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

He mea hoʻohālikelike kūikawā ʻo Gadofosveset i hoʻohana ʻia i ka wā o nā scans MRI e kōkua i nā kauka e ʻike maopopo i kou mau kīʻaha koko. E noʻonoʻo iā ia he mea hōʻailona e hoʻomālamalama i kou mau ʻaʻa a me nā veins ma ka scan, e ʻae ana i kāu hui lapaʻau e ʻike i nā pilikia e hūnā ana.

No ka hui o nā mea hoʻohālikelike i kapa ʻia ʻo gadolinium-based contrast agents kēia lāʻau. Ua hoʻolālā ʻia e noho i loko o kou mau kīʻaha koko no ka lōʻihi ma mua o nā waihoʻoluʻu maʻamau, e hāʻawi ana i nā kauka i ka manawa hou e kiʻi i nā kiʻi kikoʻī o kāu ʻōnaehana circulatory.

No ke aha i hoʻohana ʻia ai ka Gadofosveset?

Kōkua ʻo Gadofosveset i nā kauka e ʻike i nā pilikia me kou mau kīʻaha koko, ʻoiai ke manaʻo lākou i nā poloka a i ʻole nā pilikia ʻē aʻe. Hoʻohana pinepine ʻia ia i ka wā e pono ai kāu kauka e nānā i kāu mau ʻaʻa a me nā veins me ka kikoʻī nui.

ʻO ke kumu nui e loaʻa ai iā ʻoe kēia lāʻau lapaʻau no ka magnetic resonance angiography, a i ʻole MRA. He ʻano MRI kūikawā kēia e kālele ana i kāu mau kīʻaha koko. Hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha wāwae i ka wā e hele ai, ka pehu ʻana, a i ʻole ke manaʻo lākou he maʻi ʻaʻaʻa peripheral kāu.

I kekahi manawa hoʻohana nā kauka i ka gadofosveset i ka wā e pono ai lākou e nānā i ka maikaʻi o ke kahe ʻana o ke koko ma nā wahi kikoʻī o kou kino. Hiki i kēia ke kōkua iā lākou e hoʻolālā i nā lāʻau lapaʻau a i ʻole e nānā i ka maikaʻi o ka hana ʻana o nā lāʻau lapaʻau mua.

Pehea ka hana ʻana o Gadofosveset?

Hana ʻo Gadofosveset ma ka hoʻopaʻa ʻana i kahi protein i loko o kou koko i kapa ʻia ʻo albumin. ʻO kēia kaʻina hana e hoʻokaʻawale iā ia mai nā mea hoʻohālikelike ʻē aʻe a hiki iā ia ke noho i loko o kāu kahe koko no ka lōʻihi.

Ke hana ka mīkini MRI i kāna kahua magnetic, pane ka gadofosveset ma ka hoʻonui ʻana i ka ʻokoʻa ma waena o kou mau kīʻaha koko a me nā ʻiʻo a puni. Hoʻokumu kēia i nā kiʻi maopopo a kikoʻī e kōkua i kāu kauka e ʻike pololei i ka mea e hana nei i loko o kāu ʻōnaehana circulatory.

He mana waena ka lāʻau lapaʻau. He ikaika ia e hāʻawi i ke kiʻi maikaʻi loa akā he akahai hoʻi no ka hapa nui o nā kānaka e ʻae maikaʻi. ʻO ka hoʻopaʻa ʻana i ka albumin, ʻaʻole ia e kahe mai i waho o kou mau kīʻaha koko e like me nā mea ʻē aʻe, e hāʻawi ana i nā kauka i ka manawa hou e hopu ai i nā kiʻi e pono ai lākou.

Pehea e lawe ai au i ka Gadofosveset?

ʻAʻole ʻoe e lawe maoli i ka gadofosveset iā ʻoe iho. Akā, e hāʻawi kekahi limahana mālama ola i hoʻomaʻamaʻa ʻia iā ʻoe ma o ka laina IV i kou lima i ka wā o kāu manawa MRI.

Ma mua o kāu scan, ʻaʻole pono ʻoe e pale i ka meaʻai a i ʻole nā mea inu ke ʻole e haʻi pololei kāu kauka iā ʻoe. Eia naʻe, he mea kōkua ke noho hydrated maikaʻi ma ka inu ʻana i ka wai nui i nā lā ma mua o kāu hoʻokolohua. Hiki i kēia ke kōkua i kou mau puʻupaʻa e hana i ka mea ʻokoʻa me ka maʻalahi.

ʻO ka injection ponoʻī e lawe maʻamau i kekahi mau minuke. Hiki paha iā ʻoe ke ʻike i kahi manaʻo ʻoluʻolu iki i ka wā e komo ai ka lāʻau lapaʻau i kou kahe koko, akā he mea maʻamau kēia a ʻaʻohe mea e hopohopo ai.

Pehea ka lōʻihi e lawe ai au i ka Gadofosveset?

He injection hoʻokahi manawa ka Gadofosveset i hāʻawi ʻia i ka wā o kāu scan MRI. ʻAʻole pono ʻoe e hoʻomau i ka lawe ʻana ma ka home a i ʻole ma luna o kekahi mau lā e like me kekahi mau lāʻau lapaʻau ʻē aʻe.

Noho ka lāʻau lapaʻau i loko o kāu ʻōnaehana no kahi o 3-4 mau hola ma hope o ka injection, e hāʻawi ana i nā kauka i ka manawa nui e hopu ai i nā kiʻi a pau e pono ai lākou. E hoʻopau ʻia ka hapa nui o ia mea mai kou kino ma o kou mimi i loko o 24-48 mau hola.

Inā pono kāu kauka i nā scans hou i ka wā e hiki mai ana, e hāʻawi lākou iā ʻoe i kahi injection hou i kēlā manawa. ʻAʻohe pono no nā mahele hou i ka wā o ka hālāwai scanning like.

He aha nā hopena ʻaoʻao o Gadofosveset?

ʻAe ka hapa nui o nā kānaka i ka gadofosveset, me ka nui o ka ʻike ʻole i nā hopena ʻaoʻao. Ke loaʻa nā hopena ʻaoʻao, he maʻalahi a pōkole.

ʻO nā hopena ʻaoʻao maʻamau e hiki ke loaʻa iā ʻoe, he manaʻo pōkole o ka mehana a i ʻole ke anuanu i ka wā o ka injection, ka maʻi maʻi maʻi, a i ʻole ke poʻo liʻiliʻi. Hoʻoponopono maʻamau kēia mau hōʻailona iā lākou iho i loko o kekahi mau hola a ʻaʻole pono i kekahi lāʻau lapaʻau kūikawā.

ʻIke kekahi poʻe i ka ʻeha liʻiliʻi a i ʻole ka ʻeha ʻana ma kahi o ka injection. He mea maʻamau kēia a pono e mae koke. Hiki nō hoʻi iā ʻoe ke ʻike i kahi ʻono metala i kou waha i ka wā a i ʻole ma hope koke o ka injection, he mea manawa a me ka palekana.

ʻO nā hopena ʻaoʻao i ʻike ʻole ʻia akā hiki ke mālama ʻia, ʻo ia ka ʻūlū, ka luhi, a i ʻole ka huhū ʻili liʻiliʻi. He pōkole maʻamau kēia mau hopena a ʻaʻole e hoʻopilikia i kāu mau hana i kēlā me kēia lā ke haʻalele ʻoe i ka hale lapaʻau.

He mea maʻamau nā hopena ʻaoʻao koʻikoʻi akā hiki ke komo i nā hopena maʻi maʻi koʻikoʻi. ʻO nā hōʻailona e nānā ai, ʻo ia ka pilikia o ka hanu ʻana, ka pehu nui, a i ʻole ka ʻōpala ākea. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻimi koke i ka lāʻau lapaʻau.

Aia kekahi maʻi maʻamau i kapa ʻia ʻo nephrogenic systemic fibrosis e hiki ke loaʻa i ka poʻe me nā pilikia kīkī koʻikoʻi. ʻO ia ke kumu e nānā ai kāu kauka i kāu hana kīkī ma mua o ka hāʻawi ʻana iā ʻoe i ka gadofosveset.

ʻO wai ka mea ʻaʻole pono e lawe i ka Gadofosveset?

ʻAʻole kūpono ka Gadofosveset no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana. ʻO ka hopohopo nui ʻo ka hana kīkī, no ka mea, ʻoi aku ka nui o ka poʻe me ka maʻi kīkī koʻikoʻi.

ʻAʻole pono ʻoe e loaʻa i ka gadofosveset inā loaʻa iā ʻoe ka maʻi kīkī koʻikoʻi a i ʻole ma ka dialysis. E kauoha paha kāu kauka i nā hoʻokolohua koko e nānā i kāu hana kīkī ma mua o ka hoʻonohonoho ʻana i kāu scan. Pono paha ka poʻe me nā pilikia kīkī i nā ʻano hana kiʻi ʻē aʻe a i ʻole nā ​​hana kūikawā.

Inā hāpai ʻoe a i ʻole e hāpai ana, e haʻi koke i kāu kauka. ʻOiai ʻaʻole i hōʻoia ʻia ka gadofosveset i ka pōʻino i ka wā hāpai, makemake maʻamau nā kauka e pale i nā mea ʻokoʻa ke ʻole he mea pono loa no ke olakino o ka makuahine.

ʻAʻole pono e loaʻa i nā kānaka i ʻike ʻia he maʻi i ka gadolinium a i ʻole kekahi mea o ka gadofosveset kēia lāʻau lapaʻau. Inā ua loaʻa iā ʻoe nā hopena i nā mea hoʻohālikelike i ka wā ma mua, e hōʻoia i ka ʻike o kāu hui lapaʻau i kēia mōʻaukala.

Pono kekahi mau maʻi olakino i ka mālama kūikawā, me ka maʻi puʻuwai koʻikoʻi, nā pilikia o ke ake, a i ʻole ka mōʻaukala o nā hopu. E loiloi kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa i kēia mau kūlana.

Nā inoa inoa o Gadofosveset

ʻIke nui ʻia ʻo Gadofosveset e kona inoa inoa ʻo Ablavar ma ʻAmelika Hui Pū ʻIa. Ma kekahi mau ʻāina ʻē aʻe, loaʻa paha ia ma lalo o nā inoa inoa like ʻole, ʻoiai hiki ke ʻokoʻa ka loaʻa ʻana ma ka ʻāina.

E hōʻike kāu kauka a i ʻole ke kikowaena kiʻi iā ʻoe i ke ʻano maoli a lākou e hoʻohana nei. ʻO ka mea nui, aia nā mana a pau i ka mea hana like a hana like.

I ka wā e hoʻonohonoho ai i kāu manawa a i ʻole ke kūkākūkā ʻana i ke kaʻina hana, lohe paha ʻoe i nā mea mālama ola e kuhikuhi ana iā ia ma kona inoa maʻamau (gadofosveset) a i ʻole ka inoa inoa (Ablavar). He lāʻau lapaʻau like kēia.

Nā koho ʻē aʻe o Gadofosveset

Hiki ke hoʻohana ʻia kekahi mau mea hoʻohālikelike ʻē aʻe no nā scans MRI, ʻoiai he mau hoʻohana kikoʻī a me nā ʻano ponoʻī. E koho kāu kauka i ke koho maikaʻi loa ma muli o ka mea e pono ai lākou e ʻike a me kou kūlana olakino pilikino.

ʻO nā mea hoʻohālikelike ʻē aʻe i hoʻokumu ʻia i ka gadolinium me ka gadoteridol, gadobutrol, a me gadoterate meglumine. Hana like kēia mau mea me ka gadofosveset akā ʻaʻole pili i ka albumin, no laila e neʻe wikiwiki lākou ma kāu ʻōnaehana.

No kekahi mau ʻano kiʻi moku koko, hiki i nā kauka ke hoʻohana i nā ʻenehana like ʻole. Hiki i kēia ke komo i ka CT angiography me ka hoʻohālikelike ʻia i ka iodine a i ʻole ke kiʻi ultrasound, ma muli o ka ʻike e pono ai lākou.

I kekahi mau kūlana, hiki i kāu kauka ke ʻōlelo aku i ka MRI me ka ʻole o kekahi mea ʻokoʻa. Hiki i ka ʻenehana MRI hou ke hāʻawi i nā kiʻi kūpono me ka ʻole o ka ʻokoʻa, ʻoiai no nā kānana mua a i ʻole nā scans follow-up.

Ua ʻoi aku ka maikaʻi o Gadofosveset ma mua o nā mea ʻokoʻa ʻē aʻe?

He mau mea maikaʻi ʻo Gadofosveset no nā ʻano kiʻi kikoʻī, ʻoiai ke pono nā kauka i nā hiʻohiʻona kikoʻī a lōʻihi o kou mau kīʻaha koko. ʻO kona hiki ke hoʻopaʻa me ka albumin e hana pono ai ia no kekahi mau kūlana diagnostic.

Ke hoʻohālikelike ʻia me nā mea ʻokoʻa gadolinium maʻamau, noho ʻo Gadofosveset i loko o kou mau kīʻaha koko no ka lōʻihi, e ʻae ana i nā kiʻi kikoʻī o nā kīʻaha koko liʻiliʻi a me ka loiloi maikaʻi ʻana i nā ʻano kahe koko. Hiki ke kōkua nui kēia i ka loiloi ʻana i ka maʻi artery peripheral a i ʻole ka hoʻolālā ʻana i nā kaʻina hana vascular.

Eia naʻe,

E kauoha paha kāu kauka i nā hoʻokolohua koko e nānā i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa ma mua o ka hoʻonohonoho ʻana i kāu scan. Inā maʻamau ka hana ʻana o kou puʻupaʻa, ʻaʻole pono ka maʻi diabetes e pale iā ʻoe mai ka loaʻa ʻana o ka gadofosveset. Eia naʻe, inā he maʻi puʻupaʻa diabetic kāu, hiki i kāu kauka ke koho i kahi ala kiʻi ʻokoʻa a i ʻole e mālama i nā hana kūikawā.

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

ʻAʻole hiki ke loaʻa ka overdose o ka gadofosveset no ka mea e hāʻawi ʻia e nā poʻe lapaʻau i aʻo ʻia i kahi hoʻonohonoho i mālama ʻia. Hoʻohālikelike pono nā mea mālama ola i ka nui o ka lāʻau i hoʻokumu ʻia ma ke kaumaha o kou kino a me ke ʻano o ka scan e hana ʻia nei.

Inā hopohopo ʻoe e pili ana i ka nui āu i loaʻa ai, e kamaʻilio koke me kāu hui lapaʻau. Hiki iā lākou ke nānā iā ʻoe no nā hōʻailona maʻamau a hana i nā hana kūpono inā pono. ʻO ka nūhou maikaʻi, ua hoʻopau ʻia ka gadofosveset mai kou kino ma ke ʻano maoli ma o kou mau puʻupaʻa, no laila hiki i ka inu ʻana i ka wai nui ke kōkua i kēia kaʻina hana.

He aha kaʻu e hana ai inā loaʻa iaʻu nā hopena ʻaoʻao ma hope o ka Gadofosveset?

ʻO ka hapa nui o nā hopena ʻaoʻao mai ka gadofosveset he maʻalahi a hoʻoponopono iā lākou iho i loko o kekahi mau hola. Inā loaʻa iā ʻoe nā hōʻailona liʻiliʻi e like me ka nausea, ke poʻo, a i ʻole ka ʻono metala, he maʻamau kēia a ʻaʻole pono i ka lāʻau lapaʻau kūikawā.

Eia naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ka pilikia o ka hanu ʻana, ka pehu nui, ka ʻōpala ākea, a i ʻole ka ʻūlū nui, e ʻimi koke i ka lāʻau lapaʻau. Hiki i kēia mau mea ke hōʻailona o kahi hopena maʻi koʻikoʻi. E kelepona i kāu kauka inā he hopohopo kāu e pili ana i nā hōʻailona e ʻike ʻia he mea maʻamau a i ʻole e mau ana ma mua o ka mea i manaʻo ʻia.

I ka manawa hea e hiki ai iaʻu ke hoʻomau i nā hana maʻamau ma hope o ka Gadofosveset?

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau a pau ma hope koke o ka loaʻa ʻana o ka gadofosveset. ʻAʻole pili ka lāʻau lapaʻau i kou hiki ke hoʻokele, hana, a i ʻole e komo i kāu mau hana maʻamau i kēlā me kēia lā.

ʻO ka ʻōlelo aʻoaʻo wale nō, e inu i ka wai nui no ke koena o ka lā e kōkua i kou mau puʻupaʻa e hoʻopau i ka mea hoʻohālikelike. ʻAʻohe kapu ʻai a i ʻole nā palena hana ke ʻole e ʻōlelo ʻokoʻa kāu kauka ma muli o kou kūlana pilikino.

Pehea ka lōʻihi o ka noho ʻana o Gadofosveset i loko o koʻu ʻōnaehana?

Hoʻomaka ʻo Gadofosveset e hoʻopau ʻia mai kou kino i loko o nā hola ma hope o ka hoʻokomo ʻia ʻana, me ka hapa nui o ia mea i hala i loko o 24-48 mau hola. Hoʻoponopono ʻia ka lāʻau lapaʻau e kou mau puʻupaʻa a hoʻopau ʻia ma o kou mimi.

ʻOiai e mau ana ka hopena hoʻohālikelike no kekahi mau hola i ka wā o ke kiʻi ʻana, ʻaʻole e kūkulu maoli ka lāʻau lapaʻau i loko o kou ʻōnaehana a i ʻole e hoʻololi i ka wā lōʻihi. Mālama nā hana hoʻopau maoli o kou kino i ka wehe ʻana me ka maikaʻi, ʻo ia ke kumu e kōkua ai ka noho ʻana i ka wai i kēia hana.