Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi scan MRI o kou puʻuwai? Malia paha e makaʻu iki ʻoe a hopohopo iki ke lohe ʻoe i ka inoa. Ke noʻonoʻo mākou iā 'MRI', manaʻo mākou i kahi mīkini nui, kahi walaʻau nui, a me ka noho hoʻokahi ʻana i loko. Akā, ʻaʻole ia he mea weliweli e like me kou manaʻo. He hoʻāʻo palekana loa ia e hāʻawi ana i kāu kauka i ka ʻike waiwai nui e pili ana i kou puʻuwai . I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka Cardiac MRI, no ke aha i hana ʻia ai, pehea e hana ʻia ai, a pehea e hoʻomākaukau ai no ia mea ma ke ʻano maʻalahi i hiki iā ʻoe ke hoʻomaopopo.
He aha ka MRI puʻuwai?
I ka ʻōlelo maʻalahi, he hoʻokolohua ka Cardiac MRI e lawe ana i nā kiʻi maopopo loa a kikoʻī o kou puʻuwai. Ua like ia me kahi 'blueprint' o kou puʻuwai. Hana ʻia kēia mau kiʻi me ka hoʻohana ʻana i nā magnet ikaika a me nā nalu lekiō. ʻO ka mea nui e ʻike ai, ʻaʻole hoʻohana kēia hoʻokolohua i kekahi radiation , e like me nā kukuna X. No laila palekana loa ia.
Mai kēia mau kiʻi, hiki i ke kauka ke:
- E ʻike i ke olakino o nā ʻāpana o kou puʻuwai, ʻo ia hoʻi nā keʻena, nā kiwikā, a me nā ʻiʻo .
- E ʻike pono i ke ʻano o ka hana maikaʻi ʻana o ka puʻuwai, ʻo ia hoʻi, pehea e pamu ai i ke koko.
- Hiki i kēia mau kiʻi ke ʻike maopopo i ke neʻe ʻana o ke koko i loko o ka puʻuwai.
Hiki ke kiʻi ʻia kēia mau kiʻi ma ke ʻano ʻelua-dimensional (2D) a i ʻole ʻekolu-dimensional (3D). Ua like ia me kahi kiʻiʻoniʻoni 3D o kou puʻuwai. Kōkua kēia mau kiʻi maopopo i kāu kauka e hoʻoholo pono i kou kūlana.
I nā kūlana hea e ʻōlelo ai ke kauka i kēia scan?
Kauoha ke kauka i kēia hoʻāʻo ke makemake ʻo ia e loaʻa kahi ʻike piha o ke ʻano a me ka hana o kou puʻuwai . E noʻonoʻo he hewa kekahi mea me ka ʻenekini o kāu kaʻa, akā ʻaʻole hiki ke ʻike ʻia mai waho. Ua like ia me kahi mīkini e hoʻohana ana i nā lako kūikawā e nānā i nā ʻāpana i loko o ka ʻenekini.
He mea pono loa ka Cardiac MRI i nā hihia e like me kēia:
- E huli i ke kumu o kāu mau hōʻailona: Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha pinepine o ka umauma , ka pōkole o ka hanu , a i ʻole ka pōkole o ka hanu , hiki i kēia ke kōkua iā ʻoe e ʻike i ke kumu pololei.
- Hoʻomaopopo i ka maʻi puʻuwai: Hiki iā ia ke hoʻomaopopo pololei i nā maʻi he nui e like me ka maʻi puʻuwai hānau , ka hāʻule ʻana o ka puʻuwai , nā ʻōpū puʻuwai, nā maʻi valve, a me ka mumū o ka membrane a puni ka puʻuwai (pericardium).
- E nānā no ka hōʻino ʻana o ka puʻuwai: Hoʻohana ʻia kēia e ʻike inā ua hōʻino ʻia ka ʻiʻo o ka puʻuwai ma hope o ka hōʻeha puʻuwai, inā he mau wahi i emi ai ke kahe koko, inā he maʻi a i ʻole nā waiho ʻē aʻe.
- E hoʻolālā i ka mālama ʻana: Ma mua o kekahi mau lāʻau lapaʻau puʻuwai, e like me ka ablation, hiki i kēia scan ke kōkua i ke kuhikuhi ʻana i kahi kikoʻī o ka pilikia.
- Ke ana i ka holomua o nā lāʻau lapaʻau: Hoʻohana ʻia kēia e ʻike i ke ʻano o ka hoʻōla ʻana o kou puʻuwai mai nā lāʻau lapaʻau āu e loaʻa nei a e nānā i ke kūlana o kou puʻuwai ma hope o ke ʻoki ʻana.
Pehea e hana ai kēia scan?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe radiation i komo. Hoʻouna ka magnet nui i loko o kēia mīkini i kahi hōʻailona liʻiliʻi i nā mole wai i loko o ko mākou kino. A laila lawe ʻia kēlā hōʻailona a hoʻohana ʻia e kahi kamepiula e hana i kahi kiʻi maopopo loa a kikoʻī.
I kekahi manawa, hoʻokomo ʻia kahi cannula liʻiliʻi (kahi `IV line`) i loko o kahi aa koko ma kou lima, a hoʻokomo ʻia kahi wai kūikawā (kahi `contrast dye`) ma o ia mea. Mai hopohopo i kēia. E ʻike maopopo a ʻālohilohi kēia i nā pilikia o kou puʻuwai ma nā kiʻi. Ua like ia me ke kala ʻana i kahi wahi koʻikoʻi i loko o kahi kiʻi ʻeleʻele a keʻokeʻo.
Ke hoʻohālikelike ʻia me nā hoʻokolohua ʻē aʻe, e like me ka CT scan, ʻoi aku ka maopopo a me nā kikoʻī o nā kiʻi i loaʻa mai ka Cardiac MRI, e hiki ai ke ʻike i nā kūlana paʻakikī ke ʻike.
Hiki i kēia scan ke lawe ma waena o 30 mau minuke a me hoʻokahi hola a me ka hapa . I loko o ia manawa, e noi aku ke limahana iā ʻoe e paʻa i kou hanu no kekahi mau kekona i kekahi mau manawa. ʻO kēia ka mea e ʻokoʻa ai ka MRI Cardiac mai ka MRI maʻamau. No ke aha e hana ʻia ai? No ka mea, i ka wā e hanu ai mākou, piʻi a iho ko mākou umauma, a neʻe ko mākou puʻuwai. ʻO ka paʻa ʻana i kou hanu no kekahi manawa e ʻae ai i ka puʻuwai e noho mālie, e ʻae ana i kahi kiʻi maopopo loa me ka ʻole o ka blurring.
Pehea e hoʻomākaukau ai ma mua o ke scan?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā aia kekahi mau mea e hoʻomanaʻo ai.
He mau lā ma mua o ke scan
- E haʻi i kāu kauka e pili ana i kekahi mau maʻi allergies āu e loaʻa ai, ʻoiai hoʻi i nā lāʻau lapaʻau.
- He maʻi puʻupaʻa kou?Inā loaʻa, pono ʻoe e haʻi mai iā mākou e pili ana i ia mea. No ka mea, ua wehe ʻia ka `contrast dye` a mākou i ʻōlelo ai ma mua mai ke kino e nā puʻupaʻa. Inā ʻaʻole hana pono nā puʻupaʻa, hiki i ke kauka ke hoʻoholo ʻaʻole e hoʻohana i kēlā wai.
- Inā makaʻu ʻoe i ka noho ʻana i nā wahi liʻiliʻi a paʻa (claustrophobia) , e haʻi mua i kāu kauka e pili ana i ia mea. Hiki i kāu kauka ke kuhikuhi i kahi mea hoʻomaha e lawe ma mua o ke scan. Inā ʻoe e lawe i kēia lāʻau lapaʻau, ʻaʻole hiki iā ʻoe ke hoʻokele, no laila he mea nui e loaʻa i kekahi e hoʻokele iā ʻoe i ka home a hoʻi mai.
I ka lā o ke scan
E akahele loa i kēia mau mea.
ʻO ka mea nui loa, ʻaʻole hiki iā ʻoe ke lawe mai i kekahi mea metala i loko o ka lumi scan, no ka mea, he magnet ikaika loa ko ka mīkini.
| He aha ka mea e hana ʻole ai | No ke aha mai kēlā? (Kumu) |
|---|---|
| Mai komo i nā mea hoʻonani (nā apo pepeiao, nā lei, nā apo lima, nā kūpeʻe lima, a me nā mea ʻē aʻe) | Hoʻowalewale ʻia nā mea hoʻonani metala e ka magnet o ka mīkini, e hoʻopilikia ana i nā kiʻi. Hiki iā ia ke hōʻino i kāu mau mea hoʻonani. |
| Mai ʻaʻahu i nā lole me nā ʻāpana metala (e.g. zippers ma nā jeans, lou ma nā bras). | Hoʻopilikia pū kēia i ka magnet. ʻO ka maʻamau, e hāʻawi ʻia ʻoe i kahi lole e ʻaʻahu ai ma ka haukapila. |
| E waiho i nā mea waiwai ma ka home. | E hoʻolako ʻia ʻoe i kahi locker e mālama i kāu mau waiwai, akā ʻoi aku ka maikaʻi o ka lawe ʻole ʻana mai i nā mea pono ʻole. |
| Mai ho'ōki i ka lawe ʻana i kāu mau lāʻau lapaʻau a i ʻole nā meaʻai maʻamau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. | Inā ʻaʻole hāʻawi ʻia ʻoe i nā ʻōlelo kūikawā, e hoʻomau i kāu hana maʻamau i kēlā me kēia lā e like me ka mea maʻamau. |
| E hele i ka lua ma mua o ke scan. | No ka mea e moe mālie ana ʻoe ma kahi moe no kekahi manawa, ʻoi aku ka maʻalahi o ka hele mua ʻana i ka lua. |
He aha ka mea e hana ʻia i ka wā o ke scan?
Ke komo ʻoe i loko o ka lumi MRI, e ʻike ʻoe i kahi mīkini e like me ka donut nui. Mai makaʻu ke ʻike ʻoe.
1. E hoʻomoe ke kanaka ʻenehana iā ʻoe ma luna o kahi moe.
2. Inā pono ka dye ʻokoʻa, e hoʻokomo ʻia kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima.
3. E hoʻopili i kekahi mau pepili `ECG` ma kou umauma e nānā i kou helu puʻuwai. Hiki iā ʻoe ke kau i ke kāʻei a puni kou umauma e nānā i kou hanu ʻana.
4. A laila, neʻe ka moena āu e noho nei i loko o ka mīkini.
5. ʻOiai ke hele nei ke loea i kahi lumi kaʻawale, hiki iā ia ke ʻike maopopo iā ʻoe ma o ke aniani. Hiki iā ʻoe ke kamaʻilio pū me ia ma o ka microphone. Inā manaʻo ʻoe i kekahi ʻeha, e hāʻawi ʻia ʻoe i kahi pihi liʻiliʻi (pihi kāhea) hiki iā ʻoe ke paʻa ma kou lima e hōʻike iā ia.
6. Hana ka mīkini i kahi walaʻau nui ke hana. Ua like ia me kahi mea e kuʻi ana, a i ʻole ke kani o kahi pāʻani wikiō kahiko. No laila e hāʻawi ʻia ʻoe i nā pani pepeiao e pale i kou mau pepeiao, a malia paha he mau headphone e hoʻolohe ai i ke mele.
7. He mea nui loa ia e noho mālie e like me ka hiki i kēia manawa. Inā ʻoe e neʻe, e lilo paha nā kiʻi i mea palalulu a pono paha ʻoe e nānā hou. No laila e hoʻāʻo e noho mālie e like me ka hiki.
He aha ka mea e hana ʻia ma hope o ke scan? A aia kekahi mau pilikia?
A pau ke scan, e hoʻokuʻu ʻia ʻoe mai kahi moe. Inā he cannula kou, e wehe ʻia ia. A laila hiki iā ʻoe ke hoʻololi i nā lole a hoʻi i ka home. Inā ua hāʻawi ʻia ʻoe i ka dye contrast, e inu i ka wai nui i ka lā a pau. E kōkua kēia i ka dye e haʻalele koke i kou kino.
Nā Pōʻino a me nā Hopena ʻAoʻao
He hoʻāʻo palekana loa kēia, akā aia kekahi mau mea e makaʻala ai:
- Nā mea hao i loko o kou kino: ʻO ka pilikia nui loa inā he mau mea hao i loko o kou kino. No ka laʻana , he pacemaker kaila kahiko, nā ʻokiʻoki mai kekahi mau ʻoki kino, a me nā hono hana . Hiki ke huki ʻia kēia mau mea i ka magnet ikaika o ka mīkini a hōʻino. No laila, inā he mea hao kāu i loko o kou kino, pono ʻoe e haʻi i ke kauka a me nā limahana ma mua o ke scan. ʻO ka hapa nui o nā lako e puka mai ana i kēia manawa he palekana MRI, akā naʻu ke kuleana e hōʻoia ua ʻike ʻoe e pili ana i ia mea.
- Hāpai: E haʻi i kāu kauka inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai. ʻAʻole ʻōlelo pinepine ʻia kēia scan i nā mahina ʻekolu mua o ka hāpai ʻana.
- Nā hopena ʻaoʻao o ka dye contrast: Hiki i kekahi poʻe ke ʻike i ka ʻeha iki ma kahi i hoʻokomo ʻia ai ka dye. Loaʻa paha kahi ʻono metala manawa pōkole i ka waha. He mea kākaʻikahi nā hopena alerika i kēia dye. Inā ʻike ʻoe i ka maneʻo a i ʻole ka ʻeha poʻo, e ʻoluʻolu e hoʻomaopopo i nā limahana.
Pehea e loaʻa ai iaʻu ka hōʻike?
E nānā pono ʻia kāu mau scan e kahi radiologist a cardiologist paha, nāna e kākau i kahi hōʻike kikoʻī e pili ana i kā lākou mea e ʻike ai.
A laila hoʻouna ʻia ka hōʻike i ke kauka nāna i ʻōlelo i ka scan nou. Hiki i kēia ke hala i kekahi mau lā. Ke ʻike hou ʻoe i ke kauka, e wehewehe ʻo ia i ka hōʻike iā ʻoe a kūkākūkā i nā koho lapaʻau hou aʻe.
Leka Lawe-Home
- He scan palekana loa ka Cardiac MRI, ʻaʻohe radioactive e hāʻawi ana i ka ʻike waiwai e pili ana i ke olakino o kou puʻuwai.
- Ma mua o ke scan, e hōʻoia e haʻi i ke kauka e pili ana i nā mea hao i loko o kou kino (pacemaker, clips, implants), nā maʻi allergies , a me nā maʻi puʻupaʻa .
- He mea nui loa e noho mālie i ka wā o ke kiʻi ʻana a e hoʻopaʻa i kou hanu ke haʻi aku ke limahana iā ʻoe e hana pēlā e kiʻi i nā kiʻi maopopo.
- Mai makaʻu i ka walaʻau o ka mīkini. E hāʻawi ʻia ʻoe i nā pale maka pale no ia mea. A hiki iā ʻoe ke kamaʻilio me nā limahana i kēlā me kēia manawa.
- Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.
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