He aha te MRI o te u? Te Whāinga, te Hātepe me ngā Hua

Ko te MRI o te u he whakamātautau whakaahua taipitopito e whakamahi ana i ngā aukume kaha me ngā ngaru irirangi hei hanga pikitia mārama o tō kiko u. Whakaarohia he huarahi whānui ake ki te titiro ki roto i ō u ki te whakataurite ki ngā mammograms, ki ngā ultrasound rānei, e hoatu ana ki ngā tākuta he tirohanga whānui mō ngā mea e pā ana ki raro i te mata.

Ko tēnei tikanga ngawari, kāore i te whakaeke, e āwhina ana i ngā tākuta ki te kite i te mate pukupuku u, ki te aroturuki i te ahunga whakamua o te rongoā, me te arotake i te hauora o te u i roto i ngā wāhine e mōrearea ana. Ka takoto koe i runga i te pai i roto i tētahi mīhini motuhake i te wā e tango ana i ngā whakaahua taipitopito, ā, ko te katoa o te hātepe e pā ana ki te 45 meneti ki te hāora.

He aha te MRI o te u?

Ko te MRI o te u e tū ana mō te Whakaahua Resonance Aukume o ngā u. He tikanga whakaahua rongoā matatau e hanga ana i ngā pikitia taipitopito, toru-ahu o tō kiko u mā te whakamahi i ngā pānga aukume me ngā ngaru irirangi hei utu mō te iraruke.

Kāore i rite ki ngā mammograms e kōpeke ana i ō u, ki ngā ultrasound rānei e pēhi ana ki tō kiri, ka taea e te MRI te takoto koe i te taha o te mata ki raro i runga i te tēpu kua whakakīa ki te urunga me ō u e tū ana i roto i ngā wāhi motuhake. E mahi ana ngā aukume kaha o te mīhini me te wai tūturu o tō tinana ki te whakaputa i ngā whakaahua tino taipitopito e taea ai te whakaatu i ngā huringa iti i roto i te kiko u.

Ka taea e tēnei tikanga whakaahua matatau te kite i ngā āhuatanga kāore pea e puta i runga i ētahi atu whakamātautau. He tino āwhina mō ngā wāhine he kiko u mātotoru, i te wā e uaua ana ngā mammograms ki te kite i roto i ngā paparanga kiko matotoru.

He aha te MRI o te u i mahia ai?

He maha ngā whāinga nui o te MRI o te u i roto i te tiaki hauora u. Ka tūtohu pea tō tākuta i tēnei whakamātautau kia whai pikitia mārama ake mō ngā wāhi whakapae i kitea i runga i ētahi atu whakamātautau whakaahua, ki te aroturuki rānei i tō hauora u mēnā kei te mōrearea koe ki te mate pukupuku u.

Ko ngā take tino nui e tono ai ngā tākuta i te MRI u, ko te tirotiro i ngā wāhine e tūpono ana ki te mate, he nui te hītori o te whānau mō te mate pukupuku u, te mate pukupuku ovarian rānei, he rānei ngā huringa ira pēnei i te BRCA1, BRCA2 rānei. E whai hua ana ēnei wāhine i ngā kaha kitea e te MRI i tua atu i te mammography paerewa.

Koinei ngā āhuatanga nui e tūtohu ai tō tākuta i te MRI u:

• Te tirotiro i ngā wāhine e 20-25% neke atu rānei te tūponotanga o te mate pukupuku u i roto i te ao
• Te arotake i te whānuitanga o te mate pukupuku u e mōhiotia ana i mua i te pokanga
• Te aroturuki i te urupare ki te rongoā chemotherapy
• Te tātari i ngā kitenga whakapae mai i ngā mammograms, i ngā whakamātautau tinana rānei
• Te tirotiro mō te hokinga mai o te mate pukupuku i muri i te rongoā
• Te arotake i ngā whakaurunga u mō ngā rerenga, ngā pakaru rānei
• Te arotake i te kiko u mātotoru, he iti ake pea te whai hua o ngā mammograms

I ētahi wā ka whakamahi ngā tākuta i te MRI u hei whakaoti i ngā panga tātaritanga i te wā e kore ai e mārama ngā hua o ētahi atu whakamātautau. He mea nui hoki mō ngā wāhine kua kitea te mate pukupuku u i tēnei wā, kia whakatau mēnā kei te noho te mate pukupuku i ētahi atu wāhi o te u kotahi, te u rānei e tū ana.

He aha te tikanga mō te MRI u?

He tika tonu te tikanga MRI u, ā, i hangaia mō tō whakamarie. Ka whiwhi koe i ngā tohutohu mārama i mua, ā, ka ārahi te rōpū hauora i a koe i ia taahiraa kia mōhio ai koe kua rite, kua okioki.

Ka tae koe, ka huri koe ki te kākahu hōhipera e tuwhera ana i mua. Ka whakamārama tētahi tohunga hangarau i te tikanga, ā, ka whakautu i ngā pātai katoa pea āu. Ki te hiahiatia te waikano rerekē, ka whakauru rātou i tētahi rārangi IV iti ki tō ringa, he rite ki te kōpā tere.

Koinei te mea ka tupu i te wā o tō MRI u:

1. Ka takoto koe ki te taha o te mata ki runga i tētahi tēpu whai urunga, ka whakatakotoria ō u ki ngā wāhi motuhake
2. Ka reti te tēpu ki roto i te mīhini MRI, he rite ki te ngongo nui
3. Ka rongo koe i ngā tangi nui me ngā haruru i te wā e tango pikitia ana te mīhini
4. Mēnā ka whakamahia te rerekētanga, ka rere mā roto i tō IV i te haurua o te karapa
5. Me noho tū tonu koe, engari ka taea e koe te hā te tikanga
6. Ka rongo te tohunga hangarau i a koe, ka kōrero ki a koe mā tētahi pūnaha intercom

Ko te katoa o te tukanga e 45 meneti ki te hāora. Ko te nuinga o tēnei wā e pā ana ki te mīhini e tango ana i ngā huinga maha o ngā whakaahua mai i ngā koki rerekē. Ka rongo koe i te tēpu e neke paku ana i waenga i ngā raupapa whakaahua, engari he mea noa tēnei, ā, e tika ana.

Ko te tae rerekē, mēnā ka whakamahia, ka āwhina i te whakanui i te rere o te toto i roto i ō kiko u. He tino whai hua tēnei mō te kite i te mate pukupuku, i te mea he nui ake te tuku toto o ngā kiko mate pukupuku i te kiko noa.

Me pēhea te whakarite mō tō MRI u?

Ko te whakarite mō tō MRI u e hāngai ana ki ētahi mahi ngāwari hei āwhina i te whakarite i ngā whakaahua pai rawa atu. Ka whakawhiwhia e te tari o tō tākuta ngā tohutohu motuhake, engari ko te nuinga o te whakarite e arotahi ana ki te wā me te aha hei karo i mua.

He mea nui te wā o tō MRI mēnā kei te whai wā koe i ngā wā o te marama. Ka whakarite te tākuta i te whakamātautau mō te haurua tuatahi o tō huringa marama, te tikanga i waenga i ngā rā 7-14 i muri i te tīmatanga o tō wā. Ka whakaiti tēnei wā i ngā huringa u e pā ana ki te homoni ka pā ki ngā whakaahua.

Anei te mea me mahi koe hei whakarite:

• Whakaritea tō MRI mō ngā rā 7-14 o tō huringa paheketanga mena kei mua tonu koe i te paheketanga
• Kaua e kai kawhe mō te 24 haora i mua i tō whakaritenga
• Kaua e whakamahi i te whakakakara, te hinu, te paura rānei ki tō uma
• Mau kākahu pai, kāore he mea whakarewa
• Tangohia ngā whakapaipai katoa, ngā mataaratanga, me ngā taputapu makawe he whakarewa
• Whakamōhio atu ki tō tākuta mō ngā rongoā e tango ana koe
• Whakamōhio atu ki tō rōpū mena he raruraru tō pūkahukahu, he mate pāwera rānei

Mēnā e āwangawanga ana koe mō ngā wāhi kapi, kōrero ki tō tākuta i mua. Ka tohutohu pea rātou i tētahi rongoā ngawari hei āwhina i a koe kia okioki i te wā o te tukanga. E wātea ana hoki ētahi whare e tuku ana i ngā mīhini MRI tuwhera e iti ake te kapi.

Me kai noa i mua i tō whakaritenga mēnā kāore anō tō tākuta i tuku ētahi atu tohutohu. He mea nui hoki te noho wai, ina koa mēnā ka whiwhi koe i te waikano rerekē.

Me pēhea te pānui i tō MRI u?

Ko te pānui i ngā hua MRI u e hiahia ana ki te whakangungu motuhake, nā reira ka whakamāori tētahi tohunga iraruke i ō whakaahua, ka tukuna he pūrongo taipitopito ki tō tākuta. Ka whakamārama tō tākuta i ngā kitenga ki a koe i roto i ngā kupu mārama, ka kōrero mō te tikanga o ēnei mō tō hauora.

Ko ngā hua MRI u te tikanga e whakaatu ana i te āhua, te rahi, me ngā āhuatanga o ngā wāhi e pā ana ki a koe. Ka titiro te tohunga iraruke ki ngā tauira i te āhua o ngā kiko rerekē i ngā whakaahua, me te āhua o te urupare ki te waikano rerekē mēnā i whakamahia.

Ka whakauru tō pūrongo MRI i ngā kōrero mō:

• Te āhua o te kiko u noa me te taurite
• Ngā papatipu, ngā puku, rānei, ngā wāhi kiko rerekē rānei
• Te tere o te tango me te tuku i te waikano rerekē
• Te rahi me te wāhi o ngā kitenga whakapae
• Te whakataurite ki ngā karapa MRI o mua mēnā e wātea ana
• Ngā tūtohutanga mō te whai-ake, te whakamātautau atu rānei

E whakaatu ana ngā hua noa i te kiko u e rite ana te ahua me ngā rerekētanga e tūmanakohia ana i roto i te kiato me te hanganga. Ko ngā wāhi katoa e rerekē ana te ahua i te kiko e tata ana, e hāere ana rānei i te ara rerekē me te waikano rerekē, ka tuhia, ka whakamāramahia i roto i te taipitopito.

Mēnā e whakaatu ana tō MRI i ngā wāhi whakapae, kāore tēnei e kī ana he mate pukupuku tonu. He maha ngā hē i roto i te u he pai, engari ka tūtohu pea tō tākuta i ētahi atu whakamātautau pēnei i te koiora hei whakatau i te āhua tika o ngā kitenga e pā ana.

He aha ngā āhuatanga mōrearea mō te hiahia ki te MRI U?

He maha ngā āhuatanga e whakanui ana i tō tūponotanga ki te hiahia ki te tirotiro MRI u, ki te whakamātautau tātaritanga rānei. Mā te māramatanga ki ēnei āhuatanga mōrearea e āwhina ana i a koe me tō tākuta ki te whakatau i ngā whakatau mōhio mō tō hauora u.

Ko te āhuatanga mōrearea kaha ko te whai i te tūponotanga nui ake o te mate pukupuku u i te wā o te oranga. Ko te tikanga tēnei he 20-25% neke atu rānei te tūponotanga ki te whakawhanake i te mate pukupuku u i te wā o tō oranga, e whakatauhia ana mā ngā taputapu aromatawai mōrearea me te tohutohu ira.

Ngā āhuatanga mōrearea noa e arahi ana ki ngā tūtohutanga MRI u ko:

• Te mau i ngā huringa ira BRCA1, BRCA2 rānei
• He hītori whānau kaha mō te mate pukupuku u, te mate pukupuku ovarian rānei
• Te rongoā iraruke o mua i te uma, ina koa i te taiohitanga
• Ētahi atu mate ira pēnei i te Li-Fraumeni, te mate Cowden rānei
• He tino kiato te kiko u
• He hītori whaiaro mō te mate pukupuku u
• Ngā whara u mōrearea i kitea i ngā koiora o mua

He wāhi anō tō tau i roto i ngā tūtohutanga MRI. Ko te nuinga o ngā hōtaka tirotiro mōrearea nui ka tīmata i te MRI u ā-tau i te tata ki te 25-30 tau mō ngā wāhine e whai huringa ira, ahakoa he rerekē tēnei i runga i te hītori whānau me ētahi atu āhuatanga.

Ka hiahia pea ētahi wahine ki te MRI u uaua tātaritanga ahakoa karekau he āhuatanga mōrearea nui. Kei roto i tēnei ngā āhuatanga e whakaatu ana i ngā hua kāore i te mārama i ngā mammograms, i ngā ultrasound rānei, i te wā rānei e hiahia ana ngā tākuta ki ngā kōrero taipitopito i mua i te whakamahere i te rongoā mate pukupuku u.

He pai ake te whai i ngā hua MRI u noa, i ngā hua rānei kāore i te noa?

He pai ake te whai i ngā hua MRI u noa, nā te mea e tohu ana he hauora te kiko o ō u, kāore he tohu o te mate pukupuku, o ētahi atu āhuatanga rānei kāore i te noa. E whakarato ana ngā hua noa i te rangimārie o te hinengaro, me te whakapūmau kei te pai te mahi o tō huarahi whakahaere hauora u.

E whakaatu ana ngā hua MRI noa i te kiko u e rite ana, e taurite ana, me ngā rerekētanga e tūmanakohia ana i te kiato me te hanganga. Mēnā kei te whai koe i te MRI tātari nā te āhuatanga mōrearea nui, ko te tikanga o ngā hua noa ka taea e koe te haere tonu i tō hōtaka aroturuki auau.

Heoi, ehara i te mea me māharahara ngā hua kāore i te noa. He maha ngā āhuatanga kāore i te noa o te MRI u e puta ana he āhuatanga pai pēnei i te cysts, fibroadenomas, i ngā wāhi rānei o te kiko noa e puta ana he rerekē i runga i te whakaahua, engari kāore i te mōrearea.

Inā whakaatu ngā hua MRI i ngā āhuatanga kāore i te noa, ka tūtohu tō rōpū hauora i ngā mahi whai-ake e tika ana. Kei roto i tēnei pea ngā whakaahua atu, ngā tikanga biopsy, i te aroturuki noa rānei i te wāhi i roto i te wā ki te kite mēnā ka huri.

He aha ngā raruraru ka puta mai i ngā hua MRI u kāore i te noa?

Ka taea e ngā hua MRI u kāore i te noa te arahi ki ētahi momo raruraru, ahakoa he maha e taea ana te whakahaere me te manaaki hauora tika. Ko te āwangawanga nui ko te wā e tohu ana ngā hua kāore i te noa i te mate pukupuku u, ina koa ka kitea i te wāhanga matatau.

Ko ngā raruraru tuatahi e pā ana ki ngā kitenga MRI u kāore i te noa ko te hiahia mō te whakamātautau atu, ka taea te hanga i te āwangawanga me te pōkai pūtea. Ko ngā hua pai teka, i te wā e whakaatu ana te MRI i ngā wāhi whakapae e puta ana he pai, ka taea te whakaputa i te māharahara kore e tika ana, me te arahi ki ngā tikanga atu.

Ngā raruraru ka puta mai i ngā hua koretake:

• Te āwangawanga me te pōuri i te wā e tatari ana mō ētahi atu whakamātautau
• Te hiahia mō ngā tikanga koiora u hei whakatau i te tātaritanga tika
• Te tūponotanga o ngā hua pai teka e hiahia ana ki te whakaahua atu anō
• Te kitenga o te mate pukupuku u e hiahia ana ki te whakamahere maimoatanga tonu
• Te kitea o ngā whara mōrearea pea e hiahia ana ki te tango pokanga
• Te hiahia mō te aroturuki auau me ngā whakaritenga whai muri

I ngā wā onge, ka kitea e ngā hua MRI koretake ngā mate pukupuku u kaha kua horapa kē ki ngā pona roro, ki ētahi atu wāhi rānei o te tinana. Mā te kitenga wawe mā te tātari MRI ka ārai i ēnei raruraru nui ake mā te hopu i te mate pukupuku i ōna wāhanga tuatahi.

Ko te rongo pai ko te whai hua nui ngā maimoatanga mate pukupuku u o nāianei, ina koa ka kitea te mate pukupuku i te wā wawe mā te whakaahua pēnei i te MRI. Ka mahi tahi tō rōpū hauora me koe ki te whakawhanake i te mahere maimoatanga e tika ana mēnā ka kitea te mate pukupuku.

Āhea au e kite ai i te tākuta mō ngā hua MRI u?

Me whakapā atu koe ki tō tākuta tonu mēnā kāore anō koe i rongo mō ngā hua MRI u i roto i te kotahi ki te rua wiki i muri i tō tikanga. Ko te nuinga o ngā whare e whakarato ana i ngā hua i roto i ngā rā torutoru, ā, ko te tatari roa atu i te mea e tika ana ka nui ake te āwangawanga.

Ka waea atu tō tākuta ki a koe me ngā hua, ka whakarite rānei i tētahi whakaritenga whai muri hei kōrero i ngā kitenga i te tangata. Mēnā he noa ngā hua, ka whiwhi pea koe i tētahi waea poto, i tētahi reta rānei. Mēnā ka kitea ngā koretake, ka hiahia tō tākuta ki te tūtaki ki a koe ki te whakamārama i ngā kitenga me te kōrero i ngā mahi e whai ake nei.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ēnei āhuatanga:

• Kāore anō koe i whiwhi hua i roto i ngā wiki e rua i muri i tō MRI
• Ka whiwhi koe i ngā kōrero rangirua, i ngā kōrero kāore i oti mō ō hua
• Kua kīia koe e hiahia ana koe i ētahi atu whakamātautau engari kāore i te whakaaturia ngā mahi e whai ake nei
• Ka puta mai ngā tohumate hou o te u i a koe e tatari ana i ngā hua
• He āwangawanga, he pātai rānei āu mō ō hua kāore i whakautua

Kaua e whakaroa ki te tono whakamārama mēnā kāore koe i te mārama ki ō hua. Me whakamārama tō rōpū hauora i ngā kitenga i roto i ngā kupu e mārama ana koe, ā, me āwhina koe kia whai māia ki ngā tiaki e whai ake nei.

Mēnā e whakaatu ana tō MRI i ngā āhuatanga kāore i te pai e hiahia ana ki te koiora, ki ētahi atu whakamātautau rānei, pātai mō te wā me te aha e tūmanako. Mā te mārama ki te hātepe e āwhina ana ki te whakaiti i te āwangawanga me te whakarite kia whiwhi koe i te tiaki tika i te wā tika.

Ngā pātai e pātai pinepine ana mō te MRI o te U

Q.1 He pai te whakamātautau MRI o te U mō te kite i te mate pukupuku o te u?

Āe, he pai te MRI o te u mō te kite i te mate pukupuku o te u, ina koa i ngā wāhine e tūpono ana. Ka kitea e ia ngā mate pukupuku ka ngaro i ngā mammograms me ngā ultrasound, ina koa i ngā wāhine he kiko u mātotoru, he ira rānei e tūpono ana ki te mate pukupuku o te u.

Ka kitea e te MRI o te u te 90-95% o ngā mate pukupuku o te u i ngā wāhine e tūpono ana, ka whakataurite ki te 40-60% o ngā reiti kitenga me te mammography anake i roto i te taupori kotahi. Nō reira he mea nui mō ngā wāhine he BRCA mutations, he hītori whānau kaha rānei o te mate pukupuku o te u.

Q.2 He aha te pūrua o te u te take i ngā hua MRI kāore i te pai?

Kāore te kiko u mātotoru i te take i ngā hua MRI kāore i te pai, engari ka uaua ake te whakamārama. He pai ake te MRI i te mammography ki te kite i roto i te kiko mātotoru, koinei te take e tūtohu ana mō ngā wāhine he u tino mātotoru.

Heoi anō, ka taea e te kiko mātotoru te waihanga wāhi e titiro whakapae ana i runga i te MRI engari he mea noa. Koinei te take e whakamāori ana ngā tākuta irarangi e tohunga ana ki te whakaahua u, i ngā hua MRI u kia wehe i waenga i te kiko mātotoru noa me ngā kitenga tino rerekē.

Q.3 Ka taea e au te MRI U mēnā he whakato u taku?

Āe, ka taea e koe te MRI u me ngā whakato, ā, he kotahi tonu o ngā huarahi pai ki te tirotiro i te pono o te whakato me te kite i ngā raruraru. Ka taea e te MRI te tautuhi i ngā rerenga whakato, ngā pakaru, ētahi atu raruraru rānei e kore e kitea mā te whakamātau tinana.

He rite tonu te tikanga MRI ahakoa he whakato tō, kāore rānei, ahakoa ka whakamahi te tākuta irarangi i ngā raupapa whakaahua motuhake i hangaia hei arotake i tō kiko u tūturu me ngā whakato anō.

Q.4 Kia pēhea te auau o taku tirotiro MRI U?

Kei runga i ō āhuatanga tūpono takitahi te auau o te tirotiro MRI u. Ko ngā wāhine tūpono nui te nuinga o te wā ka whai MRI u ā-tau ka tīmata i te 25-30 tau, he maha ngā wā ka huri ki ngā mammograms ia ono marama mō te tirotiro whānui.

Ka waihanga tō tākuta i tētahi hōtaka tirotiro whaiaro i runga i ō hua whakamātau ira, te hītori o te whānau, me ētahi atu āhuatanga tūpono. Ko ētahi wāhine ka hiahia MRI ia tau, ētahi atu rānei ka hiahia anake i ia wā, mō ngā kaupapa tātaritanga motuhake rānei.

Q.5 He aha te mea ka pā mai mēnā ka whakaatu taku MRI U i tētahi mea whakapae?

Mēnā ka whakaatu tō MRI u i ngā wāhi whakapae, ka tūtohu tō tākuta i ētahi atu whakamātau hei whakatau i te tikanga o ngā kitenga. Ko te tikanga ko te koiora u, i reira ka tangohia tētahi tauira kiko iti mai i te wāhi whakapae mō te tātaritanga taiwhanga.

He maha ngā kitenga MRI whakapae ka puta he pai, engari ko te koiora anake te huarahi ki te mōhio. Ka ārahi tō rōpū hauora i a koe i roto i te tukanga me te whakarato tautoko puta noa i ētahi atu whakamātau e hiahiatia ana.