Icyo Gadopentetate ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'ibindi

Gadopentetate ni umuti ukoreshwa mu kugaragaza ibice by'umubiri neza, ufasha abaganga kureba imbere mu ngingo zawe neza cyane mugihe cyo gukoresha MRI. Uyu muti urimo gadolinium, icyuma cyihariye gikora nk'ikintu cyerekana ibice by'umubiri wawe mugihe ukoresha imashini ya magnetic resonance imaging.

Iyo wakiriye gadopentetate binyuze muri IV, igenda mu maraso yawe kandi ihindura by'agateganyo uburyo ibice bimwe na bimwe by'umubiri wawe bigaragara ku mashusho ya MRI. Ibi bituma byoroha cyane ko ikipe yawe y'ubuzima imenya ibibazo, igasuzuma indwara, kandi igategura uburyo bwiza bwo kukuvura.

Gadopentetate ikoreshwa kubera iki?

Gadopentetate ifasha abaganga kubona amashusho asobanutse kandi arambuye y'ingingo zawe n'imitsi mugihe cyo gukoresha MRI. Bifite akamaro cyane mugihe amashusho asanzwe ya MRI atagaragaza ibisobanuro bihagije kugirango hakorwe isuzuma ryukuri.

Muganga wawe ashobora kugusaba gadopentetate niba akeneye gusuzuma ubwonko bwawe, umugongo, umutima, imitsi y'amaraso, cyangwa izindi ngingo zirambuye. Uyu muti utuma imitsi idasanzwe igaragara neza, ifasha kumenya ibibyimba, umubyimbire, ibibazo by'imitsi y'amaraso, cyangwa izindi ndwara.

Uyu muti ni ingirakamaro cyane mugusuzuma ibibyimba byo mu bwonko, ibimenyetso bya multiple sclerosis, ibibazo by'umutima, n'ubusanzwe bw'imitsi y'amaraso. Irashobora kandi gufasha abaganga gukurikirana uburyo imiti imwe n'imwe ikora neza uko igihe kigenda.

Gadopentetate ikora ite?

Gadopentetate ikora ihindura by'agateganyo imiterere ya magnetike y'imitsi y'umubiri wawe mugihe cyo gukoresha MRI. Iyo imashini ya MRI ikoresha magneti ikomeye ikorana na gadolinium muri uyu muti, ibice bimwe na bimwe by'umubiri wawe biragaragara cyane cyangwa bikagaragara cyane ku mashusho.

Uyu muti wifashishwa mu kugaragaza ibintu mu buryo bworoshye, ukaba ukoreshwa cyane kandi abantu benshi bawihanganira. Ntabwo uvura indwara iyo ari yo yose, ahubwo ukoreshwa nk'igikoresho cyo gupima kugira ngo abaganga babashe kureba ibiri kuba mu mubiri wawe.

Uturemangingo twa gadolinium ni tunini cyane ku buryo tutinjira mu turemangingo tw'umubiri muzima, bityo tukaguma mu maraso yawe no mu mwanya uri hagati y'uturemangingo. Ariko, ahantu hari ububyimbirwe, indwara yandura, cyangwa imikurire idasanzwe y'uturemangingo, uyu muti ushobora kwinjirira muri utwo duce dufite ibibazo, bigatuma tugaragara neza ku isesengura.

Nkwiriye Gufata Uyu Muti Wa Gadopentetate Nte?

Gadopentetate itangwa buri gihe binyuze mu muyoboro w'urushinge (IV) n'abantu b'inzobere mu by'ubuzima mu kigo cy'ubuvuzi. Ntabwo uzajya ufata uyu muti uri mu rugo cyangwa unywa.

Mbere yo kujya mu isuzuma rya MRI, urashobora kurya no kunywa nk'ibisanzwe keretse muganga wawe akubwiye ibindi. Nta mpamvu yo kwirinda kurya cyangwa guhindura imiti yawe isanzwe mbere yo guhabwa gadopentetate.

Mugihe cyo gupimwa, umuganga azashyira urushinge ruto rwa IV mu urugingo rwawe cyangwa ukuboko. Umuti wa gadopentetate uzaterwa binyuze muri uyu muyoboro wa IV, akenshi hagati yo gupimwa kwa MRI igihe umuhanga mu by'ikoranabuhanga akeneye amashusho yerekana itandukaniro.

Umuti uterwa mu masegonda make, kandi ushobora kumva ukonja cyangwa umuvuduko muto ahantu urushinge rwashyizwe. Abantu bamwe bumva uburyohe bw'icyuma mu kanwa kabo cyangwa bakumva bashyushye gato mu gihe cy'umunota umwe cyangwa ibiri nyuma yo guterwa urushinge.

Nkwiriye Gufata Gadopentetate Igihe Kingana Gite?

Gadopentetate ni urushinge rumwe rutangwa gusa mugihe cyo gupimwa kwa MRI. Ntabwo ufata uyu muti iminsi, ibyumweru, cyangwa amezi nk'indi miti.

Umuti utangira gukora ako kanya nyuma yo guterwa urushinge kandi utanga amashusho asobanutse neza mu gihe cy'iminota nka 30 kugeza kuri 60. Isesengura ryawe rya MRI rizajya kurangira muri iki gihe kugira ngo rifate amashusho meza ashoboka.

Umubiri wawe usohora neza gadopentetate nyinshi binyuze mu mpyiko zawe mu masaha 24. Ariko, ibice bito bishobora kuguma mu mubiri wawe iminsi myinshi cyangwa ibyumweru, ibyo bisanzwe kandi ntibigira ingaruka ku bantu bafite imikorere myiza y'impyiko.

Ni Iyihe Ngaruka Ziterwa na Gadopentetate?

Abantu benshi ntibagira ingaruka na gato ziterwa na gadopentetate, kandi iyo ingaruka zigaragaye, akenshi ziba zoroshye kandi z'igihe gito. Kumva ibishobora kuba byagufasha kwitegura neza kandi ntugire impungenge nyinshi ku bijyanye na MRI yawe.

Ingaruka zisanzwe zimwe na zimwe abantu bahura nazo zirimo:

• Kumva ukonja cyangwa uburyohe bwa icyuma mugihe cy'urushinge
• Gushyuha gake cyangwa kumva umubiri uhindutse
• Isesemi ryoroshye rishira vuba
• Umutwe ushira nyuma y'amasaha make
• Urugero cyangwa kumva ureremba
• Urubavu ruto cyangwa kubyimba ahantu hashyizweho urushinge rwa IV

Izi ngaruka zisanzwe akenshi zishira mumunota cyangwa amasaha nyuma yo gukora isesengura kandi ntizisaba ubuvuzi bwihariye.

Ingaruka zikomeye ziragoye kuboneka ariko zirimo ibimenyetso by'uburwayi. Dore ibimenyetso byasaba ubuvuzi bwihutirwa:

• Kugorwa no guhumeka cyangwa guhumeka cyane
• Uruhu rurwaye cyane cyangwa imyatsi
• Kubyimba mu maso, iminwa, ururimi, cyangwa umuhogo
• Isesemi ikabije no kuruka
• Umutima utera cyane cyangwa kuribwa mu gituza
• Urugero rukabije cyangwa guta ubwenge

Izi ngaruka zikomeye zibaho ku bantu batarenze 1% bakoresha gadopentetate. Itsinda ry'abaganga rikora isesengura ryawe ryatojwe neza gukemura ibi bibazo nibibaye.

Uburwayi bukomeye ariko butavugwa cyane bita nephrogenic systemic fibrosis bushobora kubaho ku bantu bafite indwara zikomeye z'impyiko. Ibi nibyo bituma muganga wawe azasuzuma imikorere y'impyiko zawe mbere yo kuguha gadopentetate niba ufite ibibazo by'impyiko.

Ninde Utagomba Gukoresha Gadopentetate?

Gadopentetate ni umutekano ku bantu benshi, ariko hariho ibintu bimwe na bimwe aho muganga wawe ashobora guhitamo uburyo butandukanye cyangwa agafata ingamba zidasanzwe. Itsinda ryawe ryita ku buzima rizasuzuma amateka yawe y'ubuvuzi neza mbere ya MRI yawe.

Ugomba kubwira muganga wawe niba ufite indwara ikomeye y'impyiko cyangwa kunanirwa kw'impyiko. Abantu bafite imikorere mibi cyane y'impyiko bafite ibyago byinshi byo kurwara nephrogenic systemic fibrosis, indwara ikomeye igira ingaruka ku ruhu n'izindi ngingo.

Niba utwite, muganga wawe azagereranya neza inyungu n'ibyago byo gukoresha gadopentetate. Nubwo nta bimenyetso bigaragaza ko bitera ubumuga bwo kuvuka, akenshi biririndwa mugihe cyo gutwita keretse bibaye ngombwa rwose ku buzima bwawe.

Abantu bafite amateka y'uburwayi bukomeye bwo kwibasirwa na allergie ku bintu bishingiye kuri gadolinium bagomba kumenyesha itsinda ryabo ryita ku buzima. Muganga wawe ashobora kuganira ku zindi nzira zo gushushanya cyangwa gufata ingamba zidasanzwe niba MRI hamwe n'itandukaniro ari ngombwa.

Niba urimo konka, urashobora gukomeza konka nyuma yo kwakira gadopentetate. Gusa ibintu bito cyane bishyirwa mu mata y'ibere, kandi ibi bintu bito ni umutekano ku mwana wawe.

Amazina y'ubwoko bwa Gadopentetate

Gadopentetate iboneka munsi y'amazina menshi y'ubwoko, aho Magnevist ari verisiyo ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Andi mazina y'ubwoko arimo Magnegita mu bihugu bimwe na bimwe.

Bitewe n'izina ry'ubwoko, ibicuruzwa byose bya gadopentetate bikubiyemo ibintu bikora kimwe kandi bikora kimwe. Ikigo cyawe cyita ku buzima kizakoresha ubwoko bwose bufite, kandi imikorere izaba imwe.

Niba ufite ibibazo bijyanye n'ubwoko bwihariye uzakira, urashobora kubaza umuhanga wawe wa MRI cyangwa umuganga ugukurikiranira isesengura ryawe.

Uburyo bwo gusimbuza Gadopentetate

Izindi ntangangiro zishingiye kuri gadolinium zishobora gukoreshwa mu mwanya wa gadopentetate, bitewe n'ubwoko bwa scan ya MRI ukeneye. Izi nzira zindi zirimo gadoterate (Dotarem), gadobutrol (Gadavist), na gadoxetate (Eovist).

Buri nzira yindi ifite imitungo itandukanye gato ituma ikwiriye neza ubwoko runaka bwa scan. Urugero, gadoxetate yagenewe cyane cyane ishusho y'umwijima, mugihe gadobutrol itanga amashusho meza y'imitsi y'amaraso.

Muganga wawe azahitamo intanga nziza ishingiye ku gice cy'umubiri wawe kigomba gukorwaho isuzuma n'ubuzima bwawe bwite. Izindi nzira zose zisa neza kandi zikora neza kubantu benshi.

Mu bihe bimwe na bimwe, muganga wawe ashobora gushishikariza MRI idafite intanga niba imikorere y'impyiko yawe yangiritse cyane cyangwa niba ufite izindi ndwara zituma intanga ziteje akaga.

Ese Gadopentetate iruta izindi ntangangiro?

Gadopentetate ntabwo ari ngombwa ko iruta cyangwa ikarushwa n'izindi ntangangiro - ni imwe gusa mumahitamo menshi meza abaganga bashobora guhitamo. Intangangiro

Yego, gadopentetate muri rusange iratekanye ku bantu barwaye diyabete, igihe imikorere y'impyiko yawe isanzwe. Ariko, niba urwaye indwara ya diyabete y'impyiko, muganga wawe azagenzura imikorere y'impyiko yawe mbere yo kuguha umuti utandukanya.

Imiti imwe ya diyabete yitwa metformin ishobora gukenera guhagarikwa by'agateganyo nyuma yo guhabwa gadopentetate niba ufite ibibazo by'impyiko. Muganga wawe azaguha amabwiriza yihariye yerekeye imiti yawe ya diyabete niba bibaye ngombwa.

Q2. Nkwiriye gukora iki niba mbonye gadopentetate nyinshi mu buryo butunganye?

Kurenza urugero rwa gadopentetate ni gake cyane kuko itangwa n'abakozi b'ubuzima babihuguriwe kandi babara neza urugero rukwiye. Niba ufite impungenge zo kubona nyinshi, itsinda ry'abaganga rikora isuzuma rishobora gukemura impungenge zawe ako kanya.

Ibimenyetso byo kubona umuti mwinshi bishobora kwerekanwa no kuruka cyane, cyangwa ibimenyetso bidasanzwe. Itsinda ry'ubuzima ryatojwe kumenya no kuvura ibi bibazo vuba niba bibaye.

Q3. Nkwiriye gukora iki niba nasibye gahunda yanjye ya MRI?

Niba wasibye gahunda yawe ya MRI, hamagara gusa ikigo gikora isuzuma kugirango usubize gahunda. Kubera ko gadopentetate itangwa gusa mugihe cyo gukora isuzuma rya MRI ubwaryo, gusiba gahunda ntigira ingaruka kumiti yose.

Gerageza gusubiza gahunda vuba bishoboka, cyane cyane niba muganga wawe yarategetse MRI kugirango akore iperereza ku bimenyetso cyangwa kugenzura uburwayi. Ibigo byinshi bikora isuzuma birumva ibibazo byo guteganya kandi bizakorana nawe kugirango ubone igihe gishya cyo guhura.

Q4. Nshobora gusubukura ibikorwa bisanzwe ryari nyuma yo guhabwa gadopentetate?

Urashobora gusubukura ibikorwa byose bisanzwe ako kanya nyuma yo gukora isuzuma rya MRI hamwe na gadopentetate. Nta mbogamizi zo gutwara imodoka, gukora, gukora imyitozo, cyangwa ibindi bikorwa bya buri munsi.

Abantu bamwe barumva bananiwe gato nyuma ya MRI, ariko ibi akenshi biterwa no kuryama utihagaze igihe kirekire aho kuba umuti wifashishwa. Niba wumva ibimenyetso bidasanzwe nyuma yo gupimwa, hamagara umuganga wawe.

Q5. Ese gadopentetate izabangamira imiti indi mfata?

Gadopentetate ntigira icyo itwara ku miti myinshi, kandi urashobora gukomeza gufata imiti yawe isanzwe nkuko byategetswe. Ariko, niba ufata metformin yo kuvura diyabete kandi ufite ibibazo by'impyiko, muganga wawe ashobora kukubwira guhagarika metformin by'agateganyo.

Buri gihe menyesha ikipe yawe y'ubuvuzi ku miti yose, ibyongerera imbaraga, n'imiti y'ibyatsi ufata. Ibi bibafasha gufata ibyemezo bifite umutekano ku buzima bwawe kandi bakamenya ibibazo byose bishobora kuvuka mbere ya MRI yawe.