E noʻonoʻo e hana ana kāu hoaaloha i kahi ʻoki e wehe i kahi puʻupuʻu ma kahi ʻāpana paʻakikī loa o kona lolo. Akahele loa nā kauka i ka hana ʻana i ke ʻoki. Akā pehea lākou e ʻike pono ai inā ua wehe loa ʻia ka puʻupuʻu a i ʻole he ʻāpana liʻiliʻi i koe? Ma hope o ke ʻoki ʻana, inā ʻoe e hana hou i kahi scan i kekahi mau lā ma hope mai, hiki iā ʻoe ke ʻike maopopo. Inā he ʻāpana liʻiliʻi i koe, pono ʻoe e hana i kahi ʻoki ʻē aʻe, ʻeā? Hoʻohana ʻia kēia ʻenehana kūikawā a mākou e kamaʻilio nei i kēia lā ma ke ʻano he hopena no ia mau pilikia.
I ka ʻōlelo maʻalahi, he aha ka iMRI?
ʻO ka inoa piha no iMRI ʻo Intraoperative Magnetic Resonance Imaging . ʻO "Intraoperative" ke ʻano "i ka wā o ke ʻoki kino." ʻO ia hoʻi, he scan MRI ia i hana ʻia i ka wā e hana ʻia ai ke ʻoki kino . Hiki i kāu hui ʻoki kino ke ʻike maopopo i nā ʻōpū, nā ʻiʻo, a me nā mea ʻē aʻe i loko o kou kino i ka wā e hana ʻia ai ke ʻoki kino.
E noʻonoʻo i kahi kauka e wehe ana i kahi puʻupuʻu mai ka lolo. Hiki iā ia ke hana i kahi scan MRI ma hope koke o ka wehe ʻia ʻana o ka puʻupuʻu, ma mua o ka pau ʻana o ke ʻoki ʻana, e ʻike ai, "Ua wehe anei au i ka puʻupuʻu a pau? A i ʻole he mau ʻāpana liʻiliʻi i koe?" Inā hōʻike ka scan aia kahi ʻāpana liʻiliʻi i koe, hiki iā ia ke wehe koke i kēlā ʻāpana.
ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka ʻike ʻana aia kekahi mau ʻāpana o ka puʻupuʻu i koe ma hope o ke ʻoki ʻana hiki ke hōʻemi nui i ka pilikia o ka hana ʻana i kahi ʻoki lua.
He aha ka ʻokoʻa ma waena o ka MRI maʻamau a me ka iMRI?
ʻO ka ʻokoʻa nui a me ka ʻokoʻa wale nō ma waena o nā mea ʻelua ka manawa e pono ai e hana .
- He MRI maʻamau: Hana ʻia kēia no ka ʻike ʻana i kahi maʻi a i ʻole e hoʻolālā no ke ʻoki kino. Hele ʻoe i loko o kahi mīkini MRI e like me ka mea maʻamau a loaʻa kēia scan.
- He iMRI: Hana ʻia kēia i ka wā e hana ʻia ai ke ʻoki kino , ma loko pono o ka hale hana.
I ka ʻōlelo maʻalahi, hana ʻia kekahi ma mua o kahi hana, a hana ʻia kekahi i ka wā o ka hana ponoʻī.
No ke aha e hoʻohana ai nā kauka i kēia ʻenehana i ka wā o ke ʻoki ʻana?
He paʻakikī loa kekahi mau ʻoki kino, ʻoiai hoʻi nā ʻoki kino lolo. Hiki i kahi ʻokoʻa milimita ke loaʻa ka hopena nui. Pono ke kauka i kahi kiʻi maopopo a ʻoi aku ka maopopo i ka wā o ke ʻoki kino ma mua o ka mea hiki iā lākou ke ʻike me ko lākou mau maka ponoʻī a i ʻole ma o kahi microscope. ʻO ia ka manawa e maopopo ai ka waiwai o iMRI.
Eia kekahi o nā hoʻohana maʻamau o ka ʻenehana iMRI:
| ʻAno o ke ʻoki kino | Kōkua mai iMRI |
|---|---|
| Wehe ʻana i ka puʻupuʻu lolo | No ka hōʻoia ʻana inā ua wehe loa ʻia ka puʻupuʻu, a inā paha hiki ke wehe ʻia nā ʻāpana hou aʻe me ka ʻole o ka hōʻino ʻana i nā ʻiʻo olakino. He mea nui loa kēia i nā puʻupuʻu e like me ka glioma . |
| ʻO ka puʻupuʻu pituitary | I ka wehe ʻana i nā ʻōpū a puni ka pituitary gland, kahi ʻāpana koʻikoʻi loa o ka lolo, e nānā no ka hōʻino ʻana i nā aʻalolo koʻikoʻi a me nā kīʻaha koko kokoke. |
| Hoʻoulu ʻana i ka lolo hohonu (DBS) | Ke hoʻokomo nei i nā electrodes i loko o ka lolo no nā kūlana e like me ka maʻi o Parkinson , e hōʻoia i kau ʻia lākou ma kahi kūpono. |
| ʻO ke ʻoki kino Epilepsy | No ka ʻike pololei ʻana i ka ʻāpana ʻano ʻē o ka lolo e hoʻoulu ai i ka maʻi epilepsy a nānā inā ua wehe loa ʻia. |
| ʻO ke kani ʻana o ke koko | Ma kekahi ʻoki kino paʻakikī e pili ana i ka lolo, e nānā i ke kūlana o ka lolo (pehu ʻana, kahe ʻana o ke koko) i ka pau ʻana o ke ʻoki kino. |
Pehea e hana ai kēia mīkini iMRI?
He mīkini ka MRI scan e hoʻohana ana i nā magnet a me nā nalu lekiō e kiʻi i nā kiʻi o loko o ke kino. ʻO ia ka mea e hana ʻia ma kahi iMRI. ʻAʻole ʻoe e ʻike iā ia no ka mea aia ʻoe ma lalo o ka anesthesia a pinepine ʻoe i ka ʻike ʻole.
Eia ke ʻano o ka hana ʻana, ma ka ʻōlelo maʻalahi:
ʻOi aku ma mua o ka hapalua o ko kākou kino i hana ʻia me ka wai. Hana ʻia ka wai me nā ʻātoma hydrogen a me ka oxygen. Aia i loko o kēia ʻātoma hydrogen kahi ʻāpana i kapa ʻia he proton . Loaʻa i kēia mau proton kahi uku uila, a ke milo nei hoʻi lākou.
Hoʻouna ka mīkini MRI i kahi kahua magnetic ikaika ma o kou kino. ʻO ka mea e hana ʻia ana, ʻo ia ke kū pono nei kēia mau protons a pau i loko o kou kino ma ke kuhikuhi like, e like me ke kui panana e kuhikuhi ana i ka ʻākau.
A laila, hoʻouna ka mīkini MRI i kahi nalu o nā nalu lekiō ma o kēia kahua makeneka. Ua like kēia me ka pani o kahi kāmela e kiʻi ana i kahi kiʻi. Hoʻopilikia kēia mau nalu lekiō i ke kūlike o nā protons no kekahi manawa. Ke pau nā nalu lekiō, hoʻi nā protons i ko lākou kūlike mua. Loaʻa kēia hoʻololi e kahi scanner i loko o ka mīkini. Hoʻouna ʻia ka ʻikepili i kahi kamepiula, kahi e hana ai i kahi kiʻi ʻekolu-dimensional (3D) maopopo loa.
Pehea e hoʻomākaukau ai no kahi iMRI?
ʻOiaʻiʻo, ʻaʻole pono ʻoe e hoʻomākaukau no kahi iMRI no ka mea hana ia i ka wā o kāu ʻoki kino. ʻO ka mea wale nō āu e hana ai, ʻo ia ke hoʻomākaukau pono no kāu ʻoki kino. E hahai pono i nā ʻōlelo a kāu kauka e like me kā lākou e haʻi aku ai iā ʻoe.
E hoʻomaʻamaʻa ʻia ʻoe i ka wā o ke kaʻina hana, no laila e hiamoe paha ʻoe. E lohe ʻia kekahi walaʻau i ka wā e hana ana ka mīkini MRI, akā ʻaʻole ʻoe e ʻike ma muli o ka anesthesia. I kekahi manawa, aia nā kaʻina hana ala. I ia mau hihia, e hoʻomākaukau ke kime lapaʻau iā ʻoe no ke kaʻina hana a e hōʻoia i kou ʻoluʻolu i ka wā o ke scan.
Nā mea āu e haʻi aku ai i kāu kauka ma mua o ke ʻoki ʻana:
- ʻO ia hoʻi, inā hāpai ʻoe.
- Inā he mea hao kāu i hoʻokomo ʻia i loko o kou kino. No ka laʻana, he pacemaker, nā papa hao i hoʻokomo ʻia i loko o ke kino, nā hono hana, a pēlā aku. Hiki i nā magnet ikaika i ka MRI ke hoʻoneʻe a hana hewa paha i kēia mau mea. He mea weliweli kēia. No laila, inā e hoʻomaopopo ʻia ʻoe e pili ana i kēia ma mua, e lawe ka hui lapaʻau i nā hana palekana e pono ai.
- Ma mua o ke ʻoki ʻana, pono ʻoe e wehe i nā mea hao a pau mai kou kino, e like me nā mea hoʻonani, nā apo pepeiao, nā pine lauoho, a me nā uea hao i loko o kou lole komo .
He aha nā pōmaikaʻi o kahi iMRI?
Aia kekahi mau pono nui o ka hoʻohana ʻana i ka ʻenehana iMRI.
- Nā kiʻi maopopo loa: Hiki ke ʻike maopopo ʻia a kikoʻī hoʻi ke ʻano o ke kino e ʻoki ʻia ana.
- ʻIke manawa maoli: Hiki ke nānā ʻia kēia mau kiʻi i ka wā o ke ʻoki kino, e ʻae ana i ka hoʻoholo ʻana me ka hoʻokaʻulua ʻole.
- Ke loiloi ʻana i nā loli: Hiki iā ʻoe ke ʻike koke i ke ʻano o ka loli ʻana o ka wahi i ka wā o ke ʻoki ʻana (e.g. ma hope o ka wehe ʻana i kahi puʻupuʻu).
- Ke pale ʻana i nā pilikia: Hiki i kēia mau kiʻi maopopo ke hōʻemi nui i nā pilikia e hiki mai ana ma hope o ke ʻoki ʻana.
- ʻAʻole radioactive: ʻAʻole hoʻohana ka ʻenehana MRI i ka radiation e like me nā X-ray a i ʻole CT scans, no laila ʻaʻole ia e hōʻeha i ke kino.
Hiki i ke kauka ke ʻike i kēia mau hopena i loko o kekona o ke kiʻi, e ʻae ana iā ia e hoʻomau i ke kaʻina hana aʻe o ke ʻoki me ka ʻole o ka hoʻokaʻulua.
Leka Lawe-Home
- He scan MRI kūikawā ka iMRI i hana ʻia i ka wā o kahi hana.
- ʻO ke kumu nui o kēia, ʻo ia ka hāʻawi ʻana i nā kauka e hana ana i nā ʻoki kino i ka manawa kūpono e ʻike pono ai i loko o ke kino a ola.
- Kōkua kēia i ka hōʻoia koke ʻana inā ua wehe loa ʻia ka puʻupuʻu, ʻoi aku hoʻi i nā ʻokiʻoki paʻakikī e like me ka wehe ʻana i ka puʻupuʻu lolo.
- Hoʻemi nui kēia i ka pono no kahi ʻoki lua.
- Inā ʻoe e hana ʻia i ke ʻoki kino me kahi iMRI, e hoʻomaopopo pono i kāu kauka ma mua e pili ana i nā mea hao, e like me nā pacemakers, āu i hoʻokomo ai i loko o kou kino.
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