Ua ʻōlelo anei kāu kauka iā ʻoe e hana i kahi 'thyroid scan'? E makaʻu iki paha ʻoe ke lohe ʻoe i ka inoa. He mea maʻamau ka makaʻu ke lohe ʻoe i nā huaʻōlelo e like me 'radioactive'. Akā he hoʻāʻo palekana loa ia a hana pinepine ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia Thyroid Uptake and Scan, no ke aha i hana ʻia ai, a pehea e hoʻomākaukau ai no ia.
He aha ka Thyroid Uptake a me Scan?
I ka ʻōlelo maʻalahi, he hoʻāʻo kiʻi kūikawā kēia e nānā i ka hana o ke kelepa thyroid i kou ʻāʻī. Kāhea mākou i kēia he kiʻi lāʻau lapaʻau nukelea. Mai makaʻu i ka inoa. Pili ia i ka hoʻokomo ʻana i kahi mea radioactive liʻiliʻi a palekana (radiotracer) i loko o kou kino a me ka lawe ʻana i nā kiʻi o kou kelepa thyroid me kahi kāmela kūikawā.
E noʻonoʻo, hiki i kahi ultrasound thyroid maʻamau ke nānā i ke ʻano a me ka nui o ka gland. Akā me kēia Thyroid Uptake and Scan, hiki iā ʻoe ke loaʻa hou aku ka ʻike, ʻo ia hoʻi pehea e hana ai ka gland . Ua like ia me ka nānā ʻana i nā mea e hana nei i loko o ka mīkini o ke kaʻa, ma mua o ka nānā ʻana i waho.
'Uptake' a me 'Scan' - he aha ka ʻokoʻa ma waena o nā mea ʻelua?
ʻO kēia mau mea ʻelua he mau kaʻina hana ʻelua, akā hana pinepine ʻia lāua. Inā maopopo iā ʻoe ka ʻokoʻa ma waena o nā mea ʻelua, e nalowale ana kou makaʻu i ka hoʻāʻo.
| ʻĀpana hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka lawe ʻana o ka thyroid | Ana kēia i ke ʻano o ka "pōloli" o kou kelepa thyroid. ʻO ia hoʻi, pehea ka nui o ka iodine radioactive i hāʻawi ʻia e "ʻai ʻia" (hoʻopili ʻia) e ka kelepa. Hiki i kēia ke haʻi inā he hana nui a hana ʻole paha ka kelepa. ʻAʻohe kiʻi i lawe ʻia ma ʻaneʻi, he ana wale nō. |
| Nānā ʻana i ka Thyroid | He 'wā kiʻi' maoli kēia. No ka mea ua omo ka gland i nā mea radioactive, hiki ke ʻike ʻia ke ʻano a me ka nui o ka gland, a me nā ʻāpana o ka gland e hana nui ana a me nā mea e hana liʻiliʻi ana, ma nā kiʻi. Ua like ia me kahi 'palapala hana' o ka gland. |
I ka ʻōlelo maʻalahi, ke ana ʻo 'Uptake' i ka hana holoʻokoʻa o ka gland, ʻoiai ʻo 'Scan' e kiʻi i kēlā hana i hohola ʻia ma loko o ka gland.
No ke aha mākou e hana ai i kēia hoʻokolohua?
Aia kekahi mau kumu e kauoha ai ke kauka i kēia hoʻāʻo. ʻO nā kumu nui:
- E nānā inā e hana pono ana kāu kelepa thyroid: Hiki i kēia scan ke kōkua i ka hoʻoholo ʻana i ke kumu pololei, ʻoiai inā ua ʻike ʻia ʻoe me ka hyperthyroidism.
- E ʻike hou aʻe e pili ana i nā nodules thyroid: Ma hope o ka hōʻike ʻana o kahi scan ultrasound i kahi puʻupuʻu ma ka ʻāʻī, he mea nui e ʻike inā he nodule 'wela' ka puʻupuʻu e hana ana i nā hormones, a i ʻole he nodule 'anuanu' ʻaʻole e hana i nā hormones.
- E ʻike i nā hopena o ka lāʻau lapaʻau: Hana ʻia kēia hoʻāʻo e ʻike inā he loli i ka hana o ke kelepa ma hope o ka hoʻohana ʻana i ka lāʻau lapaʻau no ka maʻi thyroid a ma hope o ke ʻoki ʻana.
Pehea mākou e hoʻomākaukau ai ma mua o ka hoʻokolohua?
Aia kekahi mau mea e pono ai ʻoe e makaʻala a e haʻi aku i kāu kauka ma mua o kēia hoʻāʻo. He mea nui loa ka hahai pono ʻana i kēia mau kuhikuhi no ka pololei o ka hoʻāʻo.
- He mea nui loa: Inā hāpai ʻoe, e hoʻolālā ana e hāpai, a hānai waiū paha, pono ʻoe e haʻi i kāu kauka a me ka mea nāna e hana i ka hoʻāʻo ma mua o ka hoʻāʻo.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau thyroid, e like me Methimazole a i ʻole Propylthiouracil (PTU), e aʻo aku kāu kauka iā ʻoe i ka nui o nā lā ma mua o ka hoʻāʻo ʻana e pono ai ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau.
- E haʻi mai iā mākou e pili ana i nā kūlana olakino ʻē aʻe a me nā maʻi allergies: E haʻi mai iā mākou e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai a me nā maʻi allergies āu i loaʻa ai.
- E haʻi mai iā mākou e pili ana i kekahi mau scan āu i loaʻa ai: Inā ua loaʻa iā ʻoe kekahi mea e like me ka CT scan i hala koke aku nei, ʻo ia hoʻi i loko o nā mahina ʻelua i hala iho nei, e pili ana i ka hoʻokomo ʻana i ka mea hoʻohālikelike i loaʻa ka iodine, e hōʻoia e haʻi mai iā mākou e pili ana i kēlā. Hiki i ka iodine ke hoʻopilikia i kēia hoʻāʻo.
- ʻO ka hoʻokē ʻai: E aʻo ʻia paha ʻoe e hōʻole i ka ʻai ʻana a me ka inu ʻana no kekahi mau hola ma mua o ka hoʻāʻo ʻana.
Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka. E hahai pono i kā lākou mau kuhikuhi.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
E like me kā mākou i kūkākūkā ai ma mua, ʻelua mau kaʻina hana ʻo 'Uptake' a me 'Scan'. E nānā kākou pehea e hana ai i kēia mau mea ʻelua ma ke kaʻawale.
Pehea e hoʻemi ai i ka lawe ʻana o ka thyroid
He hana maʻalahi loa kēia a ʻeha ʻole.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| KaʻAnuʻu Hana 1 | E hāʻawi ʻia ʻoe i kahi pila a wai paha e inu ai me ka iodine radioactive (radiotracer). ʻAʻohe ʻono iki o kēia. |
| KaʻAnuʻu Hana 2 | Ma hope o ka inu ʻana, hiki iā ʻoe ke hoʻi i ka home. E noi ʻia ʻoe e hoʻi i ka haukapila i loko o 4 a 6 mau hola. |
| KaʻAnuʻu Hana 3 | E hoʻomoe ʻia ʻoe ma luna o kahi moe, a e kau ʻia kahi mea liʻiliʻi i kapa ʻia he gamma probe a puni kou ʻāʻī e ana i ka nui o ka radiation i omo ʻia e kou thyroid gland. ʻAʻole e lawa kēia ma mua o 5 mau minuke. |
| KaʻAnuʻu Hana 4 | I kekahi manawa, e noi ʻia paha ʻoe e hoʻi mai ma hope o 24 mau hola a lawe i kēia ana. |
Pehea e hana ai i kahi scan thyroid
Hiki ke hana ʻia kēia 'Scan' ma hope o ke ana ʻana o ka 'Uptake' a i ʻole ma kahi lā ʻokoʻa.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| KaʻAnuʻu Hana 1 | ʻO ka hapa pinepine, ua hoʻokomo ʻia kahi mea radioactive (radiotracer) i loko o kahi aa koko ma kou lima. |
| KaʻAnuʻu Hana 2 | Ma hope o ka hāʻawi ʻana i ka mea i kahi manawa iki e omo ʻia e ke kelepa thyroid, e hoʻomoe ʻia ʻoe ma luna o kahi moe. Pono ʻoe e hoʻopaʻa i kou ʻāʻī i hope iki. |
| KaʻAnuʻu Hana 3 | Hoʻokomo ʻia kahi kāmela kūikawā a puni kou ʻāʻī a lawe i nā kiʻi mai nā kihi like ʻole. He mea nui loa e noho mālie i kēia manawa. |
| KaʻAnuʻu Hana 4 | Hiki i kēia kaʻina holoʻokoʻa ke hala ma kahi o 30 mau minuke. I kekahi manawa, inā makemake ʻoe i nā kiʻi ʻoi aku ka maopopo, pono paha ʻoe e lawe i kekahi mau kiʻi hou aku. Mai hopohopo no kēlā, he mea maʻamau ia. |
He aha kāu e hana ai ma hope o ka hoʻāʻo?
Ma hope o ka hoʻāʻo ʻana, ke ʻole ka ʻōlelo ʻē a kāu kauka iā ʻoe, hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau. ʻO ka mea nui loa, ʻo ia ka inu ʻana i ka wai he nui . ʻO ka hana ʻana pēlā e kōkua i ka hoʻopau koke ʻana i ka nui liʻiliʻi o nā mea radioactive i loko o kou kino ma o kou mimi.
Aia kekahi pilikia i loko o kēia?
ʻO ka huaʻōlelo 'radioactive' e hoʻoweliweli i nā mea a pau. Akā ʻo ka ʻoiaʻiʻo, he liʻiliʻi loa ka nui o ka mea radioactive i hoʻohana ʻia ma kēia hoʻāʻo. He liʻiliʻi loa ka nui o ka radiation i hōʻike ʻia e kou kino.
E hoʻomanaʻo, he liʻiliʻi loa ka nui o ka mea radioactive i hoʻohana ʻia i kēia hoʻāʻo, no laila ʻoi aku ka maikaʻi o nā pono o ka ʻike pololei ʻana i ke olakino o kou thyroid ma mua o kēia pilikia liʻiliʻi.
Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki i kēia radiation ke hoʻopilikia i kahi keiki i loko o ka ʻōpū o kahi makuahine hāpai a i ʻole ke keiki mai kahi makuahine hānai, no laila he mea nui e hoʻomaopopo iā lākou e pili ana i ia mea.
ʻO nā pilikia ʻē aʻe, akā he mea kakaikahi loa, e komo pū ana me:
- Aia paha kekahi ʻeha iki ma kahi i hoʻokomo ʻia ai ka lāʻau lapaʻau. E emi ana kēia i hoʻokahi a ʻelua paha lā.
- He hopena maʻi ʻaleka i ka mea radioactive. He mea kākaʻikahi loa kēia, akā he hopena maʻi ʻaleka iki ia.
Āhea wau e loaʻa ai ka hōʻike?
Nānā ʻia nā kiʻi a me nā ana i lawe ʻia i ka wā o ka hoʻāʻo ʻana e kahi loea lapaʻau nukelea (radiologist) a hoʻomākaukau ʻia kahi hōʻike. Hoʻouna ʻia ka hōʻike i kāu kauka nāna i kauoha i ka hoʻāʻo. A laila e wehewehe kāu kauka i nā kikoʻī i loko o ka hōʻike iā ʻoe.
Leka Lawe-Home
- He hoʻāʻo palekana a pono hoʻi ka Thyroid Uptake and Scan e aʻo ai e pili ana i ka hana a me ke olakino o kou kelepa thyroid.
- Ma mua o ka hana ʻana i kēia hoʻāʻo, e ʻōlelo pono i kāu kauka inā hāpai ʻoe a hānai waiū paha.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā scan CT hou āu i loaʻa ai.
- He mea nui loa e noho mālie i ka wā o ka hoʻāʻo e kiʻi i nā kiʻi maopopo.
- E inu i ka wai nui ma hope o ka hoʻāʻo ʻana.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia hoʻāʻo, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea.
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