mea hāʻawi i kahi MRI "wehe". ʻAʻole kokoke ka mīkini i ke kino i kēia ʻano hōʻike.

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 kīwī a i ʻole ka dialysis (ʻaʻole hiki iā ʻoe ke loaʻa ka ʻokoʻa IV)
• 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.

Inā hopohopo nui ʻoe, hāʻawi ʻia iā ʻoe i lāʻau e hoʻomālie ai i kou ʻalolo.

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. Hāʻawi ʻia ʻoe i nā plug pepeiao i mea e hōʻemi ai 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 inā ʻaʻole haʻi kāu kauka iā ʻoe.

Hāʻawi ʻo MRI i nā kiʻi kikoʻī o ka umauma. Hāʻawi pū kekahi i nā kiʻi maopopo o nā ʻāpana o ka umauma paʻakikī e ʻike akāka ma ka ultrasound a mammogram paha.

Hana ʻia ka MRI umauma i:

• E hōʻoia no ka maʻi ʻaʻai hou aʻe i ka umauma like a i ʻole ka umauma ʻē aʻe ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai
• E hoʻokaʻawale ma waena o nā ʻili maka a me nā tumors i ka umauma
• Loiloi i kahi hopena maikaʻi ʻole ma ka mammogram a i ʻole ka ultrasound umauma
• Loiloi no ka haki kūpono o nā implants umauma
• E ʻike i nā maʻi ʻaʻai e koe ma hope o ke kahakaha ʻana a me ka chemotherapy
• Hōʻike i ke kahe o ke koko ma waena o ka umauma
• Alakaʻi i kahi biopsy

Hiki ke hana ʻia kahi MRI o ka umauma ma hope o ka mammogram e nānā no ka maʻi ʻaʻai umauma i nā wahine nāna:

• Aia i kahi makaʻu nui loa no ka maʻi ʻaʻai umauma (ʻo nā mea me ka mōʻaukala ʻohana ikaika a i ʻole nā ​​māka genetery no ka maʻi ʻaʻai umauma)
• Loaʻa i nāʻiʻo umauma paʻa

Ma mua o ka loaʻa ʻana o ka umauma MRI, e kamaʻilio me kāu mea hoʻolako e pili ana i ka maikaʻi a me ka maikaʻi ʻole o ka loaʻa ʻana o ka hōʻike. E nīnau e pili ana:

• ʻO kou makaʻi no ka maʻi ʻaʻai umauma
• Inā hōʻemi ka kānana ʻana i kou manawa e make ai mai ka maʻi ʻaʻai umauma
• Inā paha he mea ʻino mai ka loiloi ʻana i ka maʻi ʻaʻai umauma, e like me nā hopena ʻaoʻao mai ka hoʻāʻo ʻana a i ʻole ka mālama ʻana i ka maʻi ʻaʻai ke loaʻa

Nā hopena kūpono ʻole ma muli o:

• Maʻi ʻaʻai umauma
• Kāpena
• ʻO ka hoʻoheheʻe ʻana a haki paha i nā implants umauma
• ʻO nāʻiʻo o ka umauma ʻole i maʻi ʻaʻai
• ʻIli kala

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

ʻAʻohe kukuna o MRI. ʻAʻole i hōʻike ʻia nā hopena ʻino mai nā māla ʻume mākenēki a me nā nalu lekiō.

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 haʻi i kāu mea hoʻolako ma mua o ka hoʻāʻo.

Hiki i nā māla magnetika ikaika i hana ʻia i ka MRI ke hana i nā pacemaker puʻuwai a me nā implants ʻē aʻe ʻaʻole e holo pū kekahi. Hiki iā ia ke hoʻoneʻe i kahi ʻāpana o ka hao i loko o kou kino.

ʻOi aku ka maʻalahi o ka MRI ma mua o ka mammogram, keu hoʻi ke hana ʻia me ka pena kala. Eia nō naʻe, ʻaʻole hiki i ka umauma MRI ke hoʻokaʻawale i ka maʻi hānai umauma mai nā ulu ʻole noncancerous. Hiki i kēia ke alakaʻi i kahi hopena maikaʻi maikaʻi ʻole.

ʻAʻole hiki i ka MRI ke kiʻi i nā ʻāpana o ka calcium (microcalcified), kahi a ka mammogram e hiki ai ke ʻike. Hiki i kekahi ʻano o nā kalina ke hōʻike i ka maʻi ʻaʻai o ka umauma.

Pono kahi biopsy e hōʻoia i nā hopena o kahi MRI umauma.

MRI - umauma; Kiʻi resonance ʻume mākenēki - umauma; Ka maʻi ʻaʻai umauma - MRI; ʻO ka loiloi ʻana i ka maʻi ʻaʻai umauma - MRI

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. ʻO nā ʻōlelo aʻoaʻo a ka ʻAhahui Kanaka ʻAmelika no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/american-cancer-society-recommendations-for-the-early-detection-of-breast-cancer.html. Hoʻohou ʻia ʻOkakopa 3, 2019. Loaʻa iā Ianuali 23, 2020.

Pūnaewele ʻAmelika Hui Pū ʻIa o Radiology. ʻO ka parameter hana ACR no ka hana o ka hoʻohālikelike magnetic resonance imaging (MRI) o ka umauma. www.acr.org/-/media/ACR/Files/Practice-Parameter/mr-contrast-breast.pdf. Hoʻohou 2018. Loaʻa iā Ianuali 24, 2020.

Ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG) pūnaewele. ʻO ka Bulletin Hoʻolālā ACOG: ʻO ka loiloi ʻana i ka maʻi ʻaʻai a me ka nānā ʻana i nā wahine awelika. www.acog.org/Clinical-Guidance-and-Publications/Practice-Bulletins/Commite-on-Practice-Bulletins-Gynecology/Breast-Cancer-Risk-Assessment-and-Screening-in-Average-Risk-Women. Helu 179, Iulai 2017 Loaʻa iā Ianuali 23, 2020.

Pūnaewele ʻo National Cancer Institute. ʻO ka loiloi ʻana i ka maʻi ʻaʻai umauma (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/breast/hp/breast-screening-pdq. Hoʻohou i Kēkēmapa 18, 2019. Loaʻa iā Ianuali 20, 2020. Siu AL; ʻO ka Hana Hana Hana Hana Preventive US. Ke nānā ʻana no ka maʻi ʻaʻai umauma: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2016; 164 (4): 279-296. PMID: 26757170 www.ncbi.nlm.nih.gov/pubmed/26757170.