He aha te Diatrizoate: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He kaihoko rerekē te Diatrizoate e āwhina ana i ngā tākuta ki te kite mārama ake i roto i tō tinana i ngā hihi-X me ngā karapa CT. Ko tēnei otinga i runga i te iodine e mahi ana hei tohu mō ō uaua toto, ō rārangi, me ētahi atu hanganga, e whiti ana i runga i ngā whakaahua rongoā. Whakaarohia he tae motuhake e whiti ana i ētahi wāhanga o tō tinana ki ngā taputapu rongoā, e āwhina ana i tō rōpū hauora ki te tiki i ngā pikitia taipitopito e hiahiatia ana e rātou ki te tātai me te rongoā i a koe.

He aha te Diatrizoate?

Ko te Diatrizoate he rongoā rerekē rongoā kei roto te iodine, i hangaia hei whakanui i te kitea o ngā hanganga o roto i ngā tukanga whakaahua. Ka werohia ki roto i tō toto, ka haere mā roto i tō pūnaha tohanga toto, ka huri i te āhua o te haere o ngā hihi-X mā roto i tō tinana. Ka hangaia e tēnei he pikitia mārama ake, he taipitopito ake e āwhina ana i ngā tākuta ki te tautuhi i ngā raruraru, te aroturuki i ngā rongoā, te ārahi rānei i ngā tukanga pokanga me te tika ake.

No te kāwai rongoā e kīia nei ko ngā kaihoko rerekē ionic te rongoā, ko te tikanga he utu hiko tōna e āwhina ana i te pai o te whakaranu ki tō toto me ngā wai o te tinana. E whakamahi ana ngā kaiwhakarato hauora i te diatrizoate i te haumaru mō ngā tau tekau, ā, e whakaarohia ana ko tētahi o ngā kōwhiringa pono mō te whakaahua rongoā ina hiahia ana tō tākuta i te kounga pikitia pai ake.

He aha te Diatrizoate e whakamahia ana mō?

E āwhina ana te Diatrizoate i ngā tākuta ki te tiki pikitia mārama ake i ngā tukanga rongoā rerekē, ina koa ka hiahia rātou ki te kite i ō uaua toto, ō rārangi, ētahi atu hanganga o roto rānei i te taipitopito. Ka tūtohu pea tō kaiwhakarato hauora i tēnei kaihoko rerekē ina kore e nui ngā mōhiohio i ngā hihi-X paerewa, ngā karapa CT rānei mō te tātai tika.

Koinei ngā wāhanga matua e whai hua ana te diatrizoate:

• Ngā tikanga angiography hei tātari i ngā oko toto i tō ngākau, roro, tākihi, ētahi atu okana rānei
• Ngā karapa CT o tō pouaka, puku, pūpū rānei ina hiahia ngā tākuta ki te whakanui i te rerekētanga o te kiko
• Ngā rangahau urography hei aromatawai i ō tākihi, ureters, me te mahi pūpū
• Venography hei tirotiro mō ngā pūhui toto, ngā aukati rānei i ō uaua
• Arthrography hei tātari i ngā hononga me ngā hanganga e tata ana
• Angiography tango matihiko mō te whakaahua taipitopito o ngā oko toto

Ka whakatau tō tākuta mēnā ko te diatrizoate te kōwhiringa tika i runga i tō āhuatanga hauora motuhake me te momo whakaahua e hiahiatia ana. Ka whakawhirinaki te whakatau ki ngā mea pēnei i te mahi o ō tākihi, te hītori mate pāwera, me te wāhi motuhake o tō tinana e tātarihia ana.

Me pēhea te mahi a te Diatrizoate?

Ka mahi te diatrizoate mā te huri i te pānga o ngā hihi X ki ō kiko tinana, ka waihanga i te rerekētanga pai ake i waenga i ngā hanganga rerekē i ngā whakaahua rongoā. Ina werohia ki roto i ō toto, ka ngongo te iodine i roto i te diatrizoate i ngā hihi X nui atu i ō kiko tinana noa. Mā tēnei ka puta ngā wāhi kei roto te āpiha rerekē he mārama ake, he opaque ake rānei i ngā whakaahua hihi X, i te wā e noho ana ngā kiko e karapoti ana i ō rātou taumata kitea noa.

Ka puta te pānga rerekē i muri tonu i te werohanga, ka taea e tō rōpū hauora te hopu whakaahua taipitopito i te wā tūturu. Ka tātarihia e ō tākihi te diatrizoate mai i ō toto i roto i ngā hāora ruarua, ā, ka puta te nuinga o te mea i tō tinana mā te mimi i roto i te 24 hāora. Mā tēnei whakakorenga tere e āwhina ana ki te whakaiti i tō wā pānga i te wā e whakarato ana i te whakaahua whakarei e hiahiatia ana e tō tākuta.

E whakaarohia ana te diatrizoate he āpiha rerekē kaha-āhua, ko te tikanga e whakarato ana i te whakarei whakaahua pai me te kore e kaha rawa atu ki tō pūnaha. He kaha ki te hoatu ki ngā tākuta ngā pikitia mārama e hiahiatia ana e rātou, engari he ngawari hoki mō te nuinga o te tangata ki te aro pai ina whakamahia tika ana.

Me pēhea taku tango i te Diatrizoate?

E kore koe e tango i te diatrizoate i a koe anō - ka whakahaerehia tonutia e ngā tākuta whai mātauranga i roto i te hōhipera, i te pokapū whakaahua rānei. Ka tukuna te rongoā mā te raina intravenous (IV), ko te tikanga ka uru tika ki tētahi o ō uaua, te nuinga i tō ringa, i tō ringa rānei.

I mua i tō tukanga, ka whakauru tō rōpū hauora i tētahi ngongo iti, ngawari e kīia ana he catheter ki roto i tō uaua. Ka werohia e rātou te otinga diatrizoate mā tēnei catheter i te reiti whakahaere. Ka pōturi te werohanga, ka puta rānei te pānga mahana poto i te urunga ki tō toto, ā, ka kite pea koe i te reka whakarewa i tō waha - he tauhohenga noa ēnei ka ngaro wawe.

Ka mātakitaki tata tō rōpū hauora i a koe i te wā me muri i te werohanga kia mōhio ai koe e pai ana, e pai ana te urupare. Ka whakarite hoki rātou kia pai te wai i mua i te wā me muri i te tukanga, i te mea ka āwhina te inu i te wai nui i ō tākihi ki te tukatuka me te whakakore i te kaihoko rerekē.

Kia Pēhea te Roa e Tango Ana ahau i te Diatrizoate?

Ka whakamahia te Diatrizoate i te wā o tō tukanga whakaahua, nō reira kāore he mahere maimoatanga e haere tonu ana pērā i te rongoā o ia rā. Ka tukuna te kaihoko rerekē hei werohanga kotahi, hei rārangi werohanga rānei i te wā o tō karapa, ā, ka whakakorea e tō tinana i roto i ngā hāora me ngā rā e whai ake nei.

Ko te werohanga tonu e pā ana ki te meneti ruarua noa iho, ahakoa te wā e whakawhirinaki ana ki tō tukanga motuhake me te nui o te rerekē e hiahia ana tō tākuta mō te whakaahua pai. Ko ētahi tukanga ka hiahia i ngā werohanga maha i ngā wā rerekē i te wā o te karapa, i ētahi atu me kotahi anake te horopeta i te tīmatanga.

Ko te nuinga o te tangata ka whakakore i te nuinga o te diatrizoate mai i o ratou tinana i roto i nga haora 24 ma te mimi noa. Ko o tākihi te mahi tātari me te tango i te kaihoko rerekē, koinei te take ka tirohia e tō tākuta te mahi o ō tākihi i mua i te hoatutanga o te diatrizoate ki a koe. Ko te inu wai atu i muri i tō tikanga ka āwhina i tēnei tukanga whakakore taiao.

He aha ngā pānga taha o te Diatrizoate?

He pai te whakamanawanui a te nuinga o te tangata ki te diatrizoate, ka pā ki a rātou ngā pānga ngawari, rangitahi noa iho ka ngaro wawe i muri i te werohanga. Heoi, pērā i ngā rongoā katoa, ka pā ngā pānga taha mai i te kore mārie iti ki ngā urupare nui ake i roto i ngā wā onge.

Koinei ngā pānga taha tino noa ka pā ki a koe:

• Te mahana, te whero rānei o tō tinana i te wā o te werohanga
• He reka whakarewa poto i tō waha
• Ngāwari te whakapairuaki, te pōuri rānei
• He iti te whanoke, te māmā rānei
• He kore mārie iti, he wera rānei i te wāhi werohanga
• He ānini rangitahi

Ko ēnei urupare noa ka puta i te wā, i muri tonu rānei i te werohanga, ā, ka ngaro i roto i ngā meneti ki ngā hāora. E tūmanako ana tō rōpū hauora ki ēnei urupare, ā, ka aroturukihia koe kia noho mārie koe i te wā o te tukanga.

Ka puta ngā pānga taha nui ake, engari he iti noa iho. Me whai whakaaro hauora tonu ēnei, ā, kei roto:

• Ngā urupare mate pāwera nui me te uaua ki te manawa, te pōhēhē o te kanohi, te korokoro rānei, te pūhihi whānui rānei
• Te heke nui o te pēhanga toto e pā ana ki te ngaro o te mahara, te whanoke nui rānei
• Te manawataki ngakau koretake, te mamae rānei o te uma
• Te whakapairuaki nui me te ruaki kāore e pai ake
• Ngā tohu o ngā raruraru tākihi pērā i te iti o te mimi, te pōhēhē rānei o ngā waewae
• Ngā pōrearea, te rangirua nui rānei

Kua whakangungua tō rōpū hauora ki te mōhio me te rongoā i ēnei pānga onge engari he nui te kino tonu. Ka whai rongoā ohorere rātou me ngā taputapu e wātea ana i te wā o tō tikanga ki te whakatika i ngā raruraru ka puta.

Ko wai kāore e tika kia tango Diatrizoate?

Ko ētahi āhuatanga hauora me ngā āhuatanga e kore ai e tika te diatrizoate, e hiahia ana rānei kia tūpato i mua i te whakamahi. Ka arotake tō tākuta i tō hītori hauora me tō āhua hauora o nāianei kia whakatau mēnā he haumaru tēnei ākena rerekē mō koe.

Kāore koe e tika kia whiwhi diatrizoate mēnā kei a koe:

• He mate pāwera nui ki te iodine, he pānga kino rānei i mua ki ngā ākena rerekē iodinated
• He mate tākihi nui, he rahunga tākihi rānei
• Hyperthyroidism kaha (te repe thyroid kaha rawa)
• He rahunga ngākau nui, he āhuatanga ngākau rānei kāore i te pūmau
• Multiple myeloma me te waikawa, te ngoikore tākihi rānei

Me whakamahi tō tākuta i te tūpato atu, me whakaaro rānei ki ētahi atu mea mēnā kei a koe:

• Ngā raruraru tākihi ngawari ki te āhua
• Te mate huka, ina koa ki te tango koe i te metformin
• Asthma, he hītori rānei mō ngā pānga pāwera
• Ngā raruraru thyroid
• He mate ate nui
• Te waikawa, te taurite hiko rānei
• He whakaeke ngākau tata, he whiu rānei

E hiahia ana te hapū kia whakaarohia, i te mea ka taea e te diatrizoate te whakawhiti i te pūhihi ka tae ki tō pēpi e tipu ana. Ka whakatau tō tākuta i ngā painga ki ngā tūponotanga ka taea, ā, ka tūtohu pea i ētahi atu tikanga whakaahua ina taea. Mēnā kei te whāngai ū koe, ka taea e koe te whāngai tonu i muri i te whiwhinga diatrizoate, ahakoa e tūtohu ana ētahi tākuta kia tatari 12-24 haora hei whakatūpato.

Ngā Ingoa Waitohu Diatrizoate

Kei te wātea te Diatrizoate i raro i ētahi ingoa waitohu, ahakoa ko te whakauru kaha me ngā pānga taketake e noho rite ana ahakoa te momo e whakamahia ana e tō tākuta. Ko ngā ingoa waitohu tino mōhio ko Hypaque, Renografin, me Urografin, i hangaia ia tētahi mō ngā momo tukanga whakaahua motuhake.

He rerekē pea ngā waitohu i te rerekētanga o te kukume o te diatrizoate, i ētahi hanganga rerekē rānei i hangaia mō ngā hiahia whakaahua motuhake. Mā tō tākuta e whiriwhiri te waitohu me te kukume e tika ana i runga i tō tukanga motuhake me ngā āhuatanga hauora. Kāore te ingoa waitohu e pā nui ki te mahi o te rongoā i tō tinana, engari ka pā pea ki ngā āhuatanga pēnei i te whakamarie o te werohanga, te kounga rānei o te whakaahua mō ētahi tukanga.

Ngā Kōwhiringa kē mō te Diatrizoate

He maha ētahi atu āpiha rerekē ka taea te whakarato i te whakarei ake i te whakaahua, ā, ka tūtohu pea tō tākuta i ētahi kōwhiringa kē i runga i ō hiahia hauora motuhake, ngā mate pāwera, te momo rānei o te tukanga e pā ana ki a koe. Ka taka ēnei kōwhiringa kē ki ngā momo rerekē me ngā painga me ngā whakaaro rerekē.

Ko ngā āpiha rerekē kore-ionic pēnei i te iohexol (Omnipaque) me te iopamidol (Isovue) he kōwhiringa kē rongonui pea e iti ake ai ngā pānga taha me ngā tauhohenga pāwera. Ko ēnei āpiha hou e pai ana mō te hunga e raru ana i te pūkahukahu, ngā āhuatanga o te ngākau, i ngā tauhohenga rerekē o mua rānei, nā te mea he ngawari ake ki tō pūnaha.

Mō ētahi tukanga, ka tūtohu pea tō tākuta i ngā āpiha rerekē i runga i te gadolinium, e whakamahia ana mō ngā karapa MRI, kaua mō ngā hihi X, ngā karapa CT rānei. Ka whakarato te pāhare pāporo sulfate i tētahi atu kōwhiringa mō te whakaahua gastrointestinal, ahakoa ka tangohia mā te waha, kaua mā te werohanga i roto i te uaua.

I ētahi wā, ka taea e tō tākuta te mahi i te whakaahua me te kore he kaihoko rerekē, ahakoa ka iti ake te kōrero. Ko te kōwhiringa o te rerekētanga kei runga i te mea e hiahia ana tō tākuta kia kite, tō hītori hauora, me ngā taputapu whakaahua e wātea ana.

He Pai Ake Te Diatrizoate I Te Iohexol?

He pai ngā kaihoko rerekē a Diatrizoate me Iohexol, engari he rerekē ō rātou āhuatanga e pai ai tētahi ki ētahi wāhi. Kāore tētahi e tino "pai ake" - kei runga i ō hiahia hauora, ngā āhuatanga tūpono, me te momo tikanga whakaahua e mahia ana e koe.

He kaihoko rerekē ionic a Diatrizoate kua whakamahia marie mō ngā tekau tau, ā, he iti ake te utu i ngā rerekētanga hou. He pai te kounga o te whakaahua, ā, he tino whai hua mō ētahi momo angiography me ngā tikanga motuhake. Heoi, ka nui ake pea ngā pānga taha pēnei i te whakapairuaki, te whero, me te raruraru i te wā o te werohanga.

He kaihoko rerekē kore-ionic a Iohexol e iti ake ana ngā pānga taha me ngā tauhohenga pāwera. He maha ngā wā e pai ana mō ngā tāngata e raru ana i te pūkahukahu, ngā mate ngākau, rānei i ngā tairongo rerekē o mua, nā te mea he ngawari ake ki tō pūnaha. Heoi, he nui ake pea te utu, ā, kāore i te tika mō ngā momo whakaahua katoa.

Ka kōwhiri tō tākuta i waenga i ēnei kōwhiringa i runga i tō hītori hauora, te tikanga e mahia ana e koe, me ō āhuatanga tūpono. E whakaarohia ana he haumaru me te whai hua ngā kaihoko e rua ina whakamahia tika ana, nā reira me whakawhirinaki ki tō rōpū hauora ki te kōwhiri i te kōwhiringa pai mō tō āhuatanga.

Ngā Pātai Auau Mō Diatrizoate

He Haumaru Anei Te Diatrizoate Mō Ngā Tāngata e Mate Huka Ana?

Ka taea te whakamahi marie te Diatrizoate i roto i nga tangata e mate huka ana, engari me whai etahi whakatūpato motuhake tō tākuta. Mēnā kei te tango koe i te metformin (he rongoā huka noa), tērā pea me mutu te tango mō te 48 hāora i mua, i muri hoki i tō tukanga rerekē. Mā tēnei okiokinga rangitahi e ārai tētahi āhuatanga onge engari tino nui e kīia ana ko te waikawa lactic.

Ka rereke pea ō taumata huka toto i muri i te whiwhinga i te diatrizoate, nō reira ka tino mātakitaki tō rōpū hauora i a koe. Me mōhio ki tō tākuta mō ō rongoā huka katoa, me te whai i ā rātou tohutohu motuhake mō te kai, te inu, me te wā o te rongoā i mua i tō tukanga.

Me aha au mēnā ka whiwhi au i te nui rawa o te Diatrizoate?

He tino onge te horopeta nui o te diatrizoate nā te mea ka tino tatau, ka whakahaere e ngā tāngata hauora whakangungu te horopeta tika e hiahia ana koe. Mēnā ka hoatu tētahi kai rerekē nui rawa atu, ka mōhio tonu tō rōpū hauora ki te āhuatanga, ka whai i ngā mahi tika.

Ko te rongoā mō te nui rawa o te diatrizoate e arotahi ana ki te tautoko i te tukanga whakakorenga tūturu o tō tinana me te whakahaere i ngā tohu e puta ana. Kei roto pea i tēnei ko ngā wai IV anō hei āwhina i ō tākihi ki te tukatuka i te rerekē i te tere ake, ngā rongoā hei whakahaere i te pēhanga toto, i te tere o te ngākau rānei, me te mātakitaki tata kia mārama te rerekē i tō pūnaha.

Me aha au mēnā ka ngaro au i tētahi horopeta o te Diatrizoate?

Kāore e taea e koe te

Ehara a Diatrizoate i te rongoa ka "mutu te tango" i roto i te tikanga tuku iho na te mea kotahi noa te wa e hoatu ana i te wa o to tikanga whakaahua. Ka whakakorehia e to tinana te kaihoko rerekē i roto i nga haora me nga ra e whai ake nei ma te mahi whatukuhu me te mimi.

Ko te nuinga o nga tangata ka whakawātea i te nuinga o te diatrizoate mai i o ratou punaha i roto i nga haora 24, ahakoa ka roa pea etahi ra te whakakorenga katoa. Kare koe e hiahia ki te mahi i tetahi mea motuhake hei whakamutu i te rongoa - ka whakahaere aunoa o whatukuhu i tenei mahi.

Ka taea e au te taraiwa i muri i te whiwhinga Diatrizoate?

Ka taea e te nuinga o nga tangata te taraiwa ki te kainga i muri i te whiwhinga diatrizoate, engari kei runga tenei i te ahua o to ahua i muri i te tikanga me te momo whakaahua i mahia e koe. Ko etahi tangata ka pa ki te whanoke ngawari, te whakapairuaki, te ngenge ranei ka pa ki to raatau kaha ki te taraiwa marie.

Ka arotakehia e to roopu hauora te ahua o to ahua i mua i te tukunga, ka whakamohio atu ki a koe mena he haumaru ki a koe te taraiwa. Mena i whiwhi koe i te whakamaarama me te kaihoko rerekē, me tino tono koe ki tetahi atu ki te taraiwa i a koe ki te kainga. Ki te ruarua, he pai ake te whakarite i etahi atu waka i te tupono ki te taraiwa i te wa e kore koe e tino pai.