He aha ʻo Perflutren (Protein-Type A Microsphere): Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He mea hoʻohālikelike ʻo Perflutren i hoʻohana ʻia i ka wā o nā ultrasound puʻuwai e kōkua i nā kauka e ʻike maopopo i kou puʻuwai. Hana ʻia ia me nā ʻōhū liʻiliʻi i piha i ke kinoea e hele ana ma kou kahe koko a hana e like me ke kukui, e hōʻike maikaʻi ana i loko o kou puʻuwai ma ka pale ultrasound.

Hāʻawi ʻia kēia lāʻau lapaʻau ma o ka IV i kou lima i ka wā o kahi ʻano echocardiogram kūikawā i kapa ʻia he contrast echocardiogram. Kōkua nā microspheres liʻiliʻi i kāu kauka e kiʻi i kahi kiʻi maopopo loa o ka maikaʻi o ka pamu ʻana o kou puʻuwai i ke koko a inā e hana pono ana nā wahi a pau o kou ʻiʻo puʻuwai.

No ke aha e hoʻohana ʻia ai ʻo Perflutren?

Kōkua ʻo Perflutren i nā kauka e ʻike i nā pilikia o ka puʻuwai ke hāʻawi ʻole nā ultrasound maʻamau i nā kiʻi maopopo. He mea pono loa ia ke pono kāu kauka e ʻike i ka ventricle hema, ʻo ia ka keʻena pamu nui o kou puʻuwai, ma ke kikoʻī.

He mea kōkua nui kēia mea hoʻohālikelike no ka poʻe i paʻakikī ke ʻike maopopo i nā kiʻi puʻuwai ma muli o ka nui o ke kino, nā maʻi o ka māmā, a i ʻole ka mānoanoa o ka paia o ka umauma. Hiki iā ia ke hōʻike i nā wahi o kou puʻuwai i lawa ʻole ke kahe koko, e kōkua ana i nā kauka e ʻike i nā poloka a i ʻole nā pōʻino.

Hiki nō hoʻi i kāu kauka ke hoʻohana iā perflutren e nānā i ka maikaʻi o ka hana ʻana o kou ʻiʻo puʻuwai ma hope o ka puʻuwai a i ʻole e loiloi i ka maʻi puʻuwai i manaʻo ʻia. Kōkua ke kiʻi i hoʻonui ʻia iā lākou e hana i nā diagnoses pololei a me nā hoʻoholo lapaʻau no kāu kūlana.

Pehea e hana ai ʻo Perflutren?

Hana ʻo Perflutren ma ka hana ʻana i ka ʻokoʻa acoustic i ka wā o kāu ultrasound puʻuwai. Ke komo nā microspheres liʻiliʻi i piha i ke kinoea i kou kahe koko, hōʻike lākou i nā hawewe ultrasound maikaʻi loa ma mua o kou koko maʻamau a me nā ʻiʻo.

E like me ka hoʻohui ʻana i ka mea hōʻike i ka kikokikona - hana nā microspheres i kekahi mau wahi o kou puʻuwai e kū i waho ma ka pale ultrasound. I ka wā e kahe ana kēia mau ʻōhū ma nā keʻena o kou puʻuwai a me nā kīʻaha koko, hana lākou i nā kiʻi mālamalama a maopopo e kōkua ana i kāu kauka e ʻike pono i ka hana ʻana o kou puʻuwai.

Ua liʻiliʻi nā microspheres e hele ma nā kīʻaha koko liʻiliʻi loa akā ua nui e hōʻike pono i nā hawewe ultrasound. Hāʻawi kēia i kāu kauka i kahi ʻike kikoʻī, i ka manawa maoli o ka hana ʻana o kou puʻuwai a me nā ʻano kahe koko.

Pehea e lawe ai au i ka Perflutren?

ʻAʻole ʻoe e lawe iā perflutren iā ʻoe iho - hāʻawi ʻia e kahi loea mālama ola ma o ka laina IV i ka wā o kāu kaʻina echocardiogram. Hoʻomākaukau ʻia a lawelawe ʻia ka lāʻau lapaʻau i loko o kahi haukapila a i ʻole ke keʻena lapaʻau ma lalo o ka mālama olakino.

Ma mua o kāu kaʻina hana, ʻaʻole pono ʻoe e pale i ka ʻai a i ʻole ka inu ʻana, ʻoiai paha e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī. Hoʻohui ʻia ka mea ʻokoʻa me ka hopena saline a hāʻawi mālie ʻia ma o kāu IV i ka wā e hana ʻia ai ka ultrasound.

I ka wā o ka injection, e moe ʻoe ma luna o kahi papa hoʻokolokolo i ka wā e lawe ai ka loea ultrasound i nā kiʻi o kou puʻuwai. Maʻamau ka hana holoʻokoʻa ma kahi o 30 a 60 mau minuke, a e nānā ʻia ʻoe i ka wā o ke kaʻina hana no kou palekana a me kou hōʻoluʻolu.

Pehea ka lōʻihi e lawe ai au i ka Perflutren?

Hāʻawi ʻia ʻo Perflutren ma ke ʻano he injection hoʻokahi i ka wā o kāu kaʻina echocardiogram. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma luna o kekahi mau lā e like me nā lāʻau lapaʻau puʻuwai ʻē aʻe.

Hana koke ka mea ʻokoʻa i ka wā i hoʻokomo ʻia ai a hoʻomaʻemaʻe ʻia mai kāu ʻōnaehana maoli i loko o kekahi mau hola. Hoʻopau ʻia nā ʻōhū kinoea ma o kou mau māmā i ka wā e hanu ai ʻoe, a ua hana ʻia ka pūpū protein e nā ʻōnaehana hoʻopau ʻōpala maʻamau o kou kino.

Inā pono i kāu kauka i nā kiʻi ʻokoʻa hou aku i ka wā e hiki mai ana, hiki iā lākou ke ʻōlelo aku i kekahi pahu perflutren i ka wā o ka echocardiogram e hiki mai ana. He hana kaʻawale kēia i hoʻonohonoho ʻia e pili ana i kāu mau pono olakino.

He aha nā hopena ʻaoʻao o Perflutren?

Hoʻomanawanui ka hapa nui o nā kānaka i ka perflutren, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, ʻaʻole maʻamau nā hopena koʻikoʻi, a ua aʻo ʻia nā mea mālama ola e nānā a mālama i nā pilikia e kū mai ana.

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

• ʻEha ke poʻo a i ʻole ka wili iki
• Nausea a i ʻole ka manaʻo ʻino
• Flushing a i ʻole ka mahana i kou maka
• ʻEha hope iki a i ʻole ka hōʻoluʻolu
• Hoʻololi i ka ʻono i kou waha
• ʻIke luhi ma hope o ke kaʻina hana

He maʻalahi kēia mau hōʻailona a hele wale nō i loko o kekahi mau hola. E nānā pono kāu hui mālama ola iā ʻoe i ka wā a ma hope o ka pahu e hōʻoia ai e ʻoluʻolu ana ʻoe.

Hiki ke hana ʻia nā hopena ʻaoʻao koʻikoʻi akā he mea maʻamau. Hiki i kēia ke komo i nā pilikia hanu, nā hopena maʻi koʻikoʻi, a i ʻole nā ​​hoʻololi ʻana i ka puʻuwai. Ua mākaukau kāu hui lapaʻau e mālama koke i kēia mau kūlana inā e kū mai.

Hiki i kekahi poʻe ke ʻike i ka ʻeha o ka umauma a i ʻole ka pōkole o ka hanu i ka wā a ma hope paha o ka pahu. ʻOiai he mea hopohopo kēia, pili pinepine ia i ka mea ʻokoʻa a hoʻoponopono pinepine ʻia me ka mālama olakino kūpono.

ʻO wai ka mea pono ʻole e lawe iā Perflutren?

ʻAʻole kūpono ʻo Perflutren no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka ʻōlelo ʻana i kēia mea ʻokoʻa. ʻO kekahi mau maʻi puʻuwai a me ka māmā e hoʻopilikia i kēia lāʻau lapaʻau no kekahi poʻe.

ʻAʻole pono ʻoe e loaʻa iā perflutren inā loaʻa iā ʻoe:

• Nā maʻi āpau i ʻike ʻia i ka perflutren a i ʻole nā mea ʻokoʻa like
• ʻO ka maʻi puʻuwai nui a i ʻole nā puʻuwai puʻuwai paʻa ʻole
• He maʻi puʻuwai i hala koke (i loko o 30 mau lā)
• Nā pilikia hanu nui a i ʻole ka maʻi māmā
• Nā shunt puʻuwai ʻākau-i-hema a i ʻole kekahi mau kīnā puʻuwai congenital
• ʻO ka hypertension pulmonary a i ʻole nā pilikia nui o ke kaomi māmā

E akahele nō hoʻi kāu kauka i ka hoʻohana ʻana i ka perflutren inā hāpai ʻoe, hānai ʻoe i ka waiū, a i ʻole he pilikia kou puʻupaʻa. E kaupaona lākou i nā pōmaikaʻi e kūʻē i nā pilikia e pili ana i kāu kūlana olakino.

Inā he hopohopo kāu e pili ana i nā maʻi āpau a i ʻole nā hopena i hala i nā mea ʻokoʻa, e hōʻoia e kūkākūkā me kāu hui mālama ola ma mua o ke kaʻina hana. Hiki iā lākou ke kōkua i ka hoʻoholo inā ʻo perflutren ke koho kūpono iā ʻoe.

Nā inoa inoa o Perflutren

Loaʻa ka Perflutren ma lalo o ka inoa inoa ʻo Optison ma ʻAmelika Hui Pū ʻIa. ʻO kēia ke ʻano i hoʻohana nui ʻia o ka perflutren no nā kaʻina hana echocardiography ʻokoʻa.

Hiki i kāu kauka a i ʻole ke keʻena mālama ola ke kuhikuhi iā ia ma kekahi inoa - perflutren a i ʻole Optison - akā he lāʻau lapaʻau like lākou. Loaʻa i ka mana inoa inoa ka mea hana like a hana like.

I ka wā e hoʻonohonoho ai i kāu kaʻina hana a i ʻole ke kūkākūkā ʻana i ka mea ʻokoʻa me kāu hui ʻinikua, hiki iā ʻoe ke hālāwai me kekahi inoa. Mai hopohopo - ke kuhikuhi nei lākou i ka mea ʻokoʻa palekana a maikaʻi.

Nā koho ʻē aʻe o Perflutren

Inā ʻaʻole kūpono ka perflutren iā ʻoe, loaʻa i kāu kauka nā mea ʻokoʻa ʻē aʻe no ke kiʻi ʻana i ka puʻuwai. Hana like kēia mau koho ʻē aʻe akā he ʻokoʻa paha nā palekana palekana a i ʻole kūpono i kāu mau pono olakino.

ʻO nā mea ʻokoʻa ultrasound ʻē aʻe e pili ana i nā microbubbles sulfur hexafluoride a me nā mea ʻokoʻa i hoʻokumu ʻia i ka lipid. Loaʻa i kēlā me kēia mea kona mau pōmaikaʻi a me nā manaʻo, a e koho kāu kauka i ke koho maikaʻi loa e pili ana i kou kūlana olakino a me ke ʻano o ke kiʻi e pono ai.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i nā ʻano hana kiʻi ʻē aʻe, e like me ka cardiac MRI me ka contrast a i ʻole ka hoʻāʻo ʻana i ke koʻikoʻi nuklea. Hiki i kēia mau ʻano hana like ʻole ke hāʻawi i ka ʻike diagnostic like ma o nā ʻenehana like ʻole.

Ua ʻoi aku ka maikaʻi o Perflutren ma mua o nā ʻākena contrast ʻē aʻe?

Ua hoʻohana maikaʻi ʻia ʻo Perflutren no nā makahiki he nui a he moʻolelo palekana maikaʻi no ka echocardiography contrast. ʻO ka mea inā he

E kāhea koke aku i kāu mea mālama ola inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka pilikia o ka hanu ʻana, ka ʻeha o ka umauma, ka wili nui, a i ʻole nā hōʻailona o ka hopena maʻi. E nānā ka hapa nui o nā keʻena lapaʻau iā ʻoe no ka liʻiliʻi o 30 mau minuke ma hope o ka hoʻokomo ʻana e nānā i nā hopena koke.

He aha kaʻu e hana ai inā loaʻa iaʻu kahi hopena i ka wā o ka hoʻokomo ʻana?

Inā ʻike ʻoe i kekahi ʻoluʻolu ʻole a i ʻole nā hōʻailona maʻamau i ka wā o ka hoʻokomo ʻana i ka perflutren, e haʻi koke aku i kāu hui mālama ola. Ua aʻo ʻia lākou e ʻike a mālama i nā hopena ʻokoʻa me ka wikiwiki a me ka maikaʻi.

E nānā nā limahana lapaʻau iā ʻoe i ka wā o ke kaʻina hana a hiki ke hoʻōki i ka hoʻokomo ʻana inā pono. Loaʻa iā lākou nā lāʻau lapaʻau a me nā lako i loaʻa e mālama i nā hopena e hiki ke hana i ka wā a ma hope paha o ka lawelawe ʻana i ka ʻokoʻa.

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

Hiki i ka hapa nui o nā kānaka ke hoʻomau i nā hana maʻamau ma hope koke o kā lākou echocardiogram ʻokoʻa me ka perflutren. Hoʻomaʻemaʻe ka mea ʻokoʻa mai kāu ʻōnaehana ma ke ʻano maoli i loko o kekahi mau hola ma o ka hanu maʻamau a me nā hana kino.

Hiki i kāu kauka ke ʻōlelo aku e pale i ka hoʻoikaika kino ikaika no ke koena o ka lā, ʻoiai inā ua ʻike ʻoe i kekahi hopena ʻaoʻao. Inā ʻoe e luhi a i ʻole he poʻo liʻiliʻi, maikaʻi loa ke maʻalahi a hiki i ka pau ʻana o kēia mau hōʻailona.

Hiki iaʻu ke hoʻokele i ka home ma hope o ka loaʻa ʻana o Perflutren?

I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻokele i ka home ma hope o kāu echocardiogram ʻokoʻa, akā pili kēia i ke ʻano o kou manaʻo ma hope o ke kaʻina hana. Inā ʻike ʻoe i ka wili, ka nausea, a i ʻole ka maikaʻi ʻole, ʻoi aku ka palekana o ka loaʻa ʻana o kekahi e hoʻokele iā ʻoe i ka home.

E loiloi kāu hui mālama ola i ke ʻano o kou manaʻo ma mua o kou haʻalele ʻana a e aʻo iā ʻoe inā palekana ke hoʻokele. Ke kānalua, ʻo ka loaʻa ʻana o kahi hoaaloha a i ʻole lālā o ka ʻohana e hiki ke hoʻokele iā ʻoe i ka home he hoʻolālā hoʻihoʻi maikaʻi.