Makemake ʻoe e ʻike e pili ana i ka hoʻāʻo lymphangiography e lawe i nā kiʻi o kāu ʻōnaehana lymphatic?

I kekahi manawa pono mākou e hana i nā hoʻokolohua kūikawā e ʻike pono ai i ka mea e hana nei i loko o ko mākou kino, ʻeā? ʻĀ, he hoʻokolohua koʻikoʻi kēia i kapa ʻia ʻo Lymphangiography, kahi i hana ʻia e ʻike ai inā he hewa kekahi mea me kā mākou ʻōnaehana lymphatic (e kamaʻilio mākou e pili ana i kēia ma hope iki). Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Lymphangiography? He aha nā mea e pili ana?

I ka ʻōlelo maʻalahi, (Lymphangiography) he hoʻāʻo kiʻi e lawe i nā kiʻi o kāu ʻōnaehana lymphatic . E noʻonoʻo e pili ana, loaʻa iā mākou kahi pūnaewele o nā kīʻaha lymph i loko o ko mākou kino, e like me nā kīʻaha koko? ʻO kēlā mau kīʻaha lymph, nā lymph node (e kamaʻilio pū wau e pili ana i kēia mau mea) ka mea e nānā pono ai kēia. Ma kēia, ua hoʻokomo ʻia kahi dye kūikawā i loko o kou kino. Ua kapa ʻia kēia dye ( Lipoidal). A laila, hoʻohana ʻia kahi mīkini (X-ray) a i ʻole (MRI) e lawe i nā kiʻi o ka ʻōnaehana lymphatic. Inā hoʻohana ʻia kahi (MRI), ua kapa ʻia ke ʻano (Magnetic Resonance Lymphangiography) a i ʻole (MR Lymphangiography).

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka ʻōnaehana lymphatic . He ʻāpana koʻikoʻi ia o kā mākou ʻōnaehana pale (ka ʻōnaehana e pale iā mākou mai nā maʻi) a me ka ʻōnaehana circulatory (ka ʻōnaehana e lawe ana i ke koko ma ke kino holoʻokoʻa). I loko, aia kahi pūnaewele o nā kīʻaha koko e lawe ana i kahi wai maopopo i kapa ʻia ʻo lymph ma ke kino holoʻokoʻa. Hana kēia lymph e like me kahi kānana, e hōʻiliʻili ana i ka wai keu a me nā ʻōpala e hōʻiliʻili ana i loko o ke kino. Eia kekahi, aia i loko o kēia ʻōnaehana nā glands i kapa ʻia ʻo lymph nodes . ʻO kēia nā mea e hana ana i nā cell e hakakā ana i ka maʻi. Ua like lākou me nā wahi nānā palekana liʻiliʻi i loko o ko mākou kino.

ʻAʻole ʻike maopopo ʻia kēia mau ʻāpana o ka ʻōnaehana lymphatic ma nā hoʻokolohua kiʻi maʻamau. ʻO ia ke kumu e hoʻohana ʻia ai kahi kala kūikawā i ka lymphangiography. ʻAe kēia kala i nā kīʻaha lymph a me nā lymph node e ʻike maopopo ʻia i nā kiʻi, i kapa ʻia ʻo lymphangiograms. Ua kapa ʻia kēia hoʻokolohua he lymphography.

No ke aha i hana ʻia ai kēia hoʻāʻo (Lymphography)?

Hoʻohana nā kauka i kēia hoʻāʻo (Lymphangiography) no kekahi mau kumu. E nānā kākou i ke ʻano o lākou:

• E ʻike inā loaʻa iā ʻoe kekahi maʻi i loko o kāu ʻōnaehana lymphatic.
• E ʻike inā ua laha ka maʻi i nā ʻāpana ʻē aʻe o ke kino.
• I ka wā e mālama ai, e hoʻoholo i nā wahi e hiki ke mālama pono ʻia (kuhikuhi mālama). Ua like ia me ka hāʻawi ʻana i ka lāʻau lapaʻau i ka pahuhopu.
• Ma mua o ke ʻoki ʻana a i ʻole kekahi hana lapaʻau ʻē aʻe, e hana i kahi palapala ʻāina o kāu ʻōnaehana lymphatic. He kōkua nui kēia i ke kauka ʻoki.
• E ʻike inā he kōkua nā lāʻau lapaʻau a inā he kūpono lākou .

Kōkua kēia hoʻokolohua i ka ʻike a me ka mālama ʻana i nā kūlana e like me:

• ʻO ke kahe ʻana o ke wai mai ka ʻōnaehana lymphatic ((Lymphatic leak)) a i ʻole kahi ʻeha.
• ʻO ka Lymphedema kahi ʻano e pehu ai ka ʻōnaehana lymphatic, e hoʻoulu ai i ka pehu ʻana ma nā wahi e like me nā lālā.
• He ʻano maʻi kanesa i kapa ʻia ʻo Hodgkin lymphoma.
• He ʻano maʻi kanesa i kapa ʻia ʻo Non-Hodgkin lymphoma.

ʻO wai ka mea e hana i kēia hoʻāʻo (Lymphangiography)?

Hana pinepine ʻia ka Lymphangiography e kahi radiologist interventional . He kauka ʻo ia i loea i ka ʻike ʻana a me ka mālama ʻana i nā maʻi me ka hoʻohana ʻana i ke kiʻi lapaʻau a me nā kaʻina hana minimally invasive. ʻO ia hoʻi, kekahi e hoʻokomo i nā mea hana ma o nā lua liʻiliʻi, ma mua o ka hana ʻana i nā ʻoki nui.

Pehea e hoʻomākaukau ai au ma mua o ka hoʻokolohua?

E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi maopopo no ke ʻano o ka hoʻomākaukau ʻana no kēia hoʻokolohua. Hiki i kēia mau kuhikuhi ke komo pū me:

• Mai ʻai a inu paha no kekahi mau hola ma mua o ka hoʻāʻo ʻana, ma kahi o 6 a 8 mau hola.
• Ma mua o kou hele ʻana i ka hoʻokolohua , e hele i ka lua a hoʻokahe i kou ʻōpū mimi .
• E haʻi i kāu kauka inā hāpai ʻoe a i ʻole he mau pilikia kahe koko (e like me ka maʻi ʻaʻai koko).
• Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha , kahi e kōkua ai i ka hoʻēmi ʻana i kekahi makaʻu āu e loaʻa ai e pili ana i ka hoʻokolohua.
• Inā ua loaʻa iā ʻoe kahi hopena maʻi i ka iodine a i ʻole nā ​​​​hoʻokolohua lapaʻau ʻē aʻe ma mua, pono ʻoe e haʻi i kāu kauka.
• Inā he moʻolelo kou o ka maʻi puʻuwai , ʻoiai ke ʻano i kapa ʻia ʻo Patent Foramen Ovale (PFO) (he lua liʻiliʻi ia ma ka puʻuwai), e haʻi pū i kāu kauka e pili ana i ia mea.

I kekahi manawa, hiki ke hana ʻia kahi biopsy lymph node, ʻo ia hoʻi ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka lymph node no ka hoʻokolokolo ʻana, i ka wā o kēia hoʻāʻo. I kēia hihia, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia e pale aku iā ʻoe mai ka ʻeha.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo lymphangiography?

ʻAe, e nānā kākou i ka mea e hana ʻia ana i ka wā o ka hoʻāʻo.

ʻO ka mea mua, e noi ke kauka iā ʻoe e noho a moe paha ma luna o kahi noho hoʻokolokolo a i ʻole ka papa ʻaina. A laila, e hoʻomaʻemaʻe ʻia kahi ʻāpana liʻiliʻi o kou ʻili a e hoʻokomo ʻia kahi liʻiliʻi o ka waihoʻoluʻu polū. Hiki iā ʻoe ke manaʻo i kahi ʻeha iki ke hāʻawi ʻia kēia inikini, akā he manawa pōkole wale nō ia.

Hoʻokomo pinepine ʻia kēia mau inikini dye ma kēia mau wahi:

• Kokoke i kou ʻāpana ʻūhā (ʻo kēia ka mea i hana pinepine ʻia).
• Ma waena o nā manamana lima (hana iki ʻia kēia ma mua o ka manawa pinepine).
• Ma waena o nā manamana wāwae (hana pinepine ʻole ʻia kēia).

ʻO kēia kala polū ke kumu o nā laina polū e ʻike maopopo ʻia. A laila, hoʻokomo ke kauka i kahi lāʻau hoʻomānoino i loko o ka wahi i loaʻa ai nā laina polū. Hana ʻia kahi ʻoki liʻiliʻi ma ia wahi,Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu, e like me ka cannula liʻiliʻi.

Hoʻokomo mālie ʻia kekahi kala kūikawā ʻē aʻe (e like me Lipoidal) i loko o ke kino ma o kēia ʻōmole ma luna o hoʻokahi hola. Hiki iā ʻoe ke manaʻo i kekahi kaomi a i ʻole kahi manaʻo o ka piha i ka wā e komo ai ka kala i loko o kou kino.

I kekahi manawa hoʻohana ke kauka i kahi mīkini ultrasound e hoʻokomo pono i kēia ʻōmole. ʻO ke ʻano kēia o ka nānā ʻana i loko o ke kino me nā nalu kani. I kekahi manawa, hoʻohana ʻia kahi pamu i kapa ʻia he insufflator e kōkua i ka hoʻokomo ʻana i kēia kala i loko o ke kino.

ʻO ka mea aʻe, e kiʻi ke kauka i nā kiʻi o loko o kou kino me ka hoʻohana ʻana i kahi ʻano hana X-ray kūikawā i kapa ʻia ʻo fluoroscopy a i ʻole kahi mīkini MRI. Ua like ka Fluoroscopy me nā kiʻi X-ray e neʻe ana.

Hoʻolele kēia mīkini i nā kiʻi o kāu ʻōnaehana lymphatic ma luna o kahi pale. Hiki iā ia ke nānā inā e kaʻa pono ana ka dye ma kou kino, e like me ka nānā ʻana i nā kaʻa ma ke alanui.

Ma hope o ke komo ʻana o ka waihoʻoluʻu a pālahalaha a puni kou kino, e wehe ke kauka i ka ʻōmole a kau i hoʻokahi a ʻelua paha mau humuhumu ma luna o ka ʻoki. A laila, e lawe ʻia nā kiʻi o kou mau wāwae, pelvis, ʻōpū, umauma, a me nā wahi kānalua ʻē aʻe. Pono paha ʻoe e lawe i kekahi mau kiʻi hou aʻe ma hope e ʻike ai pehea i pālahalaha ai ka waihoʻoluʻu.

Pehea ʻoe ma hope o ka hoʻāʻo?

(Lymphangiography) Hiki ke ʻeha iki a palupalu paha kahi i ʻoki ʻia no kekahi mau lā ma hope o ka hoʻāʻo ʻana. E hāʻawi ke kauka iā ʻoe i nā lāʻau ʻeha no kēia.

ʻO ka mea nui loa, a hiki i ka wā e nalowale loa ai ka waihoʻoluʻu mai kou kino aku, hiki i ke kala o kou ʻili (ʻoi aku hoʻi kou mau poho lima a me kou mau kapuwaʻi), ka mimi, a me ka ʻōpala ke lilo i polū/ʻōmaʻomaʻo iki . He mea maʻamau kēia, mai hopohopo. E nalo ana kēia i loko o kekahi mau lā. Eia nō naʻe, hiki i kekahi waihoʻoluʻu ke noho i loko o kou mau lymph nodes a hiki i ʻelua mau makahiki. He maikaʻi nō hoʻi kēlā.

Inā hiki iā ʻoe, e hoʻomaha iki i ka lā o ka hoʻāʻo. E pale i ka hana ikaika. E mālama i ka wahi ʻoki ʻia e like me ka ʻōlelo a kāu kauka.

Aia kekahi mau pilikia me kēia hoʻāʻo?

ʻO ka Lymphangiography kahi hoʻāʻo palekana maʻamau . E like me nā hoʻāʻo X-ray ʻē aʻe, hoʻohana ia i ka radiation. Akā, ʻaʻole lawa ka nui o ka radiation e hoʻopilikia iā ʻoe. Eia nō naʻe, inā loaʻa kekahi mau hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• ʻO kahi hopena maʻi i ka kala a i ʻole kekahi mea ʻē aʻe (e like me ka maneʻo, ka hives, ka paʻakikī o ka hanu ʻana)
• Ke kahe koko mai kahi ʻoki.
• Ka maʻi ma kahi i ʻoki ʻia (ʻulaʻula, pehu, pus, kuni)
• ʻO ka mumū ʻana o nā kīʻaha lymphatic, ʻo ia hoʻi, ka pehu ʻana.

"Akā, he mea kakaikahi loa kēia mau pilikia. ""E haʻi aku kāu kauka iā ʻoe e pili ana i kēia mau mea a pau ma mua. Inā he mau hopohopo kāu, mai makaʻu e nīnau."

Āhea wau e ʻike ai i nā hopena o ka hoʻokolohua?

I ka hapanui o nā hihia, hiki ke hōʻike ʻia nā hopena o ka hoʻāʻo lymphangiography i ke kauka i ka lā hoʻokahi . I kekahi manawa, inā pono, hiki ke hāʻawi ʻia ka lāʻau lapaʻau i ka wā e hana ʻia ai ka hoʻāʻo lymphangiography.

Eia nō naʻe, i kekahi mau hihia, hui pū kahi hui o nā loea, e like me kahi radiologist interventional a me kahi oncologist, e kūkākūkā i kēia mau hopena a hoʻoholo i nā hoʻoholo. I kēlā hihia, hiki ke hala i hoʻokahi a ʻelua paha lā e loaʻa ai nā hopena.

E kamaʻilio kāu kauka me ʻoe e pili ana i kēia mau hopena a wehewehe i ko lākou manaʻo. No ka laʻana, inā ʻaʻole hiki i ka dye ke hele ma waena o kahi kiko, hiki ke manaʻo ʻia he mea e ālai ana iā ia. Hiki ke lilo i puʻupuʻu, he ʻeha, a he maʻi paha. Eia kekahi, inā ua hoʻonui ʻia nā lymph nodes, he ʻano ʻokoʻa, a i ʻole e like me ka huʻa, hiki ke lilo i hōʻailona o ka maʻi ʻaʻai lymphatic.

He aha nā hōʻailona e pono ai iaʻu e ʻike i ke kauka inā loaʻa iaʻu ma hope o ka hoʻāʻo ʻana?

Ma hope o ka hoʻāʻo ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o kahi maʻi allergy a maʻi paha, e kāhea koke i kāu kauka a hele koke paha i ka haukapila:

• Kuni a i ʻole ke anu .
• ʻEha nui ma kahi i ʻoki ʻia (ʻoi aku ka ʻeha e hoʻonui ana a ʻaʻole e emi iho me ka lawe ʻana i ka lāʻau lapaʻau).
• Inā ʻulaʻula ka wahi i ʻoki ʻia, pehu, wela ke pā, a inā he wai e like me ka pus e puka mai ana mai loko mai .
• ʻIke ʻia kahi ʻulaʻula o ka ʻili , ʻo ia hoʻi ka ʻulaʻula, ka pehu ʻana, a i ʻole ka pehu ʻana, ma nā wahi ʻē aʻe o ke kino.
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole ka ʻeha o ka umauma.

E mālama pono i kēia mau mea.

No laila, he aha kā mākou e pono ai e hoʻomanaʻo mai kēia mau mea a pau?

ʻO ka Lymphangiography kahi hoʻāʻo X-ray kūikawā e kōkua i nā kauka e ʻike a mālama i nā kūlana e like me nā ʻōpū, ka pehu ʻana, nā maʻi, a me nā kahe wai i loko o ka ʻōnaehana lymphatic.

E wehewehe pono ana kāu kauka iā ʻoe i ke kumu e pono ai ʻoe e hana i kēia hoʻokolohua a me nā hopena. ʻAʻohe kumu e makaʻu ai. ʻO kēia ke hoʻomaikaʻi i kou olakino a hāʻawi iā ʻoe i ka lāʻau kūpono loa. E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai.

ʻŌnaehana Lymphatic, lymphangiography, nā kīʻaha lymphatic, nā lymph nodes, ka ʻike ʻana, nā hoʻokolohua lapaʻau, ka hoʻāʻo kala