No laila, aia ʻoe i ka haukapila, e hoʻoponopono ana i ke koʻikoʻi o kahi pilikia olakino i lawe mai iā ʻoe. Me he mea lā ʻaʻohe lehelehe ke kauka akā ua kauoha ʻo ia i kekahi mau hoʻokolohua kiʻi, e like me ka pahu X-ray a i ʻole CT scan.
ʻO kahi ʻē aʻe, loaʻa paha iā ʻoe kahi mammogram i hoʻonohonoho ʻia no kēia pule aʻe a ke hoʻomanaʻo nei ʻoe i ka X-ray niho i loaʻa iā ʻoe. A i ʻole, ma hope o ka nānā ʻana i ke olakino maʻamau, hiki i kāu kauka ke kuhikuhi i kahi scan PET ma muli o kahi mea maʻamau i hōʻike ʻia.
Inā ua ʻike ʻoe iā ʻoe iho i kekahi o kēia mau hiʻohiʻona, ua noʻonoʻo paha ʻoe: Hiki paha ke ʻike ʻia i ka nui o ka radiation? Hiki paha ke alakaʻi i ka maʻi kanesa? A he mea pono anei ke hāpai i nā hopohopo, ʻoiai inā ʻaʻole ʻoe hāpai?
Ehia ka nui o ka radiation?
"Hiki ke ʻano like ʻole ka pae o ka radiation ma muli o ka hoʻāʻo," i wehewehe ʻia ʻo Associate Professor Lionel Cheng, he loea nui a me ke poʻo o Diagnostic Radiology ma Singapore General Hospital.
ʻO ka nui o ka radiation e pili ana i ka hoʻāʻo kiʻi kikoʻī i hoʻohana ʻia. No ka laʻana, ʻoi aku ka haʻahaʻa o ka nui o ka radiation mai kahi X-ray maʻamau, iwi iwi, a i ʻole mammogram i hoʻohālikelike ʻia me ka CT scan a i ʻole PET scan, e like me ka Assoc Prof Cheng.
ʻO kahi X-ray maʻamau o kou mau niho, ka umauma, a me nā lālā e pili ana i kahi pilikia haʻahaʻa haʻahaʻa loa - ma kahi o 1 i 1,000,000, ʻo ia ka mea like me ka radiation āu e hālāwai ai i kekahi mau lā mai nā kumu kūlohelohe. ʻAe, ʻike mau ʻia mākou a pau i ka pāhawewe kūlohelohe maoli mai ka honua, ea, nā mea kūkulu hale, a me nā kukuna cosmic mai waho.
ʻO nā kiʻekiʻe o ka radiation kiʻekiʻe mai kahi CT a i ʻole PET scan hiki mai me kahi pilikia liʻiliʻi o ka maʻi kanesa, me ka laulā o 1 i 10,000 a i 1 i 1,000. Hoʻohālikelike kēia i kekahi mau makahiki o ka ʻike ʻana i ka radiation kūlohelohe. Wahi a Parkway Radiology, ʻo nā mea ʻē aʻe, e like me ka wahi kikoʻī e kiʻi ʻia ana (e like me ka lima me kou kino holoʻokoʻa) a me ka lōʻihi o ke kiʻi ʻana, pili pū i ka nui o ka hoʻolaha ʻana i ka radiation.
HE LĀPIʻI I KA HELU O KA NUI I KA MAKAHIKI?
Wahi a Assoc Prof Cheng, ʻaʻohe helu kiʻekiʻe o nā scan i hiki i ke kanaka ke loaʻa i hoʻokahi makahiki. "ʻO kekahi mau maʻi me nā kūlana paʻakikī a koʻikoʻi paha e hana i kekahi mau haʻawina kiʻi i ka manawa pōkole, aʻo nā mea ʻē aʻe paha e pono ai hoʻokahi a ʻelua paha ma kahi o nā makahiki."
Ma mua o ka nānā ʻana i kahi helu kikoʻī, ua ʻōlelo ʻo ia he mea koʻikoʻi i ka poʻe maʻi ke hoʻomaopopo i kā lākou mau kauka inā loaʻa iā lākou nā scan hou. "Inā hana ʻia nā scans ma kahi polyclinic a i ʻole kahi haukapila ākea, hiki i ke kauka ke komo i kēlā mau moʻolelo ma o ka ʻōnaehana mālama olakino, e pale ana i nā hoʻokolohua pālua a me ka hoʻonohonoho ʻana i nā scans i ka wā e pono ai," wahi a Assoc Prof Cheng.
Eia nō naʻe, ʻaʻole loaʻa nā scans i hana ʻia ma nā keʻena pilikino a i ʻole ma waho i nā memo o ke kauka. Ma ia mau hihia, ua koʻikoʻi ʻo ia i ka mea nui o nā mea maʻi e hāʻawi nei i kēia ʻike. "ʻO kēia ka mea e hiki ai i ke kauka ke noʻonoʻo i nā hopena kiʻi mua i ka wā e hoʻoholo ai i nā hoʻokolohua kiʻi lāʻau hou aku," i wehewehe ʻo ia.
No ke aha e kauoha ai nā kauka i nā ʻano hoʻokolohua he nui i kekahi manawa?
Aia kekahi mau manawa ke hāʻawi ʻole kahi scan hoʻokahi i ka ʻike no ka maʻi maʻi pololei, wehewehe ʻo Betty Matthew, ka mea radiographer poʻokela ma SATA CommHealth.
"ʻO ka hoʻohana ʻana i nā ʻenehana kiʻi like ʻole e hiki ai i ka loiloi piha ʻana, ka hōʻoia ʻana i nā diagnoses pololei, nā hoʻolālā lapaʻau kūpono, a me ka nānā piha ʻana i ke kūlana o ka mea maʻi."
No ka laʻana, hiki i ka X-ray ke hoʻomaopopo i ka haʻihaʻi ʻana o ka iwi mai kahi pōʻino, akā ʻaʻole ia e hōʻike i ke koko o loko a i ʻole ka pōʻino o ke kino - nā pilikia e ʻike ʻia e kahi CT a MRI paha. Hāʻawi ʻo Matthew i nā hiʻohiʻona hou o nā kūlana kahi e koi ʻia ai nā hoʻokolohua kiʻi he nui:
E hōʻoia ana i kahi hōʻoia: Ma na hihia e like me ka ma'i ma'i 'a'ai, hiki i ka pahu X-ray ke hō'ike i ka nui, akā na ka CT a i 'ole MRI e hā'awi i ka 'ike maopopo a me ka 'ike kiko'ī. No nā poʻe maʻi hahau, hiki i ka CT scan ke ʻike i ke koko i loko o ka lolo, aʻo ka MRI scan hiki ke nānā i ka nui o ka pōʻino o ka lolo.
Nānā i ka Holomua ʻana o ka maʻi: Hoʻohana ʻia nā ʻenehana kiʻi e like me PET, CT, a me MRI e nānā i ka ulu ʻana o ka maʻi maʻi a i ʻole ka laha ʻana o ka maʻi kanesa. No nā maʻi maʻi e like me ka maʻi sclerosis he nui, pono ka nānā ʻana i ka MRI scans no ka nānā ʻana i nā ʻeha hou.
Ka ʻike ʻana i ka maʻi a i ʻole ka ʻā: Hiki i nā kani kani kani, CT scans, a i ʻole PET scans ke kōkua i ka ʻike ʻana i ke kumu o kahi maʻi a i ʻole ka mumū.
Pehea ka hoʻohālikelike ʻana i nā scans like ʻole?
No ke aha e kauoha ʻia ai kahi CT scan ma kahi X-ray? ʻOi aku ka kiʻekiʻe o ka radiation no kahi mammogram i hoʻohālikelike ʻia me kahi X-ray maʻamau? E ʻimi kākou i ka ʻokoʻa ma waena o kekahi o nā hoʻokolohua kiʻi maʻamau.
1. Hoʻopili ʻia nā kiʻi kiʻi kiʻi (CT Scan)
He aha ia:
Hoʻopili pinepine ʻia nā CT scans me kahi mīkini nui e like me ke apo e hoʻopuka ana i nā kaola X-ray. Ke hana pū nei kēia mau kaola e hana i nā kiʻi ʻekolu ʻāpana o nā ʻōpū o loko, e like me ka wehewehe ʻana a Kauka Lee.
Ke hoʻohana ʻia:
Hāʻawi ka CT scans i nā kiʻi kikoʻī loa, i mea waiwai nui no ka ʻike ʻana i nā mea āpau o loko. Me ka holomua o ka ʻenehana, hiki i nā poʻe maʻi ke hoʻopaʻa i ke kino holoʻokoʻa ma lalo o 20 kekona, pinepine me ka hanu hoʻokahi wale nō.
ʻO wai ka mea kūpono ʻole no:
Ma muli o ka koi ʻana o CT scans i ka nui o ka radiation, ʻae ʻia lākou i nā keiki, nā wahine hāpai, a me nā ʻōpio ʻōpio ke ʻole pono. Eia hou, ʻaʻole kūpono ka poʻe me ka hānō, nā maʻi allergies, a i ʻole nā pilikia puʻupaʻa no kēia ʻano scan, no ka mea, pono ke kala ʻokoʻa, hiki ke hoʻoulu i ka hopena. Eia nō naʻe, hiki i nā steroids ke kōkua i ka hōʻemi ʻana i ka pilikia o kēia mau maʻi, a hiki ke ʻōlelo ʻia kahi ʻano kiʻi ʻē aʻe inā pono.
2. Ke Kiʻi Manaʻo Mākēneki (MRI)
He aha ia:
'A'ole like me ka CT scans, ho'okomo ka MRI i kahi scanner nui cylindrical kahi e ho'onui ai ka manawa ma'i. Ke hana nei ka MRI ma ka hana ʻana i nā hawewe electromagnetic e hoʻopuka i nā kiʻi kikoʻī loa, ʻekolu-dimensional o nā kino o loko, a ke kaena nei ia i ka hoʻonā kiʻekiʻe loa o nā ʻenehana kiʻi āpau.
Ke hoʻohana ʻia:
Hoʻohana maʻamau ʻia ka MRI no nā kūlana kikoʻī e like me ka loiloi ʻana i ka hoʻopiʻi ʻana i ke aʻalolo ma ka iwi kuamoʻo, ka ʻike ʻana i nā ʻōpū liʻiliʻi i loko o nā ʻōpū e like me ke ake, a i ʻole ka nānā ʻana i nā hale maʻalahi e like me ka urinary tract a me nā ducts bile.
ʻO wai ka mea kūpono ʻole no:
ʻAʻole kūpono nā scan MRI no nā poʻe maʻi i loaʻa i ka claustrophobia a ʻaʻole hiki ke noho mālie no ka manawa lōʻihi, no ka mea, hiki ke hana i kēlā me kēia wahi mai 15 mau minuke a 30 mau minuke, e pili ana i ka wahi i nānā ʻia. Eia kekahi, ʻaʻole kūpono nā poʻe maʻi me nā implants metala (e laʻa, nā puʻuwai stents, clips, a me nā mea ʻē aʻe metala) no nā MRI ma muli o ke kahua magnetic ikaika i hoʻohana ʻia i ke kaʻina hana.
Pono:
ʻAʻole pili ka MRI i ka radiation, e lilo ia i mea koho maikaʻi loa no nā maʻi ʻōpio a me ka poʻe hāpai. He palekana loa nā mea ʻokoʻa MRI hou, ʻoiai no nā poʻe me nā pilikia kīkī.
3. X-Ray
He aha ia:
Hoʻohana ka X-ray i ka uila electromagnetic ikaika nui e hana i nā kiʻi kikoʻī o nā hale o loko o ke kino. ʻOiai ka hoʻopili ʻana i ka radiation ionizing, mālama pono ʻia ka ʻike ʻana i nā kukui X e hōʻemi i ka pilikia.
Ke hoʻohana ʻia:
Hoʻohana mau ʻia nā kukui X e ʻike i nā haʻihaʻi, nā dislocations hui, nā maʻi māmā e like me ka pneumonia, a me kekahi mau maʻi ʻōpū.
ʻO wai ka mea kūpono ʻole no:
ʻOiai palekana nā kukui X no nā makahiki āpau, ʻōlelo ʻia nā wahine hāpai ʻaʻole e hoʻohana iā lākou no ka mea hiki ke hoʻopilikia i ka ulu ʻana o ka pēpē. Eia naʻe, kauoha wale ʻia nā kukui X inā ʻoi aku ka nui o nā pōmaikaʻi o ke kiʻi ma mua o nā pilikia.
I ka hōʻuluʻuluʻana, loaʻa i kēlā me kēiaʻenehana kiʻi kona mau hiʻohiʻona pono'ī, nā mea maikaʻi, a me nā palena. ʻO ka hoʻomaopopo ʻana i nā ʻano scan like ʻole a me kā lākou mau pilikia hiki ke kōkua i nā poʻe maʻi e hana i nā hoʻoholo ʻike a hōʻoia e loaʻa iā lākou ka mālama kūpono.
4. Ultrasound
Nānā nui:
Hoʻopili pinepine ʻia ka ultrasound me ka nānā ʻana i nā pēpē i ka wā hāpai, a no ke kumu maikaʻi. E like me ka wehewehe ʻana o Matthew, "He ʻenehana kiʻi palekana, ʻaʻole invasive ʻaʻole pili i ka radiation."
Ma mua o ka hoʻohana ʻana i ka radiation, hilinaʻi ʻo ultrasound i nā hawewe kani kiʻekiʻe e hana i nā kiʻi manawa maoli o nā ʻāpana o loko a me nā kīʻaha koko. No ka hopu ʻana i kēia mau kiʻi, hoʻopili ʻia kahi gel i ka ʻili, a hoʻoneʻe ʻia kahi mea liʻiliʻi ma luna o kahi hoihoi, e like me ka ʻōpū a i ʻole ke kua.
Ke hoʻohana ʻia:
Hoʻohana pinepine ʻia ka Ultrasound i nā obstetrics a me gynecology e nānā i ka ulu ʻana o ka fetal. He mea waiwai nō hoʻi no ka loiloi ʻana i nā ʻano maʻi olakino. "ʻOi aku ka maikaʻi ma ka loiloi ʻana i nā ʻiʻo palupalu, ka nānā ʻana i ka hāpai ʻana, ka nānā ʻana i nā ʻōpū o ka ʻōpū, ka ʻike ʻana i nā pōhaku ʻōpū, a me ka nānā ʻana i ke kahe koko i loko o nā kīʻaha koko," wahi a Matthew. Hoʻohui ʻia, hoʻohana ʻia ka ultrasound no nā kaʻina alakaʻi e like me biopsies.
ʻO wai ka mea e pale aku iā ia:
Eia naʻe, he mau palena ka ultrasound. ʻAʻole hiki ke komo i ka iwi, no laila ʻaʻole hiki iā ia ke ʻike i kekahi mau wahi. Paʻakikī pū kekahi me ka ea, ʻo ia hoʻi, ʻaʻole maikaʻi loa ia no ka nānā ʻana i nā kino e like me ka ʻōpū a i ʻole ka ʻōpū. ʻO nā ʻiʻo hohonu, e like me ka pancreas a i ʻole ka aorta, paʻakikī paha ke nānā ʻia, ʻoi aku ka nui o nā poʻe maʻi momona ma muli o ka nāwaliwali o nā hawewe kani i ko lākou hele ʻana i loko o ke kino kino.
5. Mammogram
Nānā nui:
ʻO ka mammogram kahi X-ray kūikawā o nā umauma i hoʻolālā ʻia e ʻike i nā mea ʻino, pinepine ma mua o ka ʻike ʻana o nā hōʻailona. "He hana koʻikoʻi ia i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau ma ka ʻike mua ʻana i nā pilikia," wahi a Matthew.
He wikiwiki ka scan maoli, he mau kekona wale nō. Eia nō naʻe, ʻo ka hoʻonohonoho ʻana i ka umauma no ke kiʻi kiʻi maikaʻi loa e lawe i kahi 5 a 10 mau minuke, ma muli o ka nui o nā kiʻi e pono ai. "No ka mea e pono ai ka hoʻopaʻa ʻana e kiʻi i nā kiʻi maʻemaʻe, hiki i nā mea maʻi ke ʻike i kekahi pilikia," wahi a Dr. Lee.
Ke hoʻohana ʻia:
ʻAʻole hoʻohana wale ʻia nā mammograms no ka nānā maʻamau akā ua hoʻohana ʻia e noiʻi i nā hōʻailona e like me ka puʻupuʻu a i ʻole ka ʻeha o ka umauma e ʻike ai i nā pilikia e hiki mai ana.
ʻO wai ka mea e pale aku iā ia:
Ma muli o ka radiation i pili, ʻaʻole ʻōlelo ʻia nā mammograms no nā wahine ʻōpio a hiki i ka makahiki i ʻōlelo ʻia no ka nānā mau ʻana, e like me ka wehewehe ʻana o Dr. Lee.
6. Hoʻopaʻa Iwi
Nānā nui:
ʻO ka nānā ʻana i ka iwi iwi, e like me kā Dr. Lee i wehewehe ai, "he ʻano X-ray kikoʻī i hoʻohana ʻia e loiloi i ka ikaika o ka iwi." Hoʻopili maʻamau ia i ka ʻūhā a i ʻole ka lima lima, a he mau minuke wale nō ka hana scan.
Ke hoʻohana ʻia:
Hana pinepine ʻia kēia hoʻāʻo ʻana i nā poʻe maʻi ʻelemakule e pilikia ana i ka osteoporosis. Eia nō naʻe, pono paha ia no nā poʻe maʻi ʻōpio i nā lāʻau lapaʻau e pili ana i ka iwi iwi, wahi a Dr. Lee.
ʻO wai ka mea e pale aku iā ia:
Pono nā wāhine hāpai e pale i kēia scan ma muli o ka radiation i pili. Eia kekahi, ʻaʻole hiki i nā poʻe i loaʻa i nā ʻoki kuamoʻo koʻikoʻi a i ʻole nā mea ʻino ʻole o ke kuamoʻo, e like me ka scoliosis, he mau moho kūpono, no ka mea, ʻaʻole pololei nā hopena.
7. ʻO ke kiʻi kiʻi kiʻi kiʻi kiʻi o Positron Emission Tomography (PET).
Nānā nui:
ʻO ka PET scan kahi ʻenehana kiʻi kiʻi kiʻi e hāʻawi ana i kahi scan holoʻokoʻa. "E pili ana ia i ka hoʻokomo ʻana i kahi dye radioactive kūikawā, a ʻoiai ke komo ʻia ka wai e nā ʻāpana like ʻole, ʻike ʻia e ka scanner," wehewehe ʻo Kauka Lee.
Ma kahi o ʻelua a ʻekolu mau hola ka lōʻihi o ke kaʻina hana no ka mea e pono ana ke kala e komo i loko o nā kino ma mua o ka hana ʻana i ka scan.
Ke hoʻohana ʻia:
Hoʻohana nui ʻia ka PET scans no ka ʻike ʻana i ka maʻi kanesa a me ka loiloi ʻana i kona pālahalaha ʻana. Eia nō naʻe, hiki iā lākou ke kōkua i ka ʻike ʻana i nā kumu o ka maʻi.
ʻO wai ka mea e pale aku iā ia:
Ma muli o ka radiation i pili, ʻaʻole ʻōlelo ʻia nā scan PET no nā keiki a i ʻole nā mea hāpai, ʻōlelo ʻo Dr. Lee.
ʻO ke kumuhana ʻē aʻe e pono ai ka nānā ʻana, ʻo ia ke nānā ʻana i ka mea maʻi, pono e hoʻokomo i ka mea hoʻohālikelike i loko o ke kino o ka mea maʻi. A pono e hoʻokō ʻia kēia me ke kōkua o amea hoʻokaʻawale injector.LnkMedHe mea hana hana kūikawā i ka hana ʻana, hoʻomohala a kūʻai aku i nā syringes agent contrast. Aia ia ma Shenzhen, Guangdong, Kina. Loaʻa iā ia he 6 mau makahiki o ka hoʻomohala ʻana i kēia manawa, a ʻo ke alakaʻi o ka hui LnkMed R&D he Ph.D. a ua oi aku mamua o umi makahiki o ka ike ma keia oihana. Ua kākau ʻia nā papahana huahana o kā mākou hui e ia. Mai kona hoʻokumu ʻia ʻana, ua hoʻokomo ʻia nā injectors ʻokoʻa o LnkMedCT hoʻokahi mea hoʻokaʻawale media injector,CT lua poʻo injector,MRI ʻokoʻa media injector,ʻO ka injector puʻe kiʻekiʻe angiography, (a me ka syringe a me na paipu i kupono i na lama mai Medrad, Guerbet, Nemoto, LF, Medtron, Nemoto, Bracco, SINO, Seacrown) ua hookipa maikai ia e na halemai, a ua oi aku mamua o 300 mau mea kuai ma ka home a ma waho. Ke koi mau nei ʻo LnkMed i ka hoʻohana ʻana i ka maikaʻi maikaʻi ʻo ia wale nō ka chip bargaining e lanakila ai ka hilinaʻi o nā mea kūʻai aku. ʻO kēia ke kumu nui loa e ʻike ʻia ai kā mākou huahana syringe contrast agent kiʻekiʻe e ka mākeke.
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Ka manawa hoʻouna: Feb-23-2025
