ʻO wai kēia radiologist? E ʻike pono kākou!

Ua loaʻa paha iā ʻoe kahi X-ray, kahi CT scan, a i ʻole kahi MRI scan. A i ʻole ua noi paha kāu kauka iā ʻoe e loaʻa i hoʻokahi. No laila, ua ʻike anei ʻoe i ka mea nāna e nānā i kēia mau scan a haʻi pololei iā ʻoe i ka mea e hana nei i loko o kou kino? ʻO ia ka radiologist a mākou e kamaʻilio ai i kēia lā.

ʻO wai kēia mea i kapa ʻia he radiologist?

I ka ʻōlelo maʻalahi, he kauka loea ka radiologist . ʻO kāna hana nui ka hoʻohana ʻana i nā lako hana kiʻi like ʻole, a mākou e kapa nei he mau mīkini scan, e nānā i loko o ko mākou kino, e ʻike i nā maʻi a me nā ʻeha, a i kekahi manawa e kōkua pū i ka mālama ʻana. E noʻonoʻo e pili ana, ʻaʻole ʻike ʻia ka loko o ko mākou kino mai waho mai, no laila ke nānā nei kēia mau kauka i loko o ke kino me nā lako kūikawā a ʻike inā he hewa kekahi mea ma laila.

He aha kēia mea hana kiʻi a lākou e hoʻohana ai?

Aia kekahi mau ʻano lako a lākou e hoʻohana ai. Ua lohe paha ʻoe i kēia mau inoa. E nānā kākou i ko lākou ʻano:

• CT scan ( computed tomography - CT) : Kapa kekahi poʻe i kēia he "CAT scan". Hiki i kēia ke lawe i nā kiʻi ʻoki kikoʻī loa o loko o ke kino. Hiki iā ia ke nānā i nā ʻāpana o ke kino papa ma ka papa, e like me ka ʻoki ʻana i kahi berena.
• Fluoroscopy : Ua like kēia me kahi X-ray e neʻe ana. Hiki iā ʻoe ke ʻike pehea e hana ai nā ʻōpū i loko o ke kino i ka manawa maoli , e like me ke wikiō. No ka laʻana, hoʻohana ʻia ia e ʻike pehea e neʻe ai kahi wai ke moni ʻoe.
• Kiʻi Fusion : Pili kēia i ka hoʻohui ʻana i nā kiʻi mai ʻelua ʻano scan like ʻole, e like me ka scan ``(PET)`` a me ka scan ``(CT)``, no ka loaʻa ʻana o ka ʻike maopopo a kikoʻī. Hiki ke ʻike ʻia kahi mea i ʻike ʻole ʻia ma kekahi scan ma kekahi, a i ka wā e hui pū ʻia ai nā mea ʻelua, loaʻa kahi kiʻi piha.
• ʻO MRI Scan (Magnetic Resonance Imaging - MRI) a me Magnetic Resonance Angiography - MRA : Hiki i ka MRI ke hana i nā kiʻi maopopo loa a kikoʻī. He mea pono loa ka MRI no ka nānā ʻana i nā ʻiʻo palupalu e like me ka lolo, ke kaulahao kuamoʻo, nā hono, a me nā ʻiʻo. ʻAʻole ia e hoʻohana i ka radiation, akā hoʻohana i kahi kahua magnetic. He ʻano MRI kūikawā ʻo MRA e nānā ana i nā kīʻaha koko.
• Mammography : Ua lohe paha ʻoe i kēia, kahi hoʻāʻo kūikawā "(X-ray)" i hoʻohana ʻia no ka ʻike mua ʻana i ka maʻi ʻaʻai umauma. He hoʻāʻo koʻikoʻi loa kēia no nā wahine.
• Kiʻi Lapaʻau Nukelea: ʻO kēia ka hāʻawi ʻana i kahi liʻiliʻi loa o kahi mea radioactive ʻino ʻole (`radioactive tracer`) i ke kino (ma ka waha a i ʻole ka inikini), a me ka nānā ʻana iā ia e neʻe ana ma ke kino me kahi kāmela kūikawā (`gamma camera`). Hiki i kēia ke hāʻawi i kahi manaʻo maikaʻi o ke ʻano o ka hana ʻana o nā ʻōpū a me ke ʻano o kā lākou hana ʻana. ʻO nā hiʻohiʻona e komo pū me kahi scan thyroid a me kahi scan iwi.
• ʻO ke scan PET ( Positron Emission Tomography - PET) : He ʻano scan kūikawā kēia e hāʻule ana ma lalo o ka māhele o "Nuclear Medicine Imaging". Hoʻohana nui ʻia ia e ʻike inā loaʻa nā hunaola kanesa, inā ua pālahalaha lākou, a pehea lākou e pane ai i ka lāʻau lapaʻau. Hiki iā ia ke nānā i ka hana o nā hunaola i loko o ke kino.
• Ultrasound : Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e hana i nā kiʻi o loko o ke kino. ʻAʻole hoʻi kēia e hoʻohana i ka radiation. Hoʻohana pinepine ʻia e nānā i ka pēpē i ka wā hāpai a e nānā i nā ʻōpū o ka ʻōpū (e like me ke akepaʻa, nā puʻupaʻa, a me ka spleen).
• Nā kukuna X : ʻO kēia ka hoʻāʻo a mākou a pau i ʻike ai, a ʻo ia ka mea mua i hana ʻia. Hoʻohana ʻia ia e nānā i nā mea e like me nā haki, a e lawe i kahi kukuna X o ka umauma e nānā i nā kūlana e like me ka niumonia i loko o nā māmā.

He aha nā wahi nui o ka radiology?

ʻEkolu mau wahi nui o ka radiology . ʻO ia hoʻi, ʻekolu mau wahi nui i loea ai nā radiologists.

1. Radiology Hōʻoia

2. Radiology Interventional

3. ʻO ka Oncology Radiation

Aia kekahi mau ʻoihana kūikawā ʻē aʻe ma lalo o kēlā me kēia o kēia mau wahi. E kamaʻilio kākou e pili ana i kēia mau wahi nui ʻekolu me nā kikoʻī .

1. He aha ka Radiology Diagnostic?

ʻO kēia ke kahua a mākou i lohe pinepine ai, a ʻo ia hoʻi ka mea a mākou i kamaʻāina loa ai. Nānā nā Diagnostic Radiologists i nā scans a mākou i ʻōlelo ai ma mua, ʻo ia hoʻi , kālailai (wehewehe) iā lākou, a ʻike pehea ke ʻano o nā ʻano a me nā ʻōpū i loko o ke kino. Mai kēia mau kiʻi, hiki iā lākou ke:

• E nānā i nā maʻi. No ka laʻana, inā loaʻa iā ʻoe ka ʻū a loaʻa iā ʻoe kahi X-ray, e ʻike paha ʻoe inā loaʻa iā ʻoe ka niumonia. A i ʻole, inā loaʻa iā ʻoe ka ʻeha poʻo, e loaʻa paha iā ʻoe kahi MRI e ʻike inā loaʻa iā ʻoe kahi mea e like me ka puʻupuʻu lolo.
• Inā ʻoe e mālama ʻia nei no kahi maʻi, e nānā i kāu pane lapaʻau.E noʻonoʻo e hana ana i kahi CT scan o kekahi e mālama ʻia ana no ka maʻi kanesa a ʻike inā ua emi ka puʻupuʻu, ua nui aʻe, a i ʻole e noho like.
• Ke nānā ʻana no nā ʻano maʻi like ʻole. ʻO ia hoʻi ke nānā ʻana i ke alo o kahi maʻi ma mua o ka puka ʻana o nā hōʻailona. No ka laʻana, ka mammography e ʻike mua i ka maʻi ʻaʻai umauma, nā hoʻokolohua e nānā i ka maʻi ʻaʻai colon, a i ʻole nā ​​hoʻokolohua e nānā i nā maʻi puʻuwai.

2. He aha ka Radiology Interventional?

He ʻano ʻokoʻa kēia a he mea hoihoi loa. Hoʻohana nā Radiologists Interventional i nā ʻenehana kiʻi e like me nā CT scans, ultrasound, a me MRI e hana i nā lāʻau lapaʻau ʻoki ʻole. I ka pōkole, nānā lākou i kēia mau scans a hoʻokomo i nā mea hana liʻiliʻi e like me nā catheters (nā ʻōmole lahilahi) a me nā uea i loko o ke kino e hana i nā lāʻau lapaʻau. ʻAʻole pono kēia i nā ʻoki nui, akā he liʻiliʻi nā ʻoki . ʻO ka hopena, he pōkole ka manawa hoʻōla a emi mai nā pilikia.

E noʻonoʻo wale, e like me ka hoʻohana ʻana i ka GPS e ʻimi i kou ala, hoʻohana kēia mau kauka i nā kiʻi scan e hele i kahi kūpono i loko o ke kino a mālama iā ʻoe.

ʻO kekahi o nā kūlana i mālama ʻia me kēia ʻano hana:

• Nā maʻi ʻaʻai a i ʻole nā ​​puʻupuʻu. Hoʻōla ʻia kekahi mau puʻupuʻu ma ke komo ʻana i nā lāʻau lapaʻau pololei i loko o lākou (`chemoembolization`), a i ʻole ma ke ālai ʻana i nā kīʻaha koko e hoʻolako iā lākou (`embolization`) e luku i ka puʻupuʻu, a i ʻole ma ka hoʻohana ʻana i ka wela (`ablation`).
• Nā ālai ʻana i loko o nā aʻa koko a i ʻole nā ​​aʻa koko. No ka laʻana, inā ua ālai ʻia kahi aʻa koko ma ka wāwae, hiki ke wehe ʻia me kahi balloon (angioplasty) a i ʻole hiki ke hoʻokomo ʻia kahi stent (kahi ʻōmole mesh liʻiliʻi) e hoʻihoʻi i ke kahe koko.
• Nā fibroids uterine. Hiki ke mālama ʻia kēia me ka "embolization".
• ʻEha kua. No kekahi ʻeha kua, hiki ke hāʻawi ʻia nā mea e like me nā inikini steroid ma kahi kūpono ma muli o ke kiʻi.
• ʻO kekahi mau pilikia o ke akepaʻa a me nā puʻupaʻa. No ka laʻana, hoʻohana ʻia kēia kaʻina hana e hana i kahi biopsy (lawe ʻia kahi ʻāpana o ka ʻiʻo no ka hoʻokolokolo ʻana) a i ʻole e hoʻokomo i nā ʻōmole i loko o nā ʻauwai bile i ālai ʻia a i ʻole nā ​​​​ala mimi.

3. He aha ka Radiation Oncology?

Ke ʻōlelo nei mākou e pili ana kekahi mau ʻano hana kiʻi i ka radiation. Eia nō naʻe, i ka wā e hoʻohana ʻia ai no ka hōʻoia ʻana, ʻaʻole hiki ke hoʻohana ʻia kēlā radiation e mālama i nā maʻi. Eia nō naʻe, aia nā loea i kapa ʻia ʻo Radiation Oncologists e hana i ka radiation therapy.Hoʻohana ʻia ia e mālama i ka maʻi kanesa a me kekahi mau kūlana ʻaʻole kanesa (benign).

ʻO ka radiation therapy kahi lāʻau lapaʻau no ka maʻi kanesa e hoʻohana ana i nā kukuna ikehu ikaika, e like me nā kukuna X a i ʻole nā ​​ʻano radiation ʻē aʻe, e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana a me ka māhele ʻana. Hana ia ma ka hōʻino ʻana i ka DNA o nā hunaola kanesa.

ʻO kēia mau kauka oncologists radiation ka poʻe e hoʻolālā a hoʻoholo i nā dosis kūpono o ka radiation no kēlā me kēia ʻano maʻi kanesa, pehea e hoʻonui ai i ka hopena ma nā cell cancer me ka hoʻēmi ʻana i ka hōʻino ʻana i nā cell olakino. Ua ʻike pū lākou i ka lāʻau lapaʻau maikaʻi loa no kou ʻano maʻi kanesa, ke ʻano o ke kanesa, a me kou olakino holoʻokoʻa.

He mau kauka Radiologists anei?

ʻAe, ʻoiaʻiʻo nō! He mau kauka nā radiologists. Ua pau nā radiologists laikini āpau i ke kula lapaʻau a loaʻa iā lākou ke kēkelē lapaʻau, he Kauka Lapaʻau (MD) a i ʻole he Kauka Lapaʻau Osteopathic (DO) . No laila, loaʻa iā lākou ka ʻike lapaʻau hohonu e pili ana i ke kino a me nā maʻi.

He aha ka ʻokoʻa ma waena o kahi Radiologist a me kahi Radiologic Technologist?

He wahi kēia e huikau ai nā kānaka he nui. Akā, he ʻokoʻa kēia mau mea ʻelua, a he ʻokoʻa ko lāua kūlana.

• He kauka i aʻo ʻia ka radiologist e heluhelu a wehewehe , ʻo ia hoʻi, e kālailai, i kēlā mau kiʻi scan a hāʻawi i kahi hōʻailona .
• ʻO ke Radiologic Technologist , i kapa ʻia kekahi manawa he Radiographer , he loea lapaʻau e hana i nā scan.

I ka ʻōlelo maʻalahi, ke hele ʻoe e kiʻi i kahi X-ray, ʻo ka radiologist ka mea nāna ʻoe e hoʻonoho pono, hoʻā i ka mīkini, a lawe i ka X-ray. Kōkua ʻo ia iā ʻoe e ʻoluʻolu, a hōʻoia ʻo ia he kiʻekiʻe ke ʻano o nā kiʻi. Eia naʻe, ʻaʻole ʻo ia e nānā i nā kiʻi a haʻi iā ʻoe i ka mea āu e pilikia nei. ʻAʻole ia kāna hana.

Nānā ke kauka radiology i ke kiʻi, hoʻoholo inā he maʻi kou ma muli o nā mea i loko, a kākau i kahi hōʻike e pili ana i ia mea. Maopopo iā ʻoe ka ʻokoʻa? He mea nui nā mea ʻelua, akā ʻokoʻa kā lāua mau hana.

No laila he aha ka hana a kahi radiologist?

Aia kekahi mau hana koʻikoʻi a kahi radiologist e hana ai. He mau kuleana paʻakikī loa kēia.

• Ke nānā hou nei i kāu mōʻaukala olakino e loiloi ai inā e hōʻeha ka hoʻāʻo kiʻi iā ʻoe. Eia kekahi laʻana, inā he mau maʻi allergies kāu i kekahi mea.Inā pēlā, ʻaʻole kūpono paha iā ʻoe kahi ʻano kala hoʻohālikelike i hoʻohana ʻia no kekahi mau scan.
• ʻO ka wehewehe ʻana i nā hopena o nā hoʻokolohua kiʻi lapaʻau ka mea e pono ai ko lākou akamai.
• Ke hoʻohālikelike nei i nā ʻike mai kēlā mau hoʻokolohua kiʻi me nā hoʻokolohua ʻē aʻe āu i loaʻa ai.
• Ke kūkākūkā ʻana me kāu mea mālama ola e kuhikuhi nei e kōkua iā ʻoe e koho i ka hoʻāʻo kiʻi e kūpono loa iā ʻoe, a me ke kōkua ʻana iā ʻoe e hoʻoholo e pili ana i kāu lāʻau lapaʻau e hiki mai ana ma muli o nā hopena o ka hoʻāʻo.
• Ke kākau ʻana i nā hōʻike e komo pū ana me nā hopena a me nā hōʻailona. ʻO kēia hōʻike ka mea āu e hoʻouna ai i kāu kauka.
• Inā pono, e paipai ana i nā hoʻokolohua a i ʻole nā ​​​​lāʻau lapaʻau hou aʻe.
• Ke mālama ʻana i nā maʻi me ka hoʻohana ʻana i ka radiation (hana ʻia kēia ma `(Radiation Oncology)`) a i ʻole ka hana ʻana i nā lāʻau lapaʻau i alakaʻi ʻia e ke kiʻi (hana ʻia kēia ma `(Interventional Radiology)`).
• Ke kuhikuhi ʻana i nā limahana radiology e hana i nā hoʻokolohua kiʻi a i ʻole e hana i kekahi mau hoʻokolohua iā lākou iho (ʻoi aku hoʻi ma nā wahi e like me Interventional Radiology).

Pono ʻoe e hele i ke kula lapaʻau e lilo i radiologist?

ʻAe, ʻoiaʻiʻo nō. E like me kaʻu i ʻōlelo ai ma mua, ua hele nā ​​​​radiologist laikini āpau i ke kula lapaʻau a puka i ke kula. He hōʻoia kumu kēlā.

Pehea e lilo ai kekahi i radiologist?

ʻAʻole he huakaʻi maʻalahi ka lilo ʻana i radiologist. Pono ia i ka nui o ka hoʻolaʻa, ka manawa, a me ka hoʻonaʻauao. E nānā i kēia mau ʻanuʻu:

1. ʻO ka mea mua, pono ʻoe e hoʻopau i kahi hoʻonaʻauao pre-medical a me ke kēkelē laepua mai ke kulanui a koleke paha.

2. A laila pono ʻoe e kiʻi i ke kēkelē lapaʻau mai kahi kula lapaʻau i ʻae ʻia (ma kahi o 4-5 mau makahiki).

3. Pono ʻoe e hala i ka hoʻokolohua laikini lapaʻau (no ka laʻana, ma ʻAmelika Hui Pū ʻIa, ka United States Medical Licensing Examination - USMLE).

4. A laila, pono lākou e hoʻopau i ka liʻiliʻi he ʻehā mau makahiki o ke aʻo ʻana ma ka radiology. I loko o kēia manawa e loaʻa ai iā lākou ka hoʻomaʻamaʻa kūpono ma nā ʻano like ʻole o ka radiology.

A laila hoʻopau ka nui o nā radiologists i hoʻokahi a ʻelua paha makahiki o ke aʻo kūikawā (fellowship) , kahi e hiki ai iā lākou ke loaʻa ka ʻike hohonu a me nā mākau i loko o kahi subspecialty o ka radiology. ʻO kekahi mau laʻana:

• ʻO ka oncology radiation
• Radiology pediatric (ʻo ia hoʻi, pili i nā maʻi o nā keiki)
• Radiology hana komo
• Kiʻi umauma
• ʻO ka radiology cardiovascular (nā kīʻaha puʻuwai a me ke koko)
• Neuroradiology (lolo, kaula kuamoʻo, nā aʻalolo)
• Lāʻau lapaʻau nukelea

Pehea ka lōʻihi e lilo ai i radiologist?

ʻO ka maʻamau , he 13 mau makahiki e lilo ai i radiologist. Hoʻokomo pū ʻia kēia:

• Hoʻonaʻauao ma mua o ke kēkelē (3-4 mau makahiki)
• Kula Lapaʻau (4-5 mau makahiki)
• ʻEhā mau makahiki o ke aʻo ʻana no ka noho ʻana
• Hoʻokahi a ʻelua paha mau makahiki o ke aʻo kūikawā (ʻoiai ʻaʻole kēia he mea koi, nui ka poʻe e hana)

No laila hiki iā ʻoe ke ʻike i ka lōʻihi a me ka hoʻolaʻa ʻia o kēia huakaʻi. ʻO ia ke kumu i loaʻa ai i nā radiologists ka ʻike loea e nānā i kāu mau scan a loaʻa ka ʻike koʻikoʻi. Ua like lākou me nā "mākau ʻike" o ke kahua lapaʻau.

ʻO ka mea hope loa, he leka hoʻokipa liʻiliʻi na ʻoukou.

E noʻonoʻo ʻoe he kānalua kou no kekahi maʻi, a i ʻole pono ʻoe e hana i kahi scan ma ke ʻano he hoʻāʻo. He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i kēlā manawa. Akā e hoʻomanaʻo, aia kekahi kanaka nona ka ʻike kūikawā a me ke aʻo ʻana e nānā i kāu mau kiʻi scan a heluhelu pololei i nā hopena. ʻO ia ka radiologist .

E hoʻomākaukau lākou i kahi hōʻike kikoʻī o kāu mau hopena hoʻāʻo a hoʻouna aku i kāu kauka lapaʻau a i ʻole ka hui lapaʻau. A laila wale nō e hoʻoholo ai lākou i ka lāʻau lapaʻau kūpono loa iā ʻoe.

ʻO ka mea nui loa, inā he mau nīnau kāu e pili ana i kāu mau hopena hoʻāʻo, mai makaʻu e nīnau i kāu kauka. Loaʻa iā ʻoe nā kuleana āpau e ʻike e pili ana i kou olakino. ʻAʻole paha e hālāwai pololei ka radiologist me ʻoe, akā he lālā koʻikoʻi loa lākou o kāu hui mālama ola.

ʻO ke kauka radiology, nā scans, nā diagnostics, nā scans CT, nā scans MRI, nā kukuna X, ka radiation therapy