Ke haʻi aku kāu kauka iā ʻoe e hana i kahi scan MRI, makaʻu iki paha ʻoe. "ʻAʻole anei kēia he mīkini nui? He aha ka mea e hana ʻia ke komo au i loko? Aia kekahi pōʻino?" ʻO kēia nā nīnau āu e noʻonoʻo ai. ʻO ka MRI kahi hoʻāʻo lapaʻau koʻikoʻi loa i hoʻohana ʻia no ka ʻike pololei ʻana i nā maʻi he nui i kēia lā. Eia naʻe, ʻaʻole kūpono ia no nā mea āpau. No laila, i kēia lā e kamaʻilio mākou e pili ana i kekahi mau mea e pono ai mākou a pau e ʻike ma mua o ka hana ʻana i kahi scan MRI.
He aha ka MRI scan? He ʻokoʻa anei ia mai ka X-Ray?
ʻO ka mea mua, e hoʻomaopopo wale kākou i ke ʻano o ka MRI. Hoʻohana ka MRI (Magnetic Resonance Imaging) i kahi kahua magnetic ikaika loa a me nā nalu lekiō, ma kahi o ka hoʻohana ʻana i nā kukuna X, e kiʻi i nā kiʻi kikoʻī o nā ʻōpū a me nā ʻiʻo i loko o kou kino. ʻO ka mea nui loa, ʻaʻohe ʻike ʻia i ka radiation e like me nā kukuna X a i ʻole nā scan CT. He pōmaikaʻi nui kēlā o kēia hoʻāʻo.
Eia nō naʻe, ʻo kēia kahua magnetic ikaika ke kumu e hoʻoweliweli ai kēia hoʻāʻo no kekahi poʻe. E nānā kākou i kēlā mau kūlana.
He mau ʻāpana metala kou i loko o kou kino?
ʻO kēia ka mea nui e makaʻala ai i ka wā o ka MRI. Ua like ka mīkini MRI me kahi magnet nui. No laila, inā he metala kou ma kekahi wahi o kou kino, hiki i ka ikaika magnetic o kēia mīkini ke huki i kēlā ʻāpana metala. Inā hana ʻia kēlā, hiki iā ʻoe ke ʻeha a hōʻino i nā lako i hoʻokomo ʻia i loko o kou kino. Eia kekahi, hiki i kēia mau ʻāpana metala ke hōʻemi i ke ʻano o ke kiʻi o ke kiʻi MRI.
No laila, ʻoiai inā he ʻāpana metala liʻiliʻi kou i loko o kou kino, pono ʻoe e hoʻomaopopo i ke kauka a me nā limahana pili (radiologist/radiography) e pili ana i ia mea ma mua o ke scan.
Inā loaʻa iā ʻoe kekahi o nā mea ma ka papa ma lalo nei, e ʻoluʻolu e haʻi mai iā mākou e pili ana i ia mea.
| Nā mea hana a me nā ʻāpana metala i hoʻopili ʻia i ke kino |
|---|
| Nā mea hana Pacemaker a i ʻole ICD (Implantable Cardioverter Defibrillator) |
| Nā pamu hoʻokomo lāʻau i hoʻokomo ʻia - e.g. nā pamu insulin |
| Nā hono hana, nā lālā, a i ʻole nā kiwikā puʻuwai |
| Nā implants cochlear e kōkua ai i ka lohe |
| Nā ʻūmiʻi ʻokiʻoki, nā papa, nā pine, nā staples, ka ʻupena uea, a i ʻole nā wili |
| Nā ʻāpana metala, nā pōkā, a i ʻole nā mea hao i loko o ke kino |
| Nā ʻoki kino, e like me nā apo pepeiao |
| Nā peʻa - Loaʻa paha i kekahi mau ʻīnika peʻa nā metala. |
He pilikia kou i nā puʻupaʻa?
I kekahi mau ʻano scan MRI, ua hoʻokomo ʻia kahi dye kūikawā (contrast dye) i loko o kahi aa koko i loko o kou lima e hoʻomālamalama ai i nā kiʻi. He palekana loa kēia. Eia nō naʻe, aia i loko o kēia dye kahi metala i kapa ʻia ʻo gadolinium .
Inā loaʻa iā ʻoe ka maʻi puʻupaʻa koʻikoʻi, hiki i kou mau puʻupaʻa ke pilikia i ka wehe ʻana i ka dye i loaʻa ka gadolinium mai kou kino. He mea kākaʻikahi loa, hiki i kēlā poʻe ke loaʻa i kahi maʻi i kapa ʻia ʻo "nephrogenic systemic fibrosis." I ka ʻōlelo maʻalahi, ʻo kēia ke kumu o ka mānoanoa a me ka paʻakikī o nā ʻiʻo o ka ʻili, nā hono, a me nā ʻōpū o loko. No laila, inā loaʻa iā ʻoe ka maʻi puʻupaʻa, hiki i kāu kauka ke hoʻoholo ʻaʻole e hoʻohana i kēia dye.
Nā mea e ʻike ai inā hāpai ʻoe
ʻOiai ʻaʻohe hōʻike maopopo e hōʻeha ana kahi scan MRI i kahi pēpē e ulu ana, hiki ke piʻi iki ka mahana o ke kino o ka makuahine i ka wā o ka hoʻāʻo. No laila, ma ke ʻano he akahele, pale ʻia nā scan MRI i ka wā o ka trimester mua o ka hāpai ʻana, ʻoiai ʻo ia ka manawa e ulu ana nā ʻōpū nui o ka pēpē.
No laila, inā hāpai ʻoe, hiki i kāu kauka ke hoʻopanee i ka hoʻāʻo a ʻōlelo paha i kahi hoʻāʻo kūpono ʻē aʻe. Eia kekahi, ʻaʻole hoʻohana pinepine ʻia ka dye contrast i ʻōlelo ʻia ma luna i ka wā hāpai. Inā hānai waiū ʻoe a pono e loaʻa kahi MRI me ka dye contrast, e kamaʻilio me kāu kauka inā pono ʻoe e hoʻōki i ka hānai waiū no kekahi manawa.
Nā pilikia ʻē aʻe e kū mai paha i ka wā o ka scan
Claustrophobia (makaʻu i nā wahi paʻa)
Ua like ka mīkini MRI kuʻuna me kahi paipu lōʻihi me nā ʻaoʻao ʻelua i pani ʻia. No laila, inā he claustrophobic ʻoe, paʻakikī paha iā ʻoe ke noho i loko o kēia mīkini. Akā, ʻaʻole kēia manaʻo ʻaʻole pono ʻoe e hana i kahi MRI. Hiki iā ʻoe ke haʻi i kāu kauka e pili ana i kēia makaʻu ma mua a loaʻa i kahi mea hoʻomaha ma mua o ka hoʻāʻo. A i ʻole, hiki iā ʻoe ke nīnau inā hiki ke hana ʻia ka hoʻāʻo ma kahi mīkini MRI hāmama, i loaʻa ma kekahi mau haukapila.
He mea paʻakikī ke noho mālie ma ke kūlana like?
I mea e loaʻa ai kahi kiʻi maopopo, pono ʻoe e noho mālie i loko o ka mīkini MRI no 30 mau minuke a ʻoi aku paha. Inā ua loaʻa iā ʻoe kahi ulia a ʻoki kino paha, a inā he mau pilikia olakino ʻē aʻe kāu e paʻakikī ai iā ʻoe ke noho ma kekahi kūlana no ka manawa lōʻihi, he mea nui hoʻi e hoʻomaopopo mua i nā limahana.
Nā maʻi ʻaleka i ka hoʻoluʻu ʻokoʻa
Hiki i kekahi poʻe ke maʻi i ka dye contrast i ʻōlelo ʻia ma mua. I kēlā mau hihia, nā hōʻailona e like me:
- Pōʻino
- Ka luaʻi ʻana
- Nā ʻūlū ʻili (Hives)
- ʻUlaʻula ʻili
Eia nō naʻe, ʻaʻole koʻikoʻi kēia mau mea. He mea kākaʻikahi loa, hiki ke loaʻa kahi hopena alerika koʻikoʻi. ʻO nā hōʻailona e komo pū me ka pehu ʻana o nā lehelehe a me ka waha, a me ka paʻakikī o ka hanu ʻana. I kēlā mau hihia, pono e hoʻomaopopo koke ʻia nā limahana lapaʻau.
Leka Lawe-Home
- ʻAʻole pili ka MRI scan i ka radiation e like me ka X-ray. Hana ia me ka hoʻohana ʻana i kahi kahua magnetic ikaika.
- E hōʻoia e hoʻomaopopo i kāu kauka a me nā limahana pili e pili ana i nā mea hao, nā ʻokiʻoki, nā pine, nā peʻa, a i ʻole nā mea i hoʻokomo ʻia i loko o kou kino.
- Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, nā maʻi allergies, a i ʻole ua hāpai ʻoe, he mea nui e haʻi i kāu kauka ma mua o ke scan.
- Inā makaʻu ʻoe i nā wahi paʻa a paʻakikī paha ke noho mālie no ka manawa lōʻihi, hiki iā ʻoe ke kamaʻilio e pili ana i ia mea a loaʻa kahi hopena kūpono.
- ʻO ka mea hope loa, ʻo ka mea nui loa, ʻo ke kamaʻilio ākea a me ka ʻoiaʻiʻo me kāu kauka.E nīnau iā lākou e pili ana i kekahi mau nīnau a hopohopo paha āu i loaʻa ai i hiki iā ʻoe ke kū palekana i ka hoʻokolohua.
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