He aha te Mangafodipir: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He kaihoko rerekē motuhake te Mangafodipir e whakamahia ana i ngā karapa MRI hei āwhina i ngā tākuta kia mārama ake te kite i tō ate. Kei roto i tēnei rongoā te manganese, he rite ki te tohu mō ētahi wāhi o tō ate ina tirohia mā te whakaahua rerekē aukume.

Ka whiwhi koe i tēnei rongoā mā te raina IV i roto i te hōhipera, i te whare whakaahua rānei. I hangaia motuhake hei whakarei ake i te kounga o te whakaahua ate, kia māmā ake ai te kite i ngā raruraru pea, i te whai rānei i tētahi pikitia mārama ake o te hanganga me te mahi o tō ate.

He aha te Mangafodipir e whakamahia ana mō?

Ka āwhina te Mangafodipir i ngā tākuta ki te whai whakaahua pai ake o tō ate i ngā karapa MRI. E mahi ana te rongoā hei kaihoko whakarei rerekē, ko te tikanga ka kitea mārama ake ētahi wāhi o tō ate i ngā hua whakaahua.

Ka tūtohu pea tō tākuta i tēnei kaihoko rerekē mēnā e hiahia ana rātou ki te tirotiro i tō ate mō ngā momo āhuatanga. He tino whai hua ina kāore ngā whakaahua MRI paerewa e whakarato ana i te kōrero nui mō tētahi tātaritanga tika.

E whakamahia ana te rongoā ki te tirotiro i ngā whara ate, ngā puku, ētahi atu āhuatanga rerekē rānei e kore pea e kitea mārama me te kore he whakarei rerekē. Ka āwhina hoki i ngā tākuta ki te wehe i waenga i ngā momo kiko ate rerekē me te tautuhi i ngā wāhi e hiahia ana kia arotakehia anō.

Me pēhea te mahi a Mangafodipir?

Kei roto i te Mangafodipir te manganese, ka uru atu ki ngā pūtau ate hauora i te tere ake i te kiko rerekē. Ka waihangahia tēnei i tētahi rerekētanga rerekē e kitea mārama ana i ngā whakaahua MRI, kia māmā ake ai te kite i ngā raruraru.

E kiia ana tēnei he kaihoko rerekē whāinga, ko te tikanga he whanaungatanga motuhake tōna mō te kiko ate. Kāore i rite ki ētahi kaihoko rerekē whānui e horahia ana puta noa i tō tinana, ka arotahi te mangafodipir ki te ate, e whakarato ana i te whakarei aro.

Ka tere te mahi o te rongoa i te wa e uru ana ki roto i ou toto. I roto i nga meneti i muri i te whakahaerenga, ka timata te kohikohi i roto i nga pūtau ate, e hanga ana i te rerekeatanga kua pai ake e hiahiatia ana e nga tohunga iraruke mo te whakaahua marama ake.

Me pehea taku tango i te Mangafodipir?

Ka whiwhi koe i te mangafodipir hei werohanga i roto i te uaua e whakahaerehia ana e nga tohunga rongoa whakangungu i roto i te hōhipera, i te whare whakaahua ranei. Ka tukuna te rongoa ki roto tonu i ou toto mā te raina IV, i te nuinga o te wā i tō ringa.

I mua i tō tikanga, kāore koe e hiahia ki te whai i ngā here kai motuhake. Heoi, me whakamōhio koe ki tō rōpū hauora mō ngā rongoā e tango ana koe, i te mea me whakatika ētahi i mua i te ako whakaahua.

Ko te werohanga tonu ka roa noa iho te meneti ruarua hei whakaoti. Ka aroturukihia koe e tō rōpū hauora i te wā o te whakahaerenga me muri i te whakahaerenga kia mōhio ai kei te pai koe me te pai o tō urupare ki te rongoa.

Me mau koe i ngā kākahu pai, me tango hoki i ngā whakapaipai whakarewa i mua i te tikanga MRI. Ka tīmata te ako whakaahua i muri tata i te whakahaerenga o te kaihoko rerekē hei hopu i ngā pānga whakarei pai.

Kia pehea te roa e tango ai ahau i te Mangafodipir?

Ka tukuna te Mangafodipir hei horopeta kotahi i te wā o tō tikanga MRI. Kāore koe e hiahia ki te tango i tēnei rongoa i te kāinga, ki te haere tonu rānei i muri i te otinga o tō ako whakaahua.

He wā poto noa ngā pānga o te kaihoko rerekē, i hangaia kia roa noa iho te wā e oti ai tō karapa MRI. Ko te nuinga o te rongoa ka whakakorea mai i tō tinana i roto i te 24 ki te 48 haora i muri i te whakahaerenga.

Ka whakatau tō tākuta i te wā tika hei hoatu ki a koe te kaihoko rerekē i runga i te tikanga whakaahua e whai ana rātou. Mā tēnei ka mōhio ai ki ngā whakaahua mārama rawa atu i te wā o tō karapa.

He aha ngā pānga taha o te Mangafodipir?

He pai te manawanui o te nuinga o te tangata ki te mangafodipir, engari pērā i ngā rongoā katoa, ka pā ētahi pānga taha. Ko te rongo pai he mea noa ngā tauhohenga nui, ā, ka mātakitaki tata ngā kaimahi hauora i a koe i te wā o te tikanga.

Koinei ngā pānga taha e mōhiotia ana ka pā ki a koe:

• Ngāwari te whakapairuaki, te pōuri rānei
• He reka rino mō te wā poto i tō waha
• He iti te whanoke, te māmā rānei te mahunga
• Te mahana, te whero rānei o te kiri
• He iti te raruraru i te wāhi werohanga

Ko te tikanga ka ngaro wawe ēnei tohumate, ā, kāore e hiahiatia he rongoā motuhake. Ka āwhina tō rōpū hauora i a koe kia pai tō tū, ki te pā ki a koe ētahi o ēnei pānga.

Ko ngā pānga taha kāore i te mōhiotia engari he nui ake te kino, ko ngā tauhohenga pāwera, ahakoa he mea noa ēnei. Ko ngā tohu hei mātakitaki ko te uaua ki te hā, te pōhēhē o tō mata, o tō korokoro rānei, ngā tauhohenga kiri nui rānei.

Mēnā he hītori tō koe mō ngā pāwera ki ngā ākena rerekē, ki ngā pūhui kei roto te manganese, me mōhio ki tō rōpū hauora i mua i te tikanga. Ka taea e rātou te whai i ngā whakatūpato anō hei whakarite i tō haumaru.

Ko wai kāore e tika kia tango Mangafodipir?

Me karo ētahi tāngata i te mangafodipir, me mātakitaki motuhake rānei i te wā e whakamahia ana. Ka arotake tō tākuta i tō hītori hauora kia mōhio ai mēnā he haumaru tēnei ākena rerekē mō koe.

Kāore koe e tika kia whiwhi mangafodipir mēnā he pāwera nui tō koe ki te manganese, ki ētahi wāhanga rānei o te rongoā. Ko ngā tāngata e pā ana ki ētahi āhuatanga ate e pā ana ki te pākia o te manganese, me hiahia pea ētahi atu ākena rerekē.

Koinei ētahi āhuatanga ka kore pea e tika te mangafodipir mō koe:

• Te mate ate nui, te kore rānei o te ate
• He pānga nui ki te mate pāwera ki ngā matū whakawhāiti i runga i te manganese i mua
• Ētahi mate ira onge e pā ana ki te whakawhitiwhiti o te manganese
• Ngā raruraru tākihi nui e pā ana ki te āhua o tō tinana e whakahaere ana i ngā rongoā
• Te hapū (ki te kore e tino tika ana, ā, he nui ake ngā painga i ngā tūponotanga)

Ka āta whakatau tō rōpū hauora i ngā painga me ngā tūponotanga i mua i te tūtohu i tēnei matū whakawhāiti. Ka tūtohu pea rātou i ētahi atu huarahi whakaahua mena kāore i te tika te mangafodipir mō tō āhuatanga.

Ngā Ingoa Waitohu o Mangafodipir

Ko te mangafodipir te nuinga e mōhiotia ana e tōna ingoa waitohu ko Teslascan. Koinei te whakahāngai arumoni tuatahi e wātea ana mō te whakamahi haumanu i roto i te whakaahua rongoā.

Ka rongo pea koe i te kīia e tōna ingoa whānui, mangafodipir trisodium, e whakaahua ana i te āhua matū motuhake o te rongoā. He rerekē pea ngā ingoa waitohu i ngā whenua rerekē, engari ko te whakauru kaha tonu te mea kotahi.

I te wā e whakarite ana i tō MRI me te whakawhāiti, ka whakapā atu tō kaiwhakarato hauora i te momo matū whakawhāiti e whakamahere ana rātou ki te whakamahi. Mā tēnei e āwhina ai te whakarite tika, ā, ka taea e koe te kōrero mō ō āwangawanga mō te rongoā motuhake.

Ngā Kōwhiringa kē mō Mangafodipir

Mena kāore i te tika te mangafodipir mōu, he maha atu ngā matū whakawhāiti ka taea te whakarato i te whakarei ake i te ate i te wā o ngā karapa MRI. Ka taea e tō tākuta te kōwhiri mai i ngā kōwhiringa rerekē i runga i ō hiahia motuhake me te hītori rongoā.

Ko ngā matū whakawhāiti i runga i te Gadolinium te kōwhiringa kē e tino kitea ana mō te MRI ate. Kei roto i ēnei ngā rongoā pēnei i te gadoxetate (Eovist) me te gadobenate (MultiHance), e whakarato ana hoki i te whakarei ake i te ate me ngā momo mahi rerekē.

Ētahi atu kōwhiringa kē:

• Gadoxetate disodium (Eovist/Primovist) - i hangaia motuhake mō te whakaahua ate
• Gadobenate dimeglumine (MultiHance) - e whakarato ana i te whakarei ake i te ate me ngā oko toto
• Ngā āpiha rerekē gadolinium paerewa mō te whakarei ake i te MRI whānui
• Ngā matūriki waikura rino (kāore i te whakamahia i te nuinga o te wā engari e wātea ana mō ngā take motuhake)

Ka whiriwhiria e tō tākuta iraruke te āpiha rerekē e tika ana i runga i tā rātou e rapu ana i tō ate me tō pūkete hauora takitahi. He painga me ngā whakaaro wā anō tō ia kōwhiringa.

He Pai Anei te Mangafodipir i te Rerekē i te Gadolinium?

He kaha anō tō Mangafodipir me ngā āpiha rerekē i runga i te gadolinium, ā, ko te kōwhiringa "pai ake" e whakawhirinaki ana ki tō āhuatanga motuhake me te aha e hiahia ana tō tākuta kia kite. He āpiha rerekē whai hua rāua, engari he rerekē te mahi i tō tinana.

He painga motuhake tō Mangafodipir i te mea ka tangohia motuhake e ngā pūtau ate hauora, e hanga ana i te rerekētanga pai i waenga i ngā kiko ate noa me ngā kiko ate kōaro. Mā tēnei ka tino whai hua mō te kite i ētahi momo whara ate e uaua ana pea te kite ki ētahi atu āpiha rerekē.

Ko ngā āpiha i runga i te gadolinium, i tērā taha, e wātea ana i te nuinga o te wā, ā, kua whakamahia mō ngā tekau tau me te pūkete haumaru pai. He maha hoki ngā momo, i te mea ka taea e rātou te whakarei ake i te maha o ngā momo kiko puta noa i te tinana.

Ka whakaarohia e tō tākuta ngā mea pēnei i tō hītori rongoā, te āhuatanga ate motuhake e tirotirohia ana e rātou, me te wātea i te wā e kōwhiri ana i waenga i ēnei kōwhiringa. Ka taea e rāua te whakarato i ngā mōhiohio tātaritanga pai i te wā e whakamahia ana i te tika.

Ngā Pātai Auau mō Mangafodipir

Q1. He Haumaru Anei te Mangafodipir mō te Tāngata e Mate ana i te Whatumanawa?

E whakaarohia ana he haumaru ake te Mangafodipir mō te hunga e raru ana i ngā pūkahukahu, he rerekē ki ētahi atu āpiha rerekē. Kāore i rite ki ngā āpiha rerekē i runga i te gadolinium, kāore te mangafodipir e whakatakoto i te raru o te fibrosis pūnaha nephrogenic i roto i ngā tūroro e tino mate ana i ngā pūkahukahu.

Heoi anō, ka arotake tonu tō tākuta i te mahi o ō pūkahukahu i mua i te hoatutanga o tētahi āpiha rerekē ki a koe. E hiahia ana rātou ki te whakarite ka taea e ō pūkahukahu te tukatuka me te whakakore i te rongoā i muri i tō rangahau whakaahua.

Mēnā he mate pūkahukahu tōu, me kōrero tēnei ki tō rōpū hauora i mua i tō MRI. Tera pea me whakatika e rātou te wā o tō tukanga, me te kōwhiri rānei i tētahi āpiha rerekē rerekē i runga i te mahi motuhake o ō pūkahukahu.

Q2. Me pēhea ahau ki te whiwhi nui rawa atu i te Mangafodipir?

He tino onge te nui rawa o te mangafodipir, nā te mea ka whakahaerehia e ngā tākuta whakangungu i roto i ngā wāhi hauora whakahaere. Ka tātai āta te inenga i runga i tō taumaha tinana me ngā whakaritenga whakaahua motuhake.

Mēnā e māharahara ana koe mō te nui o te āpiha rerekē i whiwhi koe, kōrero tonu ki tō rōpū hauora. Ka taea e rātou te aroturuki i a koe mō ngā tohu rerekē, me te whakarato i te manaaki tika mēnā e hiahiatia ana.

Ko ngā tohu e tohu ana i te nui rawa o te āpiha rerekē ko te whakapairuaki nui, ngā huringa nui i roto i te tere o te ngākau, me ngā tohu neurological rerekē. Kua whakangungua tō rōpū hauora ki te mohio me te whakahaere i ēnei āhuatanga mēnā ka puta.

Q3. Me pēhea ahau ki te ngaro i te inenga o te Mangafodipir?

Kāore tēnei pātai e pā ana ki te mangafodipir nā te mea ehara i te rongoā e tango ana koe i te kāinga. Ka hoatu hei werohanga kotahi i te wā o tō tukanga MRI i roto i te whare rongoā.

Mēnā ka ngaro koe i tō wā whakarite MRI, whakapā atu ki tō kaiwhakarato hauora, ki te pokapū whakaahua rānei ki te whakarite anō. Ka mahi rātou ki a koe ki te kimi i tētahi wā whakarite hou e pai ana mō tō wā.

Kāore he take e māharahara ana ki te "whai ake" i ngā horopeta kua ngaro, pērā i ngā rongoā auau. Ko ia MRI me te rerekētanga he tikanga motuhake i whakaritea i te wā e tika ana i te rongoā.

Q4. Āhea Āhei Ai Au ki te Kati te Tango i te Mangafodipir?

Kāore koe e hiahia ki te "kati" te tango i te mangafodipir nā te mea ka tukuna hei werohanga kotahi i te wā o tō tikanga MRI. Ka mahi te rongoā mō te wā poto, ā, ka whakakorea noa atu i tō tinana i roto i te rā, e rua rānei.

Kāore he akoranga rongoā e haere tonu ana hei whakamutu, hei whakaiti rānei. Kia oti tō ako whakaahua, kua mutu tō pānga ki te āpiha rerekē.

Ka tukatuka tō tinana, ka whakakore i te mangafodipir mā te taiao mā tō ate me ō tākihi. Kāore te nuinga o te tangata e hiahia ana ki te whai ake motuhake e pā ana ki te āpiha rerekē ake.

Q5. Ka Āhei Au ki te Taraiwa i Muri i te Whiwhi i te Mangafodipir?

Ka taea e te nuinga o te tangata te taraiwa i muri i te whiwhi i te mangafodipir, engari me tatari koe kia tino noa koe i mua i te eke ki te wira. Ka pā ki ētahi tāngata te whanoke ngawari, te whakapairuaki rānei i muri i te werohanga, me whakaoti wawe.

Ka aroturukihia koe e tō rōpū hauora mō te wā poto i muri i te werohanga rerekē kia mōhio ai koe kei te pai koe. Ka whakamōhio rātou ki a koe i te wā e haumaru ana koe ki te wehe i te whare.

Mēnā ka pā ki a koe te whanoke tonu, te whakapairuaki, ētahi atu tohumate rānei ka pā ki tō kaha ki te taraiwa haumaru, whakaarohia kia waiho mā tētahi atu e taraiwa i a koe ki te kāinga. Ko tō haumaru te mea nui.