Kua tonoa anō hoki koe kia whai matawai MRCP? (Magnetic Resonance Cholangiopancreatography) Kia mārama tātou ki tēnei!

Ahakoa he mamae puku noa iho tōu, he whakapae rānei kei te raru tōu repeure, tō pūkahukahu rānei, kua tono pea tō tākuta kia tirohia koe e te MRCP. Tērā pea he ahua taumaha rawa tēnei ingoa. Kaua e manukanuka, me kōrero noa iho tātou.

He aha te MRCP? He aha te mea e rapuhia ana e ia?

He whakarāpopototanga noa iho, he matawai MRI motuhake te MRCP e tirotiro ana i tō repe taiaki me tō pūnaha biliary, arā, ngā awa wai taiaki. Ka whakanohoia he aho IV iti ki roto i tō uaua, ā, ka werohia he wai motuhake e kiia nei ko te contrast agent ki roto i tō tinana. Mā tēnei wai ka taea e te mīhini MRI te kite mārama i tō repe taiaki, tō pūkahukahu, me ngā awa e hono ana ki a rātou. He rite ki te whiti i te rama ki roto i tētahi rūma pōuri. Ka whakamahia e ngā tākuta ēnei whakaahua mārama hei whakatau tika i tō āhua me te whakamahere i tō maimoatanga.

He aha ngā mate ka taea te kite mā te matawai MRCP?

Mena kei te mamae tonu tō puku, kāore i te mārama te take, ka tūtohu pea tō tākuta i tētahi MRCP. Ka taea e tēnei matawai motuhake (MRI rerekē) te āwhina i te tautuhi i ngā āhuatanga pēnei i:

• Ngā āhuatanga pēnei i te mate pukupuku o te awa au (cholangiocarcinoma).
• Ahakoa he kōhatu, he pūwero rānei kei roto i ngā awaawa o te ate.
• Kua āraia, kua whaiti rānei te awaawa o te aukume (he kōpikopiko o te aukume)?
• Ahakoa kua āraia, kua whaiti, kua whānui rānei ngā awa pancreatic.
• Kua whānuitia ngā awaawa au?
• He kohatu tōngāmimi kei roto?
• Ngā mate pēnei i te pancreatitis, te cholecystitis rānei.
• He mate pukupuku repeure kei reira?
• Mēnā kei roto i te repeure ngā whēkau repeure me ngā whēkau pseudocyst.

Whakaarohia, i ētahi wā, ina kore e taea e koe te tino mōhio he aha te take o tō mamae puku, he rite te matawai pēnei ki te whiti i te rama ki te wāhi tika.

Ko wai ka whakahaere i te whakamātautau MRCP? Kei hea e whakahaerehia ai?

Ko te tikanga, ka mahia tēnei whakamātautau `(MRCP)` e te tohunga hangarau ira-iwi . Waihoki, kei reira te tākuta e tohunga ana ki te tango whakaahua hauora, e kiia nei ko te tohunga ira-iwi , i te wā o te whakamātautau, ā, ka tātarihia e ia ngā whakaahua i muri i te whakamātautau, ā, ka whakarite i te pūrongo. Ko te tikanga, he whakamātautau `(MRCP)` ka taea te mahi i te wāhanga o waho o te hōhipera, i te whare hauora rānei. Ko te tikanga, ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te whakamātautau.

He aha ngā momo matawai MRI e whakamahia ana mō te MRCP?

He rerekē ngā momo matawai MRI e whakamahia ana i roto i ngā hōhipera me ngā whare hauora rerekē. E rua ngā momo matua:

• `(MRI kōhao-kati)`:I roto i tēnei, ka takoto koe ki runga i tētahi tēpu whakamātautau, he mea whakarite kia uru ki roto i tētahi ngongo nui he rite te āhua ki te rango. He aukume kaha kei te taha o tēnei ngongo. Ka uru tō upoko me tō puku ki roto i tēnei ngongo. Heoi, i roto i ētahi o ngā mīhini "MRI kōhao-katia" hou, ka whānui ake te whakatuwheratanga o tēnei ngongo (ngā "MRI kōhao-whānui"), kia kore ai e ahua kikī pērā i mua.
• MRI tuwhera-pū: He aukume kei runga ake, kei raro iho hoki i a koe i tēnei momo matawai MRI. Nā te mea he tuwhera i ngā taha e rua, he tino watea mō te hunga e wehi ana i ngā wāhi kuiti, arā, te hunga e mataku ana ki te taupoki o te rūma. He kōwhiringa pai hoki mō te hunga e kore e pai ki te noho ki ngā wāhi kuiti mō ētahi atu take hauora.

Mena kei a koe tētahi āhuatanga pēnei i te "claustrophobia" me kōrero wawe atu ki tō tākuta. Mā rātou koe e āwhina ki te whiriwhiri i te matawai tino tika māu.

Me pēhea taku whakarite i mua i te MRCP?

He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua i te whakamātautau MRCP. Kei roto i tēnei ko ngā mea e whai ake nei:

• Kia nohopuku (kaua e kai, kaua e inu) mō ētahi haora i mua i te whakamātautau. Ko te tikanga tēnei kaua e kai, kaua e inu i tetahi mea mai i te wā e tohutohu ana tō tākuta ki a koe.
• Ki te hoatu he rongoā whakamoe ki a koe i te wā o te whakamātautau, me kawe koe e tētahi mema o te whānau, e tētahi hoa rānei, ki te kāinga i muri i te whakamātautau, nā te mea ka uaua pea ki a koe te taraiwa i ngā pānga o te rongoā.
• Mena kei a koe ētahi taputapu whakarewa kua whakatōkia (hei tauira, te whakakapinga hononga, te taputapu whakatere, te whakatō cochlear), me whakamōhio atu koe ki tō tākuta i mua i te wā.
• Me tango e koe ngā mea whakarewa katoa e mau ana koe. Kei roto i tēnei ko ngā whakapaipai pēnei i ngā whakakai taringa, ngā hei kaki, ngā mowhiti (tae atu ki ērā he wero), ngā taputapu whakarongo, me ngā niho rūpahu. Nā te mea ka taea e te aukume kaha o te mīhini MRI te kukume i ēnei mea whakarewa.
• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, pērā i ngā rongoā anti-inflammatory kore-steroidal (NSAID), ngā huaora, me ngā tāpiringa otaota, mō ētahi rā i mua i te whakamātautau. Pātai atu ki tō tākuta mō tēnei.
• Mena he mataku koe ki te taupoki o te ihu, ka hoatu pea he rongoā whakamoe ki a koe, he rongoā whakamoe rānei ki te uaua (IV). Tērā pea ka tohutohuhia koe kia kati ō kanohi i te wā e tirotirohia ana.
• Mena kei a koe ngā mate pēnei i te kirika tarutaru (mate pāwera), te mate huango, te mate pāwera kai, te urticaria rānei, me kōrero atu ki tō tākuta mō ēnei mate. Nā te mea he nui ake te tūponotanga o te hunga pēnei ki te pāngia e te mate pāwera ngawari ki te tae rerekē i whakahuatia ake nei. Kaua e manukanuka, kua rite ngā tākuta mō tēnā.

Kia maumahara, ko ēnei katoa hei mea mō tō haumaru, hei whakarite hoki kia tika te whakamātautau. Nō reira, me whai marie i ngā tohutohu.

He aha ngā mea ka tupu i te wā e whakahaerehia ana te whakamātautau MRCP?

I te wā o te whakamātautau MRCP, ka mahia e te tīma hauora:

• Tuatahi, ka hoatu he puru taringa, he pane taringa rānei ki a koe hei whakaiti i te haruru o te matawai, hei tiaki hoki i ō taringa. Engari ka taea e koe te whakarongo ki ngā kōrero a te tīma hauora.
• Kātahi ka whakanohoia koe ki runga i tētahi tēpu whakamātautau me ō ringa e anga whakarunga ana. Ki te kore e taea e koe te takoto tika, ka whakamahia he whitiki me he tautoko hei āwhina i a koe kia mau tonu ki taua tūranga, ki te tika.
• He taputapu takai motuhake kei tō tinana ka taea te tuku me te whiwhi i ngā ngaru reo irirangi.
• Kātahi ka werohia te tae IV ki roto i te uaua. Tērā pea ka pāngia koe e te makariri iti i taua wā. He mea noa tēnei.
• Kātahi, ka tukuna koe e ngā pātene whakahaere ki te tēpu whakamātautau, ki roto i te ngongo "MRI katia-pū" (mēnā rānei kei runga koe i te moenga "tuwhera-pū" koe, ka tīmata anō te whakamātautau i te ara kotahi).
• Ka puta te tohunga hangarau i te rūma, engari ka taea e ia te kite i a koe mā te matapihi, ā, kua honoa ia ki a koe mā te pūnaha intercom e rua ngā ara.
• Kātahi ka tīmata te matawai MRI ki te tango i ētahi whakaahua. Tērā pea ka mahana koe i tēnei wā. He mea noa tēnei. Ko te mea nui kia noho puku koe i te wā e tango ana te matawai i ngā whakaahua, ā, tērā pea ka tonoa koe kia pupuri i tō manawa mō tētahi wā. Mā tēnei ka āwhina i te tiki whakaahua mārama.

Kaua e manukanuka, mā te tohunga hangarau e whakamārama ngā mea katoa ki a koe, ā, ka taea hoki e koe te kōrero mai ki a mātou mēnā kei te pāngia koe e te mamae.

Kia pēhea te roa o te MRCP?

E 15 meneti te roa o te matawai MRCP. Heoi, i ētahi wā ka taea te mahi i te MRI o te puku i te wā kotahi. Mēnā koinei te āhua, ka 30 meneti pea te roa.

He aha ngā mea ka tupu i muri i te MRCP?

Mena kei te pai ō tohu ora, ā, kua hoatu he rongoā whakamoe ki a koe, ka taea e koe te hoki ki te kāinga i muri i te memeha haere o ngā pānga. He tino onge ngā pānga taha o te tae, o te whakamātautau rānei. Heoi, ki te mea kei te whakapairuaki koe, kei te pāngia koe e te ānini, kei te pāngia rānei koe e tētahi tohu o te mate pāwera, me kōrero koe ki te tīma hauora. Mā tētahi koe e kawe ki te kāinga i muri i te whakamātautau. Ka taea e koe te kai me te inu i te āhua noa i muri i tō hokinga ki te kāinga.

He aha ngā painga o te whakamātautau MRCP?

Mā tēnei whakamātautau motuhake '(whakarerekētanga MRI)' ka puta he pikitia tino mārama, taipitopito hoki o ō whekau me ō uaua toto, me te kore e whakamahi i tētahi '(whakaata X-ray).'Kei te wātea. Ka whakamahia he matawai MRI mō te MRCP. Ka hangaia he papa aukume tino kaha, ā, ka whakamahia ngā ngaru auau irirangi me te hangarau rorohiko hei hanga whakaahua. He rite ngā ngaru irirangi e whakamahia ana mō te MRI ki ngā ngaru irirangi FM ka rangona e koe i roto i tō motuka. Ko te tikanga kāore he pānga ki te irahiko. He painga nui tēnei.

He tūponotanga kei te MRCP?

He tikanga haumaru te MRCP. Heoi anō, tera ētahi mōrearea kāore e tino kitea:

• Tauhohenga mate pāwera: He tino onge te pāngia e te mate pāwera kino, pērā i te anaphylaxis, ki te rongoā ārai mate IV, arā, te tae e whakamahia ana i roto i te MRCP. Ka hangaia tēnei tae mā te whakamahi i tētahi huānga e kiia nei ko te gadolinium. He iti ake te tūponotanga ka pāngia e te gadolinium e te mate pāwera i te iodine.
• Te mataku ki te wāhi tūwhera: Ko te noho i roto i tētahi wāhi kuiti, pērā i te matawai MRI, he tino uaua, ki te kore e taea, mō te tangata e mataku ana ki te wāhi tūwhera. E kiia ana ko te kotahi i roto i te waru o ngā tāngata he mataku tēnei. Nō reira, e tino mōhio ana ngā tākuta e mahi ana i ngā MRCP ki tēnei. Mena kei a koe tēnei mataku, ka hoatu e rātou he rongoā whakamoe hei āwhina i a koe kia noho marino i te wā o te whakamātautau.

Ko wai kāore e tika kia whiwhi i te MRCP?

I muri i te MRCP, ka tātarihia e ō whatukuhu te tae i roto i tō tinana. Heoi, kua whakaatuhia e ngā rangahau he iti noa te tae ka noho ki roto i tō tinana mō ngā marama, tae noa ki ngā tau. Ko te nuinga o te tangata kāore e pāngia e ngā pānga taha. Heoi, ko te hunga he mate whatukuhu, he ngoikore rānei ō rātou whatukuhu, kāore pea e taea te pāngia e te MRCP. Waihoki, ki te mea kei te hapu koe, kei te whakaaro rānei koe kia hapu i roto i te tau e whai ake nei, ehara i te mea pai te pāngia e te MRCP. Kōrero ki tō tākuta mō tēnei.

Āhea ahau ka whiwhi i te pūrongo whakamātautau?

Ka tirohia e te tohunga hihi-X ngā whakaahua matawai ka tukuna te pūrongo ki tō tākuta. Tērā pea ka roa te wiki, e rua rānei, kia tae mai te pūrongo ki te tākuta. Kātahi ka kōrero ia ki a koe mō te pūrongo. I runga i ngā mōhiohio kei roto i te pūrongo, me mahi pea koe i tētahi pokanga, i tētahi atu maimoatanga rānei.

Āhea ahau me kite i te tākuta? (Whai muri i te whakamātautau)

Ki te puta he tohu mate pāwera i muri i tō hokinga ki te kāinga, pērā i te whewhe, ki te kino haere rānei ngā tohu pērā i te mamae o te puku, me waea atu tonu koe ki tō tākuta.

He aha te rerekētanga i waenga i te ERCP me te MRCP?

E tirohia ana e te Endoscopic Retrograde Cholangiopancreatography (ERCP) me te MRCP ngā raruraru ōrite i roto i te pancreas me te pūnaha biliary. Heoi,He tikanga whakaeke nui ake te ERCP i te MRCP, ā, me whakamahi rongoā whakamoe. Ko ngā tohunga puku he tākuta e tohunga ana ki te pūnaha nakunaku.

Koinei te mea ka tupu i te wā o te ERCP:

• Ka whakaurua e te tākuta he ngongo ngāwari (endoscope) kei roto he kāmera me te mārama mā roto i tō waha, mā roto i tō korokoro, ā, ki roto i tō whekau iti.
• Kātahi, mā roto i te endoscope, ka tukuna tētahi atu ngongo angiangi, ngāwari (catheter) ki roto i ngā awa au me ngā awa pancreatic.
• Ka werohia he tae mā roto i taua catheter.
• Kātahi ka mātakihia te tae e neke ana i roto i ngā ngongo mā te whakamahi i ngā whakaahua hihi-X e neke ana (fluoroscopy).

Ka taea te mahi i te ERCP i te wā kotahi me te endoscopy o runga. He mea nui, ka taea e te tākuta te mahi i ētahi maimoatanga i te wā o te ERCP. Hei tauira, ka taea e ia te wawahi i ngā kōhatu, te whakanoho i ngā stent hei whakatuwhera i ngā awaawa kua āraia, te tango rānei i ngā tauira kiko hei tirotiro. Kāore e taea ēnei te mahi me te MRCP. Ko te MRCP he whakamātautau tātaritanga matua.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea whakarihariha pea te kore e mōhio ki ngā mea e tupu ana i roto i tō tinana. Heoi, mā te whakamātautau pēnei i te MRCP ka taea e koe te hoatu he whakautu mārama. He MRI iti te mōrearea o tēnei. Ka taea e ia te āwhina i tō tākuta ki te tautuhi i ngā raruraru maha, pēnei i te pancreatitis, te mate pukupuku repeure, me ngā kohatu o te pūhā. He momo matawai MRI rerekē e wātea ana, i runga i ō hiahia me ō manakohanga. Whai muri i tō whiwhinga i te pūrongo whakamātautau, ka kōrero tō tākuta ki a koe mō te mea hei mahi i muri mai i runga i ngā mōhiohio i roto i te pūrongo.

Nō reira, ki te mea kua tonoa koe kia whiwhi i te MRCP, kaua e mataku noa. He taahiraa nui tēnei hei mārama ki tō āhua hauora me te whiwhi i te maimoatanga tika. Pātai atu ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.

` MRCP, MRI, repe taiaki, pūkahukahu, awa au, matawai, hihi-X