Ua noi ʻia ʻoe e hana i kahi scan renal? Mai hopohopo, e kamaʻilio mākou e pili ana i nā kikoʻī!

Ua makaʻu iki paha ʻoe a hopohopo paha i ka wā i haʻi aku ai ke kauka iā ʻoe e pono ʻoe e hana i kahi 'kidney scan'? He nui ka poʻe o mākou e hopohopo iki i ka wā e lohe ai mākou i ka huaʻōlelo "scan". "He aha ka mea e loaʻa ai kēia?", "He mea paʻakikī kēia?", "Hoʻokomo lākou i nā mea radioactive i loko o kou kino, ʻaʻole anei ia he maikaʻi?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole kēia he mea weliweli e like me kou manaʻo. He hoʻāʻo palekana loa kēia a maʻamau. No laila i kēia lā, e hoʻopau kākou i kou mau kānalua a pau e pili ana i kēia Renal Scan, a i ʻole Kidney Scan.

I ka ʻōlelo maʻalahi, he aha ka Renal Scan?

E noʻonoʻo i kou mau puʻupaʻa e like me ʻelua mau kānana wai i loko o ko mākou hale. ʻO kā lākou hana nui ke kānana a hoʻomaʻemaʻe i nā huahana ʻōpala i loko o ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi. No laila, ʻo ka Renal Scan kahi hoʻāʻo kūikawā i hana ʻia e ʻike inā e hana pono ana kēia mau puʻupaʻa i kā lākou hana, inā e loaʻa ana iā lākou ke kahe koko maikaʻi, a inā pololei ko lākou ʻano, ka nui, a me ke kūlana.

ʻAʻole kēia he X-ray maʻamau a i ʻole CT scan. He hoʻāʻo kēia i kapa ʻia ʻo Nuclear Medicine. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻokomo ʻia ʻana o kahi mea radioactive liʻiliʻi loa (radioisotope a radiotracer paha) i loko o kahi aa koko ma kou lima. Mai makaʻu, ʻoiai he "radioactive", ʻaʻole ia he mea ʻino i kou kino. Ua like ia me kahi "dye" kūikawā e kōkua wale ana me ka hoʻāʻo a haʻalele i kou kino ma hope o kekahi manawa.

Ke hele kēia lāʻau lapaʻau ma o nā aʻa koko i nā puʻupaʻa, hoʻohana ʻia kahi kāmela kūikawā, i kapa ʻia he kāmela gamma , e kiʻi i nā kiʻi o nā puʻupaʻa. Hiki i ka lāʻau lapaʻau ke ʻike maopopo ʻia nā puʻupaʻa ma ka pale kamepiula. Hiki i kēia i ke kauka ke ʻike i kekahi maʻi puʻupaʻa a i ʻole ka hōʻino ʻia i ka wā mua.

No ke aha e haʻi aku ai ke kauka iā ʻoe e hana i kēia scan?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha wau i hana ai i kēia i ka wā he nui nā hoʻokolohua ʻē aʻe?" Aia kekahi mau kumu e kuhikuhi ai ke kauka i kahi maʻi no kahi Renal Scan.

• Ma muli o nā hopena o nā hoʻokolohua ʻē aʻe: Inā hōʻike kāu mau hoʻokolohua koko a i ʻole nā ​​​​hoʻokolohua mimi i kekahi pilikia me kāu hana puʻupaʻa, hiki i kēia scan ke kōkua iā ʻoe e aʻo hohonu.
• ʻAleʻaleʻa i ka pena X-ray: Hoʻohana kekahi mau kiʻi X-ray a me CT scan i kahi pena kūikawā i kapa ʻia ʻo "contrast dye." Hiki i kekahi poʻe ke maʻi i kēia mau pena. Inā pono ʻoe e nānā i kou mau puʻupaʻa, he koho palekana loa ka Renal Scan.
• Ma hope o kahi hoʻoili puʻupaʻa: Inā ua loaʻa iā ʻoe kahi hoʻoili puʻupaʻa, hana mau ʻia kēia hoʻāʻo e ʻike ai pehea e hana ai ka puʻupaʻa hou i loko o ke kino.
• Ke koko kiʻekiʻe (Hypertension):I kekahi manawa, hiki i ke koko kiʻekiʻe i paʻakikī ke kāohi ke kumu ʻia e kahi pilikia puʻupaʻa. He mea nui kēia scan e ʻike pono i ke kumu o ia mea.
• Ka ālai ʻana o ke ala mimi: Inā he kānalua no kahi ālai ʻana i ke kahe o ka mimi, e kōkua kēia i ka hoʻoholo ʻana i kahi o ke ālai ʻana a inā paha e hoʻopilikia ana i nā puʻupaʻa.

He aha nā kūlana olakino e hiki ke ʻike ʻia me kēia scan?

Hiki i kahi scan renal ke hāʻawi i ka ʻike ʻaʻole wale e pili ana i ka hana o nā puʻupaʻa, akā e pili ana hoʻi i kekahi mau maʻi e pili ana iā lākou. E nānā kākou i ke ʻano o lākou.

Aia kekahi mau ʻano o ka Renal Scan?

ʻAe, ʻokoʻa paha ke ʻano o ka Renal Scan a kāu kauka e ʻōlelo ai ma muli o kou pilikia. ʻEhā mau ʻano nui.

1. ACE Inhibitor Renal Scintigraphy: Hana ʻia kēia e ʻike inā ua hoʻokumu ʻia kou koko kiʻekiʻe e ka haiki ʻana o nā kīʻaha koko e lawe ana i ke koko i nā puʻupaʻa. Maanei, lawe ʻia kahi scan ma mua a ma hope o ka hāʻawi ʻia ʻana iā ʻoe i ka lāʻau lapaʻau koko (ACE inhibitor).

2. Diuretic Renal Scintigraphy: Hana ʻia kēia inā he kānalua no kahi ālai ʻana i ke ala mimi. Maanei, hāʻawi ʻia kahi diuretic a pehea e neʻe ai ka mimi ma o nā puʻupaʻa e nānā ʻia.

3. Renal Cortical Scintigraphy: Ke nānā nei kēia i ka papa waho o ka puʻupaʻa i kapa ʻia ʻo ka ʻiʻo cortical renal. Kōkua kēia i ka hoʻoholo ʻana inā ua hōʻino ʻia ka puʻupaʻa ma hope o ke ʻoki ʻana a i ʻole inā he ʻeha ma muli o ka maʻi.

4. Renal Perfusion Scan: Ke ana nei kēia i ka maikaʻi o ka hoʻolako ʻia ʻana o ke koko (perfusion) i nā puʻupaʻa. Hoʻohana ʻia ia e ana i ka laulā o nā aʻa renal a me ka hana o nā puʻupaʻa.

Pehea e hoʻomākaukau ai ma mua o ke scan?

He mea nui loa kēia. I mea e pololei ai nā hopena scan, pono ʻoe e hoʻomākaukau iki ma mua.

• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau ʻeha, ʻoiai nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ibuprofen a me aspirin, i kekahi mau lā ma mua o ke scan.
• E makaʻala i kou mau kūlana olakino:
• Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai , e haʻi pono i kāu kauka, no ka mea, hiki i ka radiation ke hoʻopilikia i ka ʻōpū.
• Inā he makuahine hānai waiū ʻoe, e haʻi aku iā ia i kēlā. No ka mea hiki i ka mea radioactive ke komo i loko o ka waiū, ua ʻōlelo ʻia ʻoe e pale i ka hānai ʻana i kāu pēpē no kekahi mau hola ma hope o ke scan.
• Inā loaʻa iā ʻoe kekahi mau maʻi allergies (i nā lāʻau lapaʻau, latex, a pēlā aku), e ʻoluʻolu e haʻi iā lākou.
• Inā he makaʻu kou i nā wahi liʻiliʻi a paʻa (claustrophobia), e haʻi aku. ʻOiai e kokoke iki ana ke kāmela i kou kino, hiki iā ʻoe ke kamaʻilio e pili ana i kahi ala e ʻoluʻolu ai.
• Inā he makaʻu kou i nā nila (trypanophobia) , e haʻi aku i nā limahana i kēlā. E kōkua lākou e hōʻoluʻolu iā ʻoe.
• Inu wai: E aʻo ʻia ʻoe e inu i ka wai he nui ma mua o ke scan.
• Mimi: E noi ʻia ʻoe e hoʻokahe i kou ʻōpū mimi (miminate) ma mua o ka hoʻomaka ʻana o ke scan.
• Nā lole a me nā mea hoʻonani: E ʻaʻahu i nā lole ʻoluʻolu a palupalu. E wehe i nā mea hoʻonani hao a i ʻole nā ​​aniani. Hiki iā lākou ke hoʻopilikia i ke kiʻi ʻana.

He aha ka mea e hana ʻia i ka wā o ke scan?

Ke hele ʻoe i ka lumi scan, eia nā ʻanuʻu āu e hahai mau ai.

1. E hoʻokomo kekahi loea lapaʻau nukelea i kahi cannula liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima a lima paha.

2. A laila, ua hoʻokomo ʻia kahi lāʻau radioactive kūikawā (radiotracer) i loko o ke kino ma o ka cannula. ʻAʻole ʻoe e ʻeha i kēia manawa.

3. E hoʻomoe ʻia ʻoe i lalo a i ʻole e moe i lalo ma ka papa hoʻokolokolo.

4. A laila kau ʻia ke kāmela gamma ma luna o kou wahi puʻupaʻa a hoʻomaka e kiʻi i nā kiʻi. ʻAʻole paʻi kēia kāmela i kou kino . Neʻe mālie ia a puni a i ʻole ma luna o kou kino.

5. E nānā ka mea loea i kēia mau kiʻi ma ka pale kamepiula. I kekahi manawa e noi ʻia ʻoe e noho mālie, a i kekahi manawa e noi ʻia paha ʻoe e hoʻololi i nā kūlana, e like me ke kūlou iki ʻana.

ʻO ka maʻamau, hiki i kēia kaʻina hana holoʻokoʻa ke lawe ma waena o 30 mau minuke a i 2 mau hola , ma muli o ke ʻano o ka scan āu e hana nei.

He aha ka mea e hana ʻia ma hope o ke scan? Aia kekahi mau pilikia?

Ke pau ka nānā ʻana, e wehe ʻia ke cannula a hiki iā ʻoe ke hoʻi i ka home. Hiki iā ʻoe ke hoʻomau me kāu mau hana maʻamau no ka lā.

Mai hopohopo e pili ana i ka lāʻau lapaʻau āu i hoʻokomo ai i loko o kou kino. I kou inu ʻana i ka wai he nui a mimi i ka lā a pau, e aneane pau loa ka lāʻau lapaʻau i ka haʻalele ʻana mai kou kino.

I kēia manawa, e nānā kākou i nā pilikia. He haʻahaʻa loa nā pilikia. ʻO ka ʻoiaʻiʻo, ʻoi aku ka liʻiliʻi o ka nui o ka radiation i hoʻohana ʻia ma mua o ka mea mai kahi X-ray maʻamau.

He mau hihia kākaʻikahi loa kēia:

• ʻAleʻaleʻa: He mea kākaʻikahi loa ka loaʻa ʻana o kahi maʻi ʻaleʻale i kēlā lāʻau lapaʻau.
• ʻEha ma kahi o ke cannula: Hiki ke ʻulaʻula iki, pehu, a ʻeha paha kahi o ke cannula. Inā ʻaʻole e emi kēia i loko o kekahi mau lā, e haʻi i kāu kauka.

He aha ka mea e hana ʻia ke loaʻa ka hōʻike?

Nānā pono ʻia nā kiʻi mai ke kiʻi ʻana e kahi radiologist a i ʻole loea lapaʻau nukelea, nāna e hoʻomākaukau i kahi hōʻike a hoʻouna aku i kāu kauka. A laila e kāhea aku ke kauka iā ʻoe e wehewehe i ka mea i loko o ka hōʻike a me nā mea e pono e hana ʻia ma hope.

Inā hōʻike ka hōʻike he pilikia, hiki i ke kauka ke kauoha i nā hoʻokolohua hou aʻe e ʻike pololei i ke kūlana. Eia kekahi laʻana:

• ʻO ke kiʻi ultrasound, MRI a i ʻole CT scan
• Nā hoʻokolohua hana puʻupaʻa ʻē aʻe
• ʻO ka biopsy puʻupaʻa

Mai makaʻu. Hana ʻia kēia mau mea a pau e ʻike pono ai i kou pilikia a hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa no ia.