Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi scan MRCP no ka mea ʻaʻole hiki iā ʻoe ke loaʻa ke kumu pololei o kou ʻeha ʻōpū? Ua makaʻu iki paha ʻoe i kou lohe ʻana i ka inoa, ʻeā? Ua manaʻo paha ʻoe, "He hoʻāʻo nui kēia." Mai hopohopo, he mea maʻamau ia. ʻAʻole ia he mea weliweli e like me kou manaʻo. I kēia lā, e kamaʻilio wale mākou e pili ana i ke ʻano o kēia MRCP, pehea e hana ʻia ai, a pehea e hoʻomākaukau ai no ia.
I ka ʻōlelo maʻalahi, he aha ka MRCP?
ʻO MRCP, ʻo ia hoʻi, he acronym no nā huaʻōlelo lōʻihi ʻo Magnetic Resonance Cholangiopancreatography . ʻAe, ʻae, he paʻakikī iki ka inoa. E poina kākou i kēlā a e hoʻomaopopo wale iā ia.
He ʻano scan MRI maoli kēia. Akā ua hoʻolālā kūikawā ʻia e nānā i nā ducts i loko o ka ʻōnaehana biliary a me ka pancreas o ko mākou kino . Ua like ia me ka lawe ʻana i kahi kāmela hoʻonā kiʻekiʻe a lawe i kahi kiʻi maopopo o loko o kēia mau ʻōkana.
I loko o kēia hoʻāʻo ʻana, hoʻokomo ʻia kahi cannula liʻiliʻi i loko o kahi aʻa koko i kou lima a hoʻokomo ʻia kahi wai kūikawā (contrast agent) i loko o kou kino ma o ia mea. Mai makaʻu i kēia, no ka mea, ʻo kēia wai ka mea e ʻike maopopo ai kāu mau ʻauwai bile a me nā ʻauwai pancreatic ma nā kiʻi scan. Ma ka nānā ʻana i kēia mau kiʻi, hiki i kāu kauka ke ʻike pololei i kou kūlana.
He aha nā maʻi e hiki ke ʻike ʻia me ka nānā ʻana o ka MRCP?
E kauoha pinepine ke kauka i kahi MRCP inā ʻaʻole hiki iā lākou ke loaʻa ke kumu o kou ʻeha ʻōpū. Hiki i kēia hoʻāʻo ke ʻike pinepine i nā kūlana aʻe:
| Ke kūlana olakino hiki ke ʻike ʻia | He wehewehe maʻalahi |
|---|---|
| Nā pōhaku ʻōpū | Hiki iā ʻoe ke hoʻoholo i ke ʻano o nā pōhaku i loko o ka gallbladder a i ʻole nā auwai bile. |
| ʻO ke koʻikoʻi o ka biliary (ka pale ʻana a i ʻole ka hoʻohaiki ʻana o nā ʻāpana bile) | Hiki iā ʻoe ke nānā e ʻike inā ua ālai ʻia a ua hoʻohaiki ʻia paha nā ala e hele mai ana mai ka gallbladder ma nā wahi āpau. |
| ʻO ka maʻi pancreatitis | Hiki iā ʻoe ke ʻike inā ua pehu a ua maʻi ka pancreas. |
| Ka maʻi ʻaʻai pancreatic a i ʻole Bile Duct | Kōkua kēia i ka ʻike ʻana i nā hōʻailona mua o nā maʻi kanesa (e.g., cholangiocarcinoma) i loko o kēia mau ʻōpū. |
| Nā puʻupuʻu a i ʻole nā cysts i piha i ka wai (Cysts a me Pseudocysts) | Hiki iā ʻoe ke nānā i nā puʻupuʻu a me nā ʻōpū ʻē aʻe i loko o ka pancreas a i ʻole nā ducts bile. |
ʻO wai ka mea e hana nei i kēia scan?
Hana pinepine ʻia kēia hoʻāʻo e kahi loea radiology . Eia nō naʻe, aia pū kekahi radiologist i ka manawa like. Hoʻopili ʻo ia i nā kiʻi scan a hoʻomākaukau i ka hōʻike. He hoʻāʻo outpatient kēia i hana ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau.
Nā ʻano scanners i hoʻohana ʻia no MRCP
ʻElua ʻano nui o nā scanner MRI i hoʻohana ʻia no MRCP.
1. MRI pani ʻia: ʻO kēia ke ʻano a mākou e ʻike pinepine ai. Moe ʻoe ma luna o kahi moena, a komo ka moena i loko o kahi pahu nui, e like me kahi pahu wai nui, i loko o ka mīkini . Aia kou poʻo a me kou ʻōpū i loko o kēia mīkini.
2. MRI hāmama: ʻElua ʻaoʻao hāmama o kēia mīkini. Aia nā magnet ma luna a ma lalo ou wale nō. He mea kūpono loa kēia ʻano scanner no ka poʻe makaʻu i ka noho ʻana ma nā wahi liʻiliʻi (claustrophobia) .
Pehea ʻoe e hoʻomākaukau ai ma mua o ke scan?
He mea nui loa ia e hahai pono i nā kuhikuhi a kāu kauka ma mua o kēia hoʻokolohua. ʻO kēia nā mea a lākou e haʻi mau ai iā ʻoe e hana.
| He aha e hana ai | No ke aha lā ia? |
|---|---|
| Hoʻokē ʻai | E noi ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ka hoʻāʻo ʻana. ʻO kēia ka manawa e maopopo ai nā kiʻi. |
| Ke wehe ʻana i nā mea hao | Ma muli o ke kahua magnetic ikaika o ka scanner, pono ʻoe e wehe i nā mea metala a pau e like me nā apo pepeiao, nā lei, nā apo, nā wati, a me nā niho kuʻi. |
| Hoʻolaha o nā mea i hoʻokomo ʻia | Inā loaʻa iā ʻoe kahi mea hao i hoʻokomo ʻia i loko o kou kino, e like me ka pacemaker , cochlear implant , a i ʻole nā hono artificial, e haʻi pono i kāu kauka e pili ana i ia mea ma mua. |
| Ka ʻike e pili ana i nā allergies | E haʻi i kāu kauka inā loaʻa iā ʻoe ka hānō, nā maʻi ʻaleka ʻē aʻe, a i ʻole ua loaʻa iā ʻoe kahi hopena maʻi ma mua i kekahi mea. He mea nui kēia no ka mea he liʻiliʻi loa ka pilikia o kahi hopena maʻi i ka wai hoʻohālikelike. |
| Hoʻomaha | Inā he makaʻu kou, e like me ka claustrophobia, e haʻi aku i nā limahana e pili ana i ia mea. E hāʻawi lākou iā ʻoe i kahi pila a i ʻole kahi inikini e hōʻoluʻolu iā ʻoe. Inā pēlā, e lawe mai i kekahi e lawe iā ʻoe i ka home ma hope o ka hoʻāʻo. |
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻAe, e nānā kākou i ka mea e hana ʻia ana i ka wā o ka scan.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i nā pani pepeiao a i ʻole nā headphone e hōʻemi i ka walaʻau mai ka scanner. Eia nō naʻe, hiki iā ʻoe ke lohe i ka mea a nā limahana e ʻōlelo nei.
2. A laila, e kau ʻia ʻoe i luna ma ka papa scan a e hoʻohana ʻia nā kaula a i ʻole nā uluna e kōkua iā ʻoe e noho mālie.
3. A laila, hoʻokomo ʻia kahi cannula i loko o kahi aa koko ma kou lima a hoʻokomo ʻia ka wai hoʻohālikelike . Hiki paha iā ʻoe ke manaʻo i kahi manaʻo anuanu iki i kēlā manawa.
4. I kēia manawa, hele ke loea i ka lumi hoʻomalu a hoʻouna i ka moena scan i loko o ka mīkini. Akā hiki iā ia ke ʻike iā ʻoe ma o ke aniani, a hiki nō hoʻi iā ia ke kamaʻilio me ʻoe ma o kahi intercom.
5. Ke hoʻomaka ka scan, e lohe ʻoe i kahi leo nui. Hiki paha iā ʻoe ke manaʻo i kahi mehana iki. ʻO ka mea nui loa i kēia manawa, ʻo ia ke noho mālie . I kekahi manawa e noi ʻia ʻoe e paʻa i kou hanu no kekahi manawa.
ʻO ka maʻamau, he 15 mau minuke ka lōʻihi o kēia hoʻāʻo. Hiki ke hala hou aku he 30 mau minuke inā hana ʻia kahi MRI maʻamau o ka ʻōpū i ka manawa like.
He aha ka mea e hana ʻia ma hope o ke scan?
Ke pau ka hoʻāʻo ʻana, inā ua hāʻawi ʻia ʻoe i kahi lāʻau hoʻomaha, pono ʻoe e kali i kekahi manawa no ka pau ʻana o nā hopena. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau a hoʻomau i kāu hana.
He mea kākaʻikahi loa nā hopena ʻaoʻao mai kēia hoʻāʻo. Eia nō naʻe, inā loaʻa iā ʻoe ka nausea, ka ʻeha poʻo, a i ʻole ka ʻeha kino ma hope o kou hoʻi ʻana i ka home, e hoʻomaopopo koke i kāu kauka.
He aha ka ʻokoʻa ma waena o MRCP a me ERCP?
Ua lohe paha ʻoe i kahi hoʻokolohua i kapa ʻia ʻo ERCP. ʻOiai ke nānā nei kēia mau hoʻokolohua ʻelua i ka ʻōnaehana kino like, aia kahi ʻokoʻa nui ma waena o nā hoʻokolohua ʻelua.
| Hiʻona | MRCP (ka mea ma kēia ʻatikala) | ERCP (Endoscopic Retrograde Cholangiopancreatography) |
|---|---|---|
| ʻAno hana | ʻAʻohe mea hana i hoʻokomo ʻia i loko o ke kino. He scan MRI ia i hana ʻia ma waho. | Hoʻokomo ʻia kahi ʻōmole (endoscope) me kahi kāmela i hoʻopili ʻia ma o ka waha, ma o ka ʻōpū, a i loko o nā ʻāpana bile. |
| Ka hoʻouka kaua ʻana | ʻAʻole komo i loko. | Hoʻokomo. |
| ʻAnestesia | ʻAʻole pono pinepine (hāʻawi wale ʻia nā lāʻau hoʻomaha i ka poʻe makaʻu). | He mea pono loa. |
| Ka hiki ke mālama ʻia | No nā kumu hōʻoia wale nō. ʻAʻole hiki ke hoʻohana ʻia no ka mālama ʻana. | Hiki ke hana ʻia nā lāʻau lapaʻau e like me ka wehe ʻana i nā pōhaku, ke hoʻokomo ʻana i nā ʻōmole (stent) i loko o nā kīʻaha koko i haiki, a me ka lawe ʻana i nā laʻana ʻiʻo (biopsies) i ka wā o ka hoʻokolokolo ʻana. |
He aha nā pilikia a me nā pono o MRCP?
ʻO ka pōmaikaʻi nui, ʻaʻohe ona ʻike ʻia e ka radiation X-ray. Hoʻohana ia i kahi kahua magnetic a me nā nalu lekiō. No laila, he hoʻāʻo palekana loa ia.
Haʻahaʻa loa ka pilikia .
- Nā Allergies: He mea kākaʻikahi loa nā allergies i ka wai hoʻohālikelike.
- Claustrophobia: ʻO ka makaʻu i ka noho ʻana i kahi liʻiliʻi ka mea nui o ka ʻoluʻolu ʻole. Akā aia nā hoʻonā no ia.
Mea nui: Inā he maʻi puʻupaʻa kou a inā paha ua hāpai ʻoe, pono ʻoe e haʻi i kāu kauka ma mua o ka hana ʻana i kēia hoʻāʻo.
Leka Lawe-Home
- He palekana loa ka MRCP, ʻaʻohe radioactive, he scan MRI kūikawā e nānā ana i kāu mau ʻāpana bile a me ka pancreas.
- Hiki i kēia ke ʻike i nā maʻi e like me nā gallstones, nā blockages ducts, pancreatitis, a me ke kanesa.
- E hahai pono i nā ʻōlelo a ke kauka (ka hoʻokē ʻai ʻana, ka wehe ʻana i nā mea metala) ma mua o ka hoʻāʻo ʻana.
- Inā loaʻa iā ʻoe ka claustrophobia, e haʻi mua i nā limahana. E kōkua lākou iā ʻoe.
- Mai makaʻu pono ʻole i kēia hoʻokolohua. E ʻoluʻolu e kūkākūkā i nā nīnau a hopohopo paha āu e loaʻa ai me ke kauka.
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