ʻO nā pilikia a me nā ana palekana o nā ʻano kiʻi lāʻau lapaʻau like ʻole no nā maʻi hāpai

Ua ʻike mākou a pau i nā hoʻokolohua kiʻi olakino, me nā X-ray, ultrasound,MRI, ka lāʻau nuklea a me nā kukui X, he mau mea kōkua koʻikoʻi o ka loiloi diagnostic a he hana koʻikoʻi i ka ʻike ʻana i nā maʻi maʻi a me ka hakakā ʻana i ka laha o nā maʻi. ʻOiaʻiʻo, pili kēia i nā wahine me ka hāpai ʻana a i ʻole i hōʻoia ʻia.Eia nō naʻe, ke hoʻohana ʻia kēia mau ʻano kiʻi i nā wahine hāpai a hānai paha, nui ka poʻe e hopohopo e pili ana i kahi pilikia, e pili ana paha ia i ke olakino o ka pēpē a i ʻole ka pēpē? Hiki paha ke alakaʻi i nā pilikia hou aʻe no kēlā mau wahine ponoʻī?

Pili maoli i ke kūlana. Ua ʻike nā Radiologists a me nā mea mālama ola i ka ʻike ʻana i ka lāʻau lapaʻau a me ka hōʻike ʻana o ka radiation i nā pilikia o nā wahine hāpai a me nā pēpē. No ka laʻana, hōʻike ka pahu X-ray i kahi pēpē i hānau ʻole ʻia i ka hoʻoheheʻe ʻia, aʻo ka X-ray o ka ʻōpū e hōʻike i ka wahine hāpai i ka radiation mua. ʻOiai he liʻiliʻi paha ka hoʻolaha ʻana o ka radiation mai kēia mau ʻano kiʻi lāʻau lapaʻau, hiki i ka hoʻomau ʻia ke loaʻa i nā hopena pōʻino i ka makuahine a me ka pēpē. ʻO ka nui loa o ka radiation radiation hiki ke ʻike ʻia i nā wahine hāpai he 100msV.

Akā hou, hiki i kēia mau kiʻi lapaʻau ke kōkua i nā wahine hāpai, e kōkua ana i nā kauka e hāʻawi i nā diagnoses pololei a kuhikuhi i nā lāʻau kūpono. Ma hope o nā mea a pau, he mea nui ia no ke olakino o nā wahine hāpai a me kā lākou pēpē i hānau ʻole ʻia.

He aha nā pilikia a me nā ana palekana o nā ʻano hana kiʻi lapaʻau like ʻole?E ʻimi kākou i kēlā.

Nā ana

1.CT

CT pili i ka hoʻohana ʻana i ka radiation ionizing a he hana koʻikoʻi i ka hāpai ʻana, me ka hoʻohana ʻana i nā scans CT e hoʻonui ʻia e 25% mai 2010 a 2020, e like me nā helu helu mana kūpono. Ma muli o ka pili ʻana o CT me ka ʻike ʻana i ka radiation fetal kiʻekiʻe, he mea nui e noʻonoʻo i nā koho ʻē aʻe i ka wā e noʻonoʻo ai i ka hoʻohana ʻana o CT i nā maʻi hāpai. ʻO ka pale alakaʻi kahi mea e pono ai e hōʻemi i ka pilikia o ka radiation CT.

He aha nā koho maikaʻi loa no CT?

Ua manaʻo ʻia ʻo MRI ke koho maikaʻi loa i ka CT. ʻAʻohe mea hōʻike e pili ana ka nui o ka radiation ma lalo o 100 mGy i ka wā o ka hāpai ʻana me ka piʻi ʻana o nā hemahema o ka hānau ʻana, ka hānau ʻana, ka hāʻule ʻana, ka ulu ʻana, a i ʻole ke kino kīnā.

2.MRI

Hoʻohālikelike ʻia me CT, ʻo ka pōmaikaʻi nui loa oMRIhiki iā ia ke nānā i nā ʻiʻo hohonu a palupalu i loko o ke kino me ka ʻole o ka hoʻohana ʻana i ka radiation ionizing, no laila ʻaʻohe mea mālama a kū'ē paha i nā maʻi hāpai.

Ke loaʻa nā ʻano hana kiʻi ʻelua, pono e noʻonoʻo a makemake ʻia ʻo MRI ma muli o kona haʻahaʻa haʻahaʻa haʻahaʻa. ʻOiai ua hōʻike kekahi mau haʻawina i nā hopena fetal theoretical i ka wā e hoʻohana ai i ka MRI, e like me ka teratogenicity, ka hoʻomehana ʻana o ka ʻiʻo, a me ka pōʻino acoustic, ʻaʻohe mea hōʻike e hiki i ka MRI ke hōʻeha i ka pēpē. Ke hoʻohālikelike ʻia me CT, hiki i ka MRI ke kiʻi pololei a kūpono hoʻi i ka ʻiʻo palupalu hohonu me ka ʻole o ka hoʻohana ʻana i nā mea hoʻohālikelike.

Eia naʻe, ua hōʻike ʻia nā mea hana gadolinium, kekahi o nā mea hoʻohālikelike nui ʻelua i hoʻohana ʻia ma MRI, i mea pōʻino i nā wahine hāpai. Hiki i nā wāhine hāpai ke loaʻa i kekahi manawa nā hopena koʻikoʻi i nā media like ʻole, e like me ka hoʻohaʻahaʻa hope ʻana, ka bradycardia fetal lōʻihi, a me ka hānau mua ʻana.

3. ʻO ka Ultrasonography

ʻAʻole hoʻopuka ka Ultrasound i ka radiation ionizing. ʻAʻole i loaʻa nā hōʻike lapaʻau no nā hopena maikaʻi ʻole o nā kaʻina ultrasound i nā maʻi hāpai a me kā lākou mau keiki hānai.

He aha ka uhi ʻana o ka hōʻike ultrasound no nā wahine hāpai? ʻO ka mua, hiki iā ia ke hōʻoia inā hāpai maoli ka wahine hāpai; E nānā i ka makahiki a me ka ulu ʻana o ka pēpē a e helu i ka lā kūpono, a nānā i ka puʻuwai fetal, ka leo ʻiʻo, ka neʻe ʻana, a me ka hoʻomohala holoʻokoʻa. Eia hou, e nānā inā hāpai ka makuahine i nā māhoe, nā keiki ʻekolu a ʻoi aʻe paha ka hānau ʻana, e nānā inā he poʻo mua ka pēpē ma mua o ka hānau ʻana, a nānā inā he maʻamau nā ovaries a me ka ʻōpū o ka makuahine.

I ka hopena, ke hoʻonohonoho pono ʻia nā mīkini ultrasound a me nā mea hana, ʻaʻole e hoʻopilikia nā kaʻina hana ultrasound i nā wahine hāpai a me nā pēpē.

4. Nukelea Radiation

ʻO ke kiʻi lāʻau nuklear e pili ana i ka hoʻokomo ʻia ʻana o kahi radiopharma i loko o kahi mea maʻi, i māhele ʻia i loko o ke kino a hoʻokuʻu i ka radiation ma kahi wahi i kuhi ʻia i ke kino. Nui nā makuahine i ka hopohopo ke lohe lākou i ka huaʻōlelo nuclear radiation, akā pili ka ʻike ʻana i ka radiation fetal me ka lāʻau nuklea i nā ʻano ʻokoʻa like ʻole, e like me ka excretion maternal, absorption o radiopharmaceuticals, a me ka hāʻawi ʻana i ka fetal radiopharmaceuticals, ka nui o nā mea hoʻopaʻa radioactive, a me ke ʻano o ka radiation. hoʻokuʻu ʻia e nā tracer radioactive, ʻaʻole hiki ke hoʻonui ʻia.

Ka hopena

I ka pōkole, hāʻawi ke kiʻi olakino i ka ʻike nui e pili ana i nā kūlana olakino. I ka wā o ka hāpai ʻana, ke hoʻololi mau nei ke kino o ka wahine a hiki ke pilikia i nā maʻi like ʻole a me nā maʻi. He mea koʻikoʻi ka ʻike a me ka lāʻau kūpono no nā wahine hāpai i ko lākou olakino a me kā lākou pēpē i hānau ʻole ʻia. I mea e hoʻoholo maikaʻi ai, ʻoi aku ka ʻike, pono e hoʻomaopopo pono nā radiologists a me nā ʻoihana lapaʻau kūpono i nā pono a me nā hopena maikaʻi ʻole o nā ʻano kiʻi lāʻau lapaʻau like ʻole a me ka hoʻolaha ʻana i ka radiation i nā wahine hāpai. Ke ʻike ʻia nā maʻi hāpai a me kā lākou pēpē i ka radiation i ka wā o ke kiʻi ʻana i ka lāʻau lapaʻau, pono e hāʻawi nā radiologists a me nā kauka i nā loina maopopo i kēlā me kēia kaʻina hana. ʻO nā pilikia o ka pēpē e pili ana i ke kiʻi lāʻau lapaʻau e pili ana i ka ulu lohi a me ka ulu ʻana o ka fetal, hāʻule ʻole, malformation, hana ʻino ʻole o ka lolo, ulu ʻino i nā keiki, a me ka neurodevelopment. ʻAʻole hiki ke hoʻopōʻino i nā poʻe maʻi hāpai a me nā keiki hānai ma ke kaʻina hana kiʻi lāʻau. Eia nō naʻe, hiki i ka hoʻomau a me ka lōʻihi o ka hoʻolaha ʻana i ka radiation a me ke kiʻi kiʻi ke loaʻa nā hopena pōʻino i nā maʻi a me nā pēpē. No laila, i mea e hōʻemi ai i ka pilikia o ke kiʻi lāʻau lapaʻau a hōʻoia i ka palekana o ka pēpē i ka wā o ke kaʻina hana diagnostic, pono nā ʻaoʻao a pau e hoʻomaopopo i ke kiʻekiʻe o ka hopena o ka radiation ma nā ʻano like ʻole o ka hāpai ʻana.

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