He aha te Fluorescein (Ara Whakauru): Ngā Whakamahinga, Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Fluorescein he waikano kōwhai-karaka kanapa ka werohia e ngā tākuta ki ō uaua hei āwhina i te tātaritanga o ngā raruraru o te kanohi me ngā take o ngā oko toto. Ka haere tēnei waikano motuhake mā roto i ō toto, ka whiti ētahi wāhanga o tō tinana i raro i ngā rama motuhake, e āhei ai tō tākuta ki te kite i ngā mea e kore e kitea.

Whakaarohia me he tohu mō ō oko toto. Ka āwhina te waikano i tō rōpū hauora ki te kite wawe i ngā raruraru me te hanga i ngā tātaritanga tika ka taea te tiaki i tō tirohanga me te hauora whānui.

He aha te Fluorescein?

Ko te Fluorescein he waikano tātaritanga haumaru, kua whakaaetia e te FDA, kua whakamahia i roto i te rongoā mō ngā tekau tau. He pūhui wairewa-wai e whiti ana i te kōwhai-kākāriki kanapa ka pā ki te mārama puru, e pai ana mō te whakaahua rongoā.

Ka tae mai te rongoā hei otinga pūnoa ka werohia tika ki roto i ō toto mā te raina IV. Kia uru ki tō tinana, ka tere te haere ki ō oko toto katoa, tae atu ki ngā mea iti i ō kanohi me ētahi atu okana.

Ka tukatuka tō tinana i tēnei waikano i te tikanga māori me te whakakore mā ō tākihi i roto i te 24 ki te 48 haora. He pai te aro o te nuinga o te tangata, ā, he onge ngā tauhohenga nui.

He aha te Fluorescein e whakamahia ana mō?

Ko te mea nui ka whakamahia e ngā tākuta te fluorescein whakauru ki te tātaritanga i ngā āhuatanga o te kanohi, ina koa ngā raruraru o te retina i te tuara o tō kanohi. Ko tēnei whakamātautau, e kīia ana ko te angiography fluorescein, ka āwhina i te tautuhi i ngā take ka raru ai tō tirohanga.

Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā kei te pā ki a koe ngā huringa tirohanga, te mamae o te kanohi, mēnā rānei he āhuatanga pēnei i te mate huka e pā ana ki ō kanohi. Ka āwhina te waikano ki te whakaatu i ngā oko toto kua pakaru, ngā uaua kua aukatia, ngā wāhi rānei e turuturu ana te wai.

Koinei ngā āhuatanga matua e āwhina ana tēnei whakamātautau ki te tātaritanga:

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• Te mate pāwera retinal (te kino o te kanohi mai i te mate huka)
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• Te whakahekenga macular e pā ana ki te pakeke
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• Te aukati i te uaua retinal, i te uaua ranei
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• Te puku i roto i te macula (te pokapū o tō retina)
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• Nga roimata retinal, te wehenga ranei
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• Nga mate kanohi mumura
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• Nga puku i roto, i te taha ranei o te kanohi
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I etahi wa ka whakamahia hoki e nga taote te fluorescein hei tirotiro i te rere o te toto i etahi atu wahi o to tinana, ahakoa he iti noa iho tenei. Ka whakawhiwhia e te whakamātautau he korero whai hua hei awhina i to roopu hauora ki te whakamahere i te maimoatanga pai mo to ahuatanga motuhake.

Me pehea te mahi a Fluorescein?

Ka mahi a Fluorescein ma te mahi ano he tohu e whakamarama ana i o oko toto i raro i nga taputapu whakaahua motuhake. Ka uru te waikano ki roto i to toto, ka haere ki nga waahi katoa e haere ana to toto, tae atu ki te whatunga ngawari o nga oko i roto i ou kanohi.

Ka puta te makutu i te wa e whakamarama ana to taakuta i te rama puru me te tango whakaahua tere o to kanohi. Ka tuku nga oko toto hauora i te waikano kia rere marie, i te wa e puta ana nga waahi kua pakaru hei waahi kanapa, nga waahi pouri, nga waahi ranei e turuturu ana te waikano.

E kiia ana he taputapu tātaritanga tino whai hua na te mea e whakarato ana i nga whakaahua taipitopito, i te wa-pono o nga tauira rere toto. Ka taea e to taakuta te kite tika i nga waahi e puta ana nga raru me te kaha o te kaha.

Ko te waikano ake kaore e rongoa i nga ahuatanga - he mea mo te tātaritanga anake. Heoi, ko nga korero e whakaratohia ana e ia he mea nui ki te whakatau i te mahere maimoatanga tika mo to ahuatanga motuhake.

Me pehea taku tango i te Fluorescein?

Kaore koe e

Koinei te mea e tupu ana i te wa o te tikanga:

1. Ka whakauruhia e te nēhi, e te tohunga rānei he rārangi IV iti ki tō ringa
2. Ka noho koe ki mua i tētahi kāmera motuhake i hangaia hei whakaahua i ō kanohi
3. Ka werohia te otinga fluorescein i te wa poto mā te IV
4. Ka tangohia ngā whakaahua i te wā tonu, ka haere tonu mō ētahi meneti
5. Ko te katoa o te tukanga e 15 ki te 30 meneti te roa

Ka pōrangi pea koe i te wera poto, i te whakapairuaki rānei i te wā e werohia ana te waikano, engari ka tere te pahemo. He maha ngā tāngata e kite ana he pai ake te whakamātautau i tā rātou i whakaaro ai.

Kia Pēhea te Roa e Tango ai au i te Fluorescein?

He werohanga kotahi te Fluorescein, ehara i te rongoā e tango ana koe i ngā wā katoa. Ka hoatu te horopeta katoa i te wā o tō tūtohinga tātaritanga, ā, ka oti te whakamātautau i roto i te 30 meneti.

Ka whakakorehia e tō tinana te waikano i roto i te 24 ki te 48 haora mā ō tākihi. Kāore koe e hiahia ki te mahi i tētahi mea motuhake hei āwhina i tēnei tukanga - inu noa i te wai nui pērā i te tikanga.

Mēnā e hiahia ana tō tākuta ki te whakahoki anō i te whakamātautau hei aroturuki i tō āhuatanga i te wā, ka whakarite rātou i ngā tūtohinga motuhake. Ko ētahi tāngata ka hiahia pea ki te whai i ngā angiograms fluorescein ia ētahi marama, tau rānei, i runga i tō rātou āhuatanga kanohi motuhake.

He aha ngā pānga taha o te Fluorescein?

He maha ngā tāngata e pā ana ki ngā pānga taha ngawari mai i te fluorescein, ā, he maha kāore he pānga taha. Ko te urupare tino noa ko te huringa tae rangitahi o tō kiri me tō mimi, he mea noa, he kore kino.

Koinei ngā pānga taha ngawari ka kitea e koe:

• Mimi kōwhai, karaka rānei mō te 24 ki te 48 haora
• He paku kōwhai ki tō kiri ka memeha i roto i ngā hāora
• Whakapairuaki poto, te wera rānei i te wā o te werohanga
• Te reka konganuku rangitahi i tō waha
• Te whanoke ngawari ka tere te pahemo

He wā poto noa ēnei pānga, kāore hoki e tohu ana i ētahi raruraru. Ko te tae kōwhai i roto i tō mimi he mea noa te waikano e whakakorehia ana i tō tinana.

He onge ngā pānga taha nui ake, engari ka uru pea:

• Ngā tauhohenga pāwera me te māngai, te mōmiti, te uaua rānei ki te hā
• Te whakapairuaki nui, te ruaki rānei
• Te ngaro o te mahara, te whanoke nui rānei
• Te pūpū o tō mata, ngā ngutu, te korokoro rānei

E mātakitaki ana tō rōpū hauora i a koe i te wā o te werohanga, i muri hoki, kia mātakitaki mō ētahi tauhohenga rerekē. Kua rite rātou ki te whakahaere i ngā raruraru ka puta pea, ahakoa he iti noa ngā raruraru nui.

Ko wai kāore e tika kia tango Fluorescein?

Ahakoa te nuinga o te wā he haumaru te fluorescein mō te nuinga o ngā tāngata, he wāhi kei reira pea ka whiriwhiria e tō tākuta tētahi atu huarahi tātaritanga. Ko ngā tāngata e mate ana i te mate tākihi nui pea me whai whakaaro motuhake, nā te mea ka whakakorehia te waikano mā ngā tākihi.

Ka arotake tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei whakamātautau. Ka hiahia rātou ki te mōhio mō ētahi tauhohenga pāwera i mua ki ngā waikano, ngā rongoā, ngā āpiha rānei.

Ngā āhuatanga e hiahia ana kia tūpato atu:

• Hītori o ngā tauhohenga pāwera nui ki ētahi rongoā
• Te mate tākihi nui, te kore rānei o te tākihi
• Ngā āhuatanga ngākau nui pea ka nui ake te tairongo ki ngā pānga taha
• He tauhohenga kino i mua ki te fluorescein, ki ngā waikano rite rānei

Me whai whakaaro motuhake te hapū, ahakoa ka taea te whakamahi fluorescein i te wā e nui ake ana ngā painga i ngā tūponotanga. Ka kōrero tō tākuta i tēnei ki a koe mēnā kei te hapū koe, kei te hapū pea rānei.

Mēnā kei te whāngai ū koe, ka tohutohutia pea koe ki te pūhi, ki te maka atu i te waiu ū mō te 24 hāora i muri i te whakamātautau, ahakoa he iti rawa te nui o te waikano ka uru ki roto i te waiu ū.

Ngā Ingoa Waitohu Fluorescein

Kei te wātea te Fluorescein i raro i ētahi ingoa waitohu, ahakoa he rite tonu te rongoā ahakoa ko wai te kaihanga. Ko ngā ingoa waitohu rongonui ko Fluorescite, AK-Fluor, me Funduscein.

Ka rerekē pea te kukume me te hanganga i waenga i ngā waitohu, engari kei roto katoa i a rātou te whakauru kaha kotahi - te konutai fluorescein. Ka whiriwhiria e tō whare hauora te waitohu e pai ana mō ā rātou taputapu me ngā tikanga.

Ko ētahi whakaritenga ka tae mai hei otinga kua rite ki te whakamahi, i te wā e hiahia ana ētahi atu ki te whakaranu i mua i te werohanga. Kāore tēnei e pā ki te haumaru, ki te whai huatanga rānei o tō whakamātautau - he mea noa te wātea o te whakarite mō tō rōpū hauora.

Ngā Kōwhiringa kē mō te Fluorescein

Ahakoa ko te angiography fluorescein te paerewa koura mō te maha o ngā whakamātautau kanohi, he ētahi atu tikanga tātaritanga ka whakaarohia e tō tākuta i runga i tō āhuatanga motuhake.

Ka taea e te OCT (Optical Coherence Tomography) te whakarato i ngā whakaahua taipitopito o tō retina me te kore e whakamahi i te waikano. Ka whakamahia e tēnei whakamātautau ngā ngaru mārama hei hanga pikitia ripeka o tō retina, ahakoa kāore e whakaatu ana i te rere o te toto pēnei i te fluorescein.

Ko ētahi atu kōwhiringa ko:

• Indocyanine green angiography (e whakamahi ana i tētahi waikano rerekē)
• Whakaahua fundus (e tango ana i ngā pikitia me te kore waikano)
• OCT angiography (e whakaatu ana i ngā oko toto me te kore werohanga)
• Ultrasonography mō ētahi āhuatanga kanohi

Ka whiriwhiria e tō tākuta te whakamātautau pai rawa atu i runga i tā rātou e ngana ana ki te tātaritanga me tō āhuatanga hauora takitahi. I ētahi wā e hiahiatia ana ngā whakamātautau maha kia whiwhi ai i tētahi pikitia oti o tō hauora kanohi.

He Pai Ake te Fluorescein i te Indocyanine Green?

He waikano tātaritanga pai te fluorescein me te indocyanine green, engari he painga motuhake ō rātou mō ngā momo raru kanohi rerekē. He pai ake te Fluorescein mō te tirotiro i ngā oko toto o te mata i tō retina, ā, ko te whakamātautau e whakamahia nuitia ana.

Ka uru atu te kākāriki indocyanine ki roto i ngā kiko o te kanohi, ā, ka taea te whakaatu i ngā oko toto ka ngaro pea i te fluorescein. He tino whai hua mō ētahi momo o te mate macular degeneration me ngā raruraru kanohi hōhonu.

Anei te whakataurite:

• Fluorescein: He pai ake mō ngā oko toto retinal o runga, he iti te utu, he nui te wātea
• Kākāriki indocyanine: He pai ake mō ngā oko toto hōhonu, he nui te utu, me ngā taputapu motuhake
• Fluorescein: Ka pā te kōwhai ki te kiri mō te wā poto
• Kākāriki indocyanine: Kāore he huringa tae o te kiri, engari he rerekē te pānga taha

Ka whiriwhiria e tō tākuta te whakamātautau e tika ana kia whai wāhi ki te whakarato i ngā mōhiohio e hiahiatia ana mō tō āhuatanga motuhake. I ētahi wā ka mahia ngā whakamātautau e rua i te rā kotahi kia whiwhi i tētahi pikitia oti.

Ngā Pātai Auau mō Fluorescein

He Haumaru te Fluorescein mō te Tāngata e mate huka ana?

Āe, he tino haumaru te fluorescein mō te tāngata e mate huka ana. Inaha, he maha ngā tāngata e mate huka ana ka whiwhi i ngā angiograms fluorescein i te wā katoa hei aroturuki i te hauora o ō rātou kanohi, mai i te mea ka pā te mate huka ki ngā raruraru kanohi nui i te wā.

Kāore te whakamātautau e pā ki ō taumata huka toto, e rānei e pokanoa ana ki ngā rongoā mate huka. Heoi, ki te whai raruraru tākihi koe e pā ana ki te mate huka, ka hiahia pea tō tākuta ki te whai i ngā whakatūpato anō, ki te aroturuki rānei i a koe i te wā o te whakamātautau.

Me mōhio ki tō rōpū hauora mō tō mate huka me ngā raruraru ka pā ki a koe. Ka whakatika rātou i tā rātou aroturuki me te huarahi tiaki kia pai ai tō haumaru i te wā o te tukanga.

Me aha au ki te whiwhi au i te nui rawa o te Fluorescein?

Mai i te mea ka tukuna te fluorescein e ngā tāngata rongoā whakangungu i ngā wāhi whakahaere, he tino onge te nui rawa o te horopeta. Ka tātai āta te horopeta paerewa i runga i tō taumaha me te whakamātautau motuhake e mahia ana.

Mena kei te māharahara koe mō te nui o te waikano i whiwhi koe, kōrero tonu ki tō rōpū hauora. Ka taea e rātou te aroturuki i a koe mō ngā tohumate rerekē, me te whakarato i te manaaki tautoko ki te hiahiatia.

Ngā tohu e tohu ana i te nui rawa o te waikano ko te whakapairuaki nui, te ruaki tonu, te whanoke rerekē rānei e kore e pai ake. Heoi, he tino onge ngā raruraru nui mai i te fluorescein, ahakoa me ngā horopeta nui ake.

Me Pēhea Taku Mahi Mēnā Kua Ngaro Taku Horopeta o te Fluorescein?

Kāore tēnei pātai e pā ana ki te fluorescein nā te mea ka tukuna hei werohanga kotahi i te wā o te tikanga tātaritanga, ehara i te rongoā auau ka tango koe i te kāinga.

Mēnā ka ngaro i a koe tō whakaritenga mō te angiography fluorescein, waea atu ki te tari o tō tākuta ki te whakarite anō. Ko te wā o te whakamātautau he ngāwari te nuinga, ki te kore koe e raru ana i ngā raruraru kanohi ohorere.

Ka mahi tō tākuta ki a koe ki te kimi i tētahi wā whakaritenga hou e pai ana ki tō wā. Kāore he take e māharahara ana mō te ngaro i te

Heoi anō, ki te whiwhi koe i ngā pata kanohi hei whānui i ō pūpū, tērā pea ka pā te tirohanga kōpū me te tairongo ki te mārama mō ētahi haora. I tēnei wā, me whakarite e koe tētahi atu hei taraiwa i a koe ki te kāinga.

Pātai atu ki tō rōpū hauora i mua i te whakamātautau mēnā ka hiahia koe i tētahi hei kawe i a koe ki te kāinga. Ka taea e rātou te kī atu ki a koe te aha tonu e tūmanakohia ana i runga i ngā tikanga motuhake i whakaritea mō tō rāhui.