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He hoʻokolohua kiʻi kikoʻī ka MRI umauma e hoʻohana ana i nā magnet ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo o kou ʻiʻo umauma. E noʻonoʻo iā ia he ala ʻoi aku ka maikaʻi e nānā i loko o kou umauma i hoʻohālikelike ʻia me nā mammograms a i ʻole nā ultrasounds, e hāʻawi ana i nā kauka i kahi ʻike piha i ka mea e hana nei ma lalo o ka ʻili.
Kōkua kēia hana mālie, ʻaʻole invasive i nā kauka e ʻike i ka maʻi maʻi umauma, e nānā i ka holomua o ka mālama ʻana, a e loiloi i ke olakino umauma i nā wahine i ka pilikia nui. E moe ʻoluʻolu ʻoe i loko o kahi mīkini kūikawā i ka wā e lawe ai i nā kiʻi kikoʻī, a ʻo ke kaʻina holoʻokoʻa e lawe ma kahi o 45 mau minuke a i hoʻokahi hola.
ʻO ka MRI umauma ke kū nei no ka Magnetic Resonance Imaging o nā umauma. He ʻenehana kiʻi lapaʻau loea e hana i nā kiʻi kikoʻī, ʻekolu-dimensional o kou ʻiʻo umauma e hoʻohana ana i nā māla magnetic a me nā nalu lekiō ma kahi o ka radiation.
ʻAʻole like me nā mammograms e hoʻopaʻa i kou umauma a i ʻole nā ultrasounds e kaomi ana i kou ʻili, hiki i ka MRI ke moe i lalo ma kahi papa i hoʻopaʻa ʻia me kou umauma i hoʻonoho ʻia i nā puka kūikawā. Hana nā magnet ikaika o ka mīkini me ka wai maoli o kou kino e hana i nā kiʻi kikoʻī loa e hiki ke hōʻike i nā loli liʻiliʻi i ka ʻiʻo umauma.
Hiki i kēia ʻano kiʻi kiʻekiʻe ke ʻike i nā mea ʻokoʻa i ʻike ʻole ʻia ma nā hoʻokolohua ʻē aʻe. He mea kōkua nui ia no nā wahine me ka ʻiʻo umauma paʻa, kahi e paʻakikī ai nā mammograms i kekahi manawa ke ʻike i nā papa ʻiʻo mānoanoa.
He nui nā kumu nui o ka MRI umauma i ka mālama olakino umauma. Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻokolohua e kiʻi i kahi kiʻi maopopo o nā wahi kānalua i loaʻa ma nā hoʻokolohua kiʻi ʻē aʻe a i ʻole e nānā i kou olakino umauma inā ʻoe i ka pilikia nui no ka maʻi maʻi umauma.
ʻO nā kumu maʻamau e kauoha ai nā kauka i ka MRI umauma, ʻo ia ka nānā ʻana i nā wahine i ka pilikia nui, he moʻolelo ʻohana ikaika ko lākou no ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian, a i ʻole e lawe ana i nā loli genetic e like me BRCA1 a i ʻole BRCA2. Pōmaikaʻi kēia mau wahine mai nā hiki ke ʻike ʻia e ka MRI ma mua o ka mammography maʻamau.
Eia nā kūlana nui e ʻōlelo ai kāu kauka i ka MRI umauma:
I kekahi manawa hoʻohana nā kauka i ka MRI umauma e hoʻoponopono i nā puʻupuʻu diagnostic ke hāʻawi nā hoʻokolohua ʻē aʻe i nā hopena maopopo ʻole. He mea waiwai nō hoʻi ia no nā wahine i loaʻa i ka maʻi ʻaʻai umauma i hōʻike ʻia e hoʻoholo inā aia ka maʻi ʻaʻai i nā wahi ʻē aʻe o ka umauma like a i ʻole ka umauma ʻē aʻe.
He maʻalahi ke kaʻina hana MRI umauma a ua hoʻolālā ʻia no kou hōʻoluʻolu. E loaʻa iā ʻoe nā ʻōlelo aʻoaʻo maopopo ma mua, a e alakaʻi ke kime lapaʻau iā ʻoe i kēlā me kēia ʻanuʻu e hōʻoia e mākaukau a hoʻomaha ʻoe.
I kou hōʻea ʻana, e hoʻololi ʻoe i ka ʻaʻahu haukapila e wehe ana ma mua. E wehewehe kahi mea loea i ke kaʻina hana a pane i nā nīnau āu e loaʻa ai. Inā pono ka wai ʻokoʻa, e hoʻokomo lākou i kahi laina IV liʻiliʻi i loko o kou lima, e like me ka ʻūlū wikiwiki.
Eia ka mea e hana ʻia i ka wā o kāu MRI umauma:
ʻO ka hana holoʻokoʻa e lawe maʻamau i 45 mau minuke a i hoʻokahi hola. ʻO ka hapa nui o kēia manawa e pili ana i ka mīkini e lawe ana i nā pūʻulu kiʻi he nui mai nā kihi like ʻole. E ʻike ʻoe i ka neʻe iki ʻana o ka papa ma waena o nā kaʻina kiʻi, akā he mea maʻamau kēia a manaʻo ʻia.
ʻO ka waihoʻoluʻu ʻokoʻa, inā hoʻohana ʻia, kōkua i ka hōʻike ʻana i ke kahe koko i loko o kou ʻiʻo umauma. He mea pono loa kēia no ka ʻike ʻana i ka maʻi kanesa, no ka mea, ʻoi aku ka nui o ke koko o nā ʻiʻo maʻi kanesa i hoʻohālikelike ʻia me nā ʻiʻo maʻamau.
ʻO ka hoʻomākaukau ʻana no kāu MRI umauma e pili ana i kekahi mau hana maʻalahi e kōkua i ka hōʻoia ʻana i nā kiʻi maikaʻi loa. E hāʻawi ke keʻena o kāu kauka i nā ʻōlelo kikoʻī, akā ʻo ka hapa nui o ka hoʻomākaukau e kālele ana i ka manawa a me ka mea e pale aku ai ma mua.
He mea nui ka manawa o kāu MRI inā loaʻa mau nā manawa menstrual. E hoʻonohonoho maʻamau kāu kauka i ka hoʻāʻo ʻana no ka hapa mua o kāu pōʻai menstrual, maʻamau ma waena o nā lā 7-14 ma hope o ka hoʻomaka ʻana o kāu manawa. Hoʻemi kēia manawa i nā loli umauma e pili ana i ka hormone e pili ana i nā kiʻi.
Eia ka mea e hana ai e hoʻomākaukau:
Inā hopohopo ʻoe e pili ana i nā wahi i hoʻopaʻa ʻia, e kamaʻilio me kāu kauka ma mua. Hiki iā lākou ke kauoha i kahi sedative māmā e kōkua iā ʻoe e hoʻomaha i ka wā o ke kaʻina hana. Hāʻawi kekahi mau keʻena i nā mīkini MRI hāmama e manaʻo ʻole ai ka paʻa.
E hōʻoia e ʻai maʻamau ma mua o kāu manawa ke ʻole e hāʻawi kāu kauka i nā ʻōlelo aʻo like ʻole. He mea nui nō hoʻi ka noho ʻana i ka wai, ʻoiai inā e loaʻa ana iā ʻoe ka waihoʻoluʻu.
Pono ka heluhelu ʻana i nā hopena MRI umauma i ka hoʻomaʻamaʻa kūikawā, no laila e wehewehe kahi radiologist i kāu mau kiʻi a hoʻouna i kahi hōʻike kikoʻī i kāu kauka. A laila e wehewehe kāu kauka i nā mea i loaʻa iā ʻoe ma nā ʻōlelo maʻalahi a kūkākūkā i ke ʻano o lākou no kou olakino.
Hōʻike maʻamau nā hopena MRI umauma i ke ʻano, ka nui, a me nā ʻano o nā wahi e hopohopo ai. Huli ka radiologist i nā hiʻohiʻona i ke ʻano o nā ʻiʻo like ʻole e ʻike ʻia ma nā kiʻi a pehea lākou e pane ai i ka waihoʻoluʻu inā hoʻohana ʻia.
E komo kāu hōʻike MRI i ka ʻike e pili ana i:
Hōʻike nā hopena maʻamau i ka ʻiʻo umauma e like ana me nā ʻano like ʻole i manaʻo ʻia i ka nui a me ke ʻano. E hōʻike ʻia a wehewehe ʻia nā wahi a pau e ʻokoʻa ana mai ka ʻiʻo a puni a i ʻole e hana ʻokoʻa me ka waihoʻoluʻu ʻokoʻa.
Inā hōʻike kāu MRI i nā wahi kānalua, ʻaʻole ia he manaʻo maʻalahi he maʻi ʻaʻai. Nui nā maʻi umauma he maikaʻi, akā hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou e like me ka biopsy e hoʻoholo ai i ke ʻano maoli o nā mea i loaʻa.
Nui nā mea e hoʻonui ai i kou hiki ke pono i ka screening MRI umauma a i ʻole ka hoʻāʻo ʻana i ka diagnostic. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i kāu mālama ʻana i ke olakino umauma.
ʻO ka mea pilikia nui loa ka loaʻa ʻana o ka pilikia nui o ke ola o ka maʻi ʻaʻai umauma. ʻO ka maʻamau, ʻo ia ka loaʻa ʻana o ka 20-25% a i ʻole ka nui o ka manawa e hoʻomohala ai i ka maʻi ʻaʻai umauma i kou ola ʻana, kahi i hoʻoholo ʻia ma o nā mea loiloi pilikia a me ke aʻo ʻana i ka genetic.
ʻO nā mea pilikia maʻamau e alakaʻi ai i nā ʻōlelo paipai MRI umauma e komo pū ana:
He hana ko kou makahiki i nā ʻōlelo paipai MRI. Hoʻomaka ka hapa nui o nā papahana screening pilikia kiʻekiʻe i ka MRI umauma makahiki ma kahi o 25-30 mau makahiki no nā wahine me nā loli genetic, ʻoiai e ʻokoʻa kēia ma muli o ka mōʻaukala ʻohana a me nā mea ʻē aʻe.
Pono paha kekahi mau wāhine i ka MRI umauma diagnostic ʻoiai me ka ʻole o nā kumu pilikia nui. Aia kēia i nā kūlana kahi e hōʻike ai nā mammograms a i ʻole nā ultrasounds i nā hopena maopopo ʻole, a i ʻole ke pono nā kauka i ka ʻike kikoʻī ma mua o ka hoʻolālā ʻana i ka mālama ʻana i ka maʻi maʻi umauma.
ʻOi aku ka maikaʻi o nā hopena MRI umauma maʻamau, no ka mea, hōʻike lākou i ka ʻike ʻana o kāu ʻiʻo umauma i ke olakino me ka ʻole o nā hōʻailona o ka maʻi maʻi a i ʻole nā mea ʻē aʻe. Hāʻawi nā hopena maʻamau i ka maluhia o ka noʻonoʻo a hōʻoia i ka hana maikaʻi ʻana o kāu hana mālama olakino umauma i kēia manawa.
Hōʻike nā hopena MRI maʻamau i ka ʻiʻo umauma e like ana a me ka symmetrical, me nā ʻano like ʻole i ka density a me ke ʻano. Inā loaʻa iā ʻoe ka screening MRI ma muli o nā kumu pilikia nui, ʻo ia hoʻi nā hopena maʻamau hiki iā ʻoe ke hoʻomau me kāu papa hana nānā maʻamau.
Eia naʻe, ʻaʻole pono nā hopena maʻamau i ke kumu e hopohopo ai. Nui nā mea ʻino o ka MRI umauma e lilo i nā kūlana maikaʻi e like me nā cysts, fibroadenomas, a i ʻole nā wahi o ka ʻiʻo maʻamau e ʻike ʻia he mea maʻamau ma ka imaging akā ʻaʻole pilikia.
Ke hōʻike nā hopena MRI i nā mea ʻino, e ʻōlelo kāu hui lapaʻau i nā ʻanuʻu e pono ai. Hiki i kēia ke komo i ka imaging hou, nā kaʻina hana biopsy, a i ʻole ka nānā ʻana i ka wahi i ka manawa e ʻike ai inā e loli ana.
Hiki i nā hopena MRI umauma maʻamau ke alakaʻi i nā ʻano pilikia like ʻole, ʻoiai he nui ka mea hiki ke mālama ʻia me ka mālama olakino kūpono. ʻO ka hopohopo nui loa ʻo ia ka wā e hōʻike ai nā hopena maʻamau i ka maʻi maʻi umauma, ʻoiai inā ʻike ʻia ma kahi pae kiʻekiʻe.
ʻO nā pilikia nui e pili ana me nā ʻike MRI umauma maʻamau e pili ana i ka pono no ka hoʻāʻo hou ʻana, hiki ke hana i ka hopohopo a me ka pilikia kālā. Hiki i nā hopena maikaʻi wahaheʻe, kahi e hōʻike ai ka MRI i nā wahi kānalua e lilo i mea maikaʻi, hiki ke hana i ka hopohopo pono ʻole a alakaʻi i nā kaʻina hana hou.
Nā pilikia e hiki mai ana mai nā hopena maʻamau ʻole:
I nā hihia kakaʻikahi, hiki i nā hopena MRI maʻamau ʻole ke hōʻike i nā maʻi ʻaʻai umauma ʻino i hohola mua i nā lymph nodes a i ʻole nā ʻāpana ʻē aʻe o ke kino. Hiki i ka ʻike mua ʻana ma o ka MRI screening ke pale aku i kēia mau pilikia koʻikoʻi ma ka hopu ʻana i ka maʻi ma kona wā mua.
ʻO ka lono maikaʻi, he mea maikaʻi loa nā lapaʻau maʻi ʻaʻai umauma o kēia wā, ʻoiai ke ʻike ʻia ka maʻi ma mua ma o nā kiʻi e like me MRI. E hana pū kāu hui lapaʻau me ʻoe e hoʻomohala i ka hoʻolālā lapaʻau kūpono loa inā loaʻa ka maʻi.
Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻaʻole ʻoe i lohe e pili ana i kāu hopena MRI umauma i loko o hoʻokahi a ʻelua pule o kāu kaʻina hana. Hāʻawi ka hapa nui o nā keʻena i nā hopena i loko o kekahi mau lā, a ʻo ka kali ʻana ma mua o ka mea i manaʻo ʻia hiki ke hoʻonui i ka hopohopo me ka pono ʻole.
E kelepona maʻamau kāu kauka iā ʻoe me nā hopena a i ʻole e hoʻonohonoho i kahi manawa e hahai ai e kūkākūkā i nā mea i loaʻa ma ke kanaka. Inā maʻamau nā hopena, hiki iā ʻoe ke loaʻa kahi kelepona pōkole a i ʻole leka. Inā loaʻa nā mea maʻamau ʻole, makemake kāu kauka e hui pū me ʻoe e wehewehe i nā mea i loaʻa a kūkākūkā i nā hana aʻe.
E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau kūlana:
Mai kānalua e noi i ka wehewehe inā ʻaʻole ʻoe e maopopo i kāu mau hopena. Pono kāu hui mālama ola e wehewehe i nā mea i loaʻa ma nā huaʻōlelo hiki iā ʻoe ke hoʻomaopopo a kōkua iā ʻoe e manaʻoʻiʻo e pili ana i nā mālama e pono ai.
Inā hōʻike kāu MRI i nā mea ʻokoʻa e pono ai ka biopsy a i ʻole nā hoʻokolohua hou aʻe, e nīnau e pili ana i ka manawa a me ka mea e manaʻo ai. ʻO ka hoʻomaopopo ʻana i ke kaʻina hana e kōkua i ka hōʻemi ʻana i ka hopohopo a hōʻoia e loaʻa iā ʻoe ka mālama kūpono.
ʻAe, maikaʻi loa ka breast MRI no ka ʻike ʻana i ka maʻi ʻaʻai umauma, ʻoi aku hoʻi i nā wahine i pilikia nui. Hiki iā ia ke loaʻa nā maʻi ʻaʻai i hiki i nā mammograms a me nā ultrasounds ke nalo, ʻoi aku hoʻi i nā wahine me ka ʻiʻo umauma paʻa a i ʻole nā predispositions genetic i ka maʻi ʻaʻai umauma.
ʻIke ka Breast MRI ma kahi o 90-95% o nā maʻi ʻaʻai umauma i nā wahine i pilikia nui, i hoʻohālikelike ʻia me 40-60% o nā helu ʻike me ka mammography wale nō i ka heluna kanaka like. ʻO kēia ka mea e waiwai nui ai no nā wahine me nā mutations BRCA a i ʻole nā moʻolelo ʻohana ikaika o ka maʻi ʻaʻai umauma.
ʻAʻole i hana ka ʻiʻo umauma paʻa i nā hopena MRI ʻokoʻa, akā hiki iā ia ke paʻakikī i ka wehewehe ʻana. ʻOi aku ka maikaʻi o ka MRI ma mua o ka mammography i ka ʻike ʻana i ka ʻiʻo paʻa, ʻo ia ke kumu e ʻōlelo pinepine ʻia ai no nā wahine me nā umauma paʻa loa.
Eia naʻe, hiki i ka ʻiʻo paʻa ke hana i nā wahi e nānā kānalua ma ka MRI akā he maʻamau nō. ʻO ia ke kumu e wehewehe ai nā radiologist i loea i ke kiʻi ʻana i ka umauma i nā hopena MRI umauma e hoʻokaʻawale ma waena o ka ʻiʻo paʻa maʻamau a me nā mea i loaʻa ʻole.
ʻAe, hiki iā ʻoe ke loaʻa ka MRI umauma me nā implants, a ʻo ia kekahi o nā ala maikaʻi loa e nānā ai i ka pono o ka implant a ʻike i nā pilikia. Hiki i ka MRI ke ʻike i nā leaka implant, nā haki, a i ʻole nā pilikia ʻē aʻe i ʻike ʻole ʻia ma o ka nānā kino.
He like ka hana MRI inā loaʻa iā ʻoe nā implants a ʻaʻole paha, ʻoiai e hoʻohana ka radiologist i nā kaʻina hana kiʻi kūikawā i hoʻolālā ʻia e loiloi i kāu ʻiʻo umauma maoli a me nā implants.
Aia ke alapine o ka screening MRI umauma i kāu mau mea pilikia. Loaʻa i nā wahine pilikia nui ka MRI umauma makahiki e hoʻomaka ana ma kahi o 25-30 mau makahiki, e hoʻololi pinepine ana me nā mammograms i kēlā me kēia ʻeono mahina no ka screening piha.
E hana kāu kauka i kahi papa hana screening pilikino e pili ana i kāu mau hopena hoʻāʻo genetic, ka mōʻaukala ʻohana, a me nā mea pilikia ʻē aʻe. Pono paha kekahi mau wahine i ka MRI i kēlā me kēia makahiki, a ʻo nā mea ʻē aʻe e pono ai i kēlā me kēia manawa a i ʻole no nā kumu diagnostic kikoʻī.
Inā hōʻike kāu MRI umauma i nā wahi kānalua, e ʻōlelo kāu kauka i nā hoʻokolohua hou e hoʻoholo ai i ke ʻano o nā mea i loaʻa. Hoʻopili maʻamau kēia i ka biopsy umauma, kahi e lawe ʻia ai kahi laʻana ʻiʻo liʻiliʻi mai kahi wahi kānalua no ka loiloi laboratory.
Nui nā mea i loaʻa i ka MRI kānalua e hōʻike ana he maikaʻi, akā ʻo ka biopsy wale nō ke ala e ʻike ai me ka maopopo. E alakaʻi kāu hui mālama ola iā ʻoe ma ke kaʻina hana a hāʻawi i ke kākoʻo i nā hoʻokolohua hou e pono ai.