Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi 'Nuclear Medicine Scan', makaʻu iki paha ʻoe a hoihoi paha. Ke lohe mākou i ka huaʻōlelo 'nuclear', hiki mai nā mea like ʻole i ka noʻonoʻo. Akā, ʻaʻohe mea e makaʻu ai kēia. He hoʻāʻo lapaʻau koʻikoʻi a palekana kēia e kōkua ana i ka ʻike ʻana i nā maʻi he nui i ka wā mua. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a he aha nā pōmaikaʻi a me nā pōʻino. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha ke Kiʻi Lapaʻau Nuklea ma nā huaʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, he ʻano scan kūikawā kēia i hoʻohana ʻia e nānā i nā ʻōkana i loko o ko kākou kino. Akā ʻo ka mea kūikawā e pili ana i kēia, ʻaʻole hiki iā ia ke ʻike wale i ke ʻano o kahi ʻōkana, akā pehea hoʻi ka maikaʻi o kāna hana .
Eia pehea e hana ai i kēia:
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi liʻiliʻi loa o kahi mea radioactive (Radioactive Tracer). Hana pinepine ʻia kēia ma o kahi aa. I kekahi manawa hiki ke hāʻawi ʻia iā ʻoe i kahi mea inu.
2. ʻAʻole kēia 'tracer' he lāʻau lapaʻau a he mea hoʻoluʻu paha. No laila, ʻaʻohe hopena ʻaoʻao . Ua like ia me kahi pūʻolo. Ke komo i loko o ke kino, hele pololei ia i ke kino a mākou e makemake ai e ʻike (no ka laʻana, ka puʻuwai, nā puʻupaʻa, ka thyroid gland).
3. Hoʻopuka ʻia kahi ikehu liʻiliʻi (radiation) mai ka 'tracer' i komo i loko o kēlā ʻōkana. ʻAʻole mākou e ʻike.
4. A laila hoʻokomo ʻia ʻoe i loko o kahi mīkini scan me kahi kāmela kūikawā i kapa ʻia ʻo 'gamma camera'. Hopu kēia kāmela i ka hōʻailona e hele mai ana mai kēlā ʻokana a hoʻohana i kahi kamepiula e hana i kahi kiʻi nani a maopopo o kēlā ʻokana.
Ma ka nānā ʻana i kēia mau kiʻi, hiki i kahi loea ke ʻike inā e hana pono ana kou ʻōkana a i ʻole he pilikia.
Pehea ka ʻokoʻa o kēia mai nā hoʻokolohua e like me nā X-ray a me nā CT scan?
He nīnau kēia a ka poʻe he nui. Ke maopopo iā ʻoe ka ʻokoʻa nui ma waena o kēia mau hoʻokolohua ʻelua, e ʻoi aku ka maopopo o ke koʻikoʻi o ka lāʻau lapaʻau nukelea iā ʻoe.
E noʻonoʻo e pili ana i ka ʻenekini o kāu kaʻa. Ke wehe ʻoe i ka uhi o ke kaʻa a nānā i ka ʻenekini, hiki iā ʻoe ke ʻike i kona mau ʻāpana. ʻO ia ke ʻano (Anatomy) . ʻO kēia ka hana a nā scan e like me X-ray, CT, MRI. ʻO ia hoʻi, nānā lākou i ke ʻano a me ka nui o kahi ʻōpū, a inā he mea i loko, e like me ka puʻupuʻu a i ʻole ka haki.
I kēia manawa, e noʻonoʻo e hoʻomaka ana ke kaʻa a hoʻolohe i ke kani o ka mīkini e holo ana. Ma kēlā ala hiki iā mākou ke hoʻomaopopo inā e hana maikaʻi ana ka mīkini a i ʻole he maʻi ma kekahi wahi. ʻO ia ka hana . ʻO kēia ka hana a ka scan lāʻau nukelea. ʻO ia hoʻi, nānā ia i ka hana pono o kahi ʻōkana.
| Hiʻona | Nānā Lapaʻau Nuklea | Nānā X-ray / CT |
|---|---|---|
| Ke nānā nui nei | Ka hana a kahi ʻōkana - ʻo ia hoʻi, pehea e hana ai ke ʻōkana. | ʻAnatomy - ʻo ia hoʻi, ke ʻano a me ka nui o ke kino. |
| ʻenehana | Ke hopu nei i ka radiation (mai ka tracer) e puka mai ana mai ke kino me kahi kāmela. | Hoʻouna ka mīkini i nā kukuna radiation ma o ke kino a lawe i ke kiʻi o kekahi ʻaoʻao. |
| ʻIke i loaʻa | ʻIke e like me ke ʻano o ka puʻuwai e pamu ai i ke koko? Pehea ka maikaʻi o ka hoʻomaʻemaʻe ʻana o nā puʻupaʻa i ke koko? | ʻIke e like me ka haki ʻana o ka iwi? Aia kekahi puʻupuʻu i loko o ka māmā? |
Ma muli o ka ʻike ʻia ʻana o kēia hana, hiki i kahi scan lāʻau nukelea ke ʻike i ka hana pono ʻole o ke kino i kekahi mau maʻi, ʻoiai ma mua o ka loli ʻana o ke ʻano o ke kino.
No ke aha mākou e hana ai i kēia ʻano hoʻokolohua?
Hoʻohana ʻia nā scan lāʻau lapaʻau nukelea e ʻike i kekahi mau maʻi, nānā i ka holomua o nā lāʻau lapaʻau, a i kekahi manawa mālama pū iā lākou.
| Kūlana/ʻōkana | Nā hiʻohiʻona o nā mea e ʻike ai |
|---|---|
| Maʻi puʻuwai | Ma hope o ka hāʻule ʻana o ka puʻuwai, e nānā inā ua hōʻino ʻia ka ʻiʻo o ka puʻuwai, inā ua ālai ʻia nā aʻa e hoʻolako ana i ke koko i ka puʻuwai, a pehea ka maikaʻi o ka puʻuwai e pamu ana i ke koko. |
| Nā pilikia iwi | E nānā i nā haki liʻiliʻi i ʻike ʻole ʻia ma kahi X-ray, nā maʻi, a i ʻole nā pūnaewele kanesa i pālahalaha i nā iwi. |
| Maʻi Thyroid | No ka ʻike pono ʻana inā he overactive (hyperthyroidism) a underactive paha (hypothyroidism) ka thyroid gland, e nānā no nā nodules. |
| Maʻi puʻupaʻa | E nānā i ka maikaʻi o ka hoʻomaʻemaʻe ʻana o nā puʻupaʻa i ke koko, inā he mau mea keakea i ke kahe o ka mimi, a inā he mau ʻeha i hoʻokumu ʻia e nā maʻi. |
| Ka maʻi ʻaʻai | No ka ʻike ʻana inā ua laha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastasis) a no ka ʻike ʻana i ka holomua o ka lāʻau lapaʻau. He ʻano scan kūikawā nō hoʻi ka PET scan. |
| ʻO kekahi poʻe | E ʻike i nā ʻūpē koko i loko o nā māmā, ka hana o ka gallbladder, kekahi mau maʻi lolo, a me nā maʻi koko. |
Eia kekahi, hoʻohana ʻia kēia ʻenehana e mālama i kekahi mau ʻano maʻi kanesa. Ua kapa ʻia ʻo ia ʻo "Radioimmunotherapy." Ma kēia, hoʻouna pololei ʻia nā mea radioactive i nā hunaola maʻi kanesa a luku ʻia.
He aha kaʻu e hana ai ma mua a ma ka lā o ka hoʻokolohua?
He nīnau nui paha kēia ma kou manaʻo, akā, ʻaʻohe pono e hoʻomākaukau nui no kēia.
Hoʻomākaukau ma mua o ka hoʻāʻo
ʻAʻohe kānāwai laulā no kēia. E ʻokoʻa ke ʻano o kāu hoʻomākaukau ʻana ma muli o ke ʻano o kāu scan .
- No kekahi mau scan, e noi ʻia paha ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ʻē aʻe ma mua o ka wai no 6 mau hola ma mua o ka hoʻāʻo.
- ʻAʻole paha i loaʻa i kekahi mau scan ʻē aʻe nā kapu meaʻai a mea inu paha.
- ʻO ka mea nui loa hiki iā ʻoe ke hana i kēia manawa, ʻo ia ke noho mālie a mālie . E like me ke kiʻi ʻana i kahi kiʻi, inā ʻoe e neʻe, hiki ke blurry ke kiʻi.
- ʻO ka maʻamau, ma kahi o 30-60 mau minuke ka lōʻihi o ke scan.
- I kekahi manawa aia nā manawa e lawe ʻia ai nā kiʻi ma mua o hoʻokahi lā, ma luna o kekahi mau lā.
- Ka nui o ka radiation: ʻO ka nui o ka radiation i loaʻa i kou kino i ka wā o kēia scan he haʻahaʻa loa ia. ʻOi aku paha ka liʻiliʻi ma mua o ka mea mai kahi CT scan. Haʻalele ka tracer i ke kino i loko o kekahi mau hola a i ʻole mau lā.
- Nā Allergies: He haʻahaʻa loa ka pilikia o ka maʻi allergy i ka tracer. Eia nō naʻe, inā he mau maʻi allergy kāu i kekahi mea, he mea nui e haʻi mua i kāu kauka.
- ʻEha ʻole: ʻAʻole kēia i ʻeha e like me ke ʻoki kino. ʻAʻohe ʻeha ʻē aʻe ma mua o kahi nila liʻiliʻi e hoʻokomo ʻia ana.
- Ka ʻike mua ʻana i nā maʻi: E like me ka mea i ʻōlelo ʻia ma mua, hiki ke ʻike mua ʻia nā loli i ka hana o kahi ʻōkana, e ʻae ana i ka ʻike ʻia ʻana o kahi maʻi ma mua o ka hoʻonui ʻia ʻana.
- ʻIke pololei: Hiki iā ʻoe ke loaʻa ka ʻike pololei a kikoʻī loa i hiki ʻole ke loaʻa mai nā hoʻokolohua ʻē aʻe.
- Ke pale ʻana i ke ʻoki kino pono ʻole: I kekahi manawa pono ke ʻoki kino ʻimi e ʻike ai i kahi maʻi. Akā hiki i kahi scan e like me kēia ke hoʻopau i kēlā pono.
- Mai makaʻu i ka huaʻōlelo 'nukleari'. He liʻiliʻi loa ka nui o ka mea hoʻohana radioactive i hoʻohana ʻia ma kēia, a he palekana ia.
- ʻAʻole nānā kēia scan i ke ʻano o kou kino, akā, i kāna 'hana' . Hiki i kēia ke ʻike mua i ka maʻi.
- ʻAʻole kēia he hoʻāʻo ʻeha. ʻO kāu wale nō e hana ai, ʻo ke moe mālie a neʻe ʻole ma lalo o ka scanner.
- E noi i kāu kauka a i ʻole ka haukapila no nā kuhikuhi kikoʻī e pili ana i ka mea e hana ai ma mua o ka hoʻāʻo. ʻAʻole pono nā scan āpau i ka hoʻomākaukau like.
- E wehewehe ana kāu kauka i nā hopena iā ʻoe. Mai kānalua e nīnau i kekahi mau nīnau a hopohopo paha āu e loaʻa ai i kēlā manawa.
No laila, ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā kuhikuhi maopopo e pili ana i kēia mai kāu kauka a i ʻole ka haukapila/kikowaena scan kahi e hana ʻia ai ka hoʻāʻo. E hahai pololei i kā lākou ʻōlelo.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
E hoʻokomo ʻia ʻoe me ka tracer a e noi ʻia e kali i kekahi manawa no ka hoʻopili ʻia ʻana i loko o ke kino. ʻOkoʻa kēia manawa mai kēlā me kēia scan a i kēia scan. Hiki ke lilo i kekahi mau minuke. No kahi mea e like me ka scan iwi, hiki ke hala i 2-3 mau hola.
A laila e lawe ʻia ʻoe i ka lumi scan a e hoʻomoe ʻia ma luna o kahi ʻāpana o ka mīkini e like me ka moena. E kau ʻia ke kāmela gamma ma luna o ka ʻāpana kūpono o kou kino a hoʻomaka e kiʻi i nā kiʻi.
Aia kekahi mau pilikia i kēia? He aha nā pono?
He mea maʻamau ke makaʻu ke lohe ʻoe i ka huaʻōlelo 'radioactive', akā he haʻahaʻa loa ka pilikia.
Nui nā pono o kēia hoʻāʻo:
Ma hope o ka hoʻāʻo
ʻO ka maʻamau, hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau ma hope o ke scan. ʻAʻohe kapu i kāu mea e ʻai ai a inu paha. E aʻo aku kāu kauka iā ʻoe e inu i ka wai he nui i ka lā a pau. E kōkua kēia i ke koena o ke kino e hoʻokahe koke ʻia ma o kāu mimi.
E nānā ʻia kāu mau scan e kahi loea a e hoʻomākaukau ʻia kahi hōʻike. Ke loaʻa ka hōʻike i kāu kauka lapaʻau, e kāhea aku ʻo ia iā ʻoe a wehewehe i nā hopena.
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