He aha ka Indocyanine Green? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau Kūloko

ʻO ka indocyanine green he waihoʻoluʻu kūikawā i hoʻohana ʻia e nā kauka e ʻike i ke kahe koko a me ka hana o nā ʻōkana i ka wā o nā kaʻina hana lapaʻau. Hoʻomālamalama kēia waihoʻoluʻu fluorescent ma lalo o ke kukui infrared, e kōkua ana i kāu hui lapaʻau e ʻike i nā kīʻaha koko, nā lymph node, a me nā ʻiʻo i ka manawa maoli. Hoʻohana pinepine ʻia i nā ʻokiʻoki, nā hoʻokolohua maka, a me nā hoʻokolohua diagnostic e alakaʻi i ka lapaʻau a hōʻoia i kou palekana.

He aha ka Indocyanine Green?

ʻO ka indocyanine green (ICG) he waihoʻoluʻu hiki ke hoʻoheheʻe ʻia i ka wai e hoʻokomo ai nā kauka i kou kino e hōʻike i nā wahi kikoʻī i ka wā o nā kaʻina hana lapaʻau. Hoʻopili ka waihoʻoluʻu i nā protein i loko o kou koko a ʻālohilohi ʻōmaʻomaʻo ma lalo o nā kamera infrared kūikawā. Hāʻawi kēia i kāu hui lapaʻau e ʻike i ke kahe koko, e ʻike i ke olakino o ka ʻiʻo, a e ʻimi i nā hale nui e like me nā lymph node i ka wā o ke ʻoki.

Ua hoʻomohala mua ʻia ka waihoʻoluʻu i ka makahiki 1950 a ua hoʻohana palekana ʻia i nā miliona o nā kaʻina hana lapaʻau ma ka honua holoʻokoʻa. Hoʻopau maoli kou kino i ka ICG ma o kou ate i loko o 24 mau hola, e lilo ia i mea hana diagnostic manawa akā waiwai.

Pehea ka manaʻo o Indocyanine Green?

ʻAʻole manaʻo ka hapa nui o nā kānaka i kekahi mea ke hoʻokomo ʻia ka indocyanine green i loko o ko lākou kahe koko ma o ka IV. Hiki iā ʻoe ke ʻike i kahi ʻuʻuku liʻiliʻi mai ka hoʻokomo ʻana i ka nila, e like me nā mea ʻē aʻe. ʻAʻole hoʻokumu ka waihoʻoluʻu i ka ʻeha, ke kuni, a i ʻole ka hōʻoluʻolu i kona hele ʻana i kou kino.

Hōʻike kekahi poʻe i kahi manaʻo mahana māmā a i ʻole ka ʻono metala pōkole i ko lākou waha ma hope koke o ka injection. ʻO kēia mau manaʻo e mau ana no kekahi mau kekona a he mea maʻamau loa. Hiki ke ʻike iki ʻia kou ʻili i ka ʻōmaʻomaʻo ma lalo o ke kukui maʻamau, akā e mae koke kēia i ka wā e hana ai kou kino i ka waihoʻoluʻu.

Inā hoʻokomo ʻia ka waihoʻoluʻu ma lalo o kou ʻili (intradermal route), hiki iā ʻoe ke ʻike i kahi puʻupuʻu liʻiliʻi a i ʻole ke kaomi liʻiliʻi ma kahi o ka injection. He like kēia me ka loaʻa ʻana o kahi hoʻāʻo ʻili tuberculosis a hoʻoponopono i loko o kekahi mau minuke.

He aha ke kumu o ka pono no Indocyanine Green?

Hoʻohana nā kauka i ka indocyanine green ke pono lākou e ʻike i ke kahe koko a i ʻole e ʻike i nā ʻiʻo kikoʻī i ka wā o nā kaʻina hana lapaʻau. Hiki i kāu mea mālama ola ke ʻōlelo aku i ka ICG inā e hana ana ʻoe i ke ʻoki ʻana kahi e pono ai ka ʻike kikoʻī no kou palekana a me ka holomua o ka mālama ʻana.

Eia nā kumu nui e hoʻohana ai kāu kauka i ka indocyanine green i ka wā o kāu mālama ʻana:

• ʻO ka ʻoki maka e nānā i nā kīʻaha koko i loko o kou retina
• ʻO ka ʻoki ʻana i ka maʻi kanesa e ʻike a wehe i nā lymph nodes
• ʻO ka hoʻāʻo ʻana i ka hana ate e nānā i ka maikaʻi o ka hana ʻana o kou ate i nā mea
• ʻO ka ʻoki puʻuwai e loiloi i ke kahe koko i ka ʻiʻo puʻuwai
• ʻO ka ʻoki plastik e hōʻoia i ka lawa ʻana o ke koko i nā ʻiʻo grafts
• ʻO ka loiloi hoʻōla ʻeha e hoʻoholo i ka hiki ke ola o nā ʻiʻo
• ʻO ka angiography e ʻike i nā kīʻaha koko ma kou kino

Hoʻohana kāu hui lapaʻau i ka ICG ma ke ʻano he mea hana e hāʻawi iā ʻoe i ka hōʻailona pololei loa a me ka mālama palekana loa. Kōkua ka waihoʻoluʻu iā lākou e hana i nā hoʻoholo maikaʻi aʻe i ka wā o kāu kaʻina hana.

He aha ka Indocyanine Green i hōʻailona a i ʻole hōʻailona o?

ʻAʻole ʻo Indocyanine green iho he hōʻailona o kekahi maʻi lapaʻau. Akā, he mea hana diagnostic e kōkua ana i nā kauka e ʻike a mālama i nā pilikia olakino like ʻole. Hōʻike ka waihoʻoluʻu i ka ʻike e pili ana i ka hana o kou kino i ʻike ʻole ʻia i ka wā o nā kaʻina hana.

Ke hoʻohana nā kauka i ka ICG, ke ʻimi nei lākou i nā hōʻailona o nā maʻi kikoʻī a i ʻole e nānā ana i ka pane ʻana o kou kino i ka mālama ʻana. Hiki i ka waihoʻoluʻu ke kōkua i ka ʻike ʻana i nā wahi o ke kahe koko maikaʻi ʻole, e ʻimi i nā cell maʻi kanesa, a i ʻole e loiloi i ka hana o nā ʻōpū. ʻO ka mea a ka waihoʻoluʻu e hōʻike ai i ka wā o kāu kaʻina hana e kōkua i kāu hui lapaʻau e hoʻomaopopo i kou kūlana olakino.

Hiki i nā hopena Indocyanine Green ke hele wale nō?

Hoʻopau maoli kou kino i ka indocyanine green ma o kou ate i loko o 12 a 24 mau hola ma hope o ka hoʻokomo ʻana. ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao, a e hana wale ka waihoʻoluʻu mai kou ʻōnaehana me ka ʻole o ke komo ʻana mai ou.

Inā ʻike ʻoe i nā hopena maʻalahi e like me ka hoʻololi ʻana o ka ʻili no ka manawa pōkole a i ʻole ka ʻono metala pōkole, e hoʻoponopono kēia mau mea iā lākou iho i ka wā e hoʻomaʻemaʻe ai kou kino i ka waihoʻoluʻu. He mea maʻamau loa ka ʻōmaʻomaʻo āu e ʻike ai ma kou ʻili a i ʻole ka mimi a e mae ana i ka wā e haʻalele ai ka waihoʻoluʻu i kou ʻōnaehana.

He mea maʻamau loa nā hopena maʻi maʻi koʻikoʻi i ka ICG, e kū ana i ka liʻiliʻi ma mua o 1 i loko o 10,000 mau kānaka. Inā he mau hōʻailona e pili ana iā ʻoe ma hope o ka loaʻa ʻana o ka ICG, e nānā pono kāu hui lapaʻau iā ʻoe a hāʻawi i ka lāʻau kūpono inā pono.

Pehea e mālama ʻia ai nā hopena ʻaoʻao Indocyanine Green ma ka home?

ʻAʻole pono ka hapa nui o nā kānaka i ka lāʻau lapaʻau ma ka home ma hope o ka loaʻa ʻana o ka indocyanine green no ka mea ʻaʻole maʻamau a maʻalahi nā hopena ʻaoʻao. Inā ʻike ʻoe i ka hoʻololi ʻana o ka ʻili ʻōmaʻomaʻo no ka manawa pōkole a i ʻole ka mimi, e inu wale i ka wai nui e kōkua i kou kino e hoʻopau i ka waihoʻoluʻu me ka wikiwiki.

Hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau ma hope koke o ka loaʻa ʻana o ka ICG. ʻAʻohe kapu meaʻai a i ʻole nā ​​hana kūikawā e pono ai ʻoe e hana ma ka home. E hana maoli kou kino a hoʻopau i ka waihoʻoluʻu me ke kōkua ʻole mai ou.

Inā ʻike ʻoe i nā hōʻailona maʻamau ma hope o kāu kaʻina hana, e hoʻokaʻaʻike i kāu mea mālama ola ma mua o ka hoʻāʻo ʻana e mālama iā lākou iā ʻoe iho. Hiki iā lākou ke hoʻoholo inā pili kāu mau hōʻailona i ka ICG a i ʻole kekahi ʻano o kāu mālama olakino.

He aha ka lāʻau lapaʻau no nā hopena Indocyanine Green?

ʻAʻole pono ka lāʻau lapaʻau no nā hopena ICG no ka mea ʻaʻole maʻamau loa nā hopena ʻaoʻao koʻikoʻi. Ke kū mai nā hopena, he maʻalahi lākou a hoʻoponopono koke me ka ʻole o ke komo ʻana.

Inā loaʻa iā ʻoe kahi hopena maʻi, e hāʻawi kāu hui lapaʻau i ka mālama kākoʻo koke. Hiki i kēia ke komo i nā antihistamines no nā hopena maʻalahi a i ʻole ka mālama ʻana i nā mea nui no nā pane koʻikoʻi. Ua aʻo ʻia kāu poʻe mālama ola e ʻike a mālama i nā pilikia e hiki ke kū mai.

I ka hanana kakaʻikahi o kahi hopena koʻikoʻi, loaʻa i kāu hui lapaʻau nā protocols i kahi e hōʻoia ai i kou palekana. E nānā lākou i kāu mau hōʻailona koʻikoʻi, e hāʻawi i ka oxygen inā pono, a e hāʻawi i nā lāʻau lapaʻau e kūʻē i nā hopena maikaʻi ʻole.

I ka manawa hea wau e ʻike ai i ke kauka no nā hopohopo Indocyanine Green?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā loaʻa iā ʻoe kekahi mau hōʻailona maʻamau ma hope o ka loaʻa ʻana o ka indocyanine green. ʻOiai he kakaʻikahi nā hopena koʻikoʻi, he mea nui e hōʻike i nā hopohopo i hiki i kāu hui lapaʻau ke loiloi pono i kou kūlana.

Eia nā hōʻailona kikoʻī e pono ai ka nānā ʻana i ka lāʻau lapaʻau koke ma hope o ka lawelawe ʻana i ka ICG:

• He paʻakikī ka hanu ʻana a i ʻole ka pōkole o ka hanu
• ʻEha o ka umauma a i ʻole ka puʻuwai wikiwiki
• Nausea nui a i ʻole ka luaʻi
• ʻO ka ʻili ʻili, nā hives, a i ʻole ka ʻili nui
• Ka pehu ʻana o kou maka, nā lehelehe, a i ʻole ka ʻāʻī
• ʻO ka ʻūlū a i ʻole ka hāʻule
• ʻEha nui ma kahi o ka injection

E hoʻomanaʻo e nānā maʻamau kāu hui lapaʻau iā ʻoe no kekahi manawa ma hope o ka lawelawe ʻana i ka ICG. Mai kānalua e ʻōlelo inā ʻike ʻoe i kekahi mea maʻamau i kēia manawa nānā.

He aha nā mea pilikia no nā hopena Indocyanine Green?

Hiki i ka hapa nui o nā kānaka ke loaʻa palekana i ka indocyanine green me ka liʻiliʻi o ka pilikia o nā hopena maikaʻi ʻole. Eia naʻe, hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā hopena ʻaoʻao a i ʻole nā ​​pilikia.

E nānā kāu mea mālama ola i kāu mōʻaukala olakino e ʻike i nā mea pilikia ma mua o ka lawelawe ʻana i ka ICG. Eia nā kūlana e hiki ke hoʻonui i kou pilikia:

• Nā hopena maʻi ma mua i nā waihoʻoluʻu ʻokoʻa a i ʻole nā lāʻau lapaʻau
• Maʻi ate koʻikoʻi a i ʻole ka hāʻule ʻana o ke ake
• Mōʻaukala o ka maʻi hānō a i ʻole nā maʻi maʻi koʻikoʻi
• Maʻi kīkī a i ʻole ka hana kīkī i hōʻemi ʻia
• Hāpai a i ʻole ka hānai ʻana i ka waiū
• Nā maʻi maʻi iodine a i ʻole nā iʻa pūpū (ʻoiai ʻaʻole pili i ka ICG)

ʻAʻole e hōʻole ʻakomi ka loaʻa ʻana o kēia mau mea pilikia iā ʻoe mai ka loaʻa ʻana o ka ICG. E ana kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa a hiki ke hana i nā hana hou e hōʻoia i kou palekana i ka wā o ke kaʻina hana.

He aha nā pilikia hiki ke loaʻa o ka Indocyanine Green?

He kakaikahi loa nā pilikia mai ka indocyanine green, akā he mea nui e hoʻomaopopo i ka mea e hiki ke hana. ʻAʻole ʻike ka hapa nui o nā kānaka i nā pilikia, a ʻo nā hanana maikaʻi ʻole e hana ʻia ma lalo o 1% o nā hihia.

ʻO nā hopena liʻiliʻi maʻamau āu e ʻike ai, ʻo ia:

• Hoʻololi ʻōmaʻomaʻo manawa o ka ʻili a i ʻole ka mimi
• ʻO ka ʻono metala pōkole i kou waha
• ʻO ka nausea maʻalahi e mau ana no kekahi mau minuke
• ʻO ka ʻoluʻolu liʻiliʻi ma ke kahua injection

ʻO nā pilikia kakaikahi akā koʻikoʻi e koi ana i ka lāʻau lapaʻau koke, ʻo ia:

• Nā hopena maʻi maʻi koʻikoʻi (anaphylaxis)
• Hāʻule nui i ke koko
• Nā pilikia hanu
• Nā arrhythmias cardiac

Ua mākaukau kāu hui lapaʻau e mālama i nā pilikia e hiki ke kū mai a e nānā pono iā ʻoe i ka wā a ma hope o ka lawelawe ʻana o ka ICG.

He maikaʻi a maikaʻi ʻole paha ka Indocyanine Green no nā kūlana kikoʻī?

He mea maikaʻi ka indocyanine green no ka hapa nui o nā maʻi lapaʻau kahi e pono ai ka ʻike maikaʻi. Kōkua ka waihoʻoluʻu i nā kauka e hāʻawi i ka mālama maikaʻi ma ka ʻae ʻana iā lākou e ʻike i nā hale a me ke kahe koko i ʻike ʻole ʻia.

No nā kānaka me ka maʻi ate, hiki i ka ICG ke hāʻawi i ka ʻike waiwai e pili ana i ka hana o ka ate. Akā naʻe, ʻo ka poʻe me ka maʻi ate koʻikoʻi e lohi paha i ka hana ʻana i ka waihoʻoluʻu, e koi ana i ka nānā pono. E noʻonoʻo kāu kauka i kou kūlana kikoʻī i ka wā e hoʻoholo ai inā kūpono ka ICG iā ʻoe.

I ka mālama ʻana i ka maʻi kanesa, kōkua nui ka ICG no ka mea hiki iā ia ke ʻike i nā lymph nodes a me nā kīʻaha koko, e kōkua ana i nā kauka e wehe i nā ʻōpū me ka mālama ʻana i nā ʻiʻo olakino. ʻO kēia pololei pinepine e alakaʻi i nā hopena maikaʻi a me nā pilikia liʻiliʻi.

He aha nā hopena o ka Indocyanine Green i hiki ke kuhi hewa ʻia?

ʻO nā hopena maʻalahi i ka indocyanine green i kekahi manawa e kuhi hewa ʻia no nā pilikia olakino ʻē aʻe, ʻoiai inā ʻaʻole ʻoe i ʻike ua hoʻohana ʻia ka ICG i kāu kaʻina hana. Hiki i ka hoʻololi ʻana i ka ʻōmaʻomaʻo no kekahi manawa ke hopohopo iā ʻoe inā ʻaʻole ʻoe i manaʻo.

He mea maʻamau ka mimi ʻōmaʻomaʻo ma hope o ka lawelawe ʻana i ka ICG a ʻaʻole pono e huikau me ka maʻi urinary tract a i ʻole nā pilikia kīkī ʻē aʻe. Pēlā nō, hiki ke kuhi hewa ʻia ka ʻono metala pōkole no nā hopena ʻaoʻao lāʻau a i ʻole nā pilikia niho.

Hiki ke huikau ʻia nā hopena koʻikoʻi me nā pilikia olakino ʻē aʻe. ʻO ia ke kumu he mea nui e haʻi aku i kekahi mea mālama ola e pili ana i ka lawelawe ʻana i ka ICG inā ʻoe e ʻimi i ka mālama olakino ma hope o kāu kaʻina hana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Indocyanine Green

Q.1 Pehea ka lōʻihi o ka indocyanine green e noho ai i loko o kou ʻōnaehana?

Hoʻomaʻemaʻe maʻamau ka indocyanine green mai kāu ʻōnaehana i loko o 12 a 24 mau hola ma hope o ka injection. Hoʻoponopono kou ate a hoʻopau i ka waihoʻoluʻu maoli, a ʻike ka hapa nui o nā kānaka i ka mae ʻana o kekahi hoʻololi ʻōmaʻomaʻo i loko o ka lā mua. Hiki ke ʻokoʻa iki ka manawa hoʻopau o ka waihoʻoluʻu ma muli o ka hana o kou ate a me ke olakino holoʻokoʻa.

Q.2 Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka indocyanine green?

Hiki i ka hapa nui o nā kānaka ke kalaiwa maʻamau ma hope o ka loaʻa ʻana o ka indocyanine green, no ka mea, ʻaʻole e hoʻoulu ka waihoʻoluʻu i ka hiamoe a i ʻole e hoʻopilikia i kou hiki ke hoʻokele i kahi kaʻa. Eia naʻe, ʻo ke kaʻina hana lapaʻau āu e loaʻa nei e pili ana i ka sedation a i ʻole nā lāʻau lapaʻau ʻē aʻe e hiki ke hoʻopilikia i kou hiki ke kalaiwa. E hahai i nā ʻōlelo aʻoaʻo kikoʻī a kāu kauka e pili ana i ke kalaiwa ʻana ma hope o kāu kaʻina hana.

Q.3 E hoʻopilikia anei ka indocyanine green i nā lāʻau lapaʻau ʻē aʻe?

He liʻiliʻi loa nā pilina lāʻau lapaʻau o ka indocyanine green a palekana ke hoʻohana ʻia me ka hapa nui o nā lāʻau lapaʻau. Eia naʻe, e hōʻike mau i kāu mea mālama ola e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei ma mua o ka loaʻa ʻana o ka ICG. Kōkua kēia iā lākou e hōʻoia i kou palekana a hoʻomaikaʻi i kāu hoʻolālā lapaʻau.

Q.4 Palekana anei ka indocyanine green i ka wā hāpai?

ʻAʻole i aʻo nui ʻia ka palekana o ka indocyanine green i ka wā hāpai, no laila, pale nā kauka i ka hoʻohana ʻana ke ʻole he mea pono. Inā hāpai ʻoe a i ʻole e hāpai ana, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu mea mālama ola. Hiki iā lākou ke loaʻa nā ʻano hana diagnostic ʻē aʻe ʻaʻole pono ka ICG.

Q.5 Hiki i nā keiki ke loaʻa ka indocyanine green me ka palekana?

Hiki ke hoʻohana palekana ʻia ka indocyanine green i nā keiki ke pono i ka lāʻau lapaʻau, ʻoiai e helu nā kauka i ka mahele ma muli o ke kaumaha a me ka makahiki o ke keiki. Hoʻopili ka hoʻohana pediatric o ICG i nā protocols palekana like me ka hoʻohana ʻana i nā mākua, me ka nānā pono ʻana i nā hopena ʻino. ʻO ka hoʻoholo e hoʻohana i ka ICG i nā keiki e pili mau ana i ke ana ʻana i nā pōmaikaʻi diagnostic e kūʻē i nā pilikia hiki.