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

He mea hoʻohui kūikawā ʻo Gadoxetate i hoʻohana ʻia i ka wā o nā scans MRI e kōkua i nā kauka e ʻike maopopo i kou ate a me nā ducts bile. E noʻonoʻo iā ia he mea hōʻike e hoʻomaikaʻi ai i kekahi mau ʻāpana o kou kino ma nā kiʻi lapaʻau, e like me ke ʻano o ka mea hōʻike e hoʻokū ai i ka kikokikona ma ka pepa.

No ka hui o nā mea i kapa ʻia he gadolinium-based contrast agents kēia lāʻau lapaʻau. Hāʻawi ʻia ia ma o kahi laina IV i ka wā o kāu manawa MRI a hana ma ka hoʻololi ʻana i ke ʻano o kou ʻiʻo ate i nā kiʻi scan.

No ke aha i hoʻohana ʻia ai ka Gadoxetate?

Hoʻohana nui ʻia ka Gadoxetate e kōkua i nā kauka e ʻike a loiloi i nā pilikia o ke ake i ka wā o nā scans MRI. Hiki i kāu kauka ke ʻōlelo aku i kēia mea hoʻohui ke pono lākou i kahi kiʻi maopopo o ka mea e hana nei i kou ate.

Kōkua ka lāʻau lapaʻau i ka ʻike ʻana i nā kūlana ate like ʻole me nā maʻi, nā cysts, a me nā mea ʻē aʻe i ʻike ʻole ʻia ma kahi MRI maʻamau. He mea pono loa ia no ka ʻike ʻana i nā maʻi ate liʻiliʻi i hiki ke nalo me ka ʻole o ka hoʻomaikaʻi ʻana i ka ʻokoʻa.

Hoʻohana pū nā kauka i ka gadoxetate e loiloi i ka maikaʻi o ka hana ʻana o kou ate a e nānā i kāu mau ducts bile no nā poloka a i ʻole nā ​​pilikia ʻē aʻe. Kōkua kēia kiʻi kikoʻī i kāu hui mālama ola e hana i nā diagnoses pololei a me nā hoʻolālā lapaʻau.

Pehea e hana ai ka Gadoxetate?

Hana ʻo Gadoxetate ma ka hoʻopili ʻia ʻana e nā cell ate olakino, e ʻālohilohi ai lākou ma nā kiʻi MRI. Hoʻokumu kēia lawe ʻana i kahi ʻokoʻa ma waena o ka ʻiʻo ate maʻamau a me nā wahi i loaʻa nā pilikia.

Ke hoʻokomo ʻia i loko o kou kahe koko, hele ka lāʻau lapaʻau i kou kino akā ua ʻākoakoa i loko o kou ate i loko o kekahi mau minuke. Lawe nā cell ate olakino i ka mea hoʻohui, ʻoiai ʻaʻole e komo nā wahi i pōʻino a i ʻole nā ​​mea maʻamau, e hana ana i nā ʻokoʻa ma ka scan.

Hoʻopau maoli kou kino i ka gadoxetate ma o kou mau puʻupaʻa a me ke akepaʻa. Ma kahi o ka hapalua e wehe ʻia ma o kou mimi, a ʻo ka hapalua ʻē aʻe e hele ma o kou bile a haʻalele ma o kou ʻōnaehana digestive.

Pehea e lawe ai au i ka Gadoxetate?

ʻAʻole ʻoe e lawe maoli i ka gadoxetate iā ʻoe iho - hāʻawi ʻia e kekahi loea mālama ola ma o kahi laina IV i ka wā o kāu manawa MRI. Hoʻokomo pololei ʻia ka lāʻau lapaʻau i loko o kahi vein i kou lima, maʻamau i loko o kekahi mau kekona.

Ma mua o kāu manawa, hiki iā ʻoe ke ʻai a inu maʻamau ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī. ʻAʻole pono ka hapa nui o nā kānaka e hana i nā loli meaʻai kūikawā ma mua o ka loaʻa ʻana o ka gadoxetate.

Hana ʻia ka injection i ka wā e moe ana ʻoe i ka mīkini MRI, a e loaʻa paha iā ʻoe i ka hapa o kāu scan. Hiki iā ʻoe ke ʻike i kahi manaʻo ʻoluʻolu ke komo ka lāʻau lapaʻau i kou kahe koko, akā he mea maʻamau kēia.

Pehea ka lōʻihi e lawe ai au i ka Gadoxetate?

He hoʻokahi wale nō ka injection gadoxetate i hāʻawi ʻia i ka wā o kāu scan MRI. ʻAʻole pono ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole e hoʻomau ma hope o kāu manawa kiʻi.

ʻO ka hopena o ka mea ʻokoʻa e mau ana no ka lōʻihi o ka pau ʻana o kāu scan MRI, maʻamau i loko o 30 a 60 mau minuke. Hoʻomaka kou kino e hoʻopau i ka lāʻau lapaʻau ma hope koke o ka injection.

E hoʻomaʻemaʻe ʻia ka hapa nui o ka gadoxetate mai kāu ʻōnaehana i loko o 24 mau hola ma o kāu hana maʻamau o ka puʻupaʻa a me ke akepaʻa. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e kōkua i kou kino e hoʻopau iā ia.

He aha nā hopena ʻaoʻao o Gadoxetate?

Hoʻomanawanui ka hapa nui o nā kānaka i ka gadoxetate, me nā hopena ʻaoʻao maʻamau a me ka manawa. Hana ʻia nā hopena maʻamau i ka wā a i ʻole ma hope koke o ka injection a hoʻoponopono maʻamau iā lākou iho.

Eia nā hopena ʻaoʻao āu e ʻike ai, me ka noʻonoʻo ʻana ʻaʻole loaʻa i nā kānaka he nui nā hopena ʻaoʻao:

ʻO nā hopena ʻaoʻao maʻamau:

• Ke ʻano mehana a i ʻole ka ʻulaʻula i ka wā e hoʻokomo ai
• He ʻono metala i loko o kou waha
• He ʻoluʻolu ka nausea
• He poʻo
• He wili
• He ʻoluʻolu ʻole i ka wahi i hoʻokomo ʻia ai

He pōkole maʻamau kēia mau hopena a ʻaʻole pono e mālama ʻia. He mea maʻamau ka manaʻo mehana a me ka ʻono metala, a he mau pane maʻamau loa ia i ka mea hoʻohālikelike.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e komo pū ana:

• Nā hopena maʻi me nā hives a i ʻole ka ʻōpala
• He paʻakikī ka hanu
• He pehu o ka maka, nā lehelehe, a i ʻole ka ʻāʻī
• He nausea a i ʻole ka luaʻi nui
• He ʻeha o ka umauma a i ʻole ka puʻuwai ʻole
• He wili nui a i ʻole ka ʻūlū

ʻOiai he mea maʻamau kēia mau hopena koʻikoʻi, pono lākou i ka lāʻau lapaʻau koke. Ua aʻo ʻia ka hui mālama ola e nānā ana i kāu scan e ʻike a mālama koke i kēia mau hopena inā loaʻa lākou.

He mea maʻamau loa akā he mau pilikia koʻikoʻi e komo pū ana:

• Fibrosis systemic nephrogenic (i ka poʻe me ka maʻi kīkī koʻikoʻi)
• Nā hopena maʻi koʻikoʻi (anaphylaxis)
• Nā pilikia kīkī i ka poʻe me ka maʻi kīkī

He mea maʻamau loa kēia mau pilikia koʻikoʻi, ʻoi aku hoʻi i ka poʻe me ka hana kīkī maʻamau. E loiloi kāu kauka i kou olakino kīkī ma mua o ka ʻōlelo ʻana i ka gadoxetate e hōʻemi i kēia mau pilikia.

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

ʻAʻole kūpono ka Gadoxetate no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia mea hoʻohālikelike. Pono paha ka poʻe me kekahi mau maʻi olakino i nā ʻano hana kiʻi ʻē aʻe.

ʻAʻole pono ʻoe e loaʻa i ka gadoxetate inā he maʻi kīkī koʻikoʻi a i ʻole ka hāʻule ʻana o ka kīkī. ʻO ka poʻe me ka hana kīkī i hōʻemi nui ʻia (ka helu kānana glomerular i manaʻo ʻia ma lalo o 30) e kū ana i nā pilikia kiʻekiʻe o nā pilikia koʻikoʻi.

Pono e pale aku ka poʻe i ʻike ʻia he maʻi maʻi i nā mea hoʻohālikelike gadolinium-based i ka gadoxetate. Inā ua loaʻa iā ʻoe kahi hopena koʻikoʻi i kekahi mea hoʻohālikelike i ka wā ma mua, e hōʻoia e haʻi i kāu hui mālama ola ma mua o kāu manawa.

ʻO nā wahine hāpai e pale maʻamau i ka gadoxetate ke ʻole ka maikaʻi o ka pono ma mua o nā pilikia. ʻOiai ʻaʻohe hōʻike o ka pōʻino i nā pēpē e ulu ana, makemake nā kauka e hoʻohana i nā ʻano hana kiʻi ʻē aʻe ke hiki i ka wā hāpai.

ʻAʻole kūpono paha ka poʻe me kekahi mau maʻi ate, ʻo ka hāʻule ʻana o ke ake koʻikoʻi, no ka gadoxetate no ka mea e hilinaʻi ana ka lāʻau lapaʻau i ka hana ate no ka hoʻopau ʻana.

Nā inoa inoa o Gadoxetate

Loaʻa ka Gadoxetate ma lalo o ka inoa inoa Eovist ma ʻAmelika Hui Pū ʻIa a me Kanada. Ma ʻEulopa a me nā wahi ʻē aʻe o ka honua, ua kūʻai ʻia ʻo ia ʻo Primovist.

E pili ana nā inoa inoa ʻelua i ka lāʻau lapaʻau like - gadoxetate disodium - a hana like no ka MRI ate imaging. ʻO ke koho ma waena o nā hōʻailona e hilinaʻi pinepine ʻia i ka mea i loaʻa i kāu ʻōnaehana mālama ola.

Nā koho ʻē aʻe o Gadoxetate

Hiki ke hoʻohana ʻia kekahi mau mea hoʻohālikelike ʻē aʻe no ka kiʻi MRI ate, ʻoiai he ʻano ʻokoʻa ko kēlā me kēia a me nā hoʻohana. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu kūlana kikoʻī a me ka ʻike e pono ai lākou mai kāu scan.

Hiki i nā mea hoʻohālikelike gadolinium-based ʻē aʻe e like me gadopentetate (Magnevist) a i ʻole gadobenate (MultiHance) ke hāʻawi i ke kiʻi ate, akā ʻaʻole like nā waiwai uptake ate-specific e like me ka gadoxetate.

No kekahi mau maʻi ate, hiki i kāu kauka ke ʻōlelo aku i kahi MRI maʻamau me ka ʻole o ka hoʻohālikelike, ultrasound, a i ʻole CT scan. Aia ke koho i ka mea a kāu kauka e ʻimi nei a me kāu mau kūlana olakino pilikino.

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

He mea maikaʻi ʻo Gadoxetate no ka nānā ʻana i ke akepaʻa, a he mea pono ia i kekahi mau kūlana. Hiki iā ia ke komo i loko o nā pūnaewele akepaʻa, a hāʻawi i ka ʻike ʻaʻole hiki i nā mea ʻē aʻe ke hāʻawi.

Ma mua o nā mea ʻē aʻe, hāʻawi ʻo gadoxetate i nā kauka i ʻelua ʻano ʻike: pehea e kahe ai ke koko i loko o kou akepaʻa a pehea e hana pono ai nā pūnaewele akepaʻa. He mea waiwai kēia no ka ʻike ʻana i nā maʻi liʻiliʻi i ke akepaʻa.

Akā, pili ka

Mai ka wā e hāʻawi ʻia ai ka gadoxetate i nā manawa MRI i hoʻonohonoho ʻia, ʻo ka nalo ʻana i kāu manawa e manaʻo ai e hoʻonohonoho hou i kāu scan holoʻokoʻa. E kelepona i kāu mea mālama ola a i ʻole ke kikowaena kiʻi i ka wā hiki ke hoʻonohonoho hou.

Mai hopohopo e pili ana i ka nalo ʻana i ka lāʻau lapaʻau - ʻaʻohe hopena haʻalele a i ʻole nā pilikia mai ka loaʻa ʻole o ka gadoxetate. ʻO ka hopohopo nui ka loaʻa ʻana o kāu kiʻi lapaʻau e pono ai i ka manawa kūpono.

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

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau a pau ma hope koke o kāu scan MRI me ka gadoxetate. ʻO ka hapa nui o nā kānaka e manaʻo maikaʻi loa a hiki ke hoʻokele iā lākou iho i ka home, hana, a komo i nā hana maʻamau.

Inā ʻoe e ʻike i ka ʻūlū a i ʻole ka maikaʻi ʻole ma hope o ka injection, e kali a hiki i ka pau ʻana o kēia mau hōʻailona ma mua o ka hoʻokele a i ʻole ka hana ʻana i nā mīkini. He pōkole a maʻalahi kēia mau hopena.

Q5. Hiki iaʻu ke hānai i ka waiū ma hope o ka loaʻa ʻana o ka gadoxetate?

Manaʻo nā alakaʻi lapaʻau i kēia manawa e hiki ke hoʻomau i ka hānai ʻana i ka waiū ma hope o ka loaʻa ʻana o ka gadoxetate. He liʻiliʻi wale nō o ka lāʻau lapaʻau e hele i loko o ka waiū umauma, a ʻaʻole maikaʻi ka lawe ʻia ʻana e nā pēpē ma o ka ʻōnaehana digestive.

Inā hopohopo ʻoe, hiki iā ʻoe ke pauma a hoʻolei i ka waiū umauma no 24 mau hola ma hope o kāu scan, ʻoiai ʻaʻole pono kēia hana e nā lāʻau lapaʻau. E kūkākūkā i kāu kūlana kikoʻī me kāu kauka inā he nīnau kāu e pili ana i ka hānai ʻana i ka waiū ma hope o ka gadoxetate.