Ke haʻi aku kāu kauka iā ʻoe e hana i kahi scan MRA, e makaʻu iki paha ʻoe. He mea maʻamau ka loaʻa ʻana o nā nīnau he nui e like me, "He aha ke ʻano o kēia hoʻāʻo? E hoʻokomo anei lākou i kahi mīkini nui? E ʻeha anei?" Akā, mai hopohopo, he hoʻāʻo palekana a ʻeha ʻole ka MRA. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka MRA?
I ka ʻōlelo maʻalahi, ʻo MRA ka pōkole no Magnetic Resonance Angiography . He ʻano MRI scan kēia, akā ke nānā pono nei kēia i nā kīʻaha koko i loko o kou kino. ʻO ia hoʻi, ke nānā nei ia i ke kūlana o nā aʻa a me nā veins, nā kīʻaha koko e lawe ana i ke koko ma kou kino.
ʻO kekahi o nā pono nui o kēia, ʻo ia ka hoʻāʻo ʻole e komo i loko o ke kino e hiki ke hana ʻia ma waho o ke kino. Ua lohe paha ʻoe i kahi hoʻāʻo angiography maʻamau, kahi e hoʻokomo ʻia ai kahi paipu liʻiliʻi (catheter) i loko o ke kīʻaha koko e nānā ai. Akā me ka MRA, ʻaʻohe mea like me ia e hana ʻia. No laila, ʻoi aku ka maʻalahi.
Hoʻohana ke kauka i kahi MRA e ʻike ai inā he pilikia me kou mau kīʻaha koko, e like me kahi aa koko i ālai ʻia. He mea nui loa hoʻi ka ʻike mai kēia hoʻāʻo no ka nānā ʻana i nā loli i loko o kou mau kīʻaha koko ma hope o ka mālama ʻana a me ka hoʻolālā ʻana i ke ʻoki kino.
He aha ka mea e hiki ke ʻike ʻia me kahi scan MRA?
Hiki i kēia hoʻokolohua ke nānā i nā kīʻaha koko ma nā wahi like ʻole o ke kino.
| ʻĀpana kino | He wehewehe maʻalahi |
|---|---|
| ʻAorta | ʻO ke aʻa nui a nui loa e lawe i ke koko mai ka puʻuwai a i ke kino. |
| Nā kīʻaha koko lolo | ʻO ka pūnaewele palupalu o nā kīʻaha koko e hoʻolako koko i kou lolo. |
| Nā aʻa Carotid | ʻO nā aʻa nui ʻelua e lawe i ke koko i ka lolo mai nā ʻaoʻao ʻelua o ka ʻāʻī. |
| Nā aʻa koko | He kīʻaha koko koʻikoʻi loa e hoʻolako ana i ke koko i ka ʻiʻo puʻuwai. |
| Nā aʻa peripheral o nā lima a me nā wāwae | Nā kīʻaha koko e lawe i ke koko i nā lima, nā wāwae, a me nā manamana lima. |
| Nā aʻa puʻuwai | Nā aa koko e lawe i ke koko mai ka puʻuwai a i nā māmā. |
| Nā aʻa renal | Nā kīʻaha koko e hoʻolako koko i nā puʻupaʻa. |
He aha nā maʻi e hiki ke ʻike ʻia me ka MRA?
Hiki i kēia hoʻokolohua ke ʻike i nā maʻi like ʻole e pili ana i nā kīʻaha koko.
| Kūlana olakino | Inoa ʻepekema lapaʻau (Huaʻōlelo Pelekania) |
|---|---|
| Poha a haehae paha kekahi kīʻaha koko i kona paia | ʻO ka hoʻokaʻawale ʻana o ke aortic / Aneurysms |
| Ka hoʻohaiki ʻana (occlusion) o kahi kīʻaha koko | Ke kuhi ʻana o ke aʻa |
| Ka hihia ʻano ʻē o nā aʻa a me nā veins | ʻO ka maʻi arteriovenous |
| Nā waihona momona i loko o nā aa koko | Atherosclerosis |
| Nā ʻūpā koko i loko o nā aa koko o nā wāwae | ʻO ka thrombosis aʻa hohonu (DVT) |
| He ʻūpā koko e hele ana i nā māmā | ʻO ka embolism pulmonary (PE) |
| Maʻi puʻuwai hānau | Maʻi puʻuwai hānau |
| He aha ka mea i ʻike pono ʻia me ka MRA o ka lolo? | |
| Ka pilikia o ka pahū ʻana o kahi aneurysm o ka lolo | Nā aneurysms o ka lolo |
| Nā hōʻailona o ka hahau ʻana | Nā hōʻike o ka hahau ʻana |
| Nā ʻano ʻē i loko o nā kīʻaha koko | Nā malformations vascular |
I kekahi manawa, ʻōlelo nā kauka i kahi scan lolo MRA e ʻike ai i ke kumu o ka ʻeha poʻo mau.
Pehea e hana ai kēia mīkini MRA?
He ʻano hana hoihoi loa kēia. Hoʻohana kahi scan MRA i kahi kahua magnetic ikaika a me nā nalu lekiō . Hoʻohana ʻia kēia mau mea e hana i nā kiʻi kikoʻī o nā kīʻaha koko i loko o kou kino. Hiki i ke kauka ke nānā i kēia mau kiʻi ma kahi pale kamepiula.
ʻO ka mea nui loa ma ʻaneʻi, ʻaʻole hoʻohana ʻo MRA i kekahi radiation e like me nā kukuna X-ray , no laila ʻoi aku ka palekana ma mua o ka X-ray a i ʻole CT scan.
Aia kekahi mau ʻano hoʻokolohua MRA?
ʻAe, aia kekahi mau ʻano MRA ma muli o kāu mau pono.
- MRA i hoʻonui ʻia e ka hoʻohālikelike ʻana: Ma kēia, ua hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau lapaʻau (contrast dye) i loko o kou aʻa. Hoʻomaopopo kēia lāʻau i nā kīʻaha koko e ʻike maopopo ʻia, e maʻalahi ai ka ʻike ʻana i kahi maʻi.
- MRA i hoʻonui ʻole ʻia: ʻAʻole hoʻohana kēia ʻano i ka dye contrast. Inā loaʻa iā ʻoe kahi maʻi puʻupaʻa, hiki i kēia dye ke hōʻino i kou kino. Hoʻohana ʻia kēia ʻano i ia mau hihia.
- 2D a me 3D MRA: I kekahi manawa lawe ʻia nā kiʻi ʻelua-dimensional (2D) e nānā i kahi ʻāpana lōʻihi o ke kīʻaha koko. Lawe ʻia nā kiʻi ʻekolu-dimensional (3D) e nānā i kahi pūnaewele maikaʻi a paʻakikī o nā aʻa koko ma nā wahi e like me ka lolo.
Pehea ʻoe e hoʻomākaukau ai no kahi scan MRA?
Ma mua o ke kiʻi ʻana, e nīnau aku ke kauka a i ʻole nā limahana o ka haukapila iā ʻoe i kekahi mau nīnau. He mea nui no kou palekana e pane pololei i kēia mau nīnau .
- Aia kekahi mau ʻāpana metala i loko o kou kino? He nīnau koʻikoʻi loa kēia. No ka mea, he magnet ikaika loa ka mīkini MRA, hiki ke lilo i mea weliweli inā loaʻa iā ʻoe kekahi mau ʻāpana metala i loko o kou kino. Eia kekahi laʻana: nā pacemakers, kekahi mau clips ma hope o ke ʻoki ʻana, nā koʻokoʻo hao, nā hono hana, a i ʻole nā ʻāpana metala i komo i loko o ke kino ma kekahi ulia.
- Ke makaʻu nei ʻoe i ka noho ʻana i loko o nā wahi paʻa? Manaʻo kekahi poʻe i ka makaʻu a me ka ʻoluʻolu ʻole ke komo lākou i loko o kēia mīkini. Ua kapa ʻia kēia he "claustrophobia." Inā loaʻa iā ʻoe kēlā pilikia, e haʻi mua mai iā mākou. A laila hiki i ke kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau e hoʻomaha ai iā ʻoe. Loaʻa i kekahi mau haukapila nā mīkini MRI "hāmama".
- Ke hāpai nei ʻoe a hānai waiū paha? Pono ʻoe e hoʻomaopopo i kāu kauka e pili ana i kēia.
- ʻO nā maʻi ʻē aʻe, nā maʻi allergies, a i ʻole nā ʻoki kino āu i loaʻa ai , ʻoiai inā he maʻi puʻupaʻa a maʻi akepaʻa paha kou, e pale aku paha iā ʻoe mai ka loaʻa ʻana o ka dye contrast i ʻōlelo ʻia ma mua.
E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi no ka ʻai ʻana, ka inu ʻana, a me ka lawe ʻana i kāu mau lāʻau lapaʻau ma mua o ke scan. E hahai pololei i kēlā mau kuhikuhi. Inā hāʻawi ʻia ʻoe i kahi mea hoʻomaha, mai poina e lawe mai i kekahi e lawe iā ʻoe i ka home ma hope o ke scan .
He aha ka mea e hana ʻia i ka wā o ke scan?
ʻAe, e nānā kākou i ka mea e hana ʻia i ka wā o ke scan. Ke ʻike ʻoe i kēia ʻanuʻu, e nalo aku kou makaʻu.
1. ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi moena i pili i ka scanner.
2. He leo nui iki ka mīkini, no laila e hāʻawi ʻia ʻoe i nā headphone a i ʻole nā mea hoʻopili pepeiao e hōʻemi i ka walaʻau.
3. E aʻo ʻia ʻoe e noho mālie e like me ka hiki i ka wā o ke kiʻi ʻana, no ka mea, hiki i ka neʻe ʻana ke hoʻopilikia i ka moakāka o nā kiʻi. I kekahi manawa e noi ʻia paha ʻoe e paʻa i kou hanu no kekahi manawa.
4. E hāʻawi ʻia aku ʻoe i kahi mea liʻiliʻi e like me ka pōpō ma kou lima. Inā manaʻo ʻoe i kekahi ʻano ʻeha, hiki iā ʻoe ke ʻomi iā ia a hōʻailona i ke koʻokoʻo. E nānā mai ana lākou iā ʻoe mai kahi lumi kokoke mai a hiki nō hoʻi ke kamaʻilio pū me ʻoe.
5. A laila, komo ka moena āu e noho nei i loko o ka mīkini. He mīkini poepoe kēia me kahi lua nui ma waenakonu.
6. E hoʻomaka ana ke scan. Inā pono ʻoe e hāʻawi ʻia i ka dye contrast, e hoʻokomo ʻia ia ma o ka cannula ma kou lima i kēlā manawa. Hiki paha iā ʻoe ke manaʻo i kahi ʻono metala iki i loko o kou waha, a e nalo aku ia ma hope o kekahi manawa.
7. Ma hope o ka hāʻawi ʻia ʻana o ka lāʻau lapaʻau, e kiʻi hou aku au i kekahi mau kiʻi.
8. Ke pau ka hoʻāʻo ʻana, e puka hou mai ka moena. A laila e wehe ʻia ke cannula ma kou lima.
ʻO ka maʻamau, ma waena o 20 a 60 mau minuke ka lōʻihi o ka nānā ʻana o ka MRA.
Aia kekahi pilikia i loko o kēia?
Ma keʻano holoʻokoʻa, he hoʻāʻo palekana loa ka MRA.
- ʻAʻole hoʻohana kēia i ka radiation.
- ʻAʻohe mea i hoʻokomo ʻia i loko o ke kino (koe wale nō ka dye hoʻohālikelike).
- Inā he pilikia kou i ka puʻupaʻa a ua pilikia ʻoe i ka hoʻohuihui ʻokoʻa, hiki ke hana ʻia ke kiʻi me ka ʻole o ia mea.
He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i ke poʻo ʻeha, ka ʻōpū ʻeha, a i ʻole kahi hopena maʻi i ka pena hoʻohālikelike. Akā, he mea kākaʻikahi loa kēia.
Ma hope o ke scan a e pili ana i ka hōʻike
Inā ʻaʻole i hāʻawi ʻia iā ʻoe kahi lāʻau hoʻomaha, hiki iā ʻoe ke hoʻokele iā ʻoe iho a hoʻomau i kāu mau hana maʻamau ma hope o ke scan. Inā ua hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau, pono ʻoe e hele pū me kekahi e ka home.
He mau lā paha e hiki ai i kāu mau kiʻi scan MRA ke nānā ʻia e kahi radiologist, e hoʻomākaukau ʻia kahi hōʻike, a hoʻouna ʻia i kāu kauka. Inā ʻaʻole ʻoe e lohe hou ma hope o hoʻokahi pule a i ʻole, e nīnau i kāu kauka e pili ana i ia mea.
Ma muli o nā hopena o kāu hōʻike, e wehewehe kāu kauka iā ʻoe inā he mau pilikia me kou mau kīʻaha koko. E ʻike paha ʻoe i ka huaʻōlelo "unremarkable" ma kāu hōʻike. Mai hopohopo i kēlā. Ma nā huaʻōlelo lapaʻau, ʻo ia hoʻi "ʻaʻohe pilikia, maʻamau nā mea āpau."
ʻOiaʻiʻo, hiki i ka mīkini MRA ke lilo i mea weliweli iki ke ʻike. Akā hiki iā ʻoe ke komo i nā headphone e hoʻopau i ka walaʻau, a hiki iā ʻoe ke lawe i ka lāʻau lapaʻau inā ʻoluʻolu ʻole ʻoe i loko o kahi paʻa. Hāʻawi kēia hoʻāʻo i kāu kauka i ka ʻike waiwai nui e pili ana i kou kino. ʻO kēlā ʻike ka mea e kōkua iā ia e hoʻoholo pololei i ka lāʻau āu e pono ai.
Leka Lawe-Home
- He ʻano kūikawā ka MRA o ke kiʻi MRI e nānā mua ana i nā kīʻaha koko (nā aʻalolo) i loko o kou kino.
- He palekana loa kēia. ʻAʻole ia e hoʻohana i nā radiation ʻino e like me nā X-ray a i ʻole nā scan CT.
- Ma mua o ke kiʻi ʻana, e hōʻoia e haʻi i ke kauka e pili ana i nā ʻāpana metala i loko o kou kino (nā pacemakers, nā clips), nā maʻi allergies, ka hāpai ʻana, a me nā maʻi ʻē aʻe.
- ʻAʻohe ʻeha i ka wā o ka hoʻāʻo ʻana. ʻO ke kani wale nō o ka mīkini a me ka noho mālie ʻana.
- ʻO ka ʻike i loaʻa mai kēia hoʻokolohua e kōkua i nā kauka e ʻike pololei i kou kūlana a hāʻawi i ka lāʻau lapaʻau maikaʻi loa.
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