He aha ka MRI? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka MRI (Magnetic Resonance Imaging) he scan lapaʻau palekana a ʻaʻole ʻeha e hoʻohana ana i nā magnet ikaika a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kou mau ʻōkana, nā ʻiʻo, a me nā iwi i loko o kou kino. E noʻonoʻo iā ia he kamera loea e hiki ke ʻike ma o kou ʻili me ka hoʻohana ʻole ʻana i ka radiation a i ʻole ke ʻoki. Kōkua kēia hoʻokolohua kiʻi i nā kauka e ʻike i nā maʻi, e nānā i nā lāʻau lapaʻau, a e kiʻi i kahi ʻike maopopo i ka mea e hana nei i loko o kou kino ke hōʻike nā hōʻailona i ka pono e nānā pono.

He aha ka MRI?

ʻO ka MRI ke kū nei no ka Magnetic Resonance Imaging, kahi ʻenehana kiʻi lapaʻau e hoʻohana ana i nā māla magnetic ikaika a me nā nalu lekiō e hana i nā kiʻi kikoʻī o kou mau hale i loko. ʻAʻole like me nā X-ray a i ʻole CT scans, ʻaʻole hoʻohana ka MRI i ka radiation ionizing, e lilo ana ia i kekahi o nā koho kiʻi palekana loa i loaʻa.

Ua like ka mīkini MRI me kahi paipu nui a i ʻole tunnel me kahi papa e paheʻe ana. Ke moe ʻoe ma luna o kēia papa, e hoʻoneʻe ʻo ia iā ʻoe i loko o ke kahua magnetic kahi e hana ʻia ai ka scan maoli. ʻIke ka mīkini i nā hōʻailona mai nā atom hydrogen i loko o nā molekala wai o kou kino, a laila hoʻololi ʻia i nā kiʻi cross-sectional kikoʻī loa.

Hiki i kēia mau kiʻi ke hōʻike i nā ʻiʻo palupalu, nā ʻōkana, nā kīʻaha koko, a me ka hana lolo me ka maopopo loa. Hiki i kāu kauka ke nānā i kēia mau kiʻi mai nā kihi he nui a hiki ke hana i nā hana 3D e hoʻomaopopo maikaʻi i ka mea e hana nei i loko o kou kino.

No ke aha e hana ʻia ai ka MRI?

Hana ʻia nā scan MRI e ʻike, e nānā, a i ʻole e kāpae i nā maʻi lapaʻau like ʻole ke hāʻawi ʻole nā hoʻokolohua ʻē aʻe i ka ʻike lawa. Hiki i kāu kauka ke ʻōlelo aku i kahi MRI ke pono lākou e ʻike i nā kiʻi kikoʻī o nā ʻiʻo palupalu ʻaʻole e hōʻike maikaʻi i nā X-ray.

ʻO nā kumu maʻamau no ka MRI e komo pū ana me ka noiʻi ʻana i nā hōʻailona i wehewehe ʻole ʻia, ka nānā ʻana i nā maʻi i ʻike ʻia, ka hoʻolālā ʻana i nā ʻoki, a i ʻole ka nānā ʻana i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau. No ka laʻana, inā ʻoe e ʻike nei i nā ʻeha poʻo mau, nā ʻeha hui, a i ʻole nā hōʻailona neurological, hiki i ka MRI ke kōkua i ka ʻike ʻana i ke kumu.

Eia nā wahi nui kahi e hōʻoia ai ka MRI i ka waiwai nui:

• Nā maʻi o ka lolo a me ka ʻōnaehana nerve (stroke, tumors, multiple sclerosis)
• Nā pilikia o ke kuamoʻo (herniated discs, spinal stenosis, nerve compression)
• Nā ʻeha hui a me nā ʻiʻo (nā ligaments haehae, nā pōʻino cartilage)
• Nā maʻi o ka puʻuwai a me nā kīʻaha koko (maʻi puʻuwai, aneurysms)
• Nā pilikia o nā ʻōpū o ka ʻōpū (ate, puʻupaʻa, nā pilikia pancreas)
• Ka ʻike ʻana a me ka nānā ʻana i ka maʻi maʻi ma ke kino holoʻokoʻa
• Nā kūlana pelvic (nā maʻi o nā ʻōpū hānau, endometriosis)

He mea pono loa ka MRI no ka mea hiki iā ia ke ʻike i nā pilikia i ko lākou wā mua, ma mua o ka lilo ʻana o nā hōʻailona i mea koʻikoʻi. Hiki i kēia ʻike mua ke alakaʻi i nā lāʻau lapaʻau ʻoi aku ka maikaʻi a me nā hopena maikaʻi.

He aha ke kaʻina hana no ka MRI?

He maʻalahi a ʻaʻohe ʻeha ka hana MRI, akā pono ʻoe e moe mālie no ka manawa lōʻihi. ʻO ka hapa nui o nā scans MRI e lawe ma waena o 30 a 90 mau minuke, ma muli o ka ʻāpana o kou kino e nānā ʻia nei a me ka nui o nā kiʻi e pono ai.

Ke hōʻea ʻoe i ke kikowaena kiʻi, e hoʻololi ʻoe i ka ʻaʻahu haukapila a wehe i nā mea metala a pau, me nā mea nani, nā wati, a i kekahi manawa me ka make-up inā loaʻa nā ʻāpana metala. E nīnau ka mea loea e pili ana i nā mea kanu metala, nā pacemakers, a i ʻole nā mea lapaʻau ʻē aʻe i loko o kou kino.

Eia ka mea e hana ʻia i ka wā o kāu scan MRI:

1. E moe ʻoe ma luna o kahi papa i hoʻopaʻa ʻia e paheʻe ana i loko o ka mīkini MRI
2. E hoʻonoho pono ka mea loea iā ʻoe a hiki iā ia ke hoʻohana i nā uluna a i ʻole nā kaula e kōkua iā ʻoe e noho ʻoluʻolu a paʻa
3. E loaʻa iā ʻoe nā pepeiao pepeiao a i ʻole nā headphone no ka mea e hana ana ka mīkini i nā leo kani a me ke kīkē ʻana
4. E hoʻoneʻe ka papa iā ʻoe i loko o ke kahua magnetic, a e hoʻomaka ana ka scanning
5. Pono ʻoe e noho mālie loa i ka wā o kēlā me kēia ʻano, e mau ana ma kahi o 2-10 mau minuke
6. E kamaʻilio ka mea loea me ʻoe ma o ka ʻōnaehana intercom
7. I kekahi manawa e hoʻokomo ʻia ka waihoʻoluʻu contrast ma o ka IV e hoʻonui i kekahi mau kiʻi

I loko o ke kaʻina hana, hiki iā ʻoe ke kamaʻilio me ka mea loea, a hiki iā lākou ke hoʻōki i ka scan inā ʻaʻole ʻoe e ʻoluʻolu. Mālama mau ʻia ka ʻike holoʻokoʻa no kou palekana a me kou ʻoluʻolu.

Pehea e hoʻomākaukau ai no kāu MRI?

He maʻalahi ka hoʻomākaukau ʻana no ka MRI, akā aia nā ʻanuʻu nui e pono ai ʻoe e hahai e hōʻoia i kou palekana a loaʻa nā kiʻi maikaʻi loa. ʻO ka hapa nui o ka hoʻomākaukau ʻana e pili ana i ka wehe ʻana i nā mea metala a me ka hōʻike ʻana i kāu hui mālama ola e pili ana i kāu mōʻaukala olakino.

Ma mua o kāu manawa, e hāʻawi kāu kauka a i ʻole ke kikowaena kiʻi i nā ʻōlelo kikoʻī e pili ana i ke ʻano o ka MRI āu e loaʻa nei. Pono kekahi mau scans i ka ʻai ʻole ʻana, ʻoiai ʻaʻohe palena meaʻai ʻē aʻe.

Eia pehea e hoʻomākaukau pono ai no kāu MRI:

• E haʻi i kāu kauka e pili ana i nā mea hao i hoʻokomo ʻia, nā mea hoʻokau puʻuwai, nā mea hoʻokomo cochlear, a i ʻole nā kiʻi ʻoki
• Wehe i nā mea nani a pau, nā wati, nā kiʻi lauoho, a me nā hana niho hiki ke wehe
• E pale i ka hoʻohana ʻana i ka mea hoʻonani, ka pena kui, a i ʻole nā huahana lauoho i loaʻa paha ka metala
• E ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa me ka ʻole o nā zippers metala a i ʻole nā pihi
• E haʻi i kāu hui mālama ola inā hāpai ʻoe a i ʻole e hāpai paha
• E kūkākūkā i kekahi claustrophobia a i ʻole hopohopo me kāu kauka ma mua
• E hahai i nā ʻōlelo aʻoaʻo hoʻokē ʻai inā e hoʻohana ʻia ka waihoʻoluʻu
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home inā loaʻa iā ʻoe ka sedation

Inā hopohopo ʻoe e pili ana i ke kaʻina hana, mai kānalua e kūkākūkā i kāu mau hopohopo me kāu hui mālama ola. Hiki iā lākou ke hāʻawi pinepine i ka lāʻau anti-anxiety a i ʻole e hōʻike i nā hoʻolālā e kōkua iā ʻoe e ʻoluʻolu i ka wā o ka scan.

Pehea e heluhelu ai i kāu hopena MRI?

Hoʻomaopopo ʻia nā hopena MRI e nā radiologists, nā kauka loea i aʻo ʻia e heluhelu a loiloi i nā kiʻi lapaʻau. E loaʻa maʻamau kāu mau hopena i loko o 24-48 mau hola, ʻoiai e heluhelu ʻia nā hihia wikiwiki.

E hana ka radiologist i kahi hōʻike kikoʻī e wehewehe ana i kā lākou mea e ʻike ai i kāu mau kiʻi, me nā mea ʻokoʻa a i ʻole nā wahi e pili ana. A laila e hoʻouna ʻia kēia hōʻike i kāu kauka e kuhikuhi ana, nāna e kūkākūkā i nā ʻike me ʻoe a wehewehe i ke ʻano o lākou no kāu kūlana.

ʻO ka maʻamau, loaʻa nā hōʻike MRI i ka ʻike e pili ana i nā ʻano penei:

• ʻO ka anatomy maʻamau a me nā hale i ʻike ʻia he olakino
• ʻO nā mea i loaʻa ʻole, e like me ka mumū, nā maʻi maʻi, a i ʻole ka pōʻino
• Ka nui, kahi, a me nā ʻano o nā pilikia i ʻike ʻia
• Hoʻohālikelike me nā scans mua inā loaʻa
• Nā ʻōlelo aʻoaʻo no ka hoʻāʻo hou a i ʻole ka hahai ʻana inā pono

He mea nui e hoʻomanaʻo ʻaʻole ia he manaʻo maʻalahi nā mea i loaʻa ʻole ma ka MRI e loaʻa ana iā ʻoe kahi maʻi koʻikoʻi. Nui nā mea ʻokoʻa he maikaʻi a i ʻole hiki ke mālama ʻia, a e kōkua kāu kauka iā ʻoe e hoʻomaopopo i ke ʻano o nā hopena i ka pili ʻana i kāu mau hōʻailona a me ke olakino holoʻokoʻa.

He aha nā mea pilikia no ka pono o ka MRI?

ʻOiai he palekana loa ka MRI, ʻo kekahi mau maʻi olakino a me nā hōʻailona e hoʻonui i ka hiki ʻana o kāu kauka e ʻōlelo aku i kēia ʻano o ke aʻo ʻana i ke kiʻi. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe e ʻike i ka wā e pono ai ka MRI no kou olakino.

He hana ko ka makahiki i nā ʻōlelo aʻoaʻo MRI, no ka mea, lilo kekahi mau maʻi i mea maʻamau i ka wā e ʻelemakule ai kākou. Eia naʻe, hiki ke hana palekana ʻia ka MRI ma nā kānaka o nā makahiki a pau, mai nā pēpē a i nā maʻi ʻelemakule, ke pono i ka lāʻau lapaʻau.

ʻO nā mea pilikia maʻamau e hiki ke alakaʻi i nā ʻōlelo aʻoaʻo MRI e pili ana:

• Nā hōʻailona neurological mau a i ʻole e ʻino nei (nā ʻeha poʻo, nā hopu ʻana, nā pilikia hoʻomanaʻo)
• ʻEha hui a i ʻole ka ʻeha ʻaʻole e hoʻomaikaʻi me ka mālama conservative
• ʻO ka mōʻaukala ʻohana o kekahi mau maʻi e like me nā aneurysms lolo a i ʻole nā maʻi genetic
• ʻO ka maʻi maʻi ma mua e koi ana i ka nānā mau
• Maʻi cardiovascular a i ʻole nā pilikia o ka naʻau i manaʻo ʻia
• ʻEha hope a i ʻole ʻāʻī me nā hōʻailona neurological
• ʻEha ʻōpū a i ʻole pelvic ʻaʻole i wehewehe ʻia
• Nā ʻeha haʻuki e pili ana i nā ligaments, tendons, a i ʻole cartilage

ʻAʻole e hōʻoiaʻiʻo ka loaʻa ʻana o kēia mau mea pilikia e pono ai ʻoe i ka MRI, akā hoʻonui lākou i ka hiki ʻana o kāu kauka e noʻonoʻo iā ia ma ke ʻano he ʻāpana o kāu hana diagnostic. E kaupaona ana kāu mea mālama ola i nā pōmaikaʻi e hiki mai ana i nā pilikia e pili ana i kāu mau kūlana pilikino.

He aha nā pilikia hiki ke loaʻa o ka MRI?

Ua manaʻo ʻia ka MRI kekahi o nā hana kiʻi lapaʻau palekana loa i loaʻa, me nā pilikia liʻiliʻi a i ʻole nā hopena ʻaoʻao. ʻO ka hapa nui o nā kānaka e hele i nā scans MRI me ka ʻole o nā pilikia.

ʻO nā pilikia maʻamau i loaʻa i nā kānaka e pili ana i ka claustrophobia a i ʻole ka hopohopo e pili ana i ka noho ʻana i loko o ka wahi i hoʻopaʻa ʻia o ka mīkini MRI. He mea maʻamau kēia mau manaʻo a hiki ke mālama ʻia me ka hoʻomākaukau kūpono a me ke kākoʻo mai kāu hui mālama ola.

Eia nā pilikia kakaikahi i hiki ke hana me ka MRI:

• Nā hopena maʻi i ka wai kala (hana ʻia ma lalo o 1% o nā hihia)
• Nā pilikia o ka puʻupaʻa i nā kānaka me ka maʻi puʻupaʻa koʻikoʻi e loaʻa ana i ka wai kala
• Nā hopohopo a i ʻole nā hōʻeha panic i nā kānaka me ka claustrophobia
• Ka wela o nā mea hao a i ʻole nā peʻa i loaʻa ka inika metala
• ʻAʻole hana pono kekahi mau mea lapaʻau e like me nā pacemakers
• ʻO ka pōʻino o ka lohe inā ʻaʻole hoʻohana pono ʻia ka pale pepeiao
• Nā hopohopo e pili ana i ka hāpai ʻana, ʻoiai ʻaʻole i hōʻoia ʻia nā hopena ʻino

He mea pono e hoʻomaopopo ʻia he kakaikahi loa nā pilikia koʻikoʻi ke hahai ʻia nā protocol palekana kūpono. E nānā pono kāu hui mālama ola iā ʻoe ma mua o ke kaʻina hana e ʻike i nā pilikia hiki ke loaʻa a e hana i nā hana kūpono.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i nā hopena MRI?

Pono ʻoe e hahai me kāu kauka i ka wā e hoʻopili mai ai lākou iā ʻoe e pili ana i kāu mau hopena MRI, me ka nānā ʻole inā he maʻamau a he maʻamau ʻole paha nā hopena. E hoʻonohonoho kāu kauka i kahi manawa e kūkākūkā i nā hopena a wehewehe i ke ʻano o lākou no kou olakino.

Mai ho'āʻo e wehewehe i kāu mau hopena MRI ma kāu iho, no ka mea, pono nā kiʻi lapaʻau i ka hoʻomaʻamaʻa kūikawā e hoʻomaopopo pono ai. ʻOiai nā hopena e hopohopo paha iā ʻoe he mau ʻano maʻamau a i ʻole nā pilikia liʻiliʻi ʻaʻole pono e mālama ʻia.

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea ma hope o kāu MRI:

• Nā hōʻailona o ka maʻi maʻi nui (paʻakikī o ka hanu ʻana, pehu, ʻōpala)
• ʻEha a i ʻole ka ʻoluʻolu ʻole maʻamau ma kahi i hoʻokomo ʻia ai ka mea hoʻohālikelike
• ʻO ka nausea a i ʻole ka luaʻi mau ma hope o ka lawelawe ʻana i ka mea hoʻohālikelike
• ʻO nā hōʻailona hou a i ʻole e hōʻino ana e pili ana i kou maʻi mua
• Hopohopo a i ʻole nā ​​hopohopo e pili ana i ke kaʻina hana a i ʻole nā ​​hopena

E hoʻomanaʻo aia kāu hui mālama ola e kākoʻo iā ʻoe i ke kaʻina holoʻokoʻa, mai ka hoʻomākaukau ʻana a hiki i ka wehewehe ʻana i nā hopena. Mai kānalua e nīnau i nā nīnau a i ʻole e ʻimi i ka wehewehe ʻana e pili ana i kekahi mea āu e maopopo ʻole ai.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka MRI

Q1: He palekana anei ka MRI i ka wā hāpai?

Manaʻo ʻia ka MRI he palekana i ka wā hāpai, ʻoi loa ma hope o ka trimester mua. ʻAʻole like me nā X-ray a i ʻole CT scans, ʻaʻole hoʻohana ka MRI i ka radiation ionizing e hiki ke hōʻino i kāu pēpē e ulu nei. Eia naʻe, e noʻonoʻo pono kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki.

Manaʻo ka hapa nui o nā hui lapaʻau e pale i ka MRI i ka wā o ka trimester mua ke ʻole he mea pono loa no nā kumu lapaʻau wikiwiki. Inā hāpai ʻoe a i ʻole e manaʻo ana e hāpai ana, e hoʻomaopopo mau i kāu hui mālama ola ma mua o ke kaʻina hana.

Q2: Hiki iaʻu ke loaʻa kahi MRI me nā mea hao?

Hiki i ka nui o nā kānaka me nā mea hao ke loaʻa nā scans MRI me ka palekana, akā pili ia i ke ʻano o ka metala a me ka wā i hoʻokomo ʻia ai. ʻO nā mea i kēia manawa he MRI-compatible, akā ʻaʻole palekana nā mea kahiko i ke kahua magnetic.