Gadodiamide ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Gadodiamide ni umuti ukoreshwa mu kugaragaza ibintu neza, abaganga bawutera mu mitsi yawe kugira ngo bafashe mu kugaragaza amashusho asobanutse kandi arambuye mugihe cyo gukoresha MRI. Utekereze nk'irangi ryihariye rishimangira ibice bimwe na bimwe by'umubiri wawe, bigatuma ikipe yawe y'abaganga ibona neza ibiri kuba imbere mu mubiri wawe kandi ikaguha ubuvuzi bwiza bushoboka.

Uyu muti ubarirwa mu itsinda ryitwa ibintu bigaragaza ibintu bishingiye kuri gadolinium. Nubwo izina rishobora kumvikana rigoye, gadodiamide ifasha muganga wawe kureba neza imyanya yawe y'imbere, imitsi y'amaraso, n'ibice byawe mugihe cyo gukoresha ibizamini byo gupima.

Gadodiamide ikoreshwa kubera iki?

Gadodiamide ifasha abaganga kureba imbere mu mubiri wawe neza mugihe cyo gukoresha MRI. Uyu muti ukora nk'ikaramu ishimangira, ituma ibice bimwe na bimwe by'umubiri n'imitsi y'amaraso bigaragara neza.

Muganga wawe ashobora kugusaba gadodiamide mugihe akeneye gukora isuzuma ry'ubwonko bwawe, umugongo, cyangwa ibindi bice by'umubiri wawe kugira ngo arebe niba hari ibibazo bishobora kuba bihari. Bifasha cyane mugusuzuma ibibyimba, indwara zandura, umuvumo, cyangwa ibitagenda neza by'imitsi y'amaraso bishobora kutagaragara neza mugihe gukoresha MRI isanzwe.

Uyu muti kandi ukoreshwa mugusuzuma niba impyiko zawe zikora neza no kureba niba hari ibiziba mu mitsi yawe y'amaraso. Rimwe na rimwe abaganga barawukoresha kugira ngo babone neza umutima wawe cyangwa basuzume ibice by'umubiri byangiritse nyuma yo kubagwa.

Gadodiamide ikora ite?

Gadodiamide ifatwa nk'umuti ukomeye wo kugaragaza ibintu neza ukora uhindura imyitwarire y'ibice by'amazi biherereye hafi yayo mugihe cyo gukoresha MRI. Iyo iterwa mu maraso yawe, igenda mu mubiri wawe hose kandi ihindura by'agateganyo imikorere ya magnetike y'ibice by'umubiri biherereye hafi yayo.

Iyi mpinduka ituma ahantu hamwe hagaragara hasobanutse cyangwa hakijimye ku mashusho ya MRI, ikagaragaza itandukaniro riri hagati y'ubwoko butandukanye bw'ibice by'umubiri. Impyiko zawe zisukura uyu muti mu mubiri wawe, akenshi mu masaha 24 kugeza kuri 48 nyuma yo guterwa urushinge.

Uburyo bwose bugenewe kuba bw'agateganyo kandi bwizewe ku bantu benshi. Umubiri wawe ufata gadodiamide nk'ikintu cy'amahanga kigomba gukurwaho, ibyo bikaba aribyo bigomba kuba.

Nkwiriye Gufata Gadiodiamide Nte?

Gadiodiamide itangwa gusa n'abantu b'inzobere mu by'ubuzima binyuze mu nshinge ya intravenous (IV), akenshi mu bitaro cyangwa ikigo gishinzwe gupima. Nta kintu na kimwe ugomba gukora kugira ngo witegure inshinge ubwayo.

Mbere yo guhura na muganga wawe, urashobora kurya no kunywa nk'ibisanzwe keretse muganga wawe akubwiye ibindi. Ibikorwa bimwe na bimwe bishobora kukubwira kwirinda kurya amasaha make mbere yo gupimwa, ariko ibi bitandukanye bitewe n'igice cy'umubiri wawe kigenzurwa.

Inshinge akenshi ifata amasegonda make, kandi urayihabwa uryamye ku meza ya MRI. Umuntu watojwe cyangwa umuforomo azashyira umurongo muto wa IV mu kuboko kwawe hanyuma akingira umuti w'itandukaniro mu gihe gikwiye mugihe gipimwa.

Ushobora kumva umuvumo cyangwa igitutu gito iyo umuti winjiye mu maraso yawe, ariko ibi ni ibisanzwe kandi akenshi birashira vuba.

Nkwiriye Gufata Gadiodiamide Igihe Kingana Gite?

Gadiodiamide ni urushinge rumwe rutangwa gusa mugihe cyo guhura na MRI. Ntiuyifata murugo cyangwa ngo ukomeze kuyikoresha nyuma yo gupimwa kwawe kurangira.

Umuti ukora ako kanya umaze guterwa kandi utangira kuva mumubiri wawe mumasaha make. Abantu benshi bakuraho umuti w'itandukaniro burundu muminsi imwe cyangwa ibiri binyuze mumikorere isanzwe y'impyiko.

Niba ukeneye gupimwa MRI nyinshi muminsi iri imbere, muganga wawe azahitamo niba ukeneye indi doze ya gadodiamide bitewe nicyo bareba ndetse n'ubuzima bwawe bwite.

Ni Iyihe Miterere Y'ingaruka za Gadiodiamide?

Abantu benshi bakira neza gadiodiamide, benshi ntibagira ingaruka na zimwe. Ariko, birafasha kumenya icyo ushobora kwitega kugirango wumve witeguye kandi ufite amakuru.

Ingaruka zikunze kugaragara zikunda kuba nto kandi zikamaraho igihe gito. Dore ibyo abantu bamwe bahura nabyo:

• Urugimbu ruto cyangwa kumva urwaye gato
• Uburyohe bw'icyuma mu kanwa kawe akenshi gashira vuba
• Umutwe muto cyangwa kumva uruhutse
• Ushyuhe cyangwa ubukonje ahaterwa urushinge
• Umutwe muto

Izi ngaruka akenshi zikira zonyine mu masaha make kandi ntizisaba ubuvuzi bwihariye.

Ingaruka zitagaragara cyane ariko zigaragara cyane zirimo kuruka, imitsi, cyangwa kwishima. Nubwo ibi bishobora kumvikana nabi, akenshi birashoboka kandi ikipe yawe y'abaganga izi uko bagufasha kubinyuramo.

Uburwayi bukomeye bwo kwivumbura ntibukunda kubaho ariko bushobora kubaho. Ikipe yawe y'ubuvuzi izagukurikiranira mu gihe cyo guterwa urushinge no nyuma yarwo kugirango barebe ibimenyetso by'ibibazo, nk'ingorane zo guhumeka, kubyimba bikabije, cyangwa impinduka zikomeye mu mitsi y'amaraso.

Hariho kandi indwara idasanzwe yitwa nephrogenic systemic fibrosis (NSF) ishobora gufata abantu bafite ibibazo bikomeye by'impyiko. Iyi niyo mpamvu muganga wawe azareba imikorere y'impyiko zawe mbere yo kuguha gadodiamide niba afite impungenge.

Ninde utagomba gufata Gadodiamide?

Gadodiamide ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyisaba. Ikintu cy'ingenzi ni imikorere y'impyiko, kuko impyiko zawe zikeneye gukuramo umuti mu mubiri wawe.

Abantu bafite indwara ikomeye y'impyiko cyangwa kunanirwa kw'impyiko muri rusange ntibagomba guhabwa gadodiamide kuko impyiko zabo zishobora kutabasha kuyikuramo neza. Ibi bishobora gutera ibibazo, bityo muganga wawe ashobora gutegeka ibizamini by'amaraso kugirango arebe imikorere y'impyiko zawe mbere.

Niba waragize uburwayi bukomeye bwo kwivumbura kuri gadodiamide cyangwa izindi ntungamubiri zishingiye kuri gadolinium mu gihe gishize, muganga wawe ashobora guhitamo uburyo butandukanye bw'ibyo ukeneye kwifashisha mu kwerekana ishusho.

Abagore batwite basanzwe birinda gadodiamide keretse inyungu zirusha kure ibyago, kuko nta bushakashatsi buhagije buhari bwo kwemeza ko itekanye rwose mu gihe cyo gutwita. Muganga wawe azaganira ku zindi nzira niba utwite cyangwa ushobora kuba utwite.

Abantu bafite indwara zimwe na zimwe z'umutima cyangwa asima ikaze bashobora gukenera ingamba zihariye, ariko ibi ntibisobanura ko badashobora kwakira umuti utandukanya. Itsinda ryawe ry'abaganga rizagereranya inyungu n'ibyago by'icyo gihe cyihariye.

Amazina y'ubwoko bwa Gadodiamide

Gadodiamide iboneka munsi y'izina ry'ubwoko rya Omniscan mu bihugu byinshi. Iri ni ryo zina ushobora cyane kubona ku nyandiko zawe z'ubuvuzi cyangwa impapuro zo gusohoka.

Ibikorwa bimwe na bimwe bishobora kubyita gusa "MRI contrast" cyangwa "gadolinium contrast" mu itumanaho nawe. Aya mazina yose yerekeza ku bwoko bumwe bw'imiti, nubwo imiterere yihariye ishobora gutandukana gato.

Mugihe utegura gahunda yawe cyangwa uganira kuri iyi nzira na muganga wawe, urashobora gukoresha izina rusange (gadodiamide) cyangwa izina ry'ubwoko (Omniscan) kandi bazamenya neza icyo urimo kuvuga.

Uburyo bwa Gadodiamide

Andi mavuta atandukanya ashobora gutanga inyungu zisa niba gadodiamide itagukwiriye. Muganga wawe ashobora kugusaba gadoterate meglumine, gadobutrol, cyangwa aside ya gadoxetic bitewe nicyo bakeneye gukora.

Buri kimwe gifite imitungo itandukanye gato n'imiterere yo gukuraho, bivuze ko muganga wawe ashobora guhitamo uburyo bwiza bw'ubuzima bwawe bwihariye n'imikorere y'impyiko.

Mu bihe bimwe na bimwe, muganga wawe ashobora gufata icyemezo cyo gukora MRI nta muti utandukanya na gato. Nubwo ibi bishobora gutanga amashusho adasobanutse kuri bimwe na bimwe, birashobora gutanga amakuru y'agaciro ku buzima bwawe.

Ku bantu batabasha kwakira ibintu byose bishingiye kuri gadolinium, izindi tekiniki zo gukoresha amashusho nka CT scans hamwe n'ibindi bintu bitandukanye cyangwa ultrasound bishobora kuba uburyo bwiza bwo kubisimbura.

Ese Gadodiamide iruta izindi contrast agents?

Gadodiamide ikora neza mu ntego nyinshi zo gukoresha amashusho, ariko niba ari "byiza" biterwa n'ibyo ukeneye n'ubuzima bwawe bwite. Contrast agents zitandukanye zifite imbaraga zitandukanye kandi zikwiriye mu bwoko butandukanye bw'ibizamini.

Zimwe muri contrast agents nshya zivanwa mu mubiri vuba cyangwa zifite uburyo butandukanye bwo kwirinda, bishobora kuzituma ziba amahitamo meza ku bantu bamwe. Muganga wawe azatekereza ibintu nk'imikorere y'impyiko zawe, ahantu hagenzurwa, n'ubundi buryo wigeze kugira.

Contrast agent "nziza" ni iyo itekanye kandi ikora neza mu bihe byawe byihariye. Itsinda ryawe ry'abaganga rifite uburambe mu buryo butandukanye kandi rizagena icyo ribona ko gitanga amakuru bakeneye mugihe bagufasha kumva umeze neza.

Ibibazo bikunze kubazwa kuri Gadodiamide

Ese Gadodiamide irakwiriye ku bantu barwaye diyabete?

Gadodiamide muri rusange irakwiriye ku bantu barwaye diyabete, ariko muganga wawe azitaho cyane imikorere y'impyiko zawe mbere yo kuguha contrast agent. Diyabete ishobora kugira ingaruka ku buzima bw'impyiko uko igihe kigenda, bityo itsinda ryawe ry'abaganga rizashobora gukora ibizamini by'amaraso kugirango barebe niba impyiko zawe zikora neza bihagije kugirango zitunganye imiti.

Niba ufata metformin ya diyabete, muganga wawe ashobora kukubwira ko uhagarika kuyifata umunsi umwe cyangwa ibiri hafi y'igihe cya MRI yawe. Ibi ni ukwitegura gusa kugirango wirinde uburyo ubwo aribwo bwose bushobora kubaho, kandi uzashobora gusubira muri gahunda yawe isanzwe yo gufata imiti nyuma yaho.

Nigute nzakora niba mbonye Gadodiamide nyinshi mu buryo butunganye?

Abaganga b'ubuzima babara kandi bapima neza imiti ya gadodiamide, bityo kwirenza urugero ku buryo butunguranye biba bidakunze kubaho cyane. Urugero uhabwa rushingiye ku gipimo cy'umubiri wawe n'ubwoko bwa scan burimo gukorwa.

Niba ufite impungenge ku rugero wahabwa, ntugatinye kuvugana n'ikipe yawe y'ubuvuzi ako kanya. Bashobora gusuzuma dosiye yawe bakaguha icyizere ku bijyanye n'uko urugero rwawe rukwiye. Mu gihe kitazwi cyane cyo kwirenza urugero, ikipe yawe y'ubuvuzi izi uburyo bwo kugukurikirana no gutanga ubufasha mu gihe impyiko zawe zikuraho imiti yarenze urugero.

Nkwiriye gukora iki niba ntasinze urugero rwa Gadodiamide?

Kubera ko gadodiamide itangwa rimwe gusa mu gihe cyo guhura kwawe na MRI, ntushobora rwose "guta" urugero mu buryo busanzwe. Niba gahunda yawe ya MRI isubitswe cyangwa igahindurwa, uzakira gusa umuti w'itandukaniro mu gihe gishya cyo guhura kwawe.

Niba ugomba kuva mbere yo kurangiza MRI yawe ku mpamvu iyo ari yo yose, hamagara ibiro bya muganga wawe cyangwa ikigo gishinzwe gushushanya kugira ngo baganire ku byerekeye kongera gahunda. Bazemeza niba ukeneye gusubiramo inshinge y'itandukaniro cyangwa niba bafashe amashusho ahagije kugira ngo bakore isuzuma.

Nshobora kureka gufata Gadodiamide ryari?

Ntabwo ukeneye "kureka" gufata gadodiamide kuko atari umuti ukomeza gufatwa. Umubiri wawe uwikuraho mu buryo busanzwe mu munsi umwe cyangwa ibiri nyuma ya scan yawe ya MRI, bityo nta kintu na kimwe ukeneye gukora kugira ngo ubihagarike.

Urashobora gusubira mu bikorwa byawe byose bisanzwe ako kanya nyuma ya MRI yawe keretse muganga wawe akugiriye izindi mpaka. Umuti w'itandukaniro uzava mu mubiri wawe wenyine binyuze mu mikorere isanzwe y'impyiko no kunyara.

Nshobora gutwara imodoka nyuma yo guhabwa Gadodiamide?

Abantu benshi bashobora gutwara imodoka bisanzwe nyuma yo guhabwa gadodiamide, kuko akenshi ntibitera gusinzira cyangwa ngo bigire uruhare mu bushobozi bwawe bwo gutwara ikinyabiziga. Ariko, niba wumva uruka, uribwa, cyangwa utameze neza nyuma yo guterwa urushinge, ni byiza ko undi muntu akutwara akakujyana mu rugo.

Abantu bamwe bumva bananiwe gato nyuma yo gukorerwa MRI bitewe n'umunabi w'igikorwa ubwacyo aho kuba umuti wifashishwa. Wizere umubiri wawe kandi ntuzatware imodoka niba utumva umeze neza kandi utekanye rwose inyuma y'uruziga.