He aha ka Iopromide: Nā Hoʻohana, Ka Leki, Nā hopena ʻaoʻao a me nā mea hou aku

He waihoʻoluʻu ʻo Iopromide e kōkua ana i nā kauka e ʻike ma loko o kou kino me ka maopopo i ka wā o nā hoʻokolohua kiʻi lapaʻau. Aia i loko o kēia wai maʻemaʻe ka iodine a hana e like me ka mea hōʻike no kou mau kīʻaha koko a me nā ʻōkana, e hana ana iā lākou e ʻālohilohi ma nā X-ray, CT scans, a me nā kaʻina hana kiʻi ʻē aʻe.

Ke loaʻa iā ʻoe ka iopromide, ke loaʻa nei iā ʻoe kahi mea hana palekana a ua hoʻāʻo maikaʻi ʻia i kōkua i nā miliona o nā kānaka e loaʻa nā hōʻailona pololei. E noʻonoʻo iā ia he mea kōkua manawa e hana ana i ka mea i ʻike ʻole ʻia, e ʻae ana i kāu hui lapaʻau e ʻike i nā pilikia a lākou e nalo ai.

No ke aha e hoʻohana ʻia ai ka Iopromide?

Kōkua ʻo Iopromide i nā kauka e nānā i kou mau kīʻaha koko, ka puʻuwai, nā puʻupaʻa, a me nā ʻōkana ʻē aʻe i ka wā o nā kaʻina hana kiʻi. Hoʻohana nui ʻia ia i ka wā o ka angiography, kahi e pono ai nā kauka e ʻike i ke kahe o ke koko ma kou mau aʻa a me nā veins.

Hiki i kāu kauka ke ʻōlelo aku i ka iopromide inā e hana ana ʻoe i kahi CT scan o kou ʻōpū, umauma, a i ʻole pelvis. Hoʻohana ʻia nō hoʻi i ka wā o ka catheterization cardiac e nānā i nā aʻa i ālaina ʻia a puni kou puʻuwai. I kekahi manawa, hoʻohana nā kauka iā ia e nānā i kou mau puʻupaʻa a me ka ʻōnaehana urinary ma o ke kaʻina hana i kapa ʻia ʻo urography.

I kekahi mau hihia, kōkua ʻo iopromide i nā kauka e noiʻi i nā koko koko, nā ʻōpū, a i ʻole nā ​​mea ʻē aʻe e hūnā ana i loko o kou kino. Hana ka waihoʻoluʻu i kēia mau wahi e kū i waho ma nā kiʻi, e hāʻawi ana i kāu hui lapaʻau i ka ʻike kikoʻī e pono ai lākou e hoʻolālā i kāu lapaʻau.

Pehea e hana ai ka Iopromide?

Hana ʻo Iopromide ma ka hoʻololi ʻana i ke ala e hele ai nā X-ray i kou kino. ʻO ka iodine i loko o ka waihoʻoluʻu e ālai i nā X-ray ma mua o kou mau ʻiʻo maʻamau, e hana ana i nā wahi keʻokeʻo ʻālohilohi ma nā kiʻi kahi e kahe ai ka waihoʻoluʻu.

I ka wā e hoʻokomo ʻia ai i loko o kou kahe koko, hele ʻo iopromide ma waena o kāu ʻōnaehana holo koko i loko o kekahi mau kekona. Hōʻike ia i kou mau kīʻaha koko e like me ka inika e kahe ana ma nā paipu liʻiliʻi, e ʻike ʻia lākou ma ka pale kiʻi. Hiki i kēia ke ʻike i nā kauka i ke ʻano pololei, ka nui, a me ke kūlana o kou mau aʻa a me nā veins.

Ua manaʻo ʻia he mea hoʻohālikelike mālie i hoʻohālikelike ʻia me nā ʻano kahiko. Hoʻomaʻemaʻe maoli kou mau puʻupaʻa i ka iopromide mai kou koko i loko o kekahi mau hola, a haʻalele ka hapa nui o ia mea i kou kino ma o ka mimi ʻana i loko o 24 mau hola.

Pehea wau e lawe ai iā Iopromide?

ʻAʻole ʻoe e lawe iā iopromide iā ʻoe iho - e hoʻokomo pololei kahi limahana lapaʻau i hoʻomaʻamaʻa ʻia i loko o kou kahe koko ma o ka laina IV. Hana pinepine ʻia ka injection i loko o kahi haukapila a i ʻole ke kikowaena kiʻi kahi e hiki ai i nā lako kūikawā ke nānā i kāu pane.

Ma mua o kāu kaʻina hana, pono paha ʻoe e pale i ka ʻai ʻana no kekahi mau hola, ʻoiai inā ʻoe e kiʻi ana i nā kiʻi ʻōpū. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hooki ai i ka ʻai a me ka inu ʻana. Pono kekahi mau kaʻina hana e inu ʻoe i ka wai hou ma mua e kōkua i ka pale ʻana i kou mau puʻupaʻa.

I ka wā o ka injection, hiki iā ʻoe ke ʻike i kahi manaʻo mahana e laha ana ma kou kino, ʻoiai ma kou umauma a me kou pelvis. He mea maʻamau loa kēia manaʻo hoʻomehana a mau wale nō no kekahi mau kekona. ʻIke kekahi poʻe i kahi ʻono metala i loko o ko lākou waha, e nalowale koke ana.

Pehea ka lōʻihi e lawe ai au iā Iopromide?

Hāʻawi ʻia ʻo Iopromide ma ke ʻano he injection hoʻokahi i ka wā o kāu kaʻina hana kiʻi, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. Hana koke ka waihoʻoluʻu hoʻohālikelike ke komo i loko o kou kahe koko a hāʻawi i ka maopopo e pono ai no kahi o 10 a 30 mau minuke i ka wā o kāu scan.

Hoʻopau maoli kou kino i ka iopromide i loko o 24 a 48 mau hola ma hope o ka injection. Hoʻomaʻemaʻe ka hapa nui o nā kānaka i ka hapalua o ka waihoʻoluʻu hoʻohālikelike i loko o nā hola mua, a hoʻomau kāu mau puʻupaʻa i ka hana e wehe i ke koena i ka lā a i ʻole ʻelua e hiki mai ana.

ʻAʻole pono ʻoe i nā mea hou ke ʻole ʻoe e hoʻonohonoho ʻia ana i nā hana kiʻi he nui i hoʻokaʻawale ʻia. Pono kēlā me kēia hana i kāna injection hou o ka waihoʻoluʻu contrast e hōʻoia i nā kiʻi maopopo loa.

He aha nā hopena ʻaoʻao o Iopromide?

Hoʻomanawanui ka hapa nui o nā kānaka i ka iopromide, akā e like me nā hana lapaʻau ʻē aʻe, hiki iā ia ke hana i kekahi mau hopena ʻaoʻao. ʻO ka mea maikaʻi, ʻaʻole maʻamau nā hopena koʻikoʻi, a ua aʻo ʻia kāu hui lapaʻau e mālama i nā pilikia e kū mai ana.

ʻO nā hopena ʻaoʻao maʻamau e ʻike ai ka nui o nā kānaka, ʻo ia ka manaʻo mahana a me ka ʻulaʻula ma kou kino i ka wā a ma hope koke o ka injection. Hiki nō hoʻi iā ʻoe ke ʻike i kahi ʻono metala i kou waha a i ʻole e manaʻo iki i ka nausea no kekahi mau minuke. E pau ana kēia mau manaʻo i loko o 10 a 15 mau minuke.

Hoʻomohala kekahi poʻe i nā hopena maʻalahi i nā hola ma hope o kā lākou hana:

• Pōpō a i ʻole ka wili
• Nausea a i ʻole ka luaʻi
• ʻO ka ʻili a i ʻole nā hives
• ʻO ka palupalu a i ʻole ka pehu ʻana o ka pūnaewele injection
• Manaʻo i ka luhi ʻole

Hoʻoponopono maʻamau kēia mau hopena maʻamau i loko o hoʻokahi lā a ʻaʻole pono lākou i ka lāʻau lapaʻau kikoʻī ma mua o ka hoʻomaha a me ka noho ʻana i ka wai.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi hiki ke komo i nā pilikia o ka puʻupaʻa, ʻoiai inā loaʻa iā ʻoe ka maʻi puʻupaʻa a i ʻole ka maʻi diabetes. E nānā kāu hui lapaʻau i kāu hana puʻupaʻa ma mua o ka hāʻawi ʻana iā ʻoe i ka iopromide inā loaʻa iā ʻoe nā mea pilikia. He kakaikahi nā hopena maʻi koʻikoʻi akā hiki nō, ʻo ia ke kumu e nānā pono ʻia ai ʻoe i ka wā a ma hope o kāu hana.

I kekahi manawa, ʻike kekahi poʻe i nā pilikia thyroid ma hope o ka loaʻa ʻana o nā waihoʻoluʻu contrast i loaʻa iodine. ʻOi aku ka maikaʻi o kēia inā loaʻa iā ʻoe ka maʻi thyroid a i ʻole e lawe ana i kekahi mau lāʻau.

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

Aia kekahi mau maʻi a me nā kūlana e hoʻemi ai i ka palekana o ka iopromide a i ʻole e koi ai i nā hana kūikawā. E nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana i kēia waihoʻoluʻu.

ʻAʻole kūpono paha ka poʻe me ka maʻi kīkī koʻikoʻi no ka iopromide no ka mea hiki i ko lākou mau kīkī ke hakakā e hoʻopau pono i ka waihoʻoluʻu. Inā he maʻi maʻi ʻoe a lawe i ka metformin, hiki i kāu kauka ke noi iā ʻoe e hooki i kēia lāʻau no ka manawa e pale ai i kou mau kīkī.

Pono ʻoe e makaʻala loa inā he moʻolelo kou o nā hopena maʻi koʻikoʻi i nā waihoʻoluʻu i hoʻokumu ʻia i ka iodine. Eia naʻe, ʻaʻole ia he manaʻo maʻalahi ka loaʻa ʻana o ka maʻi maʻi i ka iʻa i ʻole hiki iā ʻoe ke loaʻa i ka iopromide - he kuhi hewa maʻamau kēia. Hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i kou pilikia maoli e pili ana i kāu moʻolelo maʻi maʻi.

ʻO nā kūlana ʻē aʻe e koi ai i ka noʻonoʻo pono e komo pū ana:

• ʻO ka maʻi puʻuwai koʻikoʻi
• ʻO ka maʻi thyroid ikaika
• Multiple myeloma (he ʻano maʻi maʻi koko)
• ʻO ka maloʻo nui
• Hāpai (inā ʻaʻole pono loa)

Inā ʻoe e hānai ana, hiki iā ʻoe ke hoʻomau i ka hānai ʻana ma hope o ka loaʻa ʻana o ka iopromide, ʻoiai ke ʻōlelo nei kekahi mau kauka e kali i 24 mau hola ma ke ʻano he mālama.

Nā inoa inoa o Iopromide

Loaʻa ka Iopromide ma lalo o nā inoa inoa like ʻole, ʻo Ultravist ka mana i hoʻohana pinepine ʻia ma nā ʻāina he nui. Kōkua kēia inoa inoa e hōʻoiaʻiʻo ana e loaʻa ana iā ʻoe ka waihoʻoluʻu kiʻekiʻe like i hoʻāʻo nui ʻia no ka palekana a me ka pono.

ʻO nā inoa inoa ʻē aʻe e komo pū ana me Ultravist 150, Ultravist 240, Ultravist 300, a me Ultravist 370. E pili ana nā helu i ka nui o ka iodine i loko o ka hopena - e koho kāu kauka i ka ikaika kūpono e pili ana i ke ʻano o ke kiʻi āu e pono ai.

Ma ke ʻano o ka inoa inoa, loaʻa i nā huahana iopromide a pau ka mea hana like a hana like. E hoʻohana kāu hui lapaʻau i ka mana kūpono loa no kāu kaʻina hana a me nā pono olakino.

Nā Koho ʻē aʻe o Iopromide

Hiki i kekahi mau waihoʻoluʻu ʻē aʻe ke hāʻawi i nā pōmaikaʻi kiʻi like inā ʻaʻole kūpono ka iopromide iā ʻoe. Aia kēia mau koho ʻē aʻe i ka iohexol (Omnipaque), ioversol (Optiray), a me iopamidol (Isovue).

No kēia mau koho ʻē aʻe a pau i ka ʻohana like o nā mea ʻaʻole ionic, haʻahaʻa-osmolar, ʻo ia hoʻi, ʻoi aku ka maʻalahi o lākou i kou kino ma mua o nā ʻano waihoʻoluʻu kahiko. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu mōʻaukala olakino, ka hana ʻana o ka puʻupaʻa, a me ke kaʻina hana kiʻi āu e pono ai.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻohui i ka gadolinium, ʻoi aku ka nui inā e hana ana ʻoe i ka MRI ma mua o ka CT scan. Hana ʻokoʻa kēia mau mea mai nā waihoʻoluʻu iodine a hiki ke palekana no ka poʻe me kekahi mau maʻi puʻupaʻa.

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

He mau mea hoʻohui maikaʻi loa ʻo Iopromide a me iohexol e hāʻawi ana i nā kiʻi kiʻekiʻe me nā ʻano palekana like. ʻAʻole ʻoi aku kekahi ma mua o kekahi - ua manaʻo ʻia lākou he mau waihoʻoluʻu kiʻekiʻe e pani ana i nā mana kahiko, pilikia.

He kokoke like nā helu o nā hopena ʻaoʻao a me nā hopena maʻi ʻaʻai o Iopromide a me iohexol. He mau mea hoʻohui ʻaʻole ionic lāua ʻelua, ʻo ia hoʻi, ʻaʻole lākou e hōʻoluʻolu i ka wā e hoʻokomo ʻia ai i hoʻohālikelike ʻia me nā waihoʻoluʻu ionic kahiko.

ʻO ke koho ma waena o kēia mau mea ʻelua e pili pinepine i ka makemake o kāu haukapila, ka loaʻa, a i kekahi manawa nā mea e pili ana i ke kumukūʻai. Ua hoʻohana palekana ʻia lāua ʻelua i nā miliona o nā kaʻina hana ma ka honua holoʻokoʻa, a e maikaʻi loa kāu kiʻi me kekahi koho.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Iopromide

Ua palekana ʻo Iopromide no ka poʻe me ka maʻi diabetes?

Hiki ke hoʻohana palekana ʻia ʻo Iopromide i ka poʻe me ka maʻi diabetes, akā pono kekahi mau hana mālama hou. E nānā pono kāu kauka i ka hana o kou puʻupaʻa ma mua o ke kaʻina hana no ka mea hiki i ka maʻi diabetes ke hoʻopilikia i ka hana pono ʻana o kou puʻupaʻa.

Inā ʻoe e lawe ana i ka metformin no ka maʻi diabetes, hiki i kāu kauka ke noi iā ʻoe e hooki i kēia lāʻau lapaʻau 48 mau hola ma mua a ma hope o kāu injection contrast. Kōkua kēia hoʻomaha manawa e pale i kou puʻupaʻa mai kahi maʻi laha akā koʻikoʻi i kapa ʻia ʻo lactic acidosis. Hiki iā ʻoe ke hoʻomaka hou i ka metformin ke hōʻoia kāu kauka i ka maʻamau o ka hana o kou puʻupaʻa.

E hōʻoia e noho maikaʻi i ka wai ma mua a ma hope o kāu kaʻina hana, no ka mea, kōkua kēia i kou puʻupaʻa e hana i ka waihoʻoluʻu contrast me ka ʻoi aku ka maikaʻi. E nānā pono kāu hui lapaʻau iā ʻoe a hiki ke hana i nā hoʻokolohua koko e nānā i ka hana o kou puʻupaʻa.

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

He mea maʻamau loa ka overdose ulia pōpilikia o ka iopromide no ka mea e helu pono a lawelawe nā poʻe loea lapaʻau i ka lāʻau. Eia naʻe, inā loaʻa iā ʻoe ka waihoʻoluʻu contrast ma mua o ka mea i manaʻo ʻia, e nānā pono kāu hui lapaʻau iā ʻoe no nā hōʻailona o nā pilikia o ka puʻupaʻa a i ʻole nā ​​pilikia ʻē aʻe.

ʻO ka hana nui loa ka inu ʻana i ka wai nui e kōkua i kou puʻupaʻa e holoi i ka waihoʻoluʻu contrast keu me ka wikiwiki. Hiki i kāu kauka ke hāʻawi iā ʻoe i nā wai IV e kākoʻo i ka hana o kou puʻupaʻa a hiki ke hana i nā hoʻokolohua koko e nānā i ke ʻano o ka hana ʻana o kou kino i ka waihoʻoluʻu.

ʻAʻole ʻike ka hapa nui o ka poʻe i loaʻa i ka waihoʻoluʻu contrast keu i nā pilikia koʻikoʻi, ʻoiai inā he puʻupaʻa olakino ko lākou. Loaʻa i kāu hui lapaʻau nā protocols e mālama palekana i kēia kūlana a e mālama iā ʻoe ma lalo o ka nānā ʻana a hiki i ka wā e hilinaʻi ai lākou e hana maikaʻi ana ʻoe.

He aha kaʻu e hana ai inā ua hala wau i kahi lāʻau o Iopromide?

ʻAʻole hiki iā ʻoe ke “hāʻule” i ka lāʻau iopromide no ka mea e hāʻawi ʻia ana ma ke ʻano he pahu hoʻokahi i ka wā o kāu hana lapaʻau. Inā hoʻopaneʻe ʻia a kāpae ʻia kāu manawa kiʻi, e loaʻa wale nō iā ʻoe ka waihoʻoluʻu i ka wā e hoʻonohonoho hou ai ʻoe.

Inā pono ʻoe e loaʻa i kahi scan i hoʻonui ʻia me ka waihoʻoluʻu a ʻaʻole i loaʻa ka pahu iopromide, pono i kāu kauka e hoʻoholo inā hāʻawi nā kiʻi i ka ʻike lawa no ka hōʻailona. I kekahi manawa lawa nā kiʻi ʻaʻole i hoʻonui ʻia, a i nā manawa ʻē aʻe pono ʻoe e hoʻi no ka mana i hoʻonui ʻia me ka waihoʻoluʻu.

E hahai mau i nā ʻōlelo a kāu hui lapaʻau e pili ana i ka hoʻonohonoho hou ʻana. E hōʻike lākou iā ʻoe inā pono ʻoe e hana hou i nā ʻanuʻu hoʻomākaukau, e like me ka ʻai ʻole ʻana a i ʻole ke kāpae ʻana i kekahi mau lāʻau.

Iāhea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Iopromide?

ʻAʻole ʻo Iopromide he lāʻau lapaʻau āu e lawe mau ai, no laila ʻaʻohe pono e “hooki” iā ia ma ke ʻano kuʻuna. Hāʻawi ʻia ka waihoʻoluʻu ma ke ʻano he pahu hoʻokahi i ka wā o kāu hana kiʻi a haʻalele maoli i kou kino i loko o 24 a 48 mau hola.

Hoʻomaʻemaʻe ʻakomi kou mau puʻupaʻa i ka iopromide mai kou kahe koko, a e hoʻopau ʻoe i ka hapa nui o ia mea ma ka mimi ʻana. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e wehe iā ia mai kou ʻōnaehana, ʻoiai ʻo ka inu ʻana i ka wai nui hiki ke kōkua i ke kaʻina hana.

Inā pono ʻoe i nā hana kiʻi he nui i ka manawa, e koi ʻia kēlā me kēia i kāna pahu waihoʻoluʻu hou. ʻAʻohe hopena cumulative a ʻaʻohe pono e hopohopo e pili ana i ka hooki ʻana i ka lāʻau ma waena o nā hana.

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

Hiki i ka hapa nui o nā kānaka ke kalaiwa palekana ma hope o ka loaʻa ʻana o ka iopromide, akā he mea naʻauao ke loaʻa kekahi e hele pū me ʻoe i kāu manawa no ka mea. ʻAʻole hoʻopilikia ka waihoʻoluʻu i kou hiki ke kalaiwa, akā manaʻo kekahi poʻe e luhi a i ʻole e maʻi iki ma hope o nā hana lapaʻau.

Inā loaʻa iā ʻoe ka wili, ka luaʻi ʻana, a i ʻole ka luhi ʻana ma hope o kāu pahu, e pale i ka hoʻokele a hiki i ka pau ʻana o kēia mau hōʻailona. He mea nui kēia e pili ana i ka mālama maʻamau ma hope o ke kaʻina hana ma mua o nā hopena kikoʻī o ka wai ʻokoʻa.

E loiloi kāu hui lapaʻau i kou manaʻo ma mua o ka hoʻokuʻu ʻana a e aʻo iā ʻoe inā manaʻo lākou ʻaʻole pono ʻoe e hoʻokele. Ke kānalua, ʻoi aku ka palekana o ka hoʻonohonoho ʻana i kahi kaʻa ʻē aʻe i ka home.