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Know your body mass index (BMI) and weight classification
I ka ʻōlelo maʻalahi, he aha ka Nuclear Bone Scan?
ʻO ka Nuclear Bone Scan kahi hoʻāʻo kiʻi kūikawā e nānā i ke olakino o kou mau iwi. Ua kapa ʻia hoʻi ʻo 'Skeletal Scintigraphy'. Pili ia i ka hoʻokomo ʻana i kahi mea radioactive liʻiliʻi loa a palekana (kapa mākou iā ia he 'tracer' a i ʻole 'radionuclide') i loko o kou kino. I kēia manawa ke noʻonoʻo nei paha ʻoe, " ʻAuē, ke kau nei au i kahi mea radioactive i loko o koʻu kino?" Mai hopohopo. He liʻiliʻi loa kēia o ka lāʻau lapaʻau, i kāohi ʻia, a palekana hoʻi. I ka pololei, ke komo kēia mea i kou kino, hele pololei ia i kāu ʻōnaehana iwi. ʻO ke kikoʻī, hōʻiliʻili kēia mea ma nā wahi i loaʻa ai kekahi loli kemika a kino paha, ka hōʻino, ka maʻi, a i ʻole ke kaʻina hana ʻē aʻe i loko o nā iwi. A laila, ʻike kahi kāmela kūikawā (scanner) i nā wahi i loaʻa ai kēia mea radioactive i hōʻiliʻili ʻia a hana i kiʻi, e like me ka palapala ʻāina. Ma ka nānā ʻana i kēia palapala ʻāina, hiki i kāu kauka ke kuhikuhi pololei i kahi o kou pilikia iwi a me ke ʻano o ka pilikia.No ke aha i noi ʻia mai ai mākou e hana i kēia scan iwi?
Aia kekahi mau kumu e hiki ai ke hana ʻia kahi scan iwi. Hiki iā ia ke ʻike i nā pilikia liʻiliʻi loa i paʻakikī ke ʻike me kahi X-ray maʻamau. E nānā kākou i nā kumu nui.| Kūlana a kumu paha | He wehewehe maʻalahi |
|---|---|
| Nā haki | ʻOi loa aku no ka ʻike ʻana i nā mea i ʻike ʻole ʻia ma nā kukuna X-ray, e like me nā haki e like me ka ʻūhā a me nā haki koʻikoʻi i maʻamau i nā mea pāʻani. |
| ʻO ka ʻāʻī o ke kino | E ʻike pehea e hoʻopilikia ai ka ʻāʻī, kahi kūlana e hoʻoulu ai i ka pehu a me ka ʻeha o nā hono, i nā iwi. |
| ʻO ka maʻi o Paget o ka iwi | ʻO ka mea e hana ʻia ma kēia, ʻo ia ke hoʻopilikia ʻia ke kaʻina hana o ke kino o ka wehe ʻana i nā ʻiʻo iwi kahiko a me ka hana ʻana i ka iwi hou. E ʻike i kēia kūlana. |
| Ka maʻi ʻaʻai | E nānā inā he maʻi ʻaʻai i hoʻomaka i loko o nā iwi a i ʻole he maʻi ʻaʻai i laha i nā iwi ( ka maʻi ʻaʻai metastatic ) . |
| Nā maʻi | E nānā no nā maʻi iwi (osteomyelitis) a i ʻole nā maʻi e pili ana i nā hono hana (nā pūhaka, nā kuli). |
| ʻO ka necrosis avascular (make ʻana o ka iwi) | Make nā ʻiʻo iwi ma muli o ke ālai ʻia ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i nā iwi. E nānā inā loaʻa iā ʻoe kēia maʻi. |
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Pehea ʻoe e hoʻomākaukau ai ma mua o ke scan?
ʻAʻole pono kēia i kekahi hoʻomākaukau kūikawā. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, hiki i kekahi mau mea ke hoʻopilikia i ke ʻano o ka hana a ka tracer i hoʻohana ʻia i ka scan. No laila, e hōʻoia e haʻi i kāu kauka e pili ana i kēia mau mea:- Inā ua hoʻohana koke ʻoe i kahi lāʻau lapaʻau i loaʻa ka bismuth (e.g., kahi lāʻau lapaʻau ʻōpū e like me Pepto-Bismol).
- Inā ua loaʻa iā ʻoe kahi hoʻokolohua lapaʻau i hoʻohana i ka barium (e.g., barium swallow, barium enema).
Pehea e hana ai ke kaʻina hana scan?
Hana ʻia kēia kaʻina hana ma nā pae he nui, akā ʻaʻohe o lākou he mea ʻeha.1. Ke hoʻokomo ʻana i ka lāʻau lapaʻau
ʻO ka mea mua, e hoʻokomo kekahi limahana lapaʻau i kahi inikini liʻiliʻi e loaʻa ana ka mea hoʻopili i loko o kahi aa koko ma kou lima a lima paha. ʻAʻohe ʻeha ʻē aʻe ma mua o kahi ʻeha iki i ka wā e hāʻawi ʻia ai ka inikini.2. Ka manawa kali
Ma hope o ka hoʻokomo ʻana, ma waena o 2 a me 4 mau hola no ka tracer e hele ai ma kou koko a hōʻiliʻili i loko o kou mau iwi. I loko o kēia manawa, hiki iā ʻoe ke hana i nā mea āu e makemake ai. Hiki iā ʻoe ke heluhelu i kahi puke, nānā i kāu kelepona, a noho wale paha ma kahi kali o ka haukapila. I loko o kēia manawa, e noi ʻia ʻoe e inu ma kahi o 4 a 6 mau kīʻaha wai . E kōkua kēia i ka hoʻokahe ʻana i kekahi tracer keu i komo ʻole ʻia e kou mau iwi. Pono ʻoe e mimi a hoʻokahe i kou ʻōpū mimi ma mua o ke scan. A i ʻole, ʻo ka tracer e hōʻiliʻili ana i loko o kāu ʻōpū mimi e hoʻolilo i ke kiʻi scan i maopopo ʻole.3. Ke nānā ʻana
I kēia manawa, e hiki mai ana ka hana maoli . E moe ʻoe ma luna o kahi papaʻaina kūikawā. A laila e neʻe kahi kāmela nui a puni kou kino a kū ma kekahi mau wahi e kiʻi i nā kiʻi. He mea nui loa ʻaʻole ʻoe e neʻe iki i kēia manawa. E noi aku ke limahana iā ʻoe e hoʻololi i nā kūlana i kēlā me kēia manawa. Hiki i kēia scan ke hala ma kahi o 60 mau minuke. ʻOiai ʻaʻole ia he ʻeha, hiki ke lilo i mea ʻoluʻolu ʻole ke noho ma kahi kūlana hoʻokahi. I kekahi manawa e kauoha paha kāu kauka i kahi ʻano scan kūikawā ʻē aʻe i kapa ʻia ʻo SPECT (Single-Photon Emission-Computed Tomography) . Pili kēia i ka neʻe ʻana o ke kāmela a puni kou kino e kiʻi i nā kiʻi kikoʻī, ʻekolu-dimensional (3D).He aha ka mea e hana ʻia ma hope o ke scan?
Ma hope o ka pau ʻana o ke scan, ʻaʻohe ou kapu. Hiki iā ʻoe ke hoʻokele i ka home ma ke ʻano maʻamau. E haʻi aku ke kauka iā ʻoe e inu i ka wai nui no kekahi a ʻelua paha lā aʻe. E kōkua kēia i ka hoʻopau loa ʻana i nā mea tracer i koe i loko o kou kino.ʻO kekahi o nā mea a ka poʻe he nui e makaʻu nei, ʻo ia, "E lilo anei au i radioactive i nā poʻe ʻē aʻe?" Mai makaʻu iki. ʻAʻole ʻoe e hōʻeha i nā poʻe ʻē aʻe, ʻoiai ka poʻe ma ka home.
Aia kekahi pilikia i loko o kēia?
Inā ʻoe e hopohopo nei e pili ana i ka radiation, e noʻonoʻo i kēia. ʻO ka nui o ka radiation i loaʻa i kou kino mai kahi scan iwi ua like ia me ka X-ray maʻamau. He liʻiliʻi loa ia a palekana. Eia nō naʻe, aia ʻelua mau mea nui e hoʻomanaʻo :- Inā hāpai ʻoe a i ʻole e hāpai paha, e hoʻomaopopo pono i kāu kauka ma mua o ka hana ʻana i kēia hoʻāʻo, no ka mea, hiki i ka radiation ke hoʻopilikia i ka pēpē i loko o ka ʻōpū.
- Inā he makuahine hānai waiū ʻoe, e hōʻoia e haʻi pū i kēia. Ma hope o ke scan , pono ʻoe e hahai i kekahi mau ʻōlelo kūikawā e pale aku i ka hele ʻana o ka mea radioactive i kāu pēpē ma o kāu waiū.
Pehea ʻoe e loaʻa ai nā hopena?
Ma nā kiʻi o ke kiʻi ʻana, ʻike ʻia nā wahi i hōʻiliʻili nui ʻia ai ka mea hōʻike. Kāhea mākou i kēia mau "wahi wela". ʻIke ʻia nā wahi i hōʻiliʻili ʻole ʻia ai ka mea hōʻike he pouli, a ua kapa ʻia ʻo "nā wahi anuanu". Hōʻike kēia mau 'wahi wela' i nā wahi i loaʻa ai nā ʻano ʻē i nā iwi. Hoʻouna mua ʻia kēia mau kiʻi i kahi loea (radiologist) e heluhelu iā lākou. Hoʻopili ʻo ia i nā kiʻi a hana i kahi hōʻike i hoʻouna ʻia i kāu kauka. A laila e kūkākūkā kāu kauka i ka hōʻike me ʻoe a wehewehe i nā hopena. I kekahi manawa, ʻaʻole paha he 100% maopopo o ke kumu o ka ʻano ʻē i nā iwi ka mea hōʻike. I kēlā mau hihia, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua ʻē aʻe e ʻike i ka ʻike hou aku.Leka Lawe-Home
- He hoʻokolohua koʻikoʻi a palekana hoʻi ka Nuclear Bone Scan e ʻike ai i nā maʻi iwi.
- He liʻiliʻi loa ka nui o nā mea radioactive i hoʻohana ʻia no kēia. Mai makaʻu pono ʻole iā ia.
- Inā hāpai ʻoe a hānai waiū paha, e ʻōlelo pono i kāu kauka ma mua o ka hoʻāʻo ʻana.
- ʻOiai ʻaʻole ʻeha ka hoʻāʻo ʻana, he mea nui e noho mālie i ka wā o ke scan.
- ʻO ka inu ʻana i ka nui o ka wai ma hope o ka hoʻāʻo ʻana e kōkua i ka hoʻopau ʻana i nā mea trace i koe mai ke kino.
- E kamaʻilio akāka kāu kauka iā ʻoe e pili ana i nā hopena a me nā hana aʻe.
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