Ua noi ʻia hoʻi ʻoe e hana i kahi scan MRCP? (Magnetic Resonance Cholangiopancreatography) E aʻo kākou e pili ana i kēia me ka maʻalahi!

Inā paha no ka ʻeha ʻōpū iki kou a i ʻole no kou manaʻo he pilikia kou me kou pancreas a i ʻole ka gallbladder, ua noi paha kāu kauka iā ʻoe e hana i kahi scan i kapa ʻia ʻo MRCP. He mea paʻakikī paha kēia inoa. Akā, mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana.

He aha ka MRCP? He aha kāna mea e nānā ai?

I ka ʻōlelo maʻalahi, he scan MRI kūikawā ka MRCP e nānā ana i kāu pancreas a me ka ʻōnaehana biliary, a i ʻole nā ​​​​​​ducts bile. Hoʻokomo ʻia kahi laina IV liʻiliʻi i loko o kou aa a hoʻokomo ʻia kahi wai kūikawā i kapa ʻia he contrast agent i loko o kou kino. ʻAe kēia wai i ka mīkini MRI e ʻike maopopo i kāu pancreas, gallbladder, a me nā ducts e pili ana iā lākou. Ua like ia me ka hoʻomālamalama ʻana i kahi kukui uila i loko o kahi lumi pouli. Hoʻohana nā kauka i kēia mau kiʻi maopopo e hoʻoholo pono i kou kūlana a hoʻolālā i kāu lāʻau lapaʻau.

He aha nā maʻi e hiki ke ʻike ʻia me ka nānā ʻana o ka MRCP?

Inā loaʻa iā ʻoe ka ʻeha ʻōpū mau loa a wehewehe ʻole ʻia, hiki i kāu kauka ke paipai i kahi MRCP. Hiki i kēia scan kūikawā (contrast MRI) ke kōkua i ka ʻike ʻana i nā kūlana e like me:

• Nā kūlana e like me ke kanesa o ka ʻaʻa bile (cholangiocarcinoma).
• Inā he mau pōhaku a he cysts paha i loko o nā ʻauwai bile.
• Ua ālai ʻia a ua ʻūmiʻi paha ke ala bile (biliary stricture)?
• Inā paha ua ālai ʻia, ua hoʻohaiki ʻia, a ua hoʻonui ʻia paha nā ala pancreatic.
• Ua hoʻonui ʻia nā ʻauwai bile?
• Aia nā pōhaku ʻōpū?
• Nā maʻi e like me ka pancreatitis a i ʻole cholecystitis.
• Aia kekahi maʻi ʻaʻai pancreatic?
• Inā he mau cysts pancreatic a me nā pseudocysts i loko o ka pancreas.

E noʻonoʻo wale, i kekahi manawa ke hiki ʻole iā ʻoe ke ʻike pono i ke kumu o ka ʻeha o kou ʻōpū, ʻo ke scan e like me kēia ua like ia me ke kukui ʻana i kahi kūpono.

ʻO wai ka mea e hana i ka hoʻāʻo MRCP? Ma hea e hana ʻia ai?

Hana pinepine ʻia kēia hoʻāʻo `(MRCP)` e kahi loea radiology . Eia kekahi, aia kekahi kauka loea i ka lawe ʻana i nā kiʻi lapaʻau, i kapa ʻia he radiologist , i ka wā o ka hoʻāʻo a nānā i nā kiʻi ma hope o ka hoʻāʻo a hoʻomākaukau i ka hōʻike. ʻO ka `(MRCP)` kahi hoʻāʻo maʻamau i hiki ke hana ʻia ma ka ʻoihana outpatient o kahi haukapila a i ʻole keʻena lapaʻau. ʻO ke ʻano kēia hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka hoʻāʻo.

He aha nā ʻano scanner MRI i hoʻohana ʻia no MRCP?

Hoʻohana ʻia nā ʻano scanner MRI like ʻole ma nā haukapila a me nā keʻena lapaʻau like ʻole. ʻElua ʻano nui:

• `(MRI pani ʻia)`:Ma kēia, moe ʻoe ma luna o kahi papa hoʻokolokolo, kahi i hoʻonohonoho ʻia i ke ʻano e komo ai i loko o kahi ʻōmole nui i like me ke ʻano o ka cylinder. Aia kahi magnet ikaika a puni kēia ʻōmole. Hele kou poʻo a me kou ʻōpū i loko o kēia ʻōmole. Eia nō naʻe, i loko o kekahi o nā mīkini "MRI pani ʻia", ua hoʻonui iki ʻia ka puka o kēia ʻōmole ("MRI ākea"), no laila ʻaʻole ia e like me ka wā ma mua.
• MRI hāmama: Loaʻa i kēia ʻano mīkini nānā MRI nā magnet ma luna a ma lalo ou. ʻOiai ua hāmama lākou ma nā ʻaoʻao ʻelua, he mea kūpono loa ia no ka poʻe makaʻu i nā wahi paʻa, ʻo ia hoʻi ka poʻe i loaʻa i ka claustrophobia. He koho maikaʻi nō hoʻi ia no ka poʻe ʻoluʻolu ʻole i ka noho ʻana i nā wahi paʻa no nā kumu olakino ʻē aʻe.

Inā loaʻa iā ʻoe kahi maʻi e like me ka "claustrophobia", e haʻi mua i kāu kauka e pili ana i ia mea. A laila e kōkua lākou iā ʻoe e koho i ka scanner kūpono loa nāu.

Pehea e hoʻomākaukau ai ma mua o kahi MRCP?

He mea nui loa ia e hahai pono i nā kuhikuhi a kāu kauka ma mua o ka hoʻāʻo MRCP. ʻO ka maʻamau, ʻo ia kēia mau mea:

• E hoʻokē ʻai (ʻaʻole e ʻai a inu paha) no kekahi mau hola ma mua o ka hoʻāʻo. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻai a inu paha i kekahi mea mai ka manawa a kāu kauka e ʻōlelo ai iā ʻoe.
• Inā hāʻawi ʻia ʻoe i ka lāʻau hoʻomālielie i ka wā o ka hoʻāʻo ʻana, e hoʻokele kekahi ʻohana a hoaaloha paha iā ʻoe i ka home ma hope o ka hoʻāʻo ʻana, no ka mea, hiki i nā hopena o ka lāʻau ke paʻakikī iā ʻoe ke hoʻokele.
• Inā loaʻa iā ʻoe kekahi mau mea hao i hoʻokomo ʻia (no ka laʻana, ke pani hui, ka pacemaker, ka implant cochlear), pono ʻoe e hoʻomaopopo i kāu kauka e pili ana iā lākou ma mua.
• Pono ʻoe e wehe i nā mea hao āu e ʻaʻahu nei. ʻO kēia hoʻi nā mea hoʻonani e like me nā apo pepeiao, nā lei, nā apo (ʻoiai nā mea me nā piercings), nā mea kōkua hoʻolohe, a me nā niho wahaheʻe. ʻO kēia no ka mea hiki i ka magnet ikaika i loko o ka mīkini MRI ke huki i kēia mau mea hao.
• Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), nā huaora, a me nā mea hoʻohui lāʻau lapaʻau, no kekahi mau lā ma mua o ka hoʻāʻo ʻana. E nīnau pū i kāu kauka e pili ana i kēia.
• Inā loaʻa iā ʻoe ka claustrophobia, hiki ke hāʻawi ʻia iā ʻoe kahi sedative a i ʻole kahi intravenous (IV) sedative. Hiki ke kuhikuhi ʻia iā ʻoe e pani i kou mau maka i ka wā o ke scan.
• Inā loaʻa iā ʻoe nā maʻi e like me ka hay fever (allergic rhinitis), ka hānō, nā maʻi ʻaʻai, a i ʻole urticaria, e haʻi pū i kāu kauka e pili ana iā lākou. No ka mea, ʻoi aku ka nui o ka poʻe e like me kēia e loaʻa i kahi hopena maʻi iki i ka dye contrast i ʻōlelo ʻia ma mua. Akā, mai hopohopo, ua mākaukau nā kauka no kēlā.

E hoʻomanaʻo, no kou palekana kēia a no ka hōʻoia ʻana i ka pololei o ka hoʻāʻo. No laila e hahai pono i nā kuhikuhi.

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

I ka wā o ka hoʻāʻo MRCP, e hana ka hui lapaʻau:

• ʻO ka mea mua, e hāʻawi ʻia ʻoe i nā pani pepeiao a i ʻole nā ​​​​headphone e hōʻemi i ka walaʻau mai ka scanner a pale i kou mau pepeiao. Akā e hiki iā ʻoe ke lohe i ka mea a ka hui lapaʻau e ʻōlelo nei.
• A laila, e kau ʻia ʻoe ma luna o kahi papa hoʻokolokolo me kou mau lima e kū pono ana i luna. Inā ʻaʻole hiki iā ʻoe ke moe pono, e hoʻohana ʻia nā kaula a me nā kākoʻo e kōkua iā ʻoe e noho ma ia kūlana, inā pono.
• Aia kekahi mau mea wili kūikawā a puni kou kino e hiki ke hoʻouna a loaʻa i nā nalu lekiō.
• A laila, hoʻokomo ʻia ka dye IV i loko o ke aʻa. Hiki paha iā ʻoe ke manaʻo i kahi anuanu iki i kēlā manawa. He mea maʻamau kēia.
• A laila, e hoʻouna nā pihi hoʻomalu iā ʻoe i ka papa hoʻokolokolo a i loko o ka ʻōmole "Closed-bore MRI" (a inā ʻoe ma ka moena "Open-bore", e hoʻomaka ka hoʻokolokolo ma ke ʻano like).
• Haʻalele ke loea i ka lumi, akā hiki iā ia ke ʻike iā ʻoe ma o ka puka makani a ua pili ʻo ia iā ʻoe ma o kahi ʻōnaehana intercom ʻelua ala.
• A laila hoʻomaka ka MRI scan e lawe i kekahi mau kiʻi. Hiki iā ʻoe ke manaʻo i kahi mehana iki i kēia manawa. He mea maʻamau kēia. ʻO ka mea nui loa, ʻo ia kou noho mālie ʻana i ka wā e lawe ana ka scanner i nā kiʻi, a e noi ʻia paha ʻoe e paʻa i kou hanu no kekahi manawa. E kōkua kēia i ka loaʻa ʻana o nā kiʻi maopopo.

Mai hopohopo, e wehewehe ke loea i nā mea āpau iā ʻoe, a hiki iā ʻoe ke haʻi mai iā mākou inā manaʻo ʻoe i kekahi ʻano ʻoluʻolu ʻole.

ʻEhia ka lōʻihi o ka hana ʻana o kahi MRCP?

ʻO ka maʻamau, he 15 mau minuke ka lōʻihi o ke kiʻi ʻana o ka MRCP. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kahi MRI maʻamau o ka ʻōpū i ka manawa like. I kēlā hihia, hiki ke hala ma kahi o 30 mau minuke hou aku.

He aha ka mea e hana ma hope o ka MRCP?

Inā maikaʻi kou mau hōʻailona ola a ua hāʻawi ʻia ʻoe i kahi mea hoʻomaha, hiki iā ʻoe ke hoʻi i ka home ma hope o ka pau ʻana o nā hopena. He mea kākaʻikahi loa nā hopena ʻaoʻao mai ka dye a i ʻole ka hoʻāʻo. Eia nō naʻe, inā manaʻo ʻoe i ka luaʻi, loaʻa ka ʻeha poʻo, a i ʻole he mau hōʻailona o kahi hopena allergies, pono ʻoe e haʻi i ka hui lapaʻau. Na kekahi e hoʻokele iā ʻoe i ka home ma hope o ka hoʻāʻo. Hiki iā ʻoe ke ʻai a inu maʻamau ma hope o kou hoʻi ʻana i ka home.

He aha nā pōmaikaʻi o ka hoʻāʻo ʻana o MRCP?

Hoʻopuka kēia hoʻāʻo kūikawā `(contrast MRI)` i nā kiʻi maopopo loa a kikoʻī o kou mau kino a me nā kīʻaha koko me ka hoʻohana ʻole ʻana i kekahi `(X-ray radiation).`Loaʻa. Hoʻohana ʻia kahi scanner MRI no MRCP. Hoʻokumu kēia i kahi kahua magnetic ikaika loa a hoʻohana i nā nalu radiofrequency a me ka ʻenehana kamepiula e hana i nā kiʻi. ʻO nā nalu radio i hoʻohana ʻia no MRI ua like ia me nā nalu radio FM āu e lohe ai i loko o kāu kaʻa. ʻO ke ʻano kēia , ʻaʻohe ʻike ʻia i ka radiation. He pōmaikaʻi nui kēia.

Aia kekahi mau pilikia me MRCP?

He hana palekana ka MRCP. Eia nō naʻe, aia kekahi mau pilikia e hiki ke hana pinepine ʻole ʻia:

• ʻO ka hopena alerike: He mea kākaʻikahi loa ka loaʻa ʻana o kahi hopena alerike koʻikoʻi, e like me ka anaphylaxis, i ka mea hoʻohālikelike IV, ʻo ia ka dye i hoʻohana ʻia ma MRCP. Hana ʻia kēia dye me ka hoʻohana ʻana i kahi mea i kapa ʻia ʻo gadolinium. ʻOi aku ka liʻiliʻi o ka hana ʻana o Gadolinium i kahi hopena alerike ma mua o ka iodine.
• Claustrophobia: ʻO ka noho ʻana i loko o kahi paʻa, e like me ka mīkini scan MRI, hiki ke paʻakikī loa, inā ʻaʻole hiki ʻole, no kekahi me ka claustrophobia. Ua manaʻo ʻia aia ma kahi o hoʻokahi o ka ʻewalu mau kānaka i loaʻa kēia makaʻu. No laila, ʻike nui nā kauka e hana ana i nā MRCP i kēia. Inā loaʻa iā ʻoe kēia makaʻu, e hāʻawi lākou iā ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e noho mālie i ka wā o ka hoʻāʻo.

ʻO wai ka mea pono ʻole ke loaʻa iā MRCP?

Ma hope o ka MRCP, kānana kou mau puʻupaʻa i ka waihoʻoluʻu mai kou kino. Eia nō naʻe, ua hōʻike ʻia nā noiʻi e hiki i kahi liʻiliʻi o ka waihoʻoluʻu ke noho i loko o kou kino no nā mahina, a hiki i nā makahiki. ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao. Eia nō naʻe, ʻaʻole hiki i ka poʻe me ka maʻi puʻupaʻa a i ʻole ka hāʻule ʻana o ka puʻupaʻa ke loaʻa i ka MRCP. Eia kekahi, inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai i loko o ka makahiki aʻe, ʻaʻole ia he manaʻo maikaʻi e loaʻa i ka MRCP. E kamaʻilio me kāu kauka e pili ana i kēia.

Āhea wau e loaʻa ai ka hōʻike hoʻāʻo?

E nānā ke kauka radiology i nā kiʻi i scan ʻia a hoʻouna i ka hōʻike i kāu kauka. Hiki ke hala i hoʻokahi a ʻelua paha pule no ke kauka e loaʻa ai ka hōʻike. A laila e kamaʻilio ʻo ia me ʻoe e pili ana i ka hōʻike. Ma muli o ka ʻike i loko o ka hōʻike, pono paha ʻoe i ke ʻoki kino a i ʻole kekahi lāʻau ʻē aʻe.

Āhea wau e ʻike ai i ke kauka? (Ma hope o ka hoʻokolokolo ʻana)

Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi allergies, e like me ka hives, ma hope o kou hoʻi ʻana i ka home, a inā ʻoi aku ka ʻino o nā hōʻailona, ​​​​e like me ka ʻeha o ka ʻōpū, pono ʻoe e kāhea koke i kāu kauka.

He aha ka ʻokoʻa ma waena o ERCP a me MRCP?

Nānā like ʻo Endoscopic Retrograde Cholangiopancreatography (ERCP) a me MRCP i nā pilikia like i loko o ka pancreas a me ka ʻōnaehana biliary. Eia nō naʻe,He hana ʻoi aku ka invasive o ka ERCP ma mua o ka MRCP a koi ʻia ka anesthesia. He mau kauka loea nā Gastroenterologists i ka ʻōnaehana hoʻoheheʻe.

Eia ka mea e hana ʻia i ka wā o kahi ERCP:

• Hoʻokomo ke kauka i kahi ʻōmole palupalu (endoscope) i lako me kahi kāmela a me ka mālamalama ma o kou waha, ma o kou esophagus, a i loko o kou ʻōpū liʻiliʻi.
• A laila, ma o ka endoscope, ua hoʻokomo ʻia kekahi ʻōmole lahilahi a palupalu (catheter) i loko o nā ʻāpana bile a me nā ʻāpana pancreatic.
• Hoʻokomo ʻia kahi kala ma o kēlā catheter.
• A laila, me ka hoʻohana ʻana i nā kiʻi X-ray e neʻe ana (fluoroscopy), nānā ʻia ka dye i kona neʻe ʻana ma o nā ʻōmole.

Hiki ke hana ʻia kahi ERCP i ka manawa like me ka endoscopy luna. ʻO ka mea nui, hiki i ke kauka ke hana i kekahi mau lāʻau lapaʻau i ka wā o ka ERCP. No ka laʻana, hiki iā ia ke wāwahi i nā pōhaku, kau i nā stent e wehe i nā ducts i ālai ʻia, a lawe paha i nā laʻana ʻiʻo no ka hoʻokolokolo ʻana. ʻAʻole hiki ke hana ʻia kēia mau mea me kahi MRCP. ʻO ka MRCP kahi hoʻāʻo diagnostic ma ke ʻano nui.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki ke hoʻonāukiuki ka ʻike ʻole i ka mea e hana nei i loko o kou kino. Eia nō naʻe, hiki i kahi hoʻokolohua e like me ka MRCP ke hāʻawi iā ʻoe i kahi pane maopopo. He MRI haʻahaʻa kēia. Hiki iā ia ke kōkua i kāu kauka e ʻike i nā pilikia he nui, e like me ka pancreatitis, ka maʻi ʻaʻai pancreatic, a me nā gallstones. Aia nā ʻano scanner MRI like ʻole, ma muli o kāu mau pono a me nā makemake. Ma hope o kou loaʻa ʻana o ka hōʻike hoʻāʻo, e kamaʻilio kāu kauka me ʻoe e pili ana i ka mea e hana ai ma muli o ka ʻike i loko o ka hōʻike.

No laila, inā ua noi ʻia ʻoe e loaʻa i kahi MRCP, mai makaʻu pono ʻole iā ia. He ʻanuʻu koʻikoʻi kēia i ka hoʻomaopopo ʻana i kou kūlana olakino a me ka loaʻa ʻana o ka lāʻau kūpono. E nīnau i kāu kauka i nā nīnau a hopohopo paha āu e loaʻa ai.

MRCP , MRI, pancreas, gallbladder, bile ducts, scan, radiology