Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi hoʻāʻo i kapa ʻia ʻo Lymphoscintigraphy? E makaʻu iki paha ʻoe ke lohe ʻoe i ka inoa. He mea maʻamau ia no nā nīnau e like me, 'He aha ke ʻano o kēia hoʻāʻo? E ʻeha anei? Aia kekahi mau pilikia?' e noʻonoʻo. ʻOiai he paʻakikī iki nā inoa o kēia mau hoʻāʻo lapaʻau, he maʻalahi loa kā lākou hana. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka Lymphoscintigraphy, pehea e hana ʻia ai, a no ke aha he mea nui ia ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
He aha ka Lymphoscintigraphy?
I ka ʻōlelo maʻalahi, he scan kūikawā kēia e nānā ana i ka ʻōnaehana lymphatic i loko o ko kākou kino. Ua lohe paha ʻoe i nā X-ray a me nā CT scan. He mea like lāua, akā, ʻaʻole kēia e nānā i nā mea e like me nā iwi a i ʻole ka lolo, akā, i ka hana o ka ʻōnaehana lymphatic.
E noʻonoʻo i ko kākou kino me he kūlanakauhale lā. Aia kekahi ʻōnaehana e wehe a hoʻomaʻemaʻe i nā ʻōpala ma ia kūlanakauhale. Pēlā ke ʻano o ka ʻōnaehana lymphatic o ko kākou kino. Wehe ia i nā mea makemake ʻole ʻia, e like me nā germs, mai ke kino a pale i kā kākou ʻōnaehana pale. Aia nā kānana liʻiliʻi ma kēia ʻōnaehana. Kāhea mākou iā lākou he mau lymph nodes .
Ma ke kiʻi lymphoscintigraphy, hoʻokomo kāu kauka i kahi mea radioactive liʻiliʻi a palekana hoʻi (radiotracer) i loko o kou kino. Mai hopohopo, he liʻiliʻi loa ka nui o ka radiation a ʻaʻole ia e hōʻeha i kou kino. I ka hele ʻana o ka mea ma o kāu ʻōnaehana lymphatic, lawe kahi kāmela kūikawā (kāmela gamma) i nā kiʻi o ia mea. Ua like ia me ka hopu ʻana i kahi firefly i ka pōʻeleʻele. Kōkua kēia mau kiʻi i kāu kauka e ʻike pono i kahi o kāu ʻōnaehana lymphatic i loaʻa ai kahi blockage, maʻi, a i ʻole ka laha ʻana o nā cell cancer.
No ke aha e hana ʻia ai kēia hoʻāʻo? He aha ka mea i loaʻa?
Aia kekahi mau kumu nui no ka hana ʻana i kēia hoʻāʻo. E nānā kākou i ke ʻano o lākou.
| ʻO ke kumu nui o ka hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| No ka ʻike a me ka hoʻokaʻawale ʻana i ka maʻi kanesa | ʻOi aku hoʻi ke kanesa o ka umauma a me ka melanoma, kahi ʻano maʻi ʻili koʻikoʻi.I nā kūlana e like me kēia, kōkua kēia hoʻāʻo e hoʻoholo pono inā ua pālahalaha ke kanesa i nā lymph nodes a me ke ʻano (staging). |
| No ka loaʻa ʻana o ka 'sentinel' lymph node | E noʻonoʻo inā hele mai kahi ʻaihue i kou hale, ʻaʻole anei kāu ʻīlio ka mea mua e ʻaoa? Pēlā nō, i ka wā e hoʻomaka ai nā hunaola kanesa e pālahalaha i loko o ke kino, ʻo ka lymph node mua e hele ai kēlā mau hunaola ua kapa ʻia ʻo ' sentinel node.' Hiki i kēia hoʻāʻo ke ʻike i ka mea nāna i hana i kēlā 'sentinel' mua. A laila, i ka wā o ke ʻoki kino, ma kahi o ka wehe ʻana i nā lymph node he nui me ke kumu ʻole, ʻo kēia sentinel node wale nō ke hiki ke wehe ʻia a nānā ʻia. |
| No ka hōʻoia ʻana i nā maʻi ʻē aʻe o ka ʻōnaehana lymphatic | Hoʻohana ʻia kēia hoʻāʻo no ka ʻike ʻana i nā kūlana e like me ka lymphedema, ʻo ia hoʻi ka pehu ʻana o nā lālā ma muli o ke ālai ʻana o nā kīʻaha lymphatic. He mea nui hoʻi e ʻike i nā kūlana ʻē aʻe e like me ka lymphangiomatosis a me ka chylothorax . |
| No ka nānā ʻana i ka holomua o nā lāʻau lapaʻau | Ma hope o ka ʻike ʻia ʻana o kahi maʻi, hana ʻia kēia scan i kekahi manawa e ʻike ai pehea ka maikaʻi o ka mālama ʻana a i ʻole ka hoʻomaikaʻi ʻana o ka lāʻau i ka maʻi. |
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā aia kekahi mau mea e hoʻomanaʻo ai.
- Wehe i nā mea hoʻonani a waiho ma ka home. Hiki i nā metala e like me nā lei, nā kūpeʻe lima, a me nā apo pepeiao ke hoʻopilikia i nā hopena scan. No laila ʻoi aku ka maikaʻi o ke komo ʻole ʻana iā lākou i ka lā.
- Inā hāpai ʻoe a hānai waiū paha, e hōʻoia e haʻi i kāu kauka. Na ke kauka e hoʻoholo inā kūpono kēia hoʻāʻo i kēia mau hihia.
- E lawe mai i kahi papa inoa o nā lāʻau lapaʻau āpau, nā wikamina, a me nā mea hoʻohui āu e lawe nei. He mea nui loa ia e ʻike kāu kauka i nā lāʻau lapaʻau āu e lawe nei.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
He hoʻāʻo maʻamau kēia no ka poʻe ma waho o ka haukapila hiki iā ʻoe ke hana me ka ʻole o ka noho ʻana i ka haukapila. I kekahi manawa hiki ke hana ʻia i ke kakahiaka hoʻokahi me kou ʻoki kino.
1. Ke hele nei i ka lumi hoʻokolokolo:E lawe aku kekahi loea haukapila iā ʻoe i ka lumi hoʻokolokolo. E noi ʻia ʻoe e moe i lalo ma kahi papaʻaina. E noi ʻia paha ʻoe e noho i loko o kou mau lole, a i ʻole e noi ʻia paha ʻoe e ʻaʻahu i kahi lole haukapila.
2. Hoʻokomo: A laila, hoʻokomo ʻia ka mea radioactive aʻu i ʻōlelo ai ma mua (`(radiotracer)`) ma lalo o kou ʻili me kahi nila liʻiliʻi loa. Hana pinepine ʻia kēia ma kahi kokoke i ka wahi e nānā ʻia ai. No ka laʻana, inā mākou e nānā ana i ka maʻi ʻaʻai umauma, hāʻawi ʻia ka hoʻokomo i loko o ka ʻili a puni ka umauma. Manaʻo ia he ʻano wela iki, e like me ke nahu ʻia e kahi ʻanuʻu, akā ma waho aʻe o kēlā, ʻaʻole ia he ʻeha loa.
3. Ke kiʻi ʻana i nā kiʻi: Ma hope koke iho o ka hoʻokomo ʻana, e hoʻomaka ana kahi kāmela gamma kūikawā ("(kāmela gamma)`) e kiʻi i nā kiʻi o kou kino. I loko o kēia manawa, hiki ke hoʻohuli ke kāmela a puni ʻoe, a i ʻole e noho paha ma kahi hoʻokahi. E noi paha ke loea iā ʻoe e hoʻololi i nā kūlana.
4. Mai neʻe: He mea nui loa ia e noho mālie i ka wā e paʻi ana i kēia mau kiʻi. Inā ʻoe e neʻe, ʻaʻole paha e maopopo nā kiʻi. Akā, ʻaʻole kēia he manawa lōʻihi, pono ʻoe e noho mālie no kekahi manawa pōkole.
5. Ua pau ka hoʻāʻo ʻana: Ma hope o ka lawe ʻia ʻana o nā kiʻi a pau e pono ai, e nānā ke loea i ko lākou mōakāka a ʻae iā ʻoe e hoʻi i ka home.
Ma hope o ka hoʻāʻo a me kona mau pilikia
Ma hope o ka hoʻāʻo ʻana, hiki iā ʻoe ke hoʻomau me kāu mau hana maʻamau. ʻAʻohe mea kūikawā e hana ai ke ʻole ke hāʻawi mai ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo ʻē aʻe.
Mai hopohopo e pili ana i ka mea radioactive i hoʻokomo ʻia i loko o kou kino. E hoʻopau loa ʻia ia mai kou kino i hoʻokahi a ʻelua paha lā ma o kou mimi a me nā ʻōpala. No ka wikiwiki ʻana i kēia kaʻina hana, pono ʻoe e inu i ka nui o ka wai.
Nā pilikia a me nā hopena ʻaoʻao
He hoʻāʻo palekana loa ka Lymphoscintigraphy, akā e like me nā hoʻokolohua lapaʻau āpau, aia kekahi mau pilikia.
| Ka pilikia/hopena ʻaoʻao | Wehewehena |
|---|---|
| Ka kū ʻole ʻana no kekahi poʻe | Inā hāpai ʻoe, hānai waiū, a i ʻole he mau ʻano maʻi ʻaʻai umauma (maʻi ʻaʻai umauma mumū, DCIS)A i ʻole inā he mau puʻupuʻu kou i ʻoi aku ma mua o 5 kenimika, ʻaʻole paha kūpono kēia hoʻāʻo iā ʻoe. Na kāu kauka e hoʻoholo hope loa. |
| Nā hopena maʻi ʻaleka | He mea kākaʻikahi loa ka pilikia o ka loaʻa ʻana o kahi hopena alerika i ka mea radioactive (radiotracer) i hoʻokomo ʻia i loko o ke kino. ʻO ia hoʻi, haʻahaʻa loa. Inā hana ʻia kēia, e hāʻawi koke nā limahana o ka haukapila i ka lāʻau lapaʻau e pono ai. |
Nā nīnau ʻē aʻe paha āu e loaʻa ai
He ʻeha anei kēia?
ʻAʻole. ʻOiai paha e manaʻo iki ʻoe i kahi ʻano ʻūlū ke hāʻawi ʻia ʻoe i ka inikini ma mua o ka hoʻāʻo ʻana, ʻaʻole ʻoe e ʻeha i ka wā o ke scan.
Ke hoʻohana nei ʻoe i ka radiation no kēia?
ʻAe. Akā, he liʻiliʻi loa ka nui o ka radiation i hoʻohana ʻia, palekana. ʻAʻole ia e hōʻeha i kou kino i ka wā lōʻihi. A e hoʻopau loa ʻia ka mea mai kou kino i loko o kekahi mau lā.
Pehea ka lōʻihi?
Hiki ke ʻokoʻa ka manawa e pono ai mai kēlā kanaka a kēia kanaka. No kekahi poʻe, he 30 mau minuke ka lōʻihi. No kekahi poʻe, he mau hola paha ka lōʻihi. Aia ia i ke kumu o ka hoʻāʻo a me ka ʻāpana o ke kino e hoʻāʻo ʻia nei.
ʻEhia ka lōʻihi o ka hōʻea ʻana mai o ka hōʻike?
Loaʻa pinepine nā hopena i loko o hoʻokahi pule. Hoʻouna ka mea loea nāna i lawe i nā kiʻi scan iā lākou i kahi radiologist. Hoʻopili ʻo ia i nā kiʻi a hoʻomākaukau i kahi hōʻike. Ke loaʻa i ke kauka nāna ʻoe i kuhikuhi no ka hoʻokolohua ka hōʻike, e kāhea aku ʻo ia iā ʻoe e kūkākūkā i nā kikoʻī.
A pehea inā he mea ʻē i loko o ka hōʻike?
Inā hōʻike ka hōʻike he mea ʻē, ʻo ka mea e hana ai ma hope e pili ana i ke kumu i hoʻouna ʻia ai ʻoe no ka hoʻāʻo ʻana ma kahi mua.
Eia kekahi laʻana, inā hana ʻia kēia e kāpae i ka maʻi kanesa, a ʻike ʻia he ʻano ʻē kahi node sentinel, ʻo ka hana aʻe he biopsy node sentinel pinepine. Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka node sentinel a nānā iā ia ma lalo o kahi microscope e ʻike inā loaʻa nā hunaola kanesa.
Mai hopohopo i kekahi mea. E wehewehe kāu kauka i nā mea āpau iā ʻoe, e kūkākūkā i nā koho lapaʻau maikaʻi loa nāu, a e hāʻawi iā ʻoe i ka hopena maikaʻi loa.
Me kekahi maʻi, ʻo ka ʻike mua ka mea nui loa. He mea hana waiwai nui ka Lymphoscintigraphy e hiki ke kōkua i ka ʻike ʻana i nā maʻi ʻaʻai a me nā maʻi ʻōnaehana lymphatic i paʻakikī ke ʻike me nā hoʻokolohua ʻē aʻe i ka wā mua. Hoʻonui nui kēia i kou manawa kūpono no ka mālama ʻana.
Leka Lawe-Home
- He scan palekana ka Lymphoscintigraphy e nānā i ka hana o ka ʻōnaehana lymphatic o kou kino.
- Hoʻohana nui ʻia kēia no ka ʻike ʻana i nā maʻi kanesa e like me ke kanesa o ka umauma, melanoma, a me nā maʻi o ka ʻōnaehana lymphatic.
- ʻOiai he ʻeha iki ka inikini i hāʻawi ʻia ma mua o ka hoʻāʻo ʻana, ʻaʻohe ʻeha i ka wā o ke scan.
- He haʻahaʻa loa ka nui o ka radiation i hoʻohana ʻia, a haʻalele ia i ke kino i loko o kekahi mau lā.
- Inā hāpai ʻoe a hānai waiū paha, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
- Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā maʻi i ka wā mua, e hāʻawi ana iā ʻoe i ka manawa kūpono loa no ka mālama pono ʻana. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.











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