Icyo Gadofosveset ari cyo: Ibikoreshwa, Uburyo bwo kuyikoresha, Ingaruka zayo n'ibindi

Gadofosveset ni umuti wihariye ukoreshwa mugihe cyo gukoresha MRI kugirango ifashe abaganga kureba imitsi yawe y'amaraso neza. Tekereza nk'ikaramu yandika yerekana imitsi yawe n'imitsi y'amaraso kuri scan, ifasha ikipe yawe y'ubuvuzi kumenya ibibazo byose bishobora kuba bihishe.

Uyu muti ubarirwa mu itsinda ryitwa ibintu bitandukanye bishingiye kuri gadolinium. Yagenewe by'umwihariko kuguma mumitsi yawe y'amaraso igihe kirekire kuruta amarangi asanzwe, biha abaganga igihe cyinshi cyo gufata amashusho arambuye y'inzira yawe y'amaraso.

Gadofosveset ikoreshwa kubera iki?

Gadofosveset ifasha abaganga kumenya ibibazo by'imitsi yawe y'amaraso, cyane cyane iyo bakeka ibiziba cyangwa izindi ngorane zo gutembera kw'amaraso. Ikoreshwa cyane iyo muganga wawe akeneye gusuzuma imitsi yawe n'imitsi y'amaraso mu buryo burambuye.

Impamvu nyamukuru ushobora guhabwa uyu muti ni ugukoresha angiography ya resonance magnetique, cyangwa MRA. Ubu ni ubwoko bwihariye bwa MRI bwibanda cyane cyane kumitsi yawe y'amaraso. Muganga wawe ashobora kugusaba iki kizamini niba ufite ibimenyetso nko kuribwa kw'ukuguru mugihe ugenda, kubyimba bidasanzwe, cyangwa niba bakeka ko ufite indwara y'imitsi yo kuruhande.

Rimwe na rimwe abaganga bakoresha kandi gadofosveset iyo bakeneye kureba uko amaraso atembera neza mu bice by'umubiri wawe. Ibi birashobora kubafasha gutegura imiti cyangwa gukurikirana uko imiti yabanje ikora neza.

Gadofosveset ikora ite?

Gadofosveset ikora muguhuza by'agateganyo na poroteyine mumaraso yawe yitwa albumin. Ubu buryo bwo guhuza nibyo bituma bitandukanye n'ibindi bintu bitandukanye kandi bituma biguma mumaraso yawe igihe kirekire.

Iyo imashini ya MRI ikora umurima wayo wa magnetique, gadofosveset irasubiza yongera itandukaniro riri hagati yimitsi yawe y'amaraso n'ibice bikikije. Ibi bituma habaho amashusho asobanutse neza, arambuye cyane afasha muganga wawe kureba neza ibiri kuba imbere mumubiri wawe utemberamo amaraso.

Uyu muti ufatwa nk'umuti ukoreshwa mu kugaragaza ishusho ufite imbaraga ziringaniye. Ufite imbaraga zihagije zo gutanga ishusho nziza cyane ariko ukaba woroshye ku buryo abantu benshi bashobora kuwihanganira neza. Kuba wifata kuri poroteyine ya alubumine bisobanura ko ntusohoka mu muyoboro w'amaraso yawe vuba nk'uko bimeze ku bindi bintu bikoreshwa mu kugaragaza ishusho, bigaha abaganga umwanya wo gufata amashusho bakeneye.

Nkwiriye gufata gute Gadofosveset?

Mu by'ukuri ntuzifata ubwawe gadofosveset. Ahubwo, umuganga wizeye azagutera wo mu rwego rwo hejuru azagutera wo mu rwego rwo hejuru akoresheje urushinge ruri mu kuboko kwawe mu gihe cyo gupimwa kwa MRI.

Mbere yo gupimwa, ntugomba kwirinda kurya cyangwa kunywa keretse muganga wawe akubwiye ibindi. Ariko, ni byiza kuguma ufite amazi ahagije unywa amazi menshi mu minsi ibanza gupimwa kwawe. Ibi bishobora gufasha impyiko zawe gutunganya umuti ukoreshwa mu kugaragaza ishusho byoroshye.

Urushinge ubwarwo akenshi rufata iminota mike gusa. Ushobora kumva umubabaro muto igihe umuti winjira mu maraso yawe, ariko ibi ni ibisanzwe kandi nta mpungenge.

Mbwiriza gufata Gadofosveset igihe kingana iki?

Gadofosveset ni urushinge rumwe rutangwa gusa mu gihe cyo gupimwa kwa MRI. Ntabwo uzakenera gukomeza kuwufata uri mu rugo cyangwa mu minsi myinshi nk'uko bimeze ku bindi byemezo.

Umuti uguma ukora mu mubiri wawe mu isaha nka 3-4 nyuma yo guterwa urushinge, ibi biha abaganga umwanya wo gufata amashusho yose bakeneye. Byinshi muri byo bizavanwa mu mubiri wawe binyuze mu nkari zawe mu masaha 24-48.

Niba muganga wawe akeneye izindi scan mu gihe kizaza, bazagutera urushinge rushya icyo gihe. Akenshi ntibisaba ko wongera gufata imiti mu gihe kimwe cyo gupimwa.

Ni izihe ngaruka ziterwa na Gadofosveset?

Abantu benshi bafata neza cyane gadofosveset, benshi ntibagira ingaruka na zimwe. Iyo ingaruka zigaragaye, akenshi ziba nto kandi ntizimara igihe kirekire.

Ibimenyetso rusange bishobora kukubaho harimo kumva ukuntu gato ushyushye cyangwa ukonje mugihe cy'urushinge, isesemi rito, cyangwa kubabara umutwe gato. Ibi bimenyetso mubisanzwe bikira byonyine mumasaha make kandi ntibisaba ubuvuzi bwihariye.

Abantu bamwe bamenya kumva gushirira guto cyangwa kumva urushingo ahantu barushingiye. Ibi ni ibisanzwe kandi bigomba gushira vuba. Ushobora kandi kumva uburyohe bw'icyuma mumunwa wawe mugihe cyangwa nyuma y'urushinge, ibyo ntibihoraho kandi ntibigira ingaruka.

Ingaruka zitagaragara cyane ariko zigishobora gucungwa harimo isereri, umunaniro, cyangwa kuribwa kw'uruhu guto. Izi ngaruka mubisanzwe ziragufi kandi ntizitambamira ibikorwa byawe bya buri munsi umaze kuva mu kigo cy'ubuvuzi.

Ingaruka zikomeye ni gake ariko zishobora kwirimo ibimenyetso bikomeye byo kwibasirwa n'umubiri. Ibimenyetso byo kwitondera birimo kugorana guhumeka, kubyimba bikabije, cyangwa kwisuka kw'uruhu hose. Niba ubonye kimwe muri ibi bimenyetso, shakisha ubuvuzi bwihuse.

Hariho kandi indwara idasanzwe yitwa nephrogenic systemic fibrosis ishobora kubaho kubantu bafite ibibazo bikomeye by'impyiko. Iyi niyo mpamvu muganga wawe azagenzura imikorere y'impyiko zawe mbere yo kuguha gadofosveset.

Ninde utagomba gufata Gadofosveset?

Gadofosveset ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kubikugiraho inama. Ikintu cy'ingenzi ni imikorere y'impyiko, kuko abantu bafite indwara zikomeye z'impyiko bahura n'ibibazo byinshi.

Ntabwo ugomba guhabwa gadofosveset niba ufite indwara zikomeye z'impyiko cyangwa uri kuri dialysis. Muganga wawe ashobora gutuma hakorwa ibizamini by'amaraso kugirango agenzure imikorere y'impyiko zawe mbere yo gutegura isesengura ryawe. Abantu bafite ibibazo by'impyiko bashobora gukenera uburyo bwo gushushanya bundi cyangwa ingamba zidasanzwe.

Niba utwite cyangwa ushobora kuba utwite, bimenyeshe muganga wawe ako kanya. Nubwo gadofosveset itaragaragazwa ko yangiza mugihe cyo gutwita, abaganga mubisanzwe bakunda kwirinda ibintu bitandukanye keretse bibaye ngombwa rwose kubuzima bwa nyina.

Abantu bafite allergie izwi kuri gadolinium cyangwa ibice byose bya gadofosveset ntibagomba guhabwa uyu muti. Niba waragize ibibazo byatewe n'ibintu bikoreshwa mu kugaragaza ibintu mu gihe gishize, menyesha ikipe yawe y'abaganga amateka yabyo.

Indwara zimwe na zimwe zisaba kwitonda cyane, harimo indwara zikomeye z'umutima, ibibazo by'umwijima, cyangwa amateka y'ibibazo byo gufatwa. Muganga wawe azagereranya inyungu n'ibishobora guteza akaga muri ibyo bihe.

Amazina y'ubwoko bwa Gadofosveset

Gadofosveset izwi cyane ku izina ry'ubwoko rya Ablavar muri Leta Zunze Ubumwe z'Amerika. Mu bindi bihugu, birashobora kuboneka ku mazina y'ubwoko atandukanye, nubwo kuboneka bishobora gutandukana bitewe n'akarere.

Muganga wawe cyangwa ikigo gishinzwe gushushanya bazakumenyesha neza uburyo bakoresha. Ikintu cy'ingenzi ni uko ubwoko bwose burimo ikintu kimwe gikora kandi kigakora kimwe.

Mugihe utegura gahunda yawe cyangwa uvugana kubyerekeye uburyo, urashobora kumva abaganga bakoresha izina ryayo rusange (gadofosveset) cyangwa izina ry'ubwoko (Ablavar). Ibi ni imiti imwe.

Uburyo bwo gusimbuza Gadofosveset

Andi masomo menshi akoreshwa mu gushushanya MRI, nubwo buri kimwe gifite imikoreshereze yacyo yihariye n'imiterere yacyo. Muganga wawe azahitamo uburyo bwiza bushingiye kubyo bakeneye kubona n'ubuzima bwawe bwite.

Andi masomo ashingiye kuri gadolinium harimo gadoteridol, gadobutrol, na gadoterate meglumine. Ibi bikora kimwe na gadofosveset ariko ntibifatana na albumin, bityo bigenda mumubiri wawe vuba.

Kuri zimwe mumoko yo gushushanya imitsi y'amaraso, abaganga bashobora gukoresha uburyo butandukanye rwose. Ibi bishobora kuba CT angiography hamwe na iodine-based contrast cyangwa ndetse no gushushanya ultrasound, bitewe n'amakuru bakeneye.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba MRI idakoresha ikintu na kimwe gituma iboneka neza. Ikoranabuhanga rya MRI rigezweho rimwe na rimwe rishobora gutanga amashusho ahagije hatarimo ibituma iboneka neza, cyane cyane mu isuzuma rya mbere cyangwa mu isuzuma ryo gukurikirana.

Ese Gadofosveset iruta izindi ntungamubiri zituma iboneka neza?

Gadofosveset ifite ibyiza bidasanzwe ku bwoko bwihariye bwo gushushanya, cyane cyane iyo abaganga bakeneye amashusho arambuye kandi arambye y'imitsi yawe y'amaraso. Ubushobozi bwayo bwo guhuzwa na albumin butuma ikoreshwa cyane cyane mu bihe bimwe na bimwe byo gusuzuma indwara.

Ugereranije n'ibintu bisanzwe bya gadolinium, gadofosveset iguma mu mitsi yawe y'amaraso igihe kirekire, bigatuma haboneka amashusho arambuye y'imitsi mito y'amaraso no gusuzuma neza uko amaraso atembera. Ibi birashobora gufasha cyane mugihe usuzuma indwara y'imitsi yo ku ruhande cyangwa gutegura ibikorwa by'imitsi.

Ariko,

Muganga wawe ashobora gutegeka ibizamini by'amaraso kugira ngo arebe uko impyiko zawe zikora mbere yo gutegura isesengura ryawe. Niba imikorere y'impyiko zawe isanzwe, kugira diyabete ntigomba kukubuza kwakira gadofosveset. Ariko, niba urwaye indwara y'impyiko ya diyabete, muganga wawe ashobora guhitamo uburyo butandukanye bwo gushushanya cyangwa gufata ingamba zidasanzwe.

Nkwiriye gukora iki niba mbonye gadofosveset nyinshi mu buryo butunganye?

Kurenza urugero rwa gadofosveset birashoboka cyane ko bitazabaho kuko bitangwa n'abantu b'inzobere mu by'ubuvuzi mu buryo bugenzurwa. Abaganga bita cyane ku gupima urugero nyarwo rwa dose hashingiwe ku gipimo cy'umubiri wawe n'ubwoko bw'isesengura riri gukorwa.

Niba ufite impungenge ku rugero wakiriye, vugana n'ikipe yawe y'ubuvuzi ako kanya. Barashobora kugukurikiranira ibimenyetso bidasanzwe kandi bagafata ingamba zikwiye niba bibaye ngombwa. Inkuru nziza ni uko gadofosveset ivanwa mu mubiri wawe mu buryo busanzwe binyuze mu mpyiko zawe, bityo kunywa amazi menshi bishobora gufasha iyi nzira.

Nkwiriye gukora iki niba mfite ingaruka zikurikira nyuma ya gadofosveset?

Ingaruka nyinshi zituruka kuri gadofosveset ni nto kandi zikemura zonyine mu masaha make. Niba ufite ibimenyetso bito nk'isuka, kubabara umutwe, cyangwa uburyohe bwa metallic, ibi ni ibisanzwe kandi ntibisaba kuvurwa byihariye.

Ariko, niba ugize ibimenyetso nk'ingorane zo guhumeka, kubyimba bikabije, uruhu rwakwiriye hose, cyangwa kuribwa cyane, shakisha ubufasha bw'ubuvuzi ako kanya. Ibi bishobora kuba ibimenyetso byo kwibasirwa bikabije. Vugana na muganga wawe niba ufite impungenge ku bijyanye n'ibimenyetso bisa nk'ibidasanzwe cyangwa bikomeza igihe kirekire kuruta uko byari byitezwe.

Nshobora gusubira mu bikorwa bisanzwe ryari nyuma ya gadofosveset?

Muri rusange ushobora gusubira mu bikorwa byose bisanzwe ako kanya nyuma yo kwakira gadofosveset. Umuti ntugira ingaruka ku bushobozi bwawe bwo gutwara imodoka, gukora, cyangwa kwitabira imirimo yawe ya buri munsi.

Inama rukumbi ni kunywa amazi menshi umunsi wose kugira ngo bifashe impyiko zawe gukuraho umuti w'itandukaniro. Nta mbogamizi z'imirire cyangwa imikorere keretse muganga wawe abigushishikarije mu buryo bwihariye bitewe n'uko ubuzima bwawe bumeze.

Gadofosveset imara igihe kingana gute mu mubiri wanjye?

Gadofosveset itangira gukurwaho mu mubiri wawe mu masaha make nyuma yo guterwa urushinge, ibyinshi muri byo bikagenda mu masaha 24-48. Uyu muti ukorwa n'impyiko zawe ukurwaho unyuze mu nkari.

Mugihe ingaruka z'itandukaniro zimara amasaha menshi mugihe cyo gukoresha amashusho, umuti nyirizina ntugenda wiyongera mu mubiri wawe cyangwa ngo utere impinduka zirambye. Imikorere isanzwe y'umubiri wawe ikora isuku neza, niyo mpamvu kuguma ufite amazi menshi bifasha gushyigikira iyi mikorere.