Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi 'Whole-Body Bone Scan', e makaʻu iki paha ʻoe a hopohopo. He mea maʻamau loa ka nui o nā nīnau e hiki mai ana i kou manaʻo, e like me, "He aha ke ʻano o kēia scan? No ke aha e hana ʻia ai kēia? E ʻeha anei kēia? He mea koʻikoʻi anei?" Akā, mai makaʻu iki. ʻAʻole kēia he mea nui a weliweli paha e like me kou manaʻo. He ala maikaʻi loa kēia a holomua hoʻi e ʻike pono ai i ke olakino o kou mau iwi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, e pane ana i nā nīnau a pau āu e noʻonoʻo nei, ma ke ʻano maʻalahi loa, ʻae?
I ka ʻōlelo maʻalahi, he aha kēia Whole-Body Bone Scan?
He scan kūikawā kēia e nānā i ke olakino o kou mau iwi ma kou kino holoʻokoʻa. I ka pololei, he scan kiʻi lāʻau lapaʻau nukelea. Akā, mai makaʻu i kēlā huaʻōlelo. ʻOiai he paʻakikī iki ka ʻenehana i hoʻohana ʻia, ʻaʻohe ʻeha o kēia hoʻāʻo a palekana loa no ka hapa nui o ka poʻe .
Hoʻomaʻamaʻa pinepine nā kauka i kēia scan e hōʻoia inā ua hoʻopili ʻia kahi maʻi ʻaʻai i nā iwi. Kōkua nō hoʻi ia i ka hoʻoholo ʻana i ke kahua o ke kanesa, a i ʻole ka mamao o kona laha ʻana.
Ma mua o kēia scan, ua hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau lapaʻau i loko o kahi aʻa koko ma kou lima. Ua kapa ʻia kēia he 'radiotracer'. Loaʻa iā ia kahi liʻiliʻi loa a palekana o ka mea radioactive. Ke komo kēia lāʻau lapaʻau i kou kino, hele ia i nā wahi i loaʻa ai kekahi loli, hōʻino, a hana ʻino paha i loko o kou mau iwi. A laila, ke nānā ʻoe iā ia ma ke scan, e ʻike ʻia kēlā mau wahi me ka mālamalama loa. Ua like ia me ka hoʻomālamalama ʻana i kahi kukui uila i loko o kahi lumi pouli a ʻike wale i kahi wahi maopopo. Kōkua kēia i ke kauka e ʻike i kahi kikoʻī o ka maʻi.
He aha ka mea hiki ke ʻike ʻia e kēia scan?
Hiki i kahi Whole-Body Bone Scan ke ʻike i nā pōʻino a i ʻole nā loli i kou mau iwi. Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole e haʻi pololei kēia scan iā ʻoe i ke kumu o ka pōʻino a i ʻole ka loli. Hōʻike wale ia i kahi o ka pilikia.
No laila, hoʻohana wale ke kauka i kēia scan ma ke ʻano he mea hana diagnostic. E hoʻohana ʻo ia i ka ʻike mai kēia scan a me nā hoʻokolohua ʻē aʻe e hiki ai i kahi hopena hope loa.
E nānā i ka papa ma lalo nei e ʻike i nā ʻano kūlana olakino e hiki i kēia scan ke kōkua i ka ʻike ʻana.
| Ke kūlana olakino hiki ke ʻike ʻia | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻaʻai iwi | Ke ʻike ʻana i ke kanesa e hoʻomaka ana ma nā iwi a i ʻole ua laha mai kahi ʻē aʻe. |
| Nā haki iwi | No ka ʻike ʻana i nā haki palupalu loa i hiki ʻole i kahi X-ray maʻamau ke hopu. |
| Nā maʻi iwi (Osteomyelitis) | No ka ʻike ʻana i nā maʻi i hoʻokumu ʻia e nā germs e komo ana i loko o nā iwi. |
| ʻEha iwi no ke kumu i ʻike ʻole ʻia | No ka ʻike ʻana i ke kumu o ka ʻeha o ka iwi i hiki ʻole i nā hoʻokolohua ʻē aʻe ke loaʻa ke kumu. |
| ʻO ka ʻāʻī (Osteoarthritis) | E ʻike i ke kūlana o ka hoʻohana ʻana a me kona hopena. |
| ʻO ka maʻi o Paget o ka iwi | No ka ʻike ʻana i nā ʻano ʻē i ke kaʻina hana o ka hoʻokumu ʻana a me ka haki ʻana o ka iwi. |
| ʻO ka necrosis avascular | No ka ʻike ʻana i kahi kūlana e make ai nā ʻiʻo iwi ma muli o ka emi ʻana o ke kahe koko i nā iwi. |
Pehea e hoʻomākaukau ai ma mua o ke scan?
ʻO kēia ka ʻāpana maikaʻi loa. ʻO ka hapa nui o ka manawa, ʻaʻohe hoʻomākaukau kūikawā e pono ai no kēia scan. E hāʻawi kāu hui lapaʻau iā ʻoe i nā kuhikuhi āu e pono ai.
- Hiki iā ʻoe ke ʻai a inu e like me ka mea maʻamau .
- Hiki iā ʻoe ke lawe i kāu mau lāʻau lapaʻau e like me ka mea maʻamau . Akā inā ʻōlelo ʻē aʻe kāu kauka, pono ʻoe e hana pēlā.
- I ka lā o ke kiʻi ʻana, mai komo i kekahi mea i loaʻa ka metala . Eia kekahi laʻana, pono ʻoe e wehe i nā mea hoʻonani, nā kāʻei me nā buckles metala, a me nā wati.
- Inā he mau ʻāpana metala kou i loko o kou kino (e like me nā hono hana, nā mea hoʻokomo niho, nā pacemaker) , e hōʻoia e haʻi i kāu kauka a mea loea paha . A laila e hoʻoholo lākou inā palekana kēia scan iā ʻoe.
He aha ka mea e hana ʻia i ka wā o ke scan?
I ka lā o ke scan, pono ʻoe e kali i kekahi mau hola ma ka haukapila a i ʻole ke kikowaena scan. No laila e mākaukau no kēlā. Eia ke kaʻina hana piha o ka hoʻopau ʻana i ke scan i kēlā me kēia ʻanuʻu.
ʻO ka mea nui loa, ʻaʻole ʻoe e ʻeha i kekahi o kēia mau ʻanuʻu. ʻAʻohe ʻoluʻolu ʻole ma mua o kahi ʻeha iki i ka wā e hāʻawi ʻia ai ka inikini.
| Nā ʻanuʻu | He aha ka mea e hana nei? |
|---|---|
| 1. Ke hāʻawi ʻana i ka inikini | E hoʻokomo ke loea i ka lāʻau lapaʻau 'radiotracer' aʻu i ʻōlelo ai ma mua i loko o kahi aa koko ma kou lima. E like me he mea lā e nahu ana kahi ʻanuʻu liʻiliʻi iā ʻoe, ʻo ia wale nō. |
| 2. Ka manawa kali | A laila pono ʻoe e kali no 1 a 4 mau hola . Pono kēia manawa no ka hele ʻana o ka lāʻau lapaʻau ma o kou koko a komo i loko o kou mau iwi. I loko o kēia manawa, ʻaʻole ʻoe e manaʻo i ke komo ʻana o ka lāʻau lapaʻau i loko o kou kino. |
| 3. Ka inu ʻana i ka wai a me ka mimi ʻana | I loko o kekahi mau hola āu e kali ai, e noi ʻia ʻoe e inu i kekahi mau kīʻaha wai . E noi ʻia hoʻi ʻoe e mimi pinepine. E kōkua kēia i ka hoʻopau ʻana i kekahi radiotracer keu i komo ʻole i loko o kou mau iwi. |
| 4. Ke nānā ʻana | A pau ka manawa, e lawe ʻia ʻoe i ka lumi scan. E moe wale ʻoe i luna ma kahi moe. E neʻe mālie kahi kāmela nui (i kapa ʻia he 'kāmela gamma') ma luna o kou kino a lawe i nā kiʻi. |
| 5. Ke hoʻololi nei i ke kūlana | No ka loaʻa ʻana o nā kiʻi maopopo a ʻaʻohe blur, e noi ʻia paha ʻoe e paʻa i kou hanu no kekahi mau kekona . E noi ʻia paha ʻoe e hoʻololi iki i kou kūlana e kiʻi i nā kiʻi mai nā kihi like ʻole. |
Ma waena o 30 a me 60 mau minuke ka lōʻihi o ke scan ponoʻī, akā he mau hola ka lōʻihi o ke kaʻina holoʻokoʻa, me ka manawa e pono ai e komo ka lāʻau lapaʻau i loko o ke kino.
Aia kekahi mau pilikia a i ʻole nā hopena ʻaoʻao i kēia?
He hoʻāʻo palekana loa kēia no ka hapa nui o nā kānaka. He liʻiliʻi loa ka nui o ka radiation i loko o ka radiotracer ʻaʻole pono ʻoe e hopohopo e pili ana i ka hoʻolaha ʻana i ka radiation i nā poʻe ʻē aʻe.
Eia nō naʻe, ma ke ʻano he akahele iki, e aʻo ʻia paha ʻoe e noho mamao loa mai ka poʻe i pilikia nui (e like me nā pēpē, nā kamaliʻi ʻōpio, a me nā wahine hāpai ) no kahi o 24 mau hola ma hope o ke scan.
E hoʻomanaʻo nui!
Pono ʻoe e haʻi aku i kāu kauka inā hāpai ʻoe, inā paha e hāpai ana, a inā e hānai waiū ana. ʻAʻole palekana kēia scan no nā makuahine hāpai a me nā makuahine hānai waiū.
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao ma hope o kēia scan. Aia paha kekahi mau palapū a pehu paha ma kahi i hāʻawi ʻia ai ka injection. E nalo wale kēia i loko o kekahi mau lā. Ma hope o ke scan, hiki iā ʻoe ke hoʻi i ka home, hoʻokele, a hana i kāu mau hana maʻamau. E aʻo aku kāu kauka iā ʻoe e inu i ka wai nui no nā hola 48 e hiki mai ana. E kōkua kēia i ka holoi ʻana i kekahi radiotracer i koe mai kou kino.
He aha ka ʻōlelo a ka hōʻike scan? He aha ka mea e hana ʻia ma hope?
ʻAʻole ʻoe e loaʻa koke nā hopena o ke scan. Hiki ke hala i hoʻokahi a ʻelua paha pule no ke kauka e loaʻa ai ka hōʻike a wehewehe iā ʻoe.
Hōʻike ka hōʻike i nā mea i kapa ʻia ʻo "nā wahi wela" i loko o kou mau iwi. ʻO kēia nā wahi i hōʻiliʻili nui ʻia ai ka radiotracer, a i ʻole kahi i loaʻa ai kekahi mau mea ʻē.
No laila, inā ʻōlelo ka hōʻike he mau "wahi wela" kēlā, ʻo ia hoʻi he pilikia kekahi ma ia mau wahi. Akā, ʻo ke kumu nui no ia meaʻAʻole hiki i kēia scan wale nō ke haʻi i ka mea e hana nei. No laila, e kauoha paha kāu kauka i kekahi mau hoʻokolohua hou aʻe e ʻike i ke kumu pololei. ʻO kēia mau hoʻokolohua:
- Biopsy - Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka wahi a nānā iā ia.
- CT scan (CT - scan tomography i helu ʻia)
- MRI scan (MRI - kiʻi resonance magnetic)
- Ka nānā ʻana o ka PET (positron emission tomography scan)
'Bone Scan', 'DEXA Scan', 'MRI'... He like anei kēia?
He mea kēia e huikau ai nā kānaka he nui. E wehewehe kākou i kēlā.
- ʻO ka Iwi Scan a me ke Kino Holoʻokoʻa o ka Iwi Scan: Hoʻohana pinepine ʻia kēia mau huaʻōlelo ʻelua me ke ʻano like. Eia nō naʻe, i kekahi manawa, ke nānā ʻia hoʻokahi a i ʻole hoʻokahi iwi, ma kahi o ke kino holoʻokoʻa, ua kapa ʻia ia he "Bone Scan."
- DEXA Scan: He scan iwi nō hoʻi kēia. Eia nō naʻe, nānā ia i ka mānoanoa o kou mau iwi . Hoʻohana nui ʻia ia e nānā i nā maʻi lahilahi o ka iwi e like me ka osteoporosis. He hoʻāʻo ʻokoʻa loa kēia ma mua o ka Whole-Body Bone Scan.
- MRI Scan: He ʻokoʻa loa kēia. ʻAʻole hoʻohana ka MRI i kahi 'radiotracer', akā, he magnet ikaika a me nā nalu lekiō. Hiki iā ia ke hana i nā kiʻi ʻekolu-dimensional (3D) o loko o ke kino.
Ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i kēia scan. He mea maʻamau ke hopohopo i ka wā e kauoha ai kāu kauka i kahi hoʻokolohua e like me kēia. Akā e hoʻomanaʻo, he hoʻokolohua koʻikoʻi loa kēia a holomua hoʻi e kōkua iā ʻoe e ʻike pono i ke olakino o kou mau iwi a kōkua iā ʻoe e hoʻoholo i ka lāʻau maikaʻi loa. Inā he mau nīnau ʻē aʻe kāu, mai hūnā i kekahi mea a kamaʻilio ākea me kāu kauka.
Leka Lawe-Home
- He hoʻokolohua palekana loa a ʻeha ʻole ka Whole-Body Bone Scan e nānā ana i ke olakino o kou mau iwi.
- No kēia, ua hoʻokomo ʻia kahi lāʻau liʻiliʻi a palekana hoʻi i kapa ʻia ʻo 'radiotracer' i loko o kahi aa koko.
- Hōʻike wale ka scan i nā wahi o ka pilikia iwi ("nā wahi wela"), akā ʻaʻole ke kumu pololei o ka pilikia. Pono paha nā hoʻokolohua hou aʻe e hoʻoholo i kēia.
- Inā hāpai ʻoe a hānai waiū paha, e ʻoluʻolu e hoʻomaopopo i kāu kauka.
- ʻO ka inu ʻana i ka wai nui no ʻelua mau lā ma hope o ke scan hiki ke kōkua i ka hoʻopau ʻana i ka radiotracer mai kou kino.
- Mai kānalua e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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