He aha ka Diatrizoate: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He mea hoʻohālikelike ka Diatrizoate e kōkua ai i nā kauka e ʻike maopopo i loko o kou kino i ka wā o nā X-ray a me nā scan CT. Hana kēia hopena i ka iodine e like me ka mea hōʻailona no kou mau kīʻaha koko, nā ʻōkana, a me nā mea ʻē aʻe, e ʻālohilohi ai lākou ma nā kiʻi lapaʻau. E noʻonoʻo iā ia he waihoʻoluʻu kūikawā e ʻike ʻia ai kekahi mau ʻāpana o kou kino i nā mea lapaʻau, e kōkua ana i kāu hui mālama ola e kiʻi i nā kiʻi kikoʻī e pono ai lākou e ʻike a mālama pono iā ʻoe.

He aha ka Diatrizoate?

He mea hoʻohālikelike lapaʻau ka Diatrizoate i loaʻa ka iodine, i hoʻolālā ʻia e hoʻonui i ka ʻike o nā mea i loko i ka wā o nā kaʻina hana kiʻi. Ke hoʻokomo ʻia i loko o kou kahe koko, hele ia ma waena o kāu ʻōnaehana circulatory a hoʻololi i ka hele ʻana o nā X-ray ma kou kino. Hoʻokumu kēia i nā kiʻi maopopo a kikoʻī e kōkua ai i nā kauka e ʻike i nā pilikia, e nānā i nā lāʻau lapaʻau, a i ʻole ke alakaʻi ʻana i nā kaʻina hana ʻoki me ka pololei.

No ka papa o nā lāʻau lapaʻau i kapa ʻia he ionic contrast agents ka lāʻau lapaʻau, ʻo ia hoʻi, he uku uila e kōkua iā ia e hui maikaʻi me kou koko a me nā wai o ke kino. Ua hoʻohana palekana nā mea mālama ola i ka diatrizoate no nā makahiki he nui, a ua manaʻo ʻia ʻo ia kekahi o nā koho hilinaʻi no ke kiʻi lapaʻau ke pono ke kauka i ka maikaʻi o ke kiʻi.

No ke aha e hoʻohana ʻia ai ka Diatrizoate?

Kōkua ka Diatrizoate i nā kauka e kiʻi i nā kiʻi maopopo i ka wā o nā kaʻina hana lapaʻau like ʻole, ʻoi aku hoʻi ke pono lākou e ʻike i kou mau kīʻaha koko, nā ʻōkana, a i ʻole nā mea i loko i nā kikoʻī. Hiki i kāu mea mālama ola ke ʻōlelo aku i kēia mea hoʻohālikelike ke hāʻawi ʻole nā X-ray maʻamau a i ʻole nā scan CT i ka ʻike lawa no ka ʻike pololei.

Eia nā kūlana nui e hōʻoiaʻiʻo ai ka diatrizoate:

• Nā hana angiography e nānā i nā kīʻaha koko i kou puʻuwai, lolo, puʻupaʻa, a i ʻole nā ʻōkana ʻē aʻe
• Nā scans CT o kou umauma, ʻōpū, a i ʻole pelvis ke pono nā kauka i ka hoʻonui ʻia ʻana o ka ʻiʻo
• Nā haʻawina urography e loiloi i kou mau puʻupaʻa, ureters, a me ka hana ʻana o ka ʻōpū
• Venography e nānā i nā koko koko a i ʻole nā paʻa i loko o kou mau veins
• Arthrography e nānā i nā hui a me nā mea a puni
• Digital subtraction angiography no ke kiʻi ʻana i nā kīʻaha koko

Na kāu kauka e hoʻoholo inā ʻo diatrizoate ke koho kūpono e pili ana i kou maʻi olakino a me ke ʻano o ke kiʻi e pono ai. Aia ka hoʻoholo i nā mea e like me ka hana o kou puʻupaʻa, ka mōʻaukala allergy, a me ka wahi kikoʻī o kou kino e nānā ʻia nei.

Pehea e hana ai ʻo Diatrizoate?

Hana ʻo Diatrizoate ma ka hoʻololi ʻana i ka launa ʻana o nā X-ray me nā ʻiʻo o kou kino, e hana ana i ka ʻokoʻa maikaʻi ma waena o nā ʻano like ʻole ma nā kiʻi lapaʻau. Ke hoʻokomo ʻia i loko o kou kahe koko, e komo ka iodine i loko o diatrizoate i nā X-ray ma mua o nā ʻiʻo maʻamau o kou kino. ʻO kēia ka mea e ʻālohilohi a ʻoi aku ka opaque o nā wahi i loaʻa ka mea ʻokoʻa ma nā kiʻi X-ray, aʻo nā ʻiʻo a puni e mau ana i ko lākou pae ʻike maʻamau.

Hana ʻia ka hopena ʻokoʻa ma hope koke o ka injection, e ʻae ana i kāu hui mālama ola e hopu i nā kiʻi kikoʻī i ka manawa maoli. Hoʻomaʻemaʻe maoli kou mau puʻupaʻa i ka diatrizoate mai kou koko i loko o kekahi mau hola, a haʻalele ka hapa nui o ia mea i kou kino ma ka mimi i loko o 24 mau hola. ʻO kēia hoʻopau wikiwiki ʻana e kōkua i ka hōʻemi ʻana i kou manawa ʻike ʻoiai e hāʻawi ana i ke kiʻi hoʻonui e pono ai kāu kauka.

Ua manaʻo ʻia ʻo Diatrizoate he mea ʻokoʻa ikaika, ʻo ia hoʻi e hāʻawi ana i ka hoʻomaikaʻi kiʻi maikaʻi me ka ʻole o ka ʻino loa i kāu ʻōnaehana. Ua lawa ka ikaika e hāʻawi i nā kauka i nā kiʻi maopopo e pono ai lākou, akā maʻalahi hoʻi no ka hapa nui o nā kānaka e ʻae maikaʻi ke hoʻohana pono ʻia.

Pehea e lawe ai au i ka Diatrizoate?

ʻAʻole ʻoe e lawe maoli i ka diatrizoate iā ʻoe iho - e hāʻawi mau ʻia e nā poʻe loea mālama ola i aʻo ʻia ma kahi hoʻonohonoho lapaʻau e like me ka haukapila a i ʻole ke kikowaena kiʻi. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka laina intravenous (IV), ʻo ia hoʻi, hele pololei i loko o kekahi o kou mau veins, maʻamau i kou lima a i ʻole ka lima.

Ma mua o kāu kaʻina hana, e hoʻokomo kāu hui mālama ola i kahi paipu liʻiliʻi, maʻalahi i kapa ʻia he catheter i loko o kou vein. A laila e hoʻokomo lākou i ka hopena diatrizoate ma o kēia catheter ma kahi helu i mālama ʻia. Hiki i ka injection ke ʻoluʻolu a i ʻole ke kumu o kahi manaʻo mahana pōkole i ke komo ʻana i kou kahe koko, a hiki iā ʻoe ke ʻike i kahi ʻono metala i kou waha - he mau hopena maʻamau kēia e mae koke ana.

E nānā pono kāu hui lapaʻau iā ʻoe i ka wā a ma hope o ka injection e hōʻoiaʻiʻo ana ʻoe e ʻoluʻolu a pane maikaʻi. E hōʻoia nō hoʻi lākou e hoʻomaʻemaʻe pono ʻia ʻoe ma mua a ma hope o ke kaʻina hana, no ka mea, ʻo ka inu ʻana i ka wai nui e kōkua i kou mau puʻupaʻa e hana a hoʻopau i ka mea ʻokoʻa.

Pehea ka lōʻihi e lawe ai au i ka Diatrizoate?

Hoʻohana ʻia ka Diatrizoate i ka wā o kāu kaʻina hana kiʻi, no laila ʻaʻohe papa hana lapaʻau e like me kāu e loaʻa ai me nā lāʻau lapaʻau i kēlā me kēia lā. Hāʻawi ʻia ka mea ʻokoʻa ma ke ʻano he injection hoʻokahi a i ʻole nā ​​injection i ka wā o kāu scan, a laila hoʻopau maoli kou kino iā ia i nā hola a me nā lā e hiki mai ana.

ʻO ka injection maoli e lawe maʻamau i kekahi mau minuke, ʻoiai e pili ana ka manawa i kāu kaʻina hana kikoʻī a me ka nui o ka ʻokoʻa e pono ai kāu kauka no ke kiʻi maikaʻi loa. Pono paha kekahi mau kaʻina hana i nā injections he nui i nā manawa like ʻole i ka wā o ka scan, ʻoiai ʻo nā mea ʻē aʻe e pono ai hoʻokahi dose i ka hoʻomaka.

ʻO ka hapa nui o nā kānaka e hoʻopau i ka hapa nui o ka diatrizoate mai ko lākou kino i loko o 24 hola ma o ka mimi maʻamau. Hana nā puʻupaʻa i ka hana o ka kānana a me ka wehe ʻana i ka mea ʻokoʻa, ʻo ia ke kumu e nānā ai kāu kauka i ka hana o kou puʻupaʻa ma mua o ka hāʻawi ʻana iā ʻoe i ka diatrizoate. Hiki i ka inu ʻana i ka wai keu ma hope o kāu kaʻina hana ke kōkua i kēia hana hoʻopau maoli.

He aha nā hopena ʻaoʻao o Diatrizoate?

Hoʻomanawanui ka hapa nui o nā kānaka i ka diatrizoate, e ʻike ana i nā hopena maʻalahi a me ka manawa pōkole e mae koke ma hope o ka injection. Eia naʻe, e like me nā lāʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao mai ka hōʻoluʻolu liʻiliʻi a i nā hopena koʻikoʻi i nā hihia kakaʻikahi.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Mehana a i ʻole ka manaʻo ʻulaʻula ma kou kino i ka wā o ka injection
• ʻO ka ʻono metala pōkole i kou waha
• ʻO ka nausea maʻalahi a i ʻole ka manaʻo ʻoluʻolu
• ʻO ka dizziness liʻiliʻi a i ʻole ka māmā
• ʻO ka hōʻoluʻolu liʻiliʻi a i ʻole ka manaʻo wela ma ke kahua injection
• ʻO ke poʻo manawa

Hiki ke hana pinepine kēia mau hopena maʻamau i ka wā a i ʻole ma hope koke o ka injection a maʻa mau i loko o nā minuke a i ʻole nā hola. Manaʻo kāu hui mālama ola i kēia mau pane a e nānā iā ʻoe e hōʻoia i kou ʻoluʻolu i ke kaʻina hana.

Hiki ke hana i nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau. Pono kēia i ka lāʻau lapaʻau koke a me:

• Nā hopena maʻi koʻikoʻi me ka pilikia o ka hanu ʻana, ka pehu ʻana o ka maka a i ʻole ka ʻāʻī, a i ʻole ka ʻōpala ākea
• ʻO ka hāʻule nui ʻana o ke koko e hana ana i ka maʻi a i ʻole ka dizziness koʻikoʻi
• ʻO ka puʻuwai puʻuwai ʻole a i ʻole ka ʻeha o ka umauma
• Nausea koʻikoʻi a me ka luaʻi ʻana ʻaʻole e hoʻomaikaʻi
• Nā hōʻailona o nā pilikia o ka puʻupaʻa e like me ka emi ʻana o ka mimi a i ʻole ka pehu ʻana i nā wāwae
• Nā hopu a i ʻole ka huikau koʻikoʻi

Ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama koke i kēia mau hopena maʻamau akā koʻikoʻi. E loaʻa iā lākou nā lāʻau lapaʻau pilikia a me nā mea hana i loaʻa koke i ka wā o kāu kaʻina hana e hoʻoponopono i nā pilikia e hiki ke kū mai.

ʻO wai ka mea pono ʻole e lawe iā Diatrizoate?

ʻO kekahi mau maʻi lapaʻau a me nā kūlana e hana ai i ka diatrizoate kūpono ʻole a i ʻole e koi i nā hana kūikawā ma mua o ka hoʻohana ʻana. E nānā pono kāu kauka i kāu mōʻaukala lapaʻau a me ke kūlana olakino o kēia manawa e hoʻoholo ai inā palekana kēia ʻāpana ʻokoʻa iā ʻoe.

ʻAʻole pono ʻoe e loaʻa iā diatrizoate inā loaʻa iā ʻoe:

• ʻIke ʻia ka maʻi maʻi koʻikoʻi i ka iodine a i ʻole ka hopena koʻikoʻi i nā ʻāpana ʻokoʻa iodinated
• Maʻi kīkī koʻikoʻi a i ʻole ka hāʻule ʻana o ka puʻupaʻa
• Hyperthyroidism ikaika (ʻoi aku ka hana ʻana o ka thyroid gland)
• ʻO ka hāʻule ʻana o ka naʻau nui a i ʻole nā ​​maʻi puʻuwai paʻa ʻole
• Multiple myeloma me ka dehydration a i ʻole ka hōʻino ʻana o ka puʻupaʻa

Pono kāu kauka e hoʻohana i ka mālama hou aʻe a i ʻole e noʻonoʻo i nā koho ʻē aʻe inā loaʻa iā ʻoe:

• Nā pilikia kīkī māmā a maʻalahi
• Diabetes, ʻoiai inā ʻoe e lawe i ka metformin
• Asthma a i ʻole ka mōʻaukala o nā hopena maʻi
• Nā maʻi thyroid
• Maʻi ate koʻikoʻi
• Dehydration a i ʻole nā ​​kaulike electrolyte
• Hōʻeha puʻuwai hou a i ʻole ka hahau

Pono ka hāpai ʻana i ka noʻonoʻo kūikawā, no ka mea, hiki i ka diatrizoate ke hele i ka placenta a hiki i kāu pēpē e ulu nei. E kaupaona kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa a hiki ke ʻōlelo i nā ʻano hana kiʻi ʻē aʻe ke hiki. Inā ʻoe e hānai ana, hiki iā ʻoe ke hoʻomau i ka hānai ʻana ma hope o ka loaʻa ʻana o ka diatrizoate, ʻoiai ke ʻōlelo nei kekahi mau kauka e kali i 12-24 mau hola ma ke ʻano he mālama.

Nā inoa inoa Diatrizoate

Loaʻa ʻo Diatrizoate ma lalo o nā inoa lama like ʻole, akā like nō ka mea hana a me nā hopena kumu, ʻaʻohe mea o ka mana e hoʻohana ai kāu mea mālama ola. ʻO nā inoa lama maʻamau e komo pū ana me Hypaque, Renografin, a me Urografin, i hana ʻia no nā ʻano hana kiʻi like ʻole.

Hiki i nā lama like ʻole ke loaʻa nā ʻano like ʻole o ka diatrizoate a i ʻole nā ʻano hana like ʻole i hoʻolālā ʻia no nā pono kiʻi kūikawā. E koho kāu kauka i ka lama a me ka mana kūpono loa e pili ana i kāu hana kūikawā a me nā maʻi olakino. ʻAʻole pili nui ka inoa lama i ke ʻano o ka hana ʻana o ka lāʻau i loko o kou kino, akā hiki ke hoʻopili i nā mea e like me ka hōʻoluʻolu o ka injection a i ʻole ka maikaʻi o ke kiʻi no kekahi mau hana.

Nā Koho ʻē aʻe no Diatrizoate

Hiki i kekahi mau mea hoʻohālikelike ʻē aʻe ke hāʻawi i ka hoʻomaikaʻi ʻana i ke kiʻi like, a hiki i kāu kauka ke ʻōlelo aku i nā koho ʻē aʻe e pili ana i kāu mau pono olakino kūikawā, nā maʻi maʻi, a i ʻole ke ʻano o ke kaʻina hana āu e hana nei. Hāʻule kēia mau koho ʻē aʻe i nā ʻano like ʻole me nā pōmaikaʻi a me nā manaʻo like ʻole.

ʻO nā mea hoʻohālikelike non-ionic e like me iohexol (Omnipaque) a i ʻole iopamidol (Isovue) he mau koho kaulana e hiki ke hana i nā hopena ʻaoʻao liʻiliʻi a me nā hopena maʻi. ʻO kēia mau mea hou aku i makemake nui ʻia no ka poʻe me nā pilikia o ka puʻupaʻa, nā maʻi o ka naʻau, a i ʻole nā hopena hoʻohālikelike mua no ka mea he ʻoluʻolu lākou i kāu ʻōnaehana.

No kekahi mau hana, hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻohālikelike i hoʻokumu ʻia i ka gadolinium, i hoʻohana nui ʻia no nā scans MRI ma mua o nā X-ray a i ʻole CT scans. Hāʻawi ʻo Barium sulfate i kahi koho ʻē aʻe no ke kiʻi ʻana i ka gastrointestinal, akā lawe ʻia ma ka waha ma mua o ka hoʻokomo ʻia ʻana i loko o ka vein.

I kekahi mau hihia, hiki i kāu kauka ke hana i ke kiʻi me ka ʻole o kekahi mea ʻokoʻa, akā ʻaʻole paha e hāʻawi kēia i ka ʻike kikoʻī. Aia ke koho o nā mea ʻē aʻe i ka mea e pono ai kāu kauka e ʻike, kāu mōʻaukala olakino, a me nā lako kiʻi kūikawā i loaʻa.

Ua ʻoi aku ka maikaʻi o Diatrizoate ma mua o Iohexol?

He mau mea ʻokoʻa maikaʻi ʻo Diatrizoate a me iohexol, akā he mau ʻano like ʻole ko lākou e kūpono ai kēlā me kēia no nā kūlana kūikawā. ʻAʻole maʻamau kekahi o lākou i ka

Hiki ke hoʻohana palekana ʻia ka Diatrizoate i nā poʻe me ka maʻi diabetes, akā pono ke kauka e mālama i kekahi mau hana kūikawā. Inā ʻoe e lawe ana i ka metformin (he lāʻau maʻi diabetes maʻamau), pono paha ʻoe e hooki i ka lawe ʻana i ia mea no 48 mau hola ma mua a ma hope o kāu hana contrast. Kōkua kēia hoʻomaha manawa i ka pale ʻana i kahi maʻi laha ʻole akā koʻikoʻi i kapa ʻia ʻo lactic acidosis.

Hiki ke loli iki nā pae kōpaʻa koko ma hope o ka loaʻa ʻana o ka diatrizoate, no laila e nānā pono kāu hui mālama ola iā ʻoe. E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau no ka maʻi diabetes a e hahai i kā lākou ʻōlelo aʻoaʻo e pili ana i ka ʻai ʻana, ka inu ʻana, a me ka manawa lāʻau ma mua o kāu hana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Diatrizoate?

He mea laha loa ka overdose diatrizoate no ka mea e helu pono ana nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia a hāʻawi i ka nui pololei āu e pono ai. Inā hāʻawi ʻia ka nui o ka mea hoʻohālikelike, e ʻike koke kāu hui lapaʻau i ke kūlana a hana i nā hana kūpono.

ʻO ka mālama ʻana i ka nui o ka diatrizoate e kālele ana i ke kākoʻo ʻana i ke kaʻina hana hoʻopau maoli o kou kino a me ka mālama ʻana i nā hōʻailona e ulu ana. Hiki i kēia ke komo i nā wai IV hou e kōkua i kou mau puʻupaʻa e hana i ka contrast wikiwiki, nā lāʻau lapaʻau e kāohi i ke koko a i ʻole ka puʻuwai, a me ka nānā pono ʻana a hiki i ka hoʻomaʻemaʻe ʻana o ka contrast nui i kāu ʻōnaehana.

He aha kaʻu e hana ai inā hala iaʻu kahi mahele o Diatrizoate?

ʻAʻole hiki iā ʻoe ke

ʻAʻole he lāʻau lapaʻau ʻo Diatrizoate āu e “hooki ai i ka lawe ʻana” ma ke ʻano kuʻuna no ka mea, hāʻawi ʻia ia i hoʻokahi wale nō manawa i ka wā o kāu hana kiʻi. Hoʻopau maoli kou kino i ka mea ʻokoʻa i nā hola a me nā lā e hiki mai ana ma o ka hana maʻamau o nā puʻupaʻa a me ka mimi.

Hoʻomaʻemaʻe ka hapa nui o nā kānaka i ka hapa nui o ka diatrizoate mai ko lākou ʻōnaehana i loko o 24 mau hola, ʻoiai e hiki ke lawe i kekahi mau lā no ka hoʻopau ʻana. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hooki i ka lāʻau - mālama maʻalahi kou mau puʻupaʻa i kēia hana.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o Diatrizoate?

Hiki i ka hapa nui o nā kānaka ke kalaiwa i ka home ma hope o ka loaʻa ʻana o ka diatrizoate, akā pili kēia i ke ʻano o kou manaʻo ma hope o ke kaʻina hana a me ke ʻano o ke kiʻi āu i loaʻa ai. Loaʻa i kekahi poʻe ka ʻehaʻeha māmā, ka nausea, a i ʻole ka luhi e hiki ke hoʻopilikia i ko lākou hiki ke kalaiwa palekana.

E loiloi kāu hui mālama ola i ke ʻano o kou manaʻo ma mua o ka hoʻokuʻu ʻana a e haʻi iā ʻoe inā palekana ke kalaiwa ʻana. Inā loaʻa iā ʻoe ka sedation me ka mea ʻokoʻa, pono ʻoe i kekahi e kalaiwa iā ʻoe i ka home. Ke kānalua, ʻoi aku ka palekana o ka hoʻonohonoho ʻana i nā kaʻa ʻē aʻe ma mua o ka pilikia o ke kalaiwa ʻana ke ʻaʻole ʻoe e manaʻo maʻamau.