Pehea kou mau puʻupaʻa? E ʻike kākou me kahi scan renal.

Ua lohe paha ʻoe i kahi scan kidney, ʻo ia hoʻi he scan renal? Malia paha ua haʻi aku kekahi kauka iā ʻoe e hana i kēia. A i ʻole makemake paha ʻoe e ʻike i ia mea. He aha ka scan renal? No ke aha i hana ʻia ai? He mea anei ia e makaʻu ai? E kamaʻilio mākou e pili ana i kēia mau mea a pau i kēia lā, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha.

He aha maoli ke ʻano o ka scan renal?

I ka ʻōlelo maʻalahi, he hoʻāʻo kūikawā ka scan renal e nānā i ka hana maikaʻi o kou mau puʻupaʻa. He hoʻāʻo kiʻi ia no ke kahua o ka lāʻau lapaʻau nukelea. E noʻonoʻo e like me ke kiʻi ʻana i kou mau puʻupaʻa, akā ʻaʻole hiki ke ʻike wale i ke ʻano o kou mau puʻupaʻa, akā pehea hoʻi kā lākou hana.

Eia ka mea e hana ʻia: Hoʻokomo kahi mea mālama ola kino, he kauka a he loea paha i aʻo ʻia, i kahi liʻiliʻi o kahi mea radioactive (i kapa ʻia hoʻi he `radioisotope` a i ʻole `radiotracer`) i loko o kahi aa koko ma kou lima a lima paha. He liʻiliʻi loa kēia ʻaʻole ia he mea ʻino i ke kino. Hele ka mea ma o kou kahe koko i kou mau puʻupaʻa. A laila hoʻouna ʻia ʻoe i loko o kahi scanner kūikawā. Hoʻohana ka mīkini i ka mea radioactive e ʻimi i kahi o nā puʻupaʻa a hoʻouna i ka ʻikepili, e like me nā kiʻi, i kahi kamepiula.

Kōkua kēia scan renal i ka ʻike ʻana i nā maʻi a me nā maʻi o nā puʻupaʻa i ka wā mua . Hoʻohana ʻia nō hoʻi ia e ʻike i ke ʻano o ka hoʻoili ʻana o kekahi i kahi puʻupaʻa.

Ua kapa ʻia kēia he mea ʻē aʻe, ua lohe paha ʻoe iā ia:

• ʻO ka scintigraphy Renal
• ʻO ka nānā ʻana i ka renal o ka lāʻau lapaʻau nuklea
• ʻO ke nānā ʻana i nā puʻupaʻa o ka lāʻau lapaʻau nukelea
• Renogram

He aha nā mea e hiki ke nānā ʻia me kahi scan renal?

Nānā nui kēia scan i ke ʻano o ka hana ʻana o kou mau puʻupaʻa. Eia kekahi, kou mau puʻupaʻa:

• ʻAno
• Ka nui
• Kahi i loko o ke kino

Hiki iā ʻoe ke loaʻa kahi kiʻi maopopo o nā mea e like me ia.

No ke aha ʻoe e kuhikuhi ʻia ai no kahi scan renal?

Inā kānalua ke kauka ʻaʻole hana pono kou mau puʻupaʻa, e kauoha lākou i kēia scan renal. Hiki iā lākou ke kauoha i nā hoʻokolohua ʻē aʻe, no ka laʻana:

• Nā hoʻāʻo koko
• Ka nānā ʻana i ka mimi
• Nā kukuna X

He mau hōʻailona paha kēia o ka hana haʻahaʻa o nā puʻupaʻa.

Eia kekahi, aia kekahi mau kumu ʻē aʻe e kauoha ai ke kauka i kēia scan:

• Inā he maʻi ʻoe i nā kala i hoʻohana ʻia i nā kukuna X, a laila he koho palekana ka scan renal.
• Inā he mea hoʻoili puʻupaʻa ʻoe.
• Iā ʻoeInā he koko kiʻekiʻe kou (hypertension).
• Inā paʻakikī a hiki ʻole paha ke mimi ma muli o ka paʻa ʻana o ka puʻupaʻa .

He aha nā kūlana olakino e hiki ke ʻike ʻia me kahi scan renal?

Hiki i kēia scan ke kōkua i ka ʻike ʻana i nā maʻi he nui. Eia kekahi mau laʻana:

• Ke koko kiʻekiʻe i loko o nā aa koko nui e hoʻolako koko i kou mau puʻupaʻa (i kapa ʻia ʻo 'Renal Hypertension').
• Ka pehu ʻana o nā puʻupaʻa (Hydronephrosis) ma muli o kekahi ālai ʻana.
• Nā cysts o nā puʻupaʻa, nā puʻupaʻa o nā puʻupaʻa, a i ʻole nā ​​abscesses.
• Ka hāiki ʻana a i ʻole ka paʻa ʻana o nā aʻa e lawe ana i ke koko i nā puʻupaʻa ('Renal artery stenosis').
• Ka emi ʻana o ka hana o nā puʻupaʻa ma hope o ke ʻoki ʻana a i ʻole ka hoʻoili ʻana o nā puʻupaʻa.
• Hoʻi ka mimi mai ka ʻōpū mimi a i nā puʻupaʻa (Vesicoureteral reflux).

Pehea e hana maoli ai kahi scan renal?

I ka wā o ka nānā ʻana i ka puʻupaʻa, lawe kekahi loea lapaʻau nukelea (he kauka i hoʻomaʻamaʻa kūikawā ʻia e hoʻohana i nā lāʻau radioactive a me nā mīkini kiʻi) i nā kiʻi o kou mau puʻupaʻa. Hōʻike kēia mau kiʻi i ke kahe ʻana o ke koko i loko a i waho o kou mau puʻupaʻa. Hōʻike pū lākou i nā ʻōpū ʻē aʻe i loko o kāu ʻōnaehana urinary, me:

• nā puʻupaʻa
• Nā ʻUreters
• ʻŌpū mimi

Hōʻike pū ia pehea e neʻe ai ka mimi ma waena o kēia mau mea.

Hiki i nā hopena o kēia scan nukelea ke kōkua i kāu kauka e ʻike inā hana maikaʻi ʻole kou mau puʻupaʻa a i ʻole he mea paʻa.

He aha nā ʻano scan renal i loaʻa?

Hoʻohana nui nā mea ʻenehana lapaʻau nukelea i ʻehā ʻano o nā scan renal:

1. ACE inhibitor renal scintigraphy: Ke nānā nei kēia hoʻāʻo i ka haiki ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i nā puʻupaʻa, ka mea e hoʻoulu ai i ke koko kiʻekiʻe. Lawe ʻia nā kiʻi o kou mau puʻupaʻa ma mua a ma hope o ka hāʻawi ʻia ʻana iā ʻoe i ka lāʻau lapaʻau koko (kahi ACE inhibitor).

2. Diuretic renal scintigraphy: Ke nānā nei kēia scan i nā mea i ālai ʻia i loko o nā puʻupaʻa a i ʻole nā ​​pilikia me ke kahe ʻana o ka mimi. Lawe ʻia nā kiʻi ma mua a ma hope o ka hāʻawi ʻia ʻana iā ʻoe i kahi pila wai (i kapa ʻia he diuretic) e nānā i ke ʻano o ka neʻe ʻana o ka mimi ma o nā puʻupaʻa.

3. Renal cortical scintigraphy: Hoʻāʻo kēia i ka maikaʻi o ka hana ʻana o nā ʻiʻo ma waho o nā puʻupaʻa (renal cortical tissue). Hāʻawi ʻia ʻoe i kahi mea radioactive ma o kahi IV a laila lawe ke kāmela i nā kiʻi o ka mea ma kahi o ʻelua hola ma hope.

4. Renal perfusion: Nānā kēia hoʻāʻo lāʻau lapaʻau nukelea i ka nui o ke koko e kahe ana i kou mau puʻupaʻa. Ana kēia scan i ka laulā o kou mau aa renal a me ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. Lawe mau ke kāmela i nā kiʻi no 20 a 30 mau minuke.

Pehea e hoʻomākaukau ai no kahi scan renal?

Ma mua o ka nānā ʻana i ka puʻupaʻa, pono ʻoe e hana i kahi papa inoa piha o nā lāʻau lapaʻau āpau āu e lawe nei. Pono kēia e komo pū me nā huaora a me nā mea hoʻohui lāʻau lapaʻau. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ke nānā ʻana. No ka laʻana, ʻo nā lāʻau anti-inflammatory nonsteroidal (NSAID), e like me ka ibuprofen (e.g., Advil®, Motrin®) a me ka aspirin (e.g., Bayer®, St Joseph®) , hiki ke hoʻopilikia i nā hopena o kāu nānā ʻana i ka puʻupaʻa.

He mea nui hoʻi e haʻi aku i kāu poʻe lawelawe olakino e pili ana i kēia mau mea:

• Loaʻa iā ʻoe kekahi mau maʻi ʻaleka (e like me kekahi mau lāʻau lapaʻau, latex).
• Loaʻa iā ʻoe ka claustrophobia? No ka mea, kokoke paha ke kāmela i kou kino i ka wā o ke scan.
• Ke makaʻu nei ʻoe i nā nila (`trypanophobia`)? Inā pēlā, e aʻo lākou iā ʻoe i nā ala e hoʻoponopono ai.
• Ke hānai waiū nei ʻoe i kēia manawa? No ka mea hiki i ka mea radioactive ke komo i loko o kāu waiū.
• Inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe , no ka mea, he mea ʻino paha ke kiʻi i ka ʻōpū i loko o ka ʻōpū.

E noi paha nā kauka iā ʻoe e inu i ka wai hou aʻe ma mua o ke scan. Pono paha ʻoe e hoʻokahe i kou ʻōpū mimi (ʻo ia hoʻi ka mimi ) ma mua o ka hoʻomaka ʻana o ke scan.

ʻO kekahi mea ʻē aʻe, e koho i nā lole e ʻoluʻolu ke komo . He manaʻo maikaʻi e waiho i nā mea hao e like me nā aniani a me nā mea hoʻonani ma ka home. Hiki iā lākou ke hoʻopilikia i ke scan.

He aha ka mea e manaʻo ai i ka wā o ke scan?

ʻO ka maʻamau, ʻo kēia ka mea e hana ʻia ke hana ʻia kahi scan kidney:

• E kau kekahi loea lapaʻau nukelea i kahi laina IV i loko o kahi aa koko ma kou lima a lima paha. A laila, e hoʻokomo ʻia kahi mea i kapa ʻia he radioisotope a radiotracer paha ma o ia mea.
• E hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo a i ʻole e hoʻokomo ʻia i loko o ka tube. E hoʻopuka ka mea radioactive i ka ikehu (i kapa ʻia he mau kukuna gamma). E hopu kahi kāmela gamma i kēia mau kukuna a hana i nā kiʻi o kou mau puʻupaʻa. E nānā ke loea i kēia mau kiʻi ma kahi pale kamepiula.
• Ma muli o ke kumu e hana ʻia ai ke scan kidney, hiki ke noi ʻia ʻoe e noho mālie a neʻe paha i nā kūlana ʻē aʻe .

ʻEhia ka lōʻihi o ka nānā ʻana i ka renal?

ʻOkoʻa ka manawa e pono ai no kēia ma muli o ke ʻano o ka scan renal. Hiki ke hala ma waena o 30 mau minuke a ʻelua hola . E hoʻomaopopo mua kāu mea mālama ola iā ʻoe i kēia.

He aha ka mea e hana ʻia ma hope o ke scan?

Ma hope o ka wehe ʻana o ka ʻenehana lāʻau lapaʻau nukelea i kāu laina IV, hiki iā ʻoe ke hoʻi i ka home a hoʻomau i kāu mau hana maʻamau me ka ʻole o nā pilikia.

Pehea e haʻalele ai kēlā mea radioactive i ke kino?

ʻO ka mea i kapa ʻia he ``radiotracer`` a i ʻole ``radioisotope`` e haʻalele i kou kino ke mimi ʻoe. ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha mai ia mea.

He aha nā pilikia o kahi scan renal?

ʻO ka ʻoiaʻiʻo, he haʻahaʻa loa nā pilikia o kahi scan puʻupaʻa. Hoʻohana ia i ka radiation liʻiliʻi ma mua o kahi X-ray.

Eia nō naʻe, aia kekahi mau mea e hiki ke hana pinepine ʻole ʻia:

• Nā hopena allergies (ʻaʻole pinepine kēia).
• ʻO ke kala ʻole (ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha), ka pehu ʻana, a i ʻole ka ʻeha ma kahi IV. Inā ʻaʻole e nalowale kēia ʻeha i loko o kekahi mau lā, e haʻi i ke kauka.

ʻO kekahi mea ʻē aʻe, ʻoi aku ka maikaʻi o ka pale ʻana i ka pili kokoke ʻana me nā keiki liʻiliʻi a me nā wahine hāpai no kekahi mau hola ma hope o ke kiʻi ʻana.

Āhea e loaʻa ai iaʻu nā hopena scan?

E nānā kekahi loea lapaʻau nukelea a radiologist paha i nā hopena o kāu scan renal. A laila e hoʻouna lākou i kahi hōʻike i kāu kauka. E kāhea aku kāu kauka iā ʻoe e kūkākūkā i nā hopena a haʻi iā ʻoe i ka mea e hana ai ma hope.

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

E hoʻomanaʻo, i kekahi manawa ʻaʻole i puka mai nā hopena e like me ka mea i manaʻo ʻia. Akā, mai hopohopo no ia mea.

Inā ʻokoʻa kāu mau hopena, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe e hana i kahi hōʻailona kūhelu. Hiki i kēia mau hoʻokolohua ke komo pū me:

• Nā hoʻokolohua kiʻi ʻē aʻe, e like me ka ultrasound, MRI, a me/a i ʻole CT scan .
• Nā hoʻāʻo hana puʻupaʻa hou aʻe.
• ʻO kahi biopsy puʻupaʻa (e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupaʻa a nānā iā ia).

Āhea wau e kāhea aku ai i ke kauka?

E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i kāu scan renal. Eia kekahi laʻana:

• Nā mea e like me ke ʻano o ka hoʻomākaukau ʻana no ka scan a pehea e maʻalahi ai ka hoʻāʻo nou .
• I ka manawa hea e hiki ai iā ʻoe ke manaʻo i kāu mau hopena ?
• He aha e hana ai inā he ʻokoʻa nā hopena .
• He aha kāu hana aʻe ?

Eia kekahi, e haʻi aku i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Nā hōʻailona o ka maʻi, e like me ke kuni, ka loli ʻana o ke kala ma ka pūnaewele IV, ka pehu ʻana, a i ʻole ke poʻo.
• Inā manaʻo ʻoe e loaʻa ana iā ʻoe kahi hopena alerika.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

Hoʻohana nā mea lawelawe olakino i nā scan renal e ʻike i nā maʻi puʻupaʻa kikoʻī. He palekana loa ia, me ka haʻahaʻa o ka pilikia o nā pilikia.Ma hope o ka hoʻāʻo ʻana, hiki iā ʻoe ke hoʻi koke i kāu mau hana maʻamau.

Akā, he mea maʻamau ke hopohopo iki a hopohopo paha e pili ana i ka loaʻa ʻana o kahi hoʻokolohua e like me kēia. Mai hopohopo. Ua aʻo maikaʻi ʻia kāu poʻe lawelawe olakino a ua ʻike lākou e hana i kēia hoʻokolohua i mea ʻoluʻolu loa iā ʻoe. Inā he mau nīnau a hopohopo paha kāu, mai kānalua e nīnau iā lākou. He mea nui loa ke olakino o kou mau puʻupaʻa!

ʻO ke nānā ʻana i nā puʻupaʻa, ... hoʻāʻo puʻupaʻa, maʻi puʻupaʻa, lāʻau lapaʻau nukelea, nā mea radioactive, ʻōnaehana mimi