Ua ʻike anei ʻoe i ke kauka no kekahi manawa ma muli o ke poʻo ʻeha, ka pinepine o ka poniuniu, a i ʻole ka nalowale koke o ka hoʻomanaʻo? I kēlā manawa, e noi paha ke kauka iā ʻoe e hana i kahi 'MRI scan o ke poʻo' e ʻike pono ai inā he hewa i loko o kou poʻo. Hiki iā ʻoe ke hopohopo iki a hopohopo ke lohe ʻoe i kēia inoa. He mea maʻamau ka nui o nā nīnau e hiki mai ana i ka noʻonoʻo, e like me "Pehea ke ʻano? E ʻeha anei? Pono anei au e komo i loko o kahi mīkini nui?" Akā, ʻaʻohe kumu e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i kēia MRI scan ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
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He aha kēia MRI lolo? I ka ʻōlelo maʻalahi loa...
He hoʻokolohua kūikawā ka MRI lolo (Magnetic Resonance Imaging) e hiki ai ke kiʻi i nā kiʻi kikoʻī a maopopo loa o loko o ko kākou poʻo, ʻoiai ka lolo. ʻAʻole ʻoe e ʻeha i kēia manawa. E noʻonoʻo, ua like ia me ke kiʻi ʻana i kahi kiʻi ʻekolu-dimensional (3D) o loko o kou poʻo me kahi kāmela ikaika loa.
Hoʻohana kēia hoʻāʻo i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula. ʻO ka mea nui loa iā ʻoe ma ʻaneʻi, ʻaʻole ia e hoʻohana i kekahi radiation, e like me nā X-ray a i ʻole CT scans. No laila, he hoʻāʻo palekana loa ia. Me ka ʻenehana o kēia wā, ʻo ka MRI scan ka hoʻāʻo koʻikoʻi a maopopo loa no ka ʻike ʻana i nā pilikia i loko o ka lolo.
He aha ke ʻano o ka hana ʻana i kahi MRI me ka 'contrast' i kekahi manawa?
I kekahi manawa, e ʻōlelo paha kāu kauka iā ʻoe e "hana i kahi MRI me ka hoʻohālikelike." Mai hopohopo ke lohe ʻoe i kēia. ʻO ke ʻano kēia e hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau lapaʻau i loko o kahi aʻa koko ma kou lima ma mua o ke scan. Ua kapa ʻia kēia he 'mea hoʻohālikelike'. ʻO ka hapa pinepine, hoʻohana ʻia kahi lāʻau lapaʻau i loaʻa kahi mea i kapa ʻia ʻo (gadolinium) no kēia.
No ke aha i hāʻawi ʻia ai kēia lāʻau? I ka ʻōlelo maʻalahi, ke komo kēia lāʻau i loko o ke kino, ʻike maopopo ʻia kekahi mau ʻiʻo, nā kīʻaha koko, a i ʻole nā puʻupuʻu i nā kiʻi scan. E like me ka hoʻohui ʻana i ke kala i kahi kiʻi ʻeleʻele a keʻokeʻo e hoʻokaʻawale maikaʻi ai kekahi mau mea.
ʻO kekahi o nā hoʻohana nui o kēia mea hoʻohālikelike:
- E nānā no nā puʻupuʻu.
- E nānā inā he pehu a mumū paha ma kekahi wahi o ke kino.
- E nānā pehea e hoʻolako ʻia ai ke koko i kekahi mau ʻōkana.
- E nānā inā he pilikia me nā kīʻaha koko.
He mea kōkua nō hoʻi kēia ʻokoʻa i ka ʻike ʻana i nā kūlana e like me ka sclerosis maha, ka hahau ʻana, ka dementia, a me nā maʻi.
Hoʻokomo ʻia kahi cannula liʻiliʻi (laina IV) i loko o kou lima e hāʻawi i kēia lāʻau lapaʻau. He mau lāʻau lapaʻau palekana loa kēia. ʻOiai hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi, he mea kakaikahi loa nā hopena alerika koʻikoʻi.
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Check Availability →He aha nā mea e hiki ke nānā ʻia me ka MRI o ka lolo?
Hiki i kahi MRI lolo ke hāʻawi i kahi kiʻi maopopo o nā mea he nui i loko o ka lolo. ʻO ia hoʻi:
- Kou lolo
- Nā kīʻaha koko i pili i ka lolo
- Kou iwi poʻo a me nā iwi maka
- ʻO nā ʻāpana palupalu o ka pepeiao o loko
- Nā ʻāpana e like me nā maka a me nā aʻalolo e pili ana i nā maka (nā aʻalolo optic)
- ʻO nā aʻalolo nui ʻē aʻe ma ke poʻo (nā aʻalolo cranial)
- Nā ʻiʻo palupalu e like me ka momona a me nā ʻiʻo a puni ke poʻo
Ma waho aʻe o ka nānā ʻana inā he maʻamau kēia mau mea, hiki iā ia ke ʻike inā he ʻano ʻē i loko o ka lolo a i ʻole nā ʻiʻo a puni. E wehewehe hou aku kākou i kēia ma ka papa ma lalo nei.
| Kūlana ʻano ʻē i ʻike ʻia | Ua wehewehe maʻalahi ʻia |
|---|---|
| Ka mumū a me ka pehu | Inā paha he pehu i loko o ka lolo a i ʻole nā ʻiʻo a puni ma muli o kahi maʻi a i ʻole kekahi kumu ʻē aʻe. |
| Nā pilikia kūkulu | He kīnā hānau a i ʻole kekahi loli ʻē aʻe i ke ʻano o ka ulu ʻana o ka lolo. |
| Nā ulu a i ʻole nā pūʻulu maʻamau ʻole | Nā mea e like me nā puʻupuʻu maʻi kanesa a i ʻole nā pūʻupuʻu ʻaʻole maʻi kanesa a i ʻole nā cysts piha i ka wai. |
| Nā kahe wai | Inā paha e liki ana ka wai e hoʻopuni ana i ka lolo a me ke kaula spinal (wai cerebrospinal). |
| Ke kahe koko ʻana o loko (Hemorrhage) | Aia ke kahe koko ma kekahi wahi i loko o ka lolo? |
| Maʻi keʻokeʻo | Inā paha ua hōʻino ʻia nā ʻāpana o ka lolo e hoʻopili ana i nā hunaola aʻalolo. |
No ke aha nā kumu e ʻōlelo aku ai ke kauka i kahi MRI?
Nui nā kumu e kauoha ai kekahi neurologist a i ʻole kekahi kauka ʻē aʻe i kahi scan MRI. ʻO ke kumu nui, ʻo ia ka ʻike pono i ke kumu o kāu mau hōʻailona. Hoʻohana ʻia nō hoʻi ia e ʻike inā ua kāohi ʻia a i ʻole ua ʻoi aku ka ʻino o kahi maʻi i ʻike mua ʻia.
Eia kekahi o nā kūlana olakino e hiki ke ʻike ʻia a nānā ʻia paha me ka MRI:
- He ʻūpā koko i loko o ka lolo
- ʻO ka aneurysm o ka lolo
- Ke kahe koko o ka lolo
- Nā maʻi lolo (e.g., Encephalitis)
- ʻO ka pōʻino o ka lolo i hoʻokumu ʻia e ka maʻi epilepsy
- Nā puʻupuʻu lolo a me nā cysts
- Nā maʻi neurological e like me ka sclerosis maha (MS)
- Dementia
- Hydrocephalus (ka wai ma luna o ka lolo)
- Nā pilikia o ka pituitary gland
- Hahau
- Nā pilikia me ka ulu ʻana o ka lolo a i ʻole ke kūkulu ʻana
- ʻEha ʻeha o ka lolo (TBI)
Eia kekahi, inā hoʻomau ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, hiki i kāu kauka ke kauoha i kahi MRI:
- ʻO Migraines a i ʻole nā poʻo ʻeha mau
- Nā hopu ʻana
- ʻO ka pinepine o ka poʻo hina (Vertigo)
- Ka nalowale o ka lohe me ke kumu i ʻike ʻole ʻia
- Nā hemahema o ka ʻike maka i hiki ʻole ke wehewehe ʻia e ka hoʻokolokolo maka
- Nā kaulike ʻole o ka hormonal
- Nā loli nui i ka noʻonoʻo a me ke ʻano
- Ka nāwaliwali loa a me ka luhi koke
Eia kekahi, hoʻohana ʻia nā scan MRI e hoʻolālā i mua no ke ʻoki poʻo a e nānā i ka hoʻōla ʻana ma hope o ke ʻoki ʻana.
Pehea e hoʻomākaukau ai ma mua o kahi scan MRI?
He ʻāpana koʻikoʻi loa kēia. E nānā kākou i nā hoʻomākaukau e pono ai ʻoe e hana i ka wā e hele ai no kahi scan MRI.
I ka hapanui o nā hihia, hiki iā ʻoe ke ʻai, inu, a lawe i kāu mau lāʻau lapaʻau ma ke ʻano maʻamau ma mua o ke scan. Eia nō naʻe, inā hāʻawi kāu kauka a haukapila paha iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe, pono ʻoe e hahai iā lākou.
ʻO ka mea nui loa: He magnet ikaika loa ka mīkini MRI, no laila ua pāpā ʻia ka lawe ʻana mai i nā mea metala i loko o ka lumi scan.
No laila, pono ʻoe e hoʻomaopopo i nā limahana e pili ana i kēia mau mea ma mua o kou hele ʻana no ka scan.
| Inā loaʻa kēia mau mea i loko o kou kino, e ʻoluʻolu e haʻi mai iā mākou. | I ke hele ʻana no kahi scan, e wehe/waiho i kēia mau mea ma ka home. |
|---|---|
| Mea hoʻoikaika puʻuwai | Nā mea hoʻonani a pau (nā apo pepeiao, nā lei, nā apo, nā kūpeʻe lima) |
| Hoʻokomo ʻia ʻana o ke koko | Nā wati, nā kāleka hōʻaiʻē, nā mea kōkua hoʻolohe |
| ʻO ke kiʻi ʻokiʻoki aneurysm | Nā pine hao, nā ʻūmiʻi i hoʻohana ʻia no ka lauoho |
| Nā ʻāpana metala (e like me nā pōkā) ma nā wahi āpau o ke kino | Nā pale umauma uea ʻole |
| Nā mea uila i kau ʻia ma ke kino | Nā niho wahaheʻe |
| ʻO kekahi ʻāpana metala ʻē aʻe i hoʻokomo ʻia i ka wā o ke ʻoki ʻana | Nā peni, nā ʻeke lima, nā aniani, nā ʻoki kino |
Kahi mea hou aʻe,
- Inā ʻoe e hāpai ana ,
- Inā pilikia ʻoe i ka noho mālie me kou mau lima i luna no 30-60 mau minuke,
- Inā he makaʻu kou i nā wahi liʻiliʻi a paʻa (claustrophobia),
E hōʻoia e haʻi i ke kauka a me ka loea e pili ana i kēia mau mea ma mua o ke scan. Mai hopohopo, aia nā hoʻonā. No ka laʻana, hiki ke hāʻawi ʻia i kahi lāʻau liʻiliʻi i kahi mea me ka claustrophobia e kōkua iā lākou e hoʻomaha.
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻAe, e nānā kākou i kēlā me kēia ʻanuʻu i ka mea e hana ʻia ke hele ʻoe no ka scan.
1. ʻO ka mea mua, e noi ʻia ʻoe e ʻaʻahu i kahi lole kūikawā i hāʻawi ʻia iā ʻoe e ka haukapila.
2. A laila e moe ʻoe ma luna o kahi moe i pili i ka scanner.
3. I kou moe ʻana i lalo, e kau ke loea i kahi mea hana kūikawā (ʻōwili poʻo) a puni kou poʻo, e like me ka mahiole. Mai hopohopo, ʻaʻole ia e paʻa ma kou poʻo. Loaʻa i kekahi o kēia mau mea hana he aniani i hiki iā ʻoe ke ʻike i ke kukui mai ka mīkini. E kōkua kēia i ka hoʻēmi ʻana i ka manaʻo o ka paʻa ʻana.
4. A laila e hoʻokomo ke loea iā ʻoe i loko o ka mīkini MRI, e lawe iā ʻoe i kahi moe āu e moe nei. ʻO ka hapa nui o ka manawa, i ka wā e hana ai i kahi MRI poʻo, ʻaʻole e komo kou kino holoʻokoʻa i loko o ka mīkini.
5. Ke hoʻomaka ka scan, e lohe ʻoe i nā leo pā a me ke kaomi like ʻole mai ka mīkini. Mai hopohopo i kēia leo, ʻo ia wale nō ke ʻano o ka hana a ka mīkini. E hāʻawi lākou iā ʻoe i nā pani pepeiao a i ʻole nā headphone e pale i kou mau pepeiao. I kekahi manawa hiki iā ʻoe ke hoʻolohe i ke mele ma o kēlā mau headphone.
6. He mea nui loa ia e noho mālie a neʻe ʻole e like me ka hiki i ka wā o ke kiʻi ʻana. E like me ka neʻe ʻana i ka wā e kiʻi ai i kahi kiʻi hiki ke hoʻopōwehiwehi i ke kiʻi, hiki i ka neʻe ʻana ke hana i nā kiʻi MRI e hoʻopōwehiwehi.
7. He mea maʻamau ke manaʻo i kahi mehana iki ma kou poʻo i ka wā o ke scan. Eia nō naʻe, inā ʻoluʻolu ʻole ʻoe i kēia, e ʻoluʻolu e haʻi i nā limahana.
8. Aia mau ʻoe ma lalo o ka nānā ʻana a ka luna loea. Hiki iā ia ke ʻike iā ʻoe a kamaʻilio pū me ʻoe. Eia kekahi, aia kahi "pihi kāhea" ma kou lima hiki iā ʻoe ke kaomi inā he pilikia. Inā manaʻo ʻoe ua hewa kekahi mea, e kaomi iā ia.
ʻEhia ka lōʻihi o kēia scan? Āhea e loaʻa ai nā hopena?
ʻO ka maʻamau o ka MRI scan lolo ma waena o 30 a me 60 mau minuke . Hiki ke lōʻihi iki aʻe inā hoʻohana ʻia ka contrast. E wehewehe kāu kauka i ka manawa kikoʻī e hoʻonohonoho ʻia ai ʻoe no kāu scan.
Ma hope o ka pau ʻana o ke scan, e kālailai kahi radiologist i nā kiʻi a hana i kahi hōʻike. Hoʻouna ʻia ka hōʻike i kāu kauka e mālama nei. ʻO ka maʻamau, hiki mai kēia hōʻike i loko o hoʻokahi a ʻelua paha lā. A laila e wehewehe ke kauka i ka hōʻike iā ʻoe ma nā ʻōlelo maʻalahi.
Leka Lawe-Home
- He hoʻāʻo palekana a ʻeha ʻole ka MRI lolo e lawe ana i nā kiʻi maopopo loa o loko o ke poʻo, ʻoiai ka lolo. ʻAʻole ia e hoʻohana i ka radiation.
- Ma mua o kou hele ʻana no ke scan, he mea nui e hoʻomaopopo i ke limahana e pili ana i nā mea metala i loko a i waho paha o kou kino.
- He mea maʻamau ka walaʻau o ka mīkini i ka wā e hana ana. E hoʻolako ʻia ʻoe me nā lako e pale aku iā ʻoe mai ka walaʻau.
- I mea e maopopo ai ke kiʻi, he mea nui loa e noho mālie i ka hiki i ka wā o ke kiʻi holoʻokoʻa.
- Inā loaʻa iā ʻoe ka claustrophobia a i ʻole kekahi mau hopohopo ʻē aʻe, mai kānalua e haʻi i kāu kauka a i ʻole ke limahana MRI . Ua mākaukau mau lākou e kōkua iā ʻoe.
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