Ua ʻike anei ʻoe i ka hoʻāʻo MRI umauma? E kamaʻilio kākou e pili ana i nā kikoʻī!

Ua lohe paha ʻoe i ka huaʻōlelo 'Breast MRI'. A i ʻole ua haʻi aku kekahi kauka iā ʻoe e hana i kēia hoʻāʻo. He aha maoli ka MRI umauma (Magnetic Resonance Imaging)? I ka ʻōlelo maʻalahi, he hoʻāʻo ia e lawe i nā kiʻi o loko o kou kino. Akā, ʻaʻole ia e hoʻohana i nā kukuna X. Akā, hoʻohana ia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi kikoʻī a maopopo loa o kou ʻiʻo umauma. Hiki i kāu kauka ke hoʻohana i kahi 'Breast MRI' me kahi 'Mammogram' e nānā i ka maʻi ʻaʻai umauma. A i ʻole e hoʻohana paha lākou i kahi 'biopsy' e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo umauma e ʻike ai inā he maʻi ʻaʻai a i ʻole pehea ka mamao o ka laha ʻana o ke kanesa.

No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kahi MRI umauma?

Aia kekahi mau kumu e noi ai kāu kauka iā ʻoe e hana i kēia hoʻāʻo. E nānā kākou i ke ʻano o lākou:

• Inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma (ʻo ia hoʻi, inā ua loaʻa i kekahi o kou ʻohana, a inā he mau hoʻololi genetic kou e like me BRCA1 a i ʻole BRCA2), e noi ʻia paha ʻoe e hana i kēia me kāu mammogram maʻamau.
• Inā he ʻiʻo mānoanoa ('ū paʻa') kou mau umauma, he mea nui paha kēia ma ke ʻano he hoʻāʻo hou aku.
• No kekahi mea i ʻike hou ʻia me ka maʻi ʻaʻai umauma, e loiloi pono i ka mamao o ka laha ʻana o ke kanesa .
• E ʻike hou aʻe e pili ana i nā ʻano ʻē o ka umauma i paʻakikī ke ʻike pololei me ka mammogram a i ʻole ka ultrasound umauma.
• E nānā e ʻike inā ua pahū nā mea hoʻokomo umauma (e like me ka cylinder), a inā paha he maʻi kanesa kekahi me nā mea hoʻokomo.

Ke hoʻokomo nei ʻoe i kahi wai kūikawā (contrast dye) no kēia?

ʻAe, i ka hapa nui o ka manawa, hoʻohana ʻia kahi kala hoʻohālikelike no kēia hoʻāʻo `Breast MRI`. Ua kapa ʻia kēia ʻo `Gadolinium`. Hāʻawi ʻia kēia iā ʻoe ma o kahi laina `IV` liʻiliʻi i loko o kahi aʻa koko ma kou lima. ʻAe kēia i ka `Radiologist`, he radiologist, e ʻike maopopo i ka mea maʻamau a me ka mea ʻē i loko o kou mau umauma. He ʻokoʻa kēia mai ka `contrast dye` i hoʻohana ʻia no ka `CT scan` (`Computed Tomography scan`), ʻeā?

He aha ka pilina ma waena o ka MRI o ka umauma a me ke kanesa o ka umauma?

Ma hope o ka ʻike ʻia ʻana he maʻi ʻaʻai umauma, ʻōlelo pinepine nā kauka i kahi `Breast MRI` e aʻo hou aʻe e pili ana i ia mea. Eia nā mea ʻē aʻe e hiki ke ʻike ʻia:

• Pehea ka mamao i laha ai ke kanesa? ʻO ia hoʻi inā ua pālahalaha i ka nipple, ka ʻili, a i ʻole nā ​​​​​​ʻiʻo umauma ma lalo.
• E nānā i nā wahi maʻi ʻaʻai ʻē aʻe a i ʻole nā ​​​​ʻiʻo ʻē aʻe i loko o ka umauma. Hiki ke loaʻa nā puʻupuʻu liʻiliʻi (nā ʻeha) i ʻike ʻole ʻia ma ka mammogram me kahi MRI.
• E nānā i nā kiko lymph i loko o kou ʻāʻī no ka hoʻonui ʻia. Inā ua hoʻonui ʻia lākou, he hōʻailona paha kēia ua laha ka maʻi kanesa (metastasized) i kēlā wahi.
• Kōkua nō hoʻi kēia i ka ʻike ʻana i ka hopena o nā lāʻau lapaʻau maʻi ʻaʻai umauma, ʻoiai ka chemotherapy, i hāʻawi ʻia e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana.

ʻO kekahi mea ʻē aʻe, hiki i ka 'Breast MRI' ke kōkua i ka ʻike ʻana i ke kūlana o nā wahi lumpectomy i kekahi mau makahiki ma hope o ka mālama ʻana no ka maʻi ʻaʻai umauma. No ka mea, i kekahi manawa hiki i ka 'Mammogram' a me ka 'Ultrasound' ke like like, inā paha ua hoʻi mai kahi ʻeha a i ʻole ke kanesa.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka MRI umauma?

He manaʻo maikaʻi anei e haʻi aku i kāu Radiologist a Radiology Technologist paha i kēia mau mea ma mua o kāu MRI umauma?

• ʻAʻohe pilikia inā hāpai ʻoe a hānai waiū paha . No ka mea, inā hāpai ʻoe, ʻaʻole hiki iā ʻoe ke hana i kahi MRI me ka dye contrast. Hiki i ka hānai waiū ke hoʻopilikia i nā kiʻi MRI.
• Inā paʻakikī ke moe i lalo ma kou ʻōpū no 30 a 60 mau minuke.
• Inā ua loaʻa iā ʻoe kahi hopena alerika i kahi kala hoʻohālikelike ma mua.
• Inā loaʻa iā ʻoe ka makaʻu i nā wahi paʻa (claustrophobia), i kekahi manawa e hāʻawi ʻia ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha ma mua o ka hoʻāʻo.

Eia kekahi, inā he mau mea hao a mea lapaʻau paha i hoʻokomo ʻia i loko o kou kino, pono ʻoe e haʻi i kāu kauka a me MRI Technologist e pili ana iā lākou. E nānā i kēia mau mea:

• ʻO kahi pacemaker a i ʻole defibrillator paha.
• Nā mea hoʻoulu uila/hoʻokomo ʻia a i ʻole nā ​​​​mea hana, e like me ka mea hoʻoulu aʻalolo vagus.
• He implant cochlear a i ʻole nā ​​implant pepeiao ʻē aʻe.
• Nā ʻūmiʻi a me nā ʻōwili o ka aneurysm.
• ʻAʻole nā ​​​​stent i loko o ka puʻuwai.
• Nā kānana, no ka laʻana nā kānana ʻaʻa koko.
• Nā ʻāpana metala i loko o ke kino a i ʻole nā ​​maka (e like me nā pōkā, nā ʻāpana metala, ka pauka hao).

ʻAʻole hiki ke hoʻohana ʻia kēia mau mea hana i ka manawa like me ka MRI:

• He mea hana e ana mau ana i nā pae kō koko (`Continuous glucose monitor (CGM)`).
• ʻO ka `pamu insulin`.
• Nā pāpili lāʻau lapaʻau (e like me nā pāpili kaohi hānau, nā pāpili nicotine).

Inā ʻoe e hoʻohana ana i kēia ʻano lako, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea a nīnau i kā lākou mea e hana ai no ka MRI.

He aha ka mea e hana ʻia i ka wā o ka MRI umauma?

Eia kekahi mau mea e manaʻo ai i ka wā e hana ai i kahi MRI umauma:

• Pono ʻoe e komo i ka ʻaʻahu haukapila.
• Inā loaʻa iā ʻoe kahi MRI, ʻaʻole e nānā no kahi implant umauma, e kau ʻia kahi laina IV i loko o kahi aʻa koko i kou lima e hoʻokomo i ka dye ʻokoʻa i ka wā o ka hoʻāʻo.
• E moe ana ʻoe i lalo ma luna o kahi papa ʻaina me nā lua i hana ʻia e kūpono i kou mau umauma. E kōkua ka mea loea iā ʻoe e hoʻonoho pono iā ʻoe iho. Inā loaʻa iā ʻoe kekahi pilikia, e haʻi iā lākou, ʻae?
• A laila e hoʻokomo ke kanaka loea i ka magnet i loko o ka mīkini MRI. E lawe ʻo ia i nā kiʻi mai kahi kamepiula ma kahi lumi ʻokoʻa, ʻoiai e nānā ana iā ʻoe ma ka puka makani. Hiki iā ʻoe ke kamaʻilio pū me ke kanaka loea ma o kahi intercom inā makemake ʻoe.
• Ke kiʻi nei ka mīkini i nā kiʻi, he mea nui loa ia e noho mālie e like me ka hiki ke hōʻoia i ka maopopo o nā kiʻi a ʻaʻole hoʻi e blurry. Hoʻopuka ka mīkini MRI i kahi leo kaomi nui i loko o ka hoʻāʻo holoʻokoʻa. ʻO ke ʻano kēia e hana pono ana ka mīkini. E hāʻawi ʻia ʻoe i nā pani pepeiao e hoʻokomo i loko o kou mau pepeiao e uhi i ka walaʻau.
• Inā koi kāu MRI i ka dye contrast, e hoʻokomo ke kanaka ʻenehana iā ia ma hope o ka lawe ʻia ʻana o nā kiʻi mua. A laila, e lawe ʻia nā kiʻi hou aʻe i ka wā e hoʻokomo ʻia ai ka dye a i ʻole ma hope o ka pau ʻana o ka hoʻokomo ʻana.
• Ke pau ka hoʻāʻo ʻana, e noi aku ke kauka radiology iā ʻoe e kali iki a nānā ʻo ia i nā kiʻi, a e nīnau paha inā pono nā kiʻi hou aku.
• Ma hope o ka lawe ʻana i nā kiʻi lawa, e wehe ke Technologist i kāu laina IV a kau i kahi kāʻei liʻiliʻi ma luna o ka wahi. A laila ua pau ka hoʻāʻo.

Ma hope o ka hana ʻana i ka MRI umauma?

Ma hope o kāu MRI umauma, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi biopsy umauma MRI, ʻo ia hoʻi ka lawe ʻana i kahi ʻāpana ʻiʻo mai ka MRI, pono ʻoe e hahai pololei i nā ʻōlelo a kāu kauka. E like me ka mea i ʻōlelo ʻia ma mua, inā ua lawe ʻoe i kahi mea hoʻomaha ma mua o ka hoʻāʻo ʻana, pono ʻoe e loaʻa i kekahi e lawe iā ʻoe i ka home.

ʻEhia ka lōʻihi o ka hana ʻana i kahi MRI umauma?

ʻOiai ʻo ka hapa nui o nā wahi e hoʻokaʻawale i 40 a 60 mau minuke no kahi 'Breast MRI', ʻo ka 'scan' maoli he 20 mau minuke wale nō. Hoʻohana ʻia ke koena o ka manawa i nā 'palapala nīnau nānā', ke hoʻokomo ʻana i ka 'IV', a me ke 'kūlana kūpono'.

Aia kekahi mau pilikia me ka MRI umauma?

He haʻahaʻa loa nā pilikia o ka loaʻa ʻana o kahi MRI umauma inā ʻoe a me ka ʻenehana e hahai pono i nā ʻōlelo aʻoaʻo palekana. ʻO nā pilikia e hiki mai ana:

• ʻO ka hopena maʻi i ka dye contrast: He liʻiliʻi ka manawa e loaʻa ai kahi hopena maʻi i ka dye contrast. Eia naʻe, he mea kakaikahi loa kēia. ʻOiai inā hana ia, he mea liʻiliʻi ia a e mālama koke ke kime lapaʻau iā ia.
• Nā hopena wahaheʻe: No ka mea, he hoʻāʻo koʻikoʻi loa ka MRI, hiki iā ia ke loaʻa nā hopena wahaheʻe. ʻO ke ʻano kēia, hiki ke hōʻike ʻia he ʻano ʻē nā ʻiʻo maʻamau. Eia nō naʻe, inā ʻike kahi radiologist i kahi mea ʻē i loko o kou ʻiʻo umauma, hiki iā lākou ke kauoha i nā hoʻāʻo hou aʻe e ʻike pono i ke ʻano o ia mea.

He aha nā hopena o ka MRI o ka umauma?

ʻOkoʻa paha kāu hōʻike MRI ma muli o ka loaʻa ʻana o kahi MRI umauma iā ʻoe e nānā no ka pilikia o ka maʻi ʻaʻai umauma (screening), e ʻike i kahi maʻi (diagnostic), a i ʻole e nānā no ka maʻi ʻaʻai āu i loaʻa mua ai. Eia nō naʻe, e kūkākūkā ke kauka nāna i kauoha i kāu MRI umauma i nā hopena me ʻoe.

Hoʻohana nā radiologists a pau i ke ʻano maʻamau like e hōʻike i nā hopena o ka hoʻokolokolo umauma. Ua kapa ʻia ʻo ia ʻo ka Breast Imaging Reporting and Data System (BI-RADS) . Hoʻohālikelike ia i nā hopena ma kahi pālākiō o 0 a 6. E loaʻa mau ana kāu mau hopena MRI ma kāu moʻokāki moʻolelo lapaʻau uila (inā loaʻa iā ʻoe) a ma ke keʻena o kāu kauka i loko o hoʻokahi a ʻelua mau lā ʻoihana. A laila e kūkākūkā kāu kauka i nā hopena me ʻoe.

He aha ka ʻokoʻa ma waena o ka MRI o ka umauma a me ka Mammogram?

Hoʻohana nā kauka i ka mammogram a me ka MRI umauma e kōkua i ka ʻike ʻana i ka maʻi ʻaʻai umauma a me nā mea ʻē aʻe i loko o ka umauma.

ʻO nā mammograms ka mea maʻamau ke koho mua no ka nānā ʻana a me ka hōʻoia ʻana i ka maʻi ʻaʻai umauma, ʻoiai no ka mea ʻo ia wale nō ka hoʻāʻo kiʻi e hiki ke ʻike pololei i nā microcalcifications , he hōʻailona mua ia o kekahi mau maʻi ʻaʻai umauma.

Aia kekahi ʻokoʻa i ke ʻano o ka hana ʻana o kēia mau hoʻāʻo kiʻi ʻelua.

ʻOi aku ka maikaʻi o ka MRI o ka umauma ma mua o ka Mammogram?

ʻAʻohe mea e like me ka ʻoi aku o kekahi ma mua o kekahi. Hoʻohana maoli ʻia lākou no nā kumu like ʻole. ʻO ka Mammogram ka hoʻāʻo maʻamau gula no ka maʻi ʻaʻai umauma. Ma waho aʻe o ka mammogram, hiki i ka MRI ke kōkua no ka poʻe i loaʻa i ka pilikia nui o ka loaʻa ʻana o ka maʻi ʻaʻai umauma a i ʻole ka poʻe i ʻike ʻia he maʻi ʻaʻai umauma. E wehewehe kāu kauka iā ʻoe i ka hoʻāʻo kūpono loa iā ʻoe ma muli o kou kūlana.

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

He hoʻokolohua koʻikoʻi loa ka MRI umauma e kōkua ana i ka ʻike ʻana, ka nānā ʻana, a me ka loiloi ʻana i ke kanesa umauma a me nā mea ʻē aʻe i loko o ka umauma. He mea maʻamau ke hopohopo iki a me ka hopohopo ma mua o ka MRI. Nui paha kāu mau nīnau a me nā hopohopo e pili ana i nā hopena o ka hoʻokolohua a pehea lākou e hoʻopilikia ai i kou olakino. Mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke wehewehe i ka MRI umauma iā ʻoe a hoʻomaopopo pū iā ʻoe e pili ana i ka mea e hana ʻia ma hope.

E hoʻomanaʻo, ʻo ka ʻike mua ʻana ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai nā maʻi he nui . No laila, inā noi ke kauka iā ʻoe e hana i ia ʻano hoʻokolohua, mai makaʻu iā ia, e ʻike i nā kikoʻī pololei a e kū i mua.

ʻO ka MRI o ka umauma, ka maʻi ʻaʻai umauma, Mammogram, MRI Scan, ʻIke ʻana i ke kanesa, Ola kino o nā wāhine, Nā hoʻāʻo lapaʻau