He aha te Werohanga Technetium-Tc-99m-Tetrofosmin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te werohanga Technetium-Tc-99m-tetrofosmin he tohu iraruke e whakamahia ana i roto i ngā whakamātautau whakaahua ngakau hei āwhina i ngā tākuta ki te kite i te pai o te rere o te toto i roto i ō uaua ngakau. Kei roto i tēnei rongoā motuhake he iti rawa te rahinga o te rauemi iraruke e puta ana i runga i ngā kāmera motuhake, e āhei ai tō rōpū hauora ki te hanga pikitia taipitopito o te tuku toto me te mahi o tō ngakau.

He aha te Technetium-Tc-99m-Tetrofosmin?

Ko te Technetium-Tc-99m-tetrofosmin he rongoā iraruke e whakakotahi ana i te huānga iraruke technetium-99m me tētahi pūhui e kiia nei ko te tetrofosmin. Ka werohia ki roto i ō toto, ka haere tēnei tohu ki ō uaua ngakau, ka kohikohi i ngā wāhi e noho noa ana te rere o te toto, e hanga ana i tētahi mahere o ngā tauira tohanga o tō ngakau.

Ko te wāhanga

Ko te take tino nui o tēnei whakamātautau he tirotiro mō te mate o ngā uaua kōpiko, i te wā e whāiti ana, e aukati ana rānei ngā uaua i te rere o te toto ki ngā wāhi o te uaua o tō ngākau. Ka tono pea tō tākuta i tēnei whakamātautau mēnā he mamae tō uma, he pōkaikaha, ētahi atu tohumate rānei e tohu ana i ngā raruraru o te ngākau.

Ka whakamahi hoki ngā kaiwhakarato hauora i tēnei whakaahua hei aromatawai i te pai o te mahi a tō ngākau i muri i te whakaeke ngākau, hei aromatawai i te whai huatanga o ngā maimoatanga pēnei i te angioplasty, i te pokanga rānei, me te āwhina i te whakamahere i ngā tikanga ngākau. I ētahi wā, ka āwhina i te whakatau mēnā e pā ana te mamae o te uma ki tō ngākau, nō tētahi atu pūtake rānei.

Me pēhea te mahi a Technetium-Tc-99m-Tetrofosmin?

E mahi ana tēnei tohu mā te whai i te ara kotahi me te toto mā roto i ō uaua kōpiko me ngā pūtau uaua o tō ngākau. Kia werohia, ka tere haere mā roto i ō toto, ka kohikohi ki ngā wāhi o tō ngākau e whiwhi ana i te rere toto pai, i te wā e puta ana ngā wāhi me te kore rere toto hei pōtae pouri i runga i te whakaahua.

Ka tukuna e te technetium-99m ngā hihi gamma e haere ana mā tō tinana, ā, ka kitea e tētahi kāmera motuhake e kīia ana ko te kāmera gamma, ko te SPECT scanner rānei. Ka hangaia e ēnei hihi tētahi mahere taipitopito e whakaatu ana i te wāhi tika i kohikohi ai te tohu i roto i te uaua o tō ngākau, e whakaatu ana i ngā tauira o te rere toto.

E kiia ana he taputapu tātaritanga kaha-waenga e whakarato ana i te kounga whakaahua pai me te iti o te pānga iraruke. Ko te whakamātautau te tikanga e rua ngā huinga whakaahua - tētahi i te okiokinga me tētahi i muri i te ahotea (te whakakori tinana, te rongoā rānei) hei whakataurite i te urupare a tō ngākau i raro i ngā āhuatanga rerekē.

Me pēhea taku tango i te Technetium-Tc-99m-Tetrofosmin?

Kāore koe e

I mua i tō tūtohinga, ka hoatu e tō tākuta ki a koe ngā tohutohu mō te kai me te inu. Me karo koe i te kawhe mō te 12-24 haora i mua i te whakamātautau, nā te mea ka raru pea i ētahi rongoā whakamātautau ahotea. Me nohopuku pea koe mō ētahi haora i mua i te tikanga.

Ko te werohanga te tikanga ka hoatu i roto i te tari rongoā karihi, i te pokapū whakaahua ngākau rānei. Whai muri i te whiwhinga i te werohanga, ka tatari koe mō te 15-45 meneti i mua i te tīmatanga o te whakaahua, e whai wā ana te tohu ki te tohatoha puta noa i tō uaua ngākau.

Kia Pēhea te Roa e Tango Ana ahau i te Technetium-Tc-99m-Tetrofosmin?

Ehara tēnei i te rongoā ka tango koe i te wā roa - he werohanga kotahi anake ka hoatu mō tō whakamātautau whakaahua. Ko te tikanga katoa, tae atu ki te whakarite, te werohanga, te wā tatari, me te whakaahua, te tikanga ka 2-4 haora te roa i runga i te momo whakamātautau i whakahaua e tō tākuta.

Ka puta noa te tohu iraruke i tō tinana mā ngā tukanga koiora noa i roto i te 24-48 haora i muri i te werohanga. Kāore koe e hiahia ki te mahi i tētahi mea motuhake hei āwhina i te whakakore, ahakoa ko te inu i te wai nui ka āwhina i te horoi i tō pūnaha i te tere ake.

Mēnā e hiahia ana tō tākuta i ētahi atu rangahau whakaahua i te wā anō, ka whiwhi koe i tētahi werohanga hou i taua wā. Ko te wā i waenga i ngā whakamātautau tukurua e whakawhirinaki ana ki tō āhuatanga hauora motuhake me ngā tohutohu a tō tākuta.

He Aha ngā Pānga taha o te Technetium-Tc-99m-Tetrofosmin?

Kāore te nuinga o te tangata e pā ana ki ngā pānga taha mai i tēnei werohanga, ā, he tino onge ngā tauhohenga nui. Ko ngā pānga taha tino noa he ngawari, he wā poto, he rite ki tōna wheako i tētahi werohanga, i tētahi tikanga rongoā rānei.

Anei ngā pānga taha ka kite pea koe, ka tīmata mai i ngā mea tino noa:

• He iti te mamae, te pāpā rānei i te wāhi i werohia ai
• He reka rino mō te wā poto i tō waha
• He iti te whakapairuaki, ka ngaro wawe tonu
• Te mahana, te whero rānei mō te wā poto i muri i te werohanga
• Te ānini, te whanoke rānei

Ko ēnei pānga ngawari ka ngaro i roto i ngā meneti, i ngā hāora rānei i muri i te werohanga. Ko te reka rino, ki te puta, ka ngaro i roto i te hāora.

He tino onge ngā pānga taha nui ake, engari ka uru pea ngā tauhohenga pāwera. Ko ngā tohu o te tauhohenga pāwera ko te uaua ki te hā, te pūhihi o tō mata, o tō korokoro rānei, te kiri mōmona, te tere o te ngākau. Kua rite tonu ngā tākuta ki te whakahaere i ēnei āhuatanga onge tonu.

I te wā onge rawa, ka pā pea te mamae o te uma, te huringa rānei o te manawa ki ētahi tāngata, ahakoa he maha ngā wā e pā ana ēnei ki te wāhanga o te whakamātautau e pā ana ki te ahotea, kaua ki te tohu ake. Ka mātakitaki tata tō rōpū hauora i a koe i te wā o te tikanga katoa kia mōhio ai kei te haumaru koe.

Ko wai kāore e tika kia tango i te Technetium-Tc-99m-Tetrofosmin?

Ahakoa he haumaru tēnei tohu mō te nuinga o ngā tāngata, me karo ētahi tāngata, me kōrero rānei i ngā whakatūpato motuhake ki tō rātou tākuta. Ka āta arotake tō tākuta i tō hītori hauora me tō āhuatanga o nāianei i mua i te tūtohu i tēnei whakamātautau.

Kāore ngā wāhine hapū e tika kia whiwhi i tēnei werohanga ki te kore e tino tika, nā te mea ka whara pea te pēpi e tipu ana i te pānga o te iraruke. Ki te hapū koe, ki te whakaaro rānei kei te hapū koe, kōrero tonu ki tō rōpū hauora kia whakaarohia e rātou ētahi atu tikanga whakamātautau.

Me whai whakaaro motuhake ngā wāhine e whāngai ana i te ū, nā te mea ka uru pea ngā rahinga iti o te rauemi iraruke ki te waiu ū. Ka tūtohu pea tō tākuta kia whakamutua te whāngai ū mō te 12-24 hāora i muri i te werohanga, ahakoa e whakawhirinaki ana tēnei ki ngā āhuatanga rerekē e pā ana ki tō āhuatanga.

Ko te hunga e mate ana i te mate tākihi nui pea me whakatika te horopeta, me whakamātautau kē rānei, nā te mea kāore pea ō rātou tinana e whakakore i te tohu i te whai hua. Waihoki, ko te hunga e pā ana ki ētahi mate ngākau e tūpono ai te whakamātautau ahotea, pea me whakarerekē ngā tikanga.

Mēnā he hītori tō koe mō ngā tauhohenga mate pāwera nui ki ngā rongoā, ki ngā āpiha rongoā rānei, ka whai ngā tō rōpū hauora i ngā whakatūpato anō, ā, pea ka rongoā i a koe i mua i te wā hei ārai i ngā tauhohenga.

Ngā Ingoa Waitohu o Technetium-Tc-99m-Tetrofosmin

Ko tēnei rāpoi rongoā iraruke e mōhiotia ana e tōna ingoa waitohu Myoview, he mea hanga e GE Healthcare. Ko Myoview te whakarite arumoni tuatahi o te technetium-Tc-99m-tetrofosmin e wātea ana i roto i te nuinga o ngā whare rongoā.

Ka rongo pea koe i ngā kaiwhakarato hauora e kōrero ana ki a ia ko

Mō ētahi tūroro, ka tūtohu pea tō tākuta i te MRI ngākau, i te CT ngākau rānei hei utu mō te whakaahua karihi. Kāore ēnei whakamātautau e whakamahi i ngā rauemi iraruke engari e whakarato ana i ngā momo pārongo rerekē mō te hanganga me te mahi o tō ngākau.

Ko te echocardiography ahotea tētahi atu kōwhiringa e whakamahi ana i te ultrasound hei aromatawai i te mahi ngākau i te wā o te ahotea, ahakoa e whakarato ana i ngā pārongo rerekē atu i te whakaahua rerenga karihi. Ka kōwhiri tō tākuta i te whakamātautau pai rawa atu i runga i ō tohu motuhake me te hītori hauora.

He Pai Anei a Technetium-Tc-99m-Tetrofosmin i te Technetium-Tc-99m-Sestamibi?

He kōwhiringa pai ngā tohu e rua mō te whakaahua ngākau, ā, kāore tētahi i te tino

Āe, he pai tēnei tohu mō te hunga mate huka, ā, kāore te mate huka e whakanui i tō tūponotanga ki ngā pānga taha mai i te werohanga. Heoi anō, tērā pea me whakatika tō whakahaere i te mate huka i te wā o tō whakamātautau, ina koa me pōkai koe i mua.

Mēnā kei te tango rongoā mate huka koe, ina koa te insulin, ngā rongoā rānei e pā ana ki te heke o te huka toto, kōrero ki tō rōpū hauora mō te wā tika o āu horopeta i te wā o te whakamātautau. Tērā pea ka whakatika rātou i tō hōtaka rongoā hei ārai i ngā raruraru huka toto i te wā pōkai.

Ko te wāhanga o te whakamātautau e pā ana ki te pēhanga (mehemea kei roto) e hiahia ana kia aro nui ki te hunga mate huka, nā te mea ka pā te pēhanga tinana, matū rānei ki ngā taumata huka toto. Ka mātakitaki tata tō rōpū hauora i a koe, ā, tērā pea ka tirohia tō huka toto i mua, i muri hoki i te tikanga.

Q2. Me pēhea ahau ki te whiwhi nui rawa atu i te Technetium-Tc-99m-Tetrofosmin?

He tino onge te horopeta nui i tūpono no te mea ka whakaritea, ka whakahaerea tēnei rongoā e ngā tohunga whakangungu e whai ana i ngā tikanga haumaru tino kaha. Mēnā ka puta he horopeta nui, ko te āwangawanga nui ko te whakanui i te pānga iraruke, kaua ko ngā pānga paitini mai i te rongoā tonu.

He tikanga motuhake ō ngā whare hauora mō te whakahaere i ngā hapa horopeta, tae atu ki te whakamōhiotanga tonu ki ngā āpiha haumaru iraruke me te whakatinana i ngā tikanga mātakitaki. Ka mātakitakihia koe mō ngā tohu rerekē, ā, tērā pea ka whiwhi koe i ngā rongoā hei āwhina i te whakakore i te tohu i te tere ake.

Ko te rongo pai ko te technetium-99m he haurua-ora poto rawa, nō reira ahakoa i whiwhi koe i te nui atu i te mea i whakaarohia, ka heke tere te pānga iraruke i te wā. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake mō ngā whakatūpato hei whai me te tiaki whai muri e hiahiatia ana.

Q3. Me pēhea ahau ki te kore e tae ki taku whakaritenga Technetium-Tc-99m-Tetrofosmin?

I te mea he whakamātautau tātai tēnei, ehara i te rongoā auau, ki te ngaro koe i tō tūpono, me whakarite anō e koe mō tētahi rā anō. Ka mahia te tohu mō ia tūroro, ā, kāore e taea te tiaki mō te whakamahi i muri mai, nō reira me whakarite anō mō tō tūpono kua whakaritea anō.

Whakapā atu ki tō kaiwhakarato hauora, ki te pokapū whakaahua rānei i te wā e taea ai te whakarite anō. Ka mahi rātou ki a koe ki te kimi i tētahi wā tūpono hou e pai ana ki tō wātea, ā, e tutuki ana i ngā whakaritenga wā rongoā i tohua e tō tākuta.

Mēnā i tonoa tō whakamātautau mō te arotake ohorere o te mamae o te uma, ētahi atu tohumate rānei e pā ana, me mōhio ki tēnei i te wā e whakarite anō ana kia taea ai e rātou te whakanui i tō tūpono. Kaua e whakaroa ki te rapu āwhina rongoā mēnā kei te pā tō tohumate e pā ana ki a koe.

Q4. Āhea ka taea e au te hoki ki ngā mahi noa i muri i te werohanga Technetium-Tc-99m-Tetrofosmin?

Ka taea e koe te hoki ki te nuinga o ngā mahi noa i muri tonu i te otinga o tō whakaahua, ahakoa ka ngenge koe mēnā i uru tō whakamātautau ki tētahi wāhanga taumaha. Kāore te tohu i te aukati i ō mahi, engari me whai koe i ngā tohutohu motuhake e whakaratohia ana e tō rōpū hauora.

Mō te 24 haora tuatahi i muri i te werohanga, he mea whai hua ki te inu i te wai nui hei āwhina i te horoi i te tohu i tō pūnaha. Ka taea e koe te kai noa ki te kore tō tākuta i hoatu ētahi atu here kai mō ngā take rongoā kāore i te pā ki te tohu.

Mēnā i whai whakamātautau taumaha koe hei wāhanga o tō tikanga, me karo pea koe i te whakakori tinana kaha mō ētahi haora kia tino ora anō koe. Ko te nuinga o te tangata ka hoki ki te noa i roto i ētahi haora i muri i te otinga o tā rātou whakamātautau.

Q5. Kia pēhea te roa o te noho o te iraruke i tō tinana?

Ka tere te heke o te iraruke mai i te technetium-99m na te mea he poto te haurua o te ora, tata ki te 6 haora. Ko te tikanga, i nga haora 6 katoa, ka haurua te nui o te iraruke i roto i to tinana, a i roto i nga haora 24-48, kua ngaro katoa te iraruke.

Ko te nuinga o te tohu ka whakakorea ma o whatukuhu, ka puta ki roto i to mimi, me te iti ake o te nui ka whakakorea ma etahi atu para o te tinana. Ko te whakakorenga ka oti i roto i te 1-2 ra, ahakoa ka taea e te inu wai nui te awhina i tenei mahi.

I te ra tuatahi i muri i to werohanga, tera pea ka tohutohuhia koe ki te whai i nga whakatupatotanga ngawari penei i te horoi i te wharepaku e rua nga wa me te horoi i o ringaringa i muri i te whakamahinga o te wharepaku. Ko enei tikanga ka awhina i te tiaki i etahi atu i te rongo ki te iraruke kore, ahakoa he iti rawa te tupono.