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

ʻO Gadopentetate kahi mea ʻokoʻa e kōkua ai i nā kauka e ʻike maopopo i kou mau ʻōpū o loko i ka wā o nā scans MRI. Aia i loko o kēia lāʻau lapaʻau ka gadolinium, he metala kūikawā e hana e like me ka mea hōʻailona no nā ʻiʻo o kou kino ke hana ʻoe i ke kiʻi resonance magnetic.

Ke loaʻa iā ʻoe ka gadopentetate ma o ka IV, hele ia ma kou kahe koko a hoʻololi i ka manawa i ke ʻano o kekahi mau wahi o kou kino i nā kiʻi MRI. ʻOi aku ka maʻalahi o kēia no kāu hui mālama ola e ʻike i nā pilikia, e ʻike i nā kūlana, a e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa no ʻoe.

No ke aha e hoʻohana ʻia ai ka Gadopentetate?

Kōkua ʻo Gadopentetate i nā kauka e kiʻi i nā kiʻi maopopo a kikoʻī o kou mau ʻōpū a me nā ʻiʻo i ka wā o nā scans MRI. He mea pono loa ia i ka wā ʻaʻole e hōʻike ana nā kiʻi MRI maʻamau i nā kikoʻī lawa e hana i kahi hōʻailona pololei.

Hiki i kāu kauka ke ʻōlelo aku i ka gadopentetate inā pono lākou e nānā i kou lolo, iwi kuamoʻo, puʻuwai, nā kīʻaha koko, a i ʻole nā ​​ʻōpū ʻē aʻe. ʻO ka mea ʻokoʻa e hoʻomaopopo maopopo i nā ʻiʻo maʻamau, e kōkua ana i ka ʻike ʻana i nā maʻi maʻi, ka mumū, nā pilikia o nā kīʻaha koko, a i ʻole nā ​​maʻi olakino ʻē aʻe.

He mea kōkua nui kēia lāʻau lapaʻau no ka ʻike ʻana i nā maʻi maʻi lolo, nā maʻi sclerosis lehulehu, nā pilikia o ka puʻuwai, a me nā maʻi o nā kīʻaha koko. Hiki nō hoʻi ke kōkua i nā kauka e nānā i ka maikaʻi o ka hana ʻana o kekahi mau lāʻau lapaʻau i ka manawa.

Pehea e hana ai ka Gadopentetate?

Hana ʻo Gadopentetate ma ka hoʻololi ʻana i nā waiwai magnetic o nā ʻiʻo o kou kino i ka wā o ka scan MRI. Ke launa pū nā magnets ikaika o ka mīkini MRI me ka gadolinium i loko o kēia lāʻau lapaʻau, lilo kekahi mau wahi o kou kino i ʻoi aku ka mālamalama a i ʻole ka pouli ma nā kiʻi.

Ua manaʻo ʻia kēia mea hoʻohālikelike he lāʻau lapaʻau ikaika waena i ʻae maikaʻi ʻia e ka hapa nui o nā kānaka. ʻAʻole ia e mālama maoli i nā maʻi olakino akā he mea hana diagnostic e kōkua i kāu hui mālama ola e ʻike i ka mea e hana nei i loko o kou kino.

Ua nui loa nā ʻāpana gadolinium e komo i loko o nā cell olakino, no laila e noho lākou i loko o kou kahe koko a me nā wahi ma waena o nā cell. Eia naʻe, ma nā wahi kahi e loaʻa ai ka mumū, ka maʻi, a i ʻole ka ulu ʻana o nā ʻiʻo maʻamau ʻole, hiki i ka mea hoʻohālikelike ke komo i loko o kēia mau wahi pilikia, e ʻike ʻia ai lākou ma ka scan.

Pehea wau e lawe ai i ka Gadopentetate?

Hāʻawi mau ʻia ʻo Gadopentetate ma o ka laina intravenous (IV) e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia i loko o kahi keʻena lapaʻau. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma ka waha.

Ma mua o kāu manawa MRI, hiki iā ʻoe ke ʻai a inu maʻamau ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī. ʻAʻohe pono e pale i ka meaʻai a i ʻole e hoʻololi i kāu mau lāʻau lapaʻau maʻamau ma mua o ka loaʻa ʻana o ka gadopentetate.

I ka wā o ke kaʻina hana, e hoʻokomo kahi mea mālama ola i kahi catheter IV liʻiliʻi i loko o kahi vein i kou lima a i ʻole ka lima. E hoʻokomo ʻia ka hopena gadopentetate ma o kēia laina IV, maʻamau i ka waena o kāu scan MRI ke pono ka ʻenehana i nā kiʻi hoʻohālikelike.

He mau kekona wale nō ka injection, a hiki iā ʻoe ke ʻike i kahi manaʻo ʻoluʻolu a i ʻole ke kaomi iki ma ke kahua IV. ʻIke kekahi poʻe i kahi ʻono metala i loko o ko lākou waha a i ʻole e ʻoluʻolu iki no hoʻokahi a ʻelua mau minuke ma hope o ka injection.

Pehea ka lōʻihi e lawe ai au i ka Gadopentetate?

He injection hoʻokahi wale nō ʻo Gadopentetate i hāʻawi ʻia i ka wā o kāu scan MRI. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau no nā lā, nā pule, a i ʻole nā mahina e like me nā lāʻau lapaʻau ʻē aʻe.

Hoʻomaka ka mea hoʻohālikelike e hana koke ma hope o ka injection a hāʻawi i nā kiʻi maopopo loa no kahi o 30 a 60 mau minuke. E hoʻopau ʻia kāu scan MRI i loko o kēia manawa e hopu i nā kiʻi maikaʻi loa.

Hoʻopau maoli kou kino i ka hapa nui o ka gadopentetate ma o kou mau puʻupaʻa i loko o 24 mau hola. Eia naʻe, hiki ke noho nā mea liʻiliʻi i loko o kou ʻōnaehana no kekahi mau lā a i ʻole mau pule, he mea maʻamau loa ia a ʻaʻole ia he mea ʻino no ka poʻe me ka hana puʻupaʻa olakino.

He aha nā hopena ʻaoʻao o Gadopentetate?

ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao mai ka gadopentetate, a i ka wā e loaʻa ai nā hopena ʻaoʻao, he maʻalahi a he manawa pōkole. ʻO ka hoʻomaopopo ʻana i ka mea e hiki ke hana, hiki ke kōkua iā ʻoe e mākaukau a emi ka hopohopo e pili ana i kāu MRI.

ʻO nā hopena ʻaoʻao maʻamau i ʻike ʻia e kekahi poʻe, ʻo ia:

• He manaʻo anuanu a i ʻole he ʻono metala i ka wā e hoʻokomo ai
• He mehana iki a i ʻole ka manaʻo ʻulaʻula
• He nausea maʻalahi e hala koke ana
• He poʻo e hoʻoponopono i loko o kekahi mau hola
• He ʻūlū a i ʻole ka māmā
• He ʻeha liʻiliʻi a i ʻole ka pehu ʻana ma ka pūnaewele IV

ʻO kēia mau hopena maʻamau e mae maʻamau i loko o nā minuke a i ʻole nā hola ma hope o kāu scan a ʻaʻole pono i kekahi lapaʻau kūikawā.

He mea maʻamau loa nā hopena ʻaoʻao koʻikoʻi akā hiki ke komo i nā hopena maʻi. Eia nā hōʻailona e pono ai ka lāʻau lapaʻau koke:

• He paʻakikī ka hanu ʻana a i ʻole ka ʻū
• He ʻili ʻili koʻikoʻi a i ʻole nā hives
• Ka pehu ʻana o kou maka, nā lehelehe, ke alelo, a i ʻole ka ʻāʻī
• He nausea koʻikoʻi a me ka luaʻi
• He puʻuwai wikiwiki a i ʻole ka ʻeha o ka umauma
• He ʻūlū koʻikoʻi a i ʻole ka hāʻule

Hana ʻia kēia mau hopena koʻikoʻi i ka liʻiliʻi ma mua o 1% o ka poʻe e loaʻa ana i ka gadopentetate. Ua aʻo maikaʻi ʻia ka hui lapaʻau e nānā ana i kāu scan e mālama i kēia mau kūlana inā loaʻa lākou.

Hiki ke loaʻa kahi maʻi maʻamau loa akā koʻikoʻi i kapa ʻia ʻo nephrogenic systemic fibrosis i ka poʻe me ka maʻi puʻupaʻa koʻikoʻi. ʻO ia ke kumu e nānā ai kāu kauka i kāu hana puʻupaʻa ma mua o ka hāʻawi ʻana iā ʻoe i ka gadopentetate inā he pilikia kou puʻupaʻa.

ʻO wai ka mea pono ʻole e lawe i ka Gadopentetate?

He palekana ʻo Gadopentetate no ka hapa nui o nā kānaka, akā aia kekahi mau kūlana kahi e koho ai kāu kauka i kahi ala ʻokoʻa a i ʻole e mālama i nā hana hou. E nānā pono kāu hui mālama ola i kāu moʻolelo olakino ma mua o kāu MRI.

Pono ʻoe e haʻi i kāu kauka inā he maʻi kīkī koʻikoʻi a i ʻole ka maʻi kīkī. ʻO ka poʻe me ka hana kīkī maikaʻi ʻole loa he pilikia nui lākou i ka hoʻomohala ʻana i ka nephrogenic systemic fibrosis, kahi maʻi koʻikoʻi e pili ana i ka ʻili a me nā ʻōkana ʻē aʻe.

Inā hāpai ʻoe, e noʻonoʻo pono kāu kauka i nā pōmaikaʻi a me nā pilikia o ka hoʻohana ʻana i ka gadopentetate. ʻOiai ʻaʻohe hōʻike e hoʻoulu ai i nā kīnā hānau, ʻaʻole ia e hoʻohana ʻia i ka wā hāpai ke ʻole he mea pono loa no kou olakino.

Pono ka poʻe me ka mōʻaukala o nā hopena maʻi koʻikoʻi i nā mea ʻokoʻa i hoʻokumu ʻia i ka gadolinium e haʻi i kā lākou hui mālama ola. Hiki i kāu kauka ke kūkākūkā i nā koho kiʻi ʻē aʻe a i ʻole e mālama i nā hana kūikawā inā pono ka MRI me ka ʻokoʻa.

Inā hānai ʻoe, hiki iā ʻoe ke hoʻomau i ka hānai ʻana ma hope o ka loaʻa ʻana o ka gadopentetate. He liʻiliʻi wale nō ka nui e hele i loko o ka waiū umauma, a palekana kēia mau mea liʻiliʻi no kāu pēpē.

Nā inoa inoa o Gadopentetate

Loaʻa ʻo Gadopentetate ma lalo o nā inoa inoa like ʻole, ʻo Magnevist ka mea i hoʻohana nui ʻia ma ʻAmelika Hui Pū ʻIa. ʻO nā inoa inoa ʻē aʻe e pili ana iā Magnegita ma kekahi mau ʻāina.

Ma waho aʻe o ka inoa inoa, aia nā huahana gadopentetate a pau i ka mea hana like a hana ma ke ala like. E hoʻohana kāu keʻena mālama ola i ka inoa inoa i loaʻa iā lākou, a e like ka pono.

Inā he nīnau kāu e pili ana i ka inoa inoa kikoʻī āu e loaʻa ai, hiki iā ʻoe ke nīnau i kāu mea loea MRI a i ʻole ka mea mālama ola e mālama ana i kāu scan.

Nā koho ʻē aʻe o Gadopentetate

Hiki ke hoʻohana ʻia kekahi mau mea hoʻohālikelike gadolinium ʻē aʻe ma kahi o ka gadopentetate, ma muli o ke ʻano o ka MRI scan āu e pono ai. Aia kēia mau koho ʻē aʻe i ka gadoterate (Dotarem), gadobutrol (Gadavist), a me gadoxetate (Eovist).

Loaʻa i kēlā me kēia koho ʻē aʻe nā waiwai ʻokoʻa iki e kūpono ai ia no kekahi mau ʻano scans. No ka laʻana, ua hoʻolālā kūikawā ʻia ka gadoxetate no ke kiʻi ʻana i ke akepaʻa, ʻoiai ʻo ka gadobutrol e hāʻawi i nā kiʻi maikaʻi loa o nā kīʻaha koko.

E koho kāu kauka i ka mea hoʻohālikelike maikaʻi loa ma muli o ka ʻāpana o kou kino e pono ai ke nānā ʻia a me kou kūlana olakino pilikino. He palekana a maikaʻi nā koho ʻē aʻe a pau no ka hapa nui o nā kānaka.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi MRI me ka ʻole o ka hoʻohālikelike inā ua pōʻino nui kāu hana ʻāpana a i ʻole he mau maʻi olakino ʻē aʻe e pilikia ai nā mea hoʻohālikelike.

Ua ʻoi aku ka maikaʻi o Gadopentetate ma mua o nā mea hoʻohālikelike ʻē aʻe?

ʻAʻole pono ka gadopentetate i ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o nā mea hoʻohālikelike ʻē aʻe - he hoʻokahi wale nō o nā koho maikaʻi loa e hiki ai i nā kauka ke koho mai. ʻO ka mea hoʻohālikelike

ʻAe, palekana maʻamau ka gadopentetate no ka poʻe me ka maʻi diabetes, inā maʻamau kāu hana puʻupaʻa. Eia naʻe, inā loaʻa iā ʻoe ka maʻi puʻupaʻa diabetic, e nānā kāu kauka i kāu hana puʻupaʻa ma mua o ka hāʻawi ʻana iā ʻoe i ka mea ʻokoʻa.

Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau diabetes i kapa ʻia ʻo metformin ma hope o ka loaʻa ʻana o ka gadopentetate inā loaʻa iā ʻoe nā pilikia puʻupaʻa. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu mau lāʻau lapaʻau diabetes inā pono.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka gadopentetate?

He mea maʻamau loa ka overdose gadopentetate no ka mea ua hāʻawi ʻia e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia e helu pono i ka nui kūpono. Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui, hiki i ka hui lapaʻau e nānā ana i kāu scan ke pane i kāu mau hopohopo i ka manawa koke.

ʻO nā hōʻailona o ka loaʻa ʻana o ka nui o ka ʻokoʻa e komo paha i ka nausea koʻikoʻi, ka luaʻi ʻana, a i ʻole nā ​​hōʻailona maʻamau. Ua aʻo ʻia ka hui mālama ola e ʻike a mālama i kēia mau kūlana me ka wikiwiki inā loaʻa.

Q3. He aha kaʻu e hana ai inā haʻalele wau i kaʻu manawa MRI?

Inā haʻalele ʻoe i kāu manawa MRI i hoʻonohonoho ʻia, e kelepona wale i ke kikowaena kiʻi e hoʻonohonoho hou. No ka mea, hāʻawi ʻia ka gadopentetate i ka wā o ka scan MRI, ʻaʻole pili ka haʻalele ʻana i kahi manawa i kekahi papa lāʻau lapaʻau.

E hoʻāʻo e hoʻonohonoho hou i ka hiki wawe, ʻoi aku hoʻi inā ua kauoha kāu kauka i ka MRI e noiʻi i nā hōʻailona a i ʻole e nānā i kahi maʻi lapaʻau. ʻO ka hapa nui o nā kikowaena kiʻi e hoʻomaopopo ana i nā paio hoʻonohonoho a e hana pū me ʻoe e ʻimi i kahi manawa hou.

Q4. I ka manawa hea e hiki ai iaʻu ke hoʻomau i nā hana maʻamau ma hope o ka loaʻa ʻana o ka gadopentetate?

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau a pau ma hope koke o kāu scan MRI me ka gadopentetate. ʻAʻohe kapu i ka hoʻokele, ka hana, ka hoʻoikaika kino, a i ʻole nā ​​hana i kēlā me kēia lā.

Manaʻo kekahi poʻe e luhi iki ma hope o ka MRI, akā, ma muli paha o ka moe ʻana me ka neʻe ʻole no ka manawa lōʻihi ma mua o ka mea hoʻohālikelike ponoʻī. Inā ʻike ʻoe i nā hōʻailona ʻokoʻa ma hope o kāu scan, e kelepona i kāu mea mālama ola.

Q5. E hoʻopilikia anei ka gadopentetate i nā lāʻau lapaʻau ʻē aʻe aʻu e lawe nei?

ʻAʻole pili ka Gadopentetate me ka hapa nui o nā lāʻau lapaʻau, a hiki iā ʻoe ke hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau maʻamau e like me ke kauoha. Eia naʻe, inā ʻoe e lawe ana i ka metformin no ka maʻi diabetes a loaʻa nā pilikia o ka puʻupaʻa, hiki i kāu kauka ke noi iā ʻoe e hooki i ka metformin no kekahi manawa.

E hōʻike mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei. Kōkua kēia iā lākou e hana i nā hoʻoholo palekana e pili ana i kāu mālama a ʻike i nā pilikia e hiki mai ana ma mua o kāu MRI.