ʻImi scan knee MRI
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Hoʻohana ka scanner MRI kuli (magnetic resonance imaging) i ka ikehu mai nā mākēneki ikaika e hana i nā kiʻi o ke kuli hui a me nā mākala a me nāʻiʻo.
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.
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 ʻoluʻolu e wehe i kāu mau uaki, aniani, 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 koko (IV) i kou lima a lima paha ma mua o ka hoʻāʻo. I kekahi manawa, injected ka kala i loko o kahi ami. 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. Hiki iā ia ke leo nui. Hiki i ka ʻenehana ke hāʻawi iā ʻoe i nā plug pepeiao inā pono.
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.
E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe:
- ʻO kahi hopena maʻamau ma ke kuli x-ray a i ʻole ka scan iwi
- ʻO kahi manaʻo e hāʻawi ana kou kuli i ka hui kuli
- Kūkulu o ka wai hui ma hope o ke kuli (Baker cyst)
- ʻOhi ka hōʻiliʻili i ka hui kuli
- ʻO ka maʻi o ke kuli hui
- ʻEha pāpale kuli
- ʻEha kukuli me ke kuni
- Laka kukuli ke hele ʻoe a neʻe paha
- Nā hōʻailona o ka hōʻino ʻana i ka mākala o ke kuli, cartilage, a i ʻole nā ligament
- ʻEha knee ʻaʻole maikaʻi me ka lāʻau
- Ka hiki ʻole o ke kuli
Loaʻa paha iā ʻoe kēia hōʻike e nānā i kou holomua ma hope o ke kuli ʻana o ke kuli.
ʻO kahi hopena maʻamau ke nānā aku ua maikaʻi kou kuli.
Loaʻa paha nā hopena maʻamau ma muli o ke kahe a i ʻole ka waimaka o nā ligament i ka ʻūhā.
Nā hualoaʻa kūpono ʻole paha ma muli o:
- Degeneration a i ʻole nā hoʻololi e kū me ka makahiki
- Nā hōʻeha meniscus a i ʻole cartilage
- Pākuʻi o ke kuli
- Avrosic necrosis (i kapa ʻia ʻo osteonecrosis)
- Ka iwi ʻōiwi a i ʻole ka maʻi ʻaʻai
- Iwi haʻi
- Kūkulu o ka wai hui ma hope o ke kuli (Baker cyst)
- ʻO ka maʻi i ka iwi (osteomyelitis)
- Hoʻonā
- Ka hōʻeha o ka pāpale kuli
E kamaʻilio i kāu mea hāʻawi inā he nīnau a hopohopo paha kāu.
ʻAʻohe kukuna o MRI. ʻAʻohe hopena i hōʻike ʻia 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 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 kumu e neʻe a neʻe paha i nā ʻāpana liʻiliʻi 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.
Hiki ke hana ʻia nā hoʻokolohua ma kahi o kahi kuli MRI:
- CT scan o ke kuli
- Kukuli x-ray
MRI - kuli; Mākēneki resonance kiʻi - kuli
- Hana hou ʻo ACL - hoʻokuʻu
ʻO Chalmers PN, Chahal J, Bach BR. Kuhi ke kuli a me ka hoʻoholo ʻana. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 92.
Helms CA. ʻO ke kiʻi manamana magnetic o ke kuli. I: Helms CA, hoʻoponopono. Nā Kumumanaʻo o ka Radiology iwi. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 9.
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. 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. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 5.