Kanu Barium
Anter
- He aha ka aleum ale?
- No ke aha ia e hoʻohana ai?
- No ke aha e pono ai wau i kahi barium ale?
- He aha ka hana i ka wā o ke barium?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i ka hoʻāʻo?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka aleum ale?
- Nā kūmole
He aha ka aleum ale?
ʻO kahi barium ale, i kapa ʻia hoʻi he esophagogram, kahi hōʻike kiʻi e nānā ana i nā pilikia i kāu kahawai GI kiʻekiʻe. ʻO kāu ʻaoʻao GI o luna e pili ana i kou waha, hope o ka ʻāʻī, ʻūhū, ʻōpū, a me ka ʻāpana mua o kou ʻōpū liʻiliʻi. Hoʻohana ka hōʻike i kahi ʻano kūikawā o ka x-ray i kapa ʻia fluoroscopy. Hōʻike ka Fluoroscopy i nā mea kūloko e neʻe ana i ka manawa maoli. Pili pū ka hōʻike i ka inu ʻana i kahi wai hoʻāʻo chalky-ʻono i loaʻa ka barium. ʻO ka Barium kahi mea e hōʻike akāka i nā ʻāpana o kou kino ma kahi x-ray.
Nā inoa ʻē aʻe: esophagogram, esophagram, ma luna o ke kaha GI, ke ale nei i ke aʻo ʻana
No ke aha ia e hoʻohana ai?
Hoʻohana ʻia kahi barium moni e kōkua i ke kuhi ʻana i nā kūlana e hoʻopili i ka puʻu, esophagus, ʻōpū, a me ka ʻāpana mua o ka ʻōpū liʻiliʻi. Pākuʻi ʻia kēia mau mea:
- Ulcer
- ʻO Hiatal hernia, kahi ʻano o kahi o kou ʻōpū e pahu ai i ka diaphragm. ʻO ka diaphragm ka mākala ma waena o kou ʻōpū a me kou umauma.
- ʻO GERD (gastroesophageal reflux maʻi), kahi ʻano e kulu hope ai ka ʻōpū i loko o ka esophagus
- Nā pilikia kū i ke aʻa o ka GI, e like me nā polyps (nā ulu kūpono ʻole) a me nā diverticula (nā ʻeke i ka paia ʻōpū)
- Nā Tumors
No ke aha e pono ai wau i kahi barium ale?
Pono ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā ʻōuli o kahi maʻi GI kiʻekiʻe. Pākuʻi ʻia kēia mau mea:
- Pilikia i ka ale ʻana
- Abdominal eha
- ʻO ka luaʻi
- Puʻupuʻu
He aha ka hana i ka wā o ke barium?
Hana ʻia kahi barium moni e ka radiologist a i ʻole ka ʻenehana radiology. ʻO kahi radiologist he kauka lapaʻau i loea i ka hoʻohana ʻana i nā hoʻokolohua kiʻi e ʻike a mālama i nā maʻi a me nā ʻeha.
Hoʻopili maʻamau ʻia kahi barium moni i kēia mau hana:
- Pono paha ʻoe e hemo i kou kapa. Inā pēlā, e hāʻawi ʻia ʻoe i ka ʻaukā lole.
- Hāʻawi ʻia ʻoe i kahi pale alakaʻi a pale pale paha e lole ai ma luna o kou wahi pelvic. Pale kēia i ka wahi mai ka radiation pono ʻole.
- Kū ʻoe, noho, a moe i lalo ma ka papa ʻaina x-ray. E noi paha ʻoe e hoʻololi i nā kūlana i ka wā o ka hoʻāʻo.
- E ale ʻoe i kahi inu i loaʻa ka barium. Mānoanoa a chalky ka mea inu. Hoʻomaʻamaʻa mau ʻia me ka kokoleka a i ʻole ka strawberry i mea e maʻalahi ai ke ale.
- ʻOiai ʻoe e ale, e nānā ka radiologist i nā kiʻi o ka barium e hele ana i kou ʻāʻī i kāu kahawai GI kiʻekiʻe.
- E noi paha ʻoe e hoʻopaʻa i kou hanu i kekahi mau manawa.
- E hoʻopaʻa ʻia nā kiʻi i hiki ai iā lākou ke loiloi i ka wā hope.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
E noi ʻia paha ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) ma hope o ke aumoe i ka pō ma mua o ka hoʻāʻo.
Aia kekahi mau pilikia i ka hoʻāʻo?
ʻAʻole pono ʻoe e loaʻa i kēia hōʻike inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai. Hiki ke hōʻino ke kukui i ka pēpē i hānau ʻole ʻia.
No nā poʻe ʻē aʻe, aia ka liʻiliʻi o ka makaʻu i ka loaʻa ʻana o kēia hōʻike. ʻO ka mahele lāʻau o ka radiation he haʻahaʻa loa ia a ʻaʻole i manaʻo ʻia he mea hōʻino no ka hapa nui o ka poʻe. Akā e kamaʻilio me kāu mea hāʻawi e pili ana i nā x-ray āpau āu i hala ma mua. Pili paha nā pilikia o ka radiation radiation i ka helu o nā hoʻoponopono x-ray āu i loaʻa ai i ka hala o ka manawa.
He aha ke ʻano o nā hopena?
ʻO ka hopena maʻamau ke kumu o ka loaʻa ʻole o nā mea kūpono ʻole i ka nui, ke ʻano, a me ka neʻe ʻana i kou puʻu, esophagus, ʻōpū, a i ʻole ka ʻāpana mua o ka ʻōpū liʻiliʻi.
Inā ʻaʻole maʻamau kāu mau hopena, manaʻo paha ia aia iā ʻoe kekahi o nā kūlana aʻe:
- Hānnia hernia
- Ulcer
- Nā Tumors
- Polyps
- ʻO Diverticula, kahi ʻano e kū ai nā ʻeke liʻiliʻi i ka paia o loko o ka ʻōpū
- ʻO ke koʻikoʻi ʻo Esophageal, kahi liʻiliʻi o ka esophagus i hiki ke paʻakikī ke ale
Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.
Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka aleum ale?
Hōʻike paha kāu mau hopena i nā hōʻailona o ka maʻi ʻaʻai esophageal. Inā manaʻo kāu mea hāʻawi iā ʻoe ke loaʻa i kēia ʻano maʻi ʻaʻai, hana paha ʻo ia i kahi hana i kapa ʻia he esophagoscopy. I ka wā o ka esophagoscopy, hoʻokomo ʻia kahi paipu lahilahi a maʻalahi hoʻi ma o ka waha a ihu a iho i lalo i ka esophagus. He pahu paʻi wikiō kā ka paipu i hiki ai i kahi mea hoʻolako ke ʻike i kahi. Loaʻa paha i ka paipu kahi mea hana i hiki ke hoʻohana ʻia e wehe i nā mea kiko manu no ka hoʻāʻo ʻana (biopsy).
Nā kūmole
- ACR: Ke Kulanui ʻAmelika o Radiology [Pūnaewele]. Reston (VA): Ke Kulanui ʻAmelika o Radiology; He aha ia mea Radiologist ?; [i helu ʻia 2020 Jun 26]; [ma kahi o 4 pale].Loaʻa mai: https://www.acr.org/Practice-Management-Qual-Informatics/Practice-Toolkit/Patient-Resource/About-Radiology
- Cancer.Net [Pūnaewele]. Alexandria (VA): ʻAmelika Hui Pū ʻIa o Oncology Lapaʻau; 2005–2020. Kanesa Esophageal: Palehua; 2019 ʻOkakopa [i helu ʻia 2020 Jun 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.cancer.net/cancer-types/esophageal-cancer/diagnosis
- ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. ʻO Ed Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Kanu Barium; p. 79.
- Johns Hopkins Medicine [Pūnaewele]. ʻO Baltimore: Ke Kulanui ʻo Johns Hopkins; c2020. Olakino: Barium Swallow; [i helu ʻia 2020 Jun 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/barium-swallow
- RadiologyInfo.org [Pūnaewele]. Radiological Society o ʻAmelika Hema, Inc. c2020. Ka maʻi ʻaʻai esophageal; [i helu ʻia 2020 Jun 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.radiologyinfo.org/en/info.cfm?pg=esophageal-cancer
- RadiologyInfo.org [Pūnaewele]. Radiological Society o ʻAmelika Hema, Inc. c2020. X-ray (Radiography) - Ke ala kiʻekiʻe o GI; [i helu ʻia 2020 Jun 26]; [ma kahi o 3 pale]. Loaʻa mai: https://www.radiologyinfo.org/en/info.cfm?pg=uppergi
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. ʻO ka maʻi reflux Gastroesophageal: Overview; [hoʻohou ʻia 2020 Jun 26; i helu ʻia 2020 Jun 26]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/gastroesophageal-reflux-disease
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. Hānnia hernia: Overview; [hoʻohou ʻia 2020 Jun 26; i helu ʻia 2020 Jun 26]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/hiatal-hernia
- UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2020. ʻO GI luna a me nā ʻōpū liʻiliʻi: Overview; [hoʻohou ʻia 2020 Jun 26; i helu ʻia 2020 Jun 26]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/upper-gi-and-small-bowel-series
- Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. ʻO Encyclopedia Health: ʻO Barium Swallow; [i helu ʻia 2020 Jun 26]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07688
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Kālailai ʻana: Pehea kona manaʻo; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 26]; [ma kahi o 6 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2468
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Kālailai ʻana: Pehea e hana ai; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 26]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2467
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Haʻalulu Haʻawina: Nā hopena; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 26]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2470
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Kālailai ʻana: ʻIke; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 26]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2469
- UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Nānā i ka ale ʻana: Nānā Hōʻikeʻike; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 26]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/swallowing-study/abr2463.html#abr2464
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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.