Ua ʻike mākou a pau he pono nā hoʻokolohua kiʻi lapaʻau, me nā X-ray, ultrasound,MRI, ka lāʻau lapaʻau nukelea a me nā kukuna X, he mau ala kōkua koʻikoʻi no ka loiloi diagnostic a he kuleana koʻikoʻi i ka ʻike ʻana i nā maʻi maʻi a me ka hakakā ʻana i ka laha ʻana o nā maʻi. ʻOiaʻiʻo, pili like kēia i nā wahine me nā hāpai i hōʻoia ʻia a i ʻole i hōʻoia ʻole ʻia.Eia nō naʻe, ke hoʻopili ʻia kēia mau ʻano hana kiʻi i nā wahine hāpai a hānai waiū paha, e hopohopo ka poʻe he nui e pili ana i kahi pilikia, e hoʻopilikia anei ia i ke olakino o ka ʻōpū a i ʻole ka pēpē? Hiki paha iā ia ke alakaʻi i nā pilikia hou aʻe no ia mau wahine ponoʻī?
Aia maoli nō ia i ke kūlana. Ua ʻike nā mea loea radiology a me nā mea mālama ola kino i nā pilikia o ke kiʻi lapaʻau a me ka hōʻike ʻana i ka radiation o nā wahine hāpai a me nā keiki hānau. No ka laʻana, hōʻike ka X-ray umauma i kahi pēpē i hānau ʻole ʻia i ka radiation i hoʻopuehu ʻia, ʻoiai ʻo ka X-ray ʻōpū e hōʻike i kahi wahine hāpai i ka radiation mua. ʻOiai he liʻiliʻi paha ka hōʻike ʻana o ka radiation mai kēia mau ʻano kiʻi lapaʻau, hiki i ka hoʻomau ʻana o ka hōʻike ke loaʻa nā hopena maikaʻi ʻole i ka makuahine a me ka fetus. ʻO ka nui o ka radiation hiki i nā wahine hāpai ke hōʻike ʻia he 100msV.
Akā, eia hou, hiki i kēia mau kiʻi lapaʻau ke lilo i mea pono no nā wahine hāpai, e kōkua ana i nā kauka e hāʻawi i nā hōʻailona pololei a kuhikuhi i nā lāʻau lapaʻau kūpono. Ma hope o nā mea a pau, he mea nui ia no ke olakino o nā wahine hāpai a me kā lākou mau 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 kuleana koʻikoʻi ia i ka hāpai ʻana, me ka hoʻohana ʻana i nā scan CT e piʻi ana ma ka 25% mai 2010 a i 2020, e like me nā helu helu kūpono. No ka mea, pili ka 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 poʻe hāpai. ʻO ka pale ʻana i ke kēpau he mea pono e pale ai i ka pilikia o ka radiation CT.
He aha nā koho ʻē aʻe maikaʻi loa ma kahi o CT?
Ua manaʻo ʻia ʻo MRI ke koho ʻē aʻe maikaʻi loa ma mua o CT. ʻAʻohe hōʻike e pili ana nā dosis radiation ma lalo o 100 mGy i ka wā hāpai me ka piʻi ʻana o nā malformations congenital, nā hānau keiki make, nā hāʻule ʻana o ka pēpē, ka ulu ʻana, a i ʻole nā kīnā noʻonoʻo.
2.MRI
Ke hoʻohālikelike ʻia me CT, ʻo ka pōmaikaʻi nui oMRIʻo ia ka hiki iā ia ke scan i nā ʻiʻo hohonu a palupalu i loko o ke kino me ka hoʻohana ʻole ʻana i ka radiation ionizing, no laila ʻaʻohe hana palekana a kūʻē paha no nā poʻe hāpai.
I ka wā e loaʻa ai nā ʻano hana kiʻi ʻelua, pono e noʻonoʻo ʻia a makemake ʻia ka MRI ma muli o kona helu ʻike ʻole haʻahaʻa. ʻOiai ua hōʻike kekahi mau haʻawina i nā hopena theoretical fetal i ka wā e hoʻohana ai i ka MRI, e like me ka teratogenicity, ka wela ʻana o nā ʻiʻo, a me ka hōʻino acoustic, ʻaʻohe hōʻike e hōʻino paha ka MRI i ka fetus. Ke hoʻohālikelike ʻia me CT, hiki i ka MRI ke kiʻi pololei a kūpono i nā ʻiʻo palupalu hohonu me ka ʻole o ka hoʻohana ʻana i nā mea hoʻohālikelike.
Eia nō naʻe, ua hōʻoia ʻia nā mea hana i hoʻokumu ʻia i ka gadolinium, kekahi o nā mea hana hoʻohālikelike nui ʻelua i hoʻohana ʻia i ka MRI, he mea weliweli ia i nā wahine hāpai. I kekahi manawa, ʻike nā wahine hāpai i nā hopena koʻikoʻi i nā mea hana hoʻohālikelike, e like me ka decelerations lohi hou, ka bradycardia fetal lōʻihi, a me ka hānau mua ʻana.
3. Ultrasonography
ʻAʻole hoʻi e hana ka ultrasound i ka radiation ionizing. ʻAʻohe hōʻike lapaʻau o nā hopena maikaʻi ʻole o nā kaʻina hana ultrasound i nā poʻe hāpai a me kā lākou mau ʻōpū.
He aha nā mea e uhi ʻia e ka hoʻāʻo ultrasound no nā wahine hāpai? ʻO ka mea mua, hiki iā ia ke hōʻoia inā ua hāpai maoli ka wahine hāpai; E nānā i ka makahiki a me ka ulu ʻana o ka ʻōpū a helu i ka lā hānau, a e nānā i ka puʻuwai o ka ʻōpū, ke kani o nā ʻiʻo, ka neʻe ʻana, a me ka ulu ʻana o ka ʻōpū. Eia kekahi, e nānā inā ua hāpai ka makuahine i nā māhoe, nā triplets a i ʻole nā hānau hou aʻe, e nānā inā aia ke ʻōpū ma ke poʻo ma mua o ka hānau ʻana, a e nānā inā maʻamau nā ovaries a me ka uterus o ka makuahine.
I ka hopena, ke hoʻonohonoho pono ʻia nā mīkini a me nā lako ultrasound, ʻaʻole hoʻoweliweli nā kaʻina hana ultrasound i ke olakino o nā wahine hāpai a me nā keiki i loko o ka ʻōpū.
4. Ka Pāhawewe Nukelea
ʻO ke kiʻi ʻana i ka lāʻau lapaʻau nukelea e pili ana i ka hoʻokomo ʻana o kahi radiopharma i loko o kahi mea maʻi, kahi i hoʻolaha ʻia ma ke kino holoʻokoʻa a hoʻopuka i ka radiation ma kahi kikoʻī i loko o ke kino. Hopohopo ka nui o nā makuahine i ka lohe ʻana i ka huaʻōlelo radiation nukelea, akā ʻo ka ʻike ʻana o ka radiation fetal me ka lāʻau lapaʻau nukelea e pili ana i nā ʻano like ʻole, e like me ka hoʻokuʻu ʻana o ka makuahine, ka omo ʻana o nā radiopharmaceuticals, a me ka hoʻolaha ʻana o nā radiopharmaceuticals i ka fetal, ka nui o nā tracers radioactive, a me ke ʻano o ka radiation i hoʻopuka ʻia e nā tracers radioactive, a ʻaʻole hiki ke hoʻonui ʻia.
Hopena
I ka pōkole, hāʻawi ke kiʻi lapaʻau i ka ʻike koʻikoʻi e pili ana i nā kūlana olakino. I ka wā hāpai, ke loli mau nei ke kino o ka wahine a he palupalu i nā maʻi like ʻole. He mea koʻikoʻi ka ʻike ʻana a me nā lāʻau lapaʻau kūpono no nā wahine hāpai i ko lākou olakino a me kā lākou mau pēpē i hānau ʻole ʻia. I mea e hana ai i nā hoʻoholo maikaʻi a ʻike hou aku, pono e hoʻomaopopo piha nā radiologists a me nā loea lapaʻau pili ʻē aʻe i nā pono a me nā hopena maikaʻi ʻole o nā ʻano kiʻi lapaʻau like ʻole a me ka hōʻike ʻana i ka radiation ma nā wahine hāpai. I kēlā me kēia manawa e hōʻike ʻia ai nā maʻi hāpai a me kā lākou mau fetus i ka radiation i ka wā o ke kiʻi lapaʻau, pono nā radiologists a me nā kauka e hāʻawi i nā loina maopopo i kēlā me kēia kaʻina hana. ʻO nā pilikia o ka fetus e pili ana i ke kiʻi lapaʻau e pili ana i ka ulu lohi a me ka ulu ʻana o ka fetal, ka hāʻule ʻana o ka hāʻule ʻana, ka malformation, ka hana lolo i hōʻino ʻia, ka ulu ʻana o nā keiki, a me ka neurodevelopment. ʻAʻole paha e hōʻeha kahi kaʻina hana kiʻi lapaʻau i nā maʻi hāpai a me nā fetuses. Eia nō naʻe, ʻo ka hoʻomau ʻana a me ka lōʻihi o ka hōʻike ʻana i ka radiation a me ke kiʻi hiki ke loaʻa nā hopena maikaʻi ʻole i nā maʻi a me nā fetuses. No laila, i mea e hōʻemi ai i ka pilikia o ke kiʻi lapaʻau a hōʻoia i ka palekana o ka fetus i ka wā o ke kaʻina hana diagnostic imaging, pono e hoʻomaopopo nā ʻaoʻao āpau i ke kiʻekiʻe o ka pilikia radiation ma nā pae like ʻole o ka hāpai ʻana.
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Ka manawa hoʻouna: Pepeluali-27-2024
